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0015 WATERSIDE DRIVE - Health
15 Watersid Drive Centerville ` - A = 207 158 v E UU!_*1"--'1,__ 862-402(508)862-4034 FAX(508)790-623 FAX(508)790-6230 LINDA EDSON ° .)EFFREY LAUZON BUILDING INSPECTOR wn of Barnstal SPECIAL INVESTIGATOR-AMNESTY PROGRAM TOWN OF BARNSTABLE TOWN OF BARNSTABLE REGULATORY SERVICES egulatory Servic REGULATORY SERVICES 1 BUILDING DIVISION BUILDING DIVISION Tomas F. Geiler,Direc TOWN OFFICE BUILDING 1 TOWN OFFICE BUILDING +'(vlain Street,Hyannis,MA 02601 Building Division 200 Main Street,Hyannis,MA 02601 f email:linda.edson@town.barnstable.ma.us 6effrey.lauzon@to wn.barnstable.ma.us Perry,Building Corn , v— _ in Street, Hyannis,MA1 GZ601 www.town.barnstable.maxs Mffice: 508-862-4024 Fax: 508-790-6230 t. C M i st J 1 c February 27, 2007 E Ms. Keeley Scales �\ 15 Waterside Drive 6 Centerville ,MA 02632 ry t j Re: Illegal Apartment: 15 Watershed Drive Centerville, MA 02632 Map: 207 Parcel: 158 ` Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of'zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: `' � • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Lind son Amnesty Zoning Enforcement Officer Building Department } gforms:zoning3 �rc , r r . 1 .-4,.. Al A i ` __ TNTINA '1 . t �•: ems.� � y. ,, F a,�,. L G WORK TO BE PERFORMED AT: PROP A,U' UBNI(TiTED T� I NAME ADDRESS ADDR S t CITY.STATE i Go�►ZSt " u �/�'1 CITY, TE DATE OF PLANS PHO NO. ARCHITECT i Tyr- ay;� We he y propose to furnish the materials and perform the tabor necessary for the completion of 14 +ihrr tLaW .�, 4 f[/►t a 5.�� L6 .04 w ae All m riat is guaranteed to be as specified, and the above work to be performed in accordance with t awings and sped lions submitted for above work and completed in a substantial manner for the sum of Dollq �►65 60 , with p ants to be made as follows: � M an al eavfalion flan abwq Respectfully sutohiltted y .DgcMlcallons involving ex1ra coal -41 oe a led only upon.wraten ofd&.tub w l become an 94r'P Ch4rgq ova and ft ,vt"ata.All ag-amonls contingent 000n e1rlce9. ao dewm o', *lap beyond ow c antrot. Per r- Note—This proposal mo ae withdrawn by us If not accepted wltf�lrj days III ACCEPTANCE OF PROPOSAL The a ''ve prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the wor�C aS specified. Payme will be made as outlined above. I Signature 4-r Data Signature i r, _ z <76230 4024 Qi TNE, ? FAX 50 s (508)862-4034 ,'"'". ( FD MUD FAx(508)790-6230 LINDA EDSON ""� JEFF tal i°1P °g REYLAUZON n of Ba rns l SPECIAL INVESTIGATOR-AMNESTYPROGRAM 'FDA° BUILDING INSPECTOR TOWN OF BARNSTABLE REGULATORY SERVICES TOWN OF BARNSTABLE gulatory.Servic REGULATORY SERVICES BUILDING DIVISION BUILDING DIVISION on F. Geller,DireC TOWN OFFICE BUILDING TOWN OFFICE BUILDING Hyannis,MA 02601 200 Main Street,Hyannis,MA 02601 200 Main Street, uilding Division email:linda.edson@town.barnstable.ma.us email:jeffrey.lauzon@town.barnstable.ma.us erry,Building Comm 'n Street, Hyannis,MA 02601' ww.town.barnstable.ma.us Of 8-862=402 Fax: 508-790-6230 sl-• t Timothy B. O'Connell' Health Inspector of Tory o Town of Barnstable Department of Regulatory Services 9 MASS. i63939- ro PUBLIC HEALTH DIVISION Ado 200 Main Street,Hyannis, MA 02601 O MAy Y Tel: (508) 862-4644 o rs: Pax:(508)790-6304 d Drive Centerville, MA 02632 9:30 health@town.bamstable.ma.0 3:3 4:30 TimothyO'Connell@town. Sta a.us u s indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: S • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program i • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Lind son Amnesty Zoning Enforcement Officer Building Department 4y: I gforms:zoning3 3 a v � o sa YNCIL All paY%lo w +h �..�.