Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0060 PADLOCK LANE - Health
60 PADLOCK LANE Centerville A= 193 - 188 S M E A D KEEPING YOU QRGANIMI No. 12534 2-153LOR 0 M AK40 FMW uw r:EcvaFO IWTWK coNTENT 10% WWU*W-A DQST�pNSUWiER 8"m WOE W USA f*T ORGANISED AT SU MMIA TOWN OF BARNSTABLE LOCATION 1,0 SEWAGE# Z019 -3 Z9 VILLAGE Ccnicr v 10 ASSESSOR'S MAP&PARCEL Iq3- 188 INSTALLER'S NAME&PHONE NO. 2 g B EX CgLQ._A'%O f\ SEPTIC TANK CAPACITY /000 qc� LEACHING FACILITY.(type) S'apgaJ (size) 13 X 2S K Z NO.OF BEDROOMS OWNER Ba rS05O` PERMIT DATE: $-30- 19 COMPLIANCE DATE: 9 - L$ -19 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 leaching facility) Feet FURNISHED BY r Al - L43 AV 4y, L" REAR 132 A3- 3z ' 63" �$ ► ,, 3 Aq' 35 I TOWN OF BARNSTABL@ 'a Z,A,4.rfi ASSEssol'S MAC?&LOT INSTA Y.:�it'5 NAB 19:PHOM tlO __..._ SEPIIP TANK t:AP.FICI'I'X 16fVO ( !e) (5,6O) Nn o��r�tOns 3 :. .. TbA'x'E: UM I N E J�AT 'SeP hitdoOistke Detween did. -MkWinAljOstod Orauudwatet Table w tue 1 �ttom u Lea�hln�F�u;ility Feel Y-m��Ilatr SuA�+1J►1�lull tuid fxoahtng Pctlary (If any vans.ex4st a� elt�s oe wlt�tnAf!foot of tensEaq��f�cllnY} `: Fec� Eci is s��'Wetland Add I.ea(�ng ft-6.01ty(U tiny:wetlands dust l r wltlalsit10 fcetpf leaol�in ucty} 4 fhaulshad'.by 2 o � 0 �a 03 Ad- 4`3 -S3. N . Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS RppliLation for ;Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (00 Padlock L n. (; exd.Ne. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I TN I l 9$ Po►�l o. �• ?_*r b o Sa S o%•5 4 o• 39q 0 Installer's Name,Address,and Tel.No. 13$(3 SRC0dJO.1ke-% Designer's Name,Address,and Tel.No. �:ora:SkdGIG NIQ, .501L' 477. O(063 FlwnerktS EnvifOMa,403 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1 $to$ sq.ft't Garbage Grinder(NO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 0 gpd Design flow provided 35 2 gpd Plan Date %171 19 Number of sheets Z Revision Date Title Size of Septic Tank £ti;51 i no 1000 naA. Type of S.A.S. (Z) Soo gala n C namloy s Description of soil_-'*AC, Plan Nature of Repairs or Alterations(Answer when applicable) 14W bot oodk SAS 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. gned Date $ lot Application Approved by k Date Application Disapproved by Date for the following reasons Permit No. �� � Date Issued No, � .-.i t � j � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Misposal *pstptu`Construction Permit Application for a Permit to Construct( ) Repair(f) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C.,U Pa d 1 o c.k L r,. C_ er v,0 P- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 �Q�l o. I✓ti. ��,, �o Sc, p . S ci N9 p Installer's Name,Address,and Tel.No. 6 £K c�,j cA,c n Designer's Name,Address,and Tel.No. Fo�e;�dc�1e. M<,. Sa��,• u�7' ®�53 'F�ttherl trn�,roone�i��'lal Type of Building: Dwelling No.of Bedrooms Lot Size _J R, S b sq.ft: /. Garbage Grinder(No) Other Type of Building VjQ c. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) o gpd Design flow provided S Z gpd Plan Date R+7 11 I N Number of sheets Revision Date Title a Size of Septic Tank Type of S.A.S. (2) To c) t t,, ' Description of Soil f Nature of Repairs or Alterations(Answer when applicable) r,i h Sh< Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal systern 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. Wed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No,�)n/Gj — ?j c, - Date Issued I j � - ------------------------------------------------------------------------�------------ ----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of (,Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(J) Upgraded( ) Abandoned'( )by at.. '4 -"" t^6 ' k _[X IN ( e n1 e 1(,has been constructed in accordance , with the provisions3 of Title 5 and the for Disposal System Construction