Loading...
HomeMy WebLinkAbout0027 STARLIGHT DRIVE - Health 27 STARLIGHT Df, A= 100 040 IT, t `r 4 TOWN OF BARNSTABLE LOCATION i Y_'' f, SEWAGE.#2VOUJ s 1"1"1 VILLAGE GYS ASSESSOR'S MAP&PARCEL IDS -6.a INSTALLER'S NAME&PHONE NO. �7 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 2 S ( gt (size) 111.2 S F c NO.OF BEDROOMS—,? Q OWNER PERMIT DATE: I COMPLIANCE DATE: o Separation Distance Between the: Maximum Adjusted Groundwater Table to'the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) �� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leach• facili `� Feet FURNISHED BY ' ar o Pea- Z R I-20` I -4V 92-4-11 A3- 33 Af-3�6`` � - 74' As® 43' as- -7,?' T T 4 BARN ABLfi ! SEWAGE# h DiSTIA4 FTAi PIiL1id I3t? SBF'I'1 T1.NK LEACEiIl�TG PACE '£Y t � CSEM. :I 70�EI3iNiSy BtJflMR PAdFEFiATB' i3A iibpeI""' .hs�ncs B�re�t Via: bdsxuum►Acstedwiarat 'F�Iea the I Ot1OQl of I.eachibg Ibty ...:.t,. �eq. r Iat �ft�rSup�iTe�l'anng �t .Ar tY area oass�or�� sr�Tet�'�g��a1�) e oi'ii�Tetttd and Leaching tl� f Any-Val exist within 3Q0''fec of teaclumg�at3 l r � ,r Pest: Tom. � r � ® a �3 Town of Barnstable ?ME Tp " Inspectional Services Department B' MAS& � ` Public Health Division 1639.c rub" 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0718 April 3, 2020 TORTORELLO,NICHOLAS PO BOX 944 BREWSTER, MA 02631 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 27 Starlight Drive, Marstons Mills,MA was inspected on 03/19/2020 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). ,,You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\27 Starlight Drive Marstons Mills.doc THE 1p� " Town of Barnstable MASS IIAiLVSTABLE, � ,p 6 9 Inspectional Services Department ffD MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) teaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc s Commonwealth of Massachusetts ,w Title 5 Official Inspection Form ! C�t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello �? Owner Owner's Name information is Marstons Mills MA. 02648 C-$ 3-19-20 required for every t--; page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l 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 theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1.* ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 3-19-20 Idpector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts _ - r� µYE Title 5 Official Inspection Form ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-1.9-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ 1 have not found any information which indicates that any of the faillure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) Y Conditional)System Passes: Y ❑ 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts � o Title 5 Official Inspection Form hI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello r Owner Owner's Name information is Marstons Mills MA 02648 3-19-20 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. ' t ❑ 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 El ❑ 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: i . t5insp.doc-rev.7/26/2018 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 •;_ >`' 1._J 27 Starlight Dr i Property Address Nick Tortorello Owner Owner's Name information is Marstons Mills MA 02648 3-19-20 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: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *" This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to•All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes, No ® ❑' Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form •Not for Voluntary Assessments ., 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No 0 ® 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 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in.Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive,area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts y Title 5 Official Inspection Form C�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of.the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ Z. Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components; excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Z ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria.related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts r� 3 Title 5 Official Inspection Form fA Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): N/A Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 3-2020 Date r t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts 3 Title 5 Official Inspection Form i�l wa cl Subsurface Sewage Disposal System•Form -Not for Voluntary Assessments 27 Starlight Dr -`r Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner----pumped 2 yrs ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? q Y Reason for Maintenance pumping: t5insp,doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1970's Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction:{ ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 C Commonwealth of Massachusetts ra Title 5 Official Inspection Form ICI Subsurface Sewage Disposal System Form Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle 26" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle Over Distance from bottom of scum to bottom of outlet tee or baffle N/A How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was filled to capacity at inspection. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 � k•,� Commonwealth of Massachusetts ,. Title 5 Official. Inspection Form ! 1.1 Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank (tank must be pumped at time of i nspecti on)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts r r� 11, Title 5 Official Inspection Form %Y Subsurface Sewage Disposal System Form -Not for,Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened)(locate,on site plan): Depth of liquid level above outlet invert N/A 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts ;4 Title 5 Official Inspection Form i,I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr _ Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-1000 gal ❑ 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 Ir' Title 5 Official Inspection Form i� w., i i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r U Z. 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was filled beyond capacity and into riser at inspection. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts ra Title 5 Official Inspection Form i� w:, Lipl Subsurface Sewage Disposal System Form•-Not for,Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection.-Form '.l Subsurface Sewage Disposal System Form -Not for VoluntaryrAssessments ij X :. . ? 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is _ required for every Marstons Mills r MA 02648 3-19-20 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 whererpublic water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately FoV 10 Z, -ij � z t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 ram,, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts. a Title 5 Official Inspection Form i-Il Subsurface Sewage Disposal System Form -Not for Voluntary Assessments, 27 Starlight Dr Property Address Nick Tortorello Owner Owner's Name information is required for every Marstons Mills MA 02648 3-19-20 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist - Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System.information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 i TOWN OF BARNSTABLE LOCATION r SEWAGE#=—141 VILLAGE JA,G ASSESSOR'S MAP&PARCEL 11c�4D INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: e * u c 1 (size) 411.1 SF NO.OF BEDROOMS J OWNER PERMIT DATE: I COMPLIANCE DATE: S- o At Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within j 300 feet of leachiM facililA Feet FURNISHED BY # .27 tar 1 ' PuK- �rr) r 2 01 AI-2o' $ I-4b- E AZ-,Z A3-33 A¢-3qb`i A5- 5 : T V. M. OF jB3 ABLE LQCATiOht �; ` SWAM*' � ASSESSOR'3'DdAP.I&LOT dNSTA .�it'S NAME?L PHONE NO:..' C SBP'i°!C TTK`Ci4FAC't`X I A EIING PACtI 1'i'3C't � .'�- 40 I>�I�dITbA3�' �C�,1N�'GiANGE•DA�� 'oii:Dstmcs ilvreeu E1te: p6aximym,A�usKedC�opn�wat��le�othe'Bottomofieac�ifngF�cii;ty. �:°t't P W. Supere11 e�ang F +>uj► �r i . � on sier a w�ritfiiii�OO��et�.lea�v� �►) ram:i saw_y­ii11d a�dLeagt7it wetYaiids exist i ". uithja; QO':becs:n >10 0'.pt:fact)`: 1. Fzet i s, t Q .� t No. Fee ®O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OP BARNSTABLE, MASSACHUSETTS ftpliLation for Mispo8al 6pet>em Construction VErmit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System NAndividual Components Location Address or Lot No. 1� � /i V� k b( Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. a Designer's Name,Address,and Tel.No./l t b sJU 6 Type of Building: �f Dwelling No.of Bedrooms r J Lot SizeO Oft sq.ft. Garbage Grinder( ) Other Type of Building S Y b � No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re ired). ?0 gpd Design flow provided .5 b gpd Plan Date TNumber of sheets Revision Date Title Ljjflj#ht Size of Septic Tank ype of S.A.S. Description of Soil S Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 oft e E v' onme Co and not to