Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0055 SUMMERBELL AVENUE - Health
55 Summerbell Avenue Centerville A = 226 063 kIIII N Owrford, NO. 1521/3 ORA 10% J s • o ` u �v 22 2015 22:14 Jim The Inspector Man 5085349919 page 1 Commonwealth of Massachusetts . Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave CA Property Address rM� Thomas Sheehy -v Owner Owner's Name information is required for every Centerville MA 02632 11-19-15 r�ry page. Cityrrown Stale Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important;When A. General Information filling out forms `��tt►ttutltl/��r�i on the computer, I $� 9I�9 ��0� .1H OF ii use only the tab 1. Inspector: .���� ssa/''% key to move your P cursor-do not James D.Sears JAMES use key the return Name of Inspector v Capewide Enterprises, LLC Company Name 153 Commercial Street i���i�rF 5 I N SPEG��O`�� Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address n 9 P Y 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 16.600).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 11-20-15 pectoMiture Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform In the future under the same or different conditions of use. Z� Vs t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•P 7 of 17 Nov 22 2015 22:14 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-15 page. City/town State Zip Code. Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E J 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: The system is a 1500 Gal. Tank D Box and five infiltrators (9'x 43'x 2' ). 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): l 15ire•3/13 Title 5 official Inspection Forth:Subsurface Sewage Disposal System Page 2 of 17 Nov 22 2015 22:14 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owners Name information is required for every Centerville MA 02632 11-19-15 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 pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the,distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health).- broken pipe(s)are replaced ❑ Y ❑ 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 15ins•3113 Title 5 Official Inspeclion Form:Subsurface Sewage Disposal Systen•Page 3 of 17 Nov 22 2015 22:14 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owners Name information is required for every Centerville MA 02632 11-19-15 page. Cityfrown 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 to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in is less than 6" below invert or available volume is less than Y2 day flow.0 C t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Nov 22 2015 22:14 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owners Name Information is requiredfor every Centerville MA 02632 11-19-15 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. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design,flow of 2000gpd- 1 0,000g pd. ® 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage-Disposal System•Page 5 of 17 Nov 22 2015 22:14 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 55 Summerbell Ave Property Address Thomas Sheehy Owner Owners Name information is required for evry Centerville MA 02632 11-19-15, page. City[Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® 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): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CM 15.203 (for example: 110 gpd x#of bedrooms): 440 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page .7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The sytem is a 1500 Gal. Tank D Box and five infiltrators. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2014-37,000Gals g y g (gP ))' 2015-18,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date CommerciallIndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: j 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) ❑ InnovativelAlternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 i I Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 9 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owners Name ion is r Centerville required uired for even MA 02632 11-19-15 page. City(Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: 2003 Permit # 2003-481. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2' 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 4e PVC SCH 40. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: �i ®concrete ❑ metal ❑fiberglass ❑ polyethyleneother(explain) 1 i If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal. Precast H-10 i Sludge depth: 1„ t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page s of�7 .,1 I i Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name Information is required for every Centerville MA 02632 11-19-15 page. CityrTown State Zip Code Date of Inspection D. System Information (cost.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29 Scum thickness D 11 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-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 at working level. Tank and covers at 15" below grade. In and outlet tee's. No sign of leakage or over loading. l i i l 4 1 i 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 i Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date i 15ins•W13 Title 5 Orficlal Inspecllon Form:Subsurface Sewage Disposal System•Page 10 of 17 Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts Y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name Information is required for every Centerville MA 02632 11-19-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: I i 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 ❑ NoI 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewsge Disposal System•Page 1 I of 17 I i Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts Title 5. Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information isequired or every Centerville MA 02632 11-19-15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any { evidence of leakage into or out of box, etc.): D Box is 16"x 16"41" below grade w/cover at 22". Box is clean and solid w/one line out. 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 appurtenarices, etc.): • If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: 1 t5 ns•3/13 Title 5 Official Insoect on Form:Subsurface sewage Disposal System•Page 12 of 17 t 1 Nov 22 2015 22:15 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts _ Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-15 page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is five infiltrators 9'x 43'x 2'. Ck D Box and camera out to chaMber's Clean and dry. 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 Indicadon of groundwater inflow ❑ Yes ❑ No 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Nov 22 2015 22:16 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-16 page. Cityrrown 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 i ' 1 Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i j 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Nov 22 2015 22:16 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 55 Summerbell Ave Property Address Thomas Sheehy Owner Owner's Name information is required for every Centerville MA 02632 11-19-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells.within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately i A - �. / o J NsF i t5ins-3n 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 17 Nov 22 2015 22:17 Jim The Inspector Man 5085349919 page 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y( 5 Harbor Hill Road Property Address Pat Henny Owner Owners Name information is Woods Hole required for every MA 02543 11-20-15 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells NO Estimated depth t high ground water: 12'+ feet l Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Asbuilt property drops off. Septic system area is 12'+ above road. Bottom of'pool above road elevation. `l { Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pape 16 of 17 Nov 22 2015 22:17 Jim The Inspector Man 5085349919 page 18 Commonwealth of Massachusetts U°f Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Harbor Hill Road Property Address Pat Henny Owner Owner's Name information is required for every woods Hole MA 02543 11-20-15 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater i ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file trNns•3113 Title 5 Official Inapecion Form:Subsurface Sewage Disposal System•Page 17 of 17 ` TOWN OF BARNSTABLE i l;(3CATION �J�S�l0Crz_eE�- �U-: SEWAGE # VILLAGE U�-�UT�� UIC.L t`� ASSESSOR'S MAP &LOT22�� INSTALLER'S NAME&PHONE NO. 4-mod/ C,4At0 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) J�'�/U��ii7'¢ ' (size) !� NO. OF BEDROOMS 30 5 0 S BUILDER OR OWNER ��^ �® Z 43 PERMIT DATE: 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 V of l. , � C � ,�hole 0.(3- 3 6(,StrcVaTia N �a� No. U 0 I (/�I i U�/I�ie C��N�Ifs Fee 6D THE COMMONWEALTH OF ASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS 01pprication for Miopont *p.5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,�_s 61),41-er G I Owner's Name,Add less anl Tel.No. Assessor's Map/Parcel Off- /O Installer's Name,AddrKS� G�el�1N10® Designer's Name,Address and Tel.No.. 350 Main Street ' 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 t4 lt� U gallons per day. Calculated daily flow Z4 gallons. Plan Date y'lq-3 Number of sheets ( Revision Date S-d3 - Title _Zrva 4 ,- �s h H Size of Septic Tank / Type of S.A.S. Description of Soil e`- N C V Nature of Repairs or Alterations(Answer when applicable) Pe,f A - M 3IG ING c GINE9R M!!ST 2I107-1—: ES �s,v- Ti�7.r o Date last inspected: INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN STRICT Agreement: ACCORDANCE TO PLAN. 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 Certifi- cate of Compliance has been issued by this B d of a h. Signed Date .3 0 Application Approved by Date Application Disapproved for the following easons Permit No. 2,0 0 Date Issued No. �1 N t (rr6 .." `�'' Fee �O r -? 1' Entered in computesr: THE COM,MONWEALTH6OF MASSACHUSI=TTS --- yes PUBLIC HEALTH DIVISIO TOWN OF BARNSTABLE,. MASSACHUSETTS Zipplication fortogar `pgtern �ongtructiottertuit fr"MI.a.. .. _ Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.37 Gi/m i i e r C Owner's Name,Address and Tel.No. Assessor's Ma /Parcel /� �'' I Q /Yl `S�P e !' P � � - Co 3 �e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: i Dwelling No.of Bedrooms Lot Size sq.1ft. Garbage Grinder( ) Other Type of Building T No. of Persons �y Showers( ) Cafeteria( ) Other Fixtures Design Flow t-(q Cl gallons per day. Calculated daily flow yU gallons. Plan Date �'�'/L/` 3 Number of sheets I Revision Date S-d 3 -,'3 Title S-e j 1 IC- 11 s 1 r Size of Septic Tank 1:5 U Type of S.A.S. Description of Soil d Nature of Repairs or Alterations(Answer when applicable) 1A J Date last inspected: . Agreement: ! "` The undersigned agrees to ensure the construction and maintenance of the afore described-on-site,sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo .d of eal Signed .t' r Date 3© 3 Application Approved by ^it, s. Date n Application Disapproved for the following easons s. Permit No. ? 