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HomeMy WebLinkAbout0208 SCUDDER BAY CIRCLE - Health 208 SCUDDER BAY CIRCLE CENTERVILLE A= 188 - 104 N SMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR FORE MIN.MIN.RECYCLED INITIATIVE CONTE4100 T100 Cerifiedma'Sourcinp POST-CONSUMER(9 www3riprooram.oro 5"12W MADE IN USA GET ORGANIZED AT SMEAD.COM No. `� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS appritation for 30isposAl *pstem Construction permit r% Application for a Permit to Construct( ) Repair( ) Upgrade P%) Abandon( ) Complete System individual Components Location Address or Lot No.2-02) S CU ky Ci Wk., Owner's Name,Address,and Tel.No. r r Assessor's Map/Parcel j O - 104 "0e 1 �� Installer's Narpe,Address and Tel.No. Designer's Name,Address,and Tel.No. _\Type of Building: Dwelling No.of Bedrooms Lot Size \Qb/. sq.ft. Garbage Grinder( ) Other Type of Building Cf,(jt(XA���l\ No.of Persons Showers( ) Cafeteria( ) Other Fixtures t, Design Flow(min.required) gpd Design flow provided WA gpd .Plan Date .0- \`(j � Number of sheets Revision Date Title QC U V.- Size of Septic Tank *(Jo 79tmh. 00 ype of S.A.S. Q Description of Soil 4�� 5 ,., G \ a 2fteyk -- ` Nature of Repairs or Alterations(Answer when applicable) ��, a'�' Ovu �4n Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o Signed Date 6/Zs-/z,1 Application Approved by Date �+ Application Disapproved by Date for the following reasons Permit Nor_:5=Ql��-j Date Issued t., No.s � 4 � Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ( .�. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Disposal � stem Construction Permit Application fo'"r a Permit to Construct( ) Repair( ) Upgrade ) 'Aba don( ) ❑Complete System Z Individual Components - ' ' ocation Address or Lot No.;L o llb S(UAJ-e- \?k y C,tkV Owner's Name,Address,and Tel.No. Assessor's MW/Parcel Installer's Name,Address,and Tel.No.( ,t1�� ,��� _ Designer's Name,Address,and Tel.No. J Type of Building: (( j Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) -r t Other Type of Building C�5A4 c,\ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) L#l(U gpd Design flow provided "'i t 4 gpd s Plan Dat'e, //Number ofsheets Revision Datei, a+ Title [ ,,00,tA Size.of Septic Tank I / t'V h, (]aC� t Type of S.A.S. Q��(►� � C . A C a� Description of Soil 0"'�40r r �«+ Nature of Repairs or Alterations(Answer when applicable) �Cr ' 4 '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 the system in operation until a Certificate of t Compliancdhas been issued by this Board oLHealth. Signed Date Application Approved by Date 9 f Application Disapproved by Date for the following reasons Permit Nod,,)z.n/ c�-_ Date Issued ,/ X ,I�L- f r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance A THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(��) Abandoned( )by LXU'bit �cCGc,r at 2,D�, 5cu dcl r I,( kK has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ! r!5 dated —7 I<q Installer Designer #bedrooms Approved design flow gpd °The issuance of this permit shall not +�ee construed as a guarantee that the system w 1 fun , 't o a desigrle Date � 1 - Cn Inspector 1� ►�� .......�^.�► ..'.---`'` Nor90al -` (� x Fee �° c) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Vsposar *petem Construction J)ermit a Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( ) 7 (( ti System located at. ZGCc'[ and as described in the above Application for Disposal System Construction.Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed ithin three years of the date of this permit. Date �� ... Approved by Town of Barnstable Inspectional;Services �. Public Health Division Thomas.McKean,Director 200 Main Street,Hyannis,IAA 02601. Office: 508462-4644 Fax: 508.790-630.4 Installer&Des'► ner Certification.Form Date It Q� Sewage Per mit# ZU2\' Assessor's MapiParcei 8bL/C •� Designer: C M to-�. Installer:` C .O l�nn-> Q�. Address: jo ?