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HomeMy WebLinkAbout0043 RAINBOW DRIVE - Health 43 Rainbow Centerville A= 188 141 au UPC 12534 No.2-11533LLOR "MMOa.wi TOWN OF BARNSTABLE .,LOCATION T /sr�T,1&c Q CJ j2 Q`VeSEWAGE# U611) VILLAGE jj ,Qy SSESSOR'S MAP&PARCEL,�yJ 88 INSTALLER'S NAME&PHONE NO. `�J/� (,I 11w, jD' (Or /Z-2} SEPTIC TANK CAPACITY /0,:::5 �j. LEACHING FACILITY:(type),?2g ,��5 /� (size) ZY, NO.OF BEDROOMS OWNER PERMIT DATE: Gp ? I® COMPLIANCE DATE: 68ho 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 3 e���V-dui l - � � �i,��� �� - i� � �-y �-c°�� .�f �� . � ��� 3y� ��_�y TOWN OF BARNSTABL,E A ,Or_-,, ION V. a 'n SEWAGE # MLAGE ASSESSORS M"&LOT MlkA EMS NAIVM&PHONE NO. EMC TANK CAPACITY .EACHTNG FACILITY: (t rm).. .._._._t— (sizo) [O.OF'BEDROOMS WILDER OR OVVNER 'ERMITDAM: COMPL,lIA►NCE DATE: 'aparation Distance Between the: 4aximum Asljbsted Groundwater Table to the Bottom of Leaching Facility e rivate Water Supply Well and Leaching facility (If any wells exist on site or within 200 feet of leaching facility) ,dge of Wetland and L.eaclting Facility(If an wetlands exist within 300 feet f leaching facility) urnishcd by Q P�j XIS ' 8-4�- 13'G`� eo A-D, 35- ?- u Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 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. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Shawn Mcelroy use the return Name of Inspector key. Upper Cape Septic Services rye Company Name 29 Atwater Dr Company Address 7 ] E. Falmouth MA C1 02536 City/Town State " r Zip Code-. 508-495-0905 S13971 a Telephone Number License Number ,. B. Certification C13 t�- I certify that I have personally inspected the sewage disposal system at this address and i"t 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 Eval ation by the Local Approving Authority 4-26-10 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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. t5insp official document•03/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal ystem-Pag Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow ambow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: - El I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: 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. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. ND Explain: ❑ 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 ❑ obstruction is removed t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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, p4fety_and,th,e environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: �'' j''❑ 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. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments uM 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection B. Certification (coat.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 ® FPStatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than.6°below invert or available volume is less than 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the 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. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No - ❑ ® 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 CM 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 i ❑ ❑ 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. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Rainbow Dr Property Address Bank Owned Contact David Holt Today Real - - ( @ y Estate 1 800 966-2448 Owner Owner's Name ) information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner,-occupant, or Board of Health ❑ ®' Were any of the system components pumped out in the previous two weeks? ❑ ® 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 pp oximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp official document•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-24.48) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 440 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)): Sump pump? ❑ Yes ® No Last date of occupancy: 2-10 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary.waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp official document•03108 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal Systam-Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today.Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 54" feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints,venting, evidence of leakage, etc.):. Good condition. Septic Tank (locate on site plan): Depth below grade.: 48 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: 1.000 gal Sludge depth: 12" Distance.frorn top of sludge to bottom of outlet tee or baffle 20 Scum thickness 3" Distance,.from..top..of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 13" . How were dimensions determined? Tape t5insp official document-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 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.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 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): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) 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 Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box in good condition with stain lines above inlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit has stain lines above inlet invert and into riser. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 t: . Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 i Commonwealth of Massachusetts N W Title 5 Official Inspection Forme Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. A t �.3' F- 3 d' dF f t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 43 Rainbow Dr Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 4-26-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope r ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20' feet u Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps show groundwater at greater than 20'. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 -ro t 11 0 O o 1iI � 1 CD i � Ue�v�ow, �--- �cc�►tGO+M .. L r o txj - d r Ll . th O'l O m • -J a 1 LO .r p ' r W m 0 N 43 2PAia Mm— L-ro u N C AN-04-2010 09:19 TODAY REAL ESTATE 1 508 790 1388 P.001 1533 Falmouth Road,Centerville,MA 02632 Tel:508-790-2300 Fax:508-790-1388TODAY 1 ESTATE Fm To: � From: 1 Fax: I Pages: REAL ESTATE 1533 Falmouth Rd.,Rt.28 Phone: pate: Centerville,MA 02632 Bus.(508)568-8133 MIS Champion E-Mail:david_holt@todayreatestate.com el DAVID HOLT Re: CC: Fax(508)790-1388 I REALTOR' Website:www.todayrealestate.com —J'��S NRBA,CRS ❑ Urgent P4 or Review O Please Comment ❑ Please Reply ❑ Please.Recycle • Comments z 12, C) 0 LO �tN ING� ' H O �iJI�g Q ` cam CA ! •� -Ac r 1 txj maw, r 01 O m E CL LO CO •+ O f., m W m m O C* y � N100I W Barnstable �s Town of Barnstable kiftA a. o A�-AmericaC�ly Regulatory Services Department � 1 BA.RNSCABL£. MASS. Public Health Division m 4� 039� ,0 °rFD �0. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geller,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008956 5/03/2010 Today Real Estate c/o David Holt n Ply1533 Falmouth Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 43 Rainbow Drive, Centerville MA was last inspected on April 26, 2010, by Shawn McElroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty`(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH mas McKean, R.S., CHO Agent of the Board of Health orE �oi 1110 No. © Fee THE COMMONWEALTH OF MASSAHUSETTS Entered in computer: UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlitation for Dtq oga1.,* item Cow6truction Permit Application for a Permit to Construct( ) Repair(,pgade( ) Abandon O ❑ Complete S s Indivr u onents Location Address or Lot N .��& (/ Owner's Name,Address,and Tel. Assessor's Map/Parcel `may ✓ Installer's Name,Address,and Tel.No �/!