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HomeMy WebLinkAbout0664 STRAWBERRY HILL ROAD - Health (2) 664 Strawberjr`y Till Rd Hyannis - A = 249 - 086 t f I I 4 I a�9-o8� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .�' 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville 5 MA 02632 1-21-17 ��E11 page. City/Town I V State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms a 03 on the computer, NTH OF MqS gyp. ,•.. ..,•• S use only the tab key to move your 1. Inspector: `off . cyc' cursor-do not James D.Sears =�: JAMES :R,= use the return Name of Inspector ;Cokey. I The e Inspector Man 1� p %�_• O�. O r 2* - I I Company Name 5�•�,� T IC �o� P.O.Box 784 ����'�nut1 NSp Company Address West Yarmouth MA 02673 City/Town State Zip Code 508-364-4398 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 1-23-17 ClKspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 04#o .Vs Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Note: Outlet tee has a zable filter. The system is a 1500 Gal. Tank D Box and 12 chamber's. Note: Old leaching chamber's still tied into system See pg. 15 B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old' or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier„ if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in CEO=is less than 6" below invert or available volume is less than '/day flow, Fv9(IliIVP t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) j i. Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: + ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a priv�te water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. E] ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore theisystem fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 f t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and 12 chamber's. Zable filter in outlet tee. Note: Old leaching chamber's tied into system. Number of current residents: 4 de is Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2015-90,000Gals 2016-74,000GaI s Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present 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: 15ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No, If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Usposal System•Page 8 of 17 Commonwealth of Massachusetts v a Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i �M •'' 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Tank 2002 permit#2002 -403/ Leaching 2009 permit# 2009 - 352. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 43" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH -40. i I I Septic Tank(locate on site plan): Depth below grade: 34 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal. Precast H-10 Sludge depth: 2" t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is Centerville MA 02632 1-21-17 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt- Plan -TapeSludge Judge 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 at working level. Tank at 34" below grade w/cover's at 6". In and outlet tee's. Note: Outlet tee has a zable filter to new leaching. No sign of leakage or over loading. Other outlet tee w/no filter to old leaching chamber's. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,.•'' 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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 is 16"x16"-44" below grade w/cover at 18". Box is clean and solid w/two line's out. Note: Inlet line has a tee. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption.System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is Centerville MA 02632 1-21-17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 12 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is 12 Biodiffusers 36 HC (1-120)two row's of six per row stone less. Ck. D Box and camera out lines. No sign of over loading or solid carry over. Ck inspection port. Note: Older leaching is two 500 Gal. drywell chambers. 