\-jp, l r5 Address: 2.0 i?-Ir�_�c\,�A On `G1�2 as issued a permit to install a ��icy_ (date) (installer) septic system atGc\e based on a design drawn by (address) c t � dated (designer) —.. a I certify that the septic system referenced above was installed substantially according to the,design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip,out (if required) was inspected and the soils were found satisfactory. I. certify that the septic system<referenced above-was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation.of any component of the septic system) but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to Follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed iri-camel arxce with,the terms of the. . approval letters(ifapplicable) r � {Inst is Signature) s- esrgner s Signature) (A ;ix Desig tanlip Here) PLEA E`RETURN TO ` STABLE PUBLIC HEALTH DIVISION, CERTIFICATE F COMPLIANCE WILL NOT BE ISSUED`'UNTIL BOTH THIS FORM AND .AS- :B 'T-CARD A REC IVED BY T B RNSTABLE PUBLIC HEALTH DIV SI N. THANK YOU. 104EAUMSEWERcoriattMEPTIODesiper Certification Porrn Rev IW4-13,WC 208 SCUDDER BAY CIRCLE< CENTERVILLE, MA �athjBat� Dining Bedroom c s Living Room U Y NO SECOND FLOOR i Bedroom • 1�/2 Bat FOYER I� oundry GARAGE Bedroom Bath ]-- r Bedroom 1ST FLOOR SCHEMATIC 2ND FLOOR SCHEMATIC 4 BR HOUSE FLOOR SCHEMATIC (Description Provided By Owner) Town of Barnstable Inspectional Services Department "x" ' Public Health Division 9 Mass.AM �, 1639. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7021 0350 0000 1549 3648 May 24, 2021 BRAMAN, DEBRA S TR 208 SCUDDER BAY CIR CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 208 Scudder Bay Circle, Centerville, MA was inspected on 05/12/2021 by Michael Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. ;nt F THEBOARD OF HEALTH cKean, S., CHO he Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\208 Scudder Bay Circle Centervil le.doc Iva tgyy Town of Barnstable A.% Inspectional Services Department %p'F639 Public Health Division 200 Main Street, Hyannis MA 02601 Thomas A McKean,010 Office 508-862-4644 FAX 508-790-6304 Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 C MR An "X'' marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. clogged SAS or cesspool ❑ Backup of sewage into the house due to an overloaded or clo p ❑ Structurally unsound septic tank or SAS O E 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool; or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well well ❑ A portion of the cesspool is located within T111 feet °ea�ppasses f the �supply analysis with no acceptable water quality analysts. ( > indicates the well is free from pollution). Two 2 YEAR DEADLINE CRITERIA ❑ Single Cesspool relocation ❑ Any "conditionally passed systems" (broken cover; relocation of a pipe; ofa driveway due to 1-1-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline:_ O.\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS doc Commonwealth of Massachusetts I` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for 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. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information 5► 341' on the computer, use only the tab Michael Sears key to move your Name of Inspector cursor-do not Jim The Inspector Man use the return key. Company Name x 784__ Compan r� Company Address West Yarmouth Ma. 02673 City/Town State Zip Code 508-364-4398 S 114430 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes OF M,gs�i��� 2. ❑ Conditionally Passes ��� ;cy% MICHAEL N sSEARS ' 3. ❑ Needs Further Evaluation by the Local Approving Authority -0. ;-t * No.SI14430 :*` 4. ® Fails 5-12-21 Inspector's Sign at Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �n 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 _ required for every _. page. Cltylrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is required for every Centerville _Ma. 02648 5-12-21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. _ Property Address Debbra Brauman Owner Owner's Name -- information is Centerville Ma. 02648 5-12-21 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts �r Title 5 Official Inspection Form �g Subsurface Sewage Disposal System Form - Not for Voluntary Assessments !% 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is required for every Centerville Ma. 02648 5-12-21 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts I Title 5 Official Inspection Form �9 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. _ u� Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every -- — --- — page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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)] t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information 1. 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 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: - --- - --- ----- Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 2019-131000 gal 2020-88000 gal Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder BCir. Property Address Debbra Brauman _ _— Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every -- -- -- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) -_ Basis of design flow(seats/persons/sq.ft., etc.): — — Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: - -- Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: — - Last date of occupancy/use: Date I Other(describe below): 3. Pumping Records: Source of information: 2018 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? -- Reason for pumping: - t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form `ol Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is required for every Centerville Ma. 02648 5-12-21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 12-3-83 #83-1114 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 22"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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts -. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V, 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is required for every Centerville Ma. 02648 5-12-21 _ -....-- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1500 gal If tank is metal, list age: _, -- years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 2811 Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 12" -- Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Sludge judge, tape, plan Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 gal tank with in and out baffles in place, both covers at 12" below grade t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 18 c� Commonwealth of Massachusetts �r 1�p Title 5 Official Inspection Form 1, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: — Scum thickness -- Distance from top of scum to top of outlet tee or baffle - Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every --_. page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: — - --- Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date - — �- Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 31---- 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 is 16x16 with 2 outlet pipes, cover at 18" below grade t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Deb_bra Brauman_ Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every .