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0238 RIVERVIEW LANE - Health
238 Riverview Lane Centerville j A=228 — 165 A/ SMEAD No. 53LOR UPC 12543 smead.com • Made In USA *R:� t i LTH >- n 3� THE BOARD AOF OF HEALT'H Ts ®6t/4L. -----.OF.......f /�l �T/9�G ------------------- Appliration for Biopooa1 Worko (lunuitrurtiou Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L ..i,7 �-& 1 � Gc..----------- - Tait�/c G C rZ / Locat-on-A dr ss or Lot No. ---=----C.... f� c •_- �f0.�.. �t.� .....-------••-•---- -'•--•------�-...----���!•�� ---------&o---------•---e-7� Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms_______________________________ _ _Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other ,�xtures --------------• --------------- Q W Design Flow______________20__________________________gallons per person per day. Total daily flow......, U_v_.______..^---------------gallons. WSeptic Tank—Liquid capacity_/DUi?allons Length................ Width.......--------- Diameter.........________ Depth__-__________-_ x Disposal Trench—No._ `_,__S W' th____________________ Total Length.................... Total leaching area--------------------sq. ft. g /o Go 3 Seepa e Pit No________________�n Diameter.__.:___________..__ Depth below inlet.................... Total leaching are.i____3D__'�—sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----------------- ------•---••••'•-•--•--•----•--•----•'•--'••--'-•------- Date........................................ ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_______________________- ODescription of Soil ,` ....-----ax/_9_t1_4--------------------------------------------------------------------- -------------------------- x W ---------------------------------------------------------------------------------------•--..._..-----------------_..-----------------------_------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable__________________________________ ___________________________________________________________ Agreement: The undersigned agrees to install the aforedes ibed ndividual Sewage Di s osal System in accordance with the provisions of Article XI of the State Sanitary C e— ze undersi led urtl agrees not to place the system in operation until a Certificate of Compliance has been � by the b r eal s Signed-----x._..---_'•--- Date Application Approved By...... --CLGt'....•-•• •G............... ------ --' -- ------- - ------ ---------------------------------------- Date Application Disapproved for the following reasons________________________7 ....................... ---------------------------------'-------------------------•-------------••-----------•----•------------•----••--'-----•----•---•-••-----•••----'-•••-----•-------------------'••-•-•----------•••-'---- Date Permit No.....117L 7 /''Issued Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA 1/ No_;44.................. Ftic ......4.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------------_OF...... . ................... .................... .................... A.Vpfiration for Dispasal lgorkii Tonstrurtion 1hrutit Application is hereby madS,for a Permit to Construct or Repair an Individual Sewage Disposal System at: .......... .................. ... ......rl' ..................... ......... .............. ................ ................................................................................................. Loca)ion.Address or Lot No. i ................................................................................................. .............................................. ................................................. O7ne Address ................... ... ...................... .............................. ................................................................................................. Installer Address PQ III Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) -1 P4 Other—Type of Building ---------------------------- No. of persons.-____________--__--__..____ Showers Cafeteria ( ) PL4Otlier,,fixtures ........---------------------------------------------------------------------------------------------------------------------------------- --------- Design Flow...........:..'........................_.:.gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity_l ' ""_'gallons Length................ Width..........-..... Diameter--_-.-.