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Home My WebLink About0216 PLEASANT PINES AVE - Health 216 PLEASANT PINES AVE Centerville A= 234 -070 SMEAD KEEPING YOU ORGANIZED No. 12534 2-153L OR SUSTAINABLE ESSMY MIN.RECYCLED INITIATIVE CONTENT 10 0 c.rVioafiherSourcing POST-CONSUMER Www.snpro0nm.orp Vw1m MADE IN USA GET ORGANIZED AT SMEAD.COM Town of Barnstable Barnstable UAn Regulatory Services Department `cap j angtvsrAaM MASS. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4990 5640 July 23, 2018 MARKEY, WM JR& PICKETT, CM & KEOGH, P M 154 BOSTON POST RD WAYLAND, MA 01778 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 216 Pleasant Pines Ave, Centerville, MA was inspected on 07/16/2018 by James D. Sears, 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: • Single Cesspool. You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thom ean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\216 Pleasant Pines Ave Centerville.doc Town of Barnstable BARNWABM ' A,111, Regulatory Services Department prf8 MA'I a 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 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 Jul 17, 2018 2224 HP Fax page 21 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Pleasant Pines Ave co Property Address William Markey Jr Owner Owner's Name u information is Centerville MA 02632 7-16-18 r. required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms S/�' �31((L' �p,u►lurnrgh� on the computer, 1 110a Of 'Ifi use only the tab o'��'tH sS key to move your 1 Inspector: �a� cursor-do not James D.Searsuse . JAMES key.the return Name of Inspector =v; SEARS y Capewide Enterprises Company Name �•� lR7jF� Q`p _I 153 Commercial Street 9�� 5'I N Company Address Mashpee MA 02649 Cityrrown State Zip Code 5084177-8877 S1623 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 Further Evaluation by the Local Approving Authority L�V� �z 7-16-18 pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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. l5ins.doc•rev.6116 Title 5 011•idal Inspection Forth:Subsurface Sewage Disposal Systam•Page/of 17 r Jul 17, 2018 2225 HP Fax page 22 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is required or every very Centerville MA 02632 7-16-18 page. CityfTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E 1 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 15.3D4 exist. Any failure criteria not evaluated are indicated below. Comments: Failed -Single ool. Failed Barn B.O.H. Reg The system is a single block pool 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.doo•rev.6116 Title 5 OfWEd Inspection Form:Subsurface Sewage Disposed System-Page 2 of 17 Jul 17, 2018 2225 HP Fax page 23 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner owner's Name information is required for every Centerville MA 02632 7-16-18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (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 ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (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.Coc•rev.6/16 Title 5 Official Inspection Form:Subsurface sews a ai pet p sposal System•Pape 3 of 17 Jul 17 2018 2226 HP Fax page 24 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is Centerville MA 02632 7-16.18 required for every page. Cityrrown 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 coiiform 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 '/day flow t5lns.6oc•rev.6116 Title 5 Official Inspection Form:Subuesf a Sewage Disposal System•Page 4 of 17 Jul 17, 2018 22:27 HP Fax page 25 Commonwealth of Massachusetts : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information Is required for every Centerville MA 02632 7-16-18 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 pi*s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000 d- ❑ Y r9 9 p 10 00 d. 09p ® ❑ The system fift. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes' in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304, The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurfece Sewage Disposal System-Page 5 or 17 Jul 17. 2018 22:27 HP Fax page 26 `y Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 215 Pleasant Pines Ave Property Address _William Markey Jr Owner Owner's Name information is required for every Centerville MA 02632 7-16-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? Y ❑ ® 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 manholes uncovered, opened, and the interior inspected for the condition of the 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 om ❑ ® Existing information. For example, a plan at the Hoard 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): NA Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins.tloc-rev.5/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 1 T I_ Jul 17. 2018 2228 HP Fax page 27 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is Centerville MA 02632 7-16-18 required for every page City/TomState Zip Code Date of Inspection D. System Information Description: Single Block Pool. 0 Number of current residents: 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 2016-5,000Ga1's Water meter readings, if available (last 2 years usage(gpd)): 2017-4,OOOGaI's Detail: Sump pump? ❑ Yes ® No NA Last date of occupancy: Date CommerclaUlndustrial Flow Conditions: Type of Establishment* Design flow(based on 310 CMR 15.203): Gallons per day(god) Basis of design flow(seatslpersonslsq.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.doc•rev.6116 Title 5 Official kspection Form,Subsurface Sewage Dleposa System•Page 7 of 17 Jul 17. 2018 2228 HP Fax page 28 c � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is Centerville MA 02632 7-16-18 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancyluse: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the IlA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 f Jul 17. 2018 2229 HP Fax page 29 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 216 Pleasant Pines Ave u Property Address William Markey Jr Owner Owner's Name information Is required for every Centerville MA 02632 7-16-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont,) Approximate age of all components,date installed (if known)and source of information: 50 + Years. Were sewage odors detected when arriving at the site? ❑ Yes ® No Buliding Sewer (locate on site plan): 2' Depth below grade: 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.): Clay pipeing Septic Tank(locate on site plan): Depth below grade: foist ;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: Sludge depth: 15ins.doc-rev.6116 Tille 5 official Inspection Form:Subsur ace Swage Disposal System-Page 9 of U Jul 17. 2018 2229 HP Fax page 30 Commonwealth of Massachusetts Official Inspection Form � Title 5 p Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owners Name information is Centerville MA 02632 7-16-18 required for every State Zip Code Date of Inspection page Cityfiown D. System Information (coat.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 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.doo•rev,6116 Title 5 Official lispection Form:Subsurface Sewage Disposal System-Pepe 10 of 17 Jul 17 2018 22,30 HP Fax page 31 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address _William Markey Jr - Owner Owner's Name information is required for every Centerville MA 02632 7-16-1 8 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) 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.doc-rov.Gilts Title 5 Ofrs:iai Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Jul 17. 