Loading...
HomeMy WebLinkAbout0545 SOUTH MAIN STREET - HAZMAT -..115 South Main Street Genterville _.F - - A = 206 071 k P 1 III o n I Y i O � 1 0 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page., Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information r forms on the computer, use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector "I use the return key. DOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 Cityrrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the.proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 10/6/12 Inspector's gnature 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 at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. I ( I I U t5ins•09/08 V..al ion Form:Subsurface Sewage Disposal System•Page 1 of 17 ° + z4- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �,M 5 545 SOUTH MAIN ST Property Address JEFF/ IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityfrown 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: SYSTEM IS ONLY 4 1/2 YRS OLD AND HAS ONLY SEEN SEASONAL AND WEEKEND USE B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owners Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Uty/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution,box due, to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System-Will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. CityrFown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and;the SAS is within 100 feet of a surface water supply or tributary to a surface water supply_;, ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public,.water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory., for coliform bacteria indicates assent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® 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 Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a 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 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 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 El El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 545 SOUTH MAIN ST Property Address JEFF/ IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (if they were'not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 545 SOUTH MAIN ST Property Address JEFF/ IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. City/Town State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF A SEPTIC TANK, PUMP CHAMBER, DISTRIBUTION BOX, AND 3 FLOW DIFFUSERS Number of current residents: 2 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 SEE BELOW 9 ( Y 9 (gP ))� Detail: 2010---------94 GPD 2011-------87GPD Sump pump? ❑ Yes ❑ No Last date of occupancy: CURRENT 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: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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 maintenancen co tract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M e 545 SOUTH MAIN ST Property Address JEFF/ IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 . 10/6/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: SEPTIC TANK UNKNOWN- PUMP CHAMBER DBOX AND S.A.S INSTALLED IN MAY OF 2008 Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete '❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Sludge depth: VARYING BUT LIGHT t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owners Name information is required for CENTERVILLE MA 02632 10/6/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness TRACES OF CLUMPING SCUM Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? WOODEN POLE Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TANK LOOKS FINE AT TIME OF INSPECTION, FILTER CHECKED AND LOOKS OK SHOULD BE CHECKED AND CLEANED REGULARLY Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 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.): 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 ❑ othe'r(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/ IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 01f Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any. evidence of leakage into or out of box, etc.): BOX LEVEL NO SIGNS OF LEAKAGE OR FAILURE Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): PUMP CHAMBER LOOKS FINE CHAMBER DOES NOT HAVE METAL COVER TO GRADE DUE TO LANDSCAPING ASA Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: OWNERS WANTED TO PRESERVE AS MUCH OF THE LANDSCAPING AS POSSIBLE. ALSO SYSTEM IS FAIRLY NEW AND HAS ONLY HAD SEASONAL AND WEEKEND USE SINCE IT WAS INSTALLED IN MAY OF 2008 ALONG WITH WATER USAGE WELL BELOW THE DESIGN FLOW !Sins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M ,•''� 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 3 FLOW DIFFUSERS ❑ leaching trenches number, length: El 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.): i 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately {itk I t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name information is required for CENTERVILLE MA 02632 10/6/12 every page. Citylrown 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: 5 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: OCT 2012 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: OFF DESIGN PLANS Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 545 SOUTH MAIN ST Property Address JEFF/IRENE COOK Owner Owner's Name . information is required for CENTERVILLE MA 02632 10/6/12 every,page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems).d6mpleted ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Assessing As-Built Cards Page 1 of 1 w. TOWN OF BARNSTABLE LOCATION S1I5' M&5 St.- SEWAGE# 34 - / YL T AGE�up;o+11 ASSESSOR'S IbLAP&PARCEL `P.M' !Q7 J INSTALLERS NAME&PHONE NO.5�� �RR!)Wn SM-400 7/55 SEPTIC TANK CAPACTFY (0 CY� � 1�; In t�r,n rr'1 LEACHING FACILITY:(type)-EiA aUAftn tad (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: S Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Faeilityi 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 1 . ry�1�NKIN-iy6" .° A TM ooV-no' A P,)o?oo-22V`. A 1)BOY, —A616 4 V16 1/ 7AN�c la-3S't�t TA 4 k00V-37'L 0 Pum 13-lWf 1,r4 —32' t f x7'0 R �� + 3 ttp-//W WW.town.barnstable.ma.us/Assessing/PIMdisplay.asp?mappar=206071&seq=1 9/27/2012 � i ��� � ,�� y � .� k ��� �-- c 25' COOK RESIDENCE SECOND FLOOR PLAN --- ----- NOT TO SCALE THIS FLOOR PLAN IS SCHEMATIC AND INTENDED TO SHOW GENERAL FLOOR PLAN LAYOUT WITH BATHROOM ADDITION ROOM DIMENSIONS OF EXISTING HOUSE AND 10' x 25' PROPOSED ADDITION ifs ROOF N BEDROOM ADDITION 15' x 25' BEDROOM CLOS 8'3 x 12'6 5' x 8'3 HALL 20' x 4'6 0 BEDROOM BEDROOM BATHROOM 13' x 229 10' x 10'6 10' x 10'6 COOK RESIDENCE 25' FIRST FLOOR PLAN NOT TO SCALE THIS FLOOR PLAN IS SCHEMATIC AND INTENDED TO SHOW GENERAL FLOOR PLAN LAYOUT WITH ROOM DIMENSIONS OF EXISTING HOUSE AND PROPOSED ADDITION UN 1 ST FLOOR ADDITION III I Ell HALL 25' x 25' cv 9'-3 x 16-3 c 90 UP 0 LIVING ROOM KITCHEN/DINING DECK 14'-6 x 22' 18' x 32' 8' x 18' Engineering Works 12 West Crossfjeld Road Forestdale, MA 02644 (508) 477-5313 33' 00 KITCH. MASTER BEDROOM DINING RM ° 10' x 13' 13' x 23' F-1 18' x 23' CLOSET _ © Q 0 BATH 0 tq � o CLOSET UJN D 0 oLL- � LIVING RM L-D 17' x 35' BED RM BED RM 14' x14' 10' x11' PORCH o O BATH FIRST FLOOR SECOND FLOOR FLOOR PLAN Scale 1"=1' No. v` — �� Fee �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF, BARNSTABLE, MASSACHUSETTS Yes 01ppYication for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System IX Individual Components Location Address or Lot No.5415 sow 14 M44 x) $'r Owner's Vame,Address,and Tel.No. Assessor'sMap/Parcel aQ OZ di���%� KK4 v— zdljN a- Alt u_5 K C. Installer's Name,Address,and Tel.No. 5Q9'-C177—88"7 Designer's Name,Address,and Tel.No. c6� 7wktser&&CC P12 ry Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) N(&4j 5 QP r eC_ 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 Heal Signed Date All LL( Application Approved by Date Application Disapproved by Date for the following reasons o Permit No. l Date Issued eNo t ,.' Fee �, -THE COMMONWEALTH OF MASSACHUSETTS Enured in compute, 'A W. PUBLIC HEALTH DIVISION — TOWN'OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Disposal. stem Construction perrait, Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) [:]Complete System [%Individual Components / Location Address or Lot No�5 f 5 SOW7g MA j W $ r' Owner's Name,Address,and Tel.No. Kt44 E ay, caa;;7u.5; Assessor's Map/Parcel a D(p/Q-'1 I �.I V«� 4q1 X. t C K V tZ L 4LO KS. Ins ller's Name,Address,and Tel.No. 509 47 7-$81'7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided N 7 gpd Plan Date Number of sheets Revision Date Title r .t J Size of-Septic Tank Type of S.A.S. Description of Soil It t .-Nature of Repairs or,4terations(Answer when applicable) (a - TU S07'r1C .'T?4lV K, 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 Heal h Signed Date a Al>"aO t� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 0 l t Date Issued ' 1 --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS &rtifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by CA1P&LU ME GU'TtiYZAQ 1$4;S at S q S SO QI rE jk/4(LJ S-y 0 'V I L(L Chas been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.;6jq y is dated Installer (!"& 11W _ 15XPGS&9 LL(-- Designer NIA /v/ #bedrooms /I' Approved design,(lo t gpd The issuanceLof its{fisl permit shall not be construed as a guarantee that the system wq!func,c ! as des' ned. Date f(I l m Inspector t ---------------I-(-,------------ ------------------------------------------------------------------------------------------------------- No. rf 1 Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal A)pstem Construrtion Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at S145 SOc.> rH, M A-W S TxL��" and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. ' Provided:Construction must be completed within three years of the date of this permit. Date '�� Approved by P1 No. m7W Fee 1(or THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Ot5po5al *p5tem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 1-50 h4c4 "^ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ave O DVo Inst Name,Address,and Tel.No. Desig s Name,Address and Tel.No. nfll��� Type of Building: Dwelling No.of Bedrooms Lot Size 49�,G 33 sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re/q�uired) gpd Design flow provided 3C� gpd Plan Date .1 V 1.5 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. / Description of Soil L_-ir4 Ad Nature of Repairs or Alterations(Answer when applicable) — h9F,v bCVc4,,5ei C( I I-,L-21. 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 and f Health. Signed OX Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. ���'���'-]62 Date Issued y.."^'✓�-+.,rl.... �` ��....:.�., -=_.`',r..--� '-5.-..i :�"�+�.iY-':.�r� �.- -..��s..tJ+...1".....,o,.r...=e,+-�-...^'ti.e'7's",4..'^c'..i..:.a^w;..-�-.-...�.�.+s.... . . .V�_ rrn No. - Fee 1001 �T,HFC�AMMONWEALTH OFPMASSACHUSETTS Entered in.computer: PUBLIC HEALTHtDIVISION -XOWN OF BAR STABLE, MASSACHUSETTS Yes 2pprication for Mi5po!5aF*pgtem Congtruction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑ Complete System ❑Individual Components F Location Address or Lot No. E� gzl So MC^ Owner's Name,Address,and Tel.No. . Assessor's Map/Parcel 0 ,�.1 P � > / P� - o Installer-'s Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (. br S�a (II✓Grp, Type of Building: Dwelling, No.of Bedrooms Lot Sized (� >' sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �j� gpd Design flow provided 20 gpd Plan Date I y 1 5 U7 Number of sheets Revision Date (� r - Title r _ Size of Septic Tank o Type of S.A.S. I,/ a �/ Description of Soil} Nature of Repairs or Alterations(Answer when applicable) V, Ur �) ✓ !�%/ '^t-C C ^ .(J Date last inspected: t , 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�oaryofealthSigned - __ Date d— Application Disapproved by: Date for the following reasons Permit No. .2. Of 1`5 1 -7 65. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIF`YY,,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by JL_ V at L� �7 . S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2- 017!9 /"7 G dated S I v Installer .G uq c 3-1�1- Designer � 4- ` 1A l ,/1/ #bedrooms Approved design flow gP ( d The issuance of this pe it shall not be construed as a guarantee that the system will f�unctiio�n a),designed. Date 11AV InspectorLy ,1_-✓C�' No. 70 Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS li5pog;ar *p!gtem Construction Permit Permission is hereby granted to Construct ( ) Repair 1/, ) Upgrade ( ) Abandon/(/ ) System located at �- ^ - /YIG l�r��G( l.`c-> and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by C OF THE TOw Town of Barnstable tl* RA[iN5'TARLE, � I - MASS.679•3Board of Health a 9 �6 0� h� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 30, 2007 Mr. Peter Sullivan, P.E. Sullivan Engineering 7 Parker Road Osterville, MA 02655 RE: 545 South Main Street Centerville Dear Mr. Sullivan, You are granted variances, on behalf of your client, Jeffrey and Irene Cook, to construct an onsite sewage disposal system at 545 South Main Street, Centerville. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located seven (7) feet away from the front property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located eighteen (18) feet. away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The soil absorption system and pump chamber will be placed on top of a coastal bank, in lieu of the fifty (50) feet minimum setback required by Title 5 the State Environmental Code. R 310 CMR 15.211 The soil absorption system will be located nineteen-(19) feet away from a coastal bank, in lieu of the fifty (50) feet minimum setback required by the State Environmental Code. The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type Q:\WPFlLES\SullivanCook.doc rooms are considered. "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system .shall be installed in strict accordance with the engineered plans dated revised October 15, 2007 (which eliminates 25% reduction in the size of the soil absorption system). (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system 'was installed in substantial compliance with the submitted -plans dated revised October 15, 2007 (which eliminates 25% reduction on the size of the soil absorption system). These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to the fact that there are wetlands at this property. The proposed new soil absorption system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sin ere you , r 1� ill , M.D. ga' erson Q:\WPFILES\Sul livanCook.doc DATE: 0— FEE: •`e�' REC. BY Town of Barnstable sue. DATE: W 0 Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. F.A.X. 508-790-6304 Sumner Kaufman,M.S P.H. Ralph A.Murphy,M.D. V.UUANCE REOUEST FORT LOCATION Property Address: b4 5 Assessor's Map and Parcel Number: ZO(Q -07 j Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: �Cece�, .�a Phone Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: le i + -Lr-Q.n2 l,Ooyl Name: SA7vGr1 -7 v;btrkAr Address: S C.CvS�� LCrjlz- Address: 05)--(\-,4e� YY\A- OZ S-s— Phone: Nbfkh Cgs�o,-1� Mk oz:ss(a, Phone: SO4 -Li18 3-,SLl- VARIANCE FROM REGULATION(ust Reg.) REASON FOR VARIANCE(May attach if more space needed) ' • f'ot•e {� 8p c_ ' NATURE OF WORK: House Addition ❑ House Renovation 0 Repair of Failed Septic Sy t; Che list(to be completed by office staff-person receiving variance request application) Four(4)copies of the completed variance request form t S' Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) grrc� RE RiCT to r✓ Signed letter stating that the property owner authorized you to represent him/her for this request N t bLg Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Tide V and/or local sewage regulation variances only) yY� Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same ownertleasce only],outside dining variance renewals(same owner/lessee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ No. . '. • .Q.l�'��� S r Fee k 1;0' o 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for �Bigpogal *pztem Congtruction Permit Application for a Permit to Construct( ) Repair(k) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 54 j S, t4 A.N'S 7 Owner's Name,Address,and Tel.No. C&uZ-c--R_v t L�_t= 3 F-VF2 t.-( Coble Assessor'sMap/Parcel 20(P Z0--7 SLe4SIAL, 'Lo-)aC-: �\ovurvA 'E�Si�>� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t5C%6-Al-1 -53\3 �,aCzt�uco-�+.n�.6c �t�o��5 1tue.Es�t4C.C�'�'g Type of Building: Dwelling No.of Bedrooms 3 Lot Size S(�)) G33 sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided IS d gP Plan Date 3/G 1 0 A Number of sheets Revision Date Title �2 QOS�:-:Q S G_,v t t c._ TF—avl A t t:k S T T7C-2\t%U t Size of Septic Tank L 000 Type of S.A.S. h 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 oard He lth. Signed Date 2,I ® g 10-7 Application Approved by Date Application Disapproved by: .Date for the following reasons Permit No. / Date Issued ZS THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (K ) Upgraded ( ) Abandoned( )by at 5 41 S ou 1-S lam►R t N 57 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 77-7 /&� dated 2.5 Installer Designer #bedrooms !�3- Approved design flow 3 30 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector 00 No. .',. �t�@J�""!� ' r ` Fee .5P ao THE COMMONWEALTH-OF MASSACHUSETTS Entered in computer: !�/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Miologal *vmem Cowaruction Permit Application for a Permit to Construct(,) Repair()Q Upgrade( ) Abandon( ,) '0 Complete System Individual Components Location-Address or Lot No. 54,3 of T Owner's Name,Address sand Tel.No. Assessor's Map/Parcel Z p( Q-7 S C��(S-nNI L i�t_ + Installer's Name,Address,and Tel.No. Designer's Name,(Addressand Tel.No. .- !"4-7 1 53 3 6Z '6- ��lOr;�s_ /+ !.E5�n cr:(mA Type of Building: Dwelling No.of Bedrooms 5 Lot Size s� G33 i's'q.ft. Garbage,Grinder( ) Other Type of Building No.of Persons Showers(r)!)�Cafeteria( ) Other Fixtures • ,. q�, i tesign Flow,(min.required) 33 gpd Design flow provided 33Q1 gpd Plan Date 3/01 / 0 A Number of sheets 3 Revision Date L1 -71 0�} Title Y,2_0i?g5Ir Se,'-1 1 G. SY`,\FM U?&,'_AV _ S-A 5 S M AIa T Size of Septic Tank 1 O C>Q Type of S.A.S. I\ K t=,e,_0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) t r 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 Bo�of He Ith. _ Signed—J � /s "'��„^'^- Date 's� Application Approved by -" Date �•/[�_ � Application Disapproved by: - Date for the following reasons s ' Permit No. QL �� Date Issued ► T° THE COMMONWEALTH OF MASSACHUSETTS £ BARNSTABLE, MASSACHUSETTS -'• Certificate of eompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (K `) Upgraded ( ) Abandoned( )by at `a n,,71-t M A k A-) has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2(a?7 /&R dated- Y 2 5 07 Installer Designer #bedrooms Approved design flow 3 3o gpd The issuance of this permit shall not be construed as,a guarantee that the system will function as designed. Date Inspector --------------------------------------------- No. oo 1 1&0 Fee J00 J THE COMMONWEALTH OF MASSACHUSETTS I'%'BLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS wioogal �&pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( X) Upgrade ( ) Abandon ( ) System located at 5-A jC?UT?1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by(!7—&4#-) Tow of-Barnstable . Regulatory Sen ices . o Thomas F. Geiter,Director MASS Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,IN02b01 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: $ l (1 -...-- -- ..--- Designer: Svc yscn eAc,r, M('k4%�A Installer: JJC/cs ✓`i Address: ,,Sox Address: O. moo* On S-J":L-( 2�1 1" 4 was issued a permit to install a (date) (installer) septic system at S L-)S 500.� � St based on a design drawn by (address) dated o S (designer) u,-f'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 distibution box and/or septic tank... � U�e1� e�c�5��� 10� 6A�t«nU� • . . I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical-relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. PE Irafit—aHer's Signature) e (Des "L • rv'Ny 'gner's Signature) (Affix Designer's Stamp Mere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UiV'TIL BOTH THIS FORM AIND AS- BUILT-CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION- THANK YOU. Q:H=I&SeptidDesigner CertE=cn Form SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E.Afass-Registration No. 29733 peter@sullivanengin.com phone 508-428-3344 fax 508-428-3115 April 24, 2007 Board of Health 200 Main Street Hyannis, MA 02601 RE: 545 South Main Street,.Centerville Dear Board of Health, Please find attached a copy of the recorded deed restriction for the above referenced property. I trust this meets your present needs and if you have any questions,please contact the office. Thank you. Very truly yours, Peter Sullivan,P. E. Sullivan Engineering Inc. Cc: Jeffrey and Irene Cook Members of American Society of Civil Engineers,Boston Society of Civil Engineers B k 21967 Po 68 `24 343 DEED RESTRICTION Jeffrey & Irene Cook of 5 Crystal Lane, North Easton, Mass., as the owners of 545 South Main Street, Barnstable (Centerville), by deed recorded in the Barnstable Registry of Deeds in book 19103 page 219, agree that until such time as technology changes and /or the Barnstable Board of Health changes its regulations or otherwise grants permission, any house on the premises of 545 South Main Street, Centerville, shall have no more than three (3) bedrooms. Jeffrey Cook Irene Cook COMMONWEALTH OF MASSACHUSETTS Barnstable County On this �d day of April, 2007, before me, the undersigned notary public, personally appeared Jeffrey Cook and Irene Cook proved to me through satisfactory evidence of identification,,which was VMI& k.1RA x- to be the persons whose names are signed on this document and acknowledged to me that he/she signed it voluntarily for its stated purpose. COAL" Notary Public My commission' expires: a/�8'1)a, CHARLOR TSIONS DUT05 to un 08/31/2004 TUE 15:23 FAX 10002/003 a Town of Barnstable UAM BA3tl+�J'AAI�, , 63;9. Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862 4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. Peter McEntee, P-E. April26, 2004 23 Deer Hollow Road Forestdale, MA 02644 RE: 545 South Main Street Centerville Dear Mr. McEntee, You are granted variances, on behalf of your client, ,John Williams, to construct an onsite sewage disposal system at 545 South Main Street, Centerville. The variances granted areas follows: 310 CMR 15.211: The soil absorption system will be located seven (7) feet away from the front property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located eighteen (18) feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The soil absorption system and pump chamber will be placed on top of a coastal bank, in lieu of the fifty (50) feet minimum , setback required by Title 5 the State Environmental Code. PART Vill SECTION 1.00: The soil absorption system and pump chamber will be placed on top of a coastal bank, in lieu of the one— hundred (100) feet minimum setback required by the local Board of Health Regulation. PART Vill SECTION 1.00: The soil absorption system will be located 65 feet away from a bordering vegetated wetland, in lieu of the one—hundred (100) feet minimum setback required by the local Board of Health Regulation. McEnteeWilliams 08/31/2004 TUE 15:23 FAX 003/003 fig The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type room's are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the .property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the engineered plans dated revised April 7, 2004. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated revised April 7, 2004. These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to the fact that there are wetlands at this property. The proposed new soil absorption system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Si 4 rely y rsl Wayn Miller, M.D. Chairp rson McEnteeWilliams DEED RESTRICTION Jeffrey & Irene Cook of 5 Crystal Lane, North Easton, Mass., as the owners of 545 South Main Street, Barnstable (Centerville), by deed recorded in the Barnstable Registry of Deeds in book 19103 page 219, agree that until such time as technology changes and /or the Barnstable Board of Health changes its regulations or otherwise grants permission, any house on the premises of 545 South Main Street, Centerville, shall have no more than three (3) bedrooms. Jeffrey Cook Irene Cook COMMONWEALTH OF MASSACHUSETTS Barnstable County On this d day of April, 2007, before me, the undersigned notary public, personally appeared Jeffrey Cook and Irene Cook proved to me through satisfactory evidence of identification, which was jQ 1j,c 4, 1 to be the persons whose names are signed on this document and acknowledged to me that he/she signed it voluntarily for its stated purpose. Notary Public My commission' expires: - , CHANLRhETSIONSDUTOS •:m�n��RLIC on V�........ l'.. ..J r C,1012 DATZ t shs. ac. fly Town of Barnstable. Board of Health 200 Main Street,Hyannis MA 02601 Office: 5U-862-4644 Susen c3 Rost,RS FA7C SW79"304 Svc Kam.M.S,PIL Wayne A.Miller,MD. VARUNCE REQUEST FORM I. MQXN Protmy Address: S Sins t 4. MA14, S t° Caro t-c+,r+14 Assessor's Map and Parcel Number. _ :%O(o F ?l _ Size of Lot: I. 3 7 t b one) Wetlands Within 300 Ft. Yes V Business Name: No Subdivision Name: AP?LICANT'S NAME; R�t�er M OF^t<-e P 19. Pine Did the owner of the property authorize you to repiesent lain or her? Yes X_ No PROPERTY OWNS gi NAME CONTACT PERSON Name: fehw c 3 r W i i i c,/�4 Name: i•tr MG�it �• rel Address: q �a1y L.OV%< Address: s�lM 4t�I': e Phone: �- �}®2.. P�Ctne: t f dAkt a �► ®a VARIANCE FROM REGULATION(List Rc,) REASON FOR VARIANCE(May on"if mac space treaded) la CMIL 1 o 41) _Sit'! C1/v►t�tAi��ta I p C149 15 C 1 10 ___ S�L`� t&rh;4-M;A}4 to C M ) _ S *C Co.4 s+r% A4rrea.S '310 ems. 15.44!0 i) T"k•*%* -, troto'i loot SstbgI'k =Pjo};c 3:v.ks. \fie Cepsopr4:,%j. NATURE OF WORK House Addition 0 House Renovation B Repair of Failed Scoc System e (m be—Wiered by offlce smffp—rereiv-S va,A—regsww aWkariat) Four(4)Copies of the a mpiebad variance request form Far(4)copiers of engmeemd plan submitted(mg.septic system.plans) _ Far(4)omm of labdW dia�Boor plans mkrAted(e.g house plans or teswurnt kkcbeae pb=) _ Siped letter stdmg that the property owner autha wd you to represent koWb r for this ze m _ Applicant understands dW the abutters trust be nulled by certified trait ed least tee days prior to modiog d9a at appl: 's expense (for We V andlor beat sewage regulation variances only) Furl menu Ukca hod(for goo-trap vr—requests wanly) _ Variance regesst appbartum fee coaceted (no fee f r lifeguard modification renewals, gvme trap variance renewals [same ownerneasee only],outside dining vafiaow renewals[same ownexfleasee only],and vxnarsoes to repair failed sewage dkgpmad systems (achy ifoo expansion to the building ptopas4) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rack,R.S.,Chairman NOT APPROVED Sum Kam,M.S.PJ L REASON FOR DISAPPROVAL Wayne A.MrAa,M.D. C:\Docrmients and Settings\decollik\r.ocal Settings\weeporary iaternet Fi1ee\0r3CF3\VARIRZQ.DgC _er Town of Barnstable Department ofRagulatory Strvices Date ( , Public Health Division 1, 200 M l-h%Street.Hyannis MA 02001 cey5*m Time .l�_ _�� F'! lreet'd. -�0�,�c�— Date S�:iteduiesl_ Z—AAL t- - - — ISP Soil Sultability .4ssessmentfor Sewage D ! r LOCATiON & GENERAL INFO kTIO CIwf is Name -�� Loca Lion Addraso IFS ®. iM,�)av S►. A.ddreas k tAe- 9Jtt;ifJaGi'ffildalve 15A) ���76. NC-T- A'" J 14S56Uf'4IAAtY'�SfCB'l: �� ® Y .e.� Telephone `��� ��t� LtdlbVlL:c�iWS�Ia.UCrluTt _ .�.--.. --- � y _,_W CIT9.__---- S� ItIoc Stones ��— Land Vsc �J Qi thrtattaes from: open WSW Dandy,2�g -- Poss.ble Wet ftaea-���Dt1�ft Drinking Waxer Wa6! mraiaaegc Way .<`` _—.. Panp.,ty fl OtYccr• � C :(Street name,d;r{YCfY390aL5 of lob CJS&cl.IOCOdiUiIS of ttst h,)(.5 paw le8ts,k Kaw weda nd$10�gwkMiSy 10 tltltta'� SKET 1U 2 ij! ', _ 4, - .. a .. y i'_�" �.. ✓� .�. - .. N".. .- y, � . _ _ ' ��, j�.:hw��!'l l3crtSY�,�,k)edrarti:•_,_� m-- Patent iYYaCCfYA){�tCl03t�� -. --• - s q e+ F Vyet,�irg from Pit l"aC[ rA%h to Growidw"der: StandiraS Waste rsi Hole: _,w_--. QQ a EstiatY>ttcd Serwilel High GmundwsterDETERMINATION FO.R SEp. NAL HIGH WATER TABLE lvtett:aJ'llsscD. �:__ ---.,•-.--_ u:. :3epirti w 8oif rn:.ttlaa' ___-.--_.®....r-.-•- ( pW tiabse.-veri:•tandin�iri obs.hole: -- �At:NtIY to WOOtAll fNil:side Ufobs hole': .,,._ . 3tdin putt: _ kndsx Well tnO.x Well 1e ;j..._.—.......�...._...._..._ •— Ad GrEST Witt- Tlake- oundwater L++ar! � Obsematiott Time at 9" -- Time at 6" -- Depth of Paac -- - Tintc(9".6,.) __� ._...�._._ St6Ll 3'Te•snak Timr Ent'.Pas-soak i3 ��t•A���4r�L� Additional PU&419 X6*dad C'y�) Site Suttalbility MsMncant: Site Passed M•� _ _ --, (Dri�titYat: PuDtie Fda etleh f3ivisuos: �t7�Ef"x�t d�.�t lit 17eF ;o ge Completed card Mack__' ••• ***If percolation test is to be conducled within .104' of wetiand,you must first nosy the Barnstable Couseo-vtatict) DaaisiOn&t least tr7t3e (1)week prism to beginning, Q.HE.A.L.Hi%PlPEP,CFOKlvt N►a�r>,-��..�F Cr.�, � �`�'` ��-�`a �ii�6�cz- 4-t t,C.B-t� 's't t��5, Hole 0 DEEP OBSERVATION HOLE LOG Sail Texture Sail Color Soil D40 tMM Soil Holi�on utlwl) lutotding (l MKw SEi7 1Soladdeta Stlr m(In.) (USDA) C —� DEEP (9BSERVATI®N HOLE LOG - Soil Colot Sol! Depth from Soil Horizon Soli Texture ('counsel') Mottims (Structt!te.Stomes�i�V (USDA) �.r._.-. -- v DEEP OBSERVATION HOLE LOG Hole Soil Other 1kPth from SOO Horizon Steil Texture Sol Color(M�Rnself) Mottling (Strueturs,Stones,gouldttm Surf"A(in � .s_—r-.r._.�-.ram.-rr.w�.rrrwr�w�na.r. �'•_.._-. _ram.--•"_` -_ DEEP OBSERVATION L(?C�, (Kole# Soil T&xturt Soil Color - Soil' Other Depth from Soil HorizonN;unsell Monling (Sttiic�M Storm.faouldtrs• surface(in;;t (115DAj ( ) t.. a m��sta�cy,y. • v�l_ 1 )sate�r�n e)ate 1►{AM, Above$00 YM flood boundwY No i^ Yes Within Soo year boundary No Withaa 100 year flood boundary No- Yes—. to sal{{ Ocrvrrit ervious Materi tllrou, hour the tt►t2f observed � e All ateats II Js Ma r v --- Does at least four feet of naturally occut7•ing pervious material exist i� area proposed for the soil absorption system: — ` _e4 --- If not,what is the depth of naturally occurring;.pervious material? trti gON ' n rriWat`on proved by thro I certify that on _ �l �-�._,_.(datc)1 hava passed the soil evaluator exa p>gxe consistent with Department of Y;JZvirortmen:a]Protettiuri and tfiat the above analysis was performed by the required. g,expertise and t:xpe riettce described in 31 C CA9R 15.()1'l. - Date `7:HL �yJ,;T}UW 1A/PEIt.CFQJtM , .. f .r i ) No.- 1� - ��— �'7 1 FEs... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphratiun for Bi-nVuiial Works Cnunitrurtiun Prrinit Application is hereby made for a Permit to Construct ( ) or Repair (1v<an Individual Sewage Disposal System at ..--------•••----�_/--�...SG' ..v . rL--.....r--•----.._... --•-----------------------•-----------•-------- ---- ---•--------------•--------------.....---- Location-:\ddress orx4ot No. -•-••--....------ -------------- ---••--•--••••--------- .......................................... Ow�ygr Address a .............. . . 44V --taller `__�......................... ........ .... V ���. -dres.---••-•---...................•-•----•--•-... Installer Address PQ VType of Building Size Lot............................Sq. feet ,.. Dwelling— No, of Bedrooms___..........._----------------_-----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixes ------------------------------ 94 W Design Flow....... >__�----------------_--.-gallons per person per day. Total daily flow..--.`3�U--_-_-------------_-_-_gallons. allons Length _...._ Width_._...._..... Diameter................ Depth.....__.......-- W Septic Tank�-Liquid capacity._�(,��g g x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..---- .......... Diameter----- Depth below inlet...._L )......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b .......................... ... Date........................................ aTest Pit No. I.................minutes per inch Depth of Test Pit-------------------- Depth to ground water-.--_-__-----•--.-----.. G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----------.............. a -------•---------------------------•••--------------------------------•-•-------•-------------...---......................................................... 0 Description of Soil..................................................................................................................................................................... x UNature of Rep irs or Alteration —Answer whgn aeplicable.-.____1.. ? ►_ �_ .._.!-0-c-0-_. -------------- --------- - - - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate ;ked mpliance has be issued y the of health. / '/ ........... /.... - f. a.?` 1'.. Dare Application Approved By . Dare Application Disapproved for the ollowing reasons: .......... . ............................................................ ..................... ---------------------------------------------------------------------------- ------........................------------------------------ D Permit No. --- Issued ------------------------------------------------------- ------ Dare i GG C)`7 No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ap, phration for Uinpoiittl Workii Tomitrnrtion rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal System at ,�y 5 Location-Address or <t No. ..--•...-•.....G� 5 (V a.. �w'c c v }� P _ ........................................... r Addres • ______ L,A -e_�11�1, 't�� C ate 6 v9 C C V Installer Address PQ d Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms._---3---------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of ersons---------------------------- Showers a•. YP g P ( ) — Cafeteria ( ) d .. -Other --------------------------------------------------------------------------------------- -----•------------. •----- W Design Flow_......�... ........................gallons per person per day. Total daily flow......._"> ..._...................gallons. 0 ~Septic Tank A-Liquid capacity.., gallons Length-----9...... Width...N---------- Diameter................ Depth................ W Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....:...............sq. ft. x Seepage Pit No------I.............. Diameter..... ..... Depth below inlet..-_.��_........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....... -----------------•----------------...---•----•-------------------- Date........................................ a Test Pit No. l................minutes per inch Depth of Test Pit............._...... Depth to ground water...._....--..----_----- rZq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a --------------------------------•-•-•---------------------------••--------•-•-•-•........................................................................... 0 Description of Soil------=--------------------------------------------------------------------------------------------- ---------------•--------------------------------------------------- �4 - V .---------------------•------•---------•...---•----------------•-•-------------------.._...----------••------•------------••.._..----------------•••---------------------------------....---------------- W -------•------------------------•-------------•----•---•-----------------------.....------------------..._....-----------------------------•----------------•----•----------------------•-•....-•••--•-- V Nature of Repairs or Alterat}ons—Answer when applicable...Wit-,- TlA-t-�----.xax. x)--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee. issued y the b at of health. Igned ---------- - -------/--------.---------� -------------�:----------------------------. 7` Date .-/ Application Approved By ----- '........ .. . ...c.`-"-'..,'.�. l<'....�.7....C�._�Date Application Disapproved for the ollowing reasons: 1 ........................... - ........................... -------------------------------------------------------------------- .........---.--------------------------- Permit No. ---` Date ------------ -�-------------------------- Issued .------------------------------------------------------------------ Dare .—,,.___,____._.___________.__,r._____---_—_ --- _.__._.___.__________________,� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE l u��Ertifirate IIf (ILIIIritiati? nve THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( Ly w. wt0. -------------------------------------- b .................................................... v Installer at ------------------------------------------------- �U:... `--n--------5 ------------------ '"`--------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 qof The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...... - ------- dated ........--------------_------_.._-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /, } DATE ................. . . I' . .............. Inspecto _ - - "''-t ------------------------------- ---------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.:�� - �, � FEE.. Dispaaal Works Tomitrudion Prrmit Permission is hereby granted....................C-6 i ............................................................. to Construct ( ) or Repair I dividual Sewage Disposal System at No.................................. .............. �._... `'` `..........5._7. '-------------------•------------------------- ------------------------------------- Street qq as shown on the application for Disposal Works Construction Permit No.1_,,6 35 Dated------- •-------------------•-•••--.....•-- ----- ---1------------------------------------------- �' t$oaTd of Health DATE �l>....... --=----- ---------•------------•-- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS s t J s COMMONWEALTH OF MASSACHUSETTS mom EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT RONINEY ELLEN ROY HERZFE.LDE.R Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,dr. Lieutenant Governor Commissioner PILOTING APPROVAL Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: OMNI Environmental Systems, Inc. P.O. Box 128/465 East Falmouth Hwy Falmouth, MA 02536 Trade name of technology and model numbers: OMNI Recirculating Sand Filter System (hereinafter the "System"). Schematic drawings illustrating the System and a technology checklist are attached and are part of this Approval. Transmittal Number: W054298 Date of Issuance: April 4, 2005 Date of Expiration: April 4,2010 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental Protection hereby issues this Approval to: OMNI Environmental Systems, Inc. 465 East Falmouth Hwy, Falmouth, MA 02356 (hereinafter "the Company"), to Pilot in the Commonwealth of Massachusetts the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. April 4, 2005 Glenn Haas,Director Date Division of Watershed Management Department of Environmental Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http:/Iwww.mass.gov/dep 0 Printed on Recycled Paper ONINI Recirculating Sand Filter Piloting Approval Page 2 of 10 I. Purpose 1. The purpose of this Approval is to provide field-testing and technical demonstration of the System in Massachusetts, on a Piloting Approval basis, so as to evaluate whether the System can effectively reduce total nitrogen (TN) in the effluent to 19 milligrams per liter(mg/L) or less and to evaluate whether the System can provide an effluent that can be discharged to the soil absorption system (SAS)at increased loading rates. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Piloting Approval authorizes the use and installation of the System in Massachusetts, and requires testing so that the Department can determine whether the System consistently can or cannot function effectively at one or more pilot facilities. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.285(2). 4. This Piloting Approval authorizes the use of the System, with the approval of the local approving authority, for upgrades of existing failed, failing or substandard systems and for new construction for systems with design flows less than 10,000 gallons per day. Il. Design Standards 1. The System consists of a recirculating sand filter module filled with a 3/8 inch fractured double washed stone filter media. Effluent from a minimum 1000-gallon recirculation tank is applied to the filter. The flow from the recirculation tank is pumped via timed dosing to a distribution structure on the surface of the recirculating sand filter.This pressure dosing aerates the liquid. The filtered effluent is collected in an underdrain system. Up to 50 percent of the filtered effluent is returned to the recirculation tank and the remainder is returned to influent end the septic tank for denitrification. A septic tank designed in accordance with Title 5 and equipped with an approved effluent tee filter discharges effluent to the recirculation tank.Approximately 75 percent of the filtrate is returned to the recirculation tank and 25 percent of the filtrate is discharged either by gravity to a Title 5 soil absorption system(SAS)or to a pump chamber for pressure distribution to the SAS. 2. The System shall be covered only with mulch type material.No other materials,fill or plantings shall be allowed on top of the System. 3. The System shall be provided with visible and audible alarms that are activated in event of equipment malfunction. The alarms and controls shall be housed within an enclosure mounted in a location readily accessible to the operator. A OTNITN'I Recirculating Sand Filter Piloting Approval Page 3 of 10 4. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. 5. New Construction less than 2,000 gpd: When the System is used in areas subject to the nitrogen loading limitations of 310 CMR 15.214, an increase in calculated allowable nitrogen loading per acre is allowed for facilities with a design flow of less than 2,000 gallons per day (gpd) as provided in 310 CMR 15.217(2). When used in such areas: i. for residential facilities,the design flow shall not exceed 660 gallons per day per acre(gpda), and the System shall not exceed 19 mg/L total nitrogen (TN) concentration in the effluent measured as the total TKN (total Kjeldhal Nitrogen),NO3-N (Nitrate nitrogen) and NO2-N (Nitrite nitrogen). ii. for non-residential facilities, the design flow shall not exceed 550 gpda, and the System shall not exceed 25 mg/L TN concentration in the effluent. 6. New Construction 2,000 ud to less than 10,000 gpd: For all facilities with design flows of 2,000 gpd to less than 10,000 gpd, the design flow shall not exceed 440 gpda and the System shall not exceed 25 mg/L TN concentration in the effluent. 7. Soil Absorption System: The Company seeks to demonstrate that the System can function wifa a SAS designed with increased loading rates by producing an effluent from the System that meets the following parameters: a. Carbonaceous biochemical oxygen demand(CBOD5) of 15 mg/L, b. Total suspended solids (TSS)of 10 mg/L, and C. 95 percent removal of Fecal Coliform bacteria. i. The Company seeks to demonstrate that the quality of effluent discharged to an SAS reduced in size by 50 percent as compared to a standard Title 5 SAS, is likely to be at least equivalent to that of a system designed and constructed in accordance with 310 CMR 15.100 through 15.293. The Company may install Systems on remedial sites to evaluate effluent qualiy in accordance with the following: a. Increased Loading Rates: SAS shall be designed to allow maximum application rates in accordance with the following table and the effluent from the System shall be monitored in accordance with Section V item I 1 of this approval: Soil Textural Classes Maximum Application Ratesi Class (GPD per sq.foot) I 1.5 II 1.2 III 0.75 IV 0.40 OAM Recirculating Sand Filter Piloting Approval Page 4 of 10 1. Trench configuration and pressure distribution when the System is installed on remedial sites shall be designed in accordance with Department guidance. III. General Conditions 1. No more than 15 Systems may be installed under this Approval. A representative of the Company shall be onsite to inspect and approve each System installation. 2. All provisions of 310 CMR 15.000 are applicable to the use of this System, the System owner and the Company, except those that specifically have been varied by the terms of this Approval. 3. Any required operation and maintenance shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory. It is a violation of this Approval to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. 4. The following table lists the monitoring requirements for Systems installed under this Approval. The following parameters shall be monitored: pH, influent biochemical oxygen demand (BODO and/or effluent carbonaceous biochemical oxygen demand (CBOD5),total suspended solids (TSS), alkalinity, and TN. All monitoring data shall be submitted to the Department and local approving authority within 45 days of the sampling date. Facility Type Designs low Stream Frequency Sample Type Residential <2,000 Effluent Monthly for at least the first three Grab months, quarterly thereafter Residential > 2,000 Influent& Monthly for at least the first 18 Composite* Effluent months, Non-residential All Influent& Monthly for at least the first 18 Composite* Effluent months, *Unless otherwise specified by the Department, composite shall be determined based on facility operation 5. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 6. In accordance with applicable law, the Department and/or the local approving authority may require the System owner to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment. OMENI Recirculating Sand Filter Piloting Approval Page 5 of 10 7. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. Accordingly,no System shall be installed, if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. . 8. Design and installation of the System shall be in strict conformance with the Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. IV. Conditions Applicable to the System Owner 1. The System is approved in connection with the discharge of sanitary wastewater only. Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 2. All samples shall be taken at a flowing discharge point, i.e.