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Home My WebLink About0016 SHORT BEACH ROAD - Health 16 Short Beach Road 206-043 Centerville d �J N0P2�53COR �bsrtoe�� II KASTIN08.UN f; i ff i 1 1� i TOWN OF BARNSTABLE LOCATION I G -51402 l Pam= :::k Q'b SEWAGE# of®i (®5 °ILLAGE C6A1TG&1lf ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.Q4DCu0cT)G Gi-ree,00-SES 417 C E l SEPTIC TANK CAPACITY.1�ooboop f2.) e0(,.tVAJQkWr H-,10 ST, P-cr- LEACHING FACILITY.(type) (size) NO.OF BEDROOMS 3 `` NIE W S x/p Cr 4bAJOy OWNER l.9eCAI—A 14eA ( Y OW H-10 PERMIT DATE: 4—1 9 6;,®(g COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY QMGW1aE &aMQ1156-T M736 ;z u q i IT Lt _ I Li No. C�0/6— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y s 01pphration for Misposal 6pstem (SOttStCUCtion Permit Application fora Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. SRt31k•- P_,&4414 " Owner's Name,Address,and Tel.No. �1 Assessor's Map/Parcel 2 i I!f C`C. 0 i`Davc�`� Installer's Name,Address,and Tel.No. 5 015-4417®818 7 7 Designer's Name,Address,and Tel.No. 5'0'9-Z1'3-63-77 C4PGX.,?[')c4SU7-G"P&15M aC_ CNc-,(N .(KJO --ruG, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) -rW S:pk L_ 6 x�u 1 J :5 00 fif aA ��10Iq F t ate last inspected: greement: 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. Sign Date 4 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. G ��© Date Issued L( o . No.. c. 0/ �'�/ # p'1 * y Fee / THE COMMONWEALT OF MASSACHUSETTS Entered in computer:t r�,M.,.�, MASSACHUSETTS:I Yes PUBLIC HEALTH DIVISION - TOW . �-BARNSTABLE, MASSACHUSETTS ZippliLation for bispoBaY pBtem (Construction permit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. I BaA4A{ 6 ,' Owner's Name,Address,and Tel.No. ('+ Assessor's Map/ParcelGcz- 4A Installer's Name,Address,and Tel.No. S 0S—471—,S2?? Designer's Name,Address,and Tel.No. S'c>% .63-17 Type of Building: Dwelling No.of Bedrooms Lot Size k` sq.ft. Garbage Grinder( ) p ORheg. Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 4 Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _T_&l S-r4< . llJ l5 oo/!o© 60 6 0 44 FAR"'t�tflvT -::, �� ,$RIOT!L '."t�4,iC� ��tltiLt b� �t'�•�f+'�'C/��_ r^ .' ate last inspected: reement: . The undersigned agrees to ensure the construction.and maintenance of the afore described on-site sewage disposal system in w , 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. a gn Date ( O( € Si ` Application Approved by .,,,.. � Date _._ Application Disapproved by Date ,,for the following reasons ' _ Permit No._�- / Date Issued t - ------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of ComphancP THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(4) Upgraded( ) Abandoned( )by jt i>6; ,�Qf iy 9S /J A 2j0 -at- /6 SWO&(- 6649W P,,0,4-b - - -- - has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Nc'--/G dated Installer C"F c xo Q-)7EKM1S 4SS /ago Designer Te— 6rtxJh" 1c•�Cr� �ttt C, #bedrooms Approved design flow gpd The;issuance of this permit ssyall not .e construed as a guarantee that the system\will function ,desi ed. ` Date Inspector — /'✓ -- ------------ ------• ---•-------- ----------------------------- -------------------- No.= .- Fee Jam` THE COMMONWEALTH OF MASSACHUSETTS PUBLICHEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction J)Prmit Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at / 4t* 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 comp eted within three years of the date of this pen i5i t. Date �� Approved by ,, VO/ IQ/eV 10 14.0 f JVOL f 0V00 f N3utio r. VV i/VV i I 1 Town of Barnsta�Ye Regulatory Services i Richard V. Scali,Interim Director - M Le Public Health Diviisioti 'so '� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 j Fax: 508-790-6304 I Installer& Designer Certification Form Date- 5 Sewage Permit# AOIS- Io5I Assessor's Map\Parcel 2L(10 y DesigUer: 5G Lf1p�0nc� 4 vnC- Installer: !Cae�w�dz ,nEerecis�i Address: 295 y Cc'an*-erry W6 WO, _ Address: ► Cornro erc(o l S4r�e k cask warekipivi, HA oa53 rloslnQ�e, N� 02 (Q y 9 i On 19'ay18 CaeewC& C-nh4e(lWJ was issued la permit to install a (date) (installer) ,O septic system at i b rick eac.�n based on a design drawn by (address) _ SG .nglneeciq) �n(� dated fe, q1 ZUf$ r (designer) I ' / I 1/ 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 requirid) was inspected and the soils were found satisfactory. i i 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 construc nce with the terms of th_ \A approval letters (if applicable) JOHN L CHuRVIL (In 11 s Si 3 N 41 7 S i signer's Signat (Affix igne s:Stlmp Here) PL SE RETU O BARNSTABLE PUBLIC HEA I1 D IS . CERTIFICATE O COMPLIAN E WILL NOT BE ISSUED UNTIL BOTU MIS FORM AND AS- BUIL CARD ARE RECEIVED BY THE BARNSTABLE PUBUIC HEALTH DIVISION. THANK YOU. Q:1Septic\Dcsigner Certification Form Rev 8-14-13.doc I i Town of Barnstable Barn OF THE T Board of Health j edcaC j eN MASSS. A 200 Main Street, Hyannis M 02601. I I. 'Dt i639 a�ro 2007 fD µAy Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. June 19, 2018 Mr. Michael Pimentel JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538 RE: 16 Short Beach Road, Centerville,MA A = 206-043 Dear Mr. Pimentel, You are granted variances on behalftof your clients, Gerald Healy,.to install a septic tank/pump chamber at 16 Short Beach Road, Centerville. The variances granted are follows: 310 CMR 15. 211: To install a septic tank/pump chamber 5.3 feet away from the front property line, in lieu of the twenty feet minimum setback required. Section 360-1 of the Town of Barnstable Code: To install a septic tank/pump chamber 43 feet away from a coastal bank, in lieu of the minimum 100 feet setback required. These variances are granted with the following conditions: (1) The septic tank/pump chamber shall be installed in substantial compliance with the engineered plans dated February 9, 2018. (2) The designing engineer shall supervise the installation of the septic tank/pump chamber and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the engineered plans dated February 9, 2018. Q:\WPFILES\PimentalHealyl6ShortBeachRoad2018.docx I i ) M This application was approved by a majority two to one vote of the Board. Dr. Canniff dissented feeling that the existing leaching facility constructed in 1988, located approximately two feet above groundwater (as shown on the submitted plan) and approximately 50 feet from Centerville River needed further investigation and evaluation as to whether or not it should also be replaced. The existing pump chamber failed a recent inspection. These variances are granted because the proposed replacement pump chamber/septic tank design appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5. The engineer designed the pump chamber/septic tank to be located in an area to attempt to maximize setbacks to wetlands. Si erely yours, DAJ Paul .-Can ni D M.D. Chairman Q:\WPFILES\PimentalHealylMortBeachRoad2018.docx DATE: ' $95.00 FEE*: BARNSTAB E, I f��a'`� � '�Cown of Barnstable �C�BY� IS `�` F4 SCHED.DATE: IQ - CO 4-1=Board of Healthd � 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 K3 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION Property Address: 16 Short Beach Road Centerville MA Assessor's Map and Parcel Number: Map 206,Parcel 43 Size of Lot: 4,995 s.f. Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Gerald Healy Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Gerald Healy Name: Michael Pimentel, EIT,CSE Address: 194 Rove Street,Wellesley,MA Address: 2854 Cranberry Highway E. Wareham,MA 02538 Phone: Phone: 508-273-0377 EMAIL: mpimentel( jcengineeringinc.com VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached Appendix A NATURE OF WORK: House Addition House Renovation Repair of Failed Septic System Checklist (to be completed by once staff-person receiving variance request application) Please submit copies in S separate,collated packets. Five(5)copies of the completed variance request form Five(5)copies of engineered plan submitted(e.g.septic system plans) _ Five(5)copies of MA DEP approval letter for Innovative/Altemative septic system(when proposing an I/A system,only). _ Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). _ *$95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. W:\JOBS-ACTIVE\4018 - 16 Short Beach Road (Capewide)\Board of Health (Variance)\01 - Variance Application (5 copies now) .docx . q JC ENGINEERING Inc. gyp , Civil & Environmental Engineering 4 err 2854 Cranberry Highway y Hi g y East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 APPENDIX A Due to the physical constraints of the property and the existence of a Coastal Bank within 100 feet of the proposed work,the following local upgrade approval and local variance are requested. Local Upgrade Approval Request: In accordance with 310 CMR 15.401 - 15.405, the following local upgrade approval is requested from 310 CMR 15.211: (1.) A 4.7' waiver(10.0'-5.3) for the setback from the septic tank/pump chamber to the front property line. Local Variance Request (Coastal Bank): The following local variance is requested from Article 1, Section 360-1: (1.)A 57.0'variance (100.0' -43.0') for the setback from the septic tank/pump chamber to the Coastal Bank. Gerald B.Healy 194 Grove Street Wellesley,MA 02482 January 5,2018 r N Board of Health Town of Barnstable 200 Main Street Hyannis,MA 02601 Re: Declaration of Authorization 16 Short Beach Road, Centerville,MA 02632 Dear Members of the Board: Let it be known that I, Gerald B. Healy(owner of 16 Short Beach Road in Centerville, Massachusetts),do hereby authorize JC Engineering,Inc.of East Wareham,MA 02538 to represent my interest regarding the upgrade of the sewage disposal system located at 16 Short Beach Road,Centerville,j Massachusetts in meetings both public and private. S' erely, Gerald B.Healy BEDROOM#1 (15'x20') SITTING ROOM KITCHEN BATH BEDROOM#2 (12'x14') LIVING ROOM sloop BEDROOM#3 (18'x14') BATH EXIST. FLOOR PLAN PREPARED BY: 16 SHORT BEACH ROAD JC ENGINEERING, INC. CENTERVILLE, MA 02632 2854 CRANBERRY HIGHWAY NTS EAST WAREHAM, MA 02538 PH: (508)273-0377 SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3. A. Sig re ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. bCW6essee IN Attach this card to the back of the mailpiece, B. Received b inted Name) C.D to of D livery or on the front if space permits, � —le i 1.