Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0640 WAKEBY ROAD - Health
64D WAKEBY RCIOL -- - A= Oa �;T�►s m �- 1 r 1 �I 7 TOWN OF BARNSTABLE ✓ fi. but LC�CA'I i0N SEWAGE # VILLAGE ASSESSOR'S MA9k OT®3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE:(2L+-- 2,a,,9,-) Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching_facility) Feet Furnished by AAli Arc �y4 a 6 A a4 . c JAell TOWN OF BARNSTABLE LOCATION oeo", LUA SEWAGE# 2c,10 -/Zo VILLAGE Mi9w 6wS 14,L(( ASSESSOR'S MAP&PARCEL 62,q INSTALLER',S NAME&PHONE A La v,q 27Y-Y�Y- �Z 7 9 SEPTIC TANK CAPACITY /oy® 64-11on S LEACHING FACILITY.(type) _B/o i we,-r j e" (size) J/'3"X 2 i NO.OF BEDROOMS 2_ OWNER PArk /IC�Au/Fi1.hc✓%CZ PERMIT DATE: V12 9�1/p COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY e He AQ- A Y �L 7'- J" �. 13 3 6-5 Tre- N OF BARN ABLE LOCA'IRON ,� O 'I SEWAGE # VILLAGE 1�'lG t S ��4 S ASSESSOR'S MAP&LOT INSTAL!-ER'S NAME&PRONE NO_ SEPTIC TANK-CAPACrry LEACENG-FACII.Tr1r: (type) ,- (Size) l NO.OFBEDROOMS BUILOER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted,Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet o hedity) t~eet Furnished by � �'°� - I mail � \fit �v y .. . •.� , Ia� �So t0 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. L' M lfY :• *.: . DATE: Fill in please: 'F o� �' F APPLICANT'S YOUR NAME/S: �i� t �' y BUSINESS YOUR HOME ADDRESS: ., trr TELEPHONE # Home Telephone Number NAME GlF CORPOfIATION 15 N.A CIF NEVI/BUSIItIESS , TYPE OF'�LIShi E55 �� ISh) •A HOME OCC a ION, V�Vl X YES AIJI,R-.9 OF C�U5�1�I 5Si i ''i `r'�t�.:: IulAl? PARCEL NUMBER [Assessing)`, When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this.town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: ti 2. BOARD OF HEALTH This individual hey bee it o_rtrXfl,af the permit requirements that pertain to this type of business: Authorized Signature** COMMENTS: ` 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensingrequirements that � ■t pertain to this type of business. Authorized Signature* COMMENTS: 1 M, NOTES f No. V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9ppYication for Moral 6pstem (Construction Jermit Apphcatton for a Permit to Construct( ) Repair( 175, pgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. wner's Name Address,and Tel.No. Assessor's Map/Parcel o ' ZSeS it ch&di��ag lvd 8uj-J) g r,) Installer's Name,Address,and Tel.No.6/7 .��¢ Kcf Designer's Name,Address,and Tel.No. 1'!5�►zwa. � e*-4 s Type of Building: Dwelling No.of Bedrooms Z �1"`l i 3 f� Lot Size �/D 6.;" sq.ft. Garbage Grinder(n" Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.7;ired) 3.30 gpd Design flow provided 3�c.) gpd Plan Date 3�d Number of sheets .3 Revision Date Title Size of Septic Tank /-1-V Zug/ Type of S.A.S. e Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Ttt . S' Date Y Ad Application Approved by Date •?9 Application Disapproved by Date for the following reasons Permit No. 2y(6 - jjo Date Issued a-�j i Y, No. �//0 Fee /THE COMMOA'WEAL-TH OF MASSACHUSETTS Entered in computer: .i. 1 A. 'Sx.t Yes PUBLIC HEALTH,DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS apo`Ytcattou fo Mis`�osal_�pstrm Construction Permit Application for a Permit to Con st c Repair:•( ):;t upgraade( r), Abandon( ) ❑Complete System �4idual Components Location Address or Lot No. �`�\,(�l �t` �'b�' � �y Qwrier's Name Address,and Tel.No. � Zc 7 w•�6s'� l-o Rn 5 Assessor's Map/Parcel 4voAl a, Cti A I 8s�ir24 d Installer's Name,Address,and Tel.No.07 Designer's Name,Address,and Tel.No. l JYwoo!C.� cK R \. s 77Y-`/S`/ 92%9 P,e�e_r M('Z,}� PE 5'o8 737 y/768 Type of Building: DwellingNo.of Bedrooms z ` / `�' h a ,f Lot Size �U c� sq.ft. Garbage Grinder(Naj � I! Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33G gpd Design flow provided 3.34Z gpd Plan Date ���3,1d Number of sheets J' Revision Date j Title Size of Septic Tank 7eelo 61i911 Type of S.A.S. e i cd! f 4 3&�$ Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ! J f < 4 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ; Compliance has been issued by this Board of '' Sm Date y'�5 A/ r I Application Approved by hn Date 1 p ' Application Disapproved by Date for the following reasons Permit No. 2 U J 6 O o Date Issued I ( /D THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certfirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓� Upgraded( ) Abandoned( )by T"m L o ve at b q o W a kt 6 p4 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,?o dated y-7g'70 Installer Designer #bedrooms Approved design flow 3 3 o god The issuance of this permit shall not be construed as a guarantee that the system rll""fun pion �Qsfgned�. .,Date / Inspector - ---------------------------------- -------- ---------------- _ No. o� (}� 0 — (,�p - _ _n. .__..-Fee 1 Ud,— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 1 �U W A Le 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 to local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit.• ,�� Date L(� Approved by Lljv '� f NJ ^v°r rp�U 54I s" r-4I/!� U✓I IiinS, f�(✓NSF(if hOPr�PP/ i bP re � 0 v� �� �2 +SJVP( t`�I h y l�?/>a �n'�uSo Q/('(iufj u�f ij i, iy V ( .P(uW �' ^(w'P(l- t TRANS..NO.: CITY/TOWN ►�v 0.-A s �•b APPLICANT: ADDRESS: . o c�9 c��tit y d2� DESIGN_FLOW: 3 3v gpd" Q- REVIEWED BY: DATE. 2 �� N/A -NO 6.. Legal boundaries denoted 310 CMR 15.220(4)(a)] ✓ Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220 4 `u Locus Provided 310 CMR 15.2204(t)] Plan proper scale? (1"=40'for plot plans, 1"= 20' or fewer for components) 310 CMR 15.220(4)] Easements shown 1310 CMR 15.220 4 System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways, parking areas etc.) 310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR ✓, 15.220(4)(c)] Location and dirpensions of system components and reserve areas. ✓, 310 CMR 15.220(4)(e)] System Calculations 310 CMR 15.220(4)(0] ✓ day flow septic tank capacity(required andprovided) soil absorption system (required andprovided) whether system designed for garbage der ✓ North arrow 310 CMR 15.220 417 Existing and ro osed contours 310 CMR 15.220 4 Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i Location and dale of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match load' rate? 310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220 4 Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR l� /�/or�ak.L wvrt 15.220(4)(n)] Address Sheet 1.of 9 N/A OK NO_ Location of every water supply, public and private, [310 CMR 15.220(4)(k)] within 400`feet of the proposed system location in the case of surface water supplies and gravel pa.cked ppblipwater.supply within 250 feet of the proposed system location in the. case within 150 feet of the proposed system location mi the case I/ of private water +ells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any,catch basins / a/ located within SQ ft. 310 CMR 15.220 4 1 Waterlines and other subsurface utilities located (3 0 CMR ✓' 15.220 4 m ffwgler line cross see 310 (Wk 15.211 1 1 Profile of system showing invert elevations of all.system com onents:and-the bottom of the SAS 31.0:CMR15 Siam of designer ,310 CMR 15.220 1 and 310 CMR 15.220 2< Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line:.- 310.:CMR 15,220, 3 , Test Holes adegbate (two in each of the primary and reserve unles&trenches as permitted in 310 CMR 15-j02(2)or,as a roved for an upgrade under LUA at 310£MM`T5:405° 1 k Test,hole adequate to demonstrate four feet of suitable material? 310 CMR 15.1 3 .4 Test Holes.adequate to confirm adequate groundwater separation? 310 CMR 15.103(3)1 Benchmark•within 50-75' of s stem. 310 CMR.15.220 4 . Materials specifications noted? [various sections of 310 CMR LX System components not> 36" deep(unless deal Up A roval or LUA requested) 310 CXM 15... I Address Sheet 2 of 9 N/A OK NO t ' Size OK? 310 CMR 15:223 1 Inlet tee located'ten inches below flow line 310 CMR 15.227(6)] ✓ Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227 6 Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] Note regarding installation on stable compacted-base [310 CMR / 15.228 1 Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227 2 Inlet/Outlet elevations at least 12" above high groundwater (except as descriped 31-0 CNIR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405 1 k Minimum cover ".(Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232 3 Three access,coyers (inlet and outlet must be 20" or greater) - I,, middle access at least 8" 7/07 310 CMR 15.228(2)] Access to within 6 of grade -one port for systems<1000gpd, two fors stems>1000 gpd 310 CMR 15.228 2 All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from builft foundation 310 CMR 15.211 1 ^� Buoyancy calculation Required/Done 310 CMR 15,221(8)] ✓ H-20 Where appropriate? 