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0011 SHORT BEACH ROAD - Health
11 Short reach R_d Centerville A= 206 - 097 NoP�2.153L0(R 'bsrca �� HASTINGS,MN i I4 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments " . � 11 Short Beach Rd �, Property Address to Richter ` wner Owner's Name formation is r. equired for Centerville ✓ Ma 02632 August of 2018 very page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. mportanhenfillin A. Inspector Information hen filling out p ���-ff ( P)LB orms on the •omputer, use Douglas A Brown my the tab key Name of Inspector move your Douglas A Brown Inc ursor-do not Company Name se the return ey. P.O. Box 145 Company Address tj�I Centerville MA 02632 City/Town State Zip Code 5U8-411546 4 S14297 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 10-1-18 " Inspecto ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 5insp.doc•rev.7126r2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter ner Owner's Name nformation is equired for Centerville Ma 02632 August of 2018 very page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 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: At time of inspection this system met all minimum passing requirements. This report can not predict the future performance under the same or increased usage. This system is from 1989. There is a requirement for pumping every 2 yrs on the Variance agreement 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I 5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 C Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter wner Owner's Name nformation is equired for Centerville Ma 02632 August of 2018 very page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: 5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 11. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u � 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 .. Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: . ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. , For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection (Form 'n I; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �n 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Citylrown State Zip Code Date of Inspection D. System Information 1. 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): 330 Description: According to as-built and design plan this system consists of a 1000 gallon septic tank a pump chamber and 2 4x8 flow diffusers with 3 ft of stone Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No 0 Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: n.a at time of inspection Sump pump? ❑ Yes ❑ No Last date of occupancy: seasonally Date I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewa ge Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form la Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Pump chamber as well Approximate age of all components, date installed (if known) and source of information: 1989 per permit Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): I Depth below grade: 5feet 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 gallon Sludge depth: varying light to moderate sludge Distance from top of sludge to bottom of outlet tee or baffle Scum thickness trace amounts 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? scour pole Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I recommend pumping at time of transfer and every 2 yrs there after per variance agreement. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ;. 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ® Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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 was functioning properly at time of inspection ' I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �V 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. CityTrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): I ran the pump and alarm manually at time of inspection "If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® .leaching chambers number: 2 flowdiffusers ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 C� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Diffusers were dry at time of inspection with no clear signs of failure or surcharge. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 t c Commonwealth of Massachusetts Title 5 Official Inspection Form I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form la Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately I I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts ro Title 5 Official Inspection Form JA Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4� 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma 02632 August of 2018 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: T variance granted 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: 9-2018 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: e ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Short Beach Rd Property Address Richter Owner Owner's Name information is required for Centerville Ma , 02632 August of 2018 every page. City/Town State Zip Code Date of Inspection. E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached ' For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 Assessing As-Built Cards Page 1 of 2 f GOT, 30 TOWN OF BARNSTABLE LOCATION SEWAGE# 69-Z5$ VILLAGE CIZ41,9V14,Le� ASSESSOR'S MAP&LOT Zv6 z INSTALLER'S NAME A PHONE NO.E466E CLR.Oi, d9C7o,25 3(-Z-'7080 SEPTIC TANK CAPACITY /oc c) G Z 4' LEACHING FACILITY:(type)FLOWD155FU,6oecS (size)jo&oF sTbAGE NO,OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATERPy6L/C BUILDER OR OWNER m/J4[-D F. R/C/-f7T=_,L' DATE PERMIT ISSUED: 5130,16 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i �L3ELL , CL6,gi-JOUT `IN Pu M P I_ - DiST. rLoc,1aiFFusoms 50K sapric TA/u!d http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=206097&seq=1 10/1/2018 P��FTNFTp�y TOWN OF BARNSTABLE OFFICE OF S BA"STAM i - ■_ MAe.. R�;nu yr HEALTH �O 1639. \�6' 'ON•QmpY�, 367 MAIN STREET HYANNIS, MASS. 02601 March 30, 1989 Donald Richter 162 Alexander Avenue Upper Montclair, NJ 07043 Dear Mr. Richter: You are granted a variance from Regulation 310 CMR 15.13 (2), The State Environmental Code, Title V, in order to upgrade an onsite sewage disposal system with its proposed leaching facility tibree (3) feet above the maximum groundwater. elevation, in lieu of the required four (4) feet, at Lot 29 Short Beach Road, Centerville, Ma., listed as parcel 4.5 on Assessor's map 206, with the following conditions: (1) The dwelling is restricted to three (3) bedrooms. Dens, study rooms, sewing rooms, sleeping lofts, enclosed porches, and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Quality Engineering, (2) The dwelling must be connected to public water. (3) Garbage grinder(s) are not authorized. (4) The designing engineer must be onsite to supervise the construction of the system and certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (5) The septic system shall be pumped every two (2) years by a licensed septage hauler. This variance is granted because the existing cesspool is in all probability sitting in groundwater and contributing to the pollution of Centerville River. Sincerely yours, Grover C. M. Parrish, M.D. Chairman BOARD OF HEALTH rTOWN OF BARNSTABLE eY .;F DATE . TOWN or BARNSTABLE FEE �P +� OFFICE OF RECEIVED BY 1� 1 fAel7rl��� 1 BOARD OF HEALTH '^�, ie�o• 3e7 MAIN STREET NYANNt9, MASS. 02e01 VARIANCE REQUEST FORM A11 variances must be submitted FIFTEEN (15) days prior to the scheduled Board of Health meeting. . TEL. N0. NAME OF APPLICANT 15 ADDRESS OF APPLICANT t coz �!