Loading...
HomeMy WebLinkAbout0288 SOUTH MAIN STREET - Health fi'" 288. South Main Street ;.Centerville A= 207 —062 r� 4 O—V4 UPC M.534 1 MAITING6, HK I r d T y 1 � 4— u 3 „(� M V � S No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppliCation for Misposal 6pstrm Construttiun j3Prmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ' .S S'OU.M mA/,),) Y2 Owner's Name,Address,and T�1.No. ��.31c5 � 9,0 7 (o d C-e n de-r7/� � ti 1 i✓F-i �r Assessor's Map/Parcel h, Oa Lf Installer's Name,Address,and Tel.No. Scf 36,_ 69-_3 Design'err,''s Name,Address and Tel.No. S C-8- 7 7 S Y>� a 3 LW Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided c3 S� gpd Plan Date �`f®/a OdG Number of sheets ! Revision Date Title Size of Septic Tank a O d0 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal . Si ed S)o Date D Application Approved by Date Application Disapproved by Date " for the following reasons Permit No. / Date Issued TOWN OF BARNSTABLE TOCATION S 00111 l4 li n SEWAGE# P gVILLAGE C2nPr(/j171 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. C-M%�5 (bQbT4rs Cd$O�-c SEPTIC TANK CAPACITY ?'o0 C-) LEACHING FACILITY:(type),"/lefrPo-le PlOV- aS-XJ1(size) ie '(hlR/J NO. OF BEDROOMS 3 OWNED P 1�Gq PERMIT DATE:Alt(p COMPLIANCE DATE: d I 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 orf` Asite 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 f "0 _.� ,per 1 r �or� ' A-3 — fie 13- _ ,rG 451 No. + a t Fee V lJ t THE F.Om NWEALTH OF MASSACHUSETTS Entered in computer: Yes __PUBLIC HEALTH DIVISIO -'TOWN OF'BARNSTABLE, MASSACHUSETTS Zipplicatlon for Misposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a SC(.t ]'�l M 9 n $✓ Owner's Name,Address,and Tel.No. S c& 3/,5 261 l%7 (od- Y1i ✓ Ij M 1-6h f �w�-j rrc� >/�- Assessor's Map/Parcel C 7 r i",h. S Ca`t Installer's Name,Address,and Tel.No. Se'6 36,,;L (Od-_7 Designer's Name,/Address,and Tel.No. S--$ 7 7 S 5)CC r��5 ori� s C-»S-L P", 11C4 C'-,C-t, i1gC Type of Building: Z Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ?j 3 gpd Design flow provided 3 (v gpd Plan Date �p���j tk00 Number of sheets � Revision Date Title ' Size of Septic Tank 0 000 Type of S.A.S. Description of Soil S44 S'oi l y '>t Nature of Repairs or Alterations(Answer when applicable) t " Date last inspected: s 3 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 Heal . w '' Si ed Date OK� Application Approved by , Date r Application Disapproved by Date for the following reasons J fi Permit No. C'�:)eI 0 y Date Issued t a . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at r ou 01 M q,h 3,j- ,(,o n k r✓, k, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No—,-!3 'dated19 i Installer I Designer C #bedrooms 3 Approved design flow r D gpd The issuance of this pe t shall not be construed as a guarantee that the system wil functio>}as designed. Date Inspector /t V -----------------------tii_- -,_..�.No. � ! � � - Fee-� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposar *pstem (Construction Vermit ..., Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 4 Fl`,�- SQQTl) /1'19.i S j, C'Pfl iort" )4 3 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. i Provided:Construction ruust be completed within three years of the date of this p rmit. i i Date �� tU Approved by _ iCard _ t LQC3Ri?I.AN Ofr0W8r'Michael P File No 02050091 Pro;e Addr`�ss:288 South Main Street r _ w Case No Ct :Centerville r � MA Lender:Dre Mort a e Associates -Stale :'-, . Zi `02632 . .. a B. ' $ .. 4 + r. �' Y • � M, i t e .. « 5 �t - r jI a �n����!' p Nofto sealer 43,E R z ,irk t � " Bedroom BedroomF �> a Bedroom 30 s � 9. Bath d ' 11IBa � . _ ; 14 Family Room 20 Y Den. t3ath 'Dining � ,. ;Uali .Closet ' Kitchen 10E Dining 10- , :)4' ' a SKETCH CALCULATI0NS1 - £ a Al f r K � 110 4730 A1:430x Vt -;. A2`:73.Ox 20.0 14600-� 240 0` A3u:24 0 x 10.0a � n ly Total Lrvmg Area 2173 0 , '. , a 1 XFINITY Connect Page 1 of 1 XFINITY Connect ELLISBROTHERS@comcast.net +Font Size- Floor plan for 288 South Main Street,Centerville,MA-Paula&Michael Picard From :picardm@me.com Wed,Aug 03,2016 07:56 PM Subject: Floor plan for 288 South Main Street,Centerville, MA- Paula&Michael Picard attachment To:ellisbrothers@comcast.net Sent from my iPhone FullSizeRender.j P9 FullSizeRender.jpg 1 MB 1 1 S https:Hweb.mail.comcast.net/zimbra/h/printmessage?id=382717&tz=America/New York&... 8/4/2016 �•t,� Town of Barnstable P# t '� Department of Regulatory Services public Health Division Date '�¢►1� 200 Main street,Hyannis MA 02601 Date Scheduled a % �G Time_ Fee Pd._11)t7 J Soil Suitability Assessment for Sewage Disposal Performed By of J Witnessed IN ligifigip Location Address Owner's Name \�@$ (,��0 A �\�'Q fC Address O� 1 V L t'Dc�U } Assessoes map/pared:2 0-1 Cj P Z- Engineer's Name (ZL)JlCjd NEW COMMUCnON REPA11t __-1�-_- Telephone ll -7-7 5 Cl-1 G Land Use slopes N. zor Surface stones 170 � P Distances from: Open Water Body .®__ft Possible Wet Area A 3� ft Dnoldng Water Well ft Drainage Way 7O f ft Property Line 2 'SZ/ It Other ft. SKETCH:(Street name,dimensions of lot exact locations of test holes&perc tests;locate wetlands in proximity to holes) 7-7 \V , y Parent material(geologic). P ��, 7� Depth to Bedrock Depth to Graimilwater Standing Water In Hole: 7S!/ 7V- 1 Weeping from Pit Face SZ //1 50`/ dU6 Estimated seasonal lriglt Groundwater .ce� v .Q., >,�� Method Used: 4,04CLS / 2' l� S"o`TD� 7b 4 S ,0� a✓jl rG' /N�f`� ^L�stare m obs.hole: '7z't/+ a� m. Depthto mil mottles: Depth VYJLI��Y a�Widmg• f�-�s M i..w�w�7. 4 ft. /'/� ..........,.. if l�►�� Cc�c�,11�.c. As�ssor'sl�tap/Parcel:Za�i U�Z �g'mexr'sName ���a ,- NEW CONSTRUCTION MAi1t Telephone# J()$. 7 5 1 %s�`� Slopes C/o) Z 49� Suefaoe stones �® Land Use e 0 wellDistances from: Open Water Body ft Possible Wet Area ft Drinking Water Drainage Way 5'f ,QJ 7 ft Property Line �Z ft Other ft Street name,dimensions of lot,exact locations of test holes 8c pm tests,locate wetlands in proximity to holes) SKETCH: x� P67,> Parent material(geologic) P f�P / Depth to Bedrock r/ 6 7��! 1 Weeping from Pit Face Depth to Groundwater: Standing Water in Hole: X •- ,� /' Estimated Seasonal High Groundwater N (JL/L� C AV o¢ 1 c�pt- Method Used: 0-2 / C/o �o°TO,) A "r�-`�De- 1✓/!, /n►�,�� u7 l,,�i Depth Observed standing in obs.hole: �a +'7 soil mottles: N im. Groundwater-Adjustment Depth to weeping from side of obs.hole: S� Index Well#in9,4 �taadiZ g Date.�_l�r_(�j Index Won level A Adj•fad"2;8 r-Adj.Gibimdwater Level J aG 5 AwA .S-if7 Aril Observation Time at 9" Hole# Depth of+ere-s�4e►e�It Tit ene at 6" Start P Tinto� � -lL-- �° Pi End Pro-soak Rate MinAnch C LZ/hssz iy Site Suitability Assessment: Site.Passed Site Failed: — Additional Testing Needed(Y/N) Originai: Public Health Division Ot ser-ls`uaa}foie iDat:.To Be ComtpleW on Lack n-MRat.TH/WP/PERCFORM Depth from Soil Horizon Soil Texture Soil Color SOD surface(in.) (USDA) (Mua4ell) Mottling stones,Boulders CvV,r�J S2�/ esG. 7,6 Depth from soil Horizon Soil Texture Soil Color Soil surface Cm.) (USDA) (Munsell) Mottling swcture.stones,Boulders. Cons %cif MWO __ ... 6 � Flood I nsorance Rate lYUSp: Above 500 year flood boundary No Yes V l �v,v(JS t fl �e� Within So ym boundary No-- Yes Within 100 ym flood bounday No Z Yes Depth of Natural1Qccu"M Pervious Material Does at least four feet of naturally axgo j ma�� n°all areas observed throughout the area proposed for the soil absorption systean ous material?-_ If not,what is the depth of naturally g 1� Ce-ertr�caaon G� date I have eased the soil evah�ator ex won approved by the I certify diet on (date) p is was ptaformed by nee consistent with Departaaent of Environmental Protection and that the above analys the require eatise ce descnbed in 310 CUR 15.017. Date 3 Z v6 Si6ature QMALTH/'WP/PERCFORM Town of Barnstable "me ' .� Regulatory Services s a Richard V. Scali,Interim Director • s ' W �� Public Health Division ie 1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 10114114 Sewage Permit# aom'X9 IYAssessor'S Map\Parcel O-7 Q 2, Designer: 1 o K i l n Ccl .P 11 (9 C pr nstaller: f=1 i i S aCaT4 ' Address: O Ql'i Address: 3 L3-*) r',S-e 44' I.�,.pS.�- �9�nlati�i ►�� oa67j .�9I'�''�� �o/�� � oo't6�f On CVQ57�was issued a permit to install a (date) : (installer) septic system at S Ou.71h M g i'h Sta�e-sd; based on a design drawn by tt� ! �l (address) 5:,.. /CAA IQ cJ l 1, h I L L 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 ' pliance with the terms of the IAA approval letters(if applicable) FMALD JAPES (Installer's Signature) Mg0 FG�sT�e � SQViTAP\�, _ (Designe 's lgnature) (Affix Des-ijWFIStamp Here) 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 BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc 2�4 OF 6AR��,T New 1/A System Permit Summary Sheet � b Site Information �srACHU56' Town: Town Permit# 2-0 1 Assessor Map/Parcel: 20--4- —O<c Unique Town ID # Site Address: 2_`6 , Mci,n :5 Owner Name: . GA..C'_ se 4% . Alternate Name: Home Phone: Mailing Address: 2�"R C-eeL L' rn,m4, Work Phone: a a Title 5 Information Building Type/Use: 771t_ "' L Design Flow: �"l 6 (gpd) Seasonal Use? Yes ❑ No ❑ Unknown ❑ Bedrooms: Title V N.S.A.? Yes ❑ No ❑ Unknown ❑ Lot Size: I ( j 57.E Non-standard components: Please list all components e.g. 1/A treatment unit,pump chamber,pre-and post equalization tanks,pressure distribution SAS, effluent filter, UV unit, etc., and maintenance schedule for each component e.g. quarterly, 2x/yr, annual, etc. (QvrV\0 Z14 UA Treatment Unit Make and Model# n f.+Vl Co /Pr`yV?CL- F' DEP Permit Type: [�</General Board Approval Date: i'S COC Date: l0 4 ((V ❑ Provisional � of �� � O & M Contrac Eratit . r, 4M 1 � =j r' (C-1 e `E'E � -.ate ❑ Remedial Contract Start Date: Contract Duration: ❑ Pilot Unit Installation Date: Unit Startup Date: 2 LL— DEP Permit ID#: Influent/Effluent Monitoring Requirements and Water Quality Limits Please indicate water quality parameters that must be monitored and any town mandated water quality limits;if no limits are shown, we will assume parameters and effluent limits specified in the system's DEP.approval will apply. Effluent pH ❑ BOD5 ❑ CBOD ❑ vl'SS ❑ TN El Nitrate ❑ Nitrite ❑ Organic N ❑ fhmonia ❑ TKN ❑ Fecal Coliform ❑ tal P ❑ Organic P ❑ TDS ❑ Oil/Grease ❑ Conductance ❑ Alkali ' ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Offer Applicable Limits: Influent pH ❑ BOD5 ❑ BOD ElTSS El TN El Nitrate ❑ Nitrite Organi ❑ Ammonia El TKN El Fecal Coliform ❑ Total Organic P TDS ❑ Oil/Grease ❑ Conductance ❑ Alk 'nity ❑ Water Usage ❑ Temp. ❑ Monitoring Schedule: Other Applicable Lim s.:— BCDHE Tracking.# Please return this sheet to: FAX: 508-362-2603 Email: bciatech@cape.com v. - � 120 no water 2.0 'i'R YEARLY INSPECTION & LOG .055 TON CU. FT. / 1. CLEAN FILTER, INSPECT PUMP ' RECORD DATE IN LOG. /lx 56 TON2. CHECK EVENT COUNTER AND ER DOWN RECORD NUMBER. (NO. OF ,A0.0312 TON/CU. FT. TIMES PUMP RUNS) 3. CHECK RUN-TIME METER AND ,WAVIER BY 2.4 TON. RECORD TIME. 4. DIVIDE 3 BY 2 TO COMPUTE AVERAGE TIME PUMP RUNS , AND RECORD. LONGER RUN TIMES, IF EX- CESSIVE, POINT TO BRUSH CLEANING THE LATERALS. 5. REPORT YEARLY INSPECTION TO BOARD OF HEALTH. SITE PLAN FOR CHAEL N . & PAULA J . PICARD 38 SOUTH MAIN STREET, CENTERVILLE, MA JU N E 16, 2006 SCALE: 1 "= 20.' RONALD J. CADILLAC, PLS, RS 'ROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOU TH, MA 02673 (508) 775-9700 R.J. CADILLAC PAGE 1 OF 1 f Barnstable �tKME ray Town of Barnstable HARNSTAMASS. Board of Health 9 A95. °rFo p 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 30, 2015 Mr. Ronald Cad.illac, R.S. P.O. Box 258 West Yarmouth, MA RE: 288 South Main Street, Centerville, A= 207 - 062 Dear Mr. Cadillac, You are granted variances on behalf of your clients, Mike and Paula Picard, to install a replacement septic system at 288 South Main Street, Centerville. The new system will consist of a an Orenco Biotube ProPak, a 2,000 gallon monolithic tank, and a 13 feet by 35 feet leaching field. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located three (3) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located eight (8 feet away from the crawl space foundation wall, in lieu of the ten ( feet minimum separation distance required. Q 310 CMR 15.211: The septic tank will be located eight (8) feet away from the crawl space foundation wall, in lieu of the ten (10) feet minimum separation distance required. Q:\\VPFILES\CadillacPicardVariances2Ol5.doc /tom (5) The System owner shall have a septage hauler service the filter regularly, at least once every year and inspect the pumps, alarm and other equipment in accordance with 310 CMR 15.254(2). These variances are granted because physical constraints at the site severely restrict the location of a new soil absorption system due to the close proximity of wetlands and stream on the property. Sin erely yoPM.D. n Mille , Chair an Cc: Paula Picard 9 Winter Street Watertown, MA 02472 Q:\WPFILES\CadillaePicardVariances2OI 5.doc 310 CMR 15.211: The septic tank will be located four (4) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.212: To vary the USGS adjustment by 1.1 feet; a 1.7 feet adjustment was provided. 310 CMR 15.248: No reserve area provided as required. Section 360-1. Town of Barnstable Code: To install a soil absorption system 59 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance. Section 360-1, Town of Barnstable Code: To install a soil absorption system 49 feet away from a piped stream, in lieu of the required 100 feet separation distance. Section 360-1, Town of Barnstable Code: To install a septic tank 43 feet away from a bordering vegetated wetland, in lieu of the required 100 feet separation distance. 310 CMR 15.255(5): Only two (2) feet of unsuitable soils will be removed surrounding the soil absorption system, in lieu of the five (5) feet removal required. The above listed variances are granted with the following conditions. (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The Applicant, Engineer, System Owner and Company shall comply with Certification of General Use requirements outlined in the four page approval letter from DEP dated September 29, 2009, revised March 20, 2015. (3) The septic system shall be installed in strict accordance with the revised plans dated October 9, 2015. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans dated October 9, 2015. QAWPFILES\CadillacPicard V ari ances2015.doc I - ZFIE t DATE: oZ FEE: ---C1 * BARNMBLE. MASS. 1 63%. �� REC. BY Town of Barnstable r p_O/�� �(� SCHED. DATE: I / Board of Health ,,200 Main Street,Hyannis MA 02601 Office: 508-862-4644 ?�/15 Wayne A.Miller,M.D. i FAX: 508-790-6304 , ( Junichi Sawayanagi r Paul J.Canniff,D.M.D. W VARIANCE REQUEST FORM LOCATION 2 �1 S i y S:T CC�1rP-Q (L4—�Property Address: C� �-t) T!'�� (�117� Assessor's Map and Parcel Number: 2 o7 06 Z Size of Lot: , + �G� _kF Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: ME ii !I APPLICANT'S NA : &t� rz no,��e F16V ! Phone go f'J — -f7 I!} — 66 4 cl Did the owner of the property authorize You to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON � n Name: tL'A 4, ��✓I�x Bc.r�'1�/ Name: i��} Address: a 1 r, A'M 0,0 A) Address: Pin, Ike x 2-S A . Ld I Y Alm em o k, y � Phone: St9 �1'- Phone: G 66— 775� !QQ VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) NATURE OF WORK: House Addition House Renovation ❑ Repair of Failed Septic System 13 Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Cam fl D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC ,3 i Variance from Regulation: 1. Vary leach area to property line by 7' (3' provided) Vary leaching to crawl by 12' (8'plus impervious barrier provided) Vary tank to basement by 2' (8'provided) Vary tank to lot lines by up to 6' (4' min. provided) 310 CMR 15.211 (1) 2. Vary USES adjustment by 1.1' (1.7' adjustment provided) 310CMR 15.212 3. No reserve area could be provided. 310 CMR 15.248 4. Vary leaching to wetland by 41' (59'provided) Local Reg. 5. Vary leaching to piped stream by 51' (49'provided) Local Reg. 6. Vary removal by 3' (2'provided) 310CMR 15.255 (5) 7. Vary tank to wetland by 57' (43'provided)Local Reg. Reason for variance: There is little room on the lot. Please notice a stream is piped through the center of the lot. 1. The 5' removal has been reduced to get leaching 49' from the piped stream, 8' from the house, and 59' from the open stream. 2. Variances to crawl space (now defined as 20' from outside of foundation) and lot lines are required to fit a 3 bedroom sized leach area and keep it from the piped stream and wetlands. 3. No reserve area could fit without dramatically increasing the variances. 4. A sieve analysis is submitted in lieu of percolation testing as the coarse sand and gravel was in the water table. 5. We have listed 1.1' as a variance to USGS adjustments as a precaution. However you, the Board,may choose not to consider a variance at your discretion. The adjustment system breaks down next to"wetlands,marshes, and bodies of water"(see "note on plan above design data) as explained in the Cape Cod Commission technical bulletin. The stream 4 which flows throughout the locus will exert a draining influence on the water table onsite. The design groundwater elevation provided is at perced water test hole#1. • Town of Barnstable Geographic Information System September 28,2015 /� 20708G 2osos51507 'y+o 207090002 2o7os� #zis . 207108 ''.*,g � ys7 .Q#8 #57 #508% 207048 #513` 208084 y�<< 207044 #230 �p #510 207088 #26 yp 208085001 p. 207096 #170 207049 #24 #523 . �07100 207095 207043 #272 �#25 207089 #524 #44 ,; - r r2.70.0 207097D019 #263 0 207094 207139 #39 2 2 20705 207138 #43 207097002 0704� #269 #548 #5471 #31 207063 284 207149 #5551 0704�16 CNLfRCN HILL IZD d207062 #288 207097003 2070902 #279 20709 #43- #38 #265 LN BA CON 207D85001 L #291 207061 0 207053 #565 ` 207017 h #25 ® #314 P � ,.. 20#7,4106 . J�� 207085002 2070 28 16 yd # #582 E207064 19#3 #585 #319 207060 207084 #2'I 4 #38 207098 y #230 207093 #49 t' 207080 " t 71 V�a 207135 207015 207055001 207668 #22 #594 #337 207082 #220 #62 207134#3290 W71 Fe l #350 #349 207099 #210 #217 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:062 Board of Health boundary determination or regulatory Selected Parcel g ry interpretation. Enlargements beyond s scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map �f- .a ...E are only graphic representations of Assessor's tax parcels.They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map 1 such as building locations. Buffer S . t Prop ID:207151 BARNSTABLE LAND TRUST INC PO BOX 224 COTUIT,MA 02635 Prop ID:207063 BARNSTABLE,TOWN OF(REC) 367 MAIN STREET HYANNIS,MA 02601 Prop ID:207139 CAPTAIN DAVID KELLEY HOUSE 539 MAIN STREET CENTERVILLE,MA 02632 Prop ID:207062 PICARD,MICHAEL N&PAULA J 9 WINTER STREET WATERTOWN,MA 02472 Prop ID:207109 ROMAN CATHOLIC BISHOP OF P 0 BOX 2577 FALL RIVER,MA 02723 Prop ID:207061 SETZKO,RICHARD S&SNELL, 38 CHURCH HILL RD CENTERVILLE,MA 02632 Prop ID:207085001 STEPANIAN,STEPHEN L&VARY, 481 FOREST STREET WALTHAM,MA 02452 RONALD J. CADILLAC, PC, PLS, RS Professional Land Surveyor& Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 September 28, 2015 Barnstable Board of Health Hearing Notice of Hearing To: Abutters Project Location: 288 South Main St., Centerville Applicants: Paula and Michael Picard 8 Winter St., Watertown, MA 02472 Project Description: Owners seek to replace failing septic system. Approvals requested: 1. Vary leach area to property line by 7' (3'provided) Vary leaching to crawl by 12' (8'plus barrier provided) Vary tank to basement by 2' (8'provided) Vary tank to lot lines by up to 6' (4'min. provided) 310CMR15.211 (1) 2. Vary USGS adjustment by 1.1' 310CMR 15.212 3. No reserve area could be provided. 310 CMR 15.248 4. Vary leaching to wetland by 4l' (59'provided)Local Reg. 5. Vary leaching to piped stream by 5l' (49'provided) Local Reg. 6. Vary removal by 3' (2'provided) 310CMR 15.255 (5) 7. Vary tank to wetland by 57' (43'provided)Local Reg. Applicants Agent: Ronald J. Cadillac Scheduled Hearing: A hearing is scheduled for October 13, 2015 at 3 PM in the Hearing Room at Barnstable Town Hall, located at 367 Main St., Hyannis,MA 02601 ® Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Orenco Systems, Inc 814 Airway Ave. Sutherlin, OR 97479 Trade name of technology and model number: ProStepTM Effluent Pumping Systems—PSA-X and PSB-X Biotube®Pump Vault—PVU-X and PV-X (hereinafter the "System" ). Schematic drawings of the System, operating manual and inspection checklist are available from the manufacturer. Transmittal Number: X227956 Date of Issuance: September 29, 2009, revised March 20, 2015 j � Authority for Issuance ' Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Orenco Systems, Inc 814 Airway Ave. Sutherlin, OR 97479 (hereinafter "the Company"), for General Use in the Commonwealth of Massachusetts of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. March 20, 2015 David Ferris, Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-600-439-2370 MassDEP Website:www.inass.gov/dep Printed on Recycled Paper I 1 Certification for General Use Page 2 of 4 Effluent Pumping System-ORENCO I. Purpose 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000,.this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The System consists of a filter cartridges mounted in a pump vault that is placed in the outlet end of the septic tank. The pumping vault is designed for use with 4 inches turbine effluent pump. The filter cartridges are constructed of an array of filter tubes. The pump vault, which is suspended from the tank access opening, functions as a separate pumping compartment within the tank, equipped with its own filter. 2. The System shall be installed in a second compartment septic tank or the last tank in two tank series. When the system is installed in the two-compartment septic tank, the tank shall be constructed with flow-through posts in the baffle separating the two compartments, to maintain an equal liquid level throughout the tank. Any tank in which the System is installed shall be cast or manufactured with opening large enough to permit the installation of the System with out modifying the tank. 3. The septic tank, in which the System is to be installed, shall comply with retention time and any applicable requirements in 310 CMR 15.223; 15, 224; 15.225, and 15.227. 4. The septic tank, in which the System is to be installed, shall have a minimum one day of flow emergency storage, which can be assessed from the high-level alarm to inlet invert as required by 310 CMR 15.231(2). Ill. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself,.shall be open to inspection and sampling (if any) by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease use of the System and/or to take Certification for General Use Page 3 of 4 Effluent Pumping System-ORENCO any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for use in the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage, generated or used at the facility served by the System, shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. Prior to installation the system in an existing septic system, the system owner shall obtain approval from the local approving authority for the proposed modification of the system. If the system is a failed, failing, or nonconforming system, the system shall be upgraded in accordance with 310 CMR 15.404. 3. The System owner shall at all times properly operate and maintain the System and the onsite sewage disposal system in which the System is installed. 