310 CMR 15.226 3 Setbacks from resources 1310 CMR 15.211 Required when other than single-family dwelling or flow>1000 d 310 CMR 15.223 1 b First compartment 200% daily flow; Second compartment 100% daily flow 310 CMR 1.5..224 2 and .3 "U" pipe througli or over baffle, outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] Address Sheet 3 of 9 N/A OK NO Located at least ten feet from any water line? [310 CMR 15.222 2 Disposal piping t least 18" below water line(when water and L/ sewer cross, see 310 CMR 15.211 1 1 Cleanouts required/provided ? 310 CMR 15.222 8 Thrust blocks sppcified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 340 CMR 1=5.222.6 Proper prtch'on all runs? (.005 within gravity-distributed trenches L/ and beds) 310 CMR 15.251 9 and 310 CMR 15.252(2)(c)] Siphonproblem/ eacbfield below pump chamber Endca s or vent manifold s ecified? Size and orientation of discharge.holes specified?? (not smaller than . 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various.pipe types-allowed 7.. Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when pressure sewer to d-box or steep pitch of gravity sewer) [310 ,,/ CMR 15.323(3)(a)] Riser if dee er than 9". 310 CMR 15.232 3 Inside minimum dimension 12" 3.10 CMR 15.232 2 Minimum s 310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] Ca acity (emergency storage above working--design flow')? [310 CMR-23.1 2 Proper setbacks 310 CMR 15.211 same as septic tanks Watertight.20-in minium access manhole at least 20"MUST BE „ TO GRADE 310 CMR 15.231 5 �4 Service components accessible(not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumpsspecified? Exceeds two unio must have two pumps operating in lead-lag mode. 310 CMR 15.231(6) and 8 Stable Coen ed.Base [310 CMR 15.221(2)] . Address Sheet 4 of 9 a Buo anc calculations needed ?Provided? 310 CMR 15.221(8)] t/ Address Sheet 5:of 9 N/A OK NO Calculations correct? 9 ' demonstrated? 310 CMR all' occurring material [ 4 feet of naturally g � 15.244 1 Required separation to ater? 310 CMR 15.212 Aggregate specified as double washed 310 CMR 15.247(2)] System Venting reequiredlprovided?-(system under driveway or >36" d 310 CMR 15.241 Inspection parts:specified and within 3"final grade? [310 CMR 15.240 13 Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(l)[4] and Guidance Document Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253 6 Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate 1' minimum- 4' maximum: 310 CMR 15.253 l 2' sidewall credit maximum 310 CMR 15.253 1 a In bed confi ration, inlet eveg 40 5. ft. 1310 CMR 15.253 6 Width 2'minimum 3' maximum 310 CMR 15.251 1 b 100 feet - maximum length 310 CMR 15.251 1 a ] Minimum separation 2x effective depth or width whichever greater 3x if reserve between trenches 310 CMR 251 1 d �j Situated along contours 310 CMR 15.251 2 Breakout OK? [�10 CMR 15.211 1)[41 and Guidance Document i minimum 2 distribution lines 310 CMR 15.252(2)(a)] Maximum separation between lines 6' 310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 f CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum, 310 CMR 15.252 2 Separation between beds 10' minimum. 310 CMR 15.252 2 Bottom area used in calculations only 310 CMR 15.252.2 i Address Sheet 6 of 9 N/A . OK NO x Pressure Dosed System ? Provided pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and UA Remedial Use ovals If used in gravelless system -make sure jet is directed as not to scour soil interface Guidance Document Inspections once per year(systems<2000 gpd) or quarterly >2000 dgood to note on plan 310 CMR 15.254(2)(d)] Construction in,fdl -Did the plan specify that the fill shall meet the s ecification Hof 310 CMR 15.255 3 ? ' Impervious barrier and/or retaining wall ? Guidance Document Impervious barrier installation must be supervised by designer 310 CMR 15.25 5 2 b Retaining wall must be designed by Registered Professional Engineer 310 CNIR 15.25 5 2 a Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout retluirements met? [310 CMR 15.252(2)and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended 10 CMR 15.255 OW] Check DEP Approval letters for credits and design conditions tf If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a rote on the plan regarding the requirement for / etual maintenanceagreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has . . lick t submitted a co of a maintenance agreement. INS Are the variances listed on the plan ? [310 CMR 15.220 4 RLS Stamp.-necessary on plan if a component is within five feet of prope e 310 CMR 15.412 4 T7 Address Sheet 7 of 9 1 1 New construction or increased flaw ro sed p ,po [Refer to 310 CMR 15.4.1 Address Shed S of 9` I N/A OK NO. Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.210 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? 310 CMR 15.214 2 Are the nitrogen loads proposed in compliance? [310 CMR 15.21 1 Pumping to septic tank ? 310 CMR i 5.229 Shared System �M CMR 15.290 i `y t Address Sheet 9.of 9 had lei -N 1(,AtdA\I a—f�e�v�uoV� . is -lvlif i i�- ic� —ire -���. May . 18, 2010 1 :4`8PM Copierl - com No ,4983 P . 1 4ro, I eT FAX To: ,�a o From: Fax: Fax: Ph®ne: Phone: Eages: ®ate: l Subject: o �� �L IT May - 18 . 2010 1 :49PM Copierl , com No -4983 P . 2 Board of Health. May 18, 2010 Re: 640 Wakeby Road, Marston Mills To whom it may concern: We wanted to follow up with this Fax confirming that Nicholas Romanowicz the owner of the property at 640 Wakeby Road is installing a new septic leaching system. The septic permit was issued by the Board of Health on April 29t`. Nicholas has just purchased the home last week and intending to do some small renovations and move-in to his first home. This work is planned to start on or about May 24t`by Tim Lovell a licensed installer in the Town of Barnstable. Currently our lender has 1.5 times the value of the leaching repair in escrow which will be released to Nicholas upon the approved completion of the permitted design. So it is in our best interest to complete this repair as soon as possible, which is our intention. Please feel free to call me with any concerns or questions. Best regards, Mark Romanow' z Direct - 781-591-5205 Cell - 508-889-3117 ot� Town of Barnstable Department of Regulatory Services Public Health Division o Date v 200 Main Street,Hyannis MA 02601 `i o tom" Date Scheduled a a Time Fee Pd. u Soil Suitability Assessment for Sewage Disposal Kam- r-� r Performed By- V _+ Witnessed By: i LOCATION& GENERAL INFORMATION � S Location Address r t� LAY ,U��y y1 t Owner's Name n�� & Mtn tom/ Address z5o 5 UJ Ls 1� Map/Parcel: -A � Assessor's Ma - P/ 2�— 1G 3 Engineer's Name NEW CONSTrRU� '-CI'ION�n REPAIR Telephone# 56$—�"3 Land Use ►�1�U` �` Slopes(%, 2^L'l Surface Stones N/4-- Distances from: Open Water Body�� ft Possible Wet Area7r�n _ft Drinking Water Well 2 C � Drainage Wayft Property Line f ft .Other` ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) ?s A w v Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: __in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment tt• Index Well# Reading Date: index Well level�.�_,..; Adj;factor_ Adj.Groundwater Level,..,,,, PERCOLATION TEST Date s. Ttme.__._ Observation -— Hole#• .a� � Time at 9" Depth of Perc �!J 72— Time at 6" Start Pre-soak Time @ Time(911•6") --- End Pre-soak Rate MinJlnch L,2, G 2- Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original:Public Health Division Observation Hole Data To Be Completed on Back----------- �**If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week.prior to beginning. Q:\SEPTICIPERCFORM.DOC. _71 DEEP.OBSERVATION HOLE LOG Hole:# _ Depth from Soil Horizon Soil Texture Soil Color Soil ° Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders;. Cons6tocyvl l 3e —� C ' �► ��Low- 'S�C �/3 .. ., DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,.Bouldeis. Consistency.% s )Z,�3 b �L lU ��sl� 6-a6 Sr �- � 5-Y 573 $6713 C M-SqIA(K 2-15Y�/Gt- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i to e �o AM c S 2�5 Y 00-z!3 DEEP OBSERVATION HOLE LOG Hole# — for soil Other P De th from Soil Horizon Soil Soil Texture Soil Co Surface(in.) (USDA) (Munsell) Mottling (Strueture,,Stones,Boulders. 3 Flood.Insurance Rate.Map: �(I Above 300 year,flood boundary No Yes P/1 kti WithinY500 year boundary No Yes - Within;11a('' ta9lo boundary No— Yes Depth of.Naturally Occurrine Pervious Material Does at bast four felt of naturally occurring p4pervio-usm—a material.exist in all areas observed throughout.the area proposed for the soil absorption system? If not,what is the depth of naturally occurring tel ia17,..__..._.._r: Certification _ I certify that.on < <dL G� (date)I have passed the soil evaluator examination approved by the h e above analysis was performed by me consistent wit Department of Environmental Protection and that'th . the required tramin expertise and experience described in 10 CMR 15.019." - Signature . Q:\SEFn0PBRCF ORM.DOC ! r x °F 1HE T Town of Barnstable Barnstable Regulatory Services Department "Ce ' x BARNSMABU- MA . i639- Public Health Division ♦0 ATE°"" 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205009564 3/08/2010 Today Real Estate c/o David Holt 1533 Falmouth Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 640 Wakeby Road, Marstons Mills MA was last inspected on February 23, 2010 by Shawn McElroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. 