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0075 INDIAN TRAIL - Health
75 INDIAN TRAIL A= 336 — 002 Barnstable i 1 I i I Y wIsig 23 2016 20:43 Jim The Inspector Man 5085349919 ti page 1 ®® commonwealth ofaMassachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form Not for Voluntary Assessments` h 75 Indian Trail Property Address f a • t+ Peggy Rowland Owner " Owner's Name . ,,, information is Ct rtmMute- ��n9 Elt� I °.MA . 02637`: 8-19-16 required for every page. Cityffown State Zip Code:-.' Date of Inspection Inspection results must be submitted on tF,is form. Inspection forms maynot'be altered in any way. Please see completeness checklist at the end of the form.".... Important:When filling out forms A. General Information I 'Oo20 s' �1�111111111tr/�I on the computer, 1 OFM use only the tab I. IInspector: :+ \\�p���1�, q key to move your cursor-do not James D.SearS = Q• JA'ME$ u' use the return T^g Name of Inspector — key. Cap ewide Enterprises, LLC � Company Name . ��• .�'3�F��-��`.� 153 Commercial Street Company Address f►ttttlittl�►��`� Mashpee 'r k r` MAy 02649 CityfTown _ 1' State Zip Code 508-477-8877 , 1 S1623 Telephone Number, License Number B. Certification j 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 thetime 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 16.000). The system:_ f ® Passes - ❑ Conditionally.Passes . El Fails ❑ Needs Further,Evaluation by the Local Approving Authority . i I 8-19-16 ,f ;speccltoors�iignature' Data , 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 10i000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DER 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 afthe time of.lnspe p ' -****Thisction and under the cond: itions 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 k 15ins.doc rev.6116 Title 6 Official Inspedion Form Subaurface Sewage Disposal System•Page 1 of 17 , F U =' Aug 23 2016 20:43 Jim The Inspector Man 5085349919 page 2 { � Commonwealth of Massachusetts I. , a Title SOfficial Inspection �orrr I Subsurface'Sewage Disposal System.Form -Not for Voluntary.Assessments 75 Indian Trail ! Property Address Peggy Rowland - Owner Owner's Name information is Cummiguid required for every . NIA . 02637 8-19-16 x` page. Cityfrown Zip Code' Date of Inspection B. Certification"(cant;). Inspection Summary: Check•A,B,C,D or E./always complete all of Section.D A) System Passes:. ® °l 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: . a. The.system is.a.1000 Gal Tank D Boxy and'24 chambers. 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 willpass. 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 onexfiltration: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: L , *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 avai.labble. I _ Y. 0 N'. ❑ ND(Explain below):. I .15ins.doc•rev.6i16 - _ i Title 5 Official Inspedicn Form'subsurface Sewage Disposal System•Page 2 of 17 Aug 23 2016 20:43 Jim The Inspector.-Man 5085349919 page' 3 Commonwealth of.Massachusetts Title 5 Official, Inspection I~orrm -x Subsurface Sewage Disposal System Form -Not for Voluntary,Assessments /Y 75 Indian Trail . Property Address Peggy Rowland Owner Owners Name-, information is required for every Cummiguid MA- '02637 _ 8-19-16 page. City/Town` State Zip Code Date of Inspection B. Certification (cont.) .* ❑ .Pump C ham ber'pumps/alarms not operational. System will pass'with Board of Health'approval if pumps/alarms are repaired: B) System Conditionally Passes (cont;}; ' ❑ Observation of sewage backup or break out or high static water•level in the distribution box due A to broken or obstructed pipe(s) or duelto a broken; settled or uneven distribution box..System will pass inspection if(with,approval of Board of Health): ; broken,pipe(s)are replaced i �❑ Y> ❑ N ❑ ND (Explain below): 1 § ❑. obstruction is removed ! ❑ Y ❑ N ❑ NU(Expla n below): ❑;, distribution box is leveled or replaced ❑ .Y ❑;N El ND (Explain below)' j ❑ The system required pumping,more than 4 times,a year due to broken or obstructed pipe(s). The i, 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 I ❑ Y ❑ N-, ❑ ND (Explain below): y i C). Further Evaluation is Required by the Board of Health: ❑ -Conditions exist which require further eivaluation by the Board of Health in order to determine if the.system,is failing to protect public health, safety.br the environment. ` 4 1.