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0068 SEAN'S CIRCLE - Health (3)
68 SEAN'S CIRCLE CENTERVILLE A= 170 -057 - 004 SMEAD KEEPING YOU ORGANIZED No. 12534 n 2-153L©R i lYJ�FORESTR� Mw.RECYCLED TT INITIATIVE CONTENT 10% Cw6fiedFibe'Sowcinp PO$T,CDN$ MM wvw.efiproprem,wp NW1290 Tow (o F BARNSTABLE VIGT,Aw'" ��!/I�el"�L.�~u 2- Bi55�.SS0A'S MAP ;LCyr. ._. .., MAUER%NAME&'Pool%tE No. c TA z�cA��c.>< C . 9ACK TG.IPAClfUr .E�Yp$) �O.CD�B��sDi�+OQkViIS � BYJIIIpim QR© fit PlE7RiV�T�2A'� GC41biRbC:.Y�IGE:1Dl�TE; ...::... S &ITQ�l01l1 U5�d1114Si piCf4V/CP�tI t�0. :.. � a MaxiunucnAa jg6d m,anclwater'Cabletothe,Battatnoi fs61 11at�r scCy►Vfclk sndl.eae�ia�$l�aaltry +y�re!!s axkst c�o4 otasgt�oc wdth'sn,2.4D gei of i�nckinS fact}) w�tWd eAis4 ie il.WOWan�f X,eac�kng�acility.�IF wy � i+ltlam QUO Wt pf lettcll�Iag�udllcy? M.-�."'*."""""` nn CX k D I � a l� 3a ' 6 -a - 37f _ L�.3 , GCS, 6,-3 _ �� i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppYitation for Bisposar 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 4--6 e r Owner's Name, Address,and Tel .No. Assessor's Map/Parcel '7 ( d WQlCh lle Installer's Name,Address,and Tel.No.spg_�p q-ate 0 Designer's Name,Address,and Tel.No.506 3C* Type of Building: Dwelling No.of Bedrooms Lot Size 1 S q6 j sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7'30 gpd Design flow provided d 01: gpd Plan Date b i;, ''\\�2-��'v Number}o�fsheets � Revision Date mU Title e- c 1 S D- l Prv1 1'(j1% Size of Septic Tank Jbbo Type of S.A.S.�Wjjt r l Description of Soil.1, �ybLe,I Nature of Repairs orAlterations(Answer when applicable) Q FOP t e ftSA Its- 1 eUjG h ��� L�7r% YJ W JOAIa 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 7 Bo ealth. ed � Date Application Approved b Date AY Application Disapproved by Date for the following reasons Permit No. r G5- Date Issued No. ,ao � Fee 14-110 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC-HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4prication for -Misposal *pstm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.p7 $ s s�,q�` S ����a"t .}}le Owner's Name,Address,and Tel.No. Assessor's Ma /Parcel Q n, f � ' 0►raihe VVQ'C ^ I r ' � Installer's Name,Address,and Tel.No.5"0e_o t--o L 1 p Designer's Name,Address,and Tel.No.� 3� GSq- Type of Building: Dwelling No.of Bedrooms 3 Lot Size S Q6 I sq.ft. ' Garbage Grinder Other Type of Building No.of Persons:r Showers( ) Cafeteria(, ) tfy:> eY1� w r Other Fixtures Design Flow(min.required) gpd Design flow provided ,; © .0 gpd Plan Date Ft b c;, 2 0 Number of sheets Revision Date' Title' (-"tf-gft!t' Size of Septic Tank Ibbo . P Type of S.A.S. Description of Soil'op� l �ybb o; ( w S 1n�t P / t f� Nature of Repairs or Alterations-(Answer when applicable) Q IA P $ -t elfl�11 l e9�k P►1 f rq, ►11' y7ew r. -Date last inspected: •� 'Agreement: J 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 drNealth. S f --Signed �'�.�,w►«w+� ty Date �. Application Approved by,� �-- --�•..�...�. Date ,�Z+ ~'Application Disapproved by Date o for the following reasons Permit No,aq>,'-�f.�--~�4 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliancr THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at 7�i�11 (_/P has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit /Noll O•dated r Installer f l�,/9 'h t►/A It c, Designer DO V/ � ( �,1A 9K A�✓� #bedrooms .�. W Approved design flow h �.0 gpd The issuance of this permit shall not be construed as a guarantee that the system will fuC ctiiodaasesd igne/d�. Date L� d V Inspector \Q t -----------------------�------------------ _-------_----- -------------- ------ ---- ------= ---------------- - _ J �' x n) NoI a ,..+ Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby!!granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 1A SegA,S Cirde i 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. 