Permit No. dated Tl 3,n I Installer Designer #bedrooms Approved design flow - ( gpd The issuance of thi pe : it shall not be construed as a guarantee that the system will , nc' as designed. Date Inspector - =----------------------------------------------------------------------------------------------------- ------------------------ Feezo HE COMMONWEALTH OF MASSACHUSETTS F PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar 6pstrut Construrtion permit Permission is hereby granted to Construct( ) Repair(I Upgrade( ) Abandon( ) System located at a A ttE.JC 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 t i`s permi Date �'�r.>/� APprove�y __ r Town of Barnstable Inspectional Services Public Health Division t kWffABM 03 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: -L- 9 Sewage Permit# 2019 - 329 Assessor's Map\Parcel 193- 1 Designer: JDauc Installer: C3 Excauo--4 i o a. Address: 0. Box 331 Address: I "TcoaScfrc4 U0 �arwtclr. mA foresid�le. On $-30. 19 B B Exca.ugj i o✓\ was issued a permit to install a (date) (installer) septic system at Jo -Pa.0 ock Lry based on a design drawn by (address) -Day c rr1gAN c r-A s{ dated 8- 7- 19 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i 1e with the to rms of the RA approval letters(if applicable) r Ssy DAVID cy� D. a FLAHERTY,JR. in (I taper's Si n�r— No. 1211 4' o �G/STEz7A RO sqN►TARS PN esigner's Signatur (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoAdeptslHEALTIASEWER connecASEPTICOesigner Certification Form Rev 8&I4-I3.DOC LOCATION SEWA E PERMIT NO. ® s 637 VjiLLAGE I N S T A LLER'S NAME,, : & ADDRESS B UILDE R ORY OWNER t � . 4e� i�=L I DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 2,�-_71- r �� �A�-� �C? ,, d r� �/ G� . �`� Y/ �' •� THE COMMONWEALTH OF MASSACHUSETTS y BOAR® OF HEALTH /.. 40.�V............_0F.....�.� ✓� !.57� ?,bf ...................................... Appliratiou for Disposal Works Tonstrurtiou ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . ---.----..._.......... ... - -.._.. Location-Ad ! ......... ress or No. .f� fr .............. cP...._ ` ner a ail -------------- ------------------------ .............. .......................................... Ins ller Address QType of Building Size Lot----------------------------Sq. feet U ., Dwelling—No. of Bedrooms_____________ ...........................Expansion Attic (!°d�� Garbage Grinder (06) Other—T e of Building /' q.....__..... Showers — a Other—Type g .../ZA.dC_Lt____.__ No. of persons............... (a) Cafeteria (�y� dOther fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design per person per da . Total daily flow.........,..Xd....................•..gallons. W Design Flow.....----��...........................g P P tY �' Y i WSeptic Tank—Liquid*capacity,/Q11...gallons Length--------------- Width-_-_-- '... Diameter---------------- Depth_:. _. �.. x Disposal Trench—No. .................... Width.................... Total.Length.................... Total leaching area....................sq. ft. Seepage Pit No.........Z--------- Diameter....(0)K..6..... Depth below inlet.....6............ Total leaching area../Go U....sq. ft. Z Other Distribution box �(/ ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1__a?:S_minutes per inch Depth of Test Pit../._.Yy....___ Depth to ground water_-- (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... -----•- --•------------ ------------•------------------------------------•---------------------....................................... Description of Soil................. G`1Q` f--- -- -- --- U ..--.'- a--••-••-••••. "k--�f 11 --•-•--•-••---------------------•-•----•-•-•--- `'''-� ---------- //n.0.......................................................................... U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. .----••••--••.