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0020 PEN LANE - Health
20 Pen Lane Centerville A = 193 206 aim 1521/3 ORA 100/O P2 F J 4i 4 P � i� �� I� u ��. �_ i� f .--. ry,, Ir M tl 1Yd '! 4 i� y �y A M1 `I TOWN OF BARNSTABLE LOCATION C� �� Z -7, SEWAGE#s-,7o/�9' VILLAGE Ce,71e- , e ASSESSOR'S MAP&LOT 190 INSTALLER'S NAME&PHONE NO. _146i9`G%7 --'enrf SEPTIC TANK CAPACITY f,:5_�7Q( J LEACHING FACILITY:(type)� m.•v/fe.r3 (size) NO.OF BEDROOMS �✓ BUILDER OR OWNER PERMIT DATE: s-/��� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) �� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) � Feet Furnished by -3 3y � p 20 ��A No. — 0 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for �I� OSaY *pstrm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade(-) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. - '9 ?tZe—0/ �/�'. Owner's Name,Address,and Tel.No.5 5/5—_f y' 0 *`i�v Assessor's Map/Parcel 9'3— 2Ao Install 's Name,Address,and Tel.No.6—r-8-of T>s ;f Designer's Name,Address,and Tel.No. ��.f ,'l.�s�t//s �eril.. .�a� ����.L S¢rv?e ,L o.'ry'�bCE+�dw�` w c�s•Lc,9 Type of Building: . Dwelling No.of Bedrooms Lot Size /�`�,y'1 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) l ,3 3 gpd Design flow provided 3 Z�- 77 gpd Plan . Date� `/Q' Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. �✓�'r Description of Soil Nature of Repairs/or Alterations(Answer when applicable) ���f/�pf� /T�slj/ ��y?��i ��,�ll�i► 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 b�ythis Board of Healtgned Date Application Approved by Date ,/ J Application Disapproved by Date for the following reasons Permit No._� �� Date Issued JL _,_.. ... •:. , 1 y - M1 -,w.: _. 1 .+,..rf.,.« �, ,.+,u,M1.r..fi „{..° - r-.w+r-I"'}.R� Ile �.,No.�1 _ � Fee V �. v + Entered in computer:�-^� M*+ THE COMMONWEALTH OF MASSACHUSETTS Yes { PUBLIC HEALTH DIVISION - TOWN;OF BARNSTABLE, MASSACHUSETTS 01ppliratlon for �Dtsposal-*pstem Construction Permit Application for a Permit to Construct( ) Repair'( • Upgrade )' Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.-,Po �" �/l. Owner's Name,Address,and Tel.No. t? 64: .2a, S/•_5•:.3'S/ Assessor's Map/Parcel qj; Z a5'rxrfir� Installer's Name,Address,and Tel.No.,•.5-e8- �'?3 ;ell Z 1 Designer's Name,Address,and Tel.No. �e�l �✓>rr- `�'r� $ 4.! ��v✓t!A Fm,✓.. �'p,,,/ r /FSG S r�ji 6- fri%�r"Plr:+Jp t.� 4- 3SG' 977 G.! t�rrs-- r.�lr e? ieNs.r r^ rrjSJf�i, J' -.� f'"r,F9s / Type of Building: Dwelling No.of Bedrooms Lot Size ,f 9 g`/ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '� �[� gpd Design flow provided ; gpd Plan Date !/ f/g' Number of sheets Revision Date y - Title Size of Septic Tank Type of S.A.S. c '�il /fir Description of Soil Nature of Repairs or Alterations(Answer when applicable) ' /., ,l /�r-a.- l C�rr.��.��r..S" .✓.�'i t �� S'�.,�.�E? 1`2..4' X' � �-Y:.-°. 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. i'gned .��. '' '<r Date 4 ,1110- Application Approved by Date 5/�/��`�►' Application Disapproved by Date for the following reasons Permit No. � Date Issued/ / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compiianre THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by at - �>-„.._-<?�.� /-.� ,�,_ .� c ate..,'//® has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoQ2`/_�-3dated Installer ,�"�� .-�r-�. � Designer #bedrooms ��_ Approved design flow . ,fi,�� ' gpd The issuance of thiS rtnit sh l func all not be construed as a guarantee that the system wil til;as designed. Date —2a L {I A Inspector Y E No., �k�J `` ' Fee ��0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(/ ) Upgrade( ) Abandon( ) System located at ^ !a "47", 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 beecco/mplleette(d.�within three years of the date of this permit. Date /i / // 1 Approved by 1 'own: Of Ba�->las' It Fnae r� 'Ridhard 8cal>,In€Erirn.'LllirecGor h, P-4,uc, R`mth,D�uffsno» vap 'i63p �� Thomas ii'Tcleany D'irector i - '200 Main Street.,I•lyannis,:12�1.02d(1.� r Wfice; 50S S6?-464'4 �j3rs1 IsfaTtxDesrgnerCereatrori>'�tirtri, Date: q�: SeW. a e Perrett## 2 6• g O/9-/w.Assessor s.l�ap\I as cel Designer 41 ���fi 1'� Ifts`tall,er: r�l afIClCPSS Jc r2�`� 1 . cLt2l ��a/�rdl v-2 G t Can �i �..t a'ermit.to to, , (date); (iztstaller) septtc'sy:stt tit at Fe:vn { vy: . y�1-lr�/it i ti'a5td on`a design•drawn'_ (addt ess) r �err'r7�,. ,lticr�Lts fhb dated 1;!S y , (designer) 1,-ccrtif that rite sc tics stein reference d:above vas installed:stxbstntiaily according, o y the,design., which Wray mclude tlitrio> approved changes such:as lateral`relncation,;of the distribution box,and%oi septic taol :Ship out,,(if required},w,as tn,spected .and'.the soils; were found satisfactory, t certi-fy'that.the selatic systcnt refer c need above �i as installed ��ttli majai ;changes (i•;c, greater than lG) latet:al ielocatian of the SAS or:any veriical ielocatio of aq}f cornl%onont of the septic system} but u1 accotdan�e with State 4Q L'ocal Regulati;on5 Plan revision or certified as bUllt by designer to tollow St1 ip aut'(If required) wasinspectr.cl`atici.th�_Sol.fs; ��rera f�ttn�i,satis€actory: . I..certify litat the systern iefnen tc i -1� ct off(tc C!,A aplroval letters (if appli"4ah1e) 5� (Its tall"el`,s Slgriatur6): c�vsL 35109 FQiSSE� ' (Destgiler s Si-grature}' (�f�x<Des>gtie "> ere} ' PLEASE'RETURN'TO BRNSTA t3LlE PlJ}3ILl�`IIALTI 1)IaTSYt3N. CE12TlIC r9 I E OF COibIR AAINICY WILL NOT BE' JSISUEI) UNiTIU B TH THIS FORM AND AS- • S::UIL ;.CARiD ARIL I2 C-EIYFI)B 'THE BA,EtNST BLE PUBLIC HEALTII`Dy'6TIS.ION.. THANK YO t0. _1 gnertertirwation rorm..Re4 S-14 t3 do_.c J� Nal Errgtneers"note This certeireation is I�nitedld as a built inspection .ot system componen'c as tnskatled„prior to,hacktdl..i h"2' engFneer did.not supervrse.construchontof tlaesys 2m The-rstaller's umss%esponsial ty iar all-materials',workiitanship„t7ackflling ;ospeciGed'grades Myth propsr.compaction and settme;ri5ers,Coyers G'stioym on the design plan. xx , Town of Barnstable r# Departinent of Regulatory Services v , iuwsrwiirtt:: Public Health Division Date L 7 200 Main Street;Hyannis MA 02601 c pyoo .f Date Scheduled h / [ Time LI Fee Pd.Y _ Soil Suitability Assessment fo;v° S%ge 17rsosPerformed'13y: �`eteit' K1ee J �s�Z Witnessed By LOCATION& GENERAL INFORMATION Location Address -ZV X Le.-4- Owner's Name,S;-f-,.1a S iQpb+u� K (y A Address 2.0 L"�,� Assessor's Map/Parcel.• 19 312d 6 Engineer's Name ono,✓t a NEW CONSTRUCTIONS REPAIR. � Telephone'# �(�g—�7�_ -3 13 Land Use: (Z e `cle,11a--C q ` T o Slopes(%) Surface Stones Distances:from: Open Water Body? A 'Possible Wet Area ft Drinking Water Well ft Drainage Way .ft Property Une ft Other ft SKETCH:(Street name,dimensions of lot,exact<locations of testholes&pere tests;locate wetlands in proximity to holes) CY �` LalV-,--k Parent material(geologic) �� S Depth to.Bedrock Depth to Groundwater. Standing Water in Hole: 09 (tLAJ Weeping from pit FnCe Estimated Seasonal High Groundwater. DETERMINATION FOR SEASONAL NIGH 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 tt. Index Well# Reading'Date: Index Well level ,_ A(J,factor ,_ Adj:Groundwater Level PERCOLATION TEST ' Bate 3 6Q Tone .� Observation __— Hole# 1 Time ath" Timeat6" /Z; Z Depth of Pere. 7.2 02 Start Pre-soak Time @ t� 7 Z ' 'Time(9"•6„) f 2 End Pre-soak i I'v O 3 0 Rate Minainch, Site Suitability Assessment: Site Passed i-,I' Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation I1ole 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:\SEPTIC\FERCFORM.DOQ l DEEP OBSERVATION HOLE LOG Mole# ti Depth from Soil Horizon Soil Texture Soil Color Suit Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones;Boulders.. n isten ravel LC, 36 -[q q c Atd Azt z 6 DEEP OBSERVATION HOLE LOG, Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%! rave.. Y8-5'�P A Lacs S�a,� lo'fl2��z -5-4 - W �,4 10`f2 Rio—itfy G r�led Snd _ I DEEP OBSERVATION HOLE LOG Hale># Depth.frorri Soil Horizon Soil Texture' Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisterigy,%Grave y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA). .