—�x��fl��- . UPt'r�Z r'�ctii ci�4tR 7o`f NM1E 09 OWt4ER OF PROPERTY SZI" AS APFLA 4'J DATE APPROVED SUBDIVISION NMI" ASSESSORS MAP AND PARCEL NUMBER LOCATION OF REQUEST �5 T -02e,cK T LO SQ. FT. WETLANDS WITHIN 200 FT. OF PROPERTY1 SIZE OF Yee ✓ ito VARIANCE FROM REGULATION(List Regulation) !3 z - t11 K.EYa r. VJ�.F l'7o�C t.A./NIk� v�-t0 IIEASUtI FOR VARIANCE(May attach letter if more space is needed) R t�S M4K-i: IF— C, - N�• PLAN — TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINI119 VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVE!) REASON;'FOR DISAPROVAI. rover Farrish, M.D. ,Chairman vol O Anne Jane Eshbaugh BOARD OF HEALTH TOWN OF BARNSTABLE James Crocker Py�FTHE t0�4 TOWN OF BARNSTABLE OFFICE OF B BOARD OF HEALTH � M"ABs.B. 1639. `� 367 MAIN STREET HYANNIS, MASS. 02601 March 30, 1989 4 Donald Richter 162 Alexander Avenue Upper Montclair, NJ 07043 Dear Mr. Richter: You are granted a variance from Regulation 310 CMR 15.13 (2), The State Environmental Code, Title V, in order to upgrade an onsite sewage disposal system with its proposed leaching facility three (3) feet above the maximum groundwater elevation, in lieu of the required four (4) feet, at Lot 30 Short Beach Road, Centerville, Ma., listed as parcel 97 on Assessor's map 206, with the following conditions: (1) The dwelling is restricted to three (3) bedrooms. Dens, study rooms, sewing rooms, sleeping lofts, enclosed porches,and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Quality Engineering. (2) The dwelling must be connected to public water. (3) Garbage grinders are not authorized. (4) The designing engineer must be onsite to supervise the construction of the system and to certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (5) The septic system shall be pumped every two (2) years by a licensed septage hauler. This variance is granted because the existing cesspool is in all probability sitting in groundwater and contributing to the pollution of Centerville River. Sincer ly yours Grover C. M. Farris . Chairman BOARD OF HEALTH TOWN OF BARNSTABLE TM/bs DATE ~ TOWN OF I3AnNSTABLE FEE �- yp OFFICE OF RECEIVED BY - I 130ARD OF I-IEALTH '^o t659•16 3e7 MAIN STREET' • HYANNIS, MASS. ozeol VARIANCE REQuE5r FORIt All variances must be submitted FIFTEEN (15) days prior to the scheduled Board of Health meeting. IIAHE OF ,APPLICANT �- 4I a —lGh 2 TEL. NO. ADDRESS OF APPLICANT IG L'j NAME Ot OWNER OF PROPERTY DATE APPROVED SUBDIVISION NAIIG G ASSESSORS MAP AND PARCEL IIUIIBER -A14\P LOCATION OF REQUEST Si row No SIZE OF LOT �j`7��i SQ. FT. WETLANDS WITHIN 200 FT. OF P ROPERTY1 Yes ' VARIA.110E FROM REGULATION(List Regulation) ) - ` TrTwE��J ' -`t`C,[ Gi= C�flG t�� IU Z REASON FUR VARIANCE(May attach letter if more space is needed) S-xkb;-?r3 C, Lc, 1 ti ,��3�^ f�v� �2v? �i �S M4 3 �4�C.►� -NL_w44 k wirn���-1Jr-� �� 1� o� CX�t C,�t iv"ci �t'cL 1�.\�`; W i T��J 1•• .=�K-r►X ��a�L 04g-1 At'1C��• PLAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAI. Grover Farrish, M.D. ,Chairman 0��� Anne Jane Eshbaugh BOA p fla TOW BARIMT 40 James Crocker i � ,*THEp TOWN OF BARNSTABLE OFFICE OF B MAA& ° BOARD OF HEALTH B& 1639.D 367 MAIN STREET � (qpY�' HYANNIS, MASS. 02601 March 30, 1989 Donald Richter 162 Alexander Avenue Upper Montclair, NJ 07043 Dear Mr. Richter: You are granted a variance from Regulation 310 CMR 15.13 (2), The State Environmental Code, Title V, in order to upgrade an onsite sewage disposal system with its proposed leaching facility three (3) feet above the maximum groundwater elevation, in lieu of the required four (4) feet, at Lot 30 Short Beach Road, Centerville, Ma., listed as parcel 97 on Assessor's map 206, with the following conditions: (1) The dwelling is restricted to three (3) bedrooms. Dens, study rooms, sewing rooms, sleeping lofts, enclosed porches,and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Quality Engineering. (2) The dwelling must be connected to public water. (3) Garbage grinders are not authorized. (4) The designing engineer must be onsite to supervise the construction of the system and to certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (5) The septic system shall be pumped every two (2) years by a licensed septage hauler. This variance is granted because the existing cesspool is in all probability sitting in groundwater and contributing to the pollution of Centerville River. Sincer ly yours Grover C. M. Farris d. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE TM/bs DATE TOWN OF BARNST/IBLE FEE - Pyo "i H TOE o OFFICE O F RECEIVED B lAef7Tl>t-�*• 1 BOARD OE I-1EALTH '^o t6�9• ��`� 3e7 MAIN STFIEET �t0 MAC�' I • HYANNI9. MASS. oleos VARIANCE REQUEST FORM a All variances must be submitted FIFTEEN 5) da(1 y Prior to the scheduled Board of Ilealth meeting. „ NAME OF ,APPLICANT h r TEL. NU. ADDRESS ,OF APPLICANT NAME Of` OWNER OF PROPERTY DATE APPROVED SUBDIVISION NAME q ASSESSORS NAP AND PARCEL NUMBER LOCATION OF REQUES SIZE OF LOT SQ• FT. WETLANDS WITHIN 200 FT. OF PROPERTYs Yee No VARI/l110E FROII REGULATION(List Regulation) : �a� — �� t -T wE E� cItA orr C,E 8G4 i rl, �o M. X� �1�N� Rn��� �-2 CIA^1 ocJ ^' QQ 4�55T � REASON FOR VARIANCE(Nay attach letter if more apace is needed) ��S fie. ���A�"O 21 (�G �JTN� `�Qc����I I t��' o'F C��Fi•G�rv�, `��t,\��'�{ 'v�1 Tk�J i ��:.�>`� ��i�t���. y ► �-�5. PLAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAL Grover Farrish, M.D. ,Chairman ��� Anne Jane Eshbaugh BOA NMU O TOW BARDI$IPI� James Crocker y�P�OFTHErOy��� TOWN OF BARNSTABLE OFFICE OF B" WAU M& MMB. a BOARD —OF HEALTH .