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HomeMy WebLinkAbout0043 CHICKADEE LANE - Health 43 CIIICKADEE LANE Barnstable A = 234 - 014 c �I i I r r Feb 11 2019 13:52 HP Fax page 1 Y o 3LI07 OILI ' Commonwealth of MassachusettsI Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r-5 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information Is required forevery Centerville 6A-RAI, MA 02632 2-11-19 - page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. `\,\1\I1\Illlllll/f/7//7 Important: A. Inspector Informationfilling out out forms use onlon the y the tab James D.Sears _ �.' JAMESCP ,= key to move your Name of Inspector Z ;- cursor-do not Capewide Enterprises use the return Company Name T I key. 153 Commercial Street '��;;5 ►NS �`\\`°��`T— ICI Company Address 10 Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system Inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and.experience in the proper function and maintenance of on-site sewage disposal systems.After conducting,this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ FailsIj - 2-11-19 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. if the system has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP, The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform In the future under the same or different conditions of use. t5insp doc•rev.7126M18 Title 5 OMdal Inspection Form:Subsurface Sewage Disposal System-Page':of Is Feb 11 2019 13:52 HP Fax page 2 f Commonwealth of Massachusetts Title 5 official Inspection Form lug, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 o page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indiicated below. Comments: The system is a 1000 Gal.Tank D Box and two chamber's. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes","no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old`or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank Will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. , ❑ Y ❑ N ❑ ND(Explain below): l5in5p.doc•rev.7/28/2018 Tile 5 MOW Inspection Form:Subsurface Sewage Disposal Syslem-Page 2 of 18 Feb 11 2019 13:52 HP Fax page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 page. City/Town state Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health):_ ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ NO (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 ❑ II ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is7not functioning in a manner which will protect public health, safety and the environment: 15insp.doc•rev.7/26/2018 Title 5 Oficisl Inspection Form:Subsurface Sewage Disposal:iystem•Pape 3 of 18 Feb 11 2019 13:52 HP Fax page 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-1£, page. City/Town Stale Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fait 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. 01 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c, Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all Inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to,the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 T04 5 Offidal Inspection Form:SAsurtace Sewage Olsposal System•Pogo 4 of 18 Feb 11 2019 13:52 HP Fax page 5 c Commonwealth of Massachusetts Title 5 Official Inspection Form v � Subsurface Sewage Disposal System stem Form Not for Voluntary Assessments i.9W, , 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owners Name information is required for every Centerville. MA 02632 2-11-19 page, Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cunt.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No 0 ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in assepoW is less than 6" below invert or available volume is less than Y:day flow AF'A ❑ ® 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 p.ablic water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes If the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen Is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd: ❑ ® The system fails. I have determined that one or more of tie above failure criteria exist as described in 310 CMR 15,303,therefore tf a system fails.The system owner should contact the Board of Health to detennine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve e,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 CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive;area(Interim'/Vellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well t5insp.doc-rev.72&2018 Title 5 Ofidal Inspection Form Subsurface Sewage Disposal;system•Page 6 of 18 Feb 11 2019 13:53 HP Fax page 6 Commonwealth of Massachusetts o Title 5 Official Inspection Form r° t, Subsurface Sewage Disposal System Form -Not for Voluntary Assessment .� Y s 43 Chickadee Lane Property Address Daniel Mc Donald Owner owner's Name information is Centerville c required for every MA 02632 2-11-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question,in Section C.5 the system is Considered a.significant threat, or answered "yes"to any question in Section CA above the large systern has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.3(14.The system owner should contact the appropriate regional office of the Department. 6. You miust indicate"yes"or"no"for each of the following for,af/inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ 1 ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two vreek 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 NIA) . ® ❑ Was the facility or dwelling inspected for signs of sewage black 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 scrum? ❑ ® 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)1 tSlnsp.doc•rev.7/woie Title 5 Official Inspection Form,Subsurface Sewage Disposal System•Page 6 of 18 Feb 11 2019 13:53 HP Fax page 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is Centerville MA 02632 2-11-19 required for every page City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#.of bedrooms): 330 Description: 1000 Gal.Tank D. Box and two chambers. 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, If available last 2 ears usage 2017-73,004Gais g ( y g (gPd)) 2016-70,000Gais Detail: Sump pump? ❑ Yes ® No Present Last date of occupancy: Date t5utsp.doc•rev.7126/2018 Title 5 OfAdal Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 i Feb 11 2019 13:53 HP Fax page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form .r Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 page. City/Town State Zip Code Date of l nspection D. System Information (cont.) . 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM R 15.203): Gallons'per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available; Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? [] Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5lnsp.doc•rev.712512D18 Title 5 Midst Inspectlon Form:Subsurface Sewage Disposal S,rstem•Page 6 of 18 Feb 11 2019 13:53 HP Fax page 9 c Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 paw, CitylTown State Zip Code Date of Inspection D. System Information (cont,) 4. Type of System: ® Septic tank,distribution box, soil absorption system, ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the VA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components,date installed (if known)and source of information: Tank NA Box and chamber's 2016 Permet"2016- 128. Were sewage odors detected when arriving at the site? [] Yes ® No 5. Building Sewer (locate on site plan): Depth below grade: 20"feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage,etc,): ` Pipeing is 4" PVC SCH 40. y t5insp.doc•rev,7128f2018 Title 5 Official Inspection Form'Subsurface Sewage Disposal System•Page 9 of 16 Feb 11 2019 13:53 HP Fax page 10 Commonwealth of Massachusetts Title 5 Official Inspection Form k�,-W i' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2.11-19 page. City/Town State Zip Code Date of In:apection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 10 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No , Dimensions: 1000 Gal, Precast H-10 Sludge depth: 1„ Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0" . 