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi:i:;: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed---....- -. G_41 - -E/ •................ ... Date ApplicationApproved BY =-1 ....•-----•-•---------•--------•-•--•--------------------------------------- ..--•-•-•-----9 -.�............. Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------............................. ...........................•-•••••------•..........•--•--••-•-...........-•--•--•----........-•-----•--•----••-•-•---•-•-•-•-----••-----•--•-----••---•••-----------------•------•--------•----•------- Date Permit No.........l-,3-7.•---------------------------------- Issued-............. �•....�..... ......• Date THE COMMONWEALTH OF MASSACHUSET S BOARD OF HEALTH ��� k a �... L !'!.............OF... ........................................, ............ Trr#if iratr of Tomptianrr , r, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,�i)' or Repaired ( ) by—- ,s _ r _i ----.....{,/.......+�..- ,--.._......t,- ...-••-----•---•---•------------•--•--------•------•---------------------------•----------•-•--------•........------....-----...---- - Installer has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._ !__..._.�. 7---------------- dated_ ----_-- - ire, ,._�"�_-_.------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR, TEE THAT THE SYSTEM WILL FUNCTION SATISFACT Y. 19 - )�.. ..... ........................... . DATE.......--- /Q...`... _. ` Inspector--- f THE COMMONWEALTH-OF MASSACHUSETTS BOARD OF, HEALTH ,r oOF.... ................ ... .............................. No.................. ;`,,, M , e..... �. 5 w FEE........................ Permission is hereby granted-------...................................., �,-�_ ���i'--------•-•................•--------------- to Construct( �) or Repair ( ) an Individual Sewage Disposal System at No.-� . 11 .�7rY..,= .?✓f t` .f ---------------•--------------------------.............. �< Street as shown on the application for Disposal Works Construction Permit No.43.A7..... Dated----- ............... _ --- 1�----- Heath °•r„. DATE............. ..................................... Board of FORM 12-55 HOBBS & WARREN. INC.. PUBLISHERS '''� N�o.......... .......... THE COMMONWEALTH OF MASSACHUSETTS FEz V BOAR® ~OF` HEALTH ........... ..............OF....!C . ................................................................ Appliration for Di-spo.5al Works Tomitrurtion "pam'it APP4 n is hereby made for a Permit to Construct or Repair ew an Individual Sa Disposal System at: ................................................ .................................................................................... Location-Address or Lot No. h(- -,-;>/:-"9 j-/// //?/" T71 Jon ?r"P ................................................. ......................7............................................. Owner Address .......... ...... ......................................... .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..............tx2..........................Expansion Attic W19 Garbage Grinder (04) Other—Type of Building ------- No. of persons............1............ Showers (0) — Cafeteria (yyt) Otherfixtures ....................................................................................................................................................... Design Flow........ZZ., .............................gallons per person per day. Total daily flow--- .......................gallons. 1:4 Septic Tank—Liquid capacity,Z-f,_�-...gallons Length-_ Width-___-- Diameter________________ Depth...�15 Disposal Trench--No..................... Width............._._.... Total Length___.............__.. Total leaching area....................sq. ft. Seepage Pit No---------1---------- D .... ..... Depth below inlet_...I( /........ C.6....sq. f t. Diameter.._(- -..... Total leaching area__ ...... Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1..A_'._!57_.minutes per inch Depth of Test Pit._ZYY..'.'.. Depth to ground water--_ V zk�e-I ............... LTq Test Pit No. 2................minutes per inch Depth of Test Pit............._._._.. Depth to ground water...___.............._... ............................................................................................................................................................. 0 Description of Soil................ .................................................................... W ...7 ------- U .................................................P. -53............ . . -----1P.,e I'A ................................................ ............. ............... ---------------------------------12. ....................................................................(� �1 . ........................................................................... U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------- ............. ................ .................... .................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI I TTLZ" 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed------. _AJ Da t e ApplicationApproved By...... ..A............................................................................. .............7.V__1 ..... ------ 1 Sate Application Disapproved for t e following reasons:................................................................................................................ ......................................................................................................................................................................................................... I Date Permit No.._.....41-J.?.................................... Issued_.--------- ------------ batr&'_ °rIVEr Town of Barnstable Barnstable ti Inspectional Services Department 0ft� efiCOC j BARN tSTABLE, 1639. Public Health Division Ar�D �6 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A. McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1203 , June 26, 2019 LINDA MURPHY 683 MAIN STREET FALMOUTH, MA 02540 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 60 Padlock Lane, Centerville, MA was inspected on 05/13/2019 by Shawn McElroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" tinder the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above 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 �ZMOan Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Pailed or Needs Further Evaluation Letters\60 Padlock Lane Centerville.doc , Town of Barnstable Inspectional Services Department aT fD µp'4 A 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 ONE 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool 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: WSEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doc f c� J-Few t ; Commonwealth of Massachusetts ! /3 OR / �wA ,."71Title 5 Official Inspection Form f , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments :-: 60 Padlock Ln Property Address Linda Murphyr Owner Owner's Name / -71 information is Centerville y MA 02632 5-13-19 required for every page. City/Town State Zip Code Date of Inspection yu 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. A. Inspector Information sli- ae&3 Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);I have personally inspected the sewage disposal system at theproperty 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 5-13-19 Inspector's Signature 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 c Commonwealth of Massachusetts ,,. Title 5 Official Inspection Form r�► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 "ConditionalPass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 