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Commonwealth of.Massachusetts
Title 5 Official Inspection Forma
�1� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ti5
727 Main Street (Bldg E FJ-1) _ Via"
Property Address 1-
Wianno Knolls Condominiums
Owner Owner's Name — --
information is / 1
required for every Osteryllle ✓ MA 02655 9 28 20'a
page. City/Town.. State Zip Code Date of Inspection
i
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.
OF iM
Important:When filling out forms v A. Insnrector Information </4 q V I( a 9 �'
I le-I ��p2 cyG
on the computer, JAMES
_
use only the tab James D.Sears =�� •'m—'
key to move your Name of Inspector .
cursor-do not Robert B..:Our Co. INC •,c moo. e
use the return — - - —-- }.• ���
key. Company Name (F'5•IN•S?
363 Whites Path
tab Company Address- - ---
South Yarmouth MA_ 02664
City/Town State Zip Code
508-477-8877 _ S1623
'Telephone Number License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property 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
4. ❑ Fails
9-28-20
;pecft�oes 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 bEP.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.
l5insp.doe•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18
I -
- Commonwealth of Massachusetts F
Title 5 Official Inspection Form
h I Subsurface Sewage Disposal System Form;-Not for Voluntary Assessments
727 Main Street (Bldg E FJ_1)
Property Address
p Y
Wianno Knolls Condominiums _
Owner ---_.-..._-------- -- •-
Owner's Name
information is O.sterville MA 02655 9-28-20 '
required for every -
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 31.0 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
'Comments:
The system is a 2500 H-20 Tank. 2000 Gal. H-20 Tank. 2500 Gal.H-20 Pump Chamber. D Box and
(12) 500 Gal. dry well chambers.NoteBoth septic tanks have zable filter's_All covers steel at grade.
2) 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):
t5insp.doc•rev.726/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18
f -
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
- �I� Subsurface Sewage Disposal System Form Not for VoluntaryAssessments
- p Y
9
727 Main Street (Bldg E FJ-1) _
Property Address
Wianno Knolls Condominiums
Owner Owner's Name
information is Osterville MA 02655 9-28-20
required for every _ _...� __._ — _ _
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 ❑ 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):
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.cloc•rev.7/26/2018 . .t Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 -
Commonwealth of Massachusetts
-- _. Title 5 Official Inspection Form
11 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
J� 727 Main Street(Bldg E FJ-1)
u,
Property Address
Wianno Knolls Condominiums
Owner Owner's Name
information is Osterville MA 02655 9-28-20
required for every -
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: r.
❑ 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:
P
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
n
t5insp.doc•rev.7/26/2018. Title 5 Official Inspection Form:Subsurface Sewage Disposal System,-Page 4 of 18
I
Commonwealth of Massachusetts .
Title 5 Official Inspection Form
�'- Subsurface Sewage Disposal System.,Form- Not for Voluntary Assessments
r
727 Main Street.(Bldg E FJ-1) °
Property Address
Wianno Knolls Condominiums
Owner Owner's Name - - �-
information is Osterville MA 02655 9-28-20
required for every — -.--- - - -- -
page. City/Town State Zip.Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
El ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
® Liquid depth in ame&ppO, is less than 6" below invert or available volume is less
than 1/2day flow �e if r iv&
El ® 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. b
® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privyis less than 100 feet but greater tham50 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 iiequal 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 ormore 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 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.C.4.
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.7/26/2015 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page_5 of 18 -
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
727 Main Street(Bldg E FJ-1�_
Property Address
Wianno Knolls Condominiums
Owner Owner's Name
information is Osteryille MA` 02655 9-28-20.
required for every _ _ _
page. CitylTown 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.
shoulAcintact 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?
El ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® El 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
® El 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.
El ® 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 6 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 18
f
c Commonwealth of Massachusetts '
�v ,1? Title 5 Official Inspection Form
T� Assessments'
_ h Subsurface Sewage Disposal System Form .Not for VoluntaryAsse _ �
ram ` 727 Main Street(Bldg E FJ-1 T
u -
Property Address
Wianno Knolls Condominiums
Owner
Owners me N Owne a
information is
MA 02655 9-28-20
Osterville _ _
required for every - -- -- ----- - -
page. City/Town State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms (design): —14 - Number of bedrooms (actual): 14
DESIGN flow based on 310 CMR 15.203 (for example: 1.10 gpd x#of bedrooms): 1940
Description:
The system is a 2500 Gal. Precast Tank:2000 Gal. Tank and 2500 Gal. Pump Chamber. D Box
and (12)_§AQC Gal.Dry Well's._—. -.--- - — - -
NA _
Number of current residents: — —
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
Seasonaluse? ❑ Yes No
NA
Water meter readings, if available (last 2 years usage (gpd)):
Detail:
Sump pump? Yes No-------- -- ❑ ®,
s Present _
Last date of occupancy: Date
t5insp.doc rev.7/2612 01 8 r Title 5 Official Inspection Form!Subsurface Sewage Disposal system•Page 7 of 18
f
Commonwealth of Massachusetts
6P_ Title 5 Official 'In' spection. "form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
`C� ! 727 Main Street(Bldg E FJ-1) _
Property Address
Wianno Knolls Condominiums _ _
Owner Owner's Name
information is _
requiredOstervllle
for every MA 02655 9-28-20•
Zip Code Date of Inspection
page. City/Town State
D. System Informatiof (cont.)
2. Commercial/industrial Flow Conditions:
Type of Establishment:
2 3
(based 10 CMR 15. 0 :
Design fIOW(baS _ ) Gallons per day(gpd)
f
Basis of design'flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Water treatment unit present? Yes ❑ No
.W
1f 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:
Pearl PPyMp g
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No -
If yes, volume pumped: 9a1lons!
How was quantity pumped determined?
- Reason for pumping: -- -_ — — - — -
t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form,
= �r; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
r
727 Main Street(Bldg E FJ-1
Property Address
Wianno Knolls_ Condominiums _
Owner Owner's Name
information is Osteryille MA 02655 9-28-20
required for every -- —--- --- ----
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
❑ Overflow cesspool
❑ Privy
t
❑ 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):
Pump Chamber
Approximate age of all components, date installed(if known) and source of information:
2016-2017 —
Were sewage odors detected when arriving of the site? ❑ Yes ❑ No
5. Building Sewer(locate,on site plan):
` ` 4
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
t5insp.doc-rev.7/26/2018 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 `
f _
Commonwealth of Massachusetts
_ Title 5 Official Inspection- Form
Fi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments.
727 Main Street(Bldg E FJ-1)
Property Address
_Wianno Knolls Condominiums
Owner Owner's Name
information is required for every Osteryille MA 02655 9-28-20
- - - -
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
3'
Depth below grade: feet
Material of construction:
concrete ❑ metal . ❑ fiberglass- ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
2500 Gallons- 2000 Gal. H-20
Dimensions:
2" 0..
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle NA NA
2 _0_
Scum thickness
NA
Distance from top of scum to top of outlet tee or baffle —
°. . NA ,
NA NA
Distance from bottom of.scum to bottom of outlet tee or baffle
Tape Plan Past Report
How were dimensions determined?' _
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence-of leakage, etc.):
Yearly pumping, tank is at 4' below grade w/steel covers at grade. No sign of leakage or over
loading: Both tanks have zable filters in outlet tee'..
t5insp.doc•rev.7126M18 Titles Official Inspection Form:Subsurface Sewage Disposal System•Page 10bf 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
II- Subsurface Sewage Disposal System Form - Not for Voluntary.Assessments
'• r • / 727 Main Street(Bldg E FJ711�_ -
Property Address
Wianno Knolls Condominiums
Owner Owner's Name
information is Osterville MA 02655 9-28-20
required for every - —
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap (locate on site plan):
Depth below grade: feet T
Material of construction: ,
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness -
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: " Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc;):
8. Tight or Holding Tank,(tank must be pumped at time of inspection).(locate on site plan):
Depth below grade: g -- —
Material of construction:
El concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain):
Dimensions: --
Capacity: gallons—
Design Flow: gallons per day —
t5insp.doc•rev.M6/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
I
<e'\ Commonwealth of Massachusetts
Title 5 Official Inspection Form
I Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
u
727 Main Street(Bldg E FJ-11_ _.
Property Address
Wianno Knolls Condominiums
Owner Owner's Name
information is Osterville MA 02655 9-28-20
required for every — — — --- -
page. City/Town State. Zip Code Date of inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.) ,
Alarm present: ❑ Yes ❑ No
f -
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.):
Box is H-20 W/Steel cover at grade. Box at 20" below grade. Box is clean and solid._
15insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection.,Form
Subsurface Sewage Disposal.System Form.-Not for Voluntary Assessments
f5 _
c 727 Main Street(Bldg E FJ-1)
Property Address
Wianno Knolls Condominiums
Owner Owner's Name =�
information is Osterville MA 02655' 9-28-20
required for every ----- ---- -- — -
page. City/Town State Zip Code Date of Inspection
D. System Information (cont
10. 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.):
2500'Gal. H-20 Pump chamber w/steel covers at grade.Chamber is clean w/no sign of solid carry
over and two pumps. Pumps and alarm working.
* 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 pits number:
12,
® leaching chambers number: -
❑ leaching galleries number:
❑ leaching.trenches number,length: — -
❑ leaching fields number, dimensions: --
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of_18
Commonwealth of Massachusetts
N� ,P Title 5 Official Inspection. Form
�I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
727 Main Street(Bldg E FJ-1) _
Property Address
Wianno Knolls Condominiums
Owner Owner's Name -
information ery
for every
on is red Ostille MA 02655 .9-28-20
required _ -- - -----
page. Cityfrown 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.):
Leaching is 12 -500 Gal.Dry Well Chamber's. W/Steel cover's at Grade. Chamber's are clean like
new w/wet bottom's.