'f Provided:Construction must becoomplet d within three years of the date of this perm't: Date Approved by Town of Barnstable Regulatory Services t Richard V. Scali,Interim Director aasxsraoM 039. Public Health Division Thomas McKean,.Director 2106 Main Street,Hyannis, MA 02601 Office: 503-862-4644 Fax: 508-790-6304 Installer&Designer Certification.Form Date: b2 t2D aoao Sewage Permit# ,;ZWo —a YL Assessor's Map\Parcel 170157-4 Designer.. David D. Coughanowr RS Installer: Address: 155 George Ryder Rd South Address: Chatham, MA 02633 ,;,,�-��.�, ;t� v�-ie3Z On b-Jz J yn_y,, DUM A-K was issued a permit to install a (date) (installer) septic system at 68 Seans Circle based on a design drawn by (address) David Coughanowr i dated february 5, 2020 (designer) X I certify that the septic system referenced above was.installed substantially according to the design, which may include minor approved changes such as lateral relocation of the 'distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory: I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS:or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strih'out (if required) was inspected and the soils were found satisfactory: I certify that the system referenced above was constructed in compliance with the terms of the I1A approval letters (if applicable) s DAVID DAVID D, `= ( nstaller s igna re CQUGHAN WR No. 1093 COUGNANOWR GrS r ��Q sO�tteENS�ti .r (Designer's Signature) = ner's Sta 1 PLEASE IIIETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Scptic\Dcsigncr C:crtitication Fornl Rcv 8-14-13.doc k Town of Barnstable ti Inspectional Services Department • an>Krtsrae� M"& Public Health Division s639. �0 ArFO"A°�s 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1128 January 2, 2020 WELCH, LORRAINE 68 SEAN'S CIRCLE CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 68 Sean's Circle, Centerville, MA was inspected on 12/20/2019 by Shawn McElroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOA OF HEALTH Thomas McKean, FM Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\68 Seans Circle Centerville.doc IME T Town of Barnstable • BARNSrABLE, 6 9 ,�� Inspectional Services Department Ar fD N4A'�A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS O 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc ` Commonwealth of Massachusetts. , / ► � Title 5 Official Inspection Form !.. hI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address P Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 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. A. Inspector Information S/#/Lt 3a.0 Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);l have personally inspected the sewage disposal system at theproperty address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 5% 12-20-19 tor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or.greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/2 812 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 r s Commonwealth of Massachusetts r� Title 5 Official Inspection Form ' w: 1161 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the "ConditionalPass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y El ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 C Commonwealth of Massachusetts Title 5 Official Inspection Form ► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t� H 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y El ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form wa 1�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is Centerville MA 02632 12-20-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form w, hl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments :R? .,� 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® 'Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form 'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean s Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) 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 aft inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 i 'r Commonwealth of Massachusetts r� ,w Title 5 Official Inspection Form "' i'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 12-2019 Date t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner---pumped 3 yrs ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 8 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form Not for