----_____ Depth---------------- Disposal Trench—No..................... Width.................... Total Length--------------_--- Total leaching area....................sq. f t. Seepage Pit No..... ...... .. .... ameter... ------------- Depth below inlet...._._._..________. Total leaching area__.._----------:�sq. ft. .. ...... Other Distribution box Dosing tank ,4 Percolation Test Results Performed by........................................................................... Date------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit------------_•..... Depth to ground water..................._.... r14 Test Pit No. 2----------------minutes per inch Depth of Test Pit_______............. Depth to ground water------------------------ 04 ............................................................................................................................................................. 0 Description of Soil_ ........ ez.°� _��...................... ------------------------------------------------------------------------- U ................................. ..................................................................................................;.................................................................... W ............................................................................................................................................................------------------------------------------- U Z Nature of Repairs or Alterations—Answer when applicable------------_-_-- ---------------------------------------------------------------------------- I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: ...... The undersigned agrees to install the aforede&6'ribed� ndividual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code has een,ls — by the bpaVd. hea/The undersign ur;tl�,Z agrees not to place the system in led s.Ke operation until a Certificate of Compliance I b Signed....,"...,............. . ...............401 ---------- -----------D ate -.-------------- Application Approved By-------- -----------..........................................------ ..................... ---------------------------------------- Date Application Disapproved for the following reasons:.......................//....................................................................................... . ....................................................................................................................................................................................... ................. Date Permit ................................ Issued--------`------ `" .................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF... ................................................................................. Tatifiratr of Toutpliana THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired - ` by........ _'f...... .6" ... . ....................................................................................................................................................... Installer at........ .. .......... - ---------- ------------- --------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of Afticle XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----,1................................ dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---� ..................................................... Inspector.----- •-•-----------••----------- ... THE COMMONWEALTH OF MASSACHUSETTS', BOARD OF HEALTH OF 4" .......................................... ........................................... rr N ......... FEr.Z.................. Permission is hereby. granted---''-=...... .................._--------------------...................................... to Construct (X ) or Repair an Individual Sewage Disposal System atNo.___.Z.i2_-7..........—..............:...... . . .............................................. ---- ............................... ----------------- -------------------------------_---------- Street .1 ^'/ 41 as shown on the application for Disposal Works Construction Permit No----%ff----------------- Dated...... ......... ............... ...... ------- ------91. :,'Board of Health DATE_ ........................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Town of Barnstable P 0 % 60 Department of Regulatory Services s" a � Date i Public Health Division �! �� MASS �a 7 639.