76a R O THE BOARD OF HEALTH Kean, R.S., CHOIBM" Agent of the Board of Health I Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every 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. A. General Information 314 5 1. Inspector: v Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 Telephone Number License Number B. Certification o I certify that I have personally inspected the sewage disposal system at this address and tkat theD information reported below is true, accurate and complete as of the time of the; rspection.Th( ection was performed based on my training and experience in the proper function and maintenale'ce of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Sectior05.340 of Title 5 (310 CMR 15.000).The system: 5Y1 ❑ Passes �... '�� ❑ Conditionally Passes ® �iIS ❑ Needs Further Evaluation by the Local Approving Authority 7 2-23-10 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes .conditions at the time of inspection and under the conditions of use 1) w at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. System has H-10 tank in driveway and failed leach pit. Ib 640 Wakeby Rd Marstons Mills•03/08 .Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "wM 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form i _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 640 Wakeby Rd Property Address P Y Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank-and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "* This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or P 9 9 q less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. r 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6° below invert or available volume is less than 1/ day flow i ❑ ® 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. 640 Wakeby Rd Marstons Mills-03/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): 'Yes No-, ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 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. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet.of a tributary.to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . ;M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal.use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Well 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: 11-10 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 640 Wakeby Rd Marstons Mills-03/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 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: 1986 Were sewage odors detected when arriving at the site? ❑ Yes ® No 640 Wakeby Rd Marstons Mills-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 12' 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. Septic Tank(locate on site plan): Depth below grade: 6"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: 1000gal Sludge depth: 20" Distance from top of sludge to bottom of outlet tee or baffle 12 Scum thickness 8 Distance.from top of scum to top of outlet tee or baffle 2" Distance from bottom of scum to bottom of outlet tee or baffle 101, How were dimensions determined? Tape 640 Wakeby Rd Marstons Mills•03108 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): H-10 septic tank in driveway. Tank has baffles installed and filled above outlet invert. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10. every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box has signs of back-up from leach pit with stain line above inlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 640 Wakeby Rd Marstons Mills-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Marstons Mills MA 02648 2-23-10 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-1000gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: .❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit had signs of hydrolic failure with stain line above inlet invert. 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments'(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. OWcll 1 ISo LN fl- 0 47.„ 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 640 Wakeby Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for Marstons Mills MA 02648 2-23-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 maps show groundwater at 20'. 640 Wakeby Rd Marstons Mills•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 r COMMONWEALTH OF MASACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY CORE Secretary DAVID B.STRUHS ARGEO PAUL CELLUCCI Commissioner Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: . 640 WAKEBY RD MARSTONS MILLS, MA 02648 Q Name of Owner STEVE GIATRELIS Address of owner: nla Date of Inspection: 6130/00 �► GRACI of Inspector: JOHN . Name p �. I am a DEP approved system inspector pursuant to Section 15.340 of T�tie 5(310 CMR 15.000) i �G Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 ® t� Tele phone hone Number: 608-664-6813 FAX 608-664-7270 ClERTIFICATKNISIAIEMENI * tr r osal system at this address and that the information reported I certify that I have personally inspected the sewage dispbelow is tr e, ccua� 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 FurtheJEvalBy the Local Approving Authority Fails Date:6/30100 Inspector's Signature: ays of The System Inspector shall y of this inspection report to the Approving Authority(dBooard of Health or the nspectowlthin and therfsystemdowner completing this Inspection.Is a shared system or has a design flow of 10,000 gp greater, 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 "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its components useful life" THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. J revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are Indicated below. B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. D& 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 failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. D/a 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 D/a 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 t revised 9/2198 Page 2 of 11 a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 5/30/00 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 IN ACCORDANCE WITH 310 CMR 16.303(1)(b)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 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 I 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 coliforrn 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,Method used to determine distance n(a(approximation not valid). 3) OTHER n/a i. revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner: STEVE GIATRELIS Date of Inspection: 6/30100 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,excluding 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,For example,Plan at B4O,H, X - Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)) 'ire X - The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. y,a revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 FLOW CONDITIONS RFSIDENTIAI Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 2 Number of bedrooms(actual): Total DESIGN flow: 220 gpd Number of current residents:n/a Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): YES If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): NO Water meter readings,if available(last two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: 6/1/99 COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow:n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: n/a Last date of occupancy:n/a OTHER: (Describe) n/a GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a 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 DE Approval. Other:n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: 30 YEARS OLD. Sewage odors detected when arriving at the site:(yes or no): NO revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or.-More cf the following failure conditions exist as described 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. 