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Home My WebLink About0043 KING ARTHUR DRIVE - Health 43 KING ARTHUR DRIVE. . _ OSTERVILLE - - _ A= 145 - 073 7 r� Q BAST M. It Al Mw�`V% � C W W- �L�AiCI3�t�FAjCI�. Y• PIO.t3P tr �' ]$R OR�3' i�IBR Dancx$cEwe��Etc D�aaauzm�icu ttroundte tQ`the Bvtkoae of bt Faaty Pxi�atali�'arar i lilt stdlmgititY esexLt. on-�s of win 2��e�-v�2f3 `-T�et edge a£'�lettsntd�ndLe�n��:�aq'1�Yt��4Y�e�dsi F`- -wltl�t3��eE.�€�eaelut��fa � d a � 3 /A Y —576 a '`f S-7' TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE e ASSESSOR'S MAP&PARCEL S 'b INSTALLER'S NAME&PHONE NO. Qufwc E SEPTIC TANK CAPACITY1,OOD Qd. LEACHING FACILITY.(type)( (size) ZS�K 12,E NO.OF BEDROOMS OWNER PERMIT DATE: H ,)-o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Le aching 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 facili ) Feet FURNISHED BY ,,r 97. A% �3 4 AS 4e SS 39 a No.. FEE 1' COMM ON LT1I OF M ASSACHUSETTS Board of Health, 17 I ItL� ,Mf1. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade,/ Abandon( ) - El Complete System�Individual Components Location �` Owner's Name Map/Parcel# , Address j Lot# ;t Telephone# Installer's Name E, SL IL Designer's Name I� Y 1W Ira- Add ress C Q Address 47 Telephone# Telephone# Type of Building L� �) 1�� Lot Size 1510,10 sq.ft. Dwelling-No.of Bedrooms l7 Garbage grinder ( ) Other-Type of Building No.of persons Showers( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided gpd Plan: Date b Number of sheets Revision Date Titl ke, 1Z Description of Soil(s) VillC Soil Evaluator Form No. 1�41 ame of Soil Evaluator At Y ML&tU Date of Evaluation ^dLv DESCRIPTION OF REPAIRS OR ALTERATIONS W2 A C H"1V mil ) HW b CSC The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agree to not to lace the system in operation until a Certificate of Comp Vancse��h��as been issued by the Board of Health. Signed .� Date �/yt> Inspections ---------------------------------------------------------------------------------------------------------------------- No. /� r '` FEE ACHUSETTS �,4 C®M[M ON LTH y®p�wNI1 SS ' Board of Health, l 11� � MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( UpgradegkAbandonO - ❑Complete System Cl�kiidividual Components Location P �� • -�'� 1� Owner's Name Mari A 1 �' �q �� 99MM xr 0' 5'�b v Address S3 Wh1d V1 b .�• , LEAddress l# ,��+{ ��.�,k�t /A, . aTelephone# Name UU W9 �� t St vht Designer's Name M IW t AW(► INS b 5 F KW(k aw Address IG FAIt< j .,� l 4(- # - �� Telephone# Type of Building T 1e. Lot Size A :�7i� sq.ft. Dwelling-No.of Bedrooms Garbage grinder( ) Other-Type of Building No.of persons Showers( ),Cafeteria ( ) Other Fixtures �/ Design Flow (`min.requireed) gpd Calculated design flow Design flow provided "5R - gpd Plan: ate 1� ��t��L•d(� %`_j iN�umber of sheets r Revision Date -�- Title � J Ktd sff m U m }}�� 113 u r fir' K-P �liA. Description of Soils) r R11. b 10 k IAQ i J.m Ad r. puk.end Soil Evaluator Form No. ItO- Name of Soil Evaluator �� r � L&hi'tx Date of Evaluation_� � DESCRIPTION OF REPAIRS OR ALTERATIONS Kn) &; bi0( A20 . (_) 0�9 a anilkh The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of.TITLE 5 and further agrees td not to lace the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date bb 129 JIM t r Inspection's No. at a / FEE COMMONWEALTH Of MASSACITUSETTS Board of Health, _ CERTIFICATE OF COMPLIANCE Description of Work: ,,Individual Component(s) ❑Complete System The_und signed hereby certify that th-e Sewage Disposal System; Constructed ( ),Repaired (_),Upgraded ,Abandoned ( ) AiWC y, at , ' KWA L r bnV tc has been installed id accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. �`��y" 31 , dated I( Approved Design Flow . 3 d (gpd) Installer {'! � % / t 11 1 Designer: ff'1 # Ums Inspector: .Vv L{., y Date: t t 1 1) � - The issuance of this permii!shall not be construed as a guarantee that the syste"function as designed. } No.n n�)r — /p� FEE 1 1 e COMMONWEALTH OF MASSACHUSETTS Board of Health, l �K. ,MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade(X) Abandon( ) an individual sewage disposal system at "'f^a 6NA A4Q r • ,�� as described in the application for Disposal System Construction Permit No..1'Q dated 11 1 h, I Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. ,w Form 1255 Rev.5/96 A.M.Sulkin Co.Chadestam,Mn Date r/e oard of Health .L u& / F- O *n . bl t egultay' erj