2018 22:30 HP Fax page 32 Commonwealth of Massachusetts _ Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner owner's Name information is required for every Centerville MA 02632 7-16-18 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 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.): 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.doc.rev,WE Title 5 Official Inspection Form:Subsurface Sewage Disposal System Pape 12 of 17 Jul 17. 2018 22:30 HP Fax page 33 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments kv�rww 216 Pleasant Pines Ave Property Address William Marks Jr Owner Owner's Name information is required for every Centerville MA 02632 7-15-18 page. Zay/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ 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.): ^AiN Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert Dry Depth of solids layer Dry Depth of scum layer Dry Dimensions of cesspool T-8 Deep Materials of construction Block Indication of groundwater inflow ❑ Yes ® No tSins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Jul 17 2018 22:31 HP Fax page 34 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments j' 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is required for every Centerville MA 02632 7-16-18 page. CitylTown 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.): T-8" Deep Block pool Pool is dry w/steel cover at grade. One line in w/no tee. No outlet's. 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.): 151ns.doc•rev.6/18 TO 5 Official Inspection Form:Subsurface Sewage Disposal Syslem-Page U of 17 Jul 17 2018 22:31 HP Fax page 35 Commonwealth of Massachusetts Title 5 Official Inspection Form } Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owner's Name information is required for every Centerville MA 02632 7-16-18 page. Cityrrown 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 iI R l5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 17 Jul 17, 2018 22:31 HP Fax page 36 <C�°x Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 216 Pleasant Pines Ave Property Address William Markey Jr Owner owners Name information is required for every Centerville MA 02632 7-16-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells NO Estimated depth torh ground water 20'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Lot High from road. and high from across road. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ina.doc•rev.8116 Title 5 Official Inspectm Form:Subsurface Sewage Disposal System•Page 16 of 17 Jul 17 2018 22,31 HP Fax page 37 Commonwealth of Massachusetts Title 5 official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v� 216 Pleasant Pines Ave Property Address William Markey Jr Owner Owners Name information is required for every Centerville MA 02632 7-16-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc rev.W6 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE Q ? f LOCATION 216 Pleo&L4 P1h6 AY SEWAGE# 10 VILLAGE cen erV11C, ASSESSOR'S MAP&PARCEL �L34 r 070 INSTALLER'S NAME&PHONE NO. :TOhn 6n,6n 9()9'-71G-f1G3 SEPTIC TANK CAPACITY &0 9v� LEACHING FACILITY-(type) L'eCx(;bi*G6.Mb&f (size) CG9 !apk NO.OF BEDROOMS OWNER pb n Vie 612 PERMIT DATE: 12.{A01 lQ COMPLIANCE DATE: I q 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 A1 Al Ilq" A3 ` � S 30 �' 3y o" 183 V 31 „ Q3 Rv4 as Ig 7 No.-40? ;5 1 FEE' COMWONWEALT114 OF MASSACHUSETTS Bortiid of Fleulth, V0GM S+r1\�1 e MA. APPLICATION FOR Dl�_P L SYSTEM CONSTRUCTION PERMIT Application for Permit to Construct Repair( �Upgrade,K Abandon Complete System O Individual Components onents 1j"I Location 2.1 Y beGSq�-� - �, P��S aY 2, Owner's Name- Map/Parcel# �?�C{�,47� Address V78 A-Y►itick64_Vl'At R�,Jk 1(_ wke"AL Lot# Telephone# ®•(j'2, --,?9-0 MIN OZ( tit. Installer's Name Cylao W -'CCpvG} fn Designer's Name �n c� F�ems.=- ''W-orNs 1r.