(Munsell) Mottling (Structure,Stones,Boulders. onsi ten ra. , Flood Insurance Rate.Man: Above 500 year,flood'boundary No_ Yes, Witlun 500 year boundary No Yes Within 100 year flood boundary No y/ Yes Depth'of Naturally occurring:Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughoutthe area proposed for the soil absorption system? _ Ye.S If not,what is the depth of naturally occumng pervious•material? Certification I certify that on (date)I have passed the sail evaluator examination approved by the Department of Environmental:Protection and that the aboVdL analysis was performed by me consistent with the required trainin expertise and experience described in 10 CMR:15.017. Signature_ Date r Q\S,EPTIC�PERCFORM:DOG Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owners Name information is required for every Centerville Ma. 02632 3/1/2013 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the and of the form. Important:When filling out forms A. General Information + I on the computer, 1 use only the tab 1. Inspector: key to move your cursor-do not Raymond Dumas use the return Name of Inspector key. Dumas Landscape Const. � Company Name 564 Old Stage Rd Company Address Centerville Ma. 02632 City/Town State Zip Code 508-778-0249 S1437 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 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority k a `z 3/1/2013 :? „m Ins 'oes Ighattire Date The system inspector shall submit a copy of this inspection report to the Approvi g Authority(Bo 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. 'j //I� � 2 t5ins•09/08 Title 5 icia spedion Forth:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I 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: 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-09108 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. City[Town State Zip Code Date of Inspection B. Certification (cont.) 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title- 5- Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 20 Pen Lane Property Address Kevin O'Malley Owner Owners Name information is required for every Centerville Ma. 02632 3/1/2013 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: This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 %day flow t5ins•09/08 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments lug 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cityrrown 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•09/08 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane lug Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cityrrown 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? ❑ ® 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): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane lug Property address Kevin O'Malley Owner ---- -- -- - _ Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cdyrrown State Zip Code Date of Inspection D. System Information Description: 1000 gallon tank, D-Box and 5 Infiltrators Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: As per COMM Water 174000 for 2012 74000 for 2011 (gallons) Sump pump? ❑ Yes ® No Last date of occupancy: 2011 Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5- Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .•''t 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 2011 Date Other(describe below): House has been all remodeled and been vacant during that time General Information Pumping Records: Source of information: 6/10/05 Ace Pumping as per Barn. Waste Water Treatment Was system pumped as part of the inspection? ❑ Yes ® No If es volume pumped:y p p 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): t5ins•09/08 Tile 5 official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is Centerville Ma. 02632 3/1/2013 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known)and source of information: D Box and Infiltrators installed Oct. 2005 as per compliance on record Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: approx 18 inches below grade feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town water comes in at front left sides sewer center rear foundation Comments(on condition of joints, venting, evidence of leakage, etc.): all good Septic Tank(locate on site plan): Depth below grade: approx.12 inches below grade feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: none t5ins•09/08 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 lug 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle none Scum thickness none Distance from top of scum to top of outlet tee or baffle none Distance from bottom of scum to bottom of outlet tee or baffle none How were dimensions determined? all liquid Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees look good, pumping not needed at this time 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. City/Town 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.): all good and at level 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 t5ins•09/08 Tdle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is requited for every Centerville Ma. 02632 3/1/2013 page. Cityrrown 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 at level 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.): box level no carryover no evidence of leakage 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.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Looked in D box infiltrators as per plan t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Foam-Not.for Voluntary Assessments 20 Pen Lane Property Address Kevin O'Malley Owner Owners Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (coot.) Type: ❑ leaching pits number: ❑ leaching chambers number: 5 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: High Capacity H2O Infiltrators Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): all good 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y< 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is Centerville Ma. 02632 3/1/2013 required.for every page. Citylrown 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.): all looks good 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•09108 Title 5 Official Inspection Forth: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 "< 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cityrrown 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 ® drawing attached separately t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 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: 34 ft 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: 9/23/05 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: As per percolation test and soil exemption for on record at B.O.H. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09108 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 '< 20 Pen Lane Property Address Kevin O'Malley Owner Owner's Name information is required for every Centerville Ma. 02632 3/1/2013 page. Cityrrown 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-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BAF-STABLE LOCATION C� SEWAGE # c��+ vT LA GE l U I $E550R'S I AP LOT INSTALLER'S NAME&PHONE NO. �t✓ SEPTIC TANK CAPACITY c LEACHING FACILITY: (type) �: •� (size) �1�jG�2`/� NO. OF BEDROOMS BUILDER OR OWNER (1 PERti1%DATE: 'S COMP CE DATE:— Separation Distance Betwee,,1 Lhe, Maximum Adjusted Groundwater Table to the Bottom of Leach in_=3ci;ic. _ Feet Private Water Supply Well and Leaching Facility (If any weds exist on site or within 200 feet of leaching facility) Fit Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by _ s r -3f,, ( 147 TOWN OF BARNSTABLE w� 1 g.,Cxr►"i'iUN �� SEWAGE •ek'ILLAGE t!! �' u d I S ESSOR'S MAP & LOT 7 INSTALLER'S NAME&PHONE NO._ f SEPTIC TANK. CAPACITY f V-S L-7. LEACHING FACILITY: (type) 04. (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMP CE DATE: 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 2f —�a ,6 3 ' No. V Fee + THE COMMONWEALTH OF MASSACHUSE�'%.