4. The, system owner shall have a septage hauler, licensed by the local board of health in accordance with G.L.c. 111 s. 31A and 310 CMR 15.502, service the filter regularly, at least once every year and inspect pumps, alarm and other equipment in accordance with 310 CMR 15.254(2). The system .owner shall report in writing to the local Board of Health within 30 days of the date of servicing every time the pump is serviced. 5. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. V. Conditions Applicable to the Company 1. The Company shall notify the Department's Director of Wastewater Management Program at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. Certification for General Use Page 4 of 4 Effluent Pumping System-ORENCO 3. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. C5. The Company shall prepare an installation, and operation and maintenance manual specifically detailing procedures for installation and operation of the System. The Company or its agent shall provide the purchaser a copy of this document. VI. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street—5th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, Pon-payment of an ,annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. Message Page 1 of 1 Miorandi, Donna From: Ron Cadillac[ron@rjcadillac.com] . Sent: Tuesday, October 06, 2015 10:48 AM To: Miorandi, Donna Subject: Re: 288 South Main St., Centerville Donna, Don't see anything new in latest approval. This approval is still inadequate as it does not have the tank detail I gave you with my packet. I am sticking close to this diagram,which I received at last years MHOA session,which covered this approval. Call with any question. Thanks. Ron Cadillac, rs From: "Miorandi, Donna" <Donna.Miorandi@town.barnstable.ma.us> To: Ron Cadillac <ron@rjcadillac.com> Sent: Monday, October 5, 2015 11:34 AM Subject: 288 South Main St., Centerville Hi Ron: Tried to call you back and phone was not working. So here goes: I have found the old sieve analysis so you can nix that but the General Use approval has been updated and changed. It is now a revised March 20, 2015 approval letter with some changes. You need to review that. I shall continue reviewing your plan. Bye for now. Donna Miorandi 10/6/2015 Y- ® Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Orenco Systems, Inc 814 Airway Ave. Sutherlin, OR 97479 Trade name of technology and model number: ProStepTm Effluent Pumping Systems—PSA-X and PSB-X Biotube®Pump Vault—PVU-X and PV-X (hereinafter the "System" ). Schematic drawings of the System, operating manual and inspection checklist are available from the manufacturer. Transmittal Number: X227956 Date of Issuance: September 29, 2009, revised March 20, 2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Orenco Systems, Inc 814 Airway Ave. Sutherlin, OR 97479 (hereinafter "the Company"), for General Use in the Commonwealth of Massachusetts of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. March 20, 2015 David Ferris, Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-800-439-2370 MassDEP Website:www.mass.govldep Printed on Recycled Paper Certification for General Use Page 2 of 4 Effluent Pumping System-ORENCO I. Purpose 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000,this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by DEP if DEP approval is required by 310 CMR 15.000. 1I. Design Standards 1. The System consists of a filter cartridges mounted in a pump vault that is placed in the outlet end of the septic tank. The pumping vault is designed for use with 4 inches turbine effluent pump. The filter cartridges are constructed of an array of filter tubes. The pump vault, which is suspended from the tank access opening, functions as a separate pumping compartment within the tank, equipped with its own filter. 2. The System shall be installed in a second compartment septic tank or the last tank in two tank series. When the system is installed in the two-compartment septic tank, the tank shall be constructed with flow-through posts in the baffle separating the two compartments, to maintain an equal liquid level throughout the tank. Any tank in which the System is installed shall be cast or manufactured with opening large enough to permit the installation of the System with out modifying the tank. 3. The septic tank, in which the System is to be installed, shall comply with retention time and any applicable requirements in 310 CMR 15.223; 15, 224; 15.225, and 15.227. 4. The septic tank, in which the System is to be installed, shall have a minimum one day of flow emergency storage, which can be assessed from the high-level alarm to inlet invert as required by 310 CMR 15.231(2). III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling (if any) by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease use of the System and/or to take Certification for General Use Page 3 of 4 Effluent Pumping System-ORENCO any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for use in the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage, generated or used at the facility served by the System, shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. Prior to installation the system in an existing septic system, the system owner shall obtain approval from the local approving authority for the proposed modification of the system. If the system is a failed, failing, or nonconforming system, the system shall be upgraded in accordance with 310 CMR 15.404. 3. The System owner shall at all times properly operate and maintain the System and the onsite sewage disposal system in which the System is installed. 4. The system owner shall have a septage hauler, licensed by the local board of health in accordance with G.L.c. 111 s. 3 1 A and 310 CMR 15.502, service the filter regularly, at least once every year and inspect pumps, alarm and other equipment in accordance with 310 CMR 15.254(2). The system owner shall report in writing to the local Board of Health within 30 days of the date of servicing every time the pump is serviced. 5. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. V. Conditions Applicable to the Company 1. The Company shall notify the Department's Director of Wastewater Management Program at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. Certification for General Use Page 4 of 4 Effluent Pumping System-ORENCO 3. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare an installation, and operation and maintenance manual specifically detailing procedures for installation and operation of the System. The Company or its agent shall provide the purchaser a copy of this document. VI. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street—5th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. I tA kAkr G on S(2-0 g C9 4 � � � c,Q_ 2 o a 0 k _ !� , c 8: S4— tom\o.� S s . 7 c s � n � � � � � \ O-x— < --�-� C, d Ca t �G can AA� k ; - Le�xcw,q �- St U (I IL5-.tOVIO q cc - \ 7 77)� © � wn aA`c Cf uQ, =' C- eo-�- c-(P a yy-p-ok,<- Vie. (—G( b o � c� Se tad Za i� cos "? q&D cow cc`1)-'- Sheri Valeri Realto Office:(508)534-7200 o -i Cell:(508)348-4795 Fax:(508)771-8188 sherivaled@kw.com sherivaleri.kwrealty.com i kVV KELLLERW ILLIAMS 1600 Falmouth Road,Suite 2 j }r \y Centerville,MA 02632 sherisellscapecod Each office fs Independently owned and operated s f i _ T•� d ti jj�� ���,� 2 �es� � rn,� ��� /D�i3�/s �reen �� i l i I COMPLETE •N COMPLETE THIS SECTION ON DELIVERY: ■ Complete items 1,2,and 3.Also complete A.item 4 if Restricted Delivery is desired. X [3Agent n�/� ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Rec ve tb, rint d Narpe) C. Date f eli ry 0.Attach this card to the back of the mailpiece, M4 or on the front if space permits. D. Is delivery address different from item 1? s 1. Article Addressed to: If YES,enter delivery address below: No ' P a07� 3. Service Type _ ❑Certified Mail® El Priority Mail Express' Registered Ell Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number646 =t 3 : Pi`��` (transfer from sere PS Form 3811 July 2013 Domestic Return Receipt f f UNITED STATES POSTAL SERVICE I First-Class Mail _ Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4®in this box* I I I I ROCIALD J. CADILLAC, PLS,RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258. 1NEST YARMOUTHI MA OM 'l _ ..,li�li �i + ' !'�•ri}!�i ,i Ili�ii�r +i'�il=laE'� i° �� i I i SENDER' COMPLETE THIS SECTION COMPLETE THIS.SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si t i item 4 if Restricted Delivery is desired. ❑Agent IJ ■ Print your name and address on the reverse X ❑Addressee so that we Can return the Card to you. B, Received by(Printed Name) C. Date of Delivery j Attach this card to the back of the mailpiece, or on the front if space permits. �S4 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes { 7 If YES,enter delivery address below: ❑No P p . 4v Fob- _ 3. Service Type � ❑Certified Mail® ❑Priority Mail Express- 0 Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. /trn Number F 7 p 14 '212 0 q 01" 3 2 0 8 188141 (Transfer from service layLj PS Form 3811,July 2013 Domestic Return Receipt i UNITED STATOVpbAL."ERVICE First-Class Mail Postage&Fees Paid a.15 USPS 111111 Permit No.G-10 t • Sender: Please print your name, address, and ZIP+4®in this box• I j RONALD J. CADILLAC,PLS,RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN i P.O.BOX 258 V&ST YARMOUTH,MA 02M I iiF'' ?�iiii�i iii�ijii st:i t �ta:iiy•pti••}jttp p i#'•.tE111p iit 1 f: at i 7pi' tr !a! 1? ill�i 9 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. 77j"/r 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. Re iv (PA, te a C. Date of Delivery ■ Attach this card to the back of the,mailpiece, or on the front if space permits. D. iAeOi ry ad ess'Afferent fro -em 1? ❑Yes 1. Article Addressed to: /If YES Pehter-delivery address below:; ❑No II1 Q� t.C�h 1) / 0/U 7� 3�Servlce.Type,,` �✓`_._W W (' 116dified Mail® ❑Priority Mail Express"" ❑Registered ❑.Return Receipt for Merchandise ❑ Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number + (Transfer from service i I{j i7 0] 41 2112 0 0 0 01 j 3 2 0 8 j146 01 's;j PS Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+40 in this box* RONALD J. CADILLAC, PLS,IRS PROFESSIONAL LAND SURVEYOR. REGISTERED SANITARIAN P.O.BOX 258 WEST YARMOUTH,MA 026M .a... _ - - IIIIIIIIIIIII ',►I'� uu,,II �I`III1I���I lull „ )1. I N�f�� +��a/.*• _I.� I�+f,it�r,-�111i'ItI::l1?t! Fli 1 -- I p L µy^ COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ C.omplete items'1> nd-3.Also complete A. Signature item 4 if Restricted;pelivery is desired. ❑Agent ■ Print your name ancf address on the reverse Xj'/[A ❑A dressee so that we can return the card to you. B. Received by(Printed Name) e very ■ Attach this card to the back of the mailpiece, NVV or on the front if space permits. D. Is delivery address different from item 1.,I ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No -tvn 0 I B6?rn6 l ��� r 3. Service Type � My�1 ❑Certified Mail® 0 Priority Mail Express"' �—} Q 13 //// / C b0/ 0 Registered ❑Return Receipt for Merchandise 0 Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number; ; 1=f 7:014 212Q 10,00:1 32081 18391` (Transfer from service lab r ll.( BPS Form 3811,July 2013 Domestic Return Receipt i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+46 in this box* RONALD J. CADILLAC, PLS,RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258 WEST YARMOUTHs MA I I'll Ih1 11Ill i1liil r11J°'I!I iJiiJ,Ili!J!JJtIi III III E Jill J JiIII i COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete.items•.1;'2;',&id:3.Also complete A. Signat e A Item 4.if Restricted Delivery is desired. X / Agent ■ Print your name and address on the reverse / "❑'Addressee so that we can return the card to you. B, eceived by(Print a/4am C. Date of Delivery ■ Attach this card to the back of the mailpiece, S or on the front if space permits. D.is delivery aPdress different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 6 YN e EV I I e, m oz` 3. Service Type �n`�' r ❑Certified Mail® ❑Priority Mail Express ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Numbe �� I � 7�14 2];2� OQ�1 �3208 1 l.;t( Domestic Return Receipt . i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+40 in this box• I RONALD J. CADILLAC, PLS,RS PROFESSIONAL.LAND SURVEYOR �I REGISTERED SANITARIAN P.O.BOX 258 j MST YARMOUTH,MA 0267E I I t I i;►�1iI I );Fi II JJi3r'i;iji���;jj�il!l,ii�E3'i;fiill�;Ji2,i,,, i COMPLETE •N COMPLETE THIS SECTIONON DELIVERY IE G6mplete0toms 1,2,and.3.Also complete A. Sig t item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse � ;j'd �.r' `• ❑Addressee so that we can return the card to you. B. Recei NN (Printed Name) C. Date of DelivQry ■ Attach this card to the back of the mailpiece, D or on the front if space permits. D. Is delive address different from item V ❑Yes 1. Article Addressed to: If YES,en r delivery address below: ❑No S. Service Type (r I U l l M►A El❑Certified Mail® ❑Priority Mail Express'" Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2' �'j ` ;'"`7 DIM 2120 '0001` 320'8' 1891 Pica�d PS Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4® in this box* RONALD J.CADILLAC, PLS, RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258 VUESTYARMOUTH,MA 02673 !? 1 ??? i{}}{e'?{IE????)?I?31{ {{{{?1?f SENDER: . •N COMPLETE THIS SECTION ON DELIVERY ■ Complete items:1 �;sand 3.Also complete A Sig lure item 4'if Restricted,Delivery is desired. Agent ■ Print your name riid'!ddress on the reverse X Lhi ❑Addressee so that we can return the card to you. B Rec ived by(p' ed ame) Date of Deli ■ Attach this card to the back of the mailpiece, Jl or on the front if space permits. d ' D. Is delivery address different from m 11 Yes 1. Article Addressed to: If YES,enter delivery address elow: ❑No i6�o� R)ve r� N_n� 3. Service Type ❑Certified Mail® ❑Priority Mail Express' �7 El Registered ❑Return Receipt for Merchandise D a/Q- ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2 (Transfer from servicel— II I�IIIII`IIII�I II I[jr[11.11 1_1I111.11 11111-1 IF p t-cardPS Form 3811,July 201 c ,<„� , , UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4®in this box• RONALD J. CADILLAC, PLS,RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258 VWSTYARMOUTki MA 02M } d 1 i r f1f.11 #'I•.rf1-!}? fjr�..l.?.}'.#.'#.rl..f? �flifF'i 1ii? F _ �ZFIE iZy, DATE: 8Z FEE: * BARNSTABI.E, in 163% p�� REC. BY V J G Town of Barnstable /� �C— SCHED. DATE:V `I r f�t� G ' Board of Health N3 00 Main Street,Hyannis MA 02601 Office: 508-862-4644 �� f)e'3 Wayne A.Miller,M.D. _:'.I FAX: 508-790-6304ri Junichi Sawayanagi _11 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM r LOCATION Property Address: V ���� y� Cc-jyTrp-L)(L4— Assessor's Map and Parcel Number: 2 071106 Z Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: H APPLICANT'S NAME: �Q '(� Phone gJ 8 —7q — 66 T I Did the owner of the property authorize You to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON n Name: Pr,41r� Name: [D11} CA P') L-L-A Address: a I Address: C'(D+ 1;t0 X LJ , Y_ A a t.4l" 4 Phone: s0�4�74-i%j 0Z4 Phone: Di — 777S-q /OD VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach ifmore space needed) NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. — Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) — Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian — Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) — Full menu submitted(for grease trap variance requests only) — Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same ownerAeasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC 1 . Variance from Regulation: 1. Vary leach area to property line by 7' (3'provided) Vary leaching to crawl by 12' (8'plus impervious barrier provided) Vary tank to basement by 2' (8'provided) Vary tank to lot lines by up to 6' 0' min. provided) 310 CMR 15.211 (1) 2. Vary USGS adjustment by 1.1' (1.7' adjustment provided) 310CMR 15.212 3. No reserve area could be provided. 310 CMR 15.248 4. Vary leaching to wetland by 41' (59'provided) Local Reg. 5. Vary leaching to piped stream by 51' (49'provided) Local Reg. 6. Vary removal by 3' (2'provided) 310CMR 15.255 (5) 7. Vary tank to wetland by 57' (43'provided)Local Reg. Reason for variance: There is little room on the lot. Please notice a stream is piped through the center of the lot. 1. The 5' removal has been reduced to get leaching 49' from the piped stream, 8' from the house, and 59'from the open stream. 2. Variances to crawl space (now defined as 20' from outside of foundation)and lot lines are required to fit a 3 bedroom sized leach area and keep it from the piped stream and wetlands. 3. No reserve area could fit without dramatically increasing the variances. 4. A sieve analysis is submitted in lieu of percolation testing as the coarse sand and gravel was in the water table. 5. We have listed 1.1' as a variance to USGS adjustments as a precaution. However you,the Board,may choose not to consider a variance at your discretion. The adjustment system breaks down next to "wetlands, marshes, and bodies of water" (see "note on plan above design data)as explained in the Cape Cod Commission technical bulletin. The stream which flows throughout the locus will exert a draining influence on the water table onsite. The design groundwater elevation provided is at perced water test hole#1. �10or Dl0• BPr'I'1'i V5A7 5l�cle� 012> Town of Barnstable Geographic Information System September 28,2015 207026 208085007 �'n 207087 #215 207090DD2 207108 a �q �#8T, #57 'yid `i�J® #508y 207048 #513 208084 207044 #230 p #510 ¢ 207088 #26 208085001 #170 20709 6 207049 #245 w #523 U 207095 207043 #272: ::'•.'irt;> #25 #524 207089 #44 207050 207097001 O #539 #263 71 p� #•43t[ .'•ir: ;•.'fi' '• 207097002 [v� 2#al"14221 t �207051 #318 1115,7 / #269 9547 r°� 207063 w� j� 284 20Z149 r #! t 207041 HILL RD �(207062.. #.558 CHURCH "' 207097003 207pg2 #2_8:: #43 BACON LH `•`:}: i:,:}. to 207053 207061 #291 O ##565 ::::::': 207017 #25 _ 20710G O .•.:{.., . ® 41 ' J� .. a')'r.'f i: 207085002 E016y #28 82 f 207054 k#585 207060 #214 207084 F, #38 207098 y 207093= #230 #49 207080 207015 207055001 207068 207083 #2®71 ?� 207135 #220 #594 #595 207OSS002 � #337 207082 #62 V o 207134 0 �1 Fe t #350 2D7D69 #329 � #349 207099 `,Z #210 #217 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:062 Board of Health Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map � are only graphic representations of Assessors tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map y,{•,,f,,� such as building locations. BufferTLL,.fj I Prop ID:207151 BARNSTABLE LAND TRUST INC PO BOX 224 COTUIT,MA 02635 Prop ID:207063 BARNSTABLE,TOWN OF(REC) 367 MAIN STREET HYANNIS,MA 02601 Prop ID:207139 CAPTAIN DAVID KELLEY HOUSE 539 MAIN STREET CENTERVILLE,MA 02632 Prop ID:207062 PICARD,MICHAEL N&PAULA J 9 WINTER STREET WATERTOWN,MA 02472 Prop ID:207109 ROMAN CATHOLIC BISHOP OF P 0 BOX 2577 FALL RIVER,MA 02723 Prop ID:207061 SETZKO,RICHARD S&SNELL, 38 CHURCH HILL RD CENTERVILLE,MA 02632 Prop ID:207085001 STEPANIAN,STEPHEN L&VARY, 481 FOREST STREET WALTHAM,MA 02452 RONALD J. CADILLAC, PC, PLS, RS Professional Land Surveyor & Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 September 28, 2015 Barnstable Board of Health Hearing Notice of Hearing To: Abutters Project Location: 288 South Main St., Centerville Applicants: Paula and Michael Picard 8 Winter St., Watertown, MA 02472 Project Description: Owners seek to replace failing septic system. Approvals requested: 1. Vary leach area to property line by 7' (3' provided) Vary leaching to crawl by 12' (8'plus barrier provided) Vary tank to basement by 2' (8'provided) Vary tank to lot lines by up to 6' (4'min. provided) 310 CMR 15.211 (1) 2. Vary USGS adjustment by 1.1' 310CMR 15.212 3. No reserve area could be provided. 310 CMR 15.248 4. Vary leaching to wetland by 4P (59'provided) Local Reg. 5. Vary leaching to piped stream by 51' (49'provided) Local Reg. 6. Vary removal by 3' (2'provided) 310CMR 15.255 (5) 7. Vary tank to wetland by 57' (43'provided)Local Reg. Applicants Agent: Ronald J. Cadillac Scheduled Hearing: A hearing is scheduled for October 13, 2015 at 3 PM in the Hearing Room at Barnstable Town Hall, located at 367 Main St.,Hyannis, MA 02601 S r' l/ /_v_. _..._ a. PRE—CAST TANK FROM — E.F. SHEA 24" DIA RIBBED PVC RISER (TK—M15002C) W/ 24 DIA FIBERGLASS LID ! ELECTRICAL 2"DIA SCH 40 PVC DISCHARGE G I BAFFLE WALL 4 INLET INVERT 10" ALARM ORENCO 12" MIN- PUMP ON SCREENED PUMP OFF PUMP VAULT _._...___., 41' o 00 5'_8" (PVU68-1819) ! 40 4.-7 36;?!" Ass.TMRou e ORENCO PF SERIES HIGH HEAD PUMP 24N LU e . 11'-0" ( X 5'-10" WIDTH) TANK S 0 T R EMERGENCY STORAGE MAXIMUM DOSE VOLUME .AGE INSIDE DIMENSIONS=10.33' X 5.17' ALARM ® 41", INLET ® 51" ON ® 40", OFF ® 36' �• =(40"'-36")33GAL/IN STORAGE= STORAGE ABOVE ALARM =132 GALLONS* I i z 1 10133'X5.17'X1/12'X7.48ga1/cft =(51"=41")33ga1/in _ 3 al in =330 GALLONS *NOTE:SMALLER DOSE V LUMES CAN BE ¢. ACHIEVED BY INCREASIN "PUMP OFF" FLOAT ELEVATION 3 BEDROOM ( 330 GPD ) 1500 GALLON SEPTIC _ TANK WITH PUMP VAULT DETAIL NOT TO SCALE 1500PR.OSTEP3.dwg ._._..... _. _.-.._ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) lilt DATA n tri 0 • �� .• , of'THE Taw Town of Barnsl L Regulatory Services Ds Postage �+ BARMWABLE. • - y S. a '� Certified Fee i639. ,�� Public Health DiviS ArFb MAt A. J C3 Return Receipt Fee Postmark 200 Main Street, Hyannis W ' (Endorsement Required) Her \� \ Restricted Delivery Fee. p� (Endorsement Required) C3 C3 es $ Total Postage&Fe Office: 508-862-4644 FAX: 508-790-6304 OC3 — -" O N, Mr. &Mrs. Michael Picard CERTIFIED MAIL # 7011 0470 0001 4525 5433 288 South Main Street Centerville, MA 02632 .October 20 2011 -- -- Mr. &Mrs. Michael Picard 288 South Main Street , Centerville, MA 02632 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, November 8th 2011 at 3 pm in the Town Hall, Hearing Room, 2nd Floor 367.Main Street, Hyannis, MA due to your failure to repair or replace the failed septic system at 288 • South Main Street, Centerville,MA - The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. —� J Chairman • QASEPTIC\Letters Septic Inspection Failures\288 South Main St.Cent.doc i Page 1 of 1 Flynn, Judith -------...... __..