- page, Citylrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: — ® leaching trenches number, length: 2- 36' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts �n i(p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments .......... / 208 Scudder Bay Cir. Property Address Debbra Brau_man Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every --- - - page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level.of ponding, damp soil, condition of vegetation, etc.): SAS is 2- 36' trenches 4' apart, both lines are full backing up into D Box System fails 12. ( Cesspools cesspool must be pumped as part of inspection) (locate on site plan): p Number and configuration Depth—top of liquid to inlet invert — Depth of solids layer - --- Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is required for every Centerville Ma. 02648 5-12-21 ----- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: ------- Dimensions ---—..-- --- -.-- - — Depth of solids — Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form iA Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,a 208 Scudder Bay Cir. Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 5-12-21 required for every -— - ---- page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately J1 36 rsa,_ .. 47 2 50 �/ � R'Z7:y Ri 64f IOl1i t3ox f Le4ch ,\,eNehs nx a X 3�- q"Ap*+ t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 208 Scudder Bay Cir. — �" Property Address Debbra Brauman Owner Owner's Name information is Centerville Ma. 02648 _5-12-21 required for every — — page. city/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 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: System fails needs perk test Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �L 208 Scudder Bay Cir_ Property Address Debbra Brauman Owner Owner's Name _ information is Centerville Ma. 02648 5-12-21 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 t No rr�l....., t FES...J.�...........:.......... THE COMMONWEALTH OF MASSACHUSE,TTS BOARD OF HEALTH ..................oF........ > . ............................................ Apli iratiun for Uhivuiitti Workii Tonutrnr#inn Prtmi# Application is hereby made for a Permit to Construct (7G) or Repair ( ) an Individual Sewage Disposal System at ..................................... ••-•--•------- z Location Address or Lot No. :Ro r ........................... .... ...........................$1M $ ,Rl.�, '�-....1 .=..................................��,rI'�'tc/ t(✓t �4 ....... -•..... Owner Address QQ. .................. .... ..Il ............................................................. ............------•-----............................ "' .... ............... ' ti Installer Address Type of Building Size Lot.1,10iA.416__.....Sq. feet Dwelling— No. of Bedrooms......_��..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------------•-•. . w Design Flow... P...............................gallons per person ppejr day. Total daily flow__...._... _...._.........................._gallons. W Septic Tank—Liquid capacity±5�...gallons Length..... Width.-�O� ToDtal leaching ar`. . __Dew O x, Disposal Trench—No. ... ............. Width.....---........ Total Length...3 4?.... ... g ea. �- sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area................... ft. z Other Distribution box ( ) Dosing tank ( ) ��p '-' Percolation Test Results Performed by- !�' '- :.. Glf4�_�� �... Date..Y1C_?17_,�9_ ._l:............ Test Pit No. l._.. ........minutes per inch Depth of Test Pit---�_ ............Depth to ground water....... ..,..---------- fi, Test Pit No. 2..... ........minutes per inch Depth of Test Pit..1.7.-*......... Depth to ground water....----------------- a -------------------------- -.-.-------.......:.-•--•---------••---•-•------•---••--.......................................................... p Z Ir.". .... 1/ Description of Soil....---�✓-��.. ....�......... !4?'