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0097 THOREAU DRIVE - Health
97 THOREAU DRIVE Centerville A= 191 -225 S M E A D KFFPING YOU ORGANIMN No. 12534 2-153LOR MKMMB WAVAV„ PQST�oNS MER 0,mm cwwio% w so= UAM In USA 0-�r OMANIM AT SMEMMU j Ni. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYicatiou for Vsposal *pstem Construction permit Application for a Permit to Construct( ) Repair(e Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.q 7 ��« Orr�l' Owner's Name,Address and Tel.No. Assessor's Map/Parce 9/_225 In Caller's Name,Address,and Tel.No.s'D$-y20- Designer's Name,Address,and Tel No.5,08— Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 72 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) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of r' Compliance has been issued by this Board of Health. C -� Signed Date Application Approved by Date — �— ' Application Disapproved by Date for the following reasons Permit No. Date Issued C No. U ,3I l _Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstPltt Construction Permit Permission is hereby granted to Construct( ) Repair(f) Upgrade( _) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. """/""" r f Date Approved by 1vo Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION ="TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplicatl0n for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(�-)-'Upgrade(z'- Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.c1% h Owner's Name,Address,and Tel.No. Assessor's Map/ParceVgl--2.g-6-_.vl'=yIlllll Installer's Name,Address,and Tel.No. cf j;? _' Designer's Name,Address,and Tel.No. %>G" y7,% LSAF,�'v ��i?G I6?l%"/"/�I.� ✓vi'�o"z.>lC ,��G'✓��'T�-��01�!d2��ali.�'/v��5 6•"/i// /�' �r:.�i�"ra�"s/�,�-f���✓`=c���� %'�/i= Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) 3 Other Type of Building No.of Persons Showers( ) Cafeteria( ) f Other Fixtures Design Flow(min.required) ' V gpd Design flow provided -( .gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank fi, Type of S.A.S. Description of Soil a Nature of Repairs or Alterations(Answer when applicable) /,!/>l // ,�/1 � l - G;�`� 147�CG Date last inspected: r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healthy _y Signed }��'!% G,� Date / C) �I Application Approved by Date j Application Disapproved by V Date for the following reasons Permit No. ' � _ Date Issued C) `�i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O _Upgraded(� ) Abandoned-( )by, at 7G'�%"!9Gf ��� F'/f//Jj%'(fj%j " has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. /,�tdated �7 Installer ova; / / � 5 Designer /�/(� 1,�,�ijf%= /i�i"<% G✓�lJl� S' !r'IrC #bedrooms Approved design flow / gpd The issuance of this permit shall not be construed as a guarantee that the system�it-1l�fun tifoI as desig'ed. /7 Date Inspector '✓ q, f Reguiatory-5envices 300 N11h Sure d,,Hrdn34k MA K491 S.PS)T q KAr.'r rl e E %Apdmt A:lt FMr !Z'IV, ry c 76aq lll ,iLy-rP(,, ll".,e3 Pi&/2e7 C, t A--, C-.-tiry tha the!,:PtLc VIA aba-l-sas iw*Jlcd th, -it,h, =y juirur ZM,MVW chhnunmrh As t-tz-,,j t.&,mm.,Tjq ji . or(tp sii'l full iI:3pK�hj;vj the via V4o; tatimhv�ai). v4li impy ji.c. 1--)Ivlij dulq CL,L rt,xvgn Witrtiartte Kitulwitins:. -Ng,n ittj-i%,jl bu dmmr B:. 'Cr.- I certify that,the tyster',refer- tS,d a the ap?roval lftt:40 i lrap:,Iirlbn) WCilEALTHL12LVIS1�0N.�(:Ktl ATE I"U;11' T BA AFLE F Li In DE '--447q`jd6*1r reef- From: PETER MCENTEE peter.mcentee@cgmail.com Subject: signoff Date: May 26, 2020 at 3:59:23 PM To: gg8l@comcast.net Peter T. McEntee PE - Principal Engineering Works, Inc. 12 West Crossfield Road Forestdale,MA 02644 Tel/fax (508) 477-5313 Town of Barnstable Barnstable Inspectional Services Department ;micas j BARNb7ABLF- .639 Public Health Division fin 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2848 2497 July 8, 2019 DAVIS, SUSAN P A TR PO BOX 142 MARSTONS MILLS, MA 02648 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 97 Thoreau Drive, Centerville, MA was inspected on 06/14/2019 by Shawn McElroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE B RD OF HEALTH Thomas cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\97 Thoreau Drive Centerville.doc I , Town of Barnstable 1 BARNsrasce, p b 9 ,�� Inspectional Services Department rED MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) 4eaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER I Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc � 4t Commonwealth of Massachusetts 9f—o2a Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .' U ; 97 Thoreau Dr Property Address 11. Susan Davis Owner Owner's Name information is " required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection,, rii Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);I have personally inspected the sewage disposal system at theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 6-14-19 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6'-14-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insP.