Loading...
HomeMy WebLinkAbout0048 PADLOCK LANE - Health 8 Padlock Lane Centerville A= 173 —038 S M EA® No.H163OR UPC 10259 smead.com • Made to USA t , No. ^ v" Fee _��•' �+ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLAtion for Disposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(v<Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No.� �'��(C)Gk<, L_,p,,C Owner's Name,Address,and Tel.No.-7 Assessor's Map/Parcel \1 3 Installer's Name,Address,and Tel.No. 3ts�-�ZS�'-6C�,P"5 Designer's Name,Address,and Tel.No. S's li3-290-331 E Z—x ^ . S Type of Building: .Dwelling No.of Bedrooms Lot Size \�`©�z�sq.ft. Garbage Grinder( ) Other Type of Building ��� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided_ 3 �(� gpd Plan Date 'N a d Number of sheets Revision Date Title Size of Septic Tank \(YZY2_') 6cs ' ._� ype of S.A.S.���,, r.�� �(,� e,,,,��,f3 eQ p �e Description of Soil��-�-�_ �� �p�� ��,, d `� 0S ��1, z- Nature of Repairs or Alterations(Answer when applicable �, ` • `off O '74D -•.3 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. Signe Date pl Application Approved by Date Application Disapproved by Date for the following reasons 2�Z( Permit No. � �Q� Date Issued 7C! TOWN OF BARNSTABLE LOCATION �(� �C'_Y��� �n-r SEWAGE#o�o�k VILLAGE .,"��r v \� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO7i ,, .e fir SEPTIC TANK CAPACITY k QQ© Go LEACHING FACILITY:(type) S'-V�v N (size) Q' NO.OF BEDROOMS OWNER PERMIT DATE: k COMPLIANCE DATE: l Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 3 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 to o Nil P 1 r 1 No. Q C-�� Fee�W THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Misposal *pstem Construction permit 3 t,J w� Application for a Permit to Construct( ) Repair(vy"'Upgrade( ) Abandon( ) ❑Complete System EkKndividual Components Location Address or Lot No.(^ t� �OGt( Owner's Name,Address,and Tel.No.-7 Assessor's Map/Parcel ef \, M Installer's Name,Address,and tel.No. Desitm-signer's Name,Address,and Tel.No. S"G �.�•-via-6os`s` Type of Building: Dwelling No.of Bedrooms Lot Size !C ` Z sq.ft. Garbage Grinder( ) Other Type of Building , - No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ?.2sr'� gpd Design flow provided' ` gpd Plan Date������© Number of sheets Revision Date Title Size of Septic Tank \Qp,•"� (;;� �-� ,,lType of S.A.S.C,-, - (A Description of Soil t Nature of Repairs or Alterations(Answer when applicable ,,W7,;, �� _��s A n 2 Date last inspected: Agreement: e 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 Date C, Application Disapproved by Date for the following reasons Permit No. Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance \ THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by 2-. wr- at fro���� o has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,7 &71 - dated /����249_Z, Installer , . -Ad—��.��,�'�. ,_. — -a 1 DesignerT- #bedrooms �_, Approved design flow gpd The issuance of t is pe t sha11 not be construed as a guarantee that the system wi'1 f h as designe . Date 1 Inspector � ��o.­ �� --------------------- ------- ------- - -_- --- - - - - - - - - - ` No.Z02I _ OOZ Fee f THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Bisposal *pstem Construction i3Prmit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at � `p� � �� � � � — l 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 ( �(�T ) Approved by Town of Barnstable Regulatory Services = Richard V. Scali, Interim Director Public Health Division �i6s9. A. p�+ Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Z Sewage Permit# ''��a (- O 02'Assessor's Map\Parcel ��3 b 3 9 Designer: 1 V I EN C-o' So n Installer: ,4 LOT,!- Address: l- Address: T,!fC _ On"l was issued a permit to install a date I (installer) �--3 septic system at 1 o uo c*— L� - 1,�V1�N,�U t 4ased on a design drawn by (address) �C'r.(��^ C-5 dated Z designer) "'- � s7rS � I certi that the se is system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters (if applicable) RR nstaller's Signature) 1140 esigner's Signature) (Affix ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH D ON- CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\STtic\Desipa Certification Form Rev 8-14-13.doc Y � " Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. PetersburgFL 33733 November 20,2013 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Richard Judd use the return Name of Inspector key. Moran Engineering Associates, LLC. tbb Company Name P.O. Box 183 Company Address South Harwich MA 02661 Cityrrown State Zip Code 508-432-2878 S19584 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Adl'u'Aal November 20, 2013 Inspec or's tu Signa Date The system ins ector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. I�Z� �z/ t5ins•3/13 Title 5 Official Inspection Vb .c. wage Disposal System-Page 1 of 17 Y Commonwealth of Massachusetts Title 5 Official 'Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„ 48 Padlock Lane Centerville MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. City/Town State Zip Code Date of Inspection R Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: NOTE: the soil absorption system consists of two stoneless leaching trenches. The westeren trench observation port showed <1 of measured liquid. The eastern trench observation port showed 11.5" of standing liquid. The eastern trench was under hydrualic failure while the western trench was observed to be operational. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust,N.A.PO Box 14407 Owner Owner's Name information is required for every St. PetersburgFL 33733 November 20, 2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts - Title 5 Official `Inspection Form A o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -° 48 Padlock Lane Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is St. Petersburg FL 33733 November 20, 2013 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. .System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: k This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate Yes or No to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or.cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. PetersburgFL 33733 November 20, 2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form j Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November20, 2013 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? 