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 J Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts _ - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M ,•' 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condiition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 117 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A= PEAR F =,a7� 3 34 -�; Yd- t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M ,•'' 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to h gh ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 10-30 -09 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: T.H. on Design plan 10- 30-09 11' no G.W.. Bottom of leaching at 5' below grade. Bottom of laching at 7' above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •'•� 664 Strawberry Hill Road Property Address Steve Cahill Owner Owner's Name information is required for every Centerville MA 02632 1-21-17 page. CityrFown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION �{� ail �ac,.barMln�� SEWAGE# `Zooei �Z ` VILLAGE ASSESSOR'S MAP&PARCEL, �" (19 INSTALLER'S NAME&PHONE NO. ����d� �s�` Vl2� U Z SEPTIC TANK CAPACITY S"Oc� l� t�� 4•�,s�h LEACHING FACILITY:(type) %—ZT f�i @qo 51yn,W size) NO.OF BEDROOMS OWNER Ir/PERMIT DATE: a l ?.® COMPLIANCE DATE: /I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o 4 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 leachin facility) Feet FURNISHED BY '- ��'` � � .� ,, � N �� � �a V+OiGIN J' �® � � ��e76� GJ G► tni-�c� na 6' ,� � �� � �,� � ��, _` •r... TOWN OF BARNSTABLE LOCATION ,b ' 1,- S!1, A W,6 e�R Y RP SEWAGE # G 0,�- y ®� VILLAGE g4,f i ASSESSOR'S MAP & LOT -0ifb INSTALLER'S NAME&PHONE NO. J •-/' SE S"o o SEPTIC TANK CAPACITY LEACHING FACILITY: (type) PJ 12 y u/eGL S (size) AY- /3 r 2 NO.OF BEDROOMS BUILDER OR OWNER - PERMU DATE: 1 a COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom.of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �� _�� � � �� i � \ � � � � � � �, x � � lid' � 9/ o / Q�. .�- ;�, _�` �� ..,. . ., No. 2�J d1i —3-, 2 Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9ppfitatiou for ]Disposal Opstem Construction i3efmit Application for a Permit to Construct( ) Repair fX) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components. Location Address or Lot No. (o�ci Xpl 2, Owner's Name,Address,and Tel.No. 51 c w-C4-W14 Assessor's Map/Parcel Ns F �fC 2 -.A� _L- Installer's Name,Address,anA Tel.No.e474,,4Qe ejal ,e) Designer's Name,Address,and Tel.No.Tz G��u��,�y, 9z—tftJZ� 7�v 6 �e3 2�Sy� r�ws Type of Building: Dwelling No.of Bedrooms 3 Lot Size `b,000�- sq.ft. Garbage Grinder( ) Other Type of Building �th1A !;;y �11 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 b gpd Design flow provided gpd Plan Date I pC Number of sheets I Revision Date Title Size of Septic Tank �000 �j Alt Q1� Type of S.A.S. .eeSS or Description of Soil Nature of Repairs or Alterations(Answer when applicable) 6"J b TwA.- Date last inspected: -'Z,60 cl 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 Signed Health. Date 1 fl Application Approved by )z Date Application Disapproved by Date for the following reasons Permit No. Z�U — 3��Z Date Issued �� A �Q� -,...,,[•._. .,P,,,.,.r-..r-.�. -•.r„�,«:n•ti;,..,,•::�,,^+�.-c..rr•,a.tsa..r:hr_^wa+^^_.._....�.,.,,...,..,,,,,,..,,...,..,.,.-..---.�. .� ,,,,- - -. -�M ._+vr�.-w..n-H+w�--'"-�.,a.•.�...•�..• ,,..,._-�......-.-=._s., No. Fee /00 THE-COMMONWEALTH OF MASSACHUSETTS Entered in computer:Y� Yes PU BLIC HEALTH'DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS" ti application_for"Disposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair 'Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. .(o(O�( S i/ej,,(� 14}11 2_9 Owner's Name,Address,and Tel.No. 5' � e,4 W'1,1 Assessor's Map/Parcel 24 �e �`�J-"A klkl(j ( +�� Installer's Name,Address,and Tel.No.e4,p',,,.�,, �, ��� Designer's Name,Address,and Tel.No.-TL LCQ/^�I,I(({{,, t j r` Q l3 7 b vr Type of Building: Dwelling No.of Bedrooms 3 __ Lot Size 5,Oo©- sq.ft. Garbage Grinder ii ( ) Other Type of Building r 1-r !� ACV-0—Ls No.of Persons Showers( ) Cafeteria( ) a Other Fixtures Design Flow(min.required) '3 3 gpd Design flow provided gpd Plan Date 4 3 _Number of sheets Revision Date r Title (o(p y \ Size of Septic Tank �000 Alt, Q.4 r!