��� 200 Main Street,Hyannis MA 02601 AAKt Date Scheduled o 1� Time Fee Pd, Soil Suitability Assessment for S age Disposal Performed By: �t/`�' G �'Q e-- Witnessed By: LOCATION& GENERAL INFORMATION LocationAddress gjVe7(Zv;2rj L4,Lt Owner's Name 1— 4.,7 Address Assessor's Map/Parcel: `ZZ�4 404 l(oS / Engineer's Name C�yew1 L ��Ted �Vt�CC NEW ,CONSTRUCTION REPAIR V Telephone# So? t( Land Use Slopes(%) t �(� Surface Stones Distances from: Open Water Body .�Z°' ft Possible Wet Area 7 Zero ft Drinking Water Well I S0 ft Drainage Way 7?-ey ft Property Line ft Other g SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) I Z Z5 F�ov v- 1 , . ut-,� s Parent material(geologic) j Depth to Bedrock 2 � J Depth to Groundwater. Standing Water in Hole: /�/ Weeping from Pit FQce Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: In, Depth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level W, Adj.factor,�„ve 4 Adj.Groundwater Level,,m ff PERCOLATION TEST Date Thne_j,BA , Observation Hole# Time at 9" Depth of Pere + Time at 6" Start Pre-soak Time @ �yy).; , Time(911.6") V_ End Pre-soak Z� 5 a Owls �z Rate MinJlnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Q Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseli'vation Division at least one(1) week prior to beginning. Q:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. Gravel) 29A cad/ - 114 611 M , Sq, B 2-S 14 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,%Gravel) !o X43 DEEP OBSERVATION HOLE LOG Hole# Depth from r Soil Horizon III 'Soil TeAire Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. on ' en I Flood Insurance Rate Map: .• Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes ' Within 100 year flood boundary No/k Yes Depth of Naturally Occurring;Pervious Material Does at least four feet of naturally occurring pervioqs material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? ,,.�., Certification _ I certify.that on (date)I have passed the soil evaluator examination approved by the Departmentrfin)in O mental Protection and that,the above analysis was performed by me consistent with . �'- the requiredexpertise nd experience described in 5 10 CMR 15.017. Date " Signature , Q:%SEPT10PERCFORM.DOC TOWN OF BARNSTABLE LOCATION 12;ua.t utgw SEWAGE# VILLAGE C'ev� t�ut (la ASSESSOR'S MAP&PARCEL .22 /i(,S INSTALLERS NAME&PHONE NO. Cg n a w t d q C vJ Y Z? (JUZ k SEPTIC TANK CAPACITY woo o vA LEACHING FACILITY:(type) a"1 00 14 zo (size) 13 • ^CC NO.OF BEDROOMS 3 OWNER C n /a 'A 0 MA f` PERMIT DATE: b'ZO o S COMPLIANCE DATE: Li Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N° ( 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 FURNISHEDBY ��4i L-�1ttyP�is*S I.LC 1 Z �3 a7•O aq d(o,a QS 3o o i e3 I5-,o cy t 7• cs Z% No. Fee VW_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 3pplicatton for �Bigpo!gar *p5tem Con0truction Vertu Application fora Permit to Construct( ) Repair 54 Upgrade( ) Abandon( ) ❑ Complete System;K.J Individual Components Location Address or Lot No. Lf 3 r 2. K `w Owner's Name,Address,and Tel.No. Lor 7.0 ifl�L ul6l c 1p c2�4..� oG�•� r Assessor's Map/Parcel �Z� I299 Installer's Name,Address,and Tel.No.�j�� Designer's Name,Address and Tel.No. &�)kt,24 AJ041(U Lfl.�s clog tov. 1<i�_7�3 71 5313 w' vcts f7-t,,J Type of Building: DwellingNo.of Bedrooms � Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building i n r» No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3a gpd Design flow provided 3 3 1 gpd Plan Date q-17-2op Number of sheets —2- Revision Date Title Size of Septic Tank ©Op C.'AAA, Type of S.A.S. Z S�,D — Le- Description of Soilp Nature of Repairs or Altera tions attons(Answer when applicable) t3q,-) > ��.� `'Z,� t� ^Cp 3�p 4 19't (, C,, , Date last inspected: 7,00k 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. C Signed Date .- �too Application Approved by Date ( d Application Disapproved by: Date for the following reasons Permit No. 01009r5 Date Issued —� w �n'1,5,:. '�� � Y��w,.r..w.^",.S•'e v"^'^-w w-x.r�ro:.--+'�e3"'..""... .. Ft���e.rP-..-.��a.+. .r...-_�"y--. .-.r.:-.- K ..r4-vr.•'or;�,.... .� ...ti.�-.�. ,. •a ZIA _No : �' Fee(4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes o PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Mis;paaf 16pztem Construction Permit Application for a Permit to Construct( Repair'�4) Upgrade( ) Abandon( ) ❑Complete System)®Individual Components Location Address or Lot No. Z 3 2.��sz u 't u C,ay, Owner's Name,Address,and Tel.No.6*11A-) 1,0-r 20 �Cs�fG2ul�( e Z3� /Qel/�!'tV��f..J Lvil Assessor's Map/Parcel Z L� Ito ( i�?E2v i�I e Installer's Name,Address,and Tel.No�/4� Designer's Name,Address and Tel.No.