00 Date Issued -------.=------------ ----=_—�_---- SAS 1�SQtci i ow, 10171103. THE COMMONWEALTH OF MASSACHUSETTS o BARNSTABLE;`MASSACHUSETTS °D• box duj le} 6S c oil 10j22103, sW Certificate of Compt ance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(Upgraded( ) Abandoned )by r1q ,J�U at . r Abandoned ! 2-e-ll 19oe has been constructed in accordance with the provisions of Title 5 and the for Disposal System donstruction Permit No.2 D 0 3 - Vi7/ dated b' _U 7 Installer Designer The issuance of thisse t shYnot be construed as a guarantee that the system w rf' .1"fo,r s des d. Q Date /023 .3 Inspector �r����C/��[/( J� , . ) --^--7 —l►—( --------------- ----------&t----�—j- — No. .(0 U Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogal *pgtem Con5truction Permit Permission is hereby granted to Construct( )Repair( 6,y>Pgrade( )Abandon S 0-1 ( ) System located at� � Sy ✓a'1 2/ tri-,/I A and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date oftIV4e, At Date: 10' 1 -0 3 Approved by P, �- '� /:� JJ 4 .^Ci J/,�" "'+ti.a�.�JZ�i�',1YF �Yif`�f�'�q+i��'`t.,�'st cT",{ ,- �---����`a►-+_a,,�r'��� i _. _. _ Y„�_� -___ ��• -,. .,fir ., ��2, ,.,, _ --- Now �N LIA aa• _ r,- t / - �' 'r � !� rQ.yr: ` � � _..i r'� ot ............ KOO t CRAIG R . SHORE", P. E. * 235 Great Western Road P.O. Box 1044 Telephone (508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL& BUILDING DESIGNS TO: Thomas McKean Health Director Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: CERTIFICATION OF SUBSURFACE SEWAGE DISPOSAL SYSTEM LOCATION OF SYSTEM: 55 Summerbell Avenue, Centerville, MA CLIENT: 'Thomas Sheehy PLAN DATE: 04/14/03 last revised 05/23/03 FILE#: 1-943 DATE(S)OF/TYPE OF INSPECTIONS: 10/21/03 Photograph&Inspect Partial overdig, S.A.S. &vinyl 10/21/03 Photograph&Inspect remainder of overdig, S.A.S. &vinyl 10/22/03 Photograph& Inspect septic tank&distribution box 10/22/03 Final Inspection and measure for As-Built I, Craig R. Short, Civil Engineer, duly licensed as such in the Commonwealth of Massachusetts, do hereby certify that this firm has visually inspected the constructed subsurface sewage disposal system shown on the referenced approved plan, and further certify that the system, as constructed and shown on the attached As-Built, generally confonns within acceptable tolerance to the regulations, as varied, set forth in 310 CMR 15.000 and the Town of Barnstable Board of Health Regulations. Craig R. S rt,P.E.,Engineer Da e cc: File: 1-943 Client: Thomas Sheehy Contractor: A.B. Canco. PROJECT DESCRIPTION: 7j;/ -�.5 �z ,:X-1 .? =':� 1 f 7- „ 6 7 - t.1 TT' 4,,7 7 -. 43 to x. �� �s 7/ <27 u 7- S S~• 3 7 SA- - 1 5 .__ ..__... � � 7�.�T L307- 0 fr 5 , 41 . ty Q DD 34��!y Via_. Ci 3i'oQrr A� //' 9.� .. b v 19�@ 8,, g S E'p T"iC C 7�q tiJ� O x ! `i 1 �x/s r'sry Gr7 .D LAJ , - G /AJG- r o F L PVC D13 v5a+.r 43 Member ASCE FOR: 7 i CRAIG R. SHORT, P.E. P.O.BOX 1044 'h SOUTH DENNIS,MA 02660 C!?WG 'y v• LOCUS: •J.�` S t/1V7MOFIT • -C v J Professional Civil Engineer•Soil Evaluator TOWN: '�F""j Ucensed Construction Supervisor-Septic Inspector ply,. 2 433 r Septic•Site•Piers--Structures•House Designs ' f 6c w aDATx.. , f# Office:(508)398-8311 Fax:(508)398-3063 TOWN OF BARSTABLE rN' t� 1 LOCATION 67ScSSy/1'�/��E�-- fVL^ SEWAGE#X03— IVILLAGt-- -L� — ASSESSOR'S MAP &I.042 —®b-? INSTALLER'S NAME&PHONE NO. ,,�/ � � SEPTIC TANK CAPACITY ! LEACHING FACILITY: (type) "�N�I//��T (size) X 7` X d' ©SoS � NO.OF BEDROOMS ' BUILDER OR OWNER �C"- IO Z 03 PERMITDATE: lvk COMPLIANCE DATE: ct Separation Distance Between the: Maximum Adjusted Groundwater Tabl6 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 Leeching Facility(If any wetlands exist within 300 feet of leaching facility). Feet Furnished by B i v! — _V_ _ �1 t Town of Barnstable NAFft ,r'$ 4-Ae�' Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. June 13, 2003 Mr. Craig R. Short, P.E. P.O. Box 1044 So. Dennis, MA 02660 Dear Mr. Short, You are granted variances on behalf of your client, Thomas Sheehy, to construct an onsite sewage disposal system at 55 Summerbell Avenue, Centerville, Massachusetts. The variances granted are as follows: 310 CMR 15.211: The septic tank will be located 3.4 feet away from the property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The septic tank will be located 3.4 feet away from the foundation wall, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located only one foot away from the property line adjacent to Pleasant Avenue, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located five feet away from the easterly property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located 4.8 feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. ShortSheehyVariance 310 CMR 15.211: To provide 4.5 feet of soil cover above the soil absorption system, in lieu . of