- Type of S.A.S. \ ) �^,jQ� -eSS Description of Soil ?e plO, C' Nature of Repairs or Alterations(Answer when applicable) r f Date last inspected: -,ZbC>9 Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed /) Date j j O cv r, Application Approved by )z -S. Date Application-Disapproved by Date 1 - for the following reasons Permit No. 2lyU`r — j Date Issued /Z/ /6 9 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by ff `` at l0(D�-{ ' CvQ, J vwLrV'k-4 I.j-t LA t24k. has been constructed in accordance f VV with the provisions of Title 5 and the for Disposal System Construction Permit No. o M-7 f Zdated Installer /�G.J,( 'L !I✓1 i f, l C Designer 7�-C g' #bedrooms "? Approved design flow 3 3 D gpd The issuance of this permit shall not be construed as a guarantee that the system will 1 f uncut/as designed. Date 5 tU Inspector N o! A ---- -------- �_�4G(_�3�2___----__ a.--------------------------------------•--�-- ---------------------_----- No. ----•---' Fee ~=-=ADO'=---�__ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal &pstem Construction j3ermit Permission is hereby granted to Construct( ) Repair(J�-) Upgrade( ) Abandon( ) System located a4 �(pC-� S Tir�Q,,� tJ� �- 7, 1 1woV-k) G "I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust be completed within three years of the date of this permit. Date �I �/ 2rJ0 Approved by Town of Barnstable P# Department of Regulatory Services Public Health Division Date o d ��i639 �� 200 Main Street,Hyannis MA 02601 fD MA1 Date Scheduled U 3o cl Time 11 ,/}0`�► Fee Pd. Soil Suitability.Assessment for Sewage ispos l Performed By: W�t 04 1C f m eA W e;u7 G S C t Witnessed 1. i tnessed By:_- t^'� S 0 LOCATION& GENERAL INFORMATION Location Address �� flavq. Owner's Name 1_ �Q���� Address Assessor's Map/Parcel: `Z'Act ©$(e ,� ' Engineer's Name cof ,, ,,an y�•j,1, $ C egscoee.,'tnj NEW CONSTRUCTION REPAIR v/- Telephone# , I ` ` i Y S08..273-0 37 `-t�t•(c12� Land Use ""�i�f1e Eam�ly PeStc{enha,� Slopes(go) t"Z- Surface Stones Distances from: ..Open,Water Body ft Possible Wet Area ft Drinking Water Well — ft �.. Drainage Way ft Property Line 7 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holds) See al��c�nacl �1a2 deLec� (t-U3-0 AU4a� Parent material(geologic) 6L Depth to Bedrock _ __ (3 2 %S u Depth to Groundwater. Standing Water in Hole: 7132 .05sWeeping from Pit Face_- '7 13 2 �g,S Estimated Seasonal High Groundwater 7 1 32 kpS S DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: OIreGF- eru a�eut Depth Observed standingin obs.hole: - 7 132 713 2 in. Depth to soli mottles: Depth to weeping from side of obs.hole: b 3 Z in, Groundwater AdJdstment — i inn. - --Index Well# — -,Reading`Date:'" ~index Well level N Adj.factor 4 Adj.Cirvundwater bevel„ f t. Observation PERCOLATION TEST baie 10.3u-01 Time /o:ooAN Hole# Time at 9" — ^ Depth of Perc (0 Time at 6" start Pre-soak Time @ 10221 Ah - Time(9°•611) End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed y Site Failed: Additional Testing Needed(YIN) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q.:XSEPTICPERCFORM.DOC L DEEP.OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. on i tenc % vel 2`d -30`� , L S fo Yr 311 - 5 U o - v f3 S rc�Yr SI 98 Sy ' 0'I GS 2.5 /6 �oa,,e- V '-13 2. G-2 -CS 5 ` lU-ve DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling t (Structure,Stones,Boulders. a C nsisten %Gravel 0'2lb 26-30 A .. cs 10Yt s/I _ `f�i " �y C- e 5 2•5 Y ` -6 � 10 o 2Q% s fa„e,c S-Y(32" c- 2 K -Cs 2. 5 Y i/(. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Q vl DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten ,r Flood Insurance Rate Map: Above 500 year flood boundary No— Yes ._. - y Within 500 year boundary _ No Yes Within 100 year flood boundary No✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area pioposed for the soil absorption system? _2e 5 _ If not,what is the depth of naturally occurring pervious material? Certification - I certify that on Je'2 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and enence described in 310 CMR 15.017. Signature Date !