• System will pass unless Board.of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is riot functioning in a manner which will protect public health, safety and the environment: Cesspool or privy is!vmhin 50 feet of a surface water ❑ Cesspool or privy is within 50 Lt.&a bordering vegetated wetland or a salt marsh 15ins.eoc•rev 6/16 Title 5 Official Inspection Form:Subsurface sewage Disposal System. Page 3 of.17 i { Aug 23 2016 20:43 Jim The Inspector Man 5085349919 page 4 - Commonwealth of Massachusetts _Title 5 Officia' nspectioi fForm Subsurface Sewage Disposal System•Forrn Not for,Votuntary Assessments 75 Indian Trail Property Address I - Peggy Rowland r Owner Owners Name f information is , required for every Cummiguid MA -02637 - 8-19-16 page. City/Town 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 funcitioning 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 =d,the to a surface.water supply.' � The system has a septic tank and SAS is within a Zone 1 of a public water -supply. a ❑ The system has a septic`tank•arid SAS and the$AS s_within 50 feet of a private water' supply well. ❑ The system has as eptic 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 ot er failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: a - D) , System Failure Criteria'Applicable to All Systems: , . J 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 w clogged SAS or cesspool Discharge or ponding of effluent to the`surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool E ® Liquid depth in is less than 6" below invert or available voiumels less than '/z day flow /4-£Aeill va t ; t5lns.doc•rev.61116 I Title 5 official Inspection Form:Subsurface Sewaga.Disposal System,Page 4 of 17 Aug 23 2016 20:43 Jim The.. Inspector Man 5085349919 page 5 : Commonwealth of Massachusetts Title 5 official Inspection. Form Subsurface Sewage Disposal System'Form=No!for Voluntary Assessments 75 Indian Trail Properly Address Peggy Rowland Owner Owner's Name information is required for every Cummiquld MA :02637 8-19-16 page. Citylrown I State Zip Code Date of Inspection B. Certification°(cont) Yes No , # F� Required pumping more than 4 times in the last.year NOT due to slogged or. obsfrucled pipe(s). Number of times pumped: •' y ,❑ ® 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 Y 0 Any portion of a cesspool or privy.is within 50 feet of a private water supply well.. . i ` ❑ ® 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 feca'I coliform bacteria indicates absent and the presence and nitrate°nitrogen is of ammonia nitrogen equal to or less than 5 ppm, provided that no other fallure criteria are triggered:A copy of the analysis I and chain of custody must beattached to this form.] , The system is'a cesspool serving'a facility with a design flow of 2000gpd- ❑ ® 10,000gpd.`, -❑ ® The system fails. I fj ave determined that one or more of the above failure -criteria exist as described in 310£MR 15.303,,therefore'the system fails. The, ' i° -system owner should contact the Board_ of Health'to determine.what will'be necessary to correct the failure. Ef Large Systems To be considered a tart e s stem the system must serve'a facility-with a i` design flow of 10,000 gpd to..16,000 gpd!. r For large systems you must indicate either"yes.or no to each of,the following, In.addition to the questions in SectionD. L Yes - No _ r „.the system•is within 400 feet of a surface drinking water supply 4 ❑ ❑ ,the system'is_within 200 feet of a tributar�y,.to a:surface drinking water supply x the system is located in a nitrogen sensitive area`(Interim Wellhead Protection Area.