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HomeMy WebLinkAbout0386 SHOOTFLYING HILL RD - Health (2) 386 Shootfly ng Hill Road Centervile A= 2.1114 Q 5 1 INISMEA No. H163OR UPC 10259 smead.com Made in USA Z J� com . NO. C Axe cC Fee (�'�� � S Entered in computer: ' TH COMMON ALTH OF MASSA9NUS TT PUBLIC HEALTH DIVISION - TOWN OF BARNSrTABLE, MASSAC49SETTS Yes Rpplitation for .Di!5po!5a16p!5tem Con0truction Permit Application for a Permit to Construct(-,�Repair( ) Upgrade( Abandon( Complete System ❑Individual Components Location Address or Lot No. ?J* 6 J�7°�'� /9'x7 / wner's Name,Adddress;and Tel.No. C e_.4I-�E9 v1'0 Assessor's Map/Parcel,.?�� d��� � �` �L/f� Lf`✓r- Installer's Name,Address,and Tel.No. �GSO" -Yeu 7-c,— Designer's Name,Address and Tel.No. 5'`7'7Y f' A Type of Building: 1 Dwelling No.of Bedrooms ! Lot Size O sq. ft. Garbage Grinder ( ) Other Type of Building;?00-Y AA- 6e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �l(' gpd Design flow provided lf® gpd Plan Date y��/Q Number of sheets / Revision Date Title Size of Septic Tank /Sap H &,,a 0 Type of S.A.S. Description of Soil ` Nature of Repairs or Alterations(Answer when applicable) h.pa lei 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 iss by this Board o Health. Sigi Date G/ O Application Approved by - Date C Application Disapproved by: Date for the following reasons Permit No. 260 7 1-13 fk Date Issued `'-7 .__-——————————————————— �'! r 'if ;. - lam '.[ + •+�' S. .�^ ( l Q r NO. r ✓� OY �/ 4f % V /� Fee <� ! t y N P [ Entered in computer: V COMMONWEALTH OF IIASSA iJS TES PUBLIC HEALTH D'VISION - TOWN OF BARNSAL � VIASSACHJSETTS ryes zlpplicatfowto, iopoM �§p!gtem Cow5trucfio err Yit Application for a Permit to Construct(v)'-Repair O Upgrade( Abandon( Complete System El Individual Components Location Address or LotNo. O�d J l?•d?f Flq,hA owner's Name,Address,and Tel.No. Assessor's Map/Parcel a�� _ s' R4611/j 4 17C7 71af � Installer's Name,Address,and Tel.No. ,T4-SO" SO.(j ZG` Designer's Name,Address/and Tel.No. 7 r/ -3 10 — 5,7 7 y .1 .Re. f trf.Si?X Type of Building: Dwelling No.of Bedrooms / Lot Size ' (7 sq. ft. Garbage Grinder ( ) Other Type of Building;Rd.#*Y 44';&5f!- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �,/(� gpd Design flow provided ��� gpd Plan Date L���Q Number of sheets Revision Date Title • Size of Septic Tank f S/lC! /Y Uy�Type off S.A.S. ,,�... Description of Soil S Nature of Repairs or Alterations(Answer whep adplicable) �2 rljp Lei 141' ZE Date last inspected: Agreement: Y 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 a Compliance has been issu by this Board o ealth. c Sig Date �Applicati n Approved by ^ 2 Date G 7 Application Disapproved by: Date for the following reasons Permit No. Date Issued o t o THE COMMONWEALTH OF MASSACHUSETTS j BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERT that the On-site Sewage Riawsal System Constructed ( Repaired ( ) Upgraded ( ) Abandoned( )byu� at _ ( 1 as been constructed in accordance wit the provisions of Tit and the for Disposal System Construction Permit No. .2ou-7 3 2 dated li—�/ 0 7 Installer Designer #bedroom ' Approved design flow U 4 n/ gpd The issuance of this permit s4all t e cons rued as a guarantee that the system i I flu ction as designed r Date Inspector ------------------ --------- -- ---��-----_--.--. No. 7Do / S:7, Fee . 16 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION7---�B.ARNSTABLE,, +MASSACHUSETTS Mtgogal *p�ten�`�tCon tmrlifi� -`, mit Permission is hereby granted to Construct (�) Repair ( ) Upgrade ( ) Abandon ( ) System located atL / and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Const ction must be completed within three years of the date of th` it Date (�l�O I Approved by ►tit/ a - A.M.Wilson Associates Inc. LETTER OF TRANSMITTAL . TO: DATE: S - is o sr�r3Lc �o FILE NO.: �2 1\5-r, , o RE: Ra'—(� t opt Sc—� C We are sending you the,following item(s): ffjjDate Description 3 6 stkoo-1 t-= C O MMUNTS: c e.C2m f�L c �7� 5e E2-tjo L DM Please not hesitate to call us with any questions. Lf enclosures are not as noted, kindly notify us at oncc e. signed: 20 Rascally Rabbit Rd. Unit 3 508*,420-9792 Marstons ivlills, MA 02648 COO nnn n--7nc / Town of Barnstable �FTHE T �. o Regulatory Services Thomas F. Geiler,Director * BAMSTABLE, 9qj 16S ���' Public Health Division p�F039. Thomas McKean;Director . 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# &266 2 -3 S-6 Assessor's Map\Parcel c,?/'-'/ - Yl Designer: A • V"t . W f C S,q,,j Assgci Ps Installer: 91,500 oA _POV Z C__ Address: z � SC�il J a ; } koaA Address: o2-7 h�Ar s 7�as �►,f,Cs e z�y 8 �1�s� -�� L 1�'�� d��S� On So, 4_ jQ-u Zc was issued a permit to install a (date) (installer) septic system at �,� s��f (addre� ,P _ based on a design drawn by � � dated f.e-t.NPl - -Jip e '1 )%41 (designer) ✓ 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. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. OF M4 ss9c �( s er nature) o= ROBERTA. yG DRAKE o CIVIL No.41642 O � SI0 ALE (Designer's Signature) (Affix Desi r- p Heje) PLEASE RETURN 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:\Septic\Designer Certification Form Rev 03-09-06.doc f` TOWN OF BARNSTABLE N LbC-,-I ION Sa 4 f hc N 1( .< SEWAGE # cPX 7 VILLAGE C�P—AmuJ lie ASSESSOR'S MAP & LOT,;?1'l 5 I INSTALLER'S NAME&PHONE NO." TG6dV. A-&Aj Zs,- SEPTIC TANK CAPACITY 1'5ao fiA n R i e LEACHING FACILITY: (type) P�-i Is (size) 6,X -5 NO. OF BEDROOMS I BUILDER OR OWNER V „� 'I Z O-E Tf�`r� C) i o � -FA +mob � PERMITDATE: E h COMPLIANCE DATE: 1'0 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 of leaching ft Feet Furnished by� \ h�_ — H A a i 31)1 3 5�i oJj F G` _ H AUG-17-2007 04:4EP FROM:ACME PRECAST 5085481664 T0:15085399130 P.3 ACME PRECAST INCN PLANT ADDRESS; 590 THOMAS B. LANDERS ROAD, WEST FALMOUTH, MA. 02536 MAILING ADDRESS; P.O. BOX 2034, TEATICKET , MA. 02536 PHONE (508) 548-9607 FAX (508) 548-1664 TOLL FREE 1-800-560-9949 WATERTIGHT MONOLITHIC PUMP CHAMBER z H-20 MONOLITHLC 1 ,000 GALLON PUMP CHAMBER PC102M J l '' � �p,� 7--U-�►� �^'� � � _fir 1 H-20 MONOLITHIC 1 ,000 GALLON PUMP CHAMBER a I� 7'-8'v 1 f �- Tank to be Coated with "EBONY" dampproofing r L..r 2 24" access covers Seam sealed with 1 1/4" x 314" Flexible Butyl Rubber Sealant m � I All pipe penetrations to be made watertight by contractor in the feild a)ati co 6' — -- m o I (3) 8" Inlet (3) 8" outlet �N ` Knockouts knockouts 6" m CD In 4'-9" I 3�, 4' ( I I 5� U cn d_ UJ . L J L J 6'-811 6 5' PRODUCT WT. 17,152 LBS SPECIFICATIONS uCONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS Pump chamber shall be installed level and true to grade on a level N STEEL REINFORCEMENT: ASTNI - A-615 - 68, GRADE 60 stable base that has been mechanically compacted and on to which DESIGN LOADING: STANDARD UNITS: AASHO-H-20 six inches of crushed stone has been placed. Q rN PRECAST MONOLITHIC 1 ,500 GALLON SEPTIC TANK H-20 Tank to be coated with "EBONY" dampproofing J 24" CLEAR OPENING Seam sealed with 1 1/4" x 3/4" Flexible Butyl Rubber Sealant om 6Contractor to_supply and install inlet and outlet tees. r Inlet& Outlet tees must extend six inches above the flow 6 s line. 1 Inlet tee must extend a minimum of ten inches below flow line. Outlet tee must-extend fourteen inches below flow line _ All pipe penetrations to be made watertight by contractor r 1 -6 in the feild KNOCKOUTS /43) $" OUTLET 61' KNOCKOUTS co �r in 00 � 1 � I 3" 4' I 1 I I $'_9„ I Liquid Level I 6 5' I iW W L L_ U 10'-6" 61 1 6" 5 PRODUCT WT. 22,725 LBS SPECIFICATIONS CONCRETE MINIMUM STRENGTH: 5,000 p.s.i. AT 28 DAYS 310 CMR 15.228:(1) Septic tanks shall be installed level and true to STEEL REINFORCEMENT: ASTM -A-615- 68, GRADE 60 , grade on a level stable base that has been mechanically compacted c� DESIGN LOADING: STANDARD UNITS: AASHO-H-20 and on to which six inches of crushed stone has been placed. AUG-17-8007 04:45P FROM:ACME PRECAST 5085481GS4 TO:15085399130 P.1 ACME PRECAST ■ INCE PLANT ADDRESS; 520 THOMAS B. LANDERS ROAD, WEST FALMOUTH, MA. 02536 MAILING ADDRESS; P.O. BOX 2034, TEATICKET MA. 02536 PHONE (508) 548-9607 FAX (508) 548-1664 TOLL FREE 1-800-560-9949 WATERTIGHT MONOLITHIC SEPTIC TANK n n n H-20 MONOLITHIC 1 ,500 GALLON SEPTIC TANK F 0 - 00 ST152M Q o. a, 4. A.M.Wilson Associates Inc. May 21, 2007 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: Robin Variance Request 386 Shootflying Hill Road, Centerville (Our File No. 2.1561.00) Dear Board Members: We wanted to provide you with some additional information on the septic system capacity for the main house at the Robin site. Based on the Septic System Inspection Report prepared by James Sears of A & B Canco and dated 1/2/07, the main system has a field measuring 10' x 53' with a.1000 gallon tank. The system was installed prior to the 1995 Title 5 revisions. The capacity of the system would have been established under 1986 Code which allowed I gallon of effluent per square foot of bottom area. This system has 1060 square feet of bottom area. Thus, it has a leaching capacity of 1060 gpd or nine bedrooms worth of flow. However, the 1986 Code also required the tank to have a storage capacity of 150% of the daily flow. Since the tank has a 1000 gallon capacity, the greatest number of bedrooms which could be accommodated by the system would be six. As we noted in our original application,the 1973 Assessor's Card shows three bedrooms in the main house. Current Assessing information shows five bedrooms. Mr. Robin says the layout of the house interior is the same as it was when he acquired the property. In order to straighten out the discrepancy between the,Assessing information and the Septic Inspection Report, we went to the site to inspect the dwelling. There are two rooms which likely could be used as bedrooms but which a strict interpretation of the Title 5 bedroom definition would be questionable in terms of"privacy". One of these is adjacent to the garage. The only way to access the garage from the interior of the house is to walk through this room. The other is the room at the northwest end of the house which has sliding glass doors on both its east and west walls. Apparently, the septic inspector did not count these two rooms as bedrooms. The Assessing Department apparently did count them as bedrooms. Either way; the system for the main house had sufficient capacity to handle the flow for five bedrooms when it was constructed. 20 Rascally Rabbit Road Unit 3 508 420-9792 Marstons Mills, MA 02648 FAX 508 420-9795 And, under current Zoning and General Ordinances for the Town, the site has sufficient land area for six bedrooms, five in the main house and one in the boathouse. Sketches of the interior building layouts are attached to facilitate your review. Yours, A.M. WILSON ASSOCIATES, INC. �ilson, Arlene M. PWS Principal Environmental Planner Attachments cc: William Robin 070521 amwkm i *0� 1 V IME Town of Barnstable �1663;9. Board of Health `gyp 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,DMD Junichi Sawayanagi June 15, 2007 Ms. Arlene Wilson, PWS A.M. Wilson Associates, Inc. 20 Rascally Rabbit Rd., Unit 3 Marstons Mills, MA 02648 ARE, ,��386 Shgc�tfly�n��ltloacfCe�frullle� >� � � -�A 214 05`"1�� .L..vn.... , ^.. !,o-aa zs y�•.. F .aL .�. �' ,t`� r�' �'s �o^;�, ..,; � ....a,.