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HomeMy WebLinkAbout0057 WATERSIDE DRIVE - Health 57 Waterside Drive Centerville A= 227 — 174 I�� d I,' TOWN OF BARNSTABLE LOCATION ,5-7 I�J'r47�47ZS 1156 , bP- SEWAGE# A0 f(0f oZ7 VILLAGE CGlU 716 FZVIC.Li ASSESSOR'S MAP&PARCEL ; 7 74 5® INSTALLER'S NAME&PHONE NO.CAOC-wcaE r e atPQ(SdSt� 4-n-asL- SEPTIC TANK CAPACITY 1 ,00o C—Au'eW LEACHING FACILITY:(type So-)QAC— C (Ak4t)X S (size) 1 JL ,B 3 NO.OF BEDROOMS , OWNER XNA/ Af4ralE L,�& _V :5 -Ti¢A.J 64M PERMIT DATE: 2 0 lP COMPLIANCE DATE: 2"1-1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility AJ Feet Private Water Supply Well and Leaching Facility(If any wells exist on /p A site or within 200 feet of leaching facility) /J IA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within A 300 feet of leaching facility) " �1 Feet FURNISHED BY��aQ�t c9I& C j�J e3 LAC A- 3 = �o� =`� � A-4 q 3 6 3 r q - S _ 34-2 0-3 = 284q a TOWN OF BAP4qSTABLE I LOCAtTQN , t cf e. nSEWAGE# VLLAGELeet-t 4 e,�,(J I �e ASSESSOR'S IVW&LOT .WISTALLER S rlAl rrf£ PHONE No, SEF nc TA,NK CAPACITX 16 � r LEr�aHNG ACI (GYP") N0.'0FBFbR M 3 �Ui1£ask OR-01TI Lt PERUHT.DATE. Ct711+€PL IAIdCE iJ '€B Separation Distance Betwe p the Maximum Adjusted E'rraundwater Tab tole the Battat i of I.eacfiitng Facility.., Feet 4vati Water::SO,Jy Well attd l D Facility (If apy w exist: air site ar vntthin.20D feet of iekwfig fWATIty;. Feet Edge:o€Wit"a and Lcaciung ci (�f any wetlaiids:e st / withers 3(}(ifcet teachsag f / Feet Furnished by, � f L� r Oo F �16 �/6 07( No. Fee W / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Disposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5� In1�T�]C�C�� DlZIV Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 97;t'7 /7 .5-7 I/JA-T6kSe w + (Lc9 Installer's Name,Address,and Tel.No. 502- `4 77-$ 11 Designer's Name,Address and Tel.No.S A2-a-73-Q 3 7 7 Type of Building: f Dwelling No.of Bedrooms Lot Size f �!G sq.ft. Garbage Grinder( ) Other Type of Building 15((P&_)J'T i AL_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 gpd Plan Date 7•-;k -,-;L8(r Number of sheets ( Revision Date Title 57 w&-a7 L:fpc- � zj q c6�Ml.Kvle—Le Size of Septic Tank t f Oyp E�k-L-0 ^Type of S.A.S. Soo �;.� Ci4AA4 Description of Soil lV(�� -- C nr�e� ti S'ra(,,b nc. � go6p Se?- FLAiJ Nature of Repairs or Alterations(Answer when applicable) L)3g=_ j� �-(� ( �jp�y C-.gj4j 0dj C_ <14 s<!wt $ �?'b� —T' b e -- Z� c�A�c�c�0 r, 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 Compliance has been issued by this Board of H ned Date r l '-a o i Application Approved by Date Application Disapprove Date for the following reasons Permit No. �t' �7 I Date Issued Jet rjJ No.tom"'" 1V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:, �! PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plitation for Misposal 6pstem Coristruction Vertu Application for a Permit to Construct Repair up grade( Abandon i PP ( ) p (19g ( ) ( ) Complete System ❑Individual Components Location Address or Lot No. (� "��t 5 rP� dQ k� Owner's Name,Address,and Tel.No. / `V IGLW a►�J$JMABIE ACL`- f XAF J <4�� Assessor's Map/Parcel' "7/�� (, 5''7 W R'TOXSID&101P <J514-rG"I"9 Installer's Name,Address,and Tel.No. 502 44 77.$$'77 Designer's Name,Address and Tel.No.502-,A 73 Q3 77 d Ae6'&ol v Lam.N),r6w.4115 e, (.4,r�..�+ XC.. C-W:// 1 AI& =M C. L1 awl�'YaCaI Sl- !v( t5� si .112S4 GY6t/E�O_aRR. / dilSl GAAA !' Type of Building: Dwelling No.of Bedrooms 3 Lot Size I (v i l t sq.ft. Garbage Grinder( ) Other T e of Buildin f YP g t7 �T I mil. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided ,3 41-i gpd Plan Date -7-. '1-a 0((0 Number of sheets f Revision Date Title 5-7 W47E' cs rpr- ?>iu LjG "c T elfWG.A..0 Size of Septic Tank 1 000 E;4C-(-Q Type of S.A.S. �e� S•O� ��r'�C. C+4A^4 Description of Soil meb — c o.4 sg s wb oG��F' �� pV4Ij i Nature of Repairs or Alterations(Answer when applicable) US 9 15? -r(¢JG G,4-G-6KJ s 6p—•l Cr 7QW 1< 't'b W MA) P-A Q 6 -b©K "tom_() 5'00 Gam. 14-.26 C&404 I c 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 Compliance has been issued by this Board of Health. S'gnedi�C� Date F,... Application Approved by Date rC� Application Disapproves y Date for the following reasons Permit No.30(V 1 Date Issued kig&, q, r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system/Constructed( ) Repaired(x) Upgraded( ) Abandoned( )by NeMOI aG 6 JT8e P/l1&K at 5-7LC t 1 G LG has been constructed in�5 DC 1��. �'X)TF-•�LV accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. WG 7'91 dated ;?A17016 ,I Installer