- _ ! From: picardm@comcast.net • Sent: Wednesday, November 02, 2011 11:06 AM To: Flynn, Judith Subject: 288 South Main Street, Centerville, MA-Michael Picard Judith, Thank you very much for the information you provided me with regarding the Board of Health Meeting scheduled on November 8th, 2011. As we discussed on the phone I will be unable to attend in person due to business commitments. My property at 288 South Main St. is a summer home that was flooded when a culvert on Church Hill Street was blocked by a mishap that happened when a tractor pushed some crushed stone into the culvert blocking the culvert and causing my home and yard to be flooded. Because it was ground water it wasn't covered by insurance and the Town of Barnstable, lawyers office indicated that they weren't liable for the mistake. I've kept my taxes up to date and have done my best to keep the property in a presentable manner but the property is not occupied and hasn't been occupied since the damage. I haven't been able to use the property at all because of the water damage. To make a long story short I had to bear the cost of all the repairs for the property and am almost getting the interior of the home repaired. It has been a elongated process because I've had to pay for the repairs myself, approximately $35,000 dollars up until now with about$15,000 to go. Therefore I haven't been able to have the septic system checked out or repaired. I hope to have enough money to fund the project over the next year and hopefully get everything back to normal. • Sincerely yours, Michael N. Picard 11 Centre Street, Dover MA 02030 288 South Main Street, Centerville MA Cell: 5083157761 /Q 11/2/2011 I Message Page 1 of 1 Miorandi, Donna From: Ron Cadillac[ron@rjcadillac.com] Sent: Tuesday, October 06, 2015 4:55 PM To: Miorandi, Donna Subject: Re: 288 South Main St., Centerville Donna, Attached are all the template details I got in the ProSTEP design packet last year at MHOA. I used the 2000 Gal 2 compartment template adjusted for 2 doses per day to get more separation from pump on and alarm and to give us 37 "at pump off. Ron Cadillac, rs From: "Miorandi, Donna" <Donna.Miorandi@town.barnstable.ma.us> To: Ron Cadillac <ron@rjcadillac.com> Sent: Tuesday, October 6, 2015 4:28 PM Subject: RE: 288 South Main St., Centerville What tank detail are you talking about? Is the plan not representative of what you want to use? Donna -----Original Message----- From: Ron Cadillac [mailto:ron@rjcadillac.com] Sent: Tuesday, October 06, 2015 10:48 AM To: Miorandi, Donna Subject: Re: 288 South Main St., Centerville Donna, Don't see anything new in latest approval. This approval is still inadequate as it does not have the tank detail I gave you with my packet. I am sticking close to this diagram,which I received at last years MHOA session,which,covered this approval. Call with any question. Thanks. Ron Cadillac, rs From: "Miorandi, Donna" <Donna.Miorandi@town.barnstable.ma.us> To: Ron Cadillac <ron@rjcadillac.com> Sent: Monday, October 5, 2015 11:34 AM Subject: 288 South Main St., Centerville Hi Ron: Tried to call you back and phone was not working. So here goes: I have found the old sieve analysis so you can nix that but the General Use approval has been updated and changed. It is now a revised March 20, 2015 approval letter with some changes. You need to review that. I shall continue reviewing your plan. Bye for now. Donna Miorandi 10/7/2015 F 12'-0" r-r-= -----------------------------------------------------=-T-----------------------r=-L-, 20" DIA CLEANOUT COVER 3 PLACES I LT -11 6'-6" I i I I i i i i PLAN VIEW 4" TOP (6" H-20) 4" DIA INLET A e ♦ e ♦ d a RUBBER BOOT'.' 4" DIA OUTLET W/CLAMP ,0�3 RUBBER BOOT - - - - - - - - - - - - - - - - - - - - - � `- W/CLAMP a. LIQUID LEVEL OPTIONAL BAFFLE WALL 00 = I : O 4'-7" SEE NOTE 5 4' 4" d HEA d q n ♦ d —I 4 SECTION VIEW 4" NOTES: 1. CONCRETE: 4,000 PSI MINIMUM AFTER 28 DAYS. 2. DESIGN CONFORMS WITH 310 CMR 15.00, DEP TITLE 5 REGS, FOR SEPTIC TANKS. 3. ALL REINFORCEMENT PER ASTM C1227. WEIGHT 4. BAFFLE WALL OPTIONAL FOR TWO COMPARTMENT TANKS. ITEM NO. TK-2000 STANDARD 14,245 5. TEES AND GAS BAFFLE SOLD SEPARATELY. TK-2000H H-20 16,170 TK-20002C STANDARD 15,685 6. TONGUE & GROOVE JOINT SEALED WITH BUTYL RESIN. TK-20002CH H-20 17.610 7. ALSO AVAILABLE IN H-20 LOADING. S HEA New Eng/ands Premier Precaste,- SEPTIC TANK . �bql 800-696-7432 (SHEA) 2000 GALLON CONCRETE PRODUCTS www.sheaconcrete.com 773 Salem Street-Wilmington, MA 153 Cranberry Hwy-Rochester, MA Page: B1.6 87 Haverhill Road-Amesbury, MA 160 Old Turnpike Rd-Nottingham, NH Mail to: PO Box 520-Wilmington, MA 01887 tk2000.dw 02/01/2013 nPCR CERTIFIED PWrf Specifications subject to change without notice Page 1 of 1 Flynn, Judith From: picardm@comcast.net Sent: Wednesday, November p.Z,.20.11 11:06 AM To: Flynn, Judith Subject: 288 South Main Street, Centerville, MA- Michael Picard Judith, Thank you very much for the information you provided me with regarding the Board of Health Meeting scheduled on November 8th, 2011. As we discussed on the phone I will be unable to attend in person due to business commitments. My property at 288 South Main St. is a summer home that was flooded when a culvert on Church Hill Street was blocked by a mishap that happened when a tractor pushed some crushed stone into the culvert blocking the culvert and causing my home and yard to be flooded. Because it was ground water it wasn't covered by insurance and the Town of Barnstable, lawyers office indicated that they weren't liable for the mistake. I've kept my taxes up to date and have done my best to keep the property in a presentable manner but the property is not occupied and hasn't been occupied since the damage. I haven't been able to use the property at all because of the water damage. To make a long story short I had to bear the cost of all the repairs for the property and am almost getting the interior of the home repaired. It has been a elongated process because I've had to pay for the repairs myself, approximately$35,000 dollars up until now with about$15,000 to go. Therefore'!haven't been able to have the septic system checked out or repaired. I hope to have enough money to fund the project over the next year and hopefully get everything back to normal. Sincerely yours, Michael N. Picard 11 Centre Street, Dover MA 02030 288 South Main Street, Centerville MA Cell: 5083157761 jQ 11/2/2011 r m11- 4 m �Dornestic Mail Only;No Insurance Coverage Provided) Ciltid euvery information visit our website at www.usps.come r.r7 ru OFFICIAL U Postage $ rl Certified Fee ^rQ p Postmark He � Return Fee p (Endorsement Required) M ' (ERndorae�merd RZuiwd p Total Postage 8 Fees afa t r# Mr'& Mrs. Michael Picard .288 South Main Street Centerville, MA 02632 i Certified Mail Provides: s ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of. delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for !a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. ■ For',,an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry_. PS Farm 3800,August 2006(Reverse)PSN 7530-02-000-9047 3. P�pF SHE Tp�y Town of Barnstable Barnstable' Regulatory Services Department ;oftaM BARNSTABLE, Q "Ass. a6gq. Public Health Division _vp �0 m TfD MAC a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO cv--c /0/A6/0 t CERTIFIED MAIL # 7011 0470 0001 4525 5433 (jb?) MI5 741 October 20 2011 Mr. & Mrs. Michael Picard 288 South Main Street Centerville, MA 02632 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, November 8th 2011 at 3 pm in the Town Hall, Hearing Room, 2nd Floor 367 Main Street, Hyannis, MA due to your failure to repair or replace the failed septic system at 288 South Main Street, Centerville,MA The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Chairman Q:\SEPTIC\Letters Septic Inspection Failures\288 South Main St.Cent.doc �+ Page 1 of 1 McKean, Thomas From: picardm@comcast.net Sent: Wednesday, March 25, 2009 12:38 PM To: McKean, Thomas Subject: Re: testing Mr. McKean, Thank you very much for returning my phone call from earlier in the week. As you suggested I am attaching the original document I sent to your office via faxsimilie so that you can have a more legible document to review. I have also taken the liberty to attach the original document I filed with the Town of Barnstable, legal department which describes the damages to my property. Since April of 2007 the property has not be used. I have taken the necessary steps to maintain the property so that it doesn't give the appearance that it is abandoned. If you have any questions feel free to contact me at (508)3157761. Sincerely yours, Michael N. Picard ----- Original Message ----- From: "Thomas McKean" <Thomas.McKean@town.barnstable.ma.us> To: picardm@comcast.net Sent: Tuesday, March 24, 2009 8:44:29 AM GMT -05:00 US/Canada Eastern Subject: testing This is a test Sincerely, Thomas McKean,RS,CHO Director of Public Health Barnstable Health Division 200 Main Street Hyannis,MA 02601 (508) 862-4644 thomas.mckeanAtown.barnstable.ma.us 3/25/2009 Thursday, May 24, 2007 To: Linda E. Hutchenrider, Town Clerk, Town of Barnstable From: Michael N. Picard, 288 South Main Street, Centerville, MA Subject: Flooding of 288 South Main Street on April 13, 2007 Dear Linda, My name is Michael N. Picard and I currently own a home at 288 South Main Street in Centerville, MA. My home unfortunately was flooded on April 13 due to a construction error where the street drain/culvert on Church Hill Street was clogged with crushed stones on Friday April 13. Lawrence Lynch was the contractor doing road/ drain work on Church Street. Below is the sequence of events: ■ On Friday April 13, 2007 we received a call from Ronnie Mulligan from Century 21 of Centerville (our realtor), that our street, Church Hill Road and that water was going into our home ■ We were away and retrieved the voicemail only on Sunday evening April 15, 2007 ■ On Monday April 16, 2007 we received another call from Ronnie Mulligan stating that our neighbor Nancy Snow had called and said that the street, our yard, her yard and her basement were flooded with six feet of water in her basement which is at a higher elevation than our home. ■ We then received a call from the fire department that they had to shut off the gas and electric to our home due to the flooding. ■ On Tuesday, April 17, 2007 we hired Disaster Specialists, Randall J. Florence o Pumped out approximately 3000+ Gallons of water from the home o Sprinkler valve damage due to flooding of the yard and backup of water ■ On Tuesday, a representative from the Highway department was at the storm drain/culvert/pipe on Church Street taking pictures who said, "The pipe running under the street was blocked by the crushed stone from the road contractor on Friday and I'm taking pictures to document the problem"—The representative from the highway department referred to Lawrence Lynch as being the contractor. o Also, noted was the construction firm removed a"blocked drain"which was positioned at the end of the Church access road that was noted to be blocked that prevented the water to drain. Page 1 of 2 \I The total impact due to the construction error is: Item Description Cost 1 Disaster Specialists Services $1,990.92 2 Furniture Damage $2,314.15 3 Contractor Estimate to repair damages* $23,523.00 Rental fees lost(8 Weeks @1500/ 4 week) $12,000.00 Total Damages: $39,828.07 *Note Damages are estimates based on visual damages, additional fees might be incurred after repairs begin I am providing a you with this letter the following: 1.) Copies of all of the invoices for the contractors and damaged property 2.) Report from COMM Fire Department on April 17, 4 Days post original flooding 3.) CD that contains pictures of the damaged property and a copy of the voicemail recording from our realtor, time-stamped as to when the construction error occurred. My intent is to get my property back to the way it was prior to the construction error and I am looking for your assistance on expediting my problem with the town. Sincerely yours, Michael Picard Home: 5087852989 Cell: 5083157761 Page 2 of 2 EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 5/12/2009 II. Hearing: Septic: A. Michael Picard, owner— 288 South Main St, Centerville, requesting extension of septic repair deadline to March 14, 2010. Michael Picard was present. He stated that the Public Health Division sent him a letter in Nov 2008 requesting him to fix the septic system. He was planning to sell the property. However, at that point, a neighbor had contractors working on the neighbor's property and their error caused Mr. Picard's house to be completed flooded. His attention has been on the repairs to the house and no one is able to live in it at this time. Upon a motion duly made by Mr. Sawayanagi, seconded by Dr. Miller, the Board voted to approve the extension of the deadline for the septic repair to March 14, 2010, with the condition that the house is not occupied during that time. Page 1 of 2 f63Crocker, Sharonf From: McKean, Thomas �® d Sent: Monday, April 13, 2009 3:48 PM To: wamdoc@verizon.net; Jimmy Sawayanagi (exit5gallery@comcast.net); Paul Canniff(canniff.paul@gmail.com) Cc: Crocker, Sharon Subject: So. Main Street Centerville- Failed Septic System/ Hearing Date -----Original Message----- �f From: picardm@comcast.net [mailto:picardm@comcast.net] % a -- ,��-,4Z Po-lb, Sent: Monday, April 13, 2009 2:47 PM To: McKean, Thomas Subject: Re: Septic System/ Hearing Date Thomas, I am being called out of town unexpectedly today, actually I am traveling to Los Angeles on business tomorrow and will be unable to attend the hearing. Can we reschedule the hearing for on an alternate date? Regards, Michael ----- Original Message ----- From: "Thomas McKean" <Thomas.McKean@town.barnstable.ma.us> To: picardm@comcast.net Sent: Tuesday, March 24, 2009 8:48:47 AM GMT -05:00 US/Canada Eastern Subject: Septic System/ Hearing Date The hearing is scheduled for Tuesday April 14th at 3:00 p.m. at the Town Hall (367 Main Street), second floor Hearing Room. Sincerely, Thomas McKean,RS,CHO Director of.Public Health Barnstable Health Division 200 Main.Street - Hyannis,MA 02601 (508) 862-4644 tomasmckean@town.barnstable.ma.us -----Original Message----- From: McKean, Thomas Sent: Tuesday, March 24, 2009 8:44 AM To: 'picardm@comcast.net' Subject: testing This is a test Sincerely, Thomas McKean,RS,CHO Director of Public Health Barnstable Health Division 200 Main Street 4/13/2009 n f q Sunday, March 15,2009 Town of Barnstable Regulatory Services Department Public Health Division 200 Main Street, Hyannis, MA 02601 Attention:Thomas McKean,R.S.,CHO Dear Mr. McKean, I am writing to you in reference to a registered letter I received on Saturday, March 14, 2009 from the Town Of Barnstable, Regulatory Services Department regarding our septic tank Title 5 compliance for 288 South Main Street,Centerville MA. , On 11/30/07 David Coughanowr did indeed inspect our septic and it failed. Since that time our home was flooded due to construction which occurred on Church Hill Road. There is a current filing with Massachusetts Superior Court,Civil Claims,Civil Action:08-00076. Approximately$40,000 dollars of damage was done to my property on 288 South Main Street. I intend to fully comply with the order to comply with the findings and repair the septic tank once summary judgment is given by Superior Court in May after the case goes to trial or at such time that a judgment is given. I have not acted sooner in regard to the repairs because of the pending litigation and because of the money and time I've spent in determining who was at fault with the damages to my property. I have not used the property since the flood date of April 13,2007. 1 have pumped the system after the flood to prevent any issues to the system or surrounding area until such time as I can perform the modifications. I will be opening the system again and pumping it dry in May of this year with the help of a septic professional to determine specifically the extent of the damages and prepare for the modifications. I have also invested$3,000 to develop the plans for a full contained septic replacement system that have been filed with your office for the property. I would ask that the board consider extending the deadline to March 14,2010 which will give me sufficient time to repair the system and have it re-inspected for Title 5 compliance. I will call you this week to discuss my request for an extension as I will be traveling out of town on business this week. If I have to attend a formal hearing in front of the Board of Health I would request a date post March 25`", 2009 as I will be traveling on business. Sincerely yours, Mic el N. Picard 288 South Main Street,Centerville, MA,Cell: 508t��716 mrvp a 288 South Main St. Centerville,MA Michael Picard 5083157761 5087851212 Fm To: Thomas McKean, R.S.,CHO From Michael N.Picard Fax: 508-790-6304 Pages: 3 Phone: 508-862-4644 Dale: Sunday, March 15,2009 Order to Comply with State Environmental Re: cc: Code Tine 5 ❑Urgent ❑For Review ❑Please conwnent ❑Please Reply ❑Please Recycle Please forward the attached fax to Mr. McKean for his review. I will be contacting Mr. McKean directly this week to review the attached letter. Mar • 5, 0% 11 : 22a Michael Picard 5087851212 p. 3 y Town of Barnstable gai--I F SMF T P Regulatory Services Department t�Md11ta fr1111A BARN.SrABLe 1 :636;q Public Health Division a . �6�' Alf�� 200 Main Street, Hyannis MA 02601 2007 Office: 503-8ti2-4644 Thomas F.Geiler,Director FAX: 508-790-630 t 'Thomas A. McKean,C1-10 03/09/09 Michael and Paula Picard 11 Centre St. Dover, MA 02030 FINAL ORDER ORDER TO COMPLY `VITH STATE ENVIRONMENTAL CODE TITLE 5 The septic system located at, 288 South Main, Centerville, was last inspected on 11/17/2005, by David Coughanowr a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the Pollowing: "Tank was not opened because conclusive evidence of system failure was observed at leaching gallery. Tank should be pumped dry at time of repair and examined for structural integrity and water tightness. A new PVC tee with a gas baffle should be installed." The deadline for repair 11/30/07 has past. We, The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven (7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF I-IEALTI I ria McKean, R.S.. CHO Agent of the Board of IIealth h Town of Barnstable Barnstable Regulatory Services Department caC j I. naRN%-rABLE, ' "Ass.i639• Public Health Division �� ArfD Mesa 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7011 0470 0001 4525 5433 �y October 20 2011 Mr. &Mrs. Michael Picard 288 South Main Street �� A Centerville, MA 02632 C7;� YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, r November 8th 2011 at 3 pm in the Town Hall, Hearing Room, 2nd Floor 367.Main Street, Hyannis,'MA due to your failure to repair or replace the failed septic system at 288 South Main Street, Centerville,MA The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Chairman � t Q:\SEPTIC\Letters Septic Inspection Failures\288 South Main St.Cent.doc { USPS.comO-Track&Confirm https://tools.usps.com/go/TrackConfirmAction.action English Customer Service USPS Mobile Register/Sign In 60-26 USPS.6.v 0 V4 Search USPS.com Or Track Packages Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm G0 EMAr-UPDATt S PRINT DETAILS YOUR LABEL NUMBER SERVICE STATUS OF YOUR ITEM DATE 8 TIME LOCATION FEATURES 70110470000145255433 Delivered October 24,2011,11:13 am HYANNIS,MA 02601 Certified Mail'" Processed through October 23,2011,11:42 pm WAREHAM,MA 02571 USPS Sort Facility Moved.Left no Address October 20,2011,9:27 am CENTERVILLE,MA Arrival at Unit October 20,2011,8:52 am CENTERVILLE,MA 02632 Processed through October 20,2011,4:27 am WAREHAM,MA 02571 USPS Sort Facility Check on Another Item What's your label(or receipt)number? . Find - LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy Government So v cn r Abnul 11SPS Homo - Fiuslne,s Cu5 Omer Gateway m . Terms of Use+ BUY Stamps'&Shop 1 I Newsroom r Poslal Inspectors FOIA m Print a Label with Postage> Mail Service Updates, Inspector General m No FEAR Act EEO Data Customer Service Forms 8 Publicaiions Postal Explorer Site Index> Careers> - Copyrighft32012 USPS.All Rights Reserved, https://tools.usps.com/go/TrackConfirmAction.action 3/13/2012 'r Page 1 of 1 `.a Flynn, Judith From: picardm@comcast.net Sent: Wednesday, November 02, 2011 11:06 AM To: Flynn, Judith Subject: 288 South Main Street, Centerville, MA- Michael Picard Judith, Thank you very much for the information you provided me with regarding the Board of Health Meeting scheduled on November 8th, 2011. As we discussed on the phone,l will be unable to attend in person due to business commitments. My property at 288 South Main St. is a summer home that was flooded when a culvert on Church Hill Street was blocked by a mishap that happened when a tractor pushed some crushed stone into the culvert blocking the culvert and causing my home and yard to be flooded. Because it was ground water it wasn't covered by insurance and the Town of Barnstable, lawyers office indicated that they weren't liable for the mistake. I've kept my taxes up to date and have done my best to keep the property in a presentable manner but the property is not occupied and hasn't been occupied since the damage. I haven't been able to use the property at all because of the water damage. To make a long story short I had to bear the cost of all the repairs for the property and am almost getting the interior of the home repaired. It has been a elongated process because I've had to pay for the repairs myself, approximately$35,000 dollars up until now with about$15,000 to go. Therefore I haven't been able to have the septic system checked out or repaired. I hope to have enough money to fund the project over the next year and hopefully get everything back to normal. Sincerely yours, Michael N. Picard 11 Centre Street, Dover MA 02030 288 South Main Street, Centerville MA Cell: 5083157761 QC�6 v 11/2/2011 oFzK r Town of Barnstable Barnstable Its ° Board of Health 1* DARNSTABLE, 9 MASS. 200 Main Street, Hyannis MA 02601 ' �m 039• ATED MA'S a. 