8 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Plan-Tape Sludge Judge 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 at workink level. Tank and covers at 10" below grade.In and outlet tees. No sign of leakage or over loading. tbinsp.doo•rev.7I26/2016 Title 5 Official Inspection Form:Subsurface Swage Disposal System•Page 10 of 18 Feb 11 2019 13:53 HP Fax page 11 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane V� Property Address Daniel Mc Donald Owner owner's Name information is required for every Centerville MA 02632 2-11-19 page. City/Tom State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass El polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.00c•rev.712612018 TIM 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 18 Feb 11 2019 13:54 HP Fax page 12 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information Is required for every Centerville MA 02632 2-11-19 page. CltylTown state Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cost.) Alarm present: ❑ Yes 0 No Alarm level: Alarm in working.order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): 'Attach copy of current pumping contract (required). Is copy attached? ❑ Yes' ❑ No 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box,etc.): D Box is 16"x 16"-43" Below grade w/two line's out. Box is clean and solid wlinlet tee: Cover at T 15inap.doc-rev.7/28124D18 Title 5 Official Inspection Form:Subsurface Sewage DIsposall.System•Page U of 19 f Feb 11 2019 13:54 HP Fax page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is wired for eve rY Centerville MA 02632 2-11-19 page. CityfTown State Zip Code Date of Inspection D. System Information (Cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No' Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): "If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number,length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t9insp.doc-rev.712612018 Title 5 Official Inspecdon Fam:Subsurface Sewage Disposal System-Page 13 of 9a Feb 11 2019 13:54 HP Fax page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information Is required for every Centerville MA 02632 2 11-191.. page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): Leaching is two 600 Gal. Dry well's W14' stone. Chambers at 42"'below grade w/cover at 18". Chambers-wet on Bottom w/clean like new walls. 12. Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 TiUe 5 Oftal Inspec8on Form:Subsurface Sewage Disposal System-Page 14 o1 18 f Feb 11 2019 13:54 HP Fax page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-1 fit. page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan); Materials of construction' Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t55insp.doc-rev 7/2612018 Title 5 Oficial Inspecewn Farm:Subsurface Sewage Disposal System-Page 15 of 5s I Feb 11 2019 13:54 HP Fax page 16 Commonwealth of Massachusetts • Title 5 Official Inspection Form w Subsurface Se age Disposal System Form Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 M page. City/Town state Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to atileast 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 4 c` t5lnsp.doc-rev.7/26QO18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 I Feb 11 2019 13;54 HP Fax page 17 TOWN OF BARNSTABLE LOCATION C tJ ICK4DEe L..> f JE SEWAGE# 0 VILLAGE dS?hB ASSESSOR'S MAP&PARCEL "2 INSTALLER'S NAME&PHONE NO.CApEL,.I,,o p; C—N, �RP2�5 c-�S CyC Cy SEPTIC TANK CAPACITY l l 0 0 0 C—_4 t.X-ao LEACHING FACILITY; (type)(,I) 50t7 G-ad4-CNArt(Ar-R.�(size) _ 1,1, NO,OF BEDROOMS owNER D A of qr Mc-Day, PERMIT DATE: q-1 COMPLIANCE DAn-1: 4 Separation Distance Between the_ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N ,4 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) 7(Y.5 Feet FURNISHEDBY 71 8 A-2 2lu 2g•4' P A-3 - 34•a' bbVEcK A ' R-s - 39-c 03 cN k du Lc,nr. 4 i i g-3 , 44V 0 o a-Li -- s y �-s � s�•9 ' Feb 11 2019 14:06 HP Fax page 1 .I Commonwealth of Massachusetts Title 5 Official Inspection Form l' Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name information is required for every Centerville MA 02632 2-11-19 page City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: - ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells V0 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation:. Obtained from system design plans on record If checked, date of design plan reviewed: 1-28-16 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: T.H, on Design Plan 1-28 16 11' no G.W.. Bottom of chamber's at 6' below grade, Bottom of chamber's at 5' above T.H, Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5nsp.dor•rev.7)26/2018 Title 5 Official Inspection Form:Subsurface Sewage DisposN System•Page 17 of 18 Feb 11 2019 13:55 HP Fax page 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chickadee Lane Property Address Daniel Mc Donald Owner Owner's Name requiredo re Centerville MA 02632 2-11-19 required for every page. City/Town State Zip Code Date of In:Ipection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B.Certification: Signed& Dated and 1, 2, 3, or 4 checked ® C. inspection Summary: . 1, 2, 3,or 5 completed as appropriate 4(Failure Criteria)and 6 (Checklist) completed ® D. System Information; For 8: TighYHolding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 pr attached For 15: Explanation of estimated depth to high groundwater included C14A01BrFs � N0 t5atsp.doc•rev.7126/2018 Title 5 Oftidal Inspection Form:Subsurfsoe Sewage Disposal System•Page 18 of 18 THE Town of Barnstable Barnstable Tp�� Board of Health 9°A K ss`E'� 200 Main Street,Hyannis MA 02601 D o°ATF1639 Mat 41 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi " e May 13, 2016 Mr. Michael Pimentel JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538 RE: . 43'Chickadee Lane, Barnstable. =A 234-014 Dear Mr. Pimentel, You are granted variances on behalf of your client, Daniel McDonald, to construct an onsite sewage disposal system at 43 Chickadee Lane, Barnstable. The variances granted are as follows: 310 CMR 15. 405: To install the leaching facility underneath up to 4.5 feet of soil cover, in lieu of the maximum of three feet allowed. Section 360-1 of the Town of Barnstable Code To install the soil absorption system 70.5 feet away from a vegetated wetland, in lieu of the minimum 100 feet separation distance required. These variances are granted with the following conditions: (1) No more than two (2) bedrooms 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 two bedrooms maximum. A copy of the Q:\WPFILES\Pimentel MacDonald20l6.docx recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The septic system shall be installed in strict accordance with the revised engineered plans dated April 11, 2016. (5) 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 revised engineered plans dated April 11, 2016. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within. the State Environmental Code, Title 5 and local Health Regulations. The engineer designed the septic system to be located in an area to attempt to maximize setbacks to wetlands. Sincerely y rs, ay Miller, M.D. Chairman Q:WP/Pimental Mac6onald2016.doa r r . pf tHE tO�, DATE: 3 10 FEE: -�g 7 -� r BARNgrnBL E, MASS. 9�A 019. `0� 1 _ REC. BY d Town of Barnstable j SCHED. DATE: 1+ ® Board of Health- Cos q Cn 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 43 Chickadee Lane, Barnstable, MA Assessor's Map and Parcel Number: Map 234,Parcel 14 Size of Lot: 15,670 sf Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Daniel E.McDonald Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Daniel E.McDonald Name: Michael Pimentel,EIT,CSE Address: 384 Shackleford Drive,Wilmington,NC 28411 Address: 2854 Cranberry Highway,East Wareham,MA 02538 Phone: Phone: 508-273-0377;Email: mpimentel@jcengineeringinc.com VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See attached Appendix A NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System t iln Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. { _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian 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/lessee 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 Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. , C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC A JC ENGINEERING, Inc. Q.4 Civil & Environmental Engineering ' 0°D 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 APPENDIX A Due to the physical constraints of the property,the following local upgrade approval and local variance are requested. Local Upgrade Approval Request: In accordance with 310 CMR 15.401 - 15.405, the following local upgrade approval is requested from 310 CMR 15.221 (7): (1.) A 1.50' waiver (3.00' - 4.50') for the maximum cover over the proposed SAS. Local Variance Request (wetland): The following local variance is requested from Article 1, Section 360-1: (1.) A 29.5' variance (100.0' - 705) for the setback from the SAS to the wetland. Parziale, Jim From: Mike Pimentel <MPimentel@jcengineeringinc.com> Sent: Thursday, March 17, 2016 5:34 PM To: Parziale, Jim Cc: 'Rich Capen' Subject: . 15-Piney Point Dive T r �s�r�� / h� Hi Jim: I don't know the history of the bedroom downstairs in the basement. We went through the house and noted down all the rooms and designed the system accordingly. Also,the original design plan shows a design for 3 bedrooms. However, after speaking with our client, he is OK with restricting the property to 2 bedrooms. He'd like to keep the 3 bedroom design as shown on the plan though in order to accommodate the existing flows. Reducing the size of the SAS would only result in another 3 to 5 feet of additional separation from the wetlands. The existing system failed (pipe and stone) and we don't want the new system to fail in the future as well. Please advise. Thanks. Michael Pimentel, EIT, CSE Project Manager JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538 PH: 508-273-0377 Fax: 508-273-0367 From: Parziale,Jim [mailto:Jim.Parziale@town.barnstable.ma.us] Sent:Thursday, March 17, 2016 8:39 AM To: mpimentel@icengineeringinc.com Subject: Michael, You are the contact on a septic repair going in front of the board next month for 3 chickadee lane Barns~`ta ejThe owner is seeking a 3BR permit however their previous permit from 1979 79-167 is only approve or BR's. They are in multiple groundwater protection zones and the state zones prevent them from increasing flow due to their parcel size. I checked their building file as well and there was nothing there to grandfather them for 3BRs. The director and board would like a copy of floor plans for the entire home including the basement if applicable. if you could get me a copy that would be great. they can be hand drawn. Thanks, Jim Parziale, R.S. Town of Barnstable Public Health Division 1 2/23/2016 AbutterReport Board of Health Abutter List for Map & Parcel(s): '234014' Direct abutters (no set distance) and the properties located across the street. Total Count: 6 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 234014 MCDONALD,DANIEL E 384 SHACKLEFORD WILMINGTON,NC 26938/285 DRIVE 28411 234015 OSHEA,MARTIN I& 158 NORTH STREET NORFOLK,MA 6717/224 KATHLEEN 02056 234017 BEDNARK,THOMAS A 56 PLEASANT PINES CENTERVILLE,MA 19859/147 &CHRISTINE C AVE 02632 234021 TRIMBLE,PETER B SR 22 CHICKADEE LANE CENTERVILLE,MA 23673/236 &ROBIN L 02632 BAYSIDE BUILDING . CENTERVILLE,MA 234066009 COINC C/O COLLOPY,SUSAN K 119 CRANBERRY LANE 02632 4990/190 234067 SCHATZBERG, 46 CHICKADEE LN CENTERVILLE,MA 13240/110 KATHLEEN 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.if a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessors database as of 2/23/2016. hftp://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1l1 r JC ENGINEERING, Inc. LS - A V. ` ' Civil & Environmental Engineering p 0' 2854 Cranberry Highway East Wareham, Massachusetts 02538 _ - Ph. 508-2 73-03 77-Fax 508-2 73-03 6 7 MEETING NOTICE Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, April 12, 2016 at 3:00 PM in the Selectman's Conference Room on the second floor in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present waiver and variance requests associated with a Septic System Upgrade located at 43 Chickadee Lane, Barnstable, Massachusetts. Due to the physical constraints of the property, the following local upgrade approvals and variances are requested. Local Upgrade Approval Request: In accordance with 310 CMR 15.401 - 15.405 the following local upgrade approval is requested from 310 CMR 15.221 (7): (1.) A 1.50' waiver (3.00' - 4.50') for the maximum cover over the SAS. Local Variance Request (wetland): The following local variance is requested from Article 1, Section 360-1: (1.) A 29.5' variance (100.0' - 705) for the setback from the SAS to the wetland. 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. I 1 Daniel E. McDonald 384 Shackteford Drive Wilmington, NC 28411 February 2:4,2.016' Board.of Health ,,sawn of Barnstable 200 Main Street Hyaiutis, I1MA,02601 Re, Declaration of Audiorization 43 C} ckadee.Lane, Bammbie. 'NMA U2-632 .Dear Members of die Board, Let it be known that 1, Daniel.L..c,Dona.id(ow ter of'43 Chic Lane in 13.arnstab4e; Massachusetts). do hereby authorize JC Engineerhig,Inc. of Bast Warel3am,MA W538 to represent my interest,regarding the upgrade of the sewage aispkosal system located at 43 Chickadee Larva, Barltstable, Massac.busetts in tttcetings both,publicand private. Sincerely, 1J { 1 Daniel E. McDonald f Town of Barnstable Geographic Information System February 23,2016 234059 #�_234058VWO 234057 234056 234055 #15 234#058600 #5 #1981 #1971 234052 15 #1900 23405 1 34 VWO #18 79 2 018 #0 234066009i}':`. 234050 #1865 234048 234049 234066006 234047 #625 ;1234066005 #12$ 234066007 234030 23402 # � "#22 #12• #130 #122 234019 '60 234018B00 0 ?#78 23 � ®2#66 62#54� #44 J 4066008 #100 �+ #0 #11011 �RRY 2340 234074 CRANB L N #31°�' 2# 234044 #616 k 44 #601 234069 234026 234025 234066002 234016 kt68 #65 9 #553 234032 sm �:23406600' #119 s #67A #131 = 234043,J 234078 J #589 234066003 n 23406�8 a �34033° #15 #129 !1lr`.;:;": T l 234024 ..:234066001 234015::'.: #56 #55 462 #111;;::::::.. :`.: #551:::i:.' a o1 234042 #579' 234034 #50 234023 23 �234014��;���� t" ':: #43 F/ 234041 4081 #578 #4 #569 3 _340 35 V l!' Ill 234021 ::: 234040 ::':i.''-.`••.. #22;{:':: 234022 #.559 y 234017 '#33 234003B00-234004800 234005B00 234007B00 #31 234036 `� 2 0�2 #160 #152 #132 , 234006600 #96 234009600 r#30 �- '-_ #114 #76 234010B00::::::' t 234039 �J 234070 234008600 #66.j, -.,.` #549' �216 #84 1 �_ 234011 B00 234003T00 '234004T00 _ '_'µ 234008T 234010T00 #27 234012B00 234005T00 ✓ #17 34#5B00 23400337BOO #160 #152 #84 #66 1 34038B00 #132 234006T00 #5 #10 #539 �1072 1 Q 3 11 #114 234007T00 234011T00 t } 234009T00 1 234085X01 y �e �133065 #96 #76 #27 234073 234013 111,•••234037T00 #29 _#153,E } #40 #28 t #10 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:234 Parcel:014 Board of Health - Selected Parcel El N boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters - boundaries and do not represent accurate relationships to physical features on the map /4ff,r -r. such as building locations. Buffer FIRST FLOOR,PLAN BATH BEDROOM 2 ROOM SLIDING KITCHEN DOOR STAIRS BEDROOM 1 DOWN LIVING ROOM 1/2 BATH ROOM FRONT DOOR BASEMENT FLOOR PLAN SLIDING DOOR WASHER & ❑ DRYER DENL UNFINISHED BASEMENT STAIRS UP EXISTING PREPARED FOR: FLOOR PLANS DANIEL E. MCDONALD for PREPARED BY: 43 Chickadee Lane JC ENGINEERING INC 2854 CRANBERRY HIGHWAY In EAST WAREHAM, MA 02538 Barnstable, Massachusetts (508) 273-0377 ~` TOWN OF BARNSTABLE ` 'LOCATION 43 C`d(C'KAD.