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 ' Commonwealth of Massachusetts a ,w Title 5 Official Inspection Form -i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y El ❑ ND (Explain below): ❑ obstruction is removed ❑ Y El ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence,of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts s Title 5 Official Inspection Form III Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts p;3 Title 5 Official Inspection Form C�4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage.back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c � Commonwealth of Massachusetts Title 5 Official Inspection Form w. i;l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �' vc r a ,!cJ J_ > 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2019 Date t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 s Commonwealth of Massachusetts 3 Title 5 Official Inspection Form r-'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 J Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1970's Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 36"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,,evidence of leakage, etc.): Good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 p Y rY 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 30"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 Sludge depth: 12° Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 3" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V ; ` 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank (tank must be pumped at time of inspecti on)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1:.✓. , 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ElYes ElNo Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert N/A 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts 3 Title 5 Official Inspection Fora vt �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I� ws' i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was filled to capacity at inspection. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts .W Title 5 Official Inspection Form 6l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °i 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 s Commonwealth of Massachusetts ;w Title 5 Official Inspection Form i;l .Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is Centerville MA 02632 6-14-1.9 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately &16k pit d I f �-, a? — d p ,n 33 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form w: Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Thoreau Dr Property Address Susan Davis Owner Owner's Name information is required for every Centerville MA 02632 6-14-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 I TOWN OF BARNSTABLE. LOCATION SEgdAG1E or VILLA U 1 e p,099SOVS MAC'Sc LQx_ 'S NAiI!!S&PHONE NO. DdST�.. i �c TA (size) a zoo c���t �ooil�s � �em,�c►t Opt a . .> Pll(TI3ATlx: . �o11d�'t.IQ►NC�`D/4'I'E:.,..,.:;... :...w: S�pa•atiou O'�stnn�xi Bstvieen tho: . .. Maxiunum Adjusted.00aindwat0*6 t0 the I91to of l china twilit)+ Su ►cy:Weil aria t cau ing Pai3li[�►:(if any V1,ft exLst 01188I�DF Wit}un.2A0 0t Of 1�aa WI*i'4�ft). . EsiLr,of*wtftd and Lwwog l78dIity(tf any wwelJods exist vltlain 3UQ fueY La+ci�iag�'aaiiicj►) :.--:�.�„•-.-�..-.--•..fee Futr istaed by A , d r o ! 0 , a _ ,3 _ � � , &3 . 33 91 i LOCATION l� nkCIE PERMIT MO. IN . IAlSTQLLER� ►.►L� E DDRESS BUILDER ADDRESS 44 DATE PERMIT ISSUED..•—��'l �� - I f D ATE COMPLI &KICE I S S U E 0 I 1 i i y TOWN© BARNSTABLE. LOCA'I'�ON 2Q;,c r. `SEWAGIE# ,,.. : VELA , V d�i A:55ESS0A'S IS NAME&P1 ola,N0. M- C.TARN C-CAPACITX E.ACI.vt qa P,A C-lLITY: (sypa) O OFBDdQMS p6JII,1pF,�Odt fiW'1 PBRMITDA' CC1MIgC.IQi TEST Dt4T8 -w . St Atation DM B&Men die: Niaxi�nuta Ad' s :d Gro idwatec hbie I the&ittotn of IN ;ility feet Pe1vaSa 4 atc r Sti�piy plc@t tWd Leachl g l�acili. m Y wells cxjst att sits oe within 7A0'feat oltzcliit► -fsicilEt}�) i?dr vi4 lNetld and lLeAcIna T�acallly any wetlfatls exist Re rl�taisi SQQ Iiiettcaclyiag�'a�ry):.