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HomeMy WebLinkAbout0993 SHOOTFLYING HILL RD - Health (2) 993 Shootflying Hill Road Centerville A = 191 - 031 S M E A D No.2-153LOR UPC 12534 smead.com - Made in USA ��'� fie OIFIOFUSOPMOM Wwwwwomm r - Barnstable �1HE Town of Barnstable Regulatory Services Department ; ca�j anetasTABLZ, 9$ " 9. ,� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0251 April 18, 2018 ROSA, ILDEU G & OSMIRA 993 SHOOTFLYING HILL RD CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The-septic system located at 993 Shootflying Hill Road, Centerville, MA was inspected on 04/04/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDE OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\993 Shootflying HIII Road Centerville.doc ���try rorR,,tio� s a Town of Barnstable + BA ABM 6 g ,0� Regulatory Services Department rF0 MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: WSEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection Form '► Subsurface sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address �w Osmira Rosa l- Owner Owner's Name t information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection M Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 614 �93� 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation Local Approving Authority 4-4-18 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of Y g 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. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section b A) System Passes::, ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ON ❑ ND (Explain below): i t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if primps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y El ❑ ND (Explain below): ❑ obstruction is removed ❑ Y El ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced El ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts il Title 5 Official Inspection Form F,,I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 se system has a tic tank and SAS and the SAS is less than 100 feet but 50 feet or Y P more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: } Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® El Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less ® than '/2 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form f ip1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments W 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a'surface dunking 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. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts lot, Title 5 Official Inspection Form i i Subsurface Sewage Disposal System Form Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site-inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ` ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 _ t5ins.doc•rev.6/16 Title 5 Official Inspection Form!Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts r� Title 5 Official Inspection Form :+cl. Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments• 993 Shootflying Hill Rd 1 Property Address Osmira Rosa Owner Owner's Name information is Centerville MA 02632 4-4-18 required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 601gpd601gpd/2yrs 9 ( y 9 (gpd))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 1-2018 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form C�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner--pumped 2017 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no).(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 f Commonwealth of Massachusetts Title 5 official Inspection Form 14 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r =:,_T,,•;> I 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2013 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 18"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: 1500 gal Sludge depth: 12" t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts r� Title 5 Official Inspection Form ii %I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal fiystem-Page 10 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form YiCl Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form;Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts r� Title 5 Official Inspection Form ii F�'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd •LJ_ T,yw Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): Good condition with water at working level and stain lines above outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 c ; Commonwealth of Massachusetts t� ,w Title 5 official Inspection Form �lrl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a z._ 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1-20x22 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: 'Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach field shows signs of failure with stain lines above outlet invert in d-box and signs of back-up into surrounding stone. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts I.i Title 5 Official Inspection Form hY Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y; r• - 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is Centerville MA 02632 4-4-18 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure; level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form wa +hM Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .: 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 4 el oe l r. r. t5ins.doc-rev.6/16 Title 5 Official Inspection Form;Subsurface Sewage Disposal System-Page 15 of 17 c Commonwealth of Massachusetts 3 Title 5 Official Inspection Form f i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 I Commonwealth of Massachusetts f � /� Title 5 Official Inspection Form M Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 993 Shootflying Hill Rd Property Address Osmira Rosa Owner Owner's Name information is required for every Centerville MA 02632 4-4-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE LOCATION 11"A C SEWAGE# iZD18��(9l VILLAGE C� �o�t"P ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. bo los SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 5—C70 qj j I r (size) jCp ply NO.OF BEDROOMS `Z OWNER � g PERMIT DATE: COMPLIANCE DATE: 3 t Separation Distance Between the: Orn�. (,�f" tlM e— Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility B'C (C Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BYyCRc�c WIL �rvo �- 913 t13 .� 04 No. Fee UU, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y ftplication for Bi posal *pBtem Construction permit Application for a Permit to Construct( ) Repair(n/Upgrade( ) Abandon( ) ❑Complete System g4ldiidual Components Location Address or Lot No. 4 ri`j 56x>A,%)j,A og i Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel ��Nrvll,� O• r Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 3�j 5(P:3 sq.ft. Garbage Grinder( ) Other Type of Building j S 0 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3C) gpd Design flow provided 5 N6,`l gpd Plan Date 5--2 5-ri 41 Number of sheets 2— Revision Date Title Size of Septic Tank Cx I9Fiav Type of S.A.S. S 0o !EjG we[ -,y (J1LA--%btn Description of Soil Nature of Repairs or Alterations(Answer when applicable) ri e,,3Gvv \-to CS 'mot ` `3 fCy"P 0 S 5 v%o vj<j CJN It c vJ Date la:inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date � Application Disapproved by Date for the following reasons Permit No. a 0 4 Date Issued .. No. �.� !`�► � I (p( Fee /GU THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yeses 2ppfitation fma sposal *Pstrm Construction 3permit Application for a Permit to Construct( ) Repair(4-)/Upgrade( ) Abandon( ) ❑Complete System (]In vidual Components Location Address or Lot No. er y 3 �� �'j,� i Owner's Name,Address,and Tel.No. Assessor's Map/Parcel (NN d-Pf v 1 { `@ Installer's Name,Address,and Tel.No. v�,� Designer's Name,Address,and Tel.No. �` S�L S A 7 Jiaw')T X S y7ay� �^��j t N�P✓1'�' t�v✓�E Type of Building: 7 Dwelling No.of Bedrooms Lot Sizesq.ft. Garbage Grinder( ) Other Type of Building ,/,.�K� r�—No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '1 3 gpd Design flow provided "J NP,1-7 gpd Plan Date 5-9 $"em q, Number of sheets 2— Revision Date Title Size of Septic Tank 5- t Type of S.A.S. a t 7b Description of Soil v , Nature o[Repairs or Alterations(Answer when applicable) 1 nl S cr 1 n�P 1� C) ko n r e"o 0 7 li SG�� G c,l1 oN 1e\n"eMVrc W "k-V., -.) 'S�(ar r QS 15\1Q,,)N CAI Date la?ynspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board --o-f-Health. Signed Date Application Approved by Date Application Disapproved by r Date for the following reasons rr / Permit No. � o 1 ( -- p( Date Issued ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by{- , ,�1 "1"z,lrn,•4 NJA1L of C,G'+, �bt�em e�({',{� t� �1 /ter, /'Ju�II `{ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..