x' Richard V,.scab,I"nteritii D3re6o "a a sARTi^aTABL6, �` a. �1r �Thnznas McK6tt,Dircctmr ' 200'IMaiu Stre tr HY;I i,nis;MA.62"bEi1 C3 ce 5W8624444„ Faac: 5638794-831t4 ItiS alters&: esi7nev erti#left Frsr x� �at'e t7; � Siva c'Ptrrmtt�; Assesscii-'s 1�IaplPareel �'�.,�' d'7 designer fee = Ad(ress , address � t do ccns �ssuerl a peirzit to install a { t,. Sep,C system based on a deslgli drawn by (address} dated ___ (deszgtaer) �: I certi#y that"tlie septic system referenced above:tvas installed suiastantially aecordin to the design,: vhiclt,txtay£includixmn e orgproved,elaanges siicl%as latel rtlotron distrihutiorcbc�x a, d(or septic tank Strip out (f requited) was aisect�d,"arid the Soils"" were Toun 'Uti, tdry p I ce ttfy pystem" efrencedabovewas M :( aha theses . arcanges R, i eater tha�i 10° lateral refocati thezSAS.ar y vertical relocatzciri:cif acomflrieht , of the septic system) but iiz accordance i ith Mate& py L6ga1 R.egulatiozis !'lair;revision or certified as lt by deszgrier to follow ti ip riot(1f required}uFas inspectedid the"so11s :• were found satisfactory I cetily that the system referenced above was coitstrucfed iii 5 with the teams , oft` l i�roval letters.(if apph ble). PET` {�nstallex's Signature} '' ��a (l?esiner°s gnutitre� (A ix T}eiigii x' PLEASE E`�` ik TQ$Al�l�1STA"�Ll fl�OWLIC"14EAL'1rlEi DIYl€SION,„ CER'IIFICAI , rCUWU,,MW-E V U <]�C T 3E`�SSUEi7 TJ"IYTII,F.BLD C FI T"ii '1 C3� :A lriFl"A,S BUI I CtARll. :l[tl;RECEIVED 8 '.'f ATE�AYt ^1EEEI?UBT;I;C IIEAC f l~if EfISf!Cl , . " (7`vee€��tJea�gnec Certlfcatwa For€n Bevt3;1� 13:do"e: 1Raylneecs ncrt�.Th+s cerE'€FieaFion€s{tim€Fad to.an as taulh:€nspecAot ai system compemehts as€nstat[ed pr€orto baekfit9:The .. Zt€ganesC d€d not 5upennsegonstructgn ofthe system.rThs€nacaher assumesespcinslbiGFy{oral!tnaEertaEs vmr6tmttnsft€�S t�ackfikng Fo spe lfied grad�is w€tfi Sri pyr campackorE" n#setkng t gerswcov8e as sti4v a on the d5s€gn p1an:: Town of Barnstable �I INUET " Inspectional Services Department p p B" M � MASS. p' Public Health Division 9 ASS. 0 �F039. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8005 September 18, 2020 GILLIS, MARILYN A ET AL 33 WOODRIN DRIVE MOULTONBOROUGH, NH 03254-2559 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 43 King Arthur Drive, Osterville, MA was inspected on 08/28/2020 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE OARD OF HEALTH T c ean, R.S., C O Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\43 King Arthur Drive Osterville.doc L ��t►+e ram, Town of Barnstable � r ■ IRA BM ' , ' ,�� Inspectional Services Department Public Health- Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS O E 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA a Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) o Leaching facility with liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts 06 3 Title 5 Official Inspection Form w_ ill Subsurface Sewage Disposal System Form -Not for Voluntary Assessments p e r, ,J 43 King Arthur Dr r Property Address �w Bill Gillis w Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information BSI >%vr N Ica— Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address East Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 Telephone Number License Number B. Certification I certify that] am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);I have personally inspected the sewage disposal system at theproperty address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes ` 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority T t , 4. ® Fails 8-28-20 Ins ector'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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 r r . f ° Commonwealth*& Massachusetts ' 3 Title 5 Official Inspection Form C�'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) System Conditionally Passes: ❑ One or more system components as described in the "Co nditionalPass" 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): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts s 1", Title 5 Official Inspection Form ! r�k Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , a I,J 43 King Arthur Dr Property Address Bill Gillis e Owner Owner's Name - information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 f ❑ 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 El El ❑ ND (Explain below): ❑ obstruction