�1Lpc1w• psi I .._ _ � - ., �, ._ i �{ - s _ - 5 i � i ul � I s �_ I aci u1 � JL{1 � NX I I ' I S oil i - -X I 5e c1b ,e M I M � 4 . 1 1 t 4 r ' I •I I I I (. + �-- I f _ + 1 , , 1 � ► �- + IVI � I I i 1 I` 1 I , , -,- -I- r- +- , rt TT --F-+ j ! -+-- +- + - - ' I I y I i +- I ' ITT T...........7 I I i l i I I I I I I I I i i I 1 i I ! I I I I i - _I I I �-*---{ - i -T I G�a"I9` N1 ,o i ' id I j p � � I ' i � _ � � I � � I ___- ir ------- - - ---_- - -------- I -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION. TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 15 Waterside Drive .7 U 7—I- 9 Centerville, MA 02632 Owner's Name: Keeley Scales 17 Owner's Address: Date of Inspection: January 23, 2007 `Name of Inspector: (Please Print) Jaynes M. Ford Company Name:. James M. Ford Mailing Address: P.O.Box 49 Osterville,M4 02655-0049 I Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the`-iriformation�reported below is true, accurate and complete as of the time.of the inspection. The inspection was performed based-opt my - training and experience in the proper function and maintenance of on site sewage disposal systems:, I am a-,PEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: - ✓ Passes Conditionally Passes C'D Needs F her Evaluation by the Local Approving-Au ority Fails Inspector's Signature: Date: January 31, 2007 The system inspector.shall submi 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address•ho fv the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 Inspection Summary: Check A,B,C,D'or E/ALWAYS complete all of Section D A. 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: 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. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not detennined",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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: 2 Page 3 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 D. System Failure Criteria applicable to all systems: You must indicate either"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 cesspool is less than 6"below invert or available volume is less than '/z 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] No (Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd.. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 15 Waterside.Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 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: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Detennined 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(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 15 Waterside Drive Centerville. MA Owner: Keeley Scales Date of Inspection: January 23, 2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: Installed on 3117103-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Continents(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions detennined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.). Cement tees were present. The liquid level was even with the outlet invert There did not appear to be any_signs-gf leakage GREASE TRAP: None (locate on site plan) Depth below grade: 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: Continents(on pumping recorn mendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was normal. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 5-3050 infiltrators 38'x 2'x I P per as-built 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.): The infiltrators were dry and clean There did not appear to be any signs offailure. Used a camera to inspect. CESSPOOLS: None (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 or no): Continents (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. C Ll O a A 6 a Fz J13 L C- 3 a8 aq 10 1 y Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Waterside Drive Centerville, MA Owner: Keeley Scales Date of Inspection: January 23, 2007 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: ✓ Obtained from system design plans on record-If checked,date of design plan reviewed: 2103 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: A 12'test hole was done when system was installed. no groundwater was observed. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 TOWN OF BARNSTABLE ~LOCATION �� �✓��(St�t- Dr. SEWAGE# 03- 0019 VILLAGE a4tt,ry,ILL ASSESSOR'S MAP&PARCEL a01- /S r( INSTALLERS NAME&PHONE NO, SEPTIC TANK CAPACITY I OUb LEACHING FACILITY:(type) /4P.14kr! wo's (size) 3�XaX I NO.OF BEDROOMS Y OWNER SC 10 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 r1S (Al aI T FOrl /a3 0"1 c� a�Lk , � O A 8 i sl 3 a 3 a8 a9 TOWN OF BAARNSTABLE LOCA110N IS' D/GjU SEWAGE # VILLAGE r- ASSESS 'StMAP & LOT 2—o ME INSTALLER'S NA &PHONE NO. + � SEPTIC TANK CAPACITY `f 00 LEACHING FACILITY: (type) :796 1�: /�T ��s (size) NO.OF BEDROOMS BUILDER OR OWNER Z:TZ s PERMIT DATE: 5 Z 3 COMPLIANCE DATE: 3 riLb 3 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 r 0 �5 — �so S :F6t,(T No. FEE -� COMMONWEALTH OF MASSACHUSETTS t Board of Health, �r�e,t�, (?,� MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) - ❑Complete System'XIndividual Components Location �SJ�}Z'E25i - �£rIT V1d,l Owner's Name CE Map/Parcel# MR > Z0-'-V �T , 'e Address Lot# Telephone# Installer's Name ` Designer's Name �t Address — Address O69CV, . Telephone# ue—�� _S \6 Telephone# Sy g< C�kQ o Type of Building e ' 'G Lot Size D L& S4$ sq.ft. Dwelling-No.of Bedrooms Garbage grinder (141A Other-Type of Building No.of persons 4 Showers V"),Cafeteria (1' Other Fixtures 1—A\11i"TozY . kLTc a t4 St,"k. LA a 9''P Design Flow (min.required) A A b gpd Calculated design flow 440 Design flow provided 454+.Zk gpd Plan: Date 3 l 0 ©� Number of sheets \� � Revision Date Title Description of Soil(s) K;;?,n amc.;.Crx Z& a Soil Evaluator Form No. \1 q \� c Name of Soil Evaluator ���� c�N41`ty Date of Evaluation Ila a a DESCRIPTION OF REPAIRS OR ALTERATIONS u=,MUNING ENGINEER MUST Sut-:r- -- STALLATION AND CERTIFY 1,� ' Tug ��. The and�ees gned agrees to install the above described Individual Sewage Disposal System in ac�ofdance tti Ct {!�i g �o ITI.E.5 and y'- further to of to pla tern' o on until a Certificate of Compliance has been'is`sued'l PiGeWo^ar"�o thIealth. Signed Date_ "'��� �_ �n rCV4 by i * Inspections I 5. No: FEE COMMONWEALTH Of MASSA CIjVSj 7TTSt Board of Health, MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PEPMIT Application for a Permit to Construct( Repair Upgrade Abandon Q Complete System Individual Components Location �5 C;041*r-_gu F, Owner's Name Uoycc- _R'0SSr3 11 Map/Parcel# Address k S - -- M�V�> Z-0 "Se - OZ�ZC CQT464101 ltP Lot# Telephone# Installer's Name e Designer's.Name, Address Address T M DoAt"'FC7 ,I Telephone# �ck \d�� - 's o Telephone# kp Type of Building ?\e_&,� &�P_c,�,G_\ t, - — Lot Size �J-4 sq.ft. Dwelling-No.of Bedrooms 7-007, C-4� I Garbage grinder (RIA IF t-, .Other-Type of Building Nr)�4E No.of persons 4 Showers Vo),Cafeteria (;K Other Fixtures Design Flow(min.required) A A b —gpd Calculated design flow 4AQ Design flow provided 4,54,'6(Pgpd --Plan: Date o-6 Number of sheets Revision Date Title. Description of Soil(s) Soil Evaluator Form No. NIP_A\A \ a, Name of Soil Evaluator_C� C� SVVA't Date of Evaluation 1,*1 C) ?