-Article Addressed to D. is delivery address different from item 1? 0 Yes r If YES,enter delivery address below: No GUILLET, EDWARD E TR EDWARD E (� 'GUILLET REV TRUST 650 CHARLES (; �i�Q�� U:VAN DAMME WAY SONOMA,, CA U 95476 v Y 3. Service Type O Priority Mail Express® I! II I II�I'I IIII I�I I II II I II II III I II I II IIIIII(III ❑Adult Signature ` ❑Registered MajlTM f ❑Adult Signature Restricted beUvery ❑ Restricted Mail Restricted ❑Certified Mai ` Delivery 9590 9402 2801 7069 0125 89 ❑Certified Mail Restricted.Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number ransfer from service label ❑Collect on Delivery Restricted Delivery O Signature Confirmation*^+ il t I ; ^ - t —� -' Cf Signature Confirmation 7 017 '0 L 6 0 t 0 0 14`12 6 7 17 7 8 2`' '` 3dcted Delivery Restricted Delivery L PS Form 3811,July 2015 PSN 7530-02-000-9053 b1'T , i jol b Domestic Return Receipt 5 Po e& ces aid SPS Permit No:G 0 9590 9402 2801 70,59 0125 89 MAR — 5 2018 United States •Sender:Please print your name,addre_ IP+4®in this box* Postal Service JC Engineering, �4253 2854 Cranberry Highway East Wareham, MA 02538-1314 it still it'll,Ill pll Ili-Iilill'1 II'IlllIIill Iti,:1Illi,fllld COMPLETE • ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Nte)l I C. Date of Delivery or on the front if space permits. 1.Article Addressed_to: D. Is delivery address different from item 1? ❑Yes f` If YES,enter delivery address below: ❑No TONSBERG,ROBERTA J 144 COUNTRY CLUB WAY KINGSTON,''' MA 02364 `� i I IIIIII IIII III I II II I II I I I I II II I I II I I III 3. Service Type El Priority Mail Express® El ❑-Adult Signature ❑Registered MailTM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 2801 7069 0127 56 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Coliect on Delivery Merchandise `2._Article°Number}(Tra_nsfer frSom service label) ❑Collect on.Delivery.Restdoted Delilail very O Signature ConfirmationTm !I 7 017 10�if 0}0 0 0 12 6 7 7 5 6�0 I i la I Restricted Delivery ❑Signature Delivery oration Restricted Delivery )) PS Form 3811,July 2015 PSN 7530-02-000-9053 � - Domestic Return Receipt I! USPS TRACKING# I' !� F� IaS ,ail I ly 9590 9402 2801 7069 0127 56 � '"` : United States •Sender:Please print your name,address,and ZIP+ in this•box- li Postal Service USPS fl2 I JC Engineering, � 2854 Cranberry [ East Wareham, MA 0253 -1 I II I l}iiIi11 Pip Ili 1ji1ii,111 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Sign ■ Print your name and address on the reverse X /� ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. I. Article Addressed to: _,_____ _ D. Is delivery addrestere �idem 1? ❑Yes If YES,enter Mery adds s�'Q?eI w: ❑No j HEALY,GERALD B 194 GROVE . STREET WELLESLEY,MA 02482 � LY, y u II I I III III III I II II I II II i I I II II I III I I I I I 3. Service Type ❑Priority Mail Express® ❑Adult Signature t❑Registered MailTM ❑Adult Signature Restricted Delivgry ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 2801 7069 0127 32 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from,service laboll ❑Collect on Delivery'Restricted Delivery El Signature ConfirmaWriTm 7 n? �0 6 6 0'` 0 0 01 '12 6 7�8`4 't'0)1 Restricted Delivery all El Signature Restrict d Del erytion ;I PS Form 3811,July2015 PSN 7530-02-000-9053 Domestic Return Receipt °I USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 9402 2801 7069 0127 32 United States •Sender:.Please print your name,address,and ZIP+4®in this box• I Postal Service I JC Engineering, Inie. 2554 Cranberry Higi��x�,i East Wareham, MA liil=Iliil=jiiiiii=ri=,lii=ii=il�il=is►t'i=,iiilfll=i;tl=j=iji;ilifll L — SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Si ature ■ Print your name and address on the reverse ^ ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, Received by�inte d,Name) C. Date elive or on the front if space permits, �' � /{J /��Gjj��Z� 1. Article Addressed to: D. Is delivery address different from item 1? rl Yes �- `- --- If YES,Enter delivery address belovA ❑No r RICH.T,ER, DONALD F&MCQUADE,DONALD F RICHTER LIVING TRUST-37 WATERSIDE DRIVE \ �q,kj I!, CENTERVILLE,MA 02632 x \� r V — _ I II I'IIII IIII ICI I II II I II I I II I II II I I I I I III 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered Mel TM ❑Adult Signature Restricted Delivery O Registered Mail Restricted ❑Certified WHO . Delivery 9590 9402 2801 7069 0127 49 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise _2—Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery p Signature ConfirmationTm f —r - - - El Insured Mail ❑Signature Confirmation I 7 01-7 .0 6`611•0 D 01 12 6 7 i 7 5 7 7 io,I Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 `Jvt 1 , (.1�� Domestic Return Receipt USf? RAGkI[ First-Class Mail PDmage_&Fees Paid 'ter 9590 9402 2801 7069 0127 49 United States Se.nder:--Please print your name,addres',an Z 44 in1hjs box, Postal Service '� ' i JC Engineerin �s 2854 Cranberry 38 East areharn4 A CF "i�li'i°itil01.1-liitj.jiitit.iH1ii.I'll 11iilillililil.1I Jill 111fill! COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3. A. SignatureM ■ Print your name and address on the reverse X / e ❑Agent so that we can return the card to you. WAddressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from ite R. R - — - -- If YES,enter delivery a dress ow:, ].41BT I FRANI ;THOMAS M&BELL,BETH ` ii`` ?� I1� I 39, ORSECHESTNUT ROAD a BRIARCLIFF MANOR,NY 10510 _j 3. Service Type ❑Pfli' 7. IIII�II�I'll i��II�IIIII I�III IIIIII 101 I I II� tyred= press® ❑Adult Signature ❑Registered MallTM ❑Adult Signature Restricted Delivery O Registered Mail Restricted 9590 9402 2801 7069 0127 94 ❑Certified Mail Restricted Delivery ❑Return eceipt for ❑Collect on Delivery Merchandise 2._Article Number(Transfer from service label) ❑Collect on Defivery:Restrioted Delivery 13 Signature ConfirmationTm - -Mail ❑Signature Confirmation 7 017 0660 0001 1267 7607 Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USP,Ai ,► First-Class Mail Postage&'Fees Paid, USPS Permit No.G-10 9590 9402 2801 7069 0127 94 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538-13141 1 TRANS. NO.: CITY/TOWN: Centerville APPLICANT: Gerald Heal ADDRESS: 16 Short Beach Road, Centerville, MA 02632 DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A OK NO GENERAL Legal boundaries denoted 310 CMR 15.220(4)(a X Street, Lot,tax parcel number and lot number noted on plan [310 CMR 15.220 4 u X Locus Provided 310 CMR 15.2204(t)] X Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) 310 CMR 15.220(4)] X Easements shown 310 CMR 15.220(4) b X System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required 310 CMR 15.412(4)] X Location of impervious surfaces (driveways,parking areas etc.) 310 CMR 15.220 4 (d)] X Location all buildings existing and proposed 310 CMR 15.220 4 c X Location and dimensions of system components and reserve areas. 310 CMR 15.220 4 (e)] X System Calculations 310 CMR 15.220 4 X daily flow X septic tank capacity (required andprovided) X soil absorption system (required andprovided) X whether system designed for garbage grinder X North arrow 310 CMR 15.220 4 X Existing and ro osed contours 310 CMR 15.220 4 ( X Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220 4 h X Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i X Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220 4 i X Percolation test results match loading rate? 310 CMR 15.242 X Certification statement by Soil Evaluator 310 CMR 15.220(4)(j)] X Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220 4 n X Adress 16 Short Beach Road, Centerville MA, 02632 Sheet 1 of 7 N/A OK NO Location of every water supply, public and private, [310 CMR 15.220 4 k X within 400 feet of the proposed system location in the case of surface water supplies and gravel 2acked public water supply X within 250 feet of the proposed system location in the case X within 150 feet of the proposed system location in the case of private water supply wells X Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220 4 1 X Water lines and other subsurface utilities located [310 CMR 15.220(4)(m if water line cross see 310 CMR 15.211 1 1 X Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR15.220 4 o X Stamp of designer 310 CMR 15.220 1 and 310 CMR. 15.220(2)] X Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] X Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405 1 k X Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103 4 X Test Holes adequate to confirm adequate groundwater separation? 