is removed ❑Y El ❑ ND (Explain below): 3) 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. ` a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form C�14 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >s` 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 f Commonwealth of Massachusetts r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville • MA 02655 -8-28-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.), Yes No ® 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,'/2 day flow ❑ ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any.portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of'a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ 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. 5) Large Systems:To be considered a large system the system must serve a facility with a design ,flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts 3 Title 5 Official Inspection Form �► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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 recent) or as art of ❑ ® this inspection? y y p ❑ ® 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? ® ❑ Wasthe 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form M Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr . Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: , Number of bedrooms (design): NSA Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A Description: P Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ❑ No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts ,,. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments F•,_� tls .�._� 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 r c Commonwealth of Massachusetts r� ;w Title 5 Official Inspection Form ! ibi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20~ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool r ❑ 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): Approximate age of all components, date installed (if known) and source of information: 1974 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 18"+• feet - ' Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain)` Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 18 Commonwealth of Massachusetts rI 3 Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 1511 How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form. %h Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Cisterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): , .Y Depth below grade: feet i 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: 4 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.): s, 3 8. Tight or Holding Tank (tank must be pumped at time of i nspecti on)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts ' r� Title 5 Official Inspection Fora w' i�l Subsurface Sewage Disposal System Form Not for Voluntary Assessments �� I,ip• 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. 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 in poor condition with satin lines above outlet invert. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments W 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: z ❑'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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required):- If SAS not located, explain why: Type: ® leaching-pifs number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovativeialternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 r , r Commonwealth of Massachusetts Title 5 Official Inspection Form 'C�'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,,;:•T,;,,, 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was empty at inspection with heavy stain lines above inlet invert. 12. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts f� Title 5 Official Inspection Form } Cat Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1-_ 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): , s Materials of construction:, Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r r t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form -li Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is Osteryille MA 02655 8-28-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 r t 4 1 �..