APGW DG Designer s C,7yj(;W IlJ C25&�;� #bedrooms Approved design flow gpd The issuance of this srhall not be construed as a guarantee that the system will unc iio a d ses igned. Date 'r f Inspector ') ,/(1 f 6- i t V �•... //�� ----------------- —--------- ---- ---------- No. I V r I Feeftff THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MiSposal *Pstrm Construction Vertu ' Permission is herebyranted to Construct Repair air g ( ) p (x) Upgrade( ) Abandon( ) System located at 5`7 WW7G1Z5L T)&C!S�E-Ayt C.L�— 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. Date 8/l / G�'O/E, Approved by • a)8/18/2016 03 :01 5082730367 y 4437I N. oui/uui o i1®IEI ;� Town of Barnstable Regulatory Services Richard V. Scali,Interim Director i UAM$rnt311.II, KASS, Public Health Division Thomas McKeon,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: SOS-790-6304 Installer& Aesiancr Certification Forrn Date: Sewage Permit# Z G l �^ P-�-1 Assessor's Map\Pareel Z Z 7 17 y f Designer: SG Cn mcutrt G_ Installer: Caetwwjc, �n4 ceciSr=S Address: 2 S 5 y GCan\oe«y Ili hwa 1 Address: 15 3 Ceram ecci A 54(ee,+. task Wafe�nuM NA az53 rtask(��e, }-(� 0 2 (0 y 9 !i On 2-'O 1 GQeeL,)icle_ C-O+LfQr[Se was issued a permit to install,a (date) (installer) septic system at 57 VJAerstde- DC" e based on a design drawn by (address) ii G Ern 1r1 aGc j n .n L, dated SuIZ Z9 , Z b( � (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component ith State & Local Regulations. Plan revision or of the septic system) but in accordance w certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. 1 certify that the system referenced above was construe nee with the terms of the IAA approval letters (if applicable) JOHN L U CHUR ILL JR. -, VIL 4(lstalley,Signat' e) N .41 7 9 q i signer's Signa j (Affix igne s St' mp Here) PL ASE RETUR TO BARNSTABLE PUBLIC HEA H D IS N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNT L BOTHIS FORM AND AS- BUILT CARD ARE RECEIVED RY TEE BARNSTABLE PUP C I EALTD.DY VISION. THANK YOU, Q:\Septic\Designer•Certification Form Rev 8.14-13.doe l it i i ■ � I j -31 QIvvwvlt.usps�6ornO Ir OFFICIAL USE, cO Certified Mail Fee Er Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopA $ ❑Return Receipt(electronic) $ / Postmark � ❑Certified Mall Restricted Delivery $ V�C Here ay C3 []Adult Signature Required $ 2? Adult Signature Restricted Delivery$ Cl Postage r%- $ �! r9 Total Postage and Fees spS Sent To Ln o 011Stret nd pt NPBo o.i�l1 Y�------------------- City,St ,ZIP 4® :r, r ,r rrr•,. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipiem's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides - for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which •Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specked ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent- with Certified Mail service.However,the purchase (not available at retail).. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on •For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy retum.receipt or an appropriate postage,and deposit the mailpiece. - electronic version.For a hardcopy return receipt, complete PS Form 3811.Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2o16(Reverse)PSN 7530-02-000-M7 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatu item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse_ X ❑Addressee so that we can return the card to you. B. Recei d b rin d Name) C. D e of livery ■ Attach this card to the back of the mailpiece, or on the front if space permits. � D. Is delivery address differeirt from item 1? ❑Ye 1. Article Addressed to: If YES,enter delivery address below: ❑No I Ann marry. )y t 14o per 5 Wjj-Ij�lrs1'd DrI V40 1 ce,� V�FI'e o. baf 3. S rvice Type I ) Certified Mail® ❑Priority Mail Express'" ❑Registered PPReturn Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery , 4. Restricted Delivery?(Extra Fee) ❑Yes 2. '`7015 1730 '0601 4989 0342 PS Form 3811,July 2013 Domestic Return Receipt UNITED S *S" �> o fage Raid • Sender: Please print your name, address, and ZIP+4®in this box* h Town of Barnstable i Oa Health Division 200 Main Street I — ! Hyannis, MA 02601 i ' I li i =. itllt�-'Dill: ;11t::1-"W 'flii'ii i 1 1V i it i� t� Eie`I �ll . I I Town of Barnstable Barnstable Regulatory Services Department U�ftedcaC j IA�IVSTABM 9q, b 9 ,� Public Health Division �fDNA 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO July 21, 2016 CERTIFIED MAIL# 7015 1730 0001 4989 0342 Ann Marie Kelly & Ian D. Carr 57 Waterside Drive Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 57 Waterside Drive, Centerville, MA was inspected on 06/29/2016 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 pit or cesspool with high liquid level,<12" below inlet (per Town Code 360-9.1) You are ordered to repair or replace the septic system within two (2)years from the date of this notification. You also have the option of tying into the current Title V System. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. =cKean, D OF HEALTH , Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\57 Waterside Drive Centerville.doe Town of Barnstable + BARNWABL6. Regulatory Services Department Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 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 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) Leaching pit or cesspool with high liquid level, <12" below inlet(per Town Code 360-9.1) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc L_ J ,9 Commonwealth of Massachusettsa� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 57 Waterside Dr ty Property Address M Ian Carr a, Owner Owner's Name information is ill t enerve ✓ MA 02632 6-29-16 required for every C w page. City/Town State Zip Code Date of Inspection t�D 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. General Information ! 1. Inspector: 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 I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Fu a Local Approving Authority 6-29-16 spector'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 is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. ' t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information js required fonevery Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ one or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3M 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this fort.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. CityfTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 5 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 6-2016Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City(rown State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner--pumped 6-2016 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance 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): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments „ 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 24"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: 4" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 0 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 15" 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. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is Centerville MA 02632 6-29-16 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 1" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box in good working order with water level at 1"above inlet invert. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was filled beyond capacity and into riser at inspection. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 66L C OF --D - t9 ,� 11 17_bL �C6 . ae�aanaa90i®��e.aas. Y T, f t 71 36 , 3 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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 ® ( g p perty/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. t5ins•3(13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts w v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 57 Waterside Dr Property Address Ian Carr Owner Owner's Name information is required for every Centerville MA 02632 6-29-16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Z Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstable . P I ro 113 Department of Regulatory Services narwar�►era F Public Health Division Date MAM t).2w 200 Main Street,Hyannis MA 02601 . . rill Date Scheduled Time Fee Pd._ ► Soil Suitability Assessment for Sewa a Disposal m . Performed By: M I Lk AP-1 P o m 1��� cz T, cs C - Witnessed By: �/1 1 (` LOCATION&.GENERAL INFORMATION -C Loeatlon Address Owner's Name NNs: M,gk#C- V--&" 57 L(AT&A5 lt6F o 4l o C���v r��� 4sA1 dqtr- Address 5 iz- -a-'P 1 c-c e— Assessor's Map/Parcel:` ®`X7 7 �e�tDG �+J c�2aQrs�S L-Lc- Engineer's Name Je �Nt�rtiJtil�l�t?� NEW CONS�TRULMfON REPAIR 11 /Telephbne# 50 2-73-0 .377 Lnnd Uso!I`{�71(.. r�r►����. ,P, y Slopes(96) D` b Surface Stones Distances from: Open Water Body ft Possible Wet•Area 2 150 ft Drinking Water Well 715 6 ft Dmlhage Way > ft Property Line __7_l_(_ft Other ft SI ETCH:(Street name,dimensions of lot,exact locations of test holes&pero tests,locate wetlands-in proximity to holes) PIA► kf wQ tl Parent material(geologic) Ot Ski Depth t0 Bedrock � Depth to Groundwater. Standing Water in Hole: J �. . D(/S Weeping from Pit Faea >1 a( Il T Estimated Seasonal High Oroundwnter 13 �S DETERMINATION FOR SEA ASONALMGIi WATER TABLE Method Used: Di `e G'f ()tS,e l(Va f1A�► 11 Depth Observed standing in obs.hole: In, Depth to soil mottles: In.