/-63-07 Q:4S.EPTICIPERCFORM.DOC I '1'mu of barustame j Regulatory Services II t BAR bLs, .! Thomas F, Geiler, Director MAN i► Public Health Division Thomas McKean, Director 200 Main $treet,Hyalials, MA 02601 1 Office: 506•962.46144 Far. 504.79;)-6304 Installer 8� �esisner CertifleatiForm II i Date; W6Qe.MbPr Desigper: fn.glne.ecWn C . Iustallerc - zA5'� Ccb�c'ry- ttr 1nw�Address; ,� ,Address. - �P��p 7<o3 � N � Casa- Wo(-e`nom 1 MR' aZ553,f;_• �`-1 �, Vti'l►� 1403L on '1;�5 was issued a permit to install a (date (installer) II septic system at 61 5r(CXW\,9e;; rl61 1'Za�,4A based on d design drawn by (address) (:. I) kil e e r in , i v) G �_ dated -Ncue�t�ue.c 3 Z CC (designer) �I ^� I certify that the septic system referenced above was installed substantially acdording to the design, which may include-minor approved changes such as lateral relocation of the distribution box and/or septic tank, 1 certify that the septic system referenced above was installed with major ch I ges �'jx. greater than IQ.' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & ;Local Regulations, eu Plan rnion os certified as-built by designer to follow, s �ytH AP M,tiq�` I JOHN ( let's Si ure;j"- •'� y NIA. aiKj7 e S (Desigrteic s Si e) (Aff1 esi amp Here) P TO BARNSTABLE PUBLIC HE, T -DIVISION. RTII T O CO IANCE I AS„ 8 TCARDARE CEIVED BY THE BA=jAHLE.EU=C_EMMTHION- THANIS oY Q. Healovseptic/Designer Certification Form I I i / TOWN OF BARNSTA4LE LOCATION �b `�' ��� A�,�P�RY J�iLI SEWAGE # A D,X- �/ 03 VILLAGE - 6CI 49,f ASSESSOR'S MAP & LOT 2Y2-0tTb INSTALLER'S NAME&PHONE NO. J /I4 R C 0 Iq d g- /e t S �� SEPTIC TANK CAPACITY / LEACHING FACILITY: (type) y ul agi s (size) A A NO.OF BEDROOMS 3 BUILDER OR OWNER �PERMPr DATE: 61'!J "0 a COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by No. V DZ— Fee $5 0.0 0 ` THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer< ur Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppYication for Migpooal *pgtem Construction Permit Application for a Permit to Construct( )RepairXX)Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. 664 i rawberry Hill owner's Name,Address and Tel.No. Stephen Cahill Mass. JAA41 S Same ssessor s Iap azce� &P16 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.Ndj 0 8—2 7 3—0 3 7 7 JC Engineering, Inc. nn1 5 Roundhill BLVD E. Wareham 02538 Type of Building: DwellingXX No.of Bedrooms q Lot Size sq.ft. Garbage GrinderTO0 ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 350. 9 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank -+-rPA- �CkV l tv) i&e., Type of S.A.S.2—5 0 0 ' �2 5 'X 1 2 9"X 2 ' Description of Soil 0"-1 6"=Fill 1 6"-20"=Loamy sand 20"-40" Fine coarse sand 40"-80"=Medium coarse sand 80"-144"=Coarse sand. No water encountered. Nature of Repairs or Alterations(Answer when applicable)Om it t i n g e x i s t i n g S A T n s t Ri 1 1 i nCj two 500 gallon leaching chambers packed in 4 ' of 12" stone. 25 'X12 ' 9"X2 ' 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 Certifi- cate of Compliance has been iss ed by t ' Bard Health Signed Date9 1 0 2 Application Approved by AIAX, S Date Application Disapproved or the-following reasons Permit No. U o 2L-9 o 3 Date Issued 'No. �VU,Z .yO� JZFee $50.00 ©. Entered in computer:/ r THE COMMONWEALTH OF MASSACHUSETTS Yes r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migpogal bpgtem,Congtruction Permit Application for a Permit to Construct( . )Repairj(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components j Location Address or Lot No. 6 6 4 tr awbe r r Hill Owner's Name,Address and Tel.No. -,' Nr+�iS Y Stephen Cahill A�ssessoes a�,Mass. Same Installer's Name,Address,and Tel.No. 5 0 8-7 7 5-3 3 3 8 Designer's Name,Address and Tel.NSA.0 8—2 7 3—0 3 7 7 JC Engineering,Inc. Wvc ofl6i 5 Roundhill BLVD E. Wareham 02538 Type of Building: _2 DwellingXX No.of Bedrooms 3 Lot Size sq.ft. Garbage GrinderTO ) f� 3 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 350.9 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank -+546- Eig(Lze Type of S.A.S.2-500's25'X1 7 9")(2' Description of Soil 0"-16"=Fill 16"-20"=.Loamy sand 20"-40"=Fine coarse sand ( 40"-80"=Medium coarse sand 80"-144"=Coarse sand. No water encountered. Nature of Repairs or Alterations(Answer when applicable)Om i-t t i ng e x i s t i na SAS-Ins tolling two 500 gallon leaching chambers packed in 4 ' of W stone. 