E Commonwealth of Massachusetts Title 5 Official Inspection Form N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 El ❑ ND (Explain below): ❑ -obstruction is removed ❑ Y El ❑ 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 - Title 5 Official Inspection Form �► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `' 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is Centerville MA 02632 5-13-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b..System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 r Commonwealth of Massachusetts Title 5 official Inspection Form C�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 Y2 day flow* ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This . system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form -'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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? ® ❑ Wasthe 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 Commonwealth of Massachusetts Ell 3 Title 5 Official Inspection Form :al Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: Unknown 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 ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2019 Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form i,l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: p 9 Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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: 1980 Were sewage odors detected when arriving at the site?. ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. 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 ws Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 18"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 gal Sludge depth: 12° Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or,baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. 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 it Subsurface Sewage Disposal System Form -Not for.Voluntary Assessments r a 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 i nspectio n)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form w. of Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 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.): D-box had evidence of back-up with stain lines above outlet invert. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form ! i�f Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form iMl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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.): Leach pit was holding water at 18" below inlet invert with clear stain lines above inlet invert. 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 3 Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form i YiMI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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 A L t a e3 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts r� 3 Title 5 Official Inspection Form i i'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 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: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. 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 r-- Commonwealth of Massachusetts Title 5 Official Inspection Form ibI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Padlock Ln Property Address Linda Murphy Owner Owner's Name information is Centerville MA 02632 5-13-19 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 CENTERVILLE Rp�T PARCEL ID: F6 193/189 P� 5l. 0 PARCEL ID: 193/196 LOCUS = TRANS. 0 WEQUAQUET / I S88'07'09"E 170.03 0 Z LAKE< I 80 / 1 OAK 80 B.M. J / I COR. BLHD AK LOCUS MAP / � 00 8.83 IN 0 LOCUS INFORMATION v / \->9\ O PLAN REF: LCP#32851B SH.2 O #6 0 SAVE TANK TITLE REF: CTF# 76257 OWNER: LINDA MURPHY �/ G TCF=79.9 PUMP, SANDFILL AND co PARCEL ID: MAP 193 PAR.188 ABANDON LEACHPIT fTl ZONING: 'I IN STATE ZONE II Q G PER TITLE 5 PARCEL ID: FLOOD ZONE: 'Y' Q / W O 193/197 COMMUNITY PANEL: 25001CO561J DATED:07/16/14 / 0 : REMOVE / :: PINE TREES SEPTIC SYSTEM 20 PARCEL ID: ORIVeK,AY — v .. ... 