�....f...... .:�-........-----•-----•--------•-----------------------•-•---•--••------------•-••-•-•----... x w 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 TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the oar f h l Igned ..... ....... .... . .. •--- ----......---------- �—---V. ---•-----••- Application Approved By...eefollowing .... .. Date Application Disapproved r reasons---------------------------------•----------------------•----•------------------....--- D -•------....-•-••................•--•-------•-----...----------------•-----••----------•-.......---..............-----=--•-----------------••----...---------------------•---------------•-•------•--•--- Date l� Permit No......................................................... Issued....................................................... Date No.f- a�/W4 ......... THE COMMONWEALTH OF MASSACHUSETTS i _ BOARD OF HEALTH F: _.. u,xrrl ...................OF....... �ess.a ................................................ Appliratiun for Diupuuttl Works Tonutrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ./' C� r ?.ate ...... ..................-•----....-- --•-••-----.....--------•..._......_.....--------••---•----...........---......................... Location Addres or LDA���.: .... . f�.. ............. Owner Address r Installer Address UType of Buildi Size Lot. & ........Sq. feet Dwelling ZNo. of Bedrooms-__- ..................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building :.pa yp g �.1. ':.� 4-1:'l... No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... w Design Flow.....'1'110...........................gallons per person per day. Total daily flow....... .......................gallons. WSeptic Tank—Liquid capacity.1 ..gallons , Length......).1..... Width-----(......... Diameter. ----- Depth...l.a...... x Disposal Trench—No._._-'Z........._.. Width..e............. Total Length..3&........... Total leaching area.._72 e.........sq. ft. Seepage Pit No-_----------------- Diameter............._...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.. �!.S.WeOz(iot.6j _r _ ? .... Date..�f��rll.��'3___�'_......._._. Test Pit No. I...:v-_.......minutes per inch Depth of Test Pit:..:.z-......... Depth to ground water.....?..y............. ;3, Test Pit No. 2....7........minutes per inch Depth of Test Pit....Z.Z.......... Depth to ground water----- ................. P4 ......................... ........ D Description of Soil---- ..Z i��tlG . -----•-------------•---•-----•. ..--•• x w UNature 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be .ssued by the oar f hea Shed- .•• ---- --------•-...---• ................. ..1� �. . ........ ate Application Approved BY �, . ...... ...•••-••- --•---•............. ........... ` t .... Application Disapproved e following reasons:.............................................---............................................................... _ ----•---...---•--•--•...-•-----------•---'-•-----------•-•-----------------•---•------..............----..._................_.•---'-•-•-••----•--•--•---------••----------'-••-••--••------•-......._----- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of TuutPlittnrr T I,�VIS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.--.� r'1114..........-•----• ............. --�'...---- --------------------------------------------•---.......---------...--------.....------.........---- _ l Installer at.. f�p C .f ?- : ' " ---••-•----...----•••-•--------------------------•-------•--•-•--------------............ -- ._.............. has been inalled in accordance with the p ovisions of TITLE 5 of he State Sanitary Code a� d s ibed in the application for Disposal Works Constr on Permit No. -- /` .............. dated_`_y<' ..ice ......