> DESCRIPTION OF REPAIRS OR ALTERATIONS _� _\,_0 ra� 0&C� The undersigned agrees to install the above described Individual Sewage Disposal System M*'accordance with the provisions of TITLE 5 and further agrees to.Hof to place-the-system ration until a Certificate of Compliance has been issued by the Board of Health. Signed Date Ape r*Vo-A L Inspections No. ?QQS-03'3 FEE COMMONWEAL114 OF MASSACHUSETTS Board of Health, MA. CERTIFICATE Of COMPLIANCE Description of Work: M4ndividual Componeht(s) J Complete System The undersigned hereby certify that t�Sewage Disposal System- Constructed Repaired Upgraded Abandoned ;;,�by: i21(jV611 CAa-A5 S F_- at IS WATEf,5 1 0E_ V V_U AL has been installed in accordance with the p sions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. '100 3 099, dated 2 In.5 . Approved Desivn Flow (gpd) Installer ,-W/ I/P�l I Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No.Uo 3-o9,9 FEE C) COMMONWF—ALT14 OF MASSAC14USETTS Board of Health�, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( G)�Pgrade Abandon an individual sewage disposal system at i!S-- u ,,A-TPKS\y_ bri-e— r .,\. -,,_A�r as described in the application for Disposal System Construction Permit No. 200-9 dated 3i t z Provided: Construction shall be completed within three years of the date of thi0,4i, I conditions must be met. Form1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 3(1'L 3 Board of Health 1 1I� TOWN OF BARNSTABLE LOCATION l S Lll�'9TL�S%D� D/C j�l _ SEWAGE.# POOL VII,LAGE �� 2V/(�-� ASSESS S MAP & LOT- `7-IS� INSTALLER'S NAME&PHONE NOG�� �-� '' i SEPTIC TANK CAPACITY `� 00 LEACHING FACILITY: (type) SOSO /�-v 'LS (size) 7-A' NO.OF BEDROOMS BUILDER OR O PERMTTDATE: � �.Z 3 COMPLIANCE DATE: r a 3 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 � 0A � � 15 3g`xa�K�l :F6KT CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. P.O.Box 627,East Falmouth,MA 02536 March 14 2003 RE: Certification of Title V Septic System Installation: Residential Property— 15 Waterside Drive, Centerville,MA Dear Sir or Madam: On March 11, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 15 Waterside Drive, Centerville, MA, based on a design drawn by Shay Environmental Services, dated, March 6, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES, INC. Carmen E. Shay, R.S., E. �F �� President s S T �NITA Sep- 20-01 13 : 52 BARNSTABLE HEALTH OEPT 5087906304 P • 02 ,x . ,NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOL,aTIO:N TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered pian sio ec by me CcteC `�iru concerning the property located at meets all of the f;:l!owin� ��,teria , • This failed system is connected to a residential dwelling only. There are no _ommercia'. or business uses associated with the dwelling. • Tie soil is ciass:;ied as CLASS I and the percolation rate is less than or equal to -n:nutes per inch. The applicant may use historical data to conclude this fac: or may :or:duct ?re!Im,;;ary tests at the site without a health agent present. • There .s no increase In flow and/or change in use proposed • There are no vanances requested or needed, • leas ino fac t w I t fourteen The bottom �f the proposed h tlt y will not be located leas ha.r 1',4) fee: above the maximum adjusted groundwater table elevation. (Adjust the --)undwwer table using the Fnmp(or method when applicable) Please complete the following: Top Ol GrounO Surface Elevation (using GIS information) g; G w' F;evat,on, /0 _ adjustment for Thigh G.W. Q_?)_, = @a Fl-TREiNCF.. EETWEEN and B S.