•S Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rppitration for Diopool *p.tem C on5trurtton permit Application for a Permit to Construct( . )Repair( )Upgrade )Abandon( ) ❑Complete System individualComponents Location Address or Lot No. 20 �p� Lcrw_ Owner's Name,Address and Tel.No. Assessor's Map/Parcel 1115 M� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. GAJS-5200 5 3g---9 le\e Type of Building: Dwelling No.of Bedrooms J Lot Size 15,951 sq.ft. Garbage Grinder(A11.4 Other Type of Building N krv— No.of Persons .' � Showers( Cafeteria Other Fixtures ►+Ci 6 n� Q i)C\ Design Flow gallons per day. Calcu ated daily flow '?yl•42� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 9_X1F3-r . j j C� r,(;X\ Type of S.A.S. ��Ft L.T�w►^co Description of Soil o Nature of Repairs or Alterations(Answer when applicable) s 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 provi 'ons of Title 5 of the Envi nmental Code and not to place the system in operation until a -ertifi- cate of Compliance s e oL- 0 1 Si DateLeV Application Approve Date Application Disapproved for the following reasons Permit No. S �.�` Date Issued A I D-' 6�00 No. Fee THE COMMONWEALTH OF MASSACHUSETPi'S --*' Entered in computer: F Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for MI$pogaf *p$tem Construction Permit Application for a Permit to Construct( )Repair( )UpgradeA )Abandon( ) El Complete System / Individual Components Location Address or Lot No. Zo Owner's Name,Address and Tel.No. Assessor's Map/Parcel r Installer's Name,Address,and Tel.No. X Designer's Name,Address and Tel.No. G4B=5,6% S3q __+gLoke Type of Building: Dwelling No.of Bedrooms., Lot Size 1 J I9-51 sq.ft. Garbage Grinder(/J/)4 Other Type of Building N mn2. No. of Persons Showers(Y) Cafeteria( 1/ Other Fixtures U-1 k ,r- �C J�1(>?t; Lao C 6 b ' Design Flower gallons per day. Calculated daily flow �J '�© gallons. Plan Date a`12J CO)S Number of sheets Revision Date �r ' Title kkv CMS ,Mi' C C'AP {` Size of,Septic Tank �c'�Ct 1, C%Ck Type of S.A.S. J�Ft Description of Soil. -�c f>\bd1 s Nature of Repairs or Alterations(Answer when applicable) -a0��6f-\ Date last inspected: Agreement: s 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 Envi onmental Code and not to place the system in operation until a Certifi- cate of te mill Compliance ,a "- s 1 ed - "�Bo d of , �alth. p Signed Date - I) Application Approv Date Application Disapproved for the following reasons Permit No. r`- 5 C� Date Issued e THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER M Y that the On-site Sewa e -isposal System Constructed( ) Repaired ( )Upgraded;() Abandoned ( )by at ` 'f' �h/as been construct dip accordance with the prom )ns'/of t e 5 the for Disposal System Construction Permit No Z dated , Installer / Designer The issuance of this permit shall not be construed as a guarantee that the system'willh u ctr as desigaie . Date 0 1 q t5 Inspector ( __ --... --- No. � S �Z OC/" —�..----------------------Fee 0(1) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mizpozar *pgtem Con!5 ruction Permit Permission is hereby granted ttollCo'',n,�struct( /)Repair,., )Upgrad ( )Abandon( ) System located at I--'� i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction mu t b{e completed within three years of the da a of this p fit. Date:___ 1 d-� c J Approved by Bk 27106 P o 5l r7843 02-05-2013 a 10=35ct DE® RESTRICTION n P ti0 Ma11ey:,. WE POS et One Shi d Wa. � ( $� _ py ,,. .•X,:,_Suite 1190, Medford,, MA 02155 F : . .....CJentVle, Bc1X_ :��7aUAtyj MeaQYitrsetts t �,��#>a�',,.' '`'�.• �,, 2Q:.Pen;.Iane., C,ente�i.11e : 1 e ii� ! �l i - ...��:r .' ��� ..! - .` :..�'. e P a! �"+E CI'a e! S '.�'.Ci.1,1,. :a�L..•'; < . 1.. 20 .P ?:Iane,Y Centervilfe., MA (See.,•Iast::Y11- T2snt of`Nidetl ,., O'Malley.) #99P7.;fi7.,AFPl Barnstable P�o�ate:•��viSlon `'': v, Nevin P:'O' � + POO° R... , > _.T. v,•t•??t;—1 ��.���1'll!? ���+C�....Af+• ..y.y �,«:y� •. �������.,`,,`•,._y�,,y'_.,. '.�•'• .. - SOON .y 1'% src Cam. ���6#��'�.' -•• .. ,�` (' ` 47 {� 6 ; Bk 27106 Pg 52 #7843 NOW THE Kevin P. ' FORE, 0 Malley,: et alCloes hereby place the (owner's t>wta) fb5ovft restriction on his above-referenced land.in accordance with his run with the 4and and be bfiding upon all•sucoessors in titltle� n '(.., 20 Fen. LaneIane, 6enterville, MA may have oonsbuatad Won to lot a house confalning rro more than � �bedrooms. Kevin P. o Omme,yet al agrees that this shad be.penansnt deed lam restriction affecting 200 Pen 100ated on 20 Pen Lane, Centery being shown on the•pien recorded In Plan Book 3793 , Paged 233',and Or on Land Court Plan M licable. ----- For We of Kevin P: O1LeUeeoliowing deed• Book .3793 _ 233 _, Page the Tost Will and Testament of Mildred E. O'Malleyh •,::«_ .::. Executed as a sealed Instrument 24th day of. J 92013 70�:P1 BarnstableProbate Ct. • R signature OMWS signature Owner's signature COMMONWEALTH OF MASSACH. ETTS t.N " o,y//may/q•�i �:...,, z �' �z Then personalty appeared theabove-named a ' m °off known to me to be the person who exe the foragoing Instrument ari �r `.• �o�r c >o� acknowl m moZ �o saute t) be"„ is a act and dead, before me, RfCHARD A.AICQLYNN I W o, Notary Pubtic i —� e�%I CoCommweai' f MA Notary Public ���� 'BARNSTABLE REGISTRY OF DEEDS Nhi nnrs �leroinn evr.i�a.. i Postal CERTIFIED MXLRECEIPT,:";. (Domestic Mail • . . . m a cc m OFFICIAL USE 7 _o n Postage $ S Certified Fee o `\5 N1sm A Return Receipt Fee 7 5 \ Here p (Endorsement Required) ® �� n Cl Restricted Delivery Fee = 7 TO C3 (Endorsement Required) PQR2 a Total Postage&Fees $ru Sent To Ucj r Street,Apt. o. D® � n AQ— or PO Box No. ------------------------------------------------------------------------- City Staja ZIP+4 S, V�i�Q- V 1 1 VAs7` PS Forrn :00 April 2002 J Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece • A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. r. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. 13 For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". G If a postmark on the Certified Mail receipt is desired,please present the arti-' cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,April 2002(Reverse) 102595-02-M-1133 I r SENDER: • •N i! COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X -kid ❑Addressee so that we Can return the card to you. B.N eived by(Printed Name) C.fDtfe of eliv■ Attach this card to the back of the mailpiece, D d or on the front if space permits. t if I D. Is delivery address different from item 1? es 1. Article Addressed to: If YES,enter delivery address below: ❑ No 3. Service Type tWcertified Mail ❑ Express Mail C"a..11:0 6 Registered AReturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number —�-- -� (rransfer from service label) 7 0 0 2 1000 0004 6683 1877 PS Form 381 1,August 2001; Domestic Return Receipt 102595-02-M-1540 T UNITED STATES POSTAL SERVICE® F ,Iiirst-Class Mail �QE tJ Postage&Fees Paid USPS 'hot Permit No.G-10 • Sender: Please print your namF" address, and.ZIP+4 in tt is-bbox • Public Health Divisim Town of Bamstable 200 Main St Hyannis,Massachusetts 02601 _ _ flltttttisltilttlitrttttlltlttltltttl?t,sttltll►t:tllsttslatti � oFt Town of Barnstable Regulatory Services BAMvQ s Thomas F. Geiler,Director Op i639. �0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Deborah Kelly April28, 2005 20 Pen Lane Centerville, MA 02632 NOTICE OF VIOLATIONS OF BARNSTABLE CODE CHAPTER 4360-16 The property owned by you located at 20 Pen Lane, Centerville, was inspected on April 28, 2005 by Donald Desmarais, RS Health Inspector for the Town of Barnstable, because of a complaint. The following violation was observed. 