-IWPA)or a mapped Zone II of a public water supply well, If you have answered"yes"to any question in Section E the system is considered a significant threat," P. or answered "yes" in SectionD above the;large system-has failed. The owner or operator of any.large i, system considered a significant threat under Section E or failed under Section D shall upgrade the r system in accordance with 310 CMR 15.304. The system owner should contact the appropriate' regional office of the Department. 15ins.doc•rev-6A6 i ., Title 5 Baal Inspection Form Subsurface Sewage Disposal System-Page 6 cf 17 r' Aug 23 2016 20;43 Jim The Inspector Man 5085349919' ` page 6 ' Commonwealth of Massachusetts { ; Title 5 Official e'nspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Indian Trail Property Address. Peggy Rowland i Owner Owners Name s, information is i ° required for every Cummlquid MA 02637 8.-19-16 page. City[Town j State Zip Code Date of Inspection C. Checklist 1: Check if the following have been done. You must indicate"yes"or"no" as to each of the following: 'Yes. No ❑ Pumping information lwas provided by the owner, occupant, or Board of Health E] ® ' Were any of fhe system components pumped out in•the previous two weeks?, 0 Has th® e system.received normal flows in the previous two week period?.. Have large volumes of wafer be en introduced -to the system,re cently centl or as o this inspection? , art f P, 0 '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? Q Was the site inspected forsigns of break out? Were all system components, excluding the SAS, located on site? ® ., El Were the septic tank rj anholes uncovered, opened, and.the interior of the tank j. inspected for the condition-of the baffles or tees,material of construction, dimensions, depth of I quid, depth of.sludge and depth of scum? . . j: Was the facility owner(and occupants if different,from owner) provided-with Q ® information on the'prolper maintenance of subsurface sewage disposal systems?. r� The size and location of the Soil Absorption-System (SAS) on the site has been determined based on <, ®' El Existing information. For.example,-a plan at the JBoard'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 i. Number'of bedrooms°(actual)' 3 DESIGN flow based on 310'CMR 15.203 (for example-.110 gpd x#of bedrooms): 330 15ins.doe•rev_6116 Title 5 Official InspeaionForm;subsurface Sewage Disposal System•Page 6 of 17: Aug 23 2016 20:43 Jim The. Inspector Man 5085349919 ' page 7 Commonwealth of Massachusetts Title 5 Official Inspection -Form . ,,. , s Subsurface Sewage Disposal system Form -Not for Voluntary Assessments ` 75 Indian Trail Property Address - Peggy Nowland i-w Owner Owners Name information is _ required for every Cummiguid , MA • 02637 page. City/Town State Zip Code- Date of Inspection D. System Information . 6 Description: Th system is a 1000 Gal..Tank D Box and 24 charnbeirs.•, F ` Number of current residents:, 0 Does residence have a garbage grinder? ❑ -Yes ® 'No Is laundry on'a separate sewage.system.1 (Include'li undry system inspection information in this report.) El Yes,®_ No Laundry system inspected? ❑ Yes No Seasonal use? '. r _ [],,Yes Ej No' Water meter readings, if available.(last 2 years usage (gpd)): 2014-35,000GaIs 2015-20,000Gal's Detail: Sump pump? . - , I ❑ Yes ® No Last.date of occupancy: NA f Date Commercialllndustrial Flow Conditions: ' Type of Establishment: Design flow(based on 310 CMR 15,203): . x Gallons per day(gpd) _ Basis of design flow(seats/persons/sq.ft., etc ) - Grease trap present? 0 Yes; 0 .No. Industrial waste holding tank present? El- Yesq 0 No f Non-sanitary waste discharged to the Title 5 system? 0 Yes ❑ No Water meter readings, if available: I I - t5ins.doc-rev.6!16 - Title 5 Official Inspection Fortn:Subsurface Sewage Disposal System`Page 7 of 17 Aug; 23 2016 20:44 Arn The Inspector Man 5085349919 1 _ page 8- . . Commonwealth of Massachusetts Title 5 Official Inspection Fr Subsurface Sewage Disposal System IF rrin -Not for-Voluntary Assessments 75 Indian Trail Property Address " Owner Peggy Rowland Owner's Name information is required for every Cummiguid MA 02637 page. City/Town 8-19=16 _o . •State Zip code Date of Inspection D. System Information (cont) Last date of occupancy/use:. "• I. Date" - Other(describe below) General'Information. Pumping Records: Source of information: 10/2/12 Was system pumped as part of the Inspection?. ❑. Yes No I If yes, volume pumped: gallons How was quantity pumped determined? - Reason for pumping: w _ � Type of System: I • Septic tank, distribution box, soil absorption system El Single cesspool El Overflow"cesspool ❑ z Privy_ 0 Shared system-(yes or no).