193/188 REPAIR PLAN p :.�0 AREA=18,568t S.F. LOCATED AT: GARAGE /. �N - 60 PADLOCK LANE - - c ... � — 78 THz �:::.' CA CATCH / 78p :::::: '/ �' CENTERVILLE, MA. BASIN / cn ^� 21.6 . .:.TM :::: 74.1 -t ` ;� 7s 1 VENT PREPARED FOR: 1 j PINE 7 C/O: ATTY. PAULA M. BARBOSA 78 -- 77 — 21.7' SAS J, (508-540-3990) CB AUGUST 7, 2019 1 4*0 N87'26'04"W B S8116.66 OF MASsgc �H OF MASS c 8'53"E S88'07'09"E 72.00 Cz, EDWARD ys I y = A. PARCEL ID: STONE H L Y, J 173/038 N .289 o.121 PARCEL ID: sF T °��o C/STEREO 192/001 LA SANI TA0 1 E . A. S. GRAPHIC SCALE ` . 1 SURVEY, INC. 20 0 10 20 40 so P.O. BOX 1729 SANDWICH, MA. 02563 ( IN FEET ) 1 inch = 20 ft. BUS:(508)888-3619 CELL:(508)527=3600 SHEET 1 OF 2 J#2115 2" LAYER OF 1/8" - 1/2" DOUBLE WASHED STONE TOP 4" SCHEDULE 40 P.V.C. OR FILTER FABRIC VENT FND. EL MIN. PITCH 1/8" PER FOOT 79 g CLEAN SAND FILL PER 310 CMR 15.255 78.4 78.3 78.2 78.1 77.5 78.8 .... ..................... iiiiiiiiiiiiiiiiii.......... ........ ........ ......... 11' RISER RISER 4" SCHEDULE 40 P.V.C. RISER RISER MIN. PITCH 1/8" PER FOOT 740 74.0 18' ® S=.12 LEVEL LONGEST t4 : ' 4' T" FOR 2' 6.5' ® S=.01 10» LIQUID LEVEL ® ® ® ® ® ® ® ® 0 75.64 MIN. 14" 75.47 6' SUMP 0 INV. INV. ® ® ® ® ® ® ® ® ® ® ® ® ® 00 EXIST. 7INV. MECHANIICALLLLY 7INV. ® ® ® ® ® ® ® ® ® ® ® ® ® o 48" ADD INV. COMPACTED SAND INV. 04' 71.0 GAS PROP. DB3 73.0 BAFFLE H-20 INV. 3/4" TO 1&1/2" ( DOUBLE WASHED STONE DISTRIBUTION 25.0' z kj'o Box w 'T 2-500 GAL. (H-20) CHAMBERS SAVE EXISTING v M (5'-0"W X 8'-6"L X 3'-0"H) 1,000 GALLON TANK SOIL ABSORBTION (TRENCH FORMATION) SYSTEM (S.A.S.) 13' X 25.0' PROFILE OF BOTTOM OF TEST PIT #1 ELEV.= SEWAGE DISPOSAL SYSTEM DESIGN NUMBER OF BEDROOMS.........__ 3 ___ (NOT TO SCALE) GARBAGE DISPOSAL................. D A TA: TOTAL ESTIMATED FLOW (110 GAL./BR./DAY X 3 BR.) __330 330GPD X 200% = 660 GAL GENERAL NOTES I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF USE EXISTING 1000 GALLON TANK ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED INSTALL: 2(H-20) 500GAL CHAMBERS (W/4' CRUSHED STONE TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF MY ON THE SIDES AND ENDS) AND BACKFILL FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ARE ACCURA N IN ACC RDA 310 CMR 15.100 THROUGH 15.107. WITH CLEAN SAND FILL PER 310 CMR 15.255 ACCESSIBLE WITHIN 6" OF FINISH GRADE. SOIL CLASSIFICATION................__ _ 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE ED A. S NE, LS, CERTI SOIL EVALUATOR SE#2359 DESIGN PERCOLATION RATE..... <2 MININ. UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY EFFLUENT LOADING RATE.........__74 MUST WITHSTAND H-20 LOADING. TEST PIT RESULTS: P #19 - 8 7 REQUIRED LEACHING CAPACITY.....330 GA DAY 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION LEACHING CAPACITY PROVIDED.....352 GAL/DAY OF TO ANY 5. ANYALL MASONRYEUN TSIOUSED TO BRI GAVATION.COVERS TO GRADE SOIL TEST DATE: JULY 29, 2019 SIDEWALL:(13' + 25')x2x(2 SIDES)(.74)= 112 GAL/DAY OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. B.O.H. AGENT: DAVE STANTON BOTTOM: (13' x 25')(.74)= 240 GAL/DAY 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE OVER THE S.A.S. AND DISTRIBUTION Box. SOIL EVALUATOR: EDWARD A. STONE SE 2359 TOTAL= 352 GAL/DAY 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE BACKHOE: JOEY DEBARROWS 352 GPD PROVIDED - 330 GPD REQUIRED = 22 GPD RESERVE THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. TH 1 EL.