`` -�--~-`-`'. . Turnished by.. r �� v O f AL O -� 4 --3 - 60-3 - 33 ` TOWN OF BARNSTABLE ( 3 LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO,5- 'O3-We'?758 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 1 � �Gtl /'(size) i /'C�3 NO.OF BEDROOMS OWNER PERMIT DATE:,5-,f -7®20 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 cG � P Ta;[EF 6aoa 3 (3 ) L 23 ...... Fim ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD ,,� HEALT , ...0F....... ...... ............. 9 Appliration -for lhgpoiial Works Tottmrurtiou Vautit Application is hereby"made for a Permit to Construct or Repair an Individual Sewage Disposal Sys /Iler.?jP .......... ................................... ......... .. ............ ........0...Q_,;.............................................. ocation o. .................................................... - -------- ...... ... .......................................... ...... -- -- ----- Address Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms----- -------------- ---------- -----Expansion Attic Garbage Grinder PL4 Other—Type of Building ---------------------------- No. of persons..-_-__------__--_--------_- Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. P4 Septic Tuik—Liquid capacity_/Z."cJZkallons Length---------------- Width............._.. Diameter................ Depth................ Disposal Trench—No. .................... Width.......... ..._.___ Total Length------_-----__----_ Total leaching area....................sq. f t. Seepage Pit No...1: LOAC).Diameter-------�A ---- Depth below inlet.................... Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....................... .................................................. Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit._........._..__.... Depth to ground water......._..._........._.. f� Test Pit No. 2----------------minutesper inch Depth of Test Pit---_--.-__.____-_--- Depth to ground water--_--.-----..--.----.... ............................................................................................................................................................. 0 Description of Soil------------------ Af1 ........ ........................................................................ ---------------------- .................. W �w--------------------*......*-------/--------------------------------------------------------------------------------------------------------- U ------------------ ------------- ---------------------I----------------------------------------------------------f ........... ---------------------------------------------------------------------- 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 Article XI of the State Sanitary Code—The undersign o further agrees not to place the system in operation until a Certificate of Compliance has been jssi�;d by the oard df health. Sig ----------- -----------_ ------------*------------- -------- ............ -------- Dale Application Approved By........... C.+../ W4. . ......d.�X..... .............. -----Date-. -------------- Application Disapproved for the following reasons--------------------------- ............................................................................... D ._Z..�....... -- Date Permit No.---. ......................................... Issued....] -Date----- ........ ----------- I / LOCQTLON ' l� 5 &C-4E PERMIT UO. VILLAGE -AWSTQLLER U& AE ADDRESS-_- 5UILDEF2 5 --DIS►TE-PERMIT - - DATE COMPLIAMCE - ISSUF-04 - - r' �CD� W n M-6...... .3...... FEiz A............ THE COMMONWEALTH OF MASSACHUSETTS BOARD rCj)- HEALT�H 0 F........ ............. ApVfirafion -for Viiipoiiat Vorkii Tonstrurtiou Vrruift Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Sysu": -------------------------------------- .............7:-----------................................................................ 7' ............................. ...... ---------- ---- --- ......................................... ......Address .................... e�. ......................................... ...................................... ...................................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms___________________________________________ Expansion Attic Garbage Grinder a Other—Type of Building -----------_-------------- No. of persons---------------------------- Showers CafeteriaOther fixtures ...---------------------------------------------------------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacitv_/K=�_4kallons Length________________ Width.__-_..____._.. Diameter_____...._._____ Deptli_.