- G—dated �'J �J Installer A M,,tt, T t.C Designer �,.ic iw,r'l 1nS #bedrooms . Approved design flow "l 2/'1 gpd The issuance of this permit shall not'°bbee cons"ed as a guarantee that the syste will function"�d'esigned. Date � 3) 4 Inspector ------•-------------------------------------- - - - --------- No. ¢ (1 - p / Fee f ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) / Repair( Hill iU�pgr/ade( ) Abandon O ) System located at (4 C/ 3 Cb�f�/,,,�r ('lT!/1 �°C(.� rom-c'-ill f/` v a � r and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit! /~^1C.✓ i Date / a /� Approved by ( / ��✓ ! - i Town of Barnstable �FTME T °wtio� Regulatory Services Richard V. Scali, Interim Director * BARNSTABLE, ' MAC' a Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 509-962-4644 Fax: 505-790-6304 Installer & Designer Certification Form Date: .3`' Sewage Permit# Assessor's Map\Parcel " l5/-65 Designer: , :r�eso.�St//L��a Address: IZ w, Crbss--,e (d t` 4 Address: � T�o r e S tr,t� IM✓-� 6 2��(�( C P—� 11 y<��� lt",r.. 07 G 7­711 On ������ ' •-�r � was issued a permit to install a (date) (installer). septic system at tS f7`�' �, I J based on a design drawn by (ad Et�w1 inew��"nc1 CjJorL4j it C , dated (designer) t I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes'such as lateral relocation of the distribution box and/or septic tank.. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.c. greater than 10' lateral. relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructe nce with the terms of the I1A approval letters (if applicable) VIOF PETER T. j MfcEMTEE CIVIL I aller's Signature) NO.35109 gFG/STEA�� (Designer's Signature) (Affix Designer lamp Here) (; PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CO_NIIPLIAN\'CE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QAScptic\Dcsigncf(�Vification Form Rev 3-14-13.doe l r, r - - Town of Barnstable Regulatory Services I Richard V. Scali,Interim Director DAR4STABM t639 Public Health Division °rfn �a Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Officer 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Dater 2G l I Sewage Permit# 20l'-37y Assessor's Map\Parcel Designer: 04°16\ �pJ�tl�tn�w(, �S Installer: Zoo�jcsA ' rywnr Address: 43 Tri t'e(�, Address: O , ( OX /Y� �ha o. S63 Ce�yi-Cru c. 0Zi.3Z On 01 2C. A 3(o49,,•�l I-Nc was issued a permit to install a (date) (installer) septic system at q13 5tiedr- P11, pK N111 Nrt4 based on a design drawn by (address) , ,, o Vee;t�cn 8 �u��A �. ��� l i►iDtUf dated 3 e 5, Z 5,a glg2d l3 / (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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructe ce with the terms of the I\A approval letters (if applicable) DADVID ip COUGHANOWR N (Installer's Signature) No. 1093 (� I 10( � o S NIrAMP� (Designer's Signature) (Affix Design amp Here) 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 8-14-13.doc Town of Barnstable P# /� q Department of Re P � p Regulatory Services `` Public Health Division Date `'��p C� 20 MASS. 206 Main Street,Hyannis MA 02601 Date Scheduled _ Time _ Fee Pd. ®� Soil Suitability Assessment for SFWAge Disposal Performed By: rMli Kt �2, Witnessed By: LOCATION& CENERAL INFORMATION Location AddressQppp-�- t Py, Owner's Name Cer � o,llP Address qq3 45 Ae fY�y��i� q 2 co f erV CP Assessor's Map/Parcel: {j �7 ( Engineer's Name D Y"'/"4 60 r6+1,q ,Vr NEW CONSTRUCTION REPAIR Telephone# Land Use i�dP d Slopes(%) 0 079 Surface Stones 50 lMr� Distances from: Open Water Body LQ k ft Possible Wet Area a ft Drinking Water Well Drainage Way �O 1 ft Property Line U ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes ere to s,locate wetlands in proximity to holes) ���► 11, c% MN c� CC 03 -cam a t is Parent material(geologic) r� ©i/' 5� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: _f�a Weeping from Pit Fnce V b e Estimated Seasonal High Groundwater _ ero prof T�19►1 DETERMINATION FOR SEASONAL HIGH`WATER TABLE N1r;hod Used: M D'h�-1',9 ' ..Aepth Observed standing in obs.hple: _ - In, Deottr to i3il mottles![n.f)��®. f Depth to weeping from side of obs.hole: _ in, Groundwater Adjustment A. Index Well#_ Reading Date:,___ Index Well level _. Adl,thc6r— Adi,Groundwater Level PERCOLATION TEST MAIM,3 Thne Observation / Hole# Time at 9" ik L y Depth of Perc ZO I h Time at 6" 14 19 Start Pre-soak Time @ () -0 - Time(9"•6") G End Pre-soak `U —30 Rate MimAnch YAP i Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) ~ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC�PERCFORM.DOC yn DEEP-OBSERVATION HOLE LOG Hole# I _ Depth from Soil Horizon p Soil Texture .Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,Boulders. (nsistencv.%Gravel) P-) Low —LOP s(1 3 e' N to q g 514 )O Ite Loo,e- DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon ' Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ®` onsistencv %C-rayell� Log tot?2-/2 poi P -� t��dtw►�t �IU� ��1 i�5l TV�h� `p0�� . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders: CnitecGravel) t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Co • ten - a Flood Insurance Rate Man: 6= Above 500 ear flood bound: �No ., Yes Within 500 year boundary No= Yes Within 100 year flood boundary No,:� Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �e* If not,what is the depth of naturally occurring pervious material? ..� Certification Woy �q q 5 I certify that on (date)I have passed the soil evaluator examination approved by the as performed b me consistent with analysis w Y Department of Environmental Protection and that the abovey p the required training,expertise and experience described in 310 CUR 15.017. � jN of hq'q. y Signature �J Date t' 22, � 1 �o DAVID cGm • o D. � 41 COUGHANOWR c E � Q:�aEPTICIPERCFORM.DOC �O/� CE N S PLO TOWN OF BARNSTABLE ULOCATIONeq2)Sko,,-+F.I)Ef kt'lI Z0 SEWAGE# 2©t-3 - 3.7t-f VILLAGE CNN-4-efo,N ASSESSOR'S MAP&PARCEL OCJ ( - INSTALLER'S NAME&PHONE NO. Dvsxks A iynwni Ttic cnE `►20-L/ST SEPTIC TANK CAPACITY /5c7ca LEACHING FACILITY:(type) e jcJ (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: A0 cl Separation Distance Between the: e1K�NP c' ovn3{Ff Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility t)U tr i NS �pT fC Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �� Sep w�► t lk oat-24 OOT _2?,S l7 - 2- - J O uT -u5 2 -31 3 -c 2- 3 - -y 4 -s 3 _ y No. t' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co pater: Yes UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippliCation for Vsposal �&pstrm Construction j3erinit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) []Complete System ❑Individual Components Location Address or Lot No. c1cf 3 SHOD ��y'�vs lal I� Owner's Name,Address,and Tel.No. Cer+Prvc11Y �-�Cu SC Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. DGJ��GS <h- \6 ry AJ .}NL 7 ma t- 'r Type of Building: Dwelling No.of Bedrooms 3 Lot Size 17F,136 sq.ft. Garbage Grinder( ) Other Type of Building ,,,,,w r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 3!b gpd Plan Date i s e- s Z©i-� Number of sheets �L Revision Date Title \ Size of Septic Tank i S-Op Type of S.A.S. Description of Soil Sr�e !py,,.a Nature of Repairs or Alterations(Answer when applicable) i ;�g r�. 1� i iw.tic �t Se�O, — i7'T2,�h — �►e cc F�r�J Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued this Board of Health. Si 0 Date Application Approved by Date Application Disapproved y Date for the following reasons Permit No. '` Date Issued No. Fee Vs THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS , x �� application for p Disposal stern Construction Permit � Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9 CI 3 sl)ca� Owner's Name,Address,and Tel.No. CeN+efQ%11Y C 1n�Sr Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �vJS�GS �t ljrW�� F rJ� Type of Building: Dwelling No.of Bedrooms 3 Lot Size 9 7 F,8f3sq.ft. Garbage Grinder( ) 1 Other Type of Building ,,„e�F. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 n gpd Design flow provided 3:5 n, gpd Plan Date v.a e s n i- Number of sheets 2 Revision Date Title i Size of Septic Tank 1 spp Type of S.A.S. T,r C) Description of Soil Nature`of Repairs or Alterations(Answer when applicable) 1 w r lI k c,,a i quo - l J"T�,C k � t i Date last inspected: j Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation-until a Certificate of Compliance has been issued by this Board of Health. Q ?s '^ C3 , Date Application Approved by �/ (i a �'�/ K�2 Date Application Disapprovedby " Date for the following reasons Permit No. '� Date Issued -------------------------- \ r TIR E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned O by w V 5)C A C, ,, 1 N C at 9 q'5 S\n 4, IP 1., 1-`,I) "2-[) has been constrrctjed�in acc. r.