__...... THE ISSUANCE OF THIS CERTIRL1 ATE SHALL NOT BE CONST ® AS A GUARANTEE THAT THE SYSTEM 1?IYIL FU TION SATISFACTORY. DATE:_.. •.....................................•-•---.... Inspector---.. .............-----------•--......-'-----•--•----...............•-•--.....--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �d�J �l ......................................OF..................................................................................... FEE... . ........... Rimrr rku 05unstrnriion amit Permission is hgpeby grata "� a ..............- to Construct ( vf), or Rep--' an Individual S utf e lD sal System atNo.------..... `'` -----•---------------- --- <�. t" . ` ' -= . ...._.._..--------...--•-------•---------------••-------•---------....-•---............. Street as shown on the application for Disposal Works Construed e Per w:_•............... Dated.......................................... Board of Health DATE........ -••"-•---•-•--.....•---••-----•-•-----••-••-•--•-•---•--•-..._... FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION SEWAGE PERMIT. NO. VILLAGE INSTALLER'S NAME A ADDRESS P M6 2iN BUILDER OR OWNER 06 N gcstN 2- DATE PERMIT ISSUED O DATE COMPLIANCE ISSUED 3Z7-.� f� d9 �'6 Ostia_ 17 Sc Jde-p- , ' � �egch c.�eNchs 1 CB D.H. Cb FND O O O S 81D 58' 12" E h 1. , 1 CB D.H. y1' 2 155.25' � B D.H. PROPOSED SAS: TEST HOLE #1 °o fz FND LEACH FIELD WITH STONE AND PIP FN co� �3D y�• /NEW H / ELEV.= 48.0� 0 'S 20' x 30' and 1 ' Total Depth yy. / Q 1000 al. / Pump hamber / ' 1 . �ZABEL EFFUENT FILTER OR 1 9�'ERtIEAO p ( EQUIVALENT ON OUTLET OF TANK 2. SAS TO BE COVERED WITH � All,y���o — � FILTER FABRIC. Bo� 1 I \�9�, y�,p f HOLE #2 d O 4 ELEV.= 48.00 o •• INSP. a; \cy #208 LOT #76 PORT I 1 20,668 Square Feet O +O BEDROOM EXISTING q 4 EXIST. DECK I = - e�1500 gal. HOUSE I PROJECT BENCH MARK SEPTIC TANK / I TOP OF FOUNDATION Mtani I tMnter irre— — — — — „ ELEV. = 51.00 (Assumed) C Q - I 19 \A-Ai 1 W 5 FOOT STRIPOUT ALL AROUND o ,N�, I Note: Remove soil down to el. 45.00 & replace with n GARAGE clean coarse sand w/perc. rate less than or / 33' or equal to 2 min./in. before & after placement mdycf S�, / � 2�6. 68' 10 SOD q g A U- LO [ I P LOT P LAN GENERAL NOTES 1. Contractor is responsible for Digsafe notification, Verification of Utilities OF PROPOSED SEPTIC SYSTEM UPGRADE I = \ \ and protection of all underground utilities and pipes. PREPARED FOR �^ 2. The septic"tank and distri ution box shall be set V� c6 H. level an 6 of a clean ,�2" stone. DEBRA S. BRAVMAN 2006 TRUST FND � 3. Backfill should be clean sand or gravel with no 1 stones over 3" in size. AT 4. This system is subject inspection during installation 208 S C U D D E R BAY CIRCLE I I by Carmen E. Shay — E Environmental Services, Inc. 5. The contractor shall install this system in accordance ASSESSORS MAP 188 LOT 104 co 0 20 40 50 with Title V of the Massachusetts state code, the approved plan and Local Regulations. CENTERVILLE M A I 6. If, during installation the contractor encounters any o soil conditions or site conditions that are different PREPARED BY: from those shown on the soil log or in our design SCALE: 1 "=20' installation must halt & immediate notification be �� PA A/j�� E. 0 u/� Y made to Carmen E. Shay — Environmental Services, Inc. _ V!1 1�l A l l 1'1 l THE PROPERTY LINES ARE APPROXIMATE AND 7. No vehicle or heavy machinery shall drive over the a ENVIRONMENTAL SERVICES COMPILED FROM THE SURVEY PLAN RICHARD BAXTER, PLS—OSTERVILLE, MA septic system unless noted as H-20 septic components. ENTITLED: "PLAN OF LOT 76 SCUDDER BAY CIR., CENTERVILLE, MA" 8. Install Zabel Filter with Cover to Grade at outlet of Septic Tank. O P.O. BOX 1 576 DATED JANUARY 9, 1984 'P AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 9• All Distribution Lines shall be 