(-'+rED --Z. ZS D,ATE: 3 NOTICE 1 33sec jt�orn the above rformation, a reoair permit wil! be issued for ')edrooms Tex n.0 r:. `;- ,td�fi,nal bedrooms are authorized to the future without en,tneered :opt,: syae n plans. -tun!r,Ace �cicc.imp l Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 15 13CAP_CS\6,e_�)?,,,v r`„ (,�,n44T6t�Ve_ Lot No. S Owner: Address: Contractor: is Address: Lp.1-4- EC f M0044--, MP! 6QG2)(,, Notes: STEP 1 Measure depth to water table tonearest 1/10 ft. .............................................................................. .Date month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: M1 OAppropriate index well.................................................... Z OWater-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) 2 determine water-level adjustment .................... J...................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ..................................................1.......................................................... a•3 I; Figure 13.--Reproducible computation form. 15 SEWAGE PER1.91 ' NO. Y'1 t A C I Lam' ASSESSORS MAP NO: a Q 7 � PARCEL N0.• /58 IN 1A LL5.T NAME ADDRESS KBNW EEDY TRUCKING - —.v ViEST 6, t�STABLE. AAAcry �0ATE PERFUT ISSUED U AT E. C 0 M P l I N C f ISSUED bh it l�iti � 1 r o� 7117 No. _... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH /C?Gtlt�l...............0F...... 49AJ67;0oe4 C-----•--------•--..........---- Appliration for Uhipoiittl Marks Tomtrnrtinn rantit Application is hereby made for a Permit to Construct (VI"or Repair ( ) an Individual Sewage Disposal System at: ........... or._ ....lL,lA7-, r 1s7. iu .. ,( -........Lo A d ss or Lot No. • 1,t4� .E. s ................................. ---T42 LU...&.. -•---......................................... Owner Address ---•---•-----••-----•-•--- ---•------------- ( ....---•---•--•-......------------....... Installer Address Type of Building Size Lot..Z8,64 a t1.Sq. feet Dwelling—No. of Bedrooms...............�.__......._...._..___.._..Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers ® — Cafeteria a' Other fixtures --------------- --------------- - w Design Flow.............5-5......................gallons per person per day. Total daily flow................q.J90................ r W Septic Tank—Liquid'capacity_�s .gallons Length.l.l_'.Q.p.. Width&.� .. Diameter................ Depth&.�_-Q.-.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. ____ Diameter-±�'-�o.. Depth below inlet.H_ ®u Total leaching area.-_... s ft. � Seepage Pit No.---------�---- ---- P - --•--•------ g �' -�---- q• Z Other Distribution box ( l/) Dosi tank ( ) Percolation Test Results Performed by. �s� / ._`✓ �=` -- Date....Z-�. � .......... Test Pit No. 1......2......minutes per inch Depth of Test Pit...111.4.._.__ Depth to ground water........................ GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . --•..... ........•---•-•-•---------.....-----------.............-------......................... Description of Soil....�Q..'. ��_.. _ _?G c I .j. =/e/ .Y_./ �Ul ..ss 1 - -- x c., w UNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------•---.........--•---------------•---•-----------•-----------••----................---------------------------- .............................................................. Agreement: The undersigned agrees to install the afore sc ibed Individual ewage Disposal System in accordance with the provisions of'MilL 5 of the State Sanitar Code The unders' ned furt er,agrees not to place the system in j ation u a Certi e of fiance has n issue by the rd of healt . Signe ............................................ -...... _._.. lication Approved By.......... --• ••. -•--•-•.................•-----•-•-.-•--• ------_ . ----_.. . D e Application Disapproved for the ollowing reasons: ----------------- --------------------•-------........-----...-----•-•------------------------••---------••••.-•-- S �pp Date Permit No.-•-�� 7e-/ =-. Issued......Z.."!A G- 7✓^ Date..................