310 CMR 15.103 3 X Benchmark within 50-75' of system 310 CMR 15.220(4)(g)] X Materials specifications noted? [various sections of 310 CMR 15.000] X System components not> 36" deep (unless Local Upgrade Approval or LUA requested) 310 CMR. 15.405(1 b X Adress 16 Short Beach Road,Centerville MA, 02632 Sheet 2 of 7 N/A OK NO SEPTIC TANK Size OK? 310 CMR 15.223 1 X Inlet tee located ten inches below flow line 310 CMR 15.227 6 X Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR. 15.227(6)] X Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] X Note regarding installation on stable compacted base [310 CMR 15.228 1 X Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227(2)] X Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405 1 k X Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(l) and 310 CMR 15.232 3 X Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" b 7/07 310 CMR 15.228(2)] X Access to within 6 " of grade - one port for systems<1 000gpd, two fors stems>1000 gpd 310 CMR. 15.228(2)] X All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] X > 10 ft from building foundation 310 CMR 15.211 1 X Buoyancy calculation Required/Done 310 CMR 15.221(8)] X H-20 Where appropriate? 310 CMR 15.226(3)] X Setbacks from resources 310 CMR 15.211 X Multi-Com artment Tanks 'I",' V n . . Al Required when other than single-family dwelling or flow>1000 d 310 CMR 15.223 1 b X First compartment 200% daily flow; Second compartment 100% daily flow 310 CMR 15.224(2) and (3)] X "U" pipe through or over baffle, outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] X Adress 16 Short Beach Road, Centerville MA, 02632 Sheet 3 of 7 s N/A OK NO BUILDING.SEWERAND OTHER PIPING Located at least ten feet from any water line? [310 CMR 15.222(2)] X Disposal piping at least 18" below water line (when water and sewer cross, see 310 CMR 15.211 1 1 X Cleanouts required/provided ? 310 CMR 15.222(8)] X Thrust blocks specified in force mains? 310 CMR 15.221 6 c X Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252 2 c X Siphonproblem/ leachfield below pump chamber X Endca s or vent manifoldspecified? X Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252 2 (h)] X Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) X DISTRIBUTION BOXY 4 & 4 Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232 2 a X Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323 3 a X Riser if deeper than 9" 310 CMR 15.232(3)(0] X Inside minimum dimension 12" 310 CMR 15.232 2 b X Minimum sum 6" 310 CMR15.232 3 e X Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232 3 d X PUMP CHAMBERS ?. � e, � � � � � � � �� - ,4 Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] X Proper setbacks 310 CMR 15.211 same as septic tanks X Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE 310 CMR 15.231(5)] X Service components accessible (not too deep with piping, disconnects accessible) X Alarm floats - alarm on circuit separate from pumps specified? X Exceeds two units must have two pumps operating in lead-lag mode. 310 CMR 15.231(6) and 8 X Stable Compacted Base 310 CMR 15.221(2)] X Buoyancy calculations needed ? Provided? 310 CMR 15.221(8)1 X Adress 16 Short Beach Road, Centerville MA, 02632 Sheet 4 of 7 N/A OK NO SOIL ABSORPTION,SYSTEMS SAS GENERAL`S . Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240 1 X Required separation togroundwater? 310 CMR 15.212 X Aggregate specified as double washed 310 CMR 15.247(2)] X System Venting required/provided? (system under driveway or >36" deep) 310 CMR 15.241 X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] X Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document X GALLERIES,PITS;CHAMBERS"310'CMW,15153 riy Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253(6)] X Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] X Aggregate 1' minimum-4' maximum. 310 CMR 15.253(1)(b)] X 2' sidewall credit maximum 310 CMR 15.253 1 a) X In bed configuration, inlet every 40 s . ft. 310 CMR 15.253(6)] X TRENCHES 310 CMR 15151 r ° g Width 2' minimum 3' maximum 310 CMR 15.251 1 b X 100 feet-maximum length 310 CMR 15.251 1 a X Minimum separation 2x effective depth or width whichever greater 3x if reserve between trenches 310 CMR 251 1 d X Situated along contours 310 CMR 15.251(2)] X Breakout OK? 310 CMR 15.211 1 4 and Guidance Document X BED SAS (Maximum-size of bed4or°fi ld,5000 i 4),, f-'.�� ` '�' °� _ c minimum 2 distribution lines 310 CMR 15.252 2 (a)] X Maximum separation between lines 6' 310 CM R15.252(2)(d) X Maximum separation between lines and outside of bed 4' [310 CMR 15.252 2 e X Aggregate depth below discharge pipes 6" minimum, 12" maximum. 310 CMR 15.252 2 X Separation between beds 10' minimum. 310 CMR 15.252 2 X Bottom area used in calculations only 310 CMR 15.252 2 i X Adress 16 Short Beach Road, Centerville MA, 02632 Sheet 5 of 7 r N/A OK NO DID'THE PLAN,INVOLVE- ,', Pressure Dosed System 7 Provided pump and piping calculations as required r310 CMR 15.220 4 r X Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] X If used in gravelless system - make sure jet is directed as not to scour soil interface Guidance Document X Inspections once per year(systems<2000 gpd) or quarterly (>2000 dgood to note on plan 310 CMR 15.254 2 d X Construction in fill - Did the plan specify that the fill shall meet the specification of 310 CMR 15.255 3 ? X Impervious barrier and/or retaining wall ? Guidance Document X Impervious barrier installation must be supervised by designer 310 CMR 15.25 5 2 b X Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255 2 a X Side slope not exceed 3:1 ? 310 CMR 15.255(2)] X Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] X At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 2 e X Graveness System,[EA Ap roval.Letters], % Check DEP Approval letters for credits and design conditions X If used with pressure dosing do not allow pressure discharge to scour soil interface X AlternativeSeptic;System[EA�A' royal Letters]°; Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? X Is the technology being properly applied and does it meet all DEP Approval Conditions? X Is there a note on the plan regarding the requirement for perpetual maintenance agreement? X Any alarms involved on separate circuits X Did the applicant submit an operation and maintenance manual? X Has applicant submitted a copy of a maintenance X _ r +Variancesw _Y y s .. Are the variances listed on the plan ? [310 CMR 15.220 4 ) X RLS Stamp necessary on plan if a component is within five feet of property line 310 CMR 15.412(4)] X New construction or increased flow proposed - [Refer to 310 CMR 15.414] X Adress 16 Short Beach Road, Centerville MA, 02632 Sheet 6 of 7 N/A OK NO Nitrogen Sensitive Areas, ..:- ` 3'.. :. zS, Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] X Is the system proposed on the same lot as served by private well ? 310 CMR 15.2142 X Are the nitrogen loads proposed in compliance? [310 CMR 15.216 1 X 1Vliscellaneous " Pumping to septic tank ? 310 CMR 15.229 X Shared System 310 CMR 15.290 X Adress 16 Short Beach Road,Centerville MA, 02632 Sheet 7 of 7 c Town of Barnstable Barnstable Board of Health A&MaftaCftv uvsrnat� 200 Main Street, Hyannis MA 02601 a`� Zoos m Fa Paul J.Canniff,D.M.D. Office: 508-862-4644 Donald A.Guadagnoli M.D FAX: 508-790-6304 Junichi Sawayanagi BOARD OF HEALTH MEETING RESULTS Tuesday, March 20, 2018 at 3:00 PM Town Hall, Hearing Room 367 Main Street, 2nd Floor, Hyannis, MA I. Lifeguard Exemption Requirements: Todd Deluca, Greater Hyannis Chamber of Commerce, represented the motels with pools and offered the following two proposals: Their first choice is to abandon the Town of Barnstable lifeguard regulations in full and use the State regulations. If not agreeable, their second choice is to (a) change to using seasonality as a criteria and (b) eliminate needing multiple lifeguards for multiple pools at a location. (He appeared to be under the understanding that the number of lifeguards was based on number of pools instead of number of swimmers.) He handed out two exhibits showing the occupancy rate in Hyannis during the year and proposed reduction of lifeguard regulation during the off season (Columbus Day to Memorial Day). The Board will take this into consideration and respond at the April 24, 2018 meeting. II. Variance — Septic: A. Michael Pimentel, JC Engineering, representing Gerald Healy, owner— 16 Short Beach Road, Centerville, Map/Parcel 206-043, 4,995 square feet parcel, two variances requested. G R- - j'�The Board voted to grant the variances and plan submitted. (Two voted in favor, Dr. Canniff, / voted against.) B. Peter McEntee, Engineering Works, representing Lee and Beverly Staniar, owners - 206 Annable Point Road, Centerville, Map/Parcel 211-032, 14,090 square feet parcel, failed septic system, multiple variances requested. GRANTED WITH CONDITIONS. The Board voted to grant the five variances with the following conditions: 1) A four bedroom deed restriction must be recorded at the Barnstable County Registry of Deeds, and 2) submit an official copy to the Health Division. C. Sean Riley, Coastal Engineering, representing E&B Development, developer— 18 Waterside Drive, Centerville, Map/Parcel 207-155, 0.53 acre parcel, Centerville, three feet setback variance for reserve area. Page 1 of 3 BOH 3/20/18 JC ENGINEERING, Inc. -y Civil & Environmental Engineering 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 MEETING NOTICE Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, February 27, 2018 at 3:00 PM in the Hearing Room Public on the second floor in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present waiver and variance requests associated with a Septic Tank and Pump Chamber Replacement project located at 16 Short Beach Road, Centerville, Massachusetts. Due to the physical constraints of the property and the existence of a Coastal Bank within 100 feet of the proposed work, the following local upgrade approval and local variance are requested. Local Upgrade Approval Request: In accordance with 310 CMR 15.401 - 15.405, the following local upgrade approval is requested from 310 CMR 15.211: (1.) A 47 waiver(10.0'-5.3') for the setback from the septic tank/pump chamber to the front property line. Local Variance Request (Coastal Bank): The following local variance is requested from Article 1, Section 360-1: (1.)A 57.0'variance (100.0' - 43.0') for the setback from the septic tank/pump chamber to the Coastal Bank. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. 2/9/2018 AbutterReport Board of Health Abutter List for Map & Parcel(s): '206043' Direct abutters (no set distance) and the properties located across the street. J Total Count: 5 4] close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityState2ip 206042 FRANKS,THOMAS M& 39 HORSECHESTNUT BRIARCLIFF C208553 BELL,BETH A ROAD MANOR,NY 10510 206043 HEALY,GERALD B 194 GROVE STREET WELLESLEY,MA C203015 02482 206044 TONSBERG,ROBERTA 144 COUNTRY CLUB KINGSTON,MA C168769 J WAY 02364 GUILLET,EDWARD E EDWARD E GUILLET REV 650 CHARLES VAN SONOMA,CA 206045 TR TRUST DAMME WAY 95476 #D1113040 RICHTER,DONALD F&DONALD F RICHTER CENTERVILLE,MA 206097 MCQUADE,PEGGY J LIVING TRUST 37 WATERSIDE DRIVE 02632 C211145 TRS This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 2/9/2018. http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 Town of Barnstable Geographic Information System February 9,2018 v� :::�206�060 #1187 206136 i� 206088 #1136 9� 'A 4 - 206089 #1122 `�'a,206043 .'r':5i'. ,'.` .,'`}:-'''r:.''.'" N #16 ogr BEpG 5H - 206090 io604i #1116 7.#I 206049 #1127 206041 #34 #11- 206048 2061 #1125 #25 206040 205047 ' #48 F _ #137 206030 x .=,a r i,. #35 206046 >.z 206025 #127 �•28 Feet = 206026 #154 2 033 #146 #JJ� 1el" 111-1191"N DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:206 Parcel:043 Board of Health Selected Parcel 0 boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"-100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Buffer ;f%r 7 A A Town of Barnstable Barnstable Regulatory Services Department ;erIa�e BAEtNSTABLEI."`"9 1679. 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 4990 3950 September 29, 2017 HEALY, GERALD B 194 GROVE STREET WELLESLEY, MA 02482 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 16 Short Beach Road, Centerville, MA was inspected on 09/12/2017 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Needs Further Evaluation by the Local Approving Authority" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Pump chamber needs repair and upgrade. You are ordered to repair the septic system within repair deadline date of March 12, 2018. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER 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\16 Short Beach Road Centerville.doc Town of Barnstable + a a aacr�ttr r- i Regulatory Services Department Public Health Division 200 Main Street,Hyannis MA-02601 Office: 508-862-4644 Richard Scat,Director FAX 508-790-6304 Thomas A McKean,CHO Feb 6, 2007 Rev. 5111116 DEADLINES TO REPAIR FAILED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15,000) _ An`Y"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 q Single Cesspool• ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) o Leaching pit or cesspool with high liquid level, <12"below inlet(per Town Code §360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER PUM 0 411 U Repair deadline: ,P-GI WSEPTIMEADLINES TO REPAIR FKILED SYSTEMS.doc 00&-tq3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments U r 16 Short Beach Road P0e Property Address Gerald Healy ;b Owner Owner's Name �J Information is required for every Centerville �., page. Cityfrown MA 02632 _ 9-1217 0 State Zip Code Date of Inspection i2 Inspection results must be submitted on this form. Inspection forms may not be altered in any way- Please see completeness checklist at the end of the form. Important.forms A. General Information filling out forms on the computer, / p�(-0 Q t �t�t�tttllltp�f�7 use only the tab 1. Inspector. ,``��.+,�� tH OF�yq ipi�,',', key to move your . #, ''• "'�.'°9p•iA cursor-do not use the return James D.Sears _? JAMES key. Name of Inspector : Ca ewide Enter rises Company Name $ 'O 0. A- 153 Commercial Street Company Address ��i�gifu I N SPE`,>>C� Mash pee City/Town MA 02649 508-477-8877 state Zip Code Telephone Number S1623 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 16.000).The system; ❑ Passes ❑ Conditionally Passes ❑ Fails ® Needs Further Evaluation by the Local Approving Authority spector's Signature 9-15-17 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 d the appropriate w regional office of the DEP, The original should be sent to the system owner and copies ot 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. Mns.doc•rev.6116 TWO 5 Ofridd Inspadon form:Subsurface Sewage Disposal System•page 1 of 17 v v VS g t abed xeJ dH LEU L 60E L l, C18S I , Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owner's Name information is required for every Centerville MA 02632 9-12-17 page. City/Town State Zip Code ate of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Need's further evaluation by B.O.H. see att leters. The system is a 1000 Gal, Tank D Box pump chamber and field. I 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 ❑ N ❑ ND (Explain below): 15ins.doc•rev.6/16 Title 5 Otficiat Inspection Form subsurface sswaoe Disposal System Page 2 of 17 6 6 a5ed xed dH L£:6 l, L 60Z Li, d@S 1 commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owner's Name information is required for every Centerville MA 02632 9-12-1 7 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 pumpslalarms 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 ❑ 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): 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 t5lns.doc-rev.6/16 Tide 6 Otticiai inspection Form:Subsurface sewage Disposal system•Page 3 of 17 02 a6ed xed dH 8£:i,6 L 60Z L 6 d@S l i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ` 16 Short Beach Road Property Address Gerald Healy Owner information Is pwners Name required for every Centerville MA 02632 9-12-17 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 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 be attached to this form. to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must 3. Other. See aft. letters and pictures ref: Pump chamber. 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 ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in 401 is less than 6" below invert or available volume is less than 1/day now 4 E&IfIN4 Ibins.doa•rev.a/16 Title 5 OftinJal Inspection Form:substirface sewage OiSPOSBI System-Pale 4 of 11 6Z a6ed xeJ dH 8£U L 60Z Li, daS Commonwealth of Massachusetts lg` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owners Name information is required for every Centerville MA 02632 9-12-17 page. Cityrrown 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. 9g .A copy of the analysis and chain of custody must be attached to this form.] y ® 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 drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc-rev.6116 Tile S Official Inspection form:Subsurface sewage Disposal system•page 5 or 17 22 a5ed xej dH 6EU L60Z Li, daS Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Heal Owner Owners Name information Is required for every Centerville MA 02632 9-12-17 page. CitylTown 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 fior 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)) D. System Information 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 15ins.doc•rev.6116 Title 5 Official hepection Form:Subsurface Sewage Dlspmal System•Page 6 or 1T 62 a6ed xeJ dH 66:6 6 L L02 Li, day I Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Owner Gerald Healy Owner's Name information is required for every Centerville MA 02632 page. CityfTown 9-12-17 State Zip Code Date of Inspection D. System information Description: 1000 Gal. Tank D Box PUMP chamber and field. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 1015-102,000Ga Detail: 2016-69,000Gal's Sump pump? ❑ Yes ® No Last date of occupancy: NA 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: t$ftdoc•rev.6l16 TAie 5 official Inspection Form:SubWrteee Sewage Disposal System•Page 7 of 17 tiZ abed Xed dH Otql, L i3OZ L l, daS Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner information is Owners Name required for every Centerville MA 02632 page. cityrrown 9- State Zip Code Datee of of In Inspedlon D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records.- Source of information: 'NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DE approval. ® Other(describe): Pump Chamber l5ins.doc-rev.6116 title 5 DWiidal Inspection Font;Subsurface Sewage oisposal system-Page 8 of 17 5Z a5ed xed dH 00:6 6 L l•0Z L 6 daS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owners Name information is required for every Centerville MA 02632 a e. Ci !Town 9-12-17 pa ge. �' State Zip Code Date of Inspection D. System y Information cont. Approximate age of all components, date installed (if known)and source of information: 1989 Permit # 89-200. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30 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.): Pipeing is 4" PVC SCH -40. Septic Tank(locate on site plan): Depth below grade: 9 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal. Precast H-10 Sludge depth: 1" tsina.doo•rev.all retie 5 ORIUeI Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 92 a5ed XeJ dH I.tq l, L I,02 Li, daS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner information is Owners Name required for every Centerville MA 02632 9-12-17 page. cityrrown Slate Zip Code Date of Inspection D. System Information (font.