� L.AAJE SEWAGE# 01616 (2S VILLAGE QAPwST473CF. ! ASSESSOR'S MAP&PARCEL Z3 f 4 INSTALLER'S NAME&PHONE NO.CdR VEwap a C�'1•'�=i 21S C-� Lam=. SEPTIC TANK CAPACITY ( 10 a G4u_61.J LEACHING FACILITY: (type)(a) 044&O 73 size) G1` NO.OF BEDROOMS OWNER DA0 i Z_ Mc_aat�j�� PERMIT DATE: 44'1 1 ra©l(Q COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility L4 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility), AJA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) // // -76,1 Feet FURNISHED BY C�4P C vLa� l�a��2P�S" LUZ Art , c , A-' = 21-Lk" P A-3 - 3v6' bP-CK A -4 = IT-C ,�}U I 4 A-S w 39.1�° `4-I 3 .di Cl�hdex- rant 0 ® O S 6PS 57 ° f Y To. 4 0- , No. � Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS applitation for Misposal 6pstrm Construction VPrmit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. q3 dii 1C IDG5' (,A06' Owner's Name,Address,and Tel.No. ¢ �1Sa�43CC DA►N6/✓L M@1)0N4-'Q Assessor's Map/Parcel 3 / 38 544 C ELE-0 0 k k!1CAJiJJ6itWJ, Po- Installer's Name,Address,and Tel.No. 502- 4`7-1-82-1 7 Designer's Name,Address,and Tel.No. SrQ$-X73 -0 3'7 7 C°Adl+4V1+D6 L4,�_ _TC Cl.��1Lf tr' -i Rl G =Vt_ Type of Building: + Dwelling No.of Bedrooms � � ' Lot Size 15 fc 7o sq.ft. Garbage Grinder( ) Other Type of Building G!5106=14L- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided e3 q9, gpd Plan Date 3 r 1 Number of sheets f Revision Date Title q,-r3 �°1-�tC fGs417� e_,wS &q R1�cS`t Bb Size of Septic Tank l.1000 EzALL00 Type of S.A.S. "A .50o 6y�M Cf4Ak_gd_K Description of Soil "`.n 5.4,J7), a 4 g" PL-4ki Nature of Repairs or Alterations(Answer when applicable) V 5e Elc i lc-r i 1,16 (fZ 66 C_ 1j 6L-'Z't L_ Ltja Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si d Date `4-( q, )L0f. Application Approved by E Date �"6 Application Disapproved by Date for the following reasons Permit No. sz — Date Issued �� 72 Fee ( r� Entered in computer: THE COMIIIJONWEALTHOF MASSACHUSETTS p yes ' PUBLIC,HEALTH DIVISION - TOWN OF5 BARNSTABLE, MASSACHUSETTS Tipprication for Disposal p teat �oustruction hermit �1 g f! Application for a Permit to Construct"( ) Repair(k Upgrade Abandon O El Complete System El Individual Components Location Address or Lot No. 43 641CMIDG57 I-AO45 Owner's Name,Address,and Tel.No. i?J�SZ�4�3LC iDAIJfEt_ M AssessorsMap/Parcel oZ3 / iae,4 Sbf C EL DP, kJjCA4!IUe'tW1, NC t Installer's Name,Address,and Tel.No. 50$"477-9$7 7 Designer's Name,Address,and Tel.No. SrOt--2T 3 0 3"17 GAP&.V106 aPT60-elsEs L4< - G E 1tJt�J�t Cz �ivG l co e� sT �! g 14W Y F.w —140 Type of Building: si (� " Dwelling No.of Bedrooms 0 Lot Size /5,'4 70 sq.ft. Garbage Grinder( ) Other Type of Building y;(_St)6jjT i AL No.of Persons Showers( ) Cafeteria( ) Other Fixtures + nn Design Flow(min.required) d ; d gpd Design flow provided �3 y9,4 gpd Plan Date 3- I - a0(� Number of sheets Revision Date Title �f-�� CH/�'K�€t7£ L�QfV� d�/4l2IycST�s4Q3C Size of Septic Tank (l 600 (&A LL®IJ Type of S.A.S. (aA j OD"[.t_Om Cf l�4ktf3 -S Description of Soil ( { N4L-n:f'-C o,47LIS E '3A km Q- ��S r� � S Nature of Repairs or Alterations(Answer when applicable) V S€ woo Cs;�tc1 64S-?rl L 7"R4.0V__ N6kj H-)Ly A-fbo1L I-, (-lO 500 y!tJ l-1-moo l�l f�rr8c7�S Ls)t 71-t U Ft A-c Q T crrR 11U� 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`CertificaWof Compliance has been issued by this Board of Health. Signed� Date °� '�9 ;o I Application Approved by ��' 14JS Date Application Disapproved by Date for the following reasons Permit No. Q Date Issued ` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by CIA R r=(,4j 41)Ir W��p� 5is� at 4AiCJ15 _A&INjSTLI_/li(Aas been constructed in accordance p r with the provisions of Title 5 and the for Disposal System Construction Permit No.aol 6 dated Installer CARGA A-M &T-8Q. 01SLE5 U-C Designer -:Tc &iL)6_(l 6;1!tj v Et- _T1v L #bedrooms aZ• de o tJ t0�,r c J Approved des' n- ow �� 0 k gpd The issuance of this pe : it shall not be construed as a guarantee that the system wl,I functi 1 as designed. Date } f K_� Z�1� Inspector (:�J it . ------------------------------------------ -------------------------- - ------- No. go l� ��` O Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstrm Construction 'permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 43 (2F4 iQyA-b�_ ( _ahJE RAP_NSTAASLi;_ 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 y--1 — b Approved by #4712 Pool/ool ■ Town of Barnstable Regulatory Services Thomas F.Geiler,Director NAM r Public Health Division •e�q, oMrs• Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: �/- 2 6-I(o Sewa a Permit# �t91Assessor's3 G g °"( � Map/Parcel Z ��i Installer&Designer Certification Form Designer: SG EnStneect,n� , TnC.. Installer: Ca(�ewide �riEer�cisz5 Address; 2b5`I C cn,,,hz«Y VA. wT Address: 15 3 Commt.;ci'a 1 S{ree i �oa1 W�rct�c t1A 02548 On-- `� I -�(�( y Capccdct G'y,Fer(�rise 5 was issued a permit to install a (date) (installer) septic system at_ �_3 C.h(G ka d e e_ Lane based ona design w br(address) y "OrCAA S C En�ineecin5 , T.,oe- dated (dev. Z . -1-11-Iii (designer) 1 certify that the septic system referenced above was installed the design, which may include minor approved changes such as lateral p relocation a io of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. 1 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. Stripout(if required) ected and the soils were found satisfactory. HJOMN L. URCMIL list ler's Sig Ire) JR. IViI 4160 esigner s Signature (Affix De gn Here) P AS1E RETURN TO ARNSTAB 1PUBL C D VISION. CERTIFICATE OF COMPLIANCE W LL NOT $E S O BUILT CARD S FORM AND AS- RECEIVED BY THE I3ARNSTAB E PU$LIC HEAP, IVISION. THANK YOU. 0office formsldesignercertiricatioo form.doc GRANTED WITH CONDITIONS. The Board voted to rant the variances on the revised ,�!ated 4/11/16 9 y.t , with the following conditions: 1) a two-bedroom deed res . ?n will be recorded at the Barnstable County Registry of Deeds, and official copy of the deed restriction will be submitted to the Health Division. r. C. Stephen Wilson, Baxter Nye Engineering, representing Osterville Veteran's Association, owner— 753 Main Street, Osterville, M/P 141- 015, 12,381 square feet parcel, multiple variance request, repair of failed septic system. GRANTED WITH CONDITIONS. The Board voted to grant the variances listed on the proposed plan along with an additional one (variance from using a double chamber tank which allows them to use the existing septic tank). This is granted with the following conditions: 1) the plan will be revised changing the design from flow diffusers to 500-gallon chambers, 2) plan will list all variances granted, and 3) plan will list the number of chambers to be used (the engineer will determine whether 5 or 6). III. Septic Installer's License: Kenneth Kline, Orleans, MA GRANTED. The Board granted Kenneth Kline an installer's license. IV. Variance — Food: A. Mr. Kieran Stone, Trader Joe's — 655 lyannough Road, Hyannis, Map/Parcel 311-008, requesting a grease trap variance for new location for sampling foods. GRANTED. The Board voted to grant the grease.trap variance. (Roger Parsons was in agreement.) B. Keith Steiding, KKatie's Burger Barr 334 Main Street, Hyannis, Map/Parcel 327,090, requesting a grease trap variance. GRANTED WITH CONDITIONS. The restaurant owner said the space will be reduced from the size the previous owner used — the seating will be reduced from 300 seats to 100 seats. The Board voted to grant the grease trap variance with the following conditions: 1) there will be a grease recovery device (GRD) (The Big Dipper will be repaired or replaced with another GRD.), 2) pending approval by the plumbing inspector, the "Atlantic