+®� r®u® ■ rr ..Doan r X .6 t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form p ?I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , 15. Site Exam: - ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ® 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: USGS and town map show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form -1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 King Arthur Dr Property Address Bill Gillis Owner Owner's Name information is required for every Osterville MA 02655 8-28-20 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 No...........z_4. l Flms..a _............._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® QF HE L /4i,A?214 -.OF................ Appliration for Diipn, al Works Tnnstrttrtuan Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal system.. .... . - ..... �? - - • .. - -•-• -•--• �� -- r •---------------------- -� Address or Lot No. .. � r....... ------------------- --------- ---.__._.....---------�-- ............ ._.. ................................... .... .. ca�� f Address a ....•.-••- ••. .... ................. ^^---••-- •.... . � Inst Address d Type of Building Size Lot...5,_ 7`.-Sq. feet aDwelling—No. of Bedrooms____________ _____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No, of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ....oaua-i -----------------------------------------------------------•-- -----------------•--• ----------------••-•-•---------------- WDesign Flow....:......57.0.........................gallons per person per day. Total daily flow__.______._____.®_®...................gallons. WSeptic Tank—Liquid'capacityt0-0.-.4g'allons Length................ Width................ Diameter-----•---------- Depth................ x Disposal Trench—No__________________ idth__ Total Len Total leaching area....................sq. ft. Seepage Pit No.._._-/_ -. er_ y�� e a c� pag Total leaching area._3____R- .sq. ft. Z Other Distribution box ( Dosin nk ( ) 0 /AG/A, � -2j _�.� '.4 Percolation Test Res* s Performed by. ' .Prt__._-_.. / ?3 - 7 -•-�----=N-p`�`-�--------- Date-----1".-------•-------�-----.. P4Test Pit No. 1�_______minutes per inch Depth of Test Pit_________________ __ Depth to ground water___ __________________ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil------- ....... " -- 't .ri. ................. .... - W VNature of Repairs or Alterations—Answer when applicable............................................................................................... •--------------------------•-----------._.....-----•--•--••---------------.._..-------...---•----••----•---------------------------------------------------------------------------------•-•--•--•---•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the of health. Sed -••------- ... - ------••-- .......................... Date...... Application Approved BY l !L• -' -7 ............ Date Application Disapproved for the following reasons-----------------------------•-••-••---=..............................................t......................... ............................................•---.....---•----......-------•--------------....------•...--•---------•---•-----------------------•------------------------------------------------._.... -•Date Permit No......................................................... Issued--•- _:_'2 `�.Date L No-----------If-.1- Fzx*A. ............ THE COMMONWEALTH OF MASSACHUSETTS 14 BOARD OF HEAL T 10 _11.13= 0 F... ....... .. . .. ...... .................. ............. ... ........ ................................................. Appliration for Disposal Works Tomitrurtion Prrmit %Application is hereby made for a Permit to Construct (- ®r Repair an Individual Sewage Disposal system ............ .................. ........................................ In.•Address or Lot No. 7.... .... ............. .................. ...... ..........I.. X .w...n1 e�,�4 ........ ............................. Address ...... . .4 __. ......_� .............. : .... ..... ........... .................... Installer Address Type of Building Size Lot... '.Sq. feet Dwelling—No. of Bedrooms...........fir_.............................Expansion Attic Garbage Grinder 114 Other—Type of Building ............................ No. of persons_....__................._... Showers Cafeteria Other -- ............................................................................................................................ Design Flow...........