� i639' 367 MAIN STREET 6 M HYANNIS, MASS. 02601 March 30, 1989 Donald Richter 162 Alexander Avenue Upper Montclair, NJ 07043 Dear Mr. Richter: You are granted a variance from Regulation 310 CMR 15.13 (2), The State Environmental Code, Title V, in order to upgrade an onsite sewage disposal system with its proposed leaching facility three (3) feet above the maximum groundwater elevation, in lieu of the required four (4) feet, at Lot 30 Short Beach Road, Centerville, Ma., listed as parcel 97 on Assessor's map 206, with the following conditions: (1) The dwelling is restricted to three (3) bedrooms. Dens, study rooms, sewing rooms, sleeping lofts, enclosed porches,and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Quality Engineering. (2) The dwelling must be connected to public water. (3) Garbage grinders are not authorized. (4) The designing engineer must be onsite to supervise the construction of the system and to certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (5) The septic system shall be pumped every two (2) years by a licensed septage hauler. This variance is granted because the existing cesspool is in all probability sitting in groundwater and contributing to the pollution of Centerville River. Sincer ly yours Grover C. M. Farris Chairman BOARD F HPAT.TH TOWN OF BARNSTABLE TM/bs Town of Barnstable Barn A&AmmicaCity Board of Health i ' i 200 Main Street, Hyannis MA 02601 2007 March 14, 2018 Public and Environmental Health Program Policies, Procedures, and Guidelines Enforcement of Section 360-20 (C) of the Town of Barnstable Code/When to Require an Applicant to Appear Before the Board of Health for a Determination as to Whether the System Requires Repair or Replacement No. 2018-001 Criteria for Determining System Repair or Replacement: According to current wording in Section 360-20 of the Town of Barnstable Code,the Board of Health may require the repair or replacement of an on-site sewage disposal system if any of the following apply: (C). The bottom of the cesspool or leaching facility is less than four feet from the maximum adjusted groundwater elevation. When to Require an Applicant to Appear Before the Board: The Health Inspector shall inform the applicant that their proposal requires Board of Health review at a public meeting to determine whether or not a system replacement or repair is required if it was previously determined and documented (information is maintained on file at the Health Division) that the existing leaching facility is less`than four feet above the maximum adjusted- groundwater table -and the existing leaching facility is located within 2250`-feet of a-water body (orw ithin 1`S0'feet of a'private-well)�Jand-"if one or more-of the-following three conditions apply: _ a) there is an increase in flow proposed (i.e. to construct an additional bedroom) or; b) the applicant proposes to raze and rebuild the dwelling/building or; c) a repair, upgrade or replacement is proposed to one or more of the major existing septic system components (i.e. septic tank, pump chamber). The Board will consider proximity to wetlands, age of system, engineering plans and other documentation on file, the existence of innovative/alternative technology or a secondary treatment unit, pressure dosing, location in regards to an estuary protection zone, groundwater protection zone, well protection zone, proximity to private wells, perched groundwater, and other environmental factors when rendering a decision. Paul J. Canniff, DMD Donald A. Guadagnoli, M.D. Junichi Sawayanagi Q:\POLICIES\Four Feet Separation Enforcement Policy.docx . Examples: --------------------------------------------------------------------------------------------- • A homeowner is seeking a building permit to construct a 12' by 12' shed. The existing SAS is approx. two feet above the groundwater table according to a private DEP septic system inspector. ANSWER: No, this applicant will not be required to appear before the Board because.the proposed construction will not involve habitable space. --- ----------------------------------------------------------------------------------------- • A commercial building is located within 250 feet of a wetland. A contractor is seeking a building permit to raze the building and construct a new building. There will be an increase in the estimated wastewater discharge flow. The existing SAS is approximately three feet above the groundwater table according to a private DEP septic system inspector. ANSWER: Yes, the applicant must be informed by the health inspector that this proposal must be reviewed by the Board of Health at a public meeting because the building will be razed and a new building is proposed. -------------------------------------------------------------------------------------------- • An applicant is proposing to replace the septic tank at a single family residential property, located within 250 feet of a wetland: The SAS is two feet above the maximum adjusted groundwater table according to engineering plans kept on file. ANSWER: Yes, the applicant must be informed by the health inspector that this proposal must be reviewed by the Board of Health at a public meeting because there is an upgrade proposed to one of the septic system components. QAPOLICIES\Four Feet Separation Enforcement Policy.docx rzp A// orb(,--87,-7 THE COMMONWEALTH OF MASSACHUSETTS BOARDOF c HEALTH .... ....OF.. .........p, 9- v S cS an. �.._.. ......................... ^ Applirtttiutt for Disvaottl Works. Totnutrurtion amit �FU-Y' Application is hereby made for a Permit to Construct ( ) or Repair W an Individual Sewage Disposal I System at: ,� �f� .... ...- __...L i............... .... •--- ocation-Address � ......A ................................. Owner ss ,-� ............................ ................ rep, �. `1.1 f:�R�ll......• -•-•- ..._. Installer Address Type of Building Size Lot............... Sq. feet �-, Dwelling No. of Bedrooms............,3............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) - Cafeteria ( ) d Other fixtures W Design Flow.............56 ........................gallons per person per day. Total dail- gallons.—LiquidLength..... Diameter................ Depth....4 x Disposal Trench—No...../........ Width...... G_°._..__ Total Length... . ......... Total leaching area.37.As. ,-sq—fr 4;r® Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box (,) Dosing tank ( ) - a Percolation Test Results Performed by----- OW....;�.....wff.L ....1 ...... Date.../•- -V-'. _ ......_.. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....__..._..._......_.. G>~ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... Description of Soil. ------------•-• --------------•-•------------------------- ----•-------------- W ••...•••-••-•-••--••-•-•-••••......-•..._.....••.---•• -� '�-----••.'.� : ...-••-•.:::••-••--•---•-•-.--••.............•---••-•••------•---••••-•--------••.......----•---- -----------------------------------•------------------------------------------------........--------------------------------------------•--------------------.......------------........--•---••...... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...-•-------------------------•----•-----------•----------•-------•----•------------•--•----...-----••--•--....----------•-----•-•---------•----••----••-------........-----------.......•---•-....•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITAU, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. C Signed........