place the system in operation until a Certificate of Compliance has been issued by this Board o Hea Si ed Date Application Approved by Date °c Application Disapproved by Date for the following reasons Permit No. Date Issued �a i 5� VI fZ� 1 n, No. _ -�' , Fee o v THE COMMONWEALTH OF,MASSACHUSETTS Entered in computer: Ye9�' PUBLIC HEALTH DIVISION - TO 1N"O'F BARNSTABLE, MASSACHUSETTS application for Mlspolsal 6psteut Construction Permit , Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components a Location Address or Lot No. /} �( / r� }i i Owner's Name,Address,and Tel.No. Assessor's Map/Parcel CIA- Installer's Name,Address,and Tel.No. Designeyj PQ r' Name;A�`ddress,and Tel.No. �1 /t, lI r` 1 r lj { A C 1 U�� 712 s c �. �- 0 Type of Building: Dwelling No.of Bedrooms Lot Size rj1 sq.ft. Garbage Grinder( ) Other Type of Building ��t" A f No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re uired) gpd Design flow provided ,� �. gpd Plan Date 7A) Number of sheets ° Revision Date d' Title SfAA N61 `fl 41 Ok 01 N 014ht i1) Size of Septi Tank '( f/A L!X i('- ype of S.A.S. P �,, !t � Cie,— G h.4 Description of Soil j Nature of Repairs or Alterations(Answer when applicable) : Date last inspected Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ( 1 jCompliance has been issued by this Board of He tI SigRe i Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued --- -------------------------------------------------- ---------- -------------------------------------------------- ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance nFs� THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded ) Abandoned( )by at ( i V �- has been constructed in accordance with the provisions of I*le 5 and the for Disposal System Construction Permit No . .). ated Installer t 1 ViIn T V l ftVI }1!� Designer r ' k) I I #bedrooms / r Approved design flow 2 ,, 'gpd ,r-The issuance of this permit shal not be construed as a guarantee that the system will func ' as designed Date Inspector - ------------------------------------------='--_ --—------5-------- -'----------- No.' .�(�— O J / Fee ,Al)tr'� ( THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade O Abandon( ) System located at It + �,V . and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be comp leted within three years of the date of this permit. i/ Date �` Approved b, L Town of Barnstable TNf.To�Y ti Regulatory Servees s Richard V.Scali,Interim Director DA BM 9$A MASS. Public Health Division ijFA> �A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 503-790-630 Installer&Designer Certification Farm. Date SeNvage Permit# Assessor's VlaplParcel Designer: Installer:* + ' b �c ; ,per n� t�Jtnrl 3 �►t 3 w�vi S XCC, �/A�` 9 Address; _P_l c!" T' Address:, =3`% MA 61Z6111 r / v V, S '�i�Cc�J��� was issued a permit to,install a On 0 (date) (in taller) t . septic s stem.at. 2"1 S+o, i h 4--- P(- .� p Y � f based on a design drawn by (address) Cn j'n e en' 7 Ik( dated 'Z?('2. i (designer) . L/1: certify.that the septic system referenced above was installed substantially.according to the design;..�vhich inay include minor..approved changes such as lateral relocation of.the distribution box and/or..septic tank. Strip "out (if rewired) was inspected.and the soils were found satisfactory: f certify that the septic System referenced above was installed with majpr el7anges greater than; 10' lateral"relocation of the SAS or any"vertical relocation of any co' lonent of the septic system) but in accordance:with State &Local Regulations. Plan revision pr certified m-built by designer to follow: Strip out(if reiluire.d WaS inspected'aud the soils were foimd.satis.factory: I certify'that the system-referenced above was constructed in vwith.the terms of the I\A a provai letters{if"applicable) T R <, Me� � nsta ier's St�ntlturc . Ci�1tL Q ty©;351U9 4 �9a 551, (Designer's S'ignatue} . (Affix Des, ere) PLEASE RE,TURIN TO IARNSTABLE PUBLIC HEALTH DIVISION: CERTIFICATE OS COMPLIANCE A'ILL NOT BE ISSUED UNITIL 'BOTH :'PHIS ,FORM` AND AS- BUILT CARD,_ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. TIEIANI YOli; Q"IseiniclPesidner Certification Fenn Rev-3-14-13.doc . Engineers notei This certification is limited to an as-built inspection:oi system components asinstalled;prior to backfill:The engineer did not'supervis@construction of the system.The instaileir assumes.responsibdity for all matedils,workmanship,.backfilling - to specified grades with proper.cornpactiori:and ettrng r}sers/covers as shown on the design plan_ " .f r vt 04 Atlantic Enviromental CT10 m S �► Attn: The Commonwealth of Massachusetts 10/04/95 Town of Barnstable Board of Health 367 Main Street Hyannis, Ma.02601 From: Mr Michael DeDecko Atlantic Enviromental ` P.O.Box 2384 f Mashpee,Ma 02649 Dear: Board of Health Official, I certify that I have personally inspected the sewage disposal system at 27 Starlight Dr. Lot#54 Marstons Mills,Ma and the information reported is true, accurate and completed as of the time of inspection.) have not found any information which indicates that the system fails to adequately protect public health or the enviroment. If you have any questions regarding this inspection. feel free to contact me at (508) 477-1420 Thank You S' cerely, Michael DeDecko a i P y a 0 QCommonwealth of Massachusetts N Executive Office of Environmental Affairs Department of ► Environmental Protection William F.Weld Governor Trudy Coxe Secretary,EOEA David B. Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION L Property Address: ;I SIPAL%.%9e%T l6rjk'VA °r"N` lill44'Address of Owner: '��,Gt� iLt• -+��Q•S Date of Inspection:10(0yl4 (If different) ZD 61#Vtl��T Dt. Name of Inspector: tie mild D.-D-C� to k9 bl-►s "tits. 04 Company Name, Address and Telephone Number: ffijosTtL *&,*g0AtFSr,r-L(416 gag 22&j-1 ,W I V)qa--f N Ar. CDZ(e4 et -y-t I.-56t cAT1-%420 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: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: 1� Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority 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 sc•ni ;., vl1 - L)Wlel enci Wl,irn x ; Iv I!_ L.i , ifapNl;caL:t and the approving authority. INSPECTION SUMMARY: Check A, B, C, or 1). A] SYSTEM PASSES: _ 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. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. 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, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank 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. (revised 8/15/95) ' I One Winter Street • Boston, Massachusetts 02108 • FAX(617)556-1049 • Telephone(611)292-5500 A t�1 Prinled on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 011 Owner: &eO'.}Acjr,. Wo""1-1 Date of Inspection: ia1��S B] SYSTEM CONDITIONALLY PASSES (continued) _ 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 pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled 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 C]--FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ` Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT 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 "'ILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE EN\'IR0N..N.ENT: >tlj 1dni. anti !,Oil ausuiNuuii S)'�iein ai u lb ,:il i C0 (:i;1v Sui3N�, 0, i'ir �;:�r' lC surface \%aler supph. _ The svgpni ha, a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The $\.qen, ha,� a septic tank and soil absorption system and is. within 50 feet of a private water supply well. _ The s)item I,a, a sepoc tank and soil absorption system and 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 is equal to or less than 5 ppm. D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. 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. 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 overloaded or clogged SAS or cesspool. (revised 8/15/95) 2 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: 'piM ID Date of Inspectiaki q. . DJ SYSTEM FAILS (continued): 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 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 rater 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: The follo,.ving criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd o.i 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: the system is within 400 feet of a surface drinking water suppr` the system is wi(hin 200 feet of a tributary to a surface drinking water supply — r _ the systen) is located in,a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public %\ater supply well The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 I i iI SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: jt7 3VRIL.Y1 ID Owner: gso. L"L 1— 10rrcuty Date of Inspection: Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. 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, .As built plans have been obtained and examined. Note if they are not available with N/A. " _1!,The facility or dwelling was inspected for signs of sewage back up. 1_The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. _)LAII system components, excluding the Soil Absorption System, have been located on the site. 