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. JunichiSawayanagi BOARD OF HEALTH MEETING RESULTS Tuesday, November 8, 2011 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Discussion: Bill Rabe representing Center Village Condo — Captain Cook Lane, Hyannis, sewer plans (also, see Jun 2011). The Board of Health is in full support of Center Village Condominium's private sewer, plan and is excited to hear that the Police Department and Marine & Environmental Departments will be connected, along with the possibility of Strawberry Hill and Shallow Pond Condominiums hooking up to the system in the future. The Board asked that Mr. Rabe, Center Village Condominiums and Mr. McNamara, Manager of Strawberry.Hill and Shallow Pond Condominiums return to the Board at the December,13, 2011 meeting and give the Board another report. II. Hearinq — Septic in Failure: A. Michael & Paula Picard, owners — 288 South Main-Street, Centerville, past deadline repair date. The Board voted to give the owner the option to (1) appear before the Board in person at the December 13, 2011 meeting or (2) the Board shall give notice that there shall be no occupants until the septic is repaired and the house will be posted as "Not Fit for Habitation". B. Anthony Pino, owner— 23 Sycamore Street, Hyannis, past deadline repair date. Mr. Pino has supplied the Board will a copy of a signed contract with a septic installer and the permit has been pulled. The Board voted to continue to January 2012 meeting to make sure the septic has been completed. C. Marcia Moniz, owner— 17-19 Fresh Holes Rd, Hyannis, past deadline repair date and has signed a contract to have Capewide install a new septic. Page 1 of 4 BOH 11/08/11 I i I ' � r Town of Barnstable Barnstable . Board of Health * saiuvsrnst.E, y Mass. $ 200 Main Street,Hyannis MA 02601 - i639. A 2007 OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING MINUTES Tuesday, May 12, 2009 at 3:00 PM Town Hall, Hearing Room 367 Main Street, Hyannis, MA A regularly scheduled and duly posted meeting of the Barnstable Board of Health was held on May 12, 2009. The meeting was called to order at 3:00 pm by Chairman Wayne Miller, M.D. Also attending was Junichi Sawayanagi. Paul Canniff, D.M.D. and Thomas McKean, Director of Public Health were unable to attend. David Stanton, Health Inspector-Public Health Division, and Sharon Crocker, Division Assistant,were also present. I. Show-Cause Hearing: Marilyn Higgins and Cindy Gould at 92 County Seat, Hyannis— Refuse Violations. Continued to the June 16, 2009 meeting. Mrs. Higgins and Ms. Gould were unable to attend. The Board of Health would like the owner to appear as this has been a repeat issue. The Board is informed the property has been cleaned up. II. Hearing: Septic: A. Michael Picard, owner—288 South Main St, Centerville, requesting extension of septic repair deadline to March 14, 2010. Michael Picard was present. He stated that the Public Health Division sent him a letter in Nov 2008 requesting him to fix the septic system. He was planning to sell the property. However, at that point, a neighbor had contractors working on the neighbor's property and their error caused Mr. Picard's house to be completed flooded. His attention has been on-the repairs to the house and no one is able to live in it at this time. Upon a motion duly,made by Mr. Sawayanagi, seconded by Dr. Miller, the Board voted to approve the extension of the deadline for the septic repair to March 14, 2010, with,the condition that the house is not occupied during that time. III. Hearing — Underground Storage Tank: A. Bill Larmee, owner— 3625 Main Street, Barnstable. BOH May 12,2009 Page 1 of 8 ,_ rep r , ! Uzn Ere_ S. . OJV3 I 'd 280IS8680S Rae=td t8e4*TW dIO=f►O 90 Be uni Town of Barnstable Barnstable �1 Regulatory Services Department �A,America Cily snxrrs�rasz�. HAS& ,e Public Health Division 200 Main,Street, Hyannis MA 02601 2607 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 03/09/09COO) Michael and Paula Picard 11 Centre St. Dover, NIA 02030 ! FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 288--South Main, Centerville, was last inspected on 11/17/2005, by David Coughanowr a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Tank was not opened because conclusive evidence of system failure was observed at leaching gallery. Tank should be pumped dry at time of repair and examined for structural integrity and water tightness. A new PVC tee with a gas baffle should be installed." The deadline for repair 11/30/07 has past. We,The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven (7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH a "McKean, R.S., CHO Agent of the Board of Health ti EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 4/14/09: POSTPONED B. Michael Picard, owner— 288 South Main St, Centerville, UNTIL requesting extension of septic repair deadline to March 14, 2010. MAY 12, 2009 Dr. Miller asked Mr. McKean for the date of the original flooding. Original flooding was in Nov 2005 and there have not been any occupancy there since. The item will be continued until May 12, 2009 and the Board will require no occupancy continue if the extension is granted. EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 5/12/09: II. Hearing: Septic: A. Michael Picard, owner— 288 South Main St, Centerville, requesting extension of septic repair deadline to March 14, 2010. Michael Picard was present. He stated that the Public Health Division sent him a letter in Nov 2008 requesting him to fix the septic system. He was planning to sell the property. However, at that point, a neighbor had contractors working on the neighbor's property and their error caused Mr. Picard's house to be completed flooded. His attention has been on the repairs to the house and no one is able to live in it at this time. Upon a motion duly made by Mr. Sawayanagi, seconded by Dr. Miller, the Board voted to approve the extension of the deadline for the septic repair to March 14, 2010, with the condition that the house is not occupied during that time. I EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 8/1/2006: A. Ronald Cadillac representing Mike and Paula Picard, 288 South Main Street, Centerville, 11,150 square feet parcel, requesting for numerous variances to repair septic system. Ronald Cadillac presented for.the owner and explained there is a fresh water stream piped under the house. Mr. McKean stated the elevation of the stream should be used (2.8), not the 1.9 used on the plan. Mr. Cadillac discussed the difficulty in calculating the adjustment. The wetland is 10.5 and system is 10.3. Dr. Miller has a remaining question on the elevation and requested, at the very least, use the elevation of the stream across the street which would require the system to be raised a 10th of a foot. Joan Kimball, neighbor across the street spoke. She also had a stream at end of her property. The stream has disappeared. It used to be that her property's stream flowed off her property. Ms. Kimball suggests that the pipe under the road may be blocked. Upon a motion duly made by Dr. Canniff, seconded by Dr. Miller, the Board approved with the following conditions: a) must submit a revised plan using new elevations (using as elevation, the stream across the street) which would raise the system by a 10th of a foot from 10.3 to 10.4 feet., and b) must submit a Monitoring Plan where the monitoring will be done quarterly for a two-year period. Then, the applicant shall come before the Board of Health meeting for a determination of whether the testing may be reduced. c) The wastewater effluent must be tested quarterly during the next two years for pH, BOD5, Alkalinity, TSS, and TN, and d) the variance from CMR 310-15 4.05 allowing the SAS to be 5.5 feet below finished grade was approved. The Board asked Mr. McKean to check on whether this is an urgent repair, and if so, it will have a 90-day limit. (Unanimous vote in favor.) I. . floor P14n K�F& . �tio- Qn• Dia- 8ntk �"� i1Z�ik-� HQu . si;a� r 4 -......_._.._.'_. .. 3 I i PRE—CAST TANK FROM E.F. SHEA 24" DIA RIBBED PVC RISER {TK—M20002C) W/ 24" DIA FIBERGLASS LID ELECTRICAL 2"DIA SCH 40 PVC i I DISCHARGE INLET INVERT j BAFFLE WALL a I I 10 ALARM ORENCO 12" I MIN. PUMP ON ° SCREENED PUMP OFF PUMP VAULT 39"� 0 rl 00( 6 —0 (PVU68-1819) 38„ I 4'-7" 36" I PASS THROUGH a ORENCO PF SERIES j HIGH HEAD PUMP I e 24„ i -- 13'-0 { X 7'-0" WIDTH) TANK STORAGE EMERGENCY STORAGE MAXIMUM DOSE VOLUME INSIDE DIMENSIONS=12.33' X 6.33' ALARM Q 39", INLET @ 51 ON ® 38", OFF ® 36" I =(38"'-36")49GAL/IN STORAGE= STORAGE ABOVE ALARM =98 GALLONS* i 12.33'X6.33'Xi/12'X7.48gal/cft (51"-39")49ga1/in = 49 al in =588 GALLONS *NOTE:SMALLER DOSE VOLUMES CAN BE ACHIEVED BY INCREASING "PUMP OFF" FLOAT ELEVATION S BEDROOM 550 GPD 2000 GALLON SEPTIC f I fi TANK WITH PUMP VAULT DETAIL NOT TO SCALE 2000PROSTEP5.dwg I ( I ACME PRECAS T CO . , INCN PLANT ADDRESS; 590 THOMAS B. LANDERS ROAD, WEST�FALMOUTH, MA. 02536 MAILING ADDRESS; P.O. BOX 2034, TEATICKET , MA. 02536 PHONE (508) 548-9607 FAX (508) 548-1664 TOLL FREE 1-800-560-9949 H-10 PRECAST MONOLITHIC 1 ,000 GALLON SEPTIC TANK WITH 500 GALLON PUMP CHAMBER 2 - COMPARTMENT TANK 10'-10" loan (2)-21"CONCRETE COVERS I ( 1)-24" CONCRETE COVER II 5'-8" II L_ II (3) - 4" INLET (3) -4" OUTLET "POLYLOK SEALS" "POLYLOK SEALS" 311 4" r 5'-8" LIQUID : "; LEVEL j 31-1 J L. 6'-8" 411 ITEM# STPC15M SPECIFICATIONS PRODUCT WT. 13,5001bs. Concrete Minimum Strength: 4,000 P.S.I. at 28 days 310 CRM 15.228:(1),8eptic tanks/pump chamber shall Steel Reinforcement: 6" x 6" x 10 ga. steel wire mesh be installed level and true to grade on a level stable base Design Loading: standard units -AASHO - H-10 that has been mechanically compacted and on to which .six inches of crushed stone has been.placed. { l h � • t 1 r t .. F t' ,�.. -'� ' ��q•,�� 3'I _ � `�� arr ,�.�.� �", + `� ��?F t,',� ql. tee+° ap =00" at op I _.-. ... ._. r ,� • . � -�_*�'.> ���-e � .fir»-� � i . 's, p •Fyn yC :s -i4 w , ol rl If - . ' k .. - f 4 bd p 11{ ,.-. � ' iil'• ,e, t•. ,. 1 K 1. s. � ' �, ^rC T ^ 5+ 1} a - y _ /AL ,„�'i «' -:rr I-- ;��. 'eJ S3'• s-;':'k4 aF' t.. !:, ,s. s +"«'a` aYf'.. ... r, TIN), M i=! _ •" q 4 aj. ` �0 w b •+� y� �`5Si .+- iS M `'t.r+• t t'�P '•A,L.•rr}ik.�,�s'.r{;j" �i Yb _IVY + ,3 IW4 -3v 'w` ' R• pl, �'4t'' r T.v '�# t .E' r - l f! „tdr .��° k •�,7M`b. r\+.A}}:n. vR^ •7S.rS. L"a¥ kvw }'#r+�Jy •: •+pr*d pia.'+ 3 a t,�'•.`f:�4. `-s" , r •aa` a f g+y�, ''° * y'. �; � ���. + �. ,� � 1 � �;� �. •; dim�i�w1°`A�,:•v .,r:•n =ice �..�,...:.... C.'°t�:5>�" � ••. �l�m• aE.: _ t�\4 F� `,r r'�,.."�c �i1.��af'�'t"£�v�d����:� - m • Ty,. ' ���y,`�I 1 {•+.--.I .y .'�2E. ;.y\p�'�:,. '�kv�Y�a �,,��''E� � ASr +�' ! W +*�n.I��' ° ..,I p s m. ` � 9 i o �� .t,o�_ '�� .\� � �,f;?Y ��° � •��,�PiV iAy 7 � rr ��v,.,�g,�h_ ��{ -- �_ i S E •,./•t !' S�. � ya. r,�$�� ,.q�� �,��:. ■' ���.S ����• f� j;.µ ',�.'�"`'� t`i*"�;�c7q +(+'��° +�k.�*�a d,�m -:s. r E E r 11!`` J_� '.. 9 `'3''9t' "' ,+a 'll,. Py!•°t ,,, r 1 ''^t�.-�+ 44 `k s} <7"• `''� ,1 E„y <,,., . 77 �° I� �°-ti r";,y, ice■ � g�,�-, ��,,,, �'� � ,rt� ��{�.k,�_�r `��: a` �i F „� �„��� ��� n 1 °4 4a'- ,.�� ti. � � bps• '�`3 .+�. � �.'t ,�,y.�,'.. �,'t-. r,••r,{�,�. j� �. C: +�' 1 a , °ak• s, .,k Y .,: .,•f .c+v' � ,. •.. •'• / ^ .•dEE, qr,�`y•�'��..f+«'w^r{ ({',:j l: -�.�W'14 �W#$�•V. ... •'• 1'�: ,?t��iT55► I' = .. �#ti p�t 6`a^P'N� aA 0 CA, PROP , i aA���r�r��� h'f�•}.ax.'+*f`'i3p�if+•�ft''df.::��r'i��,�i`a."�•;'1M(.f�r �' gr.�3Y..•y�'�9�/es�w b,$yi•v'��:�"+:��y, . r. RECLAMATION k �• `;� +ykEy}. jt ' ° - �ral..,4 t Xt ''1, s>r�,s�!o `5: ;�Y�'1`ids.: t-. a • ,.�• ,' '•F ,1� ',h - ,�1' +. f � CHURCH HILL ROAD sri,.i ' y) y ��,?"x�t ��J4Yt �.,� � �. ' •"r�i* �. \*e��tt.eR;a, .� `■!'_ _-M�«r+'�`;m. dx. �:r �'�.•+�.a'{'ma� °� .Ei•. s f *� -�^t,*., .. 4'�M ++, ":'y.,•r:,,t '. t�' i'., p `t,'� ' '� _ ,,,.•5,` t. i� � + ! i \ ,;t.> +m::.1i.: "; a, >s'h?•'�r I,••`�K;.. -a-+ 'Y.' r ;: r ,Sa.+ '� ' h" ,," �; \i #• �'• } r ► a+ « a }•-riff t+ a� •" PROP RIP RAP 1 "•_.. Mm v it kt i',R# YSIf �t. w'tY •.. {, i..',. mlfum+e .rm •^^"'..,�� . '',��Fy*�If/ ^h. m .. Ef'4r. rXa *_.,.- �; a Xu; 1 0 • � , yyf ip tKi a 7tt a. wt ■ w _ �Xi\2..r .. ! . i � $R y• •;s #� �� ." :�'i �`. P �'��;`' •,,M,4a-''i# �° .'�*` 1� r'�����F •c "''�"'' ,�'� t 7 PATCH . 1 1 : "' it•; "% �'t' � ' °• w •" Z �� PROP �:,; .a , �;• � 3 ra'�4st '{�xg s � END NKSIDEWALK .�.: i^3 f:.�v.,.zz\'i.`. •.�� ,°y1 c.;;;�, �` •. a g� _. 'T% ,1.'3t}■,i� c .a i' .'" �1�► �'"i�' J aa. � E ;• w..! •RED- ,. +•T'" .a • s AND a� �^ JA F. yy � q cf" 3D h •�t.- ^� � r��yi Ti �«}a.z:, jAi � r + 1 ,3 � � .�, s i •° 11'. ��� .i�T' � �7 tf�R .Y�u n y �.,1 +, w w`" `�M�� 1�",`* +�e � a � a ; � i w .�� * ■ a-�, .r;,q•,.,m„�''"'r 'e$!'"� 9"�*U `,�. x.' ,�\g"r � 'V• •�..�„°l��r`4 Cl s-.a•.;%.�.d• '""'. �r '��. :"jS }���`e a i �F ' �.' - ��•w���r ' '�'■ "" f"`"Sri"' x+ -— �► 'w��s.� +�`�� � #� /, �,���� �,�" s .•g� •, "R ., i 'Sl :1 .;J,;. t '" • k 'Sy .;+ s T AT EAST AND�)IEST 71i'3 . iE uSIDES OF MAIN ST y r. ;.; s '"` ?� _ Ty2c,. u "x,�Y., �;,•• �, �+ R '�.7a �,, iw�r.\ �^�,,1 `� J ;�, •y 3�G� °' '• •�" a. ^• �'i f' ." 5.v n` � '` �. ,� 1" ,�•sa'' �,�`C �I nri'{ ".h7t• „�i� X• ,. l `1+.+ .i' •+.s .vv... ►"r.- • �; � i M E,r-mot= x+�. •r if'k�.1 reL 1Cx ',S a' �€� °�: t tiw�'! :, .'m t .: � --'i -'.�4::.`l� .m 4:^ar'�Y& 2 ''� ` `mr•, � '�X�.c..'tz• tr�.�,'�ffi�• ��' _ ��:f�*d.L•ncd. ,.e° 4s _ ... ■ 1 •1 ; • 1 i 1 1 '1 1 1 mol + 701 C, F � c j r AIA Z Y ti.�t �M- SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY, ■ Complete ifbms�1,2,and 3.Also complete A._Sigr ature item 4 if'Res ictaed Delivery is desired. ,r ❑Agent ■ Print your name and address on the reverse " ❑6ddressee so that we can return the card to you. B. aceived by(Printed Name) C. Dat of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. it, livery address different from item 1? ❑Yes 1. Article Addressed to: It I,enter delivery address below: ❑No `Tw1� ofjaf I 156-1 MCA iT-1 �� + rAA- GZ-okq 3. Service Typ ❑Certified ❑Express Mail I ❑Registere ❑Return Receipt for Merchandise ❑Insured M: ❑C.O.D. 4. Restricted Delive. ?(Extra Fee) ❑Yes 2. Article Number r T ?qO4 0750 OOp2. 3562..Q649 :piCGf C, (Transfer from sP * • s a N 'PS Form'38111,February'-2004`t t t 1 ,Domestic Return Receipt 102595-02-M-1540 1 UNITED STAiSTAL"5; �lC� as «,< 9s a • Sender: Please print your name, address, and ZIP+4 in this box • RONALD,I, CADILLAC, P'S, Rai pgol= •SSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258 WEST YARMOUTH,MA 02673 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. SidnataTe 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. Re ed b (Pr' ed Name) C.,Date of Delivery ■ Attach this card to the back of the mailpiece, � `��.� or on the front if space permits. ` 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No jk\ci � el S .Se}�konsr1� z g CmWvok- 1 3. Service Type ❑Certified'Mail 0 Express Mail ❑-Registered 13,Murwheiceipt6 Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes L2. Article Number ,, s fs {p75� 0��2 3562 0663' f (Transfer from" 1?? t�,�7;OsOW10 , -t'ik,. a a .., t 4 t PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154011 UNITED STATES POSTAL SERVICE First-Class Mail :5 .»3UL P,1NA S i Fees Paid P • Sender: Please print your name, address, and ZIP+4 in this box • R.OI`!AI.R j,vADILL.AC,PLS,RS pfj.01=ES51CJ�R�pAL gr11TAR AN OR REGIST P.O.BOX 258 WEST YARMOUTH'MA 02M I I {{ jj {{t tt ({ {{ jj ?tA10 1 I11tt111111111t1'1.illfl�l1�14ifii�t�tillii441ti�l�t'1D3D111i'i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY. ■ Complete items.1,2;and,3.Also complete A. Signature item 4 if aest[icted Delivery is desired. ❑Agent ■ Print your nainz and address on the reverse X i;;�CA ❑Addressee sothatwe;dan•`return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No oz-62 3. Service Type v ❑Certified Mail ❑Express Maii ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ,0 7 5 40�..=2. 3 5 6 2• 0 7 0 0 (� (Transfer from setI 7 p p 4 n I Ps Form'3811,February 2004 Domestic Return Receipt 1&595-02-M-t540' UNITEd STArl's" �g 416 1M.. :�� 5 . , i? fiit b • Sender: Please print your name, address, and ZIP+4 in this box ° ROMAM J. a.s ILLf aC, PLS, 16a7 PRC ESS!0PJAI_LAND SURVEYOR REGISTERED SANITARIAN I P.O. BOX 258 VIES T 4'ARMOUTH,MA 02073 I I I I I I JJjj jj JJ jj tt )) / (I �111ltt!!flt�+tt�l.111Jt�lilf�fl� I 1 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signat re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X, ❑Ad essee so that we can return the card to you. B. Recei ed by(Print Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, / or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No � �Wn 6m�al k (.arvy )U4 CA 3. Service Type ❑Certified Mail ❑Express Mail I ❑Registered ❑Return Receipt for Merchandise b - ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) Yes 2. Article Number (transfer from s114111 p :f p 2 ;3 5k6 2, 0,6 8,7, , , l 6`c �( PS Form 3811,'February m4 Domestic Return Receipt l• 102595-02-M-1540 )kt#�t � UNITED STATES, PuL'', C a� :"' a: 9flpa �I ostage&P ` I USP • Sender: Please print your name, address, and ZIP+4 in this box • � I � I I PROF SSiONAL LAND SURVEYOR I REGISTERED SANITARIAN I I P.O. BOX 258 WEST YARMOUTH, MA 02673 I I I I I I I I ili.t„:ijbihJ]It 1adwi,III 11111LiSi,JIdilibli"if11t I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY' ■ Complete items 1,2,and 3.Also complete A. ature item.4 if Restricted Delivery is desired. X Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. R eived b ( tinted Namo Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different m.em 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address elow: ❑No rn CO3 �Inc�1�C�ta P V zS-7'� 1 t A V 21 2-S 3. Service Type l� ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 70O4 075:� �0002 3562 0694 r (Transfer from servIC ' +., .€ a Il.a PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540: UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS I Permit No.G-10 I I Sender: Please print your name, address, and ZIP+4 in this box • j � I I RONIALD J. CAP-11 "AC, PPS, FPS � PROFESSIONAL L4ND SURVEYOR REGIr,'TE-RFD SANITARIAN P.O. BOX 258 �I VI VEST YARMOUTH, MA 02673 I I I I j I I j I I I I - � SENDER: • •N COMPLETE THIS SECTIONON DELIVER ■•Complete'items 1,2,and 3.Also complete A•`'S g e item 4 if Restricted Delivery is desired. V ❑Agent ■ Print your name and address on the reverse nt ❑Addressee B i so that we can return the card to you. , Rec • ed P ed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, �/1�1 i or on the front if space permits. ` D.°Is delivery add •if'e at*fPol7+d rn El Yes 1. Article Addressed to: � F f YES,enter del! address belo ❑ No 3. Service Type ❑Certified Mail 0 Express Mail - ❑Registered. ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivero(Extra PUe)- ❑Yes 2. Article Numbe. 7004 O 7 5 R 0002:3562 0632 eQrCI (rransfer from' Ps'Form 381'1,`February 2f104 Domestic Return Receipt 102595_02-M-1546 ,... UNITED STATE93" M L'`S I Epl'- aZ5.. f m No. ,,;, • Sender: Please print your name, address, and ZIP+4 in this box • RONALD J. 'CADILLAC, PLS,RS PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN P.O.BOX 258 WEST YARMOUTH,MA 02673 �1�fltli'!!l11fll!(left/�1�'!(!{1(!fd'!(d�/liii�tlf'#!�!{�illd �1 COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete_ Signature item 4 if Restricted Delivery.is desired. ❑Agent ■ Print your name and address on the reverse X A� ssee so that we can return the card to you. g, e ' ed by(Printe ame) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: f'Y enter delivery address below: ❑No c za 8/1�7 \ 3. Service Type� � ❑:�Celr�ti�ed jail ❑Express Mail.. O¢Registered ❑Return Receipt for Merchandise 3_.. ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes j 2 Article Numbi7:�*- ((transfer front; i i t,i7I J wu j 1 0Jj 5 0; 0`0 0 2 35 6 2;,0 6`70; G r PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; �1 t� 1'--44roc: r uw UNITED STATES POSTAL E"W dt �`I1YIait •` .Pala • Sender: Please print your name, address, and ZIP+4 in this box • I R031ALD J1 "w,ADIL.L,.AC, PL S, RS pROI ESSIONAI_LAND SURVEYOR REGISTERED SANITARIAN P.O.Box 258 WEST YARMOUTH, MA 02673 I ABUTTERS OF ASSESSOR'S MAP 201 PARCEL CGS' Map G� ✓1 Parcel qg-1 �j Name: Address: Name:LyA re nu W-+Ston in. 6ewSe Address•4-1 W eav eF Rd ��.n�ry��Ie,rnA� ozb3� Map 2o'l Parcel�-1 w: Map UZ 1 Parcel 1 U 9 Name:(Zlc S Seit 1C0 �J(7►nCy�rj s irtE 1 Name:Q(om- an C.OLAVN011c, slab� Address: cywrty l Sk- Address:Q.Q. Zo)k 7 517 Map gn Parcel w2 3 MapZ,u Parcel 1 �3�1 Name: mn OF �cnS-1abLe Name:. cAlck 1 ICwMo►ll Lar.r�� �a►c1-, Address: ?�1.,~l +fY1air\ Address:6 BSc�o n\f 5Wcknw%%,, mA OZ67 3 MSPZRI _ Parcel 151 MapZo-t Parcel08TOO1 Name: VfAcb,,4A tond %S+ Name:��►IeS W 1, -�JtJ�+CS►��c. t3e��dnC� Address: CJ �G1�C 7Z�-I_ Address: 31 5y C�� mtf\ R6 �, .�(rt C2,63.� tie i l es1e+ ,"\A ozA 81 Map Parcel Map Parcel Name: Address: Name.- Address: Map Parcel Map Parcel Name: Address: Name: Address: DATE ABUTTERS WERE IDENTIFIED: SIGNATURE Map Parcel a ,Rim"m �1NE JpN, Town of Barnstable U.S.POSTAGE>>PITNEY BOWES ~° Public Health Division ` ��� BARNSTABLE. O�J MABB. 200Main Street Hynis,MA 02601 ; ZIP 02601 $ 005,590 02 2 VV r+ 0� 0001.361475 OCT. 19. 2011, 7011 0470 0001 4525 5433 - - Mr. & Mrs. Michael Picard - 288 South Main Street Centerville, MA 02632 NIXIE- 029 Da 1 0;1 -10121J;11 RETURN TO SENDER NOT DIZI—XVERADLE AS ADDRESSED UNAML,E TO rORWARD BC: 02501400:200 *;L:304-00193-19-41 ;_t -: i1 "1 '' a�ai� s�a��ii}�f�ijr►����s� } aai}�i�i�� i� �i���i�Eiii��fi • • • DELIVERY• SECTION I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent j verse X ❑Addressee ■ Print your name and address on the re so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. I D. Is delivery address different from item 1? ❑Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑ No I I Mr &,Mrs. Michael Picard 288°S©&h Main Street a 3. Service Type Center ��Ile, MA 02632 ❑Certified Magi ❑Egress Mail I I ❑Registered ❑Return Receipt for Merchandise I Is� I ❑ Insured Mail ❑C.O.D. \ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7011 04.70 0001 4525 5433 (Transfer from service labeq PS Form 3811,-February 2004;1, Domestic Return Receipt 102595-02-M-1540 I Town of Barnstable . P# = Department of Regulatory Services ` KAM ' Public Health Division Date Eo�Y►`e� - 200 Main Street,Hyannis MA 02601 Date Scheduled 1 Time '�. Fee Pd. 0' Soil Suitability Assessment for Sewage Disposal Performed By: 1�ONA .!> �'4 �IL�e� Witnessed By: . . l' '+•7r.:;!..'- "r�' !".., g - ,y : . ., ...;.I" ,' h+ ,�tt � F flI I PiYF s&II't�;? Yllq IR d ,� ! t5 a 4.7 51 E i .111. dl.?ri! ilf i:i: .1' Location Address �, Owner's Name 2 S SO U T VA 1113 51-ME 1 Address I co- re Or I v e 'Dou fhA Assessor's Map/Parcel:2-0.109 Engineer's Name �ZUnc;jd J. COcj-llac' NEW CONSTRUCTION d REPAIR Telephond-#' 509 -7-7 C1 100 Land Use Slopes(%) Surface Stones 170 0 Distances from: Open Water Body ft Possible Wet Area �6'3D ft Drinking Water Well /J/ ft rI f JrZ/ ft Other ft Drainage Way �7 f0�7 ft Property Line _ SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) P,6;7 if s Zr i> C 13� I C) 1 4• 19 - r, Parent material(geologic) CJ Q/� � Depth to Bedrock y/ Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face �Z 711-f Estimated Seasonal High Groundwater . :.w p.+�w W: -:u r'IB i RI � 1 i, PYIi hi��li'� i II„NJ•d'I'i ill i i l��n'fly v s. a s. TM�" 4 '15. b x ! � �`��r��'��7' �u95�"J:!iMml�:4�i 1 I�uJdwa. � ia,:er.a 4 Method Used: G / % e SO j4�> A 5 �,.�n� l✓�l hi i rrl elI Cam✓ !�'�/�1�/1/T Depth Observed standing in obs.hole: —7-?S 1 f ] y. in. Depthto soil mottles: ln• ,e�� � Depth to weeping from side of obs.hole: S2// in. Groundwater Adjustment 2. $ ft. Index Well# i ,4 fReaddiing Date:124rZA Index Well level_], 9 Adj.factor Adj.Groundwater Level 3$ K r,^'�':. �.3J f .i �" ',h inr .f .fir ..ins i .A if t �d "n � i a:H'1 � + � . yJJ n,'ryrcr , fr ., ...1 1,4, , z�i .�s n i ail plt^;y x:�4 ¢�w " rµ +1"�NII 3 �}u M�1&e d NJNLiItlfl4 �Fnh„,.ui� i4 '. dil�i� r �U.nR' 7�P. 3 .+,.!4 ..�'Y,�d°;$.,°X s A A may, Observation Hole# / Z Time at 9" t J��?y't�iw Depth of�eri.5%�m�l°� �.. 80 It �0�/ !Y/ zC` Time at 6„ y . Start Pre-soak Time f ' Time(9"-6") End Pre-soak i Rate MinAnch Site Suitability Assessment: Site,Passed Site Failed: Additional Testing Needed(Y/N) r 1 Originai: Public Health Division Observation Hole Data To Be Completed on Back----- Q:HEALTH/WP/PERCFORM p;r�.L,!?�yk�u;=(,. :`!p!W'-. � P. -�1"� ��` �h ! •: ..'a r d;,.I;C.!� ,� +r ,ih,. ah .. YN, r' 1 :� '•. r �I ,, 5� w� r5 ��d(. ,63� ..fir I .. .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) t Mottling Structure,Stones,Boulders. Consistency,%Gravel G6 "` 72 4 peyy �� li — 7 //'6 C o�rz 2�S � s 7Z 521( =,67 7,6 G�(eh-v Ei;.Y'r i€L.i•�II„liqq( w'N+lI i'!Ii{�:��l'L,...,i L,iL+a-a:!„��':', �1: i��.7!: 6' k. .N'I�,t .3�. ( 0 .11. � '�•+'a..'VrY� Rtkn;.��h1"�:�h�,�:;N.tiMI,Fy,IjIl l:ii!l i,L,,64!!��1>�.,!>:Tt..,(,,yd a!a,K..,•nj l a, „ aiNyl,r y, It.+. 6 it��airn;:�'1�61nrl.Gik6ri��,I Depth from Soil Horizon a Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) ,.Mottling Structure,Stones,Boulders. Consistency,%Gravel �r f} /m em --� I"36't �� .514 73 ..................::... :.::..... :�.:. ...,:..„.,:.:....,,r :.., :::,. :.,,:.. .:.. .:Y .�;-',v,,:n:::; k'k! *r. "r. :u,.': `:,-,,y^::N.1,�:'"jo(hriFiM.{a. (:a::� ;r 'k n; !` ,•N! , I s7+.!n 9 1Jii��"II - !,�Pu , it 1�� I!t n , p L� t�,I�t ft!�ry� y .r ' i' - r e�p 'k� I !�{ IYK!� I ,'{i1-I '�•tu.,�,,; I i'r!it,I ,Ir( Y ��� t v� I hA tea'" 4Yy�.i�N:l h,a1�?}��Ili!�h! tN:, ly.. .�.. 8, __�R4 Y �` x�K n,F,...1 u e'A„Y a.. L..ttp!. IiS!!Y..I!,�aL r'4;7mt:.... ....., Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency.%Gravel u, :u:l!ilK"�i!;..th 7,�; r a' �tt a•P mr N �; .,n::�.�,yd. !,: IuI,�NN,r (L�G 15 �auNYllin "a�tikalL!(;rL� . ,: I� IA r:. tl'' t3tu. G,hik„�a � °ti�I Ik�J� r1i 1A' `tV�Otllef 'urB �iGrl,�!4rnJ�ku�'ifk!