the three feet maximum soil cover allowed. The variances are granted with the following conditions: No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the -- — — —recorded deed-restricti shall-be--submitted-to-tl-c—H-ealtf Azgent-priar to obtaining a disposal works construction permit. K3) The septic system shall be installed in strict accordance with the engineered plans dated April 14, 2003. A 40 mil vinyl liner shall be installed across the building front extending beyond the building face eight (8) feet as shown on the submitted engineering plan. ✓(5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated April 14, 2003. These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to the fact that wetlands adjoin the property. The proposed new septic system is designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sinc rely yours Wayne iller, M.D. Chairm n ShortSheehyVariance E. DATE: o�. FEE: 1ARIV61'ABi� 9 MASS 1639- � REC. BY 5 O 3 FO Mpi°` Town of Barnstable S�. DATE: Board of nealtl 367Main Street, Hyannis MA.02601 Office: 508-862-4644 Susan G Rask,R.S. FAM 508-790-6304- Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 55 Summerbell Avenue,Centerville,-MA Assessor's Map and Parcel Number: MAP 226 PARCEL 63 Size of Lot: 3, ?7+l S F Wetlands Within 300 Ft. Yes Business Name: N/A No X Subdivision Name: APPLICANT'S NAME:Craig R. Short;P.E. Phone: 508-398-8311 - Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S-NAME CONTACT PERSON Name Thomas Sheehy Name Craig R. Short,P.E. Address 55 Summerbell Avenue Address P. O.Box 1044 Centerville,.MA 02632 South Dennis, MA 02660 Phone 508 775-4709 Phone 508-398-8311 VARIANCE FROM REGULATIONS REASON FOR VARIANCE 15.211 Distance of Septic Tank to Property Line 6.5'Variance requested 15.211 Distance of Septic Tank to Cellar Wall 6.5'Variance requested 15.211 Distance between S.A.S.to Property Line 9'and 5'Variance requested 15.211 Distance between S.A.S.and Cellar Wall 15.2'Variance requested 15.221 Allows 3'of Cover over S.A.S.Components 1.5'Variance requested NATURE OF WORK: House Addition 0 House Renovation Q Repair of Failed Septic System Check" (to be completed by office staff-person receiving variance request application) r 'Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g,septic system plans) ✓ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for fide V and/or local sewage regulation variances only) L Full menu submitted(for grease trap variance requests only) �J Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/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 Susan G.Rask;R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Qc/WP/VARIREQ Tom Sheeh#y 55 Summerbell Avenue Centerville;MA 02632 May 1,2003 Barnstable Board of Health c/o Craig R. Short,P.E. P. O. Box 1044 South Dennis,MA 02660 RE: Representation at Board of Health Hearing This letter authorizes Craig R Short, P.E. to represent me at the Barnstable Board of Health Hearing,to be held on May 27, 2003 regarding the proposed septic design variances for my property at 55 Summerbell Avenue,Centerville,MA. Sincerely, Tom Sheehy ABUTTERS OF: Thomas Sheehy 55 Sumrn ell Avenue Centerville,MA 02632 AM 226/63 BOH. File#1-943 Thomas Sheehy 55 Summerbell Avenue AM 226/63 Owner Centerville,MA 02632 Anthony J. Balsamo Mary E. Balsam. AM 226/58 1204 Craigville Beach Road Centerville, MA 02632 Christian Camp Meeting Assoc. c/o Richard H. Rogers,Jr. AM 226/59 29 Summerbell Avenue Craigville,MA 02636 James A. Lane Valerie B. Lane 86 Summerbell Avenue AM 226/62 Craigville,MA 02636 Lt. Gen. Fletcher C. Booker 1515 S. Flagler Drive#2301 AM 226/64 West Palm Beach, FL 33401 Gary D. Walters Susan B. Walters AM 226/65 52 Knoll Drive Princeton,NJ 08540 Henry A. Diprete Anne I. Diprete AM 226/66 918 Golden Beach Blvd. Venice,FL 34285 CRAIG R. SHORT, P. E. 235 Great Western Road P.O. Box 1044 Telephone(508)398-8311 South Dennis,MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER,SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS NOTIFICATION TO ABUTTERS OF: Certified Mail Return Receipt Requested Homeowner. Thomas Sheehy 55 Summerbell Avenue Centerville,MA 02632 Re: Septic System Upgrade @ 55 Summerbell Avenue,Centerville,MA Dear Abutter, Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for approval. The following variances are requested: Title S Regulation and Barnstable Board of Health Regulations 15.211 Distance of Septic Tank to Property Line - 6.5' Variance requested 15.211 Distance of Septic Tank to Cellar Wall - 6.5' Variance requested 15.211 Distance between S.A.S.to Property Line - 9' and 5' Variance requested 15:211 Distance between S.A.S. and Cellar Wall - 15.2' Variance requested 15.221 Allows 3' of Cover over S.A.S. Components - 1.5' Variance requested The application and plans are available for review at the Barnstable Health Department, 200 Main Street,Hyannis,MA 02601, Monday through Friday(excluding holidays)from 8:30 a.m.to 4:30 p.m. A Tentative hearing date is scheduled for Tuesday,May 27,2003 beginning at 7:00 PM. Please call Barnstable Health Department to confirm(508-862-4644) This letter is to serve as an official notification to abutters. Sincerely, Craig Short,P.E. Cc: File Barnstable Board of Health Abutters THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA a •T,`' o s ...• •fit i ti l � 11 a g9'�.