4360-16; Town of Barnstable Code: The septic system is in hydraulic failure. Raw sewage was observed at ground level and some liquid wastes were observed seeping down the back yard. Sewage odors were detected. Puddles from sewage overflow, were observed on top of the ground. You are ordered to correct the above listed violations within the time frames listed below: 1) You are directed to hire a licensed septage hauler to pump the overflowing septic system within twenty-four(24) hours of receipt of this letter. 2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary(daily if need be)to keep it from overflowing onto the ground. 3) You are further directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within thirty (30) days of receipt of this letter in order to repair this system. 4) The newly installed septic system shall be completed on or before June 15, 2005. 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 may result in the issuance of a $100.00 non-criminal ticket citation. Each day's failure to comply with an order of the Board of Health shall constitute as a separate violation. PER ORDER OF TH BOARD OF HEALTH Thomas A. McKean Director of Public Health 09/02/2005 12:34 7813916919 LAW OFFICF PAGE 01 f} LAW OFFICE OF KEVIN P. O'MALLEY One Shipyard Way, Suite 1190 - Medford, Massachusetts Kevin P. O'Malley Tel: 781-395-7070 - Fax: 781-391-6919 Danielle C. Harris-Baker E-mail: attomeyomalley@earthlink.net dhardsbakertMlyrical.com *Also adin edInNewYorkandWlsconsln Web: www.attorneyomalley.com TO: Mr. Demaris Fax No. 508-790-6304 Barnstable Health Dept, FROM: Kevin P. O'Malley Fax No. 781-391-691.9 DATE: September 2, 2005 RE: NUMBER OF PAGES: 2 (Including coversheet) Mr.. Dem.aris: Please review the attached proposal and advise me if the work proposed if completed could meet the Town's requirement. I can be reached at (781) 395-7070 or (781) 844-8092, 'Thank you. ..i . .r Thic information contained in this facsimile message is attorney privileged and confidential information intended,only for the use of the individual or entity names above, If I:he reader of this message is not the intended recipient,or the employee or agent respowibic I:o deliver it to the intended recipient,you are hereby notified that any dissemination,distribution or copying of this commumication is strictly prohibited. If,you have received this communication in error,please immediately notify us by 09/02/2005 12:34 7813916919 LAW OFFICF PAGE 02 09/02/2005 12:27 5097712662 HYANNIS PAGE 0? Rodger Roberts AOL BOX 1557 .t�yMWS, hs MUChusMs 02"1 p1L (508)-7X1898fxc(508)-790.9732 August 30,2005 Keuy 20 Pen Lane. Centerville,MassachuseKt Rodpr Roberts Septic proposal to upgrade and install Title V septle system for three bedroom dwelling per Town of Rnrostable sad State codes.Systems consists of utilizing a exMing 1000 gallon septic tank,installing D-boa with five Infiltrators packed in washed atone as per State code. Price quoted Include p all engineering work,town fees,site visit,perc teat,plans,etc. Price will also include all piping, pumpings,permits,town inspections,trucking,seed,stone,labor and machine work. Includes any tree pruning or removal if required. Leach pit shall be pumped and filled with sand or removed. System will meet Board of health approvals. Area wlll be left level mod smooth with loam and seed. No under ground water or irrigation replacement or repairs. This price is guaranteed set price Price: $4,900.00 with so loam S4,S00.00 Deposit: S1,900.00 please allow 3 weep+1-for permitting and scheduling. A000,00 or S2,600.00 Full balance due upon baci fllift and completbn with certMente of compliance. Ie Date Rod .Robereo The above prices,specifications and conditions are satisfactory and are hereby accepted. Signed Date Signed Dote pUtNE roy, Town of Barnstable Regulatory Services �BA�S. Thomas F. Geiler,Director �p 039. �FOMA'�A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 28, 2005 Deborah Kelly 20 Pen Lane Centerville, MA 02632 NOTICE OF VIOLATIONS OF BARNSTABLE CODE CHAPTER V60-16 The property owned by you located at 20 Pen Lane, Centerville, was inspected on April 28, 2005 by Donald Desmarais, RS Health Inspector for the Town of Barnstable, because of a complaint. The following violation was observed. 4360-16; Town of Barnstable Code: The septic system is in hydraulic failure. Raw sewage was observed at ground level and some liquid wastes were observed seeping down the back yard. Sewage odors were detected. Puddles from sewage overflow, were observed on top of the ground. You are ordered to correct the above listed violations within the time frames listed below: 1) You are directed to hire a licensed septage hauler to pump the overflowing septic system within twenty-four(24) hours of receipt of this letter. 2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary(daily if need be)to keep it from overflowing onto the ground. 3) You are further directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within thirty (30) days of receipt of this letter in order to repair this system. 4) The newly installed septic system shall be completed on or before June 15, 2005. 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 may result in the issuance of a $100.00 non-criminal ticket citation. Each day's failure to comply with an order of the Board of Health shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Ln o .. n IP1 M1 OFFICIAL US n1 '0 Postage $ 3 / ru C3 Certified Fee � e ��O M Return Receipt Fee q Po stmark 75 Here (Endorsement Required) / O Restricted Delivery Fee r-1 (Endorsement Required) u"I rU Total Postage&Fees $ p Sent Too ,(�,q � I C3 Of PO BOX S..X_�-rN..._....1...©__ _____.Y� .. ................. a- -------------------------------- ........................................................ My,State J74 Ile- t"IN . aD-iy" :rr rr Certified Mail Provides: esranay)Zppaeunr'0080-odSd ■ A mailing receipt i ■ A unique identifier for your mailpieoe ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery': ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. COMPLETE • ■ 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. X reverse ---- ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C —a f Delive ry ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. I 86 D. Is delivery address diffr .nte fror. item 1`?� 1. Article Addressed to: e ,'If YES,enter delivery dress below: ❑ N� Q G � 11 3. Service Type OS �va '�v�\T ' 0 Certified Mail ❑ Express A71a' +a•�-� C� ❑ Registered .Return Receipt for Merchandise 0.-4 4� ` ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - - - -- a E ei (Transfer from s 3rviee label) € ► t; 7 0-0 4 1 2 510 0002 6 2 31 0245 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-15401 UNITED STATES POSTAL SERVICE First-ClaFAs Mail Postaje&Fee.$Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 0400 , �F1HE r Town of Barnstable Regulatory Services * snxtvsrABt.E, 9 Mnss. $ Thomas F. Geiler, Director �ATEDhnA'�A,O Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 23, 2005 Kevin P. O'Malley 12 Howard St. Somerville, MA. 02144 NOTICE OF VIOLATIONS OF BARNSTABLE CODE CHAPTER 4360-16 The property in trust and controlled by you located at 20 Pen Lane, Centerville, was inspected on April 28, 2005 by Donald Desmarais, RS Health Inspector for the Town of Barnstable, because of a complaint. The following violation was observed. 4360-16; Town of Barnstable Code: The septic system is in hydraulic failure. Raw sewage was observed at ground level and some liquid wastes were observed seeping down the back yard. Sewage odors were detected. Puddles from sewage overflow, were observed on top of the ground. You are ordered to correct the above listed violations within the time frames listed below: 1) You are directed to hire a licensed septage hauler to pump the overflowing septic system within twenty-four(24) hours of receipt of this letter. 