0 ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): *2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts w - Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. PetersburgFL 33733 November 20, 2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: *Approved septic system design flow was for 330 gpd. Actual design flow provided: 346.3 gpd. Number of current residents: 2 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2012: 142 9 ( Y 9 (gpd)): 2011: 129 Detail: Sump pump? ❑ Yes ® No Last date of occupancy: November 2013 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Barnstable BOH: no maintenance records since "98. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Disposal Works permit 10-178(new distribution box and leaching area), Certificate of Compliance date 6-28-10 per Barnstable BOH records. Note: septic tank pre-dates 6/28/10. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ® cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: >100'feet Comments (on condition of joints, venting, evidence of leakage, etc.): There were no observed signs of backup or leakage within the basement at the time of the field inspection. Septic Tank(locate on site plan): Depth below grade: Top:5", Inlet: 5", Outlet: 5" feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1000-gallon. If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5'X 4.8'X 48' Flow Line Sludge depth: 12" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is FL 33733 November 20, 2013 required for every St. Petersburg _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic'Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 22" 7" Scum thickness Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Measuring rod Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The septic tank contains a 4"- Orangeburg inlet line. The inlet side of the tank contains a pre-cast tee.The outlet side of the tank contains a PVC outlet tee. The PVC outlet tee extends 14" below the 48"flow line. There were no observed signs of leakage or backup, with in or above the tank, at the time of field inspection. Pursuant to 310 CMR 15.351 (1)the septic tank did not require maintenance pumping. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 i c Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No l5ins-3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official 'Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - w 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.): The box is a D13-3. Surface to cover: 5". One inlet line and 2 outlet lines. Weirs present in both outlet lines. Water testing showed the eastern exit line would not take flow. All liquid flow was exiting the western trench exit line. The leveling weir elevation appeared equal at the time of the inspection. There were no observed signs of solid carryover or leakage within or above the box at the time of the inspection. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: (2) at 30' long ❑ leaching fields number, dimensions:. ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS: (2) 30' long by 2.83' wide by 10.38' effective depth ADS Arc 36HC units in trench configuration (with no stone). East Inspection Port/Trench: 4"PVC inspection port. Surface to top: 13". Surface to floor: 46". Liquid: 11.5". Staining indicators above the top of unit(within the inpsection port)at time of field inspection. The eastern trench was observed to be under hydraulic failure at the time of the inspection. West Inspection Port/trench: 4" PVC inspection port. Surface to top: 14". Surface to floor: 46". The inspection port contained <1"of measured liquid. No staining indicators were observed aboeve the standing liquid level at time of field inspection. There were no observed signs of surface ponding or breakout above the SAS at the time of the inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„ 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is St. Petersburg FL 33733 November 20, 2013 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts _ title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name required fo is St. Petersburg FL 33733 November 20, 2013 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below Z ❑ drawing attached separately 8 (Sheet 2) EC51 2 TRENC P 328 HES PROVIDE INSPECTION x 103.35 PORT ON EACH TRENCH N 14.37'30" E 135.00' / r I' 103.17 LOT 118 - APN 173-038 16,108±S.F. EX1517NC SEPTIC TAN C �103.04 ? of TP-1 &1 3.?7 rn d ,.ale 103.74x� TP-I• i,"5 1° Z e i 1, �103.53 # ..v'-1 ot 104.00 N I ct +.103.56 y% /' % � `; / Ex�snnic ,y i i' HOUSE (#48) j 1 Jl a x 0a.20 .-� 82 �. `T.O F=104.84f:'I%i // � ' I 103.86 Y % - .R0 103.81 i :a :•/I,.- •' 104-.ff 103.41 I Da 103.79 �x .-1'04,12 v Ab 97.78 89.00' 100.62 _ t N 14'37'30" E 100.51 = 97.33 . i�^..0.- eage o/ ooemenl o 97.49 1198 P ST�E00.0099.60 98.92 °� PADL OCK LANE LOCATION A B C SEPTIC TANK INLET 13.3' 17.1' N/A SEPTICTANK OUTLET 16.6' 22.0' N/A DISTRIBUTION BOX 37.5' 26.7' 43.2' EASTTRENCH PORT 53.3' 37.8' 38.7 WEST TRENCH PORT 60.8' 28.9' 28.0' t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page It,or'I i Assessing As-Built Cards rage i or 2- 'TOWN OF BARNSTABIX C LOCATION !7 �A�°J� SEWAGE# VILLAGE .�>En�y.�vt lG ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. i 'tPe w llil SEPTIC TANK CAPACITY /000 la t o IC x 4-i r j LEACHING FACILITY.(type)/ZJ J)tY 31ol Ip .WZn(size)Ca, 3 tr 3 0 NO.OF BEDROOMS OWNER Oo-r o l n t 1-,ko n 2 n PERMITDATE: COMPLIANCE DATE: (- 2 10 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of y4 Hi leac_h iNZ-Ji- -,3 '1 t ►t4tfQn5�S (��L Feet FURNISHEDBY ,5/tZ «.o ii3y ( Rkq A5 37. to �S 3b•3 CA a8z Z\ CS- 3`l 32 Z2.o 3"3 a-7.y http://www.town.barnstable.ma.us/Assessing/HMdisplay.asp?mappar=173 03 8&seq=1 10/29/2013 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 48 Padlock Lane, Centerville, MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: > 5.0' below the floor of the SAS.