4" diameter, Schedule 40 NSF PVC pipes. -Qlst� �, MASHPEE, MA 02649 IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 10. All solid piping, tees & fittings shall be 4" diameter CANItAR�* TEL/FAX 508-294-7498 THE SEPTIC SYSTEM INSTALLATION. Schedule 40 NSF PVC pipes with water tight joints. SCALE: 1 "=20' DRAWN BY: CES DATE: JUNE 18, 2021 EXISTING SAS TO BE PUMPED OUT AND Filled In Place/ABANDONED 11. Municipal Water is Connected to ALL OF The Residence and Abutting Properties Within 150 Feet. PROJECT#208 SCUDDER FILENAME:208 SCUDDER.D G SHEET 1 OF 3 ,i I4'-0' on center 6'-0' on center I 6'-0" on center I 4'-0- on center *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. ZABEL EFFUENT FILTER OR I I 2'-1/8'-1/2' 1 mein.tfrom EQUIVALENT ON OUTLET OF TANK -� _'.. W12MIn Se tICf&Tk— Grade over Septic Tank/Pump Chambr—48.� 3/4'-1 ' Washed StaM . Existing Foundation p Provide Risers if necessaryProvide Riser to bring IN PVC ANDT"BE WTMIN 3-OF GR� . OUTLET OF TANK dr 0—BOX cover must must have riser and be 20' TOP OF FOUNDATION = ELEV. 51.00 to bring Septic tank 8overs Pump Chamber cover y within 6' of finished grade to finished grade within 6 in. of finished grade de ` 9 T--�a over SAS—4800 Sch. 40 — 4' perforated P.V.C. pipe Grade aver Ism —46.00\11 INSPECTION PORT 4-PVC(CAPPED)INSPECTION PORT TO BE 'N5T AND To BE WTHINP 6•OF GRADE LEACH FIELD CROSS—SECTION 40' DIST. 80X S=.005 TOP OF Leach Field 46.85 S=0.01 S=0.01 or Greater 4" Perforated P.V.C. 3"-1/8"-1/2" Washed Stone EYICT. PIPE S a Greater 12 FROM EXIST. FOUNDATION I10' Invert Elev.— 46.20 a n 1500 GAL. 0 1000 EGAL 3 F�� I M 3/4--1V Washed Stone sin otto Ti each Facility Elev.=45.70 CONCRETE FUC TANK LL) PUMP `.g CHAMBER Sri i H-10 ZABEL FILTER H_,D m L_ _ _ _ __LEACH FIELD _ s P OADED °' d — 0 - - - - - > 6 In.of 3/4'-1 1/2- 0 m REMOVE & REPLACE TO < z compacted Stan. 6 In.of ted stone ,/z- BOTTOM 0 F B LAYER c compacted stone c 6 In.of 3/4--1 1/2' — ADJUSTED ESHWT — ELEV. 40.70 compacted stone Bottom of Test Hole = Elev.-37.00 SYSTEM PROFILE Note: Remove soil down to el. 45.00 or B Layer & replace with clean coarse sand /pert. rate less than or Not to Scale or equal to 2 mi In. before & after placement 2-18- aAM. ACCESS MANHou PERCOLATION TEST _ 9' DISTRIBUTION Box SHALL BE Effective length SET LEVEL FOR AT LEAST 2 FT. 14 CONCRETE COVE Date of Percolation Test: MAY 28, 2021 k., f, 33 TLEr -; 4 c Test Performed By. CARMEN SHAY 4.1 Results Witnessed By: Donald Desmarais—(Barnstable BO — 22• ( `. 15' INLET / 1 / C EXCAVATOR: SHAY ENVIRONMENTAL SERVICES, INC. 01 J �4 1 ... Percolation Rate: Less Than 2 MPI ® 36" =. f " e'S- 6'S ` �� �'• THE ACCESS COVERS FOR THE SEPTIC TANK, Test Hole �- s' L DISTRIBUTION BOX AND LEACHING COMPONENTNo. Test Hole ''!;.:::«�T.�?: —*-!—: - Tom:-'•^`' SET DEEPER THAN 6 INCHES BELOW FINISHED N� No. 2 PLAN SECTION CROSS—SECTION �. •.., s; a• GRADE MALL BE RAISED TO WITHIN 6" OF STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. DEPTH SOILS ELEV. DEPTH SOILS ELEV. 3 HOLE H-10 DISTRIBUTION BOX INSTALL TUF—T1TE GAS BAFFLES OR EQUALS 0 48.00 Loom Loam 48.00 PLAN VIEW Sandy Sandy 3-24" REMOVABLE COVERS 10 YR 3/2 10 YR 3/2 O~— 6" A' 47.50 0-- 6" Av 47.50 P LOT P LAN Loamy loamy 3' min. clearance I 3• INLET Sand Sand 8' mKT_12-min. Inlet to ou8et 6'min q/p}- -4 - �{- U 1 level OUTLET 1-- 10 YR 5/6 — 10 YR 5/6 �"t"' I "• L U 6-- 36" B" 45.00 6" 36- Be 45 00 OF PROPOSED SEPTIC SYSTEM UPGRADE t 45 E 4'-0-mtn. Med.—Coarse Med.