•....._...... -A No 7v7 °d - F.Rz......I/ .... : ... THE COMMONWEALTH OF MASSACHUSETTS -�{ BOARD OF HEALTH . ......... .)///�.. ...............OF..... fa t.. ApplirFa#ion for Disposal bioriaii6 strurtion ernti 'er: Application is hereby made for la Per--tVit to Construct (V�or Repair ( ) an Individual Sewage Disposal S}stem at: .........._...::o r_.` ......................._............................................................... Location_Add�ss or Lot No. ........�_:U�Q..................••------------ . ...... -..... --------------------•........__.... W Owner Address a ..................... ...._.__. Installer Address d Type of Building // Size Lot_ , .:.__Sq. feet Dwelling—No. of Bedrooms............�l____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures --------- W Design Flow.............. _ ......................gallons per person per day. Total daily flow_______________`:JIJO................gallons. WSeptic Tank—Liquid capacity.1._59C_ ?gallons Length_j_L-_0.____ Width_. .... Diameter________________ Deptl = .._. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_.____________.._.__sq. ft. Seepage Pit No._________)-______.__ Diameter__ ....`lam_._:: Depth below inlet_t=�_._:d�____. Total leaching area__Zgd....sq. ft. Z Other Distribution box ( � Dosi�Sr tank ( )� �_ _ '4 Percolation Test Results Performed by..J��'!f��1 !.`!.1�- A-'e `�!!L'7-- Date.... �__:_�_: .�. W 14 Test Pit No. 1......;2.......minutes per inch 'Depth of Test Pit...�1Llf......... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 --------------------------------------------------------•--------------------------—----•-----------•---•--------------------•--- D Description of Soil.....L�L.L.- `/.f T� %. �L .� ����, -�t1 1.........................................I cJ/(Jf1 . /%).... -- • - ---------------------- W UNature of Repairs or Alterations—Answer when applicable-------------------------------- ______________________________________________________________ t Agreement: The undersigned agrees to install the afor descri Individua Sewage isposal System in accordance with the provisions of TITLE 5 of the tate S nitq Code— he un signed furth r agrees not to place the system in operation ungl a Certi ate o lian ee rah brd of ea ae.............. Applicio Approved By............----•-•••••-•.................................••--------........_._._......__....._. ............. ........ -------•------•- Date Application Disapproved for the following reasons:---•----------•---•----------------•----• ---------••--•-•--------•----------------------•-•--•---••...--------- ...............................••-----------._._...-------•••----------•-------•••--------...-----...---•----------•--...----------•--------_----..__.----------------•---•-----...•---•-•---•-------•-- 7,r. 7-/ 7 f I;f- O. 7.1- Date PermitNo.......................................................... Issued_............................................. p Date t X THE COMMONWEALTH OF MASSACHUSETTS 1 ` BOARD (�'i�F KEA¢ i •� a ..........................................OF _.......-......................._............_..:...._....._... k , T rtifirab of TlantVli�anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY--------•--------M....K.E NNE v --------•-_..... I Installer has been installed in accordance,with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- ......... dated------------- _ ,!`............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ISF TORY. DATE__.. Inspector...__V T �.__�.............•--•-•------•-------•--------•---•---•------------.._......_. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF:_'HEALTH )cl7 ...............OF.. ..._........-........__..............._..__....._._...._...