--....._`...--................... -•-------- - -•----•---------••------..._ .� Application Approved By. Date �.............................. Date Application Disapproved for the following reasons:..........................................-•----•----••-----•------•.................•----....--•---•....---... ..-•----.......-•--•-----------------------p....----••------------.....--------------•-----•---------•---.......------------•----•---------•-•----....--------•---...........-•-....•-••••••••._..._..--- Permit No........ .�/..-.�.aJ� ----•-•----------- Issued_.......................................................Date a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... '::{ ::t..... .OF............ �� ':<< : .................................... �rrtif irtttr of Toutnlittttrr THIS IS TO C RTIFY, Ththe Individual Sewage Disposal System constructed ( ) or Repaired fie) by.................. �? ---••- ••••-••••................................................................................................................ - .. � ` ��Installer .1. ..'7 . 1, has been installed in accordance wit(i the provisions of TI-TIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated........... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-•---...------••---...--�• ' 1- `. .`� Inspector............. --•-----.......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTlH� .r _..t1.:� !.. `.j:. '.'.a...............OF...........i 1 No.. ! FKE.. Disposal Iforks %ottutrurtiott rrutit Permission is hereby granted................=.__.._.._..C......... ., c ..-----•--------------••-----•------...........................-----....•.... to Construct ( ) or Repair�� an Individual'Se ge Dispo al System at No................ 1. Street as shown on the application for Disposal Works Construction Permit No .u'_ .1.-�).4... Dated......................... DATE........... Board o f Health--• ............. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS LOW & WELLER, INC. Consulting&Design Engineers Land Surveyors P.O. Box 119 Yarmouthport, MA 02675 Offices: George Low,Jr.,R.L.S.(1981-1987) 714 Route 6A William G.Weller n .n o�erw Yarmouthport,MA ..-Om 362-8131 Everett H. Hinckley,P.E., R.L.S. 29 Main St. Orleans,MA 240-0938 June 8, 1989 Thomas McKeon, Health Director Town of Barnstable Board of Health Town Hall Hyannis, MA 02601. RE: Lot 29 Short Beach Road Centerville Dear Mr. McKeon: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, Everett H. Hinckley, P.E. EHH:ket cc: file T N OF 'BARNSTAB - Go.? OAP lots�.�,. 1 . (_ !/ LOCATION � c5/40/Z-rrz CI-. YZ� WAGE # 8 q' Z� AID jl Ste- ' f �o o 11 ViLL GE ASSESSOR'S MAP & LOT: 26 4S INSTALLER'S NAME & PHONE NO. 7oA .3Q'9o8a SEPTIC TANK CAPACITY /DOD G ('z) 4' x 8 LEACHING FACILITY:(type) LOGJDI/-FUSaRS (size) w/3' �raA= f NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER)'O8L/C. BUILDER OR OWNER ZOAJ14 DATE PERMIT.ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I n , M i7 z rLa c.)D c f-FU5o RS D ST• 'TANK APPLICATION FOR PERCOLATIONN TEST AND OBSERVATION-PIT / OCATION 7- 3g> �.!/vlZ T `J��./�• Nk. 0(:�)` ILLAGE G E7.1 DATE PPLICANT- FEE C� DDRES 2 4&- u�o�o• (Non-refundable) .�,u x . ,� TELEPHONE NO.� NGINEER Gp w ����. ���. TELEPHO 0._&Z- 8/3 )ATE SCHEDULED w�y S �' -, 3a � r (Appl cant' sgnature) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . ASSESSOR'S A,&P & LOT NO: p2 SOIL/LOG UB-DIVISION NAME DATE �� �� TIME / : 34) A. XPANSION AREA: YES NO _Loin �' We".Fe- ENGINEER:R - OWN WATER-tPRIVATE WELL 3-err( T)ooN►oy BOARD OF HEALTH EXCAVATOR KETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation• tests, locate wetlands. in proximity to test holes) NOTES: L c+ 3 > C U-T Zg Ex�sr L-T L� Ct.d-r L 4-) o (L.,, 15) + Gw�3� • I i ERCOLATION RATE: Z M:rJ/irJ , 'EST HOLE NO: C ELEVATION: TEST HOLE NO: ELEVATION: 2 2 3 • 3 _ — 4 4 — 5 5 6 Cam" waT�e� 6 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 16 16 UITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES -x NSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: OTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED •ON PERC TEST APPLICATION RIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH OPY: RETAINED BY APPLICANT No.... ... Fza.... 1.0.....-... THE COMMONWEALTH OF MASSACHUSETTS B2 OAR® OF. HEALTH ............./Ok .!�...........OF..................94ZU ' E Appliration for Dispoiial Marks Toustrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (K an Individual Sewage, Disposal System at: ......�f............-. .. ......................... .......•-•••--•---•.......----.......---..3 .------..........---............-----••-- L ation•Address or Lot No. ------------- �..... . ...` . ---------------..-.-.... ..-.....-----------•---..-------•-----.....----d..--........-.-.-I............................... Owner Address a ------------ ._.._.. Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms...........-...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..........--.........--..... Showers ( ) — Cafeteria ( ) dOther fixtures ...................................................................................................................................................... WDesign Flow.............2 .........................gallons per person per day. Total daily flow............ ..................gallons. Cd Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. ......I........... Width......L2...... Total Length..... ..... Total leaching area... 7. ... sq-ft.GPP Seepage Pit No..................... Diameter.....--..--......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ('C) Dosing tank ( ) ~' Percolation Test Results Performed by..___. ?c ... ._, .._.. !1-.e... Date..... ' lf.:-.��........... W ..._..,_ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..--.................... (3, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 ......... ------------------------------•-----..... ------•--•...................... .----------------- --- .... .------------------------- .------------- -......... 0 Description of Soil....................................................... --------•-----------------------•--------------------------•------------------------------------------------ W x ---- --------- ..........................-............................................................................................................................................................. V. Nature of Repairs or Alterations—Answer when applicable-,............................................................................................. ----------------------------•----'------•---------------•-•'--•--...----•-------.----.•......----•'------.....------------------•-•--------•--•--------------------•----------------'-••-•--.....--..-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'1ME 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.