4., Yes No - X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent tc the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. - X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, - X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped 0. - X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. - X Any portion of a cesspool or privy is within 100 feet of a surface•water supply or tributary to a surface water supply. - X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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: You must indicate either"Yes"or"No"to each o`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 - X the system is within 400 feet of a surface drinking water supply - X the system is within 200 feet of a tributary to a surface drinking water supply X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 ti; Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 12" Material of construction: _ cast iron X 40 Pvc _ other(explain) Distance from private water supply well or suction line: n/a Diameter: n/a Comments: (condition of joints,venting,evidence of leakage,etc.) THE WELL IS A 100+FEET SEPTIC TANK: X (locate on site plan) Depth below grade: 6" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age is age confirmed by Certificate of Compliance(Yes/No): NO Age: nla Dimensions: 1000G L 8'6"H 6'7"W 4':10"" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: n/a Scum thickness: 0" 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: n/a How dimensions were determined: MEASURED 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.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a 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.) n/a revised 9098 Page 7 of 11 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30100 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: Na Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level:N/A Alarm in working order:NO Date of previous pumping: Na Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage Into or out of box,etc.) THE DISTRIBUTION BOX 1S STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2198 Page 8 of 11 i • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1)1000 GAL 6'X 6 leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n1a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT APPEARS TO BE FUNCTIONING PROPERLY,THE SYSTEM SHOWS NO SIGNS OF FAILURE.SOIL PROBED DRY. CESSPOOLS: _ (locate on site plan) r I a Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: nla Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a ti t revised 9/2/98 Page 9 of 11 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) O �C R la_�I AA 11 " jyiL Ac Sjq gc sl revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 640 WAKEBY RD MARSTONS MILLS, MA 02648 Name of Owner STEVE GIATRELIS Date of Inspection: 6/30/00 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET revised 9/2/98 Page 11 of l l ASSESSOR'S MAP NO. PARCEL 'C'w"I•' ON S E W A G E PE RMIT NO. VI LAC E - .1 A INSTA LLER'S NA NJi ADDRESS l rl -g .� z� d U I L D E R OR OWNER ��y,d VP-e-- r c DATE 'PERMIT ISSUED DATE COMPLIANCE ISSUED U 1 YCmW4'OUT i 27F - CCO6ftADt 1 23° 13 T#lr,)V, VAX ��(fU'T14Pj "fib PPE COST PiT W f��oF�z�STdNE I - 14 1 a'F 0 F$s...2U'...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....OF ..✓..1 fr Appliratiun for Uiipuuttl Workg Tonstrurtiun 1hruti# Application is hereby made for a Permit to Construct ( ) or Repair ( ndividual Sewage Disposal System at: ....... t?__..... 1aj.......... ----------- ----------- w-v.--�sv.w----..... &s...................................... Location-Address or Lot No. ......... I .YQW: ...... ..... ...................... -----------------------c✓ !�!`.' ._.------------------------------------------ .... W S caner Address ,..1 •--.....--•--....-•----.......................•.....••••-----.....-••----•---------...--•-....._ ..........a..�.......... ttiw ....../ ... Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms--_.-- .............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures --------•------------------------------ W Design Flow............. ...............gall per person per day. Total dai--flow.........eY.Z?_.0.................gallons. WSeptic Tank—Liquid ca.pacity,GYX..gallons Length__ F...... Width.....5....... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........F.......... Diameter....... .-__- Depth below inlet........L4 r..... Total leaching area..................sq. ft. Z Other Distribution box (��1 Dosing tank ( ) 0.4 Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.... .._._._._.._._...__. fr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O9 ••----•--••--•------•--------•-••••••---•-......-•--•-.....••-•-•--••••--•-.....•------------•-•-•......---••-•-•-•----•--....•................•-------•----- Description of Soil........................................................................................................................................................................ U •••••••••••••••-•••--••----••-•-•••••---•-••••---•----•••--••-•---.....••-•--•••••••••.............•••••••----•-•••••--......-•••••-••---••-•---••••-•--.....•-•-••••••••--•---••......_......_.._....._ W x ....................................................... -•••--•-•--•----••--------------•••-•••--...----••••---•-----••-------------•-•--•--•••••---.........-•--•-•-•••--•-•• -••.....! U Nature of Repairs or Alterations—Answer when applicable...___ Z ...... �- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITiS 5 of the State Sanitary Code— The undersigned further agree not to place the system in operation until a Certificate of Compliance 1�e d b the bo of Signed_..--- ... _------ - ------ _----- .......... . D. Application Approved By--•-• --......•-•••--•i!�.tJL'+:- . Date Application Disapproved for the follow ` reasons--------------------------------•-------------------.....------•----------------------...._......-•----.......... ............................................•-----•-------...............-----------------------....................................................................................................... Date PermitNo......................................................... Issued_....................................................... Date �ti f No. b- - •-��--5 1�PLC�� 1 O 3_ �Z ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......�.�/ .w.....OF.7 .— -S'lG b ..................................... Appl ration for DioVoottl Works Tonotrur#ion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( G-an--In�idual Sewage Disposal System at: ........ -.�L __.....L.�J tiA:k , ::1.. ��•............... ----------roll c�v_n u w i1n 61� S ... ................... Location-Address or Lot No. ......... .!id��!!! :.........�t`�___1..�f:f.r__._.�........................... -•--••-------------•-•--�� ''.w`_ �...._...... .._............ ` Owner Address ' --Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...... .............................Ex Expansion Attic a p ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dG4 Other fixtures ------------------------------------------- ------------------------• -------- --------- •-•------------••------------•._.--..... W Design Flow.............' ...............gallons per person per day. Total daisflow_._.....`�. _C'7.................gallons. WSeptic Tank—Liquid capacity�,/YJD..gallons Length..._.`••...... Width....._`J------- Diameter________________ Depth................ x Disposal Trench—No. .................... Width..................."Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..........I.......... Diameter........1_a..... Depth below inlet.......UJ..... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M -------------------------------------------- •-••---------------- •........ ----------- •---------------- --------------------------- .---------- •..... •------- -.... 0 Description of Soil..................... •-•-•---------........--------•--.._........-•----•-•--------------------------••---------•-----------------•----------------•-••-.......•-•------ U •------------------------------------•-----------------•-----.._....------------------------•-------------------•----•--•--------••----------•---......_...................•. W x ..................... •••-•---••--••-••---••--•••••---•----•--•-•••••----•••-------•••••••••-••....•----•••---•--•-•---------•-----•---•---••-•-----••-•---•-••-••••••••-- U Nature of Repairs or Alterations—Answer when applicable------ cx.._._..C 'S.............c,�- ......!�J���..... r- -. ? w_ may-'s' U'' :!��T .�12 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System'in accordance with the provisions of TITi.j-,� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ' operation until a Certificate of Compliance has-been-issued by the boatel of 1 ealth.. u 1 Signed. . --- ---.....---•-- •-- ` �- Die Application Approved BY •-•--------------------'--_.----._ Date Application Disapproved for the following reasons----------------------------•----•-------------•---------.....-----..._...-------•-----------•-•---............ ...............................................•-•-----•--------•------._......_....-------.........--------------------•------------------------------------._...........-•-••••...._......_.. Date PermitNo......................................................... Issued-.............--------------------------- Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH( ..!�.........OF... .............................. Trrtif irotr of Tnntlrlianrr THIS 1. T_X( �,ERTIF-1-, hat the Indi�id al Sewage Disposal System constructed ( ) or Repaired bY.................. .. .. ...