• i '•, ' ,cif'• r ,` � .•1 At- 8.30 AC. r -� ��✓ Ir• a°y � gf` q y:: �Ve^ .4jA/ Q. T&W 1in. -` st ac. ,ti 4 p��. 1',J7 Q' CENTERVILLE �' 9qy + yh$Yr R 136 04 O • F f 0 Qf t 10 0 (�.e2A .3840 ♦ti�J�� J LAKE Cf4A4>r EL/ZABEM sM- o r Jy0 . 135-1 '33�5 46z. • J .. , l;? 2.95 uwrrq Qom.. 1.00 TOT", 2t 9+C n v 20�W 40. CT 44� n Wes ^ ,•arp Opt _ -: Jp0 fh4e,. ?s3r4C �r. 4, �1 dPQ- 4 e _ e� 115 psi � .3D�'y a sa',, t•. K Bk 17261 PS-250` 6-532 0:17--1-5-21303 ar 12 = 52P DEED RESTRICTION In accordance with the Barnstable Board of Health hearing of May 27, 2003 and the granting of requested variances by the issuance of an Order of Conditions in particular Condition#2: Notice is hereby given by the recording of this Deed Restriction that the following property currently has 4 bedrooms and a 4 bedroom capacity septic system and by order of Condition#2 is limited to a maximum of 4 bedrooms. Property Located at: 55 SUMMERBELL AVENUE, BARNSTABLE(CENTERVILLE),MA Town Assessors: Map 226 Parcel 063 Plan Reference: Book 581 Page 94 And shall run concurrent with the deed of the property referenced above. Barnstable Registry of Deeds Deed Reference: Book: 2307 Page: 012 Dated: October 30, 1975 Book: 2307 Page: 013 Dated: December 11, 1975 For: Thomas Sheehy&Martha S. Sheehy Owner Name Owner Name Date I Town of Barnstable 4�r #�1U, qg6 1MEr R—E0.�aa.sE � ° o Department of Regulatory Services i Public Health Divisio Date S 2( Z BAMSPABLE. • J U N 0 3 200 v� 200 Main Street,Hyannis MA 02601 '°'Eo ntoy• TOWN OF 13ARNSTABLE n HEALTH D�EPT, I Date Scheduled Z�J 3 - Time 2 1"M Fee dam—( Soil Suitability A I ssessmentfor Sewage Disposal Performed By: ✓'A 9 2 SA c Witnessed By: Si, An k K�s, 3 r � �� j K a" , li " R� vTa��s_ 8 .n "' i u�."' k a� �,kq ' Jn u At. Owner's Name Location Address 55 `V, r C S J ►�� ��l Address i1 a •-s,•+-r cr�c���. S Assessor's Map/Parcel: 2?- 0 3 Engineer's Name NEW CONSTRUCTION REPAIR X Telephone# Land Use C-S cat--t i / Slopes(%) S Surface Stones Distances from: Open Water Body G'7 tft Possible Wet Area ft Drinking Water Well 4�ft Drainage Way !✓ ft Property Line /C / ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) � V � ►cp% 40 - . �DEC� x - � ►— — _ ,yuv�sE 00 J sr' LO` p/ SA/Lf 7 A v ,E Parent material(geologic) C aw-V Y'` c o( B r Depth to Bedrock / r Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater x3ax s 3' , 4 Y � "i%�aq �niuy� ma i ^ kn,ch:.°auw �.ratLaoul� '..2.kxa. .. „. 2. "b� S. ttx:.i i7 Method Used: Depth Observe standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater LevelAM g Mr _ W"tn' �, � 1 ` Ch ram' r�� T#its 3 h g �ulp � pg � i55'm' a't Y''R .�a&�� ' :;,..,.. .>._�_m .a7"y' s rl. i a a.E'.'.�M'^�.P�.P�rrat Y ? fil., ,a.3' DYi�i e„� '«.; .: Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Heath Division Observation Hole Data To Be Completed on Back---------- Q:HEALTH/WP/PERCFORM ..y fxF�S .t k>W. e rct,:�_N r� µxi 7"..., 's:"�`.�i .a'�.M�M M... .....,.... „�...7:,_��.^" :..�:. ....i r..a ....:: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel �04 y jV2 A./a �o —5 AL 3 3 C YR Mad .$co-� 7 ra `r /1 M a.//J i►a / O %/� r Z I—S dL vas§ w..uL Depth from Soil Horizon Soil Texture ( Soil Color Soil i Other Surface(in.). (USDA) I (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) i�}}5 'j 'ir'S .�akz4�ad,�asz�zeu�,'�:.'o�ie..,�:�,j/.,�`�'.;r'a.rc ✓>>;Sr�.�."z!:.�`:^��R ,.,..H:srz. _s`k:.�'...,.'�t�.x.�.,� 3 4.,_:_o� u._><.���4,' '_3A..H.�^re^:...,rR.� ...�. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel r 'loaf 2111, Y� P v{ ' zC [Consistency, Depth from Soil Horizon Soil Texture Soil Color i Soil Other Surface(in.) (USDA) (Mansell) Mottling Structure,Stones,Boulders. %Gravel Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No— Yes Depth,of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification. I certify that on !I `j�—(date)I have passed the soil evaluator examination approved by the Department of Envtronmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature z— Q:HEALTH/WP/PERCFORM SOIL TEST SOIL TES ' DATE OF SOIL TEST 3/28/03 DATE OF SOIL TEST', , 2 03 SOIL TEST DONE BY CRAIG_ fi SHQRT-_ SOIL TEST DONE BY IORAL R. SHORT 20 FT. MINIMUM FROM CELLAR 4" PVC PIPE WITNESSED BY j LLIAM_$Q@IM5QN_-2- WITNESSED BY sa 1M wr> , r f TOP Of FOUNDATION 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE PAINTED FLAT DARK a 96.5 OBSERVATION HOLE ELEV.- ELEV.ELEV. = 100.00� 10 FT. MINIMUM CLEAN SAND GREEN ,OR, BROWN OBSERVATION HOLE 1 ELEV. .� ASSUMED CONCRETE OBSERVATION PIPE WITH CARBON FILTER PERCOLATION RATE .._`� MIN./INCH AT 48-60 INCHES PERCOLATION RATE <2 MIN./INCH Al'. 