Metalwork's"° equipment will be installed right after the 3-bay sinks, Page 2 of 5 BOH 4/12/16 13 1316 a 0 u = 13 4 0. DEED.RESTRICTION Whereas,Daniel E. McDonald;of 384 Shackelford Drive, Wilmington,North Carolina n 28411, is the owner of Lot 37, as show on a plan of land recorded with the Barnstable County Registry of Deeds in Plan Book 172,Page 51, located at 43 Chickadee Lane, Barnstable, Barnstable County,Massachusetts (hereinafter,the"Lot"); and Whereas, Daniel E. McDonald, as the owner of the Lot, has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included. in any home on the Lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; and Whereas,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the Lot be put on recorded with the Barnstable County Registry of Deeds and/or the Barnstable Registry District of the Land Court, as applicable,by recording this document. Now,therefore, Daniel E. McDonald does hereby place and impose the following restriction upon the Lot in accordance with his agreement with the Town of Barnstable Board of Health,which said restriction shall run with'the land and be binding upon all successors in title: The dwelling constructed upon the Lot shall contain no more than two (2)bedrooms unless and until it is connected to the municipal sewer or the Board of Health of the Town of Barnstable permits otherwise. Property Address: 4 Chickadee Lahe, Barnstable, Massachusetts For title, see deed recorded with said Registry of Deeds in Book 26938, Page 285. r F _ . 1 f s a Executed as a sealed instrument this day of r 1 Y 2016. Daniel E. McDonald STATE OF NORTH CAROLINA County of Br LLrisw t c_lc On this day of Il,+ before me,the undersigned notan! public,personally appeared Dani E. McDonald,proved to me through satisfactory evidence of identification,which was bnverrs L.iceenser ,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it as his free act and deed. Sharon T. Clunk • ) �, Notary, Public Brunswi ck Count , NC &Iaron T. C I u.n K ,Notary Public _ _ , My Commission Expires: 9 -a-9 - ao ► b BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register �11 , Town of Barnstable P#. 1 q Departiment of Regulatory Services MSTAB rA Public Health Division Hate (p 200 Main Street,Hyannis MA 02601 fEll Nlt+'t A � r , � [r Date Scheduled Time Fee Pd. 'POT), � Soil Suitability Assessment for Sewa e Disposal Performed By:.�'�oel f l C oL, l mfnW OF. ) (1 n Witnessed BY: ]LOCATION& GENERAL INFORMATION Location Address Name L43 cut�,KAD66 LN Owner's DpkljI t 1, MCI�oNs¢cA 13 ARNSTA84_1—Address 3 P cj 5 i4A CIeC.CF-CRj> M r w I�t tn�41Z�tJ i NC' a F u 11 Assessor's Map/Parcel: 3"f/oQ q Engineer's Name -IC- ��1/JC�IICX�:7l! 50pG -273K:,9Tf NEW CONSTRUCTION REPAIR G4�G�Iac ��3Z��Rlscrs (N' Telephone# SUS —1tj']„2&-77 Land Use S'��le . TCm,1� I�we�)in9 Slopes 2 - 1 ----� o Surface Stones . Distances from: Open Water Body 10 $ Possible Wet Area ft Drinking Water Well l sq ft Dralnage Way > d ft Property Line LSD ft Other ft SKETCH'(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Se, A16w Je Plo, Parent material(geologic) 60�u,a.5V1 '7 13 Z 0 2 Depth to Bedrock 5S Depth to Groundwater. Standing Water in Hole: � ) f j ] 13 Z w Weeping from Pit.Face _ �qS' Estimated Seasonal High Oroundwater 7 1 3 Z m 6 4 S' DE`I`ERMINATION FOR SEASONAL HIGT�[WATER TABLE Method Used: _B fe c 6b Se;�cs ft'v/r Depth Observed standing in obs.hole: 7 f 32 Id, Deptit 10 sell mottles: Depth to weeping from side of obs:)role: Itt. Index Well it — Reading Date: index Well level — bl, Oroundwater Adjustment (t, Aru.fhctt r _ Adj,Groundwater Level PERCOLATION 'EST Date,.,,,,__,_, t _ Observation.._ A'!mm_._._ Hole fk Time at 9" •,_ _� _.__ Depth of Perc Time at 6" Start Pre-soak Time @ Time(9" End Pre-soak Rate Min./Inch . . ' SW W Al an �iuv► aUaC�41o�e '� t�nSl�io �: Y�v _ Site Suitability Assessment: Site Passed Y e5 Sit,Failed: — w Additional Testing Needed(Y/N) !y Original: Public Health Division Observation Hole Data To Be Completed on Back---- If percolation test is to be conducted within 10b' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:ISEPTIC\PERCFORM.DOC DEEP.OBSERVATION BOLE LOG Hole# , a Depth from Soil Horizon Soil Texture Shcl Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. < onsi tency %arayell �onJ ld. 8 3� t Loam Sand I to-�s% rrn,ei -a [ob Iar �..., 1 6 � /oofQ • DEEP OBSERVATION HOLE LOG 'Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ra ]DEEP OBSERVATION BOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION DOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stapes;Boulders, Consi to s ][lood Insurance Rate Map: Above 500 year flood boundary No— Yes . . Within 500 year boundary No Yes.. Within 100 year flood boundary No.✓ Yes w Depth of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the area proposed for the soil absorption system? Te5 If not,what is the depth of haturaily occurring pervious material? Certification I certify that on •`Z7-9 q (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,7exertise and xperi a described in 10 CNM 15.017. �"— Date 3"7"16 Signature ' Q:\5EPTIC\PP-RCPORM.D0C q �LO 'CA ON SEW ACE PER q0. 3 Y I L L A G E 0 .n -rA � INS AA LLER'S NA PE A.- ADDRESS C � BUILDER" - OR OWNE OF DATE PERMIT ISSUED ZQJ 2� DATE COMPLIANCE ISSUED ®�� q 014 ��,,� IVN t ex lG � 2s No....- ......._....... Fizz..................... THE COMMONWEALTH c;F MASSACHUSETTS BOARD OF HEAL E-I ........... • L App iration for Ut-spilli al Worbi Tnntrnrtiun ranfit ApplicatiriOn is heA r�iade fora Permit to ons r uct � or dividual Sewage Disposal C System at:-f �j /L ation-Address / or Lot Nryo. , ............ �C--rdld�� z __...-- O ner � Address Installer Address Type o Building Size Lot_/J._ .; _ 0.._..Sq. feet a Dwelling—No. of Bedrooms....._...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building -.PWA�M No. of persons......... Showers ( ) — Cafeteria ( ) ------------- Otherfixtu .--- -------------------------------------- W Design Flow.............. .____•--•---.-----_-gallons per person per day. Total daily flow.=_....- _ Ions. WSeptic Tank—Liquid'capacity./.'gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No. .._. .._.. Width..... z:_...... Total Length_.S:!�-.5 .. Total leaching area..... _ sq. ft. Seepage Pit No.................. Diameter-------------------- Depth below inlet....L_._.___... Total �ching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) U�, '�6`71.,;l}-al B vPercolation Test Results Performed by...;II&W4, �1.... ____. Date...... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit________----_-___--_Depth to ground water........................ Fej ........................'-3.........................................................r.... _ _ _ _ ODescription of Soil....... _- -� =--..... ------ ---Z l -- ------------------- -------------•----.---...---•--- V --•---.-----•---------•-••------------------ -------•------------------------------------------ ...--•--------------- - ------------- X�f ----•---------- --------------------••-•----------•-•---------•---- 2.,1 -,r-� — -a� U Nature of Repairs or Alterations—Answer when applicable________________________________________________............. ................................... ----------------------------------•-------------------•---•---•--------•----•......................---------•-----------------------------...---------•- .............................................. . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI.e. 5 of the State Sanitary Code— The undersigned further agrees not tQ place the system in operation until a Certificate of Compliance has been issued by the board of he igne Z •- 1' ............................ Date Application Approved BY---------- --- - .. . .. _ �--.:.................. -7--. --...... Date Application Disapproved for the following reasons:------•----- --••••-------------•--•---...