�{aGt, !4. y11 �lwith the provisions of Title 5 and the for lsposal System Construction Permit No. `dated Installer�D�,4 L s, A TzAcri_� -7'"c Designer t_c - 7 r r #bedrooms Approved design flow f7,3'� gpd ( j The issuance of this permit shall not be construed-as a guarantee that the system will ft ictib (as designed. Date c�.! "` 1,i I G� Z Inspector rj i r1 ,- No, � / / `7 �� Fee ]v 7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem-Construction 3permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 9 C1 3 4, l\t;N� (�', �Q eti+-P(V and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. / v Provided:CCon'sttfu ti�on/muist,be-completed within three years of the date of this permit. Date(J // '17/ h Approved by F Town of Barnstable Barnstable Regulatory Services Department Ofte`cap j BARNSPABLE ` 9� b 9. ,� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0336 May 14, 2018— SECOND NOTICE ROSA, ILDEU G & OSMIRA 993 SHOOTFLYING HILL RD CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 993 Shootflying Hill Road, Centerville, MA was inspected on 04/04/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Qj&ean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\993 Shootflying HIII Road Centerville Second Notice.doc 1 —Postal 1.o�CERTIFIED MAILO . m Dotnestic,Mail ' m o to F I , , �o tD Certified Mail FeeEr Extra Services&Fees(check box,add fee as appropnate) �`!.^ ❑Return Receipt(hardcopy) $ O []Return Receipt(electronic) $ aa "'Postmark ❑Certified Mail Restricted Delivery $ $ I 1 �Flere O , fifer 4r [:]Adult Signature Required $ r ❑Adult Signature Restricted Delivery$ fO Postage ` aTotal Postage and Fe ROSA, ILDEU G & OSMIRA rq Sent To 993 SHOOTFLYING HILL RD o SheefandApENo.,o CENTERVILLE, MA 02632 City State,ZIP+4� :.. r r r rrr•r. -- -- -- - Certified Mail service provides the following benefits: Is A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the' ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age, international mail. and provides delivery to the addressee specified •Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent: with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on thisry -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. ` electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 .0 le a s o RECEIPT Ln Domestic Mail • ru io :For,delivery information,visit our website at'wwVVusjbs.c0M1'. co Certified OFeeFICIAL U—S- E . Er- $ r'�r Extra Services&Fees(check box,add fee as appropriate)' } ODD ❑Return Receipt(hardcopy) $ 0 ❑Return Receipt(electronic) $ `.j 18SStmark C �u O ❑Certified Mall Restricted Delivery $ N r+� —Here1' p ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ 1� } Kag C3 Postage 14 ra Total Pe ROSA, ILDEU G & OSMIRA "Aren 993 SHOOTFLYING HILL RD CENTERVILLE, MA02632 """""""............ Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the. •A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent . Important Reminders; Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retain. or Priority Mail®service. Adult signature restricted delivery service,which •Certified Mail service is notavallable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified, ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with'Certified Mail service.However,the purchase (not available at retail). 1 of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,@ should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on . •For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion, of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and depositthe mailpiece.,_' electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form SHOO,April 2015(Reverse)PSN 7530-02-000-9047 COMPLETE • • • ON DELIVERY ■ Complete items 1;2;and 3. EC .:.,Signature k .. ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. Addressee B. Received by(Printed Name) C.Date of Delivery ■ Attach this card to the back.of the mailpiece, � �. 