(if yes; attach previous inspection records, if-any) Innovative/Alternative technology,Attach acopy of the current operation and maintenance contract(to be obtained from system owner) and a copy of atest inspection of the I/A.syste.l by system operator under contract- , ❑" Tight tank. Attach a-copy of the DEP.approval. . " Other(describe): 15irls:doc-rev.6116, Title 5 Official Inspection Form:Subsurface Sewage Disposal System Pape 8 of 17. ' .�, •- Aug 23 2016 20:44 Jim The Inspector Man 5085349919 i page 9 . Commonwealth of Massachusetts 1-71 Title 5 official. Insw%ection or Subsurface Sewage Disposal$ystem.form Not for Voluntary.Assessments. r 75 Indian Trail - _. Property Address Peggy Rowland Owner I — — information is Owner's Name required for every Cummi. uid I. . MA' 02637 8-1:9r 16 page. CitylTown State Zip Code 63teofInspecti06 D. System Information (cont.) j Approximate age of all components date installed (if known)and source of information: 2012 Permit#.2012-29.5 ' ¢ Were sewage odors detected,when arriving.at the site?' ❑ Yes No Building-Sewer(locate on site plan): ; Depth below. grade: 4 • feet' Material of construction: ❑ cast iron ®40 PVC i ❑ other(explain):. I Distance from private water supply well o�r,suction line + feet Comments(on condition of joints;venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. f > Septic Tank(locate on site,plan): a Depth below grade: I t 3 feet Material of construction.- concrete ❑ metal [) fiberglass � 9 polyethylene ❑ other(explain) L" i If tank is metal, list age; i j Years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No= Dimensions: ''' 1000 Gal: Precast H=10 Sludge depth: r 21, Isins.doc-rea.6r16 Title 5 DrTpal Inspection Form:Subsurface Sewage Disposal System Page 9of 17 r t Aug 23 2016 20:44 Jim .The Inspector Man 5085349919. page 10 Commonwealth of Massachusetts z = Title 5 Offi cial Inspection Form Subsurface Sewage Disposal System:Folem -'Not for Voluntary Assessments - "t 75 Indian Tr ail Property Address " Peggy Rowland j Owner Owners Name information is required for every Cummi uid +; 1 MA f 02637" 8-99-1E; page. City/Town State ZipCode Date of Inspection'' D. System Information (cont.) - Septic Tank (cont.) Distance from top of sludge to bottom ofoutlet tee or baffle 28 Scum thickness Distance from top of scum'to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle • .. r . How were dimensions determined?` Asbuilt s i 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.): r Tank at working level. Tank-at 3'below grade w/outlet c6er,at 7 Note: Inlet cover under porch.P Outlet tee. No sign of leakage or over loading- ' Grease Trap(locate cln'site.plan)- Depth below grade: _ - " feet A Material of construction: j � c ❑ concrete ❑ metal • . �] fiber lass g polyethylene ❑ other(explain): Dimensions: �. I ,Scum.th.ickness Distance from top of scum to top of outlet tee'or baffle Distance from bottom'of scum to bottom of�outlet tee or bafflef r Date,of last pumping: i e Date t5ins.doc MVv 6/16 Title 5 OfficialInspection Form:Subsurface Sewage Disposal System Page 10 of 17 ' ` I - _ ro Aug 23 2016 20:44 Jim The .Inspector Man 5085349919 -page 11'. e Commonwealth of Massachusetts Title 5 Officiaol Inspection dorm Subsurface Sewage Disposal-System Form = Not for Voluntary Assessments 75 Indian Trail x Property Address 4 Peggy Rowland Owner Owners Name information is required for every Cummiqui.d MA 02637 5-19-16 page, CityrTown ._ State Zip Code Date of-lnspection D. System Information (cont) - Comments (on pumping recommendatlon�s 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)-- b- xe Depth below grade; ' Material of'con'struction: ❑concrete ❑ metal � ❑ fiberglass g ❑ polyethylene ,❑other(explain): =. Dimensions: ?' Capacity. P y. t, gallons 'e Design Flow: I 'gallons per day Alarm present:. ❑ Yes ❑ No = " Alarm level Alarm in working order: b` ❑: Yes ❑ No Date,of last urn i ' ng' p p ° � ° Date � •� Comments (condition of alarm and float switches, etc.): n Attach copy of current pumping contract(required). Is copy attached?W ❑ Yes ❑nNo,:' t5ins.doc•rev.6116 - _ 'Title 5 official Inspection Form:Subsurface Sewage DispoaaLSyslem-Page 11 of 17 Aug 23 2016 20:44 Jim The* Inspector Man '5085349919 - page 12 Commonwealth of Massachusetts w Title 5 Official nspect,ion Fort�t Subsurface Sewage Disposal System Form -Not for-Voluntary Assessments 75 Indian Trail Property Address -- ' Peggy,Rowland Owner Owners Name information is i required for every _Cummiguid MA 02637 8-19-16 page. City/Town' 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 Comments (note if box)s level and distribution to outlets equal"any evidence ofsolids,carryover, any evidence of leakage into or out of box, etc;): D Box is H-20. Box is 58 below grade w/cover at 10"..Box is clean and solid w/three'line. No sign } of over loading or solid carryover. Pump Chamber(locate on site plan): Pumps in working order. ,• Yes ❑ No' ❑µ Alarms in working order: ❑ Yes 0'.No • Comments(note condition ofpump chamber, condition of pumps and appurtenances;etc.): l li i "If pumps or alarms are not in working order, system.is a conditional pass. _ Soil Absorption System (SAS) (locate or'site plan, excavation not required); i If SAS:not located; explain why: i • t5ins.doc-rev.6116 Title 5 Offic al Inspection Form:SuDsudeoa Sewage Disposal System-,Page 12 01 17 I Aug 23 2016 20:44 Jim The Inspector Man 5085349919 page 13 . Commonwealth of Massachusetts Title 5 Official Inspection F®rrnl Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 75 Indian Trail - i Property Address r Peggy.Rowland Owner Owner's Name information is required for every Cummiquid MA ' 02637 ._ -8-19-16 page. City/Town ", Slate't Zip Code " . Date of Inspection D. System Information (cont.) Type: t I: t leaching pits number: ® leaching chambers - • s y number:. 24 { ❑ . leachingigalleiies ».number: 0 leaching trenches number, length ❑ leaching fields_ number,dimensions: overflow cesspool number. r • .. ❑ innovative/alternative system- Type/name of technolo 9Y: Comments (note condition of soil, signs of hydraulic failure, level of ponding,-damp soil- condition'of vegetation, etc.): Leaching is 24 ARC 36 HC. Biodiffusers (3) Rows of 8. Ck D Box and camera out to Chamber's. Chamber's are clean. No sign'of over loading or solid carry over."No sign of holding water 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 , t9ins.doc•rev.6,16 Title S Official Irs pectior Forth:Subsurface Se,"ge Disposal system-Page'13 of:17 - Aug 23 2016 20:45 Jim The Inspector:"Man 5085349919 page 14 Commonwealth of Massachusetts W Title 5 OfficiatIn'spection i=ori A Subsurface SewageZisposal System Form Not for Voluntary Assessments ,• 75 Indian Trail Property Address Peggy Rowland..,, Owner Owner's Name - information is required for every Cummiguid MA 02637. ' : .8-19-16' page. City/Town. State._ Zip Code Date of Inspection D. System. Information (Cont.) Comments(note condition of.soil, signs of hydraulic failure,level,of pondi`ng, condition of vegetation, r etc.): ' f. v • - Privy.(locate on site plan); Materials of construction:; Dimensions Depth of solids Comments (note condition of soil,:.slgns'of hydraulic failure,°level of poncJing,.condition of vegetation, etc.): . r . l5ins.doc• ev,.0116 Title 5 Official.inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 s i Aug 23 2016 20:45 Jim The Inspector Man 5085349919 page 15 ,� Commonwealth of Massachusetts ;6 d9 Title 5 Official Inspec ion Form Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments 75 Indian Trail t .. Property Address., Peggy Rowland a Owner Owners Name information is required for every Cummiguid MA 02637 8-19-16 page. Clty(Town State Zip Code Date of.lnspection D. System Information (cont.) M . 