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: 6/18/10- application approval date. Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health- explain: Installer&Designer Certification Form is attached to this document. ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Per Health Department approved design plan and in conjunction with the Installer & Designer Certification Form (attached). Design plan leaching trench floor elevation: EL. 99.50 Design plan bottom of test hole 1 (dry) elevation: EL. 93.00 Bottom of trench to bottom of dry test hole: 06.50' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 48 Padlock Lane Centerville MA. Assessors Map: 173 & Parcel: 038 Property Address Caroline A. Luongo Mailing Address: c/o Raymond James Trust, N.A.PO Box 14407 Owner Owner's Name information is required for every St. Petersburg FL 33733 November 20, 2013 page. City/Town state .Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 '06/28�2010 12: 44 5084775313 ENGINEERING WORKS PAGE 0"1 Town of Barnstable Regulatory Services Tbomas F. Geiler,Director Public Health Division Thowas McKean,Director 200 Main Street, HYuvnia,MA 0MX Pax: 508-79" 04 Woo., 508.862-4644 Date: ?� Lo Sewage Peruait# Z010 a \I� Assessor's Mapftrcel 1"1'�-03g ristall eCCCggSMB FgM Designer: ;vVe-I h,., t,�}ay(,� lv�r , installer: Address: 6� AddrM P e. '6o x `z 63 on -was issued a permit to install a (date) (u>ts er saptic system.at e D&I J e c� LY' �-�- based on a design drawn by ( Css C_�r-`F_A dated (desi I certify that the septic system referenced above was installed substazttiell according to the desr , which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank, Str:pout (if required) was inspected and the soils were found satisfactory, I certify that the septic system referenced above was installed with major c}ianges (i.e. granter than i o' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan d the soils certified as-built by designer to follow. Stripout(if required) was inspected wet found satisfactory. OF M46. PETER T, icLes ) MaENtEI: Si H CIVIL. fd0.38108 ,Q (Designer's ignature A ix D ITURN B T D T gtkrPRoe��;gopxcertific�tion fo:m.doc 'No. ?0/0-'7 Y Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETT$ Applitatlon for 32i1Sposal .6pstem Construction permit Application for a Permit to Construct( ) Repair N/ Upgrade( ) Abandon( ) E)Complete System ❑Individual Components Location Address or Lot No. U$ PA410(,K G' r[ Owner's Name,Address,and Tel.No.6t y,., L Coo (�.•t,-•�ST. Assessor's Map/Parcel /-73 0 .ELfv�..r Installer's Name,Address,and Tel.No. P CI_11+ Designer's Name,Address,and Tel.No. c[1-7 S3/j eAPL'wic [ / SC} GLL u2�-yoz� Enl4r3z�r, [d.Jst�cs �2cu tY�Lv�x�J L2�rYpw Type of Building: Dwelling No,of Bedrooms I Lot Size (o� a} sq.ft. Garbage Grinder( ) Other Type of Building 5b1r TNo.ofPersons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3'-4(o.3 gpd Plan Date z0 Number of sheets Z Revision Date Title gs U L� - a Size of Septic Tank 000 TypeofS.A.S.(P.) Se�$S fKLe,,14,05 aRC3to l2ft�f71< Description of Soil ek Nature of Repairs or Alterations(Answer when applicable) Date last inspected: O 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 ofHeaj9n / Signed Date -1 t'a"Z-Ot 0 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. an O(O— ( Date Issued ( - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compfiante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired OO Upgraded( ) Abandoned( )by (�A f' at ���' RL`(OC� �n/1 z n �0 y�tl.r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.0�0�0-17 p dated Installer C.�-R ) CL: 421 9 nrl �P S Designer �1.,,lQji_� ti l _jQ1qLl #bedrooms. r� , Approved dlesign fi gpd The issuance o this penrmh shall not be construed as a guarantee that the system gill fu natTn as designed. Date �0 a.R. I Inspector 1 l ------------------------------------------------------------------------------------------------------------------------------------- No. C1 (D)o- (7� Fee' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS )Bi5posal &pztrm Construction permit Permission is hereby granted to Construct( ) Repair(>� Upgrade( •) Abandon( ) System located at - L 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. i r Provided:Construction must be completed within three years of the date of this permit— - / Date /n I U Approved by Lw JL l' o �;Built Page 1 of,1 TOWN OF BARNSTABLE LOCATION 7AlJ locl_ SEWAGE# VILLAGE —ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /(X)U 14 /c) x134-i!` ti LEACHING FACILITY:(type) Ar< -gw (Size)(A) 3 3 a NO. OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: (a Z I O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility AI C) Feet Private Water Supply Welland Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 11 r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) f) Feet FURNISHED BY �aL `ncfP�S 7 41 C: 3y •3 c A a a .o 32 2z.,o NOTE: TO PREVENT BREAKOUT, THE PROPOSED I I___ 30 1 FINISH GRADE SHALL NOT BE < EL.100.8 2.$'�___TRENCH____ FOR A DISTANCE OF 15' AROUND THE ^ ---� PERIMETER OF THE S.A.S. ________ ______ SEPTIC TANK PROPOSED D-80X PROPO D SA 2.8f___TRENCH_______ INSTALL RISERS S & COVERS O FINISOVER INLET & INSTALL RISER. & WATERTIGHT INSTALL INSPECTION PORT OVER, END UNIT I T.O.F. OUTLET AND SET TO 6' OF FINISH GRADE COVER SET TO 6" OF GRADE EXISTING F.G. EL.=103.6t F.G. EL: 103.5t F.G. EL: 103.8(MAX.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. N W L 26' L- 6'(MAX) INSPECTION ® S-I°' (MIN.) ® S=17. (MIN.) PORT yS„ 4"SCH40 PVC a.SCH40 PVC t0'I t 6 EXISTING 48'UOUIO ! . ! J EXIST7NGI:` t / / LEVEL ADD INv.=100.37INVERT I .� �u :'HOUSE (,f48) GAS BAFFLE INV.=100.67 PROPOSED INV-100.50 2 ROWS OF 6 UNITS AT 5.0'/UNIT)- 30' VI � r l J'•� ... INV.=101.75 � EXISTING SOIL ABSORPTION SYSTEM (PROFII F) S.A.S.LAYOUT Z EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFlLL WITH CLEAN NATIVE OR NOTES: To- PERO SAND TO TOP OF CHAMBERS 15.3' (3)5'DWOUT ETS I- ,� 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP ELEV,=100.83 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=100.37TIS3. 