27-39 INCHES LOAM AND SEED (ASSUMED) COVERS 4" SCHEDULE 40 PVC PIPE IS REQUIRED DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER - MIN. PITCH 1/8" PER FT. 2" LAYER OF fi" Ap LOAMY SAND 10YR3/3 N0 6" A LOAMY SAND 10YR3/3 NO 1/8" TO 1/2" M WASHED STONE 4 4" CAST IRON PIPE 99.5 MAX 0.5 MIN 18 B LOAMY SAND ' 10YR5/8 NO EL. 95.0 ,24" B LOAMY SAND 10YR5/8 NO EL. 97.5. (OR EQUAL) MINIMUM PITCH 1/4" PER FT. z ZA$,FL 4.5' 01 FLOW LINE ELEVr95.0 ELEV. = 98.0 - t0" C MEDIUM 10YR7/6 NO C, MEDIUM 1OYR7/6 NO PLUM9ING - -TMIN. 95.25 70.,0.j 0 2 COARSE SANG 12 0 " COARSE SAND TO BE RAISED LEV. LEVEL ° ' ° 40 , AND RE-PIPED BY _ --- 6" SUMP E V. 92.50 C2 MEDIUM SAND 10YR8/j ELEV. - _95s5 _ GAS - V/�YL LICENSED PLUMBER BAFFLE ELEV. _ �94.80 ELEV. 94.80 AS NEEDED DISTRIBUTION ELEV. _ (4) CONTRACTOR 330 CULTEC (OR EQUAL} LIQUID OUTLET BOX -$41� IMTH STONE IN AN 83.5 NO WATER ENCOUNTERED AT 1 is 3` ELEV. DEPTH FEET 14 INCHES TO BE PLACED ON FIRM BASE 9' x 43' X 2' TRENCH FORMATION NO WATER ENCOUNTERED AT �13 ELEV. ( ) TO BE WATER TESTED gL�S V 9'P.2. M,w 5 FEET 19 INCHES n 1 n IF MORE THAN ONE OUTLET 6 FEET 24 INCHES 1500 GALLON '° WELL A 7 FEET 29 INCHES c (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION ZONE 8 FEET 34 INCHES SEPTIC TANK 3/4" TO i 1/2" CLEAN. SYSTEM (SAS) - INDEX DESIGN CALCULATIONS DOUBLE WASHED STONE ADJUST NUMBER OF BEDROOMS 4 FREE OF FINES & SILT GARBAGE DISPOSAL UNIT C v� USGS PROBABLE WATER TABLE ELEV. s N A� TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM PROLE OBSERVED WATER TABLE ( f / ) ELEV. = �A ( 110 GALPTIC TAN X ,PACT., OR.) 1 40 GAL./bAY NOT TO SCALE BOTTOM 'OF TEST HOLE ELEV. ��. _ REQUIRED SEPTIC TANK CAPACITY 1 0 GAL. ACTUAL SIZE OF SEPTIC TANK 1500 GAL. , ® SOIL CLASSIFICATION -1 f DESIGN PERCOLATION RATE <5 MIN.y IN. 777LE i2 BOARD,OF HEAL TN,VARIANCES RELK�/REp' ' EFFLUENT LOADING RATE 95_ GAL/DAY/S.F. Y l�F LEACHING A+ A2' x 104` ------ SQ. c .s Cq O S7 /® A✓G, SEC 15.211 DISTANCE OF SEPVC TANK TO PROPERTY LINE' (9 x 43) ( �, F 7� A &5' VARIANCE REQUESTED. LEACHING'CAPACITY (AREA X RATE)' 440.3 GAL./DAY' "`'°l� '9.y FF 595 X 0.74 C'n, �& SEC. 15.211 DISTANCE OF SEP77C TANK TO CELLAR WALL RESERVE LEACHING CAPACITY, `ILA OAL./DAY 'Q�/ �'T A 6.5 VARIANCE REQUESTED , 3.3 � ,� ,Qj ,` SEC 15.211 DISTANCE BETYt'E'EN S.A.S.S.A.S.. dt PROPERTY LINE NOTES: • �L"'` A '9' VARIANCE'REQUESTED. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. ' A 5' VARIANCE REOLACSTED. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE 8 94.4 (g5�/' �ic� SEC. 15.211 DISTANCE BETWEEN S.A.S. CELLAR WALL DISPOSAL OF SEWAGE.' / 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO V 92.0 A 15�2' VARIANCE RCOUESTFD 94.5 95.8 WITHIN 6" OF FINISHED GRADE. SEC. 15.221 ALLOWS ONLY 3' OF CODER OVER S.A.S. COMPONENTS 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 92.1 ✓ WITHSTANDING'H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN A 1.5' VARIANCE REQUESTED. 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE -' SEE NOTE 11 95.2 ��� USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. \ lb• -\" f !� l3 a t-t b K3 N 92.2 \ ��} �F5 6'G.�, ,� ~� �'"n n Y 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL 92.3 CRA -ORIIiE 6.0 / 0 �\ \ / BE MORTARED IN PLACE. 5��� 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 1961 \ DEEDED OR ZONING `REGULATIONS. OWNER_/ APPLICANT IS TO 95.9 ..-(97) OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 4`$ 96.0 �t 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR PLC 962 95. 92.6 IS TO CALL "DIG--SAFE" AT 1--888-344-7233 AT LEAST 72 HOURS-, 5Q� PRIOR TO COMMENCING WORK ON SITE. 40 M/L, 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 96.4 9 WN}'L LINER SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION / ACROSS BUILDING IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER g 96.8 6.8 96. r f•RONT IMMEDIATELY. j �" g$)'' EX7ENJ,'NG BEYOND 8. PARCEL i5 1N FLOOD ZONE C l 97.7 / "_( -o BUILDING FACE 8' f 9. LOT IS SHOWN ON ASSESSORS MAP r. � AS PARCEL i13 96.3; 10. ALL UNSUITABLE MATERIAL SHALL.BE :REMOVED FROM UNDER. AND GARAGE 'T�, �`� FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORP11ON SYSTEM, UNDER F� AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) 97.0 Cj \ VENT �'F (LE. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. ND awe " . P SYSTEM TO BE PUMPED AND FILLED WITH SA 8.5 �. 11. EXISTING CESSPOOL "sue lu OR REMOVED �, pv v. n EXISTING Q r� RCS IN11- r 9 .0 / 6 P DWELLING 6.0 / ( APPROVED. BOARD OF HEAL10 Tt ri 99.8 Cal DATE AGENT FAIN Ti PROPOSED SEPTIC DESIGN tee V b�TM FOR 99.5 - TOM SHEEHY 99.0 DECK �2 DO POND LOC. LOT 148, 55r SU RBErLrL ,AVE LOT 148 VE \ L7HlL iJ1t3G7i,r. LIdEi�7a7 //yy I(Af; (�-}(y 71I�Jy AREA 3677 f S.F. �(. 99.4 CENTERWLLE RD • y�.� V�r✓r , CMG I>' SHORT, P.E. 'T 235 GREAT WESTERN ROAD �� { OtIMGIS 508- SOUTH D ENNIS MASS. EX1'ST7NG DECK rO BE G `` � 398-8311 02660 h \� 4 MAPLE a REMOVED TEMPARARILY \V4yti� "5 1� Fib' CONS7RUC770N 0J o4l SCALE �r ACCESS o �;- ,/ ��, 0 DATE APR 14, 2003 1 = 10 VN sE'ggy�D REVISED �,fs JOB N0. 01 -0943� ✓99.3 [ Nti 5• LOCATION MAP REVisED• sr'z3/03 FS H EET 1 OF 1 C.. 58 PROD ,396--00 dw 2396-OO.DN'C © •2002 CRAIG R. SHORT, P.E. zn UP •Fj w: DINNING ROOM 9'-9"x10'-8" LIVING ROOM 21 '_6„ x 24'-6" WAD KITCHEN 8,-5"x12'-9„ . s ST REF. CL. BATH w FIRST FLOOR BEDROOM BEDROOM CL. 8'-11 "x9'-10" 10'-2 1 /2 xl8'-2 1 /2 CL. ; DW CL. LIN HALL CL. CL. 7HIS PLAN WAS DRAWN AND IS ' TO BE USED FOR ME EXPRESS PURPOSES OF OBTAINING A BOARD OF HEAL TH VARIANCE FOR 7777.E 5 SEP77C DESIGN. a BEDROOM CL. BATH 14'-10"x13'-10 1 /2" BEDROOM CL. 1 o'-8"x11 ' 1 ;2" PROPOSED T T USE PLAN `�" " s43 DATE .5 03 CLIENT TOM SHEEHX REVISED T LOCATION 55 SUMMERBELL AVE. CENTERMIE, MA SECOND FLOOR DESIGNED BY C,RAIG R. SHORT, P. E. #235 GREAT WESTERN ROAD P.O. BOX 1044 :rz 508 398-8311 SOUTH DENNIS, MA 02660 -----______ .------____-- -- / SCALE 10 = 9 DRAWN BY CRS ILE No. ,..943 02003 CRAIG R. SHORT. P.E. SHEET Nol SOIL TEST OF SOIL TEST _ 28/03 BENCH SOILETEST DONE BY __3 CRAG R_.SHORT TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR WITNESSED BY 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE ELEV. t00.d0_ 10 FT. MINIMUM CLEAN SAND OBSERVATION HOLE 1 ELEV.