Voluntary Assessments a 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1979 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 1 Commonwealth of Massachusetts �i Title 5 Official Inspection Form - w: Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Seans Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 18" 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: 1000 gal Sludge depth: 6" 11 Distance from top of sludge to bottom of outlet tee or baffle 26 Scum thickness Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 I Commonwealth of Massachusetts ,'. Title 5 Official Inspection Form bl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank (tank must be pumped at time of 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 t5insp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 C Commonwealth of Massachusetts Title 5 Official Inspection Form i� w:, ini Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1: 68 Sean's Cir J" Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): I *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 Over 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 was filled above outlet invert and not able to examine. t5insp,doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form I� 'Ill) Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018• Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts a Title 5 Official Inspection Form ill Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 68 Sean's Cir rf3jy. Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was holding 18" of water at inspection with visible stain lines above inlet invert. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i� wa Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >" 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts r� Title 5 Official Inspection Form ► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � fcl 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately a 4 r ti + ` - - 37 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1.JII 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) lain:® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 • a s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - T, >`' 68 Sean's Cir Property Address Lorraine Welch Owner Owner's Name information is required for every Centerville MA 02632 12-20-19 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. 7 ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 i TOWN OF BARNSTABLE LOCATION (,0 5eP n'-,CVrJ- SEWAGE# VILLAGE ec L"UtyASSESSOR'S MAP&PARCEL 11 O 67-4 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY d� LEACHING FACILITY:(type) -, '360 (size) NO.OF BEDROOMS .3 OWNER d PERMIT DATE: b" I Zo COMPLIANCE DATE: ;?-It Ld 2 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY to �.-4-3� � �'y-3 �►' C� 0 3 , b4 64' No..........y... ... F�s....: � ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .:................OF......Q.. . ..)4 "� ..................... Appliration for M-4poga1 Workii Tontitrnrtinn Prrutit Application is hereby made for a Permit to Construct (`�or Repair ( ) an Individual Sewage Disposal Systa/ .... _ ...................... ---.. t -- •••_tion:-. dress /) ----or t N --------- ------ — .. ....._.... t_.._.---••-----r .:.._.._....._... -----------Cf . O Addre a ......... ..................... .......... .............................................. .. ............... taller Ad ress QType of Building Size Lot__ C. .....Sq. feet Dwelling—No. of Bedrooms........................................................................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures -------------------------------------- - g �/ 2 -_-gallons per person per day. Total daily flow----------------- ............gallons. W Design Flow----•----------------,----- --�-� WSeptic Tank—Liquid capacity�lllJ"C'-Qgallons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.. ......... Total Length......._______ ... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter....... p g q... __._.� Depth below inlet__._.