2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary(daily if need be)to keep it from overflowing onto the ground. 3) You are further directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within thirty (30) days of receipt of this letter in order to repair this system. 4) The newly installed septic system shall be completed on or before Sept 30, 2005. 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 may result in the issuance of a $100.00 non-criminal ticket citation. Each day's failure to comply with an order of the Board of Health shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Donald Desmarais R.S. Health Inspector Town of Barnstable f 9/16103 , Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, 04 �a,�CAV hereby certi that the engineered plan i fY 81 p signed by me dated IQ?!> - concerning the property located at k9C6\\\ meets all of the following criteria: • . This failed system is connected to'a residential dwelling only. There.are no.commercial or business uses.associated with the dwelling. • The soil is.classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no.increase in flow and/or change in use proposed • There are no variances requested or needed. .. • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 00 B) G.W.Elevation -4 0 1+adjustment for high G.W. 00 DIFFERENCE BETWEEN A and B34 pO SIGNFD : DATE: NOTICE Based upon the above information; a repair permit will be issued for bedrooms s maximum.. No additional bedroom are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc 01/01/2016 21 :39 FAX 1 � . 12 002/002 Town of Barnstable ,. Regulatory Services 1IM Thomas F. Geiler,Director RAMAIMIX KAM Public Health Division b+ � Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 face: 508-862-4W Fax: 508-790-6304 Installer& Desiewner Certification Form Pate: 10/04/05 esiper: Shay_Environmental Services, Inc. Installer: Robert S tic Services. ddress: P.O. Box 627 East Falmouth Address. 5 Trenton Street MA 02536 Yarmouth,MA n 9/29/05 Robert Se tic Service was issued a permit to install a (date) (installer) s tic system at 20 Pen Lane, Centerville._MA based on a design drawn by (address) Sha Environmental Services Inc. dated September 28. 2005 (designer) " KX 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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 1W 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. H OF ,14�S4C o� CARMEN (Installer's Signature) E. U SHAY Ln Ho. 1951 GIST FV- (Designer sSignature) (Affix tamp Isere) PLEASE RETURN TO B.ARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE F COMPLIANCE iwILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- ILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. .A7 YOU. Q Health/Septic/Designer Certification Form TOWN OF BARtiSTABLE OCATION SEWAGE VILLAGE_+%rg� -"�"��'�1{I LESSOR'S MAP 8z LOT J214STALLER'S NAME&PHONE NO. �r✓ SEPTIC TANK CAPACITY (JS ,O LEACHING FACILITY: (type) _f�� c!X7 (size) _12�lG��// NO. OF BEDROOMS BUILDER OR OWNER �1 J PFRLSi:DATE- 'S COMP CE DATE: Separation Distance Between die. Maximum Adjusted Groundwater Table to the Bottom of Leacnin_ aci , . _ Feet Private Water Supply Well and Leaching Facility (If any weDs�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 -16Q'K = Q -- I T i ' 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM F,42)6,"Ay ,hereby certify that the engineered plan signed by me dated concerning the property located at 'Zb "n f'►��2 ,L efl meets all of the. Mowing criteria: • This failed system is connected to'a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at-the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facilitywill be located no less than five feet above _ o the maxim=adjusted groundwater-table elevation. [Adjust the groundwater table using the. Frimptor method when applicable) Please complete the following: A) Top of Ground Surface Elevation(using GIS information) JIRJ,00 B) G.W.Elevation 4© +adjustment for high G.W. .d = -4 oG DHTERENCE BETWEEN A and B -2 SIGNIrD: DATE: a 57 NOTICE Based upon the above information; a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. A�w aA 4- -:C7 D C q:`Saptio�ereaxemp.doc i /1.uf`I• Y 57/ LOCATION 2v. SEWAGE PERMIT NO. !tee e-41+r-5 VILLAGE INSTALLER'S - NAME a ADDRESS ' GUILDER OR OWNER p.4�y S'!lGL�vA�Y DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED '�d_7� r -� .. L��� - . ���..�� � ti �� 2� �a 1 ti ' 3� ,, �7.1�.P..�>�. � ............... No..--.... .. Fmc... .. THE COMMONWEALT` OF MASSACHUSETTS n BOAR® OF HEALTH ...._....Town.... ..............OF.......Barnstabl.e......---........................................ Applir ation for Mgpa1 i al Workii Tnnstrurtion ramit c " Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: ......... .....Pen Lane,..Centerville ..............---•-----•--...Lot 69..................................................... ........... .... .........• ------ ...... ocation-Address or It .d i----.. f� G/,!.�1�t1�--------•-------•------•--•-•..... ......... .�--- c� ........ ._J..�.. i�P�.tq+�1� Owner Address Address - -------------------------------------- -----------------------------•------•---- -------------------------------------_----- Installer Address UType of Building Size Lot_ 5.,.19.51.•...._..Sq. feet Dwelling—No. of Bedrooms...............3...........................Expansion Attic ( ) Garbage Grinder (no A4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria P4Other fixtures -------------------------------------------------------•••-•......-•-•---•------•-•-------.......... d W Design Flow ..-------------Z000 gallons per person pp 61�. Total 4jiM?w_----•----3•�---------•---•----•--- cps. WSeptic Tank—Liquid capkity._.O...Ogallons Length................ Width................ Diameter-_._-__.-__--_- Depth..--•-----...... x Disposal Trench—No. .................... Width_...._....._____.. Total Length........._.f...... Total leaching area....... ...._ sq. ft. Seepage Pit No....____..l--------- Diameter_._._10_.__.____ Depth below inlet.................... Total leaching area..2�7.......sq. ft. Z Other Distribution box (X ) Dosin tank ( ) yG e Cod Surve Consultant 7 10 79 Percolation Test Results Performed b a ....._._._._._._.__..__._. *)ate------__�_.__._/!.__.._..._.......... aTest Pit No. 1-__--2___-____minutes per inch Depth of Test Pit___-_1z........ Depth to ground water.._nOne....____. (Xq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water �N 8F�ygsJ' a -•--- ----- 0 Description of Soil..0•.0-1.0 fill, 1. wood loam, 1.5-120 med. K tiN sand.. ................... a . B= c� CHAPMAN v, W -••••-••-------••-----------•---••....•••-•_....••-•--••----------••-••--•_....._..••-••-•••----•••----••••••••-----•................••---........ ................... UNature of Repairs-or Alterations—Answer when applicable____-_ _._ 9 p��o:-�765d p SST�.��c�C_ f, NAL Agreement: 27 ' VJJN � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITLL 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. ................... ............................................ Date Sig ---P-4 Application Approved BY �- - ''-y- 9 Date Application Disapproved for the following reasons:-•------------•--•-----••-----•---------••-•-------•---•--------- ............................................... •--••........................••••....--•--•---••••--•-•-•---•---------•-----------•--.......----•-••••---.........--•-••-••••--••--•--------•••--•-••------------•-••••-•--..........•-•••-•••--........_ Date PermitNo......................................................... Issued------ d ---1� • Y'r............ Date 4,;) ,- No.-- -... P:_ ... F@s...,z-�'�................. THE COMMONWEALTH OF MASSACHUSETTS �} BOARD OF HEALTH .. owm ..............OF.......Barnst.able-----------------------------------------------.