//;eM / Des' ner' me,Address an Tel.N,� Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures //// Design Flow(min.required) 5-36 gpd Design flow provided `� _ 0 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank ZW7" /0DCC9 Type of S.A. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �' N�1>cXJ� J 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 A . peration until a Certificate of Compliance has been issued by this Board of HealthSigne te Application Approved by te Application Disapproved y: te for the following reasons Permit No. Date Issued No. Q �o 3C now t l Fee THE COMIIJJ N.WEALTH"OF MASSAC U..SET<TS, Entered in compu�er� . > PUBLIC HEALTH DIVISION- TOWN OF bARNSTABLE, MASSACHUSEITTS Yes 1 1 Zipprtcation for Mtzpo!w *p!gtem Cougtruction permit Application for a Permit to Construct( )'Repair( k)pgrade( ) Aba don�p ( -) El Complete System /❑Individu'a•1-Gomponents Location Address or Lot No. � r7���/ C / Owner's Name,Address,and Tel. o_. /1 �� 'Assessor's Map/Parcel u Installer's Name,Address,and Tel.No. �/ // ��//Cl t Designer's Name,Address and Tel.No. , pi.?. 'CIS 1Gj S%�il�'�U�ct r4 6L Type of Building: Dwelling No.of Bedrooms Lot Size �/! , � sq. ft. Garbage Grinder ( ) { Other Type of Building i! No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) _' �d gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title . a Size of Septic Tank, /eVC1 Type of S.A.S`_p i l��!' ✓p 5�h` e�� Description of Soil Nature of Repairs or Alterations(Answer when applicable) /!i/ I -f � ,SAj � ' 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 i. operation until a Certificate of Compliance has been issued by this Board off Health. r / Signer y Date / Application Approved by / _ / Date Application Disapproved by: V /� Date for the following reasons ' t Permit No. 89Date Issued 1 f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,,that the On-site-Sewage Disposal System Constructed ( ) Repaired (V) Upgraded ( ) Abandoned( )mob/y at 1 .Kft�/U has been constru ted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ''" dated �p/_7/A;7 - Installer Designer #bedrooms Approved desigp flowf1 gpd The issuance of this parmit shall not be construed as a guarantee that the system wil fti'on as designed 1' ( Date Inspector A/ 1001 Fee V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS R Th5po!gal 6p5tem Construction 3Permtt Permission is hereby granted to Construct ( ) Repair (1/ 1 Upgrade ( ) Abandon ( ) System located at j /� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constru ion tyust be completed within three years of the date of this peTA111 � Date Approved by c 1 Town of Barnstalble .°�'"E' 1.� Regulatory Services • Thomas F. Geiler,Director • anaxsrMBEZ 9 MAS& Public Health Division Thomas McKean, Director — 200 Main Street,Hyannis,MA 02601 Office: 508-362-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: t.0 Sewage Permit# Assessor's Map\Parcel �j l Designer- f( a M�Jv , A fg 1 rt''A installer: Address: ® b X Address: i� 6j On h1t A ,.was issued a permit to install a d ) (installer) septic system at /�3ab� YJIi?W based on a design drawn by (address) dated 0 (designer) + I certify that the septic system referenced above was installed substantially according to G the design, which may include minor approved changes such as lateral relocation of the distribution box an&'or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF. MgSs9c o DA M (Installer's Signature)/" o: 1140 A£G/SfE�O �p SANI TAR�P� -I; (Designer's Signature) (Affix Designer's Stamp He e) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COty1PLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. .. ... ... .. .. 1 Q: Heal NSeptic/Designer Certification Form 3-Z6-04:doc Town of Bay--nstableTIM . P it �S S Department of Regulatory Services e wZ S Public Health Division Bate ereer 2,z o K"& ib3¢ `b$ 200 Main Street,Hyannis MA 02601 Date Scheduled S ° Time. Fee Pd. 6 0 Soil Suitability Assessraient for Sewage Disposal e,� S Performed By: o��'—'Q�"p/�" � �• MN Witnessed By: LOCATION & GENERAL,INFORMATION Location Address l N�� t )�� Owner's Name R5� t3 Pct�K (�EI�i' �+1/t l.l-E VV 0263I2 address . pEPl:i1.l J'Y 1go43 Assessor's Map/P4ree1: 12; i Engineer's Name iVt P�it NEW CONSIRU�'CIO^N REPAIR X I Telephone#.,. 