25'X12'9"X2' Date last inspected: i Agreement: t 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 Certifi- cate of Compliance has been iss ed by • B,and Health Signed I Date9/1 1 /02 Application Approved by �U �l _ S Date �3 /, Application Disapproved or th following reasons i Permit No. 2 ou9 -y 02 Date Issued 14 le.2 --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constivcted( )Repaired}(XX)Upgraded( ) 'Abandoned( )byJ.,P.Macomber g Son Tne_ at 664 Strawberry Hill Road Centerville.Mass. has been constructed in accordance i with the provisions of Title 5 and the for Disposal System Construction Permit No. dated 0 h,4 Installer J.P.Macomber & Son 'Inc. DesignerJC Engineering,Inc. � The issuance o•this permit shall not be construed as a guarantee that the sy, will flunction at des. ned..p � Date Inspectori� �! 5' — -- — ---------------------------Fee$50.00- N. " - I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogar *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair*X )Upgrade( )Abandon( ) Systemlocatedat 664 Strawberry Hill Road Centerville,Mass. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: 1 h Approved by _.� CONTRACTOR SHALL VERIFY SIZE AND 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 49.8' - 49.9' GENERAL NOTES CONDITION OF EXISTING SEPTIC TANK REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM - � 4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE FINISH GRADE OVER D-BOX= 49.9 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE @ FND. EL.= 50.0' FINISH GRADE OVER TANK EL.= 49.70' 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ------- ......__ _._ ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN. ACCESS COVER TOP OF SAS = 46.93' PLACE RISERS ON ALL CHAMBERS (TYPICAL FOR 3) 36"MAX. 9" MIN. TO 6" OF FINISHED GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD EXISTING 4" r 46.10� 36" MAX. BREAKOUT EL = 46.60' OF HEALTH AND THE DESIGN ENGINEER. PVC PIPE _ 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 2" DROP MIN. PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 6„+ 3„ 3„ 9„ 3" DROP MAX. JOINTS (TYP.) o 0 00000 ao 0 o 4" PVC IN FROM T T T o00 O oo 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS 46.62' SEPTIC TANK 4" PVC OUT TO CD o 0 0 o THAN ELEVATION = 46.6'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. 14" LEACHING FACILITY T oo T o0 0 00 UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE o 0 0 0 TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. o0 46.93 12" 2' T T � T � � � � � o0 0 � � � � � o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 48 CONTRACTOR SHALL OUTLET TEE 46.37' MIN. 46.20' T VERIFY CONDITION OF I 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 20.1' o 0 6' CRUSHED STONE o T o 0 EXISTING TEES 22"ZABEL FILTER � �� . - . OVER MECHANICALLY 4, 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED AND REPLACE AS MODEL#A1801 HIP (GAS COMPACTED BASE f�� � 8.5' � I 4' 4' PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND NECESSARY- BAFFLE ON BOTTOM) 4.9' �i READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED 5 OUTLET DISTRIBUTION BOX "' 25.0 (TYP.) TO BE INSTALLED ON A LEVEL STABLE < 38.0' 12 9 WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. BASE. FIRST TWO FEET OF OUTLET 44.10' GROUND WATER ELEV.= EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 2 - 5(�Q GAL. CHAMBERS 5' MIN. 8. ELEVATIONS BASED ON ASSUMED DATUM OF 50.0' MSL OBTAINED LENGTH 8'-6" WIDTH 4,_10„ DEPTH 5�_7„ CROSS SECTION VIEW CHAMBER R � DETAILS ,, �„�, � FROM TOP OF PATIO AS SHOWN ON PLAN. - r,l ,» � "'a °s'T C I S ` � -� TYPICAL CHAMBER PROFILE �M T� 3� CHAMBER END VIEW x " �; 1°"" 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION '�� � r :���� �° � �.:��.y . �,u,�� �,.,, , �.