---•----•••-•-----•-•-------••----•-•-----•---- -----•--........._ J q Date Permit No......................................................... Issued-......f (-`.-IG. •-- ------ Date r 1 1 0-1q ) ` . 4No.._... ..... Fxs............._............. • THE COMMONWEALTH OF MASSACHUSETTS BOARD • E HEALTH / OF V)..... ......./..:. l f Appliration for Disposal Works Tonstrnrtion Prrmit Application is hereby made for a Permit to Construct..(,.., ) or Repair ( ) an Individual Sewage Disposal Syst , „1 Location-Addr ss `� or Lot No. Z O 4ner ..J dress Ins alley -Aess Q Type of Building Size ..Sq. feet aDwelling—No. of Bedrooms........ .....................:.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building t dam' No. of persgns....... ................ Showers ( ) — Cafeteria ( ) dOther fixture =•••••••-••-•------------------�--.................................................................... W Design Flow.............. .....................gallons per person per days=, Total daily flow......... Ix Septic Tank—Liquid capacity- - gallons Length................ Width................ Diameter................ epth................ Disposal Trench—No. . ............. Width...../2........ Total Length.. _.A-"... Total leaching area40X-....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..- ......... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) - *Cy cb 0 d)4 F Percolation Test Results Performed by..... -w.. . Date.....'...................! . Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit................... Depth to ground water........................ at -•-----•--- ....--.�..a..............•--..•............................•....... O Description of Soil............. ....... ----• � =.= ............................................................ --------------------- ----------•-••-......... ••.... ------$••••--•---•-••...-••--•......•--•-•-•--•---•-.---•-- Nature of Repairs or Alterations—Answer U P r when applicable................................................................................................ -=--------•---- •-•-----•---- ------------- Agreement.: . The'undersigned agrees to install the afor•escribed Individual Sewage Disposal System in accordance with the provisions of iITI_.0 5.pf4the State Sanitary Code�—The undersigned further agrees-not to place the system in operation until a Certificate of Compliance llas been iss�ied by the boarddo i.1ealth. (,r igned— le....` -/ •:.... ................................ Application Approved By-•••--• t� i !1. 4e�^` ....�.............../- ...... Date Application Disapproved for the following reasons----------------•---------------•-----------------------•...•--•-----------------•--------------------.........._ --------------•--..•........------..........----------------......--.--•----•--••••----•......-----•---...--•--•---------•••-•---•-••-----•--•--•-----•---••-••---•-••-----•••••....---•••-•---•...._.... Date PermitNo..............................--......................... Issued....................................................... Date r' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL H 4..........OF.. ,!:.�� /I ....... .. .. .. !........ ................. WI.Ardif irFatr of ToutpliFanrr THIS IS TO CERTIFY T. t the IRl vidual Se e bisposal System constructed (� or Repaired ( ) �/ Inst ------------------------------------------------_-------_------_--- aller at-•-•--•---••----.--.- _��-------_ .. ..�.......7.45L_ .G _ . �� has been installed in accordance with the provisions of T �1-2.! �ofi ale State Sanitary Code Es c e 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............................•--.................................••......•....... Inspector_..,.-......................7........................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9 / No...........f........7. FEE........................ Disposal ors T strnr#io rrin Permission s hereby granted.••. �' � . A. to Construct ( or Repair ( )� an Individual Sewage Disposal System atNo.•--•--••••...... - -= -----------5Z 4-,ce-- •----------------�--� 3----7y�......_ as shown on the application for Disposal Works Construction Permit, o.------ _.f. ted........................................... •- Board of Health DATE................................................................................ FORM 1255 HOSES & WARREN, INC., PUBLISHERS o;, FINISH GRADE OVER D-BOX= 45.8�± - PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE T.O.F. EL.- 48.2 t FINISH GRADE OVER CHAMBERS= 45.6 47.1 GENERAL NOTES SLOPE 3/4" DOUBLE WASHED @ 2%MIN. OVER SYSTEM PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER F STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL RISER TO WITHIN 6" OF FINISHED GRADE 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. FINISH GRADE OUTLET TO WITHIN 6" OF F.G. MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2" OF 1/8"TO 1/2" DOUBLE WASHED @ FND. EL.= 46.2 f F.G. OVER TANK EL. = 46.4 5" DIA. OUTLET(s) STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE I DESIGN ENGINEER. I TOP OF SAS= 42.60� PLACE RISERS ON ALL 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROPOSED 4" 9"MIN. CHAMBERS WITH 4" PVC TEE 36"MAX. , 4.5'MAX i►v�cT rirEs €v o' vF SYSTEM UNLESS OTHERWISE NOTED. SCH. 40 PVC 41 .6� SEE NOTE 23 IN r �T� SEWER PIPE I BREAKOUT EL = 42,1 O FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6' 3 3" DROP MAX L-33'± ELEVATION =42.10' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 2" DROP MIN 3" 9 MIN.SLOPE@1% PROVIDE WATERTIGHT o 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF JOINTS(TYP.) �w� o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 13" 4 PVC IN FROM _ 14" SEPTIC TANK 4" PVC OUT TO 0 0 o o O 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR TO PROVIDE O LEACHING FACILITY o ��'-�-?? rr----�� o SPECIFIED DROP BETWEEN 12" „ oo C� 0 0 0 L-1 0 L-J 0 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL OUTLET TEE 42.17' M N. L�2 00' oo °0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48' VERIFY CONDITION OF \ 2 00 0 0 0 0 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS AND CONDITION OF EXISTING TEES �GAS BAFFLE 6" CRUSHED STONE 00 o00 0o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY oo 0 00 0 0 0 0 o AND DESIGN ENGINEER. TANK NECESSARY COMPACTED BASE 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK 1 ELEVATION OF 44.43' f __ 8 5' (TYP} - ( 4.0 4.0' 4.0' ESTABLISHED ON MAG NAIL. BENCHMARK 2 ELEVir T fGN - 46.uu ES ASUSHED ViV A 3 OUTLET DISTRIBUTION BOX 4.83 STAKE AND TACK. BOTH BENCHMARKS ARE SHOWN ON PLAN. TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) BASE. FIRST TWO FEET OF OUTLET < 34.60' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 39.60' GROUNDWATER ELEV.= 12.83' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PIPES TO BE LAID LEVEL. *33�t EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON H-20 CHA 5' MIN.J GHAIV! �Fk I-NO VIHN 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES CROSS SECTION VIEW TO THE DESIGN ENGINEER. TYPICAL CHAMBER PROFIL(. _ 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. PER TOWN OF BARNSTABLE 1992 _ t s i . (1*711 ) I -) ( 1 )IN bVn UC 1 �I L NOT TO SCALE GROUNDWATER COUNTOURS MAP 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOT TO SCALE NOT TO SCALE REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOTES:, APPROPRIATE AUTHORITY. 14941 y PERC NO. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF ' - l INSPECTOR: David W. Stanton, R.S. UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR _.EACH SEPTIC SYSTEM COMPONENT. TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR. Michael Pimentel, EIT, CSE ' `+ r �$ . �r, Oct. 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. s _: _� . 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF MAP 234 � �,;r,:,.'