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 011 Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt- Plan -Tape _Sludge Judge 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 and inlet cover at 19"below grade w/outlet cover at 4". Two inlet tees, Outlet tee. No sign of leakage or over loading, 9 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 I51ro.doc•rev.6/16 Title 5Offidal InSWtion Fort:Subsurface Sewage Disposal System•Page 10 of 17 LZ a5ed Xed dH LbU L 60Z Li, daS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy. Owner Owners Name information is required for every Centerville MA 02632 9-12-17 page. Clty/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.): r 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 SS ns.doe-rev.W16 Title 5 Official Inapocilon Form:SLbwurface Sewage Disposal System•Pape 11 of 17 92 a5ed xed dH tb 6 6 L 60Z L l, d@S I �L\ Commonwealth of Massachusetts Title 5 Official Inspection Form k"91w; Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owners Name information is required for every CentENllle MA 02632 9-12-17 page. CityrTown State Zip Code Date of Inspectlon 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.): D Box is 16"x16%6"below grade w/two lines out. 2" inlet wltee. No sign of over loading or solid carry over. 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.): Pumpchamber at 28"below grade. Pump chamber need's work. See att page's and pictures. I belive chamber is under sized. Alarm not working. *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: 15ins.doc-rev.6116 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 62 abed xed dH 3,6 6 L 1.02 L l, daS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owner's Name information is required for every Centerville MA 02632 9-12-17 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: 10'x36' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a two pipe field. Ck D Box and camera out Prob above and beside leaching 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 I5ins.doe-rev.6,118 Title 5 Official Inspection Forth;Subsurface Sewage Disposal System•Pape 13 of 17 0£ abed X2J dH 617:l,6 L l OZ L l, daS s� jCommonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Healy Owner Owners Name information is required for every Centerville MA 02632 9-12-17 Cit page. /Town A y 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.): tslns.doc-rev.6116 Title 5 Df 2l Inspectior Form:Subsurface Sewage Disposal System-page 14 of 17 6£ a5ed xed dH Zt,:l,l, L 1,02 L l, daS Z Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Owner Gerald Heal Owner's Name information is required for every Centerville MA 02632 _ page. City/Town 9-12 17 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 Su pply u I pp y enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately B 1 G p-OL 19 5//O fr fR Ff1C/N Rb A t5ns.doc-rev.6116 isle 5 Offidal Inspection Form:Subsurface Sewage oisposal System-Page 16 of 17 Z£ a5ed xej dH Zb 6 LL02 L6 daS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary to Assessments ents 16 Short Beach Road Property Address Gerald Healy OwnerOwner ,ame Information is required for every Centerville MA 02632 page. CityfTown 9-12-17 State Zip Code Date of Inspection D. System Information Cont. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: 4'-4" 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: 12-9-87 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: T,H, on Design plan 12-9-87 4'4"G.W.. Bottom of field at 2'above G.W.. Variances to G.W. w/B.0.H.. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins.dx-rev.8116 Title 5 omclal Inspection Form;Subsurface Sewage OlsposSI Syetem-Pepe 16 of 17 ££ a6ed xeJ dH £b:I•I. L 1,02 L I, daS i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Short Beach Road Property Address Gerald Heal Owner Owner's Name information Is required for every Centerville MA 02632 page. Cityrrown 9-12-17 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 15ins.doc•rev.6me Title 5 Official Inspection Form:Subsurface Sewage Disposal Sysfem.?age 17 of 17 �£ a5ed xed did £t7:I,6 L 602 L i, daS �i Crocker, Sharon 6UA d_7e> From: Michael Pimentel <mpimentel@jcengineeringinc.com> j Sent: Tuesday, February 27, 2018 9:45 AM To: Crocker, Sharon Subject: Fwd: 16 Short Beach Road Hi Sharon J In case you didn't get the message, Please see below.Thanks. Sent from my iPhone Begin forwarded message: From: Michael Pimentel<mpimentel@icengineeringinc.com> Date: February 26, 2018 at 8:55:38 AM EST To: "McKean,Thomas" <Thomas.McKean@town.barnstable.ma.us> Cc: Capen Rich <rich@capewideenterprises.com> Subject: Re: 16 Short Beach Road Hi Tom I would like to request a continuation for the Variance Request for 16 Shortbeach Road. Due to my being sick, I will not be able to attend our scheduled meeting on Tuesday February 27, 2018. Please let me know when the next meeting will be.Thank you. Sent from my iPhone On Feb 23, 2018, at 3:06 PM, McKean,Thomas<Thomas.McKean @town.barnstable.ma.us>wrote: Hi Michael, I attempted to call you at your Office today. I wasn't able to leave a voice message. The reason for my call is: I had a discussion with the Chairman of the Board of Health today about the proposed project at 16 Short Beach Road. He raised the following questions: According to our records, the existing SAS is only two feet above the maximum adjusted groundwater table and is approx. 30 years old. Why isn't the SAS being upgraded? - Is the garage being used as an apartment? 1 McKean, Thomas From: McKean, Thomas Sent: Friday, February 23, 2018 3:07 PM To: Mike Pimentel (MPimentel@jcengineeringinc.com) Cc: Desmarais, Donald; 'crosa@jcengineeringinc.com' Subject: RE: 16 Short Beach Road Hi Michael, I attempted to call you at your Office today . I wasn't able to leave a voice message. The reason for my call is: I had a discussion with the Chairman of the Board of Health today about the proposed project at 16 Short Beach Road. He raised the following questions: - According to our records,the existing SAS is only two feet above the maximum adjusted groundwater table and is approx. 30 years old. Why isn't the SAS being upgraded? - Is the garage being used as an apartment? 1 TOWN OF BARNSTABLE LOCATION @At k Ild SEWAGE # 6 Z- VILL AGE C ePJ4-L) ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. j (' �`V ��-"36Ces c? SEPTIC TANK CAPACITY I C3 00 QnI LEACHING FACILITY:(type) LO(P 0t.-O '. (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER -bd2 14jz4 Ia DATE PERMIT ISSUED: �/ _ ' �7 _ Jf DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r 1 • cg 1 t y NO.._. ... FEB..... ..�� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...................OF...........................----._......------------......._........__._..__.....__......_. Applira Lion for E9iip•aii al Workii Tomitrurtivat Prrutit Application is hereby made for a Permit to Construct ( 'or Repair ( ) an Individual Sewage- Disposal System at• _t .... ... 1� -.. ... �� ........... ---- ............................................................... Loc t1 Add or Lot No. ---------------------------------- a �•••- �� .� ....... Inst ailer Address d Type of Building Size Lot............................Sq. feet U Dwelling'—No. of Bedrooms............. _..........................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ...................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity./gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_ __________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ ----------------------------------•-----------......--------------•---•--------......__•-•------•---........................................................ 0 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 TIT1..i� 5 of the State Sanitary C ssue— ar The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee i by bo he ::�g Signed----------•• - ............... .............................. ....................... �._. ter+^-..� ....................Date--•--.....---- Application Approved BY-----------C� �1--- --- " -------•------------------------- Date Application Disapproved for the following reasons:................................................................................................................ •................•---------•-•------------•--•----••---------...••--------------------------------------•--------•-----•----------------•--•-------------------•••-=------•---------------------•-•-•--- Date PermitNo............ •- .............. Issued--------------------------------------••--• •••--• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Ca�"A�9® CF `1 i m W =o i `1i AS 14°�v1.6'aLLIED ........-...�K.. 4--L. ......OF........ e 9,.,: - ,�Q ..,-. Owrrtifiratr of Toutph attre THIS I TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................. '--------........-------- -_ ------_---_____----_--- s�Her at....................t-�y-----�� c��t�.""---`'sue----- ----------•--------------------••------..__...---•--------------- has.been installed in accordance with the provisions of TI?I 5 of The State.•Sa-• nary Code as-described in the application for Disposal Works Construction Permit No.___ 1_'_-_3, .0----------- dated__________ ___________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... t No....C!- ��.. FEs..... 0......'�' _........._---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •.........................................OF................................... Appfiration for Disposal Works Tons#rurtion prrutit +, Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: -.-- Locati Addre s or Lot No. -Owner ddress • s^..... ........ .. ........ W `�" 1�I� -< ti •-•---�-�- ` ..........o Vic.._... ' Installer Address UType of Building 3 Size Lot............................Sq. feet I-•I Dwelling-No. of Bedrooms...................... ...............Expansion Attic ( ) Garbage Grinder ( ) `k Other—Type of Building .............. No. of ersons...._,.........._.__.______. Showers Pk g -------------- p ( ) — Cafeteria ( ) Otherfixtures .-------•-----•-------------------------•--••--•------•--••-........................--- ---•-----•--••--•-•-•••-.................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity./XJWgallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------_................. a ••••.................•-•••-•---•-.........•........••--••••---••-••....--•-----•--•-------_••----......................................................... O 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 TITLE 5 of the State Sanitary C e-;::�- The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issues) by t board of he Signed .............. �-•.,,� � Date ApplicationApproved By.....------ -^" ..e.}---- -------------•-------------- ....................Da.--.............. a) Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------•---------- .........---•••---•-••--•-----•---••------••-••••.....•-•...............•----•-•--••---••--•--•--.........--•---•-••------------•-----•••---••---•••---••............•----•-------••----•-••••-•••-•----- Permit No. • -- --- - �.p Date •-••--•-•--_.. Issued_--•-----------------------•••--•---•--•--••-•-•---••--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TrrtifirFab of Toutpfianrr THIS IS, TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by �... -•--....._.. 1_. x t G •------------------------- •------------ -•-----•-••--------- I st ler //� at---------------------��+---•-•- is '--•-•. `'�'�'' ------- _.._.__.. •e _G2-•.!..c-..K/ has been installed in accordance with the provisions of T-1 "U P 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... _c1-_a-ra_!�;.).......... dated_.._____--------------------------------••-•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................jo:2.... J_.Sb....:.............................. Inspector....................X_. .....v/ _)...--------._...._....-•------••--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. (� µ OF l;.... FEE... _..._. Disposal orks Tonutrur#ion rranit Permission is hereby granted--•--•........lrival ....f----.....---jL1 cc2......---------------------------------------•--•--•---------•---••------......._ to Construct ( ) or Repair (�an In SeM Disposal System Street as shown on the application for Disposal Works Construction Permit No. _: G__ Dated.......................................... ........................ i_;...i-/-`-- ....................................... Board of Health DATE..•. ��...---------•--•-• FORM 1255 HOBBS & WARREN. INC., PUBLISHERS TEST HOLE /Z-9- $7 By$ aaxt[r 1.1�e,�rlc- /V07cF.' No Wor,E t�ha// G'n:icGc-a lJnti// !/ui^t.rr�ccs f/avc 8c rn Gartal7lco/ S,S by 16e A6Q/, eal lVe4 lei 4 f!'n oralere �o s b �/ q,s �f Cc+►a�irc�x5 .Zssvca0 b�. use ebb C/can Ca�Scr✓oriarl s✓CG,rr1M,I.r�S ic►rz. �- /p w 3 o 8 DESIGN DATA .._. ,�'� 3•Z-- _" "` -- `" •z G071 q '6lrttic. fcamlly 3 bZcdreow, �ticrsfr,y 5,c�cJC3 SF"� G✓ooc/'cry � ; � FXrST/.VG L�3 N � No Garbar�c Grincicr Shcd r A,G,d, Z�. �c l 1 C7 = 330 Ca p oQ � ,; �. : .•;� DA TU/77 t (JSE /D00 G.q c.c.wv TANK L i m i r r- W c a vc 3 DE vevo n7 6.7 x GCa�br rCec/r/' /O X 3S / I ® wo cm S-c. ;7 W ale r- ; 5er`vicc tl i I UT/L/TY A10M v,st /n'� iN �0'X361 Loaech ��©. C3°x V'I ALL UNDERGROUND UT/LIT/ES SHOWN 14ERE COMP/LED ACCORDING TO AVAILABLE RECORD PLANS FROM THE VARIOUS UTILITY COMPANIES AND PUBLIC AGENCIES, �`�' 'R` AND ARE APPROXIMATE ONLY. ACTUAL LOCATIONS MUST BE DETERMINED IN THE FIELD. .,f 19'2 _-__--G ----- BEFORE EXCAVATING, BLASTING, INSTALLING,BACXFILLING, GRADING,PAVEMENT Gq9 40,'E -. RESTORATION OR REPAIRING ALL UTILITY COMPANIES, PUBLIC AND PRIVATE brUST FE CDNTACTFD, a UDING THOSE IN CONTROL OF 4.1 m ITIES NOT SHOWN • 6 ,4 4.iTftiTi-eio. , ON THIS FL'A'N. SEE CHAPTER 370, ACTS OF 1963,1 MASS. WE ASSUME NO RESPONSABILITY FOR DAMAGES INCURRED AS A RESULT OF UTILITIES OMITTED OR INACCURATELY SHOWN, BEFORE PLANNING FUTURE CONNECTIONS,THE APPROPRIATE UTILITY COMPA,YY Cq L e= ENGINEERING DEPT. MUST BE CONSULTED. THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS IN ADVANCE OF CONSTRUCTION. THIS MAYBE DONE BY CONTACTING THE DIG-SAFE CENTER //-800-322-4844) Y11ah11a11 Covtw �\/er,t Paur 6 Cwnc.rc,•lc "PaaQ Atop Grtirlc �x/stingy 5•cvhc Tank - V.5c. &x (o WcIc(r-4 2�wc0/in� 1�1rc. ►11cah or Crock CwtrtiI q'K9� Support �5►rti`PP'ny I' w inimum cavcr R2 Zt ,� Frii.Sh (Se-O r Cs.. E/ 6. O T!1=inawn COoee !1T►u� Tic- p f p c c n als c rr .. o. I I 3o7C _ 17-1 - f3otfoin of 5yx4cmE1 3.6 W,G,VjA 4•, 7 p I !iv✓ 4,30 21 IrN / IhfU_ cr,amb�N fuu /000 Ga//or� q 3 Q,SO 4,67 C5cs. 3.75 Sclo><rc Tnk Nalw� 1�aV 1�csc C�mcnd,wuhcri£IGv I,$ N,G.Ut� 3,60 ('///O� 4,oO i i P12o >`I t-C' nJa t -f,o Sca,l j Pump N oTS I, Rjvv, 61ycrs SIVIR4H; 6NRO Sprint 1 ew EjvaI 2. PVC(�SCH4c--�) Fomr-v-* MAIN (.., ��Uri�� Ghwvr�k��r �rt�c,bri4a♦ec� f,�vrtalaz WI•FA Skcl cou-tr(IgTIEIFL3-6�'c�zo-zft4.b�-ab�or --�— Lnlc.+- hub +ci be f,,cick ►Nt4urtecQ 9y Tce rc u rccl7 3. Anti -F)oa,Ta-hon A i f1- h116 by I +hiok cvnr ci—c D�s-r• Ytvlq -trs be �ourc� rwrouncQ loun,� c!-tav»�,e.,�` aw�c.Q T30X.i Q , UWer he l[& &0wv1 e-Inrj, �, No c.1,;.cFc t��lvc I� ' fi� be, i��st-a Ilcc�t i,l -�rar•c.c- `Ue� 6�H4H !' /iCiL,4 lf.� �':J,S r�a�!1, llow,ar k7oc.k tSrce�ctac�c. - i arc. renir - orec • WlGtlh �Y''OY'f'1 ")Y'GG�.l Y1C7 r S, Pu-p Ccwtreo6 «hc k\ be. zc+- +cv pump 2 Y� feci- — I : .. � �.,<.... Cc•�pwx lsa,� gGu.IIUYI°..� �CY` GyGIG , I': Y VARIA1 JCZS RE`gVE.,TI o - +cam a Ilcpw a I rc.thinc� +C.14 to k�es lcacr0ctS 50No 7z-� � c� �� Pa 5c itc Tank ancQ i7urfi Gh�w�bervwm c. wc+lahc( lvl I�cv © 100 \lt3f"rg,�;�r p �, p 4ka.11 be 1,24+erprndfeaP Pr+o� +a Zrv� �c.11a+,avr s -,- p� T y, Age/ �'. ExG�i-rn Gcs91-eclS S4w1 I be. T;?lscQr,nc c+�.cR t P�nnp�A CaccAn rs�d. F`i l ie.tt uuii-1't �Z..rta� . � i ,a1I•� at.l.�'N q�\\\t�„ 3. Cawfrocr'ar- 76 r•,rn vP,e -r-// l0i,aa,j064 - —';a:,/ A0et .c,kr ,lc,&,:A W,/Placc W,,A6 i bri,- %V1 Isla of GklCo,-W.c ' r4 Aalw 4� �� k Owe Z ncl. ovh«dLaht�+� in 1I,cwr-V tG/can 5a.,cP a� 1IccyGe'l 4, 1411 -'A-all Qrta/ "Ca/ ' 'r �^ r -l•c '! ^ a a za c.ltow zct--tc- -t' vAVc pomp, c.haw%br-r -•t-o o t>e 17ri4t t /xoCt a '� - v h ,4c�t7 a h n I e V o 10' .�c'cq ui //Cc ✓ i ca Asa o,.vr -t-tk4- U rr.rna o,h of all� rcmo u x I o� -k�p.so; I G s �Icclrtc 5cr c..e 'tt> Ntyh Wa4cr Alucm J` llal! Ip utasc.fl: ►hc Se r�fic �m �1�ca�uc. r.,,,c.rvlce I //`�`�S 7, Gpntractcr .a4to�ll 0-�oo'tcke. Tcv►,porv—y Jhc-ct,n% cln� r..,,�korrsn" . 40 «Ilt�w }�� bot�cin, a r� I lcacll f',e\cQ -fc� be 2 ubovc T+ � :'/1lc�c�sar"� , p�stvrlpGanc�c -Fo 9rt5hima 8uilclirt,ns � FoU►teta-honS koa-c� 611`& Vt-i (tt es. r�r�g Gayi:. rvcl'mA c:>f Stloi-ic Sys+c.m I �1 IS,_ext3tim Soil Cuncittivrgs Unoler .Oxa- 19�vpa" y�. ala rjc,ld /Ylusr be Vert tee b�, Tr�.stA►'t' E►�lr�cce- ?>uri� Con�h^uc1'ia-t 9, I.nS�n c er FW vsf- be Qo+t f tc..d1! Tr- Nou rs `I k-io r- 4v Eo`c� ph"r, of _construc--ho" -!-v Tnspccf 'hits l.tJork SEPTIC SYSTEM UPGRADE 10, Tilts Z1tc. 'ls t_occ+.+c_d2. in F'Icoa1 Zcnc A-[C7 C.e.1, II.O tJ.G,V,D� (�cr t=lr n'1A map Town c:��- c�rnstwblc 1"�ctYtGl e. o� ZS j 'Dci+rc9 Au�vst M l 11 g,S 11, Thts Plan 15 +,k& ScPhc Sysfrrn drily skc,31d No+- joc USe"s 'I-u 16 Eai latish t-=� LtncS , (f 4--r\17-Ck VZ 4./- ' 1VOUEmA-�4ErC 28) P988 TOP OF FOUNDATION = 5.1'± PROVIDE H-20 CONCRETE FINISH GRADE OVER D-BOX = 5.3'± 4" SCHEDULE 40 PVC MIN. SLOPE 1% FINISH GRADE OVER LEACHING FIELD= 4.7' - 5.3' GENERAL N OTC FINISHED GRADE F.G. OVER RISER WITH SECURE CAST 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE �Jr FOUNDATION = 4,6'± TANK EL.= 4,7' - 5.1' IRON FRAME &COVER TO F.G. �REMOVABLE WATER-TIGHT COVER OVER UNI.ESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER TO WITHIN 6"OF FINISHED GRADE 2" OF 1;8" TO 1/2" DOUBLE WASHED ST(%N� - ME I HODS SHALL BE IN ACCORDANCE WITH T iTLE 5 OF THE STATE ENVIRONMENTAL DISCONNf_.CT + 24"MIN.ACCESS 9' MIN. 5" DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. EL.=3.60'-\ COVER(TYP.OF 3) 36" MAX. RUBBER BOOT (TYP) j 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PROPOSED 4" I 1 + DESIGN ENGINEER. SCHEDULE 40 PVC 2" PVC FORCE MAIN 9" MIN 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 2" DROP MIN. _ TO DISTRIBUTION BOX 12" MIN. MIN.SLOPE(a�7% 6" 3" 3" DROP MAX. 3" 9" rn 2' PVC TEE- 36" MAX. r-4" PVC PERFORATED PIPE END CAPS SYSTEM UNLESS OTHERWISE NOTED. j / r- 3F" MAX tj 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 19 �0 2.10' PROVIDE WATERTIGHT ELEVATION = ' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 40 I - ;-------� --- -------------- ----------.---"---------- ----------- - MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF THE 2' PVC IN FROM JOINTS (TYP.} _ _ ___ ______ ___ ______________ _� LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. (NOT APPLICABLE) 60" LIQUID LEVEL - -- -1------------------------ - r TANK DIMENSIONS PER SEPTIC TANK - --- --- ------ --- --- -- --- --- - I----__-_--- - i ESHGW EL.-1.1'± 1 ACME SHOREY o- 0 0 0 0- o o-o -o-o_o-0 0 0 0-0- 0 0 0 0 o i �, j �� , ^- -_-- I 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. @ 1000 GALS I 'i` t (MHW) i I I 1 16 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 1 2 6„ 6" EFFECTIVE TANK TO BE WATER-PROOF � EFFECTNE PR=4.03' MiN. I 1 I DEPTH 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK ANDWATER-TIGHT WITH �--------------------------------------------� �-------------!