- 76.7 /) SEPTIC SYSTEM DETAIL PAGE 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN ELEV. DEPTH (IN. HORIZON TEXTURE COLOR MOTTLING OTHER 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT #6 0 PADLOCK LANE ELEVATION OF THE OUTLET PIPE. 76.2 0"-6' OEA LOAMY SAND 10YR4/3 N/A 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 10YR5/1 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS CEN TER VI LLE, MA. BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. 74.7 6"-24" 1 B LOAMY SAND 7.5YR6/6 N/A 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 73.2 24"-42" 1 Cl SANDY LOAM 10YR6/6 N/A AUGUST 7, 2019 BE LEVEL. 65.7 42"-132" 1 C2 MEDIUM SAND 2.5Y7/6 N/A 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION NO MOTTLES, NO GROUNDWATER! TO EAS SURVEY, INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW TH#2 E L.= 78.0 (P E R C BOTTOM TTO M C� 56�� <2 M P AND APPROVAL. OF M 13. PROPERTY IS WITHIN ZONE II � P��N AS ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER �� c CONSTRUCTION NOTES: o� D D E . A . S. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 76.8 0"-14" OEA LOAMY SAND 10YR4/3 N/A s SURVEY, INC. ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 10YR5/1 " FL H Y, J P.O. BOX 1729 WORK ON THE SITE. 75.7 14"-28" B LOAMY SAND 7.5YR6/6 N/A 21 o SANDWICH, MA. 02563 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 74.2 28"-44" Cl SANDY LOAM 10YR6/6 N/A IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. SANI TAR1p� 67.0 44"-132" C2 MEDIUM SAND 2.5Y7/6 N/A BUS:(508)888-3619 CELL:(508)527-3600 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE OR A COMPARABLE MEANS. NO MOTTLES, NO GROUNDWATER SHEET 2 OF 2 J#2115 k 2 D/vM --57 "D ZaT 33 i I I V fir. :� ` ' //� G' • "pD ' ` 7Z,00 DATE r , 7-0 LJ/V Wf3 TER / 5 I/,� / �18 ,L E ' //VS P. .,.�r9uL M / /`///`I U1-7 OUlLDIIVG 6ET3,9CK RE0U/ /eE/"IE/./T-5 ,c {2 OA./T 2© ' De / VE Y A�/ O7- 7-G> 25E LdC ?7'ED 1='�' OPOSED Z3ED200M`S I OI/E12 SE G,/,E C3E syS `T-E/"I UNLESS DES/GIV FLot l .573d G/-�L�Df�y N-•2 0 D ES / G N L O 1`? D I/-/G /S USED . P,e O PO SE D L E19 C /--/ /9 R E 000 SE=P7 /G' .9 TE /`1 C ONST,C UC 7/ O PE'/ECOL '7T/ O/`/ 7"EST /e/"I T O /`-7.�J S S. E A/ V//P_ O A./M 5 N 7-,9 L. 2 ES C/L TS -� �,.5"M/�/ /A,/,DC'H C o ZD F-- �- ,D �7-E /.D sUL y 1, 9 77 6A-1 TOLA/A/ o,� H,E- -T-N- 2EG U/-F-? -T `0/VS. 5//-L ELCV.'70 133C"_� _,.____ F'T. /9130Vr-_ `,CD TOT-' of .�©.�/�''`,: I, / PR- O / / L E 2 % M/A/. /AJ/SHED F"O U/JDf)TIo%/ ti O S C, E Ger9DE fi'(30VF_ LEF-3CH i A,�'E.9 M/9NH0LE eovEF- TO Ex7rE'N.D 7-0 -r'o Y9)- V,.N.7_ —y W17-k4 I' OF F/N/SNED GRFIDEF-- F?Q'OM MIN/MUM /O'M/N/MUM ' STONE 2 " OF "-r,o 2„ l 12 0LVh'S/-/ED S?Dn/E j "WID BOX 2/ E f/L C fJ,eO U/VD I /`71/V/MUM _ �'M/n!. �Y 2 'r-f/ti/. 4 D/y.F /GHT 00 2 7'/TC'fl —FLOW LINE. M/n/. 4 „ D19 3 6 /O� ( �¢, _- /FOOT /o"/"I/�/• /4„ %" o� z' M/A/ P/TcH _ x Q7sa twj �vr'66 /4 '/FOOT S 7 LF HE D `�9./ (� �CH Pe TONS ! 990< GALLOn/ //vvE eT PIT (eev 9L4 i //VVEP-7- CA ,PAC /Ty /9/2DU/�/D SEPT/C T. K p� / 'C (C, I8.�3 <t✓�T�2T/GNT� In/VEeT /NVEeT : /z"M/N. 1 L EACH N Q /n/V�RT --- -�$"/�I/?X . I /1/o GF-��'HFIGE GRINDE"9 �,,1-/� F�,2E,q 0 F 4 ' /A7 / AJ. D/5 �" To /�l/9 x -7� Q k//q 7'E P- ELE V. /.. 0 / P L �l MAS�q�y G/e o u n/D RONALD ARTHUR 0 GIFFORD No.603 ' Fc' EEX'ENCE : Z3EInJ�' O7"' f�.S 51-10G✓N U le? Ay 2 E C o�D F D 77 /E 6�STER 0/ S H1Tp,R'�P� S7""F�L3LF COUNT oC DEEDS 78 Q' E �� /9il�7P SEPTIC T/9 NK 7-0 /-7//V- . o' F/e o,M F o Un/D�- 9 O. 7-/ o N A n/.D L E/,fI 0 // P / 7TS . r�-?f2/1�I �U' �".�-/, L. E F� C H /N G �r 7"S ---o �E ,/D',� ,S S . f T 7-NF3 7- TN E FQW4�/ 77(/M� S H o w Al o n/ TN l S I-9N D �o' F/e o /�-/ o U J�/.D /9 7-/ON. r ON 7- E G e o UN D /� s S No k/N r9 AJ D 7- 7- / 7- U O 4E 5 C O AJ D llq T C T/ T L E TO 7-PE B UJ4 D / NG SE7- B/-3C' K CEQv//eE- -- — — — — M E N TS o rP E 7" V N p,C r9�;w57 5 42- 4- / 9,7 9 .• D/9 7 E B Off .e Z) 0,-- 7 j Di9T F AEG. /��N ?� S U E/Ur2 F�PP/eOVED r9 G F_ N?' - _ -