50 3 6 2-2 2,2i Land Use �L/�' � 1 Slopes(%) / Surface Stones Distances from: Open Water Body ?Z S� ft Possible Wee Arca.} Oft Drinking Water Well ft I)rainage Way 7 O0 ft Propr,.rty Line 7/0 ft Other ft SKETCH:(Street name,dimensiods of lot,exact locations of test.holes&perc tests,locate wetlands in proximity to holes) Jy r-p O �2�.15' i o IIt 00 r Z Z z0 7- O \\\ OHO I I PAVED DRIVEJ,A���.\1 z Z \\ O -------\\-------- O 150.00 ft -- 9 Parent material(geologic � L✓4r� Depth to Bedrock Depth to Groundwakdr. Standing Water in Hole: JV/77 I Weeping from Pit Face lM Estimated Seasonal Righ Groundwater /V DtTERMINATION FOR SEASONAL HIGH WATER TADLE Method Used: _in. Depth to Sall tnvttles: in Depth dbserved standing in obs.hole: in, Groundwater Adjustment Depth toiweeping from side of obs.hole: A {aetor.,.,_ Adj,droundwater Level.,.,,°. Index Well# Reading Date: Index Well leld -- i PERCOLATION TEST . Date., _, Vine Observation I Tune at 9" Hole# Depth of Perc 66—76 Time at 6" .... Time:(9"-611) Start Pre-soak Time.@ i End Pre-soak Rate MinJInch 1 Additional Testing Needed(YIN) � Site Suitability Assessment: Site Passed k Site Failed; — Original:,Public I=e'�ith Division Observation Hole Data To Be Completed on Back— ***If percolatyibn test is to be conducted within 100' of wetland,you must first notify the I Barnstable C4#servation Division at least one (1) week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 3 ,r^ 2u Cd ylnd �0 .Q'3 y 60' 1qq C Me anc� Z• . ��6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling` (Structure,Stones,Boulders. Consistent %Gravel) 01' 3 `lPut[ JA r! S „ S R-' DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon SQ Texture Soil Color Soil Other Surface(in.) (US (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color $oil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. ra I Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No 7 Yes Within 100 year flood boundary No- Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviou inaterial exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the requir /g�,expertise and experience described in 3:10 CMR 15.017 Signature C' Date 5 l Q:\SEPTICVERCFORM.DOC L/ L`.O C A ION SEWAGE PERMIT NO.� VI L L A G E / l M d,, .� 6 fie, V I,NST EI S NAME i ADDRESS ,cs 11 4 S U I L D E R OR OWNER DATE PERMIT ISSUED -7 -Zt �-5- ® D:ATE COMPLIANCE ISSUED or 4o use- � r No...$..1.'.J.. F>cs.......: .d............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF............................................................................�.-- •- App iratiou for Dispuiial Voikii Tomitrurtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at d• ..... .__....... / No. /s inA ............................... Owner ........ ........ Installer Address d Type of Building Size Lot 4 I .....Sq. feet U Dwelling—No. of Bedrooms..............,....... .....Expansion Attic ( ) Garba e Grinder �--) ''� Showers — Cafeteria p., Other—Type of Building IA/�PI. .__.. No. of persons._..................... ( �...) Q' Other fixtur W Design Flow............... .....................gallons per person per day. Total daily flow.._....3.3.0...........................gallons. WSeptic Tank—Liquid*capacityhO..0..gallons Length.......:.... Width............ Diameter._..-- Depth.... Disposal Trench—No._._!✓A:.._..... Width................. Total Length......ra....... Total leaching area.....=.........sq. ft. Seepage Pit No.___...:�..-.__.._... Diameter --__-____ Depth below inlet......+.!......... Total leaching area.A.G.'I......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............................=........... Test Pit No. 1/_ ._._minutes per inch Depth of Test Pit.....1:2-!------- Depth to ground water_.