$fixtures -----7.0.........................gallons per person per day. Total daily flow...............S1.0...................gallons. 9 Septic Tank—Liquid-capacitv/�Mlons Length................ Width._..__.......... Diameter................ Depth....._.......... Disposal Trench—No.............�terV._Ml idth.;7,e............ Total Len ... I............ Totalleaching area.._.................sq. ft. Seepage Pit No..... ... . .. . ..... wDe 1 .................. Total leaching area... . ....sq. f t. Z Other Distribution box Dosing tank 44 � w -;2 0-4 Percolation Test Resu� Performed bT s _ .,�Z ......... Date..... Test Pit No. 1_44�.......minutes per inch Dikpth/-0-If Test Pit.................... Depth to ground water....Z--------------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.__......_...._......... -- ?r ............................... ........................ -----------------7 ------------- ......---------------------- 0 Description of Soil......�?�....... ..... ...... /X..... _34, .."W................ U .......................................................................................................................................................................... .............................. W ..................................................................................................................... ---------------------------------------------------------------*------------------ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..........................................................................................0...................................... ................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT12 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bard of health. S* ed. ..................... .. ..... /I 7 ljg Date Application Approved By.... ..... 2v .1 ............................. -.4F -7 ....... Date Application Disapproved for the following reasons:...............47 ............................................................................................... ......................................................................................................................................................................................................... Date q��Permit No................................. .................... Issued.....Y4::�..... .......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALJH 0 F..,*ei. .................................................................. (Irdifirate of Toutpliatta THIS IS TO CERTIFY, j* the jpdividual Se age Disposal System constructed or Repaired by................ .......... ............. ............................................... ................ Installer ............... at .... has been installed in accordani th the provisions of T e'l of The State Sanitary Code as described in the application for Disposal Works Construction Permit Not ................. dated...... f—..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEaDA:GUAIRANTEE THAT THE SYSTEM W,71. FUNCTION SATISFACTORY. DATE.............................................................................. - ------ .. .......... ....................... . Inspector... THE COMMONWEALTH OF MASSACHUSETTS (77j BOARD HEAL ........... ... . .�... No............� .. FEE........................ tr rmt granted..... . .............n is -anted Permission . ...... .. ..... .. .................. I..... . ......................... to Construct or Repair an Individual Se. .e Disposal..,�ystem at ...... w...'�'U04e.......... ri;00 as,shown on the application for �D7ilal Works Construction P it N Dated... ------------.............................. .... ..... DATE....... 136ard of Health � ................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 4-3 33 Lr^tL�-e 'FLow i10 V. S o r USA- IOOb 64L. I i IV �SPcK.Aty PIT - �sr= Ic> SWGwALL AV-G-4. l5U S.F. _. IC-1c) r=>.RD. I TOTAL 425 G.?.a. ToTQ t_ caw - 330 6 PD. GT_:59dGDL&T10LJ ZIST6 1 I�.1 2M1-�. 02 OF ,� 4w �ZN OF �. c,y'�� , •.. t ,:si a RICHARD yG � o� AI_IW ! G t 4 a A. BAXTER u A ci 14 s i Na. 2,W4ti N pp 1 � ii F��Q � fro - r(J�/Q�" __ fr.