-•-•-----•- -•----------•---•---•-•--........--•...... -----...........----.....---._...._•----........ Install 1 L� (F-� (� .. i �` has been installed in accordance with the provisions of TIC: 5 of The Smote Sanitary Coe as desc ibed in the application for Disposal Works Construction Permit N'o.___.`�_�_`_ Cl�_�___. dated---.._ �.�.._..x�._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................... , } Inspector_. ---------------•-- --•-• -- -� ---_....r_.,..-------------- y"r (��' i^ _I�46MMONWEALTH OF MASSACHUSETTS �.. BOARD OF HEALTH �} �T ?��J..Vv/�..........OF.... .� ...✓............................................................iL� No,,t fFEE........................ Dispopal Marks Tonotrur#ion "Pami# Permission is hereby granted........ �" �. ...L'X---------------- -------------------------------------------------------------- to Construct ( ) or Repair ( l)-a Individual Sewa e Disposal System 1-5 at No................. 40-----------�`J�- '_ - ` ------------------------------------------------- Street l r �- -� 4 1 as shown on the application for Disposal Works Construction Permit Nol._? // `_?__; Dated----- .................................. / AJG 1. A �• 2�— G Board of Health DATE - t I r, vE P R - • 2012 AUG 3 Q `� ® 95 Ft l3 ¢f 'M, `' G Psc �e ^ Shore Dr River Road • f/a moo\ ,\ � ye �j D 77 I �. o'� LOCUS Wakeby Rd .10 LOCUS MAP 'o NOT TO SCALE �% S r sr o� EXIST. WELL � GENERAL NOTES: (PER OWNER) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Z \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: LA w -310 CMR 15.405(1)(b): tJ ,� O 1) A 2' variance to the 3' maximum cover requirement, for 5' of Ln \A Max. cover. S.A.S. shall be H-20 and vented. I O oD _ _ — �_ _ _ _ _ _ _ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 1 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE rn ,--� �� 6' �Q DESIGN ENGINEER. B/ii,� Oj/ _ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING A ��/ I FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. o I r I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF lop age 100po THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 01- �o I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. b �f 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. _ Zy 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE -TO I DIRECTED BY THE APPROVING AUTHORITIES. �F#646 1 67�, I =�t`Q�� MA s SgctiG 10 THE LOCATION OF ALL UNDERGROUND F THE CONTRACTOR TO VERIFY 1 ND UTILITIES, PRIOR TO BEGINNING I t ,¢�640� i�f�f�Gr I o PETER T. � CONSTRUCTION. CONC. ! ' �• I McENTEE 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SLAB o� CIVIL ' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND LOT 3 No. 35109 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). A/��� ®�V�� ®Z I pEG/S(F.�EO �� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE V �J �'�FF /�A�ENc,\x' INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. I 1.01 Acres± R=13.76 13, THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND L=35.19' IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 284.12' S 53°05'30" E PROPOSED SEPTIC SYSTEM UPGRADE PLAN edge of Pavement I 640 WAKEBY ROAD, MARSTONS MILLS, MA WAKEB Y ROAD I Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 OWNER OF RECORD BAC HOME LOAN SERVICE Engineering by: SCALE DRAWN JOB.. NO. ,"=40' P.T.M. 142-10 SHEET FKA COUNTRYWIDE HOME LOANS _ _ _ _ _ _ - _ _ SEE T 2 _ � Engineering g Works, Inc. 2505 W. CHANDLER BLVD.-BLDG. D-3rd FLOOR 20, SCALE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. CHANDLER, AZ 85224 - (508) 477-5313 4/23/10 P.T.M. 1 • Of 3 99 ��>� �`'9� Benchmark Set LEGEND 98_ __..-_ EXISTING CONTOUR x 99.52 y" s• CENTER OF CA TCHBA SIN ' ` /( O6• cotchbosin x 100.98 EXISTING SPOT GRADE 99.43 EL.=99.43 (Assumed) x 98.65 / i%//`ri'�� 6.H.W.--OVERHEAD WIRES f �fB� �. EXISTING SEPTIC TANK W EXISTING WATER SERVICE / x 99.64 (Token from record As-built) 99.50 TOP OF TANK, EL.=99.42E o TEST PIT INV.(OUT)=98.09± 1�9 BENCHMARK a r'� 9 9.8 6 N C9T 0 9 .42 99.67 99. 7 F �® a, 25 O,Q7 6' x 98.62 ,� ` a�S SA 6Yyy l0 + 99.74 '� `�pR P' `�� �' op �\ J 100'.09 /v o �- ����TP-3 x 9 .68 0 99.76 .- N 99.7 v� oc�9.51 �'10�17 + 4 99 ._...__._ ` _.__.___ % ® v V� TP-1 100.02 99.9 � � TP-2 .- L-* O jn 9.80 a9� 67 100.01 o/_ 1>41 /EXIS TING�; o �26 SO•• ''���� HOUSE (#640)' + 99.45 99.78 T.O.F.=101, if j% 0 ` 9a x 99.91 SLAB i •98.68 -- l 99.73 - N 98.89 99.80 EXISTING LEACH PIT _ °} + 99.61 + + 98.5 �. cn TO BE PUMPED, FILLED W/ of + 98.59 SAND & ABANDONED 98.55 ea f9 98.83 r \ 9s of '� �' LOT 3 cat osin \ SAP N 028-103 ,� `8!:30 R=13.76' 8.511 L=35.19, 1.01 Acres± 284.12' _.___._._---...____.__. � 98,58 S 53.05'30" E �� . \ --= b 98,72 ' 98.77 98.81 100.82 99.17 gg edge of povement 99.69 '_�_-• 100.24 �o� �P��� °F Mgssge_ PROPOSED SEPTIC SYSTEM UPGRADE PLAN W,AKEB Y Rk-11-1® o� PETER T. P 640 WAKEBY ROAD, MARSTONS MILLS, MA - McENTEE CIVIL "' Prepared for: Mark Romonowicz, 191 Route 6A, Sandwich, MA 02563 OWNER OF RECORD BAC HOME LOAN SERVICE No. 35109 Engineering by: SCALE DRAWN "JOB. N0. FKA COUNTRYWIDE HOME LOANS O,rf SjE� �`� Engineering Yorks, Inc. 1"=20' P.T.M. 142-10 2505 W. CHANDLER BLVD.-BLDG. D-3rd FLOOR S/ONAL EN CHANDLER, AZ 85224 12 West Crossfield Rood, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 4/23/10 P.T.M. 2 of 3 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:95.3 FOR A DISTANCE OF 15' AROUND THE ZS� PERIMETER OF THE S.A.S. , SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. osEa s' INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT CHARCOAL OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE a T.O.F. VENT L eg• EXISTING F.G. EL: 99.6t(100.3 max.) F.G. EL.=99.7t � F.G. El: 99.7t s. �s "•' MAINTAIN 2% GRADE (MIN.) OVER S.A.S. ! INSPECTION L = 23' L = T(MAX) PORT ® S=1% (MIN.) 0 S=1% (MIN.) HOUSE (/6/0)' 5 4"SCH40 PVC 4"SCH40 PVC 'T.O.F.=101.11 , 70"1 6 11.3" TO 'a" INVERT ! ! EXISTING 48" LIQUID LEVEL ADD GAS BAFFLE INV.=96.47 PROPOSED INV.=96.30 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' INV.=98.09t INV.=94.94 EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) S.A.S. LAYOUT EXISTING SEPTIC TANK H-20 RATED ESTABLISH VEGETATIVE COVER BACKFILL WITH"ftEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS -75" NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE :. ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). TOP ELEV.=95.33 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV.=94.94 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=94.00 II IIlt�lllll�l AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2,8 3' 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF L- INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' I 76" - EXISTING SUITABLE PROFILE NO G.W., EL=88.6 MATERIAL SEPTIC SYSTEM PROFILE 4 ROWS SE 4 - 16" (ETWEE ADS BIODIW & N UNITS WITH NO SEPARATION BETWEEN EACH ROW & NO STONE TYPICAL SECTION N.T.S. NAS. 16" 11 SOIL LOG 34" -� DESIGN CRITERIA DATE: APRIL 22, 2010 (REF# 12,912) SECTION END CAP SOIL EVALUATOR: PETER McENTEE (SE#1542) Fi-20 BIODIFFUSER UNIT NUMBER OF BEDROOMS: 2 BEDROOMS WITNESS: DAVID STANTON-HEALTH AGENT 16" HIGH CAPACITY (� SOIL TEXTURAL CLASS: CLASS I Elev. TP- 1 Death Elev. Tp-? Depth Elev. TP-._� Depth Elev. TP-4 Depth MODEL 16" HICAP DESIGN PERCOLATION RATE: <2 MIN/IN 99.5 p-> 99.5 0" 99.6 0" 99.6 0" LENGTH 76" A A A A NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 220 G.P.D. SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DESIGN FLOW: 330 G.P.D. 98.5 10YR 4/2 12" 98.5 1OYR 4/2 12" 98.5 10YR 4/2 12„ 98.7 10YR 4/2 loll SIDE WALL HEIGHT 11.2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO B B B B OVERALL HEIGHT 16" SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. 10YR 5/4 10YR 5/4 10YR 5/4 10YR 5/4 OVERALL WIDTH 34" 111111 4640 TRUEMAN BLVD 74 97.0 30" 96.5 36" 96.6 36> 96.6 3g" 13.6 CF ® HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY Cl C1 Cl Cl CAPACITY 101.7 GAL PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-20 RATED SILT LOAM SILT LOAM SILT LOAM SILT LOAM ( ) ADVANCED DRAINAGE SYSTEMS. INC. 5Y 5/3 SY 5/3 SY 5/3 SY 5/3 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 92.5 C2 84» 92.3 86'> 94.6 60" 94.6 601> i� USE 4 ROWS OF 4 - 16" (H-20) ADS BIODIFFUSER UNITS PERC C2 C2 PERC C2 640 WAKEBY ROAD, MARSTONS MILLS, MA W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11.3' x 25.0' M-C SAND 96" - M-C SAND M-C SAND 72" M-C SAND 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 SIDEWALL AREA: NOT APPLICABLE USER Engineering by: T,�T Inc. CALE DRAWN JOB. NO. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFF 88.5 132" 88.3 134" 88.6 132" 88.6 132" Engineering Works, nc. NTS P.T.M. 142-10 - 16 UNITS x 6.25 LF x 4.7 SF/LF = 470.0 SF PERC RATE <2 MIN/IN. ("C2" HORIZONS) 12 West Crossfield Rood, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD NO GROUNDWATER OBSERVED (508) 477-5313 4/23/10 P.T.M. 3 Of 3 i •O / h� 47.4' �O Shed - n 24.1' a Exist. tl Gar. � D Lot 3 p �! 