� Dear Ms. Wilson, You are granted conditional variances, on behalf of your client, Robin Family Realty Trust, to construct an onsite sewage disposal system at 386 Shootfyling Hill Road, Centerville. The variances granted are as follows: Section 360-1, Town of Barnstable Code: The new pump chamber will be located only 41 feet away from the edge of the vegetated wetland, in lieu of the 100 feet minimum separation distance required. Section 360-1 Town of Barnstable Code: The new septic tank will be located only 30 feet away from the edge of the vegetated wetland, in lieu of the 100 feet minimum separation distance required. The variances are granted with the following conditions:' (1) The engineering plans shall be revised to show a monolithic septic tank. (2) No more than one (1) bedroom maximum is authorized in the "boat house/cottage". Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The septic system shall be installed in strict accordance with the revised engineered plans. Q:\WPFILES\WilsonRobinFamily2007.doc 1 (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the proximity of the lake and wetlands in the area. It is the opinion of this Board that the proposed new soil absorption system will be constructed to meet the maximum Ifeasible compliance standards contained within the State Environmental Code, j Title V. Sinc ely yours, Wayne A Miller, M.D. Chair r l Q:\WPFILES\WilsonRobinFamily2OO7.doe i t P�OpIHE Tp DATE: FEE: * BARNSfABLE, 9 buss• 1639. Barnstable REC. BY C W\Sl�) Town of SCHED. DATE: Board of Health �7 200 Main Street, Hyannis MA 02601 ' Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. _VARIANCE REQUEST FORM LOCATION Property Address: 386 Shootflying Hill Road, Centerville Assessor's Map and Parcel Number: 214/51 Size of Lot: 2 . 12 AC v c:) Wetlands Within 300 Ft. Yes X Business Name: N/A - �v �. No Subdivision Name: N/A � J 3�' APPLICANT'S NAME: Will & Elaine Robin Phone .� Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON CD Name: Robin Family Realty Trust Name: Arlene M. Wilson PWS Elaine Robin, Trustee A. M. Wilson Associates, Inc . Address:60 Loeffler Rd, Apt P-206-8 Address: 20 Rascally Rabbit Rd, Unit 3 ' Bloomfield, CT 0 022 Marstons Mills , MA 02648 Phone: Phone: 5 0 8—4 2 0—9 7 9 2 ' VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ART 1 , Sec —1 0 1 Septic tank 30 ' from BVW where 100 '&Yvlpmjs ART 1 , Sec 360-1 Pump chamber 41 ' from BVW where 100 ' required See Attached Letter) NATURE OF WORK: House Addition 0❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System i ' Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) ' Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the ' building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman ' NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL Q:\Application Forms\VARIREQ.DOC r Massachusetts Department of Environmental Protection �OpIMETok1r Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability + IARNS"fABLE. 9 MASS. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E1639. 7LI and Chapter 237 of the Code of the Town of Barnstable DA- 07031 A. General Information nportant: then filling out From: )rms on the Barnstable omputer, use Conservation Commission my the tab ey to move To: Applicant Property Owner (if different from applicant): our cursor- o not use the Elaine Robin, Tr., Robin Family Realty Trust Robin Family Realty Trust turn key. Name Name i 60 Loeffler Road, Apartment P-206-8 60 Loeffler Road, Apartment P-206-8 j r� Mailing Address Mailing Address Bloomfield CT 06002 Bloomfield CT 06002 City/Town State Zip Code CitylTown State Zip Code rerwn 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: Permit Plan 4/3/07 Title Date Title Date Title Date 2. Date Request Filed: April 5, 2007 B. Determinatipn Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. i i Project Description (if applicable): I Replace boathouse cesspool with Title 5/Town-compliant system & maintain waterfront features l Project Location: 386 Shootflying Hill Road Centerville Street Address Village 214 051 Assessors Map Number Assessors Parcel Number vpaform2.doc•Determination of Applicability•rev.10/5/05 Page 1 of 5 r r Massachusetts Department of Environmental Protection �oFzVE Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability . MAS& _ Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 1639.a,�e� en Ma+ and Chapter 237 of the Code of the Town of Barnstable DA- 07031 - B. Determination (cont.) The following Determinations)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling, dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s) are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. i ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The.work described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act.Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review (if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation ipaform2.doc•Determination of Applicability •rev.10/5/05 Page 2 of 5 .4 Massachusetts Department of Environmental Protection �FTHE,p�r Bureau of Resource Protection- Wetlands WPA Form 2 — Determination of Applicability p p y . anxxsrABie Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 9�A.bLl ED hAA'f and Chapter 237 of the Code of the Town of Barnstable DA- 07031 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: I i ❑ 7. If a Notice of Intent.is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c.for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed,at the end of this document. i ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2.The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). The proposed septic upgrade shall be for the one-bedroom boathouse only. ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone).Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. vpaform2.doc•Deterrr nation of Applicability•rev.10/5/05 Page 3 of 5 LlMassachusetts Department of Environmental Protection .��T"E,Owti Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability BA$NSPAISM Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 39 ED MP'� and Chapter 237 of the Code of the Town of Barnstable DA- 07031 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuator /re ulato ryProvisions ) j ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality I r I Pursuant to a municipal wetlands ordinance or bylaw. I Name Ordinance or Bylaw Citation • I i i C. Authorization f This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on Date: by certified mail, return receipt requested on i LMY n 4 2007 Print Name Signature Date This Determination is valid for three years from the date of issuance.(except Determinations for I Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not j relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. i This Determination must be signed by a majority of the Conservation Commission. A copy must be sent i to the appropriate DEP Regional Office (see Attachment) and the property owner (if different from the applicant). I I 1 Signatures: On this Rh da of A / 2&�7 before me �L personally appeare —^r 1U$_ _:H6U L rC! to me known to be the person described in and who executed the foregoing instrument and acknowle a that he/she executed t e same as his/her free act and deed- (-� Notary Public /3 ,mac C�613 My commission expires i vpaform2.doc•Determination of Applicability•rev.10/5/05 Page 4 of 5 I .y i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability pp y AB MASS i LI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 9�AT 6 9 f0 MA'f and Chapter 237 of the Code of the Town of Barnstable DA- 07031 D. Appeals i The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Attachment) to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant.The request shall state clearly and concisely the objections to the Determination which is being appealed.To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. i i I i I i i I. +paform2.doc•Determination of Applicability•rev.10/5/05 Page 5 of 5 4 A.M.Wilson Associates Inc. ' April 27, 2007 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 ' Re: Request for local Variances 386 Shootflying Hill Road, Centerville Robin Boathouse (Our File No. 2.1561.0) Dear Board Members: On behalf of our clients, William and Elaine Robin, we hereby request Variances to Article I, ' section 360-1 of the Town's On-site Sewage Disposal Regulations. The Variances will allow replacement of the existing failed system servicing the Robin boathouse/cottage. The building was constructed sometime prior to 1960 based on plans recorded in the Barnstable ' Registry of Deeds (EXH D). The 1973 Assessor's card (EXH C) of the property shows the layout of the boathouse to conform to the current survey. That card, resulting from a 4/24/72 inspection, indicates a bathroom with sink and shower to have to have existed at that time. An inspection of the septic system servicing the buildinge was performed by James Sears on 12/21/06. Mr. Sears failed the system because it is comprised of a pump running to a single ' pit. This results in a failure under local code Art. IX section 360-19. There is space on the property to locate a new SAS in conformance with 360-1. The selected location is±185' landward of the lake edge BVW. However, the site's topographic relief and the location of the boathouse mean that the watertight features of the system, the tank and pump chamber,must be located less than 100' from that same BVW; 30' and 41', respectively (EXH G). The percolation test for the new system was performed 3/19/07. This qualifies as the wettest season of the year under Art VIII, section 360-18(B). Each of the observation holes was excavated to a depth of 10' and water was observed weeping at elevation 35' in each hole. The actual lake elevation was surveyed at 32.9' on 2/25/07. As designed, the proposed SAS would provide f6.37' separation to ground water. This would correct a second problem with the existing system, the bottom of which was estimated to be at the elevation of the lake as it occurred on 12/21/06. ' 20 Rascally Rabbit Road Unit 3 508 420-9792 Marstons Mills, MA 02648 FAX 508 420-9795 1 As noted previously,the subject property contains f2.12 acres of land. Based on the Town's 1998 ZOC Map,the site is within a Zone of Contribution as designated by both the State and ' the Town. It is also designated by the Town as within a GP Zone. Under Title 5 the allowable bedroom count for the site would be 9. Under the Town's General Ordinance 232 Section 5 (A), which is based on a 1993 map, the site could support 6 bedrooms. ' The Septic Inspector found the main house to contain 3 actual bedrooms. The boathouse was counted as 1 bedroom. The resultant site total would be 4. The 1973 Assessor's card confirms there were 7 rooms total with 3 bedrooms in the main house as of 4/24/72 (EXH Q. As noted previously,that card showed a bathroom in the boathouse at that time. The current Assessing information (EXH F) shows a total room count on the site of 10 with 5 potential ' bedrooms, likely including the boathouse and a shed—which has no plumbing. Consequently the site is currently below allowable density and no increase in density is being proposed by this project. ' It is our professional opinion that the proposed project meets the test for ranting Variances as granting set forth at section 360-21 of Article IX. The boathouse has existed in its current site since a i ' time prior to both Title 5 and local septic system design regulations. Based on Town records, it contained a bathroom in April of 1972. To disallow the continuation of plumbing in the building would do a manifest injustice to the owners who acquired the site in 1979. Further, ' the proposed system