=�ss.5 _ (ASSUMED) CONCRETE OBSERVATION PIPE PERCOLATION RATE _<2 MIN./INCH AT 48-60 INCHES COVERS LOAM AND SEED 4" SCHEDULE 40 PVC PIPE DEPTH HORIZ TEXTURE COLOR MOTT. OTHER MIN. PITCH 1/8" PER FT. 4" PVC PIPE 2" LAYER OF PAINTED FLAT DARK 1/8" TO 1/2" GREEN OR BROWN 6" Ap LOAMY SAND 10YR3/3 NO 99.5 MAX WASHED' STONE WITH CARBON FILTER 4 4" CAST IRON PIPE iD8.5 MIN IS REQUIRED 18" B LOAMY SAND 10YR5/8 NO EL. 95.0 PITCH EQUAL)/4 PERTMU FTM FLOW LINE ELEV,-95.0 ELEV 9S'2 PLUMBING ELEV. 98 Q _ 10" C MEDIUM 10YR7/6 NO MIN. o o ° COURSE SAND TO BE RAISED � LEV. _ 95.25 2'0" ° AND RE-PIPED BY - LEVEL o 2 92 50_ LICENSED PLUMBER ELEV. _ _ 96 GAS ELEV. = 94_80 6" SUMP ELEV. = 94.80_ ELEV. = BAFFLE Vi�Y{ AS NEEDED DISTRIBUTION �'' -re 156" LIQUID OUTLET ELEV. _ (4) CONTRACTOR 330 CULTEC (OR EQUAL) BOX _$41.1lQ- WITH STONE IN AN 4 FEET 14 INCHES (DEPTH TEETO BE PLACED ON FIRM BASE) TO BE WATER TESTED 9' X 43 X 2' TRENCH FORMATION 9• NO WATER ENCOUNTERED AT _?3 �_ ELEV. = 83.5 5 FEET 19 INCHES IF MORE THAN ONE OUTLET y'LE V of?,Z m,.J 6 FEET 7 FEET Zs ir"�ct"iEs 1500 GALLON (TO BE PLACED ON FIRM BASE) WELL N/A 8 FEET 34 INCHES SEPTIC TANK SOIL ABSORP11ON ZONE 3/4" TO 1 1/2" CLEAN INDEX DESIGN CALCULATIONS DOUBLE WASHED STONE SYSTEM (SAS) ADJUST NUMBER OF BEDROOMS 4- FREE OF FINES k SILT _Y GARBAGE DISPOSAL UNIT NO__ ES11MATED FLOW SEWAGE DISPOSAL- SYSTEM PROFILE OBSERVEDUSGS W TER�TABBEE( WATER TABLE ELEV. _ � A _ T (OTAL 110 GAL./BR./DAY X 4_ BR.) 440 GAL./DAY NOT TO SCALE BOTTOM OF TEST HOLE ELEV. = REQUIRED SEPTIC TANK CAPACITY 1500 - GAL ACTUAL SIZE OF SEPTIC TANK 1500 GAL. SOIL CLASSIFICATION 1 DESIGN PERCOLATION RATE < 5 MIN./IN. 717Z£ 5 BOARD OF HEAL TH VARIANGES REQUIRED: EFFLUENT LOADING RATE, •74 GAL./DAY/S.F. LEACHING AREA 595 SO. FT. SEC. 15211 D/STANCE OF SEP77C TANK TO PROPERTY LINE (9' x 43') + (2' x 104') A 6.5' VARIANCE REOUES7M. LEACHING CAPACITY (AREA X RATE) 440.3 GAL. AY / 595 X 0.74 SEC. 15.211 DISTANCE OF SEPTIC TANK TO CELLAR WALL RESERVE LEACHING CAPACITY Nam_ GAL./DAY A 6.5' VARIANCE RE'OUES7m Vv 3 3 / SEC. 15.211 DISTANCE BETWEEN 5A.S & PROPERTY LINE NOTES: P A 9' VARIANCE REOUES7ED. 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. .8 f A 5' VARIANCE REOUES7ED / 94.4 gg) SEC. 15.211 DISTANCE BETWEEN S.A.S. & CELLAR WALL TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE � DISPOSAL OF SEWAGE. 92.0 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 94.5 " 95.8 A 1.52 VARIANCE RCOUES7ED. WITHIN 6" OF FINISHED GRADE. 92.1 �/ SEC. 15.221 ALLOWS ONLY 3' OF COVER OVER S.A.S. COMPONENTS 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 4 �� A 1.5' VARIANCE REOUES7E0. WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN SEE NOTE 11 95.2 `� c 10 FT. OF DRIVES OR PARKING AREAS. H 20 LOADING SHALL BE \" 92.2 v`J �r "x USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING'AREAS. �+p 92•3 _ / 6.0 vet '" 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL 68A OR liE / , ` BE MORTARED IN PLACE. i gbh 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT JS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ,92 7 92 6 96.0 ,�( 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 96 95.9� IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS P5 PRIOR TO COMMENCING WORK ON SITE. \ VIN YL TUNER 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 96.4 9 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION ACROSS BUILDING IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER 96.8 6.8 96' cy 97.7 gg)'' EXTENDING BEYONDIMMEDIATELY. C i ( 8. PARCEL IS IN FLOOD ZONE 96•, \ ��n BUILDING FACE 8' -t 9. LOT IS SHOWN ON ASSESSORS MAP �8_ AS PARCEL __ 63 l / 0 � GARAGE 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, 97 0 5 UNDER � -� AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) ANT - � ,� (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. 8.5 �� ; �. �4§ � A � 11. EXISTING CESSPOOL SYSTEM TO BE PUMPED AND FILLED WITH SAND SQPG ; Q� OR REMOVED 5 f s o EX/S77NcQ5 � by f` 6.0 .6 �P DWELLING r7 ,:` t` �R.�I T r)` °,,• t = APPROVED: BOARD OF HEALT1 f ) �i �x 10 �'` f�}`f� 1 �I CIVIL t^l. t' 11 (9B) S�,}:1. 27483 Tv�C' 99.8 �/ DATE AGENT : r. SHEET MA IN PROPOSED SEPTIC DESIGN S�� FOR 99.0 DECK oo P TOM SHEENY 99.5 ^\ EEL POND LOC. LOT 14p8,,, 55 S�� ERlB�E+►LrL AVE LOT 148 _, r. RIVER BARKSTABL , LK[i!'3�.7�.7 AREA 3,677 .f S.F rE. i 9 9.4 � �N7ERvILLE -\ CEN TER I/ILLE , o RD �k � �` e CRAGG R. WESTERNROAD f EX/S77NG DECK 70 B£ � ��0 ` � �0��L�S J' 508- P. 0. BOX 1044 R£MOVFD 1E7I/PARAR/LY �ti \�0 �.._ ` 24 MAPLE 398-8311 SOUTH DENNIS, MASS. 02660 J ' 0�FOR A�scncw 0 0 �,�. *v ) ; ; �tidtiP DATE APR 14, 2003 scALE 1 „ = 10' �-4 � REVISED JOB NO. 99.3 ��° � sa 3 01 -0943 LOCATION MAP REVISED SHEET 1 OF 1 8.9 C. 58 PRO✓ 2396-00 dw 2396-DO.DWG ® 2002 CRAIG R. SHORT, P.E. , SOIL TEST SOIL TEST DATE OF SOIL TEST _ 3 28 03�____ DATE OF SOIL TEST 6/2A/03 SOIL TEST DONE BY -CRA19-1. s ORT__ SOIL TEST DONE BY CRAIG R. SHORT TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR 4" PVC PIPE WITNESSED BY ____WLL,lAR_B_QEftU �l_R. WITNESSED BY _. . �!M wry 1 7-E , _ 100_00_ 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE PAINTED FLAT DARK ELEV. ASSUMED CLEAN SOBbERVATIC . P 96.5 _ GREEN .oR_ BROW___..OBSERVATION HOLE 1 ELEV.