2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV-99.50 Lj I s 6 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 2.83' vi 2.83' Too Mew 1. section z' 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE T.P. EXCAVATION OR G.W. 5.7' H-10 LOADING A INVERTS PRIOR TO CONSTRUCTION. EXISTING SUITABLE D-BOX S MANUFACTURED BY TUF-TITE. ZABEL OR EQUAL. 5' MIN. ABOVE BOTTOM OF NO G.W., EL=93.0 r MATERIAL USE 2 ROWS OF 6-ADS Arc WITH STONE HC UNITS SEPTIC SYSTEM PROFILE IN TRENCH CONFIGURATION WfTH NO STONE 63.25'= TYPICALTION N.r.s DESIGN CRITERIA SOIL LOG YV- 34.5' NUMBER, OF BEDROOMS: 2 BEDROOMS DATE: JUNE 4, 2010 (REF#12,962) SOIL EVALUATOR: PETER McENTEE PE (SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH TOP VIEW DAILY FLOW 220 G.P.D. 103.0 0 103,3 0" 60' DESIGN FLOW: 330 G.P.D. A END CAP END SANDY LOAM ASANDY LOAM FRONT MEW SIDE VIEW GARBAGE GRINDER: NO 102.5 10YR 4/2 6 102.7 10YR 4/2 6" END CAP LEACHING AREA REQUIRED: (330) = 445.9 S.F. B SANDY LOAM g SANDY LOAM REAR/TOP NEW 74 10YR 5/6 10YR 5/6 NOTE UNIT COWWRATION ANO AvauevTY WBX11 SIDE VIEW 100.5 30" 100.8 30 OO T`ASNGryILY OUT RON NOTICE, RI DUCT DC AAPEARANCE EXISTING SEPTIC TANK: 1000 GALLON CAPACITY C1 36" C1 PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED LOAMY SAND I PER, LOAMY SAND 464a TRUEMAN HILUARD,OHIO 4302fi BLOO 2.sY s/a 48" 2.5Y s/a Are 36HC DETAIL a USE 2 Rows OF 6-ADS Arc 36HC UNITS IN 98.5 54" 98.8 54"C2 C2 TRENCH CONFIGURATION WITH NO STONE PROPOSED SEPTIC SYSTEM UPGRADE PLAN (GENERAL USE . MED. SAND APPROVAL FOR 7.80 SF/LF IN TRENCH CONFIGUATION) MED SAND 48 PADLOCK LANE CENTERVILLE. MA 2.SY 7/3 2.5Y 7/3 2 x 30' TRENCHES = 60' Prepared for: Capewide .Enterprises, P.O. Box 763, Centerville, MA 02632 60' x 7.80 SF/LF = 468 SF 93.0 120" 93.3 120" Engineering by: SCALE DRAWN JOB. No. DESIGN FLOW PROVIDED: 0.74(468.0 S.F.) = 346.3 G.F.C. PERC RATE <2 MIN/IN. ("Cl" HORIZON) Engineering Works, Inc. NTS P.T.M, 165-10 NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 6/9/10 P.T.M. 2 Of 2 [. n y r LEGEND N s1S EEt ' --gg-- EXISTING CONTOUR ;Bench ark Set x 100.98 EXISTING SPOT GRADE WHITE PAINT/TOP CONC. 2) -E,H.W OVERHEAD WIRES c LOCUS EL.=10J.51 (Assumed) (Sheet -py- EXISTING WATER SERVICE 1 B PROPOSED S.A.S. LCp 3285 2 TRENCHES © TEST PIT post PROVIDE INSPECTION o 't y pa x 103.39 PORT ON EACH TRENCH 0 BENCHMARK N 14'37'30" E c6�4 135.00 1 3.17 EXIS77NG LEACH PIT TO BE PUMPED, FILLED W/ LOCUS MAP LOT 118 28 -j0• SAND &ABANDONED NOT TO SCALE APN 17,3-038 -�-�-I_- 21' -,'0 +103.68 -�-� j EXISTING SEP77C TANK 16,108±S.F. 2.gt - (TO REMAIN) T` --�_}`'T- TOP OF TANK, EL,=103.08 INV.(OUT)=101.75t(VERIFY) GENERAL NOTES: �103A4 Z of 10 103.13x N TP-i �'1 3/��_�� 00 ,w a = 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 10a6• BOARD OF HEALTH AND THE DESIGN ENGINEER. .e 103.74 TP-1. .I ,{. l .. ed� x BM / ( to 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS g1BM I 103.53 �' / __ j rP OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANY APPLICABLE Z %- � j S` �. o LOCAL RULES AND REGULATIONS. ca 104.00 �:'/i/ / % `)"TOP TANK I ',% 103.06 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR �' Imo TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE +.103.56 `' .'j/ / ! i j 'i � $ I I DESIGN ENGINEER. IN 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING I FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN A�,,,, ° z ENGINEER BEFORE CONSTRUCTION CONTINUES. .E'Y15TINCn 'i i / %/ /% x 103I2 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. iHOUSE (#48) :'i!j,!j;/; x 103.82 1104.20 i // I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF T O.F,=104.84f,', >c' S10`.�✓�."i/ , j/ / // : THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF o .',.QP r ; / ,'i/ I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 103.81 103.76,} �.� ii.%';i!;'/ri/� ' ✓/0 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 103.86 I U } 103,23 -( I S. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. \o'4.r o O 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS j AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 1D4'.1-0 e 103.41 [ n DIRECTED BY THE APPROVING AUTHORITIES. S 83'07'20" E a 103.i9`{y'�-i0a.i2 p�� ed9 %� v J 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 10.60' m x 9$ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. .71 ' p,h J 97.78 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS _ 10q, �-p 2 �g°� �7 ("� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). O'a:07 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE -t•,.102.1 v y IOO.b2 _ / NSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 89m, '- '• _• = �� 13 THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND N 1437'30' E 100.51- 97.33 1 I Y U \y OF drgSS9CyG � -� \' �� IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PROPOSED SEPTIC SYSTEM UPGRADE PLAN o PETER T. •r 10 - ecoe al PC-rnent 4$ PADLOCK LANE, CENTERVILLE. MA PETER �. 101,98 STp ;00.0099.60 98.92 0 97.49 N.C1VIL 35 09 Prepared for: Copewide Enterprises, P.O. Box 763, Centerville, MA 02632 REGI55h.�� �Qi OWNER OF RECORD Engineering by: SCAU DRAWN JOB. 610' FF `� PA D L 0 CK LANE LUONGO, CAROLINE TR Engineering Works,Inc. 1"=20' P.T.M. 165-1 O V OI�V` FIRST REALTY TRUST 9 9 64 GEORGE STREET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (1 ((p I(U MEDFORD, MA 02155 (508) 477-5313 6/9/10 P.T.M. 1 Of 2 06/28/2010 12: 44 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Tbomw F. Geller,Director PubliEc Health Division Thomas 1MicKeas,Director 200 Main Street, Hy'apals,MA 02601 Fax: 508-790-6904 omca! 5os•862.460 1�3—031 Date: ?z 1A Sewage Permit# "2,0[0- \-I Assessor's 1VIap/Parce1 ris & CCrAgkM&flFgnom Desigper•. Installer: Address. }Z W, Cr*.1 t` tic 1 CA C<-Z\ Address: f e• 'Go x on Co-)9- Zo i D was issued a permit to install a On er) ' septic�, t. at A-g �c�o� e esc -M'- based on a design drawn by ( ass t•1-4f r`M C-F r-C-A £ dated 1 toesigner) I certify that the septic system referenced above was installed substUntially according to the desi , which may include minor approved changes such arms latera and the �On Of�b distribution box and/or septic tank, Stripout (if required) winspected were found satisfactory, i certify that the septic system referenced above was installed with major changes (i.e. gmWzT than 10' lateral relocation of the SAS or any.vertical relocation of nyy omp0n of the Y'c s stern) but in acccordance with State & Local Regulation d the soils evon or certified as-built by designer to follow. Stripout(if required) was trrsp� � were found satisfactory. OF MqS PETER T. MaENTEE orsSi ) cIVIL No.35109 f.