replacement cures a long term environmental problem for local ground and surface water by removing what undoubtedly is, at most times, a direct discharge of effluent into the groundwater at a site just barely 50' from the pond edge BVW. The replacement leaching exceeds current minimum vertical and horizontal setbacks (6.37' above groundwater and 185' from lake edge BVW) providing sufficient area of unsaturated soil for wastewater flow renovation. The tank and pump chamber are both watertight and, under normal conditions, pose no threat to the environment. It is these components for which Variances are required. Their locations ' conform with setback requirements of Title 5. It is our professional opinion that the same degree of environmental protection is provided by the proposed design as would be by a system in full conformance with local regulations. Further it is a vast improvement over the ' current and historic condition. The Conservation Commission has reviewed the project and has issued a Negative ' Determination provided the boathouse replacement system does not allow for increased density in that building. As the SAS is designed for only 149 gpd, this condition is satisfied. Because there are more than 330 gpd total provided on the site, no deed restriction is required under Title 5. Please don't hesitate to call if you have an questions or require additional information. Y any qre any ' A Variance Application form and a check in the amount of$85.00 are attached together with project plans. ' Respectfully submitted, A.M. WILSON ASSOCIATES, INC. ' Arlene M. Wilson, PWS Principal Environmental Planner attachments\\ cc: Will Robin 070427amwkm 1 t List of Attachments Robin A—USGS Locus ' B—Assessor's Map C— 1973 Assessor's Cards (4 pages) D— 1960 Plan of Record ' E— 1968 Plan of Record F—Current Assessor'.s Cards (8 pages) G—Project Plans ' H—Abutters List I—Abutters Notice J - Authorization 1 ' From: USGS A.M. WILSON ASSOCIATES, INC. Topographic Quadrangle, ' Hyannis,MA 20 Rascally Rabbit Road Unit 3 Y Marstons Mills, MA 02648 508-420-9792 Fax 508-420-9795 EXH A -� �� •md�ill oa� � 'I ° " '4`"�/' o o e °Iti��• °r( �`�J �o�� `1D � I a �° /� o° �00"�-�-`�;`� ���:-ill `� .I G o o� � �, • OG � 0� � VV ° G - ,ram �2000 dwj r' i?: G' .� �.� J F . `o °/ o , oga r 0 D O AA ( _•,c; Q �_ _ CAS p` �T �`�� jLf�`���,��- *_ S,/�r�°���/)�--II 91 la/ GO°.� `q ��-•�•�•>',\ ���`-.` �'\�p �'ti ti � �� Irk �•��.�'�° :Landing: � ;\- - \. ,y\�� �-�� �•/ Shirley z\ •.::= \\ � � �J �i 72 `.� '¢6• �.�, ° .1�, r n G +�•,O�1" '`r , Be se , �; " `' ►�. / .\ Cranberrya °:; � \9 : � ,\ Pt //fit ShQ 11 -Bog.. °= •�o I �L �aJ r �!'� �l wq 1 _ ,� -• �I—'_ •,�'��i/IIlI�:S° 'i' ��\ � J���l� .I \/��, 34 /�[�/(� 50 • � [a _",,I% •�, �C"t%'=,'?i p Pt - n G'ov• ,-. r• ,.�:.� r ti��\\}. .�(�j /' Gooseberry ,P ;�' { `TJ ,, ewes �uller � •' � '" (�l-3' • -'il� d t O \ .� .:1./ J• (. �� �•, /r••J .C'. ' Lon 1' 'dl� --- �o �•: � 'I ?� ° ;� i �, ��:•�y•.•-, �;• :lid' �� ' / '�� ' ° 1• Hayes o ° ^ 0 11 �"• •�.� � t �_. �� � -,f'��o3 � �.j�/,,r' �'• 11 e \ 111 �� ,, QI Ir Great P+�r. `�)' ..J � e�ir'=, •1 •y '� . bra bei Y Go l Cran r8o / U ll .�D fig •�� �I ' •\ \\ 1, a 'J �n� i��/ '.•••�!_ /�a � ) o \\�••• '�/Ti. p SOr1 3l iY_y ( III Fish ®. `O 0M 60 :\t 'o o� ` i `°� 6' G'' table, ( ' ' '� q\ Hatchery/5 ! 26 P h Schi, r o ` Beechwood �j` ) \�J 0�9 .. � �• ' ` - f ' '' �_ ,l• _ ` � '• III �:� a rr _ II TM 3pY-26 G - •�,� '_• :-1 I o,•'.�✓ l "� II' •III I Cranberry 1 oW sh' W an-erry :r. r--'Jl lie 11C 5° 5 • 0•: ( 1 l-I;,Q .�� I Jn -�" °• °� �•• Seb HY3j+rtia AD m ° ram. 1J y- ,°.( _ - - _ -o"•� 9 �`�� �.'�.� °�,:� ,.�."i�1a;����.,8�.: � >' I\;J fuvJ' Scudder a ©�/ / - -�� \\\� -_ ,�'P� J�`-J� 1G/ �•-�� _�Ul o- •) (,l ��•''��`�ILI ; °,.�r �I•:1 ZM ' /•� l 37:: �"• �'o � o •. ,�- -- _ . •� = o Crai,�v>.11e,, c��� �,•' .. � .. :. tea. �• •,� �'i ` ° n i' � •.."t.'. :: l'�V ':.; •I'UPI a� ' From: Town of Barnstable A.M. WILSON ASSOCIATES, INC. Assessor's Map 214 ' 20 Rascally Rabbit Road Unit 3 Marstons Mills, MA 02648 508-420-9792 Fax 508-420-9795 EXH B JAGE Leo 05 2o.e '4S Z ry I.38A Ar 9 i .Bg PG'S \.50 ' // ✓ 14--1 / m I IoZAc u ,20 p\C / t 20 tia I ►p� I c►pt s I / wed 38wa 2.67 4C be \V•` 1.164C-S O �. w0Y b3 / Vy a�H �.'' 3.454C-S / b TArP P 2 b' r✓ b I / O� G0 o WEST_ o ? -F f./RF Oi57FiC� h tr�P r�O \ Ie of F' 057Fgy� s• l`\ 38uo \tip. 1.55PC-S 0o S O r►b 6��.5 '90 I j S O i IAKEV.IEW W5 ' O4 rV Z' 107 b ^ ' h � 48 47 1.69 PG 1.80 Ar. i ' V 49 -k b Qj O I 1.56 PG 2�9 A G `- t O 2 !t � ti 53 i THE DIRECTION OF THE Locvs 2 .20 IARD OF ASSESSORS L SCALE r•ao' RMAP INC. 428 CONNECTICUT boor oe gee i ' RESIDENTIAL PROPERTY MAP NO. LOT NO: FIRE DISTRICT ,I STREET. -3E36 .Shoot Flying Hill. Rd. � � /+enteT'Viue - SUMMARY 214 51 SC LAND' -. OWNER ��� Al. �G of ram,....... � � - - - rn3 , BLOCS. 61 S'SO TOTAL RECORD OF TRANSFER lc.FER DATE B pG I.R.S. REMARKS: Lot: Z-A & 2 j 'LAND �0 . - 6-2 S-1 08) BLDGS.01 D Area Ch TOTAL // V Q FY 88a 82' `AND Z o 0 BLDGS. _RDhin, .Flaine M .11-16-79 3015 314 1'[5 TOTAL /•ZO f 'p �- LAND 03 / 130, ©CZF4 2?L kD �l o?/tl - -bu eSS 00 a - _ GSO rn BLDGS. TOTAL' /lr/ L ND '.�541q 9, 1?7Ac.DOjUALp. 0 TAN MAC D N AL L I LAND- - BLDGS. TOTAL . - - LAND pl BLDGS. .. - ��� TOTAL LAND . BLDGS. . .. TOTAL - 'LAND, INTERIO'R/IN-S/PELTED: , BLDGS. DATE: Y-�Y'�� G �� TOTAL .... :... .. .-. .. :.. -. LAND ACREAGE COMPUTATIONS - BLDGS 01 LAND TYPE- #.OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT OOOd �OOOO LAND .> ... - "" CLEARED FRONT '. � - BLDGS. OI' REAR. TOTAL WOODS&SPROUT FRONT. - LAND - . REAR ZSO - _ _ BLDGS. WASTE FRONT z ZO 2 D b _ TOTAL REAR - LAND BLDGS. TOTAL Z O 0 - LAND - /.VA f. O BLDCS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT: DEPTH STREET PRICE DEPTH q( FRONT.FT.PRICE TOTAL DEPR. COR.INF. VALUE HILLYTOWN SEWER LAND ROUGH TOWN WATER. BLDGS. 1��1 HIGH 4 GRAVEL RD, TOTAL LOW _ DIRT RD. LAND . -4. SWAMPY NO RD. BLDGS, - TOTAL . :" �" - •� • - TOWN OF BARNSTABLE."MASS. UNITED APPRAISAL CO.,EAST HARTFORD,CONN. MAW . M M.. 1 FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST ' 3onc.Walls F..Bsmt Area Baal Room ✓ Base % BLDG.COST 2-5'paco a �onc.Blk.Walls Bsmt.Rec.Room St.Shower Bath 6!G!\ Bsmt.' ,SQ pURCH.DATE S Jonc.Slab BsmL Garage St.Shower Est. Walls PURCH.PRICE. j 3rick Walls Attic FI.&Stairs Toilet Room Roof' .. _ RENT - Wp . i .itone Walls Fin.Attic Two Fist.Bath Floors t 'iers INTERIOR FINISH Lavatory E.I. - - o 2 3 Sink - 1 fo J r y y 1/1I/ Plaster Water Cie.Estrs Attic. EXTERIOR WATLLS Knotty Pine Water Only IT'• /B .Z louble Siding PI - BsmL Fin.- p/ ywopd Na Plumbnng .�Q single Siding Plasterboard-. _ lnt Fin. Shingles' - TILING one.Blk. G F P Bath Ff. Heat ce,Brk.On Int.Layout Bath FI.&Wains. Auto Ht.Unit —1-' /e 4. - 3/O la .27.: Veneer Int.Cond. Bath Ff.&Wells Fireplace' �- - m.Brk.On ATING� Toilet Rm.FL / j '?L A Plumbing- + ay 3 - . Wid Co..Brk. Hot Air Toilet R..Ff.&Wains. ' Tiling Steam Toilet Rm.Ff.&Wa Is : Ilanket Ins. e.5 Hot Water - St.Showe - S7G C .of Ins. air Cond. rob area Total - ay �fl?•.:. ''4. Floor Form ROOFING Z//10 U//r COMPUTATIONS - sph.Shingle (/ PipelessFurn.' 3. S.F. food Shingle No Heat S.F. : .sbs.Shingle' - Oil Bur - G..•2 0 3 7/ - - late Coal S _ a� '�/F10/✓) //✓'•' S.F- lie Gas r (1411, S.F. - - - - OUTBUILDINGS - ROOF TYPE Electric - able Flal - S.F. - - 1 Z 3 4 B 6 7 8 9 101, 1 2 3 41516171819 10 ME ED Mansard FIREPLACES S.F. - - Pier Found. ✓. Floor ambral Fireplace Slack - Wall Found. 0.H.Door LI -FLO RS Fireplace / - - Sgle.Sdg. Roll Roofing one. LIGHTING �' Dhle.SQ. Shingle Roof - arth No Elect. DATE " in. .�.'z�! Shingle Wells Plumbing. ard-md ROOMS '�'Z1�Q Cement Bik. Electric Al sph.Tile Bsmt. 1st 7713B; TOTAL 7 6 9 Brick Int.Finish PRICED Ingle - 2nd 3rd FACTOR REPLACEMENT Y Z/Zo /,� OCCUPAN,�CyYtt- 'CONSTRUCTION SIZE AREA CLASS AGE REgM[OD. COND REPL.VAL. Phy.Dep. PH S. VALUE Funct.Dep. ACTUAL VAL. _ 1 S/e�/ js Fib /SX� s_. /� /7/D OD t z: I 3 4 6 7 - s _ .r70 S 10 - TOTAL RESIDENTIAL PROPERTY . FIRE DISTRICT SUMMARY' MAP NO. LOT NO. y Centerville, C-0 .. STREET HillRd.386 Shoot Flying. . LAND 214 51:. m BLDGS. ... _ - OWNER - TOTAL .. -.. - ..— LAND `' RECORD OF TRANSFER DATE eK PG. I.R.S. REMARKS: - BLDGS. O B - TOTAL j LAND 6- 3015 4' 2 BLDGS. Robin Elaine M. 10-9-80 3168 281 Less TOTAL LAND BLDGS. TOTAL LAND - 01 BLDGS. ' .. - TOTAL . .. LAND BLDGS, .. .. - TOTAL - - LAND - - BLDGS. . - TOTAL 'LAND INTERIOR INSPECTED: �- ///� / BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS - .. - 8 � BLDGS LAND TYPE #OF ACRES PRICE - TOTAL DEPR. VALUE TOTAL' -:,:3 HOUSE LOT LAND CLEARED FRONT BLDGS. REAR - TOTAL WOODS&SPROUT FRONT - - LAND REAR - .. BLDGS.' .. 01 WASTE FRONT TOTAL .REAR LAND TOTAL . :2. LAND - .. BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND .. - ROUGH TOWN WATER BLDGS. a - -- HIGH GRAVEL RD. TOTAL _ - - LOW DIRT RD. LAND SWAMPY NO RD. alBLDGS. .. TOTAL - - TOWN OF BARNSTABLE• MASS. UNITED APPRAISAL CO.,EAST HARTFORD.CONN. .: FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST - - - - Conc.Walls .Fin.Bsmt.Area Bath Npam F J BLDG.COST - W. St.Shower Bath Conc.Blk.Walls Bsmt.Rea.Room / PURGH.DATESt.Shower Ext. PURGH.PRICE.Conc.Slab Bsmt.Garage Brick Walls .. Attic FI.&Stairs Toilet Room - RENTStone Walls Fin.Attic - Two Fixt.Bath — /3 - ,• - - Piers - INTERIOR FINISH Lavatory Extra - .. Bsmt: F ,1 .2 3 Sink Water Cla.Extra b T Attic Plaster - .. . EXTERIOR WALLS Knotty Pina Water Only /a •LPO 'pj�P No Plumbing. Bsmt.Fla. - - ' Double Siding .Plywood _ - /8 Single Siding Plasterboard Int.Fin. .. _ - Shingles ✓ TILING Conc.Blk. - - G F P Bath FI. Heat -4- >( Bath Fl.&Wains. Auto Ht.Unit 'Face Brk.On - Inl.Layout - J Veneer Int.Cord. Bath FI.8 Wells Fireplace Cam.Brk.0.er HEATING Toilet Rm.FI. Plumbing - Solid Cam.Bik. - Hot Air - Toilet Rm.FI.&Wains. Tiling a 9 Steam Toilet Rm.FI.&Walls .Blanket Ins. O Hot Water St Show .Ci aSc r . I Tub Area Total _ - Roof Ins. a Air Cond. —_ .Floor Furn. - .. ROOFING COMPUTATIONS - Asph.Shingle y Pipaless Furn: S.F.. /7 - Wood Shingle No Neal S.F. 3' - Asbs.Shingle Oil Burner S.F. Slate Coal Stoker S.F. - - - . _ I Tile Gas Cal A// - - g,F. - OUTBUILDINGS - - ROOF TYPE Electric S F 1 2 3 4. 5 6 7 8 9 10 1 2 3 4 1161718.9 10 MEASURED Gable ✓ FlatFioor Hip Mansard FIREPLACES S.F. Gambrel Fireplace Stack Pier Found. Wall Found. D FLO RS .Fireplace - Slits.Sill. RpIHRo long LIS Conc. - LIGHTING .. Sdg. s libie. Shingle Roaf Earth No Elect. -DATE` - Shingle Walls Plumbing �/�/'� Pine Electric Hardwood ROOMS " Cement Blk. . B Brick Int.Finish PRICED mph.Tile 1st ' TOTAL 'S,,3' _ y - Single 2nd 3rd. FACTOR . .1 ... : :. REPLACEMENT F OCCUPANCY CONSTRUCTION - SIZE AREA CLA55 AGE REMOD. CON D: REPL.VAL. PAYDep.. PHYS. VALUE Funct.Dep. ACTUAL VAL. _ 1 2 3 4 5 6 7 - B 9 10 �, .. TOTAL - EXH D WAS- (P-IvAre) 3oFrWde S SB'/6:40E— jo V h'g2 �0 �� e �v O t w ` \ 01 2� ` \ 0 ` O 1 v\O 'a \ O: p. •' I I o p tj � r N � 1 Ir � , 1 ' , n I ' 8= ea, J PLAN OF LAND AT `V WEQUAQUET- LAKE :ha a_--/-.+�v—al c' �`• � "��.:vc. CENTERVrLLE,MA53 :- .,/�•>' _. -.. As Scxriaveo Foci 6.T;;CA6/ R-e.^.IS7RY G:LZEDS , JOAN WFERKELSEN IT,ALI. GM49 3_t561 SCALE 1 IN=30 FF. OcT.26.I960 30An OF a� 'nC<jL ,� / H'Y'S�1�..v � Nc�soti Buasc#Ricwnnn L.w.SuRveYORs .���'�c Cer+7"VILE-e• MASS. - RT, r3 1E Sd Sd. 3-, . v Pg HY - o`Mlo Gb EXH E 0)' UE�CMG +�L°�}O 9• L•O, c iusers. �/•/��� e C / I I �oToo / 5NG—ya C. Joan M.T k l.— �IS' i \ \ i \\ Ir W.//i'am J. E/r<zbc%h Q.Mac na/d \\ 1 1\ i 3 v n o w F / c i i 2 � V .APPROVAL NOT REQUIPEQ Umpk� f-K SUBDIVISION CQh.TROL LAV. 