- distribution box, pipe entering a pump chamber or other Department approved location from the treatment unit. Any required influent sample shall be taken at a point that will provide a representative sample of the influent. Influent sampling locations shall be determined by the system designer, subject to written approval by the Department 3. Effluent discharge concentrations shall not exceed treatment standards listed in Section V item 9. For Systems designed to demonstrate increased loading rates to the SAS effluent discharge concentrations shall not exceed treatment standards listed in Section V item 11. 4. Operation and Maintenance plan and agreement: i. Throughout its life, the System shall be under an operation and maintenance (O&M) agreement. The first O&M agreement shall be for at least 18 months with the Company or its licensed agents. Each subsequent O&M agreement shall be for at least one year. ii. No System shall be used until an O&M plan is submitted to the Department and the local approving authority which: a provides for the contracting of a person or firm competent in providing services consistent with the System's specifications and the operation and maintenance requirements specified by the designer and any specified by the Department; b. contains routine O&M activities specified by the Company necessary for proper operation of the System; c contains procedures for notification to the Department and the local approving authority within five days of a System failure or alarm event and for corrective measures to be taken immediately; Kam; OAM Recirculating Sand Filter Piloting Approval Page 6 of 10 d provides the name of an operator, which must be a Massachusetts certified operator as required by 257 CMR 2.00, that will operate and monitor the System: (1) for a System serving a facility the operator must operate and maintain the System at the frequency specified in Section III item 4 and anytime there is an alarm event; and (2) contains an agreement to monitor the System for at least the first 18 months as described in Section V, items 8 through 13. 5. After the first 18 months of operation, if the System is approved as acceptable by the Department,the owner shall sign at least a one year agreement with any individual or firm with a Massachusetts certified operator of the appropriate grade. i. Effluent discharge limits shall remain as prescribed in Section V. Should the System exceed the applicable TN limit on two consecutive sampling events, the System owner shall have the System operator submit within 60 days a report to the Department on the reasons for the exceedances with recommendations of how future violations will be prevented. ii. The System owner shall submit monitoring data and O & M inspection results to the Department and the local approving authority within 45 days ' of each sampling date and each inspection date. The inspection results must be recorded on a DEP approved inspection form and a technology PP P checklist. The forms must be completed and signed by the System operator. iii. The System owner may request, in writing, a change in the monitoring requirements from the Department. 6. The System owner shall at all times have the System properly operated and maintained in accordance with the Company's and the designer's operation and maintenance requirements and this Approval. 7. Anytime the operator is changed,within seven days of such change,the System owner shall notify the Department and the local approving authority in writing and submit a copy of the new agreement to operate and monitor the System. 8. The System owner shall furnish the Department any information, which the Department may request regarding the System, within 21 days of the date of receipt of that request. 9. The System owner shall provide a copy of this Approval, prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof,to the proposed new owner. OMNI Recirculating Sand Filter Piloting Approval Page 7 of 10 10. Prior to installation of the System,the proposed owner shall submit to the Department the written approval of the local approving authority,together with a copy of the complete application submitted to the local approving authority and a complete BRP WP 64b application and obtain DEP written approval. 11. Prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing both the existence of the alternative septic system subject to this Approval on the property and the Department's approval of the System. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice,the System owner shall submit the following to the Department and the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and(ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. 12. Within fourteen days of the local approving authority's issuance of the Certificate of Compliance, the System owner shall submit a copy of the Certificate of Compliance to the Department. V. Conditions Applicable to the Company 1. By January 31 of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner or Company owner, that contains information on the System, for the.previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts during the previous year; the address of each installed System, the owner's name and address,the type of use (e.g. residential, commercial, school, institutional), and the design flow; and for all Systems installed since the date of issuance of this Approval for the System, all known failures, malfunctions, and corrective actions l taken and the date and address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall make available to owners, operators, and installers of the System, in printed and electronic format: minimum installation requirements; an operating manual, including information on substances that should not be _ I OMNI Recirculating Sand Filter Piloting Approval Page 8 of 10 discharged to the System; a protocol for collecting samples; a maintenance checklist; and a recommended schedule for maintenance of the System 4. The Company shall develop and submit to the Department within 60 days of the effective date of this Approval a standard protocol essential for consistent and accurate measurement of performance of installed Systems, including procedures for sample collection and analysis of the System. The protocol shall be in accordance with the latest edition of Standard Methods for the Examination of Water and Wastewater. 5. The Company shall institute and maintain a program of operator training and continuing education. The Company shall maintain and annually update, and make the list of qualified operators available by March I"of each year. The Company shall also make the list known to the local approving authorities, the Department and users of the technology. 6. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 7. Prior to its sale of the System, the Company shall provide the purchaser with a copy of this Approval. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System,with a copy of this Approval. 8. For at least the first 18 months of operation,the Company shall be responsible for operating, maintaining and monitoring the Systems in accordance with Section I1I, item 4 of this Approval. The Company shall submit monitoring data and O & M inspection results to the Department and the local approving authority within 45 days of each sampling date and each inspection date. The inspection results must be recorded on a DEP approved inspection form and a technology checklist. Accurate completion of the forms shall be the responsibility of the Company 9. For nitrogen reducing Systems the effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L CBOD5 and 30 mg/L TSS. The effluent pH shall not be less than 6.0 or more than 9.0 standard units. The TN concentration in the effluent discharged from the System shall not exceed 19 mg/L for Systems serving residential facilities with design flows less than 2,000 gpd or 25 mg/L for Systems serving residential facilities with design flows of 2,000 gpd or greater and all Systems serving non-residential facilities. 10. During the first 18 months of operation, excluding the first three months of startup operations, if the effluent concentration from the System exceeds the applicable TN limit on two consecutive sampling events,the Company shall within 60 days submit a report to the Department explaining the reasons for the exceedances with recommendations for operational or design changes to prevent future violations. ONiNI Recirculating Sand Filter Piloting Approval Page 9of10 11. For systems installed to demonstrate reduced SAS, effluent discharge concentrations from the System shall not exceed 15 mg/L CBOD5, 10 mg/L TSS and a minimum of 95 percent Fecal Coliform removal must be achieved. In addition: i. A groundwater monitoring well shall be installed within 10 feet and directly downstream of the SAS in accordance with the Department's published guidelines and a groundwater piezometer or other DEP approved device for measuring water depth shall be installed within the SAS. The monitoring well shall be tested at the same frequency as listed in Section III item 4 and for the following parameters: Fecal Coliform and ammonia. Each time the System is monitored, the water meter reading,the groundwater elevation in the monitoring well and the water level in the groundwater piezometer shall be recorded. 12. During the first 18 months of operation, excluding the first three months of startup operations, if the effluent concentration for the System installed to demonstrate reduced SAS exceeds 15 mg/L CBOD5, 10 mg/L TSS or fecal coliform reduction is less than 95 percent on two consecutive sampling events, the Company shall within 60 days submit a report to the Department explaining the reasons for the exceedances with recommendations for operational or design changes to prevent future violations. 13. Within 30 days of the end of the first 18 months of operation the Company shall submit a summary report on each system describing the operations of the system, any changes in operation or design that were made during the Piloting period, the final results of the Piloting program for that system and whether the system met the effluent limits for the previous 12 months of operation. That report shall also include either recommendations for approving and ending the Piloting program for that system or recommendations for continuing Piloting for any system that has not performed as planned. 14. The Department will review the report in item 13 above and determine if additional Piloting of the system is required. The Company shall either continue the Piloting program for that system as required by the Department or remove the system and replace it with a fully complying Title 5 system. If the Department determines that the system has performed at the relevant level for at least 12 months,the Company can turn the responsibility for operation and monitoring of the system over to the owner in accordance with Section IV, item 5 of this Approval. 15. If the Company wishes to continue this Piloting Approval after its expiration date, the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of OMNI Recirculating Sand Filter Piloting Approval Page 10 of 10 this Approval„unless permission for a later date has been granted in writing by the Department. VI. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street- 6th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, non-compliance with the terms of this Approval, non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety,welfare or the environment,and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or operator of the System and/or the Company. VII1. Expiration date 1. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval, and approved, installed and maintained in compliance with this Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department,the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. OMNlrsfapproval l h i* f P�pFtHE Tp�� Town of Barnstable ytp O� BARNSTABLE, • Board of Health 9 MASS. �A 0.19. .�" 200 Main Street rEn rna� Hyannis, MA 02601 Office: 508-862-4644 Paul Canniff,D.M.D.. FAX: 508-790-6304 Wayne Miller,M.D. January 4, 2006 Mr. Peter Sullivan Sullivan Engineering 7 Parker Road P.O. Box 659 Osterville MA 02655 RE: Variance Request Denial/ 545 South Main Street Centerville Dear Mr. Sullivan, Your request for multiple variances, on behalf of your clients Jeffrey and Irene Cook, for multiple variances at 545 South Main Street Centerville, was not granted. The following variances were requested: 310 CMR 15.211: To place the soil absorption system seven (7) feet away from the front property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system was proposed to be located eighteen (18) feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The soil absorption system and pump chamber was proposed to be 16.5 feet away from a coastal bank, in lieu of the fifty (50) feet minimum setback required by Title 5 the State Environmental Code. 310 CMR 15.211: The soil absorption system and pump chamber was proposed to be located 16.5 feet away from a coastal bank, in lieu of the fifty (50) feet minimum setback required by Title 5 the State Environmental Code. Section 360-1: The septic tank, pump chamber, and RSF were proposed to be located 3.7 feet of a coastal bank, in lieu of the one— hundred (100) feet minimum setback required by the local Board of Health Regulation. SullivanCook545 SouthMain r Section 360-1: The septic tank, pump chamber, and RSF were proposed to be located 50 feet away from a vegetated wetland, in lieu of the one—hundred (100) feet minimum setback required by the local Board of Health Regulation. Section 360-1: The soil absorption system was proposed to be located 65 feet away from a bordering vegetated wetland, in lieu of the one—hundred (100) feet minimum setback required by the local Board of Health Regulation. Public hearings were held on September 5, 2006, November 14, 2006 and on December 5, 2006. A site visit was held on November 8, 2006. On December 5, 2006, a motion was made to grant the variances which did not carry. Variances may only be granted when, in the opinion of the Board of Health, the applicant has demonstrated that (a) enforcement of the particular provision would be manifestly unjust and (b) the same degree of protection could. be achieved without strictly adherence to a particular provision or regulation. Presently there are three (3) bedrooms at this property. Your proposal to construct an additional bedroom, a fourth bedroom, would result in an increase to the wastewater discharge flow. This is considered "new construction" according to 310 CMR 15.002 of the State Environmental Code Title 5. Under Section 15.410(2), State Environmental Code, with regard to variances for new construction, enforcement of the provision from which a variance is sought must be shown to deprive the applicant of substantially all beneficial use of the subject property in order to be manifestly unjust. You did not demonstrate that, without the approval of an additional bedroom, it would cause or create manifest injustice. Therefore your request for a variance was not granted. Sincerefiy yours, F' zTC Mi er, M.D.. anniff, .D. SullivanCook545 SouthMain 1i; t • F33: 9, •®0 ?�•rj awav�:wBtZ��I ''4i se3Q +' R3C. BY 'own of Barnstable T Ste. Da:s: GR 'OS Board of Health 311bof s� 367 Main Street, Hyannis vLk 02601 >y,�� �G -�`� Ogee: 508-362-4644 Susan G.Rask,R.S. RAX: 50"-'S0"-6:04 Sumner KauL—nan,yf.S.P.`i Ralph A.Murphy,.L.D. VARLA CE REQUEST FORIM LOCATTON PIoper-/.kd ress: d 15 JcvAVN M".', V ff--QT l ef1)rt,V'A-e Assessor''s flap and Parcel Number. \ Size cf Lot: ',Vedands Within'00 Ft. Yes ✓ Business Name: No Subdivision Name: APPLIC.NT'S NAMEt Phone :yid c,e ovmer of the prece,ry authorize you to represent hirn or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: -seq e7 .�-i�n� Name:Address: S ��y5��,, L,-,c1t� Address: OSr,: P Lcne: _ o� C��-c r� Cl� C�Z 3SC Phone: 5C _S39 Li VAI:IA.`iCE FROM REGULATION(List Peg.) REASON FOR VARIANCE(Nfay attach if more space needed) aimo t fit=F= fkT-�p•iMI\� �;0 c:1\�x� .1 c�c4c��� •rk;� �c':�i^.r�n�. NATURE OF WORK: House Addition tL House Renovation ❑ Repair of Failed Septic System iChec.F!& i!o be canele!ed 5r!v oce starperson receiving variance request application) _t(f =oar-k )copies of the comoie;ed variance requc:t form _ Four(4)copies of eig:nccred plan submitted(e.g.septic system plans) _ Four(a)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Tide V and/or local sewage reguladcn variances only) G ! Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewalsl[same c 3 owner!leasec only],outside dining variance renewals(same owner/leased only],and variances to repair failed sewag%disccsal sys2crns / [only if no expansion to the building proposed]) 1 Variance requcst,submired at least 15 days prier to meeting date VA:ZI-LN-CE APPROVED Susan G.Risk,R.S.,Chairman N o0 NOT A. ROVED Sumner Kaurnan,NLS.P.H. k REASON FOR DISAPPROVAL Ralph A.Murphy,.l.D. Crocker, Sharon From: McKean, Thomas Sent: Thursday, November 16, 2006 4:00 PM To: Crocker, Sharon Subject: IMPORTANT- NEXT AGENDA- December 5th Please add the following to the December 5th Agenda: Review Status With Town Attorney-Actions taken July 31, 2006 through November 14, 2006, in regards to 545 South Main Street, Centerville. Background Info for Knowledge- Variance Request Filed on July 31, 2006, Hearings Held On September 5, 2006, site visit on November 8, 2006, Hearing Held on November 14, 2006 Regarding 545 South Main Street Centerville. 1 Crocker, Sharon From: Crocker, Sharon Sent: Friday, October 27, 2006 1:45 PM To: McKean, Thomas Subject: Update: 18 Bay Lane, Centerville (orig. variances were granted for current house. Now they are going to put up a new house and must present to Board again.) spoke to Ed Pesce today. He said he was hoping to email you this week. Status is: he has had one hearing with Conservation and has a second one scheduled for December 12, 2006. l r` Once they have'approved the new house plans, he would-like to get on the Jan.2007 BOH'hearing'(instead of the Nov meetings for BOH). Does'that work_for us? - -- --- 1 t � ( `� DATE r( � , � awa.�:waL L I:t 34A.sti te�y �d,' R3C. BY00, Town of Barns table Ste. >rAT3: �-��•-off Board of Health 367 Main Street, Hyannis NLk 02601 OL�ce: 508-:36:—t6y3 Susan G.R:sk,R.S. Sumner Kau nan,.M,S.P.ti. Ralph A.Murphy, V RLO'CE REQUEST FORti1 LOCATION Pr oper%�A--'dress: 5`I J Assessor's Map and Parcel Number: ZC(c)--CO-7 1 Size of Lot: ' -57/U RP�11 Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLIC.kNT'.S NAME: J� Z-� C�x� Phone Did-.e owner of the property authorize you to represent hum or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: �zy i�tl'L C�,� Name: Sv1�yve.Y. Address: S L:.� ,�<�� C tines Address: �C - Phcr-e: ' r� -c t�, t11t - c Z35C� Phone: SO?-Lj Zr; VAR-LkNCE FROM REGULATION(tut fxg.) REASON FOR VARIANCE(Niay attach if more space needed) e SFl" iL��T�-i!-iL,�� '�Q �c1\iti•i .� c�cQrt��Lf�:� �c'.�'ct�;t►�. T ��A- �=h�```—�-�n�_ r •'.�:'mot'jk l J NATURE OF WORK: House Addition M' House Renovation C1 Repair of Failed Septic System Ciec1C!ia(o be comela:ed oyf i oce sfejpersan receiving vericnce request application) i! Four(4)c;pies of;he compie;ed variance request form Four(4)copies of engiaccred plan submitted(e.g.septic system plans) _J Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) r/ Signed letter stating that the property owner authorized you to represent him/her for this request _✓ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date_at.applicant's-expense ` (for Tide V and/or local sewage regulation variances only) Fill menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,;cease trap variance reneHils(same ownerr'.easee onlyl,outside dining variance renewals(same owner/leas«only],and variances to repair faiied sewage disposal systems, f (only if no expansion to the building proposed]) ^� Variance request submitted at least 15 days prior to meeting date VA:Z:A.vCE APPROVED Susan G.Risk,R. .,Chairrn`an a NOT A.'PROVED Sumner Kaufman,M.S.P.1~. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. 07/27/2006 12:06 FAI 1�002/002 Board of Health. Town of Barnstable 200 Main Street Hyannis,MA 02601 Re: 545 South Main Street, Centerville Dear Board of Health, As owner of the above referenced property,I authorize Sullivan Engineering to represent me before your Board on a!1 matters to the septic system. �Jet7frey mot/ � 1 SULLIVAN ENGINEERING INC.' . 7 PARKER ROA DIP O BOX 659 OSTER VILLE, MA 02655 DIRECT ABUTTER LIST FOR MAP 206 PARCEL 071 Board of Health Variance Request for Jeffrey&•Irene Cook 545 South Main Street, Centerville MAP /PARCEL OWNER NAME 206 069 Janice A Harvey 531 S Main Street Centerville,MA 02632 206 070 Stuart D&Heather D Woodring 31 Stoneymead Way Acton,MA 01720 206 095 Donald G.&Margaret Agnoli 32 Wild Grove Lane Longmeadow,MA 01106 186 078 James W. &Charles G.Padula c/o Lilyan M.Padula 7 Browns Road Grafton,MA 01519 E_ Engineering Works 12 West Crossfield Road Forestdale, MA 02644 (508) 477-5313 33' 0o KITCH. MASTER BEDROOM o , 10, x13' 13 x23' DINING RM 18' x 23' CLOSET 0 � Lf) BATH 0 m UJ o CLOSET � N o11 x [01 LIVING RM 17' x 35' BED RM BED RM 14' x14' 10' x11' PORCH UATH FIRST FLOOR SECOND FLOOR I. FLOOR PLAN Scale 1"=1' Project: Cook Location: 545 South Main Street, Centerville Date: November 14, 2006 Nitrogen Reduction Study Three Bedrooms -Average Coventional Title 5 330 GPD x 3.785 Liters/Gal = 1249.05 Liters 1249.05 Liters x 35 mg/L = 43716.75 mg of N i Four Bedrooms -Recirculating Sand Filter's Average Nitrogen Reduction per Title 5 440 GPD x 3.785 Liters/Gal = 1665.4 Liters 1065.4 Liters x 25 mg/L = 41635 mg of N Nitrogen Reduction = 4.7619 % Over Three Bedroom-Average Conventional Title 5 Four Bedrooms -Recirculating Sand Filter's Average Nitrogen Reduction per Buzzards Bay Project 440 GPD x 3.785 Liters/Gal = 1665.4 Liters .1665.4 Liters x 21,mg/L = 34973.4 mg of N Nitrogen Reduction = 20 %'Over Three Bedroom-Average Conventional Title 5 Q Four Bedrooms-Recirculating Sand Filtees Average Nitrogen Reduction per Omni's 660 Pilot Approval 440 GPD x 3.785 Liters/Gal = 1665.4 Liters 1665.4 Liters x 19 mg/L = 31642.6 mg of N Nitrogen Reduction = 27.619 %Over Three Bedroom-Average Conventional Title 5 Four Bedrooms-Recirculating Sand Filter's Average Nitrogen Reduction per Omni 440 GPD x 3.785 Liters/Gal = 1665.4 Liters 1665.4 Liters x 16 mg/L = 26646.4 mg of N Nitrogen Reduction = f 39.048,%Over Three Bedroom-Average Conventional Title 5 Summary Project as Proposed Results in between 4.76-39.05% Reduction in Nitrogen Loading VARIANCE REQUESTS TITLE 5 310 CMR 15.211: THE SOIL ABSORPTION SYSTEM AND R.S.F WILL BE LOCATED 7 FEET AWAY FROM THE FRONT PROPERTY LINE, IN LIEU OF THE 10 FOOT MINIMUM SETBACK REQUIRED. 310 CMR 15.211: THE SOIL ABSORPTION SYSTEM WILL BE LOCATED 18 FEET AWAY FROM THE FOUNDATION WALL, IN LIEU OF THE 20 FOOT MINIMUM SETBACK REQUIRED. 310 CMR 15.211: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE PLACED A MINIMUM OF 3.7 FEET AWAY FROM A COASTAL BANK, IN LIEU OF THE 25 FOOT MINIMUM SETBACK. 