� Address �o-1-Kt C_L ep}- fZ u vwck tA IA Address,`-7 V-J t C_<WSAF_ 1,e Telephone# �B�-7 Z (� QQ(� OZ.s5 3 Telephone# 5_U2'-4-77--5-3 13 Nicq OZ644 Type of Building Sic>R O� ��f hot Size sq.ft. Dwelling-No..of Bedrooms 05Garbage grinder ( ) Other.-Tvpe of Building /J//� No.of persons Showers O Cafeteria Other Fixtures Al/A pp Design Flow (min.required) 7�37z 0 gpd Calculated:design flow Design flow provided gpd Plan: Date I Number of sheets Z. Revision Date Title P��o�c�1 pep�-�l`c sFe;M U e -zxA to , `?J G Ge_l J<r-`('(1-e M-A Description of Soil(s) Lanny �9y►atsf sid' Se:,- -501C E�'A L F-Q/LM it lS'9S Soil Evaluator Form No. Narne of.Soil Evaluator D� &4" Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS 6 M,0 Le Le S jjkr'r'1 15-00. 6k( 2- G�jegll1-IKA,+-k"4 cry o�cl 3 6-C ckttyh Ltd w/ 41 Sf-or The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrtees, � , lace the system in operation until a Certificate ofC&npliadce has been issued by the Board of Health. Signed i t. Date l L U l .l /.F Inspections No. �l/ � ltfL/ y �.. FEE J COMMO WFAITH OF MASSACHUSETTS K. Board of f 4alth, 1 {'�S-}-�� ' MA, APPI ATION OR, D1070 ,L SYSTEM CONSTRUCTION PERMIT A,,olication for a,Permit to Construct( ') Repair( Upg ade�)t,� AbandonO - 7 Complete System 0 Individual Components is -:.- Location 'Z,` [� 1s�.GS�tv1 F- yes a Owner's Name on 1,a1� Map/Parcel# 2 4. 6 70 Address l'7$ A.vtvt 0%!V 4 V%. Lot# Telephone##5-0 Installer's Name GrJ0YV 3 ryt«40�� Designer's Name �� 11w i U��s ire Address Address 30� IL4,Z4. r? u r `. K4ACI w►Ll% A i"t 12 W t C�c, dCA lLcl y, Telephone# S-O,?--7-7 (6 -- �`t G _' QZS-b3 Telephone# SV$-4-7"7 --,5-3 1-3 M(A OZ644 Type of Building 12-c Sis e to dvl Lot Size V,L// 3 sq.ft. Dwelling-No.of Bedrooms _ Garbage grinder ( ) Other-Type of Building Iy,l A No.of persons Showers ( ),Cafeteria{ ). Other Fixtures W 1AQr Design Flow (min,required) '7`4 c) gpd i Calculated design flow ?.7 0 Design flow provided gpd Plan: Date 12/�J l Number of sheets ?_ Revision Date Title prd'4Q.SC.r.jSoo:WC 5'cF-0.4'11l.oa�tcl� ��c,�„ 21G cJGS�,vtf-rl��,.ry S Ave. e�" Kri li,t 1qA Description of Soil(s) /ea H w srI+t S rA NrjI S-ele- sni c E7J A L_ ,-A/Z.M ja Soil Evaluator Form No. Name of.Soil Evaluator Date of Evaluation 10I Z.-1 i? DESCRIPTION OF REPAIRS OR ALTERATIONS,Ca M,!F j 2� S�,c�c,M /5-00 t t-4 < tl ie f /1—d -1r,r"'7 bS.J rrA.( r[,it 9 t,14 U-lf_r 6 A?/ 4 St'w-'o, f The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agryeestto ot-to place the system in operation until,a Certificate/of C innplia/rice has been issued by the Board of Health. Sighed/ t�� `"�/�� r {I 'r ,.� Date ! �L1 ! /P Insp ections 1 ,! . No. �Fo�l! 28/T �. '> FEE COMMONWEALTH Off' MASSACHUSETTS Board of Health, &.1 6 Le MA. CERTIFICATE Of COMPLIANCE Description of Work: 0 Individual Component(s) ®-Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at 2.1 �f e ct S c,v►+ ;A-1 Q A �w C��a h'r✓.`!C has been installed.in accordance with the provisions of 31.0 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No;,-k/k 1 3 FA , dated 1 Q)—l-J)� ; Approved Design Flow 'Re�) (gpd) Installer Designer: Inspector' _-. Date: The issuance of this permit shall not be construed as a guarantee that the system will function-as designed. No. tJlr� J> t FEE COMMONW ILTH Of MASSACHUS ETTS Board of Health, �3cer+,.jf-C�L, l C, MA. DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permission is hereby,granted to; Construct( ) Repair( ) Upgrade(1C)_ Abandon( ) an individual sewage disposal system at 4-4rJ JLP, as described in.the.application for _ I ) Disposal'System Construction Permit Noy, W t— ; dated Provided: Construction shall be completed within three years of the date-ofth�is per'' t_All local conditions must be met. Form 1255 Rev.5/96 A M.Sulkin Co.Chadestown,MA Date k l�o)) g/) v Board of Healtl'1'�..