=_. ____ OBSERVATION HOLE �� ELEV.= 99,5 ' (ASSUMED) CONCRETE I PIPE WITH CARBON FILTER PERCOLATION RATE <2 MIN./INCH AT 48-60 INCHES PERCOLATION RATE <2 MIN./INCH AT 2T-,79 INCHES COVERS LOAM AIJD SEED IS REQUIRED 4" SCHEDULE 40 PVC PIPE DEPTH HORIZ TEXTURE COLOR . OTT. OTHER DEPTH HORIZ TEXTURE COLOR MO.TT, OTHER MIN. PITCH 1/8" PER FT. 2" LAYER OF 1/8" 70 1/2" 6" Ap LOAMY SAND 10YR3/3 00 6" A LOAMY. SAND 10YR3/3 NO WASHED STONE 4 4" CAST IRON PIPE 99.5 MAX aa.5 MIN �8 8 LOAMY SAND 10YR5/8 NO EL. 95.0 241' B LOAMY SAND 10YR5/8 NO EL. 97.5.'. (OR EQUAL) MINIMUM PITCH 1/4" PER FT. Z z 45 4.5 �� r FLOW LINE ELEV.-95.0 0� E L V, 9S.2 PLUMBING ELEV. _ _98_�_ ' C MEDIUM 10YR7/6 NO C, MEDIUM 10YR7/6 NO 10., MIN. a o , COARSE SAND 120 �' COARSE SAND . TO BE RAISED ELEV. _ _95.25 2 0 AND RE-PIPED �Y LEVEL o o Y 0 2' EL V. 9 ."0 46 MIL. LICENSED PLUMBER ELEV. _ _ 95.x GAS ELEV. _ _94.80 6" SUMP -ryELEV. _ _94.60- --- Wr�YL Cz MEDIUM SAND 10YR8/1 fz AS NEEDED BAFFLE DISTRIBUTION 1.� I"C' 156 f`38" LIQUID OUTLET -�� ELEV. _ (4) CONTRACTOR 330 CULTFb (OR EQUAL) -DEPTH TEE _$41;XL WTH STONE IN AN zt _ �3.5 1a:3 _ 8$.O (TO BE PLACED ON FIRM BASE) BOX 2' X 43' X 2' TRENCH F0?MATION - NO WATER ENCOUNTERED AT-_13�_ ELEV. - NO WATER-ENCOUNTERED AT r_ ELEV. - 4 FEET 14 INCHES TO BE WATER TESTED 9 5 FEET 19 INCHES 500 GALLON IF MORE THAN ONE OUTLET FL4 V 92.2 Mw b t� 7 FEET 29 INCHES �ry (TO BE PLACED ON FIRM BASE) SOIL ABSORPTi ON ZOLL "�^ 8 FEET 34 INCHES SEPTIC TANK 3/4" TO 1 1/2" CLEAN SYSTEM (SA`.#� NDEX DESIGN CALCULATIONS r DOUBLE WASHED STONE ` ADJUST NUMBER OF BEDROOMS 4 FREE OF FINES & SILT GARBAGE DISPOSAL UNIT NO USGS PROBABLE WATT'=R TABLE ELEV. = _N A__ TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = p ___ ( 110 GAL/SR./DAY X 4 SR.) 4'40 GAL.;/DAY NOT TO SCALE BOTTOM OF TCST HOLE ELEV. _ REQUIRED SEPTIC TANK CAPACITY 1500' GAL. ACTUAL SIZE OF SEPTIC TANK 1500 _ GAL. z SOIL CLASSIFICATION 1 DESIGN PERCOLATION RATE < 5 N MIN./IN. TITLE 5 BDARD Olr HEALTH VARIANCES REQUIRED.' EFFLUENT LOADING RATE .74' GAL./DAY/S.F. LEACHING AREA 595 _ SO. FT. SEC. 15.211 DISTANCE OF SEPTIC TANK TO PROPERTY LINE (9' x 43') + (2' x 104') A 6.5' VARIANCE'REQUESTER LEACHING CAPACITY (AREA X RATE) 440.3 GAL./DAY 595 X 0.74 SEC 15.211 DISTANCE OF SEP77C TANK TO CELLAR WALL RESERVE LEACHING CAPACITY N� GAL./DAY A 6.5' WYANCE REOUES70 / SEC. 15.211 D/STANCE BET nAl S.A.S. & PROPERTY LINE NOTES. 3.3 A 9' VARIANCE REQUESTER / A 5' VARIANCE REI7UES7ER 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. \ / 8 94'4 95�/ SEC. 15.211 DISTANCE BETWEEN S.A.S. do CELLAR WALL TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE' V DISPOSAL OF SEWAGE. 92.0 A 1.5�2' VARIANCE REQUESTED. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 94.5 95.8 ' WITHIN 6" OF FINISHED GRADE 92.1 ✓ SEC. 15.221 ALLOWS ONLY 3' OF COVER OVER S.A.S. COMPONENTS' 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF ', G A 1.5' VARIANCE REQUESTED. WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN SEE NOTE" 11 95.2 Q\� 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 6' USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. \mil` 92.2 J� F5 92.3 6.0 / OF o_G% 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL V GRA -DRIVE ` a x BE MORTARED IN PLACE. 96) s���,' 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ---...-. .._-.. nrrCnr'n. r%P 7r1�,'Iklfl ^[,(:.�}!.ATIt'1�IC...�W"I�R ;/_._A,G'CI 1/,`,1fA17 IP; Tn l -- 3� 95'9 �(��) OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 96$ 2'95. 92.6 96.0 �L 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR Q� IS TO CALL DIG-SAFE AT 1-888-344-7233 AT LEAST 72 HOURS �P5 / 0 M/L PRIOR TO COMMENCING WORK ON SITE. 96.4 9 7 SITE CONDITIONS ONS PRIORR IS TO RIFY GRADES TO COMMENCING ELEVATIONS WORK ON SITE.SANYLL AS VARIATION VIA'?2 LINER ACROSS BUILDING IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER 96.8 6.8 96. C1 � FRONT " ?' 97.7 IMMEDIATELY. �(98) EXTENPING BEYOND 8. PARCEL `IS IN FLOOD ZONE 0 -o BUILDING FACE 8' f. 9. _ _ _ GARAGE 3' �" O.LALLIUNSUITABLE NMATERIALO 5HALLPBE RE OVEDSFROMCUNDER,SAND UNDER �" �` FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, f / J, 97.0 6j VE7NT ���,� AND BE REPLACED WITH :SAND AS SPECIFIED IN 310 CMR 15.255: (3) (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVENT. 11. EXISTING CESSPOOL SYSTEM TO BE PUMPED AND FILLED WITH SAND m . � SOPG 5 OR REMOVED .0 / EX/S77NG Q �~ R0 iN ty ,',�- 6.0 ri I C i• , .6 DWELL/NG _ \`, wy 4 - T _ �I . APPROVED: BOARD OF HEALTH o��a��_lP0 '� ��1 99.8 "� DATE AGENT 0 / `( MAIN S,�EET PROPOSED SEPTIC DESIGN mil V SOuTM FOR P r'cA. 99.0 DECK Ip.2 Op s 99.5 TOM SHEEHY POND LOC. LOT 148, 55 SUMMERBELL AVE c o T 148 Cj RNER�� BARNSTABLE AREA 3,677 f S.F. , MASS -a`� 99.4 �G ��� RO CENTER VILLE g` �� I�E71/T \ r SN E 0 k �• -��, � �. �. CRAIG P. SHORT, P.E. 235 GREAT WESTERN ROAD EVS77NO DEM 70 BE , y G <'2� s � � 50$- P. 0. BOX 1044 h �, 24 MALE � 0 0 SOUTH DENNIS, MASS. a RER/OI�L�D lEl{/PARAR/LY �'y\�,0 Q,'� � �� 398-8311 02660 � CowS7RUC77cw ACCESS o �.,� / �' tiPO DATE A P R 14, 20 0 3 SCALE 1Pf = 10' W 99.3 / REVISED Jr .T- a 3 JOB NO. 01 " C�g4 Nil 8.9 LOCATION MAP EVI4E.Do�v s�2 /a SHEET 1 OF 1 C S8 PROD 2396-00 dw 2396-DO.DWG 0 2002 CRAIG R. SHORT, P.E.