5 I or on the front if space permits. ,11-D D. Is delyeddr�ss di Brent from item 1? ❑Yes I x, If S,enter-bel vet dress below: 0 No I t ROSA, ILDEU G & OSMIRA ��♦� 993 SHOOTFLYING HILL RD cL -CENTERVILLE, MA 02632 # IIIIIIIII IIII IIII I I I I II I III II I I I II II II I IIII III 3. uMce ❑Priority Mail Express® 13 ❑Adult Signature ❑Registered Mail*r" ❑ dult Signature Restricted Delivery ❑-Registered Mail Restricted rtified Maile Delivery 9590 9403 0424 5163 7487 24 ❑Certified Mail Restricted Delivery YRetum Receipt for ❑Collect on Delivery Men handise •�, •tie fr vfar from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM a .6 fY.?l T — , 'ail ❑Signature Confirmation y. 7.015 11 17 30 i 0 0 0 1 ' 4 9 8 8 '0 3 3`6 =jil Restricted Delivery Restricted Delivery PS Form 381.1,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt` s*iRIM ' UNITED ST/kTE ri ¢ ': ;r ?• ;:::-, First-glass Mail Posta a&Fees Paid USPS Permit No.G-10 a;i..,.j • S ender:_Please Drint your_name._addr_ess.._and_ZIP+4®in this box• Town of Barnstable Health Division. 200 Main Street Hyannis, MA 02601 USPS TRACKING# 9590 1403 J 6 I � TOWN d BARNSTAB E Aorr`: 93h oo ,ey/�<//;. SEWAGE# VII:�I AGE ASSESSOR'S°Arw&l�OT 7NSTALLI ER'S NAW&PHONE Iv0 S8P"!'IC TANK CAI�At✓ITX �`�� `. � L ,cm�tGAc Pi0. g BEDROOMS BUILDER O PERBHITDATE _ UIV€'LIANCE>DAT1 SoparattonDistanccBetween:thc Maximum Adjusted Groundwater Table to the Bottom of Lead USE,Facility Feet Pnvate Water supply Well ati k:.)0 ig l{acility {If;aoy weals exist a .sits or vnttun i6 feet of leaclnsrg facilcty) ; n Edge o£Wetland and Leaelung£,acuity(Ff mY wetlands exist withtat 3(30'feet n teaclup factlitY. 1 >Feet l Fut7ushed by. �.` / Fro/1 r • I � � I i i � o a 3 14'3 4/3s„ 6 -3 - �a ' Nf�R O 2 MOONPENNY p CENTERVILLE. MA LS LANES Q LEGEND THERE CURRENTLY EXIST TWO SEPARATE CESSPOOL SYSTEMS AT THIS SITE - ONE IN THE BACK YARD (A) AND ONE IN THE FRONT (8). BOTH SHALL BE JOINED \p ,T y0 L0 TOGETHER INTO ONE SYSTEM THIS PLAN. F GARB 2 r� 1500 GALLON 58STEM AS DETAILED ON < Z w O O SEWER LINE A (ON STREET SIDE OF DWELLING) - EXITS UNDER BASEMENT SLAB. ^ O-o G R n Lua lt) p; SEPTIC TANK OVERFLOW PIT FOR EXISTING CESSPOOL SYSTEM IN FRONT IS APPROXIMATE. /�\ \ o OT T 2 cc iN INSTALLER TO LOCATE AND FILL OR REMOVE ALL CESSPOOLS. / \ \9� u') 5.0 ft + EXISTING LEACH a EXCAVATE ALL ASSOCIATED CONTAMINATED SOILS ENCOUNTERED 60 / \ � O OWED o PIT/CESSPOOL IN THE AREA OF THE PROPOSED LEACHING GALLERY AND NOT I, REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. 61 .01 0 TO cc in SEWER LINE B (FROM REAR OF DWELLING) - INSTALL E�` \ \\ n+ 0 SCALE w Lu H-20 4 in PVC CLEAN OUT PLUGS TO GRADE AT \ \ s Z 0 H> TEST PIT ® D-BOX 13 BENDS IN SEWER LINE AS SHOWN. 62 .0-018 Z w TREE REMOVAL IS AT INSTALLER'S DISCRETION. 12_0 PROPOSED SOIL o n Ln UTILITY POLE$ DRAIN ® INSTALLER MAY MOVE VENT bq /' ABSORPTION ROUTE 28 i oko FALMOUTH ROAD Q Iuu� q Z Q PIPE TO A DIFFERENT LOCATION. SYSTEM \ a Z Lu Q o m DECIDUOUS CONIFEROUS CAUTION! OVERHEAD ELECTRIC 0 /� TP-2 SEE DETAIL i Z F- Z 0 TREE *2-mTREE 12_P SERVICE IN VICINITY OF ���Jt J�P Ep0 \ ON BACK \�O \> Z 0 Z PROPOSED WORK. / \ o O Q LOCUS II CC1 If\/�I O c Lf� Q� -NUMBER REFERS TO DIAMETER IN /// O �I2-O PIPET O� v �7 p`v/p //� �'- o � Z0 INCHES. LETTER DENOTES TYPE. / _ \ \\� CONTOURS 40 _00 10 5 f t `� N O OAK M-MAPLE P PINE C-CEDAR �/ ISO v r� Lu 66 EXISTING L ul o MAX �/ — 140 F�NP w m= Q Lu // A O.0 / / THIS PLAN IS INTENDED SOLELY FOR INSTALLATION V Ul / �� \` \ OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY �— 0 ! / \ �` I \ OTHER CHANGES TO THE PROPERTY IN<LUDING H ! l t // 16-0 �. / \ \ PLACEMENT OF ADDITIONS, SHEDS, FENCES OR Lou-0 � ! 2'A 0a/ SWIMMING POOLS.REGISTERED SHOULD CONSULT WITH �� � ! 1 \ /1 �1 \ A MASSACHUSETTS flEGISTEflED LAND SURVEYOR. Z /'/ CLEAN /y\ L�O T I U D \\ as 10 �� � l P 88 of `O `O (� t\ B O. O ! \ ASSR MAP 191 PCL 31 BENCH MARK � L0 p UENCH Ill�'/IIAR CLEAN < •o G /� \ TOP OF FOUNDATION OUT `` p� Q 0, -� / \ c z W ELEVATION = 66.55 �'�` co \ \ \ z_ '�- v, 0 Q BARNSTABLE GIS DATUM =L u �O F-op X OO O = � \ �� ` Ccz U) 0 � � � N \ \ e Cc rP-► ��� \ AREA e 1115811 ofLu w c: Z Z Q �, �/ \ \ �X VARIANCE REQUESTED m Ill'— O � \ /' S8 MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT co /\`/ OR HEALTH INSPECTOR. cl__ Z ,<t 310 CMR 15.221(7) - COMPONENT DEPTH TO FINin O Z 60 MAX REQUIRED!SH VARRIANCE 6T0 0 2 �( 61 C9 o _j \ 60 in OF COVER REQUESTED. z I� v \ /' 62 o o � of�'VOS of 44ss9� .' J -\ SEWAGE DISPOSAL SYSTEM PLAN Q I THIS I S A � DAVID CyG DAVID 'yGJ, // , TO SERVE EXISTING DWELLING LncouGHANowR N " COUGHANOWR /'�3 ft DONALD AND PATRICIA CHASE 0 L0 `0 W C O L�OU % NaD1083 No. 461 / ,tq3• OWNERS) OF RECORD LL ,o U I I PLAN 993 SHOOT FLYING HILL ROAD U- 10 c— + + " o '�Fc