- Dedth to weeping from aide of obs.hole: _ __ ___ In, Groundwater Adjuatment . Index Well•# Reading Date: Index Well level M_, Adj,•factor- Adj.Groundwater Level PERCOLATION TEST bate, Time— Observation Hole# Time at 9" Depth of Pero Timis At 6" Start Pro-soak Time 0 Time(9"-6") End Pro soak Set° Sot,, s1 i I 6� �ldreyey�;r�E �� Rate MIn./Inch Site Suitability Assessment: Sito Passed r es Site Fa11ed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 1001 of wetland,you must first notify the Barnstable Conselrvation Division at least one (I week prior to beginning. Q:%SEPTIMBRCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole Depth from Suit Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnuctum,Stoned;Boulders. o+slatency.%Xlravoll v(` 6`' -- -- �11'"��ii LaG�Y� Sand 1Dyi- 31d 3$i=-4 tt Loamy—sand. toY s/� 49 t J 13`il G MSOiu+» COArS�-Sunk d 5 ��6 oc DEEP OBSERVATION HOLE LOG Hole# d Depth from Sol]Horizon Soil Texture Soil Color Soil Other Surface(in.) +(USDA) (Munsell) Mottling (Structure,Stones,Boulders. V1`--�8t1 F1 1 1 ao A Loam -Sand 10 Yr 3/d n I'+ ao —4 L an,y--Sanj f0 Yr 5// 4 Grse�,nct A. 5 6 � tS� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soll Color Soll Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soll Color Boll Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consistency, Otilvill) Flood Insurance Rate Map: Above 500 year Mood boundary No— Yes Within 500 year boundary No, 1 Yes^. Within 100 year flood boundary No,Z Yes, Depth of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the soil absorption system? �S If not,what is the depth of naturally occurring pervious material?� .. Certification I certify that on 10-°�7'~.99 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trainin ,expertise a d ex nce described in 10 CMR 15.017. Datti Signature Q:�SgFri-NPBRCPORM.DOC r 1 Q Fns......:....... ........... ? THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..Town.... .. .............OF.Barnstable.......----------......----------..... Applira- ivit for Dhivasal Workii Tumitrnrtion ramit plication is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal Syst at: ............. )HYI XX ......cente r wine....AL................ Location-Address or Lot No. .......C.&P- icnsn--Realty....Trus-t---------------------------- 7.65 ...................... Owner Address ......S t e Ye:..L hel------••--------------------------------------------------•- ---••-•-------•--.....----••--•------.....--••----..... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) 'PL4-1 Other—Type of BuildingNo. of persons............................ Showers 2 — Cafeteria Otherfixtures ........--••-••-----•---••••-•-- ---•--••---•-•••---•-------------••-•••-••-------......••--••-•----•---••-•---•-•............._ W Design Flow........ ................................gallons per person per day. Total daily flow.._...._33a..............._...___._..__gallons. WSeptic Tank—Liquid'capacity.G().Q..gallons LengtlB!.611....... Widt14-!.1.Q!!... Diameter---------------- Depth5.!.$".._.. x Disposal Trench—No. .................... Width.................... Length.................... Total leaching area....................sq. ft. Seepage Pit N4................... Diameter....6............. Depth below inlet....6.1...._.__._. Total leaching area..2.66.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.-El-d edge.. xipineering..•_•..._.•.. Date...1.1_-2-5=81-------------- Test Pit No. 12.,0.......minutes per inch Depth of Test Pit..1.2'.......... Depth to ground watenorie---anaounter— Ti, Test Pit No. rl minutes per inch Depth of Test Pi p g e a �F A-------•- P P 1�� -A,-••--------- Depth to round water.-N/A_A______________ f11 .................................................................................................••.......................................... •----------- . 0 Description of Soil.........©•-'•...-.._... .!..........I-oa&--&.... GPS—G 1-------------------------------------------•---------------------------••--------------. U ----------------------------------------2-'.........10.........D.e dium...yel.l. w..sand---------•----•---•----••.......... ..... ---------------------------•- W ......................................1-0_'....