310 CMR 15.211: THE SOIL ABSORPTION SYSTEM WILL BE PLACED 16.5 FEET AWAY FROM A COASTAL BANK, IN LIEU OF THE 50 FOOT MINIMUM SETBACK. CODE OF THE TOWN OF BARNSTABLE CHAPTER 360 ARTICLE 1: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE PLACED A MINIMUM OF 3.7 FEET AWAY FROM A COASTAL BANK, IN LIEU OF THE 100 FOOT MINIMUM SETBACK. CHAPTER 360 ARTICLE 1: THE SOIL ABSORPTION SYSTEM WILL BE PLACED 16.5 FEET AWAY FROM A COASTAL BANK, IN LIEU OF THE 100 FOOT MINIMUM SETBACK. CHAPTER 360 ARTICLE 1: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE PLACED A MINIMUM OF 50 FEET AWAY FROM A BORDERING VEGETATED WETLAND, IN LIEU OF THE 100 FOOT MINIMUM SETBACK. CHAPTER 360 ARTICLE 1: THE SOIL ABSORPTION SYSTEM WILL BE PLACED 65 FEET AWAY FROM A BORDERING VEGETATED WETLAND, IN LIEU OF THE 100 FOOT MINIMUM SETBACK. Massachusetts Alternative Septic System Vest Center Recirculating Sand Filter Technology Fact Sheet - Interim Findings The Massachusetts Alternative Septic System Test Center is a collaborative project of the Buzzards Bay Project National Estuary Program,Massachusetts Office of Coastal Zone Management,Massachusetts Department of Environmental Protection,Barnstable County Department of Health and the Environment,and UMass Dartmouth School for Marine Science and Technology.The Test Center was established in recognition of the need in Massachusetts for cost-effective wastewater disposal systems suitable for sites with limited space,poor soils,high groundwater elevations,or where advanced pollutant removal is required.Its mission is twofold.First,to evaluate the performance and operation costs of new and innovative wastewater disposal technologies in a carefully controlled and unbiased manner,and provide this information to regulators and consumers.Second,to assist vendors in getting their technologies more quickly approved for use in Massachusetts,and at a lesser cost. Technology Name: Recirculating Sand Filter. Filter Bed Technology Type: Recirculating Sand Filter- Return design for , , nitrogen removal. Manufacturer: Non-proprietary,many manufacturers C} Contact: Massachusetts DEP Company Website: Not applicable. ° x � a �� rt, ��ochmg Trench Performance&Permitting info at MA DEP and BCHED Websites: Ll t Chamber is - ' z+ www.state.ma.us/dep/brp/wwm/t5pubs.htm#it www.barnstabiecountyhe:aItii.org/AIternativeWebpa,,e/ �t �5eptie TnnWJ! o A, - Testing Objectives: Evaluate nitrogen removal. Testing Period: Testing began 2/00 and is ongoing.Results shown for 2/00 to 3/01. .� ;a Test Loadings: System loading was 330 gpd, (in 15 doses Generalized desi o a Recirculatin Sand Filter. AM/PM),SAS was 0.74 gallons per sq.ft per day. Siting Considerations and Installation Notes RSF systems generally consist of,a septic tank, sand filter and pump + chamber, although some variations do not require a separate pump I chamber.Systems vary widely in design characteristics.Care should be taken in selection of filter media.Provide free access to the recirculation valve or box.Clean-out sweeps are recommended for pressure distribu- tion laterals atop the.sand filter.Designer should consider inspection and `� ✓. maintenance access for all critical components.Designer should consult Massachusetts Guidelines for Recirculating Sand Filters. Designers - specifying open-access filter beds should consider placement of filter component where occasional odors will not be a nuisance. Designers Sand Filter Bed during installation. specifying covered filter beds should consider the difficulties that a cover may present if the media surface must be serviced. Above ground components include a portion of the filter and an electrical control panel with a visual and audible alarm. Dosing to the filter is controlled by a �z y timer in the control panel. Event counters and run-time meters are ,_ recommended for all pumps.At the Test Center,only two RSF replicates ° ' were installed. One RSF was covered with wood chips, the other with insulated plywood. In Massachusetts,the RSF flows to an SAS, but no SAS were used or evaluated in this study. t 'i Actual and Estimated Costs(3-bedroom home)and Labor Non-Title 5 Components:$2,800.(Test Center estimate). t Components+Installation:$4,800 more than conventional. w ` Electrical: $100 per year actual(local rates,KWh=909). �� � t O&M. effluent Quarterly inspection of motors, euent and sludge. A service n .gin.,, fh..;-.� �. contract is required in Massachusetts (Approximately $400 per year Sand filter bed after 6 months. minimum,but varies).Septic tank pumping averages$60 per year. Other Costs: Quarterly effluent quality monitoring is required for some Certification for General Use: Title 5 requires utilization of an permits($300 or more annually).Design permitting costs vary with site. RSF or"equivalent alternative technology"in nitrogen sensitive Replacement: Pumps ($300) generally have ]-year manufacturer's areas that are limited to 440 gpd.For residential systems less than warranty,sand filter($500)expected to last 30 years. 2000 gpd an RSF can be installed to treat and dispose of up to } 550 gpd per acre where the allowable density for residential use Theory of Operation is limited to 440 gpd per acre for a conventional Title 5 system. This technology is a trickling filter using passage over variously-textured RSFs or equivalent alternative technologies are required for all sand on which an active community - bacteria develops to achieve the systems with design flows of 2000 gpd or greater in nitrogen nitrification of septic tank effluent (the conversion of ammonium to sensitive areas. Remedial Use: RSFs are approved in remedial nitrate).After passing through the filter(sometimes at the bottom of the situations where a system is failed, failing or nonconforming filter),the.flow is split to return a portion of the nitrified effluent back to where relief is sought to construct an SAS within two feet (or the anoxic "recirculation tank" or pump chamber for denitrification three feet for percolation rates exceeding two minutes per inch) (conversion of nitrate to nitrogen gas).Some additional pollution removal of the high groundwater elevation,to construct an SAS reduced likely occurs in the SAS. in size by up to 50 percent or in areas where at least 2 feet of suitable material is available beneath the SAS. Permitting and Use in Massachusetts(as of June 2001) printed on recycled paper® Page I --Final 10131/01 • Recirculating Sand Filter Operation and Maintenance Issues: _ _This information will be included in the final report findings. 200 180 B O D 180 4 — RSF had a 96'k reduction at the effluent D-Sox I Explanation of the Graphs 150 - The graphs to the right show the mean of two replicates for each c 140 ~1 j parameter over the testing period, compared to Title 5 (three Im 120 "q 114 replicates)performance and influent measured in parallel samples a 100 t — — — during the same period. Fecal coliform results are expressed as o Neometric means.]n the nitrogen rah NH4 represents ammonia, ao a Ox represents nitrate+nitrite,DON is dissolved organic nitrogen, ; and PON is particulate organic nitrogen.Total nitrogen is the sum of 40 . - --— - --— these four parameters. 'o , 4 8 No Data The RSFs tested did not employ, a SAS. The one replicate where Influent Title 5 Title 5 Filter RSF SAS wood chips covered sand filter (area=96 ft2) was presumed to Dbox SAS base Effluent base i receive enough rainwater to dilute the effluent 3%based on local Dbox 1 rainfall and sand filter dosage.The bar labeled RSF"filter effluent ------ -----------------—--- ---- -----—---I D-Box"in the nitrogen graph accounted for this modest dilution in 200 the one replicate. Results shown for biological oxygen demand 178 T S S i (BOD),total suspended solids(TSS),and fecal coliforms were not 180 , adjusted for dilution by precipitation, because the adjustment was 160 r RSF had a 97% reduction at the effluent D-Box negligible in evaluating overall performance.The"RSF effluent" t 40 r values reported here is not comparable to the Title 5 SAS base a 120 — ----- —� data because no SAS was employed for the RSF systems as —100 so - --- — would normally be installed in Massachusetts. x.z' 56 — 60 t -- — —� Summary of Interim Findings 40 � ,— --- -------.—.----- — This technology meets secondary,treatment(Le.,TSS and BOD less 20 "rr� � 1 5 No Data than or eqqual to 30 mg per liter)to allow for the reduced separation o .rF to groundwater, or reduced soil absorption system size. BOD and Influent Title 5 Title 5 SAS Filter RSF SAS TSS concentrations at the base of the SAS for this technology and Dbox base Effluent base the Title 5 system are similar.This system was not tested at the Test Dbox Center for seasonal or intermittent use or for high hydraulic loading _ conditions. --- — — -------- — 10000000 1,061,000 Fecal coliformsl This RSF technology provides additional nitrogen removal capability 1,072,000 beyond a conventional Title 5 system for use in nitrogen sensitive 1000000 VE1'11 areas.The RSF must meet a regulatory effluent discharge concentra- 100000 tion of 25 mgA and a minimum 40 percent removal of influent total E nitrogen.All systems with a design flow of 2000 gpd or greater in 'o 10000 nitrogen sensitive areas must include an RSF or equivalent alterna- c 1000 tive technology and limit the discharge to no more than 440 gpd per y acre.For design flows less than 2000 gpd a discharge credit of up to 10 0 11 550 gpd per acre is allowed with this technology." Because some v 10 "* e nitrogen removal may occur in an SAS, actual nitrogen removal U. 1 No Data I capacity of RSF systems may exceed the 40%removal shown. 1 Influent Title 5 Title 5 SAS Filler RSF SAS The Technical Review Committee does not recommend adoption Dbox base Effluent base of nitrogen loading ratings for this technology until the two-year Dbox testing period is complete.Differences in nitrogen removal among — — -- -- - technologies tested are not necessarily significant System perfor- I O N H 4 (%�NO x ii D O N r;P O N Total N N i t r o g e n mance may vary with soil types and other factors. The Buzzards l Bay Project will recommend nitrogen loading rates for this 14 0 s 5,s 34.4 Tills 5 R S F technology for planning purposes and watershed loading evalua- 35 (22%) tions at a later date. ;30 27.4 (4 0%) I25I 20.9 Fundingfor the Massachusetts Septic System Test Center was °i 2 0 E/ //�' P Y `� provided by the US EPA,through Cooperative Agreementsi/�' x991657 and x981007, the Massachusetts Department of cZ 10 /�O Environmental Protection(319-99-01,319-00-02),Massachu- setts Office of Coastal Zone Management, Massachusetts 5 No Data No Data Environmental Trus Barnstable Count De artmentofHealth "+ t, ty P p and Environment, UMass Dartmouth SMAST, and other t '^'1^'l ""°� `A% ,.'—' 1AI ^°r "'^''""^ `AS-1 °' `"`^''r organizations. Other information on this initiative can be found at \vww.huz>•udsbay.org.These fact sheets were reviewed byamulti-agency work Commonwealth of Massachusetts group. The views or opinions expressed are not necessarily those of the Jane Swift, Governor Commonwealth of Massachusetts,the US EPA,or any of the funding organiza- tions and agencies. The information presented here represents the technical Executive Office of Environmental Affairs findings of the Massachusetts Septic System Test Center after at least one year _ Bob Durand, Secretary of system testing. Manufacturer claims of cost and longevity,warranties,or T ! Buzzards Bay Project stated costs have not been verified.Modifications to system designs from those Dr.Joe Costa, Executive Director tested, or installation under other soil or climate conditions may result in 2870 Cranberry Highway East Wareham,MA 02538 different system performance.This fact sheet was prepared and printed by the -t,? '�'m✓ Buzzards Bay Project. 508.291.3625 printed on recycled paper® Page 2 --Final 10131101 f EXCERPT FROM BOH MINUTES 09/05/06: V. Variance Request (New): Sullivan Engineering representing Jeffrey and Irene Cook, 545 South Main Street, Centerville, 1.37 acre parcel, house addition, variance requests. Peter Sullivan said the house was built in 1890's. The septic system was supposed to be repaired because of failed system which was backing up in 2004. The new owner is planning on installing an I/A system. The deed restriction was required of three bedrooms, but this was not implemented because no one ever pullied a septic permit, which would have required the deed restriction at that time. The I/A system proposed is a sand filter one and it wouldn't be affected by having a seasonal occupant. The Health Division staff comments were concerned with the property. Dr. Miller said he likes the sand filter method. Dr. Canniff asked for a statement saying the above method will work with seasonal use. A site visit is requested by the Board for October 5 at 1 pm, because it is a small lot. The fourth bedroom is the issue. Dr. Miller said to keep in mind that the DEP says they can increase the use by 50% if they use the sand filter method and here they are only looking for a 33% increase. Upon a motion duly made by Dr. Canniff, seconded by Dr. Miller, the. Board voted to do a site visit Oct 9.and continue to the Oct 10, 2006, meeting. (Unanimously voted in favor.) r Town of Barnstable (t uaRrrscaa , A . 1639. Board of Health ,�� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. April 26, 2004 <__e_ Mr. Peter McEntee, P.E. 23 Deer Hollow Road ��OJ Forestdale, MA 02644 �CK�� C RE: 545 South Main Street, Centerville Dear Mr. McEntee, You are granted variances, on behalf of your client, John Williams, to construct an onsite sewage disposal system at 545 South Main Street, Centerville. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located seven (7) feet away from the front property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located eighteen (18) feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The soil absorption system and pump chamber will be placed on top of a coastal bank, in lieu of the fifty (50) feet minimum setback required by Title 5 the State Environmental Code. PART VIII SECTION 1.00: The soil absorption system and pump chamber will be placed on top of a coastal bank, in lieu of the one— hundred (100) feet minimum setback required by the local Board of Health Regulation. PART VIII SECTION 1.00: The soil absorption system will be located 65 feet away from a bordering vegetated wetland, in lieu of the one—hundred (100) feet minimum setback required by the local Board of Health Regulation. 1'AWPFILEIIMcEntee W i l li ams.doc The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the engineered plans dated revised April 7, 2004. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated revised April 7, 2004. These variances are granted because physical constraints at the site severely restrict the location of a. soil absorption system due to the fact that there are wetlands at this property. The proposed new soil absorption system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Si rely y rs Wayn Miller, M.D. Chairp rson McEnteeWilliams Engineering Works Civil Engineers 12 West Crossfield Road, Forestdale, MA 02644 (508)477-5313 Email. EngineedngWorks AOL.COM March 8, 2004 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 545 South Main Street, Centerville Dear Members of the Board: I hereby grant Peter T. McEntee P.E., of Engineering Works, permission to represent me at all hearings associated with the request for variance to State, and/or Local, Board of Health regulations. n-and/or Jennifer Williams �a � r— � M Engineering Works Civil Engineers 12 West Crossfield Road, Forestdale, MA 02644 (508)477-5313 Email: EngineenngWorks@,40LCQM March 8, 2004 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 545 South Main Street, Centerville Dear Members of the Board: I hereby grant Peter T. McEntee P.E., of Engineering Works, permission to represent me at all hearings associated with the request for variance to State, and/or Local, Board of Health regulations. �t4 go- n and/or Jennifer Williams j THE 7p DATE: �7 Qn FEE: BARNSrABLE, MASS. v� 039. ,0� REC. BY Town of Barnstable �SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: �� �XJ: l K'i 1►'Z �J�l �C. Assessor's Map and Parcel Number: �C l0 Size of Lot: 1 , �j 7 64c . Wetlands Within 300 Ft. Yes :X Business Name: IUTA ' -14 No Subdivision Name: /X-..1 A -r � APPLICANT'S NAME: _ {-e✓ C&k2. Phone C SUQl 4-Ag -3 -Z , CD Did the owner of the property authorize you to represent him or her? Yes �e No - -- ( C5 PROPERTY OWNER'S NAME CONTACT PERSON 2 � ux \ .r Name: xt ��v. 1�- c�"� Name: F-C-1 Lam.. i= D Address: � �-'�'� Address: / Z (I�, Ci2fS S'te `C/i �(4 Phone: Phone: F1"-� ""6 k/ VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) I-vt r¢o C P U`C'S q! e I-�P SRuvtC✓ el�`CP�s� y� 444 2-54 lydac OLc3iGn 1 /-e Cc,ItSi-rC NATURE OF WORK: House Addition r7l House Renovation 13 Repair of Failed Septic System Checklist(to be'completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request — Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLKFB\VARIREQ.DOC Y COMPLETE •MPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,.ar�3.Alsozq_"lete A Si re item 4 fi Restricted Delivery is desve .. ❑Agent `li 'Print your name and address on th�r5e" ~� w G ❑Addressee :.so that we can return,tFie card to you �;- iv ed fy- print N e) C. Date of Delivery IN Attach this card to the back of the mailpiece, or on the front if space permits. D. Is del' ery address different from item 1'? 0 es 1: Article Addressed to; r If;YE ,enter delivery address below: ❑No C�c.rle s Pad u\ a ;. t 7 'T7 SZS ►�s Jam' n_ 3. Servi Type 3 rtified Mail' ❑Express Mail ` ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail; ❑C.O.D. 4 i S Cl 2 4. Restricted Delivery?(Extra Fee) - ❑Yes 2. Article Number � - 7003 1010 0001 3642 8389 (Transfer from iserviice label �R ;FS Form 381 i1M,h/t1gUSt f�ob1 f ' t t! DOfries`tic Return li@�eipt 102595 o2eM-1540 t .0A 1 Y1s.F t#e s 9 COMPLETEI SENDER: •MPLETE THIS SECTION ON DELIVERY ■ Complete items 1;2,.and 3:Al o complete' .., A Si re'. ' item 4 If Restricted.Delivery is des►re� _ Z O Agent ■ Print your name and.address on th ey ❑Addressee so that we can return-the card to you °1 B eived �y. Prin d N $'e) C. Date of Delivery, ■ Attach this card to the back of the mar 1piece, 1 or on the front if space permits ` D. Is deli ery address different from dem,ll ❑ es 1. Article Addressed to:' r, If YE ,enter delivery address below: 0 NO'z Al Rr ./ 3.g�Sen�iiY Type LiJ'Certified Mail ❑Express Mail` ' ❑Registered ` . ❑Return Receipt,for Merchandise ❑Insured Mail ❑C.O.D. _ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number, 'e 7003 1010* 0001 3.642 8389 (transfer from service label) P,S F,orrn 881£1I�Au�gus3 kbi ll i i i1Do6"Ic Return fteceipt!)� ��)� ) t'��� # � to2ess-o2-M-ts4o r ++ �. rEr tYfYi 3 ' �ii'# ate Engineering Forks Civil Engineers 12 West Crossfield Road,Fores#dale,MA 02644 (508)477-5313 Email: EngineeringWorks c, 4OLCOM March 8, 2004 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 545 South Main Street, Centerville Dear Members of the Board: i I hereby grant Peter T. McEntee P.E., of Engineering Works, permission to represent me at all hearings associated with the request for variance to State, andfor'Local, Board of Health regulations. sz0 n and/or Jennifer Williams Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 LIST OF ABUTTERS RE: MAP 206 PARCEL 71 545 South Main Street OWNER: John Borden&Jennifer Williams 545 South Main Street Centerville, MA 02632 Assessors Map/Parcel Location Owner/Address 186/47 562 So. Main Street M.Timothy& Kathleen Friend 887 Wellington Rd So. Wiindsor, CT 06074 186/048 556 So. Main Street Edward E. Schmegner 556 So. Main Street Centerville, MA 02632 186/049 642 So. Main Street John Gale H. Greene 642 So. Main Street Centerville, MA 02632 206/69 531 So. Main Street Janice A. Harvey 531 So. Main Street Centerville, MA 02632 206/68 525 So. Main Street Elio&Oliva, Lorraine Oliva 525 So. Main St,P.O. Box 99 Centerville, MA 02632 206/70 39 Hornbeam Lane Stuart&Heather Woodring 31 Stoneymead Way Acton, MA 01720 186/78 571 So. Main Street James& Charles Padula c/o Lilyan M. Padula 7 Browns Road Grafton, MA 01519 206/095 16 Coddington Road William T. Farley TR & Christine Farley TR 4450 Shopping Lane Simi Valley, CA 93063 Engineering g neering Works 12 West Crossfield Road, Forestdale, MA 02644 TeUFax(508)477-5313 March 13, 2004 John Williams -Applicant 461 Bay Lane Centerville, MA 02632 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays)from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA " cerely, Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeUFax(508)477-5313 March 13, 2004 William Farley (Abutter at 16 Coddington Road) 4450 Shopping Lane Simi Valley, CA 93063 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1)—Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, fora 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays)from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA cerely, Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 March 13, 2004 Stuart Woodring (Abutter at 39 Hornbeam Lane) 31 Stoneymead Way Acton, MA 01720 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1)— Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA cerely, V%_q� Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 March 13, 2004 Lorraine Oliva (Abutter at 525 South Main Street) 525 South Main Street, P.O. Box 99 Centerville, MA 02632 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays)from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Ancerely, n -- Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeUFax(508)477-5313 March 13, 2004 Janice Harvey (Abutter-at 531 South Main Street) 531 South Main Street Centerville, MA 02632 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' .setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, 9j,-" �- Peter T. McEntee P.E. Engineering Works 9 9 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 March 13, 2004 COMM Water District P.O. Box 369 Osterterville, MA 02655 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis,.MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Ancerely, Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 March 13, 2004 John Greene (Abutter at 642 South Main Street) 642 South Main Street Centerville, MA 02632 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wail, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays)from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 TeUFax(508)477-5313 March 13, 2004 Edmund Schmegner (Abutter at 556 South Main Street) 556 South Main Street Centerville, MA 02632 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: 310 CMR 15.211(1) — Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A V reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Pncerely, Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road; Forestdale, MA 02644 TeVFax(508)477-5313 March 13, 2004 M. Timothy Friend (Abutter at 562 South Main Street) 887 Wellington Rd South Windsor, CT 06074 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: 310 CMR 15.211(1) — Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays)from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, 6 Peter T. McEntee P.E. Engineering Works 9 9 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 March 13, 2004 Lilyan Padula (Abutter at 571 South Main Street) 7 Browns Road Grafton, MA 01519 Re: 545 South Main Street, Installation of Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Sub- surface Disposal of Sewage, has been submitted to the Barnstable Health Department for approval. The following variance is requested under 310 CMR 15.405(1)(a)(b)(g) & (i)— Contents of Local Upgrade Approval: • 310 CMR 15.211(1) —Minimum Setback Distances 1. A 3' variance, Soil Absorption System to front property line, for a 7' setback. 