__- _ ) Town of Barnstable of t„e r Regulatory Services Richard V. Scali,.Interim Director BARNSTABM I 90o b 9 �� , Public Health Division ArFDMO Thomas McKean,Director 200 Main.Street,Hyannis,MA 0260.1 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form r Date: ` i ` � Sewage Permit# Assessor's Map\Parcel �� _��~7 �' i Pc-+e* N c (A-If Designer: ;Y+��r;n� (,kjaY,-Ik5 iVIC, Installer: G,kJ_A &vltC (5 Cam. c 42e+�J J . Address: )Z V1 CrbssP Id tZ�4 Address: - trJx[e;MA 6z6yyK, y 0 On 2 2 g (. r f� �Ti't}� C,�'-C--O�-- NI.sued a permit to install a. (dat ) (installer) / septic system at Z 1 .Cs_I-N 0,,., t ,.✓�S) /4' `� 'bscd on a design drawn by (address) art 2ert'rt� 4'Ucs:�LCs,Jk( dated (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 of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in with the terms of approval letters(if applicable) h Fi staller's Signature) " CNtu 140.35109 Rf0lSSE�IV (Designer's Signature) (Affix Design e ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTA.BLE PUBLIC HEALTH DIVISION. THANK YOU. Q',Sepiic-Dasigner Certification Form Rev 3-14-13.doc Engineers note:This certification is limited to an as-built inspection of system components as installed prior to bacidill.The engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backtilling to specified grades with proper compaction and setting risers/covers as shown on the design plan. • } f• .. I,. ., y tip' I ' u r •s, ijri�•. f �.� � �f. t r k • AN k � , th 0 �J4Ii41p •+r'i�l � 4 - F okk ' y 1 l r � ,��r '�, _I Town of Barnstable P# l god C) Department of Regulatory Services Q Public Health Division HateMAft I 200 an street,Hyannis MA. 02601 rEn►�'t'a "CD A) 8" z 1� Date Sc,lieduled Tiine--f Fee Pd. i U Foil Suitability 1Assessment for ,Se e 1)rspo,sai r'".' Performed By: �e 0 �G�✓l�Q s��Z- Witnessed By:_ LOCATION& GENERAL INFORMATION Location Address Z �(A VeotSCt1l} P��e S AVe— Owner's Name _> a.\Alcl b Address 1.7F AYVAa,L9�e Assessor's Map/Parcel: Engineer's Name �vl NEW CONSTRUCTION 1REPAIR x Telephone# ��0 Vi—T�—� 0 Land Use: es t�'1—�C� Slopes(ryo) If Surface Stones Distances from: Open Water Body �Z( ^ 'ft Possible Wet Area. 3czj ft Drinking Water Well (_�Zft Drainage Way!"/vim ft Property Line ft Other f( SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) V 9' Parent material(geologic) ) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: � w Weeping from Pit face Estimated Seasonal.Nigh Groundwater. 13Z DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: ___- in, Depth it)Soil mottles: in.. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# �iReading Date: Index Well level� Adj,'factor _ Adj.Oroundwater Level m i PERCOLATION TEST Date- Tlm Observation —3 Hole# I' Time BC h" to!Z:� 1a 30 �b Z Depth of Perc '�- ��i �f'.- The at 6" I®:-5,j Vj- `3 a t Start Pre-soak Time O t.O to I? `rd ,Time ff'•6") I1 ;,03 to�Z3 End Prc-soak RateMinJtnch, Site Suitability Assessment: Sitc'Passed `' Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstible Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM..DOC DEEP OBSERVATION HOLE LOG ]EIole# 1 Depth from Soil Horizon Soil Texture .Soil Color Suit Other Surface(in.) (USDA) (Munsell) Mottling '(Structure;Stones;Boulders.. /� r? Z- Consistency.% ravel . !o a►M 4'11t l d`��`sly 32-�0 .c, . . �M SwN� taY�6�� • ��b� t`1ed ��YG lCi DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. _ Consistency,% rave) A La cN s�ttcl t o-M 1/,Z l3. coat t vaz sl 3 - y c, taw,M Z-yj o sit Z C Z DEEP OBSERVATION HOLE LOG Hole# � Depth from Soil Horizon Soil Texture. Soil Color Soil tither Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. Grave 6 A -3z 13 64M 51-4�14 1a`CYL �,� DEEP OBSERVATION HOLE LoG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders, onsi tell n -►3-L. P&W sate Zs`t i Flood Insurance Rate Map: Above 500 yeartlood'boundary No— Yes _ Within 500 year boundary No=°111 Yes: Within 100 year flood boundary No Yes ..;�,,.; Depth of Naturally.Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? '�S If not,what is the depth of naturally occurring perviou s material? Certification I certify that on 9 Sr(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 trai expertise and experience described;in 310 CNM 15.017. 7) - � Signature Date ZQ QASEPTICIPERCFORM.DOC i N -- 97--EXISTING CONTOUR �a ® N 87'04 24 W x 100.98 EXISTING SPOT GRADE F ,. Shoo\�bl a 97 PROPQSED CONTOUR STRIPOUT BOUNDARY W EXISTING WATER SERVICE PARTIAL OR FULL STRIPOUT Ave. Sa LOCUS Pies MAY BE REQUIRED BASED ON Lakeview 6o yoo`' G EXISTING GAS SERVICE OBSERVED SOILS-SEE NOTE 11 ! / to `\ Drive Q�eo -O H �,� OVERHEAD WIRES / "� U UNDERGROUND WIRES PROPOSED i i It Wequaq yPoi t� TEST PIT SEPTIC TANK Lake °y (2 COMPARTMENT) Neoµ �� BENCHMARK 53.80 �� \ v N e5 00 LEGEND /� ,/ 52A9 +' �$ �a \\ Y5` \ LOCUS MAP ; % x 53.37 NOT TO SCALE / I / x 52. / I i 52.9g6 • \ \-\ -7 52 N / I I 7 k 53.13 0 O ; . x53.10 x \ F 50.85ar ro 53.16 TP- .16 52.62 � EXISTING b \ I \ O O TP-3 x s 1 A' EXISTING CESSPOOL HOUSE(#216) \ \ p i l �\ T.O.F.=53.94f I \TP-4 CP CONTRACTOR SHALL PUMP, \ 4257 l \ ( 52,73 54,10 1 �S FILL WITH SAND & ABANDON �\ otg \\\ x / 52,e1 wI ��, 51.57 53.28 NI 52.85 \x �r1` \ �+40,2 \ \ (52.21 \ PA Tl0 .14 11 SHED x 4 Zs \\\ 3.04 x W I 48.95 NO 38,09 8d9e \\ \\ \\ \ \\ \\ 52.60 2.37 0 t.b \ \ \ ` 8- FUTURE j 01 ----'- -- x\43.71 37.47 } `\ \\ \\ \\ \\\ ADDITIOhl- -L -� I \ kt \ \ S \ 51.70 . CBSEAL LOT 1 \ x 38.37 y \ \\ \ � \`\ \\�\ \\� \ \\ 52.4 , 51.58 * BENCHMARK 54,413 fSF (1.25 f Ac.) \ \ x 39. 0 \ 52.01 OUTSIDE COR./BULKHEAD 36,82 ® ",s6 x 37.58 �\ �^+� \ 7\\ '\\ \\\ z 1 EL.=54.10 3 \\ \\ I-- x\4�,13 \\ \ `'x\51.82 �\ ;-.. FLAG POLE \ \� \� 50-04 36.87 x 37.00 36.76 \ fpPPTpx- �\ GS \ \ a..:::< ,. .,.:.>.. . ... ... . .... DRII%EWAY. a`.1 ' L� s GRA. t/EL 'Y ... MA / 35,97 37.11 36.86 x 35,99 39.36 �. 1 O.00 '.' ' _ ...::. y�Q 9�yG x 37.44 :• O PETER T. $ 84'01'46" E 47.62 CB MCIVILEE n �.. x 36,80 No. 35109 O o. RfGIS1ER`� E� 36.52 �36.40 I m �o°c PROPOSED SEPTIC SYSTEM UPGRADE PLAN 216 PLEASANT PINES AVE., CENTERVILLE, MA 36. SITE LOCUS: PARCEL ID: 234-070 Prepared for: Donald Webb, 178 Annable Point Road, Centerville, MA 02632 54,413 fSF (1.25 ±Ac.) I OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. 3MLAL } WEBB, DONAL.D Engineering Works, Inc. 1"=30' P.T.M. 261-18 36. 7 178 ANNABLE POINT RD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. (36.0 CENTERVILLE, MA 02632 508 477-5313 12/12/18 P.T.M. 1 Of 2 9 ® t +i NOTE: FINISH GRADEBSHALLLUNOTH EP<OE:500 GENERAL NOTES: SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE i INSTALL RISERS & COVERS OVER INLET ► PERIMETER OF THE S.A.S. 1. ALL CHANGE HIS PLAN MUST BE APPROVED BY THE LOCAL AND SET IS 6" & FINISH GRADE. PROPOSED S.A.S. BOARD OF AND THE DESIGN ENGINEER. PROPOSED D-BOX 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PROVIDE ACCESS TO GRADE OVER OUTLET COVER PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" INSTALL WATERTIGHT RISER & OF FINISH GRADE FOR INSPECTION PURPOSES OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE T.O.F.=53.94t COVER SET TO 6" OF GRADE LOCAL RULES AND REGULATIONS. F.G. EL.=52.5f F.G. EL.=53.3(MAX.) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR F.G. EL.=52.2f F.G. EL.=52.1 f TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE MAINTAIN 2% GRADE (MIN.) OVER S.A.S. DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN L = 25' L = 13' L = 23' ENGINEER BEFORE CONSTRUCTION CONTINUES. ® S=1% (MIN.) ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4'SCH40 PVC 4"SCH40 PVC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM (BARNSTABLE G.I.S.t), s" as $ as 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF tOI 14" 10 14" s 2' EFF. aBaaaam THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF INV.