__-=_ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �................................. ••.............................................................................................. O Description of Soil ........... 2__._ v !�•... c� fir' v -••-•....... � N� C }✓ L--------•---------------------------•----------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... . •-••-----•--•----•--------•-•-----------------•-----•-•.-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIIL LE 5 of the State Sanitary C e— The undersigned further agrees not to place the system in ope atio til a Certifi to of C pliance has n ' sue y t board of health. e .. .:..... ... ......................... -•-•---•---•-----•-••------- --•--•-----•............-------- Date Ap licati pproved By---•--•-- ..... . ..� - -•............................... ...__._. � f�' `' ..._.... Date Application Disapproved for the following reasons-................................................................................................................ ................•••-••••••--••--••-•--••---•-••-•---••--•-•--......•----•••-••-•--••---...-----•--.....--•--•-•••-•--•••-•---••--•-•----••-••--•-----•••-•-•---•--•-------•---••-•--•------••-•---•-•-•- Date PermitNo......................................------------------ Issued....................................................... FE$ ............. THE COMMONWEALTH "OF MASSACHUSETTS BOARD OF HEALTH ....................................O F....................................... Applirntion for Bisposnl Works Tonstrur#inn "amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ..... ............. - ............. ... . do Address j�':� ' t No ....................•--• ._.... -_---..-... y -........... ... Ow r,,,,�.. - a :... ov. .:!.:...... Installer Address AS C,y d Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms............. ........... .. .Ex Expansion Attic a g— � -__-__..._.. p ( ) Gar e Grinder ) aOther—Type of Building .... ................ No. of persons...4.__................ Showers ( ,. ) — Cafeteria OtherfiUuPS ...............••-•-•••••••••••-•••--••-••--•-•--••----•--•-••••-•••••-•-•-----------------•------- W Design Flow............ -.......................gallons per person per day. Total daily flow............................................gallons. W Septic"Tank—Liquid capacity Q!! ._gallons Length........`"•... Width............ Diameter____ - Depth................ x Disposal Trench—No._.. ......... Width....!°....._.... Total Length....._"!'°_ Total leaching area.... ..... ......sq. ft. y X�� Seepage Pit No--------------------- Diameter....J...:.......... Depth below inlet......_._.....__.... Total leaching are a...:..............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................................................... ....... Date...................... 2'° minutes per inch Depth of Test Pit...... °�..__.._ Depth to grdund water--_.� �+d` �u► .� Test Pit No. 1 _._.:...._.. --.-. (_., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ � A ........................................................................................................ 4 aO Description of Soil......... ' C $ae U ----------------------•------ W -•••---•-•----------------- = .Nature of Repairs or Alterations—Answer when applicable......................................................:....................... .............••-•••-•••••••---•......--••-••----••-•-----.........•-•-•--•--•-..............----•--•••••---•----•••••--••----•--•••••-••••--•---••-••••••--•---•--•-•. ----------------•---------------- Agreement: he undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitar e— The undersigned further agrees not to place the system in operati til a Certi to o mpliance ha a issue y t4a board of health. ned.. = �-• . ............................. 01 Date ApplicatiApproved By....... ... ................................... •----• --.......