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 existing information or apprommaled by non-mtrus'\e methc)& ;-, , nv.n 1 wrrr prdvltied-with information on the proper maintenance of Sub- Surface Disposal System. 4 (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspection: 1CA t 0c.51 FLOW CONDITIONS RESIDENTIAL: . Design flow: 330 gallons Number of bedrooms:3 Number of current residents: Garbage grinder (yes or no): !0 Laundry connected to system (yes or no):_�Jt Seasonal use (yes or no): 00 bQ fv?.63 Water meter readings, if available: �N�r Last date of occupancy: JOVDA10 1 6 COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_- industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title S system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECQRDS and sourQ ce of information: �� rtl I�DtIJL, •re r� 1 y�t�r System pumped as hart of inspection: (yes or no) If ves, volume pum pe'! —___�galions Reason for pumping. _ TYPE OF SYSTEM Septic lank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) �. �► Other (explain) Ttt PPROXIMATE AGE of all component , dat installed (if known) and source of information: 6} iNSTA llf�'161�1 _Iq� Tic Pt(J�'t I�std c Ebb . Sewage odors detected when arriving at the site: (yes or no) 5 (revised 8/15/95) i • it SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address: Owner: Date of Inspection: SEPTIC TANK:_& (locate on site plan) Depth below grade: 3 Material of construction: )-.concrete _,metal _FRP —other(explain) Dimensions: t< \6 x 5 Sludge depth: b..ws . Distance from top of sludge to bottom of outlet tee or baffle: A'". Scum thickness:_ Distance from top of scum to top of outlet tee or baffle: \ %U Distance from bottom of scum to bottom of outlet tee or baffle:_1gw. Comments: (recommendation for pumping, condition of inlet and outlet tees or b ffles, depth of liquid level in relation-to outlet invert, structural integri �, eviden of leakage, etc.) _d tiWt� T c. .g t eN GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: SLurn liu(l,luus. Distance from top of scum to top of outlet tee or baffle: rlicta.vn lro^j hottc^i n. .r�.... I:. Im11nn-• r.. iiU��a! If'(. o' oallw, Comments: ' (recommendation for pumpc. (ondition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struct m ural integrity, evidence of leakacc•. el(., 6 (revised 8Ji5/95) \ I t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C -�,�,•'� SYSTEM INFORMATION (continued) Property dress: v? SST De 4 Owner: e1 L�bM+ati .-- Date of Inspection: 10 TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Capacity: gal Ions Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan, Depth of liquid level above outlet invert: Comments: mule ii itf\ei iliti U >U uu i .•.i 'ii 6f Cam• �(, C.I ICnCC 0{ ICaI:agC into or out of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) .7 • I r r � SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION (continued) Propert Address- 9.-( STWASANT O'L• Owner:` L oorv%a- Date of Inspection: IO�v'{�tiS SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: I leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failur level f ponding, condition of vegetation,etc. .J of t r o S • t A► 4c41C,T CESSPOOLS: _ (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: Inc�ct�;iur� of Fround,,au 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: _ (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.) 8 (revised B/15/95) I j ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: .2 Sn►rt�1Skl' Ia. Owner: & �� Dale of Inspection: jdlay Gf SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' o At 1 'b ill � a - S5 I, r DEPTH TO GROUNDWATER Depth to groundwater: 3a-46 feet eth d of qetermination or approximation: \6 ItitlecTaditTInikia. 6f _ t _ A. i "1. (revised B/15/95) 9 ' I -- 98 -- EXISTING CONTOUR - - x 100.98 EXISTING SPOT GRADE W PROPOSED WATER SVC. Old Falmouth-Rd G EXISTING GAS SERVICE O�dFa/moo ---JdGW- UNDERGROUND WIRES e �thRa `✓ 27 St 1119 t Drive TEST PIT BENCHMARK V LEGEND �x -Yin . G EXISTING S.A.S. ok pp PUMPED, FILLED W/SAND47 P 295 AND ABANDONED 1 �G LOCUS MAP NOT TO SCALE BENCHMARK CONC. STEP COR EL.=102.56 S 36'32AW fence 130.00' fence x 10.96 x 101.16 ` 10 g 0, - 100.94 � r7 i0 0 �TP-1 a , CD CD 0 x 101.09 101.17 �12.8' Cl\\ 0 TP-2 1 . : 1. 17 t. _ 00_ o 00 i x 101.10 O 1 x 101.13 0 �� -�` .:' .(n c� 101.57 i Dix � i t 1 O SHED101.9 Q, q 102,25 102.54 T 102. \6111 EXISTING SEPTIC TANK w i t 102.33 (j 1 N (TO REMAIN) r 101.77 x I DECK 2.64 1 2.35 2.3't TOP OF TANK, EL.=99.34f r AT10 IN V.