✓� '�y �f rQ tq�i sigaer's ignature A ix D Ir" S 1�: T D t q;krPEfoe��dv.; aaon Poam.aoo I � No. Fee �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS • ZCpplication for Misposal 6pstem (construction jermit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) Ej Complete System ❑Individual Compopents Location Address or Lot No. Y$ PgdCoc l< L:Nti Q Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1-73 ()3,E Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. L/1-7 S3i j Z�FwGswic�? ��T� lej GLt L, zj--yu-L EhiLu'Lt, !t/.Js2LG> 12iu iros�hc�rl lT^cYQ>v Type of Building: Dwelling No.of Bedrooms y Lot Size (o� V�+ sq.R. Garbage Grinder( ) Other Type of Building 5NL Lk No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3`4(o-3 gpd Plan Date 20 I C� Number of sheets Z Revision Date Title y s 0j�uL— p Size of Septic Tank 100c, Type of S.A.S.(P.) S RJI-4-}j jy�zs� 25 SRC 3 t�I2 ft�ttitc Description of Soil i/Ly�� Nature of Repairs or Alterations(Answer `r when-applicable) eZ C t L-n4 tJ<--> Date last inspected: (,O GI 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 He Signed Date ^(—R,-Z-O(J Application Approved by '^ Date 6^ /o Application Disapproved by Date for the following reasons Permit No. P O(0— 1 7 Date Issued G—($—(d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (ICertifirate of(Tomp[ianre THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(5() Upgraded( ) Abandoned( )by LI L. at 0,L- (1L`( C�t t�r1,y �O c^�ll. r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. gUO—{7 0 dated Installer l� 0-1( 1,CLe Q'J--(j Designer Ch.,iU-a^ ,ti t t)0✓11(.11 r t #bedrooms. r� Approved gn\\no^ 3y�o gpd The issuance o thi's perm t shall not be construed as a guarantee that the system will fun`1. as designed. Date °� Inspector Al/ / 2� -----------r--------------- -------------—-------------------------------------------=------------------------------------------------- No. C. (DI O' (-7[�-- Fee, 1(5�0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal a1&pStem Construction permit Permission is hereby granted to Construct( ) Repair(X' Upgrade( ,) I 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 permit--. / Date �on` X {U Approved by � / G .sBuilt Page 1 of 1 TOWN OF BARNSTABLE c LOCATION 5'�/�1J�acl� SEWAGE# L0 IQ- l 7 O + VILLAGE L..,e.n"oc14'1(4 ASSESSOR'S MAP&PARCEL y1 3 C7 G INSTALLER'S NAME&PHONE NO. Ape a /due �c t�h c,.�n TA 5-e S SEPTIC TANK CAPACITY 1 X 0 14 l o �xr 5�►+� , LEACHING FACILITY:(type) 3ivi lP W 2°(size)Cd� 3 � 3 0 NO.OF BEDROOMS J Z t OWNER C o-ro�t n kc�— PERMIT DATE: (P f - Zn I o COMPLIANCE DATE: (- 2 l O t Separation Distance Between the: ,. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N 4 / 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 leachin facility) Feet FURNISHED BY � "S �'nCfpnS`�s �.LL 7 4G a L: Fi Z A 1p �S 31• 3 C, 9�-o CS 3,1.� 33 q http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 7303 8&seq=1 11/20/2013 TOWN OF BARNSTABLE 4 LOCATION SEWAGE# 10 VILLAGE Z41-1V' .147(f ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. eq�7e`v t du '?I"A t^(7 A Se S SEPTIC TANK CAPACITY /00() 14. 10 (Al LEACHING FACILITY: (type)(/3b ArC 3(01 (size) 3 � 3 o NO.OF BEDROOMS � 2 OWNER 0 PERMIT DATE: (0 1 — 2,0110 COMPLIANCE-DATE: (0' 7A tl'o Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility nN u �/ 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 leachin facility) ff.. Feet FURNISHED BY �`w�u pnS Z3 V�� fi ! L° �1 4 v s No. o f f) ' 0 t t ' Fee l " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposai *pstrm Construction permit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Y 8 Pqd 10c K 1- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1'1,3 0 9 � T. Installer's Name,Address,and Tel.No. P®FSvjc2a Designer's Name,Address,and Tel.No. L/11 s3/j /Crewl A( �Cf LL< cl uz sue/ Uldotks ,Zeu fxrd � a Type of Building: Dwelling No.of Bedrooms Lot Size I(. r a + sq.ft. Garbage Grinder( ) Other Type of Building 54 LR C-Pwr,„� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 L4(0.__25 gpd Plan Date ZO . Number of sheets '2, Revision Date Title Size of Septic Tank 0oc) Type of S.A.S.CP_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) i fJ C-j • 3 �- Date last inspected: a Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this .Board of Hea Signed , Date (p �(o' Z.o!J Application Approved by - Date Application Disapproved by Date for the following reasons Permit No. polo— 1`7 Date Issued r fr d No. a til�' _ JvV ' Fee' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( 44) 1Re-pair(_I Upgra e( ,) ) 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 permit------�—'— Date��� j (U Approved by 1//t,'�it U 1 V _ t O T",r a, _.p �" * "* ` Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS .. Yes 2pprication for Bis,posal �&pstem Construction Vermit r 1 Application for a Permit to Construct( ) Repair(0 Upgrade( ) Abandon( ) []Complete System ❑Individual Components Location Address or Lot No. V$ Pq�e oc,)< 4 4,,.Q Owner's Name,Address,and Tel.No. h L vv%9 0 Assessor'sMap/Parcel / 73 p�{ /��,� Inststa?ller's Name,Address,and Tel.No. evd X 2 Designer's Name,Address,and Tel.No. cf 7 7 S 3/,,3 �11 G L lL L/Za c k%.f1t/d ht-eyvb, Type of Building: Dwelling No.of Bedrooms (( _ Lot Size 'for 1 O`6 + sq.ft. Garbage Grinder( ) Other Type of Building 5i✓1,1�? yrt.,�1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures t" I Design Flow(min.required)) t ( t gpd Design flow pro(ided 3 , 5 gpd Plan Date I ,U Number of sheets 12.1 Revision Date 1. Title Size of Septic Tank Qoc, Type of S.A.S.