�AJ))*A4)h 00441 Coss &e_* re, i it c Type of Building: ' t Dwelling No.of Bedrooms 3 N Lot Size � �; G sq.ft. Garbage Grinder ( ) Other. Type of Building n!tk ", v No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3n gpd Design flow provided 3 3 gpd Plan Date Number of sheets Revision Date. Title Z U �21 - z.t urt ti.) e Size of Septic Tank Joao /�,±IA� Type of S.A.S. `2> 5i4a 4{_(, d-to Le- CA-1-S Description of SoilQ Nature of Repairs or Alterations(Answer when applicable) �-3�y > (� "(0 i41 C.C_ 'Date last inspected:r 2�nOn� Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal'system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date -( O ' ZO 0 (� - Application Approved by Date d Application Disapproved by: Date for the following reasons EM Permit No. 0A — Date Issued B.0 te THE COMMONWEALTH OF MASSACHUSETTS w BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired>C-�) Upgraded ( ) Abandoned( by at 7i> I t c U i2 u-LA ��� l � has been constructed in accordance p� ° with the pro 'ions of Title 5 and the f r Disposal System Construction Permit No. �^ 15� dated Installer u evpt ,�LL El -ea Q/t*5 C S Designer 0 .Ltpm— ,.c n L #bedrooms Approved design flow gpd The issuance of this permit s(h11 not e c nstrued s a guarantee that the system will function a desigVd. Date "1� � Inspector No. DO �5 0) - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS &.5pogal 6pelem Construction J)ermit Permission is hereby granted to Construct ( ) Repair (� ) Upgrade ( ) Abandon`( ) System located at 2 tZ e-u-e.;ry, I ��y�, L i t i l 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: Construction must be completed within three years of the date of this permit. r Date C ! (� Approved by i 04/28/2008 19:02 5084775$13 ENGINEERING WORKS PAGE 01 Town of Barnstable Replatory Services Thomas F.Gfaier,Director { I Public Hea11th Division , Thoraas Mc*,ean,Director 100 Actin Street,'Byaanls,MA 02601 � j Office: 509-M-4644 I Fa: 5O&99a-6304 i Date: O Sewage Permit# Zcx -1 J AmeswrlsMapft cel I � ( 1�sh8er�fE Desiiaer Crartifig&g Farm 71 Tre*t eel Designer. AA AL ' 'id� S hntaner. If'.ec.�' �Q �-erp fN Sf-5 Address: .j4d Add! �U x t , mA Ll - z��, ,otw c t? h k r a as $ •t to - 1 a _ >� ! costa ier)► septic system at2 �YrV���� IK based on a design drawn by ���� �Lc �ec:" t?`�"• dated 'T !7 [3 � ! I certify that th¢ septic:system'referenced 0bwe was installed sub�y according to the design, which may;include;minor approved changes such as lateral irincation of the I distn'bution boat anaVor septic tank.. Stripoutt (if required) was inspec-6ed and the soils were found satisfactory. I certify that th�C se atl0 system:referenced.above was installed with major ch nges (i.e. greater than 10' lateyral relocation of the SAS or any vertical as "component i of the septic sy tem) but in.accordwice with ;state& revision or certified as-built by:designer to follow. Stripout(if req . d the soils were found satisfactory. o PETER McENTEE CIVIL. No. 351Q9 j (Designer's ignth") (Affi Designer's Stwnp lane) i STAB E PUBJ (. . ALTH D TEMATS BE I EM;FORM B A14tD lL B E BARN LE P I i j gbPtico fann.doc ,' I i i j i g Town of Barnstable 119P31Ca C, s�``iStau,e /OF SNE j0� � l,yWP� y AJtty.. Regulatory Services Department It • nattNsrnut-t,,< I � Public Health Division t � w0�'i659. �m rFD MA�/�O 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geder,Director FAX: 508-790-6304 Thomas A.McKean,CHO March 14, 2008 o � l� Janet Hoffman 238 Riverview Lane Centerville, MA 02632 l9� ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 238 Riverview Lane, Centerville MA was last inspected on . March 6, 2008, by Robert Paolini, 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: 0 Stain line above invert pipe in pit shows signs of hydraulic failure. You are ordered to repair or replace the septic system within One (1) year from the date of 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 i s McKean, Agent of the Board of Health CERTIFIED MAIL#7006 2150 0002 1038 6940 Q:\SEPTIC\Letters Septic Inspection Failures\238 Riverview Lane.doc J Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 238 Riverview Lane ��' 7N Property Address Janet Hoffman %A Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this.form. Inspection forms may not be altered in any way. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC Company Name tab P.O.Box 763 Company Address Centerville Ma. 02632 rerun City/Town State Zip Code (508)428-4028 S 14454 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 Z Fails ❑ Needs Further Evaluation by the Local Approving Authority Iimp .tee ! c� 3/06/2008 Ci i Ins or's Signa u Date cam! The system inspector shall submit a copy of this inspection report to the Approving Auth rity(;Board of Health or DEP)within 30 days of completing this inspection. If the system s'b.shared7system 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 Towner and copies sent to the buyer, if applicable, and the approving authority. w � ****This report only describes conditions at the time of inspection and under t e 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. 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° M 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every page. City/Town State Zip Code Date of Inspection i B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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 f ❑ obstruction is removed 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if 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. 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 r Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name, information is required for Centerville Ma. 02632 3/06/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (Cont.) 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 I - Commonwealth of Massachusetts w • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ^M 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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 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. 238 Riverview lane•12/07 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 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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 of distance is unacceptable) [310 CMR 15.302(5)] 238 Riverview lane•12/07 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 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 , every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 r Number of current residents: unknown 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 2006:13,000 2007:18,000 Sump pump? ❑ Yes ® No Last date of occupancy: unknown 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: Last date of occupancy/use: Date Other(describe): 238 Riverview lane•12107 Title 5 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 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is Centerville Ma. 02632 3/06/2008 required for, every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1972 Were sewage odors detected when arriving at the site? ❑ Yes ® No 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every page. City/Town State Zip Code Date of Inspection w i D. System Information (cont.) Building Sewer-(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. 10'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented.through the house vents. Septic Tank(locate on site plan): 2' Depth 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: 1-1000 gallon 4" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28" - 3" Scum thickness 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 10" How were dimensions determined? Measured 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 238 Riverview Lane Property Address Janet'Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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.): Pump septic tank every 2 years..lnlet and outlet tees are in place.No evidence of leakage.Tank appears to be structurally sound. I I Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene r❑ 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): 2M Riverview lane•12/07 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 ° M 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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 D-Box not present 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.): Pump Chamber(locate on site plan): Pumps in working order: _ ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 238 Riverview lane•12/07 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 238 Riverview Lane Property Address . Janet Hoffman Owner Owner's Name information is Centerville Ma. 02632 3/06/2008 required for every 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 gallon ❑ 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.): Pit has signs of hydraulic failure.Pit was dry at time of inspection but stain line is above invert pipe showing that pit has been full. I 238 Riverview lane•12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every 