` t:� - �� �, � C.S.E. APPROVAL DATE: THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST �� '�""` ' >rt i - ,+r ' � ' + DATE: January 28, 2016 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL PARCEL 15 .3 -.rA-.'" N/F OSHEA 1r + Y �� MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. i f. > :. fi TEST PIT#: 1 I BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. } � � ,� REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, (#55 CHICKADEE LANE) ,�,•. �} t.; = 'g ELEV TOP= 45.60' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). I 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2,ANDAl THE GROUNDWATER PROTECTION OVERLAY DISTRICT. \ o / _ � `_ t' = ELEV WATER- < 34.60' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN o ; 1 . r SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. \\ / `� f PERC RATE = 2 min./inch .* PROPOSED 4" PVC VENT PIPE; D� - APPROXIMATE LOCATION OF WATER �, < +.` ZONE ` 16. PROPOSED PROJECT IS LOCATED WITHIN: µ' S; DEPTH OF PERC = EXACT LOCATION PER OWNERZ ASSESSOR S MAP 234 LOT 14 2 SERVICE TO HOUSE#55 PER WATER " iw- ,_.rt --- _ . -, r a A8 PROPOSED 2 -500 GALLON r j DEPARTMENT TIE CARD ,°/+; , a��- - - ! a�i �4 4 TEXTURAL CLASS: 1 OWNER OF RECORD: DANIEL E. MCDONALD H-20 LEACHING CHAMBERS -n � ,.n (DATED 10-2.3-79) I WITH AGGREGATE Ni *I1`a , LOCUS End ` _ ' , ' ADDRESS: 384 SHACKLEFORD DRIVE a 1 S840 34'50"E r -� PROPOSED INSPECTION PORT , �-)"It o0 011 128.66' ; ti sabe t a , , t a' Loamy Sand WILMINGTON, NC 28411 ,. oam , 14" f3AK A6„ 10Yr3/1 45.10' Co 1z6, ,` • �' . , �. FEMA FLOOD ZONE X z � ' \ rr rw ' !�'>t ` > . a _ Fay COMMUNITY PANEL# 25001 C0562J ? x Loamy Sand / WET#3r,'OZ 1 1110-:9 U-DUX TU V" B 17. DEED REFERENCE: BOOK 26938, PAGE 285 r Z *'• ' �` ►` 18. PLAN REFERENCE: PLAN BOOK 172, PAGE 51 r TP 2 � e° ,w i �$ Z 14" OAK + �� .� $' �W % 4 ' 48" 41.60' �\ \ t rr . � 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. I a ` \ t h t�. + . j'4 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY ; w: \ �� t 2) � r�� . �,' , ': FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Nye~ )TP 1 ` • ha 0 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. Y WET 3 7 O P yr r Med.-Coarse Sand m 0 5 145x6' , �;' 2.5Y 6/6 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A -i " DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A a (4) 1 R ' `�' �. C (10-15% Gravel, 53± _ ' `` Cobbles, Loose) REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ..- 122. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1, SECTION 360-1 MAP 234 i (1) 0 4,4 I (1)A 29.5'VARIANCE (100.0 -70.5') FOR THE SETBACK FROM THE SAS TO THE WETLAND PARCEL 66-009 ( rREEtI"E / ' LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE N/F BAYSIDE BUILDING CO INC Benchmark 1 APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): Mag Nail SCALE: 1" = 1000' 132" (1.) A 1.50'WAIVER (3.00'-4.50') FOR THE MAXIMUM COVER OVER THE SAS. ` t I Benchmark 2 % _. ... . ;j Elev. =44.43' 34.60 24. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL A rox. M.S.L. No Mottling, Standing or Weeping Observed Stake and Tack � _ PP l g p g REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. Elev. =46.00' cNi WET#5' r: Approx. M.S.L. �;r Cl) t DESIGN DATA **Per perc test conducted on Nov. 8, 1978 PR. H-20 D-BOX and shown on plan available at Barnstable > . � Board of Health 50xO' EXISTING SPOT GRADE BIT. DRIVEWAY TEST PIT DATA 50 EXISTING CONTOUR f t r W NUMBER OF BEDROOMS (DESIGN) 3 MIN. PER TITLE 5 \ Z DESIGN FLOW 110 GAUDAY/BEDROOM 24" PINE \ DECK Q i PERC NO. 14941 PROPOSED CONTOUR b, 13 C;o^ \ , e - W TOTAL DESIGN FLOW 330 GAUDAYINSPECTOR: David W. Stanton, R.S. 50 PROPOSED SPOT GRADE W = EVALUATOR: Michael Pime tel EIT CSE 4 \ \ 1 3 Q DESIGN FLOW x 200 % 660 GAL/DAY CHlM. r� < _p USE EXISTING 1,000 GALLON SEPTIC TANK C.S.E. APPROVAL DATE: Oct. 1999 EXISTING GAS LINE Q i W W W i WET#6 \ C3 - I Y DATE: January 28, 2016 EXISTING OVERHEAD WIRES (2) 16" PINE �' HC-2 HC=1 \ `o U } ` n i vVU jz) LitUHUUfV1 UtcU KL6 i tiiL;i iulm i U be HLED \ ° .' T I I _ TEST PIT#: 2 APPROXIMATE LOCATION OF 0 U INSTALL 2 - 500 GALLON H- 20 CHAMBERS ELEV TOP= 45.60' EXISTING WATER LINE \ r WATER SERVICE PER WATER EXISTING 1,000 GALLON SEPTIC TANK DEPARTMENT TIE CARD W/ AGGREGATE ELEV WATER = < 34.60' (DATED 10-23-79) w #43 SIDEWALL CAPACITY PERC RATE _ TEST PIT LOCATION \ EXISTING / � Q (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY DEPTH OF PERC - ., 1 2-BEDROOM a (25.0' + 12.83) (2 ) ( 2' ) ( 0.74 GPD/S.F.) - 112.0 GAUDAY PROPOSED 4 SOLID SCHEDULE 40 PVC PIPE DWELLING \ �. ILL 0 TEXTURAL CLASS: 1 r \ TOF =48.2'± '' tu' BOTTOM CAPACITY MAP 234 PROPOSED DISTRIBUTION BOX PARCEL 14 w (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY PROPOSED 500 GALLON H-20 LEACHING CHAMBER 15,670 S.F. ± J (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY 011 Loamy Sand 45.60' ' ` \ A r 6„ 10Yr 3/1 45.10' 2 4-11-16 MCP JLC Noted existing dwelling as having 2 bedrooms instead of 3. � 4 \ TOTALS- 1 3-31-16 MCP JLC Moved silt fence farther from wetlands; added deed restriction 'VET#7 TOTAL NUMBER OF CHAMBERS 2 Loamy Sand REV. DATE BY APP'D. DESCRIPTION \ \ TOTAL LEACHING AREA 472.2 SQ.FT. B 10Yr 5/6 PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING CAPACITY 349.4 GAL./DAY 48" 41.60' PREPARED FOR: DANIEL E. MCDONALD t0 Med.-Coarse Sand LOCATED AT ` ` co 0 2.5Y 6/6 43 CHICKADEE LANE rn C (10-15% Gravel, BARNSTABLE, MA 02632 t \ I rm Cobbles, Loose) SWING-TIES 1, N84021'2011W � sZ SCALE: 1 INCH = 10 FT. DATE: MARCH 11, 2016 146.18' _ \ p w1�►a rs J 1a . 0 5 10 20 40 FEET HC1 HC2 �0 �,- DESCRIPTION i t ��►. / 0 tJ) JOH�1 L. ?' f '\C PREPARED BY: CHAMBER CORNER (1) 36.8' 54.2' MAP 234 _ RESERVED FOR BOARD OF HEALTH USE 132„ 3460' CHURCC/a LLJR.�.,l JC ENGINEERING, INC. CHAMBER CORNER 2 48.4' 63.2' PARCEL 17 No Mottling, Standing or Weeping Observed NO. 807 2854 CRANBERRY HIGHWAY O WET#9 N/F BEDNARK i g 9 g EAST WAREHAM, MA 02538 TF CHAMBER CORNER (3) 45.7 50.3 ,��,�, - - CHAMBER CORNER (4) 33.1' 38.5' SITE PLAN � 508.273.0377 SCALE: 1"= 10' Drawn By: SJI Designed By:MCP Checked By: JLC JOB No. 3386 T.O.F. EL.= 48.2t FINISH GRADE OVER D-BOX = 45.8'i FINISH GRADE OVER CHAMBERS= 45.6 - 47.1 PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER F STONE TO CROWN SLOPE @ 2% MIN. OVER SYSTEM 3/4 OUBLF PIPE HED 1• UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET RISER TO WITHIN 6" OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE OUTLET TO WITHIN 6" OF F.G. 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 46.2' F.G_ OVER TANK EL. = 46.4'± 5" DIA. OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) \ N OF G TO XTI DOUBLE WASHED STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 1 DESIGN ENGINEER. TOP OF SAS= 42.60� PLACE RISERS ON ALL 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROPOSED 4" 9"MIN. CHAMBERS WITH SCH. 40 PVC 4" PVC TEE 36"MAX. , 4.5 MAX INVLET PIPES T u o' vF SYSTEM UNLESS OTHERWISE NOTED, 41 .6Q SEE NOTE 23 BREAKOUT EL= 42.10� �' SEWER PIPE ( FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3" DROP MAX L-33't i ELEVATION =42.10' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 2" DROP MIN 3' 9" MIN.SLOPE Cd1q PROVIDE WATERTIGHT o 0 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 13" 4" PVC IN FROM JOINTS (TYP.) ��P THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 14" SEPTIC TANK 4" PVC OUT TO 0 0 0 0 0 0 0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR TO PROVIDE LEACHING FACILITY po a o � p SPECIFIED DROP BETWEEN „ `- o0 0 0 = 0 0 0 0 0 0 C� 6, THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL \ OUTLET TEE 42.17� IN. 6 42,QQ' 00 °° 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48' VERIFY CONDITION OF \ 2 0 0 00 0c�o 0 0 0� FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS AND CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE 00 oCD 00 ;; NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY oo 00 0 0 o AND DESIGN ENGINEER. TANK NECESSARY COMPACTED BASE 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK 1 ELEVATION OF 44.43' 4.0' 8.5' (TYP) - 4"0 4.0' 4.0'_ j ESTABLISHED ON MAG NAIL. BENCHMARK 2 ELEVATION OF 46.uu ESTABLISHED ON A 3 OUTLET DISTRIBUTION BOX 4.83 TO BE INSTALLED ON A LEVEL STABLE 25 0' (TYP.) STAKE AND TACK. BOTH BENCHMARKS ARE SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV= < 34.60' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 39.60 * , 12.83' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 33 t 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON H-20 CHAMBERS 5' MIN. F�) 1 �'�) ,�! TO THE DESIGN ENGINEER. CROSS SECTION VIEW � TYPICAL CHAMBER PROFILE � � � � "� !