44,341f S.F. N -,A 0 1.02± AC. - 4° o Z S.A.S. Dec \ 42.V Exist. rs.0, 31.4' z \� D wg. o #640 O 90• 31.3' O 40.6' O Q P\posed u' `dos,off. Adf tion !y o cr \ 3a.0 TOWN OF BARNSTABLE ZONING STREET ADDRESS. #640 WAKEBY ROAD BY-LAW ASSESSORS MAP 28 PARCEL 103 q_35. >\ OWNER. NICHOLAS ROMANOW/CZ ZONE . RF DEED REF.: BK. 24539 PG. 2 SETBACKS : ` PLAN REF.: PL. BK. 277 PG. 66 LOT 3 FRONT = 30' SIDE = 15' REAR = 15' 1 CERTIFY THAT TO THE BEST OF. MY PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING PROPERTY LINES SHOWN HEREON SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS WERE COMPILED FROM AVAILABLE OF THE ZONING BY-LAW FOR THE TOWN OF BARNSTABLE. PLANS OF RECORD AND VERIFIED ON THE GROUND. PLOT PLAN `J"0f �` SHOWING PROPOSED ADDITION THE DWELLING DEPICTED ON 1N/S ���p Ss,cy PLAN WAS LOCATED ON THE GROUND �� TERR 0 ANN IN BY SURVEY ON JUL Y 23, 2012 AND WARNER EXISTS AS SHOWN AS OF THE DA7E No.3,8721 BARNSTABLE, MASS. OF LOCH 770N. 9 F � ' SCALE: 1"-40' JUL Y 23, 2012 ' / sS u�sJ THIS PLAN IS FOR PLOT PLAN / 1FRRY A. WARNER, P.L.S. PURPOSES ONLY. / 22 LONG ROAD 7/Z3��i HARWICH, MA. 02645 (508) 432-8309 THIS PLAN /S VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT NO. 12-179 V � i TOWN OF BARNSTABLE Di a ;(.I ' ROUGH HEAD L L._.l — A L_L _ — — — — — — — — — — — — — — — — — — -- EL.= +14'-7 1/2" -- ILI i it I ,I�' :�i I L' I I I i _1LI L1. 12 i I1 t;. ll I I` I lY .i _I..L! 1°f ..J_L. LLr.�U.. �, I^'I.l_I_yJ= 8 —rT<•i{ l 1 II IIi iE liil1 II Ii71 I it it l' I !i 11 itli 's ijlI ( 1' ;i it I I it €I L 11 -' MATCH EXISTING it i` ! 'I . I's` I i li I! I I. I �.l is II LJ li—R. ,-. I I ;_ ji1 ;: I ,`i` i I I l Illi�i iI :I l i I Ili I I : i I' 11 i ii III: i I li 'I ! '; I. . :I � II� rI I r J. I I :I I 1 ill _JL. �._ I . I l . it 'La.0 I� _ + I ��i ei _ - I — N FLOOR ROUGH I SECOND �. �:— - - �--- 11 i i i I II it — - I_L..li EL.— +8' 1 1/2" LLL�L�_.� 1_�.1��_ --� ,1 _1.�_1:,1rL-.J-''-i-w—L��-. , - 1 I � _.•�;,'_ I — ' ROUGH HEAD I I I i I / 1--•>• _ I ' I Ii I i ii i EL.= _ I I `I +6' 8" �`f :i l rs_ I III I I . : :: I I i 111 : : : I Lih I it I II' 1 i ! .T i -- . I i I I;I If I i t I €i L 1 I I 1; ( I 1 I 'i i LL C 'I I A • { iI I I i'{ I I II I f I' A 1,I i : i � i•, I '�; 1�:�:1� I1.a . ij f :: .. �_ IL l.i I III i ;I �I� II l I � _ 1, _ I eJ FIRST FLOOR ROUGH I ` �II 1Il iI I 1 I ' I II I I' I ; I :I I I i !1 — -- I .. it I I 1 � i i1 3: I I. 1 1' , i I is I i I f u I E : : :. . t 11 I I IT " It rb S'arvAt!CiJhJ 1�:� q STRUC T il:h� 1 ' ROMANOWICZ RESIDENCE J No 15 34 ' PROPOSED FRONT ELEVATION KJs 7.26.1 2 1 0" S/ . A G f ogL T.O.W. EL.=MATCH EXISTING @ DORMER OIL ROUGH HEAD — — — — L..l_l_. OIL SECOND FLOOR ROUGH OL ROUGH HEAD I ! I EL.= +6-8 ; 11 if I; if : ! ;, II OgL FIRST FLOOR ROUGH I I ' / ± — — — — — — I I I If Ill 1 it' ' I " : : EL.= 0-0 J� %���� © 4V � 11�AL ) ! N . u . ROMANOWICZ RESIDENCE . K I �S EXISTING LEFT ELEVATION JS a ON 7.26.12 1/4" = 1'-O" T.O.W. EL.=MATCH EXISTING @ DORMER ._—_—_ Ak ROUGH HEAD — — — — — — — — — — — — — — — — — — — — — — — . — . — — — — — 17 i. Ak SECOND FLOOR ROUGH I I I II I I II I - ROUGH HEAD —J-1.LU 1, — EL.= +6'-81, I i II: I I Li I 1 it i ! I I ■ !I i ! I __•_ 1 I I I I I I I 1 I I I_l I! 11 -- - LLLI II II I i II i I i Il ii I' --- I , _.1 _ai , J_ I .l; lL1L C I.l-1;... Ll1 G 11J1L I('IJ L' I 1 J L �L1 I I II - --—-- I --- . I ,1�I II•I s'LJ Jl=Ll _ it:I I I III I i I 1 it l II it 1 lII I fl i l i l I EI i'iI, '1 I!it1, FIRST FL00R ROUGH _A- i .L. _1.: -.L..i.l_ I I I — - _ - , I I it I' t: i I !— 1 I I -i I I I L 0' 0" E �I ;I, I ml ! I -- � ii i III I I I! i I I II SPY ROMANOWICZ RESIDENCE q� � ' � .ems•J PROPOSED REAR ELEVATION US " T.O.W. - EL.=MATCH EXISTING ROUGH HEAD — EL._ +14' 7 1/2" ..........._.:.:.......I 'f y !I I i SECOND FLOOR ROUGH it — — — — — — — — — — — �..�_ �. ;Ili ROUGH HEAD EL.= +6'-8° If ;; — II !, ! i I I• � i �_ :;;.- .: .�� � �.�.E�.�I� E -- - ,`- - — — — — — — — — I' Ll I - Ld I -- --LLJ -- _ ___i L J-...+Jfi � I i _l. L _I'_ LJ �� I: .It.-i,_.�-i.,;,+_,::-.��..i.l i It 1 II i llil! =�- i:',-I--•mot--�=-�—�-�; -- - -- I �if FIRST FLOOR ROUGH , i ; LJ - - - --1 it - : LL I I I i I I yw� -0!: e L SI'Rt1CT►;RAIL ROMANOWICZ RESIDENCE I41c.35334Q) PROPOSED RIGHT ELEVATION KJs • 7.26.12 1 4" = V-0" • ROUGH HEAD — — — — — -- — — — — — — — — — — — — — — — — — — — -- EL.= +14'-7 1/2" 12 1/�� 8 S�t�, I II II II II II . II II II II II II II II II II II SECOND FLOOR ROUGH — — — — 2CEIL NLG J2STS — II Ii. — EL.= +8'-1 1/2" _ SEE STRUCT. T.O.W.OlL ROUGH HEAD EL.= +6'-5' FIRST FLOOR ROUGH EL.= 0'-0" 200 FLOOR JOISTS SEE U i=ji " i• 7-71 I I_: ARE;I -- - - : ® � � A- PAU s"FRi.l l'''RA!_ 3 vJ ' ROMANOWICZ RESIDENCE BUILDING CROSS SECTION KJS I 7.26.12 1/4' = 1'-0" 52, 52, 1'-10" 9'-5" 1'-10" EQ. EQ. OCD I A O CD MASTER --- BEDROOM + - - - -- --- - - -- - DINING \ p � ' ROOM 00 © Ln ..... .. .. ... - .. .. ....... �. ..._..... �� __ -__ _. _. .. -...�.. .._1.._. .. .. .. ._ ...... .._. ...... .... .... .... ... .. ..... ., ... ... ... .. ..... ... - .. .... .. .. 1 —\04 LIVING I I I I I I 1 I i ROOM i _.. ..... . _.. 36" III III III ,' WALLHIGH : .. . . .. .... .. _ �. III W.I.C. III III 105�,, ;, HALL� _ 6'44, 102 03 CDQ1 101 © _._. .._..._... _.. ............. -- -._ ....._....... ...._._.__ ........__ ...... ...... ....... __._.. _.. _... ......... ........... .... ..... ... -. .....- .. ...... .....- .... ....... ....... .__ ...... ....... ._.... ...... _............ ...... ....... . I UP 0 1 o j WASHER 00 - ll MASTER I LAUND Y i BATH DRYER I `, I� ,, KITCHEN I I O� I BATHROOM I ROOM Y C � o I I 111 WINDOW SCHEDULE: SIZE QUANTITY 3'-0" 3'-0" 5'-3" 3'-9" ® A 30"x60" 5 B 24"x20" 5 � Gr ,1 Z� C 27"x60" 5 „ - ��s' ?AUl W. DOOR SCHEDULE: 6'-0" 16' 0" /�f S'�'tttS0N' �!`n SIZE QUANTITY . Si"it_l:Ui;riL 1- I 101 2'-5'x6'-5' 1 A 102 2'-8"x6'-8" 1 ROMANOWfCZ RESIDENCE .PROPOSED FIRST FLOOR PLAN Kos 103 2'-6"x6'-8" 1 - �rS;y�u� t_� 104 2'-8"x6'-8" 105 4'-D"x6'-8„ 1 I II MATCH EXISTING I -ROOF� EDGE EXISTING KNEE vL-ini� VVALL '+J i I I I I I _ 8.12 8 12 F PITCH PITCH I II II I I I i i I ---� r C----- i i I II ; N = Ln � I II I II I II BED #1 BED #2 I II II L— - --� ---lam C---- �----� �— --1---r--� r. --- I II II II II II � I I I I N = I I II II I I II II I I II II I I II II I I II II I I IL_----- JL _ _ _J L--------Z--- --- ---L-- I I. I I ` I I I I -- ----- - --- - ---- ---- �• X ;VA Of P11.~ ROMANOWICZ RESIDENCE o' PAULli.l. �� PROPOSED SECOND FLOOR PLAN Kos S1�AivSrfd �!"\ 7.26.12 1/4" = 1'-0" STRUCTURAL t j> ' ' . . - r-------------------------- - | | | / | | | | | | | | | ' | ! | ` | [ i | | -------------- / . | | ' | � | | , | ....................... | | | CD F | | ! | | | | )_ _- | | | | ] | | | ! i | | | ' | i | | . ' | | ! ! L- ' ----------------------_-----_ ' | | ! ---- .................................................................. OF STRUCTURAL � � � . � � � R{JMANOVV|CZ RESIDENCE FIRST' FLOOR FRAMING PLAN�N KJS � . . /z6.12 � , � ~ � '/ ° ~ ' o" � law, ' FH —————--————— F )Eff I II I II I II ooAk .......................... .......................... ...... .................................................. ...........— .... . ..................... ......................................- .............................................................................-............... ............................................. .......................................... ............... ............... M0 co CD C U) 00 10 < (-D -R .............................. C) ........... N 2-2x8 ............ ................ :9� HEADER ................ r I II 00 ............ 0 f E/ ............. .............. N8 �M j I-7.'�Z�L��2-X" 2 - 1�1 :1,4XT 7 7 -MME:' .'r fAE)E-R &ER— ............. ........ ...................................... ...................................................... ............................... ........ . ................ ........................................... .......... ................................. .........................................-............................. ...................... .............—............ 2x6 ROOF R.WT1 --Rs 16' O.C. 7AE F� c� �/2x8 CEILIN6 b)ISTS @ 1T 0. ZT/ L 3-2x8 —J 3 x8 A E .......... .......... —.-.......................I................ ............................................ ....................... ................................ .............. ........................................................................................... ................................... ..................... ................................... AAA4 IV14 �qv a Nl- Ph I L VV ROMANOWICZ RESIDENCE ROOF FRAMING PLAN KJS f STn!1GTUR�iI. 7.26�12 08 �-\O ON v -_T op 6 If WINDOW CE WINDOW ABOVE ABOVE r ----t- -- ------------- I--- - � --- ff ----- --------- "— C) �E o ©I m- I I I I I I j I I #5 D WELS @ A I I I 24" o I I I 0. . VERT. INTO 00 I I I----- I.SJftG_FDTN -_ 1 I L -I------ - -- r- -- - 1 � A301 I I 2-2x10 I FLUSH I I I I f I 2x10 LEDGER I I 2-2x10 = I FLUSH -' I I 2-3/8"x6' @ 16"O.C. L- ----- I I I I rJ I o = I I I I XIS I I I 00 I I I I I 4'-O" KNEE WALL I I I I I I I I i I I I L --------- - - ---------- ---- #5 DOWELS @ CL WINDOW 24" ABOVE O.C. VERT. INTO NEW EXISTING i. SWANSUil STRUCTURi i. ROMANOWICZ RESIDENCE PROPOSED FOUNDATION PLAN Kos �. 