-.__12_'___...med.---white--sa.rid,/trac.e.s---of--•gravellno---water...at..12 ' 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 TITL U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa health. Signed..hlnh ------- ................. .............................••. D e Application Approved By....... .0=---- --•. ............•---•-------•--•---•••--•-••------ 2 2. ---------- ate Application Disapproved for the following reasons:_...---••••-•-------•-••---...•-•---•---•---•---••-•-•--------•••-•------------•--------•-••-•---•___----•---•-- --------------••-•--•---•--...-•••-•-•---•••-•--•-----•--••--•---••-----------••--•-•---•----•.....--------••-••••----•-••-•--••----•-••---••-•-•-----•••••-•------------•--•••-•------.....••---••-•--- Date PermitNo................................................... .... Issued-........................................................ Date n. c S� I C No...� ._:...�.. Fps.. ........................ Y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _T.o.wn.... ..................OF.Barns.tabl.e..•.--------------.....------.....•--..............---•- Aphratinn for Disposal Workii (nnntrur#inn Wrmft Application is hereby made for a Permit to Construct ). or Repair ( ) an Individual Sewage Disposal Sys�n at•. T►lOtia ... )� - r@• A �F3 1�@ ..- - ........... Location-Address or Lot No. f ....... apric-oxn,...Raa1.t3r.... ruat...--•-------•-...--...-•-•- 7.65...Fal.maut,.Y -Road,..ayzxmiz--•----.......-•------- Owner Address ,Wa ------Stau@.,•-bsbal------------------------------------------------------------ .-..--.-.-...---------.•----•-•-----------. -.---•------•-••----.-..-..-•------•---•------.---. Installer Address Type of Building Size Lot............................Sq. feet .—I Dwelling—No. of Bedrooms_3........................................Expansion Attic ( ) Garbage Grinder ( ) aOther Type of Building ranch--------------- No. of persons............................ Showers (Z ) — Cafeteria ( ) � Other fixtures . W Design Flow.......55...............................gallons per person per day. Total daily flow-__----33a----------------------------gallons. WSeptic Tank—Liquid capacityl.00G..gallons Lengt$!_6!!........ Width!.j.G!!____ Diameter................ Depth.!$!!..._.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit N( .................... Diameter....6.!........... Depth below inlet---6!............ Total leaching area.Z6.&.......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..Eld_g4grg---En$inaar ,ng...•.......... Date-_11_- 2_5.-$1............... . Test Pit No. 12.,.0.......minutes per inch Depth of Test Pit.Z2 A........_.. Depth to ground wat%one---eneounte 0-4 40 Test Pit No. R/A..........minutes per inch Depth of Test Pij4/__A.............. Depth to ground water,j4/A............... ea P4 •••-•••••----•••---•--------••-•-•--•--.........•••••••••••••••-•...-•••.....••••-•••----•......................•-••-•-••••••-•-•-•••••.......•--...-••....-- O Description of Soil........4-!........2•'•--------•loam---&---tops-all........................................................................................... -••---•-•--••.............•----.........V........1.01......madlu-%--yellow--•sand------------------------------------------------------------------------------- UW --------------- ......................14-....----1-V ------Meer.----White—-Sri/tracers----©f... Fa-vel/ra,&---water=---at---12' Nature of Repairs or Alterations—Answer when applicable................................................................................................ -------------•-------------------------------------•--•-••-••••••••-••-••••••••----•••••••••---••••••--•--•-••••--•------•--•---•-••••------••••-•---•••--••------------•-•--••••••••=-••-•--•........ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance I3a been i su by the.b r of beer th. Signed' ----- ....._... ...----.... Date Application Approved B ... - = e�" �- ................................................ y ate Application Disapproved for the following reasons:......................................................-------•-----------------•-----------••••------•-•-•-••-- .........•-••••••••••••••••--••••...-••••-._.......••••••-••-•••••-••-•-•-•---••••-•-•••--••••.......••-•--•••••••••-••....:•----••-•-••••••••••-••---•-••-----•-•••-•••-•-----•••------•--••-......---- A Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /OF.. .......Town................... ....Barnatable............................................... Tatif irau of (911utViiantr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) b ---•--------------•--------•------------.