12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration
Depth —top of liquid.•to inlet invert n
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 Jhydraulic failure, level of pond ing,.condition of vegetation,
etc.)-.
ISinsp.doc;rev.7/26/2018. - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
r
Commonwealth of Massachusetts
�- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
727 Main Street(Bldg E FJ-1) _
u� Property Address
Wianno Knolls Condominiums
Owner Owner's Name - -- — - —
information is Osterville MA 02655 9-28-20
required for every -- — ---
page. City/Town State Zip Code ' Date.of Inspection
D. System Information (cont.)
13. Privy(locate on site plan):
Materials of construction: - -- --
Dimensions -- -
Depth of solids - _-
'Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
m
r _
t5lnsp.dOC•rev.7/20/2016 - - 4 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18
i
. . Commonwealth of Massachusetts
Title 5 Official Inspection Form
!- I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
727 Main Street(Bldg E FJ-1) _
Property Address
Wianno Knolls Condominiums
Owner Owner's Name Y
information is
required for every Osterville MA 02655 9-28-20
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
t5in5p.doc•rev.7/26/2018 -- Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
SEPTIC 'SYSTEM ' '
AS-BUILT PLAN
AT .
WIANNO KNOLL CONDOMINIUMS
BUILDINGS E AND,F
727 MAIN STREET
OSTERVILLE}
MASSACHUSETTS 02655
(BARNSTABLE COUNTY)
DESCRIPTION A B
SEPTIC COVER IN (C) 22.5' 13.8`
SEPTIC COVER OUT(D) 44.2' 23.4'
PUMP CHAMBER OUT (E) 56.2' 33.7'
CHAMBER COVER(F) 54.4' 357
CHAMBER COVER (G), 36.8' 26.6'
CHAMBER COVER(H) 38.9' 41.0'
CHAMBER COVER (I) 58.5' 60.3'
CHAMBER COVER (J) 63.3' 57.3'
D-BOX(K) 47.8' 41.0'
SWING TIE MEASURMENTS:
TOWN OF BARNSTABLE
pp
LOCATION '"j�`7 ti� � .I� SEWAGE# -=-16L7
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. C• - _ 'I?1—�
SEPTIC TANK CAPACITYCd ��
LEACHING FACILITY. (type) --nZage-4 (size) 61.r(0.f:3 4-
NO.OF BEDROOMS 4- J���AL- G4-+f_N 1y
OWNER OC d
PERMIT DATE: 17 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4-6 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 =�C-�—
0
- 0
aNlr°A
MAP 141 11 11
0 10 20 40 80 FEET
77- GRAPHIC SCALE:1 INCH=20 ET.
SEPTIC SYSTEM AS-BUILT
PLAN
]][[}} ENGINEERING BY: -
AT
7 Es(;$. «[a^rr� WIANNO KNOLL CONDOMINIUMS
��rU 1.rrsr,rt61C[O BUILDINGS E ANDF
EA
727 MAIN STREET
OSTERVILLE
MASSACHUSETTS 02655
(DARNSTABLE mUNTY)
LAND SURVEYING BY:
JC ENGINEERING,INC. PREPAREDFDR: -
2854CRANBERRYHIGHWAY WI3RHG Knoll CondomlG um$ {
_ oEAEAST WAREHAM,MA 02538 _ .Board Of TruSIEES
--508-2]10377
SCALE:1INCH=20 FT. -LATE'
TOWN OF BARNSTABLE
. .VOCATION / 99 l,'I A/N S 7�— SEWAGE#
VILLAGE G S T ASSESSOR'S MAP&LOT?!'� ,Jr
IN 3 R'S NAME&PHONE NO. 3 4 1 y C C)
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) (size)
NO.OF BEDROOMS S 1E,PT/ C- /AvSd Z C 71'0.,v
BUILDER OR OWNER lv I A /+//tia /'r
PERMIT DATE: Ci6MPL-bhWE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
�� T � .J �
o
�e� � ..
TOWN OF BARNSTABLE
J OCATION / d` / SEWAGE#
VILLAGE 05 7- ASS�ESSOR''S MAP&LOT
�Z'S NAME&PHONE NO. � C/,AN Cd
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) T --(size) n
NO.OF BEDROOMS S /` G' /Al s P E C7110A" l
BUILDER OR OWNER X iVo /.L, C G//A'240 S /
PERMIT DATE: CONWEttTICE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
0
O
c
� Ton
TOWN OF BARNSTABLE
LOCATION 727 /1)/ 1 N S T SEWAGE# `/
VILLAGE O,S 7- ASSESSOR'S MAP&LOT I J l— 013
r4S�R'S NAME&PHONE NO. IV C a
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) '�; (size)
NO.OF BEDROOMS S IE PJ < <' A" S�£C-71—,,A-
BUILDER OR OWNER W/A NNO
PERMIT DATE: 05N+PbbkNEE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
G��SS
�.�
O O
1
O
L
TOWN OF BARNSTABLE
LOCATION 2 ; 7 m A A" S T SEWAGE#
VILLAGE ST /� ASSSESSOR'S MAP&LOT
�SR'S NAME&PHONE NO. A # J8 C../1 /1V C O
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) -(ssiiz-e) .
NO.OF BEDROOMS S £ f0 �/C J N,S� C I/
BUILDER OR OWNER ti✓!R N as f Al
PERMIT DATE: COMPtbtNEE DATE: O L
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
Lr
0
TOWN OF BARNSTABLE
LOCATION 79. 7 /h1a/� $7 SEWAGE #
VILLAGE C-PS T ASSESSOR'S MAP & LOT I Vl' D/3
//10V S�OtR,,-&v
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /ti
LEACHING FACILITY: (type) (size)
=ENO. OF BEDROOMS
'BUILDER OR OWNER W//¢A,*d
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
"Maximum Adjusted Groundwater Table and 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) I r Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
0
. o � o
10
n rj TOWN OF BARNSTABLE
d.,aCATION / ` /n A!/N 5-7- SEWAGE#
VILLAGE o S T n ,/ ,Q ASSESSOR'S MAP&LOT 1 � Go
P6"U �'S NAME&PHONE NO. .� T,U l n,4 N C d
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) '�'' (size) .4 F S
NO.OF BEDROOMS S E P/! C /N.S/0 Z C l/oN �
BUILDER OR OWNER /A A'A/O HAI0 LG C ox., 0
PERMIT DATE: C )NR4 ;A4 C1E1 DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
o�
��� _ I �
TOWN OF BARNSTABLE
�LQCATION 7 MAIN 57� SEWAGE#
VILLAGE d $ 7 ASSESSOR'S MAP&LOT l- 0/3
N&X"I SR'S NAME&PHONE NO. / IF 1-3 C d N C O
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS ,S F?TG �ti S��CT/o/✓
BUILDER OR OWNER Lc/!A tiNG KN o,41. C N.J O /
PERMIT DATE: C6MPEiANEE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
•h�
I �
r
a 4,'-C 7'0
TOWN OF BARNSTABLE
bOCATION / / 127,91A1 rS SEWAGE# t�
VILLAGE ST /� /ASSESSOR'S MAP&LOT
� 17 3
£R'S NAME&PHONE NO. t ICJ 1, �N C 0
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER O IU 4 L
PERMIT DATE: C6�E DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
0
o � . �
Q �T.
G
o
EDGE OF PAVEMENT
r30.11
(\Jl 14.5' 1.
-1 I RIP FOR -
1
I p.gOX � • N N
� I 0
4„PVc
lr 1
0
r —t
E__E E-E
I �
p, N `°
ROOF OVERHANG k, .' - EXISTING�IGNT
1SUA L p,P D HAgeeRl
V
EXISIIN FoR puM
. �p,LPFM l SEpTICTANK ,
g'(ING 2�5%)GP�' Olp A A A
_- t_OT 13
F.
WIANNO KNOLL CONDOMINIUMS
BUILDINGS E AND F 177777
727 MAIN STREET
OSTERVILLE
MASSACHUSETTS 02655
(BARNSTABLE COUNTY)
Commonwealth of Massachusetts
p Title 5 Official Inspection Form
L I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,.......... � � 727 Main Street(Bldg E
u Property Address
Wianno Knolls Condominiums =—
owner Owner's Name
information is Osterville MA 02655 9-28-20
required for every — -
page. City/Town State Zip Code Date of Inspection
D. System Information (cons.)
15. Site Exam:
Check Slope
® Surface water
® Check cellar
❑ Shallow wells NO ,
12+'
Estimated depth to high 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: 10-31-15
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)`
® Checked with local Board of Health -explain:
❑ Checked with focal excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Per Design Plan. -- —
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 r
Title 5 Official Inspection Form
i, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
!% 727 Main Street(Bldg E F4-11 . _
Property Address
Wianno Knolls Condominiums —
Owner Owner's Name
information is osterville MA 02655 9-28-20
required for every — —- -
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) ands6 (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
,L £/ e14/NG
NC,
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18
No.
l Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
,. 1 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppYitation for Misposal *pstrm Construction Permit
Application for a Permit to Construct( ) RepairAA Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No.70W ST. Owner
, Fas Na g�Ac}gjV,
Assessor's Map/Parcel (�'4K� I`7k t
Installer's Name,Address,and Tel.N .,��j�-��/- 4 �!% Designer's N��a�m�n dres ay�d Tel.No. O664 G
fOrWottt lwv ,--uc ,L C- f?v./3,x %q �l5'I �yNu,N�'���t%�
1l
Type of Building:
Dwelling No.of Bedrooms Ilk WPM I Lot Size n,09 sq.ft. Garbage Grinder
Other Type of Building l�Ta� No.of Person Showers( ) Cafeteria( )
Other Fixtures
Design Flow(mine.required) gpd Design flow provided gpd
n
Plan Date {��V. 7 , 71��� Number of sheets Revision Date y 10, 2nV7
Title S 2 'b
Size of Septic Tank ype of S.A.S. TAI RUM 6,
Description of Soil ��
Nature of Repairs or Alterations(Answer when applicable) �10 EXKZ ZNG S[L , �6Ar�l .� Sy$`t' ,L
`► ' S s
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Envir enta ode and not to place the system in operation until a Certificate of
Compliance has been issued by thi oard of a
igne 1� Date a-e°
Application Approved by Date
Application Disapproved y Date
for the following reason
Permit No. 1 �.� Date Issued 717,0 Ze
ao� a WNW f` OS
s i • .(
No. t Fee
T,H'E COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH,
�HrDIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS,-
* 01pplitation for Disposal 6pstrin (Construction Verm' it
'J
•.