(OUT)=98.D.Ot p 1 fence PATIO Tins 101 X fence N O Lr) 0 0) N � I GARAGE EXISTING .00 N HOUSE(127) - T.0.F.=102.8f C+ v .101.36 I 10L8690 `o ' I 1 102.73 �G I + �� j 100.83 \01.16 J ::.°: LOT 54 � 20,800 SF 01:5 1 _-- 101.10 1 .05 G 0 -------------------- �� t 101,26 0 JCS 100.53 0 - T0 R 9---------------- .> . \AliP 00 'pF1 CB 130.00' STA4EIN ❑NCRETE -N-36'32�k -E TELPED L-------99�- � --- 98.74 99.12 99.27 edge of pavement 99.70 99.83 99.94 STARLIGHT DRIVE ,�� OF MgsS PARCEL ID: 100-040 o PETER T. IM EN TEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN v CIVIL 0. 35109 27 STARLIGHT DRIVE, MARSTONS MILLS, MA ' GI Prepared for: Nicholas Tortorello, P.O. Box 944, Brewster, MA 02630 a OWNER OF RECOR Engineering b SCALE DRAWN JOB. NO. D 9 9 Y� TORTORELLO, NICHOLAS D Engineering Works, Inc. 1"=20' P.T.M. 161-20 P.O. BOX 944 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. BREWSTER, MA 02631 (508) 477-5313 4/28/20 P.T.M. 1 of 2 . .I NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.98.0 FOR A DISTANCE OF 15' AROUND THE EXISTING SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. PROVIDE RISERS WITH COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET MANHOLES SET TO 6" OG FINISH GRADE. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER .AND T.O.F=102.8t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=101.9t F.G. EL.=102.Of F.G. EL.=101.5f F.G. EL.=101.5t MAINTAIN 2% SLOPE OVER S.A.S. L = 22' L = 13' ® S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6,. DOUBLE WASHED STONE io"I 6 aaaSaaB (OR APPROVED FILTER FABRIC) t4" 2' EFF. aaaaaaa EXISTING 48" LIQUID DEPTH aaaaMae ---3/4" TO 1-1/2" DOUBLE LEVEL ADD GAS 4' 48' 4' WASHED STONE BAFFLE INV.=97.77 _PROPOSED INV.=97.60 . INV.=98.00t D BOX EFFECTIVE WIDTH = 12.8' (VERIFY) 3 OUTLETS INV.=97.50 EXISTING SEPTIC TANK H-20 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED 3" LAYER OF 1/8" TO 1/2"_ - DOUBLE WASHED STONE TOP CONC. ELEV.= 98.6t (OR APPROVED FILTER FABRIC) NOTES: BREAKOUT ELEV.= 98.00 - INV. ELEV.= 97.50 ease 1 CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & eases aaaaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aaaaaaaaaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.= 95.50 4' 2 x 8.5' = 17.0 4' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH 7. 25.0' STONE BASE, AS SPECIFIED 310 CMR 15.221(2). PERVIOUS MATERIAL 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE BOTTOM OF TEST PIT, EL.=89.7 - 3/4" TO 1-1/2" DOUBLE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. WASHED STONE SEPTIC SYSTEM PROFILE GENERAL NOTES: EXISriNc /HOUSE(#27) GARAGE 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. BACK OF 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS HOUSE OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. NP5 N 1�1'6q 8 4. ANY_CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING P�'I 'FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 6 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF tr^j HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. N PROP. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. t SEPTIC V"`LAYOUT 1�/OUT 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING /� CONSTRUCTION. SOIL LOG 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND DATE: APRIL 10, 2020 (REF#TPT-20-62)REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SOIL EVALUATOR: PETER 0 (REFE PE(S0-62) ) 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE WITNESS: DAVID STANTON R.S. HEALTH AGENT INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 101.2 A 0" 101.2 A 0" 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SANDY LOAM SANDY LOAM SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 100.9 10YR 4/2 4- 100.9 10YR 4/2 SILT LOAM SILT LOAM DESIGN CRITERIA 10YR 5/8 10YR 5/8 98.7 30" 98.0 38" C C NUMBER OF BEDROOMS: 3 BEDROOMS L PERC 30"/48" SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN M-C SAND M-C SAND DAILY FLOW: 330 GPD 2.5Y 6/6 2.5Y 6/6 DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 89.7 138" 89.7 138" .74 GPD/SF PERC RATE <2 MIN/IN. "C" HORIZON EXISTING SEPTIC TANK: 1000 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED PROPOSED D-BOX: 1 INLET, 1 OUTLET (MINIMUM), H-20 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 27 STARLIGHT DRIVE, MARSTONS MILLS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Nicholas Tortorello, P.O. Box 944, Brewster, MA 02630 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. 1"=20' P.T.M. 161-20 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 4/28/20 P.T.M. 2 Of 2 -