----- ---...•...............-•--••......•---•----•-•--- y- �tE'tre•-i�eke'3----------------------------------------•------------- -------...-- Installer at--------Lot---#...8-_Water_aide---I)r=-•-----------------------------•---------------------- ------Ge-n-terV44-ke-;---MA has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the' application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE :�.�... ...... --•-------- Inspector........_{1 .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH us �—t f tt — �. c ,o .........................OF...Barns�tabl.e........_...-•-•• ........... � � � - No. ....... FEE......... c. ..-- MoVasttl Workii Tonstrttrtinn rruttt Permission is hereby granted................Steve"L-ebel---------------------------------------------------------------------------------------------- to Construct .� ) or Repair ( } an Individual Sewage Disposal System at No. l;rst" ..$ Vat@rs c a D .................................--------strAEPn �- =---------CentarVi-1ie•;..-NSA as shown on the application for Disposal Works Construction Permit __ wz._,.. Dated......... _ ................ . ------...-••••••-••.-•-•- I DATE................ .....................................-----• Board of Health FORM 1255 A. M. ULKIN INC., BOSTON r _o11 r.i _, N B 3 ' 33 37 o N g 30 5 Ip Lof LoT lo g-7 I In /5 Qj , p t i v91v -o Ni _ 99 e 9�,0 6r as t D iaoo SAL I \ c \00 IV w Opt 90 7 q p�✓E��E^ /SOoO SF .M,N 9 ><� E or q JOO' Mi v MIDTH s DRIVE 201,0110 H/v S$ ATE I� (50, PH WEI ERG 6 O i • At ENS LEGEND EXISTING SPOT ELEVATION Ox0 Yy;>�,44 `'' CERTIFIED PLOT PLAN s: ,.r ;, EXISTING CONTOUR ——— 0 - - - FINISHED SPOT ELEVATION 0 0 L-rg W g--�rpE 172 CE,.rrEjZV/LLE FINISHED CONTOUR 0 : t ,� E�� IN APPROVED - BOARD OF HEALTH 4 DATE AGENT Yr SCALE= / 30 ' DATE :FE>3 pf 235 L®REOGE ENGINEERING CO. IN x _ CLIENT FRf�IVGIS I' CERTIFY THAT THE PROPOSED EGISTERE [!REGISTERED f3ra�22 CIVIL LAND JOB NO. BUILDING SHOWN ON THIS PLAN DR.BY ADD CONFORMS TO THE ZONING LAWS ENGINEER URVEYOR OF BARNSTAB E MAS 712 MAIN STREET CH. BY: �6LjhC�J" HYANNIS, MASS. 1 SHEET— OF 2 fiE `REG. LAND SURVEYOR 20 FT. M//V. /1(OTE /F lel7-'/L'R THE SEPT/C 7-AA0W OR LEACN//VG Z>/T ARE MORE TNA oV /I"QFLOlV M/N. GRAOE� A 24"O/AM ETER CONC.t.rT,l= COP�EE SHALL B.E BI?DUGHT TO GRAL�E.�AY44-rRA M/N. '} CONCRCTE 4~P P/ Ne-4Vy CAST /IPO/Y COV�I? SHALL @,� USE.fO COVERS PITCH �.••. /B•PER FT. I F/N DR/✓El•VA Y 2% MiN. CONCRL TE 01 _ Q AnE CO N,E.4 CLEAN .SA NO OACXF/LL L/QU/D LEVEL I a� SCHEO Ms 40 ? - Z'LAYER 'P K f. 'PIPE GAL o . o •~► / _J :b M/N.PITGN / •_ 1 • • . • • r r r e • QF /e �8 1/4'Ptit IT. S.EPT/C TANK rYASHFD'STi�NE '`` BOX • + • • • . , 1 1 •EFFECTrVl' '. * • + 314'- _ • •• • + • • 01QPT!/ • • + ' • • o WASREO STONE • a. • + • • • • • • • r ► ••r PRECAST S. jMoC E 1AIMCKr ELEVAT/DNS 2-26x 2--s = 56.5 • a • •. • • . • • • • o P/7 OR E UIV• /NY,ERT AT QU/LD/NG 13-S FT M PI ?. INLET' SEPT/C r.4,vK 93 .3 FT, G 7 8 GAL PER DRY �T O/i4 M. ^ C(SEE 7�lBvt..4 Tl oN> Ol/7LET SEPT/C TANK 3'� FT. /NLET D/STR/13!?/ON BOX 2 FT GROUND X44 rCA TABLE SECT/O/V 4 F Ot/TLETD/STR/BtIT/ON BOX 2.-7 FT /MUST LEACHIMCW P/T o.o FT. SEWAGE 0/S/o4SA L SY.S7W," �AQVLATION , LEACH/NG P/T DRSICA' Cfl/TENIA -SCALE : %4'. _ /=o' oIMEN3/ON A 4 s ITT. D/ME/YS/o N B 6 -FT. NUMBER OF AED+ROOMS D/M!•NS/ON G 4 FT M►N GARCAGED/SPO.SAL UN/T-Hd^-,C SO/1- LOG TOTAL �1"T/NNTED FLO<'S/-G.4L.1DAY SO/L TEST Af/ SO/L 72FS7-*z SO/L TEST NUMBER OF te`ACII/Nl"• P/TS 1 fFtEy, 91-7 E,cEy, pATE OF JO/L TEST �� �4I� �S S/DE A.&ACH//VG /PER P/T 2 2-G � F7. D-2f RESULTS 1V/T/VESS•ED dYJ�ONLotil, fZ.Firas 400TTOM L64CH/NO PER P/T l l 3 S4. A / ("AM - sassol, ALiwACOLAT/ON /IATIF AE/ O+S /y//K//NCH 707i1L LEACH/NG AREA -332 SQ. FT. PIEJ�tCOLAT/oNR.4TE�2 '! MI�V�/NCH R ESERYE LB4CH/N6 AiQEA 3 3 9 SQ. F T. 2 i • w i'cl OF N MEDIUM v^• F,. -f' LI v:`o I �f _!/l+t C_EIVTLiLV►LLL No.366 0 ' 4JFL DREDGZ ENG//V6VR1A1* C4=lMC- �,' .,; ;e,• �{ ���FSS ISTE�G��a%� �LEv 7�7 7t2 MAIN ST.� HYANN/9, MASS. I�NALENi ® WOG/tOUND YY,4TER EJVCOCIA/TEREO QL/ENT: ):-R►9n.Ie DsITE:FEa IS $S r`r1 �7 GM U/YO N/•4TER itT ELEi! J09 AIO. / t i-OCAT eON SEWAGE PERMIT NO. VILLAGE INSTALL,.E-R'S NAM ADDRESS J o Gw, 5 e UILDE,R7�' OR OWN ER T ` plylt e-F A�2f�" DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7 �� /I hZ 12 h t FINISH GRADE OVER D-BOX= 99.0'± PROP.VENT WITH CHARCOAL FILTER TO ABOVE GRADE GENERAL NOTE T.O.F. EL.= 98.$ ± FINISH GRADE OVER CHAMBERS= 97.$' - 99.