�.._., _._.... ,.._�_;.. .. _ •___.. ,. _i. _ .:i. _{ /ONAI -7r_S ' k t FG, 9B J TOP Fwo �oo.o I r p _... .. LOAn Q � i � / �bop IIN. •1 .rl u t I ',� y Sub 4'�P�F bisf `-Iw• 6AL SOIL. I '$oX 9G4S .SeQnc f f I t z t •t� , , , 000 GAS-. ,`-t - S L�H i ;' •A t , IMEO P17L.1 y i -- k/IT 5aD t, I� 3 -(qjZ `` I - I I j "• k q STONE 8 00 � � a CaC_TiF1ED PLbT' ' PiZO�1 L_� LOCATI J 6:5 E QV, Nb WATER ►z/)s/�� _.. SCALr', 140FT,T7A.T ., .V_Z317�. I + 1 G1*_IZTI F� TI4AT- 'TI--ilr 'rouN DAT oN 5"0.41�J ; pL At,l {o t-1�.6�t_�I,I Gc .1PL�lS W ►"1 F�1 T►-IC:.'.51D�.LiwE L b`T is f Alin _._'�a w►.. Z3 S />Q.t- a s i i , . . . , t ,� f iCTC1Z "W o ' 5U evEYu t s s I't-d lam' 17 is-A ti-1 l'. 6:1,UT Z-A-Scl-0 064 46.4 if�'yl t:J:✓�I:1�1 �c1i !l_�' '(11i� c3F4: k_T�� il�GEJW 5 APclt_t c' A,tiJT C A`PE .1n/ID15 DEVEL� { f x�i' .L-�C� U-:,C.�."..S"c;:_wi�r 1 i=:i~MItJI-"-�--LO-'i--t_IN��--•--� .-- - _t_.�T_ ?_..._ ��.._�_w.�. '•' map and lot number ..�. ......... �. �...,• 'l,v. 6 1� C�"!?v` —G �--' ,.Permit number ........................ ................................. i BABHSTeILMAM i i639 G ( N SP CTO APPLICATION FOR PERMIT TO .................................... a" Y... TYPE OF CONSTRUCTION"`:.........` 1. ...... ......................................................................... �, ........19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . ... A /.................... it!u!C-......................... .. ............................................................. ProposedUse .......Kf.e ....................................................................................................................................... Zoning District ...................Fire District ... a G f Name of Owner ......:. ... r .....................Address .......1.. .................................................................... l� 1 , Nameof Builder .................:..................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............Jam..................................................Foundation ....Id. ................'............................ .................... Exterior ..................... ... ...................................................Roofing .......L%�� t? ................................................ Floors �/. �1:c................................................... Interior . .. . . . ................................. ........... ��. ..................................Plumbing Heating �. r......... .......... ..................................................... Fireplace .............cf? ?--.......................................................Approximate Cost ......................................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area �S 5 . .. ......................... Diagram of Lot and Building with Dimensions , Fee ............ ............................. �. �o t 4.3 o ( fir -in _ �l 41 I '�ik� i38(xiN� 1J: :3l1� yi a� C F_ZT%PIEv pl.oT LoGATIO*d o5i-tw- /t t. La 4,O TfATM 4 il 3 I CERTIFY T"AT T14E pVtJat�t"tpt 54�owIJ --L�,►.1 TZ�i=EQE►.1GE N€Q EO4J COr APL%eG W ITN T"6 51 U E.L.IWE: d�. I Wr.> SeT$ACK QE4UIIZEAAEWTS OF THE 07 n W T tx 1 DATES 4 i 3 u�E I�JG. t3QXTEIZ REG1ScGR�� trr..A�.to ��//SU/revc�vk's ..... ��w �s ♦ � � / r' � 1/�T R A/�"'.rf nls 1 A l ( �STC�LvILL.0 � M M.S�� LEGEND ae ——44— — EXISTING CONTOUR ` .� E T~1s t �. x 40.98 EXISTING SPOT GRADE29 F —UGW— UNDERGROUND WIRES ---almoutFi"R—_.. `Massa�R � —Q.H:bl� OVERHEAD WIRES �' ; a —V1/ EXISTING WATER SVC. ;�-• '�,`, �+ f a„®ia,ar:�F'��x'r-_.. + TEST PIT - 4 � Y •-:� S`: BENCHMARK , , _ k43 0 ` 3 - King-Arthur Drive a l n¢ `c 4 0" f n LOCUS MAP KING ARTHUR DRIVE 99.78 99.48 99.28 edge of pavement 98.30 p N 30'22'04 W + Yn 100.50" x 9 cl O 101.01 = 1OL19 �:- , �. x 101,44; x 100.52 101.24• C 0 :3 GARAGE EXISTING o HOUSE(#43) BENCHMARK o T.O.F.=102.3f ! BULKHEAD CORNER !! EL.=102.32 + j BH *1100.07_ � w 100,38 UGW 101.05 DECK 10 .25 BM ' 0 11 � � p 102.32 0 r j O O 6 STUMP STUMP ° - cV x 100, 3 — x 58,40 U 100.65 O EXISTING SEPTIC TANK ,'� � ' ° (TO REMAIN) Z i f 100,r65 aAa TOP OF TANK, EL.99.53t e2• INV.(OUT)=98.20+ m 99.85 TP2 98.61 + /. ,98.40 PROPOSED S.A.S. — i 2-500 GALLON CHAMBERS SURROUNDED W/4' STONE LOT 42 / 15,070t SF . EXISTING LEACH PIT TO BE PUMPED, FILLED WITH .� SAND AND ABANDONED. 