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 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.): 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 e Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size ® ® Zoom Out !J In �lx 00 , n r ;l II n_ , 1 1 `I hrr h L 4 { r v, Y; rt ax r a M f rx7k� Y t t ,. n tlkf'zTi Arta} ,tF II ,• `.fit', 020 Feet Set Scale 1" = 20 I Aerial Photos f`nn—inhf O005-9n07 Tn—n of Rorne}ohIc RA 411 rinhrc racer", http://www.town.bamstable,.ma.us/arcims/appgeoapp/map.aspx?propertyID=228165&mapp... 3/5/2008 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 238 Riverview Lane Property Address Janet Hoffman Owner Owner's Name information is required for Centerville Ma. 02632 3/06/2008 every page. City/Town 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: Bottom of LP 25' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-000-01 plate#2annual ranges of groundwater elevations. 238 Riverview lane•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 r Town of Barnstable �p 1HE)pk Regulatory Services BARNSTABM ; Thomas F. Geiler, Director �. 1 . A ptfD MA'S p Public Health .Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report`. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. k t i ( � 1 1 ► ► 1 1 o 1 1 1 27'-9" O t Double Pocket Doors ► 1 P! 8 2 0 ► ' i 2'6'x 6'-B'PD v Z96" 8' 2'6�68�1 �N ��_�+„ 1ar�r�2�_�+„� w ' F_I f�.00"T V V s 1 N 2-6•xe'-e v opt- 16'-0„ 1 1 1 ! ► 2-5 4'- rv'L-•.2'-7"T� 4'-3„ 2'-7" w_ th/1111 20 sq fr shoyver floor tile 1 ►1U2 sq ft WA(I the ► -+ - p O 106 sq It floorue : 6'S;, 1 1 1 2'-6•x6-8• •' in 1 N'. ►.� 3-2• . rn cn 2'-0" ,- ice--3-2 � , ► ►47-6" ►� ► ►� I' k r 1 e• II 2'-5" `�+�1-�i0 ►� 3 4'4" T-5" 21'-5�, 8'40" i�,� 11 6'-5" t► . Tdn 2-6'_x 6'-6' , r$'x z$•x3•-O• Bob&Claudia Pelzek r� 8 O 21'-5" —► — — 15'-8"------- - Ncl 238 Riverview Lane f---------- ---- - rn i /mil Centerville MA IS �J 4 ` � Y 49 -Fam1'-11 3-4 Beverage :- ( 2.2 2'$'x 6'$•Fr N I , �'6'x 6'-6r , Cooler ] ' .� Su port Pos( _a ` 1 2•X3 0• ` I ll I 11 N T N toZheader.0 1-8 1-8 011 wrapped`jtdh k �cp ca¢inet JI lacing m. v u�,__ N ---- -- ------- -- --- -6"._............--...-- -----. - - --------------- 14 ► - 22-1,1 �xo 0 - 2'-1 i"►� X-0" - N - i Rigid Lam L VL 3/4x9 112 3 Ply 1'c'x 6'-e t" BF l 01 , M a" 1 T---- 1 ( 5'-5" �� � T-5" o V�� ro m ` f 41 1 _ s ►. o 69 sq ft wall tile o0 51_8,1 �i 71_511 t' ))( , l 12 sq ft shower 25 Sq R floor file _= I n•3 base the _ ._......._.... . .......... ......._.. cn , v o LO U 37 Sq R Floor TileGO II I 24'-2" 0-4 20'4" 10'-91, 6'-X ► T-411 �� T-6" 3'-10" 'r- � 56'-011 i i I 1 1 t) { EXISTING SEPTIC TANK LEGEND N TOP OF TANK, EL.=104.22t • Benchmark Set D� INV.(OUT)=102.89t Left cor, conc. step 98 - - EXISTING CONTOUR c x EL.=106.63 (Assumed) Main St in 0.. So i 0 PG. EXISTING LEACH PIT x 100,98 EXISTING SPOT GRADE Pine Street TO BE PUMPED, FILLED W/ W EXISTING WATER SERVICE 10 SAND & ABANDONED �_ + G EXISTING GAS SERVICE g 700 _._,Mm _ + � � _O.H. W.` OVERHEAD WIRES ` f U UNDERGROUND WIRES TEST PIT N--3-2-4.629-5f E _m N 36 5 E - BENCHMARK -LOCUS C� 43.3/7'ro78.63' �o �p o LOCUS MAP NOT TO SCALE ckac�e ��nen "� 'BETBA OK T �� �h23 GENERAL NOTES: OO. S.A.S. t �_ •. I i�1 VENT 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL jt R s� 0 0 —� BOARD OF HEALTH AND THE DESIGN ENGINEER. rGC r / I S 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS r' Q G 'p6 0� / ,.��`y— = .� OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANY APPLICABLE TP 1 TP_2 1 LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: •O Q Ui 310 CMR 15.405(1)(b): Z 1�00\ J7 �-�� _ cif'© { '0) { + 1) A 1' variance to the 3' moximum cover requirement, for no greater { ,(.A , 9 than 4' of cover. S.A.S. shall be vented and H--20 Rated. C11 / / / Porch .. G` 9 ;O { Sr C11 S / / /// /� �O 9 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR / r� { { TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE o� ��'/,EX/ST/NG i/(cellar), ;(slabs Garage 9 �`� C `I { DESIGN ENGINEER. cn 1 %HOUSE (#238) 4- ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN TOF=106.79/ ENGINEER BEFORE CONSTRUCTION CONTINUES. - � > l/(Assumed) / / / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. +9 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF -Z THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF+ j 9� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. OT j 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.ZL . � P N Lot ZO J Jt j �� Q� Mqs. 