$' 314"TO 1-1/2" DOUBLE WASHED PROVIDE EXTENSION RISER r--REMOVABLE WATER SLOPE @ 2% MIN. OVER SYSTEM STONE TO CROWN OF PIPE TIGHT COVER OVER 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE FINISH GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL OUTLET TO WITHIN 6"OF F.G. MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) N OF 1/8"TO XTI DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 97•9±' F.G. OVER TANK EL. = 98.2 ± 5"DIA. OUTLET(S) STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PLACE RISERS ON ALL DESIGN ENGINEER. PROPOSED 4" 3.8'MAX 5.70'MAX TOP OF SAS= 94.6' CHAMBERS WITH ---- SCH. O PVC 4" PVC TEE- I SEE NOTE 22 93.6 SEE NOTE 22 _ \ T^' ^r ' 3• 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL i 1,NLE i rIrCA �v 6" Or I SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE BREAKOUT EL- 94.1' lei= FINISHED GRADE " _ . 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3" DROP MAX L_8 ± � ELEVATION =94.10' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A i 2"DROP MIN 3 9 MIN SLOPE�,, PROVIDE WATERTIGHT o 0 -� .���JOINTS (TYP.) +t 13" 4' PVC IN FROM _ o o O 0 40 MIL GE IS NOT ES LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF CONTRACTOR TO PROVIDE 14" SEPTIC TANK 4" PVC OUT TO THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SPECIFIED DROP BETWEEN t0- LEACHING FACILITY �,00 ��------{{ f---, �--� o o (� J , 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. INLET AND OUTLET op 1�1 0 U L� Q o o U L--1 L_ J L-J 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR CONTRACTOR SHALL OUTLET TEE 94.3' MIN. 94.13' 2 0 o 0 0 o0 SHALL VERIFY SIZE 48" VERIFY CONDITION OF \ oDo 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE o o a C> FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY o� NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE I AND DESIGN ENGINEER. 3 4.0' 8.5' (TYP) ! 4.0' ' � 4.0 4.83' � 4.0 8. ELEVATIONS BASED ON AN ASSUMED DATUM. BENCHMARK ELEVATION OF 100.0' OUTLET DISTRIBUTION BOX TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) ESTABLISHED ON A NAIL SET IN PAVEMENT,AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 86.6' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 91 •6 12.83' THROUGH DIG SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON H-20 i,rir-►VlLjERc: 5'MIN. CHA(�';_._ _ , END VIEW 1 888--DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES o TION VIEW TO THE DESIGN ENGINEER. CROSS SE `CONTRACTOR TO VERIFY EXISTING SEPTI�` � m � ''` �ROFI LL ' _r I TYPICAL CHAMBER PROFILE H-20 CH z:. -' DETAILS ELEVATION PRIOR TO ANY WORK & H-20 D i O i + r i O L lu DETAIL �" ' "n'� ' NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. _ -- --- ---, -- T_ - - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING ^�- NOTES: I� - h •r �. _rEST PIT DATA REGULATIONS. EGULA I ATE AUTHORITY.OPLICANT IS TO OBTAIN SUCH DETERMINATION FROM � . !! •;'• a ' rt •• •• • t:• PERC NO. 15113 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH ?J' '�' `'~wC ••• ` �' • •� \ ' •�� INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H 10 LOADING UNLESS LOCATED SEPTIC SYSTEM COMPONENT. • ,. , . t • UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR Ile ;1�•. :. . ., '- � EVALUATOR: Michael Pimentel, EIT, CSE •, . WAYS IN WHICH CASE THEY SHALL WITHSTAND H 20LOADING. • w� • , *. ,.• TRAVELED W 2.} CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE berry �� , •! C.S.E. APPROVAL DATE: Oct. 1999 13, DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. ! PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA pg •"�' :) •f, �. ,• •t •E Jul 20,2016 • SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF • �=-==*�;�, ,. (,. � I DATE: Y :Cen�p p Cj I( 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. TEST PIT*I f .. - �`,,,,� � a ,,� � •,� .�} � •,: MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. !I �_ ELEV TOP= 97.6' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS ONLY. pi�• ice') „ �.��. ��,; r FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). B.M. \\ r . . < 86.60' ' !.•/ �' ♦ �• 4 ELEV WATER= Nail in Pavement I ;/1� { %� ' ,art c 1` } • ` �- • • 15, CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN Elev. = 100.00' • • • ` • ` .V • ,z�`nl w ��, �, • �" � PERC RATE = SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. (Assumed) d �� �. .(�• �. I N / e+.�� L �.� f'f DEPTH OF PERC= 16. PROPOSED PROJECT IS LOCATED WITHIN: APPROX. WATERLINE LOCATION BASED N • • �� DRIVE WATERSIDE 3 ON WATER TIE CARD DATED 7 10 85 M • � �4 ;�� � , •�� ASSESSOR'S MAP 227 LOT 174 (5t?'WIDE LAYOUT) \ � Z �, � y0 TEXTURAL CLASS. 