-------------- 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 ( ) a Percolation Test Results Performed by---------------- ......................................................... Date-_------------------------------------ Test Pit No. 1................minutes per inch Depth of Test Pit_.._____________.-. Depth to -round water..._____..__.__.__._:... 4, Test Pit No. 2----------------minutes per inch Depth of Test Pit.__...........__.__. Depth to ground water__._.___________-:_--__. 9 ------------------ ..._..................................................................................................................................... 0 Description of Soil--------------------------- ---------------------------*---------------------------------------------------------------------------------------------------------------- -------------------------------------------J -- - .2, ----------------------........................ . ...... . ..................................................... --------------------------------------------I-------------------------------------------------------- ------------------- . j------------------------------------------- ------I---------------------------- U Nature of Repairs or Alterations—Answer when applicable---------------------------------- ----------------------------------- -------_---------------- ---------------------------------------------I-------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigns further agrees not to place the system in operation until a Certificate of Compliance has beenj§supd by the Loard orhealth. Signed-- ----------- .......:;-�................................. ----------- ............ Date ApplicationApproved BY------------------............................................................................... ........................ --------------- Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo------q,*13.................................... Issued-----................ ................................. . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........711,11,71.11, ...............OF....../,#*.If A-S/;7 h......... ..... .... .. .......................................................... AT %wrtifirate of Tlintlifiatta THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired / �/ b ......................... tl y ...................... ................1�elC- -...................................................................................................................... Installer at................ --- fa - . - 6A�,ff---------------- fO f -----has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_________________________________________ dated----- ------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- .................................... Inspector...... ----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............../..........................0 F..........................................___................................... No....... ...... ... FEE--- ................. Bi-sVotial Norh,5 ClIonritrurtion ramit Permission is hereby granted----_____6&-/- 7# - 6/Z ,�,*-<_ -- . ------------------------------------------------ -------------------------------------------------------------............... to Construct or Repair Y) an Individual Sewage Disposal System ),4 • .............................................. ---------------------------------------------------------------------------------- at No. I_Z?l------------7�)------ f*n-1 Street ol _7 as shown on the application for Disposal Works Construction it No.- ... ed...... ...... V .... . ....... ..... . .. .... . ....... ---- -- ............ DATE.........1,2- 2 Board of Health ................................................................... FORM 1255 H0813S & WARREN. INC.. PUBLISHERS BY DATE SUBJECT SHEET NO. OF CHKD Bl"d= -DATE _ JOB NO. 43 1-7 O 5(fo V - Q 7 9 z� l2 e6A � l3 44 O 0 C EF:PT i i E D (SLOT —)LAN LQcATioN -, cr-NTERVII-LE, MASS ,'• RIC�-iAFtE> P. N O V 9�1?75 Y A -- - - BAXTER ` riu 2414d 2ks PLAN REFERENCE tQ� $* i4rfi S14OWN h5 LOT Sa $u OM PLAK REcORDED 1N PLAN $ oo K ?7Z ?6 58 // / 23AXTE,R 14YE INC /V REG+S'sGRM LnNQ sv vfrvoc OS"t'�KVtLLE MAaS, Zc,1711:y Lo&,�s of r-hG. rwn o G�ains7rxb/� MET ►TtQNMe- ,�c9i5r�rcd �o tad/ U•Ye ar A L A N zt -7 4'C>, -2 I w LOCUS N LEGEND ® 9 CONTOUR x 100.98 EXISTING SPOT GRADE —W— EXISTING WATER SERVICE � —G EXISTING GAS SERVICE 0 0` --e.H-.W.-- EXISTING OVERHEAD WIRES �° O PB 272-PG 58 l9 TEST PIT a° ' N BENCHMARK 0 ,n r � o �0 r 0 o c 0 Stoney Wood \1o\e C V, f R LOCUS MAP / 28°8os„ NOT TO SCALE / 101,12, E o� 101.71 0 103.00 / x , / SHED t � S 101.59 + -+ 102,10 �t� EXISTING LEACH PIT T0, BE PUMPED, FILLED l0 TP-1 102.57 WITH SAND & ABANDONED IOa edge of -2 VENT EXISTING SEPTIC TANK 1 ::. : (TO REMAIN) / ...,. 