- Ap' li irotiou for Uhipuua1 i9orkii Tuuarartiun thrmit s' Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Pen Lane Centerville Lot 69 -•-••---•----------•-•................ ..... .. ......_.........---••....._..._....... •---- ••---..............._........----•-----••. ocation-Address or Lot No. .,,�1.�W.1_f� .....��•��t11rGlvfl�l----------------------------------- ---------1-72-=1.......:02.07 :/-...�"�".. �• Owner( Address ---------------------------------------- ..........---•••..........................:. .-•--•-............................._.... Installer Address d Type of Building Size Lot_1_5_j_051---•-----Sq. feet U Dwelling—No. of Bedrooms............... ._..........__..__......_..Expansion Attic ( ) Garbage Grinder (no aOther—Type of Building ............................ No. of persons............................ Showers_ ( ) — Cafeteria ( ) d Other fix ures •-••••••-••-••••••••--•-•-••••-•-•-••--•••-••-•-••-•--•• ------------•. ]v 0-------------- --- ----------- Design Flow.............- --------•- .,.0 gallons per person p#j gV. Total dji1�y0jpw....••••� ......... ................... o s. W. Septic Tank—Liquid'cap�city._......____gallons Length................ Width................. Diameter__.____-_______- Depth................ Disposal Trench—No...:................. Width..............____.. Total Length........... Total leaching area--- _ sq. ft. x 1� 6' b7 ------5 ft. Seepage Pit No.......... _______-. Diameter.................... Depth below inlet..._..__.__________. Total leaching area.................. q. Z Other Distribution box (X ) Dosin tank 6d' J`-' Percolation Test Results Performed b M. __.$Urvey Consultan��ate___._�/10179...__. Y••-- - f ----•... 1.4 Test Pit No. I.....2........minutes per inch Depth of Test Pit......1z........ Depth to ground water...:no Ae f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... •---•-------------------------------------------- --.. --•-- O .0-1:.0 f ill 1.©,-10 wood. Loam, .. �I2.d ZA@f P�ix'oF Mqs Descriptionof Soil -------------- - ----••-••i....... .............••..... ......................................................... yak•• -••_...._ ..src --------------sand,_.......••---•--••--......--••-•......••• -------•--••-••••---•--••••••---••---•-•-•-•----••--•••• z xRfPdl♦ditK yN W ----------------------- -------------=---------- --- ............B............ U Nature of Repairs or Alterations—Answer when applicable_____.___. _. _.._ ...�. . y . ... .•......... 0A ........................ pF C HAPMAN ... - ----- •-�- N 27654 .... ....__ _ __ . . . ............... y O & Agreement: /���,/ °.�Fss�sTE The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in the provisions of L ITI 5 of the State Sanitary Code'—The undersigned further agrees not to place the sys em in operation until a Certificate of Compliance has been issued by the board of health. Sig d ..-/7...............•.....-•---------------•----••---------------------- --- --------................. Date Application Approved BY-••••- .---,--. = ''f .�/f,R.. 9:_._��= ............ Date Application Disapproved for the following reasons:---------•----------=-----------•......---------------------------...------------------------......--•••-------. ............••••••••-•.............•-•-••••--••••-----••••--•--•-•-•-•-••-••--=•-•••-.......••----•--•------••-•-••--•-••••--•-••••-•••-•-••-----•-••-•••••--••••••-•---•---••••......----••......-•--- _ Date _ PermitNo......................................................... Issued.....-----•---••------------------•------•••-•••--••--- a r, Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT rl .........OF.......... � ......... . ...� •,............... Tnrxifirate of Toutplialtirr TV S T CERT Y, hat the Individual Sewage Disposal System constructed (2-1—or Repaired ( ) by -•.- ......•• ... .... ....................�/..................... :. --•--------------------- ,staller ff has been installed in accordance with the provisions of mF 5 of The State Sanitary Code as described in the application} for Disposal Works Construction Permit N �.. . cF-.Z..._....... dated__.?r:_ `..Z__ ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT11-1E ' SYSTEM WILL FUNCTION SATISFACTORY. ` DATE-------- Z.?....................................... Inspector f--•-=C.14._ �. . •----•-------•••-•.......•. d THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH L7 ......... . ....OF........ irrle"'�`- .... ................................... �� 1,00.................. FEE------.---............. Raposa , or �u tiun rrutif Permission s hereby granted { ......••-•••--•••• to Cons uct ( R " it '( ) `an In ''�i al vc= ge posal em f at No. ��1.- -��--�-' _ «•••- _. ._.f..................... Street y�� as shown on the application for Disposal Works Construction Permits` o____ ____ ______ Rated ",.4,__-__.7�..._.._. /v 000 •... . oard of Health, � `B DATE•• .'.........: FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS NAME OF OFFENDER c \ } � 72202 . iV^1"aJt� i►�0. TOWN OF ADDRESS O�fFEN ER fl _ Sri BARNSTABLE CITY,S ZIP�1C 1QDE4t_' L w y� � +r OFFENSE S`.` .J{_Ci CJ'�, I .w V"S r t,,'7.�'r'T"1, •'""i JIQS •�.. "" /7C/ W 670• rEO I• ra) Qjov— ,.i" I L,..' C ij. ._-„y LLJ TIME AND DAT OF V CATION `"' �OCAJ�O ,OF VIOCATION Z LLJ NOTICE OF � (A.M.i ,M,))ON t., 1 20ri Lc�n *ginJ; � + SICNA �RE`rOFE FORGING PERSON �'""��•'•�' ��tEN DEPT. BADGE N0. W VIOLATION N OF TOWN � pI HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE r� Unable to obtain s�n tflboffender. � THE NONCRIMINAL FINE FOR THIS OFFENSE IS = .Date mailed 1 ,,,,,i� W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION.WITH NO RESULTING CRIMINAL-RECORD. N REGULATION (,).You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppted, u� before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME ORG FEgDERbo ---]BAR 72201 TOWN OF ADDRESS OFOF�.IFLEENDE,R BARNSTABLE CITY,ST Tfs,ZIP CODE - tRf► - MV/MB REGISTRATION NUMBER OFFENSE NAN VNIARI.E. —' ^^"""� OIA�S a , 4, -row n e .('.a ,. A'i SP 41e, ui a i639' C all _j TIME AND'DATE OF VIOLATION ,,,,,.)' LOCATION OF VIOLA IONLU Z NOTICE OF .9:1) 1 (A.M./4 l",..)0 A5 1 200 r� 6r iAp_r Wa VIOLATION S'\NATURE bF ENxOFtOI G PERS N ENf(IRCING DEPT. BADGE NO. N "_.. v hoc l �1 o OF TOWN I,HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain sign ture pt onder. . ►- a �t ff, THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Oo0'5 W Date mailed W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. ru REGULATION (1)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays e9FIRST LLJ before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O B a Hyannis;MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.. UNSTABLE you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENTBARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copcitation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determine hearing to be due,criminal complaint may be Issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of S Signature LEGEND N —98 -- EXISTING CONTOUR ONE S 7 g� x 100.98 EXISTING SPOT GRADE ® —W EXISTING WATER SERVICE —G EXISTING GAS SERVICE r 6.H.-W— EXISTING OVERHEAD WIRES o° y B ° ,n 3 Ponds P TEST PIT °st he � � Ln n t° 0 30 BENCHMARK e Pa Cgti Q° LOCUS LOCUS MAP NOT TO SCALE - A�C / r I ' EXIS77NG S.A.S. TO BE ABANDONED i HED 86.64 X 88.75 LOT 69 - 15951 f SQ. FTy r'r 6. 9 / o _ —J �� W L_ ——— — — i s � 12 VENT 8713 �� ...ram z LOCATI��TO BE T'" Sr ':5;�:.� 88.74 X 89-89 APPRQVED BY OWNER �C TP2 ' s8-55 N : ; o BENCHMARK 87.76 COR./CONC. LANDING 89.37 —�` _ EXISTING SEPTIC TANK 8 .54 —� BM W (TO REMAIN) / DECK 90.5 '/ TOP OF TANK, EL.=89.72f SPA (above) 0 3 INV.(OL/T)=88.39t low) - N WALK OUT BASE NT/ 0 090. IST/NG o J HOUSE(#37) + 91,46 T.O.F.