-- Date Application Disapproved for the following reason ----------------------------------------------------------------------•----------•--------------------......----- ....................•-----.....-----------------•-••-----------------•--•------•-----.......--------....-••--••••-•--•--•-•---•--••-•-•......-•-•••-•-••••-•-•....._._..-----•......-•---•--------•--- �. e Date Permit No. = . Issued-.........................................•............. Date �* 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ..........................................OF........................:�........................................, .............. (grrtifirate Of Mantplinztrr THIS 1C"TIFY, at e Ind idual Sew w lPe2s System constructed ( ) or Repaired ( ) by--•••--••••-•-••-•-••------•......................••......--•-••---•------•-----••-_-••-. ................................................................................................. j Installer atL� ------------•--------------------------•-•......•.......................................... has been installed in accordance with the provisions of TIT,;,r of The- State Sanitary Code as described in the application for Disposal Works Construction Permit ........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE SYSTEM WILL F NCTI N SATISFACTORY. , DATE.............. _. . .................................. Inspector.............. . • ---..................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -,.... OF................................... .................. '! No......................... FEE........................ Disposal Wil �Ontrnr#intt rrntit rPermission is hereby granted.......................--••-•---------------•--.-•-•--•----•--•--•-•••••••--•-•••••--•-••-•-•-••••••-••-•-......•--•-••-••-..................•• , to Construct pair ( ) >vldu Sewage Dis oral S s at NoPI � �' Street as shown on the application for Disposal Works Construction t mit No --------- _. Dated........................................... } Y, .. ._ DATE . Board of Health -------•------••--•-•-----••••----•----•-••••..-•---.. FORM 1255 A. M. SULKIN, INC., BOSTON �i �a n i U. D. /s.. S U � .:.27,5 gip _ 9 c,f" _ it <�,�• .d . . �.� � .. q \, a N� �,� Soc 0 X ti x L tv 0� Y A P /00 1,vrD7H Lo /Iu. /0 - / r�- ; A5-sr/r�rr-ice /"T . i/v +ter 105, 6s S uil i r'Ea ok +, r LEGEND �= r, - c y " E03TINA SPOT ELEVATION OxO No t EXISTING CONTOUR — 0 A\� ���w, rf '` .`: CERTIFIED PLOT PLAN atr iriN19NE® Ir'PiiT ELEVATION It�N '� ° ,,��W, �:� 4� GoT q kA��/ SHED CONTOUR 0 , _�� �,�::...,.-�— fir._ /�! T r..:"I;'E//L_ L. �= •NOTE}::t'The location of any existing under d sewerage, IN } ` 4e11s or other utilities shown on this plan is approx- ��,' imate only as, determined from records and/or verbal tip, i'nformation.:`.The contractor is responsible for the Verification of the existing locations in the field. SCALE, / 40 DATES 6 /27/8S rb� .DREDGE ENGINEERING COVINO CLIENT i -CERTIFY THAT THE PROPOSED �' BUILDING SHOWN ON THIS PLAN EGISTERE REGISTERED JOB NO._.___.'.. A�° CIVIL LAND OR.BY' •�'�' CONFORMS TO THE ZONING LAWS Y � - OF BARNSTAB , MASS. k_13.6. y '_112 MAIN STREET, CH. BY y V � ' HYANN I S, MASS. SHEET;/ OF ATE REG. LAND SURVEYOR r.. ,.c,;., �...s•n-;-rt;.--•....:,= ';+'q. t� s...:.-. ,_.."y, ...� ___ S i .. - -G _ ".� `+�. •g.� yt ,nib 7�,1 p• ter+n w.s - #''�.,-�'.i _ 'at?. ✓-. ...� .,{.J .4. _ ,,..a _,i::. r.:. .:.' E- ? :.. _. c, r t �r-� ':.� '� ^,k ri-.;,y 3.Y 3 '.s.-- .. - :. DRY t J+¢ FlTi4,LR TNL�S TA _ fi!tGN!/vG All AItE IyORE .:TN�1N %Z~ditOlV , Y ?4'O/A <fO tlElr I'` �'� AlM FT.ER ['ONC SNAtL OF BROlJ6/y_T To GRAD,e.C.4,v .EXTRA` _ f 4'RYC.OIP� r Gt9NCRLWTE Al IN. P/TCN F'4YY C'!'�ST IRON �DI�ER SMALL BE,LSE COMERS �•PF,Q fT /F!N DR/VEIrV.4Y C C LATE t ONR- � �AJr E i 1 dJ IWI CO VEJ4 CL EA,'�' SAND 1 :{. - - - _ LI�U(D LEVEL � _�r�.._. .< •• •+t .Q~D1A. _ _ ?�LAYFIrc �� • . 0 7C -I i� IVII N.P/TGly _l=.d TJ CFA 4. '_. 