(: Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel) Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes • Within'500 year boundary No_ Yes t C ZUy�S 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? —AcS If not,vvhat is the depth of naturally occurring pervious material? Certification . I certify that on ��,�(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 ' atni„g,a the require pertise and xp nce described in 310 CMR 15.017. Signature Date L Qd Q:HEA j,TT U W P/PERCFORM Caechanical Analysis of Soil 17 Table 1.4 Specific Gravity of Important Minerals Specific gravity Mineral G. Quartz 2.65 Kaoliniie 2.6 Illite 2.8 Montmorillonite 2.65-2.80 Halloysite 2.0-2.55 Potassium feldspar_ 2.57 Sodium and calcium feldspar 2.62-2.76 Chlorite 2.6_2.9 Biotite 2.8-3.2 Muscovite 2.76-3.1 Hornblende 3.0-3.47 Limonite 3.6-4.0 Olivine 3.27-3.7 Sieve Analysis Sieve analysis consists-of shaking the soil sample through a set of sieves having progressively smaller openings. U.S. standard sieve numbers and the size of openings are given in Table 1.5. First the soil is oven dried, then all lumps are broken into small par- ticles before they are passed through the sieves. Figure 1.12 shows a set of sieves in a sieve shaker used for conducting the test in the laboratory. After the completion of the shaking period,the mass of soil retained on each sieve is determined. When cohesive soils are analyzed,it may be difficult to break Table 1.5 U.S. Standard Sieve Sizes Opening Sieve no. (mm) U 5p A Sys) �>7��� 4 4.750 6 3.3W 8 2.360 _ Z 16 1.18800 'SR-D VY�. ccRnS2 20 -0.85T- 30 0.600 40 0.425 50 0.300 Yh e43 60 0.250 80 0.180 100 0.150 . 140 0.106 6D,Id mM 170 0.088 200 0.075 UXT-) 270 0.053 51L i f DOWN CAPE ENGINEERING, INC. SOIL ANALYSIS 288 SOUTH MAIN STREET,CENTERVILLE, MA April 26, 2006 SAMPLE DRY:- 437.5 Test Hole#1 WT RET % RET % PASS 1" 0 0 0 3/4" 7.7 0.02 98 1/21' 66.2 0.15 85 3/810 81.0 0.19 81 #4 125.5 0.29 71 #10 170.7 0.39 61 #20 253.4 0.58 42 #40 347.0 0.79 21 #80 419.5 0.96 4 #200 435.6 0.99 1' BOTTOM 437.5 100 DOWN CAPE ENGINEERING INC. SOIL ANALYSIS 288 SOUTH MAIN STREET, CENTERVILLE, MA AP0126, 2006 SAMPLE DRY: 550.2 Test Hole#2 WT RET % RET % PASS 1" 60.5 0.11 89 3/4" 77.7 0.14 86 1/2" 93.2 0.17 83 3/81' 98.7 0.18 82 #4 116.0 0.21 79 #10 147.7 0.27 73 #20 231.3 0.42 58 #40 362.5 0.66 34 #80 509.5 0.93 07 #200 545.6 0.99 01 BOTTOM 550.2 100 S.1 k Chapter 3 a CLASSIFICATION — SSIFICATION OF SOIL A soil classification system is the arrangement of different soils with similar properties into groups and subgroups based on their application. Classi- fication systems provide a common language to briefly express the general characteristics of soils, which are infinitely varied, without detailed descrip- tions. Most of the soil classification systems that have been developed for { engineering purposes are based on simple index properties such as particle- size distribution and plasticity. Although there are several classification systems now in use, none is totally definitive of any soil for all possible applications,because of the wide.diversity of soil properties. 3.1 Textural Classification In a general sense, texture of soil refers to its surface appearance. Soil texture is influenced by the size of the individual particles present in it. Table 1.3 divides soils into gravel,sand,silt,and clay categories on the basis of particle size. In most cases, natural soils are mixtures of particles from several size groups. In the textural classification system, the soils are named after their principal components,such as sandy clay,silty clay,and so forth. A number of textural classification systems were'developed in the past by different organizations to serve their needs, and several of those are in use today. Figure 3.1 shows the textural classification system developed by the U.S.Department of Agriculture. It is based on the.particle-size limits as described under the USDA System in Table 1.3;that is Sand-size:2.0 to 0.05 mm in-diameter Silt-size:0.05 to 0.002 mm in diameter, Clay-size:smaller than 0.002 mm in diameter The use of this chart can best be demonstrated by an example. If the particle-size distribution of soil A shows 30% sand,40% silt,and 30% clay- size particles,its textural classification can be determined by proceeding in a manner indicated by the arrows in Figure 3.1.This soil falls into the zone of 73 rl 74 Chapter 3 CLASSIFICATION OF SOIL 0 Ell 100 10 90 .. 20 80 ' 30 70 Clay � 04An o 60 °moo /V 50 e 50 Silty o' la 60 ` 40 S c cl 70 30 Soil f S clay 80 20 r Asam 10 9U San s S 0VVI 100 100 90 80 70 60 50 40 30 20 10 0 Percentage of sand Figure 3.1 U.S.Department of Agriculture textural classification s . clay loam. Note that this chart is based on only the fraction of soil that passes through the no. 10 sieve. Hence, if the particle-size distribution of a soil is such that a certain percentage of the soil particles are larger than 2 ' mm in diameter, then a correction will be necessary. For example, if soil B s a particle-size distribution of 20% gravel, 10% sand,30% silt,and 40% y,the modified textural compositions are l' t. 10 x 100 _ Sand-size: 12.5% (100-20) 30 x 100 Silt-size: 37.5% (100-20) — Clay-size: 40 x 100 =50.0% (100-20) Based on the preceding modified percentages, the USDA textural clas- sification is clay. However, due to the large percentage of gravel,it may be G' called gravelly clay. s TOWN OF BARNSTABLE [(6,-.ATION a? Sou- A Wait,) It SEWAGE # VILAGE ���C r�' AA �- ASSESSOR'S MAP& LOT,?07' 06 YuSTALLEW&*AME op )NE-No. cGY',,11 Cc)uc'h a note r C2919&A b SEPTIC TANK CAPACITY LEACHING FACILITY: (type) a (size) NO. OF BEDROOMS OWNER hq i c Q e.0 4- TOaLo-, PERMITDATE: COMPLIANCE DATE: Separation Distance Between&e! Maximum Adjusted Ground dter 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 .�� Commonwealth of Massachusetts i Title 5 official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C.System Information(cunt.) 288'SouN Main Street W-1 AENeea MA 02632 Centerville syrte Zip coae cayrr— November 17.2005 / Michael and Paula Picard Drte minpeamn i _,sName j Sketch OT Sewage Disposal System:Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate ell wells within 100 feet. Locate where public water supply enters the building. LOCATIONS. A a 1 2 23 (t 66(tt 3 32 ft i 22 ft e � EXISTING �Tv>rcm coeox DWELLING t �O SOUTH MAIN STREET II NOT To SCALE tszzase«•1lnooa r rme s ornuai insp«Bon Fmm:sue:w«e sewage Disposal syrtem '-Page IS N 1' me a umWllnsp«tlan Farm:Subeu?ace SevraBa DO 7 f S v Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'GSM Inspection results must be submitted on this form or on the official Title 5 Inspection Form dated 6/15/2000. Inspection forms may not be altered in any way. A. Certification Important: When filling out 1. Property Information: forms on the S-�r- computer, use 288 South Main Street- Centerville .LL.. � only the tab key Property Address to move your Michael and Paula Picard cursor-do not use the return Owner's Name key. 11 Centre Drive, Owner's Address Dover MA 02030 City/Town State Zip Code Date of Inspection: November 17, 2005Date 2. Inspector: David D. Coughanowr, R.S. ~� Name of Inspector C21 Eco-Tech Environmental y= Company Name _ 43 Triangle Circle i co Address Sandwich MA 2563 City/Town State ip Code ; 508 364 0894 . Telephone Number U1 M Certification Statement: 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 1• (,,� 4--- R-s November 17, 2005 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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. t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'LAM A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Inspector's Note==> Aseptic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ forthe 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. ND Explain: t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 Commonwealth of Massachusetts W Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection 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 ❑ obstruction is removed ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: 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 t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments 4cGM Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection C) Further Evaluation is Required by the Board of Health (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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form '4�M Sey`e A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection. 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 ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ N/D Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes No ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 5 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'GSM A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection 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. t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments iG^M SV � Subsurface Sewage Disposal System Form B. Checklist 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection 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, including 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(3)(b)] t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 7of16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'GSM C. System Information 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Residential Flow Conditions: Number of bedrooms (design): n/a Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a—no plan Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? . ❑ Yes ® No Water meter readings, if available last 2 ears usage d 75 gpd 9 ( Y g (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: October, 2005 Date 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: Last date of occupancy/use: Date Other(describe): t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection General Information Pumping Records: Source of information: owner 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) ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Pump Chamber Approximate age of all components, date installed (if known) and source of information: Age: 13+ years. Disposal Works Permit issued 5/28/92 (Board of Health permit#92-228) Were sewage odors detected when arriving at the site? ❑ Yes ® No t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9of16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'LAM C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Building Sewer(locate on site plan): Depth below grade: n.d.feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line. 20+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Sewer was not accessible for inspection. Septic Tank (locate on site plan): Depth below grade: 1 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 ❑ Yes ❑ No certificate) Dimensions: 8.5 ft x 5 ft x 5 ft (1000gallon) Sludge depth: Not determined Distance from top of sludge to bottom of outlet tee or baffle Not determined Scum thickness Not determined Distance from top of scum to top of outlet tee or baffle Not determined Distance from bottom of scum to bottom of outlet tee or baffle Not determined How were dimensions determined? As built card t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 10 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville Ma 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection 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 was not opened because conclusive evidence of system failure was observed at leaching gallery. Tank should be pumped dry at time of repair and examined for structural integrity and water tightness. A new PVC tee with a gas baffle should be installed Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 11 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form 'LAM C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Tight or Holding Tank (cont.) 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.): Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Not determined 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 was not opened because conclusive evidence of system failure was observed at leaching gallery. A new D-box should be installed at time of repair Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1 —3 flow diffusors ❑ 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.): Inspection port for flow diffuser was opened and flow diffuser was found to be full to the top with effluent. t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 13 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ;M Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of 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 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.): t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 14 of 16 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. LOCATIONS A B 1 15 ft 26 ft 2 23 ft 16 ft 3 32 ft 22 ft EXISTING ASEPTIC 0 D-BOX DWELLING TANK LEACHIN#2 g g 6 oz 3 GALLERY G PUMP CHAMBER SOUTH MAIN STREET NOT TO SCALE t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 15 of 16 Commonwealth of Massachusetts N Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: Not Determined 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: ❑ 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: Groundwater elevation was not determined because conclusive evidence of system failure was observed at leaching gallery. Groundwater should be addressed during the soil evaluation phase of the design process t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System Page 16 of 16 r -� ap 4'\ Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form or on the official Title 5 Inspection Form dated 6/15/2000. Inspection forms may not be altered in any way. A. Certification Important: When filling out 1.. Property Information: y� forms on the computer,use 288 South Main Street- Centerville only the tab key Property Address to move your Michael and Paula Picard cursor-do not use the return Owner's Name key. 11 Centre Drive Owner's Address Dover MA 02030 City/Town State Zip Code i=sn Date of Inspection: November 17, 2005 aa, Date 2. Inspector: David D. Coughanowr, R.S. Name of Inspector Eco-Tech Environmental Company Name 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364 0894 Telephone Number Certification Statement: 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 rexperience in the proper function and maintenance of on site sewage disposal systems. 1 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 Q�-• 61114 — R-5 November 17, 2005 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system 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. t5-2236.doc• 11/2004 Title 5 Official Inspection Form: Subsurface Sewage Disposal System- Page 1 of 16 t Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments r` Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632) Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection 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: Inspector's Note==> Aseptic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below.The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND)in the❑forthe 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. ND Explain: 5-W6.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments +� Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection 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 ❑ obstruction is removed ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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 t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 i Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 Cityrfbwn State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection. C) Further Evaluation is Required by the Board of Health (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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 Cityfrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection 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 0 ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow Required pumping more than 4 times in the last year NOT due to clogged or ❑ ® obstructed pipe(s). Number of times pumped: ❑ N/D Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This 'system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] Yes No ® El 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. t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form A. Certification (cont.) 288 South Main Street Property Address Centerville MA 02632 Cdy/Town State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection 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. t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Checklist 288 South Main Street Property Address Centerville MA 02632 Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection 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,including 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(3)(b)] t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Not for Voluntary Assessments � Subsurface Sewage Disposal System Form C. System Information 288 South Main Street Property Address Centerville MA 02632 Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection Residential Flow Conditions: Number of bedrooms (design): n/a Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 1,10 gpd x#of bedrooms): n/a—no plan Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 75 gpd Sump pump? ❑ Yes ® No Last date of occupancy: October,2005 Date 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: Last date of occupancy/use: Date Other(describe): t5-2236.doc•1112004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments i` Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection General Information Pumping Records: Source of information: owner 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/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) . ❑ Tight tank.Attach a copy of the DEP approval. ® Other(describe): Pump Chamber Approximate age of all components, date installed (f known) and source of information: Age: 13+years. Disposal Works Permit issued 5/28/92 (Board of Health permit#92-228) Were sewage odors detected when arriving at the site? ❑ Yes ® No t5-2236.doc-11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection Building Sewer(locate on site plan): Depth below grade: n.d.feet Material of construction: ❑ cast iron ❑40 PVC ❑other(explain): Distance from private water supply well or suction line: 2 feeett Comments(on condition of joints,venting, evidence of leakage, etc.): Sewer was not accessible for inspection. Septic Tank(locate on site plan): 1 Depth below grade: 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 ❑ Yes ❑ No certificate) Dimensions: 8.5 ft x 5 ft x 5 ft(1000 gallon) Sludge depth: Not determined Distance from top of sludge to bottom of outlet tee or baffle Not determined Scum thickness Not determined Distance from top of scum to top of outlet tee or baffle Not determined Distance from bottom of scum to bottom of outlet tee or baffle Not determined How were dimensions determined? " As built card t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 r Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments 1 Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville Ma 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection 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 was not opened because conclusive evidence of system failure was observed at leaching gallery. Tank should be pumped dry at time of repair and examined for structural integrity and water tightness. A new PVC tee with a gas baffle should be installed Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle - Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): t5-2236.doc• 11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 Commonwealth of Massachusetts I _ Title 5 Official Inspection Form j, \._`; _ Not for Voluntary Assessments � — Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17, 2005 Owner's Name Date of Inspection Tight or Holding Tank (cont.) 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.): Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Not determined 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 was not opened because conclusive evidence of system failure was observed at leaching gallery. A new D-box should be installed at time of repair Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 City/Town State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1 —3 flow diffusors ❑ 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.): Inspection port for flow diffuser was opened and flow diffuser was found to be full to the top with effluent. j t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 z Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of 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 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.): a t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 16 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments ug Subsurface Sewage Disposal System Form C. System Information (cont.) l 288 South Main Street Property Address Centerville MA 02632 Cityfrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. LOCATIONS A 6 1 IS ft 26 ft 2 23 ft 16 ft 3 32 ft 22 ft EXISTING SEPTIC o D-BOX DWELLING TANK #2 88 s LEACHING GALLERY 02 B PUMP CHAMBER SOUTH MAIN STREET NOT TO SCALE t5-2236.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 16 r Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. System Information (cont.) 288 South Main Street Property Address Centerville MA 02632 Cityrrown State Zip Code Michael and Paula Picard November 17,2005 Owner's Name Date of Inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to ground water: Not Determined 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: ❑ 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: Groundwater elevation was not determined because conclusive evidence of system failure was observed at leaching gallery. Groundwater should be addressed during the soil evaluation phase of the design process t5-2236.doc-11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 RONALD J. CADILLAC, PC, PLS, RS Professional Land Surveyor Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 July 13, 2006 BARNSTABLE BOARD OF HEALTH HEARING CHANGE OF DATE FOR HEARING To: Abutters Project Location: 288 South Main Street Centerville,MA 02632 Applicant: Mike and Paula Picard 11 Centre Drive Dover,MA 02030 Project Description: 1. Vary leach are to property line by 7.5' (2.5' provided) Vary leaching to crawl by 10'-10" (9'-2" plus Impervious barrier provided) Vary both tanks to basement by 2' (8' provided) Vary both tanks to lot lines by up to 5 (5' min: provided) 310 CMR 15.211(1) ` Pq 2. Vary USGS adjustment by 0.9' 1.9 adjustment provided) 310 CMR 15.212 %, 3. No reserve area could be provided. 310 CMR15.248 4. Vary leaching to wetland by 40' (60' provided) Local Reg. ` 5. Vary leaching to piped stream by 50'(50' provided) Local Reg. 6. Vary removal by 2.5' (2.5' provided) 310 CMR 15.255(5) Applicants Agent: Ronald J. Cadillac Hearing Scheduled: Due to the fact Barnstable Board of Health has canceled the hearing on July 18, 2006 a new hearing date has been rescheduled for August 1, 2006 at 3:00pm. The meeting will take place at Barnstable Town Hall, 2na floor selectman Conference room. Plans are on file at the Health Department(508)862-4644,which is open Monday thru Friday, 8:30am to 4:30pm. ' x TOWN OF BARNSTABLE I.0 ATION �ou7` '�,ttse Ss SEWAGE # vILLAGE ASSESSOR'S MAP & LOT )o7- ,c INSTALLER'S NAME 6: PHONE NO.Aee ll r,--5? SEPTIC TANK CAPACITY l D 00 G4 /�u�+*� �Li A r LEACHING FACILITY:(type)3 c��J'��f�r��s (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER/ 6- BUILDER OR OWNER / ' '4 71' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �, s TA 131 CITvrraWN- APPLICANT_ �� �- /YJ CAdmlul N/A OK-_NO _ ADDRESS: Z Three acc ess covers(inlet and outlet must be 2O"or grater)- DESIGN PLOW' 3�JD ePd middle access at least S"(by 7107)[310 CivfR 1522S(2j DATE- Access to within 6"of grade -one pon For systems<1000gpd, REViEWF,DBY: twoforsystcros>1000g df310CN1R15228(2)i Y N/A OK NO +All at-grade covers secured to unauthorised access? 