8.80' 91.74' N 24'25'59" W N 30°22'04" W MgsX o PETER T. McENTEE v N NoC135109 PARCEL ID: 145-073 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 43 KING ARTHUR DRIVE, OSTERVILLE, MA Prepared for: Quinn's Excavation , 39 Bog River Bend, Mashpee, MA 02649 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. GILLIS, MARILYN A ET AL Engineering Works, Inc. 1"=20' P.T.M. 258-20 33 WOODRIN DRIVE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. MOULTONBOROUGH, NH 03254-2559 (508) 477-5313 10/l/20 P.T.M. 1 Of 2 5� NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE <96.00 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS .8c" COVERS OVER INLET & PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER INSTALL RISER & COVER OVER ONE CHAMBER AND SET TO 6" OF GRADE SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT T.O.F.=102.3t VENT F.G. EL.=.101.3f F.G. EL.=100.7t F.G. EL.=100.8f F.G. EL.=98.5t /- � to 100.5t ` L = 4' L = 5' 2" LAYER OF 1/8" TO 1/2" S=1% (MIN.) ® S=1% (MIN.) DOUBLE WASHED STONE 4"SCH40 PVC 4"SCH40 PVC (OR APPROVED FILTER FABRIC) 6" lo'I as O as 14" 8 2' EFF. aaBaaaa 3/4" TO 1-1/2" DOUBLE EXISTING 48" LIQUID DEPTH aaaaaaa WASHED STONE LEVEL ADD PROPOSED 4' 4.8' 4' GAS BAFFLE INV.=97.87 _ INV.=97.70 INV.=98.2t D BOX EFFECTIVE WIDTH = 12.8' 3 OUTLETS (field verify) H-20 INV.=95.50 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED NOTES: TOP CONC. ELEV.=96.6t 1);CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT ELEV.=96.00 INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=95.50 aaaa aaaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaaaaaBaB aaaaaaaaaaa GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=93.50 INCH CRUSHED STONE BASE, AS SPECIFIED 4' 2 x 8.5' = 17' 4' O.IN 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25' _ 3) .INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE LEACHING SYSTEM SECTION 'AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BOTTOM OF TP-2, EL.=87.1 - SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. GARAGE EXISTING 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS HOUSE(143) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE T.O.F.=102.3f LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: -310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL 1) A 2' variance to the 3' maximum cover requirement, for up to 5' of max. cover. S.A.S. shall be H-20 and vented. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR BH TO; INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DECK DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE-SHOWN HEREON SHALL BE REPORTED TO THE DESIGN trl I CS ��rp �O ENGINEER BEFORE_ CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. h 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. PROP. S.A.S. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. /CO 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS �^� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY S.A.S.. LAYOUT THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SOIL LOG IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED 1N 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE DATE: SEPTEMBER 29, 2020 (REF#TPT-20-194) INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. SOIL EVALUATOR: PETER McENTEE PE(SE#1542) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND WITNESS: DAVID STANTON R.S. HEALTH AGENT NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 99.5 0" 98.6 0" SYSTEM COMPONENTS NOT SHOWN ON THE PLAN FILL FILL 98.8 8„ 98.1 6., Ab Ab LOAMY SAND LOAMY SAND 10YR 4/2 10YR 4/2 98.3 B B 14" 97.6 12„ LOAMY SAND LOAMY SAND DESIGN CRITERIA 96.8 32" 95.6 c 10YR 5/4 c 10YR 5/4 36" PERC NUMBER OF BEDROOMS: 3 BEDROOMS 28"/46" SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <5 min inch MED. SAND MED. SAND / 2.5Y 6/6 2.5Y 6/6 DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO 88.0 138" 87.1 138" EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PERC RATE <2 MIN/IN. "C" HORIZON LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF NO GROUNDWATER ENCOUNTERED .74 GPD/SF PROPOSED SEPTIC SYSTEM UPGRADE PLAN DISTRIBUTION BOX: 1 INLET, 3 OUTLETS (MINIMUM) H-20 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 43 KING ARTHUR DRIVE, OSTERVILLE, MA SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES Prepared for: Quinn's Excavation 39 Bog River Bend, Mashpee, MA 02649 SIDEWALL AREA: 2(12.8 + 25.0') x 2' = 151.2 SF BOTTOM AREA: 12.8' x 25.0' = 320.0 SF Engineering by: SCALE DRAWN JOB. NO. 471.2 SF Engineering Works, Inc. NTS P.T.M. 258-20 TOTAL AREA:................................................................... 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.6 GPD (508) 477-5313 10/1/20 P.T.M. 2 Of 2