'` Application for a Permit to Construct( ) Repair. Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No,7Z9 K" Sr.' 1 E Owner's Nam A r ss 1.No.l�/�iW ( .
Assessor's Map/Parcel l
IIn1staller's Name,Address,and Tel. Designer's Name A dress d Tel.No. S� ��(�/� G
��`a�y�c ;' � r.
A4A - v, ;1 i UR
i
Type of Building:
�y r
Dwelling No.of Bedrooms � � Lot Size sq.ft. Garbage Grinder ,
Other Type of Building harm# nF�`.l� No.of Persons? A6Wtv1 Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided / P �+�/ gpd
Plan Date bt jr. Number of sheets Revision Date mv Y1 9
` Title �,�P, 9AI�x -,�ZYSTw ILAAPM9 AT tlArANPO C
Size of Septic Tank S J ype of S.A.S. / ��Yi'NC�l^ �,R� 7 ����Jf• 6.
i -Description of Soil -C � w' -7-
.... �$
Nature of Repairs or Alterations(Answer when applicable) A0 EX TS!TA FA2( ���� C1- vCT4 11+/1 ;
v.
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental,Code and not to place,,the system in operation until a Certificate of ,
Compliance has been issued by this oard o�edi
gne //. Date
Application Approved by Date G�O
Application Disapproved Date
for the following reasons
Permit No. 1 Date Issued }
- - - ---_. -__ - -._ = ------------- ---------- ------- ----------------------------.
THE COMMONWEALTH OF MASSACHUSETTS
1 - BARNSTABLE,MASSACHUSETTS ;
(Certificate of Compliante
THIS IS TO CERTIFY;that the
On-site Sewage(Disposal system Constructed( ) Repaired(Lkl) Upgraded( )
Abandoned(
at r) /lJ�� ;vl S f 0 1,{-e n) has been constructed in accordance
with the provisions of Title 5and the for Disposal System Construction Permit NoP 11-145 dated 7 2G Z:o rI
Installer' )r�r�r,4 c- t i,E,GtYr � �_ , .��A Designer &QtL �A,1n t ofUA,1Q
#bedrooms I Q Approved design flow 15�5�„: gpd
The issuance of this permit sha not be onstrued as a guarantee that the system ill functi n sign
Date J, '� Inspector
_ - -= ------=-.------ _=--- ---- --_.------------_ ------=
No 0 ( Z�! Fe
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair QC ) Upgrade( ) Abandon( )
System located at to ,,le ry, I t,
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:C nstruc •on must be completed within three years of the date of this permit.
Date T ��i� (7 (� Approved by — //
7
Town of Barnstable
pFIME T
°wo Regulatory Services
Richard V. Scali, Interim Director.
• BAMSTABLE,
V MASS.
1639. Public Health DIVISIM
A'FD�Os°r Thomas Mclean,Director
200 Main Street,Hyannis,.MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Foram
Date: Sewage Permit# -Q6 60 �'� Assessor's Map\Parcel nL
N 13
Designer: �S°� � ��� � Installer: t 1�
�l v (s `1 .
Address: Address:
On a �.''� tla�,"��,c� l E, rra� '� was issued a permit to install a
- (date) (installer) Ck
septic system at A /� � ET T [&1_f 15,�� �� based on a design drawn by
(address)
- � ,.dated A0A a2l_
(designer)
A,V
. I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State & Local Regulat ons. Plan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory. ,
I certify that.the s st,em referenced above was constructed in liance with the terms
of the I\A a pr&al4ietters (if applicable) �1N oFA4
4
Ss9
EDWARD L. �yN CCCCC��� PESCE m
(Installer's Signature) CIVIL
No.32001
9
9�oFs /STEP��FAQ
S G�
—(—(Ve 1 e 's Signature (Affix De p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
QASepticTesigner Certification Form Rev 8-14-13.doc
P
AW
lEppE p_PA�fMf\ - -
N?ga
158.98' _ EXISTING MANHOLE
N?g o \ COVER TO GRADE(TYP)
0 �.=, "i ` 22'OAK EXISTING RAIN
11,,"" , GARDEN
BUSH
EXISTING WATER RANI5 AND-
61-EHIVI
SERVICE LINE I x t - GRP.TG INLETS(T YP OF?1
10
8j
RIP RAP =N� c _
{y 12-PINE
Z.IId" •f / g D-BOX
N
6'TWIN PINE 14'PINE Q7
21"PINE /
EXISTING I I ��� / EDGE OF EXISTING -
FOUNDATION I I PAVED PARKING AREA
SLAB AREA >--___ 12.1'� F /
r_ 1 / EXISTING VENT WITH
STONE RETAINING - e / CHARCOAL FILTER
WALL(TYP' , C O O _ D
00 1 / EXISTING TIMBER
RETAINING WALL
ROpp OVERHANG ^ B en .. /EXISTING 2,500 GAL.
ao / PUMP CHAMBER
EXISTING SEWER LINES EXISTING 2,000
r• / GAL.SEPTIC TANK
EXISTING VISUAL AND AUDIBLE � / _��J -
ALARM(FOR PUMP CHAMBER)
EXISTING LIGHT POLE
- / EXISTING 2,500 GAL.SEPTIC TANK � �
BUILDING E MAP 141 ,/ \
WIANNO KNOLL CONDOMINIUMS /
LOT 13.. 83.579.!S.F. / w
0
0 10 20 40 80 FEET Y
DESCRIPTION A B p
m
SEPTIC COVER IN(C) 22s 13.e' GRAPHIC SCALE: 1 INCH = 20 FT. 5
SEPTIC COVER OUT(D) 44.2' 23.4' o_ -
PUMPCHAMBEROUT(E) 56.2' 33.7'
CHAMBER COVER(F) 54.4' 35.7' SEPTIC SYSTEM AS-BUILT
CHAMBER COVER(G) 36.8' 26.6' - - - -
38.9'
ENGINEERING BY: PLAN
N
CHAMBER COVER(H) 41 /'1.0'
CHAMBER COVER(1) 58.5' 60.3' AT
CHAMBERCOVER(J) 63.3- -1 57.3' 'ESGE ENGINEERING - WIANNO KNOLL CONDOMINIUMS
D-BOX(K) 17 41 A' &ASSOCIATES,INC.LA
-
Edwa,dL PeSM P.E,IEED-AP BUILDINGS E AND F
SWING TIE MEASURMENTS 453 RAYMON D RD 727 MAIN STREET
PLYMOUTH.MA 0236D
nesce®m "`-net Phe e:SG8.743-9205 OSTERVILLE
MASSACHUSETTS02655
(BARNSTABLE COUNTY)
LAND SURVEYING BY:
JC ENGINEERING, INC. PREPARED FOR:
2854 CRANBERRY HIGHWAY - WI811110 Knoll Condominiums
EAST WAREHAM,MA 02538 Board Of Trustees
508-273-0377
SCALE: 1 INCH ='20 FT. DATE:OCTOBER 3,2017
JCE#3520
I
{ COMMONWEALTII OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
- DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500
40 vG TRL. COXE
350 MAIN STREET /lam cretary
ARGEO PAUL CELLUCCI WEST YARMOUTH, MA N =� vID B.: RUHS Governor 508-775-2800 �` GP Comm ssioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F
PART A
CERTIFICATION
MAP141 PAR 013 000-OOP OOV T
PROPERTY ADDRESS: 727 MAIN STREET, BLDG F, OSTERVILLE ADDRESS OF OWNER:
DATE OF INSPECTION: JUNE 1, 1999 WIANNO KNOLL CONDOS
NAME OF INSPECTOR : JAMES D. SEARS
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000)
COMPANY NAME: A 8 B Canco
MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673
TELEPHONE NUMBER: (508)775-2800
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,
accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper
function and maintenance of on-site sewage disposal systems. The system:
X PASSES
CONDITIONALLY PASSES
NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY
FAILS 9 c p
INSPECTORS SIGNATURE: DATE: r/�` ^
The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(30)
days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the
system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original
should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority.
NOTES AND COMMENTS:
NOTE: SYSTEM PICKS UP BLDG E&J1
SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME
OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM.
revised 9/2/98
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
i PART A
CERTIVICATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
INSPECTION SUMMARY: Check A, B, C, orD:
A] SYSTEM PASSES: YES
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR
15.303. Any failure criteria not evaluated are indicated below.
COMMENTS:
B SYSTEM CONDITIONALLY PASSES: N/A
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.
Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not)
The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate
Of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the
inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or
exfiltration,or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a
conforming septic tank as approved by the Board of Health.
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s)or due to a broken,settled or uneven distribution box. The system will pa
pass inspection if(with approval of the Board of Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
The system required pumping more than four times a year-due to broken or obstructed
pipe(s). The system will pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
revised 9/2/98 2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to
protect the public health,safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303
(1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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.
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 AND
SAFETY AND THE 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 soil absorption system and the SAS is within a Zone
1 of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet
of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100
feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility
and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method
used to determine distance (approximation not valid).
3) OTHER
revised 9/2/98 3
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
D]SYSTEM FAILS: N/A
You must indicate either"Yes"or"No" to each of the following:
1 have determined that one or more of the following failure conditions exist as described in 310 CMR
16.303. The basis for this determination is identified below. The Board of Health should be contacted to
Determine what will be necessary to correct the failure.
Yes No
Backup of sewage into facility or system component due to an overloaded or clogged
SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an over-
loaded or clogged SAS or cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged
SAS or cesspool.
Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s)
Number of times pumped
Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater
elevation.
Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a
surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private
water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach
copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate
nitrogen.
E) LARGE SYSTEM FAILS: N/A
You must indicate either"Yes"or"No"as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a
significant threat to public health and safety and the environment because one or more of the following conditions exist:
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
mapped Zone II of a public water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local
regional office of the Department for further information.
revised 9/2/98 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health.
X None of the system components have been pumped for at least two weeks and the system
has been receiving normal flow rates during that period. Large volumes of water have not been introduced into
the system recently or as part of this inspection.
X As built plans have been obtained and examined. Note if they are not available with N/A.
X The facility or dwelling was inspected for signs of sewage back-up.
X The system does not receive non-sanitary or industrial waste flow.
X The site was inspected for signs of breakout.
X All system components,including the Soil Absorption System,have been located on the site.
X The septic tank manholes were uncovered,opened,and the interior of the septic tank was
inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid
depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site
Has been determined based on:
X Existing information.Ex. Plan at B.O.H.
X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation
of distance is unacceptable)[15.302(3)(b)]
X The facility owner(and occupants,if different from owner)were provided with information on
the proper maintenance of Sub-Surface Disposal System.
revised 9/2/98 5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 880 g.p.d./bedroom for S.A.S.
Number of bedrooms(design) 8 Number of bedrooms(actual): 8
Total DESIGN flow
Number of current residents: N/A
Garbage grinder(yes or no): NO
Laundry(separate system) (yes or no): NO If yes,separate inspection required
Laundry system inspected(yes or no): YES
Seasonal use(yes or no) NO
Water meter readings,if available(last two(2)year usage(gpd):
Sump Pump(yes or no): NO
Last date of occupancy: N/A
COM M ERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: Gpd(Based on 16.203)
Basis of design flow
Grease trap present:(yes or no):
Industrial Waste Holding Tank present:(yes or no)
Non-sanitary waste discharged to the Title 5 system:(yes or no)
Water meter readings,if available:
Last date of occupancy:
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information: N/A
System pumped as part of inspection:(yes or no) NO
If yes,volume pumped: gallons
Reason for pumping
TYPE OF SYSTEM
X 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)
I/A Technology etc.Attach copy of up to date operation and maintenance contract.
Tight Tank Copy of DEP Approval
Other TANK ALSO PICKS UP BLDG E&J1
APPROXIMATE AGE of all components, date installed (if known)and source of information:
1984
Sewage odors detected when arriving at the site:(yes or no) NO
revised 9/2/98 6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
BUILDING SEWER:
(Locate on site plan)
Depth below grade:
Material of construction _ cast iron — 40 PVC _ other(explain)
Distance from private water supply well or suction line
Diameter
Comments:(condition of joints,venting,evidence of leakage,etc.)
SEPTIC TANK:
(Locate on site plan)
Depth below grade: 45"
Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain)
If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No)
Dimensions: 2,500 GALLON PRE CAST
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 67"
Scum thickness: V
Distance from top of scum to top of outlet tee or baffle: 8"
Distance from bottom of scum to bottom of outlet tee or baffle: 11"
How dimensions were determined PLAN&TAPE
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural
integrity,evidence of leakage,etc.)
TWO INLET TEES,OUTLET BAFFLE,TANK AT WORKING LEVEL
BOTH COVERS 2'STEEL AT GRADE
GREASE TRAP: N/A
(locate on site plan)
Depth below grade:
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:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural
integrity,evidence of leakage,etc.)
revised 9/2/98 7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or 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/day
Alarm present
Alarm level: Alarm in working order Yes; No
Date of previous pumping:
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX: YES
(locate on site plan)
Depth of liquid level above outlet invert: 0
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,)
DISTRUBITION BOX IS 2'X2'40"BELOW GRADE
ONE LINE IN,FOUR LINES OUT
2'STEEL COVER AT GRADE
PUMP CHAMBER: N/A
(locate on site plan)
Pumps in working order:(Yes or No)
Alarms in working order(Yes or No)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
revised 9/2/98 8
. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
SOIL ABSORPTION SYSTEM (SAS): YES
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not located, explain:
Type:
Leaching pits,number: 4
Leaching chambers,number:
Leaching galleries,number:
Leaching trenches,number,length:
Leaching fields,number,dimensions:
Overflow cesspool,number,
Alternative system:
Name of Technology:
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
FOUR(4)PRE CAST PITS.ALL PITS HAVE 2'STEEL COVERS AT GRADE
TWO PITS HAVE 2'WATER,TWO PITS HAVE V WATER
NOTE:SPEED LEVELER ARE BEING INSTALLED
CESSPOOLS: N/A
(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(cesspool must be pumped as part of inspection)
Comments::
(note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.)
PRIVY: N/A
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
revised 9/2/98 9
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'(locate where public water supply comes into house)
SEE ATTACHED PLAN
revised 9/2/98 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 727 MAIN STREET, BLDG F, OSTERVILLE
Owner: WIANNO KNOLL CONDOS
Date of Inspection: JUNE 1, 1999
NRCS Report name
Soil Type
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Ground water depth: Shallow Moderate Deep
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to groundwater OVER 12 FEET
Please indicate all the methods used to determine High Groundwater Elevation:
X Obtained from Design Plans on record
Observation of Site(Abutting property,observation hole,basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators,installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation.(Must be completed)
NOTE: TEST HOLE ON PLAN
NO WATER AT 12'
revised 9/2/98 11
l
No.. ... �: .. Fxs ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
-
,; et)..........OF......
.�!E'
Applira#ion for Bigpva al Works Tumitrnrtiun ramit
Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal
System at:
............. �.Y.... . .......................................... .................� _ �- � _ ; /.
e Location- ss L- .........................
0 -.. or - t No. - - /YY.
.............•�-'�--••Z_ 1. 2.on.._... C1S.....---•---------_..._ 1 .. ./1. -...._ -s... �'.11
S
i
Installer Address
Q Type of Building / Size Lot.. _-3�_/._--1�.?t ..Sq. feet
V Dwelling—No. of Bedrooms......... ........................Expansion�Atti ) Garbage Grinder (Aye)
04 Other—Type of Buildi .Z _ .: ..
yp n�- �� �t._._.�------ moo-veers ( ) — Cafeteria (----)-
Other fi is -mar- --
W Design Flow.......... ........................ allons er erson er c�a Total da' flow..._...
g - g P P P_ Y• ....... ....................Diameter................ Depth.....A��.....
x Disposal Trench—No..................... Width..___.... _........ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..... .--____-- Diameter. : _��_"` Depth below inlet..6..:1�.... Total leaching area.& ..sq. ft.
Z Other Distribution box ()C) Dosing tank ( ) a
0-4 tam e �✓e - °� -T ' 4
a Percolation Test Results Performed b �.r.................. .... ........ Date...... F
Test Pit No. _..._ .....minutes per inch Depth of Test Pit....12-...... Depth to ground water../�✓ `"
0-4
fX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O f ------------- ;' f.? r. ......------A•. r /....�. 9
Description of Soil..............2-5----- - ��� - � - ice'-mac �.
----•-••••••-••---•••-•••---•--------•--.....•---•-----------------------------•---.....-•-•---•••-•-•-•-•-•--------•-•••-•--••.--•-••--•--•----•---•--•-•-----------•----•---•-•-----•--•---••---•--•-
x - --- -------------------- .........:----•-•••••----•-•......----.---•-------.........--•-•---•••---••- ----- r
V Nature of Repai s Alterations—Answer when applicableG
................ .----•- ----•--•-•---------- -------------------•---------------.....................-----------....-----------------............................................................
t
(r f
rya s ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
th pr 1. s A. TIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
50U �R�11 a Certificate of Compliance has been issued by the board of health.
a 88 _ Signed 6 Da'c /.......
A� ------------•-•-------•--••---•----•-----
J T y�
Approved By.....- - . .............
Date
4 -----------------------------------------------------------•... •---........._
" tion Disapproved for the following reasons______________________________
...................................................................•-----_...---------__.....------------......-----------------------•------.._..--•---........................••.. ------•-------
Date
PermitNo......................................................... Issued....................................................
Date
r
i
4.