`� .. >.1 ..�� •�,� ��� .I BOX DETAIL NOT TO SCALE NOT TO SCALE NOT TO SCALE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY --- _- - -- -- ,. E S ,F D DISCREPANCIES TO THE DESIGN ENGINEER " 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE �' F STRUCTURES SHALL BE MADE WATERTIGHT. CB/FND i � � � *, INSPECTOR: ", _ SOIL EVALUATOR: John L. Churchill Jr. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR "� August 26, 2002 ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN DATE: SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 674 STRAWBERRY HILL ��• �' k` r . � ) . � �� .,,fl��r ,,,: TEST PIT#: 1 ; \ w 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS N/F HARMAN, LAWRENCE J. '�t `' v ; ' "' ',� " ELEV TOP = 49.99' LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH MAP/PARCEL 249/085 65 BLACKBERRY LANE " �. `�� �> N/F MCDONALD, JANE C. ELEV WATER= >12' BGS CASE THEY SHALL WITHSTAND H-20 LOADING. MAP/PARCEL 249/082 � " Y �, " y � PERC RATE _ < 2 MIN/IN (ASSUMED) 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. A DEPTH OF PERC= - 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND TEXTURAL CLASS: 1 UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES •-' 1` �r ' } �--- - OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN �P COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN 0 49.99' ACCORDANCE WITH 310 CMR 15.255(3). 0 1.,. 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES . L* �/ 16" 48.7' FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ' Loamy Sand 16. PROPOSED PROJECT IS LOCATED WITHIN: 2-500 GALLON ", 4 20" 48.3' ASSESSORS MAP 249 PARCEL 86 S. ... �� _LEACHING CHAMBERS � �:' ,€ r, � h Loamy Sand 9 i 17. OWNER OF RECORD: CAHILL, STEPHEN P &ANN M � �, � 10YR 5/6 EXISTING CULTEC- . . . . •.•,,,., , ADDRESS: 664 STRAWBERRY HILL RD CHAMBER DISPOSAL 40„ t SYSTEM TO BE 2 � 46.7' CENTERVILLE, MA 02632 BAND DED o x � � „ - ," , ' f F-C Sand 2.5Y 6/6 A ON M C, oo W� a Palm' �� C1 10% Gravel a i o 5/° Cobbles PLAN REFERENCE: BOOK 101 PAGE _ 107 80" 43.3' M-C Sand 2.5Y 6/4 r'� Loose, Single-grain 19. ALL DISTURBED AREAS SHALL BE RESTORED WITH LOAM AND SEED. r o_ ` C2 35% Gravel f.- No Groundwater 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY .. Encountered $ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY y LOCUS PLAN- FOR 38.0' f -w__ FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ti - _SCALE: 1' 1000' B.M. ; o Top of Patio TP 1 DESIGN DATA _ : :.'. t ��' '� Elev. 50.00' � t (oi ; ; 49X99 - LEGEND ' , Assumed x 50 EXISTING SPOT GRADES -D„ BOX w0 EXISTING CONTOUR � F' ` NUMBER OF BEDROOMS 3 � •�' � 50 PROPOSED SPOT GRADES NUMBER OF PERSONS 3 �' ABANDONDED ti DESIGN FLOW 110 GAUDAY/BEDROOM PROPOSED CONTOUR pG \ � ,,..►a""' LEACHING PIT `+ TOTAL DESIGN FLOW 330 GAUDAY 713.1 Lipf,'' EfT/C EXISTING ELECTRICAL UTILITIES m DESIGN FLOW X 200 % = 660 GAL/DAY 2�,� USE EXISTING 1000 GALLON SEPTIC TANK "" """ W"""""' ""'W'� �` EXISTING WATER LINE TEST PIT LOCATION o EXISTING EXISTING SEPTIC TANK o 1 ` 3-BEDROOM DWELLING �� INSTALL 2- 500 GAL. CHAMBERS o �o ` EXISTING 1000-GALLON s o ��� ,�, 4" SOLID SCHEDULE 40 PVC PIPE 41- SEPTIC TANK SIDEWALL CAPACITY 664 STRAWBERRY HILL ROAD ,.r . (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (.74 GPD/S.IF.) = GAUDAY ❑ DISTRIBUTION BOX ASSESSOR'S MAP 249 (25' + 12.9') (2) (2') ( .74 GPD/S.F.) = 112.2 GAL/DAY v 500 GAL. LEACHING CHAMBER --' PARCEL 86 ,,.=�., ± 15,000 S.F. BOTTOM CAPACITY (LENGTH x WIDTH) (.74 GPD/S.F.) = GAL/DAY ,� _'A (25'x12.9') (.74 GPD/S.F.) = 238.7 GAL/DAY �� + S1g13o1� TOTALS: REV DATE BY APP'D. DESCRIPTION 173 �p TOTAL NUMBER OF CHAMBERS 2 PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING AREA 474.2 SQ.FT. PREPARED FOR: TOTAL LEACHING CAPACITY 350.9 GAL./DAY ter' �,�' STEPHEN P. CAHILL j,. W fo ,"�"" 654 STRAWBERRY HILL ROAD LOCATED AT N/(F DAVIS, BRIAN E. �� MAP/PARCEL249/087 664 STRAWBERRY HILL ROAD , CENTERVILLE, MA 02632 O �� ' SCALE: 1 INCH = 10 FT. DATE: AUGUST 29, 2002 7O 0 5 10 20 40 FEET �St{OF lie_ CB/FND z� JOH L. `yc s CHURCHILL PREPARED BY: JR. JC ENGINEERING, INC. c nIll 5 ROUNDHILL BLVD. EAST WAREHAM, MA 02538 SITE PLAN ___ 5os.273.0377 D SCALE. 