'f TOWN OF BAP.NSTA.BLE /q PLAU191NG B0.4P5 ` k DATESFP 91968 �(�6f�, E Note:- PLAN OF LAND AT Pc.-cel Mo.2 Lobe incorporated WEgUAc�IJET LAKE With LotNo.2-A CENTEC2VILLE.MASS. DaAw" Fo P, a J OAN M.TERKELS EN OC19 1969 5 - r-ALF I IN=3d FT �f JUL'Y 17.I96H �:// :_ucn .�=k�.. TL:}.pl _`� .fO.^.�- � •.. NELgnN B6AR56�KIWAPO L4W, •.,,,I .'i 6284 5—P/en 8k./Go P•7S Barnstable Asse,sing Search Results Page 1 of 2 ' EXH F s 4NA.ti:TdRT,ry. lr d Home: Departments: Assessors Division: Property Assessment Search Results New Search �. a ,> New Interactive Maps » ' Owner: 2007 Assessed Values: ROBIN, ELAINE M TR 386 SHOOTFLYING HILL RD Appraised Value Assessed Value 'j Map/Parcel/Parcel Extension Building Value: $440,900 $440,900 214 /051/ Extra Features: $2,500 $2,500 Outbuildings: $56,500 $56,500 Mailing Address Land Value: $1,021,500 $ 1,021,500 ROBIN, ELAINE M TR ROBIN FAMILY REALTY TRUST Totals $ 1,521,400 $ 1,521,400 'I PO BOX 443 CENTERVILLE, MA. 02632 Tax Information: Tax information is currently not available for 2007 Construction Details Property Sketch & ASBUILT Cards Building property Sketch Legend Building value $440,900 interior Floors Hardwood This property contains multiple sketches. Style Ranch Interior Walls Drywall Please use the navigation below the sketch to browse sketches. Model Residential Heat Fuel Gas Grade Custom Minus Heat Type Hot Air =_ ' Stories 1 Stor y AC Type Central Exterior Walls Wood Shingle Bedrooms 5 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full+ 1 H c z . Roof Cover Asph/F GIs/Cmp living area 3281 m Replacement Cost $419275 Year Built 1968 Depreciation 16 Total Rooms 10 Rooms http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=214051 4/27/200 Barnstable Assessing Search Results Page 2 of 2 Land Additional Sketches 1 CODE 1090 Click Here.for print version that displays all sketches at once ' Lot Size(Acres) 2.12 AsBuilt Card N/A Appraised Value $ 1,021,500 21 Assessed Value $1,021,500 View Interactive Maps >> ' Sales History: Owner: Sale Date Book/Page: Sale Price: ROBIN, ELAINE M TR Oct 24 1997 12:OOAM 11023/077 $ 1 ROBIN, ELAINE M 3015/314 $0 Extra Building Features ' Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,500 $2,500 SHED Shed 336 $ 1,700 $ 1,700 ' DCK5 Pond Dock 1 $54,000 $54,000 SHED Shed 128 $800 $800 ' Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area (Unfinished) ' BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) ' FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=214051 4/27/200 7 Barnstable Assessing Search Results Page 1 of 3 9 (2 7Yk.KwrA$S Home: Departments:Assessors Division: Property Assessment Search Results New SearchY New Interactive Maps » ' Owner: 2007 Assessed Values ROBIN, ELAINE M TR 386 SHOOTFLYING HILL RD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $440,900 $440,900 214 /051/ Extra Features: $2,500 $2,500 Outbuildings: $56,500 $56,500 Mailing Address Land Value: $ 1,021,500 $ 1,021,500 ROBIN, ELAINE M TR ROBIN FAMILY REALTY TRUST Totals $ 1,521,400 $1,521,400 PO BOX 443 'i CENTERVILLE,MA.02632 i Tax Information. Tax information is currently not available for 2007 4 Construction Details Property Sketch & ASBUILT Cards Building Property Sketch Legend Building value $440,900 Interior Floors Carpet ' This property contains multiple sketches. I Style Cottage Interior Walls Knotty Pine Please use the navigation below the sketch to browse sketches. ,i Model Residential Heat Fuel Gas i Grade Average Minus Heat Type Hot Air Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 1 Bedroom ' Roof Structure Gable/Hip Bathrooms 1 Full Roof Cover Asph/F GIs/Cmp living area 499 'i Replacement Cost $72743 Year Built 1950 'i i http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/200' Barnstable Assessing Search Results Page 2 of 3 Depreciation 20 Total Rooms 2 Rooms ' Land ' CODE 1090 Lot Size(Acres) 2.12 Appraised Value $ 1,021,500 Current Building ID= 15833 details on left I ?13 Assessed Value $ 1,021,500 Additional Sketches 1 Click Here for print version that displays all sketches at once 'i AsBuilt Card NIA x rya . View Interactive Maps » Sales History: Owner: Sale Date Book/Page: Sale Price: ROBIN, ELAINE M TR Oct 24 1997 12:OOAM 11023/077 $ 1 I ' ROBIN, ELAINE M 3015/314 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value ' FPL1 Fireplace 1 $2,500 $2,500 SHED Shed 336 $ 1,700 $ 1,700 DCK5 Pond Dock 1 $54,000 $54,000 SHED Shed 128 $800 $800 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) ' BMT Basement Area(Unfinished) FTS Third Story Living Area (Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) ' FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) ' FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/200'. Barnstable Assessing Search Results Page 3 of 3 FOP Open or Screened in Porch TQS Three Quarters Story(Finished) '1 I ' http://www.town.barnstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/2001 Barnstable Assessing Search Results Page 1 of 3 1 x Home: Departments:Assessors Division: Property Assessment Search Results ' New Search New Interactive Maps " ,. Owner: 2007 Assessed Values: ROBIN, ELAINE M TR 386 SHOOTFLYING HILL RD Appraised Value Assessed Value ' Map/Parcel/Parcel Extension Building Value: $440,900 $440 900 214 /051/ Extra Features: $2,500 $2,500 ' Outbuildings: $56,500 $56,500 Mailing Address Land Value: $ 1,021,500 $1,021,500 ROBIN, ELAINE M TR ' ROBIN FAMILY REALTY TRUST Totals $ 1,521,400 $ 1,521,400 PO BOX 443 ' CENTERVILLE, MA. 02632 i Tax Information: Tax information is currently not available for 2007 Construction Details ' Building Property Sketch & ASBUILT Cards Property Sketch Legend ' Building value $440,900 Interior Floors Carpet This property contains multiple sketches. Style Cottage Interior Walls Drywall Please use the navigation below the sketch to browse sketches. Model Residential Heat Fuel Gas Grade Average Minus Heat Type Hot Air Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms s 1 Bedroom ' Roof Structure Gable/Hip Bathrooms Roof Cover Asph/F GIs/Cmp living area 336 Replacement Cost $48173 Year Built 1970 ' http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/200 Barnstable Assessing Search Results Page 2 of Depreciation 15 Total Rooms 2 Rooms ' Land ' CODE 1090 a Lot Size(Acres) 2.12 ' Appraised Value $ 1,021, 500 I Current Building ID= 100906 details on left 1� Additional Sketches 1 Z s Assessed Value $ 1,021,500 Click Here for print version that displays all sketches at once AsBuilt Card N/A View Interactive Maps >> Sales History: Owner: Sale Date Book/Page: Sale Price: ROBIN, ELAINE M TR Oct 24 1997 12:OOAM 11023/077 $ 1 ' ROBIN, ELAINE M 3015/314 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,500 $2,500 SHED Shed 336 $ 1,700 $ 1,700 DCK5 Pond Dock 1 $54,000 $54,000 SHED Shed 128 $800 $800 ' Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) ' FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck ' http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/2007 Barnstable Assessing Search Results Page 3 of 3 FOP Open or Screened in Porch TQS Three Quarters Story(Finished) i t http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?Mappar=214051&Sketch... 4/27/200', i 1 1 1 1 1 1 1 1 1 1 ' EXH H r i rABUTTERS LIST ROBIN r MAP LOT OWNER'S NAME AND ADDRESS r214 50 Gerald and Elsa Ramen 166 Walnut Hill Road ' Chestnut Hill, MA 02467 214 53 Joanne Carpenter ' 147 Otis Street Hingham, MA 02043 r214 38 Larry Nickulas P O Box 507 West Barnstable, MA 02668 r214 59 R. Johnson P0 Box 721 rCenterville,MA 02632 214 60 Ellen Pyy ' P 0 Box 266 Centerville, MA 02632 ' 214 61 Martha Tooker 355 Shootflying Hill Road Centerville, MA 02632 r � . r 1 r 1 1 EXH I ABUTTER'S NOTICE BOARD OF HEALTH VARIANCE REQUEST LOCAL REGULATIONS ' DATE: 4/30/07 RE: Upcoming Barnstable Board of Health Public Hearing To Whom It May Concern, As an immediate abutter of a proposed project,please be advised that a Request for Local ' Variances has been filed with the Barnstable Board of Health APPLICANT: Robin Family Realty Trust i ' PROJECT ADDRESS OR LOCATION: 386 Shootflying hill Road Centerville, MA 02632 ASSESSOR'S MAP&PARCEL: Map 214 Parcel 51 ^ PROJECT DESCRIPTION: Replace boathouse cesspool with Title 5 system where the SAS conforms to the Town Wetland setback of 100 but the septic tank and pub chamber do not and therefore require local Variances. APPLICANT'S AGENT: A. M. Wilson Associates, Inc. 20 Rascally Rabbit Rd., Unit 3 Marstons Mills, MA 02648 PUBLIC HEARING: Town Hall,Hyannis Hearing Room—2"d floor Date: 5/22/07 Time: 3:00 P.M. NOTE: Plans and application describing the proposed activity are on file with the iBoard of Health(508-862-4644) 1 1 1 1 1 1 1 1 1 i 1 1 1 1 i i ' EXH J 1 PART I — SURVEY PLAN 1.0 Survey 1.1 Wetlands Identification —A wetlands specialist will visit the site to identify ' the limits of vegetated wetlands based on requirements of MGL Ch. 131 sec. 40 and the Town of Barnstable Wetlands Bylaw. A field report and observed species list will be ' prepared for use in later permitting. 1.2 Field Survey —A field crew will visit the site to: establish horizontal control; ' establish vertical control; locate significant man-made features including buildings, fences, above ground utilities, pavement and driveway limits; locate significant natural features including previously identified wetland resource areas, significant trees and vegetative communities, and topographic information. Pier components in storage will ' also be measured and bottom topography obtained for the area of pier deployment. 1.3 Base Sheet—Using the information from this fieldwork, sufficient office work including calculations, plotting and drafting will be performed to generate a work sheet and ink-on-mylar base map suitable for subsequent engineering design and permitting. PART II — SEPTIC DESIGN & PERMITTING _. 2.0 Engineering 1 2.1 Subsurface Investigation - The project engineer will supervise excavation of up to two (2) observation pits. Soil and groundwater elevations will be logged. Percolation test will be performed and the results recorded. USGS theoretical high ' groundwater will be calculated as necessary. (Although we are happy to arrange for a backhoe and operator to undertake excavation,we cannot be responsible for delays should they fail to meet schedules for any reason. Further, the client will be directly ' responsible for fees to the excavator). 2.2 Septic System Design - An engineering site plan will be prepared showing: existing and proposed grades; existing building footprints; new septic system location, profile and sizing calculations; work limits; and other relevant information. The plan will be suitable for use in later permit proceedings. 