----. .�-....�..v... . _ Date Application Approved By-------------�Y4 -------------------------------------- ------. �: o `Y- Date Application Disapproved for the following reasons-----------------------------•----------.------------------------------------'-------------------------•---."--- .................•------------------.•---..- -----...--•--- . •« Permit No. ... -'....'.��... Date .....................• Issued.-'-•--'-•--------------------------------•--.......... Date .... FEs.... Z...d.....^... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ���•.............................OF................�/��t�1s�71L. ................................................................. ApplirFatiou for Disposal Works Toustratrtiou Prratit Application is hereby made for a Permit to Construct ( ) or Repair (K an Individual Sewage Disposal System at: ......�v2T � y..... .......................................` - ... ......•-•--•---------............--•-....30 ...- - ... .... \'�, Location-Address or Lot No. r !Y. i ( 5;�.. ........................ .......................................... ...................................................... W Owner -�- Address Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms..__......J?..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixWres .............•-----•••-•------•-•••---•-•-••-•-•-•...-•-•------••-•-•---••••-••-------------------•---•••-----•-................................... W Design Flow...........s.6 .........................gallons per person per day. Total daily flow___.........�� �v0..................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No.......1............ Width...... ©.1._.... Total Length..._ZZ...... Total leaching area--_-?.�13...rsq--ft.Cp10 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (-A) Dosing tank ( ) _ ''" Percolation Test Results Performed by...._ -"__w... i_... •--•1!U�-•- Date..../.................................` � Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ••••••••--•---------•--•••••--•.................•---••.._---•-•--••--•--•-•-•----•.......---•-........-•--•-----•-•-•--...............••--.................. Description of Soil............................... -..........--•-•- x ............................................................... ...................� ....................................................-----•••-•..........----•••----•---•-•---------- I V W x .......-------- -----------------------------••-•-•--------------------•-------••••---•----••••------•----••...-•-•----•-----------•-••••----••--•••-••-----•----•••-...----•--•--••-•------••.....-•-- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------•------•----------•----------------•---••-•---•-•--...------...-•---.........------....--------------------------------------------- ........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITZU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boardl of h alth. Signed `." )I.c----........ J� P3G ---------------•••-•-•-• .......... _Application Approved BY ..... �" -' Date - .............. Date Application Disapproved for the following reasons:---------------•--------------------•---------------•--•---------------------------------------------••-------•- ......------•----------------------------------- -------------------------------------------------------------- �. Date PerNo........ .......---a.....�---•-"-•-----"-"""""- Issued------------------------•---------•---"•-""---•--•--""" Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........� L:zTR..::..........OF............. ;,• ::�o- i; ................................ Trrtifiratr of ToutpliFaatrr THIS IS TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by........................... t'r� 4A..--•-••""-----------•--•-------------"----"...........-•----•---.......----.......-----............................---- r B Installer has been installed in accordance with the provisions of '.!'-t"'";,c j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_____________f_____ Jam_ ....... dated-_...___--..._.____---_____-__-----._-_-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................�� = f�.,..-_ ................. Inspector.................. �----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f- �, ' ' .�.. .' 'r4. '�F No...i ..l... ._ ..1 FEE........................� �i��r�a��a1 �rk� ��aat�#rirrtt pr�ti# Permission is hereby granted............e 'C:::?1_:�4 t�t� .. to Construct ( ) or Repair (4-an Individu Sewage Disposal System at No........ Street �' �, -- as shown on the application for Disposal Works Construction Permit No.:_.7.!4_?-�-- Dated.......................................... ................................ = '-- Board of Health DATE FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS yw.. 77 L o? 30 TOWN OF BARNSTABLE LOCATION // 5/40/2-r BEACH-4 1PD SEWAGE # VILLAGE CIZA16VILL4�. ASSESSOR'S MAP & LOT ZGG �7 INSTALLER'S NAME & PHONE NO.EA66E COtiO%RACT6�25 362-�Q3o ,� SEPTIC TANK CAPACITY z 4198 LEACHING FACILITY:(type)l�ZpIJV/TF0,56,e,5 (size)bu13'of 5T6,,.jE NO. OF BEDROOMS ..3 PRIVATE WELL OR PUBLIC WATERFu3C./c BUILDER OR OWNER DATE PERMIT ISSUED: Sf3o8�/ DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes X, No 0 CLL OL) N -' �f-1 t9HF�ClZ rv) FLO GJ DIP Fu S0/e S OO X r PTI c IrA Nie LOW & WELLER, INC. Consulting&Design Engineers Land Surveyors P.O. Box 119 Yarmouthport, MA 02675 Offices: George Low,Jr.,R.L.S.(1981-1987) 714 Route 6A William G.Weller Yarmouthport,MA An Paul 9hnvvdr44E 362-8131 Everett H. Hinckley, P.E.,R.L.S. 29 Main St. Orleans,MA 240-0938 June 8, 1989 Thomas McKeon, Health Director Town of Barnstable Board of Health Town Hall Hyannis, MA 02601 RE: Lot 30 Short Beach Road Centerville Dear Mr. McKeon: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and. completed in accordance with the approved plan. If you have an questions, lease do not hesitate to contact Y Y q P US. Very truly yours, Everett H. Hinckley, P.E. EHH:ket cc: file I T N OF 'BARNSTAB LOCATION c5/-�o27'. > Ch� /2� WAGE # h� VILL ,GE C2 r9/G V I ASSESSOR'S MAP LOT:.26 INSTALLER'S NAME & PHONE NO. ����� ea �l�'rOe25 3�Z-968a SEPTIC TANK CAPACITY LEACHING FACILITY:{type) _LoW DIFFU5a�25 (size) w�3' �?a�E NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER)708L/C. BUILDER OR OWNER ZON/-) DATE PERMIT.ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No _ ' 1�Z I ,LA r(o L)Di FFuSoRS 5EPTi� D 15 i. ?ANk p�oyc P' lq LOW & WELLER, INC. Consulting&Design Engineers Land Surveyors P.O. Box 119 Yarmouthport, MA 02675 Offices: George Low,Jr.,R.L.S.