FimB
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........OF...... ! .rlGJ� !`-�.G:..e.....----
Applira#iou for Bispwi al Works Tonutrurtiun Vamit
Application is hereby made for a Permit to Construct ( A) or Repair ( ) an Individual Sewage Disposal
System at:
............ ---- -------- ---- -------------------------- ......----- ... .............................................. . ..............._
' -
-- Location- ss r. F- or
..............lil� � I�!f v ......................................... ..............7 k2... ....
Oy�ner t d s...
/
2
Installer Address �
d Type of Building / Size Lot... . .._hG .Sq. feet
Dwelling—No. of Bedrooms........../-_Z_................__......Expansion Attif (. ) Garbage Grinder (,oV o
pa, Other—Type of Buildii*... Cafeteria ( )
Otherfixt -----•--------------------------------••--------•-------•---•-----------------------------------
W Des v Flow...........................::_____.gallons per person per dAy. Total daily/flow........1�-?_ ....._.._...._____..ga�ry6.
WSeptic Tank—Liquid capacity4........ ]ions Length..... -___ Width............... Diameter................ Depth......----__....
x Disposal Trench—No..................... Width_.__..... _._..._.. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No....._'�....... Diameter.__ `------- Depth below inlet-•4._`.�2.... Total leaching area..//ll`.._ sq. ft.
Z Other Distribution box ( X) Dosing tank;
'-' Percolation Test Results Performed by... f�.:.r.................. ................................ Date_..... �._.✓..'------------
Test ®`
.
,tea Pit No. I......?-....minutes per inch Depth of Test Pit----- ...___ Depth to ground water...._......................—
G=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
.......... f------- ---------------- ,� .......... ...-----------......
O Description of Soil...............0 -.. /f' 1�Y7. .. -��G� A/ r Z i 2-7
J
t., ----------
W ...............................................................................................•....___.._____._.._ .__ ____J._�--__,--------.--------•--__-----•--.-.---------------------......
UNature of Repairs r'Alterations—Answer when applicable =.•t __._..n_�_.M ::-....,, ..� � _ : .....:r
l�
........................... ......•••-••••••-•-•--•-•••-••-•••••••••••••••-••-••••...............•••••••-••••----•-----•-•---•••••••-----•--••-•--•-•••••••••••-•••••••••••...._._.....-----•......••.
A ment
rsigiied agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
e p gf"'Ll I L s 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
o e�atio N a Certificate of Compliance has been issued by the board of health.
cpa SOLI
Signed--------'.. /.... .......
............. f '
Joe
D`
�j• ._� ...._... ...ate .._......
roved B = = -=/•-••••...................... � � �PP y--•••-••••. ••--- ,�
Date
Disapproved for the following reasons:.............................
-•.......................................................•----------------------------........-••-••-•.....
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH `
�T
Clrrtifiratr of Tuutpliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by---------------
Installer
`l -•-•••••----•••...........................•-••--••••......•.
has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..!'S'%'�-fl................... dated.-----------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No., . . FEE.--• Z.............
Disposal Workv Tuno#r iun truth
Permission is hereby granted........... ..... r'-= t''----••-------------------------------------•--•----------------.-•---------.-----
to Construct (14 or Repair ( ) an Individual'Sewage Dis osal System
atNo........2.2..--- `J am_ ..... ................................G} r—' r!................................................................
Sireet
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
Boardof Health DATE................................................................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
- GENERAL NOTES
1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL •• g•ZONE 2 ar ;• 3
CODE AND ANY APPLICABLE LOCAL RULES. ;3 J C . a• •' p' ` _1=
2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE y
DESIGN ENGINEER. o .; •. -
A4qI .. 411111111"1_4111.
3 4"SCHEDULE 40PVC PIPE WITH WATERTIGHT JOINTS SHALL BE USED IN DISPOSAL --_' '%�-'�• Focus ' = °• �
R SYSTEM UNLESS OTHERWISE NOTED. * •3` •+
4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN =• $' ' _ � ` , ' `••` _ ;i•. . •��= .
n �
ELEVATION = 17.50`FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A i''; � ' .. u,.••:
STONE POST(TYP)
40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF " • , " • ` "'
y =.
0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. . • • ` • .' •.
EXISTING BRICK - 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. LO(iUtJ+ MAP
WALKWAY (TYP) ' Q OPPq 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SCALE 1"=2000'
1-7
ME
EXISTING D BOX l VFNT N 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
r 15g 98,
w FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS
N?6° ��, a NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
NG LE'1 CMfJV 1Q 3 o AND DESIGN ENGINEER.
G TRENC FLOOD LIGHT(TYP) M 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM BENCHMARK ELEVATION OF 20.00' of
EXISTING SEPTIC TANK f 3. -.. _ H / Y ESTABLISHED ON A NAIL SET IN UTILITY POLE#39 AS SHOWN ON PLAN.
3 a EXISTING MANHOLE p ��. oyG
`�' COVER TO GRADE (TYP) O EDwARO
N76 10"W 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PESCE
61.71' �� ¢ THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT " CINAL
1 _,. , NO. 32001
a 22" OAK EXISTING RAIN a 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
_... EXISTING SIGN / N GARDEN TO THE DESIGN ENGINEER.
1
�L
a
.BUSH ( P) / = 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. � �\
p 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
/ E
_ _ _r / �r =.F AVER �'412
-` REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
,__._L
EXISTING WATER `n
_ oINLETSAPPROPRIATE AUTHORITY. EDWAR PESC , P.E. DATE
SERVICE LINE / BEEHIVE FRAME AND GRATE
(TYP OF 2)
r a / - ` 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED
JL
/ I UNDER MORE THAN 3FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR
' v TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H 20 LOADING.
i.,...._t.P... 1...t..J_.�l_,...1. _,..Y.i 'i �..... i t -- i- .._i__r_ - e,3Q 1� ,
0 W 13. DOUBLE WASHED.CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.. ,
x_-a _3.. �� r 4 1 _ ,� - ` •,.`,• • ',• . 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND UNSUITABLE
3 _ ` •�.', .•`-`, MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
: ;._," ` / •`. .•, REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
BUILDING J _ _-.-- / .-C (TYP) tr✓`? FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
/ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
s RIP RAP coSITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
WOODEN STEPS m 12„ PINE \ I H c�
D-BOX N A, 16. PROPOSED PROJECT IS LOCATED WITHIN:
14" PINE '. / / ASSESSOR'S MAP 141 PARCEL 13
6 TWIN PINE -
/ OWNER OF RECORD: WIANNO KNOLL CONDOMINIUM BOARD OF TRUSTEES
l l pVC \•'`C l 727 MAIN STREET
- _ ADDRESS:
OSTERVILLE, MA 02655
21" PINE SEPTIC SYSTEM _
/ X
EXISTING FOUNDATION G �® EDGE OF EXISTING FEMA FLOOD ZONE
SLAB AREA PAVED PARKING AREA COMMUNITY PANEL# 25001C0544J AS-BUILT PLAN
17. MASTER DEED REFERENCE: DEED BOOK 3485, PAGE 105 AT
� .. r" � ,,,` �.. „` � /
EXISTING VENT WITH 18. PLAN REFERENCES: 1.) PLAN BOOK 3701, PAGE 287 WIANNO KNOLL CONDOMINIUMS
BUILDING F
CHARCOAL FILTER
WIANNO KNOLL CONDOMINIUMS STONE RETAINING WALL(TYP) BUILDINGS E AND F
: ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
•� G O O p / 19. 727 MAIN STREET
r
/ 20, PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
1 - O O / EXISTING TIMBER OSTERVILLE
FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
RETAINING WALL MASSACHUSETTS 02666
/ R THAN ITS INTENDED PURPOSE.
FOR USES OF THIS PLAN OTHER (BARNSTABLE COUNTY)
A e / 21. IN ACCORDANCE WITH 310 CMR 16A01 15.405,THE FOLLOWING LOCAL UPGRADE
APPROVALS/VARIANCES ARE REQUESTED:
N _
�. ROOF OVIER
- - / EXISTING 2,500 GAL. 1.) A 0.9'VARIANCE(3.0'-3.9') FOR THE MAX. COVER OVER THE PROPOSED SAS. REFERENCE yu ~' / _
ER/{gNG B ! M / 310 CMR 15.221(7).
coo PUMP CHAMBER 2.) A 10.5'VARIANCE (25.0'- 14.5') FOR THE SETBACK FROM THE DRAINAGE BASIN TO
EXISTING / / PROPOSED LEACHING SYSTEM. REFERENCE 310 CMR 15.211(1).
SEWER LINES / EXISTING 2,000 3.) A VARIANCE FROM PROVIDING A MINIMUM EFFECTIVE LIQUID CAPACITY OF 200%OF THE
/ GAL. SEPTIC TANK DESIGN FLOW(i.e. 1,940 gpd x 2= 3,880 gpd) INSIDE THE EXISTING SEPTIC TANK. LIQUID
EXISTING VISUAL AND AUDIBLE / J CAPACITY PROV'D= 129%, BUT WITH A NEW 2,000 GAL TANK ADDED IN SERIES. REFERENCE REVISIONS
ALARM (FOR PUMP CHAMBER) / 310 CMR 15223(1)(b).
EXISTING LIGHT POLE 4.)A VARIANCE TO ALLOW A 25% REDUCTION IN THE REQUIRED SAS AREA DESIGN No. DATE DESC.
/ EXISTING 2,500 GAL. SEPTIC TANK / REQUIREMENTS, PER LOCAL UPGRADE APPROVAL. REFERENCE 310 CMR 15.405(c).