=VARIES D IT. FL=89.9t / 91.12 94.55 94.76 .93,21. �� D\ � 94148- r:DRIVEWAY';: \ .g0�:' 94.98 40 —— 6 83.11 43 �\ � $ , 4 ® \ ® 96.51 \ 99.25 96,59 Ilk 0 — _----9 \ 98.46 102.44 X 5>1 102,75 / 99.86 PIN 102.52 edge of pavement 101.09 PEN LANE OF 44S PARCEL ID: 193-206 PETER McENTEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN � `=', NoC135109 20 PEN LANE, CENTERVILLE, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. I BITINAS, ROBERT E & KELLY A Engineering Works, Inc. 1"=20' P.T.M. 133-19 20 PEN LANE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 4/15/19 P.T.M. 1 Of 2 I NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=84.0 SEPTIC TANK PROPOSED D-BOX FOR A DISTANCE OF 15' FROM THE EDGE OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=VARIES SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=91.Ot F.G. EL.=88.0t to 89.5t F.G. EL.=90.2t F.G. EL.=89.2t VENT MAINTAIN 2% SLOPE OVER S.A.S. L =25' L = 5' @ S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" 4"SCH40 PVC 4"SCH40 PVC DOUBLE WASHED STONE 10"1 " as $ Ma (OR APPROVED FILTER FABRIC) t4" s� 2' EFF. aaaaaaa EXISTING 48" LIQUID DEPTH Mao Mao ---3/4" To 1-1/2" DOUBLE LEVEL 4' 4 8' 4' WASHED STONE ADD INV.=84.17 PROPOSED INV.=84.00 GAS BAFFLE INV.=88.39t D-BOX EFFECTIVE WIDTH = 12.8' EXISTING WITH INLET TEE INV.=83.50 EXISTING SEPTIC TANK i 2--500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN NOTES: V 1T ( �,��'R ✓I, iqq H-20 RATED y_ �`' 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV. 4.6t INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=84.00 INV. ELEV.=83.50 Mao s 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaa GRADE ON A MECHANICALLY COMPACTED SIX aaBaaaaaaaa INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=81.50 ME 310 CMR 15.221(2). 4' 2 x 8.5' = 17.0' 4' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.0' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 4' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION 5) IF TANK IS DAMAGED DURING INSTALLATION, IT SHALL NO G.W., EL=76.4 = BE REPLACED WITH A NEW 1500 GALLON TANK. SEPTIC SYSTEM PROFILE N.T.S. GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: /EXISTING -310 CMR 15.405(1)(b): / 1) A 3' variance to the 3' maximum cover requirement, for up to HOUSE& J7 6' of max. cover. S.A.S. shall be H-20 and vented. T.O.F.=VARIES 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR CELLAR FL=89.9t TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. . BACK OF HOUSE 4._ANY-CONDITIONS-ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. REAR 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. �'�� 0, 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 381' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS l' ROP_S.A.S. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE F---25'-�I DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SEPTIC LAYOUT THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA OF REPLACE WITHBCN ANHSAND AS SPECIFIEDIDES AND FOR 5' ON ALL IN5310 MR THE S.A.S. S. AND SOIL LOG 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE DATE: MARCH 19, 2019 REF 15,925 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. SOIL EVALUATOR: PETER McENT E PE(SE#1542) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. 89.4 O 88.5 0 FILL FILL 85.0 A 53" 84.5 A 48" OAMDESIGN CRITERIA L10YR /2D LOAMY/2D 84.5 B 59" 84.0 B 54" NUMBER OF BEDROOMS: 3 BEDROOMS LOAMY SAND PERC LOAMY SAND SOIL -TEXTURAL CLASS: CLASS 1 10YR 5/8 72"/90" 10YR 5/8 81.4 96" 81.0 90" DESIGN PERCOLATION RATE: 3 MIN/IN C C DAILY FLOW: 330 G.P.D. ED. SAND MED. SAND M DESIGN FLOW: 330 G.P.D. ED. AN 2.5Y 6/6 2,5YGARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330 GPD) = 445.9 S.F. 77.4 144" 76.4 144" .74 GPD/SF PERC RATE 3 MIN/IN. "B" HORIZON EXISTING SEPTIC TANK: 1000 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 20 PEN LANE, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2' = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.........................................................M.... 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 133-19 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 4/15/19 P.T.M. 2 Of 2 b. a r � a M.o. 6�S�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- -- - - - - - - - - - - - - - - - - - - - - - - - - �� I � I •.y: I I I I �•�•. I a I I L J G RPM /N!> vE { `' ORPM70-011 LD 0 M E L Jt I I �:� � I II I :' •: i O �� •t - - - - - - - - - - - - - - - - - - - - - - - - - - J - - - - - - - - - - - - `- - - - - - - - - - - - -- - - - in I II EXISTING RESIpEI'iG�E FOR : � I ��' I I �:: I 20 PEi'I L./ 'F- �Y GFa'ITERVILLE , Mfg I :; L - - - - - - - - - - - - - - - - - - - - - - - - - - -I VE;;Iff / .,LPMRIeiON5 ^T51r, — - - - - - - - - - - - - — - - - - - - - - - - - - { M.O. 1'-G" �'-G°M.O. 1'-%" ='t 2rv'-On 24'-O" sol-o" SGAI.E 1/4" _ f f�. _ EXISTING �SIpEf IGE FOR ffA 57 G pffGK r 20 FEN LPJ'IE ff VERFY/LL. PIMFIN5ION5 AT SITE t 000 �I L - -J- - 1 PN 00,.'�.' � _ © KTGHffN ED . 4 . � � �KI✓�ST ��TH� pll'ilf'1G �f''I. f TOOK El 1# D�� 9'-10' W-4' i 5'-4' 4'-T o _ UN. GL.Or. Ruz -407 O LD LLo 0 Cc mho�}Jctc Cc � U aJ ® GI.OSrT aJ ^L,AMj A_AMI Ilion f O O • i=OY�f Q DO O kip ° 0 10'-10' 2'-4' -10'-100 a 2G'-O" 24'-Ou 50'-0' V FI E Llff`/ 4.iL- 0 I L,/ V N 5G/1 Z 114' = 1'-0' k .f Dom SGHv wiH�aw sa-i LEEXISTING RE5PffHGE FoR a.oa x MC sm Q a o�x a c ateR cw x a a revv n 4oa�x sr taa a e rub a:r 4 awxa' w�v � a0,x& ==rLI4.. 20 FffN LIAM- s Qm x a'e� WOM m xsr aarna a 6' a'-s' 7 7-01 x a'-& e as x a VE(dFY ^LL PIP9R'90N5 ^T SII� s r.aV x a a''.a n. ! �o ac.x r.o. O 2 Of 0 0 1 1 V UP �w L_ 1 12 �i t G H D^TH i a © \3 ff^'IILY Rf 1. ,LAW vH UTILITY 2�o'-op II I -c�fzp�R �Ove m II Q LD N 5 �pr96� II STORi°�QE � � II GA��� 0 a wra-+ V-O" X T-O"L eP`P POOR5 OIL T/4,MK II I - ' U I I II I ��• � I �O I I �O 2<o'-O" 24'-0° 50'-O° ffL,/o 5C/ALF- 4/40 = T-O° 1 E�ST1rIG RESIDEf 1G� F0f2 r'1(�. R�YI''IONp O'f''i�LLEY 2 x RPOC DO^RP 20 FEn L^NE 12 CF,NTE�"LLE, MA 4 7 veiwr 2 x®R^FlTR5®lalo..c GGLL.AR V5®92'O.G. 1/2'CDX FLYWOGP 6HVATHN0 p 225t iNSFHALT SHINA.@S • / \I I IV 6 JOSTS 6 16'O.C. R 19 N ISUL 4 X L STAR STRIP 2 x 4 X 5 ALUM.AJTTE cf'5 VINYL 5CMT W/COIT. VENT 1 X B FASAA i V2'01r..PRYWALL M1' � 2 X 4 STUDS•46'O.0 PINING (�f'1. V2'CPX PLYWOOP SHV^7H10 o �4 as'R+a"SUI. RT N 2 X 10 J05T5®16.O.G. DRIDANO ® a/4•r 6 PL Y. EL 1/2 SPAN 7 L, ry goonago I rp 6 1/4'FDM INSJL.R-19 2.2 X 6 MWSSAU Sa. 4-2 X 10 ARPeR Wi SILI.PIS ILATIG11 MN.CR^M ELEV. MCUS ',. ••.' III(I— a 1/2'PIA LALLY CGUS 1 4'WNC.SLAD RN.a2A�ELF-V. �'-4'• G�C./✓✓ ./LiG I t Ol I / \-/ \ SGALE 3/B'-1'-O' FOP✓AI I rfYW�IC.1/TIC 4TY.AT cep - SOIL LOG � iTX Aitr�r ii.(v A.v X.cKr..,r.�niq, .,/.i� v i.(yl✓.t.•... .& '! /� v L."PEA3TONE . LOAM 6 FILL 12' NA% I )�" � sO. `•, •� .,;fin a L -,`� `--`--�- DIST. A I°•° • 4"C. 1. 1000 BOX I;• 1000 GAL I �° �•- 10'MIN. GAL. �___ ies,;°: PRECAST OR • , e oF` 24„ r sr SEPTIC I';. I° . ' I MIN TANK I••�.•••• BLOCK • • , 6 SEEPAGE LL oo•s° p . dB° PIT r lei � � ' i ° • 0 s l 2 0' MIN. --- ------ . d . FOUNDATION I 1 %2" WASHED STONE I ELEVATION SKETCH — - - 10' PERC. RATE= SCALE I" = 4' TEST BY TOWN INSPECTOR BACKHOE OPERATOR: _ear, TEST MADE ON dv O 1 "�•��, Yam` \ , �, �`._.- ...-__- _.. _ __ V d,.•T-�.. 1 O ..1� ,.. t u O 32 q^ IS /)'7 as t:•F I w,O• \ .' `ti ��"" T p .A se. cook --- pl ' i - � 1v tE ?•jr .=:,�. .�t1 G. �v'ti,.ate ' �+1� <�: ,�0 �;�: . Y:. -7 wf �'�,.';r,'�rrv9,.A-r - 'j 1,,;t ,� t, ..� .� s's'/.S.F � `3Q'� j r j„• S RENVv1"Ili C- ti 9 N) a654 0. ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV. AT FOUNDATION = _�' 8 2. INV. INTO SEPTIC TANK = =� � SEWAGE SYSTEM ;DESIGN IN 3. 1 NV. OUT OF SEPTIC TANK = _ / 4. INV. INTO DISTRIBUTION BOX = j%a I, SCALE I =c�.0 ,, "';' '1 a 19 5. INV. OUT OF DISTRIBUTION BOX = "� '�"' C - - < 6. INV. INTO SEEPAGE PIT = �� G!� CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = � �' �© HYANNIS ,MASS. SOIL LOG � �x.(;Y�ii;n<aA;vfcL4�-_♦L=.n.__.,/.,�.-�t�-syy/•. 