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9 ALL� 14,086.E S.F. �. Q f +� ``P� s9�yo AGREED EUPON AS EBY OWNER AARED FOR OND CONTRACTOR OR NSTRUCTION SHALL AS OTHERWISE E, RESTORED AS Map PETER T. DIRECTED BY THE APPROVING AUTHORITIES. l — >-- 'V'pl'�' 228 J ��! � M CIVILEE 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE O/ Parcel 165 O f 0. 35109 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. I '�FGISTE�����`� 11, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL. UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND \ _, r QO` J +( REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3)_ .A=1-24. rG 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY R=15.93. 64' ' `1 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Edge of p a ve/b erm r o o o 238 RIVERVIEW LANE, CENTERVILLE, MA r Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 I/ER VIEW LANE -� �o � OWNER OF RECOR D Engineering by: Surveying by: SCALE P.T.M. RIVERVIEW153-0a 1�d { CONRAD HOFFMAN Engin6er9ngWorks WARNER SURVEYING 1"=20' 12 West Crossfield Road 22 Long Rood �f 238 RIVERVIEW LANE Forestdole, MA 02644 Harwich. MA 02645 DATE CHECKED SHEET NO. O CENTERVILLE, MA 02632 (508) 477-5313 (508) 432-8309 4/17/08 P.T.M. 1 of 2 w, ,�'t►i a per-�J. .i NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:101.5 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. PROPOSED TANK PROPOSED D—BOX PROPOSED S.A.S. (3} 5" DIA.OUTLETS INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL RISER F. COVER OVER ONE CHAMBER AND " T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE SET TO 3' OF F.G. TO SERVE AS INSPECTION PORT _ 162 F.G. EL=99.9t F.G. EL: 105.5(MAX.) VENT F.G. EL.=106.Ot � F.G. EL: 105.5f { 15.5" ` J 12„ L = 36' L = 4' 6„ C� S=1% (MIN.) @ S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" IL 4"SCH40 PVC 4"SCH40 PVC DOUBLE WASHED STONE 8 to B �aB�®®� (OR APPROVED FILTER FABRIC) 2" ��" �aafola� 3/4" To 1-1/a" ooueLE H— 10 LOADING EXISTING 48" LIQUID WASHED STONE LEVEL INV.=102.89 t 4' S.2' 4' v GAS BAFFLE INV.=102.17 INV.=102.00 D �- BO^ PROPOSED D—BOX EFFECTIVE WIDTH = 13.2 NJ.& EXISTING SEPTIC TANK INV.=101.00 500 GALLON L,EA�j11NG CHAMBERS 5 bjQEQ WITH STONE AS SHQWN H-20 RATED TOP CONC. ELEV.=102.0 BREAKOUT ELEV.=101.5 ZD AE3E3 INV. ELEV.=101.00 a®aa NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO MEMO ®®Bs�a WE3E3 ® ®® ® 37" GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=99.0011 N ® �310 CMR 15.221(2). 3' 2 X 8.5'=17,0' 3' ® ® E3 24 2) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 23.0' z 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE T. EXCAVATION OR G.W. 9-1 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL, LEACHING S`[C SECTION NO GROUNDWATER, EL.=93.5 = 102' 4) MAXIMUM COVER OVER SEPTIC TANK, D—BOX & S.A.S. � I SHALL BE 36". ; SEPTIC SYSTEM PROFILE N.T.S. ' 4" KNOCKOUT 20" DIA. COVER SOIL LOG f// �� „ �' 4" KNOCKOUT 4" KNOCKOUT 62 DESIGN CRITERIA DATE: APRIL 8, 2008 (REF#12,160) SOIL EVALUATOR: PETER McENTEE PE WITNESS: DONNA MIORANDI R.S, NUMBER OF BEDROOMS: 2 BEDROOMS (APPROVED FOR 3) HEALTH AGENT j J 4" KNOCKOUT 0 SAIL TEXTURAL CLASS: CLASS I , ' / i/;-' ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH DESIGN PERCOLATION RATE: 5 MIN/IN /GO'rage / (Slab)// /''/ 105.6 } U 1U5.5 O" DAILY FLOW: 220 G.P.U. , .� �/ FILL 103.5 FILL 24" Parch 1 Q3.6 A 24" A DESIGN FLOW: 330 G.P.D. SANDY LOAM SANDY LOAM 500 GALLON CAPACITY, H-20 LOADING GARBAGE GRINDER: NO 10YR 3/3 10YR 3/3 p 7g 103.3 28" 1 U3.0 30" EXISTING SEPTIC TANK: 1000 GALLON CAPACITY G' ��' B B CHAMBERS SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. r 10YR 5/8 10YR 5/8 N.T.S. .74 C14 i ; 101.1 C 54" 101.0 ` 54" ri PROP. S.A.S. USE 2-50Q GALLON LEACHING CAI MBERS IN SERIES ______ PRE PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 4----23'--i 6$„ 238 RIVERVIEW LANE, CENTERVILLE, MA SIDEWALL AREA: 2(13.2' + 23.0') X 2 = 144.8 S.F. MED. SAND MED. SAND BOTTOM AREA: 13.2' x 23.0' = 303.6 S.F. 2,5Y 6/4 2.5Y 6/4 Prepared for: Capewide Enterprises, P.Q. Box 763, Centerville, MA 02632 � Sury TOTAL AREA:................. 448.4 S.F. 93.6 144" 93.5 144" Engineering by: eying by: SCALE DRAWN JOB. NO. Engineering Works WARNER SURVEYING NTS P.T.M. 153-08 PERC RATE <2_ MIN/IN. ("C" HORIZON) 12 West Crossfield Road 22 Long Road DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 C,P.D. S.A.S. LAYOUT NO GROUNDWATER ENCOUNTERED Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 1 (508) 432-8309 1 4/17/08 P.T.M. 2 of 2