1"= 10' raven By: _... SPJ Designed By SPJ Thecked By. JLC JOB No 273 PROVIDE PRECAST CONCRETE GENERAL NOTES T.O.F. EL.= 60.5'± EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 59.5' PROPOSED VENT WITH CHARCOAL 4 SCHEDULE 40 PVC FINISHED GRADE OVER BIODIFFUSERS= rj$,j' - 59.43' COVER TO WITHIN 6"OF F.G. OVER @ MIN. SLOPE 1% FILTER TO ABOVE GRADE ° INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2/° MIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION E RISER TO WITHIN 6"OF FINISHED GRADE INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE FINISHED GRADE OVER TANK EL. = 59,7'± 5" DIA. OUTLET(S) BOX TO WITHIN 3"OF F.G. CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 59•8 ± ------ (ONE(ONE PER TRENCH) - -- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE k DESIGN ENGINEER. EXISTING 4" PROPOSED 4" 9"MIN. " 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE 36 MAX. SEE N0�21 TOP OF SAS/B.O. = 55.43' SYSTEM UNLESS OTHERWISE NOTED. 6 " 3"DROP MAX „ PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6 3 2"DROP MIN 3 9 i, - Mlr,.sLoPE@,�, /�JOINTS (TYP.) ELEVATION =55.43'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 10" 4"PVC IN FROM -✓ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 14" *jlj,Q'± SEPTIC TANK 4"PVC OUT TO 1.33' 16"TYP THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. . LEACHING FACILITY 0.90, (TYP.) 10.75"TYP 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR CONTRACTOR SHALL OUTLET TEE 55.63' 12" 6' IEMIN. 55.46' I I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF ' 55.00' �-54.10' (LAID FLAT) 2.875'(34.5")--i- 5.75'---I 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES 22"ZABEL FILTER _._. 6"CRUSHED STONE 5 0' (TYP.) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#Al801-4x22 OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY (GAS BAFFLE ON BOT.) COMPACTED BASE (TYP.) 5'MIN. 11.50' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 30.0' (TYP FOR BOTH TRENCHES) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 61.00' ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE ON A NAIL SET IN A TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 48.40' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES °- `CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 12 - ARC 36HC (#3616 B D) BIODIFFUSERS (H-2 O) TO THE DESIGN ENGINEER.TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. - - -- - - 1 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA i REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM Ll • ' PERC NO. 12753 APPROPRIATE AUTHORITY. '� • INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS " +► ZONE 2 • EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE - . . THEY SHALL WITHSTAND H-20 LOADING. • C.S.E.APPROVAL DATE: Oct. 1999 �� * ,� • • '• : DATE: October 30, 2009 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. ' TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. • �1• LOCUS ELEV TOP= 59.40 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, MAP 249 • • o • ELEV WATER= <48.40' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). o LOT 85 •J • • -, PERC RATE_ <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN w �1 �� r p• • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. a ti ' +� �._ DEPTH OF PERC= 48"-66" 16. PROPOSED PROJECT IS LOCATED WITHIN: EXISTING LEACHING CHAMBERS SYSTEM EXISTING OUTLET TO BE MORTARED f� • - TEXTURAL CLASS: 1 ASSESSOR'S MAP 249 PARCEL 86 p PER SOH AS-BUILT (TO BE ABANDONED) m 6�/ \\ • •••• '• '� •. i ' OWNER OF RECORD: STEPHEN P. &ANN M. CAHILL • f\ EXISTING DISTRIBUTION _ b Z � X-X� f � - • p" 59.40' ADDRESS: 664 STRAWBERRY HILL ROAD g EXISTING 1,500 GALLON SEPTIC TANK BOX TO BE ABANDONED X ..