—Coarse b— ca,same. :• Liquid depth Sand 1 Sand ;2 25Y7/4 25Y7/4 DEBRA S. BRAVMAN 2006 TRUST •+ 3 '•+ 36"-132" � 37.00 36--132' � 37.00 .t.. : •.. °- AT °' -'°' 208 SCUDDER BAY CIRCLE CROSS SECTION END—SECTION ASSESSORS MAP 188 LOT 104 TYPICAL 1500 GALLON SEPTIC TANK CENTERVILLE MA Design Calculations Design Calculations Number of Bedrooms: 4 Equivalent to 440 Gal./Day (110gpd per BR/pertle V). g`A PREPARED BY: Ti Garbage Grinder: NoC.0 RN N E. ,SHA Y Leaching Capacity Proposed: 440 Gal./Day Minimum (Min. Per Title V) Perc #1 't � � e Septic Tank — 2 x 440 Gal./Day =880 USE NEW 1,500 GAL. Septic Tank. Depth to Perc: 36" to 54"Perc Rate 2 MPI Assumed U q ENVIRONMENTAL SERVICES m ed SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Groundwater v CcD13 � � P.O. BOX 1576 ater Observed 2 Proposed Leaching Field Dimensions: 1 ® 20' Wide by 30' Long. �. " 4 _ �� MASHPEE, MA 026 9 I Bottom Area: 0.74 gal/sq. ft. x 600 sq. ft. = 444 gallons Observed ESHWT 132 or ELEV. 37.00 �I� \��Y. AN6T Sidewall Area: NOT USED MIW29 Zone D —INDEX WELL =8.47 :-S TEL/FAX 508-294-7498 � Providing: = 444 gallons ADJUSTED H2O Elev. = 3.7E — 43.2 ' or Elev 40.70 SCALE: N/A SHEET 2 DRAWN BY: CES DATE: JUNE 18, 2021 PROJECT#208 SCUDDER FILENAME:208 SCUDDER.DVVG SHEET 2 OF 3 Provide Risers PUMP SPECIFICATION CALCULA TIONS 2-20" REMOVEABLE to bring INLET Pump Chamber cover 2-20' DIAM. ACCESS MANHOLES -MANHOLE COVERS WITHIN to grade and OUTLET cover to 6"OF FINISHED GUM finished grade STATIC HEAD CALCULATION RESTORE TO FINISHED MAIj a_Ev. 7. 46.62' - Elev of D-Box In 41.75' - Devotion of Bottom of Pump Chamber 2' 3-ADAPTER NOT TO SCALE — TO 46.62' - 41.75' = 4.87' Static Head INLETINVERT LIFT OUT CKAJN I _3"FORM MAIN INLET CE4 OUTLET INVERT ELEv.. 45.75 OU (FREEZE PROTEC1K)N) 71 ET DYNAMIC HEAD .00 Friction Head For 3-SCH 40 PVC Pip, 2-SWING CHECK VALVE-P.V.C. THE ACCESS COVERS FOR THE SEPTIC TANK, 60' DISTRIBUTION BOX AND LEACHING COMPONENT `7-';7.-If *-1 SAD THANR6 INCHES BELOW FINISHED 010 GPM - 0.005 FL 100 Ff. `1-_ :!.!- -% .7� GRADE SHALL BE AISED TO WITHIN FINISHED 050 GPM - 0.01 Ft.1100 R. Use Gould Model JW7(WS3W78F) Pump 25.40' STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. 0100 GPM - 0.40 Ft.1100 Ff. 230 Von Phase 1 1/3 HP 2'Solids Handling PLAN 17.70' INSTALL TUF-TITE GAS BAFFLES OR EQUALS W Total Dynamic Head 5.27' 0 100 GPM OR EOUIVALE74T 10' 2-20* VIEREMOVABLE COVERS FLOOR ELEV.- 41.75 7A 4" PUMP NOTES & SPECIFICATIONS 3"-min. dearance INLETmin. MI.t to outlet In. PUMP DETAIL ar OUTLIET Uquird—lovd— In. Not to seats 1. PUMP SHOILL, BE INSTALLED IN STRICT COMPLIANCE FT 5' -7" 5' -7' *1M MANUFACTURERS spEancAnoNs CE:5 2. ALARM SHALL CONSIST OF AUDIBLE SIGNAL & 4'-Oo min. RED WARNING UGHr TO BE INSTALLED IN BUILDING O 0.Odft Liquid depth N AND PO*V?M BY SEPARATE CIRCUIT FROM CIRCUITS TO PUMP. :3 J. DOSING SCHEDULE 440 GALLONS/4 DOSES=1110 GALLONS/DOSE CROSS SECTION END—SECTION FLOAT LOCATION CALCULATIONS PUMP PERFORMANCE DATA TYPICAL 1000 GALLON PUMP CHAMBER 110 Gallons/7.48 GAL/Cu Ft = 14.70 Cu F1 Area of Bottom of Chamber - 5 x 8' - 40 Sq. Ft. 40 Height Of Water for One Dose (H) = 14.70 Cu. R. 40 Sq. R. H = .37 Ft. - 4.4 INCHES Pump On - 22.40' Pump Off = 18.00- 40 Alarm - 26.80' PLOT PLAN .2 BUOANCY CALCULATIONS 20 OF PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR BRAVMAN 2006 TRUST ELEVATION OF BOTTOM OF PUMP CHAMBER-41.50 10 DEBRA S. AT ELEVATION OF BOTTOM OF ADJ. GROUND WA TER-40.70 208 S C U D D E R BAY CIRCLE ASSESSORS MAP 188 LOT 104 Weight of Water Displaced. 0 lbs of H2O CENTERVILLE, 0 20 40 60 8 100 120 140 MA PREPARED BY: CARMEN E. SHAY ENVIRONMENTAL SERVICES 0 No Ballast Required For PUMP CHAMBER P.O. BOX 1576 MASHPEE, MA 02649 $A IT TEL/F X : 508-294-7498 '-/A SHEET 3 SCALE' N DRAWN BY: CES DATE: JUNE 18, 2021 PROJECT#208- SCUDDER FILENAME:208 SCUDDER.DWG SHEET 3 OF 3 TEST PIT LOG DAj-F- AP-2alL. Z71 Ige�-3 I� ,f TP No 2__ELEV q7.5- TP 1\10 _2.— E'EV,-AT-5 — - - _ _-- --- LOP,M f- I 2 x 2' x 3Zc' TR5J t40-1 ES 4 6E�'V�rEEt1 - � S A►.�lE AS Cr © -7 P 1 -TOP C-OKIC. 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