7.26.1 2 1/4" = 1'-0" �9 iL /z 1 EKISTING KNEE - WALL Qr , I 1 •� I I I I II I I I I .......__..........._..........._....__......_.......... ._.... ..._...._.__............... ..................._.__..... I i DN 1 1 ROONR001t _._.__......_.......__-.__._._.__._....._.._._.- ....._......__.._...._._.__...__._......... i I I' I I I 1 FED AI BEO 2 JEI i a I - I I ' I I _............... -- -._._..._ v 1---------------- ---------- ------------------I� UP ---------------------------------------- ❑El 04I I I I I 1 FXMIG FIRST FLOOR BM EXISTING SECOND FLOOR PLAN EXISTING ROOF PLAN ROMANOWICZ - RESIDENCE EXISTING PLANS KJS 7.26.1 2 1/8" = 1'-0" 7.O.W. T.O.W. Elm..EXISTING®OORY _ � EI-.=YATCH EXISTING®OORYE— — ERWG+I4E'-AI01�2 —'— — — — ❑ '— - — — — ❑ —'— — —'— �EEL, 14��j12- — —.— — — —'—'— - - — — — — — — — — — '— — — — — — — — — — SECOND R R ROOGN EO ND F 00R ROUGH ROUGH HEAD ROUGH — — — — — — — — — — — — - . FIRST FLOOR ROUGH — — — — _ _ — — _ — _ FIRST FLOOR ROUGH — EL.= 0.0' — — — — — — — EL=T- — — — — — — — — — — — — — — r FRONT ELEVATION REAR ELEVATION T.O.W. EL.- .Xli EXISTING®DORY ROUGH HEAD — — rib OOR ROUGH — — EL= a8'•I I 7 — — � FIRS7 FLOOR ROUGH EL.- 0'-0' RIGHT ELEVATION ROMANOWICZ RESIDENCE EXISTING ELEVATIONS. KJS 7.26.12 1/8" = 1'-O" N R - Me 95 < Shore or River Road ® Psa '• Z 61 > <0 LOCUS �� 1 gyp. ♦�� \ Wakeby Rd A� LOCUS MAP NOT TO SCALE 15, o EXIST. WELL GENERAL NOTES: (PER OWNER) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Z \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: W / LA ` O —310 CMR t 5.405(1)(b): p N �\ w 1) A 2' variance to the 3' maximum cover requirement, for 5' of /� max. cover. S.A.S. shall be H-20 and vented. p 0000 — — _ _ _ _ _ X _ �_ _ _ _ _ _ _ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE rn j �6" .000 DESIGN ENGINEER. �6'• O 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING BAR I FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN c� O ENGINEER BEFORE CONSTRUCTION CONTINUES. C 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �o I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 9� O THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. a 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. ti \ 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 19� �. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE So., I DIRECTED BY THE APPROVING AUTHORITIES. EXIS77NG 726 Gj, �\� OF MgSS9 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY OUSI #64oE ��' ( y�Q cdG THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING I o PETER T. LIP— CONSTRUCTION. CONc. � Mc TEE 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SLAB o CIVIL "' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ' LOT 3 No. 35109 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). APN 028-103 REGISTE� �� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE �F L INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 1.01 Acrest R=13.76� 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND L=35.19' I IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 284.12 s 53•05'30" E I PROPOSED SEPTIC SYSTEM UPGRADE PLAN I edge of pavement 640 WAKEBY ROAD, MARSTONS MILLS, MA WAKEB Y ROAD Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 OWNER OF RECORD I I Engineering by: SCALE DRAWN JOB. NO. SAC HOME LOAN SERVICE 1"=40' P.T.M. 142-10 FKA COUNTRYWIDE HOME LOANS _ _ _ _ _ _ _ _ - SHEET 2 . _ Engineering Works, Inc. 2505 W. CHANDLER BLVD.—BLDG. D-3rd FLOOR 20 SCALE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. CHANDLER, AZ 85224 (508) 477-5313 4/23/10 P.T.M. 1 Of 3 LEGEND \\` 99 ��� ��'9� Benchmark Set __ 98 —— EXISTING CONTOUR x 99.5 6'' CENTER OF CATCHBASIN � �• catchbasin x 100.98 EXISTING SPOT GRADE 99.43 EL.=99.43 (Assumed) x 98,65 / / - 6.H,•W--OVERHEAD WIRES i BARN EXISTING SEPTIC TANK W EXISTING WATER SERVICE x 99.64 (Taken from record As-built) TEST PIT 99,50 TOP OF INV.(OUT)A 98.09E_99 42t •oS $ BENCHMARK 0 9 42 1 i 99.86 9 . OC4� 99,67 9 7 C I �. Off/ � 6' x 98.62i ���� ,0 5 Sa h%qY �, �\ v �0), � v •+ 99.74 ate 100,G19 J /V TP-3 CX 18 0 99,7 , / N ' 9,51 O'1,0.17 \` \ + 74 O AD 99 _---��� -----� VENT �,'� ® \` 99.9 " \ TP-2 100,02 o _ Q / 67 ,� m 9.80 TP 1 , � p O 100.01 i' c' v �` ti 9L j / 19 SF 3 0 /EXISTING o coo �`.��c` ��, '2s `SO'' HOUSE (#640) q� ,' ��3• + 99.45 99.78 T.O.F.=101.1±' 0 1919, x�9931 / 98.73 SLAB /�/ 98,68 -------------9.9---------- 99.73 -- - • 98.89 . . . EXISTING LEACH PIT 100----- �\ + 99.61 �, + 98,5 TO BE PUMPED, FILLED W/ y� 98,59 SAND & ABANDONED 98.55 98,83 cat asin pf C/ pr/n ,� LOT 3— 98,41 Ir, . �APN 028 103 + 8 30 R=13.19; 8.51 1.01 Acres± L=35.19 284.12' ---------------- \ 98.58 S 53'05'30" E -9zq 98.72 r \�� 98.81 98,77 100.82 99,17 � edge of pavement 99,69 L_----99 100,24 I'a�0 �P��� of MAssgcti PROPOSED SEPTIC SYSTEM UPGRADE PLAN WAKEB Y ROAD o� PETER T. G� 640 WAKEBY ROAD, MARSTONS MILLS, MA MCENTEE OWNER OF RECORD CIVIL "' Engineering Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 BAC HOME LOAN SERVICE o. 35109 En b SCALE DRAWN JOB. NO. p 9� 9 Y� FKA COUNTRYWIDE HOME LOANS "=20' P.T.M. 142-10 2505 W. CHANDLER BLVD.-BLDG. D-3rd FLOOR L��,� Engineering Works, Inc. 1 CHANDLER, AZ 85224 � 2 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. `�/ `` (508) 477-5313 4/23/10 P.T.M. 2 of 3 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:95.3 y FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 0SVID s ` INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT CHARCOALPR,,, T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE VENT \ems �• EXISTING F.G. EL.=99.7f F.G. EL: 99.7t F.G. EL: 99.6t(100.3 max.) , '1413. MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 0 INSPECTION L - 23' L = 7'(MAX) PORT /EXISTING ® S=1% (MIN.) 0 S=1% (MIN.) HOUSE (( 640� 4"SCH40 PVC 4"SCH40 PVC T.O.F.=101.11' 6" 10"I 1 a" 6 11.3" TO EXISTING 48" LIQUID INVERT LEVEL ADD GAS BAFFLE INV.=96.47 PROPOSED INV.=96.30 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' N 09± OUTLETS (MIN.) INV. 94.94 EXISTING 4 O SOIL ABSORPTION SYSTEM (PROFILE) P,t� S.A.S. LAYOUT EXISTING SEPTIC TANK H-20 RATED .60 ESTABLISH VEGETATIVE COVER BACKFILL WITH"'BEAN NATIVE OR 1S PERC SAND TO TOP OF CHAMBERS �- 75" NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 00 b 1 ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP! STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). TOP ELEV.=95.33 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV. 4.9 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.= II III IIIII�II AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. g3.66 2.83' 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF I _ INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' r� 76" EXISTING SUITABLE PROFILE NO G.W., EL=88.6 - MATERIAL SEPTIC SYSTEM PROFILE WITH OWS NO SEPARATION BETWEENADS EACHBI ROW &ENOUNITS STONE TYPICAL SECTION N.T.S. N.T.& 16" 1 __ SOIL LOG 34" � DESIGN CRITERIA DATE: APRIL 22, 2010 (REF# 12,912) SECTION END CAP SOIL EVALUATOR: PETER MCENTEE (SE#-1542) 16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT NUMBER OF BEDROOMS: 2 BEDROOMS WITNESS: DAVID STANTON-HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I Elev. TP- 1 Depth Elev. TP-2 Dew Elev. TP-3 _� TP-4 _� Depth Elev. Depth MODEL 16" HICAP DESIGN PERCOLATION RATE: <2 MIN/IN 99.5 A 0" 99.5 A 0" 99.6 A 0" 99.6 A 0" LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 220 G.P.U. SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM ErrCCTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DESIGN FLOW: 330 G.P.D. 98.5 1OYR.4/2 12„ 98.5 10YR 4/2 12„ 98.5 1OYR 4/2 12„ 98.7 10YR 4/2 10" SIDE WALL HEIGHT 11.2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO B B B B OVERALL HEIGHT 16" SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. 10YR 5/4 10YR 5/4 10YR 5/4 10YR 5/4 OVERALL WIDTH 34" 4640 TRUEMAN BLVD .74 97•0 30" 96•5 Cl 36" 96•6 C1 36" 96•6 Cl 36" 13.6 CF Iff4se HILLIARD, OHIO 43026 Cl EXISTING SEPTIC TANK: 1000 GALLON CAPACITY CAPACITY 101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. PROPOSED D-BOX:: 1 INLET, 4 OUTLET MINIMUM H-20 RATED SILT LOAM SILT LOAM 'SILT LOAM SILT LOAM (MINIMUM), SY 5/3 5Y 5/3 5Y 5/3 5Y 5/3 USE 4 Rows OF 4 - 16"SH-2o) ADS BIODIFFUSER UNITS 92.5 C2 84" 92.3 C2 86" 94'6 C2 6D' 94 6 C2 60" PROPOSED SEPTIC SYSTEM UPGRADE PLAN W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11.3' x 25.0' L96"PER L72C 640 WAKEBY ROAD, MARSTONS MILLS, MA M-C SAND M-C SAND M-C SAND M-C SAND 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 Pre pared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 SIDEWALL AREA: NOT APPLICABLE BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) 88.5 Engineering by: SCALE DRAWN JOB. NO. 132" 88.3 134" 88.6 132" 88.6 132" Engineering Works Inc. NTS P.T.M. 142-10 16 UNITS x 6.25 LF x 4.7 SF/LF = 470.0 SF g 9 � PERC RATE <2 MIN/IN. ("C2" HORIZONS) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD NO GROUNDWATER OBSERVED 7 _ 4/23/10 P.T.M. (508) 4 7 5313 3 of 3 Town'af Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 5-1 Sewage Permit# Assessor's Map/Parcel 2S 0 3 Installer&Designer Certification Form Designer: 1!5;�5 Iq C • Installer. Address: n- W. G'e-1 s�.