- I / � a ._60- \ 0 . • '�/j ! Fill HYANNIS, MA 02601 g30"� 'c cn * 28 57.07 MAP 249 • * A Loamy Sand FEMA FLOOD ZONE C 30„ 10Yr 3/1 56.90' �g0• -°'' \ 'o �°,� LOT 82 11 ,i •� • �) • B Loamy Sand COMMUNITY PANEL# 250001 0005 C PAVED DRIVE \ r- o0 0 1� •* . 1: , •' . 10Yr 5/6 17. DEED REFERENCE: DEED BOOK 7806, PAGE 330 o o Y► • .21 • • 48" 55.40'Coarse Sand UP 285l40 1 rryv. a m •• • Perc t 18. PLAN REFERENCE: 1.) PLAN BOOK 101, PAGE 107 • " IA • * C-1 54„ 10-20%gravel 2.) PLAN BOOK 62, PAGE 45(STRAWBERRY HILL ROAD L.O.) o \ - PROPOSED INSPECTION • 54.90' PORT (TYP OF 2) I . • „• ' • • x 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. TP 2 �c • • • ar '• 0 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY �- 5 . • ••• FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. \ p 5� • ' •' • Med. -Coarse Sand a C-2 2.5Y 6/6 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE a , (loose) APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): 31 TP 1 #664 - LOCUS PLAN (1.) A 1.0'WAIVER(3.0-4.0')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. A �o EXISTING MAP 249` 3 ° \ 3-BEDROOM „_ DWELLING LOT 81 SCALE. 1 1000 132" 48.40' 03 \ ' TOF = 60.5'± Mfw.. - X1' PROP. PVC VENT; EXACT mtix \ �'a X� XIX LOCATION PER OWNER No Mottling, Standing or Weeping Observed ' MAP 249 PROP. TOTAL 12 ARC 36HC BIODIFFUSERS H-20 DESIGN DATA TEST PIT DATA LEGEND LOT 86 ( ) PERC NO. 12753 y \ (6 BIODIFFUSERS EACH TRENCH) 15,000 S.F.� <, O'�`\ 1 / � INSPECTOR: David W. Stanton, R.S. o a, � NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pitel E.I.T. -� v o\ men 50x0 EXISTING SPOT GRADE G\ �� PROPOSED DISTRIBUTION BOX � � �� � �/ p� DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 Q kr�,w o,�a30 Benchmark TOTAL DESIGN FLOW 330 GAUDAY DATE: October 30 2009 50 EXISTING CONTOUR g't� Opp Nail Set in Tree MAP 249 DESIGN FLOW X 200 % = 660 GAUD" ��-- PROPOSED CONTOUR 15 Elev. =61.00' TEST PIT#: 2 �- UP 285/39 - Approx. M.S.L. LOT 87 USE EXISTING 1,500 GALLON SEPTIC TANK ELEV TOP= 59.40' ❑/H/W - EXISTING OVER-HEAD UTILITIES ELEV WATER= <48.40' W W-- EXISTING WATER LINE PERC RATE = INSTALL 12 - ARC 36HC (#361613D) BIODIFFUSERS (H-20) DEPTH OF PERC TEST PIT LOCATION = SYSTEM CAPACITY TEXTURAL CLASS: 1 Q 0 0 EXISTING 1,500 GALLON SEPTIC TANK (TOTAL L.F. OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY on 59.40' 0 PROPOSED DISTRIBUTION BOX Fill ` 28" 57.07' Q PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) TOTALS: A Loamy Sand 3) 30" 10Yr 3/1 56.90' Loamy Sand TOTAL NUMBER OF BIODIFFUSERS: 12 B 10Yr 516 TOTAL NUMBER OF COUPLINGS: 0 48" 55.40' HG1 (2 4) TOTAL LEACHING AREA: 468.0 SQ.FT. Coarse Sand TOTAL LEACHING CAPACITY: 346.3 GAL./DAY C-1 2.5Y 616 REV. DATE BY APP'D. I DESCRIPTION EXISTING 1 FA' 10-20%gravel 54 90' PROPOSED SEPTIC SYSTEM UPGRADE 3-BEDROOM tH aFM DWELLING HC-2 �ora+`�OFiN�cyGv PREPARED FOR: TOF = 60.5'± NOTE: CHURCHILL mw CAPEWIDE ENTERPRISES EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE Med. -Coarse Sand J . L �.� DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C-2 2.5Y 616 tot LOCATED AT "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO (loose) NOTES: ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST 664 STRAWBERRY HILL ROAD MODIFIED JUNE 30, 2009). TRANSMITTAL NUMBER=W000052. 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE / HYANNIS, MA 02601 TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. SWING-TIES SCALE: 1"=20' 132" 48.40' SCALE: 1 INCH = 20 FT. DATE: NOVEMBER 3, 2009 DESCRIPTION HC-1 HC-2 No Mottling, Standing or Weeping Observed o 10 20 ao so FEET 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE BIODIFFUSER CORNER(1) 40.0' 32.5' PREPARED BY: CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. RESERVED FOR BOARD OF HEALTH USE JC ENGINEERING, INC. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS BIODIFFUSER CORNER(2) 33.8' 31.8' 2854 CRANBERRY HIGHWAY ARE NOT CONSISTENT WITH TEST PIT DATA. BIODIFFUSER CORNER(3) 62.7' 61.7' EAST WAREHAM, MA 02538 3.) PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. SITE PLAN- BIODIFFUSER CORNER(4) 65.9' 62.0' 508.273.0377 SCALE: 1"=20' Drawn By: MCP Designed By:MCP Checked By:A JOB No.1715