1 • •c • • • • • • • > •• ! WA S h'FO 57- '; 'lam'Ptit 1•'T SEP771C TANfC , , ' . . . • • • , . . • , BDX ' • • 11 � 6 • r • • • + .r• • 1k ::� • • • • • DEPTH • • • • a • WASHED 574*E /5• 2,S 377 • • •• • • • s • � • • • off.. !/3 X !,O c .!i`. i a. . • • • • • • •• • ► •�o PRECAST SE�✓�7riE. ` !!1(YGI�T l•LEYAT/DNS P/T eP.9 city 490 �G�e9f� • i. • • • • s • s • i o I�/7 OR EQUIv.. . . • . L 4•0 -I /N i NYERT AT 4l//LD G _��,o FT. �-3 !HEFT .S�t7PTI�C T•*NK 9H i; fT /Z Fj, O/�4l►1. C SEE TABULdTION> Otl74E7-SEPTIC TANK FT 1/VLET D/STR/dl?!ON BOX 9�FT GROUND JtG4TE/�.TitQ[.E - 1 �(/TLET0/3TR/BtlT/ON 6AX ��•.�_FT _ INLET LEACN/MG /c'i7- J--6Ln FT. SEWAGE !�/SP+01SA t SYSTEM IrA&VI-AT/OIV LEACHING P/7' ` Jt/tLE ; ,�s / -O h D.ES/6!V �'j4/TERMS Oifl�rSl a N a-- FT. 3 NaMSER OF DEGiRGO/`!S p/MEJYS/ON G FT .i/✓' i 'ytRd4GED/SPOSAL (/Iy/T /Jyr'F SOIL Loci S0/1. TEST TOTAL ESTlAvcreD SO!L TEST aft SOIL TEST**,2 VUMsE,P G- 4-ACRIM6 ,0/TS / -_ FLEY. gq.z EL41r SATE OF SOIL TEST �o j z6 S/pE/.t�CHING PER.PJT / S/_S�: fT. J � `JAa� RESULTS I+/lTNESSED dY �OTTOMIF�I:N/NGAERPlT //3 $Q. F Lr� PE/tCGLAT/OJ1� rlATIF / ass Ml�y/NCH ' >c -7."1-g n/ NCB TOTS-' LEACH.:nG AqE-,A- 7- s� rT F1cJ�CCOL/4T/oN RATE 2 MlIV.�! J ?ESER✓EGE.4C'/+11N6 AgE.A Z.G�j Sle. FT. Z _ p O; 1 ( - P40. ^ 5' ^ 7I2 MAIN-9T.� /4YAA/N�9, /NA-5S. � -o.\ram.0 V✓�-^ :r �•° NO 6140ONO WATER ENCOCJNTEREG 2LlENT� gA}�SI,c�E GI.�Td`;G/z�/ter ' G/c011/v0 W-47-ER .47- FL-eV JGD �v_ So g q 1WE�T_2o� r ` y BENCH MARK I LEGEND 2s o GAS GATE COVER �aS ;.rt •���h PROPOSED CONTOUR (s. = 33. 62 � PROPOSED SPOT GRADE- ELEVATION � m BARNSTABLE CIS DATUM ,�. A__. 2 .59 ft O -- 98 __ EXISTING CONTOUR `g Q 6 .— 34,` `\ \ Fps j + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE DR. �NBOW _ TEST PIT ;. GAS GATE" l O `�0r l 0'. \,\ SITE sumps RIyER H-2 /Y. 314 /' ` �h \ ,/ LOCUS MAP N.T.S. / i' ,1\ O GENERAL NOTES: EXIST, 1 ,QOQCj / / ` \\\ ��` � NE i' k\` /�`� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. SEPTIC TANK 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE F�O� \\ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: // p �/ Cl ��� / �\ `� / 34 - 310 CMR 15.405 (1) (B): Exist. Leach Pit i / / _ �\�; `/ \\ /// O //X __ i 1) A 2.61 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE (Note 10) 5.61 FT BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) i i" 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 'Q // \\ Q P // // i" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. L_O T 4 %' ° 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING t i' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \ /�'A R E A = 15998 s f ��— ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF l / i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED `•,� /� // i TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 34/ \\ / /' i i k. 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED PER TITLE V. FILL WITH CLEAN MEDIUM SAND. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY i \\ I `3 0 ii" AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 00 � 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) 36 0 / % 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 17. PROPERTY IS IN ZONE OF CONTRIBUTION TO SALTWATER ESTUARIES. OF A 18. INSTALLER TO FIELD VERIFY H2O CERTIFICATION PRIOR TO INSTALLATION. BENCH MARK Mssq� PAINT SPOT ON ` '" o' DAM y CONCRETE PATIO �'�, i i , YE PROPOSED SEPTIC SYSTEM UPGRADE PLAN ELEVATION = 37- 73 1140 BARNSTABLE CIS DATUM \``✓"i/ '�G�STEp 43 RAINBOW DRIVE, CENTERVILLE, MA MAP.-188 Prepared for: Mike Dedecko S0ITA0 r LOT., 141 SURVEY REFERENCE: E i Engineering by: Surveying by: SCALE DRAWN ..e ✓ DEED BOOK.- DARRENM.MEYER,R.S. Zoo-Tech Ahvironmentel 1„_20' DMM PLAN OF LAND BY ELDREDGE SURVEY CO. ( DEED PAGE.0139 PO BOX98f (508) 364-0894 DATE: CHECKED SHEET NO. DATED: MAY 6, 1974 EAST SANDW/cH,MA 02537 I 508-3622922 05/31/10 DMM 1 of 2 06/07/10 - revision - revise flow celculetlons 1 4 NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO-BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:29.39 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. l F T.O.F. EL.