(vZ S 1ZttA�e s� -Tl-e�e5 anc Isto l �1 Description of Soil Nature off Repairs or Alterations(Answer when applicable) jJ<-1 pl, :3 (2 Date last inspected:( D 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 Healttf 1 Signed /J .� Date Ao- ZOf J Application Approved by I Date i Application Disapproved by Date for the following reasons Permit No. o?O(o— 177 Date Issued G—r _(d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C/E�RTIFY,that the On-site S wage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned';( )by at L� AJocL,,_ has been constructed in accordance �( with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer A 1(�,( {��}t Designer �Il��/l #bedrooms Approved flo q(a .�j gpd The issuance o.this perm'h shall not be construed as a guarantee that the system ,i11 fu t n as des�gned. 11 i Date Z f b Inspector . / '�+ n� r 06/28/2010 12:44 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Thomas F. Geller,Director Public Health Dion Thomas McKean,Director 200 i1 min Street, Hyannis,MA 02601 Office: 50"62-460 Fax: 508-79"304 Date: �6 t?V to Sewage Permit#,&,o- 1- Aasessor'e Map/Parcel JAsUft& eEdfl stion FQ=rM Designer: Installer: w:c� �''• l -<<r Address: )Z. W. Cr*.c L tic.1 cif FA Address: P"o' 13o x Z 63 on 'was issued a permit to install a e1 D (installer) Ary 0 aA l e cL� LA - based on a design drawn by (address) M.L�F r-v-A f dated l (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, Stripout (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. givaer than 10' lateral relocation of the SAS or any vertical relocation,of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required) was inspected and the soils were found satisfactory. -IiA of Mqs • PMR T, TEE •01''S Si~)$1 ) McE CIVIL No.3610�9 igner'S ignature A ix D �S PLEASE, RABZITA D y:r�rtoe tbsmsldo�iti�iaaioe eoamdoc Town of Barnstable P# i 9 oF� Department of Regulatory Services �STABr& S: Public Health Division Date -6 e A 200 Main Street,Hyannis MA 02601 Date Scheduled �T�� ,Z aL� Time Fee Pd. a 0 Soil Suitability Assessment for Sewage Disposal Performed Byi Witnessed By: \ LOCATION& GENERAL INFORMATION Location Address Wg f8j n� C I i1� Owner's Name j2� ,y1 k / '1 lv� � ��-C 9 Address Lam• Assessor's Map/Parcel: F ?3la 3S Engineer's Name C' ! �,, �� P{ r Nj.V-<C NEW CONSTRUCTION REPAIR Telephone# Sv>s ZS Y o z g An (ti een rv.� ujh k, Land Use S`JZA Slopes(%) Z Surface Stones Distances from: Open Water Body-2 rcjft Possible Wet Area? Drinking Water Well .S Drainage Way t S6 ft Property Line 2° / ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 2 COD 2 3— o� Parent material(geologic) v Depth to Bedrock 1- 1A Depth to Groundwater: Standing Water in Hole: N/n Weeping from Pit Face ff Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: ___ ____in, Depth to soil mottles: Depth to weeping from side of obs..hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level�- Adi,factor Adj.flrouttdwater Level m PERCOLATION TEST bate Tlme Observation Hole# ' Time at 9" Depth of Perc '.� C n Time at 6" Start Pre-soak Time @ - Z� C.,I Time(9"-6") End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# J_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency.% ravel Lo 01 z- (� Z0 Ci DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsiStency,%Gravel) 'SL- sly C� Z'5- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color V Soil " ' "' " "-Otheii Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.' Consi ten ° ra Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No,-4 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? t If not,what is the depth of naturally occurring pery us material? Certification la��' I certify that on 0 (date) I have p assed the soil evaluator examination approved by the Department of Envir nmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 310 CMR 15.017. Signature p Date � Q:\S.EPT1CIPERCFORM.DOC 1 I� � SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse I• 59' ❑Addressee so that we can return the card to you. B. Received by(Printed Na C. Date of Delivery ■ Attach this card to the buck of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 3. Service Type It ■Certified Mail V /Express Mail ❑ Registered---IN Return Receipt for Merchandise ❑ Insured Mail ` ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑-Yes 2. Article Number (Transfer from service label) 7005 1160 0000 0191 2.366 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4'in this box • I I , Town of Barnstable M �g Health Division 200 Main Street Hyannis,MA 02601 i I I III.1ILIJI I'll„..,tl1A.111,11111111Ad III 191i III Add I Certified Mail#7005 1160 0000 0191 2366 �oFSHF rQ� Town of Barnstable W Regulatory Services AA.RNSTAIXE, 9 MASS. $ Thomas F. Geiler, Director ,F°M a Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790=6304 May 7, 2007 Elaine Ruffing 64 George Street Medford, MA 02155 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 48 Padlock Lane Centerville, was inspected on April 24, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on tlre•basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the Town of Barnstable Code were observed: 170-10—Smoke Detectors and Carbon Monoxide Alarms. No CO detectors provided; inoperable smoke detector. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing CO detector and repairing or replacing smoke detector so it works properly and is in compliance with Mass State Fire Codes. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\48 Padlock Lane.doc Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF TH i OARD OF HEALTH s . McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector 3 June McPherson, Tenant QAOrder letters\Housing violations\Rental ordinance\48 Padlock Lane.doc FORM30 C&w HOBBSB WARREN in THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA CI Y TOWN w DEPARTMENT 1 D,g 1 J_�•�, OVI� t% c; ADD E" TELEPHONE xm Address Occupan _rlgl � mc_?'"- - Floor Apartment No.— No. of Occupants No. of Habitable Rooms 5 No.Sleeping Rooms—�- s No.dwelling or rooming unit _No.Stories i Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: 1( Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches-.— Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE_ INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 11220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 d Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: s, Flue ,Ve feties: Kitchen Facilities QSinV Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPWSNNEDD CERTIFIED UNDER THE PAINS AND PENALTIES OF PER Rl , /L INSPECTORTITLEDATE �1 ` 0TIME 101, 36 A P.M. A.M. THE NEXT SCHEDULED REINSPECTION �� P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. � � � ��e S�.�(s.� 2 � a �Q�.t�l�► � l.� W� a� � Town of Barnstable Regulatory Services BARNS ABL& Thomas F. Geiler,Director 9 MASS s6g9. ,�� Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 25, 2007 Attn: COMM Fire Health Inspector Timothy B. O'Connell conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 48 Padlock Centerville: Assessors Map-Parcel: (173-038): -No Smoke detector working within home. No CO Detector within home. 1 Timothy 'Connell-Health Inspector QAOrder letterMousing violations\Rental ordinanceUire ViolationsTIRE TEMPLATE.doc LEGEND N -- 98 - EXISTING CONTOUR ® o Ben chm ark Set x 100.98 EXISTING SPOT GRADE WHITE PAINT/TOP CONC. +{ --6 H.W. OVERHEAD WIRES LOCUS EL.=103.51 (Assumed) B (Sheet 2) PROPOSED S.A.S. W EXISTING WATER SERVICE r a CP 0s,t LGp 32851 2 TRENCHES � TEST PIT A` PoSth�n S PROVIDE INSPECTION x 103,39 PORT ON EACH TRENCH BENCHMARK °P'Ile / 4� N 14'37'30" E 6o cr°� Qa `q0 Sf Q° 135.00' •i o 103.17 EXISTING LEACH PIT e ,/ ice\ TO BE PUMPED, FILLED W/ LOCUS MAP LOT 11,8 2 g• _ _ 3p1 _0 SAND & ABANDONED NOT TO SCALE APN 173=038 _ / _+ 103.68 -�]_ 2� �0 EXISTING SEPTIC TANK 16,19$fS.F. 2. T_ _ I (TO REMAIN) 1 //�� I TOP OF TANK, EL.=103.08 \ -L_]__ �/ i INV.(OUT)=101.75f(VERIFY) �\ TO 45 1 GENERAL NOTES: 103,13 ` wry S103.04 e7l---, o x N TP-1 13, 0DIQD ` 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL / BOARD OF HEALTH AND THE DESIGN ENGINEER. gape 103,74tz x BM T�1 �• .+, i a 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 103.51 103.53 "�� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 00 I o LOCAL RULES AND REGULATIONS. 104,00 U TOP TANK I / /" Q 103.08 I I� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR IN TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 11 W '+•103,56 \� i I = DESIGN ENGINEER. ,'x \ 03f 6g I I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN / z ENGINEER BEFORE CONSTRUCTION CONTINUES. HOUSE E (#48) x 1031,2, 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. (104'20 T.O.F.=104.84f x 103,82 1 i 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ •\O I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 103,86 p 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.103,76 •+ x CO 103.81 P f , 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. �. • '' i . d m O 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS `J' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 1 151�1,1� 163.41 / 1 DIRECTED BY THE APPROVING AUTHORITIES. S 83'07'20" E 103.79 '10412 P�� ed�e ,� / 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 10.60' ! �� x THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING J 1 CONSTRUCTION. / 71 � /� 97.78 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 7Og � 2"'" Pj°� "� / �""� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND � L+'104,07 �GQ /X; Dc' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 100.62 / INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND OF MAS -"""-W_14-37'30" E 100 5�.-' �/ 97.33 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. PROPOSED SEPTIC SYSTEM UPGRADE PLAN o PETER T. 101.98 edge of pavement !97.49 o McENTEE N ST�T 0,0099,60 98.92 48 PADLOCK LANE, CENTERVILLE. MA CIVIL Prepared for: Copewide Enterprises, P.O. Box 763, Centerville, MA 02632 No 35109 A R£G PADLOCK LANE OWNER OF RECORD Engineering by: SCALE DRAWN JOB. N0. 0 LUONGO, CAROLINE TR 1"=20' P.T.M. 165-10 10 FIRST REALTY TRUST Engineering Works, Inc. 64 GEORGE STREET 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. 4 ((f MEDFORD, MA 02155 (508) 477-5313 6/9/10 P.T.M. 1 Of 2 r. NOTE:6 PREVENT BREAKOUT,_ THE PROPOSED I 30'FINISH GRADE SHALL NOT BE < EL.100.8 2.8[ REN _____TCH `FOR A DISTANCE OF 15' AROUND THE � PERIMETER OF THE S.A.S. _-- SEPTIC TANK PROPOSED D—BOX PROPOSED S.A.S. � 2_8 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT T.O.F. OUTLET AND SET TO 6' OF FINISH GRADE COVER SET TO 6" OF GRADE 4 EXISTING F.G. EL: 103.8(MAX.) `�S F.G. EL.=103.6t F.G. EL: 103.5t •6+, tea' MAINTAIN 2% GRADE (MIN.) OVER S.A.S. NN8) L = 26' L = 6'(MAX) INSPECTION S=1% (MIN.) ® S=1% (MIN.) Lp PORT 4"SCH40 PVC 4"SCH40 PVC 6"10"I 6 10.38 TO 4,.EXISTING 48" UOUID INVERT LEVELGASADBAFFLEJ INV.=100.67 PROPOSED INV.=100.0 100.372 ROWS OF 6 UNITS AT 5.0'/UNIT)= 30'INEXISTING 75 �� SOIL ABSORPTION SYSTEM (PROFILE) S.A. EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFILL WITH CLEAN NATIVE OR I PERC SAND TO TOP OF CH � AMBERS (3) 5" DIA.OUTLETS 16'i NOTES: '� z 1) —BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP ELEV.=100.83 12. STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=100.37 `! 115.5'2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=99.50 :• 6. °' 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE MILLE 2.83' AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. 5' MIN. ABOVE BOTTOM OF I Top View H-10 LOADING Section z" 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE T.P. EXCAVATION OR G.W. i 5.7' D—BOX INVERTS PRIOR TO CONSTRUCTION. EXISTING SUITABLE NO G.W., EL=93.0 MATERIAL SEPTIC SYSTEM PROFILE USE 2 ROWS OF 6—ADS Arc 36HC UNITS IN TRENCH CONFIGURATION WITH NO STONE 63.25" TYPICAL SECTION N.T.S. DESIGN CRITERIA SOIL LOG t6 34.5" DATE: JUNE 4, 2010 (REF#12,962) NUMBER OF BEDROOMS: 2 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE (SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP- 1 DEPTH ELEV. ' TP-2 DEPTH TOP VIEW DAILY FLOW: 220 G.P.D. 103.0 0" 103.3 0" END CAP END CAP 60" DESIGN FLOW: 330 G.P.D. A A SANDY LOAM a SANDY LOAM FRONT VIEW SIDE VIEW GARBAGE GRINDER: NO 102.5 10YR 4/2 6=. 