/
BUILDING E MAP 141
WIANNO KNOLL CONDOMINIUMS / -
/ LOT 13 / / PREPARED FOR:
83,579.±S.F. / /
/ Wianno Knoll Condominiums
Board of Trustees
1 /
ENGINEERING BY:
/ / }
J
�r
�OGIATE5, IN,
/ CO Ldwat1a L Pewe, P.E,iE`EDII,AP
i l z
451 RAYMON D RD.,
PLYMOUTH, MA 02360
pence@comcast.net Phone:508-743-9206
- -
DESCRIPTION A B /
SEPTIC COVER IN (C) 22.5' 13.8' LAND SURVEYING BY:
/ /
SEPTIC COVER OUT(D) 44.2' 23 4' � , /
JC ENGINEERING, INC.
PUMP CHAMBER OUT (E) 56.2' 33.T /
2854 CRANBERRY HIGHWAY
CHAMBER COVER(F) 54.4' 35.7' /
/ / EAST WAREHAM, MA 02538
CHAMBER COVER(G) 36.8' 26.6' BUILDING D / / 508-273-0377
CHAMBER COVER(H) 38.9' 41.0'
CHAMBER COVER(1) 58.5' 60.3' / / DATE:- AUGUST 1, 2016
CHAMBER COVER(J) 63.3' 57.3' FIELD:
41.0' CALC./DESIGN: CJM
D-BOX(K) 47.8' SITE PLAN
DRAWN: CJM
SWING TIE MEASURMENTS SCALE: 1"= 10'
CHECK: ELP
JOB NO: 3520
SHEET 1 OF 2
I - -
I
GENERAL NOTES
1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION '•• a y. .r
METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL .Z•ONE2 •-,
Benchmark CODE AND ANY APPLICABLE LOCAL RULES.
Utility Pole Nail U P#39 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
Elev. =20.00' DESIGN ENGINEER. , . •.
A4,A//V
Approx. M.S.L.A � � -
3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL •• '' Focus •,:'y\, a
T .`
SYSTEM UNLESS OTHERWISE NDTED. ' • " ;
�-, 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN ; ' ��-
STONE POST(TYP) L7 EXISTING LEACHING PITS ELEVATION = 17.50 FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A ;` "���. „'y' , :• 41
TO BE PUMPED + FILLED 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF "
WITH SAND OR REMOVED THE LINER IS NOT LESS THAN T
_ ._, v � HE BREAKOUT ELEVATION. �{��. � .. .;' �' ••�•
EXISTING BRICK __.
____y (TYP. OF 4) 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM.
-jam N o H
-
WALKWAY(TYP) CJ 3 � ED LOCUS MAP
P
�OF 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SCALE 1"=2000'
q �.. gVEM
' EXISTIR BOX \ ANT N 7. LOCAL BOARD OF HEALTH-AND bESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
15g•9g1 _ O
w FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS
`
N76 17,10„W '� NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
AND DESIGN ENGINEER.
® o
.EACHING TRNC FLOOD LIGHT(TYP) 3 8. ELEVATIONS BASE ON- a y �r, D O PROXIMATE M.S.L. DATUM BENCHMARK ELEVATION OF 20.00
EXISTING SEPTIC TANK / PROPOSED 12 -500 GAL. H-20 of
=L Y ESTABLISHED ON A NAIL SET IN UTILITY POLE#39 AS SHOWN ON PLAN.
_ 19xT `'�•.�\ CHAMBERS w/STONE IN A O � cy
. °
"' p � EDWARD L. �N
l N76 10 W 9. CONTRACTOR SHALL VERIFY AL
- FRAME AND COVER TO FINISH i s_._. 1 TRENCH CONFIGURATION m
_ , _„ k �,. - L UTILITY LOCATIONS PRIOR TO CONSTRUCTION PE SCE a
r GRADE (TYP OF 5) 61.71' \1\ Q THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT " CwIL
- a 22"OAK PROPOSED RAIN a 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES N0. 32001
_.:
EXISTING SIGN
� ..� ,-F'.,� -.�Tf GARDEN TO THE DESIGN ENGINEER.
BUSH ( P) - TfLf 10. /
o ,�
ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT..
"' _ i _ .._... _ _ . / 4 VENT PIPE - - l'AV f Tfce 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
_;- ME / -
_a _, .__., r i [ __ E NT o e --_E a r�Le REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
-... _ _.r, \ EXISTING WATER f,.:._. ._ 19x6 _
_._ r._._.. t TF�f EXISTING CB FRAME AND GRATE T APPROPRIATE AUTHORITY. D ARD L. PESCE, . . - DATE
_ 9,U- 1
_f: SERVICE LINE �:. f TfLE O
BE REPLACED WITH BEEHIVE FRAME
f Le 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED
f r�Le AND GRATE INLETS (TYP OF 2)
_� ® 19x4 �E UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR
`mac -f 3
Og , TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING_
r r *-
r 9x4 c 28 N'O�
r._�_? _.:_. ,c 10 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT DUST AND FINES.
L ' _...- -
_ r -
``• c��r= •' 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.
- .�o. � .;� . . , � REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY
BUILDINGJ <_ 2 T '.'. ." -'4'B TYP FINE
8 ` ) S OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CHNRCFIIkl.JR, o
.a. PROPOSED EDGE OF o �t8Q66
15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN F `�
2 PAVEMENT(TYP) C� tar s
SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. s, G ��
WOODEN STEPS 12" PIN 19x2' " , o
PROPOSED 9-OUTLET �' Co ur
/ )6 ® _ DISTRIBUTION BOX
j 16. PROPOSED PROJECT IS LOCATED WITHIN:
6"TWIN PINE 14" INE , ". _ �' ASSESSOR'S MAP 141 PARCEL 13 7r/7//
_
___-- / : WIANNO KNOLL CONDOMINIUM BOARD OF TRUSTEES
,2g. ---- �' � v:��._.:.:T TP 1 OWNER OF RECORD
� , / �f JOHN L. CHURCHILL, JR., P.L.S. DATE
21x0 EXISTING D-BOX / 727 MAIN STREET
TO BE REMOVED , / "' ADDRESS:
21" P E a: x05 'Q1x1' gyp,' OSTERVILLE, MA 02655
/ PROPOSED SEPTIC
EXISTING FOUNDATION! = 1: / 20x0' h ti� J EDGE OF EXISTING X 15.3 J "' FEMA FLOOD ZONE
SLAB AREA // PAVED PARKING AREA COMMUNITYPANEL# 25D01CO544J SYSTEM
STEM UPGRADE
102 0
3 / ", 17. MASTER DEED REFERENCE: DFE'D F30OK 3485, PAGE 105 AT
UNDERGROUND UTILITIES TO
J�. "' WIANNO KNOLL CONDOMINIUMS
BUILDING F r, ' / BE RELOCATED AS NEEDED 18. PLAN REFERENCES: 1.) PLAN BOOK 3701, PAGE 287
WIANNO KNOLL CONDOMINIUMS STONE RETAINING WALL (TYP) o •.,, r ""� BUILDINGS E AND F
19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 727 MAIN STREET
BW=20. 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY OSTERVILLE
0 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
PROPOSED 2" PVC PIPE FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. MASSACHUSETTS 02655
- / 186, EXISTING TIMBER RETAINING WALL 21. IN ACCORDANCE WITH 310 C(1AR (BARNSTABLE COUNTY)
E - o TO BE REMOVED AND REPLACED 15:401 15.405,THE FOLLOWING LOCAL UPGRADE
_ a - 24 h APPROVALS/VARIANCES ARE REQUESTED:
" 1.) A 0.9'VARIANCE(3.0'-3.9') FOR THE MAX.COVER OVER THE PROPOSED SAS. REFERENCE
PROPOSED TIMBER
VISUAL AND AUDIBLE ALARM; EXACT - -26 25 310 CMR 15.221(7).
/ LOCATION TO BE DETERMINED i 26 ! RETAINING WALL 2.) A 10.5'VARIANCE (25.0'- 14.5) FOR THE SETBACK FROM THE DRAINAGE BASIN TO
V. c 28 PROPOSED EDGE OF PAVEMENT PROPOSED LEACHING SYSTEM. REFERENCE 310 CMR 15.211(1):
BRICK STEP OVERALL SITE PLAN
/ �_ __ --� MOVED 4'AS SHOWN o
� / J,� ( ) . 3.) A VARIANCE FROM PROVIDING A MINIMUM EFFECTIVE LIQUID CAPACITY OF 200/o OF THE
DESIGN FLOW(i.e. 1,940 gpd x 2= 3 88_ , 0 gpd) INSIDE THE EXISTING SEPTIC TANK. LIQUID
/ EXISTING 2,500 GAL: SEPTIC TANK __30- `� 1 T° STUMP TO BE REMOVED TO BE RELOCATED AS SHOWN TW=25.0 CAPACITY PROV'D= 129%, BUT WITH A NEW 2,000 GAL TANK ADDED IN SERIES. REFERENCE
/ �- REVISIONS.
,� BW=220'
AND UTILIZED IN THIS DESIGN T . 310 CMR 15.223(1)(b).4.)A VARIANCE TO ALLOW A 25% REDUCTION IN THE REQUIRED SAS AREA DESIGN No. DATE DESC.