1 . `:1jf� .�� �`' OWNER OF RECORD: ANN MARIE KELLY & IAN D. CARR EDGE OF PAVEMENT 't'a • . i « F ,�''�• # 39 .;-'• } p" 97.60' ADDRESS: 57 WATERSIDE DRIVE CENTERVILLE, MA 02632 ROPOSED VENT W/ \ ` . . 1 � � . •• � r� � I � 1 Fill FEMA FLOOD ZONE X EXISTING UNDERGROUND .---� CHARCOAL FILTER p 3 f �. i. `` II /� � • �•�---=� --` �t � COMMUNITY PANEL# 25001 C0564J UTILITY BOXES ~ - RO. OSED J '� INSPECTION ` < IJ .• j t ". 36" 94.60' 17. DEED REFERENCE: L.C.C. 185792 ( PORK / 12=43 .21 LOC S=76.21 / • ; � , ` i Loamy Sand 18. PLAN REFERENCE: L.C. PLAN No. 32290-E �g6� "// -"" '' -` 38 94 43 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. / 10Yr 3/2 R=313.04 ONLY L= 5.52 / `� ` Loamy Sand APPROXIMATE. THIS PLAN IS TO BE USED ON !Z /' "� .•! ;\•, • Crai„ ville:, B 20 PROPERTY LINE INFORMATION !S ONLY ,�-• - 10Yr 5 6 OTHER THAN ITS INTENDED $ / ( - , • S / FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN O PURPOSE. BE PUMPED & REMOVE I I :r, s BUSH (TYP) r \ . L8T1C�t#rt$ ACCORDANCE WITH TITLE 5 / 6 OAK • ��!' t • --°_"� 21 A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A t f (3) / ' • :'• *;.' � } ~~ {``` DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A FO 25 OAK ` 1� �zz, • Med. Coarse Sand � / 9 n c REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. C 2.5Y 6/6 (Loose) 22. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE ROPOSED 2 500 GALLON �Q("� C P /\ (� APPROVALS ARE REQUESTED FROM 310 CMR 15.221 (7): PROPOSED H 20 (2) ^ / / H 20 LEACHING CHAMBERS LOCUS PLAN�j (1.) A 2.70'WAIVER(3.00'-5.70') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY DISTRIBUTION BOX 12 / WITH AGGREGATE - (2.) A 0.80'WAIVER (3.00'- 3.80') FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. --- r' SCALE: 1" - 1000' 132" 86.60' OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL .. � 23. No Mottling, Standing or Weeping Observed REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. TO BE ABANDONED © 4) TEST PIT DATA LEGEND A 1(),9. PAVED-DRIVEWAY / PERC NO. 15113 P .. f TP 1 ' I �g x50.0' EXISTING SPOT GRADE INSPECTOR: David W. Stanton, R.S. `� /� NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, EIT,CSE 50 - EXISTING CONTOUR r Y3 97x6' / / DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE: Oct. 1999 1 / ` TOTAL DESIGN FLOW 330 GAUDAY DATE: July 20,2016 -�- 50 PROPOSED CONTOUR I ( ) 50 PROPOSED SPOT GRADE I TEST PIT#: 2 EXISTING 1,000 GAL, �� �', / ! DESIGN FLOW x 200 % = 660 GAL/DAY SEPTIC TA"'u EXISTING GAS LINE TO BE UTIL j USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 98.3' IN THE DE; ._:. r /' / / ' ELEV WATER= < 87.30' _--- , EXISTING UNDERGROUND UTILITIES BUSH LI�`r rT-�. � / / PERC RATE _ '2 min/in W EXISTING WATER LINE BUSH LIN J INSTALL 2 - 500 GALLON H- 20 CHAMBERS DEPTH OF PERC= 48"-66" HC1 ;; Y' \ / w/ AGGREGATE �� TEST PIT LOCATION TEXTURAL CLASS: 1 / SIDEWALL CAPACITY C2 SIDES) 2' HIGH 0.74 GPDlS.F. = GAUDAY / yEXISTING 1,000 GALLON SEPTIC TANK (LENGTH WIDTH) ( ( ) ( ) EXISTING i (25.0' + 12.83') (2) (2') (0.74 GPD/S.F.) = 112.0 GAUDAY 1 MAP 207 3 BEDROOM 0" 98.30' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE LOT 160 �, DWELLING x BOTTOM CAPACITY p PROPOSED H-20 DISTRIBUTION BOX TOF = 98.8'± Q (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAL/DAY Fill HIMNEY / GARAGE (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAL/DAY 1_.�.�- 1 PROPOSED 500 GALLON H-20 LEACHING CHAMBER 18" 96.80' TOTALS: A Loamy Sand REV. DATE BY APP'D. DESCRIPTION TOTAL NUMBER OF CHAMBERS 2 10Yr 3/2 MAP 227 TOTAL LEACHING AREA 472.2 SQ.FT. 20„ Loamy Sand 96.63' PROPOSED SEPTIC SYSTEM UPGRADE ' TOTAL LEACHING CAPACITY 349.4 GAL./DAY B 10Yr 516 a`►����A LOT 173 PREPARED FOR: 48 Perc i , l% Jo L CAPEWIDE ENTERPRISES 66 CHUB li i I► N r N Med.-Coarse Sand ! co 66 LOCATED AT c`ov C 2.5Y 6/6 (Loose} ''r� F �/�` MAP 227 �' CENTERVI57 RLEDMA 012 32 CO LOT 174 CO 18,611 S.F. t SWING-TIES SCALE: 1 INCH = 10 FT. DATE: JULY 29, 2016 132" 87 30' ��( 0 5 10 20 40 FEET HCA HC-2 No Mottling, Standing or Weeping Observed DESCRIPTION '�� . '` CORNER OF STONE(1) 23.1' 26.0' ' PER PERC TEST PERFORMED BY ,�H 1. PREPARED BY: RESERVED FOR BOARD OF HEALTH USE ELDREDGE ENGINEERING ON 11-25-81 CHURC i�LJR- �. JC ENGINEERING, INC. CORNER OF STONE (2) 31.7' 51.0' (PERC No. P85-191ON RECORD WITH qIL 2854 CRANBERRY HIGHWAY CORNER OF STONE (3) 41.9' 52.8' BARNSTABLE BOARD OF HEALTH} , TF EAST WAREHAM, MA 02538 rEtfftzlt SITE PLAN CORNER OF STONE(4) 35.9' 29.4' 508.273.0377 ! 'ZOJIt Drawn By. CJM Designed By CJM Checked By- JLC JOB No. 3558 SCALE: 1"= 10'