---------------------------- -------- ANDPOL W EFlN BACKED 6" CRUSHED STONE _ FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS �10.1' TO FND. 1500 GALS. EXTERIOR JOINT WRAP OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH __j 4W COMPACTED BASE 35' 2.5' 5' ----- 2.5' AND DESIGN ENGINEER. TANK TO BE FITTED 6" CRUSHED STONE 5 i 8 ELEVATIONS BASED ON NAVD 88 DATUM. BENCHMARK ELEVATION OF 6.28' ESTABLISHED EL.= -3.57'-J 22"ZABE�FILTER OUTLET DISTRIBUTION BOX w/ RUBBER BOOTS MODEL#A1801-4x22 r OVER MECHANICALLY 10' - --" ( ON TOP A NAIL SET IN UTILITY POLE AS SHOWN ON THIS PLAN. ON INLET & OUTLET / COMPACTED BASE TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= 1 .1 '± MHW (GAS BAFFLE ON BCTTOM) BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING LEACHING FIELD DIMENSIONS PROPOSED 1500 / 1000 GALLON H-20 TWO-COMPARTMENT SEPTIC TANK PIPES TO BE LAID LEVEL. i TAKEN FROM SEPTIC SYSTEM THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT r, t iLl t'Kit-iLC UPGRADE PLAN DATED 11-28-88. FIELD END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 13-0 WIDTH 7 -4 DEPTH 7-2 CROSS SECTION VIEW tt TO THE DESIGN ENGINEER. ALL TEES TO BE LINED UP ,- EX1L]T� `'� I,rI ' DETAILS rj_L U Z)t-- (•-+ ( )� , � H Iv M �'1°C+; )� I DIRECTLY UNDER CENTER D I S-I i'l;i � (� j i`4 0�A L)�TAI L ' 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE OF RISER OPENINGS �- NOT TO SCALE - - NOT TO SCALE �_- _v 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING BUOYANCY CALCULATION _ •,�� „� <r�j _ REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM �, �rJ '� --.� i � /' ``�'°•.;'"*, APPROPRIATE AUTHORITY. NOTES: �. � :_� '� ►-- r- , �., 11 '''ram Y •/,J �„�:• _ r• �""` ^�-, 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED PROPOSED 1,500 11,000 GAL. TWO-COMPARTMENT SEPTIC TANK 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE - i'_ _._:_ HIGH GROUNDWATER EL.= 1.10' (MHW) ) , ;'_ UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR OF EACH SEPTIC SYSTEM COMPONENT. �;� -�� - • i r'. ,._. `" r TOP OF SEPTIC TANK EL. = 3.60' ri, • il + .� .� ��• i�, f �� TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. BOTTOM OF SEPTIC TANK EL. = -3.57' 2.) PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS ONLY. I - ^, "I"g#�A+39, +� '•.`��: `• 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. WATER DISPLACED = [1-10' - (-3.57')] x 13.0'x 7.0' =425 C.F. '! l; , .•,� • WEIGHT OF DISPLACED WATER = 425 C.F. x 62.4 LB/C.F. = 26,520 LBS ! • *j�i �� :' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 3.) CONTRACTOR SHALL PROVIDE THE NECESSARY DEWATER!NG ', ,�� MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. WEIGHT OF 1,500/ 1,000 GAL. H-20 2-COMP. TANK= 36,750 LBS OPERATIONS FOR ALL REQUIRED EXCAVATION WORK. kit SOIL COVER = (4.7' -3.6') x 13.0' x 7.0' = 100 C F. �r �t •.; - � REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, WEIGHT OF SOIL ABOVE TANK= 100 C.F. x 110 LB/C.F. = 11,000 LBS ,� •i�` ; � �, �. '%; FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3), 4.) THE PURPOSE OF THIS PLAN IS TO REPLACE THE EXISTING SEPTIC 36,750+11,000=47,750 LBS > 26,520 LBS;THEREFORE ACCEPTABLE TANK AND PUMP CHAMBER WITH A NEW 2,500 GALLON 2 COMPARTMENT • + 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SEPTIC TANK& PUMP CHAMBER. EXISTING DISTRIBUTION BOX TO • ; ,, ',�. • '� �� LOCUS SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. REMAIN IN TACT UNLESS COMPROMISED DURING CONSTRUCTION. •J • ' ', • ) EXISTING LEACHING FIELD TO REMAIN IN TACT AND CONTINUED TO BE .- 16, PROPOSED PROJECT IS LOCATED WITHIN:..... / . . =' USED AS PART OF THE SEPTIC SYSTEM. 43 •f/, . y � • � ASSESSOR'S MAP 206 LOT Crai„�ville , - 5.) CONTRACTOR TO PROVIDE THRUST BLOCKS ALONG FORCEMAIN AS '�l , �� '' . ..' •.: �''+ :•• ., •_':.• • OWNER OF RECORD: GERALD B. HEALY NECESSARY. • r�� ', ' x . '. • `�. L.gTidtll� �� ``••• • •• ADDRESS: 194 GROVE STREET •. `,. t _ WELLESLEY, MA 02181 i, Vie- •.•••'. • � ��. •' =-� :+• GraIgVi(le Reac..n FEMA FLOOD ZONE AE (EL.13) , �M COMMUNITY PANEL# 25001CO563J Craigville 00 rn ;ram j• t'Ubl(C Beach 17. DEED REFERENCE: LAND COURT CERTIFICATE#203015 z ,,,�~ Landing 18. PLAN REFERENCE: LAND COURT PLAN#9288-L J �R U � ,�•- 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. t 1 A,� �' J � .:-'' " 20. THIS PLAN IS TO BE USED ONLY FOR SEPT'C SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 21 A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A Spindle DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A ��R i J ,:..�•� m Rock REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. �OF�P ��•• ,�C i ? C ! �,T �! L / 22. OWNER I APPLICANT/CONTRACTOR SHALL_ BE RESPONSIBLE TO OBTAIN ANY AND ALL REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. ,��Y • f' 3 r' o 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE MAP 206 - O LOCUS PLAN APPROVAL IS REQUESTED FROM 310 CMR 15.211: LOT 43 �' ---•_ -� 4,995± S.F. � _ (1.) A 4.7' WAIVER (10.0'-5.3) FOR THE SETBACK FROM THE SEPTIC TANK/PUMP CHAMBER __2 SCALE. 1 - 1000 TO THE FRONT PROPERTY LINE. MAP 206 24. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1, SECTION 360-1: I f I LOT 44 (1 ) A 57.0' VARIANCE (100.0' -43.0') FOR THE SETBACK FROM THE SEPTIC TANK/PUMP LIMIT OF WORK CHAMBER TO THE COASTAL BANK. INSTALL 1-1/4" PVC TO HOUSE. JOINTS TO BE MADE NOTE: PUMP MUST BE EQUIPPED WITH A HIGH C 1 �~ J j v1V / I> , . WATERTIGHT. WIRE PUMP AND FLOATS TO SIMPLEX LEVEL ALARM LOCATED IN THE BUILDING LEt CONTROL PANEL No. 1-CC2 NEMA-1 MFG. HOOVER SERVED WHICH IS POWERED BY A CIRCUIT it INSTRUMENTS A T IT TH P . EXISTIN,_ -LSA- 510 NE SEPARATE E FROM THE CIRCUIT TO E PUMP. 50xO' EXISTING SPOT GRADE i,ne SHED 3-BEDROOM <` NEMA 4 JUNCTION BOX CORROSION RESISTANT& - 50 - - EXISTING CONTOUR DWELLING HOISTING CABLE 7 x 19 STAINLESS STEEL M r- C-2 LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 50 PROPOSED CONTOUR GI `lam n „r�� 1 TOF = 5.1 ± \ BIT ORN�WAY^ CONNECTORS SUPPORTED BY 1-1/4" PVC CONDUIT, /_HOISTING DIA. / 1,760 LB. STRENGTH Z r JOINTS TO BE MADE WATERTIGHT 50 PROPOSED SPOT GRADE EX. GAS LINE TO 2"BALL VALVE w/ UNIONS SCH. 80 PVC �I^�� \ .. BE PROTECTEC _ GEORGE FISHER CO. MODEL NO. 560 EXISTING GAS LINE EX PUMP CHAV„ ' `° 3 I -2"SCH. 40 TO D BOX EXISTING OVERHEAD WIRE HAYBALE TYP '4- -(2 , TO BE RE-'MCa%F � � M I _____2"SCH. 40 TEE w/ CLEAN-OUT CAP ( ) _ ) U r 1 ALARM ON EXISTING WATERLINE PUMP ON 1/4"WEEP HOLE IN DISCHARGE PIPE PROPOSED ELECTRIC LINE MAP 206 , HC (1�� ,% g6�� PUMP 2" BALL CHECK VALVE SCH. 80 PVC 100 ■ 3 ■ TEST PIT LOCATION LOT 42 C0 Z 1 0, ./ R� p 82 ° P.S.I. FLOWMATIC MODEL No. 208S w I3-LSA- f 'LP- �.T PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE 0 N o O SEA ' _ o CO CP�8,.,,.+ EF� ��. -" �, ,�-PROPOSED 1500/1000 (2)WIDE ANGLE CONTROL FLOATS o C"'., PROPOSED 2" SOLID SCHEDULE 40 PVC PIPE �'' 073618 2" SCH. 40 PVC DISCHARGE PIPE ...�„'"" .� \•. ONE GAL. H-20 SEPTIC (BARNES( } \, f' ,� '�:" + , TANK/PUMP CHAMBER 1: PUMP ON/OFF 120 ACTIVATION O O O PROPOSED 1500/1000 GALLON H-20 1ti _ / BARNES SE411 PUMP 0.4 H.P., 115_... � _ � w� h � � � 2: ALARM ACTIVATION T1N0 COMPARTMENT SEPTIC TANK QL-S, `l AL EXISTING DISTRIBUTION BOX V 2" I H R E A IN,� S As SOLIDS OR APPROVED EQL _ f GAS �-_,_._- - 1500 / 1000 GALLO"' " ''�' "'r=PTI C TANK DETAIL -LSA� _ NOT TO SCALE --- - OQ GPS - .-- _, - --- REV. DATE BY APP'D. DESCRIPTION Cos Lx F,6 CAI ; I0x TO BE `j� GPs� n ` ':'s�`'r"' 'A` !\, , NUMBER OF BEDROOMS DESIGN s PROPOSED SEPTIC TANK & PUMP (DESIGN) GP S -� �M�N� / DESIGN FLOW 110 GAUDAYBEDROOM DOSING & STORAGE REQUIREMENTS CHAMBER REPLACEMENT PLAN TOTAL DESIGN FLOW 330 GAUDAY DESIGN FLOW: 330 GPD PREPARED FOR: DESIGN FLOW x 200 % = 660 GAUDAY DOSING REQUIRED: 4 CYCLES/ DAY GERALD B. HEALY OPD B�PGH I USE PROPOSED 1500/ 1000 GALLON SEPTIC TANK! PUMP CHAMBER 330 GPD 14 = 82.5 GALS/CYCLE 001) LOCATED AT S\-\o N1IDELA DISTANCE REQUIRED BETWEEN PUMP 16 SHORT BEACH ROAD ON AND PUMP OFF FLOATS CENTERVILLE, MA 02632 Benchmark EXISTING 10' x 36' LEACHING FIELD INSTALLED 82.5 GALS/CYCLE -= 250 GAUFT = 0.33 FT/CYCLE Nail in U.P. PER TITLE 5 INSPECTION DATED 9-15-17 (TO (USE 0.35'TO PROVIDE FOR 4 BACKFLOW) SCALE: 1 INCH = 10 FT. DATE: FEBRUARY 9, 018 Elev. = 6.28' 0 5 10 20 40 FEET NAVD 88 REMAIN IN TACT). STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GAL. Py1N OF MAssq SWING-TIES STORAGE PROVIDED ABOVE WORKING LEVEL: 537 GAL. �o JOHN L. � PREPARED BY: CHURCHILL J JC ENGINEERING, INC. DESCRIPTION HCA HC-2 WIL N 418 2854 CRANBERRY HIGHWAY SEPTIC TANK COVER (1) 12.1' 16.0' . SITE PLAN EAST WAR E HAM, MA 02538 SEPTIC TANK COVER (2) 21.1' 13.6 508.273.0377 SCALE: 1"= 10' Drawn By MCP Designed By:MCP Checked By JLC JOB No 4018 TOP OF FOUNDATION = 5.1'± PROVIDE H-20 CONCRETE FINISH GRADE OVER D-BOX= 5.3'± 4" SCHEDULE 40 PVC MIN. SLOPE 1% F.G. OVER RISER WITH SECURE CAST FINISH GRADE OVER LEACHING FIELD= 4.7' - 5.3' FINISHED GRADE 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE @ FOUNDATION - 4,6_ TANK EL.= � ' IRON FRAME & COVER TO F.G. REMOVABLE WATER-TIGHT COVER OVER - '+ 4. - [-REMOVABLE 6" ^vF FINISHED GRADE 2" OF VS" TO 1/2" DOUBLE WASHED STONE: - 1 UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION DISCONNLCT I ME I HODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 24"MIN.ACCESS 9" MIN, 5" DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES, EL.=3.60'� COVER(TYP.OF 3) 36" MAX. RUBBER BOOT(TYP) r F 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PROPOSED 4" i ! } DESIGN ENGINEER. SCHEDULE 40 PVC 2" DROP MIN. 2" PVC FORCE MAIN 9" MIN I 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL MIN.SLOPE @; 6" 3" 3" DROP MAX. 3" 9" a> _ TO DISTRIBUTION BOX 2" PVC TEE-, ! 