=37.39 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OF MqS OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) !AND SET TO 3" OF F.G. F.G. EL.=36.Of F.G. EL.=37.25t F.G. EL: 35.0t F.G. EL: 35.0(MAX.) VENT \ A M. c EYER N o. 1140 L - 10'"t i 9" MIN COVER/ i L = 115' L - 10' MAX)) INSTALL TWO INSPECTION PORTS (MIN.) ® S=1X (MIN.) 36" MAX COVER S=1� (MIN.) ® S=19d((MI►(.) �NITAR�P 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 10" 14 6 17INVERTT INV.=32.97 48"u4wD LEVEL INV.=32.72GAS BAFFLE PROPOSED INV.=29.30S OF 4 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 25.75'/ROW D BOX ABSORPTION SYSTEM PROFILEINV.=29.50 INV.=2 . CnEXISTING 1.000 GALLON SEPTIC TANK (H20 LOAD) RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET BACKFILL WITH CLEAN PERC SAND {�- --75" TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING f'• '' PIPE INVERTS PRIOR TO CONSTRUCTION ti. •t"•.,,,.,•• .•' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BREAKOUT=TOP ELEV.=29.39 GRADE ON A MECHANICALL COMPACTED SIX INV. ELEV.= 29.0 INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 28.06 EXISTING SUITABLE 310 CMR 15.221(2) 2.83 MATERIAL "&Aga I' M, 3) REPLACE EXISTING 1,000 GALLON SEPTIC 5' MIN. ABOVE BOTTOM OF EFFECTIVE WIDTH = 5 x 2.83' 14.15 76" - TANK WITH 1500 GALLON SEPTIC TANK T.P. EXCAVATION OR G.W. IF FAILED, DAMAGED, OR UNDERSIZED. (7.56' PROVIDED) USE 5 ROWS OF 4-HIGH CAPACITY ADS 160OBD PROFILE 4) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM OF TESTHOLE EL.=22.00 = BIODIFFUSER (H20) UNITS-NO STONE W/ CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION ts" N.T.S. e.>s 11� DESIGN CRITERIA SOIL LOG P#: 12955 fN _� NUMBER OF BEDROOMS: 3 BEDROOM EXIST DATE: MAY 28, 2010 I�--3400 SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: IDARREN M. MEYER, R.S., CSE. SECTION END CAP WITNESS: DAVE STANTON, BARNS. BOH DESIGN PERCOLATION RATE: <2 MIN/IN Elev. 16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT DAILY FLOW: 330 G.P.D. TP-1 Depth Elev. TP-2 Depth DESIGN FLOW: 330 G.P.D. 34.30 0" ' 34.00 0" FILL FILL MODEL 16" HICAP GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 31.30 A 36" ,, 31.00 A 36" LENGTH 76" PROPOSED SEPTIC TANK: USE EXISTING 1,000 GALLON CAPACITY LOAMY SAND LOAMY SAND NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY tOYR 3/2 �, lOYR 3/2 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: {330) = 445.94 S.F. 30.80 42" 30.67 40„ SIDE WALL HEIGHT 11.2 •74 B B LOAMY SAND OVERALL HEIGHT 16" DISTRIBUTION BOX: 5 OUTLETS (MINIMUM) (H20 LOADING) LOAMY SAND .. 4640 TRUEMAN BLVD PRIMARY S.A.S. tOYR 5/8 10YR 5/8 OVERALL WIDTH 34 29.30 C 60" 1. 29.17 C 58" CAPACITY 13.6 CIF 90PUB • HILLIARD, OHlO 43026 USE 5 ROWS OF 4 - 16" ADS SIODIFFUSER H-20 UNITS-NO STONE (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. AND EXTENDED 0.75' W/ CONTOURED WEDGES MED. SAND BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF BIODIFFUSER) 2 5Y 6/6D 2.5Y 6/6 PROPOSED SEPTIC SYSTEM SITE PLAN PERC (BIODIFFUSERS) 20 UNITS x 6.25 LF x 4.70 SF/LF = 587.5 SIF 1 036.75 43 RAINBOW DRIVE CENTERVILLE MA (CONTOURED WEDGE) 5 ROWS x 0.75' x 4.70 SF/LF = 17.6 SF 22.30' 144" 22.00 1 144" Prepared for: Mike Dedecco TOTAL AREA = 605.1 SF PERC RATE <2 MIN/IN. ("C" HORIZON) P t; DESIGN FLOW PROVIDED: 0.74(605.10 GPD/SF) = 447.77 GPD > 330 GPD req'd I NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN JOB. NO. • 1, Darren M. Meyer, R.S., CSE, hereby certify that I am cut DARRENM.MEYER,R.S. Boo-Tech A2vhWJ2M0Rtel NTS D.M.M. y y fY rrontly approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 (508) 364-0894 to conduct soil evaluations and that the above analysis has been performed by me consistent with the DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I �ays passed the Soil Evol. Exam in October, 1999. EAST SANDWICH,MA 02537 soa-se22s2z 05/31/10 D.M.M. 2 of 2 revision - revise now oeloulel`ioae