R�° '�°Rov�° /� on A FULL DETAIL IS BEST sq IsrE s0 �PO� bb �(� UV CENTERVILLE, MA 0 II 06� ^ 'O VIEWED IN FULL COLOR /� jl ' ® PROPERTY ADDRESS U SCALE: 1 i n = 2O f t ASSESSORS MAP 191 PARCEL 31 o� x a USE COLOR PLAN ONLY �' 0 20 40 43 TRIANGLE CIRCLE w FOR INSTALLATION Qnv'Sed 1 l6(Z�� /�, n SANDWICH MA 02563 DATE: DUNE S. 2013 0 10 64-0894 y 20 508 3 JOB # ETE-3701 1 Pal/2 1 VERSIONB APRI SO � L TEST LOG DATE V - UAT DAVI 22, 2013 DE � � ^ N ^ AL ^ ULAT � ON ^ � nn �n u SOIL EVALUATOR: DAVID D. COUGHANOWR, R.S. ((vim ((v= A ((v= � `y D#S T111t IB V T§O11V BOX WITNESSED BY: DONALD DESMARAIS, HEALTH DEPT. PERC NUMBER: 13929 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD DIMENSIONS AND DETAIL USE SHOREY DB-6 H-20 I TEST PIT PO ENT MAN DATE ENCOUNTERED OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC AT 80 in 2 MIN/INCH IN C SOILS SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS NOT INSTALL NEW 1500 GALLON SEPTIC TANK TO =167io ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 0ow SCALE 88.70 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DISTRIBUTION BOX: USE 3 OUTLET D-BOX AS DEPICTED. —� 32v, � 0-6 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: THE LEACHING FIELD DEPICTED FROM c 6-38 B LOAMY SAND 10 YR 4/4 NONE LOOSE BELOW CAN LEACH: c TANK O TO 83.53 SAS Abot = 20 x 22.5 = 450 O `'r �rrrfs` 38-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE O Q Asdw = 0 55.20 Atot = 450 sf NO GROUNDWATER ENCOUNTERED 2Q Vt = 0.74 x 450 = 333 GPD 2� i� 6 in STONE BASE TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH INSTALL THE LEACHING FIELD AS CONFIGURED BELOW CROSS SECTION VIEW 2 MIN/INCH IN C SOILS - Vt = 333 GPD > 330 GPD REQUIRED ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING rARE EXI TING DISTRIBUTION BOX a3v.35 TO RUN LEVEL FOR 2 FEET 0-8 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE RE PITCHING DOWN. 58.35 8-36 B LOAMY SAND 10 YR 4/4 NONE LOOSE 1500 00 GALLON SEPTIC TANK 36-144 C MEDIUM SAND 10 YR 5/4 NONE LOOSE DIMENSIONS AND DETAIL 49.35 USE SHOREY ST-1500-H-10 LEACHING STONE I BE DOUBLE WASHED 8 NOTES � NOT FREE OF IRONS, FINES & DUST. DIM TAPER T O FIELD AND DETAIL WITHOUT VENS PLACE END TS ON LINES SCALE INSPECTION PORT WITHIN 3 in 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. OF FINAL GRADE. 2) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES 0 A BEFORE EXCAVATING FOR SYSTEM. 0 5 ft- 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS 0 8 in 0- OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). Z - N 4) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES N) m z AND APPLIANCES, AND BIANNUAL PUMPING OF THE SEPTIC TANK. �Q� O El 5) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 10 + m 2 ft �+ z STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH t-6 m M SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. /n 9 z 6) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT INLET CENTER OUTLET ' PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. COVER COVER COVER sy 22.5 ft ��\o\ 00 �3 IN DROP FLOW LINE /� NO o A FROM = —' DISCHARGE HOLES NOT SMALLER THAN 3/8 in, LOT 10 ^ 10 in 14 TO NOT GREATER THAN 5/8 in. BUILDING !� D-BOX i 2 \ O 48 in LIQUID GAS DRS T A C Z� �'ao9 0�s y<< LEVEL BAFFLE 1/V 1C / A TO SYSTEM 3 COMPONENTS / a LOT 8 � 6 in STONE BASE 4 2 0I� / SEPARATION BETWEEN INLET AND 8 ®0„, OUTLET TEES NO LESS THAN SEWAGE DISPOSAL SYSTEM PLAN e . / LIQUID DEPTH a B i o ft b �$ CROSS SECTION VIEW PAGE 2 OF 2 / f 1 27.1 Ib.l ` �� ZQ3 03 t AREA 2 22.8 16.7 DONALD AND PATRICIA CHASE a 3 42.2 44.2 5 6 4 33.3 33.4 ALL DISTANCES ARE 993 SHOOT FLYING HILL ROAD a� /� 5 45.5 3.9 IN DECIMAL FEET NOT CENTERVILLE, MA ✓ IN FEET AND INCHES. 7 52.7 52.8 JUNE 5, 2013 ETE-3701 R I NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=97.0 SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F.=104.62t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=103.6t F.G. EL.=100.6f F.G. EL.=100.0t F.G. EL.=199.2t MAINTAIN 2% SLOPE OVER S.A.S. ' L = 13' L - 5' =WMM ® S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6" DOUBLE WASHED STONE io'f 6 as as (OR APPROVED FILTER FABRIC) t4" aaa aaa aaaaaaa EXISTING 48' LIQUID aaaaaaa --3/4" TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD INV.=97.17iPROPOSED 4' 5.2' 4' GAS BAFFLE A-BOX INV.=97.00 INV.=97.46 EFFECTIVE WIDTH = 12.8' 3 OUTLETS INV.