1 1 i 1 1 1 1 1 1 1 1 1 3.0 Permitting 3.1 Wetlands (RDA) - In accordance with the requirements of MGL Ch. 131, Sec. 40 and the Barnstable Town Ordinances, and utilizing plans and support materials outlined above, an RDA will be prepared and filed with the Barnstable Conservation Commission. Appropriate project personnel will attend the public hearing on the project and offer testimony on your behalf. Up to 2 hours of staff time is included for meetings under this task. 3.2 Septic Variance *- An application for Variances from Title 5 and the local ' septic system design code will be prepared as needed, and, together with previously prepared plans, filed with the Board of Health. Appropriate staff will attend project hearing and offer testimony on your behalf. Up to 4 hours of staff time is included for ' meetings under this task. 3.3 Board of Health Installation Permit—A Disposal Works Installation ' Application Permit will be prepared and,together with required plans, filed with the Board of Health on your behalf. r PART III - PIER 4.0 Ch 91 License Plan and Application - Plans will be formatted to meet ' requirements of the Waterways Division. Utilizing these plans, application forms including Municipal Clerk's Certification and Planning Board Certification will be completed. A CZM Consistency Certification and Mass. Historic Commission Project Notification Form will also be prepared. This documentation, together with project plans, will be filed with appropriate agencies as required. Up to six hours of time are included for negotiations with agency ' personnel. 5.0 MESA Application —Utilizing plans prepared under task 4.0, an application for ' maintenance of the existing seasonal pier will be prepared and filed with the Mass Division of Fish and Wildlife under the Mass Endangered Species Act. The application will include completed forms,plans, photographs and explanatory materials. Two hours of staff time are ' included for negotiations with agency personnel. i t 1 1 1 1 I � 1 1 1 1 1 i 1 1 1 1 1 ' Authorization We are able to schedule work outlined above upon receipt of a signed copy of this proposal and a retainer in the amount of~The retainer will be applied to the final invoice for the project. ' We look forward to being of assistance to you with this project. If you have any questions, please do not hesitate to call our office. ' Yours A. M. WILSON ASSOCIATES, INC. Arlene M. W.flson, PWS ' Principal Environmental Planner AUTHORIZED AND APPROVED (Our File No. 1.1561.01) ' (Client signature) (Client name-please print) Title (billing address) _J a Date Bank Reference t (telephone) (fax number) ' 070123 Pawkm COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Property Information: MAP 214—PARC 051 (MAIN HOUSE) 2. 386 SHOOTFLYING HILL ROAD — CENTERVILLE, MA Property Address ) ROBIN, WILLIAM & ELAINE ��o�(, �Ma tjc-h4) Owner's Name 386 SHOOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code DECEMBER 21, 2006 Date 6 2. Inspector: =? JAMES D. SEARS C, Name of Inspector A & B CANCO Company Name 350 MAIN STREET Company Address & WEST YARMOUTH MA 02673 rri City/Town State Zip Code 508-775-2800 Telephone Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000). The System: Passes Conditionally Passes Fails N s Further Evaluation by the ocal Approving Authority n — 7 / I 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 is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. REPORT (1)OF(2) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 COMMONWEALTH OF MASSACHUSETTS U a Title 5 Official Inspection Form d 47 Ve"`p4 Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Inspection Summary: Check A, B, C, D or E/always complete all of Section D A) System Passes: .( I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or Repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND)in the ❑ for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old`or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of compliance indicating that the tank is less than 20 years old is available. ND Explain: Title.5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 COMMONWEALTH OF MASSACHUSETTS w Title .5 Official Inspection Form d Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM.& ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection B) System Conditionally Passes (cont.): N/A ® Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ® broken pipe(s)are replaced ® obstruction is removed El distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1) (b)that the system is not functioning in a manner which will protect public health,safety and environment: ® Cesspool or privy is within 50 feet of a surface water ® Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form 9 C Not for Voluntary Assessments sr> Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection C) Further evaluation is required by the Board of Health (cont.): N/A 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ® The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water.supply. ® The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well— Method used to determine distance: "This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less that 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3.Other: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection D) System Failure Criteria Applicable to All Systems: N/A You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ® Liquid depth in leaching 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 surface water elevation. N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ® N/A Any portion of a cesspool or privy is within a Zone 1 of a public well. ® N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® N/A 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.] YES No N/A The system is a cesspool serving a facility with a design flow of 2000 gpd— 10,000 gpd. Yes No ® N/A 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 COMMONWEALTH OF MASSACHUSETTS 4 Title 5 Official Inspection Form 0,1 ye v`e`u Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection E) N/A-Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ® ® the system is within 400 feet of a surface drinking water supply ® ® the system is within 200 feet of a tributary to a surface drinking water supply ® ® the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 COMMONWEALTH OF MASSACHUSETTS N w Title 5 Official Inspection Form a e` Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. Checklist 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ® Pumping information was provided by the owner, occupant, or Board of Health ® ® Were any of the system components pumped out in the previous two weeks? ® ® Has the system received normal flows in the previous two week period? ® ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ® Was the facility or dwelling inspected for signs of sewage back up? ® ® Was the site inspected for signs of break out? ® ® Were all system components, including the SAS, located on site? v ® 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)]. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 COMMONWEALTH OF MASSACHUSETTS R Title 5 Official Inspection Form d Not for Voluntary Assessments p1 Vev Subsurface Sewage Disposal System Form D. System Information 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 3 Number of current residents: 2 Does residence have a garbage grinder? Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection is required) ® Yes No Laundry system inspected? ® Yes No Seasonal use? ® Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2006—115,000 GAL 2005—107,000 GAL Sump pump? ® Yes [E No Last date of occupancy: PRESENT Commercial/industrial Flow Conditions: N/A Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.) Grease trap present? ® Yes ® No Industrial waste holding tank present? Yes ❑ No Non-sanitary waste discharged to the Title 5 system? Yes ❑ No Water meter readings if available: Last date of occupancy/use: Date Other(describe): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection General Information Pumping Records: Source of Information: 2004 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy Shared system (yes or no)(if yes, attach previous inspection records, if any) ® Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ® Tight tank.Attach a copy of the DEP approval. ® Other(describe): Approximate age of all components, date installed (if known)and source of information: 1982 Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 COMMONWEALTH OF MASSACHUSETTS N Title 5 Official Inspection Form e Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Building Sewer(locate on site plan): N/A Depth below grade: 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.): Septic Tank(locate on site plan): Depth below grade: 16" 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 PRE CAST Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 28" 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? ASBUILT—TAPE&SLUDGE JUDGE Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form De System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): N/A Depth below grade: feet Material of construction: ® concrete ® metal ® fiberglass ® polyethylene ® other(explain) Dimensions: Scum Thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): N/A Depth below grade: Material of construction: ® concrete ❑ metal ❑ fiberglass polyethylene ❑ other(explain) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form a o�< Not for Voluntary Assessments p1 Vev Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Tight or Holding Tank (cont.) N/A Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ® No Alarm Level: Alarm in working order: ® Yes ® No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach a copy of current pumping contract(required). Is copy attached? ® Yes ® No Distribution Box (if present must be opened) (locate on site plan): ✓ Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-BOX IS 16" X 21" —22" BELOW GRADE, ONE LINE IN —THREE LINES OUT. BOX IS CLEAN & SOLID. NO SIGN OF OVERLOADING OR SOLID CARRY OVER. Pump Chamber(locate on site plan): N/A Pumps in working order: ® Yes ® No Alarms in working order: ® Yes ® No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 COMMONWEALTH OF MASSACHUSETTS A Title 5 Official Inspection Fora 7 tl e` Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): ✓ If SAS not located, explain why: r Type: ® leaching pits number: leaching chambers number: ® leaching galleries number.- leaching trenches number, length: (3)AT 53' LONG. ® leaching fields number, dimensions: overflow cesspool number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): LEACHING IS 20' X 53' LONG, LEACHING IS THREE PIPE FIELD. NOTE: PIPING IS ORANGE BURG, PIPE SOLID — NO SIGN OF OVER LOADING OR SOLID CARRY OVER. PROB & TEST HOLE IN LEACHING, LEACHING OLD ORANGE BURG PIPE. LEACHING IS WORKING AT THIS TIME. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 COMMONWEALTH OF MASSACHUSETTS H w Title 5 Official Inspection Form d Not for Voluntary Assessments e� oe Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A 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, damp soil, condition of vegetation, etc.): Privy (locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 COMMONWEALTH OF MASSACHUSETTS o Title 5 Official Inspection Form a� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Sketch of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.. Locate all wells within 100 feet. Locate where public,vater supply enters the building. I I ng. - - - - - - - - - P7 - - I I i , 1 ' i I I i i I I t� Title O icial Inspection Form:Subsurt,ce Sewage.Disposal Scstem i Page I of to J ,7 • t COMMONWEALTH OF MASSACHUSETTS a w Title 5 Official Inspection Form d Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: T - 2" 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: SHOT GRADES POND LEVEL AT 7' BELOW GRADE. POND AT 5' BELOW LEACH FIELD. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 Town of Barnstable Op tME 1p� Regulatory Services * BARNSTABLE, Thomas F. Geiler,Director 9tiA MASS.9..A Public Health Division rFD MA'S Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 26 2007 Mr&Mrs William Robin 386 Shootflying Hill Road Centerville,MA .02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system owned by you located 386 Shootflying Hill Road, Centerville, MA was last inspected December 21",2006 by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of your septic system after further evaluation"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: This is a single cesspool which automatically fails in the Town of Barnstable. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH PARTMENT ho cKean,R.S., C.H.O. Agent of the Board of Health a COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information - 1. Property Information: MAP 214—PARC 05 GUEST COTTAGE 2. 386 SHOOTFLYING HILL ROAD — CENTERVILLE, Property Address ROBIN, WILLIAM & ELAINE �!a Owner's Name �✓/ 386 SHOOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code DECEMBER 21, 2006 ` Date Inspector: JAMES D. SEARS Name of Inspector A & B CANCO Company Name 350 MAIN STREET r— Company Address C: f WEST YARMOUTH MA 02673 ta ' City/Town State Zip Code 508-775-2800 1 =µ= Telephone Number =' r B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000). The System: Passes ® Conditionally Passes ® Fails �edsrther Evaluatio�Local ving Authority s ector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. REPORT(2)OF (2) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 COMMONWEALTH OF MASSACHUSETTS N Title 5 Official Inspection Form _ d Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Inspection Summary: Check A, B, C, D or E/always complete all of Section D A) System Passes: N/A I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: N/A ® One or more system components as described in the"Conditional Pass"section need to be replaced or Repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ® for the following statements. If"not determined," please explain. ® The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of compliance indicating that the tank is less than 20 years old is available. ND Explain: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form 9 C Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection B) System Conditionally Passes (cont.): N/A ® Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ® broken pipe(s)are replaced ® obstruction is removed ® distribution box is leveled or replaced ND Explain: ® The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ® broken pipe(s)are replaced obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: N/A ® Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1) (b)that the system is not functioning in a manner which will protect public health,safety and environment: ® Cesspool or privy is within 50 feet of a surface water ® Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments '1,y SJO Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 Cityfrown State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection C) Further evaluation is required by the Board of Health (cont.): N/A 2.System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,safety and environment: ® The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ® The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ® The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ® The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*" Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less that 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Owner's Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection D) System Failure Criteria Applicable to All Systems: ./ You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® Barn reg single cesspool or single unit. ® ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ® Liquid depth in leaching 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 surface water elevation. ® N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ® N/A Any portion of a cesspool or privy is within a Zone 1 of a public well. ® N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A 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.] YES No ® The system is a cesspool serving a facility with a design flow of 2000 gpd—10,000 gpd. Yes No. ® ® 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 COMMONWEALTH OF MASSACHUSETTS tl Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection E) N/A-Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ® ® the system is within 400 feet of a surface drinking water supply ElEl the system is within 200 feet of a tributary to a surface drinking water supply ® ® the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. P Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form Not for Voluntary Assessments see a Subsurface Sewage Disposal System Form C. Checklist 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ® Pumping information was provided by the owner, occupant, or Board of Health ® Were any of the system components pumped out in the previous two weeks? ® ® Has the system received normal flows in the previous two week period? ® ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ® Was the facility or dwelling inspected for signs of sewage back up? ® ® Was the site inspected for signs of break out? ® Were all system components, including the SAS, located on site? ® ® Were the manholes uncovered, opened, and the interior inspected for the condition of the 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: N/A ® 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)]. 'Citle 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection GUEST COTTAGE Residential Flow Conditions: Number of bedrooms(design): 1 Number of bedrooms(actual): 1 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 110 Number of current residents: 0 Does residence have a garbage grinder? ® Yes ® No Is laundry on a separate sewage system?[if yes separate inspection is required] ® None ® None Laundry system inspected? ® None None Seasonal use? ® Yes ® No Water meter readings, if available(last 2 years usage(gpd)): N/A Sump pump? Yes No Last date of occupancy: UNKNOWN Commercial/Industrial Flow Conditions: N/A Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.) Grease trap present? ® Yes ® No Industrial waste holding tank present? ® Yes ® No Non-sanitary waste discharged to the Title 5 system? Yes ❑ No Water meter readings if available: Last date of occupancy/use: Date Other(describe): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 COMMONWEALTH OF MASSACHUSETTS u Title 5 Official Inspection Form d e� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection General Information Pumping Records: Source of Information: N/A Was system pumped as part of the inspection? ® Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system Single pit ® Overflow cesspool Privy ® Shared system(yes or no)(if yes, attach previous inspection records, if any) ® Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ® Tight tank.Attach a copy of the DEP approval. ® Other(describe): PUMP CHAMBER Approximate age of all components, date installed(if known)and source of information: N/A Were sewage odors detected when arriving at the site? ❑ Yes ® No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 COMMONWEALTH OF MASSACHUSETTS R Title 5 Official Inspection Form d er Not for Voluntary Assessments ye v� Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Building Sewer(locate on site plan): N/A Depth below grade: 6" feet Material of construction: ® cast iron R 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 SCH 40 Septic Tank (locate on site plan): N/A Depth below grade: feet Material of construction: Elconcrete ® 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: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): N/A Depth below grade: feet Material of construction: ® concrete metal ® fiberglass ❑ polyethylene ® other(explain) Dimensions: Scum Thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): N/A Depth below grade: Material of construction: ® concrete ® metal ® fiberglass ® polyethylene ® other(explain) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form e` Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Tight or Holding Tank (cont.) N/A Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: Yes No Alarm Level: Alarm in working order: ❑ Yes No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach a copy of current pumping contract(required). Is copy attached? ® Yes No Distribution Box (if present must be opened) (locate on site plan): N/A Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): ✓ SEASONAL COTTAGE Pumps in working order: NOTE: NO POWER PUMP CHAMBER UNDER SIZE Yes No PER BOARD OF HEALTH. PUMP CHAMBER 3' DEEP X 30"WIDE 4" PVC TO CHAMBER 2' BLACK LINE TO PIT. Alarms in working order: Yes ® No COMMONWEALTH OF MASSACHUSETTS U Title 5 Official Inspection Form d Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVI LLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): ✓ j If SAS not located, explain why: Type: ® leaching pits number: 1 ® leaching chambers number: ® leaching galleries number: ® leaching trenches number, length: ® leaching fields number, dimensions: ® overflow cesspool number: ® innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SYSTEM IS SINGLE PIT, DRY 4" ABOVE POND LEVEL. SINGLE UNIT FIELD BARN REG. 1000-GALLON PRE CAST PIT — PIT & COVER AT 1' BELOW GRADE. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 COMMONWEALTH OF MASSACHUSETTS 4 d Title 5 Official Inspection Form d bLgB"54 B"54 H3(3Y Not for Voluntary Assessments B"54 ROT)RH3".Rf)(Y"x"D"3H`RwYMSubsurface Sewage Disposal System Form B"54 ROT)RH3".Rf)(Y"x"D"3H4300YM B"54 ROT)RH3 x"MDZ System.Information (cont.) B"54 ROT)RH3 ROYHDZh B"54 ROT)RH3 R3$"HOOTFLYING HILL ROAD B"54 ROT)RH3 R(yypoZoddress B"54 ROT)RH3 w " ' 1ERVILLE MA 02632 B"54 ROT)RH3/R w 0 B"54 ROT)RH3 H 1 Y� own LL-- State Zip Code 3"54 R0T)RH3". �"`�RjkLIAM & ELAINE B"54 ROT)RH3". T�'wIVv w wYM 13"54 ROT)RH3".R"(YDw5)(Y DECEMBER 21, 2006 B"54 ROT)RH3".R""YRfD4M3Dw Date of inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A 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, damp soil, condition of vegetation, etc.): Privy (locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 k A'' '4N.W�Fr• f��ry COMMONWEALTH OF MASSACHUSETTS gy. Title 5 Official Inspection Form c s� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owners Name DECEMBER 21, 2006 Date of inspection Sketch of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. C) V� I I • COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 386 SHOOTFLYING HILL ROAD Property Address CENTERVILLE MA 02632 City/Town State Zip Code ROBIN, WILLIAM & ELAINE Owner's Name DECEMBER 21, 2006 Date of inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: T-2" 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: POND LEVEL AT 7' BOTTOM OF PIT AT 7'. CATION SEWAGE PERMIT NO. v • y3 VILLAGE &-X INS A LLER'S NAME i ADDRESS R U k DE R OR OWNER y DATE PERMIT ISSUED 2 � 2�_:• �� DATE COMPLIANCE ISSUED D ri v�.w ai:� .�--.. i L - �' S;p i�' �Ti 5 S1 �� f SKETCH PLAN — FLOOR LAYOUT a 386 SHOOTFLYING HILL ROAD, CENTERVILLE, MASS. MAY 2007 02 co .1 r / Op 14 f , I �a �� � � � •. � � eat I " r 2'-6 1/2" Revisions BROUGHT TO 6" OF FINISH GRADE. 2 NOTES: ''2 1/2" B � 1. CONCRETE - 5000 PSI MIN. PROVIDE WATERTIGHT CONCRETE RISER �1 ` ���"V-'- °f DR TEST PIT 1 GW. ELL 435.0't WITNESSEDSTEPHEN BY: ��DOYLEe ��� f-; o-o" ---� I 6" OV 28 DAYS ER 6" ev A r--=-- - -T-I-=-I A 2STEELHREINFORCEMENT - " WITH SECURED COVER TO GRADE. i E- - 1I INSTALL L V NST L 1 PVC CONDUIT TO HOUSE FOR WIRING NEMA N r.