36" MAX. �--4" PVC PERFORATED PIPE ,- END CAPS 12" MIN. -- --.- --- - --- �� MAX SYSTEM UNLESS OTHERWISE NOTED. - - - - o i 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN f fi I� ! 19 1 2.10' PROVIDE WATERTIGHT _ _ __ __ _ _ __ _ _ ELEVATION = ' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 40 -L � JOINTS (TYP.) MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF THE i I 2' PVC IN FROM 60" LIQUID LEVEL - ----j --- ------ --- --- ------ --- --- ------ --- --- ---------- ------------� -- ----------------_-_-______--------__-_ LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. NOT APPLICABLE TANK DIMENSIONS PER �F SEPTIC TANK I ) ESHGW @ EL.=1.1'± p l ACME SHOREY ------------------------------- -- I - ------- o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o I { I �' i 5. SLOPE ALL SOLID PIPE AT 1.0/a MINIMUM. -- 1000 GALS I - ------- 2.1 O' (MHW) 12" 6" I I i I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. TANK TO BE WATER-PROOF ' 1 j I I 16"EFFECTIVE PR=4.03 MIN. I I I I DEPTH 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND WATER-TIGHT WITH --- --------------------------------------- L------------!------------------------- ------------! POLYOLEFIN BACKED 6" CRUSHED STONE FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS 10.1'TO FND. 1500 GALS. EXTERIOR JOINT WRAP 4r t)�OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH COMPACTED BASE 35' 2.5' 5' 25 AND DESIGN ENGINEER. TANK TO BE FITTED 22"ZABEL FILTER 6" CRUSHED STONE 5 S ELEVATIONS BASED ON NAVD Rg DATUM. BENCHMARK ELEVATION OF 5.28' ESTABLISHED w/ RUBBER BOOTS EL.= -3.57' OUTk_ET DISTRIBUTION BOX ON INLET& OUTLET MODEL#A1801-4x22 OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 10 FIELD DIMENSIONS ON TOP A NAIL SET IN UTILITY POLE AS SHOWN ON THIS PLAN. (GAS BAFFLE ON BOTTOM)- COMPACTED BASE � BASE. FIRST TWO FEET OF OUTLET EXISTING LEACHING GROUND WATER ELEV.= 1.1 ± (MHW) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION " PIPES TO BE LAID LEVEL. PROPOSED 1500 / 1000 GALLON H-20 TWO-COMPARTMENT SEPTIC TANK TAKEN FROM SEPTIC SYSTEM THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 13-0 WIDTH -0 DEPTH 7-2 CROSS SECTION VIEW FIELD PROFILE UPGRADE PLAN DATED 11-28-88. FIELu tNu VItvv TO THDEIDESIGN- FE AND ANY ENGAEEOTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES ALL TEES TO BE LINED UP EXISTING FIELD DETAILS 11 `j DIRECTLY UNDER CENTER D I SI r' i 1 i -, i 0�A Lj cTAI L I 10, ALL JOINTS WHERE PIPE ENTERS AND EXITS CONIC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE OF RISER OPENINGS NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING -T __. ', �� ; REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM BUOYANCY CALCULATIONS NOTES ' '' / " `�'= j • y * APPROPRIATE AUTHORITY. - . . _J PROPOSED 1,500/ 1,000 GAL. TWO-COMPARTMENT SEPTIC TANK ' /' ♦ %• ! 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED HIGH GROUNDWATER EL.= 1.10' (MHW) 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE I U ' `i , OF EACH SEPTIC SYSTEM COMPONENT. - = - -- 'µ'*- . - '•`- `i r UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR -° ,. ti.. , , i.� TOP OF SEPTIC TANK EL. = 3.60' ;�, . i;�./ j► � , -,? TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. BOTTOM OF SEPTIC TANK EL. _ -3.57' /, Y 39;` t- ` '+�• f 2.) PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS ONLY. \� .` 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. WATER DISPLACED = [1.10' -(-3.57')] x 13.0' x 7.0' =425 C.F. � , �`' WEIGHT OF DISPLACED WATER = 425 C.F. x 62.4 LB/C.F. = 26,520 LBS , .`.,� t. . WEIGHT OF 1,500 11,000 GAL. H-20 2-COMP. TANK- 36,750 LBS 3.) CONTRACTOR SHALL PROVIDE THE NECESSARY DEWATERING .,;; ,� �,,, f ,- 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE OPERATIONS FOR ALL REQUIRED EXCAVATION WORK. '- �f' •f� { MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. SOIL COVER = (4.7' -3.6') x 13.0' x 7 0' = 100 C.F. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, WEIGHT OF SOIL ABOVE TANK= 100 C.F. x 110 LBIC.F. = 11,000 LBS FINES OR OTHER UNSUITABLE MATERIAL !N ACCORDANCE WITH 310 CMR 15.255(3). 4.) THE PURPOSE OF THIS PLAN IS TO REPLACE THE EXISTING SEPTIC .` ° I '\r '� 36,750+11,000 =47,750 LBS > 26,520 LBS; THEREFORE ACCEPTABLE TANK AND PUMP CHAMBER WITH A NEW 2,500 GALLON 2 COMPARTMENT 1 • •' �* ` " �� , ` 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SEPTIC TANK& PUMP CHAMBER. EXISTING DISTRIBUTION BOX TO •f + ..,.' • • '•� `t� ' LO�'U S SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. REMAIN IN TACT UNLESS COMPROMISED DURING CONSTRUCTION. ;� . EXISTING LEACHING FIELD TO REMAIN IN TACT AND CONTINUED TO BE AD. +f� ._ ~-t-- ? 16. PROPOSED PROJECT IS LOCATED WITHIN: USED AS PART OF THE SEPTIC SYSTEM. , - �,� � ,• ,, C rah �Me � ASSESSOR'S MAP 206 LOT 43 5- CONTRACTOR TO PROVIDE THRUST BLOCKS ALONG FORCE--MAIN AS 'ir' $' - •'.%'�`�Z """,} } OWNER OF RECORD: GERALD B. HEALY NECESSARY. ~• • \.. . .. LBndlh •y j._~ �� • ` 4 , ADDRESS: 194 GROVE STREET if• •~ \ r` + - a -. �` ` �`♦ WELLESLEY, MA 02181 ,y ,P1 �, ,• t;raigville Beam FEMA FLOOD ZONE AE (EL.13) 00 Lraigville �;.1+.. ♦ ,� COMMUNITY PANEL# 25001CO563J 00 .. ♦ ` r'ub11C Beach 17. DEED REFERENCE: LAND COURT CERTIFICATE#203015 z L.anding 18. PLAN REFERENCE: LAND COURT PLAN#9288-L J R`v��.. j U 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. \, _.v - ..,. -j 20. THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 21 A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A Spindle DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A DER - CID Rock .G�t ROCk REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. °G�OF�P/ p��G�NV w n (7 F, ]VT F I V I Ij L 22. OWNER / APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL 0, -o REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. f `./ /- 3 oo _3 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE 1-1MAP 206 / � LOCUS PLAN APPROVAL IS REQUESTED FROM 310 CMR 15.211: LOT 43 CID (1.) A 4.7' WAIVER (10.0'-5.3') FOR THE SETBACK FROM THE SEPTIC TANKIPUMP CHAMBER i __2 4,995± S.F. f J MAP 206 SCALE: 1" = 1000' TO THE FRONT PROPERTY LINE. I � 24. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1, SECTION 360-1: LOT 44 - (1 ) A 57.0' VARIANCE (100.0' -43.0') FOR THE SETBACK FROM THE SEPTIC TANKIPUMP LIMIT OF WORK / CHAMBER TO THE COASTAL BANK. o INSTALL 1-114" PVC TO HOUSE. JOINTS TO BE MADE NOTE: PUMP MUST BE EQUIPPED WITH A HIGH \ sr WATERTIGHT. WIRE PUMP AND FLOATS TO SIMPLEX LEVEL ALARM LOCATED IN THE BUILDING #16, 0 1 t CONTROL PANEL No. 1-CC2 NEMA-1 MFG. HOOVER SERVED WHICH IS POWERED BY A CIRCUIT EXISTIN:, ~LSA~ INSTRUMENTS SEPARATE FROM THE CIRCUIT TO THE PUMP. SHED ( 3-BEDROOM S.�pNE7 \ 50xO' EXISTING SPOT GRADE NEMA 4 JUNCTION BOX CORROSION RESISTANT& --- -- --- Fr) -- DWELLING C-2 HOISTING CABLE 7 x 19 STAINLESS STEEL EXISTING CONTOUR cn TOF - 5,1'± �%,I; �- LIQUID-TIGHT CABLE CONNECTORS SUPPORTED CONNECTORS SUPPORTED BY 1-1/4" PVC CONDUIT, 1/8" DIA. 11,760 LB. STRENGTH r� PROPOSED CONTOUR / II JOINTS TO BE MADE WATERTIGHT 50 PROPOSED SPOT GRADE EX. GAS LINE TC. \ t 2"BALL VALVE w! UNIONS SCH. 80 PVC EXISTING GAS LINE BE PROTECTED GEORGE FISHER CO. MODEL NO. 560 K - -- - • •-^� C° 3 !'--2"SCH. 40 TO D-BOX EXISTING OVERHEAD WIRE HAYBALE (TYP) -4..- - `� -(2) ,. t f I 1 �--2"SCH 40 TEE w/ CLEAWOUT CAP ALARM ON EXISTING WATERLINE 1/4" WEEP HOLE IN DISCHARGE PIPE MAP 20 10 i wool,", �, I PUMP ON - PROPOSED ELECTRIC LINE 600 LOT 42 2 t HC- t1 R`386 g2 / uMP 2" BALL CHECK VALVE SCH. 80 PVC 100 �� TEST PIT LOCATION 3 0` 10 P.S.I. FLOWMATIC MODEL No. 208S n --LSA- E� \ , PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE N o OFFSJCpp,S�P�g�.. -" �� / , PROPOSED 1500/1000 (2) WIDE ANGLE CONTROL FLOATS o M PROPOSED 2" SOLID SCHEDULE 40 PVC PIPE cfl 1 k, �° � �- •�► - -,, 3" PIE GAL. H-20 SEPTIC (BARNES 073618) \_2" SCH. 40 PVC DISCHARGE PIPE �0 / C, ---�'- --' , TANK/PUMP CHAMBER 1: PUMP ON/OFF 120 ACTIVATION O O O PROPOSED 1500/1000 GALLON H-20 CID1 r �� ----' 2: ALARM ACTIVATION BARNES SE411 PUMP 0.4 H P., 115 V, 2" DISCHARGE PASSING 1-1/2" TWO COMPARTMENT SEPTIC TANK - -" Mf ,, W I_ GAS SOLIDS OR APPROVED EQUAL EXISTING DISTRIBUTION BOX 5 �� ,... Gay -`" 1500 / 1000 GALLON ' ° �"" `SEPTIC TANK DETAIL -.SA- `�` i - -' __\4 NOT TO SCALE �W Ga - ---___ - Q S � t - --- - REV DATE B DESIGN , •-, Y APP'D DESCRIPTION LA_Vp, w SAS { ' A PROPOSED SEPTIC TANK & PUMP �pX w S �'`'� NUMBER OF BEDROOMS {DESIGN) 3 / PPP s GR - 'N� DESIGN FLOW 110 GAUDAY/BEDR OM DOSING & STORAGE REQUIREMENTS GP IS � o CHAMBER REPLACEMENT PLAN OF 3 _ TOTAL DESIGN FLOW 330 GAUDAY DESIGN FLOW: 330 GPD PREPARED FOR: ROpp _ 5- DESIGN FLOW x 200 % = 660 GAUDAY , DOSING REQUIRED: 4 CYCLES/DAY RC B�P PNOV, USE PROPOSED 1500 11000 GALLON SEPTIC TANK/ PUMP CHAMBER 330 GPD 14 = 82.5 GALS/CYCLE GERALD B. HEALY SNO ' TED AT W1D�� 16 SHORT LOCPBEACH ROAD DISTANCE REQUIRED BETWEEN PUMP ON AND PUMP OFF FLOATS: CENTERVILLE, MA 02632 Benchmark EXISTING 10' x 36' LEACHING FIELD INSTALLED 82.5 GALS/CYCLE - 250 GAUFT = 0.33 FT/CYCLE Nail in U.P. PER TITLE 5 INSPECTION DATED 9-15-17 (TO (USE 0.35' TO PROVIDE FOR BACKFLOW) SCALE: 1 INCH = 10 FT, DATE: FEBRUARY 9, 2018 Elev. = 6.28' 0 5 10 20 40 FEET SWING-TIES NAVD s8 REMAIN INTACT. STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GAL. sN °F Mpssgc�� STORAGE PROVIDED ABOVE WORKING LEVEL: 537 GAL. PREPARED BY: DESCRIPTION HC-1 HC-2 u JOIVILHN L CHURCHILL JR. JC ENGINEERING, INC. N 418 7 2854 CRANBERRY HIGHWAY SEPTIC TANK COVER (1) 12.1' 16.0' q s SEPTIC TANK COVER (2) 21.1' 13.6' SITE PLAN 4 EAST WAREHAM, MA 02538 _- _ 508.273.0377 SCALE: 1"= 10' Drawn By MCP Designed By.MCP Checked By' JLC JOB No 4018