=94.50 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED TOP CONC. ELEV.=97.3t BREAKOUT ELEV.=97.00 INV. ELEV.=96.50 ease NOTES: eases aaaaaaaaaaa aaaaaaa®aaa - 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=94.50 INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 2 x 8.5' = 17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING VARIES-REFER TO SKETCH ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=88.9 =_ 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE SOIL LOG DATE: APRIL 22, 2013 (REF#13,929) SOIL EVALUATOR: D. COUGHANOWR SE GENERAL NOTES: WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH BOARD OF HEALTH AND THE DESIGN ENGINEER. 104.8 A 0 100.4 A 0 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS LOAMY SAND LOAMY SAND OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 104.3 10YR 2/2 99 6 10YR 2/2 LOCAL RULES AND REGULATIONS. B 6" B 6" 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR LOAMY SAND LOAMY SAND ,_T0. INSPECTION- AND APPROVAL BY THE BOARD .OF-HEALTH AND THE_ _ _ P 10YR 4/4 97 4 10YR. 4/4- 36" C ~� DESIGN ENGINEER. 101.6 38" C 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PERC FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF MED. SAND MED. SAND THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.5Y 6/6 2.5Y 6/6 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 93.3 138" 88.9 144" AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PERC RATE <2 MIN IN. "C" HORIZON DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER ENCOUNTERED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NOTE: BENCHARK TRANSLATION FROM SEWAGE DISPOSAL SYSTEM DESIGN ON FILE BY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ECO-TECH, 43 TRIANGLE CIRCLE, SANDWICH, MA, DATED 6/5/13 IS +38.07' CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 8'S �, Cd DESIGN CRITERIA If128'--I T ----I� 00 NUMBER OF BEDROOMS: 3 BEDROOMS I L-1�' � �. 6 . SOIL TEXTURAL CLASS: CLASS I `n IBOTTOM AREA I CIO DESIGN PERCOLATION RATE: <2 MIN/IN 320.0 S.F. N DAILY FLOW: 330 GPD L______J1 ' DESIGN FLOW: 330 GPD I~21.3'-�I I PROP. S.A.S. GARBAGE GRINDER: NO EXISTING SEPTIC TANK: 1500 GALLON CAPACITY PERIMETER=75.6' LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF SAS DIMENSIONS SEPTIC LAYOUT .74 GPD/SF SKETCH USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES 993 SHOOTFLYING HILL ROAD, CENTERVILLE, MA SIDEWALL AREA: 76.4'(PERIMETER) x 2'(EFF. DEPTH) = 151.2 SF Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 BOTTOM AREA:................................................................= 320.0 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:...................................................................... 471.2 SF Engineering Works, Inc. N.T.S. P.T.M. 139-18 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 5/25/18 P.T.M. 2 Of 2 Y A• ——98—— EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE N —W EXISTING WATER SVC. C —G— EXISTING GAS SVC. o MoonJ Penny —�H.-W.— OVERHEAD WIRES Ln TEST PIT o�sr 3 a t BENCHMARK °9a o Ymr Mene sha Ln LEGEND 0 0 _ Ln LOCUS LCP 24654 A Woodvale Ln Cof\eton La A c 0 a 5 LOCUS MAP NOT TO SCALE IT�1 LOT B LOT 10 11,618 ±SF I 27,945 ±SF COMBINED AREA (LOTS 10 & B) = 39,563 ±SF I - / r � / /EXISTING 0 HOUSE(#993) / T.0.F.=104.62f N CO D GARAGE z B 1 3.38 104,3 102.87 \ I 103.19 3 103.17 _ �in ..::._ .:,:....,. . x 1 2,87 i� -- \ TCLE N❑UT N00x 102.17 BENCHMARK � N N a^o f0 COR./BOTT. STEP N 101.41/ 100, 9 EL.=f04.34 x 100.14 _ _ R.ET LL EXISTING SEPTIC TANK TOP OF TANK, EL.=98.79 INV.(OUT)=97.46f PA VE6 -97,13 'DRIVEWAY'. X -- -- �� 8.63 •.'. —= —98 98,34 ... .. '. L EXISTING LEACH FIELD 8.35 98.78 N. TO BE REMOVED — 0 i Pj (SEE NOTE 11—SHEET 2) x x 96,01 1100.00 95.67 95.67 U.P. g4= �83' 25' ':E':.':PK 9T,83 WS❑ 94.94 \S 06i� L_31...fi5 _ 94.50 R-1 5:21.':.,.:': CATCH BASIN PAVEMENT ® 92.76 EDGE` OF 93.73 - 93,28 ROAD 92.27 92.39 T T L FLYING K f� S -HoOT of 414SS9cyG PARCEL ID: 191 -031 o PETER T. ZIP- PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE v CIVIL No. 35109 993 SHOOTFLYING HILL ROAD, CENTERVILLE, MA GISfE �`� Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 FBI AI \ Engineering by: SCALE DRAWN JOB. NO. OWNER OF RECORD� ROSA, ILDEU G & OSMIRA 9 9 En ineerin Works, Inc. 1"=20' P.T.M. 139-18 2 993 SHOOTFLYING HILL ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 5/25/18 P.T.M. 1 Of 2