=50.30 48" LIQ. DEPTH aaaaaaa HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. LEVEL 4' GAS GAS INV.=49.90 PROPOSED INV.=49.73 7. WATER SUPPLIED BY TOWN WATER SERVICE. BAFFLE BAFFLE - D-BOX EFFECTIVE WIDTH = 12.8' 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. • ,.• INV.-50.05 INV.=49.50 PROPOSED 1500 GALLON (H-10) SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SURROUNDED WITH STONE AS SHOWN AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE (2 COMPARTMENTS) DIRECTED BY THE APPROVING AUTHORITIES. COMPARTMENT NO. 1 - 1000 GALLON STORAGE COMPARTMENT N0. 2 - 500 GALLON STORAGE H-10 RATED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PROVIDE NEW 4" SEWER OUTLETS: TOP CONC. ELEV.=50.3f CONSTRUCTION.THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING BREAKOUT ELEV.=50.00 1AT HOUSE, INV.=50.80 (MIN.) INV. ELEV.=49.50 ease aBaa 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS aaBa aaBae IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND BOTTOM ELEV.=47.50 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). NOTES: 4' 3 x 8.5'=25.5' 4' 4' MIN. OF NATURALLY OCCURRING EFFECTIVE LENGTH = 3. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE PERVIOUS MATERIAL - INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. INVERTS, PRIOR TO INSTALLATION. 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE BOTT. OF TP-1, EL.=39.5 - TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 3/4" TO 1-1/2" DOUBLE E3 Ea E3 Ea WASHED STONE Na®®® 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. z ®Ea®Ea®®®®®®® 33" 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON 3" LAYER OF 1/8" TO 1/2" 04 > ®®® OUTLET TEE AND REPLACE IF NECESSARY. SEPTIC SYSTEM PROFILE (OR LTU APPROVED FILTER FABRIC) SOIL LOG 102 DATE: OCTOBER 25, 2018 (REF#15,805) 4" KNOCKOUT DESIGN CRITERIA SOIL EVALUATOR: PETER McENTEE PE(SE#1542) 20" DIA. COVER WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT NUMBER OF BEDROOMS: 3 Elev. TP- 1 Depth EIeV. TP-2 Depth EIeV. TP-3 Depth Elev. TP-4 Depth 4" KNOCKOUT / 4" KNOCKOUT 58" SOIL TEXTURAL CLASS: CLASS 1 50.5 A 0" 50.8 A 0" 51.3 A 0" 51.6 A 0" DESIGN PERCOLATION RATE: <2 MIN/IN LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND DAILY FLOW: 330 GPD 10YR 4/2 1OYR 4/2 1OYR 4/2 " 1OYR 4/2 . 4" KNOCKOUT DESIGN FLOW: 330 GPD 50.0 B 6" 50.3 6" 50.8 6 51.1 6 GARBAGE GRINDER: NO LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 10YR 5/6 10YR 5/6 10YR 5/6 1OYR 5/6 500 GALLON CAPACITY, H-10 LOADING PROPOSED SEPTIC TANK: 1500 GALLON-2 COMPARTMENT 47.8 32" 48.0 34" 48•5 - 32" 49.1 30" COMPARTMENT NO. 1 - 1000 GALLON STORAGE C1 C1 C1 PERC C1 PERC CHAMBERS COMPARTMENT NO. 2 - 500 GALLON STORAGE LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND PROPOSED DISTRIBUTION BOX: 5 OUTLETS MINIMUM 1OYR 6/4 10YR 6/4 10YR 6/4 30"/48" 10YR 6/4 32"/50' LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 46.3 C2 50" 46 8 E2 48" 47 1 C2 50" 47.3 C2 52' PROPOSED SEPTIC SYSTEM UPGRADE PLAN 74 GPD/SF SILT LOAM SILT LOAM 216 PLEASANT PINES AVE., CENTERVILLE, MA USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 10YR 5/3 10YR 5/3 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 43.5 C3 84„ 44.0 C3 82" MED. SAND MED. SAND 2.5Y 6/6 2.5Y 6/6 Prepared for: Donald Webb, 178 Annable Point Road, Centerville, MA 02632 SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 SF MED. SAND MED. SAND Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: 12.8' x 33.5' = 428.8 SF 2.5Y 6/6 2.5Y 6/6 NTS P.T.M. 261-18 Engineering Works, Inc. TOTAL AREA:..............................................................614.0 SF 39.5 132" 39•8 132" 40.3 132" 40.6 132" 12 West Crossfie d Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614 SF) = 454.4 GPD NO GROUNDWATER OBSERVED PERC RATE 2 MIN/IN. (LOAMY SAND) (508) 477-5313 12/12/18 P.T.M. 2 Of 2 t