1310 CMR 1532S(2)] GENERAL " >10 ft from building foundation f 310 CNTR 15211(1)] Legal boun res denoted[310 CMR 15-220(4)(a)1 Buoyancy calculation Required/Done[310 CMR 15221(S)1 Street,I<,tax parcel number and lot number noted on plan[3k0 H-20 Where a ropriate? 310 CMR 1522G(3)1 Sctbacks from resources[310 CMR 152111 r. is Provided 310 CMR I52204(t) Plan proper scale?(I"=Uyfor plot plans,)"=2U'or fewer for Multi-ComparErrieritTanl „ 1, Required when other than single-family dwelling or flow>1000 components)[310 CMR 15.220(4)1 d f3T0 CNIR 15.223(1)(bp V Easements shown 310 CMR 15220(4)(b) First compartment 200%daily flow;Second compartment 100% System located totally on lot served[310 CMR 15.405(1)(a)for �/ dailyflow f 310 CMR 15224(2)and(3)] upgrades)-f(not,a variance is required f 310 CMR 15.412(4)] "U"pipe through or over haf0c,outlet oreach compartment«nth / Location of impervious surfaces(driveways, arkin•areas etc.) / p y parking V uus baffle or approved filler(310 CMR 15324(4)[ f310 CMR 15220(4)(d)1 Location all buildings existing and proposed 310 CMR ---- IS220(4)(c)1 RUII DiNGSF.V•RR'ANDOT4IERTiPiNG : Location and dimensions of system components and,-.-..a n*ens• 1L acated)1 least ten feet from any water hue?[3I0 CMI2 f310CMR 5220(4)(c) �15 »{011 System Calculations 310 CMR i5220(4)(01 U) (Disposal piping at least 1 S"below waterline(when water and / daily Flow scwcr cross,see 310 CMR 15.21 l(1) 11) V septic tank capacity(required and provided) i/ ® Cleanouls required/provided*? 310 CMR I5222(S)1 soil absorption system(required andprovided) i Thrust blocks specified in force mains?310 C\•IR 15 221(6)(c)l whether system designed for garbage_grinder T Slope ofscwcr line not less than 0.01(i/3"ift) 0.02 preferable - North arrow 310 CMR 15220(4)(")1 [310 CMR 15222(6)] Existing and pAbpased ontours(310 CMR 15 220(4)(g)f Proper pitch on all runs?(.005 within gravity-distributed trenches Location and I i of p observation holes(existing grade el.on ;M and beds)[310 CMR 15251(9)and 310 CMR 15252(2)(c) V each test) 310 CMR 15220(4)(h) Siphon problem/(Ieachficld bcloti• um chamber) Names of soil evaluator and BOH representative[310 CMR / Endcaps or vent manifold specified? 15.220(4)(h)and(i)1 V Size and orientation of discharge holes specified?(not smaller Location and date of percolation tests(perfonned at proper than 3/S"not larger than A")[310 CMR 15251(S)and 310 elevation?)[310 CMR 15220(4)i CMR 15252(2)(h)] percolation test results match loading rate? 310 CMR 1 i 2421 Materials specified (3l0 CMR 15.251(5)specifies various pipe Certification statement by Soil Evaluator[310 CMR 15220(4)(i)] types allowed) Obserweil and Adjusted groundwater(method for adjustment n<cn or indicated)[310�•tR 1 103 3)and 310 /� ` DISTRIBUTION.BOX 1�.220(4)(n)] )r 2 e '0P Stable compacted base[310 CNI R 15121(2)and 310 CXI R yt Location of every water supply,public and private,[310 CMR / 15232(2)(a)i V Splash plate or baffle tee required on inlet/provideV(when within 400 feral of the proposed system location in the case � pressure sewer to d-box or stetp pitch of gmvin sews)[310 of surface water supplies and gravel packed public watersupply CMR l 5.323(3)(a)1 within 250 feet of the proposed system location in the case Riser ii'deeper than 9"f310 CMR 15232(3)(1)j within 150 Feet of the proposed system location in the case Inside minimum dimension 12"[310 Cub[R I5.'_32(2)(b)1 of private water supply wells Minimum sum 6 310 CMR15232(3)(c) Location of all surface waters and wetlands located up to 100 ft. Watertight cover if<2000gpd);waterproof manhole if>2000gpd beyond setbacks listed in 310 CMR 15211 and any catch basins f310 CNIR I .232(3)(d)] located within 50 A.[310 CNIR 15.220(4)(1)) l V - Water lines and other subsurface utilities located[310 C-MR Capacity apa P y(emerge(emergency above Capacty(cmergcncvstomgcabovewort ng=dcsignFlog)'[3t0 15220(4)(m)i(it waterline cross see 310 CMR 15211(1)f 11) (.Mh2a(2)) ProRleof system showing invert elevations oralIsystem I / Proper setbacks[310 CMR 15.211 t(same as septic tanks)] components and the bottom of the SAS 310 CN,lR I5220(�O(o)] [ Watertight 20-in minium access manhole at least 20"MUST BE Stamp of desi cr[310 CMR I5.220(l)and 310 CNIR 15220(2)] '� TO GRADE[310 CMR I5231(5) Stamp of Registered Land Surveyor(required if construction ✓ ro Service components acccs iMc(trot inn dip with piping, / activities witbin 5 ft.of lot line) 310 CNIR 15.220(3)1 (/ Test Holes adequate(two in each of the primary and reservveq disconnects accessible) unless trenches as permitted in 310 CNIR I5.IO2(2)or:u !� Alarm Floats-alarm on circuit separate from pumps s ccificd'? Exceeds two units must have two pumps opcmting in lead-lag 1� approved for an upgrade under LUA at 3I0 CNiR 15.405(I)(k)1 Pest hole adequate to demonstrate(our feet ofsuitable material'? mode•131D CM12 Base 31 and R Stable Compacted Base(31U CMR 15221(2)1 (310 CMR I5.103(4) Buoyancy calculations needed?Provided? 310 CMR 15.211(S)1 'rest Holes adequate to confirm adequate gmundwater separation? -- 310CMR 15.103(3)1 SOIL.ABSORPTIOIYSYSTEi7S=.(SAS)'CI?NERAL Benchmark within 50-75'of s stem 310 CNIR 15220(4)( )) Calculations correct? Materials specifications noted'?[various sections of 310 Ctullt / 4 feet of naturally occurring material demonstrated?[�l0 CVLR 15.240(1)] System components not>3fi"deep(unless Local Upgrade Required separation to groundwater?[310 CMR 15.212)1 :\pprovak or LUA requested)[310 CNIR 15.405(1(b)] ` -k, gatespecified as double washed 310 CMR 15-247(2) SF:I'TIC'PANK` System Venting require(Uprovidcd?(system under driveway or / Size OK? f310CMR 15223(1)f >36"deep)f310CMR 15.2411 1� Inlet tee located ten inches below flow line 310 CNIR 15.227(6)1 bnspection ports specified and within 3"final grade?[310 CMR Outlet tee 14"or 14"+5"per foot for increase ft depth[310 CMR /t 15240(13)] 15.227(6)1 (/ Breakout requirements met?(No violation of breakout elevation Outlet tee with"as baMe or approved fitter f 310 CNIR 15.227(4)1 within 15 11 of SAS unless barrier)[310 CMR 1521 1(I)[4]and Note regarding installation on stable compacted base[310 CNTR / Guidance Document] 15225(I)] V GALLERI S;PITS;CAA1iBERS_370:CiV7R15a3 Separation between inlet and outlet lees(no less than liquid Chambers and Gal.in trench configuration supplied with inlet depth)[310 CMR 15227(2)1 ever}20 ft.(310 CMR 15.2531/11 Ltlet/Oullel elevations at least 12"above high groundwater / Each structure with one inspection manhole(if>2000 gpd mast (except as described 310 CMR 15.227(5))or permitted for v he to grade) 310 C,MR 15.253(2) Aggregate I'minimum-4'maximum- 310 CNIR 15253(i)(h)] upgrades under LUA f 310 CMR I5.405(l)(k)1 2'sl(len'a11 Cfed1l maximum f310[a\1 R 1�.2�3(1)(a)) Minimum cover 9"(Tanks buried more than 9"must have risers on all openings and on the d-box)(310 CMR 15.222 13(1)and 310 _In bed wall"oration,inlet every 40 sq.Il,.(310 CMR 155 __- �r�� � ��� ito k�p N/A OK NO TRENCHES 310 CMR 15.251 Width 2'minimum T maximum[310 CMR 15.2510)(b)] 100 feet-maximum length[310 CMR 15.251(1)(a)] Minimmn separation 2x effective depth or width whichever renter(3xifrescrvebchveentrenches) 310CMR251(1)(d)] 4 Situated along contours[310 CMR 15.251(2)] Breakout OK?[310 CMR 15.211(1)[41 and Guidance Document] RED'SAS.(Mazuttnm MicloLtied or field 5000; Nd) minimum 2 distribution lines f310 CMR 15.252(2)(a)1 Maxi Mir m separation between lines 6' 310 CM RI5.252(2)(d)] Maximum separation between lines and outside of bed 4'[310 CMR i5252(2)(e)] Aggregate depth below discharge pipes 6"minimum,12" maximum.[310 CMR 15252(2)(g) Separation between beds 10'minimum.[310 CMR I5252(2)(f) Bottom area used in calculations only[310 CMR I5252(2)(i)] DID.JHE PLAN EWOLVE Pressure Dosed System? Provided pump and piping calculations as required[310 CMR 15220(4)(r)] Pressure dosing required on all systems>2000gpd or altemative systems under remedial approval(310 CMR 15.254(2)and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to ^ ' scour soil interface Guidance Document fJ Inspections once per year(systems<2000 gpd)or quarterly (>2000gpd)good to note on plan[310 C:41R 15254(2)(d)] Construction in fill-Did the plan speei N that the rill shall meet the specification of 310 CMR 15.255(3)? Ira en�ious barrier and/or retaining wall?[Guidance Document] \ Impervious barrier installation must he supervised by / L designer Retaining CMR 15 t bed(b)] V Retaining wall must be desigrred by Registered Professional 'i �d•,/l�'/ ` � �� Engineer[310 CMR I5 255(^_)(a)1 V!7 r /�/� Side slope not exceed 3:1?[3 i0 CMR 15.255(2)1 �� Breakout Document] met?i310 C\rR 15.252(2)and !� Guidance Document] At(cast 5 fr.from impenious barrier to edge o;SAS (10 f. recommended)[310 CNIR 15.255(2)(e)1 Gra delless S3 stein jU!,Approval Letters/.' Check DEP Approval letters for credits and design conditions t If used with pressure dosing do nor allow pressure discharge to soil interface ^�� Alteiiern+nhveSeyticSps[eni4/I/l,Ipproin[Lerlers/ ( ('/,/ Was DEP Approval Letter provided and/or have you / n� �X�/^tl /l�')l✓/,q�J reviewed the letter for conditions? me , Tu% Is the technology being properly applied and does it meet all DEP Approval Conditions? 0/&W is thererea note on the plann:gardiug tic rcyuirement fur c etual maintenance agreement? Any alarms involved submit separate per Lion an Did the applicant submit an operation and maintenance n manual? /•r Has applicant submitted a copy of a maintenance Vnrmiicds, 'p Are the variances listed on the plan?[3l0 CMR 15.220 (4)(q)1 1 1✓ RLS Stamp necessary on plan if a component is within five / feet of ro erry line[310 CMR 15.412(4)] V New construction or increased(low proposed-[Refer to 310 CMR 15.4141 Nino 4rn Sens+timiArens Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)?[310 CMR 15.214,310 CMR 15.215 and 310 CMR 15.216-also refer to Policy regarding upgrades of such existing sysle nsl Is the system proposed on the same lot as served by private well? 310 CVIlR 15.214(2) Arc the nitrogen loads proposed in compliance?[310 CMR 15.216(1)1 Pumping to septic tank'! [310 CMR 152291 Shared System[310 CMR 152901 t 4 t* COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTALAFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of p fcant: Orenco Systems, Inc 814 Airway Ave. Sutherlin OR97479, _... .. Tr eeCC" name of technology and model number: ProStepTM Effluent Pumping Systems—PSA-X d PSB-X Biotube®P V —r1 Pump Vault PVU-X and PV-X (hereinafter the System ). Schematic drawings of the System and an installation instruction checklist are attached. i Transmittal Number: X227956 T ,.F Date of Issuance: September 29,.2009,Modified"December 17, 2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Orenco Systems, Inc 814 Airway Ave. Sutherlin, OR 97479 (hereinafter "the Company"), for General Use in the Commonwealth of Massachusetts of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth-below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. December 18, 2009 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD4 1-866-539-7622 or 1-617-574-686, MassDEP on the World Wide Web: http://www.mass.gov/dep Jr* Ori nlori nn Dcn.rnlcri Donor Certification for General Use Effluent Pumping System-ORENCO Page 2 of 4 I. Purpose 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The System consists of a filter cartridges mounted in a pump vault that is placed in the outlet end of the septic tank. The pumping vault is designed for use with 4 inches turbine effluent pump. The filter cartridges are constructed of an array of filter tubes. The pump vault, which is suspended from the tank access opening, functions as a separate pumping compartment within the tank, equipped with its own filter. 2. The System shall be installed in a second compartment septic tank or the last tank in two tank series. When the system is installed in the two-compartment septic tank, the tank shall be constructed with flow-through posts in the baffle separating the two compartments, to maintain an equal liquid level throughout the tank. Any tank in which the System is installed shall be cast or manufactured with opening large enough to permit the installation of the System with out modifying the tank. 3. The septic tank, in which the System is to be installed, shall comply with retention time and any applicable requirements in 310 CMR 15.223; 15, 224; 15.225, and 15.227. 4. The septic tank, in which the System is to be installed, shall have a minimum one day of flow emergency storage, which can be assessed from the high-level alarm to inlet invert as required by 310 CMR 15.231(2). III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System,and the System itself, shall be open to inspection and sampling (if any)by the Department and the local approving authority at all reasonable times. Certification for General Use Effluent Pumping System-ORENCO Page 3 of 4 3. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for use in the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage, generated or used at the facility served by the System, shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. Prior to installation the system in an existing septic system, the system owner shall obtain approval from the local approving authority for the proposed modification of the system. If the system is a failed, failing, or nonconforming system, the system shall be upgraded in accordance with 310 CMR 15.404. 3. The System owner shall at all times properly operate and maintain the System and the onsite sewage disposal system in which the System is installed. 4. The system owner shall have a septage hauler, licensed by the local board of V�/ health in accordance with G.L.c. III s. 31A and 310 CMR 15.502, service the Q filter regularly, at least once every year and inspect pumps, alarm and other I equipment in accor ance with 1 C 15.254(2). The system owner shall 7�. report lri lxn 1tliLa en +h�-1. . i R�arrl of Health within 30 d sa of the date of l se every time a pump is service . 5. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. V. Conditions Applicable to the Company 1. By February 15th of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. There ort shall state: the number of units of the System sold for use in Massachusetts during e reporting year; an for all systems installed since the first issuance of Certification or—I F System, all known failures, malfunctions, and corrective ac ions en an t e address of each such event. 2. The Company shall notify the Department's Director of Wastewater Management Program at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include Certification for General Use Effluent Pumping System-ORENCO Page 4 of 4 the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System,prior to any sale of the System,with a copy of this Certification. 5. The Company shall prepare an installation, and operation and maintenance manual specifically detailing procedures for installation and operation of the System. The Company or its agent shall provide the purchaser a copy of this document. VI. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street—5th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. I PRE—CAST TANK FROM E.F. SHEA 24" DIA RIBBED PVC RISER (TK—M20002C) W/ 24" DIA FIBERGLASS LID ELECTRICAL 2"DIA SCH 40 PVC Y= DISCHARGE INLET INVERT BAFFLE WALL 10„ ALARM ORENCO 12" MIN. PUMP ON SCREENED PUMP of PUMP VAULT 44 o 00( 6'-0" (PVU68-1819) 43" 4'-7" 36" PASS THROUGH a ORENCO PF SERIES e HIGH HEAD PUMP 24" n a a 13'-0" ( X 7'-0" WIDTH) _ TANK STORAGE EMERGENCY STORAGE MAXIMUM DOSE VOLUME INSIDE DIMENSIONS=12.33' X 6.33' ALARM @ 44", INLET © 51 ON ® 40", OFF ® 36" =(43"'-36")49GAL/IN STORAGE= STORAGE ABOVE ALARM =343 GALLONS* 12.33'X6.33'X1/12'X7.48ga1/cft =(51"-44")49ga1/in 49 al in =343 GALLONS *NOTE:SMALLER DOSE VOLUMES CAN BE ACHIEVED BY INCREASING PUMP OFF FLOAT ELEVATION 3 BEDROOM ( 330 GPD ) 2000 GALLON SEPTIC TANK WITH PUMP VAULT DETAIL NnT Tn SrAI F 2000PROSTEP3.dwa Orenco Systems, Inc. ProPak Pump Package Page 1 of 2 Home About I Products Distributor i Pr _. Mor Ty- pun `r over .. i light .' the - � eng N I. best a t a s w r r Residential Solutions Home Homeowner Basics» Choose a System» Customers» ( Sales Resources» As Corporate Home » Residential Solutions » Choose A System » Pumping Systems » ProPak Pump Package ProPak TM Pump Packages from Orenco Systems are a proven, Doi cost effective solution for transporting effluent in an onsite septic system. They are used in single-tank systems with a; Tecl either one or two compartments. c n Using patented* Biotube filter technology, ProPakTM Pump 7- Packages filter out solids so that only liquid from the "clear Bros zone" between the tank's scum and sludge layers is pumped. = This reduces biological loading and clogging of downstream o components, extending drainfield life. All systems are pre- o assembled with corrosion resistant, durable components, n ensuring reliability. elk Man The ProPak Pump Package consists of the following 13 items: o e Biotube Pump Vault Tecl a Turbine-Style Effluent Pump n Discharge Assembly n Control Panel s „ o Floats Adl n Splice Box Relz To complete the system, Orenco also offers: c o Fiberglass Tanks Tecl n Risers o Fiberglass Lids 13 n Tank Adapters a o Adhesives a Pro( O © 2014 Orenco Systems p Inc. http://www.orenco.com/sales/choose_a system/effluent_pumping_systems/ProPak Pump... 9/30/2015 Pump Selection for a Pressurized System -single Family Residence Project Picard /288 South Main Oremeo Systems• Parameters 300 Incorporated Discharge Assembly Size 1.25 inches PF3015 QmV�`�`W��` WorNQar lG¢rrcueats�j° Transport Length 12 feet Transport Pipe Class 40 Transport Line Size 2.00 inches Distributing Valve Model None Le end Max Elevation Lift 7.3 feet 250 Manifold Length 6 feet System Curve: Manifold Pipe Class 40 PF3010 Pump Curve: Manifold Pipe Size 2.00 inches P Number of Laterals per Cell 2 Lateral Length 28 feet Pump Optimal Range"— Lateral Pipe Class 40 Lateral Pipe Size 2.00 inches 200 Operating Point Orifice Size 7/32 inches LL PF3007 Orifice Spacing 3 feet = Design Point Residual Head 4 feet p Flow Meter None inches Add-on'Friction Losses 0 feet ra X 150 Calculations 0 E Minimum Flow Rate per Orifice 1.19 gpm 16 c Number of Orifices per Zone 20 Q PF3005 1 1 1 PumpData Total Flow Rate per Zone 23.7 gpm :9 PF3005 High Head Effluent Pump Number of Laterals per Zone 2 12 30 GPM,1/2HP %Flow Differential 1 st/Last Orifice 0.3 % 100 11 51230 V 10 60Hz,200V 3060Hz Transport Velocity 2.3 fps PF3007 High Head Effluent Pump Frictional Head Losses 30 GPM,3/4HP Loss through Discharge 3.9 feet 230V 10 60Hz,200/460V 30 60Hz Loss in Transport 0.1 feet Loss through Valve 0.0 feet 50 PF3010 High Head Effluent Pump Loss in Manifold 0.0 feet 30 GPM,1 HP Loss in Laterals 0.0 feet Mq 230V 10 60147,200/460V 30 60Hz Loss through Flowmeter 0.0 feet 'Add-on'Friction Losses 0.0 feet I I.J. I I PF3015 High Head Effluent Pump 30 GPM, 1-1/2HP Pipe Volumes 0 230V 10 60Hz,200/230/460V 30 60Hz 0 5 10 15 20 25 30 35 40 Vol of Transport Line 2.1 gals Vol of Manifold 1.0 gals Net Discharge (gpm) Vol of Laterals per Zone 9.8 gals Total Volume 12.9 gals Minimum Pump Requirements Design Flow Rate 23.7 gpm Total Dynamic Head 15.4 feet ASSESSORS MAP NO: PARCEL NO: a No.._._J.,........... Fps........................... . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Uhipvii al Workii Tvtwtra�r#ins rruat Application is hereby made for a Permit to Construct ( ) or Repair (: an Individual Sewage Disposal System at: �--i`�j 5' Sa'1 7`T'a m LL. ...r - -- ----------------------------------- - ------------- ...................................................................... .- cation-Address or Lot No. ..----!.`....J. . .......... !/Q.IL ............................•.......... .........._-.................................. - r...............---............................. (/Owner Address W .....2.. o i Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms................. _.Ex Expansion Attic �+ g— ----------•-------------- p ( ) Garbage Grinder ( ) Other—T e of Building a Other—Type g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------•---•-•-••---- -------•----------------••----------......----•••••..••---- W Design Flow............................................gallons per person per day. Total daily flow..............._............................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---............. Depth................. 0.1 W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-------______-__------_. 44 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ a .-----------•-----•-•-------------•----------------•-•---------....-----.....-------••--••------•--•............................ 0 Description of Soil......................................................................................................................... U -------------•---•-•------------.._...-----•--•-•---------••----••----------•--•---------•-----•-----------•-••--•------------------•-••----•----------•--•---......................................... W x --------------------------------------••--------------•---•--•---•------•-•-...-----•--------•--•-------------•-------------- ----•----•--•-- ------------------ --...------ U Nature of Repairs or Alterations—Answer when applicable._5�6 E_____ ���.....a9.Y.I 6..'�. �Y_ .._ _ . -----------------------------------------------------------•---------------•---------•---------•.... '---------------------------------------------•--•----.......----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce has been issued by-theb and ea .g .S '7` -------- ----------------------/' fim Application Approved By ------------------------------C-�--��---�--`--------------------. �/ .--.... Date Application Disapproved for the following reasons-............................................................... ...................................----------------------------------- --------- ------------ ................................ .......................................... ... QQDate Permit No. -----.....1..'Z.. .�?..------------------ Issued.....ZO .�."I-..)-------- Date FEim ...:................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF., HEALTH TOWN OF BARNSTABLE Xppliratiou for Disposal Works Tnnstrnr#ion Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal ` System at: TTa, _ F ................_........... -- :... ..=-- f •-- --------------------------------•-••........................... L cation Address or Lot No. w 1 �.----... . I 'da.�-------------------------------------- Owner Address a ?^ Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) .Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures --------------------------------------------------------------------------- --------•---------------------------•-•••-••---•------------ w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-------------... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit•No......:-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ 14 Test Pit No. 1......!_........minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •----------------------------------------•--------.----•--------------.----------------- •--•------------------------ -...... .--•------ •------------------------ ODescription of Soil...............................................................................-----------------------------......•-------------------------•---•-•--•-------------•-- x U1 ---------------.............................----•---------•----------------------•----------------------------------•-------------------------•-------------•---------------••-•--...-••------------- w U Nature of Repairs or Alterations—Answer when applicable.__ r..e----. q_r✓_.__� �t_�!.r .±� �Y_ ......... '----------------•-........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned-further agrees not to place theme system in operatio ntil a Certificate of Compliance has been issued b he b and f�heal ` 1 . g ✓'� .. Application Approved BY .` u`......-1`-------'..--...... ...-----�----- "-- --� S ....--------------------------- -.e..------ Application Disapproved for the following reasons- ------------------------------------------------------------------------------------ -D ate-----................. i --------------------------------------------------------------------------------- ----------------------------------------- ---- Date Permit No. ............ '.. :.z. ...... Issued 70 � ---------------------- Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CErtifirate. of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b .......: ----- ----------- _..........................---...----------..........--------------------------------------...-----......-------------------------....- Y. . ..................... ,. Installer. // at.................... ---5 ... !g ' Si - i _T 6-z v i C ..............."---------------------_-----........------------------------------------------ has been installed in accordance with the provisions of TITLE�of_ he State Environmental Code as described in the application for Disposal Works Construction Permit No. ._-.4. -. 2- ...-- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILLIFUNCTION SATISFACTORY. DATE ."...�� 1-#............................................... Inspector ..: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � TOWN OF BARNSTABLE No.`... 2 2 t FEE..... Disposal Works Tonstrudion rnmit Permission is hereby granted............ ............................. ........................... to Construct ( ) or Repair (� an Individual Sewagae Disposal System " at No. "? S 1�4A ,._ T C c - --T/-=2 t ! .... ......... .....•..... • ....................-------••----------- -----•----•--------•-----••--...•----•..... Street G� o as shown on the application for Disposal Works Construction Permit No.-- .2-._2.2�Dated--__-��Z.c? DATE-....... ..................................... Board of Health . FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS 11 J41 Ll C -vj -41 .r °�J///1✓V .� Q a ok— • 1`/L/}/ "'t./ Y• ' ii6 r 1 5 rµ� p,n P 3`W S � a u a � tkai s 1 a Ok fAwLA r),, S ev 77 y���'a,R^ 1cx�. � IA „} "^kr�q, T .1S y ".w. F`'i f is _ � ;_ .� l • x � mod. � -. � .. � E'".� - • Syr.,. n,. � �" � � +�. � � � � 4 a" ��j r ,�rt. 4a.. .y. �.,.,- . ° . } ! �^ .*'' ,�' .T„�-f:; A• �ksr rt.. �. r< e.. a e,.- � 4 .�`'. 0 '�y_�.n w �g a. '�' .��. �r. •cyY n.3 !���. � ��'� `�� 8 +z � - '�' { -::x Lr t`",#�� - ` 3 -S i - - n. y • '� ��, Y - � S • ,k-S, �Via^, -5 �". �. 5 �-'?� w r $ a •'� Fa $T' '^t� j• ��3`'�r.:.s %?,to #a J�' ,�ar$r 3 ri+i: V rr.+"�"*§'�+ ��.*i�.'~ ��n, r • '4 Viz. .r t+t sE''"'�}F ,�^a A.r: � ��'fie. 'hk 'K,"- �k '�t''e J'gla ,..�t$.� � 'T� f +a- � �RtY Wit, ­4 JOB NO. B06-04 NOTES Picard.dwg ' SECTION A - A 110 LF of 6' Dee Impervious PER CODE: R.J. CADILLAC TO INSPECT INSTALLATION MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. LOCUS IS A.M. 207, PARCEL 62. Ch�reh P P 2. ELEVATIONS SHOWN ARE TOWN G.I.S. t0.3 . 1. VARY LEACH AREA TO PROPERTY LINE BY 7 (3 PROVIDED). SCALE: 2' Barrier(40 mil.)-Top @ 13.3' min OF IMPERVIOUS BARRIER--PLEASE CALL AHEAD VARY LEACHING TO CRAWL BY 12' 8' PLUS IMPERVIOUS BARRIER PROVIDED 3. LOCUS IS IN FLOOD ZONE AE ON FIRM DATED JULY 16, 2014. Rd ( ) 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) o eet VARY TANK TO CRAWL BY 2' (8' PROVIDED). 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. South Main Str VARY TANK TO LOT LINES BY UP TO 6' (4' PROVIDED). 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. Prop . 14. 1 Filter Cloth Proposed 14. 3 310 CMR 15.211 (1). 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". NOT TO 2. VARY USGS ADJUSTMENT BY 1.1' (1.7' ADJUSTMENT IS PROVIDED**). 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW SCALE 310 CMR 15.212. D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 2" SCH 40 PVC 3. NO RESERVE AREA COULD BE PROVIDED. 310 CMR 15.248. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. ELEV. (FT. ) SET LEVEL Landscape Tie Wall-Use COVERS: SECURE COVER TO GRADE--1 ON TANK, COVER OVER INLET WITHIN 6" OF GRADE. 4. VARY LEACHING TO WETLAND BY 41' (59' PROVIDED). LOCAL REG. 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. _..-.�.-. .. pressure treated ties with LOCATION MAP - ___-__.•_-•_.-•,.�:�;-•-�:,•�•_:_•_:;._•,,• . _-•,. •�•.t._ VARYLEACHING TO PIPEDSTR LOCAL REG. 11. SOIL LOG ARE FOUND, ;...�: • .• t0 SO II -. a minimum 40 year life in Y 3' 2' PR 1 4 PROVIDED). IF UNSUITABLE SOILS, SOILS DIFFERING FROM THE D 14 ---------- t':: . ;;,.' .:. ...:::... -'.:: p -=-_--- _`__-_=.- y CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 6. VARY REMOVAL B ( OVIDED). 310CMR 15.255 (5). „ 2' I ; contact with ground. Step 7. VARY TANK TO WETLAND BY 57' (43' PROVIDED). LOCAL REG. 12. AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5 AROUND AND UNDER LEACHING :::::. 23 __ ________ t IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 face of ties in towards Max . :..::.::.. ....:. :.. 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN t I I :::.......:.:......;......:;: mound on each higher row ALARM & PUMP NOTES LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) :::.v:::. :.v::::::::. :::. :::: T :: C ea n gran U a r .:.: .:.:.:.:.:.:.:.:.:.:.:.:.:.: .:.:.:. Fasten with 8 alV. spikes. 14. ALL CONSTRUCTION TO MEET TI I..E 5 AND LOCAL REGULATIONS. 1 _ ______ ___ _ __---- �: .r:. . r : ---__ g p 1. ALARM TO BE WIRED BY ELECTRICIAN ON SEPARATE CIRCUIT. 0 11.9 ......... sand Bottom tie t0 be In gOUnd. 2. ELECTRICAL WORK TO BE INSPECTED BY WIRING INSPECTOR. P --1125H 3. 3 :::: :::::::::::: ::;:::::::::::;:;::::::::.::..::::....... .... ... .:::::::::::::::::::::::::::::::::::::::::::. :::::::::::::::::. ::::: » 3. ALARM, EVENT TIMER, AND EVENT COUNTER BOX TO NOTE: SPECIAL ORDER 2 COMPART Fill TEST HOLE DATE. Aril 6 2006 1 s uare. r h Ti shown are 5 2 P e c ed water es P BE LOCATED OUTSIDE HOUSE. MENT TANK WITH PASS THROUGH 52" - _�._ .. __ ..� 7.6 ....................... ..............::::::::::: :: : : : : ::: : ...................................................... PERFORMED BY. Ron Cadillac, Soll Evaluator - TES T--PUMP 60" SQUIRT EST PUMP & LEACHING HI ................................................. E C NG .................................................................. .�::::.�::::::.•::.•.�::.�:::.�:.�:.:�:.:�.�::::.�::: ::::::::•::::::::•:::•::: WITH PROPAK IS ORENCO PF 300511 •• •••••••••••••••.••.•••••••••••••••••••••••••••••••••••••••••••••.•••••••••• 4. PUMP SUPPLIED I USE 1/3 OF TANK FOR VAULT WITNESSED BY: Donald R. Desmarais, IRS PROPOSED A 1/2 HP PUMP CAPABLE OF 24 GPM ® 16' OF TOTAL AT TIME OF FINAL INSPECTION WHEN A layer 1Oyr 3/2 � i PERC RATE: Assume <2 min./in.Per Sieve Analysis TANK REMOVAL TO DYNAMIC HEAD. sand loam ELEV. 5.5 f SYSTEM IS OPERATIONAL, FILL PUMP SOIL SURVEY 1993 Carver coarse sand y 10 ! 1 5. NO PUMP SUBSTITUTION WITHOUT CONTACTING R.J. CADILLAC CHAMBER WITH CLEAN WATER, CALL ( ) 66' AT 508-776-970o GEOLOGIC MAP(1986): Harwich outwash plain deposits R.J. CADILLAC AND HEALTH AGENT PROPOSED INLET IS .15' Monolithic--H10 loamyer 2.5yarse s/4 TO CHECK OPERATION OF PUMP. BELOW EXISTING TANK INLET 72' and 5.9 COMPACT WALL BASE MATERIAL. PROVIDE THRUST BLOCKS AT ANGLES ***ADD EVENT TIMER & EVENT 2000 Gal. Septic Tank 75" observed water -_ 5.7 COUNTER TO CONTROL BOX w/Pump Vault Invert 9.70 13 X 35 LEACHING o C layer 2.5y 4/4 ---��I ** El. 11.03 Pro 2" PVC FIELD IMPERVIOUS BARRIER LOCUS IS DRAINED BY A STREAM WHICH Top Tank 14" cover P o RUNS 49' TO 59' FROM PROPOSED LEACH 13.27 coarse sand '. Orenco Biotube ProPak > AREA. GROUND WATER FLUCTUATIONS ARE 011 (BPP 30)*** Top 2" Peastone ® filter cloth Q) (64% gravel) BEST AVAILABLE INFORMATION IS BENCH MARK--TOP MAG. NAIL Invert 9.95 cn EXPECTED TO BE LESS THAN ADJUSTMENT THAT STREAM IS PIPED UNDER _ o Proposed Drill 7/32" IN PAVEMENT-11.95 TOWN GISf0.3' � Q- �O IN THIS AREA. PER FRIMPTER & BELFIT-- HOUSE AS SHOWN. TOWN HAS � � CC COMMISSION TECH. BULLETIN 92-001, i 44 Weep Hole ________NO RECORD OF ANY EASEMENTS PG. 5, PARAGRAPH 3, "WATER-LEVEL 6" Diam. Pass 6 132" 0.9 AND BELIEVES OWNER PIPED THIS C.)� pF%v SOLID BASINS TWO 600 GALLON LEACHING i Through STREAM PRIOR TO BUILDING HOUSE. �C RANGES ARE GENERALLY NOT SHOWN IN i Bottom 5.36 I BASINS WITH 2 OF STONE WETLANDS, MARSHES, AND WATER BODIES i Proposed T Invert 13.10 12.6 TEST HOLE 2 i 6" Stone or compact 1 5 Bottom level 12:0 �� ON THE MAPS (PLATES 1-4) IN THIS RE- i I Proposed 1 6\ �i 1L22 PORT, BECAUSE USE OF THE TECHNIQUE i 9, 12 El. 7.6 =Perched Water DEPTH (inches) ELEV.(feet; ) 5 iU C � IN THESE AREAS WOULD BE INAPPROPRIATE = 13.01 **1.7' of 2.8' USGS Adjust. 12.0 i AND LEAD TO ERRORS." Provided--Mash29-Mar. 06 1, 6? Zone C 2 /� '� . DESIGN DATA x I i � �, T / 3,12 Observed water TH 2=5.9 36 11. 1 /egg 4 5, % LEACH AREA A layer 2.5y 4/1 12.4 0980.E �, i � - �- BEDROOMS: 3 5' , " sand loam WETLANDS DELINEATED BY � L____ � �, �- , USE A 3„ LONG BY 13 WIDE BY 6 DEEP LEACH AREA. USE 2--28' Y ROBERT GRAY ON 3/14/06 Z o �i i;1 --��0�*y� i GARBAGE GRINDER: No LONG 2" SCH 40 PVC LATERALS SET LEVEL AND 6' APART ON CENTER 48 rn i ` � � �' `-�' REQUIRED CAPACITY: 330 GPD AND S-6" FROM THE EDGE OF STONE. DRILL 20-7/32" DIAMETER 0 B layer 2.5y 5/4 loam c se sand Clean ut� �- �'-'� O/A D �� SEPTIC TANK/PUMP VAULT: 2000 GAL. HOLES SPACED 3' APART. 64' loamy 6.7 DRILL MOST HOLES T 12 ,7 � 1 .•�'� �g �' _ LEACHING AREA 455 SF O'CLOCK. TWO HOLES ON EACH LATERAL •• • •: � „ observed water lJd' x 11 m I /::' `" 4 '•••: TH 2 3 3 BOTTOM LEAC SHOULD BE DRILLED AT 4 AND 8 O'CLOCK TO DRAIN THE LATERALS. 73 _- 5.9 BO H L 13' 35' USE A SMALLER DIAMETER PIPE AS A RAMROD TO REMOVE BURRS. o C layer 2.5y 4/4 f 9:1 :.:. L «' �'�� 9 SIDE LEACHING AREA: 0 SF SEE HALF PIPE, MANIFOLD AND CLEAN OUT DETAILS. B, rn " 8 C0 coarse sand �r �--, o j NONE 2' REMOVAL > 4„ N F a) (81% gravel) o u DESIGN CAPACITY: 336 GPD DO 2 ALL AROUND AND UNDER REMOVAL DOWN 5.5 t TO COARSE SAND. �. 9.9 ' �....:::.:. ... \NG $$ 2 :. 4.8� �' ,1 T.O.B [(4 F) D/SF] 55 S X 74 GP 1:8 NO 2 aG no water � PUMP CHAMBER STORAGE CAPACITY: 330 GAL. 120" 2.0 :... :. i a .......' N: DOSES PER DAY: 2 :. i ' ..... G� ,� to 1z,�1• 3'-3" , :: : :::•:::::: 2 N F .. <` N �:. ..... I ��� o : 1 ✓ � `���� ' `. WEIGHT OF EMPTY CHAMBER AND 14" OF COVER SETZKE `�Sr � CHAMBER= 5.92 TON (PER SHOREY) YEARLY INSPECTION & LOG �:� : 11 , 150� S. F. �; �� �-'� `v�> � Inspection , 3'-10 Port 14 COVER= 1.17 X 6.83 X 12.83 X 0.055 TON/CU. FT.11 1. CLEAN FILTER, INSPECT PUMP x 11.1 ,,� \ 12 3 Down.0 14 COVER=5.64 TON RECORD DATE IN LOG. o /' 12 WEIOGHT OF WATER--HIGH HIGH GROUNDWATER TON x x 11,5 q' TH 1 /,-&9 � BENCH MARK--TOP PK NAIL DW ER DOWN 2. CHECK EVENT COUNTER AND x 8,7 / Qi;11'7 /X .50 IN WALK= 14.13 TOWN GISf0.3' , , RECORD NUMBER. (NO. OF x 10.8 x 116 c�/� �go (8.7 -5.36 ) X 6.83 X 12.83 X 0.0312 TON/CU. FT. TIMES PUMP RUNS) l07 �� 1�/ WEIGHT WATER= 9.13 TON 3. CHECK RUN-TIME METER AND X'� 14'-1 " TANK AND 14" COVER ARE HEAVIER BY 2.4 TON. RECORD TIME. > > �. 4. DIVIDE 3 BY 2 TO COMPUTE 0,6 1.3 AVERAGE TIME PUMP RUNS • 11,3 �/X'/ 11 119 .--' 8 M ,��% AND RECORD. LONGER RUN TIMES, IF EX- CESSIVE, POINT TO BRUSH x o + _ 91 �+ CLEANING THE LATERALS. lo,s ,94 II i� X 10.8 EL. 14.3 min. �; \ 5. REPORT YEARLY INSPECTION ;; o �+ TO BOARD OF HEALTH. 1,57 USE HALF SECTION OF 4" PVC PIPE, OR SHIELDS. 5'-9"' j SEE MAIN DRAWING FOR HOLE SPACING + PROVIDE IMPERVIUOS iu 1/4" HOLE FILTER CLOTH @ TOP I BARRIER 6' DEEP ALL PEASTONE=EL. 11.57 r� AROUND LEACH AREA USE 110 L.F. OF 40 MI 2" Pea Stone____ �i 2'_SCH 40 PVC PIPE LAID LEVEL to ov , I POLYETHYLENE OR VINYL - ---- ----- (MILLER BREAKOUT +) I �6 TOP BARRIER=TOP 6" OF 3/4" TO 1 1/2" STONE WALL CONSTRUCTION _ + PEASTONE=13.3, GRADE --- FOOTPRINT SITE PLAN LEGEND , +BOVE OR EQUALR=14.3 MIN 1 "=20' FOR - - -- - '- EDGE WETLANDS 1,`" CLEAN OUT THIS PLAN IS A VALID COPY ONLY IF IT BEARS j10- TH 1 TEST HOLE LOCATION, NUMBER END MANIIFOLD SECTION AN ORIGI ED S MP D -NATURE. MICHAEL N . & PAULA V . PICARD W ---- WATER LINE MARKINGS DETAIL E- OVERHEAD ELECTRIC WIRES (IF SHOWN) �� 1"= 1' G GAS LINE MARKINGS -7 . �.. . s 288 SOUTH MAIN STREET CEN TER VI LLE MA x 9.5 x EXIST. & PROP. ELEVATIONS ('X' MARKS POINT) -/?%� vjONAL ��H�FMgs� 12.5 SUMMARY OF SIEVE ANALYSIS 3 Max. Cover � 2" LATERAL �� RONALD y�sm `so�� RONALD cyGN� � „ ,� EXISTING CONTOUR ACCESS BOX SEE OTE SCH OHEREDETAILSSSURE PIPE _4 JAMES JAMES N JU N E 16, 200 V SCALE. 1 - 20 CADILLAC CADILLAC g- PROPOSED CONTOUR SAMPLE % FINES PASSING GRAVEL TEXTURAL CLASS # 1060 #35779 UTILITY POLE (IF SHOWN) #200 SIEVE > #10 SIEVE Gi sTE AN17AR'Rio aFEss�o�e 2" Pea Stone 140 ® EXISTING DRAINAGE CATCH BASIN -_--- 2" Pea stone ' _ __ s ���d -- XFENCE (IF SHOWN, NOT ALL SHOWN) TH N0. 1 0.4% 64% SAND (& GRAVEL) � 3/4" To 1 1/2" � 2" DIAM. MANIFOLD C RONALD J. CADILLAC, PLS, RS 3/4' To 1 1/2" Stone ° STONE SCH 40 PRESSURE PIPE 0 TREE (IF SHOWN, NOT ALL SHOWN) TH NO. 2 0.8% 81% SAND (& GRAVEL) ------------------- - ------------- --- PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 REV. 10/9/15--ADD DRAINAGE WEST YARMOUTH, MA 02673 REV. 9/30/15--UPDATE PUMP DESIGN, CHANGE SOME NOTES (508) 775-9700 REV. 9/28/15--REVISE SYSTEM HEALTH AGENT APPROVAL DATE REV. 8/01/06--RAISE LEACHING 0.1' PER B.O.H. C 2005 RY R.J. CADILLAC PAGE 1 OF 1 4 y �l JOB NO. B06-04 NOTES Picard.dwg C TI ON A A ee Im ervious TI N MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. LOCUS IS A.M. 207, PARCEL 62. CrcSE110 LF of 6 Deep p PER CODE. R.J. CADILLAC TO INSPECT INSTALLATION , 2. ELEVATIONS SHOWN ARE TOWN G.I.S. t0.3 . 1. VARY LEACH AREA TO PROPERTY LINE BY 7 (3 PROVIDED). 3. LOCUS IS IN FLOOD ZONE AE ON FIRM DATED JULY 16, 2014. SCALE. 1 " = 2' Barrier(40 mil.)-Top @ 13.3' min OF IMPERVIOUS BARRIER--PLEASE CALL AHEAD VARY LEACHING TO CRAWL BY 12' (8' PLUS IMPERVIOUS BARRIER PROVIDED) 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) S�eet VARY TANK TO CRAWL BY 2' (8' PROVIDED). 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100 ARE ON TOWN WATER. South Main VARY TANK TO LOT LINES BY UP TO 6 (4 PROVIDED). 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. Prop . 14. 1 Filter Cloth Proposed 14. 3 310 CMR 15.211 (1). 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". NOT TO 2. VARY USGS ADJUSTMENT BY 1.1 (1.7 ADJUSTMENT IS PROVIDED**). 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW SCALE 310 CMR 15.212. D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 2" SCH 40 PVC 3. NO RESERVE AREA COULD BE PROVIDED. 310 CMR 15.248. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. ELEU. (FT. ) SET LEVEL Landscape Tie Wall-Use COVERS: SECURE COVER TO GRADE--1 ON TANK, COVER OVER INLET WITHIN 6" OF GRADE. 4. VARY LEACHING TO WETLAND BY 41 (59 PROVIDED). LOCAL REG. 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. pressure treated ties with LOCATION MAP 1 4 ..:.. :_....:... ,.., ;•. 5. VARY LEACHING TO PIPED STREAM BY 51' (49' PROVIDED). LOCAL REG. 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, `; ----- ------ --- -- _ t0 S01 �.::. ;;.:' a minimum 40 year Ilfe In ( CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. ..... _ h"�__ .____ 6. VARY REMOVAL BY 3 2 PROVIDED). 310CMR 15.255 (5). .....:.• ...... .... . . .. . . .. .. .. ........... contact with ground. Step 7' (43' DED). L 12. LEACHING " IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER 23" 7 VARY TANK TO WETLAND BY 5 PROVI OCAL REG. „ IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15 255(3). TEST HOLE 1 ---- ---- -I - .-r��- _'•::::::::::::::: :::::::: :::. :::::. :::•. ::::::::::::. ..:.....::::............. face of ties In 1 towards max . 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN ALARM & PUMP NOTES DEPTH (inches) ELEV.(feet) '. ' ' �� ' ""�""""""'�""•'•" ������••�•••••�•••���••••�•�••••••••�••�••� •• • • mound on each higher row LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. l :. _ _ _ p 11.9 :.:;::.:::.:. . ::;.;: :.;; c l e a n r a n u a r 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. g Fasten with 8" galy. spikes. 1. ALARM TO BE WIRED BY ELECTRICIAN ON SEPARATE CIRCUIT. ---- --- t---♦�J ------- ---- 1 ::..... :. :.::. :::...........-- �'A'��`'��`�, Und. ELECTRICAL WORK TO BE INSPECTED BY WIRING INSPECTOR. P --11258 Sand ;::::::::::::::::::: ::::::;::::::::::::;:.:.,:.... . Bottom tie to be In go 2. ELEC Fill 3. 3 NOTE. SPECIAL ORDER 2 COMPART R X TO EVENT TIMER AND EVEN T COUNTER BO ALARM, E E 3. L ......................................... :........ .. •:: :•:::•:�:•::; •:;;•:::;::�::•:::;•:�:::::•:•:::•:::•:�:•:. :•: :•::�:•::•::•::•::�:�:•::•:::•::•::•::•:�:•:.::.:•::;��:;�:�:�::�:�: ::� '• TEST HOLE DATE: Aril 6 2006 " erched water -��� •"'••"•"••'•"""'•'���•'• • ' (Ties shown are 5 1 2 square.) p ' _. I? ::.:a:. :: :::::::::::::::::::......::::::. :::::. :.................._.... / q ) 52 - 7.6 ...................................................................... :::::::::.::::::.::::::::.::::::. BE LOCATED OUTSIDE HOUSE. MENT TANK WITH PASS THROUGH PERFORMED BY: Ron Cadillac Soil Evaluator -- - _. �. _. _. _. �.. ._. _. . u.,.�� ._. .. _. _. _. _. __ 60 P LEACHING SQUIRT TEST--PUMP & LEAC G .. ......,... :i� i::�:Ci•is�iiii.�r:�i:� i::�i?:• ;r:�::�i.�ii? ii: :�}:�tr:air...� 4. PUMP SUPPLIED WITH PROPAK IS ORENCO PF 300511, USE 1 3 OF TANK FOR VAULT ' ...... . .....•........................................... .. / WITNESSED BY. Donald R. Desmarais, RS PROPOSED I A 1/2 HP PUMP CAPABLE OF 24 GPM ® 16' OF TOTAL AT TIME OF FINAL INSPECTION WHEN PERC RATE: Assume <2 min./in.Per Sieve Analysis A layer 10yr 3/2 TANK I DYNAMIC HEAD. sandy loam REMOVAL TO ELEV. 5.5'f SYSTEM IS OPERATIONAL FILL PUMP SOIL SURVEY 1993 Carver coarse sand O J 5. NO PUMP SUBSTITUTION WITHOUT CONTACTING R.J. CADILLAC CHAMBER WITH CLEAN WATER, CALL ( )" 66" AT 508-776-9700 GEOLOGIC MAP(1986): Harwich outwash plain deposits B layer 2.5y 5/4 R.J. CADILLAC AND HEALTH AGENT PROPOSED INLET IS .15' Monolithic--H10 loamy coarse sand TO CHECK OPERATION OF PUMP. BELOW EXISTING TANK INLET 72" 5.9 COMPACT WALL BASE jMATER� AL PROVIDE THRUST BLOCKS AT ANGLES ***ADD EVENT TIMER & EVENT 2000 Gal. Septic Tank 13' X 35' LEACHING 75" --- observed water_ 57 w/Pump Vault Invert 9.70 COUNTER TO CONTROL BOX C layer 2.5y 4/4 EI. 11.03 FIELD __--�I 1 **LOCUS IS DRAINED BY A STREAM WHICH Top Tank 14" cover Prop. 2" PVC o IMPERVIOUS BARRIER RUNS 49' TO 59' FROM PROPOSED LEACH 13.27 coarse sand Orenco Biotube ProPok > \\ AREA. GROUND WATER FLUCTUATIONS ARE Alorm (BPP 30 *** Top 2" Peastone ® filter cloth 2 (64% gravel) BENCH MARK--TOP MAG. NAIL e Invert 9.95 n ) V) BEST AVAILABLE INFORMATION IS \ s EXPECTED TO BE LESS THAN ADJUSTMENT Proposed Off Drill 7/32" THAT STREAM IS PIPED UNDER IN PAVEMENT=11.95 TOWN GISf0.3' \ O� IN THIS AREA. PER FRIMPTER & BELFIT-- HOUSE AS SHOWN. TOWN HAS \ P P�� 44" 41„ Weep Hole � �� CC COMMISSION TECH. BULLETIN 92-001 � ----------- °' NO RECORD OF ANY EASEMENTS 1` ��' �� i PG. 5 PARAGRAPH 3 "WATER-LEVEL i 37 24 6" Diam. Pass 6 132" 0.9 AND BELIEVES OWNER PIPED THIS C.� QF/ SOLID BASINS i Through T STREAM PRIOR TO BUILDING HOUSE. \ OG%/ TWO 600 GALLON LEACHING RANGES ARE GENERALLY NOT SHOWN IN Bottom 5.36 I 12.6 BASINS WITH 2 OF STONE WETLANDS, MARSHES, AND WATER BODIES Proposed Invert 13.10 TEST HOLE 2 ,• 11 � 12.0 i P i Bottom level �i i 6 Stone or com act 5 � - ON THE MAPS (PLATES 1-4) IN THIS RE- i � i Proposed i PORT, BECAUSE USE OF THE TECHNIQUE ; , i i o� �� 11.22 IN THESE AREAS WOULD BE INAPPROPRIATE 9 I 12 EI.=7.6 =Perched Water 12.0 35 �� � I **1.7' of 2.8' USGS Adjust. DEPTH (inches) ELEV.(feet) 13.01 AND LEAD TO ERRORS." Provided—Mash29-Mar. 06 Zone C DESIGN DATA Observed water TH 2=5.9 36" x 11• �� ��gg ��/ LEACH AREA A layer 2.5y 4/1 0 12A 1O98p,� 4.5 ii BEDROOM'S: 3 sand loam c9, IL_-_ �_� L USE A 35 LONG BY 13 WIDE BY 6 DEEP LEACH AREA. USE 2--28 y WETLANDS DELINEATED BY O �l ____�� � � GARBAGE GRINDER: No 48" ROBERT GRAY ON 3/14/06 m O ;/� F` 4 0 \O; LONG 2 SCH 40 PVC LATERALS SET LEVEL AND 6 APART ON CENTER REQUIRED CAPACITY: 330 GPD AND -6 FROM THE EDGE OF STONE. DRILL 20-7/32 DIAMETER 0 B layer 2.5y 5/4 3 ( `1� �-' �,_ � loamy c •i�se sand 10.89 p i Clean ut ; D �� SEPTIC TANK/PUMP VAULT: 2000 GAL. HOLES SPACED 3' APART. 64" 6.7 / i rig0 / DRILL MOST HOLES AT 12 O'CLOCK. TWO HOLES ON EACH LATERAL f <` ,1 g., BOTTOM LEACHING AREA: 455 SF73> observed water 5.9 7 m.... 12.5 ! 8 ,V -J SHOULD BE DRILLED AT 4 AND 8 O'CLOCK TO DRAIN THE LATERALS. 1/.1 x 11 ;:.v.. ..._ ..::::::: ;: 4 :'.:::: ;.. 'a TH 3 D • p , � [(13' X 35')] USE A SMALLER DIAMETER PIPE AS A RAMROD TO REMOVE BURRS. o C layer 2.5y 4/4 ,l9 1 - 1 13 SEE HALF PIP MANIFOLD A T DETAILS a �', o- 4, E, D AND CLEAN OUT �� SIDE LEACHING AREA: 0 SF coarse sand 8 NONE s B `�' •'�:�% t.. a,`----1 2' REMOVAL > „ \ �:. N/F a) (81% gravel) \�pv 8 _q " A o DESIGN CAPACITY: 336 GPD DO 2' ALL AROUND AND UNDER REMOVAL DOWN 5.5 t TO COARSE SAND. ' 10.92 9.9 ...:: ''` " ri G 1 �f:. o' o 8 ' \N $$ ': <11•e; T. [(455 SIT) X .74 GPD/SF] '� 8 B PUMP CHAMBER STORAGE CAPACITY: 330 GAL. no water N sP° - x (D 120" 2.0 �' / 2 :..::.. ; .••�:. � ..::�;�. G p�\ ..::::::::::::•::::.�N 1.�.��'•�� 1z�''�'. 1 6hi�, DOSES PER DAY: /.:. ::::.. C 1R 1 14 �`e: 3'- , 0 -3 BUOYANCY CALC'S-MONOLITHIC 2000 GAL.TANK N 12. 10,11 N/F WEIGHT OF EMPTY CHAMBER AND 14" OF COVER SETZKE `� sr°"� Inspection CHAMBER= 5.92 TON (PER SHOREY) YEARLY INSPECTION & LOG + e` � � i l 50± S. F. it \ ���---� \�-�� 3'-1 0" 14 COVER= 1 .17 X 6.83 X 12.83 X 0.055 TON/CU. FT. 1. CLEAN FILTER, INSPECT PUMP x 11 11.7 %; �� x 120 3"PDown 14 COVER=5.64 TON 9 ^�'12�'"'�/^X ' TOTAL= 5.92 TON + 5.64 TON = 11 .56 TON RECORD DATE IN LOG. 2. CHECK EVENT COUNTER AND x TH 1 i"'1 .9 BENCH MARK--TOP PK NAIL WEIGHT OF WATER--HIGH GROUNDWATER DOWN RECORD NUMBER. (NO. OF x 8•7 / Q/ (11,7 o .50 IN WALK= 14.13 TOWN GISf0.3' (8.7 -5.36') X 6.83' X 12.83' X 0.0312 TON/CU. FT. TIMES PUMP RUNS) • 108 WEIGHT WATER= 9.13 TON 3. CHECK RUN-TIME METER AND . 10.7 CO / 14'-1 " TANK AND 14" COVER ARE HEAVIER BY 2.4 TON. RECORD TIME. 4. DIVIDE 3 BY 2 TO COMPUTE 11.3 �/-�`� ��N3�1 27 -2 AVERAGE TIME PUMP RUNS �{, 0,, "11.3AND 10,5 11,3 �/X ;�9 LONGER TIMES,1 IF EX- �X ! .75 5'-6 CESSIVE, POINT TO BRUSH 0.91 LATERAL CROSS SECTION �,, CLEANING THE LATERALS. 10 0.94 1"= 1' W. I t EL. 14.3 min. 5. REPORT YEARLY INSPECTION x 10 3 , , o_ ���, TO BOARD OF HEALTH. USE HALF SECTION OF 4" PVC PIPE, OR SHIELDS. 