(1981-1987) 714 Route 6A William G.Weller Yarmouthport,MA 362-8131 Everett H. Hinckley,P.E., R.L.S. 29 Main St. Orleans,MA 240-0938 June 8, 1989 Thomas McKeon, Health Director Town of Barnstable Board of Health Town Hall Hyannis, MA 02601. RE: Lot 29 Short Beach Road Centerville Dear Mr. McKeon: Please be advised that we have supervised and inspected the installation and construction of the'new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, Everett H. Hinckley, P.E. EHH:ket cc: file Assessing As-Built Cards Page 1 of 2 GoT 30 TOWN OF BARNSTABLE LOCATION // ,5H0/Z-r BE C D SEWAGE f 69-Z557 VILLAGE CRAle W4,L4EF ASSESSOR'S MAP&LOT Za6 %"J INSTALLER'S NAME& PHONE NO.EAGL,c d9t -1RAc-76,eS 36Z-9030 SEPTIC TANK CAPACITY 1004 Ci 2 4'X8 ' LEACHING FACILITY:(tM)FC.DCJD F-0 ,e,S (size)L 3'of STatilf NO,OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATERPU31-/c BUILDER OR OWNER LbNfl LD F. DATE PERMIT ISSUED; s-�30e9 DATE COUPLIANCE ISSUED; VARIANCE GRANTED: Yes DG No I I � f► �N --- - s n° N -- PUMP C(JE�HBEk M I— �' �DiST. r�o ai�PuSots 30X :5;a pTic TANK i. h4://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=206097&seq=1 9/29/2018 71/ THE COMMONWEALTH OF MASSACHUSETTS ? „��'� ��, BOARD OF HEALTH c5 (T►l O'Q�•._........104U.rO...........OF..............fep�h .:dr' +�•f .�. ......................... Appliratiun for Disposal Works Tonstration Frrutit Application is'hereby made for a Permit to Construct ( ) or Repair �4 an Individual Sewage Disposal Systemat: ........................................ ...................... ..... -.•.ocation-Address 1 •...........................•- � ---.....e ......... - -- ` . -"- =--......._. 6 .... `� s1� a .x...........•--------------•--........._....... "tQ=- 9G........1---..Y..... - t1. Installer Address . Type.of Building ' Size Lot............................Sq. feet a Dwelling No. of Bedrooms--......... .....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ................ - Design Flow............ .......................gallons per person per day. Total dail flow...........3-3.f-�........................gallons• Septic Tank—Liquid'ca.pacityA0 o.gallons Length..... Width...... ------- Diameter................ Depth....' x Disposal Trench—No...1...._.... Width......&.-`-...... Total Length... Z--�..... Total leaching area..�114.1.4,srl:-fr 4;P® Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (k) Dosing tank ( ) Percolation Test Results Performed by.....40AU._...�...._ &-L..�.c._._.. Date... 1 Test Pit No. I................minutes per inch Depth of Test Pit...._.......__..__.. Depth to ground water.............. ......... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ � Description of Soil...... ............• -••-----....._....._.........--------•---•....-----=.. ---•---•......--------------------------------------•------......----.....--•---.. U ..........................................................� ......AP ......-----------------.......-----------------.........------....---- w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------------•--------•----------.........---.......----•----....-------------------•---...---.....---•--------...............--••--------...........----•-••-•--•••-•-....-•----•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed........ ;...... .... .... . ........•................... _.�a....... � .. -Application Approved By.... - Date ....---------------------------- --- ---• -' �•=` Date Application Disapproved for the following reasons:........................................................................................... .__.___-_,_ ••--•---------••---------------••--------•---...----......---•----.....---...--•-------------------------.....---•--------....---------------•---•-.......-----•--•------.............._.•-•••-•-----.... Date Permit No........ _-... ..............._. Issued........................................................ Date i ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OR HEALTH t...........OF............ ���r�::a-c:::� :G���t.................................... Gruftrate of Toutpliatta THIS IS TO C RTIFY, Thah the Individual Sewage Disposal System constructed ( ) or Repaired f<) ---- 'I ' . (\Inataller at.... ? =`=k .•l"= 7 -------•---------•.................................................................................. has been installed in accordance with the provisions of TITIE' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated........................._...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. i .......................DATE.............--•••-••• -6.'j.a.:.:' .�...................... Inspector---------------- - _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... �`..'.... .......... ........... . .� t .,,��.. OFI:... s:a:.4. .. r No.. � S.� FEE.. ..--•------ Disposal nrkn Tonstrurtion Vanfit Permission is hereby granted.................... .- ..4-._•..... . to Construct ( ) or Repair an individual ew ge Disposal System f atNo.............••• ---...aZ.z-r....._:,:J...1 _c�f .....�' ;..�.�: :-•--.. c. .... �...._;,:��t.�'.........._.._._...... ........... Street as shown on the application for Disposal Works Construction Permit No_h. 16.'j... Dated.......................................... .. ................................................ DATE................•--......•.......--•-------........................••-••-....... Board of Health FORM 1285 HOBBS & ,WARREN. INC., PUBLISHERS ' �o , � 93.13 8' 1 r 58 F„lr?. �ATa49 O MIN ----� lo. Ni i \ I lco fl�F ILU�Ict _ Be - ` I I c-fo1-1 P.� r- •/ 78�' 1 �•8 I r I 1 ��E)CIS'�1►-�G 0�.��-Fi"r:.. r .. S•��- --� `'; , I I � :. I��F2.T E.t��(o:lZ `, t�1F.t-U�l� 715 I' 1 �clsn�l SCE e- r4e 1 . I l,:lJE2T tl Fes✓. .4 0 __ O Q -r�I1 EX IsfTZ 7:3 14 7•Z .. ��- �CISTI�Gr 1 �Z3¢ p LIAR , -- 7r-0 0 r CR0a3 SE�LION �q POt1Y�+� 6' 6_Orr 6' Co�ceG- 5�8 cam. per,: . Inlet ' I Nlol Liquid Alum Switch— •- -. Outlet 6'-0" T Ir liquid Level Switch 1pump onl— A I (-- A Low Liquid Level SwUrdllump olll— r_ Pump--/ _ =6. PLAN VIEW COVER OPENING SIZE & LOCATION SIZE & LOCATION INLET, SIZE & LOCATION , PER PUMP & JOB PER JOB REQUIREMENT�PER JOB REQUIREMENT `REQUIREMENT - 6r0 w SGdI-e: '/z."- l'�" i• X CLEANOUT 8 INSPECTION LID-(OPTIONAL) Q o Q 2'-9r1 4rr DIA. r 079 AS REQ'D + o FORM gar s W Q r= Q - FLOW l I _ o LINE ---I 1-T' -4 I-2'Y" no. ;r.:•.. 6' .. LK-O's FOR BED -T INSTAI-LATION VIEW B-B SECTION A-A . SECTION B-B VIEW A-A A PC 6 X 6 FLOWDIFFUSORQ PRECAST PUMP CHAMBER' F;Q 4 .X 8 - L .,PRECAST;'L'E QH1NG CHAMBER N DESIGN DATA LOT 29 „ DAILY FLOW: 3 BEDROOMS X 110 GPD/BDRM = 330 GPD NOTES SEPTIC 330 GPD �-4%-- J3- TANK: X 150% = 495 GPD USE. 1000 GALLON PRECAST SEPTIC TAN K'* LEACHING FACILITY: 1. ALL PIPES TUBE 4" DIA: SCH 40 PVC. USE: (2) 4' X 8.'.. FLOWDIFFUSSORS W/3+ CIF STONE 2. EXISTING CESSPOOLS TO BE PUMPED AliD CAPACITY: '373.6 GPD BACKFILLED WITH SAND: T_ 3. IF EXISTING SEPTIC TANK .HAS A 1000 •� -z'jam,-r�� of �•:•� �. ,i `.:. •->,� .;i 4' _ 3"MIN. /; \�\\ \\ , ��\\%%! 2.\:.. l�C\ '7.ST \a�-1/T.Zv�3!/7��\\�T/(//\\\\`7/T/\�\\t//j/ \.\\! T//7/\\_7` /�\\\�\ R SEE '`' � \. -;'y � �T�'or•1�E�.•9:So _ .- .. . .�_ ._�- t :� S.q4 577 5.100 l 1 \li 5•g-(a j0.� I �.la.Tt2•P 1.So � -- � - • r 'r' 50 LQUID -_r •.