2. A 2' variance, Soil Absorption System to cellar wall, for a 18' setback. 3. Request for Soil Absorption System and Pump Chamber to be sited partially on a Coastal Bank, as defined by MADEP Policy 92-1. 4. A 1' reduction to the required 5' separation between high groundwater and bottom of Soil Absorption System, for a 4' separation. • LOCAL REGULATION (100' SETBACK REQUIREMENT) 1. A 35' variance, Soil Absorption System to Bordering Vegetated Wetland, for a 65' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 30, 2004, at 7: p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA /Spcerely, Peter T. McEntee P.E. r i &Nz BORTOLOTTI CONSTRUCTION, INC. yf 45 .INDUSTRY ROAD, MARSTONS MILLS, MA 02648 508-771-9399 508-428-8926 FAX: 508-428-9399 T SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address:`]V5 Date Of Inspection ��,a//OU Inspector's Name: Ile wner's Name and Address� v — CERTIFICATIONS ATEMENT• I Certify that I have personally Inspected the Sewage Disposal System at this address and that the informa- tion reported below is true,accurate and complete as of the time of Inspection. The Inspection was perform- ed based on my Training and Experience in the Proper Function and Maintenance of On-Site Sewage Dis- posal Systems.Th system: Passes Conditionally 1?as s Needs Further aluati the Local Approving Authority Failure Inspector's Signature ; Date: The System Inspector shall submit a copy of this Inspection Report to the Approving Authority with h Thirty (30) Days of completing this Inspection. If the System is a Shared System or has a Design Flow of 10,000 gpd or greater,the Inspector and the System Owner shall submit the Report to the appropriate Regional Office of the Department of Environmental Protection. The Original should be sent to the System Owner and copies sent to the Buyer,if applicable and the Approving Authority. INSPECTION Si MMARY: A) SYSTEM/PASSES: V I have not found any Information which indicates that the System violates any of the fail- ure criteria as defined in 310 CMR 15.303. Any Failure Criteria not evaluated are indi- cated below. i B) SYSTEM CONDITIONALLY PASSES: One or more System Components need to be Replaced or Repaired. The System, upon completion of the Replacement or Repair,Passes Inspection. Indicate yes, nor,or not determined (Y,N,_OR ND). Describe bases of determination in all instances. if"not determined",explain why not. The Septic Tank is Metal,Cracked,Structurally Unsound,shows Substantial Infiltration or exfil- tration,or Tank Failure is imminent. The System will Pass Inspection if Existing Septic Tank is Replaced with a conforming Septic Tank as Approved by the Board Of Health. Sewage Backup or Breakout or High Static Water Level observed in the Distribution Box is clue 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): - 1 - { SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is leveled or replaced The System required pumping more.than four times a year due to.broken or obstructed pipe(s). The System will pass inspection if(with approval of The Board Of Health): Broken pipe(s) are replaced Obstruction is removed. 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 HELATH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. Cesspool or Privy is within 50 Feet of a Surface Water Cesspool or Privy is within 50 Feet of a bordering Vegetated Wetland or a Salt Marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has.a Septic Tank and Soil Absorption System and is within 100 Feet to a Surface Water Supply.or Tributary to a Surface Water Supply. The System has a Septic Tank and Soil Absorption System and is with a Zone 1 of a Public Water Supply Well. The System has a Septic Tank and Soil Absorption System and is within 50 Feet of a Private Water Supply Well. The System has.a Septic Tank and Soil Absorption System and is less than 100 Feet but 50 Feet or more from a Private Water Supply Well,unless a Well Water Analysis for coliform bacteria and volatile organic compounds indicates that the Well is from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the System violates one or more of the following Failure Criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overload 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 clog- ged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped - 2 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion•of a cesspool or privy is within a Zone 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 ggd 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: 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 Tile 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 bring the system and facility into full compliance with the groundwater treatment program requirements of 315 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. i I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM j PART B i CHECKLIST Check if the following have been done: !/Pumping information was requested of the owner,occupant, and Board of Health. _None of the system components have been pumped for atleast 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. _4Z,'As-built plans have been obtained and examined. Note if they are not available with N/A. j/The facility or dwelling was inspected for signs.of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. il.All system components,excluding the Soil Absorption System,have been located on site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was in spected for condition of baffles or tees,material of construction,dimensions,depth of liquid, / depth of sludge,depth of scum. j The size and location of the Soil Absorption System on the site has been determined based oi l existing information or approximated by non4ntrusive methods. - 3 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: ? Design Flow: � . gallons Number of Bedrooms: 3Number of Current Residents: ,/a Garbage Grinder: Laundry Connected To System: Seasonal User Water]Meter Readings,if ayailable: V Last Date of Occupancy: COMMERCIAL/INDUSTRIAL- Type of Establishment: 7 Design Flow: gallons/day. Grease Trap Present: (yes or no) industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER: (Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS any source of information: p 1yX11VMA ` System Pumped as part of inspection% — f yes, lunie pump gallons Reason for Pumping: TYPEJOF,SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records,if any) Other(explain): AP OXIMATE AGE of all com onents,date installed(if known) and source of information: O Sewage odors detected when arriving at the site: -4- i I { i l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK:. Depth below grader Material of Construction:_ j,,"" concrete metal FRP Other (explain) Dimensions: �S' fft1` �"� Sludge Depth: ,�1'/? Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: td Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,conditioin of inlet and outlet tees or baffles,depth of liquid level in relation to on et invert;structural integrity,evidence of leakage,etc.) GREASE TRAP: Depth Below Grade: Material of Construction: concrete metal FRP (explain): Other Dimensions: Scorn Thickness: Distance from top of scum to top of outlet tee'or baffle: 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.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet tee..condition of alarm and float switches,etc.) j DISTRIBUTION BOX: 1� Depth of liquid level above outlet invert: Comments: (note if level and distribution is eq al,evidence of solids carryover,evidence of leakage into or out of I x,etc.) � �✓��.., ������� �����°17.�����1� �7.,11 PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) - 5 - j i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS):_ (Locate on site plan,if possible; excavation not required,but may be approximately by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,length: Leaching.fields,number,dimensions: Overflow cesspool,number: Col 1meiits:Pote conidtion of soil,signs of hydraulic failure level f ponding,condition of vegetation,etc.)_ awo f �} CESSPOOLS: Number and configuration:. Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) PRIVY:. Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hyddraulic failure,level of ponding,condition of vegetation, etc.) i I i - 6 - i , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or benchmarks. 1,ocate all wells within 100 Feet. 1 /Z I c I DEPTH TO GROUNDWATER: Depth to groundwater: /� Feet Method of Determination or Approximation: l'Y � l i i G` ✓exf 4�t - 7 - £p FAILED INSPECTION r• DATE : 11/28/03 --- PROPERTY ADDRESS 545 South-Ma.in St2eet - -Cen.te2v_.i-Uel (7a _--- �-- / 02632 On tree above date, I inspected the septic system ,at the above address. Tnis system Consists of the loll,owing: 1. 1-1000 ga tgon zept.ic tank.' 2. 1-Di,3tbz.iPut.ion fox. 3. 3-tan igt2a.toizh ( 10'X19 ' F, 020e4 Basec on my inspection, I certify the Iollowing condltlons: TOWNcn- ALE 4. 7h.iz .is a t.it.ee dive 3ept.ic •6yb,j-lmm,-(78 Code) . HEALTF;r PT.. . 4. The zept.ic zystem :ins_ in hydaaaiic la,iiuze. 6. A new teaching aaea needh to ge .ins t.ai eed.. PARCEL, LOT SIGNATUR (71 Name J . P . Macomber Jr . Son, Inc . Aoore5S : __@Q _66 ------ --- - - - -C.e:nseCY UP-- �jd - -Q-2.632.0066 ?^one : 508 . 775•- ) ) 38 T„iS CERTIFICATION GOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOM"R & SON, INC; T anks-Cesspools-leachllelds Pumped & Installed Town Sewer Connecilom P 0 Box 66 Centerville, MA 02632.0066 115-3338 775-6412 •\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION V� TITLE 5 OFFICIAL INSPECTION FORM—NOT>FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION. Property Address: ..545 South Na in S.t aee.t Cente2vi fie. Nazz. Owner's Name: je n n i le z O iLe iamz Owner's Address:Same Date of Inspection: 1 1/2 8/0 3 Name of Inspector: (please print)lozv_ah l. NacomCea a2. Company Name: 9 P 8acom9e2 & Son .Inc. Mailing Address: R o x 66 , C— en.te2v.c Te e, 77azz, 02632 Telephone Number: 5 0 8-7 7 5-3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to,-Section.15c340 of Title 5(310 CMR 15000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority s -Fails tor's Signature- yl --�� Inspec Dater g � � The system inspector shal 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. Notes and Comments ****.This report only describes conditions at the time of inspection and under the conditions of use at that '~ time..This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ' CERTIFICATION (continued) Property Address: 545 Sough (Vain S1-2ee en e2Uz e, a��. Owner: jenn.i�e2 Idii eiam-6 Date of Inspection: 11128103 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes;.t E_9 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: 7h o !ne.�/�J n ri f n n/, n :in hud&au.e.ic 7f a.i.Puae 4 new ieach.ing aaea 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. ,,(/e)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 distribution box is leveled or replaced ND explain: l' 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: 2 J Page 3 of 1 I OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 545 South m a i n S.t¢e e.t en eicvi,e e, Owner:. 1enn,6f e z Gl c¢m�s Date of Inspection: 1 1/2 8/0 3 C. Further Evaluation is Required by the Board of Health: b Conditions.exist which.require further evaluation.by.the:Board.of Heaithdn 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: ,Ub 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. dL The system has a.septic tank and SAS and the.SAS is within a Zone 1 of a public water:supply. X), The system has a septic tank and.SAS and the SAS is within 50 feet of a private water supply well. / a The system has a septic tank and SAS and the SAS is less than 10,Q feet byttj50 feet or more frotfi a private water supply well". Method used to determine distance�/✓�a .d.��/ "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5.ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 ' Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 545 South fl a".n S t 2 e e.t Owner: aennile2 Gl E? iami Date of Inspection: 71128103 D. System Failure Criteria applicable to all systems:. You must indicate"yes".or"no":to.each.ofthe following for aluinspections: Yes No backup of sewage.into facility or system component due-.,.to overloaded.or clogged SAS or cesspool a/ Discharge:or ponding.of effluent to the surface ofahe-ground or,surfacematers due to an:overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due town overloaded or clogged SAS or cesspool �iquid depth in4�eel-is less than 6"below invert or available-volume is less than'h.day flow equired 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. — V An portion of a-cesspool:or.privy iswithin a-Zone`1 ofa:public well.. _ y 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 5.0.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 coliform bacteria and volatile organic compounds indicates.that the.well is free from pollution..from:that:facility:and the presence.ofa.mmonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered:A copy of the analysis must be attached,-to.this forth.] /al-s—(Yes/No)The system.falls.I have determined that one ormore:of the.,above..failure,criteria exist as described in 310 CMR 15.303,therefore the system.fails. The system own:er.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 litsystem must serve a-facility with a design flow of 10j00.0 gpd to 15;000 gpd• You must indicate either"yes"or"no"to,each of the following: (The following criteria apply to large systems in.addition to the criteria above) yes no _ he system.is within 400 feet of a surface drinking water supply e 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. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPECTION FORM PART B CHECIUAST Property Address: 545 South Main Si-aee.t Cent-T; —TZTT,Fe, Owner: aenn.izee2 61M-iamz Date of Inspection: 2 8/0 3 Check if the following have been done You must indicate"yes"or"no"alto 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 far 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: Yes no 6, 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(3)(b)J 5 Page 6 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 545 South (lain Stzeet en e2v.c e, Mabz. Owner: Date of Inspection: 71128103 FLOW CONDITIONS ,... RESIDENTIAL Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 C 15.203 (for example: 110 gpd x M of bedrooms): Numbcr of current residents: Does residence have a garbage p-inder (yes or no): .lKs Is laundry on a separate sewage system (yes or no)�_ (if yes separate tnspection.required) Laundry system inspected (yes or no): Seasonal use: (yes or no): � 2001=127, 000 ga e—Pon,6=347. 95 qPD Water meter readings, va if ztlable (last 2 years usage(gpd)): Sump pump(yes or no): 40 — ga e eon s=372. 61 q D Last date of occupancy: No 3/22 ink.ee/z 6y,6iem COMM ERCLAUINDUSTPUAL Type of esublisbrrsent: 1h Design now(based on 310 CMR 15.203): d Buis o(dcsign now(seats/persons/sgft,etc.): Grease trip present (yes or no): a industrial waste holding unk present (yes or no):& Non•saniury waste discharged to the Title 5 system (yes or no)-J,2-4 ) Water meter readings, i(available: A;d Last date of occupancy/usc: 1014 OTHER (describe): GENERAL INFORMATION Pumping Records Source of information; None a�a i�a� 2e Wu system pumped as pan of the inspection(yes or no)::R!07 If yes, volume pumped: allons •• How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic urtk, distribution box, soil absorption system ;Wff Single cesspool Overflow cesspool 4e Privy fZ Shared system(yes or no)(if yes, attach previous inspection records, if any) Innovativc/Allcrnativc technology. Attach a copy o(the current operation and maintenance contract (to be obtained 6'om system owner) ti ilt Tight tank 4ib Atucb a copy of the DEP approval /,12 Other(describe): XA A roximatc age of all co oncn , datr Installed (if an source of information: Were sewage odors detected when arriving at the site (yes or no). 6 Page 7 of I I OFFICI:AL INSPECT-ION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C �* SYSTEM INFORMATION(continued) Property Address: 545 jo Sticeet —enVeILv7 e, Ma-s-6. O:woenlenn.ilee/t ` i .camp Date ofIns:pection I I/2 8 03 BUILDING SEWER(locate on site plait) Depth below grade: 75` `J Mi<tcrials of con.stfusti.on:_,_ cut iron �AQ PVC / o:ther�(explain) � Distance from private water supply well or suction lins; r` Comments(on condition of jotnts, Ycnting, evldence of leakage,ete}; 1o.int6 a2,2aaa 44ght, No evidence oZ_, .Peakage. The zyztem .iz vented thorough the zoo/ vent,z. SEPTIC TANK: /(locate on site plan) -149a)941( 40 Depth below grade: fly / Materislofconsuvction: dconcre.te�mmWP_fibcrglass, polyothylene- �t ochcr(:cxplain) �� If tuck is metal list agc;M Is sgc confirmed by a t~crtiffcatc of Compliance(yes or no);/,�(attach a.copy of Sludge depth Distancc..tom top ohludgc to bottom orouttei tee or baffle: P Scum thickness: �a Distances from top of scum to top of outlet tee or baffle: Disunce.Uom bottom of scum to bottom of outlet tee I or baffle: rl How were dimensions determined: " Co:mmen'ts.(on pumping recotiunendations, inlet and otstl.ci tee or baffle condition, structural integrfry, liquid levels as rclated.to•o.utict invcn, evi.dcnce of leakage.,etc,): 0arg- the t m 1 2e a i2.ed. ?um the. ze t.ic :tank eveay e .in •7 . a ce he tahZ 7h. h 2uctuaaiiy hound and 4howz no ev-idence o� .,eeaka'; e.iUazte. wate z Z7 a the ou.Leet .invgzt o� the Munk. , GREASE TRAK&Vlocatc on site plan) r� Depth below grad;: Material of cons"'""" 0:,&conc.rcte j,mctal�fiberglass4apolycthylcnc*)Athcr (explain): �`{ Dimensions; Vh Scum thlcS ness: All , Distance from top of scum to top of outlet fee yr baffler Disunce from bottont of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inict and outlet tee or baffle condition, structural integrity, liquid levels as related to.outict invert, evidence of leakage, etc,): G2eaze taaiz .iz not 122e�en 7 � J Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS S13 SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 545 South 1�a.in St2eet en Lercvi 77g, a.3.6. Owner: enn.i4 V .P.Pi amz Date of Inspection: 11/2 8/0 3 TIGHT or HOLDING TANKv�(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: A//t? Material of construction: concrete metal,,&y fiberglass polyethylene.( other(explain): Dimensions: s1r� Capacity: */o gallons Design Flow: gallons/day Alarm present(yes or no): 1) _ Alarm level: Wj Alarm in working order(yes or no): Date of last pumping: " Comments(condition of alarm and float switches, etc.): Tight o2 hoed.ina tank.6 ate not /?2eeent DISTRIBUTION BOX: Zif present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.): Di.6ta.igut.ion kox hays one .iateltae, 7heae .ins evidence o/ zoeida ca2ny aze2 No evidpace oZ .Peakaae .into oa out oP the fox PUMP CHAMBERt (locate on site plan) Pumps in working order(yes or no): ,V94 Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pttm,? rhnmPvn 1.6 noL �2e�ent 8 'Page 9 of l l OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address545 South Na-in S.t zee.t en e2U.c e' 17a�.s Own:er:aenn.i jee2 ld iiTiam.s Date of Inspection: 11128103 SOIL ABSORPTION SYSTEM (SAS): L(locate on site plan,excavation not required) 3 .in/-i ftnat o zz in 10'X 19' If SAS not located explain why: c 70 Type mod) leaching pits, number: 0 ileaching chambers, number: > leaching galleries, number: 0 A/Lq leaching trenches,number, length: XT leaching fields,number, dimensions: 0 ,Oe) overflow cesspool,number: 0 • 5 innovative/afternative system Type/name of technology:/'r5� Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Loamy .sand to medium Zine .sand Tn ei.Pi17 naA 0412%IlydO.E94 i %g Ac44, A new .Ceach.ing ages npadA fn Ca in41a4, 00��, S�, t�d P - Vegetat.ion -iz no zma e, CESSPOOLM cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Q Depth-top of liquid to inlet invert: Depth of solids layer: AIA Depth of scum laver: f Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): PRIVY�c4, e(locate on site plan) Materials of construction: Dimensions: Afo Depth of solids: /r/14 Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 • Page 10 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 545 South fga�in Staeet en eav4- e, Owner: aenni Te lJ ��ami Date of Inspection... 11128103 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. Y a 10 Page 1-1 of I I OFFICUL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued). Property Address: 545 South (rain St2eet Centeaviiie. Owoer:Jenn.i.4,e/t L12,91_arn-6 Date of Inspection: 11128103 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water �feet Please indicate (check)all methods used to determine the high ground water elevation: yCS Obtained from system design plans on record - if checked, bate of design plan reviewed: 11128103 qES Observed site (abutting property/observation hole within 150 feet of SAS) • OChecked with local Board of Health•explain: U9tafined ah gu.i.Qt ea.4d fChecked with local excavators, installers- (an,ach documentation) q S Accessed USGS database-explain:h1 n- //fn,,)n_ 0.nnn itaf Qe. ma, u.3, You must describe how you established the high ground water elevation: U.6ed:Ca/2e _Cod Glate2 7agie Contouas And Ptdeic Glate2 Sui212& ,4nd Ueeehead PRn.igniinn AaeaA Nin_ .CorYom0. on 1995 /lfnion Ro.cnunroA O'e'eiro ('nno f n/'/ /'n MM!A J.An z114 Groundwater. G t'cct Below Bottom of Pit High Groundwater g Adjustment l.$ ft per Frimptcr Method Therefore, the vertical,separation distance between the Bono 5 Of the leaching pit and the adjusted gToundwatcr table is ` , feet. Il r,•—nirr--'-rr— rT.—m.•rtmrrr�n:-e*r.m.r.i-.err-Tvrr:-nrs+-�na rrr-�-as r.a'v-re.rrn .. -. T~ TURN OF Barnstable WARD OF HEALTH SUI)SUNFACR SFHAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I'�T:1CTyr T.TTIT�'.'1 rlITTTt TTT19f'Tmm'�•TO RTMIRI'!'T,'RT7 RfTt I1TRTlTTiIT /,Trr'n'rTr.•.—rrrr--. —.. -TYPE OR PRINT CI,EARL)'- PROPERTY INSPECTED STREET ADDRESS 545 South Main St2eet Cent e2vi-eie, Nazi. ASSESSORS MAP , DLOCK AND PARCEL # OWNER' s NAME aenn-i/e2 lriiiiamz PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P. Macomber Jr , COMPANY NAME Joseph P. Macomber &ton Inc COMPANY ADDRESS Box 66 Centerville Mass 02632 Street TOvn or City State ZIP COMPANY 'TELEPHONE ( 508 ) 775-33.38 FAX ( 508 ) 790-1578 CUTI ('IC.ATION STATEMENT I certify that I have personally inspected the sewage dieposa7 system at I nddress and that the information reported is true , accurate , and omplete as of the time ofiinspection. The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one ;. System PASSED The inspection which I have conducted has not found any information .which indicates that the system fails to adequately protect public healLh or, the environment as defined in 310 CMR 15 - 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* The inspection which I have con Lct cted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection. form , ,le Inspector Signature . mate ar ne copy of this ,� c.ification must be provided to the OWNER, the BUYER ( where appilicable ) and the 130ARD OF IIZALTII , * If the inspection FAILED, th'e owner or operator shall upgrade ' the eyetem within one year of the date of the inspection, unless allowed or required otherwise as provided in 3.10 CHR 15 , 305 , partd . doc CommorwveCaM of Mossochusetts ,John Grad Executive Office of Er-Mron n-elltal AffOirS D.E.P. Title V Septic Inspector Department of - P.O. Box 2119 Environmental Protection Teaticket,MA 02536 (508 - 'r0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A J(/ CERTIFICATION N 2 spu-¢�i /yl1�iPC �"�`; 70W"oFe4�5. 