E 3� PROPOSED 2,500 GAL. REQUIREMENTS, PER LOCAL UPGRADE APPROVAL. REFERENCE 310 CMR 15.405(c). 6 17 JUL 17 Leaching System Revisions
BW= 22.0' e--`C-TEL / E H-20 PUMP CHAMBER 5 9 JUN 17 Relocated Leaching&Tanks
- TE`E - E`E 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL 4 10 NOV 16 BOH Comment revisions
E----E-E-" J l�` PROPOSED 2,000 GAL. REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. 3 18 OCT 16 Leaching System Revisions
BUILDING E MAP 141 LIGHT POLE YO BE H-20 SEPTIC TANK
/0 3.00, WIANNO KNOLL CONDOMINIUMS / RELOCATED/AS SHOWN
c•i LOT 13 PREPARED FOR:
83,579.t S.F: 1
3 0, 1:0' Wianno Knoll Condominiums
0
/ J Board of Trustees
.62 0 CIS3.0.
12.83, / l
o / ENGINEERING BY:
4.0#
21• / �
io 4.0� / / =w
N / / o LEGEND
E� rEE �
50x0 EXISTING SPOT GRADE
co
RISER WITH CAST IRON FRAME /
Ldwa�i P�e•sc+e,P E., IfEL�D&AP
/ 2 - - - 50 - - - EXISTING CONTOUR
AND COVER TO FINISHED /
/ ® 451 RAYMON D RD '
GRADE(TYP. OF 5) / J 50 - PROPOSED CONTOUR PLYMOUTH, MA 02360
N /
Eivc -Eiric EXISTING UNDERGROUND UTILITIES asses me
ll:SDS-33 cis 30 Phone 1
NOTES: EXISTING GAS LINE
-GAS-GAS-GAS-- -
1.0F 48.1s0, / 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC
2.0 / SYSTEM COMPONENT. -w-wvw-w- EXISTING WATER LINE
2.Or / / 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED -E-E E E- LAND SURVEYING BY:
/ ) PROPOSED ELECTRIC SUPPLY LINE
LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS
O 3. / PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT JC ENGINEERING, INC.
0 CONSISTENT WITH TEST PIT DATA. -�ii TEST PIT LOCATION 2854 CRANBERRY HIGHWAY
1.33' b w i � � l / EAST WAREHAM, MA 02538
o BUILDING D / 3.) THERE ARE OTHER EXISTING CONDOMINIUM BUILDINGS LOCATED ON LOCUS O Q AREH M,M
/ EXISTING 2,500 GALLON SEPTIC TANK
PROPERTY THAT ARE NOT SHOWN ON THIS PLAN.
4. CONTRACTOR SHALL RESTORE THE DISTURBED PAVED PARKING AREA BY
NOTE: / /� ) s„ „ ,� O O O PROPOSED H-20 SEPTIC TANK DATE: AUGUST 1, 2016
/ PROVIDING A COMPACTED 6 LIFT OF a -1 PROCESSED GRAVEL BASE, WITH A 2
/ HOT-MIX ASPHALT BINDER COURSE, AND 1" FINISH COURSE.
' FIELD: ;
1.)TOTAL PERIMETER LENGTH=272.12'
2.)TOTAL BOTTOM AREA= 1,423.70 S.F.
5) PROPOSED 2" SOLID SCHEDULE 40 PVC PIPE
CONTRACTOR SHALL REPAINT PARKING LINES IN DISTURBED PAVED PARKING AREA. CALC./DESIGN: CJM
PLA
N LAN PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
6.)CONTRACTOR SHALL RELOCATE UTILITY LINES AS NEED TO PLACE NEW SEPTIC TANK, DRAWN: CJM
SCALE: 1"= 10' PUMP CHAMBER, RELOCATED LIGHT POLE. ❑ PROPOSED H-20 DISTRIBUTION BOX
CHECK: ELP
LEACHING SYSTEM DIMENSIONS PROPOSED 500 GAL H-20 LEECHING CHAMBER -JOB NO: 3520
SCALE: 1"= 10' SHEET 1 OF 2
INSTALL RISER w/CAST IRON FRAME&COVER OVER COVERS FOR BOTH TANKS INSTALL RISER W/CAST IRON FRAME FOR 36" INISH GRADE OVER D-BOX= 20.1'± PROVIDE CONCRETE RISER WITH FINISH GRADE OVER CHAMBERS= 21 .9' - 18.9' PROP.VENT WITH CHARCOAL FILTER TO ABOVE GRADE
TOP OF FOUNDATION 23.11± AS SHOWN. ADJUST TO REQUIRED GRADE w/MIN.2 OR MAX.4 BRICK COURSES DIAMETER MANHOLE ACCESS,NEENAH FOUNDRY CAST IRON FRAME&COVER TO F.G. o „
� OR EQUIVALENT DIMENSION WITH REINFORCED CONCRETE COLLARS. COVERS MODEL#R-1578-A OR EQUAL,OR EQUIVALENT INSTALL RISER W/CAST IRON FRAME&WATER SLOPE @ 2/o MIN. OVER SYSTEM.
3/4 TO 1-1/2 DOUBLE WASHED
CG SHALL BE SECURED TO PREVENT UNAUTHORIZED ACCESS. ALUMINUM H-20 HATCHWAY TIGHT. COVER. ADJUST TO REQUIRED FINISH FOR ALL CHAMBERS w/INLET PIPES
FINISH GRADE FND. EL.= 22.4 ± ( ) STONE TO CROWN OF PIPE
r GRADE.COVERS SHALL BE SECURED TO
/ - 1 PREVENT UNAUTHORIZED ACCESS. 4"SCHEDULE 40 PVC 2"OF 1/8"TO 1/2"DOUBLE WASHED
F.G. OVER EXIST.TANK EL.= 21.0'± F.G. OVER PROP.TANK EL.= 21.3'±' F.G. OVER PROP.TANK EL. 21.9± 5" DIA. OUTLET(S) MIN SLOPE 1% STONE OR GEOTEXTILE FILTER FABRIC
36 TOP OF SAS= 18.00 ,
EXISTING 4° 9„MIN. 4.8 MAX.
SEWER RIPE _-_I 3„ 2" PVC TEE 36"MAX 17.00' SEE NOTE 2F1
P
PROP.4" PROP.2" BREAKOUT EL= 17.50 ON SHEET 1 O 2
6„ 3„ 3"DROP MAX 9„ 3 SCH.40 PVC 18.8(TOP OF D-BOX)SLOPE min. 6 3 SCH.40 PVC3DROP MAX „ - _ L 61 + PROVIDE WATERTIGHTo0010„ JOINTS TYP. o 0 0 0 00„ _ 2"DROP MIN 9 SLOPE Q 1%min. 1(7" (TYP.)
0000aoa o 0 00000
34
CONTRACTOR + 2" PVC IN FROM o
SHALL VERWY SIZE 90"_ 16.7' 34" 16.4' __._O
„ 1 1 PUMP CHAMBER. • 4 PVC OUT TO p oo �
AND CONDITION OF 90 ± 16.5 16.15C> CD
EXISTING TANK LEACHING FACILITY pp 0 0 O 0 0
20"ZABEL FILTER 48" 30,, 2' oo po po p pp
CONTRACTOR SHALL VERIFY MODEL#A100-12X20-VC 17.60 MIN. 17.40 O p p pp pp
CONDITION OF EXISTING TEES GAS BAFFLE
AND REPLACE As NECESSARY 6" CRUSHED STONE GAS BAFFLE 6"CRUSHED STONE o Oo 00o Op
0
OVER MECHANICALLY OVER MECHANICALLY 6 CRUSHED STONE po p p o 0
COMPACTED BASE COMPACTED BASE OVER MECHANICALLY EXISTING PROPOSED PROPOSED COMPACTED BASE SEE
3.0' 8.5' (TYP) - - .I 3.0' 3.0' 3.0'
PLAN 4.83'
2,500 GALLON SEPTIC TANK 2,000 GALLON SEPTIC TANK (H-20) 2,500 GALLON PUMP CHAMBER (H-20) 9 OUTLET DISTRIBUTION BOX TO BE INSTALLED ON A VARIES SEE PLAN (TYP.)
Length=12'-2" Width=6'-8" Height=&-2" Length=12'-2" Width=6'-8" Height=T-2" LEVEL STABLE BASE. FIRST TWO FEET OF OUTLET PIPES = *8.65'
)c)
TO BE LAID LEVEL. 15.00' SEASONAL HIGH GROUNDWATER ELEV. 10.83'
GROUNDWATER ELEV.= 4.951 (GW EL. IN WELL AIW 307) 6.35't
I TI GALLON I CROSS SECTION VIEW 500 GALLON CHAMBERS CHAMBER END VIEW
*CONTRACTOR TO VERIFY EXISTING ' DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE (BASED ON USES wELL MEASURED ON 10-28-15)
ELEVATION PRIOR TO ANY WORK& a
SEPTICPROPOSED TANK I� � (H-20) H2O WITH BAFFLE - ADETAILS
NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE
NOT TO SCALE
PUMP L I UDETAIL
DESIGNT I T TEST PIT DATA TEST PIT DATA
PERC NO. 14830 PERC NO. 14830
NOT TO SCALE NO. OF BEDROOMS 14 TOTAL INSPECTOR: David W. Stanton, R.S. INSPECTOR: David W. Stanton, R.S.
INSTALL 1-1/4"PVC TO HOUSE.JOINTS TO BE DESIGN FLOW 110 GAUDAY/BEDROOM SEPTIC TANK DESIGN EVALUATOR: Edward Pesce, P.E. EVALUATOR: Edward Pesce, P.E.