102.7 10YR 4/2 6„ END CAP REAR/TOP VIEW LEACHING AREA REQUIRED: (330) = 445.9 S.F. BSANDY LOAM BSANDY LOAM NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW 74 10YR 5/6 10YR 5/6 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 100.5 30:" 100.8 30" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. EXISTING SEPTIC TANK: 1000 GALLON CAPACITY C1 3611 C1 LOAMY SAND LOAMY SAND 4640 TD, EMANOHIO 302 LVD PROPOSED D—BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 2.5Y 6/4 4T� 2.5Y 6/4I&TS. HILLIARD, OHIO 43026 Are 36HC DETAIL ak ADVANCED DRAINAGE SYSTEMS,INC. USE 2 ROWS OF 6-ADS Arc 36HC UNITS IN 98.5 C2 54" 98.8 C2 54" TRENCH CONFIGURATION WITH NO STONE � PROPOSED SEPTIC SYSTEM UPGRADE PLAN MED. SAND N MED. SAND 48 PADLOCK LANE, CENTERVILLE. MA (GENERAL USE APPROVAL FOR 7.80 SF/LF IN TRENCH CONFIGUATION) 2.5Y 7/3 2.5Y 7/3 d Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 2 x 30' TRENCHES = 60' Engineering b SCALE DRAWN JOB. N0. 60' x 7.80 SF/LF = 468 SF 93.0 120" 93.3 n 120" g y NITS P.T.M. 165-10 DESIGN FLOW PROVIDED: 0.74(468.0 S.F.) = 346.3 G.P.D. PERC RATE <2 1 MIN/IN. ("C1" HORIZON) Engineering Works, Inc. NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 6/9/10 P.T.M. 2 Of 2 1 a LEGEND CENTERVILLE - PROPOSED CONTOUR LOCUS PADLOCK LN 75 ® PROPOSED SPOT GRADE . z EXISTING CONTOUR O� 3= 0 o + 96.52 EXISTING SPOT GRADE s, BENCH MARK W— EXISTING WATER SERVICE TOP OF FOUNDATION , /' TEST PIT is O BARNSTABL GIS DATU '/ SCALE: 1"=20' W Q // O> 2 °o• Y �I o, o \' LOCUS MAP 0 �' \� LOCUS INFORMATION / 74 EXIST. PLAN REF: LCP 32851-A / TITLE REF: LCC 202546 LEACHING PARCEL ID: MAP 173 PAR. 038 _ PROPERTY IS IN ZONE II, IS IN ESTUARIES PROT. FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE SEPTIC SYSTEM 75- r' , TP-1 'o �t REP ocARED ATAN 20 � EXIST. 1000G ° �,73 48 PADLOCK LANE EXISTING ® SEPTIC TANK DW CENTERVILLE MA ELLING P -2 � , 74 PREPARED FOR TAP OF FNDN oy /� ��72 LEO SILVA/ READY ROOTER EXC. JANUARY 4, 2021 PAVED DRIVEWAY Of / v q i DAFREI`j M Gr 1'NT 140zg O cl LOT 18 Q QHITim AREA= 16103 sf_+—' l LAND COURT PLAN 32851-B j' MEYER & SONS, INC. / ASSR MAP 173 PCL 38 C/\ P.O. BOX 981 EAST SANDWICH, MA. 02537 PLAN PH: 508 360-3311 c � SCALE: 1 in = 20 ft FAX: (774)413-9468 0 20 40 meyerandsonstitle5@gmail.com 0 10 20 40 \ SHEET 1 OF 2 J 1894 TOP ELEV. T NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS FOUNDATION: BRING ALL COVERS TO WITHIN 3' OF FINISH GRADE (Existing) FINISHED GRADE (74.40) = 74.61 F.G.EU 74.0 F.G.EU 73.70 F.G. EL: 74.20 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA F.G.EU 72.80 2" OF 3/8' DOUBLE WASHED s 3/4" - 1-1/2' • . a STONE OR FILTER FABRIC ;� 6" •' p•'•' DOUBLE WASHED STONE x 4" SCH 40 PVC 1o"I 14 6 ® S= 1% (MIN. ®®00E3 63®®® ' TEE'S ARE TO BE �NV71 .00 ®®®®BIB(B®®Be 4" SCH 40 PVC 2 E F. DEPTH ®0ME300Ia®®aa INV. 71 .52 :E INV. 70.80 q' 2 X 8.5' 4' GAS PROPOSED DB-3 i EXISTING OUTLET BAFFLE EFFECTIVE LENGTH = 25' « DISTRIBUTION BOX EXISTING (H20) INV. ELEV.= 70.65 EXIST. 1,000 GALLON SEPTIC TANK OF GAS BAFFLE TO BE INSTALLED ON ����� �s9� BREAKOUT OUTLET TEE AS MANUFACTURED BYy� o DARREN�M. �, ELEV.= 71 .65 NOTES: TUF-TITE, ZABEL, OR EQUAL EYE- TOP CONC. ELEV.= 71 .65 1) CONTRACTOR SHALL VERIFY ALL EXISTING " 1 No. 1�1�0" "' INV. ELEV.= 70.65 ® ®® PIPE INVERTS PRIOR TO CONSTRUCTION \ ®®®®®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX ®®Ba®®®® INCH CRUSHED STONE BASE, AS SPECIFIED IN �NITAR�a BOTTOM EL.= 68.65 3.75' 5 FT. 3.75' 310 CMR 15.221(2) 3) REPLACE EXISTING 1,000GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK IF FAILED, L'I l SEPARATION 5.35 FT. EFFECTIVE WIDTH = 12.5' � DAMAGED OR UNDERSIZED. SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL: 63.30 _ SOIL ABSORPTION SYSTEM (SECTION GAS BAFFLE AS REQUIRED (500 GALLON LEACH CHAMBER) SOIL LOGS P#: 12,962 GENERAL NOTES: DESIGN CRITERIA **IN ESTUARIES PROT.** DATE: JUNE 4, 2010 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 3 BEDROOM DESIGN SOIL EVALUATOR: PETE McENTEE, CSE 1542 BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) WITNESS: DAVE STANTON, BARNSTABLE HEALTH DEPT. OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE DESIGN 'PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR De TP-2 To INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO (not designed for garbage grinder) alev. TP-1 Depth Elev. th DESIGN ENGINEER. 73.50 A 0' 73.30 A 0" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXISTING 1,000 GAL. SEPTIC TANK SANDY LOAM FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN (330)/0.74 = 445.94 S:F. 10YR 4/2 jO R 4/2 LEACHING AREA REQUIRED: ENGINEER BEFORE CONSTRUCTION CONTINUES. 73.0 B 6" 72.80 B 6' 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. , SANDY LOAM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4 't tOYR 5/8 " S;w� 5//66 " HEALTIC•IOrFO CONTRACTOR RR OWNER TO INSPECTIONS DURING CONSTRTRUCTI N. OF STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 71.0 30 70.80 C 30 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE PERC TEST C LOAMY SAND BOTTOM AREA: 25 x 12.5= 312.5 SF 0 .50 L 6/44 p 2 5Y 6/4 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SIDE ARE,4 (25 t 12.5) X 2 X 2 = 150 SF 69.0 54" 68.80 54" TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. C2 C2 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO BEGINNING TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D MEDIUM MEDIUM CONSTRUCTION. DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd SAND SAND 10. EXISTING LEACHING TO.BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 2.5Y 7/3 2.5Y 7/3 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 63.50 120" 63.30 120" 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE P LA N AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PERC RATE <2 MINAN. (•C2- HORIZON) 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 48 PADLOCK LANE, CENTERVILLE, MA NO GROUNDWATER OBSERVED 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. 15. ALL PIPING TO BE a SCH 40 O 1/8'/Fr (UNLESS SPECIFIED) Prepared for: Silva/Ready Rooter Exc. Design and Site Plan by: SCALE DRAWN DATE MEYER&SONS,INC. N.T.S. DMM 01/04/21 PO BOX 981 E4STSANDWICH,MA02537 REV DATE CHECKED SHEET NO. 508-W-2922 DMM 2 of 2