199� Property Address: 645 S. Main St. Centerville Address of Owner: Date of Inspection:6113197 (If different) Name of Inspector John Gracl Nagle:Box 945 Barnstable Ma.02630 Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes This inspection is based on criteria defined in Title V Conditionally Passes code 310 CMR 15.303.My findings are of how the system is Needs F h Evaluation B the Local A rovin Authori performing at the time of the Inspection.My Inspection does Y PP 9 ty not Imply any warranty or quarantee of the longevity or the F211s septic system and any of its components useful life. Inspector's Signature: Date: 6123197 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirly(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C, or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.) The septic tank is metal, cracked,structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11115195) One Winter Street 9 Boston,Massachusetts 02108 a FAX(617)556-1049 9 Telephone(617)292-5500 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 945 Barnstable Ma.02630 Date of Inspection:6113197 _ Sewage backup or breakout or high static water level observed in the distribution box is 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 leveled or replaced _The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 11115195) ' 2 J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 D] SYSTEM FAILS(continued) Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone t of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: 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: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further Information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 545 S.Maln St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 Check if the following have been done: X Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the 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. n1aAs 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. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115195) 4 SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 gallons Number of bedrooms: 3 Number of current residents: 1 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available: n1a Last date of occupancy: nla COMMERCIAL/INDUSTRIAL: Type of establishment: nla Design flow:0 gallons/day 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: n1a Last date of occupancy: nla OTHER:(Describe) n1a Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped. System pumped as part of inspection: (yes or no)No If yes,volume pumped: 9 gallons Reason for pumping: nla TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source information: 1994 by Capeland Sewage odors detected when arriving at the site: (yes or no) No (revised 11115195) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 545 S.Maln St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 SEPTIC TANK: X (locate on site plan) Depth below grade: 16" Material of construction:X cone reate_metal_FRP_other(explain) Dimensions: L 8'6'h 5'7"w4'10" Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle: 25" Scum thickness:0 Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 0 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.) Septic tank and all components are structurally sound.Recommend pumping system two every years. GREASE TRAP: (locate on site plan) Depth below grade: n1a Material of construction: _concrete_metal_FRP_other(explain) Dimensions: rda Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:n1a Distance from bottom of scum to bottom of outlet tee or baffle: n1a 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.) n1a (revised 11115195) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: nla Material of con struction:_concrete_metal_FRP_other(explain) Dimensions: Na Capacity: n1a gallons Design flow: n1a gallons/day Alarm level: nla Comments: (condition of inlet tee,condition of alarm and float switches, etc.) nla DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: Liquid 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.) D-box is structurapy,sound. PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Na (revised 11115195) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: n1a Type: leaching pits,number: nra leaching chambers,number:3 infultrators leaching galleries,number: nra leaching trenches,number,length: n1a leaching fields,number, dimensions:n1a overflow cesspool, number:n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Sas is functioning properly and is structurally sound.The infultrators were empty at the time of the Inspection. CESSPOOLS: (locate on site plan) Number and configuration: n1a Depth-top of liquid to inlet invert: n1a Depth of solids layer: n1a Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater: n1a inflow Icesspool must be pumped as part of inspection) n1a Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n1a PRIVY: (locate on site plan) Materials of construction: n1a Dimensions: nla Depth of solids: r9a Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nla (revised 111115195) 8 J J M SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 545 S.Main St.Centerville Owner: Nagle:Box 946 Barnstable Ma.02630 Date of Inspection:6113197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Q C RB �� AC as C 3? II DEPTH TO GROUNDWATER Depth to groundwater: 10 feet method of determination or approximation: USGS Maps and Charts (revised 11/15195) 9 3 LEGENDaE� TIDAL MARSH TRANSECT-A LI: 99 PROPOSED CONTOUR MADEP Wetlands Protection Program W 4 Policy 92-1, Figure 3 99 PROPOSED SPOT GRADE a RIVe _ Top of Coastal Bank at 100 year LOCUS „e n Flood Elevation (EL: 11) --110---� EXISTING CONTOUR o Ar =. J F 5 110 EXISTING SPOT GRADE WLF G - 5TOP x -'`"� TRANSECT-B s^ h MADEP Wetlands Protection Program TEST PIT R°°a j (�'� EDGE OF B.V.W. �Ic. co^��N, Be°ch Rd. ti l Policy 92-1, Figure 7 No Coastal Bank exists W\ EXISTING UTILITY SERVICE c� s Land Subject to Coastal Storm Flowage e WLF 6 - STOP g (W-Water, G-Gas, OHW-Overhead Wires) �� Centerville Harbor C10 Q. \ q LOCUS MAP N.T.S. w � V m b ASSES50 cJ `� AV GENERAL NOTES: S x MAP 2 �`06 X WLF 5 FARLEY, WILLIAM T TR & 4U" 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL N FARLEY,• CHR/STINA TR BOARD OF HEALTH AND THE DESIGN ENGINEER. Q� � PARCEL 71 (MAP 206, PARCEL 95) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS o V W U \ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE V 59,633±5.F. LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: p Q� Q 1 .37±Acres X \ -310 CMR 15.405(1)(a)(b)(d)&(g): Wt a } \ 1) A 3' variance, S.A.S. to front property line, for a 7' setback. N N E PADULA, JAMES W. & CHARLES D. 2) A 2' variance, S.A.S. to cellar wall, for an 18' setback. a- Q.J Q ' " C/O L/CYAN, M. PADULA 3) Request for S.A.S. and pump chamber to sited partially on �� \ (MAP 186, PARCEL 78) a coastal bank, as defined by MADEP Policy 92-1. 4) Request for a 25% reduction to the S.A.S. area requirements. \ DECK \ WLF 4' -LOCAL REGULATION (100 foot setback requirement S.A.S. to B.V.W.) BENCHMARK: 5) A 35' variance, S.A.S. to B.V.W., for a 65' setback. KT. CORNER / x BOTTOM STEP 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Gn TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EL:1 1 .22 (NGVD) p, - I DESIGN ENGINEER. EXIST. S.A.S. 3 STING 0 4. ANY CONDITIONS ENCOUNTERNDSDURINGLL ECONS RUC ION DIFFERING DESIGN* BEDROOM — -� rcke fen \� �F Mq �� OF M ENGINEER NEER BEFORE SHOWN CONSTR�CTION CONTINUES. TO BE ABANDONED / hOUSE(No 545 ` AL ��P�_0 Ssq�y ASS WORK LIMIT = o s� G 5. ALL ELEVATIONS BASED ON NGVD. / S , iST. SEPTIC TANKS RICH o PETER T. s SILT FENCE j \ o J. McENTEE `- 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF TO'REMAIN MAIN �, HOOD o CIVIL THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF PROP. PUMP CHAMBE No. 35031 o No.CIVIL HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 100' BUFFER TO B.V. j F 3 Fs qFC/S1fR�o ��� % 7. WATER SUPPLY TO BE PROVIDED BY TOWN WATER. W. �, SEC/S1E`�� 2 40 MIL t�Y UNER �q( �AtIU �fFS510 L E��' S. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. Q„ 9• ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE LANDSCAPED AS 9 Z - W \ P. �` , �� G,O� AGREED UPON BY OWNER AND CONTRACTOR. 10. LOCATIONS SHOWN OF EXISTING UTILITIES ARE APPROXIMATE. IT ap S 65 A SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY a-,,II c` WLF 2 WI - 5TART THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO STARTING 40 MIL POLY UNER ``vY 0 REL bATEWATER5ERVIC "CONSTRUCTION AND COORDINATE RELOCATION OF ANY UTILITY 6REAKOLT BARRIER Q --- - - WITH THE APPROPRIATE UTILITY COMPANY. o MAINTAIN�IaMIN..5ETBACK WETLAND DELINEATION r TP .` \ MPR0�05ED5.K_53 - 6 LEC Environmental Consultants 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS -- d x 'WQ U�AIT g 3 Otis Park Drive IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. — '� l��ILT FENCE Bourne, MA 02532 AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). � 3 Owv I� _�„� 7 (508) 759-0050-�'� - 'VEXA7D-EL — � — �� FLOOD PLAIN DATA PROPOSED SEPTIC SYSTEM UPGRADE FIRM PANAL 250001 0016 D 545 SOUTH MAIN STREET, CENTERVILLE, MA L=, W REVISED JULY 2, 1992 EDrt OF PAVEMENT S Zone "A10" (EL:1 1) Prepared for: John Williams, 545 South Main Street, Centerville, MA TRIPo TOP OF COASTAL BANK EDGE OF PAVEME SEE NOTE I I Engineering by: Surveying by: SCALE DRAWN JOB. NO. SOUTI I MAIN STREET FRIEND, M. TIMOTHY & PLAN"REVISIONS"" Engineering Works HOOD SURVEY GROUP 1"-20' P.T.M. 06-04 SCHMEGNER, EDMUND E 12 West Crossfield Road 18 Route 6A GREENS, JDHN GALE H (MAP 186, PARCEL 48) FRIEND, KATHLEEN M. 4/7/04 1. Revise variance request no.4 DATE CHECKED SHEET N0. Forestdale, MA 02644 Sandwich, MA 02563 (MAP 186, PARCEL 49) (COUNTY LAYOUT) (MAP 18s, PARCEL 47) 2. Revise S.A.S. & Pump Chamber. (508) 477-5313 (508) 888-1090 3/O1/04 P.T.M. 1 of 3 NOTE: TO PREVENT BREAKOUT; A 40 MIL POLY LINER SHALL BE PLACED 3' OUTSIDE OF FIRST FLOOR THE PERIMETER OF THE S.A.S. AND EXTEND EL.=14.10 FINISH GRADE = 11,5(MIN.) FROM EL: 10.5 TO 8.5. (NGVD) F.G. EL: 11.8 a EL.10.0t EL.=10.5 F.G, EL.10.0± 36"MAX. COVER ,/-' MAINTAIN 2% MIN SLOPE OVER LEACHING AREA ✓ a• INSTALL RISERS OVER INLET & OUTLET PROVIDE 20" RISER W/COVER OVER 11' x 30 5' LEACHING FIEF W/?-4" " TO WITHIN 6" OF FINISH GRADE PUMP TO WITHIN 6" OF FINISH GRADE OUTLET PIPES SET LEVEL OVER FIRST 2 FEET SCH 40 P RF._EYC DISTRIBUTION .LINES p'C 5v L =1I'(MAX) ENDS TO BE CAPPED a L =7' SC" GO 6" 4" SCH 40 PVC a a" SCH 40 PVC 2' s" EFF. � MpdN ® S= 1� (MIN.) OEPTH 14 ® sm 1� (MW.) FgRG INV. EL.=9 ( N ) TEE'S ARE TO BE D-BOX MMMWr I SLQPE OF PERF. PIPE 0.5 I 43 E D I 4" SCH 40 PVC INV.=7.7$t 24" INV,=9.87 r' 30.5 EFFECTIVE LENGTH EXISTING 1000 GALLON (EXISTING) PUMP OFF 12 (MIN) SEPTIC TANK INV.=7.50 INV.ELEV.=9.59 ' INV.=9.70TEE SHALL NOT EXTEND SAIL ABSORPTION SYSTEM (eRQFILE) BAFFLE TO BE INSTSALLED ON - INV.=7.25t BELOW FLOW LINEET TEE AS MANUFACTURED BY 1000 GALLON PUMP CHAMBER -TITS, ZABEL, OR EQUAL 2" LAYER OF (See Pump Detail, Sheet 3 of 3) 1/8"-1/2" DOUBLE BREAKOUT ELEV.=10.1 WASHED STONE (EXISTING) PUMP CHAMBER & D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BOTTOM ELEV.=8.93 WASH 1 1/2" DOUBLE WASHED STONE STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 4' 5' 14 5' MIN. ABOVE BOTTOM OF SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W, 11' EFFECTIVE WIDTH N.T.s. SOIL LOG HIGH G.W. EL: 3.93 - SOIL ABSORPTIO SYSTEM (SECTION) N.LB N.T.S. DATE; JANUARY 31, 2004 BUOYANCY CALCULATIONS SOIL EVALUATOR; PETER MCENTEE PE, CSE INSPECTOR: DAVID STANTON-HEALTH AGENT DESIGN CRITERIA Pump Chamber BARNSTABLE B.O.H. BOTTOM OF PUMP CHAMBER EL.= 3.0 Elev. TP- 1 Doh NUMBER OF BEDROOMS 3 BEDROOMS SOIL TEXTURAL CLASS: CLASS I HIGH GROUNDWATER EL.=3.93 11.22 A SANDY LOAM 011 DESIGN PERCOLATION RATE: <2 MIN/IN `�P\ BUOYANCY FORCE PER FOOT OF DEPTH: 10YR 3/3 DAILY FLOW: 330 G,P.D, o PETER 5.5' x 8.4' x 1,0' x 62,4Ibs/cu.ft. = 2882.9 Ibs/ft 10.72 B 18" DESIGN FLOW: 330 G.P.D. McENTEE MAXIMUM DISPLACEMENT = 3.93'-3.00'= 0.93' LOAMY SAND GARBAGE GRINDER: NO w NgCIVIL 9 N MAX. UPLIFT PRESSURE 0.93' X 2882.9 Ibs/ft = 2681.1 Ibs. 10YR 5/2 EXISTING SEPTIC TANK: 1000 GAL. CAPACITY WEIGHT OF EMPTY PUMP CHAMBER = 8806 lbs. 7.22 48 PROPOSED PUMP CHAMBER: 1000 GAL. CAPACITY F RFCISSER��\�``� WEIGHT OF FILL (COVER) OVER PUMP CHAMBER: C LEACHING AREA REQUIRED: (330) = 445.9 S,F. FSS�ON L 5.5' x 8.4' x 1.5' (approx.) x 110 Ibs/cu.ft. = 7623 Ibs. 393 ..74 TOTAL COUNTER WEIGHT = 8806 Ibs + 7623 Ibs =16,429 Ibs ' MEDIUM WITH A 25% AREA REDUCTION: 0.75 x 445.9 = 334.4 S.F. REQ'D 15,429 Ibs > 2681 Ibs O.K. 2.5Y 6/3 1 X 30 5' LF q�G^FIELD 1j /2 DISTRIBUTIQN LINES SIDEWALL AREA: (NOT APPLICABLE) DOSING & STORAGE REQUIREMENTS o 72 126" BOTTOM AREA = TOTAL AREA: 1 1' x 30.5' = 335.5 S.F. DAILY FLOW: 330 GPD DESIGN FLOW PROVIDED: 0.74(335.5) = 248.3 G.P.D. DOSING REQUIRED: 4 CYCLES/DAY (SAND) PERC RATE < 2 MIN/IN. WE HORIZON) 330 _ 4 = 82.5 GALLLONS/CYCLE GROUNDWATER MONITORING WELL INSTALLED DISTANCE REQUIRED BETWEEN PUMP MAX. SEASONAL HIGH G.W. EL: 3.93 AS ON AND PUMP OFF FLOATS: DETERMINED BY OBSERVATIONS OF G.W. F(508) 477-5313 ROPOSED SEPTIC SYSTEM UPGRADE LEVELS AT LUNAR HIGH AND LOW TIDES, 82.5 GAL/CYCLE o 250 GAL/FT = 0.33 FT/CYCLE JANUARY/FEBRUARY, 2004, SOUTH MAIN STREET, CENTERVILLE, MA STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS NO GROUNDWATER ADJUSTMENT APPLIED DUE d for: John Williams, 545 South Main Street, Centerville; MA TO PROXIMITY OF LOCUS TO TIDAL AREA, LESS STORAGE PROVIDED: THAN 300 FEET. by: Surveying by: SCALE DRAWN J09. N0. INV. IN EL: 7.50 - PUMP ON EL: 4.25 = 3.25' PLAN REVISIONS ngWorkf HOOD SURVEY GROUP N.T.S. P.T,M. 06-04 ( ) ssfield Road 18 Route 6A STORAGE PROVIDED = 3.25' X 250 GAL/FT = 812.5 GALLONS 4/7/04 (see Sheet 1) MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. 5313 (508) 888-1090 3/01/04 P.T.M. 2 of 3 ! INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING PROVIDE WATERTIGHT CONCRETE RISER v WITH WATERTIGHT JOINTS, WIRE HIGH WATER ALARM WITH SECURED COVER TO GRADE FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON A CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED HOISTING CABLE 7x19 STAINLESS STEEL BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE 8'-3.5" 1/8" DIAMETER. / 1,760 LB. STRENGTH. WATERTIGHT _ 2"BALL VALVE w/ UNIONS SCH. 80 PVC r 4"SCH. 40 GEORGE FISHER CO. MODEL NO. 560 FROM TANK 2"SCH. 40 DISCHARGE TO D—BOX B I B ALARM ON EL: 6.25 2"SCH. 40 TEE w/ CLEAN-OUT CAP I ) PUMP ON EL: 4.25 " ELL:: 7.7.50 I PROVIDE 1/4 WEEP HOLE IN DISCHARGE Ln BOTTOM OF PUMP OFF EL: 3.92 24" t2„ PIPE FOR SELF—DRAINING FORCE MAIN PUMP CHAMBER8„ 2" BALL CHECK VALVE SCH, 80 PVC PUMP 3.00 100 P.S.I. FLOWMATIC MODEL No. 208S L — — — — — — — — — — — —� PROVIDE 2-- WIDE ANGLE FL06IS: 2" SCH. 40 PVC DISCHARGE PIPE A FLOAT NO.1: PUMP ON/OFF (BARNES 073618) FLOAT NO.2: ALARM ACTIVATION (BARNES 073612) BARNES SE411 PUMP .4 H.P, 115 V 2" DISCHARGE PASSING 2" SOLIDSI 4" Dio. Inlets � 5'-6.5" 4„ 4" OIo. Outlets PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT J 71 THROUGH WIGGEN PRECAST CORP., BOURNE MA. (800) 564-6774 " ' PUMP & ACCESSORIES AVAILABLE THROUGH WILLIAMSON ELECTRIC (781) 444-6800 0 fff O PUMP D ETAI L 67.5" 63.5" 63.5" N.T.S. 54.5" 48" Liquid Level 3" 51.5" (Typ.) 71 8'-0.5" 5'-2.5" 2" FORCED INLET SECTION B--B SECTION A--A W/ VERTICAL TEE 15 1/2' 4" GRAVITY NOTES, OUTLET(TYP.) 1. ALL PIPING JOINTS SHALL BE MADE WATERTIGHT. 2. 1000 GALLON CAPACITY (H-10) FILL SIDE KNOCK—OUTS WITH MORTAR Top View MONOLITHIC PUMP CHAMBER N.T.S. 3-5" DIA. INLETS 5-5" DIA. OUTLETS 2" 414SS9� �� 15" Q�� PETER T. 6 g `, „ cEN T � M EE a CIVIL Section No, 35109 RFCI Z PROPOSED SEPTIC SYSTEM UPGRADE FSSION ENG� WIGGIN DB-58 545 SOUTH MAIN STREET, CENTERVILLE, MA DISTRIBUTION BOX Prepared for: John Williams, 545 South Main Street, Centerville, MA Engineering by: Surveying by: SCALE DRAWN JOB. NO. N.T.S. EngineeringWorkv HOOD SURVEY GROUP N.T,S. P.T.M. 06-04 PLAN REVISIONS 12.West Crossfield Road 18 Route 6A 4/7/04 (see Sheet 1) Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. (508) 477-5313 (508) 888-1090 3/01/04 P.T.M. 3 Of 3 L i B P.T.6 x 6 POSTS B A5 A5 ® q�UTUNE OF NEW DECK ABOVE § EXPANDED I -----------T--- DECK 165 S.F. OUTLINE OF NEW DECK ABOVE 16'-0" I 1 II Iw UP ANDERSEN I I' MPACT GLAZINGRIES 6068APLR FRENCH DOOR I I —I Y w 3'0"X 6'8" "' I Ul�_ . I� LL w 4 4 w Z ANDERSEN STONE 4 Z_0" ASERIES ANDERSEN T4 STEPS I IMPACT GLAZING SERIES I O ANDERSEN AAN2614 IMPACT GLAZING ASERIES N2620 INSTALL SMARTVENT I IMPACT GLAZING STORAGE FLOOD VENTS UNDER AAN2614 UNDER EACH WINDOW ————— ANDERSEN q ASERIES 11 NEW RETAINING IMPACT GLAZING WALL AAN2614 GAME ROOM "- ANDERSEN 280 S.F. 4 4 NEW EXIST. 4 `-T� IMPACT GI.AZI G (VAULTED CEILING) A GARAGE A ENTRY AAN2614 A A. A5 364 S.F. AS A5 ANDERSEN ASERIES 2,-0�. A.!ANDERSEN IMPACTGLAZING STORAGE SERIES 4'-1"' AAN2614 UNDER IMPACT GLAZING - INSTALL FIRE RESISTANCE HARDIPLANK CLAPBOARD SIDING&HARDI TRIM ON THE .y WEST SIDE OF BUILDING DUE 60 iq TO THE PROXIMITY OF THE + ONEW - V/ NEW ACCESSORY STRUCTURE q ti HVAC INSTALL FIRE RESISTANCE 1.1 E7 A/ N H PER IRC2009 SECTION 302.1 I` " " is ?• SID NG LANK CLAPBOARD I V V V \ ��. SIDING 8 HARDITRIM ON THE BATH s�. WEST SIDE OF BUILDING DUE O TO THE PROXIMITY OF THE i4 90 x TO O.H.DOOR NEW ACCESSORY STRUCTURE PER IRC2009 SECTION 302.1 CONC. ANDERSEN ANDERSEN APRON ASERIES ASERIES IMPACTGL0NG ADH2644 ADH'1840 EXIST. IMPACT GLAZING EXIST. HOUSE 9'-0" 6'-0 HOUSE 2'-0" 9'-0" 2'-3" 16'-0" 4'-0" 16'-0" 4'41" SECOND FLOOR PLAN IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS FIRST FLOOR PLAN CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL U-FACTOP. U-FACTOR R-VALUE R-VALUE R VALUE R-VALUE R-VALUE R-VALUE LEGEND: D.35 0.60 49 20 30 10113 10(2 FT.DEEP) 10/13 0 EXISTING WALLS NOTED: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. —, CONSTRUCTION TO BE REMOVED 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR L—_J OF THE!iOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL NEW CONSTRUCTION r 3.REF,='?TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS , TH III//i ERRORS RO OMISSSHALIONS SE NOTIFIED AREFOUNIF N SCALE : DRAWING NO. : BI ` COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING- FOR• ERRORS TION.THE BUILDING CONTN III\ q THESE DRAY NGSPRIIOR O STAR.0ORACTOR 11 1 II 43 BREWSTER ROAD WTHESEDRAWIN DRAWINGS IF 1/4 1 -0 �` C THESEDRAWINGSIF CONSTRUCTION MASHPEE ,MA. 02V49 THESENCES RAWIN SAR NOTIFYING THE Q GG WELLS RESIDENCE DESIGNER OF ANY ERRORS OR OMISSIONS. DATE PH. (50V) 274-11 VV THESE DRAWINGS ARE SOLELY FOR THE USE FAX (508) 539-9402 545 SOUTH MAIN STREET CENTERVILLE,. MA AR of�ERNOTED.ANYOTRERUSEOF Al THESE DRAWINGS REOUIRESTNE WRITTEN 9/22/2014 CONSENT OF THE DESIG UNDERTHE ARCMRECTURAL COPYRIGHT PROTECTION P.T.8 x 8 POSTS ON 12"DIA. •18'0" ' 13'8" 18'-0" CONCRETE SONOTUBES W/ FASTEN P.T.8 x 8 POSTS TO 24"DIA.BIGFCOT FOOTINGS 'BEAM W/SIMPSON S.S.AC8 UNDERNEATH TO 4'0"BELOW B &ACES POST CAPS FASTEN BEAMS W/SIMPSON GRADE.USE SIMPSON S.S. B S.S.HUCQ412 HANGERS " ABU88 POST BASE p`5 A5 3-P.T.2 x 10's \ OUTLINE OF NEW DECK ABOVE 4 V Q P.T.2 x 12's P.T.2 x 8's Q 18" - I I —————— ——————————— 10 —————————— Y I P.T.2 x 12's 1 DROP TOP OF I I I y. SOLID BLOCKING IN THE 1 FOUND.AT I I I 1 -OUTSIDE OE TWO JOIST BAYS 1 Y I I ENTRY DOOR I I o 1 I I I ro STONE z zo 4 I I I I I STEPS 1 9 I I I I 1° I SMARTVENT I I I I I I FLOOD VENT I I I I #1540520 8"CONCRETE FOUNDATION WALLS ——————— S.S.FINISH ------- ------- I W/8"X 18"CONCRETE FOOTINGS I (1)#4 HORIZONTATO 4'0"BELOW L E.INSTALL WALL AT TOP& I I RETAINING - BOTTOM OF WALL I I WALL ). - EXIST.NEW 4 m I I GARAGE I I ENTRY y I I I I SMARTVENT I I 5"CONC.SLAB PITCH 2"TO O.H..DOOR. I I FLOOD VENT I I W/B x B WWF EMBEDDED I I S.S FINISH I I I I q A I I I I A5 A5 A A A5 I I I I A5 s I I I I DROP TOP OF FOUND. I I AT O.H.DOOR L-= ______----J — ---------- --- — 3-2x12 HEADER CONC. SIMPSON STHD14 APRON STRAPS PER O.H. SIMPSON STHD14 - . STRAPS PER O.H. EXIST, DOOR DETAIL DOOR DETAIL 111 4'-0" 1•-9, 91-W 4•-s" HOUSE 19-0" 4'-0" FLOOR FRAMING PLAN FOUNDATION PLAN I I 15" INSTALL 5/W ANCHOR BOLTS AT 38"o.c.MAX. - I W/SIMPSON BPS 5/8.3 BEARING PLATES PLACE BOLTS WITHIN 8"-15"OF EACH 8" 9' CORNER AND TO A 8"MINIMUM DEPTH I INSTALL FLASHING UNDER j HOUSEWRAP&DECKING - p I ;o -J Zi (] J DECKING - AV--q ❑ -- FLOOR JOISTS .. I I 8 2 � OF I P.T. x 's 18"o.c. u I t z P.T.2 x 8 SILL W/SEALER V � INSTALL PEEL 8 STICK - itI q5y� RUBBER MEMBRANE 1w ARK,s'"�t. -moo ❑ s9► BETWEEN LEDGER& E' SHEATHING NZIE • � P.T.2 x 10 LEDGER BOARD LAG BOLTED TO IAL _ SOLID BLOCKING W/(2)LEDGERLOK BOLTS �� • �� �� � �� 16"O.c.STAGGERED W/S.S.JOISTS HANGERS ANCHOR BOLT DETAIL / -DECK DETAIL ��, ��� II��//j ERRORTHE S OMI ALLBE NOTIFIED FOUND ON Y SCAB '- DRAWING NO.: ®1 ` 00 COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSTRUERRORSCOMISSIONS ARE FOCONTR Ili\ ESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD WlLBERESI°N.TNEBFORTHEDNTRA°T°R 1/4" = 1'-0"WILL BE RESPONSIBLE FOR THE CONTENT MASH PEE MA. 02649 D THESE GNDRAWIN ERRCONSTRUCTION '� DESIGNER OF MIVARRORS OR OMISSIONS. A 3 WELLS RESIDENCE OFTEOWNERNOTED.O OTHER RUSEOF DATE PH. (508))274-1166 THESEDAWINNOTED.ANYDTHERUSE OF FAX(508)539-9402 545 SOUTH MAIN STREET CENTERVILLE,. MA THESITECTUNGSREOUIRESTREWWTION 9/22/2014 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1980. ' 1 o 3 i LEGEND cc TIDAL MARSH TRANSECT-A 99 PROPOSED CONTOUR Z WLF 4 MADEP Wetlands Protection Program Policy 92-1, Figure 3 99 PROPOSED SPOT GRADE Top of Coastal Bank at 100 year Locus P Flood Elevation (EL:. 11) ,?10 EXISTING CONTOUR R" 5 110 EXISTING SPOT:GRADE W WLF 6 TRANSECT—B- STOP x ST, °h EDGE OF B.V.W � MADEP Wetlands Protection Program TEST PIT ce�w�,d Rd Rood Policy 92-1, Figure 7 long 0ap0n x x No Coastal Bank exists EXISTING UTILITY SERVICE _ — --_� � Land Subject to Coastal Storm Flowage Z \ WLF 6 - STOP - (w-Water, G-Gas, OHW-Overhead Wires) N Centerville Harbor lL1 LOCUS MAP N.T.S. LU A55E550 S N GENERAL NOTES. t ID.g x�- MAP 206 _LF 5\ x FARLE'; WILLIAM T TR & 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Q CHRISTINA TRBOARD OF HEALTH AND THE DESIGN ENGINEER. 