�_�:________ Total leaching area__________________s ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by --------- -------- Date........................................ Test Pit No. i......�-----minutes per inch Depth of Test Pit......4Z.i----- Depth to ground water_. �Yllry-__. G%, Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ - ----------- ----•--- -.......-•--•----- 11 - - � Description of Soil...Q----- .2 = - ----- ............... U ---------------•-•------------------------•--------•--------------------------------•-••.......--•------...------------------------------•----- W --•---------------•--- ------------------------------------------------------------------------------------------- ......... VNature 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'T T TE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sigd ---- ---------------------------------------•-------------....-------------------_ Dat D............ a.e.............. Application Approved By....... --� - ------ ------ •-leflk.L- .------------•------------•----- ....•7`IA-7_91............. Date Application Disapproved for the following reasons:.................... --------------•-------------------•-------........................._.. ------...... __ .....................•-----------•-••----••-------•------------------------------._..._..---•----- L --� Date Permit No......................................................... Issued®_ . d---. .7. • - ------------------------- Date C-1 •� 7� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.... 4 Appliration for Uigpm al Works Tomitr irtion Virr t Application is hereby made for a Permit to Construct (a.-y"'or Repair ( ) an Individual ewage Disposalf ' Syst at - .... �.: .............�"�--... :... .... tion-A dress �F Lot IvojD �� Own. - x �*� s ..... .......... .. .......... .. ......a d F x I Iler d 3 Ad s . ................................... Ue` S feet ."�,' Typ of Building �� ;a +' � ,�, t" Size Lot..�._�_-_�t'�--�--__ q. 1-4 Dwelling—No. of Bedrooms........... . ......... ...........Expansion Attic ( ) Garbage Grinder ( ) p, 2 °: Other—Type of Building ............................ No. of persons-_-._.-__.-________-_--_--_- Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------•-.---- . ---------...--- -------------••-•-------------. W Design Flow........... -.gallons per person per day. Total daily flow ............. .3__{0------------gallons. WSeptic:Tap4—Liquid,capacityf .pgall`ons Length________________ Width__ :,._ D`ameter........___...__ Depth................ x Disposal Trench—No ..... Width__, ......... Total Length Total.,leaching area.....�.................sq. ft. Y r, Depth belowinlet...._/. . ..._. Totl leaching area.................. q. Seepage,Pit .No-----------------?.. Diameter....... �`( p f s ft. z Other Distribution'box ( )+ Dosing tank ( , ) '-' Percolatiori Test Results Performed by............. . .: .. Date; - Test Pit No. 1.......4.....minutes pir inch Depth of Test Pit------ 1.... Depth to ground"water../PoZ,;.__. Gz Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... = --- .......JL....:!!../I........ W:.. ----: O Description of Soil..... " w + !... x UNature of Repairs or Alterations—Answer when applicable------------------------------a----------------------------------------------------------------- .'Iy Agreement: rt" The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T P'1' the provisions of 'f-ii: 7 5 of the State Sanitary Code— The undersigned further agrees not to�pla&'the system in operation until a Certificate of Compliance has been issued by the bol,rd of health. Sign df.. F ... ............................J ---------_-. .____ ................................ Or, .- i s/lfib �`^ . - t Application Approsed By 6t,,;� -y'j' 'T`f a Application Disapproved for the following reasons:............. -.-..---...__.._._.___:_ ------------------- -----------------------------------------•------------------......------:::.-----•------•--••---------------•----------------•-----••-••--•----•-•-•--------•-•---------•-----•-••----•---------------- F Date Permit No. :::'.. ---_. Issued----=-----•--- ..... ------------------- Date ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH .... j,6,,y,�. .............0F...... . .. .' .. .