'Sri. L Z!'PEA3TONE LOAM S FILL -/_ I12�'MAIf - - ( o° 4 C. I. DIST. A BOX 1000 I I;••�. .° 1000 GAL •o , o I DIM IN. -- J °' : PRECAST OR ° ° o E- 4" n ;�_ GAL. _ ,°°•', 2 SEPTIC BLOCK ° : ° • I MIN TANK i•. • . ° ° I 6 SEEPAGE ° S1 Ie�odB, PIT d 20' MIN. FOUNDATION I 1 %21I WASHED STONE 1 - - -- �7'� I I ELEVATION SKETCH 10' P E R C. RATE: SCALE 1" = 4' — TEST BY /—�•N%r•;- . --- TOWN INSPECTOR BACKHOE OPERATOR TEST MADE ON YL3_t -_ __. c,2 ice'% E. I�✓ —�� �7" � ` r M r B, i t _N, \ S. C.p A. G C A, I _.__• �_ 1( ` 1 fll _ r • `/J~! C DEL' -:>.o Y I.Nc? sl'ac `r iai - r rdi�1 ;r c s o '? i♦ p f'.'I 'r'.. 1'1 u.. :�•f r�L �.�i[[ IMF•'^ 1.J -♦ 'l'" r ` ,{ '_.x , _ - -�ZE-!'•! 7 - ELEVATION SCHEDULE PROPOSED SITE PLAN I. INV, AT FOUNDATION = _- _ e 2. INV. INTO SEPTIC TANK = _" SEWAGE SYSTEM DESIGN IN 3. 1 NV OUT OF SEPTIC TANK = ':; •£�, "� iG ,�T,�q' /il.<. � M + } s 4. INV. INTO DISTRIBUTION BOX = SCALES III ,,:'y•/ej 19 5. INV. OUT OF DISTRIBUTION BOX = "' C — « ; ../ 6 INV. INTO SEEPAGE PIT = CAPE COD SURVEY CONSULTANTS ROUTE 132 7 BOTTOM OF PIT = HYANNIS ,MASS. *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (O Least 24 inches tall SECTION A -A � � uwui� 10' min. from -- wd ALL OUTLET PIPES FROM THE Schedule PVC w/Charcoal Odor Filter DISTRIBUTION BOX SHALL BE Existing Foundation house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 FT. _ 12" CONCRETE CDVER ' D-BOX cover must be Septic tank corers must be TOP OF FOUNDATION = ELEV. 100.00 (Assumed) within 6 in. of finished grade within 6 in. of finished grade ` -Grade over Septic Tonk - 94.00 Orode over D-Bo• - 92(x) I lade over SAS - 91.00 3" of 1/8" - 1/2 Washed Peastone - '• 3 - S-OUTLET - - _ - KNOCKOUTS f -- / 3/4" to 1 1/2 Washed Crushed Stone -- - ' 5.5• I 12• •&ET S - 0.02 , 4" PVC(CAPPED) INSPECTION PORT TO BE Ol11LET 3 HOLE H-10 3' Maximum Cover INSTALLED AND TO BE WTHIN 6" Qi GRADE •/ `. 6" sr. Box rap of System- E1ev. _6z.zs lo• EXIST. S=0.01 or Greater EXIST. P� X O0 1.000 GAL. in 35' s- 0.01- per root A t0" Effective Depth -t5.5'- 4" - $CH. 40 Te 'G t.73.4 FROM EXIST. FOUNDATION W SEPTIC TANK r -�_--_ HBO ul 5 PLAN SECTION CROSS-SECTION r 5 Units 2 6.25' = 30' +` CONCRETE FULL FOONOA > H-10 m ; o J0.83' (10 inches) Nr 1 p� 6 in of 3/1--I 1/2" m 3 3L2s' 13 3 HOLE H-10 DISTRIBUTION BOX +. SYSTEM PROFILE compacted stone Ka U' c > u ° 'O 37.25 NOT TO SCALE FT-��SuT y III woe Not to Scale > 5 3.5•-y � �-3.5' II Effective Length ®'_79G P-Wk*Na WJ v3:_60,0 KA.TE IV � > c - 3 ' S❑IL ABSORPTION SYSTEM (SAS) GENERAL NOTES 6 in.of 3/4"-1 1/2' Q y 10 compacted stone Q EfEecUve vkNrn INFILTATROR HIGH CAPACITY (H-20 L❑ADING)/ GE❑RGE ❑'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE m S 1. Contractor is responsible for Digsafe notification, Verification of Utilities o (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes. w Bottom of Test Hole 1 Elev-79.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" AFFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set Groundwater Observed - NONE OBSERVED level on 6" of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or gravel with no I- -- -- ------ --- stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION TEST --- --- - j by Carmen E. Shay - Environmental Services, Inc. NOTE: GRADE OVER SAS TO BE REDUCED TO ELEV. 91 .00 5. The contractor shall instoll this system in accordance i Date of Percolation Test: SEPTEEMBER 7, 2005 with Title V of the Massachusetts state code, the approved plan - -- - - -- --------- - - Test Performed By. CARMEN E. SHAY, R.S., C.S.E. / and Local Regulations. Results Witnessed By: WAIVER (Per Barnstable B.O.H.) 6. If, during installation the contractor encounters any EXCAVATOR: Shay Env. Svcs- soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI ® 42" �NPGE % from those shown on the soil log or in our design / OF2P installation must halt & immediate notification be Test Hole Test Hole / _ % + made to Carmen E. Shay - Environmental Services, Inc. DEPTH sass ELEV. No. 2 i E6 ___-- - - - - - _ 7. No vehicle or heavy machinery shall drive over the No. 1 -- - - -_- - - -. 1 --" '82 septic system unless noted as H-20 septic components y DEPTH Soils ELEv. ; - 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends -o _ 93O0 0 _ _ 90.00 j 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. FILL Sandy Loam \ ; / \ / 10. All solid piping, tees & fittings shall be 4" diameter - 10 YR 3/2 ,0 -36 0.00 $a Schedule 40 NSF PVC pipes with water tight joints. " " 11. Municipal Water is Connected to ALL OF The Residence and Abutting Sandy Loam sandy - - ------ ------ _ / Properties Within 150 Feet. Loam 10 YR 3/2 10 YR 5/6 _$6 THE PROPERTY LINES ARE APPROXIMATE AND i �' 36"_42" A s 89.50; 6"_ 30• Be 86.50_ �- / $$ COMPILED FROM THE SURVEY PLAN GENERATED BY Sandy Medium/Coarse ,- , CAPE COD SURVEY CONSULTANTS OF HYANNIS, MA Loam Sand / g ENTITLED "CERTIFIED PLOT PLAN OF LOT 69 PEN LANE, 10 YR 5/6 2.5 Y 7/4 - ____-- 90 CENTERVILLE, MA" DATED AUGUST 22, 1979 42"- 72*1 B 30"- 132 C, 79.00 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Medium/Coarse 6P -�' ,92 IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Sand LOT #69 _, �'' �'' THE SEPTIC SYSTEM INSTALLATION. zs r 7/4 i $4 15.951 Square Feet +/- $$p 0 EXISTING LEACH PIT TO BE PUMPED OUT REMOVED. 82� �- ---- -- - 9 P �%' j - NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING LEACH PIT TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS r. THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY �E§T HOLE 2 Depth to Perc: 42" to 60" # � 7.25 ASSESSORS MAP 193 PARCEL 206 Perc Rate= 2 MPI PROJECT BENCH MARK - ELEV.= 90.00 92 TEST HOLE #1 Failed - Groundwater Not Observed TOP OF FOUNDATION _ LEGEND No Observed ESHWT _ $$ ,, 14" PVC _ 20' ELEV.- 93.00 Leach Pit ADJUSTED H2O Elev- = None ELEV. - 100.00 (Assumed) Vent r ' XIST. -- ------- - --- --- Deck DENOTES PROPOSED 90--.� - -- F104X 11 SPOT GRADE 2-18" DIAM. ACCESS MANHOLES 8, _ ' EXISTING O d� X 104.46 DENOTES EXISTING 9 q. 2' 3 BEDROOM L-"--- SPOT GRADE - - HOUSE SEPTIC 1�ANK 00 GAL \\ PL _ 94 PROPERTY LINE I14LET #20 nI CP PROPOSED CONTOUR / \ OU T ou! -J r r: THE ACCESS COVERS FOR THE SEPTIC TANK, 96 \\ �// EXISTING CONTOUR DISTRIBUTION BOX AND LEACHING COMPONENT •� r --�•^.: r.:r.:--T= �.:-s� SET DEEPER THAN 6 INCHES BELOW FINISHED -'• :, - -- GRADE SHALL BE RAISED TO WITHIN 6" of STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. \ 11 \\\ DEEP TEST HOLE & PLAN VIEW INSTALL TLIF-TITE GAS BAFFLES OR EOUAL5 I II 11 PERCOLATION TEST LOCATION 11 WAY \ 1;3-24- REMOVABLE covERs-\ EXIST- -• 6 FOOT STOCKADE FENCE Ii DRIVE 1 6' - - 4• 3- min•clearance ' I \ - - ,r j�•-..E1- � 0 40.00' 1 NUT 8" min.T-12" min. Wet to outlet 6"mti. OUTLET 1 O ET P LOT PLAN 5' -7" -Y -I, oc El I Liquid depth OF PROPOSED SEPTIC SYSTEM UPGRADE Ira PREPARED FOR 4'-10" \ MR . JOSEPH O ' MAEEEY CROSS SECTION END-SECTION O • °f, 1 \ Coll � 00, l 1' .110 AT \� # 20 PEN LANE TYPICAL 1000 GALLON SEPTIC TANK I4y 1 CV -----T NOT TO SCALE �+ o`� CENTERVILLE, MA Design Calculations ----- � �/ 11 �' .� ,=�,;` I i 1 1� Garbage Grinder: No PREPARED BY: /� Y Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) \\�� � �I - yGs CAR1Il EN E. A�ffC1 l I__ 1 f Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank. __----- o. 1 NVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch 1 Bottom Area: 0.74 gal/sq. ft. x 372.5 sq. ft. = 275.65 gallons A L 1 'Q �� P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 78.72 sq. ft. = 58.25 gallons 0 20 40 50 PE'N LA NL' EAST FALMOUTH, MA 02536 Providing: = 333.90 gallons 11 S1NI f R\P 1 ~_ TEL/FAX 508-539-7966 Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, 1 (40 FOOT RIGHT OF WAY) 11 SCALE: 1 "=20' DRAWN BY: CES DATE: SEPT. 23, 2005 TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE ON THE ENDS. NO STONE UNDER. SCALE: 1 "=20' 11 PROJECT SD805 FILENAME: SD805PP.DWG SHEET 1 OF 1