1 ARCEL 71 '�` (MAP 2©6, PARCEL 95) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 59,633±5.F. LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: I .37±Acres x -310 CMR 15.405(1)(o)(b)(d)&(g): j \ 1) A 3' variance, S.A.S. to front property line, for a 7' setback. a Lu `� PADULA, JAMES W. & CHARLES 2) A 2' variance, S.A.S. to cellar wall, for an 18' setback. ; CIO LILYAN, M. PADULA3) Request for S.A.S. and pump chamber to sited partially on _ \ (MAP 186, PARCEL 78) a coastal bank, as defined by MADEP Policy 92-1. ' c� )` Request for a 25% reduction to the S.A.S. area requirements. f BENCHMARK: DECK WLF 4 -LOCAL REGULATION (100 foot setback requirement S.A.S. to B:V.W.) RT. CORNER � / ` X 5) A 35' variance, S.A.S. to B.V.W., fora 65' setback. 'L 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR. BOTTOM25TEP ' f ��� f�s � J��• + I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE .� EXI$Tlly(,�/� !' I � T DESIGN ENGINEER. EXIST. S.A.S. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 3 BEOROO -- -� rc `ar Of FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN TO BE ABANDONED HOUSE M few c \�� `�qSJ \� OF MASS ENGINEER BEFORE CONSTRUCTION CONTINUES. WORK LIMIT / `(No.545�,/ z RICHARD 9�� ?P� � �/f G 5. ALL ELEVATIONS BASED ON NGVD. SILT FENCE '� ,f c i5T. SEPTIC TAN J. PETER E 6, THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF TJT O MAIN HOOD N M CIVIL °" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF No. 35031 a, VIL HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. R ro e.vw. PRO;. PUMP CHAMBE o N 100' g� i �,i /% ; \\ 3 F�� RfGlSjER`��5���`y �£CISZE`��� �� 7. WATER SUPPLY TO BE PROVIDED BY TOWN WATER. -A 'Al g i 40MILPOYUNER �Yq� des S. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. LAND FSSIO AL cr • 9• ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE LANDSCAPED AS 9 _ W Flo' AGREED UPON BY OWNER AND CONTRACTOR. n gyp - �G �� 10. LOCATIONS SHOWN OF EXISTING UTILITIES ARE APPROXIMATE. IT r0 S 65 A SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY \ \ j WLF 2 WLF I - 5TART THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO STARTING 40 MIL POLY LINER �� f ReLO TE WATER 5ERVI CONSTRUCTION AND COORDINATE RELOCATION OF ANY UTILITY BREAKOUT BARRIER 0 r -- — — p MAINTAI 0 5ET8ACK WITH THE APPROPRIATE UTILITY COMPANY. _ Mr ED.S.I�S— -- - E WETLAND DELINEATION �--- �-- LEC Environmental Consultants 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS X U IT , 3 Otis Park Drive IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. Bourne; MA 02532 AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 0N� (508) 759-0050 I II '` _ �` Ic n ») FLOOD PLAIN DATA PROPOSED SEPTIC SYSTEM UPGRADE FIRM .PANAL 25000.1 0016 D . 545 SOUTH MAIN STREET, CENTERVILLE, MA L- W REVISED JULY 2- 1992 EDa OP PAVEMENT L Zone 'A10" (EL:1 1) Prepared for: John Williams, 545 South Main Street, Centerville, MA 5TRIP0 EDGE OF FAVEME 5EE NOTE I I TOP OF COASTAL BANK Engineering by: Surveying by: SCALE DRAWN JOB. NO. .JOU 1 1 1 MAC N STI LL �. FRIEND, M. TIMorHY & Engineeringworks HOOD SURVEY GROUP 1"-20' P.T.M. 06-04 SCHMEGNER, EDMUND E. 12 West Crossfield Road I S Route 6A GREENE, JOHN GALE H (MAP 186, PARCEL 4&) FRIEND, KATHLEEN M. 4/7/04 1. Revise variance request no:4 DATE CHECKED SHEET NO. (MAP 186, PARCEL 49) (COUNTY LAYOUT (MAP 186, PARCEL 47) 508) Ole, MA 02644 Sandwich, MA 02563 2. Revise S.A.S.SAS .& Pump Chamber. (5oa) 477-5313 (508) aes-loso 3/01/04 P.T.M. 1 of 3 t NOTE: TO PREVENT BREAKOUT; A 40 MIL POLY FIRST FLOOR EL,m14.9O LINER SHALL BE PLACED 3' OUTSIDE OF (NGVD) THE PERIMETER OF THE S.A.S. AND EXTEND EL.1010t EL,=10,5 F,G. EL.10.0± F.G. EL: 11.8 FINISH GRADE = 11.5(MIN.) FROM EL: 10.5 TO 8.5. A ' MAINTAIN 27. MIN SLOPE OVER LEACHING AREA 36"MAX, COVER INSTALL RISERS OVER INLET & OUTLET PROVIDE 20".RISER W/COVER OVER TO WITHIN 6" OF FINISH GRADE PUMP TO WITHIN 6" OF FINISH GRADE OUTLET PIPES SET LIML 1 " OVER FIRST 2 FEET SCH 40 PFRF. = DISTRIBUTION _LINE L -11' MAX) ENDS TO BE CAPPED L �?, SC A.0 PVC ��• e 4" SCH 40 P 2" 4' SCH 40 PVC o _ 14. 6C Sm 19„ (MIN,) FARCE MA1N Sa= t9 (MIN,) QERIF.FFH. TEE S ARE TO BE „ - SLOPE OF PERF. PIPE - 0.5% INV. .EL.=9,43(ENp 4' SCH 40 PVC INV.�7.78t 24 INV.=9,87 �� ,�.I EXISTING 1000 GALLON (EXISTING) 12" (MIN,) SEPTIC TANK MP OFF MIN r 30 5 EFFECTIVE LENGTH INV.*o7.50 8" INV,=9.70 INV.ELEV.=9.59 'A IGAS BAFFLE TO BE INSTAALLED ON INV•-7.25t TEE SHALL NOT EXTEND QIL ABSQ8ejj.�,N SYSTEM (PROFILE) OUTLET TEE AS MANUFACTURED BY 1000 OALLON PUMP CHAMBER BELOW FLOW LINE H r,s TUF-TITS, ZABELL, OR EQUAL (See Pump Detail, Sheet 3 of 3) 2" LAYER OF (EXISTING) BREAKOUT ELEV.=10.1 ~�-- WASHED STONE DOUBLE PUMP CHAMBER & D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BOTTOM ELEV.=8.93 3/4"-1 1/2" DOUBLE STONE BASE, AS SPECIFIED IN 310 GMR 15.221(2). 4; 51 WASHED STONE 5' MIN, ABOVE BOTTOM OF SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G,W, EFFECnVE WIDTH N.T.S. SOIL LOG HIGH G.W. EL: 3.93 x.ra SOIL ABSOR;PT)QN SYSTEM (,SE,CTION) • x.rs. BUOYANCY I I �,/ DATE: JNUARY 31, 2004 0 I B U A N C I�,,r CALCULATIONS SOIL. EVALUATOR: PETER MCENTEE PE, CSE INSPECTOR: DAVID STANTON-HEALTH AGENT DESIGN CRITERIA Pump ChambeC BARNSTABLE 8.0,H. BOTTOM OF PUMP CHAMBER EL.= 3.0 Elsv. TP-- 1 Depth NUMBER OF BEDROOMS: 3 BEDROOMS HIGH GROUNDWATER EL,=3.93 11.22 0" SOIL TEXTURAL CLASS: CLASS I p� M4s� BUOYANCY FORCE PER FOOT OF DEPTH: A SANDY LOAM DESIGN PERCOLATION RATE: <2 MIN/IN 10YR 3/3 DAILY FLOW: 330 G.P.D. PETER T. 5.5' x 8.4' x 1,0' X 62.4 lbs/cu..ft. = 2882.9 Ibs/ft 10.72 6 18" RESIGN FLOW: 330 G.P.D. MCENTEE , MAXIMUM DISPLACEMENT = 3.93'--3.00'= 0.93' LOAMY SAND GARBAGE GRINDER: NO CIVIL MAX, UPLIFT PRESSURE - 0.93' X 2882.9 Ibs/ft = 2681.1 Ibs. 1CYR 5/2 1OQO EXISTING SEPTIC TANK: GAL. CAPACITY No. 35109 ' WEIGHT OF EMPTY PUMP CHAMBER = 8806 Ibs. 7.22 48 C PROPOSED PUMP CHAMBER: 1000 GAL. CAPACITY FS$ WEIGHT OF FILL (COVER) OVER PUMP CHAMBER: ION LLEACHING AREA REQUIRED: (33Q) = 445.9 S.F. 5.5' x 8,4' x 1.5' (approx.) x 110lbs/Cu.ft. = 7623 Ibs. .74 t��6 TOTAL COUNTER WEIGHT = 8806 Ibs + 7623 Ibs =16,429 Ibs 3• s- 16,429 Ibs > 2681 Ibs O.K. MEDIUM SAND WITH A 25% AREA REDUCTION: 0.75 x 445.9 334.4 S.F. REQ'D 2.5Y 6/3 LFAQUIbIQ F UT N SIDEWALL AREA: (NOT .APPLICABLE) DOSING & STORAGE REQUIREMENTS 0.72 1 " BOTTOM AREA = TOTAL AREA: 11' X .30.5' - 335.5 S.F. DAILY FLOW: - 330 GPD DOSING REQUIRED: 4 CYCLES/DAY (SAND) PERC RATE< 2 MIN/IN. ("C" HORIZON) DESIGN FLOW PROVIDED: 0.74(335.5) 248.3 G.P.D. 330 4 = 82.5 GALLLONS/CYCLE GROUNDWATER MONITORING WELL INSTALLED DISTANCE REQUIRED BETWEEN PUMP « MAX. SEASONAL, HIGH G.W. EL: 3,93 AS ON AND PUMP OFF FLOATS: DETERMINED BY OBSERVATIONS OF G.W, PROPOSED SEPTIC SYSTEM UPGRADE LEVELS AT LUNAR 82.5 GAL/CYCLE : 250 GAL/FT = 0.33 FT/CYCLE JANUARYY/FEBRUARY,I2004D LOW TIDES, 545 SOUTH MAIN STREET, CENTERVILLE, MA STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS NO GROUNDWATER ADJUSTMENT APPLIED DUE Prepared for: ,John Williams, 545 South Main Street, Centerville, MA TO PROXIMITY OF LOCUS TO TIDAL AREA, LESS STORAGE PROVIDED: THAN 300 FEET. Engineering by: Surveying by: SCALE DRAWN JOB. NO. INV.(IN) EL: 7.50 - PUMP ON EL: 4.25 = 3.25' EngineeringWorkr HOOD SURVEY GROUP N.T.S. P.T.M. 06-04 PLAN. REVISIONS 12 West Crossfield Road 18 Route 6A STORAGE PROVIDED = 3.25' X 250 GAL/FT 812.5 GALLONS 4/7/04 (see Sheet 1) Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET No. (508) 477-5313 (508) 888-1090 3/01/04 P.T.M. 2 of 3 � I INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM PROVIDE WATERTIGHT CONCRETE RISER WITH SECURED COVER TO GRADE FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORROSION RESISTANT A & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED HOISTING CABLE 7x19 STAINLESS STEEL BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE 8'-3.5" 1/8" DIAMETER. / 1,760 LB. STRENGTH, WATERTIGHT 2"BALL VALVE w/ UNIONS SCH. 80 PVC - 4"SCH. 40 GEORGE FISHER CO. MODEL NO. 560 FROM TANK 2"SCH. 40 DISCHARGE TO D—BOX B B ALARM ON EL; 6.25 2"SCH 40 TEE w CLEAN=OUT CAP 'n I \ �p ELvINV.(7N .50 PUMP ON EL: 4.25 PROVIDE 1/4" WEEP HOLE IN DISCHARGE BOTTOM OF PUMP OFF EL: 3.9224 12 PIPE FOR SELF—DRAINING FORCE MAIN PUMP CHAMBER a" 2" BALL CHECK VALVE SCH, 80 PVC ELEV.= 3.00 100 P.S.I. FLOWMATIC MODEL No, 208S PROVIDE 2— WIDE ANGLE ELOATS• 2" SCH. 40 PVC DISCHARGE PIPE FLOAT NO,1: PUMP ON/OFF (BARNES 073618) A I FLOAT NO.2: ALARM ACTIVATION (BARNES 073612) BARNES SE411 PUMP .4 H.P, 115 V 1 2" DISCHARGE PASSING 2" SOLIDS 4" Dia. Inlets PLAN 5'-6.5" PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT 4„ 4" Dla. Outlets 1 THROUGH MEN PRECAST CORP., BOURNE MA. (800) 564-6774 PUMP & ACCESSORIES AVAILABLE THROUGH WILLIAMSON ELECTRIC (781) 444-6800 0 0 PUMP DETAIL 635" 67,5" . N.T.S. 63.5" 54.5" 48" Liquid Level 51.5" 3" (TYP.) 7 V21 80-0.5" � _ 5'-2.5" •� 2° FORCED INLET SECTION B-B SEC,IION A—A W/ VERTICAL TEE 15 1/2• 4" GRAVITY OUTLET(TYP.) NOTES; 1. ALL PIPING JOINTS SHALL BE MADE WATERTIGHT. . FILL SIDE KNOCK—OUTS 2, 1000 GALLON CAPACITY (H-10) WITH MORTAR lop view MONOLITHIC . PUMP CHAMBER 3-5".DIA. INLETS 5-5" DIA. OUTLETS N.T.S. 8 15" o��� PETER T. MCENTEE CIVIL Section No. 35109 PROPOSED SEPTIC SYSTEM UPGRADE SS/ON E�G�� WIGGIN as-5e I 545 SOUTH MAIN STREET, CENTERVILLE, MA DISTRIBUTION BOX �gl D41� Prepared for: John Williams, 545 South Main Street, Centerville, MA Engineering by: Surveying by; SCALE DRAWN JOB. N0, N.T.S. Engineering works H00� SURVEY GROUP N.T.S. P.T.M. 06-04 PLAN REVISIONS 12.West Crossfield Road 18 Route 6A 4/7/04 (see Sheet 1) Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED L3o No. (508) 477-5313 (sos) eas—loco 3/01/04 P.T.M. 3 NIF \ m o Janice A. Harvey 27001326 - DIRECTIONS: ASSESSORS REF. \ c+- From Hyannis - Follow Main Street to the West End Map 206, Parcel 071 ``'- '''• Rotary, Take Scudder Avenune to stop sign, and then Payed Drive / Private waV take a right onto Smith Street, which turns into Ed a Of Pavement ---- /--sue ✓ Craigviile Beach Road, At the stop llyht take a left OWNER: M onto South Main Stree, House is on the left, 1545. Jeffrey & Irene Cook S34'32'40"E 5 Crystal Lane ` � •- _ '- `' _ . 300.50i' North Easton MA 02356 Z PROP( SED 4(?�MtL _•�o_sw., !_____ !�.""' .-._.,_�____ _,c` _ _=__a.T._----�----~--•-----•- --•--•--•- --•--•--•--•--•-----•----•--•--•--•--•--•--•-----•--•--•--•--•---- ZONE: Q P LINER -{ PROPOSED 500 GAL. // r (� one crock RD-1 S� SEPTIC ANK :, - I --1` Foundatlon 5so SF kZ ROPO E l c Area (min.) 43, _ ! TANK TO REMOVED `0 r ' ' Frontage (min} 20 y •►7, E"---------4------- _ "� r$ ` � 3 Width (min) 125 tQ ,'►e a Stone Driveway VWF 5 '� �5--\ SeFrontt 30' ' PROPOSED 1000`GA,L. r � ; .1 4 1 , v l p PUMP C-�•MBER / ti f Side 10 m , i ` ° Y Lawn \ VW 2 Rear 10 o C l _ / TH-2 •i Timber Edql^ r� { •, �i Gorden/ // I ^° I PROPOSED { _ / s Q i VENT N p i �.,� o l ^; i„`._= rmber Edging_, 4r i ► o / _ 0 - 0 -0 vW i ROP SED L a l LOCATION M N D-1X # 545 ` / l �., rn: 81 2 I 2 Story I ti o Lawn i, Dwelling '" { Pnragmtttes o { o OVERLAY DISTRICT: Lawn ( AP - Aquifer Protection District I o I,yi { As Shown on Plan Entitled 4 ' w_- Revised- Groundwater Protection Overlay Districts" - April, 1993 PROPOt WA TER INE Picket Top of SB/iR ,� FLOOD ZONE: El = 17.84 ' / / o �y. / ~ �.. ..., Community Panel No. / o 5 / \ Zone B, & A10(e/11) ' 2 July 0016 D ,�.• July 2, 1992 / l.G.• � Stone Barbeque _v►tf 4--- Grill -•--•- •--•--•--•-----•--•------•--•--•--•--•--•--•--•-----•--•--•--•--•-----•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•--•---- _ it `F•.a, a � �3 S34 35'00"E o I rn 304.65' a / VARIANCE REQUESTS NIF 310 CMR 15.00 I ',W 2 James W. & Charles G. Padula �/ 1)A 3'Variance,S.A.S.to Front Property Line,for a 7'Setback. \ I i i I / vwF 1 155011171 S1s 30,10, 2)A T Variance,SAS.to Cellar wall,for an 18'Setback: 3)A 31 Variance,S.A.S.to Coastal Bank,for a 19 Setback. Code of the Town of Barnstable Chapter 360-1 1)A 3Y Variance,S.A.S.to B.V.W.,for a 6Y Setback DESIGN DATA Single.A� With NO Garbage 3e Grinder . Gatbag .9y\s Daily Flow=110 X 3=330 GPD 9 Septic Tank:330 GPD x 200%=660,GPD Use Existing 1000 Gallon Septic Tanitk - LEACHING AREA 4"m PWC " 330GP1)/0.74 446 SF Required _.,_•-..,_,......-.-.M..,_.<_....._,_. _ _ From septic Tank d� Cover Sidewall-2(12'+3210.96'=84.5 SF? 1 2'/ Galy. Pie 24"0 O solo Above For Bottom Area-(12'x 32)-384 SF For Float Support rams 468.5 SF Total Provided ouisiae of rank°x 1 -r a SEPTIC NOTES - Conduit firu Chamber Far LEACHING CHAMBER.DESIGN To D-Box ower oat Cables For Drain 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Pum Power&float Contra 1 Em c Store To D-Box All Pipes to be Schedule 40. Use Prior to Any Excavation For This Project the Contractor Shall Make a es ns e n ce once o umet Min. 2�Cover 3 Concrete Flow Diffusors in With Federal, State & Local the Required Notification to Dig Safe(1-888-344-7233). Bldg. &Elea Codes Alarm On El. 6.50 Mercu Roat 12'x 3T Washed Stone Fields as Shown. 2.The Contractor is Required to Sector Appropriate Permits From Town vt es - eq 4'-4" - Pump On p. 5.45 Agencies For Construction Defined by This Plan. Pum 3.The Water Line Shall be Constructed in Coordination With P#11 .284 Tank. Sch. 40 PVC PUMPS Off El. 5.00 COMM Water,and Shall be in Accordance with 248 CMR 1.00-7.00 Prevost Pum - of Top er 2"I Sch. 40 PVC &310 C]MR 15.00.The Water Line Shall be Sleeved Where Required. amber readied e 4.Install Risers to Within 6-of Finished Grade(6 Required). SOIL EVALUATORS LOG 8. ' 2 f►P M PUMP or pro qua 5.All Structures Buried Three Feet or More or Subject Depth from Soil Soil Son Solt Other Bottom El. 4.00 Surface Hor. Texture Color Mott. Relative to Vehicular Traffic to be H-20 Loading.It is the Engineer's Recommendation that H 20 Always be Used. inches USDA Munsel Factors Pump Chamber Plan View Detail 6+ Washed 1 DEEP OBSERVATION HOLE 1 �L. 12.4 6.Septic System to be Installed in�!::ecordarx with 310 CMR 15.00& Not to Scale stone Min. 248 CMR 1.00-7.�Latest Revision and ibe Town of Bamstable 0"-24" FILL Board of Health Regulations. , 1000 Gallon 7.All Piping to be Sch.40 PVC,and Shall be Marked with Maeda 24"-44" B LOAMY SAND 10YR5/6 VENr Marking Tape or a Comparable Means in Order to Locate them 44"-66" C1 MED. SAND 2.5Y6/8 409r GRAVEL Pump Chamber Section Detail Once Buried. " 6 0" 8.Inlet Tess Shall Extend a Minimum of 10 60" PERC - Not to.Scale Below the Flow Line 9.The Outlet Shall be Equipcd with an Approved Effluent Tee Filter. 66"-120" C2 MED. SAND 2.5Y6/8 68 G.W. 0 101" DEEP OBSERVATION HOLE #2 EL. 9.f3 0"-28" FILL 28"-48" B LOAMY SAND FF EL 15.31 1 \ F.rn EL. 12.65 48"-70" C1 MED. SAND 10YR5/8 G.W. 0 58" F.G. EL. 12.0 I JTnJsh Grade 3`Max. i II { {{ { {II Mar obrlc 9'Min Compacted FX AND/OR DEEP OBSERVATION HOLE 3 EL. 12.0 EL 9.30 Ti 12.00 Proposed Toe EL 11.90 c t/29" - 1/2" 0"-30" FILL EL 11.70 D-Box 3 1-6' 8 0 B Pea Stone Proposed 1500 Gallon Proposed 7000 Gallon 1 O ® O C2 td7 ' 1 it 1/2 A 3/4"- 1 1/2" 30"-42" B LOAMY SAND 10YR5/6 septic Tank Pump Chamber g ® ® ® ® $ _L 0. Row E Jpzers � Double Washed Min. Waterproofed/Sealed Waterproofed/Sealed s agJre EL 11.36 Bot. EL. i0.00 Stone 42"-60" Cl MED. SAND 2.5Y6/6 w/ Two (2) Coats of Approved Sealant w/ Two (2) Coats of Approved Sealant RowditTusor t3' 56" PERC fr-2o 12' 4 0 60"-100"C2 MED. SAND 2.5Y6/4 G.W. 0 95" Beddn & "T"s as a e Relnovr All Unsuitable Sons ��pL1H 0' M4S Cross Section of Flow Diffusor DEEP OBSERVATION HOLE #4 EL. 10.8 see hates 6 & 9 of The 5'of fie Outer Perim o� �y „ �� 310 c e 15.2W3).Sh ca PQ rE P 0 -33 FILL Repaeement Rn Shall Aleet � It � Not to Scale o SULUVAN ,m -+ Ad sled Groundwater O El.. 5.40 • • CIVIL i to MJW 29 A - May 2006 " .� Developed Profile of Proposed Septic System No.29733 Adjustment Factor = 1.2' 33 -49 B LOAMY SAND 10YR5/6 1" I� I� Y 49"-65" C1 MED. SAND 2.5Y6/6 Not t0 Scale oo�FG/STE" 65"-98" C2 MED. SAND 2.5Y6/4 G.W. 0 81" IONAL SURVEY NOTES: PREPARED FOP: PREPARED BY.- TITLE. Site Plan PERCOLATION RATE = < 2 MIN./INCH OBSERVATIONS BY: JOHN O'DEA, E.I.T. 1.) The property line information shown was Jeffrey �C Irene Cook Sullivan Engineering, Inc. CapeSurvProposed Septic System Upgrade SULLIVAN ENGINEERING, INC. compiled from available record information. 7 Parker Road r Crystal Lane PO Box 659 � At WITNESSED BY. DONALD DESMARAIS, R.S. y Osterville, MA 02655 Osterville MA 02655 o TOWN OF BARNSTABLE, BOARD OF HEALTH 2.) The topographic information was obtained North Easton MA 02356 ( ) 545 South Main Street from on on the ground survey performed on (508)428-3344 (508)428-3115 fax (508) 420-3994 508 420-3995 fax DATE TESTED: 05/08/06 or between 10/APRI06 and 141APRI06 PSulIPEOvol.com copesurvOcapecodnet Bamstable (Centerville)I Ma S S. 3.) The datum used is NGVD 29 Draff: JOD Field: WHK JPM Z (a fixed mean sea level datum) 20 0 10 20 40 80 ,z Review: PS Comp.: RLH/JPM DATE: October 15, 2007 SCALE.- 1»_20� Q) Project: 26009 Drawing # C517_1 gl ---- -_-- -.-------- G ° er ASSESSORS REF.. f . .... ..................... ..... ---! . •�... r e 20 Map 206, Parcel 071 Top Of SB,l1P ��Pf 60� 1 El = 17.84' f e % f , JtLet,.� v , o o Move Driveway Septic % r Ft'•.•' Vent j \ y a Around Proposed , tw ,• ��� '5�..' t `� o Garage & Widenn V/` �1\� jf � ^\ �\\'•.� Drive To End of e . e / `'. 5 f,. \\ j\ "'' . Garage Door , V �•• / K t f8 .6� � � \�\��'• ............. •� /� / Pic.......... ,'�� \`\ \\_ �`• _- r`P �+if � �.��� .�;,+ � �R�>"�� �h' x a e� `a. \ ♦ \\ \\ �\' Lawn aK ♦ \\ 0 / LOCATION MAP l e°{P , ./ / / ' I Low �\ o� 1 2,000'50'— t �, �O� too,\\\ �r a� \` . OVERLAY DISTRICT: �—� �\ AP — Aquifer Protection District As Shown on Plan Entitled "Revised Groundwater Protection Overlay Districts April, 1993 / oP( k `� . �•- a .• vwF t %\ 2 _ o ,�P De° ��\ \ .......... ,\ \ ��� °eCK �� \ 1)3 FLOOD ZONE: \ \ v� / \• \ �� \ Zone B, & A1*111) •\ � Community Panel No. #250001 0016 D Shell Driveway July 2, 1992 \ \ \ Proposed Silt O \ \ �, ZONE: \� Fence Work Limit \ \ RD-1 `\\ v o ��\ - \y �• \\ \ Area (min.) 43,560 SF to \• 1 \ 1 `t /'' �\ \ \ \ Frontage (min) 20' 0 \\ A� ; \ \ `' f Width (min) 125' \ \ Lawn / \ � Setbacks: \\ \ �, r Fron t 30' Side 10'\o°ao o VWF s \ \ f \\ \ 1 \\\\ \ - Rear 10' N4\ �11F ``•Stone ` \o � Bocte9ue q/ 270 SF of Mitigation i\ l� Remove Driveway &rr G�,c DIRECTIONS. Plant with Native F�' \ wetland Flags Ve itation From Hyannis: Take West Main St o \ ey,BradHoll g \ and take a left onto Pine Street. `•\ y 2014 J Take a slight left onto South Main Street and the property is on the `sip' `\ / `. 1 VKC s left # 545. s 2 o. O� p�� \\\ / Phrogmities 1- 41 Lot Area V \ 59,665 S.F. (Total) 17,880 S.F. (Upland) LA Existing Building Coverage = 1,603 S.F. \\, r-- o, \ \\ (Includes Rear Deck & Stairs) `� oo -A \ Proposed Garage 541 SF \\ ° o \ `•\ (Includes Deck) \\ X \\ Proposed Building Coverage = 2,144 S.F. \ \_ Allowable Building Coverage = 2,172 S.F. \.\ ✓ L \ \\ Existing Lot Coverage = 1,726 S.F. X. \\ Includes Front Deck, Stairs, Walls & Steps) Proposed Garage & Deck 541 S.F. Proposed Lot Coverage = Z267 S.F. `\ Allowable Lot Coverage = 3,400 S.F. \\ vW s \ \ \ LEGEND: Mitigation Area Existing Hardscape ` 0-50' Buffer \ \ Deciduous Tree 2151.1 SF ` 50-100' Buffer 2895.1 SF Coniferous Tree Proposed Hardscape 0-50' Buffer Guy 1890.7 SF o- Utility Pole 50-100' Buffer Light Post 3323.7 SF NOTE: D Wetland Flag N ® Water Gate (round) Required Mitigation © Gas Gate (round) 0-50' �HOFn�q 1.) The property line information shown was J Ln ® 2151.1-1890.7=260.4 SF 'tP�� ass compiled from available record information. µ o Catch Basin r Net Decrease of 260.4 SF O Vent Pipe 260.4x4=1041.6 Mitigation Credit _p 0 CB/DH 50-100' 2.) The topographic information was obtained Cn cn 0 SB/DH 3323.7-2895.1=428.6 SF Increase t`"'` 4B166 from an on the ground survey performed on ■ MHB 428.6x3=1285.8 SF Mitigation �o �Q or between 10/APR/06 and 14/APR/06 1285.8-1041.E=244.2 SF of Mitigation Required y�r F�rS?ER updated 141MAY114 OHW— Overhead Wires FSS/ONAt E1r'_" — 25— — Elevation Contour 270 SF of Mitigation Provided cr, ' Nw 3.) The datum used is NGVD 29 o o (a fixed mean sea level datum) TI TLE. PREPARED FOR: PREPARED BY. z Site PI an Kim e �c eon n�e K we��s Sullivan Engineering, Inc. CapeSury Plan of Land at PO Box 0 v Parker Road y 4412 Nicklaus�+Dr�Drive - osterville, MA 02655 Osterville MA 02655 t L a wren ce, KS V 6 04 7 (508)428-3344 (508)428-3115 fox (508) 420-3994 (508)420-3995 fax 545 South Main St ee PSuIIPE®bol.com capesurvOcapecod.net Barnstable (Centerville) Mass. Cam Draft: Field. WHK JPM �L p / /20 0 10 20 40 60 DATE: 7SCALE:Aa.nt,a.mhtm.r �� Review: Comp./Draft: RLH/JPM 4. 2n 14 1 =2n Proj. # Drawing # C517_1 g1 II II NIF c \ o Janice A. Harvey m 27001326 ,\ _12-_ i w w DIRECTIONS ASSESSORS REF.: I'-- __10 .. From Hyannis - Follow Main Street to the West End Map 206, Parcel 071 / Rotary, Take Scudder Avenune to stop sign, and then Paved Drive Private Way 9 3 �., hake a right onto Smith Street, which turns into r '� Edge of Pavement -'� / -s`' - _ Craigville Beach Road; At the stop light take a left OWNER: w : onto South Main Stree; House is on the left, #545. S34'32'40"E Jeffrey & Irene Cook N - 5 Crystal Lane n ( _'-_ _ - - ~ �e 300.50' _ North Easton MA 02356 Co o t \ 10 sdewre �' .f h4" _ ZONE: �. zPROP SED 40,,MIL ------------- --- -------_---- ------_-- ----_ -------=-•--•--•--•--•--•--•- --•--•--•- --•--•--•--•----•--•--•--•--•--•-- --•--•--•-- --•--•--------- ------=-- - ----- -- --- P LINER -- {_--� PROPOSED f500 GAL -- ? �' RD-1 . _ _ �. ROP05E0 / I cant slack SEPTIC VNK f 1 ` -- __ •-`6" Foundation Area (min.) 43,560 SF •i. ®' { S.A.S EX. TANK TO d€ REMOVED m ='' j r Fron to e (min) 20' ' ------------ ------- -- h ��VWF 3 Width min) 125 ib r VWF 5 i ' -5--�. Setbacks: 1 • .V�1 PROPOSED 1000'GA.L. Stone Driveway (`w 4 T Front 30' c� I PUMP C MBER j I / J �l Side 10' 1 Lawn �. , j VWF 2 Rear 10' O / s v C N laa a ,• TH-2 y Timber Edg� O c , 1 i Garden 1`i ! PROPOSED W VENT N O i ... a I -- , •� r��__ Timber Edging _r I I i o--- VWF 61 o ROP(�SED - f ° - ° / LOCATION MAP D-BiOX # 545 N ( a �` 2, 18t 2 Story W/F ...... �J 1 2,000' f rn Phra mities oCU Lawn 1 Dwelling-"' g o _ _ °; OVERLAY DISTRICT: Lawn i o (�/ AP - Aquifer Protection District T 4 :......................... ......................._..................... As Shown on Plan Entitled 1 - o - f _ - __. - _ ver Is nc s - •,,. --' ' "Revised Groundwater Protection ................................ ....................................... J d 0 lay D' t ' t " April 1993 PROPO ED ;� �?- 1 i o 1 1WATER k/NE 1 m,. i i - Fence ° .oth �--- Picket F o \ -....T q..R;•............. m I f - Top Of SB/I 1 a -' �i' FLOOD ZONE. El = 17.84' r ! / f ..V..._ f% / , • j \ Zone B, & A 10(e11 10 "o Community I o o o 250001 0016 D / July 2, 1992 Stone LY _ i Barbeque Grill �VWF 4 k J 1 i O E i i a , VW_3 S34'35'00"E o i l J 304.65' '� n♦ VARIANCE REQUESTS W i t NIF 310 CMR 15.00 • I I ( V 2 James W. & Charles G. Podulo 1)A T Variance,S.A.S.to Front Property Line,for a 7'Setback. ! � 155011171 S1S 3 2)A 2'Variance,S.A.S.to Cellar Wall,for an 18'Setback. VWF 1 010" 3)A 31'Variance,S.A.S.to Coastal Bank,for a 19'Setback. l f ? I ! 236� f Code of the Town of Barnstable Chapter 360-1 1)A 35'Variance,S.A.S.to B.V.W.,for a 65'Setback. DESIGN DATA Single Family-3 Bedroom A� With NO Garbage Grinder �9y Daily Flow=110 X 3=330 GPD �Sy Septic Tank:330 GPD x 200%=660 GPD Use Existing 1000 Gallon Septic Tank LEACHING AREA 330 GPD/0.74=446 SF Required 4"0 Sch. 40 PVC Finished 9" Min. '= From Septic Tank Grade Cover Sidewall--2(12 +32)0.96 84.5 SF Bottom Area=(12'x 32)=384 SF 1 2"0 Goly. Pie 24"0 0 enin Above For 468.5 SF Total Provided For Float Support rome over Locate Junction Box Outside of Tank Conduit Thru chamber Far LEACHING CHAMBER DESIGN SEPTIC NOTES _ Driu 1 a"0 Hole ;Alli P es to be Schedule 40. Use To D-Box Power & Float Cables Goly. Choi For Drain P 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Holus Pum Power & Float Control / Emer enc StorageInv. 