✓, 4 JUNCTION BOX CORROSION N R RESIS T >' ✓� ONE A. ON ASSOC. TEN 1 7MOTTLING E N I BY M. WI SI A A rf DATE: 03 9 0 L CERTIFIED 1. STM A 15 GRADE I WITH WATER TIGHT W T JOINTS. WIRE HIGH AIR AC M G 0 E G WATER ALARM . „ .. 3 OF SP E TYP. ••- & LIQUID TIGHT. CABLE CONNECTORS SUPPORTED 24 DIA. MANHOLE COVER I r I I I FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON b,, 6" FLOW-TOP OF TEE T - L-__---_-1_I____ �� SUPPOETED BY 1-1/4" PVC CONDUIT, JOINTS 0 L..L)I,,.S.,,A`w ELEV. SURFACE SOIL SOIL SOIL SOIL 3. COVER TO STEEL - 1 MIN. CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. gti3O' DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER TO BE MADE WATER TIGHT. r " W/EXT SION *1 B HOISTING CABLES 7x19 STAINLESS STEEL 1/8" DIA. n LOOSE - - aI INLET 4'_1" 1,750 LBS. STRENGTH r 0-8 A SL 10 YR 3/2 N/A :r TEE LIQUID DEPTH AN VIE 2" BALL VALVE W/ UNIONS SCH s0 PVC NO STONE GEORGE FISHEER CO MODEL NO 560 4 6" MIN. 3/4" TO 1-1/2-STONE 4" PVC FROM TANK gyp/ I ' I I[''p' -� " a FRIABLE --- --�- --'- '; -2" SCH 40 DISCHARGE TO D-BOX ,".> E U A U E I _ 5 DIA. KNOCKOUT 5" DIA. KNOCKOUT tL 8 10YR4 6 TYP TYP _ 38 LS A B N ) ) .�, P4`v1 ST CO . . . , . -�- INV. (IN} EL, � 34.35 '''�� LAKE E� < 5% COBBLES PRECAST CONCRETE SEPTIC TANK o �'BOTTOM oN.LEVEL STABLE BASFa,a.p 3"-.-{ I-.- 2" ~� " < 5% COBBLES REINFORCED WITH STEEL 2" SCH 40 TEE W/ CLEANOUT a 104� 33.®a 38-132 C M/F 2.5 YR 6/6 N/A a PROVIDE 1/4" WEEP HOLE IN DISCHARGE "µ s NO BOULDERS PLAN VIEW CROSS SECTION VIEW _ r+ a ALARM ON EL: 32.71' DISCHARGE PIPE FOR SELF DRAINING BOTTOM 3) INLET AND OUTLET TEES TO BE CAST IRON r I ` I- �-� 1'-3" 12" WATER OBSERVED ® 120" NOTES _i P cf) TOP PERC HOLE PERC RATE: OR SCHEDULE 40 PVC. „ g°° p s" 1) SEPTIC TANK TO WITHSTAND H-20 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. 6 7 1/2" 14" 2" BALL CHECK VALVE SCH BO PVC 35.0 ` < 2 MIN./INCH UNLESS UNDER PAVEMENT, DRIVES, OR TRAVELED a. EL. = 29.85 - 100 PSI FLOWMATIC MODEL NO. 208S WAYS, WHERE BY H-20 LOADING SHALL APPLY. 2" SCH. 40 PVC DISCHARGE PIPE LEWIS 1 500 PL�,Q}IIDE 2 WIDE ANGLE FLOATS: D^ J ww7 ST UCTION TO BE WATERTIGHT ALL PIPE CONNECTIONS . SECTION CONCRETE CON- N0. OF GALLONS: SEC A-A DETAIL TION - FLOAT NO. 2: ALARM ACTIVATION 1,000 PUMP CHAMBER AVAILABLE AS A UNIT THROUGH 2" DISCHARGE PASSING 2' SOLIDS i POINTFLOAT NO. 1: PUMP ON/OFF \:BARNES SE411 PUMP .4HP 115V I ON', , .I It LE �. c DISTRIBUTION DE 1 AIL WIGGEN PRECAST CORP., BOURNE MA. (800)564-6774 TEST PIT 2 GRID, EL. 44.Ot TEST BY: STEPHEN DOYLE S TANK-DETAIL ,® 0 BAFFLE PUMP & ACESS. THROUGH WILLIAMSON ELECTRIC (781) 444-6800 ��°"�ayli�I�I POINT GW. EL. 35.0f WITNESSED BY. L NOT TO SCALE - NOT TO SCALE - _-I�,YES) DATE: 03/19/O7 MOTTLING EL. NONE CERTIFIED BY: A.M. WILS,ON ASSOC, I~'tm;I IT' ELEV. SURFACE SOIL SOIL SOIL SOIL 2% MIN. FINISH GRADE LOAM AND INLET & OUTLET COVERS TO BE BROUGHT TO SEED a 1ST FLOOR >, FINISH GRADE 2% MINIMUM FINISHED GRADE OVER LEACHING AREA $2.0 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER = 1' WITHIN 6 OF FINISH GRADE � LOOSE s" MIN. 0-8 A SL 10 YR 3/2 N/A 4" PVC SCH. 40 36" MAX. s" MIN. NO STONE COVER 36" MAx.- (TYP.) FIRST TWO FEET COVER L=25' S=0.005 ft/ft 1'-0" 2" MIN. OF » FRIABLE ` TO BE LAID LEVEL 0'-6" 1/8" TO 1/2" ASSESSORS DATA: 8-38 B LS 10 YR 4/6 N/A 34 8' 1� Q'; a 0 o 0 0 0 0 41.87 WASHED STONE < 5% COBBLES 43.25 , 1,500 GAL. 34.55 43 08' 4 '® 41.37 . /.� ', .c < MAP 214 PARCEL 51 as < 5% COBBLES „\au_- �` SEPTIC TANK '` ' 4.1 V-6" 34, 5 " LOCUS ADDRESS: 32 ®, 38-120 C M/F 2.5 YR 6/6 N/A ,D-o s.3T TYP. TYP,) WASHED TO DOUBLE 386 SHOOTFLYING HILL ROAD, CENTERVILLE NO BOULDERS (MIND ... ._. ZABEL LEACHING FIELD (NO FINES) BOTTOM FOUNDATION FILTER J� 8� SEPARATION CROSS SECTION VIEW # WATER OBSERVED 0 120" TOP PERC HOLE PERC RATE: 1 TO BE INSTALLED ON A ! Y IYI FILE REFERENCE DEED: 11023-77 35 0' ® < 2 LEVEL & STABLE BASE. -! ESTIMATED HIGH GW = Lj T,AI REFERENCE PLANS: MIN./INCH NOT TO SCALE dF NOT TO SCALE 223-105 346-77 ZONING DISTRICT: RD-1 OVERLAY DIST: GP AND RPOD Project Title BUILDING SETBACKS: r WITHIN AREA SHOWN, ALL UNSUITABLE MATERIAL (A & 8 HORIZONS) V �4 , j",vt- SIDE AND REAR - 10' ITO BE REMOVED AND REPLACED WITH SOIL CONSISTING OF CLEAN GRANULAR SAND, FREE FROM ORGANIC MATTER AND DELETERIOUS �� �� FEMA DATA: ZONE "B" AND "C" SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF r SOIL SHALL NOT BE USED. THE FILL SHALL NOT CONTAIN ® 4 '` :;„ PANEL 250001 0005 C #386 ANY MATERIAL LARGER THAN 2 INCHES. A SIEVE ANALYSIS, USING �� �`� '" �I MAP REV: AUG. 19, 1985 IA #4 SIEVE, SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE `b ` OF THE FILL. UP TO 45% BY WEIGHT OF THE FILL SAMPLE MAY BE ` . , FRONT = 30' RETAINED ON THE #4 SIEVE. SIEVE ANALYSIS ALSO SHALL BE , SHO TFL YING PERFORMED ON THE FRACTION OF THE FILL SAMPLE PASSING THE I r � . ' #4 SIEVE, SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL w... MEETS EACH OF THE FOLLOWING SPECIFICATIONS: I/ ,ice � ,,4 ,.,� EFFECTIVE THAT MUST j '''�'` ` ` HIL L SIEVE SIZE PARTICLE SIZE PASS SIEVE ` t `� , 4 4.75 MM 100% I 1 1 �.. �� �1` s'�, a L �� S 50 0.30' MM 10% 100% ,� ." ,, _. iA 100 0.15 MM 0% - 20% r ti ar 4q"� lfi%p%OA Um # 200 0.075 MM' 0% - 5% I f o �, C�1 y `' �y 1. UNLESS OTHERWISE NOTED, ALL CONSTRUCTI•JN A p �o n �, METHODS AND MATERIALS SHALL CONFORM TO \N`` � Sti ° TITLE V OF THE STATE ENVIRONMENTAL CODE AND rN.A �- TOWN OF BARNSTABLE RULES AND REGULATIONS. to q I �6, 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES AA °' �� r k,4 ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ,, • � � a \ ;,k � � ORDER TO PROVIDE A WATERTIGHT SEAL. HARN507' ABLE 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE EXISTING SEALED WITH NEOPRENE GASKETS OR ASPHALT WATER SERVICE CEMENT TO PROVIDE A WATERTIGHT SEAL. DESIGN ANALYSIS FJURIISDICTION 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION DESIGN FLOW: ' ,> T "' BOX AND LEACHING FACILITY TO WITHSTAND H-20 ® t....i sRcsc:, r,: LOADING. 110 GPD x 1 BEDROOMS 110 GPD r�i i ,w � `� ;, „ "". `2 �. .0 Prepared For f C o 5. ALL PIPES IN THE SYSTEM SHALL BE CL150 SEPTIC TANK REQUIREMENTS: ., 4`°� y ' c,i4�''' rA l DUCTILE IRON (DI) OR AS SHOWN ON THE �� . fir f ^...., .. DRAWING. ■ MINIMUM 1,500 GALLON REQUIRED `LL ` 1 °` " 15obin 4 / a 0, ``APR❑PMED 6 25' 2 f 1,500 GALLON SEPTIC TANK PROVIDED ",,SAS EL \\ ,`., `; 6. WASHED CRUSHED STONE SHALL FREE OF ALL vs �aa�. ~„." * �, ,` , ` h., `� ��, �" DIRT, DUST AND FINES. Realt Trust tl �� , �R;.� � i 7. AT ALL POINTS OF INTERSECTION OF WATER LINES ' ~°'". �•, �� ,y �. 1 / AND SEWER LINES, BOTH PIPES SHALL BE CON- STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO 1 c O 20 Rascally Rabbit Road t:s cV oo ti `� •., ' " / BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. Marstans Mills \ '?.3 '�`'. �4 '�' ••"'-... .4 ., w ..' N9 d«;di.I ("�4`) T 02648 110 GPD 0.74 = 149 S.F. io "t `sti, r �, `~ fF� ." t I "' `� 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE F Y ROTONDO OR AN EQUIVALENT z } ,,. x MANUFACTURED B PRE -BOX m 4 -° MANUFACTURER. LEACHING FACILITY PROVIDED ` ., ti /-1- (, /r � 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING ��. AREA AND BACKFILL WITH MATERIAL AS DESCRIBED _ 'M'w, ` ' , ., . 4 / A. M. Wilson Associates Inc. 25 (1) x 6 (w) - 150 S.F. 3 ", c4 / ON PLAN. Ab ( ) ( ) - `� e i c ' , „~ 10.H AVY IPM NT A N T 509 420 9792/ FAX 420 9795 150 S.F. x 0.74 - 111 GPD ��' t, w, N �. E EQU E SH LL 0 BE ALLOWED TO J/J OPERATE OVER THE LIMITS OF THE SEWAGE DIS- POSAL SYSTEMS DURING THE COURSE OF CON- Drawing Title '. ` , `a• `` ' STRUCTION OF THE SYSTEMS. , 11. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL INVERT L�E Y TI 4' .� ` r' ,' SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN r ° APPROVAL OF THE ENGINEER AND THE LOCAL "'�, � ,A. � o � '`" � ®� a''...�..... a /j BOARD OF HEALTH. ;ro FIRST FLOOR ELEVATION $ �` 4 - " EXIST. PUMP CHAMFER a° ' EXIST. LEACH PIT y , . ' T❑ BE BAND❑NED 12.THIS SYSTEM SHALL BE INSPECTED AS REQUIRED BY 4 INVERT AT BUILDING BUOYANCY CALCULATIONS TO BE PUMPED '' 4.0 O f r ' ' T❑ BE PUMP AND FILLED TITLE V. 4 INVERT AT 1500 GAL. TANK (IN) 34.8� PUMP CHAMBER AND REMOVED 1 II r' a e Y 13.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY ca � ,. W❑ILK LIMIT TITLE V AND AN AS-BUILT PLAN 4 INVERT AT 1500 GAL. TANK (OUT) 4 f BOTTOM OF CHAMBER EL. = 29.85' t t 0, a" + ELT C❑NTR❑L h ey PR❑P. PUMP CHAMBER fin; OF THE SYSTEM MUST BE OBTAINED BY THE PERMIT HIGH GROUNDWATER EL. = 35.0' c '� I f .. ''' ^' �, , �,7 CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. PL A 4 INVERT AT PUMP CHAMBER (IN) 34.35 t BUOYANCY FORCE PER FOOT OF DEPTH: PR❑PC, 1,500 ,� '��`�•`°�� '� 4.83 x 8.5 x 62.4 lbs./cu.ft. = 2,562 Ibs/ft ,m, ,f ., a , S CH2O) is 2 INVERT AT PUMP CHAMBER (OUT) 34.1 f MAXIMUM DISPLACEMENT = 5.15 O,, � r f � �,,• 14,THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE MAX. UPLIFT PRESSURE = 5.15' x 2,562 Ibs/ft = 13,194 lbs. sr7 SEPTIC TANK r " DISPOSAL UNIT. 2" INVERT AT DIST. BOX (IN) 43.25'f WEIGHT OF EMPTY PUMP CHAMBER = 8,240 Ibs. j9ti � � r WEIGHT OF FILL (COVER) OVER PUMP CHAMBER: F r / y 4" INVERT AT GIST. BOX (OUT) 43.08't 4.83' x 8.5' x 3.7' (approx.) x 110 Ibs/cu. ft. = 16,709 Ibs. d = w ref �.y 15.ALL UNDERGROUND UTILITIES SHOWN WERE COM- TOTAL COUNTER WEIGHT = 16,709 + 8,240 Ibs. = 24,949 Ibs PILED ACCORDING TO AVAILABLE RECORD PLANS INVERTS AT LEACHING FACILITY: I r �' i AND ARE APPROXIMATE ONLY. SEE CHAPTER 370, 24,949 Ibs > 13.194 Ibs O.K. �' ,^ ; � ' l rr y w° ACTS OF 1963, MASSACHUSETTS GENERAL LAWS. ELEVATION AT TOP BUOYANCY CALCULATIONS a ' ,✓ r ` WE ASSUME NO RESPONSIBILITY FOR DAMAGES OF LEACHING FACILITY INCURRED AS A RESULT OF UTILITIES OMMITTED OR DOSING & STORAGE REQUIREMENTS SEPTIC TANK , h' „ -' INACCURATELY SHOWN. THE APPROPRIATE PUBLIC 4 INV. ELEVATION AT BEG. OF 9p , ` ENGINEERING DEPARTMENT SHALL BE CONTACTED AS OF LEACHING FACILITY 42.00't DAILY FLOW: 110 GPD DE OF BEDROOMS: 1 �P_�� ���ss .° 4;, .. DESIGN FLOW 1 BR x 110 GAL./(BR-DAY) = 110 GPD -s� /� ,c, ;`w^ WELL AS DIG SAFE (PH. NUMBER 1-800-322-4844) „ 4" INV. ELEVATION AT END DOSING REQUIRED: 1 CYCLES/DAY (SAND) REQ'D CAPACITY: 200% x 110 GAL = 220 OR 1,500 GAL MIN. o` ROBERTA. s� % �� Scale:1 = 30 OF LEACHING FACILITY 41.87°t CAPACITY PROVIDED: 10' x 5' x 4' x 7.48= 1,496 GAL. NET CIVIL DRAKC co r 16.TANK AND PUMP CHAMBER TO 6E MONOLITHIC. DISTANCE REQUIRED BETWEEN PUMP o ON AND PUMP OFF FLOATS: 9 Na.416�2 0 i,. 0 15 30 60 90 FEET ESTIMATED HIGH GROUND WATER ELEVATION: 35.0± DISPLACEMENT: 11 x 6.0 x 5.0 x 64 Ibs/ft3 = 21,120 Ibs. of S.W. 0 fir>4a' 17.WATER PROOFING TO BE PROVIDED FOR PORTIONS OF 110 GAL/CYCLE / 250 GAL/FT = 0.44 FT/CYCLE �/ IEP STORAGE REQUIRED ABOVE WORKING LEVEL: 110 GALLONS MANUFACTURED WEIGHT OF TANK = 21,230 Ibs. ��F sT }�� STORAGE PROVIDED: BALLAST REQUIRED: = NONE Syr ,,,� �a TANK/ PUMP CHAMBER BE}OW MAX. GROUND WATER Date: April 3, 2007 INV.(IN) EL: 34.35' - PUMP ON EL: 31.71' = 2.64' 21,230 Ibs > 21,120 Ibs. O.K. I ELEVATION 310 CMR 15.22 . P Drawing No. STORAGE PROVIDED = 2.64' x 250 GAL/FT = 660 GALLONS 8_1 q_0, r Design: R.D. Check: A.M.W. Drawn: R.D. Job. No.: 2,1561.0 Last Rev.: June 9, 2007 of 1 Robin Base.dwg 1 2'-6 1/2" Revisions J BROUGHT TO 6" OF FINISH GRADE. 2'-2 1/2" NOTES' X f DR 1. CONCRETE - 5000 PSI MIN. i.