-c l�{ 0--d\ Address: (017 Sou rae KC4 On L-0 V ( was issued a permit to install a (date) (installer) septic system at & go usakeb (2ek MM based on a design drawn by (address) dated I-L3 �l Q (designer) '-/--I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (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 ce with State & Local Regulations. Plan revision or of the septic stem but in accordance � P system) inspected and the soils . _ tri out if required) was ins certified.-ads built by designer to follow. S p ( q ) P ound sati -tory. AA OF M,�Ss�Fr 9 PETER T. G� (Installer's Signature) o WEN TEE CIVIL -0 9 No.35109 C Q (Designer's Signature) (Affix De e) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISI N. CERTICATE OF COMPLIANCE WILL NOT BE ISSUED UNT!L BOTH S FORM AND AS- OF T C ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAeffice formsWesigne—tifi-tion form.doc .� Ne } ® Pso M Sh°r Dr River Road f 6j <09 LOCUS Wakeby Rd A� LOCUS MAP NOT TO SCALE r " R p 1�t..11, J61, EXIST. WELL GENERAL NOTES: (PER OWNER) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Z OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE W LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: W C —310 CMR 15.405(1)(b): JN ,Q 0// 1) A 2.5' variance to the 3' maximum cover requirement, for 5.5' of ILn _ Q� — — — — — — max. cover. S.A.S. shall be H-20 and vented. — — — — — — y- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR r*t I ��j �6+, //�� TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE /VO - DESIGN ENGINEER. , I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING BAR O FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. O I 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10 9� o� O�9 I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0o O HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. c� O 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4/ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ,9a I AGREED UPON. BY OWNER AND CONTRACTOR OR AS OTHERWISE EXISTING 1 `SO'• I DIRECTED BY THE APPROVING AUTHORITIES. ,2 # IT SHALL BE 646 6��, =��P�\ MT S9��r 10• THE THE RESNSIBILITY ALLPUONDERG OUOND THE UTILTICONTRACTOR PRIOR TO BEGIINNING I o PETER CONSTRUCTION. S�AB McENTEE CD N 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1 I CIVIL IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND LOT 3 35109 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). APN 028-103 '�FGIS E� 'k- 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. I 1.01 Acres± R=13.76� 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND L=35.19 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. i_ 284.12' PLAN REVISION 5 24 10: LOWER S.A.S. BY 6" PER BOH RECOMMENDATION. S 53'05'30" E PROPOSED SEPTIC SYSTEM UPGRADE PLAN edge of pavement 640 WAKEBY ROAD, MARSTONS MILLS, MA WAKEB Y ROAD I Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. BAC HOME LOAN SERVICE 1"=40' P.T.M. 142-10 FKA COUNTRYWIDE HOME LOANS _ _ _ _ SEE_ SHEET_ 2 _ Engineering Works, Inc. 2505 W. CHANDLER BLVD.—BLDG. D-3rd FLOOR 20 � 'SCALE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CHANDLER, AZ 85224 - (508) 477-5313 4/23/10 P.T.M. 1 of 3 I LEGEND Ben chm ark Set x 99,5 6, CENTER OF CA TCHBA SIN —— 98 —— EXISTING CONTOUR 06• cotchbosin EL.=99.43 (Assumed) x 100.98 EXISTING SPOT GRADE x 98.65 / / 99.43 (q./-/, W. OVERHEAD WIRES � BARN EXISTING SEPTIC TANK W EXISTING WATER SERVICE x 99.64 (Taken from record As—built) TEST PIT 99.50 TOP OF TANK, EL.=99.42f ,p INV.(OUT)=98.0911- BENCHMARK 0 9 42 ?o N j 99.86 99. 7 L 99,67 0, 5 r 1 + 99.74 \ .000 J TP 4 0 ` �o TP-3 C;x 68 w 99, Ov N i � \ O C" 9,51 0'1od17 + .74 << / 99 ----G —� / ®67 \ 100.02 VENT 99.9 — TP-2 / O 10/ \ t� 100.01 v �� i �� ti o �O 79• Ao /EXISTING o �0' lop 1z' �`.� 726S�S0., Q) HOUSE (#640) _ q� , .73• 4, + 99.45 99.78 T.O.F.=101.1f' 0 19 XC 99.91 CONC. , ''S- , 98.73 • SLAB - ,' �8,68 - --------99------------ -- N 99.73 99.80 + . . 1 EXISTING LEACH PIT + 99.61 �, + 98,5 i+ 98,59 TO BE PUMPED, FILLED W/ y� SAND & ABANDONED � / \ • � 98,55 �j98,83 LOT 3 cat osin \\ %or/ng 4PN 028-103 830 R=13.76; 8. 98.4 1 1.01 Acresf L=35.19 98.98 I 284.12' -------------- \ 98,58 140- S 53'05'30" E �199, 98.72 98,77 100.82 �100,24 � edge of pavement 99.69 L— --99 O' 99,17_ a ��P��� of Mgss9��G PROPOSED SEPTIC SYSTEM UPGRADE PLAN WAKEB Y ROAD o PETER T. L 640 WAKEBY ROAD, MARSTONS MILLS, MA McENTEE OWNER OF RECORD o CIVIL "' Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 BAC HOME LOAN SERVICE No. 35109 Engineering by: SCALE DRAWN JOB. NO. FKA COUNTRYWIDE HOME LOANS �'p �£6I$ Engineering Works, Inc. 1"=20' P.T.M. 142-10 2505 W. CHANDLER BLVD.—BLDG. D-3rd FLOOR I CHANDLER, AZ 85224 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (10 (508) 477-5313 4/23/10 P.T.M. 2 of 3 a1 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:95.3 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. OS Ea INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT CHARCOAL T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE VENT 41 s' EXISTING � F.G. EL.=99.7t � F.G. EL: 99.7t F.G. EL: 99.6f(100.3 max.) MAINTAIN 2% GRADE (MIN.) OVER S.A.S. •1 . NAYAl7J7A'1 . INSPECTION L = 23' L = 7'(MAX) PORT IEXIS77NG ® S=l% (MIN.) ® S=l% (MIN.) HOUSE (#'640) 4"SCH40 PVC 4'SCH40 PVC T.O.F.=f01.ft' 6" 10"1 6' 11.3" TO 14 INVERT EXISTING 48" LIQUID LEVEL ADD GAS BAFFLE INV.=96.47 PROPOSED INV.=96.30 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' INV.=98.09t D-BOX INV.=94.44 EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) S.A.S. LAYOUT EXISTING SEPTIC TANK H-20 RATED ESTABLISH VEGETATIVE COVER BACKFILL WITHTtEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS 75" NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). TOP ELEV.=94.83 : < 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV.=94.44 V 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=93.50 II III�IIIII�I AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2.83' 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF - I _ INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' �� 76" EXISTING SUITABLE PROFILE NO G.W., EL=88.3(TP-1) = MATERIAL 4 ROWS OF 4 - 16" (H-20) ADS BIODIFFUSER UNITS SEPTIC SYSTEM PROFILE WITH NO SEPARATION BETWEEN EACH ROW & NO STONE TYPICAL SECTION N.T.S. e.ts 16" 11 SOIL LOG 34"�- DESIGN CRITERIA DATE: APRIL 22, 2010 (REF# 12,912) SECTION END CAP SOIL EVALUATOR: PETER McENTEE (SE#1542) NUMBER OF BEDROOMS: 2 BEDROOMS WITNESS: DAVID STANTON-HEALTH AGENT 16 HIGH CAPACITY (H-20) BIODIFFUSER UNIT SOIL TEXTURAL CLASS: CLASS I Elev. TP- 1De Depth Elev. TP-2 Depth Elev. Depth Elev. Depth MODEL 16" HICAP DESIGN PERCOLATION RATE: <2 MIN/IN 99.5 A 0" 99.5 A 0" 99.6 A 0" 99.6 A 011 LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 220 G.P.D. SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DESIGN FLOW: 330 G.P.D. 98.5 10YR 4/2 12" 98.5 1OYR 4/2 12„ 98.5 10YR 4/2 12„ 98.7 1OYR 4/2 loll SIDE WALL HEIGHT 11.2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO B B B B OVERALL HEIGHT 16" SANDY LOAM SANDY LOAM SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. 10YR 5/4 10YR 5/4 tOYR 5/4 10YR 5/4 OVERALL WIDTH 34" 4640 TRUEMAN BLVD .74 97.0 30 96.5 Cl 36^ 96.6 Cl 36^ 96.6 Cl 36" gffcse 13.6 CFHILLIARD, OHIO 43026 Ct EXISTING SEPTIC TANK: 1000 GALLON CAPACITY CAPACITY 13. PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-20 RATED SILT LOAM SILT LOAM SILT LOAM SILT LOAM ( GAL) ADVANCED DRAINAGE SYSTEMS, INC. 5Y 5/3 5Y 5/3 5Y 5/3 5Y 5/3 84" 92.3 .. 94.6 94.6 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 86 USE 4 ROWS OF 4 - 16" (H-20) ADS BIODIFFUSER UNITS 92 5 C2 PERC C2 C2 PERC C2 W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11:3' x 25.0' 96" 72" 640 WAKEBY ROAD, MARSTONS MILLS, MA M-C SAND M-C SAND M-C SAND M-C SAND 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 Prepared for: Mark Romanowicz, 191 Route 6A, Sandwich, MA 02563 SIDEWALL AREA: NOT APPLICABLE DWN JOB. NO. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) 58.5 132" 88.3 134" 88.6 1 132" 88.6 132" Engineering by: SCALENTS P.TT.M 142-10 16 UNITS x 6.25 LF x 4.7 SF/LF = 470.0 SF Engineering Works, Inc. PERC RATE <2 MIN/IN. ("C2" HORIZONS) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD NO GROUNDWATER OBSERVED (508) 477-5313 4/23/10 P.T.M. 3 of 3