("A� � �� PER TOWN OF BARNSTABLE 1992 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. f , NOT TO SCALE NOT TO SCALE I �I I ��� o NOT TO SCALE I GROUNDWATER COUNTOURS MAP 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOTES: t _ a t ,i " "• i ' F 'I T DATA I F-Q T APPROPRIATE AUTHORITY. qq _ C' �. ' PERC NO. 14941 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF i � - • INSPECTOR: David W. Stanton, R.S. UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR EACH SEPTIC SYSTEM COMPONENT. `'� `6 - '- '~ TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Michael Pimentel, EIT, CSE ',• +± '� ` `'' : " . 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF ` �..!.i, t {A,.t".; 4I F _: � ' C.S.E. APPROVAL DATE: Oct. 1999 THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST MAP 234 ,.E t _ { PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL PARCEL 15 DATE: January 28, 2016 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE N/F OSHEA \ :t ;; = p t MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. \ '' t, L'iErJ' TEST PIT#: 1 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, (#55 CHICKADEE LANE) 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2, AND ELEV TOP= 45.60' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE NTH 310 CMR 15.255(3). THE GROUNDWATER PROTECTION OVERLAY DISTRICT. ` \ o , --. _ R N+ l�' , I L f �ra ELEV WATER - < 34.60' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. PERC RATE = 2 min./inch ** \ rWET 16. PROPOSED PROJECT IS LOCATED WITHIN: PROPOSED 4" PVC VENT PIPE e. t.- . pp��� } r t?_N E f r$i :y #2 \ EXACT LOCATION PER OWNER - APPROXIMATE LOCATION OF WATER , + - DEPTH OF PERC = ASSESSOR'S MAP 234 LOT 14 \ SERVICE TO HOUSE#55 PER WATER f 6 .�." - \ PROPOSED 2 - 500 GALLOP) ° `° �° �•". - ' "* ' _ F \/ Q DEPARTMENT TIE CARD •/••,I ", TEXTURAL CLASS: 1 OWNER OF RECORD: DANIEL E. MCDONALD H-20 LEACHING CHAMBERS X (DATED 10-23-79) +r 1��'�++ w840 ° WITH AGGREGATE • LOCUS 0 4 34'50"E / a PROPOSED INSPECTION PORT '�� �I ` +' ADDRESS: 384 SHACKLEFORD DRIVE o N 128.66' '� ;� �# , _ Loamy Sand NC 28411 r . . !r I1 WILMINGTON, o ' . : r z A 6" 45.10 FEMA FLOOD ZONE X Cn COMMUNITY PANEL# 25001CO562J rn ? � • . �.,, VIV� - �� Loamy Sand `� _' .. ;'� `� B 10Yr 5/6 17. DEED REFERENCE: BOOK 26938, PAGE 285 / WET#3 \ r 'W ��1 + °+ •� ,,-�- _... - !Z z / • = r -"5" 18. PLAN REFERENCE: PLAN BOOK 172, PAGE 51 (3) TP 2 14' OAK ! e O t------ -" i �`' ." 48" 41.60' 25.0 45x6' °" �' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. i EX1�ttnf�:, �s�st;t1 r,�= � ri^or �,[-�:=7'if , C,hIM° � \ � -~., ,�..,�..-... � � �:- , � ,. 1, ` �. � 3n a ` 1 + F« 411 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY CV ry 1 O CV a a 2) 4 `� , t 1� �„ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY \ I� TP 1 M Y ��; ' j, ' •. ,�ta c� � c es FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. m WET N; 70.5' O P VO Med.-Coarse Sand 45x6 +. ."rt 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A JF �, 2.5Y 6/6 `�+ C DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A a 53,t (4) / . ��,,�'_ "'�''• •� �. � __ ,� (10-15% Gravel, * + ;� ' ��`� REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. Cobbles, Loose) ' 22. THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1, SECTION 360-1 . MAP 234 i ;� (1) 10 4.4' (1)A 29.5'VARIANCE (100.0'-70.5') FOR THE SETBACK FROM THE SAS TO THE WETLAND PARCEL 66-009 ( rREF'' " r,. �' LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 15.401 - 15.405,THE FOLLOWING LOCAL UPGRADE f , ' N/F BAYSIDE BUILDING CO INC - �' i Benchmark 1 APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): Mag Nail SCALE: 1" = 1000' (1.) A 1.50'WAIVER (3.00'-4.50') FOR THE MAXIMUM COVER OVER THE SAS. 34.60 Benchmark 2 % 1 _ _.___ Elev. =44.43' 132 24. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL o ± Stake and Tack Approx. M.S.L. -_M No Mottling, Standing or Weeping Observed REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. Elev. =46.00' r , M t **Per erc test conducted on Nov. 8 1978 i WET#5� Approx. M.S.L. � I� -} , DESIGN DATA P f I PR. H-20 "D-BOX" and shown on plan available at Barnstable Board of Health { 50xO' EXISTING SPOT GRADE BIT DRIVEWAY r ( a _ t T Lu NUMBER OF BEDROOMS (DESIGN) 3 MIN. PER TITLE 5 * TEST PIT DATA 50 EXISTING CONTOUR to h � 24" PIN \ z DESIGN FLOW 110 GAUDAY/BEDROOM r v0 PROPOSED CONTOUR DECK Q t-- PERC NO. 14941 ,0 o r , �� --j TOTAL DESIGN FLOW 330 GAL/DAY INSPECTOR: David W. Stanton, R.S. r 42 \' I \ Uj Q DESIGN FLOW x 200 % = 660 GAL/DAY 50 PROPOSED SPOT GRADE 2 EVALUATOR: Michael Pimentel, EIT, CSE \ CHIM. EXISTING GAS LINE r 77 m- �--' , 7 W W W xa o Q o USE EXISTING 1,000 GALLON SEPTIC TANK C.S.E. APPROVAL DATE: Oct. 1999 WET#6 \ HC-2 HC-1 �* oo U o\ \ (2) 16" PINE it \ - DATE: January 28; 2016 EXISTING OVERHEAD WIRES I 'A 1 VVU(2) bEDKUlAvi UttU ki-b i Mil:i i0N TO BE FILED APPROXIMATE LOCATION OF a U v TEST PIT#: 2 \ , INSTALL 2 - 500 GALLON H- 20 CHAMBERS ELEV TOP= 45.60' EXISTING WATER LINE �., WATER SERVICE PER WATER _ ! DEPARTMENT TIE CARD W/ AGGREGATE ELEV WATER - < 34.60' EXISTING 1,000 GALLON SEPTIC TANK - (DATED 10-23-79) w +� #43 w SIDEWALL CAPACITY PERC RATE = TEST PIT LOCATION t EXISTING / \ > (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY DEPTH OF PERC= \ \ 2-BEDROOM ` �� a- (25.0'+ 12.83') (2 ) ( 2' ) ( 0.74 GPD/S.F.) = 112.0 GAL/DAY PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE t �� DWELLING ', / �p TEXTURAL CLASS: 1 \ \ w PROPOSED DISTRIBUTION BOX MAP 234 \ TOF =48.2'± %s Ip BOTTOM CAPACITY PARCEL 14 j �� ; w (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY PROPOSED 500 GALLON H-20 LEACHING CHAMBER t ` (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY 0 45.60' 15,670 S.F. ± � � ,\ �.-- \ J I A Loamy Sand t ` 6„ 10Yr 3/1 45.10' 2 4-11-16 MCP JLC Noted existing dwelling as having 2 bedrooms instead of 3. TOTALS: 1 3-31-16 MCP JLC Moved silt fence farther from wetlands-, added deed restriction \ REV. DATE BY APP'D. DESCRIPTION +`VET#7 ` �� \ TOTAL NUMBER OF CHAMBERS 2 B Loamy Sand r TOTAL LEACHING AREA 472.2 SQ.FT. 10Yr 5/6 PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING CAPACITY 349.4 GAL./DAY � �L• � \131 � 48" 41.60' PREPARED FOR: IS DANIEL E. MCDONALD fi� \ LOCATED AT t0 Med.-Coarse Sand p I� \ „ 0 2.5Y 6/6 43 CHICKADEE LANE C (10-15% Gravel, BARNSTABLE MA 02632 < \ ! �rn Cobbles, Loose) ' SWING-TIES N84°21'20,.W rz SCALE: 1 INCH = 10 FT. DATE: MARCH 11, 2016 r T 146.18 1 �, ��-f-�`a 0 5 10 20 40 FEET f ® +� J0HJ�• L. \ PREPARED BY: DESCRIPTION HC1 HC2ram ; MEW CHAMBER CORNER (1) 36.8' 54.2' �� MAP 234 _ / ! lM RESERVED FOR BOARD OF HEALTH USE 132" 60, CFtuRif+Lt JR. ,;�� JC ENGINEERING, INC. CHAMBER CORNER 2 48.4' 63.2' PARCEL 17 No Mottling, Standing or Weeping Observed NO.I 807 2854 CRANBERRY HIGHWAY ( ) tWET#9 r 9 9 P 9 ` N/F BEDNARK EAST WAREHAM MA 02538 CHAMBER CORNER (3) 45.7' 50.3' CHAMBER CORNER (4) 33.V 38.5' SITE PLAN ` 508.273.0377 SCALE: 1" = 10' Drawn By. 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