` ................................. TntifirFatr of 'In utpliaurr THIq IS O CERVVIV4,1 That the Individual Sewage Disposal System constructed (_or Repaired ( ) by........... .::----------------------•------------------...----.. .... _-------.-•--------------------- W o Installe / has been installed in accordance with the provisions of T;ftlf 5 of The State Sanitar}_Ke as described in the application for Disposal Works Construction Permit N _74'____: ................ da.ted_....- . THE ISSUANCE OF THIS CERTIFICATE SHALL N;OT.BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI:ON,,SATISFACTORY. DATE.. ...._ Ins "ector................------------------------------------------------------------------ , - . J THE�COf4MONWEALTH OF MASSACHUSETTS BOARD� F HEALTH No�I ..........OF..-- -� ........................... �i�y- ...... FEE. ''f3........... ,irk � ���� uan rrnii� Permission.is her y granted...... -- "�9----•-- �"'. .+ ---------------•----•----------.----`-------------------.............--••------- to Construct. or Re air ( ) In •victual S wag isposal System ,. , k at 14�91 Street i as'shown on the application for Disposal fV4'oi ks Construction PerrLiit No __________________ Dated..7.__ _r. ............... ' P ' oard of ea DATE--- {. .._ .. ........ _.1.................... -.. FORM 1255 HOBBS & WARREN. INC �9FUBLI91 FautL. - 3 F51✓ve�c7M .y �y - t_l0 G,AfG-L--,oG.e 6,izi F'Lv..v = t t a 3 : 33e� G•P t7. Gr qv ' � =�-Ic T ►c = 33o,r ISG % = 4-9S 6.F=D. T>ISP�'A►- SIT usE l aoo �.a� . 0 �� - ��LC/At.L �4. lc:,C> 5F 4 13rr AA new _ r:;O Sr. TOT,tiL -o St6N = 42S G•pD• ToTQL �atL�f r-felt../ .PD. t�f�GDL�Tit��J 4Tlr 1� 1Q SMI 02 p�r3o5��� 1 � 4-1 ZNylx Lot TAT � ��G•��� Tom >-N� L,Qo.o I13 IZ� F-6 ��- 4'�o� UIST. OAR- t mAL op SOP-01 LO / 'box RG-� Sc- -Ic t o Z udv. / T,o 04 lc l 000 �� l,.rv. IW. CSAL• 4G•i► qe,•¢ LeAc H A PIT '' 11 WITH IVi�O 1'fs�.('lz ►"+V�� STo�� I lqo C-n1ZTlT=-11:L-7 PLC)*T- FPL AS w L oGA.T t O" V t L.L_� Sat %• t O AT C �p `��? GCtz Ttt=�r TWAT - t-If. t_r7t,1 C�aMl�'L-`� W tTt� T►-ls✓ oi= T�+�: RC G l S rc_..tZ►=D �.a.l-.t� 5U l~v�Ya 1= tJUT L'A�i��' vt s a� USTC:V-VtI_lL tt.lst"t':J•✓t�-lei'{{- fjiJi:�1l��' y�- 'T'l-tip c.�F4`; �C'/, i1•Ir�QJL'D /t.{.�t''l_tL=l�.t--.l�'T� f �CA lr ION fig' SEWAGE PERMIT N0• VILLAGE I ST LLER'S, NAME i ADDRESS JS d ILDO OR OWNER DATE PERMIT ISSUED 1.9 DATE COMPLIANCE ISSUED '�� ' ��. i 3 45 5... a N JCL �•d d t'a'9. " O t e.1T F an '• +-{e rDPISTRISBUTION ND ' THIS IS A PONENTS �' - a. A"'eSWa COLOR GARB G as ,a1 �0a G R PLAN K Q ?n .• r = `, OT USE COLOR PLAN ONLY ti �R + 'e 6•M OWED FOR INSTALLATION XISTING son FULL DETAIL IS BEST EACH PIT/ rcleVIEWED INESSPOOL FULL COLOR Fal CENTERVILLE. MAN BOXp I 'Road�h--- n'® : `�-I;®T � est ster L O C._U S M A Pu EXISTING LEACH PIT TO BE PUMPED & - --- FILLED OR REMOVED ��,N,CH Gs ELEVATION � ro 53.80 p Of FOUNDP�\U� ! •. 110.18 f t 5 2 �4w LOT / ADINL f� GRADLNG / AREA = 15969 Sf+- PROPOSED PLAN BOOK 327 PAGE 56 Exf51 oOa I ASSR MAP 170 PCL 57-4 /�oN�j ?) 15 in LEISURE OAK AREA 15 in (STONE) OAK 1 I *15 in � IS in . �� OAK OAK '. PROPOSED SOIL 52 21 ft ABSORPTION <� SYSTEM —SEE DETAIL a _ BRICK � ON BACK v C -PA TIO00 - Cy__ r $TIN � 3 BED G I "' �" "l zt t W ROp � 0 _ D 1 t !, k 1 53 To OF �� > � EL = 59.80 4/V - -------- ------- - i G M, � ` 0 �� J ' T � / TQnT r_ W < ` All 53 �52 me 52 / V O UTILITIES r � O _ � y WATER LINE 51 � e \ GAS LINE S 110.00 it " � 51 OVERHEAD WIRE oN e G EDOf'P,gV UTILITY Rr !VT M r ft� 11 POLE &� M �r , Jao 6UHAtgA ` -, ,. • S C,� � 0x � P, - • • 1 xz, -ur . PLAN ���� �� � � �41 , �� � �. SCALE: 1 in = 20 ft 4 0 20 40 O l0 20 PRINT ON 11 x 17 in PAPER FOR PROPER SCALE FP��N OF k14SS, �P OF MASS9 o DAVID CyGJ o DAVID �yoJ D. D _ COUGHANOWR N COUGHANOWR N c o SEWAGE DISPOSAL No. 1093 No. 461 SYSTEM PLAN -TO SERVE EXISTING DWELLING sgGI T sOgPPRO UP�� LORRAINE M. ' WELCH r • ' OWNER(S) OF RECORD • - • ° 68 SEAN'S CIRCLE THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM CENTERVILLE, MA DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING 155 Geo Ryder Rd S ' PROPERTY ADDRESS PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER ' SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. ,Chothom, MA 02633 - - " -- ovidcouOHotmoiLcom DATE: FEBRUARY 5, 2020 508 364-0894 P�.v2 ,�oe� ETE-4436 necoel. SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE *461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DAVID STANTON. HEALTH DEPT. NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT PERC AT 62 in - 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 52.75 INCHES HORIZON TEXTURE (MUNSELL) MOTTLES NEW 1500 GALLON SEPTIC TANK. 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 50.25 12-30 Bw LOAMY.SAND 10 YR 4/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: 41 25 30-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES TEST PIT 2 NO GROUNDWATER ENCOUNTERED PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. 2 MIN/INCH IN C SOILS THE 24 ft x 12.5 ft x 2 ft LEACHING GALLERY ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER INCHES HORIZON TEXTURE (MUNSELL) MOTTLES DEPICTED BELOW CAN LEACH: 52.80 0-12 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE BOTTOM AREA = (24 x 12.5) = 300 sq. ft. 50.13 12-32 Bw LOAMY SAND 10 YR 4/6 NONE FRIABLE SIDEWALL AREA = (24+24+12.5+12.5)x2 =146 sq. ft. 32-132 C MEDIUM SAND 10 YR 5/4 NONE LOOSE TOTAL AREA = 446 sq. ft. 41.80 FLOW CAPACITY = 0.74 x 446 = 330.04 Sol/day INSTALL A 24 ft x 12.5 ft x 2 It GALLERY AS CONFIGURED BELOW. FLOW CAPACITY = 330.04 gol/day WHICH EXCEEDS THE 330 gal/dog REQUIRED FOR A THREE BEDROOM DESIGN. 1000 GALLON SEPTIC TANK EXISTING UNIT 4 DIMENSIONS .& DETAIL SOIL ABSORPTION TANK TO BE PUMPED DRY AT TIME OF INSTALLATION AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL SYSTEM CONSTRUCTION DETAIL NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL } REPLACE WITH A NEW DRYWELL I 1n 1500 GALLON TANK UNIT 24.0 ft TAPER IF CRACKED. ROTTED m .- ; OR OTHERWISE % co� © COMPROMISED. r- co wdnF��LPx'X'" c0" Ln cVT, T v (V � � R � NOT I co o 0 T � � TO m� �� ' _ I "� Lo SCALE STONE 3.5 ft 8.S Fft 8.5 ft 3.5 ft <x e� � � \0 8 ft-6 � � 500 GALLON DRYWELL DIMENSIONS & DETAIL INSTALL ONE INSPECTION RISER TO THREE INLET OUTLET USE INCHES OF FNALNGRADE COVER COVER H_Io & INDICATE LOCATION wr UNIT ON AS-BUILT --► �3 IN DROP FLOW LINE 33 FROM 10 in 14 TO � 1p in BUILDING JIM ©ppp D-BOX 48 in LIGOD GAS µ 5 /o? BAFFLE CROSS SECTION VIEW INSTALL AN APPROVED GEOTEXTILE—\ b in STONE BASE IF NEW FABRIC OVER STONE SEPARATION BETWEEN INLET & OUTLET TEES NO LESS THAN LIQUID DEPTH ; f CROSS SECTION VIEW 28 �3/4 In TO E EFFECTIVEe 314 in TO sk ,�1-1/2,In,GRAVEL ; +1 i/2 in GRAVEL n PTH ®.■ DE 46 in 58 in 46 in 150 in DISTRIBUTION BOX UDSE SHOREY B-3 H20' DIMENSIONS PIPES •-EXITING; D-BOX TO .RUN LEVEL -INSTALLER TO OBTAIN DISPOSAL WORKS AND DETAIL FOR 2-FEET BEFORE, PITCHING, DOWN PERMIT BEFORE STARTING WORK. -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF 12n MASSACHUSETTS TITLE 5 SEPTIC c MIN CODE (310 CMR 15). 4 -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE ' N FROM M = S # TO EXCAVATING FOR SYSTEM. -ECO-TECH RAPID RESPONSE RECOMMENDS a SAS THE INSTALLATION OF LOW FLOW � FIXTURES & APPLIANCES. AND PERIODIC ° p t ��°p0 -PR PUMPING OF THE SEPTIC TANK. � 6 in STONE BASE 21 /� Z� CROSS SECTION VIEW -SYSVEHICULAR TEM IS OLOADING. DOT DESIGNED O NOT TPARK NOR DRIVE VEHICLES OVER SEPTIC SYSTEM. [-F- L O W . P R O F L E TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC +— in OF FINAL GRADE 6 AND TO PITCH AT 1/8 in/ft MIN EL = 53.80 52.50 D-BOX 3. MAX USE H-20 EXISTING 4950. EXISTING 1000 GALLON °000p�o0 0 0 00000o PRECAST oo0�oo�8eo o a oo go 0 00o a000c o000 0000 Q o�oo aoo�°o oo oo� 00000oo ooa0 DRYWELL o 000o aoo 000 000 SEPTIC TANK 49.70 4 88in °°° EXISTING REFER TO DETAIL BOX 49.05 STONE SOIL ABSORPTION BASE 48.75 REFER TO EXISTING b in STONE BASE IF NEW SYSTEM DETAIL BOX q 34 ft 5-12 ft Lo 46.75 NO GROUNDWATER BELOW MOTTLING OBSERVED _ 41.25 GROUNDWATER AT SEWAGE DISPOSAL SYSTEM PLAN 68 SEAN'S CIRCLE CENTERVILLE, MA FEBRU 020 E- ARY 5. 2 ET4436 PG 2/2 EL = 32 +- PER GIS MAPS