^ 3 ttEV E1. /T' 2/1•� i ... ,• g/T.,T•n-. •`-T�r-• .. . •. .�}. Lam• �— B: Io, ST - 1000 ";`�/i,y \ \� //(i!\\\C:\/�'//,/\';"�/�J/\\\\\\\/�l[l((�\\ \\�� (T\�\\\\ ��///((/�\\\\\7T \\ZC\C\/l/,�(/!,/T\�\\\\\///l/l/`•\\\\\\\/�� �(oPe EL. 6.ov r\ \ '� � �, e �.so PRECAST SEPTIC TANK.- 1000 GALLONS 4.90 4 &S 5.So :5.4& 4.SS • 1-5" INLET 6-5" OUTLETS nc __ . I"=�o' },�''`:n'N)6�'•Y^jj 1a�i.jl� ♦I S•i Cl! J�_A.Qt.r.ia'Q n'r..l.�;'4 4' _ .; • .dr ;,`.4 pot. s 24" 1a" 11 • :l.'; of •, 9,�„ 9,h.. " - - a c t SECTION A-A ` - DB-5 PRECAST DISTRIBUTION BOX: 5 OUTLET .. - N:l'l 1 •. r..�v....... A..-fr.. _ �7P': - ... SIMPLEX ALARM MODEL # 10 0028 OR"EQUAL CONNECT 115 V SINGLE•PHASE LINE '.l'0.PUMP (See -pP--• -AlI L� CHAMBER. LEACHING FACILITY: USE: (2) 4' X 8' FLOWDIFFUSSOR$ W/3' OF $TONE .; CAPACITY: 373.6 GPD: ,E -E ST v �oG LDS 09,�. 3d Wit=tl cI2 P DATE= JAIILIAr2-( 4• Mev I-�Ap Zc<- PAec !r- 545��t7 _ p TEST" F3;!: Lo�.1 � ti`�E1-1-F�fZ,I!�L• � - �ITti.IESS. 1.4SP 7.5 �.t 7• 70 &..........lag ELL-ERJr Isle �,,4.�, 714 MAIN ST. YARMOUTHPORT, NIA.^-(617)362.-$131 29 A:N ST. nRLEANS, hiA.�-(617)2*0--0938 - I.`> L1AT�-tom' lo�o•i .. ... _ _ -�OF !ura ConsultinS and design engineers ® Civil ., tci 15 vLATErL- 7Z S �VERETT R. v NIN'CKLEY Nm tl: EJCZtIT N. r1,19 REVISIONS Ti230 —t �;� I 'v ai1 TOLERANCES �� CIVICHI,IC�IEY �a tU �F CIsT E.� ��Q' ♦ t 787 Q / IE%CEPr AS D NO . NOTE I DATE BY I DECIMAL I I�ISTI�� SI E✓ ���� � �_.. � s r, FRACTIONAL DRAWN BY I SCALE MATFKlAI. r3 CHK'D DATE DRAB%I'.G'.'t FED ANGULAR TRACED APP'D a I . I . . I I � I I � I � . . I I I I I . . I . I ,f, � I 11 _ - _ . . I I � . . I I . 11 - - - - I I . I .1 . I - � � - I � I __ I .., I I I I I I I I � I 11 I . L I I . . , � -.,- ---. .I--_- I -,_- . I I I. � , �,�I . . 11 I �.-.I I . I . I � � I . I . . , . , -- -i -__I- - I I I : � . � I I I . ,I .. I L I . I I I I ---I , I � I I I. . I � . I.. - .I . 11 I� . .I I I I I I. I I I I I. I, � . I ,I. I �I I � . . . I � . . I � __- - . ..-. 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CAPACITY: 373.61GPD. . . 6 . . : �,`,�, . I . r� 6. -i �1 . I .. I .. 6 1 . . I I . I I I 11 I, I . �6 1- 6 . 6 :1 1 . .. 11.?� ��,e !, I .� I , . I I I . 6 ., 1 6 1 ' 'I 6 1 1 1 1 . . I � ., I i . I I I , �: ", 4. IF EXISTING SEPTIC TANK HAS A I I 1, 6 1 1 . I I r I : � I 1. 6 1 � . . � �,i;",,��, �,:r, I .1 I 1 6 ,� � I . . I I � I I 1 4 6 1� 11 - ,� . . 1. . I . 1000 '', , " I .�6. 1 � � 6 . 6 1 , �� . . .1� I I I I I I I I . . I I I I ': I,, I I , -�. �, ; 1 6 1 1 6 . I 1 6. . I - . I I I .6 .11 .1 : .. . . � . 1 6 . I., I . I . I I I I I I '. 6 6 1 1 A, ��: . � z , I i I "� _ . .11 _ .1 I I . I I . I I . I �, E I � . _.� _p.i.,.: ;,. . I . I .1 I I - 1-6.6 . . r . 1 . 1 61 � 6 11 . 1. 11 . 11 1. � I I . I .- I I , AND TEES ARE INSTALL�D , ) 1 - -,,�*'kdwi� : . . - � .�_ ..6 � I 11 . I r . I I I I I : I I LOT 30 1 1 6 1. I'I'L I r.r I . .6 ` t " i I I I I . I 11, I . I . . 6 � I I I 1 6 . I .1 ; : - I I .4,:,,,',,,1,:, i I .11, 1 6 11 , � r . 6 1 6 6 . .1 I I I ! I I I I I TO TITLE V SPECIFICATIONS, IT MAY,BE � � \ . . � _ ',. I I I I I 111. 1 6 1.� 11. I I I -- . 1 - I . . . . . D � 6 1 . -1- r * I i . . lt,;,,,:�4,6 41, , I 1 6 . 6 1 . �, . 1 6 1 1 1 1 1, r . I I I � I I . I� . .. . 1 6 1 1 ..� . 1 6 -1 I . I I � 1 6 .S, . I I I . 1 . . . . 1 6 r . 1 � USED. I 1 6 1 1.11 6 ,� I . �. I!�'r r�;��- I i . I . . 6 6 - � . . : ' . I I I . I , �*, � :, �. -F 1 6 . I � I I. I . 1 6 . . - . I I I . I I . � I I I I i 1 6 6 1. � I I I I . . I . .6, � I I 1 6 . . I I L . I . .q I I I � .I I I . 1 6 .� . ";. "4. .: EXISTING LEACHING FACILITY ON LOT 3b ,� � � . 11� . � � -_! I � , I I � � . . 6 1 "I UST,- 1000 GALLON PRECAST SEPTIC TANK � . � I : - I I � . I " '",'��� I . . . I I . . 11� . �. I 1 I � � . . I . I I � i . I I 11 ; . I . 6 6 1 - � . I � ,. I. 1. . #"^ "It'. -- 'C' ' ;- . ,� 6 . � 1 6 1 1 I . . � . I . I IL .kf,o�yr jk"0110 LITTV .A!�,:!y Cf) ,T��tiAjt,*!, � `-, I ! - I. . 1 6 1 1 . I - . . .1 . I I � PUMP SPECIFICATIONS: I . 6 . .. r .6 1 :1 i � �I. - ::, I�,,, ;Aj ..A.,� _�'!Ll� , � 4- ____ .N �D . 1 6 .1� 6 1 . I .I I I ,I.1 I I I 1 6 1 . 6 1 1 � I . I .. 6 , . , ,.,� ., I f, ,., _ .. �, . .. \j _ 1:, . I ,6�I,��_11�',I '1 6 I , I I .. I 1 6 � I � . ,� ,�- I 6 . . .I . I I -PRECAST PUMP" CHAM8tR OR EQUAL 1. I I � , , OSED OF PROPE RLY AT THE ` - '�- , , ",:" I - � �, I 11 I I �'' , 6". - . I . . I . I . . I I I I . � USE: PC 6 X 6 1 _ � . , _ � �� I I I :, ,. - � I � . 6 ,�, fl . r . i . 6 . . . I I . . ", , r I I , - 6 6 1 1 1, . 6 6,� .. I ,� 1 6 1.6- ''- !I 1. I 1 6 ,j 6 . -,! -_ SINGL 6 . �1, 1. I TOWN LANDFILL. I I 1 6 :1. I . I I li I . . . . I I I I o�I I I I ..61 Ir . I . I I ,� . . I I I . . � I .. . :16 � �,: , 6 1 1 , �� . f �. 16 . ! " ' .1 I . . . I � - i; 1 6 1 1 . I i . -1 II.P. , 115 V, 10.4� ,� . � I I :, . I . - I I . , " � . I I . 1 6 1 1 - I I I I 6 . i I . I I I I I . ., I ' . - v . ::I'7, 11 . __.- -I -6 - - .1 . I. I I � . . I 1 4 � � . �,- � 6 I I 1� I , AMP PUMP OR EQUAL. . � 11 . _V - -!-:� ,-Q --r;--,p I ,: .,;- 1, I - I . I . . I - zi 6," . I . . I . . I I . - I . .6 __ ���0,4 r-,;, � - . 6 . 6 - I . . I 1 5. ]�,l -I- L ,:=�CgE7L= � . . 1 61 .. 61 , I : I ! I 1 6 1 . I I . � I 1� I .. � � ' . .61 - �K - I I , I - I I :. - � . . . 0 eA��,, , I I . �I I 11 6 16 I :_- � � I 1-1� ,�,�i� ��� N,r',�4 4j, �'11!�' .f: -_�'�% �,. �_;;', '�'''I_r �"". , .-,,,���'�.","�,!"4� 1;11� I�Oj ii,64"�,4",._," %� ,0� , ., ,,_,14.�t&�,,�"f,, ,,�,, , , I 1� I ,:5>F s�,-- -1,6, -,oQ L_ic>-r - I I � I I I . ,� I _.�� � I<=> . 1 6 1 . I . 6 I 11A��1�41116 1- " 14 ;:, ,Ao�; ,,:� , ," ,,,- I� I � I 1 6 1 i I . .1� I 1 6 . 1 SIMPLEX I I I I . 11.1 I � . � 1 6 1 . . I � . - . 6 - S�6)r<L-F I I I ,I r. 1 16 I I I . I I I I 11 b I . -,r -� -- �.,,��, I � :_ I I . I 6 � �, . T,c �CQ FL_o�,it,,�� -�,� Et-, I I: 1 6 . 6 1 . . . 6 , . I I 6 � 6 . I I I CONNECT 1 1 . . I-- -_ I I I � 6 . . 6 1 . � .1 61 1 1 . I I 11 I. I I I . . . I I I . 6 i I I I . . I I . I 1 6 � . . I . I , I . � I I .� I . . I . - -D2:7AI L_�) _�" � ; .- - -11 1 - , I -_ I 1 61 1 1 1 1 . I . . I I I . 11 . � ; - CHAMBER. , .: I . 6 (Ser- I ,�, ,. i . I . !.- 1 6 . I I ., . . . . I I I . . . . I I ,'�, , . � . I I . . .1 I I /_" I I �I � I I I . I .1 . 6 1 't . 6 6 1 .I . . 6 .� . - � .6-1.11. I- 6 . I . . ) I . I � . ; � I i 61 11 1 6 1 1 1 � �, . I . . . .i � I �. I I _i I .. . .". 1 6 . . 6 1 1 1 I . LEACHING FACILITY: .. r . . 116 . I .i I I I - I I.. : ________�t?___,______ ..��Q_________ .1 6 1 - I . 1 . I I :I . - I I I I L I I., .I 1 6 1 . i . I I . . I . ------.-,------ ) /-7------------ --.- I 11 I . I . . . I i F STONE .1 I � . � I I I � ------- I I I . I I . I 6 1 . .� I . � I _,�_,k----------_-.14'el-T 16 -0- I I I I 6 . . 1 6 1 1 . i : I . �'1111 I I - 11 1 . . I I I . .. . . I I I I . I I I q ,: : 6 I 11 " , .� I I � . L . L% I 173.1:�!, . . CAPACIM 373.6 GPD,� I I � I . i . 11 . I I . . 1. 6 . /�, -6 �. 