-A-C. .,.., PROVIDE WATERTIGHT CONCRETEIRISER TEST PIT 1 GRID. EL. 44.0t TEST BY: STEPHEN DQYLE H•° A- r -001 A STRENGTH 0 28 DAYS C� �'r"-" I; 11'-0" I 6" 9"" MIN. 6" _ - - - WITH SECURED COVER 70 GRADE. GW. EL. 35,0 f WITNESSED BY: I �_ 1D"_O" c� r------- -I---1 , COVER \ c� I I I I 2• STEEL REINFORCEMENT - INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRING _ NEMA 4 JUNCTION BOX CORROSION RESISTENT - 1 RA,.,......... I A TM A 5 G 60 NDE NONE A Wi SO ASSOC.A SOC. I I i L. IF Y .M. L S i 19 7 MOTTLINGE CERT D B A R TI HT J I s WIR HI R ARM DA TE: 03 0CERTIFIED .- w17H W TE G ONT , E GH WATE AL_ I - R& LI UI TIGHT. ABLE CONNEC 0 SUPPORTED M Q D C T S ::�:;'3..�.. A SPACE TYP. �-' � FLOATI e O I I I Ii P 70 200D HIGH WA ER ALARM PANAL ON G T I,. ;;_::'MANHOLE:�::;;AVER;:::::�:: .� .J.,�24 DIA. MANH CO ��.6" FLOW-TOP OF TEE Y I " SUPPOETED BY 1-1/4" PVC CONDUIT. JOINTS h`y». I-�a ELEV. SURFACE SOIL SOIL SOIL SOIL L- ---_-L-I-.-� 3. COVER TO STEEL - 1 MIN, CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. C;> ' DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER _ _ 3 19.5 ..` TO BE MADE WATER TIGHT. 44.a W/EXTENSION 0j =I B HOISTING CABLES 709 STAINLESS STEEL 1/8"' DIA. » LOOSE - a INLET 4'_1" 'o 1,750 LBS. STRENGTH 2" BALL VALVE W/ UNIONS SCH SO PVC 0-8 A SL 10 YR 3/2 N/A NO STONE TEE LIQUID DEPTH A� y�� GEORGE FISHEER CO. MODEL N0. 560BEAR r 6" MIN. 3/4" TO 1-1/2"STONE 4" PVC FROM TANK-- » A 5 DIA. KNOCKOUT 5" DIA. KNOCKOUT �-2" SCH 4O DISCHARGE TO D-BOX WE Q U A Q U E T FI I,.N D .. FRIABLE _ TYP (TYP -4 10 YR 4 ( ) 8 38 LS A B N I� I~ ,� < 5% COBBLES „ PRECAST CONCRETE SEPTIC TANK BOTTOM ON LEVEL STABLE BASE a. 3"-.{ I-- 2 2" SCH 40 TEE W/ CLEANOUT LAKE rw » < 5% COBBLES REINFORCED WITH STEEL f INV. (IN) EL ® 34.35 Y $ 9c_.�, 38-132 C M/F 2.5 YR 6/6 N/A I ALARM ON EL: 32.71' PROVIDE 1/4" WEEP HOLE IN DISCHARGE 0 33,0 NO BOULDERS PLAN VIEW CROSS SECTION VIEW f` +y i+y DISCHARGE PIPE FOR SELF DRAINING 01 BOTTOM 3) INLET AND OUTLET TEES TO BE CAST IRON `� +i �-� - V-3" ��� P , 12" I WATER OBSERVED (� 120' PERC RATE: NOTES OR SCHEDULE 40 PVC. i TOP PERC HOLE 1) SEPTIC TANK TO WITHSTAND H-20 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. 6" 7 1/2" $ P 14„ 2" BALL CHECK VALVE SCH 80 PVC ��� 35.0' < 2 MIN./INCH UNLESS UNDER PAVEMENT, DRIVES, OR TRAVELED 4- EL. = 29,55-� 10o PSI FLOWMAI7C MODEL N0. 208S A t WAYS, WHERE BY H-20 LOADING SHALL APPLY. 4' L2" PROADE 2 WIDE ANGLE FLOATS: 2" SCH. 40 PVC DISCHARGE PIPE I _.W S 2) ALL PIPE CONNECTIONS AND CONCRETE CON NO. OF GALLONS: 1,500 SECTION A_A SECTION B-B FLOAT NO. 1: PUMP ON/OFF BARNES SE411 PUMP .4HP 115V POINT STRUCTION TO BE WATERTIGHT, FLOAT NO. 2: ALARM ACTIVATION 2" DISCHARGE PASSING 2" SOLIDS ,?S r� DISTRIBUTION DETAIL 1,000 PUMP CHAMBER AVAILABLE AS . UNIT THROUGH s 1 �"�� FULLER �� ��M% O�` S P"I"IC TA DETAIL IL l w& AC PRECAST CORP., BOURNE EL TRIC (781) 444 I TEST PIT # 2 GIRD. EL. 44,0± TEST BY: I �I B- BAFFLE PUMP & ACE55. THROUGH WILLIAMSON ELECTRIC (781} 444-6800 I �� f il�i l GW. EL. 35.0't WITNESSED BY: QQNNA MIORANnI NOT TO SCALE - NOT To SCALE - H�,` ES DATE: 03 19 07 MOTTLING EL. NONE CERTIFIED BY: A.M. WILSON ASSOC. LOAM AND (SIP I ELEV. SURFACE SOIL SOIL SOIL SOIL INLET & OUTLET COVERS TO BE BROUGHT TO 2% MIN. FINISH GRADE SEED 42,0' DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER 1ST FLOOR WITHIN 6" OF FINISH GRADE FINISH GRADE 2% MINIMUM FINISHED GRADE OVER LEACHING AREA �- 7- 0-8" A SL 10 YR 3/2 N/A LOOSE 4" PVC SCH. 40 s" MiN. 36"MAX: I NO STONE 3&COVER (TYP.) FIRST TWO FEET COVER L=25' S=0.005 ft/ft 1'-0" 2" MIN. OF �`` TO BE LAID LEVEL 0'-6" 1/8" TO 1/2" ASSESSORS DATA: 8-38» B LS 10 YR 4/6 N/A FRIABLE 348' �" u; 0 0 0 0 0 41_��_67 WASHED STONE < 5% COBBLES 3 43.25' , MAP 214 PARCEL 51 :a 1,500 GAL. 34. 5 43.08 4 '0Q 41___�_37 » < 5% COBBLES 1 ,_D„ SEPTIC TANK o 34.35' 34.1 1 -6 3-0 3/4" TO 1 1/2" DOUBLE LOCUS ADDRESS: 32 0' 38-120 c M F 2.5 YR 6 6 N/A D TYP. TYP. ) #386 SHOOTFLYING HILL ROAD, CENTERVILLE / / NO BOULDERS (MIN.) .: ;:: ZABEL LEACHING FIELD 6.37 WASHED STONE (NO FINES BOTTOM FILTER SEPARATION WATER OBSERVED 0 120" PERC RATE: FOUNDATION L� TO BE INSTALLED ON A YiJ PROFILE CROSS SECTION VIEW REFERENCE DEED: 11023-77 ' TOP PERC HOLE LEVEL & STABLE BASE. ESTIMATED HIGH GW = A DING AI REFERENCE PLANS: 35.a � � 2 MIN./INCH NOT TO SCALE NOT TO SCALE 223-105 346-77 ZONING DISTRICT: RD-1 OVERLAY DIST: GP AND RPOD Protect Title BUILDING SETBACKS: WITHIN AREA SHOWN, ALL UNSUITABLE MATERIAL (A & B HORIZONS) SIDE AND REAR = 10' TO BE REMOVED AND REPLACED WITH SOIL CONSISTING OF CLEAN � + c ' GRANULAR SAND, FREE FROM ORGANIC MATTER AND DELETERIOUS v FEMA DATA: ZONE "B" AND "C" SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF o"'© ,-y ryAx PANEL 250001 0005 C #386 SOIL SHALL NOT BE USED. THE FILL SHALL NOT CONTAIN �Dqs M ANY MATERIAL LARGER THAN 2 INCHES. A SIEVE ANALYSIS, USING MAP REV: AUG. 19, 1985 A #4 SIEVE, SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE c��� ,� FRONT 30' OF THE FILL. UP TO 45% BY WEIGHT OF THE FILL SAMPLE MAY BE 5HO 0 TFL YING RETAINED ON THE #4 SIEVE. SIEVE ANALYSIS ALSO SHALL BE " PERFORMED ON THE FRACTION OF THE FILL SAMPLE PASSING THE #4 SIEVE, SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL g ` I MEETS EACH OF THE FOLLOWING SPECIFICATIONS: `° EFFECTIVE HIL L % THAT MUST . SIEVE SIZE PARTICLE SIZE PASS SIEVE 4 4,75 MM 100% � `' S' IVRA 1�1{�TES I N \' ,,1 slag 0 w ; 7. 50 0.30 MM 10% - 100% r� w ,w . 40a ROAD 100 0.15' MM 0% - 20% o .� 1 M;A. # 200 0.075 MM 0% - 5% tiw -- 1. UNLESS OTHERWISE NOTED, ALL CONSTRUCTION `- A � 2 "� �� � METHODS AND MATERIALS SHALL CONFORM TO ® tiM• � c�tiF • TITLE V OF THE STATE ENVIRONMENTAL CODE AND �} Sg � ' w* ty TOWN OF BARNSTABLE RULES AND REGULATIONS. tf� ,.,� y,w "� � ��� � ,� ^6_ 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES RARN5111A&E ` *.` ,, q ' t 01 � ' ENTER ORDER OTO PROVIDE R LEAVE LA WATERTIGHT L CONCRETE TSEALTURES IN 47 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE EXISTING SEALED WITH NEOPRENE GASKETS OR ASPHALT M a `�'� WATER SERVICE A� CEMENT TO PROVIDE A WATERTIGHT SEAL. DESIGN_ ANALYSIS. I �, DRIVEWAY � �' JURISDICTI❑N 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION � 2 ., e a LIMIT BOX AND LEACHING FACILITY TO WITHSTAND H-20 DESIGN FLOW: ,1.yr �, „ w 110 GPD x 1 BEDROOMS - 110 GPD µ LOADING. Prepared For \ t •,. 5. ALL PIPES IN THE SYSTEM SHALL BE CL150 e DUCTILE IRON (DI) OR AS SHOWN ON THE SEPTIC TANK REQUIREMENTS: "+ `` .. ` DRAWING. rw , ww ,,�• �C;? „ / , .� MINIMUM 1,500 GALLON REQUIRED `"s ," `, `; �, , obin Family ti,,, \w w PR❑PP)3$ED 6 ox 25 4 � 4'& ?;, w �� � � 6. WASHED CRUSHED STONE SHALL FREE OF ALL 1,500 GALLON SEPTIC TANK PROVIDED ` SASELD; f., w { ,,� �. :�.`` w`w , , ��w ^�/ DIRT, DUST AND FINES. is w �, I cj��, °"`""~.„,w `` '`; '�"� `w `• "° +,w ' ,w `` 7 y4' ra �'��`=,�. r;+;3 ,� .'."` ,`'^,w F;�,. `••.,,,,,*4 �ry�, �w ^, ti�� '`w,^w h`°•,�i w, ~`' 'f�'I ,•.~' �`,`,�., AT ALL POINTS OF INTERSECTION OF WATER LINES ,�6 :by ': �~ A z,., w fir' AND SEWER LINES, BOTH PIPES SHALL BE CON- LEACHING FACILITY REQUIREMENTS: w .kw °",aw ti w°,, w ` w , .°wM STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO 20 Rascally Rabbit Road N o, BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. Marstons Mills (110 GPD) / ( 0.74) - 149 S.F. b ww w, w.� w �, .., t < / �/� " 02648 w w w '`'°w 'V f 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE Via' ti w <w w I "r ,✓ MANUFACTURED BY ROTONDO OR AN EQUIVALENT ,. PR❑P• D-B❑x MANUFACTURER. "I'll", I'u! I s'; 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING LEACHING FACILITY PROVIDED ` w, ` I'll, �4 y � , �`°w ��, '°"� `<�� � d�, .� - <3a I � *4 w w w tikw w wA w w w "`h } AREA AND BACKFILL WITH MATERIAL AS DESCRIBED Wilson Associate Inc. 25'(1) x 6'(w) = 150 S.F. S' ti �w w ww w"w 4` �A. ti. ON PLAN. �14'2 „ w v ,,, , � w �, ``•� ,, �, �» ,, �,c . �, �, '4.�-�,:,.• �` ,,!' ,�r. 50$ 420 9792/ FAX 420 975 (150 S.F.) x ( 0.74) = 111 GPD f 4'""'� ww `b w `� ti w w "A Art I r, 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO w , w w w �, OPERATE OVER THE LIMITS OF THE SEWAGE DIS- 6, � °, w '°w w `' ` ww `w I ` ` POSAL SYSTEMS DURING THE COURSE OF CON- Drawing Title r, STRUCTION OF THE SYSTEMS, 11. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN INVERT ELEVATIONS '`" '4 � ' w ° ww "r 'w w �r":,., _�M. . APPROVAL OF THE ENGINEER AND THE LOCAL f e ` ' / > BOARD OF HEALTH. FIRST FLOOR ELEVATION ' "' " } --a w EXIST, PUMP CHAMR 12.THIS SYSTEM SHALL BE INSPECTED AS REQUIRED BY 4" INVERT AT BUILDING BUOYANCY CALCULATIONS EXIST, LEACH PIT t ' ° T❑ BE A.BAND❑NED TO BE PUMPED 0 ® r '` A`� TO BE ,PUMP AND FILLED TITLE V. 4" INVERT AT 1500 GAL. TANK (IN) 34.s� PUMP CHAMFER AND REMOVED t F; y f o ca,a' �>YYY _mow 13.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY c� W❑RK LIMIT Y (OUT) , 3 55 PROP, PUMP CHAMBER + :ftLT CONTROL TITLE V AND AN AS-BUILT PLAN 4" INVERT AT 1500 GAL. TANK OUT 4. 't BOTTOM OF CHAMBER EL. = 29.85' '` � j � �� �� �•`� ��:�- ., �� �' ��,� OF THE SYSTEM MUST BE OBTAINED BY THE PERM11 HIGH GROUNDWATER EL. = 35.0' w, w - CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. 4" INVERT AT PUMP CHAMBER (IN) 34.35'f BUOYANCY FORCE PER FOOT OF DEPTH: f 1 1 `` d ' PROP[. 1,500 ' 4.83' x 8.5' x 62.4 Ibs./cu.ft. = 2,562 Ibs/ft S CHZ03 f � �` " �" ``� � '� .�� ��V 14.THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE PLAN 2" INVERT AT PUMP CHAMBER (OUT) 34.1,E MAXIMUM DISPLACEMENT = 5.15' ®�A SEPTIC TANK l MAX. UPLIFT PRESSURE = 5.15' x 2,562 Ibs/ft = 13,194 Ibs. l• DISPOSAL UNIT. 2" INVERT AT DIST. BOX (IN) 43.25'f WEIGHT OF EMPTY PUMP CHAMBER = 8,240 lbs. �19 J f'� f ✓ WEIGHT OF FILL (COVER) OVER PUMP CHAMBER: ? / ='i 15.ALL UNDERGROUND UTILITIES SHOWN WERE COM- 4" INVERT AT DIST. BOX (OUT) 43.08 f 4.83' x 8.5' x 3.7' (approx.) x 110 Ibs/cu. ft. = 16,709 lbs. / �v PILED ACCORDING TO AVAILABLE RECORD PLANS TOTAL COUNTER WEIGHT = 16,709 + 8,240 Ibs. = 24,949 Ibs � > I., �''' '; N� AND ARE APPROXIMATE ONLY. SEE CHAPTER 370, INVERTS AT LEACHING FACILITY: r� .a , •4 24,949 Ibs > 13,194 Ibs O.K. ACTS OF 1963, MASSACHUSETTS GENERAL LAWS. ELEVATION AT TOP BUOYANCY CALCULATIONS ,' \0 WE ASSUME NO RESPONSIBILITY FOR DAMAGES OF LEACHING FACILITY 42.5'f SEPTIC TANK `'` / f� INCURRED AS A RESULT OF UTILITIES OMMITED OR 4" INV. ELEVATION AT BEG. DOSING & STORAGE REQUIREMENTS ` I f INACCURATELY SHOWN. THE APPROPRIATE PUBLIC OF LEACHING FACILITY 42.00'f N0. OF BEDROOMS: 1 OF M 9 ENGINEERING DEPARTMENT SHALL BE CONTACTED AS DAILY FLOW: 110 GPD DESIGN FLOW 1 BR x 110 GAL-ABR-DAY) = 110 GP'D �P��N 1ss�,c f WELL AS DIG SAFE (PH. NUMBER 1-800-322-4844) 4" INV. ELEVATION AT END DOSING REQUIRED: 1 CYCLES/DAY (SAND) REQ'D CAPACITY: 200% x 110 GAL = 220 OR 1,500 GAL MIN. ' ROBERTA. �G � ,�� Scale:1"= 30 OF LEACHING FACILITY 41.87't CAPACITY PROVIDED: 10' x 5' x 4' x 7.48= 1,496 GAL. NET DRAKE � /' 16.TANK AND PUMP CHAMBER TO BE MONOLITHIC. DISTANCE REQUIRED BETWEEN PUMP CIVIL � "- f ON AND PUMP OFF FLOATS: , v No.41s42 0 15 30 60 90 FEET ESTIMATED HIGH GROUND WATER ELEVATION: 35.0'± DISPLACEMENT: 11 x 6.0 x 5.0 x 64 Ibs/ft3 = 21,120 Ibs. of S.W. 9 17.WATER PROOFING TO BE PROVIDED FOR PORTIONS OF 110 GAL/CYCLE / 250 GAL/FT = 0.44 FT/CYCLE / STORAGE REQUIRED ABOVE WORKING LEVEL: 110 GALLONS MANUFACTURED WEIGHT OF TANK 21,230 Ibs. �S7 BALLAST REQUIRED: = NONE F� � ��wC � 1, � �' TANK/ PUMP CHAMBER BELOW MAX. GROUND WATER STORAGE PROVIDED: ON, ��^"'"' ELEVATION (310 CMR 15.22). Date: April 3, 2007 Drawing No. INV.(IN) EL: 34.35' - PUMP ON EL: 31.71' = 2.64° 21,,230 Ibs 7 21,120 Ibs. O.K. STORAGE PROVIDED = 2.64' x 250 GAL/FT = 660 GALLONS - I�f-d 1 �, Design: R.D. Check: A.M.W. Drawn: R.D., Jab. NO,: 2.1561.0 Last Rev.: June 9, 2007 of 1 Robin Base.dwg I i