8.50 To D-Box 3 Concrete Flow Diffusors in Prior to Any Excavation For This Project the Contractor Shall Make Cables Installed In Accordance o ume 648 Gal. in. 2' Cover 12'x 32'Washed Stone Fields as Shown. the Required Notification to Di Safe 1-888-344-7233 . With Federal, State & Local 1 O q g ( ) Mercur Float Y t ' Bldg. & Elec. Codes Alarm on EL s.5o 2.The Contrac or is Requued to Secure Appropriate Permits From Town Switches - 3 Req d Agencies For Construction Defined by This Plan. 4 4" - Pump on EL 5.45 3.The Water Line Shall be Constructed in Coordination With 1 �j Q ^ Tank. From Se tic Pump I I 8`r Tank. Sch. 40 PVC Pumps Off El. 5.00 COMM Water,and Shall be in Accordance With 248 CMR 1.00-7.00 Secure Pi De at TOD & 2"0 Sch. 4o PVC &310 CMR 15.00.The Water Line Shall be Sleeved Where Required. Precast Pum ottom o amber q f Chamber Threaded Pipe " SOIL I I EVALUATORS L O�` 1/2 H.P. Myers Pump 4.Install Risers to Within 6 of Finished Grade(6 Required). J L 8 or pprove qua Check Valve 5.All Structures Buried Three Feet or More or Subject Depth from Soil Soil Soil Soil Other Bottom El. 4.oo to Vehicular Traffic to be H-20 Loading.It is the Engineer's Surface Hor. Texture Color Mott. Relative Recommendation that H-20 Always be Used. (inches) (USDA (MunseQ Factors Pump Chamber Plan View Detail 6.Septic System to be Installed in Accordance With 310 CMR 15.00& DEEP OBSERVATION HOLE #1 EL. 12.4 6" Washed 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable one Min. Board of Health Regulations. 0"-24" FILL Not t0 Scale G 7.All Piping to be Sch.40 PVC and Shall be Marked with Magnetic ��� Gallon P g gne c 24"-44" B LOAMY SAND 10YR5/6 VENT Marking Tape or a Comparable Means in Order to Locate them 44"-66" C1 MED. SAND 2.5Y6/8 40� GRAVEL Pump Chamber Section Detail Once Buried. 8.Inlet Tees Shall Extend a Minimum of 10" 60" Not t0 Scale Below the Flow Line. 6 0" P E R C 9.The Outlet Shall be Equiped with an Approved Effluent Tee Filter. 66"-120" C2 MED. SAND 2.5Y6 8 68' G.W. @ 101„ I / DEEP OBSERVATION HOLE #2 EL. 9.0 0"-28" FILL See Note 4 t . 28"-48" B LOAMY SAND F.F. EL. 15.31 F.G. EL. 12.65 48"-70" C1 MED. SAND 10YR5/8 G.W. @ 58" F.G. EL. 12.0 Finish Grade L:_- (`; )- Filter 3' Max. F11 --•, 4, .�.�! ��;==-�i ��""•" �----t�t�t �"" ----F�' .. �I_.__�t I: � � Fabric 9" Min riti`€.--t-�;s,-..-> ,.. �--' ..,, DEEP OBSERVATION HOLE #3 EL. 12.0 EL. 9.30 P Top EL. 12.00 compacted Fill AND/OR ro osed "- FILL p -- Top EL. 11.90 o O Pea118' t 1e 0 30" EL. 11.70 D-Box _ _ ,., 2'. Pea Stone Proposed 1 EL. 11. 3 � Proposed 1500 Gallon op sed 0017 Gallon B 8 8 8 8 !� _ „ „ rm EL. 9.00 Tank Pump Chamber B B 8 B 8 11 1/2 ® rn ® ® 3/4 1 1/2 Septic To e AP a 30 42 B LOAMY SAND 10YR5 6eat. E�. 10.4o Double Washed / 10' Flow E uilizers �- o 42"-60" C1 MED. SAND 2.5Y6 6 Min. Waterproofed/Sealed Waterproofed/Sealed As equire Bot. EL. f0.00 Stone EL. 11.36 w Two 2 Coat of Approved r I s w Two 2 Coats of Approved Sealant / O8' / O PP Flowdiffusor 56" PERC H-20 12' ,. EL. 4.50 G.W. @ 95 60 100" C2 MED. SAND 2.5Y6 4 eeddin & "r"s tn as Per Title 5 Remove All Unsuitable Soils f Cross Section of Flow Diffusor See Notes 8 & 9 Within 5' of The Outer Perimeter DEEP OBSERVATION HOLE #4 EL. 10.8 of The System.. Replacement FiN.Shall Meet 0 1e 0 -33 FILL 310 CMR 15.255(3). A�d'usted Groundwater ©EL. 5.40 Not to Scale I MIIW 29 A - May 2006 33"-49„ B LOAMY SAND 10YR5 6 Developed Profile of Proposed Septic System A<djustment Factor = 1.2' P p p / Y 49 -65 C1 MED. SAND 2.5Y6/6 Not t0 Scale 65"-98" C2 MED. SAND 2.5Y6/4 G.W. @ 81 SURVEY NOTES: PREPARED FOR: PREPARED BY. TITLE: PERCOLATION RATE < 2 MIN./INCH Site Plan OBSERVATIONS BY: JOHN O'DEA, E.I.T. 1.) The property line information shown was Jeffrey & Irene Cook Sullivan Engineering, Inc. Cape&ry Proposed Septic System U rade SULLIVAN ENGINEERING, INC. compiled from available record information. 7 Parker ,Road �� WITNESSED BY: DONALD DESMARAIS, R.S. 5 Crystal Lane PO Box 659 At Osterville, MA 02655 Osterville MA" 02655 "- TOWN OF BARNSTABLE, BOARD OF HEALTH 2.) The topographic information was obtained North Easton MA 02356 from an on the round survey performed on - 508 420-3994 508 420-3995 fax g y p (508)428-3344 (508)428 3115 fox ( ) ( ) 545 South Main Street DATE TESTED: 05 08 06 / / or between 10/APRI06 and 14/APRI06 PSullPE@aol.com copesurv©copecod.net Ce 3.) The datum used is NGVD 29 Barnstable ( nterville) Mass. a) Draft: Field. 1O JOD WHK JPM a fixed mean sea level datum) 20 0 20 40 80 6m, no, Review: PS Comp.: RLH/JPM DATE: October �5, 2��7 SCALE. 1 "=20,71 (� Project: 26009 Drawing # C517_1 g1 I I I i i t; \ � , DIRECTIONS. ASSESSORS REF.. ~ �? From Hyannis — Follow Main Street to Phe West End Map 206, Parcel 071 Rotary, Take Scudder Avenune to stop sign, and then / v, a take a right onto Smith Street, which tarns into Craigville Beach Road, At the stop light take a left OWNER: ` r: onto South Main Stree, House is o�-, the left, #545. \ ✓ N/F Jeffrey & Irene Cook , 4p . W Ice 5 Crystal Lane _. .N M >OO/326 q' yor��y North Easton MA 02356 2 f r i s D OpOS.E --- Ed e of °: �` �• r% D Ant C6 Ao yam_ PROPOSED . i 'iZ--�_ • `-• r�, .> ��t � t�., ��-, � ��.., �.^ \ j' k.� � ....it-• �. • � ;a��M .�' 3F:.17' 8 1 SEPTIC SYSTEM �, l \ `•,� •,�• �,�. �, .� ,...: �.�� .. � � ,,. �.�,. ,�:, SEE SHEETS 2 & 3 FOR DETAILS:' mow.\' ''_ -.J ..``' .ter• \ O. ti O LOCATION MAP own \ �� rp �� �` .' v — 2,00 • r �.. TH-2 0 r t Stone Driveway / r ^•_ ` \ \ a. // I ..__, \ OVERLAY DISTRICT: \ r 0 S34 32' W o: • � �� 4p AP — Aquifer Protection District ro: ° i o� e Q6 — / VW 5� r -- � _ 300 f � t/ As Shown on Plan Entitled / d 4� r J h ��•C�' r' � \ 50, a Revised Groundwater Protection ��o�9 /jam rmber Ed9 / \ vwt a ►nt�3 F°nC stock ��'� Overlay Districts" — April, 1993 ICE) / Lawn .1 �..• _—b� Top Of SB/lP J -4 per ry Q ` fd2rn9 SipGorden-1 , ., / %. ...... VW 2 v ocaT — e t I °�° ,', / / _ - F�!OOD ZONE: REL UT CA J/ �° Zone B, & A10(eI11) r Community Panel No. !R AS REtJU l /1 /° • ' ° / , cp Lawn / #2J July 2,50001 01992 016 D o PROPOSED WORK ,LIM'I TS \~sue Phroymtttes ZONE; ! / l r DOUBLE STAKED HAIY \ \ I iw.. RD-1 li r P t r J � BALES W SILT FENCING et F ``'•r �• `.` �-`'�•- °' _6_ � -.` o Area c��' o \ •-•,... Fronta ein.m n3,��0 SF / _ Setbac S. Width min) 125' / / -� e i Front 30 / _ \ .. Side 10 4_ r F 2 V' Stone Barbeque • •... \ �� sad- r S34 3g 00"E ` 304.65. _ / 140/7es N/F C Isso F'-/es du/o Sys- 30, Ate` 99 � • J s9 � J V LEGEND: ' Deciduous Tree Coniferous Tree 0 Guy -O Utility Pole SURVEY NOTES. PREPARED FOR: PREPARED BY. TITLE: Light Post lD Wetland Flog Site Plan ® Water Gate (round) 1.) The property line information shown was Jeffrey & Irene Cook Sullivan Engineering, Inc. CapeSury Proposed Improvements © Gas Gate (round) compiled from available record information. M PO Box 659 7 Parker Road Catch Basin �• o vent Pipe 5 Crystal Lane At 2.) The topographic information was obtained North Easton MA 02356 El Osterville, MA O'2655 Osterville MA 02655 CS/DH from an on the ground survey performed on (508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 420-3955 fax 545 South Main Street a DH or between 10/APR/06 and 14/APR/06' PSWIPEftol.aom capesurvOcapecod.net . MHB SB/ Barnstable Centerville) Mass. OHW— Overhead Wires 3.) The datum used is NGVD '29 — 25— — Draft: JOp Field: WHK/JPM Elevation Contour (a fixed mean sea level datum) 20 0 10 20 40 gp6mq now Review: PS Comp.: RLH/JPM DATE: July 2J�, 2��6 SCALE. ' »_20s Project: 26009 Drawing # C517_1 g1 °31 '20" E NOTE: N 6o SCHEDULE OF ELEVATIONS 1. RISERS AND COVERS TO FINISH GRADE WHERE SHOWN 5•71 ALL OTHERS TO WITHIN 6" 2� ^. 1. FIRST FLOOR = 1 15-31- 1 15.31 2 SCHEDULE 40NENTS PVC PIPE AND D THROUGHOUT 4 3® R=997 • 2. TOP OF FOUNDATION = 2 3. SEPTIC TANK, RECIRCULATION TANK AND ELECTIRICAL HAND HOLE L 1 3. FINISH GRADE AT FOUNDATION = 3 12.00 J 4. PIPE INV. AT FOUNDATION = 4 9.30 2 ---- PUMP CHAMBER ARE ALL TO BE MULCH Z - COATED AND WRAPPED. 1 1/2 COVERING MIN. 5. TOP OF CELLAR FLOOR 5 ---- 14 ' 12.Q0 S=2% MINIMUM " PRESSURIZED 18 12.50 PROPOSED z� 6.5 -n 6. INV. OF PIPE AT SEPTIC TANK INLET = 6 9.00 3 12.00 8...11.2.00 PVC LINE S=1% MIN. D-BOX �' PROPOSED ' �0 7. BOTTOM OF SEPTIC TANK = 7 4.42 '�'•'•'� 11 12.00 z _ _ 3s ";;::: 13 8.24 15 12.00 SAND FILTERS 6 9.00 _ 0 8. FINISH GRADE OVER SEPTIC TANK = 8 12.00 51--- 4- 9. INV. OF PIPE AT SEPTIC TANK OUTLET = g 8,75 25 12.50 JI 10. INV. OF PIPE AT RECIRCULATION TANK INLET = 10 8.35 P '•;a�' c.`t MIN. BREAKOUT �„ ➢ 11. FINISH GRADE OVER RECIRCULATION TANK = 11 12.00 15' io �•.. OMNI RSF 6 OUTLET m 12. BOTTOM OF RECIRCULATION TANK = 12 3.85 : . ' . FILTER MODULE, ,'.: . •�„ Box BACK FILL WITH 17.6 13. INV. OF PIPE AT PUMP CHAMBER INLET = 13 8.24 ' CLEAN FILLIM PROPOSED r_ 14. FINISH GRADE OVER PUMP CHAMBER = 14 12.00 ' 24111.65 MAN LEACHING FIELD Z 15. TOP OF RSF MODULES = 15 12.00 4 9.3 • FILTER FABRIC m 0 RC o SCHD. 40 PVC TEES � .:��.�.;:,,;,,, _ 100% RESERVE 16. INV. OF PIPE AT RSF OUTLET = 16 8.83 I O 16 8.83 9 8.75 17. BOTTOM OF RSF FILTER MODULES = 17 8.50 �0 J 18. FINISH GRADE OVER "D" BOX = 18 12.50 .II 4" PVC TEE WITH 1018.35 i 1.7 8.50 2� 0� SPROPOSEDEPTIC TANK 19. INV. OF PIPE AT D-BOX INLET = 19 11.37 _ ZOELLER FILTER (TYP.) 19 11.37 PROPOSED 20. INV. OF PIPE AT D-BOX OUTLET = 20 11.20 s 3" PVC RETURN LINE PROPOSED PUMP CHAMBER T 4' OF NATURALLY OCCURRING 22 10.90 .� .� •� • •'�' ' PERVIOUS MATERIAL o? _ 21 11.09 T� RECIRCULATION 20 11.20 r RECIRC TANK �.� N 21. INV. OF PIPE AT START OF LEACHING FIELD - 1500 GALLON SEPTIC TANK 1000 GALLON OMNI RSF 21 11.09 Z Li 26 5.24 22. INV. OF PIPE AT CAPPED END OF LEACHING FIELD = 22 10.90 ACME PRECAST RECIRCULATION TANK :.�• , MODEL OR EQUAL NO SUBSTITUTIONS USE (3) 38' DISTRIBUTION LINES 23. BOTTOM OF LEACHING FIELD 23 10.40 I � 250 GALLON OMNI RSF 23 10.40 -� PUMP CHAMBER SLOPED 0 0.005 FT/FT 24. TOP OF PEA STONE = 24 11.65 W/ CAPPED ENDS U-) Li 6.4' 25. FINISHED GRADE OVER LEACHING FACILITY = 25 12.50 „ 1 1/2" PRESSURIZED 26. BOTTOM OF PUMP CHAMBER = 26 5.24 6 MIN. CRUSHED STONE BASE.42 12 3.85 LINE WITH TEE 7 4 MAIN LINE TO IN D-BOX PUMP ADJUSTED GROUNDWATER @ EL. 5.4 DESIGN DATA MIW 29 A - MAY 2006 ADJUSTMENT FACTOR = 1.2' SEPTIC PLAN VIEW 1. BUILDING TYPE: 4 BEDROOM HOUSE SEWAGE SYSTEM PROFILE SCALE: 1" 10' 2. DESIGN FLOW: 110 GPD PER BEDROOM = 110 x 4 = 440 GPD NOT TO SCALE 3. DESIGN PERCOLATION RATE: 5 min/inch 4. GARBAGE DISPOSAL: NO p I 5. SEPTIC TANK DESIGN REQUIREMENT: 200% DESIGN FLOW GENERAL NOTES- 440 X 2 = 880 GAL. (USE 1,500 GAL. MIN. PER TITLE 5) 6. TOTAL LEACH AREA REQUIRED: 1. ALL CONSTRUCTION AND MATERIALS SHALL CONFORM TO MASS ENVIRONMENTAL TITLE 5: 440 GPD / (1.0 GPD/SQ.FT.*) 440 SQ.FT. (CLASS I SOIL) CODE (310 CMR 15.00,TITLE 5), AND THE LOCAL BOARD OF HEALTH. 7. TOTAL AREA PROVIDED: 2. THERE SHALL BE NO CHANGES MADE IN THIS PLAN WITHOUT THE WRITTEN 12' X 38' LEACHING TRENCH PERMISSION OF THE LOCAL BOARD OF HEALTH. BOTTOM AREA = 1208 = 456 SQ.FT. P 11 284. 3. ALL ERRORS, OMISSIONS, AND CHANGE OF CONDITIONS AT THE SITE SHALL TOTAL AREA PROVIDED = 456 SQ.FT. BE BROUGHT TO THE ATTENTION OF THE ENGINEER PRIOR TO PERFORMING THE *NOTE: PILOTING APPROVAL (DEP TRANSMITTAL NUMBER W054298) SOIL EVALUATOR ' S LOG SOIL EVALUATOR ' S L 0 G RELATED WORK. ISSUED TO OMNI ENVIRONMENTAL SYSTEMS, INC. ALLOWS 4. THIS PLAN HAS BEEN PREPARED SPECIFICALLY AS A SEPTIC SYSTEM DESIGN AND INCREASED LOADING RATES UP TO 1.5 GPD PER SQ. FOOT. Depth from Soil. Soil Soil Soil Other Depth from Soil Soil Soil Soil Other IS NOT TO BE USED TO ESTABLISH PROPERTY LINES OR BUILDING SETBACKS. LOADING RATE OF 1.0 GPD PER SQ. FOOT PROPOSED. Surface Hor. Texture Color Mott. Relative Surface Hor.1 Texture Color Mott. Relative PROPERTY LINES AND BUILDING LOCATIONS ARE GRAPHIC ONLY, PROPERTY LINES (Inches) (USDA) (Munsel) Factors (Inches) I (USDA) (MunseQ Factors NOT HAVING BEEN VERIFIED. NO REPRESENTATION OR CERTIFICATION AS TO THE DEEP OBSERVATION HOLE #1 EL. 12.4 DEEP OBSERVATION HOLE #3 EL. 12.0 ACCURACY OF THOSE SHOWN IS IMPLIED OR INTENDED. 0"-24" FILL Q"-30" FILL 5. ALL DISTURBED AREAS ARE TO BE LOAMED, SEEDED AND MAINTAINED VARIANCE REQUESTS TO PREVENT EROSION. 24"-44" B LOAMY SAND 10YR5/6 30 -42" B LOAMY SAND 10YR5/6 6. FOR PROPER PERFORMANCE, SEPTIC TANK SHOULD BE INSPECTED AT LEAST TITLE 5 ONCE A YEAR AND WHEN THE TOTAL DEPTH OF SCUM AND SOLIDS EXCEEDS 310 CMR 15.211: THE SOIL ABSORPTION SYSTEM AND R.S.F WILL BE LOCATED 44"-66" C1 MED. SAND 2.5Y6/8 60„ 40% GRAVEL 42 -60" C1 MED. SAND 2.5Y6/6 1/3 THE LIQUID DEPTH OF THE TANK, THE TANK SHOULD BE PUMPED. 7 FEET AWAY FROM THE FRONT PROPERTY LINE, IN LIEU FILTERS IN THE SEPTIC TANK AND RECIRC TANK SHOULD BE CLEANED OF THE 10 FOOT MINIMUM SETBACK REQUIRED. 6811 60" PERC - 56" PERC AT THE TIME OF INSPECTION, AND AT A MINIMUM ONE ADDITIONAL 66 -120 C2 MED. SAND 2.5Y6/8 G.W. @ 101 60 -100 C2 MED. SAND 2.5Y6/4 G.W. @ 95 TIME DURING EACH YEAR. 310 CMR 15.211: THE SOIL ABSORPTION SYSTEM WILL BE LOCATED 18 ACKNOWLEDGED FEET AWAY FROM THE FOUNDATION WALL, IN LIEU DEEP OBSERVATION HOLE 2 EL. 9.0 DEEP OBSERVATION HOLE #4 EL. 10.8 7. THI S SYSTEM HA S BEEN DE SIGNED FRO M DATA REVIEWED AND A C BY THE MASS. D.E.P. AND THE LOCAL BOARD OF HEALTH; AND OF THE 20 FOOT MINIMUM SETBACK REQUIRED. 0"-28" FILL 0"-33" FILL CONFORMS WITH THE REQUIREMENTS OF TITLE 5 OF THE MASS. SANITARY CODE. IMPLIED. 310 CMR 15.211: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE NO GUARANTEE OF PERFORMANCE IS EXPRESSED OR 28»-48" B LOAMY SAND 33 -49» B LOAMY SAND 10YR5/6 8. TEST HOLE INFORMATION SHOWN HEREON IS LIMITED TO SOIL CONDITIONS FOUND PLACED A MINIMUM OF 3.7 FEET AWAY FROM A COASTAL BANK, AT THAT PARTICULAR TEST HOLE LOCATIONS AND IS NOT CONSIDERED AN IN LIEU OF THE 25 FOOT MINIMUM SETBACK. 48"-70" C1 MED. SAND 10YR5/8 G.W. @ 58" 49"-65" C1 MED. SAND 2.5Y6/6 IMPLIED OR EXPRESSED WARRANTY OF SOIL CONDITIONS BEYOND LIMITS OF 310 CMR 15.211: THE SAIL ABSORPTION SYSTEM WILL BE PLACED 16.5 FEET SUCH TEST HOLES. E5"-98" C2 MED. SAND 2.5Y6/4 G.W. @ 81" AWAY FROM A COASTAL BANK, IN L.IEU OF THE 9. ALL ORGANIC AND UNSUITABLE MATERIAL MUST BE REMOVED FROM THE AREA 50 FOOT MINIMUM SETBACK. DIRECT 5 FEET BEYOND THE PROPOSED LEACHING FACILITY. THIS DIRECTLY UNDER AND AREA MUST BE BACK FILLED TO THE ELEVATIONS INDICATED ON THESE PLANS WITH SELECT ON-SITE OR IMPORTED SOIL MATERIAL, CONSISTING TING OF CLEAN PERCOLATION RATE _ < 2 MIN./INCH PERCOLATION RATE _ < 2 MIN./INCH GRANULAR SAND OR OTHER GRANULAR MATERIAL, FREE FROM ORGANIC CODE OF THE TOWN OF BARNSTABLE MATTER AND OTHER DELETERIOUS SUBSTANCES. MIXTURES AND LAYERS OBSERVATIONS BY: JOHN O'DEA, E.I.T. OBSERVATIONS BY: JOHN O'DEA, E.I.T. ALL SHALL NOT BE USED. THE FILL MATERIAL SHALL CONFORM TO MA STATE CHAPTER 360 ARTICLE 1: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE HEALTH CODE TITLE 5 - 310 CMR SECTION HALL AND SHALL HAVE PLACED A MINIMUM OF 3.7 FEET AWAY FROM A COASTAL BANK, SULLIVAN ENGINEERING, INC. SULLIVAN ENGINEERING, INC. PERCOLATION RATE OF BETWEEN TWO AND FIVE MIN. PER INCH, BEFORE AND IN LIEU OF THE 100 FOOT (MINIMUM SETBACK. WITNESSED BY: DONALD DESMARAIS, R.S. WITNESSED BY: DONALD DESMARAIS, R.S. AFTER PLACEMENT. CHAPTER 360 ARTICLE 1: . THE SOIL ABSORPTION _SYSTEM WILL BE PLACED 16.5 FEET TOWN OF BARNSTABLE TOWN OF BARNSTABLE, BOARD OF HEALTH BOARD OF HEALTH 10. ALL STONE MUST BE DOUBLE WASHED AND FREE FROM FINES AND ANY AWAY FROM A COASTAL BANK, IN LIEU OF THE ORGANIC MATERIAL AND MUST HAVE LESS THAN 0.2 PERCENT MATERIAL DATE TESTED: 05/08/06 DATE TESTED: 05/08/06 100 FOOT MINIMUM SETBACIK. FINER THAN A NUMBER 200 SIEVE. 11. THE DESIGNER HAS NOT BEEN RETAINED BY THE CLIENT TO CONSTRUCT OR CHAPTER 360 ARTICLE 1: THE SEPTIC TANK, PUMP CHAMBER, AND R.S.F. SYSTEM, WILL BE SUPERVISE THE CONSTRUCTION OF THE SYSTEM. THE CONTRACTOR IS PLACED A MINIMUM OF 50 FEET AWAY FROM A BORDERING VEGETATED RESPONSIBLE FOR MAKING ARRANGEMENTS FOR INSPECTION OF INSTALLATION WETLAND, IN LIEU OF THE 100 FOOT MINIMUM SETBACK. OF THE SYSTEM WITH THE LOCAL BOARD OF HEALTH. 12. THE GENERAL CONTRACTOR IS RESPONSIBLE FOR ALL HORIZONTAL AND CHAPTER 360 ARTICLE 1: THE SOIL ABSORPTION SYSTEM WILL BE PLACED 65 FEET VERTICAL CONTROL OF ALL SYSTEM COMPONENTS. AWAY FROM A BORDERING VEGETATED WETLAND, 13. TIGHT JOINT PIPING TO CONSIST OF POLYVINYL CHLORIDE (P.V.C.) IN LIEU OF THE 100 FOOT !MINIMUM SETBACK. SCHEDULE 40, UNLESS OTHERWISE NOTED. 14. THE CONTRACTOR SHALL NOTIFY THE DESIGN ENGINEER FOR CONSTRUCTION PREPARED FOR: PREPARED BY.• TITLE: INSPECTION AFTER EXCAVATION FOR THE LEACHING BED (PRIOR TO THE Site Plan PLACEMENT OF STONE) AND ALSO AFTER PLACEMENT OF PIPE & STONE PRIOR TO BACKFILLING. Jeffrey & Irene Cook Sullivan Engineering, Inc. CapeSury Proposed Improvements 15. DESIGN ENGINEER SHALL CERTIFY CONSTRUCTION OF SYSTEM AND MATERIALS INSTALLED. THE CONTRACTOR SHALL PROVIDE A SIEVE ANALYSIS OF THE FILL 5 Crystal Lane PO Box 659 7 Parker Road At Osterville, MA 02655 Osterville MA 02655 o MATERIAL REQUIRED. AN AS-BUILT PLAN SHALL BE SUBMITTED TO THE LOCAL North Easton MA 02356 (508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 420-3995 fax 545 South Main Street BOARD OF HEALTH UPON COMPLETION. ('v 16. NO RUBBER TIRE CONSTRUCTION MACHINERY SHALL DRIVE OVER THE PROPOSED PSufIPE�krof.com capesurvc�capecod.net SEPTIC BED EXCAVATION DURING CONSTRUCTION. rn Bastable (Centerville) Mass. 17. DIG-SAFE SHALL BE NOTIFIED FOR THE PROPER LOCATION OF EXISTING UTILITIES Draft: JOD Field: WHK/JPM TO ANY EXCAVATION. PRIOR Review: ps Comp.: RLH/JPM DATE My 25, 2006 SCALE: � Project: 26009 Drawing # C517_1g1 PIPING NOT ES : 3" RETURN LINE FROM FILTER MODULES AND 4" INLET FROM SEPTIC TANK PRESSURE GAUGE ALL ENTER ON SAME SIDE OF TANK 1-1 2" PVC FORCE MAIN GATE VALVE '� 3 PVC OUTLET / 3 RETURN LINE FROM FILTER 0� M DULES TO INLET OF SEPTIC TANK PVC UNION ENTERS ONE SIDE OF FLOW SPLITTER AND 1-1/2" FORCED MAIN EXITS ON OPPOSITE SIDE TO LEACHING FIELD FROM RECIRCULATION TANK RISER TO FINISH GRADE AC I 1-1/2" PVC FORCE FILTER CLOTH BUBBLER SYSTEM COVER — —` TO RSF MODULE MULCH COVERING I ( :•;.:.a,••, t •'•{'••,��` � OMNI RSF BUBBLER SYSTEM INLET FROM SEPTIC TANK AC POWER 24 HR RESERVE CAPACITY SUPPLY LOCATED " ..% a 'r .. .,.. , '._ IN ELECTRICAL ' - 'a•:••t•;; �:,;. HAND—HOLE t o INLET TEE WITH EFFLUENT FILTER +• ; 4" PVC TEE WITH FLOAT NOTES ZOELLER FILTER (TYP.) 1-1/4" CONDUIT ALL PUMP FLOATS ARE TO BE LOCATED PULL CORD tt ry a l"J DRAIN HOLE AWAY WAY FROM INLET FLOW r� FLOAT POLE . � „ Y r J z s ALL FLOATS TO HAVE 4 TETHER 00 I ZIP TIE TYPE y FASTENER 1. PUMPON/OFF :;. .,.! r Y J t J' I,. ' `�. s. . �• �D CHECK VALVE 2 M o, � I 2. TIMER V •f 0 ERRIDE FRONT VIEW SIDE VIEW d 1-1/2- VC F P FORCE I ( d- •� 3. HIGH WATER ALARM TO RSF MODULE00 OMNI FLOW MYERS ME-40 1Flzi_ l l RSF DESIGN CALCULATIONS II SPUTTER WITH EFFLUENT PUMP FLOAT VALVE 2" BLOCK ': Sand Filter Media 38" minimum depth <1% #200 sieve, 2mm to 4mm size SIDE VIEW Average Daily Flow Flow = 110 gpd per bedroom (per Title V) SIDE VIEW 8°_6°r f „ _ 8'—(" i Wastewater Strength (BOD5 for Residential) = 230 mg/L10 J a •t 4 • .'1. 't. .•{?tt.•, h*.,i l:'•ti i,: • 't} •:Y' ., t •t• l 'I• •,J. r, Recirculation Ratio 8: 1 (variable adjusted by operator) Recirculation Tank Size 150% of Design Flow (per Title V) 1.5 x 440 = 660 (Minimum 1000 gallon tank) CD 00 '— Sand Filter Loading Rate Loading Rate (LR) = 1150 / BOD5 -� LR = Loading Rate BOD5 = Septic effluent mg/L 1150 = Conversion factor , 'i ••,!^ •.f .. •!•.r. .i 4 i .. :Sr •f'4:•• l,t� 1. .: :+,, ,y:.•t .••• •�. t' fit• •�.nt �t , 1150 / 230 mg/L = 5 gpd/ft2 s . -•—� 4 t 'f. .a,a••',i.:.+.,� 's' ••t�+,f..Jt w,i .t••• �• .rn •t•. I 3 TOP MEW TOP vlEw Sand Filter Surface Area (SA) = (Flow gpd) / (Loading Rate gpd/ft2) TOP VIEW 440 gpd / 5 gpd/sq. ft = 88 sq. ft. Required 1 , 500 GAL. SEPTIC TANK DETAIL FLOW SPUTTER 3 OMNI RSF Filter Modules Required NOT TO SCALE Recirculation Pump Size = Daily Flow + Recirculated Flow + Back Flow 1 ,000 GAL. "OMNI RSF" RECIRCULATION TANK DETAIL 3 53 0 / 24hr - 14�3o gpd gal per hour (variable cycles — adjusted by operator) NOTES NOT TO SCALE Use Myers Model #ME40 or Equal (65 gallons/min @ 12 ft. Total Head) 1.) SEPTIC TANK SHALL BE STEEL REINFORCED CONCRETE WITH Sand Filter Module Setbacks Same as Title V Septic Tank "OMNI RSF" SAND FILTER DETAIL THREE (3) 20" MANHOLES. NOTES NOT. TO SCALE 2.) PUMP CHAMBER TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR 1.) OMNI RSF RECIRCULATION TANK (NO SUBSTITUTES) TRAVELED WAYS, WHEREIN H-20 LOADING SHALL APPLY. PUMP CHAMBER SHALL BE STEEL REINFORCED CONCRETE. NOTES 3.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL 2 ) 1•) OMNI RSF MODULES (NO SUBSTITUTIONS). BE WATERTIGHT. PUMP CHAMBER TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR 3.) TRAVELED WAYS, WHEREIN H-20 LOADING SHALL APPLY. 2.) FILTER MODULES SHALL BE COVERED WITH MULCH TYPE MATERIAL 4.) INLET AND OUTLET TEES TO BE CAST IRON, SCHED. 40 PVC OR 4•) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. ONLY. CAST—IN—PLACE CONCRETE. TEES TO BE UNDER MANHOLE COVER WITHIN 12" OF END WALL. 5•) 27" MANHOLE COVER TO BE BROUGHT TO FINAL GRADE. 3.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. 5.) RECOMMENDED MANUFACTURER— ACME PRECAST OR APPROVED EQUAL. 6•) INLET AND OUTLETS TO BE SCHEDULE 40 PVC. . ) OUTLETS TO BE SCHEDULE 40 PVC. 6.) TANK SHALL BE EMBOSSED WITH SEAL INDICATING CONFORMANCE 7•) TANK SHALL BE WATER PROOFED/COATED WITH 2 COATS OF APPROVED SEALANT. 5•) 1-1/2" PRESSURIZED LINE TO BE BACK FILLED BY HAND. WITH ASTM STANDARD C 1229-93. 7.) TANK SHALL BE WATER PROOFED/COATED WITH 2 COATS OF APPROVED SEALANT. 8 ) "OMNI RSF" CONTROL PANEL TO BE LOCATED OUTSIDE OF DWELLING. 1 1/2" PRESSURIZED NOTE: RISERS AND COVER TO FINISH GRADE LINE WITH TEE IN FLOW EQUALIZERS 1 1/2" PVC TO D—BOX D—BMX INLET FROM RECIRCULATION 7 �PITCH LINE BACK TO PUMP TANK U-) _ 0 0 ON 1/4" DRAIN AC HOLE HIGH WATER ALARM 21°0 PUMP ON 1.5" UNICHECK VALVE SIDE VIEW TOP VIEW OMNI PUMP CHAMBER 6 OUTLET DISTRIBUTION BOX DETAIL 250 GAL.PUMP CHAMBER DETAIL NOT TO SCALE NOT TO SCALE NOTES NOTE: PUMP CHAMBER IS TO BE WATER PROOFED/COATED 1.) THE DISTRIBUTION BOX AND SEPTIC TANK SHALL MEET TITLE 5 WITH 2 COATS OF APPROVED SEALANT. CONSTRUCTION CRITERIA. "OMNI RSF" CONTROL PANEL TO BE LOCATED OUTSIDE OF DWELLING. 2.) THE FIRST 2 FEET OF PIPE OUTSIDE OF THE DISTRIBUTION BOX SHALL BE LAID LEVEL. 3.) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATER TIGHT. PREPARED FOR: PREPARED BY- TITLE: Site Plan Jeffrey & Irene Cook Sullivan Engineering, Inge. CapeSUtv Proposed Improvements PO Box 659 7 Parker Road 5 Crystal Lane PO MA 02655 Osterville MA 02655 A� `'` North Easton M�1 �2356 545 South Main Street (508)428-3344 (508)428-3i 15 fax (508) 420-3994 (508) 420-399> fax PSu11PE®ao1.corm copesurv@capecod.net M,J Bamstable (Centerville) MaSS. a� Draft: JOD Field: WHK/JPM Review: PS Comp.: RLH/JPM DATE. JU/y 2 , 2�M7� SCALE: J� Project. 26009 Drawing # C517_1g1