DOSING & STORAGE REQUIREMENTS MADE WATERTIGHT. WIRE PUMP AND FLOATS
FIRST IN SERIES
TO SIMPLEX CONTROL PANEL No. 1-CC2 NO. OF DENTAL CHAIRS 2 o C.S.E. APPROVAL DATE: April 1995 C.S.E.APPROVAL DATE: April 1995
HOOVER INSTRUMENTS. DESIGN FLOW x 200%= 1,940 GPD x 2 =3,880 GPD �N OF 'ASS
DESIGN FLOW. 1940 GPD NEMA-1 MFG. OO ERDESIGN FLOW 200 GAUDAY/CHAIR DATE: Octobert 31, 2015 DATE: October 31, 2015 qc
NEMA 4 JUNCTION BOX CORROSION RESISTANT& USE EXISTING 2,500 GALLON SEPTIC TANK o� �
DOSING REQUIRED: 5 CYCLE/DAY LIQUID-TIGHT CABLE CONNECTORS SUPPORTED TOTAL DESIGN FLOW 1 940 GAUDAY `See General Note#21 on sheet 1 of 2 for variance request TEST PIT#: 1 TEST PIT#` 2 EDWARD L. N�a
1940 GPD/5 = 388 GAUCYCLE CONNECTORS SUPPORTED BY 1-1/4"PVC CONDUIT, PESCE
(NO GARBAGE GRINDER) ELEV TOP= 21.05' ELEV TOP= 21.05' " CIVIL
2500 GALLON CHAMBER= (L x W x Liquid level) JOINTS TO BE MADE WATERTIGHT SECOND TANK IN SERIES NO. 32001
2500 GALLON CHAMBER= 11.5'x 6.0'x 5.0' x 7.48 GAUCF DESIGN FLOW X 200 % = 3,880 GAUDAY DESIGN FLOW x 100%= 1,940 GPD X 1 = 1,940 GPD ELEV WATER= < 10.05' ELEV WATER= < 10.05'
2500 GALLON CHAMBER=2 580.6 GAL CAPACITY ) USE PROPOSED 2,000 GALLON SEPTIC TANK 'sTt °
' SLIDE RAIL(TYP.) USE EXISTING 2,500 GALLON.SEPTIC TANK,AND PERC RATE_ <2 min./inch PERC RATE_ �avnL �
2,580.E/5 CYCLES= 516.1 GAL/FT
USE PROPOSED 2,000 GALLON SEPTIC TANK
DISTANCE REQUIRED BETWEEN PUMP DEPTH OF PERC= 33' DEPTH OF PERC N/A
ON AND PUMP OFF FLOATS: HOISTING CABLE 7 x 19 STAINLESS STEEL TOTAL = 4,500 GAL
1/8" DIA.11,760 LB, STRENGTH
TEXTURAL CLASS: TEXTURAL CLASS: EDW RD L. P SCE, E. DATE
388 GAUCYCLE = 516.1 GAUFT = 0.75 FT/CYCLE
(USE 0.80'TO PROVIDE FOR BACKFLOW) 2"BALL VALVE w/UNIONS SCH. 80 PVC LEACHING SYSTEM DESIGN
17" GEORGE FISHER CO. MODEL NO.560
STORAGE REQUIRED ABOVE WORKING LEVEL: 1940 GAL. „ INSTALL 12 - 500 GAL. H-20 CHAMBERS W/STONE -
g 0" 21.05' 0" 21.05'
2 SCH. 40 TO D-BOX I Asphalt Asphalt
STORAGE PROVIDED ABOVE WORKING LEVEL: „-=-_-2"DROP M!N------- ---- REQUESTING A REDUCTION OF 25% PER LOCAL UPGRADE 4�� 20.72' 4�� 20.72'
(3.78'x 516.1 GPF)= 1950.9 GAL 13 3 DROP MAX. 2 SCH.40 TEE w/CLEAN-OUT CAP
7-2 BO ALARM ON APPROVAL 310 CMR 15.405(c): Dense Grade Dense Grade
STORAGE PROVIDED ABOVE WORKING LEVEL: 1950.9 GAL. 6U' r~S 1/4"WEEP HOLE IN DISCHARGE PIPE 1,940 GPD * 75% = 1,455 GPD REQUIRED DESIGN CAPACITY 9 Gravel 20.30 8 20.30
5-9 LIQUID LIMP ON BASED ON THE CAPE COD COMMISSION METHOD PROPOSED SEPTIC
LEVEL b _ - o INDEX WELL: MIW 29 B Loamy Sand B Loamy Sand +
c
00 PUMP N N - 2" BALL CHECK VALVE SCH. 80 PVC 100 WATER-LEVEL RANGE ZONE: B 10Y 5/4 Fill SYSTEM UPGRADE
PUMP NOTES. _ P.S.I. FLOWMATIC MODEL No. 208S SIDEWALL CAPACITY 10Y 5/6
WATER DEPTH READING:.. 9.41
WATER DEPTH READING DATE: 10-30-15 [SUM of ALL SIDE LENGTHS] (2'HIGH) (0.74 GPD/S.F.) = GAUDAY 20" 19.38' 48" 16.97' AT
1. VISUAL AND AUDIBLE ALARM TO BE MOUNTED CHAM®ERwALI [(3)(10.83')+61.33'+33.73'+8.62'+43.0'+21.55'+22.9'+48.5') (2') (0.74 GPD/S.F.)=402.74 GPD WIANNO KNOLL CONDOMINIUMS
SU WATER-LEVEL ADJUSTMENT: 3J0 Perc @ 33 18.3'
(2)WIDE ANGLE CONTROL FLOATS Zv 1/4"WEEP HOLE IN DISCHARGE PIPE - _ BUILDINGS E AND F
ON EXTERIOR OF BUILDING AS SHOWN ON PLAN. v BOTTOM CAPACITY C 1 Medium Sand C 1 Medium Sand
(BARNES 073618) 0 2"SCH.40 PVC DISCHARGE PIPE 2.5Y 7/3 2.5Y 7/3
1: PUMP ON/OFF 120 ACTIVATION [(LENGTH x WIDTH)+(L x W)+(L x W)](0.74 GPD/S.F.) = GAUDAY 45" 17.3' 727 MAIN STREET
2. ALARM AND PUMP TO BE WIRED ON SEPARATE 2: ALARM ACTIVATION USING OBSERVED DEPTH TO GW AT WELL AIW 307
(2) BARNES SE411AU PUMPS, 66 GPM @ _ THE EL. OF GW=4.95' [(43.0'x 10.83')+(33.73'x 12.83')+(48.5'x 10.83')j(0.74 GPD/S.F.) = 1053.53 GPD 80" 14.38' 63" 15.80' OSTERVILLE
- 26.25 ON 10-28-15,
CIRCUITS. 15.5'TDH, .4 H.P., 115 V, 1750 RPM,115.44"IMP. (EL. OF LAND SURFACE AT WELL=31.2') Medium Sand
2500 GALLON PUMP CHAMBER (H-20) DIA., 2 DISCHARGE PASSING 1-1/2 SOLIDS TOTALS: C-2 +Gravel MASSACHUSETTS 02655
_ OR EQUAL-PUMPS SHALL ALTERNATE 2.5Y 7/6
TOTAL LEACHING AREA PROVIDED: 1,967.93 SQ.FT. 90" 13.55' (BARNSTABLE COUNTY)
ADJUSTED G.W. DEPTH: 4.95' + 3.70' = 8.65' TOTAL LEACHING CAPACITY PROVIDED: 1.456.27 GAL./DAY Medium-Fine Sand
TOTAL LEACHING CAPACITY REQUIRED: 1,455.0 GAL./DAY 2.5Y 6/2
C-3 Medium--.pine Sand
2.5Y 7/2
DETAIL SHEET
\` 144" 9.05, 144" 9.05'
M No Mottling, Weeping or Standing Observed No Mottling, Weeping or Standing Observed
N REVISIONS:
ST
No. DATE DESC.
6 17 JUL 17 Leaching System Revisions
5 9 JUN 17 36" Dia. Pump Ch. Manhole
4 10 NOV 16 BOH Comment revisions
e er, 3 18 OCT 16 Leaching System Revisions
c
18x9' -
PREPARED FOR.
PROPOSED RAIN GARDEN PLANTINGS:
RO OSED
Wlanno Knoll Condominiums
-SWITCH GRASS Board of Trustees
PROPOSED EDGE OF PAVEMENT c fie, 22�yC s�. PALE PURPLE CONEFLOWER
rc ♦ PROPOSED RAIN 1p � D� fi2.250
W/CAPE COD BERM e/%
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A RATE INLETS (TYP OF 2) A � + Q A
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P. HANIaBEL w- W .v W +D DV W W W •4 W W -
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11:508-333-7630 FAX,
0.625 r
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19.375 1.500 (-1 I I-1 11-1 I-) I I ( I-
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FLANGE EL.=18.9_ 19x2 „ 7.000 LAND SURVEYING BY:
(TYP, OF z) -
co 1.250 } ®®�� JC ENGINEERING, INC.
2854 CRANBERRY HIGHWAY
8 E
EDGE OF PAVED 6.o00 EAST WAREHAM MA 02538
0.625 �--- 20.2501 EXISTING LEACHING CATCH BASIN (TYP OF 2)
PARKING AREA / / '`� , 508-273-0377
SECTION A - A 149 SQ.INCH
- 28.250 PASS AREA
DATE: AUGUST 1, 2016
BEEHIVE INLET GRATE DETAIL RAIN GARDEN CROSS-SECTION FIELD:
(NEENAH FOUNDRY CAST IRON FRAME & COVER) NOT To SCALE CALC./DESIGN: CJM
RAIN GARDEN DETAIL (CATALOG NUMBER R-2561-A OR APPROVED EQUAL) DRAWN: CJM
SCALE: 1"=5' NOT TO SCALE CHECK: ELP ,
JOB NO: 3520
SHEET 2 OF 2