32: TOP OF TANK, EL.=99.O1f / + 100.94 102,3�� INV.(OUT)=97 65f 100.57 Or 101. s 102.66+edge °f. BENCHMARKVL INSE BH BM - CORNER OF PA 770 2 102.08 103.7 i EL.=103.73 x 102.97 I x 99,54 CONCRETE' PATIO - EXISTING � r' HOUSE(#97) T.O.F.=104.Ot (o x 100.2� x 100.82 x +.10 ,16 x 99.55 03.06 x GARAGE AC I 103.71 �9 • I \ � 3.65 103.04 LOT 80 sP Kt 17,056±S.F. �4 Z._'.' .` s� 102, A=98. 00, 0 - split roil fence edge of povement 9 7.9 7 99.02 99.70 99.96 97,39 CATCH BASIN 97.22 THOREAU DRIVE of MAssq PETER T. PARCEL ID: 191 -225 o �, M CIVIL N PROPOSED SEPTIC SYSTEM UPGRADE PLAN No. 35109 97 THOREAU DRIVE, CENTERVILLE, MA RfGI SIER`� Prepared for: Susan Davis, 97 Thoreau Drive, Centerville, MA 02632 w OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. DAVIS, SUSAN P A TR 1"=20' P.T.M. 219-19 P.O. BOX 142 Engineering Works, Inc. MARSTONS MILLS, MA 02648 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. % SUSAN P A DAVIS LIVING TRUST (508) 477-5313 7/20/19 P.T.M. 1 of 2 r` t / NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=96.5 SEPTIC TANK PROPOSED D-BOX FOR A DISTANCE OF 15' FROM THE EDGE OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=104.0t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=102.1 t F.G. EL.=102.5t VENT F.G. EL.=101.4t � F.G. EL.=101.9t MAINTAIN 2% SLOPE OVER S.A.S. L - 28' L = 5 S=1% (MIN.) ® S=1% (MIN.) "2" LAYER OF 1 8 TO 1 4"SCH40 PVC 4"SCH40 PVC / /2" 6" DOUBLE WASHED STONE 10^I Ph (OR APPROVED FILTER FABRIC) 14" s� 2' EFF. EXISTING 48' LIQUID DEPTH -3/4" TO 1-1/2" DOUBLE LEVEL 4' 4.8' 4' WASHED STONE GAS BAFFLE INV.=96.27 PROPOSED INV.=96.10 INV.=97.65t D-BOX EFFECTIVE WIDTH = 12.8' EXISTING INV.=96.00 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN NOTES: H-20 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=97.1 f INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=96.50 tam INV. ELEV.=96.00 ease 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaa aaaa GRADE ON A MECHANICALLY COMPACTED SIX aaa aaaaaaa aaaaaaaa INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=94.00 310 CMR 15.221(2). 4' 2 x 8.5' = 17.0' 4' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.0' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. NO G.W., EL=87.6 - LEACHING SYSTEM SECTION SEPTIC SYSTEM PROFILE N.T.S. ` GENERAL NOTES: BACK OF HOUSE 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. CONCRETE BH RIN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PATIO OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: -310 CMR 15.405(1)(b): cab, 1) A 3' variance to the 3' maximum cover requirement, for up to , 6' of max. cover. S.A.S. shall be H-20 and vented. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE p. gyp' bc DESIGN ENGINEER. 6p�. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL .BE REPORTED TO THE DESIGN T _rV* ENGINEER BEFORE CONSTRUCTION CONTINUES. I �� 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ^4 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF � P/�OP THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ` SAS. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS KSHEID AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SEPTIC LAYOUT THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SOIL LOG 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. DATE: JULY 19, 2019 (REF#TPT-19-81) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND SOIL EVALUATOR: PETER McENTEE PE(SE#1542) IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. WITNESS: DAVID STANTON R.S. HEALTH AGENT ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 102.1 A 0 102.2 A 0" SANDY LOAM SANDY LOAM 101.6 10YR 4/2 101.7 10YR 4/2 DESIGN CRITERIA SANDY LOAM 6 SANDY LOAM 6 1 OYR 5/8 32„ 95 7 10YR 5/8 99.4 30" NUMBER OF BEDROOMS: 3 BEDROOMS G C SILT LOAM SILT LOAM SOIL TEXTURAL CLASS: CLASS I SOME SAND SOME SAND 1OYR 5/3 2.5Y 5/3 DESIGN PERCOLATION RATE: <2 MIN/IN 96.1 C 72„ 96.4 C 70" DAILY FLOW: 330 G.P.D. PERC 66"/84" 2.5 DESIGN FLOW: 330 G.P.D. M-C SAND SAND 2.SY 6/6 .5Y 6/6 GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330) = 445.9 S.F. 87.6 1 174" 90.0 150" .74 PERC RATE <2 MIN/IN. "C2" HORIZON EXISTING SEPTIC TANK: 1000 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 97 THOREAU DRIVE, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Susan Davis, 97 Thoreau Drive, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. ` N.T.S. P.T.M. 219-19 k TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 7/20/19 P.T.M. 2 Of 2 l i