5'-g SEE MAIN DRAWING FOR HOLE SPACING PROVIDE IMPERVIUOS 1/4" HOLE FILTER CLOTH © TOP BARRIER 6' DEEP ALL PEASTONE=EL. 11.57 11ij AROUND LEACH AREA USE 110 L.F. OF 40 MI 2" Pea Stone -_- �� 2'_SCH 40 PVC PIPE LAID LEVEL 11' Vv i POLYETHYLENE OR VINYL (MILLER BRERKOU +) �- - 6" OF 3/4" TO 1 1/2" STONE WALL CONSTRUCTION 16 _ PEASTONE=13.3, GRADE ___...._.__._._.-...-. FOOTPRINT R I N T SITE PLAN LEGEND 'It54 ABOVE BARRIER=14.3 MIN »_ ' + OR EQUAL 1 20 FOR - -- -- EDGE WETLANDS f9 CLEAN OUT THIS PLAN IS A VALID COPY ONLY IF IT BEARS TH 1 TEST HOLE LOCATION, NUMBER DETAIL END MANIFOLD SECTION AN ORIGI T P A . ATURE. MICHAEL N . & PAULA J . PICARD W WATER LINE MARKINGS �L E- OVERHEAD ELECTRIC WIRES (IF SHOWN) �. G GAS LINE MARKINGS 7 ��. � ry. Vy . Sqc 288 SOUTH MAIN STREET, CEN TER VI LLE, MA ��H OF M : H of Mqs EXIST. & PROP. ELEVATIONS 'X' MARKS POINT %� „ 5f 2" LATERAL o`' o`' �G ff f x 9.5 x 12,;� E ( ) 3 Max. Cover _ � RONALD `�; � RONALD N SUMMARY OF SIEVE ANALYSIS SCH 4o PRESSURE PIPE m JU N E 16, 2006 SCALE 1 = 20 ACCESS BOX iu SEE OTHER DETAILS o DAMES o DAMES /--'6-' EXISTING CONTOUR r. CADILLAC CADILLAC 8- PROPOSED CONTOUR SAMPLE % FINES PASSING % GRAVEL TEXTURAL CLASS # 1060 #35779 �f UTILITY POLE (IF SHOWN) #200 SIEVE > #10 SIEVE ��GISTS\'- Fss\0 (T3 EXISTING DRAINAGE CATCH BASIN T �„ 2" DIAM. MANIFOLD ���suRVE'�o 2' Pea Stone 2 Pea Stone SA / FENCE IF SHOWN, NOT ALL SHOWN TH NO. 1 0.4% 64% SAND (& GRAVEL) � 3/4 TO 1 1/2' SCH 40 PRESSURE PIPE l I� RONALD J. CADILLAC, PLS, RS ( ) 3/4 To 1 1/2 Stone STONE0 - 81% SAND (& GRAVEL) ------------- - PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN TREE (IF SHOWN, NOT ALL SHOWN) TH N0. 2 0.8% ------------------- - P.O. BOX 258 REV. 10/9/15--ADD DRAINAGE WEST YARMOUTH, MA 02673 ~`, REV. 9/30/15--UPDATE PUMP DESIGN, CHANGE SOME NOTES (508) 775-9700 2" eJ REV. 9/28/15--REVISE SYSTEM HEALTH AGENT APPROVAL DATE PAGE 1 OF 1 `"k"�` REV. 8/01/06--RAISE LEACHING 0.1' PER B.O.H. C 2005 BY R.J. CADILLAC ; ;, i� JOB NO. B06-04 NOTES Picard.dwg MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. LOCUS IS A.M. 207, PARCEL 62. cL SECTION 110 LF of 6 Deep Impervious PER CODE: R.J. CADILLAC TO INSPECT INSTALLATION 2. ELEVATIONS SHOWN ARE TOWN G.I.S. t0.3'. arch Barrier/40 mil. - To @ 13.3' min OF IMPERVIOUS BARRIER--PLEASE CALL AHEAD 1. VARY LEACH AREA TO PROPERTY LINE BY 7 (3 PROVIDED). y�i� R ' \ � P VARY LEACHING TO CRAWL BY 12' 8' PLUS IMPERVIOUS BARRIER PROVIDED 3. LOCUS IS IN FLOOD ZONE AE ON FIRM DATED JULY 16, 2014. SCALE 1 = 2 ( ) 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) Sweet VARY TANK TO CRAWL BY 2' (8' PROVIDED). 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100 ARE ON TOWN WATER. Main VARY TANK TO LOT LINES BY UP TO 6' (4' PROVIDED). 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. South Prop . 14. 1 Filter Cloth Proposed 14. 3 310 CMR 15.211 (1). 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". NOT TO 2. VARY USGS ADJUSTMENT BY 1.1 (1.7 ADJUSTMENT IS PROVIDED**). 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW SCALE 310 CMR 15.212. D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 2" SCH 40 PVC 3. NO RESERVE AREA COULD BE PROVIDED. 310 CMR 15.248. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. C COVERS: SECURE COVER TO GRADE--1 ON TANK COVER OVER INLET WITHIN 6" OF GRADE. ELEV. FT. J SET LEVEL Landscape Tie Wall-Use 4. VARY LEACHING TO WETLAND BY 41' S9' PROVIDED . LOCAL REG. ' ( ) 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. __ __ _ . .� pressure treated ties with , ( , LOCATION MAP 5. VARY LEACHING TO PIPED STREAM BY 51 49 PROVIDED). LOCAL REG. 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, 14a- --- -- t0 SOIL -------------- - minimum 40 year life in > h y 6. VARY REMOVAL BY 3 (2 PROVIDED). 310CMR 15.255 (5). CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. contact with ground. Step 7. VARY TANK TO WETLAND BY 57' (43' PROVIDED). LOCAL REG. 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5 AROUND AND UNDER LEACHING - „ IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). _ 23 _____ s=- -- - -- --- ___________�_______.-_-----_- face of ties In 1 towards 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN TEST HOLE 1 max. mound on each higher row ALARM & PUMP NOTES LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. clean e a n g r a n d u a r . " DEPTH (inches) ELEV.(feet) - i Fasten with 8 galy. spikes. 1. ALARM TO BE WIRED BY ELECTRICIAN ON SEPARATE CIRCUIT. 4. L CONSTRUCTION UC ION 0 MEET TITLE 5 AND LOCAL REGULATIONS. 0 11.9 2 1 ALL C S R T T 51.3' sand Bottom tie to be In gound. 2. ELECTRICAL WORK TO BE INSPECTED BY WIRING INSPECTOR. N T P#--11258 Fill ... ::::::: .. ..... ::. ::. :....:. :.. :.:::.. i ._........ ....::........ ......... .. ..: ........ ... .. . ... .:. . .. .:: » 3. ALARM, EVENT TIMER, AND EVENT COUNTER BOX TO SPECIAL ORDER 2 COMPART- TEST HOLE DATE: April 6 2006 (Ties shown are 5 1/2 square.) P .� perched water 7 6 __ _ ____ PERFORMED BY: Ron Cadillac, Soil Evaluator „ BE LOCATED OUTSIDE HOUSE MENT TANK WITH PASS THROUGH 4. PUMP SUPPLIED WITH PROPAK IS ORENCO PF 300511, SQUIRT TEST--PUMP & LEACHING USE 1 3 OF TANK FOR VAULT 60 / WITNESSED BY: Donald R. Desmarais RS PROPOSED i A 1/2 HP PUMP CAPABLE OF 24 GPM ® 16' OF TOTAL AT TIME OF FINAL INSPECTION WHEN PERC RATE: Assume <2 min./in.Per Sieve Analysis A layer 10yr 3/2 DYNAMIC HEAD. sand loam TANK i REMOVAL TO ELEV. 5.5'f SYSTEM IS OPERATIONAL, FILL PUMP SOIL SURVEY 1993 Carver coarse sand 66" y 10 _U - 5. NO PUMP SUBSTITUTION WITHOUT CONTACTING R.J. CADILLAC CHAMBER WITH CLEAN WATER, CALL ( ) AT 508-776-9700 GEOLOGIC MAP(1986): Harwich outwash plain deposits R.J. CADILLAC AND HEALTH AGENT PROPOSED INLET IS .15' B layer 2.5y 5/4 TO CHECK OPERATION OF PUMP. BELOW EXISTING TANK INLET Monolithic--H10 72" loamy coarse sand 5.9 *** 2000 Gal. Septic Tank observed water _ COMPACT WALL BASE MATERIAL PROVIDE THRUST BLOCKS AT ANGLES ADD EVENT TIMER & EVENT w/Pump Vault invert 9.70 13 X 35 LEACHING 75 5.7 COUNTER TO CONTROL BOX El. 11.03 FIELD o C layer 2.5y 4/4 IMPERVIOUS BARRIER --�� **LOCUS IS DRAINED BY A STREAM WHICH Top Tank 14" cover Prop. 2" PVC o RUNS 49' TO 59' FROM PROPOSED LEACH 13.27 coarse sand Orenco Biotube ProPak > 105 AREA. GROUND WATER FLUCTUATIONS ARE Alarm BPP 30 *** Top 2" Peastone ® filter cloth (64% gravel) BEST AVAILABLE INFORMATION IS BENCH MARK--TOP MAG. NAIL _ EXPECTED TO BE LESS THAN ADJUSTMENT Invert 9.95 ( ) THAT STREAM IS PIPED UNDER HOUSE AS SHOWN. TOWN HAS IN PAVEMENT=11.95 TOWN GISf0.3 Q' P���"�0 IN THIS AREA. PER FRIMPTER & BELFIT-- i Proposed 44 41724'1\M f DriWelep7Hoe __________ NO RECORD OF ANY EASEMENTS 10,8 �� �t�/ CC COMMISSION TECH. BULLETIN 92-001, i 3 °° 6" 132 0.9 I '` PG. 5 PARAGRAPH 3 WATER-LEVEL i 6 Diann. Pass AND BELIEVES OWNER PIPED THIS ' F/ SOLID BASINS ' ' i STREAM PRIOR TO BUILDING HOUSE. 4 �cG� TWO 600 GALLON LEACHING RANGES ARE GENERALLY NOT SHOWN IN i Through i Bottom 5.36 12.6 BASINS WITH 2 OF STONE WETLANDS, MARSHES, AND WATER BODIES i Proposed Invert 13.10J TEST HOLE 2 �f 12,o i y i 6 St-)ne or compact i 5 Bottom level ON THE MAPS (PLATES 1-4) IN THIS RE- i i Proposed i PORT, BECAUSE USE OF THE TECHNIQUE 9' _ I 12' 1 EI.=7.6 =Perched Water 5 �; 11,2� IN THESE AREAS WOULD BE INAPPROPRIATE I DEPTH (inches) ELEV.(feet) 13.01 RC H AND LEAD TO ERRORS." **1.7 of 2.8 USGS Adjust. 12.0 12.8` ''� Provided--Mash29-Mar. 06 IL 2 '%� DESIGN DATA Zone C gg F` c,� �T/ -' 1 Observed water TH 2=5.9 36" f LEACH AREA A layer 2.5y 4/1 12.4 4.5 �i r BEDROOMS: 3 " sand loam WETLANDS DELINEATED BY 09.80'ii `�� 'L____ USE A 35 LONG BY 13 WIDE BY 6 DEEP LEACH AREA. USE 2--28 Y ' '1 -IJO�*y GLL GARBAGE GRINDER: No LONG 2" SCH 40 PVC LATERALS SET LEVEL AND 6' APART ON CENTER 48" ROBERT GRAY ON 3/14/06 z -o '% �` � � � --�'�` m v ,� �` ` REQUIRED CAPACITY: 330 GPD AND 3'-6" FROM THE EDGE OF STONE. DRILL 20-7/32" DIAMETER 0 B layer 2.5y 5/4 Clean ut �'- HOLES SPACED 3' APART. >, loamy c se sand ri ROADSEPTIC TANK/PUMP VAULT: 2000 GAL. 64 6.7 10,89 i 11 DRILL MOST HOLES T 2 O'CLOCK. TWO HOLES ON EACHLATERAL 7 ,1 ,83„ BOTTOM LEACHING AREA: 455 SF observed water 59 :... 12,5 rn :::..... '..:.. a TH 2 - C layer 2. y /4 11 .:.�••�•.;: � :.,•• .• 7 13 [(13' X 35')] SHOUL BE DRILLED AT 4 AND 8 O'CLOCK TO DRAIN THE LATERALS :. MOVE BURRS USE ACSMALLER DIAMETER PIPE AS A RAMROD TO o5 4 E $ , ` �� x 13 �� 314,13 SIDE LEACHING AREA: 0 SF SEE HALF PIPE, MANIFOLD AND CLEAN OUT DETAILS. v rn •• Coarse sand _ NONE a� t_ NOVS�8,_4„ �. IN 2 REMOVAL n - �,I.:"' \CJ�\N Zaa ' �\ 148, E`:: N a11R' 8 D[(455 SF)PXCI74 GPD/SF] 336 GPD r70 2' ALL AROUND AND UNDER REMOVAL DOWN 5.5t TO COARSE SAND. �`� 0 Ge \ 3 " n o water 10 c / 1.,8 N \ SPQ �., k CD PUMP CHAMBER STORAGE CAPACITY: 330 GAL. 120 2.0 1 aCp`N 1, ?aA 1z` DOSES PER DAY: 2 r : 12.1 x r:: BUOYANCY CALC'S-MONOLITHIC 2000 GAL.TANK 12 10.11 N n 1 a N/F o WEIGHT OF EMPTY C-IAMBER AND 14" OF COVER SETZKE ' 9 �� S�lo�; \ CHAMBER= 5.92 TON (PER SHOREY) YEARLY INSPECTION & LOG + &.2 11 150 S. F. ��-�� X 3'-10" Inspection 14" COVER= 1 .17' X 6.83' X 12.83' X 0.055 TON/CU. FT. ' � ' Port 1. CLEAN FILTER, INSPECT PUMP 11, o 11.1 7 ' f1,9/ 1220 /X 3" Down 14 COVER=5.64 TON RECORD DATE IN LOG. 11.5 �„ TOTAL= 5.92 TON + 5.64 TON = 11 .56 TON 2. CHECK EVENT COUNTER AND x h a'i TH 1 �1�9 BENCH MARK--TOP PK NAIL WEIGHT OF WATER--HIGH GROUNDWATER DOWN RECORD NUMBER. (NO. OF 87 X 10.8 a,/i11.7 /X 1.50 IN WALK= 14.13 TOWN Glsfo.3' (8.7 -5.36') X 6.83' X 12.83' X 0.0312 TON/CU. FT. TIMES PUMP RUNS) / 10.7 11,6 �/ 9 3. CHECK RUN-TIME METER AND WEIGHT WATER= 9.13 TON Co X 14'-1 " TANK AND 14" COVER ARE HEAVIER BY 2.4 TON. RECORD TIME. 1 i1,3 1 ,39 27'_2„ 4. DIVIDE 3 BY 2 TO COMPUTE ° 3� MPS `N AVERAGE TIME PUMP RUNS 11.3 1 $, 0,�9 1 , ' AND RECORD. x ,1 10,5 X/X / , LONGER RUN TIMES, IF EX- 1 ,75 LATERAL CROSS SECTION 5 -6 CESSIVE, POINT TO BRUSH + 0.91 �+ CLEANING THE LATERALS. 101 EL.�14.3 min. Vt= it �O. 5. REPORT YEARLY INSPECTION TO BOARD OF HEALTH. 1.57 USE HALF SECTION OF 4" PVC PIPE, OR SHELDS. 5'_g" ' I SEE MAIN DRAWING FOR HOLE SPACING II I 1 PROVIDE IMPERVIUOS N 1/4" HOLE FILTER CLOTH �) TOP " BARRIER 6' DEEP ALL PEASTONE=EL. 11.57 � 1111 AROUND LEACH AREA j USE 110 L.F. OF 40 MI 2" Pea Stone. 2" SCH 40 PVC PIPE LAID LEVEL " Cl/ i POLYETHYLENE OR VINYL - ----------- I (MILLER BREAKOUT +) 1 �6 -� 10,3 TOP BARRIER=TOP 6" OF 3/4" TO 1 1/2" STONE WALL CONSTRUCTION 8, 5 PEASTONE=13.3, GRADE FOOTPRINT SITE PLAN LEGEND /A-9'4 +BOVE OR EQUALR=14.3 MIN 1 „=20, FOR - EDGE WETLANDS CLEAN OUT THIS PLAN IS A VALID COPY ONLY IF IT BEARS I TH 1 TEST HOLE LOCATION, NUMBER END MANIFOLD SECTION AN ORIGINAL ED STAMP D SIGNATURE. MICHAEL N . & PAULA V . PICARD 7 -_-�✓ - WATER LINE MARKINGS DETAIL 1 1' 1"= 1' E OVERHEAD ELECTRIC WIRES (IF SHOWN) 2� -G- GAS LINE MARKINGS 288 SOUTH MAIN STREET, CEN TER VI LLE, MA x 9.5 x 12. EXIST. & PROP. ELEVATIONS ('X' MARKS POINT) `�3" Max. Cover � 2" LATERAL S1��j�1UFMgSs9C SNOFMgsS�c „ ' SUMMARY OF SIEVE ANALYSIS AccEss Box 1 SEE OTHER DETAILS �� �� • 6-�- EXISTING CONTOUR SCH 40 PRESSURE PIPE �a RONALD Gs �° RONALD �N JU N E 16 200 V SCALE - �0 g-- PROPOSED CONTOUR SAMPLE % FINES PASSING % GRAVEL TEXTURAL CLASS CADILLAC a CADILLAC Cn UTILITY POLE (IF SHOWN) #200 SIEVE > #10 SIEVE - # 1060 a of 35779�� ® EXISTING DRAINAGE CATCH BASIN __� _____2" Pea Stone 2' Pea-Stone - --_- ��Es e _ �sTE _ - ANITAR�P SURVE 64% SAND & GRAVEL 2' DIAM. MANIFOLD RONALD J. LS RS x FENCE (IF SHOWN, ) TH N0. 1 0.4� ( ) 3/4" To 1 1- -- CADILLAC,, , NOT ALL SHOWN /2" � r , r'� 3/4" To 1 1/2" Stone `o STONE SCH 40 PRESSURE PIPE 0 TREE (IF SHOWN, NOT ALL SHOWN) TH N0. 2 0.8% 81% SAND (& GRAVEL) ------------------- - ---- - -- 1 PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 REV. 10/9/15--ADD DRAINAGE WEST YARMOUTH, MA 02673 REV. 9/30/15--UPDATE PUMP DESIGN, CHANGE SOME NOTES (508) 775-9700 REV. 9/28/15--REVISE SYSTEM HEALTH AGENT APPROVAL DATE REV. 8/01/06--RAISE LEACHING 0.1' PER B.O.H. C 2005 BY R.J. CADILLAC PAGE 1 OF 1 JOB NO. B06-04 NOTES Picard.dwg ALARM & PUMP NOTES MAXIMUM FEASIBLE COMPLIANCE APPROVALS REQUESTED: 1. LOCUS IS A.M. 207 PARCEL 62. ch CONSTRUCTION NOTES 2. ELEVATIONS SHOWN ARE TOWN G.I.S. t0.3'. co ch 1. ALARM TO BE WIRED BY ELECTRICIAN ON SEPARATE CIRCUIT. 1. VARY LEACH AREA TO PROPERTY LINE BY 7.5' (2.5' PROVIDED). h'�ii 2. ELECTRICAL WORK TO BE INSPECTED BY WIRING INSPECTOR. VARY LEACHING TO CRAWL BY 10'-10" 9'-2" PLUS IMPERVIOUS BARRIER PROVIDED 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992. c Ra 3. ALARM, EVENT TIMER, AND EVENT COUNTER BOX TO 1. INSTALL SINGULAIR BIO-KINETIC ,( ) 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) et BE LOCATED OUTSIDE HOUSE NEXT TO SINGULAIR BOX. WASTEWATER TREATMENT SYSTEM, VARY BOTH TANKS TO BASEMENT BY 2 (8 PROVIDED). 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. Main Street 4. PUMP TO BE CAPABLE OF PASSING 1-1/4" SOLIDS AND MODEL 960N, PER MANUFACTURERS VARY BOTH TANKS TO LOT LINES BY UP TO 5' (5' MIN. PROVIDED). 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. South INSTALLED IN STRICT CONFORMANCE WITH MANUFACTURER. SPECIFICATIONS. 310 CMR 15.211 (1). 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". 5. USE MEYER SRM4, 4/10 HP PUMP, OR PUMP CAPABLE OF 2. RISER LIPS TO BE 2" ABOVE , 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW NOT TO 2 54 GPM 011 FEET OF HEAD. IF CHANGING PUMP, FAX NEW . VARY USGS ADJUSTMENT BY 0.8 (2.0 ADJUSTMENT IS PROVIDED**) SCALE X PUMP CURVE CHART TO R.J. CADILLAC AT 508-775 NEW FINISHED GRADE ON SINGULAIR 310 CMR 15.212. D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. l�2.4 UNIT. 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. / 6. USE FLOAT TREE OR BRACKET SO FLOATS CAN BE ADJUSTED 3. SINGULAIR ELECTRIC PANEL 3. NO RESERVE AREA COULD BE PROVIDED. 310 CMR 15.248. COVERS: BUILD UP COVERS TO GRADE--3 ON TANK AND 1 ON PUMP CHAMBER. / WITHOUT GOING INTO PUMP CHAMBER. USE UNION OR QUICK TO BE ON OUTSIDE OF BUILDING 4. VARY LEACHING TO WETLAND BY 40' (60' PROVIDED). LOCAL REG. 10. STONE TO BE DOUBLE WASHED 3 4 TO 1 1 2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. 12 ,` DISCONNECT ON 2" PVC LINE JUST UNDER COVER SO PUMP FOR MAINTENANCE ACCESS. 5. VARY LEACHING TO PIPED STREAM BY 50' 50' PROVIDED . LOCAL REG. 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING ROM THE SOIL LOG ARE FOUND, LOCATION MAP �12,9 \ CAN BE REMOVED WITHOUT GOING INTO CHAMBER. ( ) OR R.J. CADILLAC. \ 4. CONTRACTOR TO CALL BOTH 6. VARY REMOVAL BY 2.5' (2.5' PROVIDED). 310CMR 15.255 (5). CONTACT THE BOARD OF HEALTH, \ R.J. CADILLAC AND SINGULAIR REP. 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING FOR INSPECTION PRIOR TO BACKFILL. IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 NOTE: SPECIAL ORDER-PUMP ALARM, EVENT 5. PROVIDE SWEEP CLEANOUTS AT END 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN TIMER, AND EVENT COUNTER TO BE MOUNT- OF TRENCH FOR 2" PVC LINE AND A LEACH AREA AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH (inches) ELEV.(feet) ED IN SAME BOX NEXT TO SINGULAIR BOX. T AND VENT LINE TO SIDE OF GARAGE. *PROPOSED TANK IS .05 LOWER 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. 0 11.9 THAN EXISTING SEPTIC TANK P#--11258 Fill NOTE: SPECIAL ORDER OF RISERS TEST HOLE DATE: April 6, 2006 » perched water BENCH MARK--TOP MAG. NAIL 1 FOR 24" OF COVER. PERFORMED BY: Ron Cadillac, Soil Evaluator 52„ 7.6 SQUIRT TEST--PUMP & LEACHING 60 IN PAVEMENT=11.95 TOWN GISt0.3' WITNESSED BY: Donald R. Desmarais, RS BEST AVAILABLE INFORMATION IS AT TIME OF FINAL INSPECTION WHEN A layer to 3/2 PERC RATE: Assume <2 min. in.Per Sieve Analysis THAT STREAM IS PIPED UNDER y sandy loam � � ,. SYSTEM IS OPERATIONAL, FILL PUMP SOIL SURVEY(1993): Carver coarse sand 66" HOUSE AS SHOWN. TOWN HAS P ���' CHAMBER WITH CLEAN WATER, CALL NO RECORD OF ANY EASEMENTS �, ��,P/ GEOLOGIC MAP(1986): Harwich outwash plain deposits AND BELIEVES OWNER PIPED THIS ~\ `�- F. R.J. CADILLAC AND HEALTH AGENT B layer 2.5y 5/4 �i loamy coarse sand STREAM PRIOR To BUILDING HOUSE. 4 pF TO CHECK OPERATION OF PUMP. 72" 5.9 \ �G� Invert 8.84 13' X 35' LEACHING 75" obseryed�te 5 7 Proposed FIELD o C layer 2.5y 4/4 / INSTALL TEST Top Tank Use 24" cover ° 12,ti �, - ** El. 10.17 c LOCUS IS DRAINED BY A STREAM WHICH PORT PER RUNS 50' TO 65' FROM PROPOSED LEACH 11.57 ° coarse sand 6 , 11.�2 see detail 5 '/ 1 MANUFACTURES AREA. GROUND WATER FLUCTUATIONS ARE SINGULAIR Top 2" Peastone ® filter cloth (64% gravel) 1�01 Invert 9.17* CO' SPECIFICATIONS EXPECTED TO BE LESS THAN ADJUSTMENT Model 960N 12.85 72 / IN THIS AREA. PER FRIMPTER & BELFIT-- Proposed ___�2a_ -- 42 C 1 � CC COMMISSION TECH. BULLETIN 92-001, I ----------- » PG. 5, PARAGRAPH 3, 11, _ i88 " I 6 132" 0.9 WATER-LEVEL � 1 12.4 RANGES ARE GENERALLY NOT SHOWN IN I Bottom 4.17 109. Proposed WETLANDS DELINEATED BY o 80; yH / LL WETLANDS, MARSHES, AND WATER BODIES I p„ 10.9 TEST HOLE 2 / m v ,'� ZN B _ 6 Stone or compact Invert 11.40 3.0 ROBERT GRAY ON 3 14 06 v % F` 11 � p I Proposed � Bottom level ON THE MAPS (PLATES 1-4) IN THIS RE- I p o FOOD o PORTROAD , BECAUSE USE OF THE TECHNIQUE i P i ' 1 I DEPTH inches 10,89 o p i' 58 IN THESE AREAS WOULD BE INAPPROPRIATE r 9 -I �9y r lerched water El.-7.9 (inches) ELEV.(feet) 7 �.� c� 'r p- **2 f 2 S dj 0 12.0 m ,• 12,5 GP $ 0� TH 2� AND LEAD TO ERRORS." EL. 7.6 • 1 1 11 •••••••••• `° • •'����•• ���•' �,�9 �. Provided--Mash 29-Mara O6 I p' x p . •• � 1� � �13 Fill 12, 25' DESIGN DATA Zone C >19,1 s0, a o -� 14,13 Observed water TH 2=5.9 » „` w•�r., i ��� N F LEACH AREA 36 A layer 2.5y 4/1 vs `:, N / BEDROOMS: 3 �� x �p USE A 35' LONG BY 13' WIDE BY 6" DEEP LEACH AREA. USE 2--28' LONG sandy loam 1.°� 3 I:: J\S-(LNG 2a$ e 011,8L •0• 8 2" SCH 40 PVC LATERALS SET LEVEL AND 6' APART ON CENTER AND 3.5' FROM 48 I\ 12 GARBAGE GRINDER: No " x 10,2 N� pG `• > :: k REQUIRED CAPACITY: 330 GPD THE EDGE OF STONE. DRILL 19-1/4 DIAMETER HOLES SPACED 3 APART. STAGGER B layer 2.5y 5/4 : 1.8 i Sp » •• N �` HOLE LOCATIONS ON ADJACENT LATERALS. 1ST HOLE TO BE 6" FROM MANIFOLD loamy coarse sand 1 •98 G a N - 1 r:?� 2`) /2.5' 12,05 �\ � SEPTIC TANK: SINGULAIR UNIT 64" 6 7 ::• •:., � "" LEACHING AREA. 455 SF ' FOOD .:. -�' ':.:� 12. .4 4 6 NEXT 24 FROM MANIFOLD DRILL MOST HOLES AT 12 O'CLOCK TWO HOLES BOTTOM LEAC ON EACH LATERAL SHOULD E GRILLED AT 4 AND 8 O'CLOCK73 obser ed�gw .ter 5.9 12,1 �::•� x t, -� [(13' X 35' TO DRAIN THE . bb ;•„ ,�o ;, .� _ )] LATERALS.LAUSEAA SMALLERBDIAMETER PIPE ASNA RAMROD TO REMOVE BURRS. v C layer 2.5y 4/4 10,11 "` �o� '� 12 AREA 0 SF SEE HALF PIPE, MANIFOLD AND CLEAN OUT DETAILS. c N/F / ' ` o \� SIDE LEACHING ° coarse sand SETZKE sh�q\; x � �\ �5 `::: 3 NONE 2.5' REMOVAL (s1� gravel) + �2 11 , 150� S. F. 1"-C I t ���� X DESIGN CAPACITY: 336 GPD CO 2.5 ALL AROUND AND UNDER REMOVAL Down. 5.5± Tc LGAMY COARSE SAND. 11,1 11.7 , 12,0 [(455 SF) X .74 GPD/SF] / o ! ><-f1;9 ^�12 /�X PUMP CHAMBER STORAGE CAPACITY: 330 GAL. 120„ no water 2.0 11.5 a'i TH 1 ��19 BENCH MARK--TOP PK NAIL DOSES PER DAY: > 4 8,T a�,11.7 X 50 IN WALK= 14.13 TOWN GISf0.3' 10,8 11,6 ^���;/ �c 9O BUOYANCY CALC'S-MONOLITHIC PUMP CHAMBER BUOYANCY CALCULATIONS SINGULAIR 96ON H-10 TANK x 10.7 CoI X / ��/ WEIGHT OF EMPTY CHAMBER AND 31" OF COVER WEIGHT OF EMPTY SEPTIC TANK AND 24" OF COVER 113 /, 1 .39 CHAMBER= 4.15 TON (PER SHOREY) TANK= 6.00 TON (PER ACME • 0• /�{. 11.3 MN\ - 31" COVER= 2.6' X 5.42' X 8.25' X 0.055 TON/CU. FT. 24" COVER=2' X 5.5' X 9.25 X 0.055 TON/CU. FT. o,qq j � MONOLITHIC TOTAL V 6R00 TONTON 5.60 TON = 11.6 TON 31 COVER=6.4 TON x 1 ; 10.55 1 ,75 LATERAL CROSS SECTION H - 10 1000 GAL. PUMP CHAMBER TOTAL= 4.W TON + 6.4 TON =GROUNDWATER WEIGHT OF WATER HIGH GROUNDWATER DOWN WEIGHT OF WATER HIGH G OUNDWATE DOWN (8.7 -7.67 ) X 5.5 X 9.25 X 0.0312 TON/CU. FT. + x 10.5 + 0,91 EL. 12.6 min. USE WATER PROOFING (8.7 -4.16') X 5.42' X 8.25' X 0.0312 TON/CU. FT. (7.67'-4.17) X 5.5' X 7.94' X 0.0312 TON/CU. FT. I I = " _ • 10.8 I I '� '� _ //,cC� DRILL 3/8" WEEP/VENT HOLE WEIGHT WATER= 6.33 TON WEIGHT WATER= 1.64 TON + 4,77 TON=6.4 TON 1.57 USE HALF SECTION OF 4" PVC PIPE, OR SHIELDS. Floats adjustable TANK AND 31 COVER ARE HEAVIER BY 4.2 TON. TANK AND 24 COVER ARE HEAVIER BY 5.2 TON. II SEE MAIN DRAWING FOR HOLE SPACING from top ,NOTE: SPECIAL ORDER OF CAST IN PLACE PROVIDE BARRIER WITH- fU 1/4" HOLE FILTER CLOTH @ TOP RUBBER INLET AND OUTLET BOOTS. IN 10' OF CRAWL SPACE PEASTONE=EL. 11.57 1'11 4' DEEP IMPERVIOUS Quick Disconnect , , 8.66 Alarm 33" „ BARRIER--27 L.F. OF 2 Pea Stone �(�••� 2' SCH 40 PVC PIPE LAID LEVEL 40 MIL POLYETHYLENE �- ------- ------------ Invert On 27;, Check Valve (MILLER BREAKOUT**) ' o 3 TOP BARRIER=TOP 6" OF 3/4' TO 1 1/2» STONE Off 23 PEASTONE=11.6,GRADE __-._ _ _ ------------------------ P ABOVE BARRIER=12.2 MIN „ 1.54 / ** BARRIER IS STIFF 4.16 6 STONE UNDER & OBTAINABLE FROM �, a MILLER ENVIRONMENTAL CLEAN OUT Bottom 508-697-3710. END MANIFOLD SECTION DETAIL SUMMARY OF SIEVE ANALYSIS 3" Max. corer 2" LATERAL SITE PLAN E SCH 40 PRESSURE PIPE FOR � SAMPLE % FINES PASSING % GRAVEL TEXTURAL CLASS ACCESS BOX SEE OTHER DETAILS THIS PLAN IS A VALID COPY ONLY IF IT BEARS #200 SIEVE > #10 SIEVE 2 Pea stone 2" Pea Stone AN ORIGINAL RED STAMP AND SIGNATURE. MICHAEL N . & PAULA J . PICARD TH N0. 1 0.4% 64% SAND & GRAVEL 2" DIAM. MANIFOLD - - - - - EDGE WETLANDS ( ) 3/4" To 1 1/2" Stone 3�4 TONE 1/2 /� __ � SCH 40 PRESSURE PIPE TEST HOLE LOCATION, NUMBER TH NO. 2 0.8% 81% SAND (& GRAVEL) ------------------- - ------------ - --- � r�F �.�asS9 s� "0`"1qS"; 288 SOUTH MAIN STREET, CEN TER VI LLE, MA W WATER LINE MARKINGS RON o r E - OVERHEAD ELECTRIC WIRES (IF SHOWN) o R JAM S L JU N E 16, 2006 SCALE: 1 = 20 -' � G G GAS LINE MARKINGS # 1060 °p #35779 AC x 9.5 x 12.5 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) �FO/sTi e �q��ESS�cio� EXISTING CONTOUR SgNiraR\P'''�. c suRVE g- PROPOSED CONTOUR � RONALD J. CADILLAC, PLS, RS UTILITY POLE (IF SHOWN) PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN ® EXISTING DRAINAGE CATCH BASIN P.O. BOX 258 x FENCE (IF SHOWN, NOT ALL SHOWN) WEST YARMOUTH, MA 02673 0 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE (508) 775-9700 PAGE 1 OF 1 REV. 8/01/06--RAISE LEACHING 0.1' PER B.O.H. C 2005 BY R.J. CADILLAC v 1 Oil` C.TAQY.l�utGt�fi.F�'► L j 1�� / Fkq v C. �,,�1'ir �Z ./ J !` GLASS �L�R/ �z.5 E�FrE V TStl'4AJo Sell L L R S �F PA`M �r , pax � PEA 2�1 Tia ., / / 7 Z. — , �� JS' A2� f o 1 B 12 d - rJgvcE / / (4 0 �2 rZ S iia 17�� EtrE\tAT+o�?S T3ASC� o/J �:C1 '4� - ��°� �'� 1� , 23 r � `t �5 nt.G.V•� , 92� ,"�Ca L.7-N NA kc- d � . l3`t� BA�.TL-2� JJ`,�� C,. 115 E. WC-DO G:^.(-LC)" 17\\- ' q �� /�Q- $o'. Av c'^c&IT dye 3 T:LO lTu5so . S 8K 2.S SE7> E Zv rnc-p S.a,.Jf, 5!� .wA,Lt_ 72R,t X. 1 x2, -� E60 � rr i �% OAJtL 4oq ,t5► sJ � 1 coeea-m+.! 4.7 2 _I ,.A. I E J �E M,t5\!�, J�1.w U tV 5 U►�"�4 3 t..: Nt r�"�,Z i� C, M T Z.�2krA f Co r E L � F.'a. �O r2 tO` A 2.c7 f.ot ru rJ '•t T tw •.y F,2 ST T L QA fi I11-1 I Ca.-1 4 sc � r vY IU,�S Sot =)�L 77At+ i S i .2' LE5S_WA-1,J $.6S 6 ti t trr i Q r K I tag EzT ! i�.r�Y..f'r�u t�p G�A.ram.�cz � �'�` L r� 1, U I SRO E(A,L t_0 w► 71-1 17��= 1T` O N 'S d llrk ,;l,.•, IS A 1 OCC3 U S 6 L TANC 4 TOO (bA LI.Ok -?(-AYn? CrNkm Bc-e , Zee) 45 , M Ao Nt 4S T tt�M1' Z7L_lr.t ,? +a I&c $`� Mr �iur'RcTu� �1y S�a�a=T 7b E:_Mv�` ! k.�Ei'z►s/ 1 i..L- ,1►�Is J I i f�-Cy..C'r�•"-`. f C.K ',',,,J '.�,r«,w t\' f'!•e.-• C`,,;.'.,r.j� f -••_:'C ::Q�L O Z �F•( c A•-',,L ._ri► Cor`a-W-0+-5 4 h LAF-M 7-0 BE a-S - �' -.-R Ape i 2G, 5"9 t �` SULL;VAN , NO. 29733 4