-._...._..._..._.... No.. FEZ—.�.1.0_......... Disposal Works Tnnstrndion anti# Permission is hereby granted......... C tv e4 0Y. --------------------- ••---•----------••---------------•••-••-----•--•---••-------...----••----..........._......• to Construct ( ) or Repair ( ) an Individual Sewage Disposal System .. G .,.Street �"!',; "' "�'' as shown on the application-for Disposal Works Construction Permit No_____________________—aa eJd_____...................u ✓" ...... ........ 3.-•-----.....--•---•.•-•-------------------------------------- ------------•-••----•----- 1 P Board of Health FOR,M 1 DATE----•------------------------------••----•-••-•.`--,.�--------------- � 5 HOBBS & WARREN. 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'� �L I .;� � I , I 1:� - ':� I.�, , .1 , . , -, I : �,',', .�.,,�_,�'_��,�,�', , , :�r ,. �": � - _1:��-�I �-, , . � , � I I � . _ . .. - I I 1�I., --- I � 11 I: � 1�1 _el` _ � I I 6: ,p, I , ll� � � I-- , . .1 c',� ,,, � -, " �_l - - - 'L,� 1�.l , � I ,� 11� � ,, :,� . , � �,,'�I�l 1_�1111�i", "]l`,_,-�� ,��-*,,,�� �,�.,--,',:�;- ,.,,-, 1�'l,- _ �111� _f,�� -- �� , , , � " � ��:�- - � , � _,_, -, ,, ,,�, - 5 . � I I -1 I I I � I .1 11,I- - I� - .11 �- , .1.���_-_,,,1 __ -1 - r I I 11. : , - VENT PIPE, 0 Least me es 'toll) Schedule 4 PVC w/Charcoal Odor Filter SE0110 2 ALL OUTLET VIOCS'FROW! THE kL PROFILE , VIEWti 0 min. am 4 E:' PIPES ARE TO BE 4- SCHEDULE 40 PON 4OT' ALL" P1,V.C. W, LEACHING SYSTEM "Wr gox SH' t K 12 SET LEWL FOR AT LEAST 2 Ft CONCIMITE eov" % E' foundation �,'Fhouqe to septic tank xistinj 00-00, septic fon�'4V4,i 51 t� Not to Scale P I j0F ELEV 11 vithin 6 in. of finished 9rode 3- OUTLET: w Septie 'rank 93.50 sAS kWOCKOUYS kl�ode oI' Geode over D-eox �*(lt ow ELIV- Von*$rfam 86.061 89-00 0,90.00 'ti. 111'600d("t*Ud*towET a OUTLET 7N W 3 HOLE M-10 s a02 Sfto�fo Top Of SAS-ttev.-85.75 t .1 DIST� BOX,to 10' _-PROPEATER EMSTING maximum 4er 4' H� PE 0,GAC 4�' PE ; I cXIS so AD 1 1,00 FROM FOUNDAT ONANK '85, S. A n,A,; wuuru A 0 PLAN SECTLQN TION ca H_ rive SE TIC T 10 4; Effe EffecWe Depth COWKYE FULL OU IN D-BOX ,,,31.251 , , t Sidewall 00 PVC TEE REOUIRED 5 Units @ 6.25, It 'HOLE H-10 DISTRIBUTION BOX ot 3 4P DUE TO SIGNIt'ICANT 6 In of 3/4--i 1/27 -a .25 , , , -sic/ V) 41, ZIP FILEI NOT TO SCALE SYSTEM PRO 4' �4* .5' DROP IN ELEVATIONsunZ 00 in Not to Scale FROm TAw TO D-80 �1 E LOCUS MAP 00 > Effective Length Effect" width ift.of 3/41'�l 1/2' SOIL BSdRPTIIIN SYSTEM (SAS) A compoeted stone - 0 LO NG)/ SUMNER DUNBAR INFILTRATOR MOD L H 4 '' 'ADI' GENERAL NOTES j: NOTE: :ALL COMPONENTS MUST HAVE-RISERS:TO kWTHIN.6* BELOW GRADE 0 C 3050 CD - Controctor'is responsible for Digsofe notification (OR EOUIVALENT) 1 Bo toM of'Test Hole I Elev.-76.001 NOTE: OVERALL HEIGHT OF INF1 LTRA IS /E and protection of all underground utilities and pipes. TOR FFECTIVE HEIGHT IS 24 2. The septic tank and distribution box shall be set TO BE PUMPED & FILLED IN PLACE level �on 6" of 3/4"-1 1/2" stone. -2- DIAM_ACCESS MA14HOLES EXISTING LEACH PIT 3. Bockfiff should be cleon sand or-grovel with.no, OR REMOVED IF FOUND TO BE NECESSARY TO NEW SAS. LOT #I stones over 3'Arl size. N NOTE: ANY STRIPPED SOIL CONTAINING LEACHATE, 4. This system, is subject to inspection during instal-lotion by Carmen E., Shay - Environmental Services, Inc. 7- 46172 FROM THE EXISTING LEACH PITS/CESSPOOLS TO BE-'DISPOSED 5. The 'contractor shall install this system in accordance 16 -OF AS PER BOARD OF HEALTH SPECIFICATIONS. V Title of the Massachusetts state code, the approved plan with ACCESS COVE F, THE and Local Regulations. THE RS OR SEPTIC TANK LOT #6 DISTRIBUTION BOX AND LEACHNG COmPMENT 6. If, during installation the -contractor encounters ❑any OUT ET >SET DEEPER THAN 6 INCHES SELOWFINISHED soil,conditions or site conditions that GRADE SMALL BE RAISED TO WTHIN 6' OF ore different FmSHED GRADE. -Y-------------- 0 from those' shown on the soil log or in our design 0 INSTALL TUF-TITE GAS B installation must halt & immediate notification be AFFLES OR ECUALS 47- mode to Carmen E. Shay - Environmental Services, Inc, • TEST HOLE #1 7. No vehicle or heavy machinery shall drive over the STEEL REINFORCED PRECAST CONCRETE EL 88.00 septic system unless noted as H-20 septic comp PLAN VIEW, orients. eV 8, install Tuf-Tite gas baffles or 'equals on off outlet tee ends. A- 3-24'REMOVABLE COVERS ff_ 9, All Distributio I n Lines shall be4. diameter Schedule 40 NSF PVC pipes. ------------- -------- -- D-BOX PROJECT BENCH MARK ------- 10. All solid piping, tees & fittings 'shall be 4" diameter 4- Leach Pit TOP OF. FOUNDATION Schedule 40 NSF PVC pipes with water tight 'joints- - __3 Min. learonce 8' min. in ELEV. 100.00 (A7�Lixnedy --- -------12'-m-: inlet to outlet rea". say 11. Municipal Water.is Connected to The Residence and Abutting OUTLET Liquid Properties Within 260 Feet. 10*min., 5 -7 4'-Cr min- 0 Liquid depth 00 THE PROPER TY LINES ARE APPROXIMATE AND 3 COMPILED FROM THE SURVEY PLAN GENERATED BY 4 0 CAPE & ISLANDS SURVEYING. OF TEATICKET, MA 119 ENTITLED " PLOT PLAN SHOWING CONCRETE FOUNDATION 4' -10" OF LOT 5 WATERSIDE DRIVE, CENTERVILLE, MA-, DATED OCT. 22. 1985, CROSS SECTION END—SECTION co �e EXIST. 1000 got. AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN f Septic Tank IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. USE EXISTING 1000 GALLON H- 10 SEPTIC TANK EXISTING CID I k981 4 BEDROOM -SCALE 9 NOT TO 0, --EG 'ND HOUSE 7 %; Mor"c i' i! `,` o 1 04X 11 DENOTES PROPOSED SPOT GRADE -PERCOLATION TEST __98 DENOTES EXISTING Date of Percolation Test: FEBRUARY 28, 2003 X 104.46 SPOT GRADE Test Performed By CARMEN E. SHAY, R.S_ C.S.E. Results Witnessed By. WAIVER( Per. Barnstable B.O.H.) -a, PL P EXCAVATOR: Shay Environmental Services, Inc. k 100 ROP ERN LINE Percolation Rote: Less Than 2 MPI 40" Below Land Surface 96P PROPOSED CONTOUR Co,. Test Hole No. 1 - - -,- - -97 EXISTING CONTOUR DEPTH SOILS ELEV. ` GARAGE 0 88.00 h Will= DEEP TEST HOLE & L L--J= PERCOLATION TEST LOCATION 0"-8' 87.25 02 6 FOOT STOCKADE. FENCE loamy Sand 10 YR 5/6 OD 1 N/F Richard Warren 8-- 40' B. 84.66 I C,51 YO THERE ARE NO WETLANDS WITHIN 200' OF, THE PROPERTY. �,A 1 \�,' "I Medium Sand Av 2,5 Y /4 40"- 144 00 ©,!! PLOT PLAN Pere #1 Depth to Pere: 40" to 56" OF PROPOSED SEPTIC SYSTEM UPGRADE Pere Rote= Less Tho 2 MPI Groundwater Not Observed PREPARED FOR No Observed ESHWT ADJUSTED H2O Elev. = None JOYCE L. ROSSO AT # 15 WATERSIDE DRIVE LOT #5 28,843 Square Feet -Design CalCulationS CENTERVILLE, MA Number of Bedrooms: 4 Equivalent to 440 Gol./Day (440 GoL/Day Min. per Title V) 104 �A OF Garbage Grinder: No PREPARED BY: Leaching Capacity Proposed: 330 GoL/Day Minimum (Min. Per Title V) RI PA RAIEIV Septic 'Tank 2 x 440 Gal./Doy = 880 USE 1,500 GAL. Septic Tank. E. SHA Y SOIL ABSORPTION AREA: Using percofation,,frote of <2 min./i rich H Bottom Area.- 0.74 gol/sq. ft. x 41 8sq. ft. r= 309.32 gallons �6ENVIRONMENTAL SERVICES, INC. 0.74 gal./sq. ft. x 196 sq. ft. = 145.04-gollons <) Sidewall Area., 0 20 40 50 Providing: = 454.36 gallons ST V-_ P.O. BOX 627 EAST FALMOUTH, MA 02536 Use: (5) HIGH CAPACITY INFILTRATOR CHAMBERS, HAVING 508-548-0796NG A 2- EFFECTIVE DEPTH, ONE_ (3' W x 6.25 Q TO BE USED WITH 3'-OF WASHED STONE ON THE SIDES AND 3.75' OF WASHED STONE ON THE ENDS. SCALE: 1 "=20' SCALE: "=20' DRAWN BY:L CES DATE: MARCH 5, 2003 PROJECT#SD394 FILENAME: SD394PP.DWG SHEET 1 OF 1