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Comsulting and d n engineers #Civil and structural .1 I I 1 6 � 6 r . . � . � I . . . I.. 1: 11, .. �.I I 1: 1 . FEVERETT R ,," I - -rE-r,-,- '7Z-" 61 61, . . . . . . . . I . � 6 . I I . I . . 6 61 . 6 . .11 . 6 1 1 1 .,H (In v f-�' c� .1 1.;;5 'AA . . I I . 1: - 6 . .. I . I . . . i . I . . . 6 6 �. ,, I INCKLTY r" :�'Z_1_ EVERETT R. ZAN I I I . . I V I.. I . I 6 6 . 6 1 I � . I I . I 1 6 .1. .� I . .. . . I I 1 6 . 6 �, 6 tj -2230 --,, ,oi z �7 1 1 i . � 6 � �� 4 . � � � . I I I . . I 1 6 . I I I 1, . .. r I _ I I 1 6 1 . . , I . I T - I I I . : 1 6 6 11 I I ., . . 11 11 . " < 0 -1i; . I . . 1 . . 1 6 � � 6 . - : I .1 I . I I I I . I - F)L,A� �\/I &,J I . . 4 1 11 � . ,P CIVIL 4� c.) 11111r,"LEY cn) 6 6 � . . I 1 4 1; 6. . I.- TOLERANCES ., . REVISIONS I I I . I . . . - - I I t! - I*<; t I I ; . . I I I 1 6 � . I . I I .1 . . I : . . I. I 1 6 - -T-!=- - I I .. I . .. . I 1 $ 1 7 0 1 1 . A4 E-: ,:SYS ---�A ,r-_'r_-,0A 1�7, FL,A ri�-- _ 1 .6 . 6 . 16. 1 1 . I . 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I :1 I . .. 1 6 . �I I . 3 �6 1__g( I'] : ; SCALE F�C_F_E71::� MATERIAL I . I . 6 1 � I . . I. I I � . � 1: . I I I . 1'� , : /1\5 . . �- I - . I I I . . . I I . 6 6 1 . 1 1 6 . 11 . . 1 , ..- - . I 1 16 I I I I .. -1-.-..- . 1 6 .. 6 - I I r I . . I . 1, 6 : : I.. .. . . . -i I .1 CHWD 6 DATE I DRAWING NO. I 1 6- I 1-1 I I . 1 616 1 1 6 . .I I I - 6 6 � I . .�. I I I . R I � 1 6 . 4 1 . . _P�_z 1 7 - . r. 1 f �7� __;42�_ it 4!�, . 7/_'�' . I - A � i �� W - -is ____ - � �11 .0�`11, _ _ �i` !_!__!�� - � 11 V, � � - t 1����� 7% '_ ' " _ _," _" - '"'. 771-1. � ' ' - . 1 ' - - I - -5-6/ . . 7 6. 0 15,.,V, . 3.�, I �"� \ ,, / )17 n = ", I/ F - C - - I ,�_` I I I ....--'j- ,�, / , I 1 6 , I .6 . I I . 6 . � : I I I L I . F Ee� 19 glc��, I . I I � 11, I . 4 1 � . 1 I . . I . . 6 1 1 1 1 6 . I � I . � I . . . . ANGULAR r 6 . . 6 1 6 - . L . . I I . 6 1 - . z I . I ; I . . I . . I I I TRACED I APP'b I "F:7, 1 1 1 11______ � � 11 .- �- ,��,____,�L 6_, , .11. I� I 1,"'.,r,","I' ,�" " ','�_,::,;,.,,,4�,-;;-. ,���,-___,-,�':,_-I�,- ____��t____ . ___1 . . I I �I I I � I .. '..I , . I I I : .. . . 1 6 1.6 i I , . S . ,:�:�I . - - I-.--- - �___1 _, - , � ,� ---. ,"_ - ..rA10.100101PROW1000 -____ ,- ___, ,- - . oo� __ I . I . ,i . 11 I I 1, � 11 -1 _ �----- --_____-, _.--__-- ____ 16 I—-- - . . I I I I . I I I r� -_ - - I 111111�rr I __ - - -1 �� � I . - - �6 - 6 1 ,� . . . 1 -6 . -__ - - .-__16 -__1 -.11 I— - �, . i . . . - -_ ____6_ 11---- - � - I I � 66 f - I I I . -6-6- - __ I I _11 __ 11 _-1.1 -____ i I I . .1 I I . . I . I . . .I 11 4. 1 I �(e)7- 31 6_5 / I I 1_6 I -- _____-1,� ---r ,,____.,,_. , I , , : "- - - 1 114 -111--, , - -_ � ___ ___ ____ - ______- -- I t . I 11 . I . 6 � - . 7. 0r; ` r Z_ / CROSS SECTION S - 1r TAPER— Err 6'-0" 6 GotiIG2G-R Ivoo Gc�l p -G�Sr ItZs1 ' 18.. B I - \\z y7\\\\:Tii�\\\\�7/i/\�\\�_i/ii!`\: 7/7j�\T\ ✓/T/�\�\ � 3"MIN. �`-0" I j Intel— ouliei FLAK �S.qe r High Liquid Alum Switch v s.q� Salmi 1�rtrz �t . l•so :� + I I I _6r-0" 7r-0" High U9utd Level Switch trump onl—I .I. 5'_8r. e: / . 4'-6" ' A I - L__ A Low Liquid Level Srllehlrump Oil— •j I f �- rump-i 4'-0" I I LIQUID rr :�. 1: !- 3» LEVEL - - - - - - - - --I- I_ � � 6rr A C_., f �'r I; _� - B PLAN VIEW ' - •� -`'—" 4' COVER OPENING SIZE & LOCATION • _ I - PER PUMP & JOB - SIZE & LOCATION INLET, SIZE & LOCATION ` PER JOB REQUIREMENT PER JOB REQUIREMENT / REQUIREMENT �{ 1 I , 61 1 6" ST 1000 - /.,l\\\j'.'%\\\ •\�/////\\ \\/I;//\\\\\\/7l/\;\`,\ '-X//if 7"ii/r • � S ore _.. 6.0,5 lz"- 10,1 i -PRECAST SEPTIC TANK - 1000 GALLONS r a.7D 4-GS 7 -� g CLEANOUT & INSPECTION LID (OPTIONAL) x 2'-9" i Q o ¢ 4" DIA. o 2,/Z.r - � I`4'h' 3rr 2" AS AS REQ'D o ,r.,•.,. x:.. s.- a�._ ; , .:e pY :..:r of . ,. 1-5" INLET ;a �� OCO cc: :� 8 1 8" < 16'• Q . 6-5" OUTLETS N 111�"_ {6.. o 0 0 0l I o µ I � (= �-'i FI L� � _ FLOW SEI.��,E SST_ I��o Q , LINE / --i �-3" --k k-2'/." �4•� `� �. 'xas-i���*: -� . L. 6" o'. �r-�,„, .r .,►��':c.. ,• � LK-O s FOR BED , 1 3" s4•'; ._A. ,a4 r, .r6b"4 4 a` INSTAt_LATION VIEW B-B r-•} • ,.,tt•r p'; SECTION A-A SECTION B-B VIEW A-A i PC 6 X 6 FLOWDIFFUSOR® 24 18 q,• PRECAST PUI'�l�P CHAMBER FD 4 X 8 - L i 91/2 9�h" PRECAST LEACHING CHAMBER ib t',,Yrr �rs,bt, a� F, ► ; 3r, SECTION A-A D B-5 DESIGN DATA PRECAST. DISTRIBUTION BOX: 5 OUTLET LOT 29 DAILY FLOW: 3 BEDROOMS X 110 GPD/BDRM = 330 GPD NOTES SEPTIC TANK 330 GPD X 150% = 495 GPD USE: 1000 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: 1. ALL PIPES TO BE 4" DIA. SCH 40 PVC. USE: (2) 4' X 8' FLOWDIFFUSSORS W/3' 0' STONE 2. EXISTING CESSPOOLS TO BE PUMPED AND CAPACITY: 373.6 GPD BACKFILLED WITH CLEAN SAND. 3. IF EXISTING SEPTIC TANK HAS A 1000 I LOT 30 GALLON CAPACITY, AND TEES ARE INSTALLED DAILY FLOW: 3 BEDROOMS X 110 GPD/BDRM = 330 G"D TO TITLE V SPECIFICATIONS, IT MAY BE - SEPTIC TANK: 330 GPD X..- 150% = 495 GPD USED. USE: 1000 GALLON PRECAST SEPTIC TANK 4. EXISTING LEACHING FACILITY ON LOT 30 -<. PUMP SPECIFICATIONS: TO BE REMOVED, ALONG WITH ANY CONTAMINATED 0Ur nn v n^r�pcT PUMP CHAMBER OR SOILS, AND TO BEDISPOSED OF PROPERL AT T�ii�; _-` SINGLE PHASE "ZOELLER CO." MODEL t 267 AUTOMATIC (SIMPLEX) 2 H.P. , 115 V, 10.4 AMP PUMP OR EQUAL. �� o� SIMPLEX ALARM MODEL # 10-0028 OR EQUALti�G ' - ���►.�i ..FLU-r-�4 -�►� �M tom, CONNECT 115 V SINGLE PHASE LINE 70-PUMP CHAMBER. _ (SeE _ LEACHING FACILITY: ��-_------�_--_-- � �I , ---______-�o --_- USE: (2) 4' ,X 8' FLOWDIFFUSSORS W/3' OF STONE t ' I I 31.00 ` 9a.r3 � CAPACITY: 373.6 GPD - i - �Q ¢ � I 53. 7 i i _. �✓-Ic.�l r�tRK f i i - j -' I 5E.2`/I« �Et,.. �, f'Lr�St•-.• , oT 30 - /pi I � r•11 I I Cv.g IGO% -►I I. eKPfv.�I�� I j ExISTII`IG,• I I _ - � � I I t7kl F�I i,1G I I = I I CTorG� �F,e eL_)- 78 I (-roP O�SIB e-I<I-0\/,8.� I I 7�5 g'OL� _-j i f E>clsTict u f 7.S3 I I t /ErZT�L� �.I Z Io' I ff \,..., _, a � g.o ,� . .'' �I�i�G, oL.ITL.ET r o I r-�- I c� � [_-f-"C -� C •��•G.• / 5� �T�� SST 71 !-1 oL l_o � 7.b - � Ca•qr�-� . CSEE rlcsi�7 . _ DATE= .1A�IL�A2�( 4, t1P3 z � I E Clsrr>Jc GAPCG� , + x15rlkc, =z� - <l�i 2 �ITIJESS: .1. PIJI��Itk_ LJ��.-�4 Q FI B zo�lt:: ag„ 7.o I 00 7.A- 11I�, I i I C 9 f 7 i¢ 30�g �x PA�IsIa l i 7.Z �•1 �2• f I EEC I STtr.Ila • ✓54-I1=p . I G-� LoA 1 Low ' ' �1 EDP�li-'I Lu" W I-� t ti CK L E l I N C LOT" ISM I �,4� I `'���! - 714 MAIN ST. YARMOUTH?ORT, MA.-�-(6i7)362-8131 29 MAIN ST. ORL.EANS, MA.- (617)240-0938 L 5 1AT1_0- - o c n s Consulting and design engineers Q Civil and structural N �vEAeT7 H �c ; c SIT ,. ;c 15 v1.a�-�L 7Z-" I o HIN CLFY � y \ /I D� I ° CWL y i TOLERANCES REVISIONS \/ l/�! Q� CI�/IL �Q "> r,o kil,r,XIEY oE��F S`�S-T-_ t` {7 /AI FLhc�-� ' (EXCEPT AS!J OTEDI NO. DATE BY SCALE= ICI =?�` �r� ��STf� �4�� � plc 787¢�Q� /y DECIMAL - , Z cumot�4 �lGt? • .. \ .: .; .. FRACTIONAL DRAWN BY SCALE I MATERIAL s CHK'D DATE _ DRAWING NO. D ' IcF � MAKEPEACE - _.-- - ':•. ter,._ wr.;:