1 Sketch Of Sewage Disposal System- Provide a view of the sewage disposal system, including-ties to at least two pemmanent 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 inttie area below ❑ drawing attached separately'. ti . M s Al .+ F. ., l5ins.doc•rev.6116 _ - - Tille 5 Official'Inspeclion Form:Subsurface Sewage Disposal Syslem•Page i5,of 17 Aug 23 2016 20:45 Jim .The Inspector `Man 50853499i 9 page .16 Y. AsBuilt Page 1 of 1 TOWN OF BARNSTABLE - LOCATION _ 'T 'SEWAGE'# 'Zo l Z Z^7J 4 VIILAGEG�,t�,mr 4via1 ASSESSOR'S MAP&PARCEI/jt/V'�3(,'— , INSTALLER'S NAME$PHONE No. le, w o E;n . `. SEPTIC TANK CAPACITY , LEACHING FACILITY,{tJtpe) R'F(AIRGXHr- id o I ��� (size) , - NO.OF BEDROOMS OWNER 1 PERMIT DATE. q-1ei—ow r 1 COMPLIANCE 6ATE. — Separati0n Distance Between the Maximum Adjusted Oro1n4wetcr Table to the Bottom of Leaching Facility ' ,< Feet Private Water Supply Well and Leas ' Facility f wells exist on 11'°g ty p,arty site or within 200 feet of leaching facility), . Edge of Welland and LeachingFacility 4` . Feet ty(If any wetlands exist within -300.feet of leaching facility) _ '� FURNISHED By . Peet p 4 a . X .. �GG`o� A-3�33"- +t W. http://issgl2/intranet/propdata/prebuilt.aspx?mappaf=336002&se —1 y a— 80 5/2016+ Aug 23 2016 20:415 Jim The Inspector Man 5085349919 page' 1.7 10 Commonwealth of Massachusetts 'Ed Title 5 Official, . I Inspection", Foren Subsurface Sewage Disposal System Form-Not for Voluntary Assessments, A 75 Indian Trail Property Address - „ Peggy Rowland ' Owner Owner's Name i information is w required for every Curnmi uid MA 02637 8-19-16 - page. City/Town State: Zip Code Date of Inspe•ction . D. System Information ,(Cont.), Site Exam; ❑ •Check Slope a ❑ Surface water z m 0 Check cellar 0..Shallow wells Estimated.depth'to high.grourid water: 1V+ r feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record t if checked, date of tlesi n lan reviewed 2-22-12 ` 9 p - - Date ❑.'- Observed site abutti � ' `-, n( ; g property/observation hole vkhin 150 feet of SAS) Checked with local Board of Health explain ; 0. ' Checked with local excavators, installers=`(attach documentation) 171 Accessed USGS database-explain:. - You must describe flow,you established the high ground water elevation T.H. on Design Plan 2-22-12 .11-no G W 6 Before filing this`Inspection Report, please see Report Completeness Checklist on next page.t h t5ins.doc•rev.6/16 - Title 5 Offidal Inspection Form:Subsurface Sewage Disposal Systemi•Page'16 of 17- Aug 23 2016 20:45 Jim The Inspector Man 5085349919r". page 18 • ' Commonwealth of Massachusetts H Title 5 Official Inspection Forrn s Subsurface Sewage Disposal System Form,-Not for Voluntary Assessmen#s 75 Indian Trail Property Address Peggy Rowland Owner Owner's Name Information is !o required for every Cummiquid MA 02637 8_19"16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist a N Inspection Surnmary:.A, B, C, D, or E checked - ® Inspection 8ummary,D (System Failure Criteria Applicable.to All Systems) completed " ® System Information;— Estimated depth to high groundwater 'Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 4 15ins.doc•rev.E/16 Title 5 Official Inspecllon Form:Subsurface Sewage Disposal System•Page 17 0!17 ,I - No. r ;:att; Fee // V THE COMMONWEALTH OF MASSACHSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplltatlon for Disposal-*pstsm Construction permit Application for a Permit to Construct( ) Repair()tl Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.75 t6)ntj+p T"jL e,),q Z4c`0jD Owner's Name,Address,and Tel.No. RICc44'eD I_AP_0rA%f Assessor's Map/Parcel 3 3&/00 2: 75 XW /40 TteAI L- e,c p4kM4 0 tp Installer's Name,Address,and Tel.No. 5'09-g77-9$7 j Designer's Name,Address,and Tel.No. 50$-ef,11 -S3L3 C40GLJtD6 S;P c�QA (S>✓S k_)0R&J;ZAuL. 6 5 3 C,u we S-c. Nl '�' !� w�t 6a0CQ;-j4FZD 90 Fo cL c� Type of Building: Dwelling No.of Bedrooms Lot Size 54,500 sq.ft. Garbage Grinder( ) . Other Type of Building Rtrs 11)GOTI At, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided 5 3a.,;Z, gpd Plan Date 3-a 0 Sao 13. Number of sheets Revision Date Title '7 S T7J D(Aj) -Me4•LL d UH MA 6?U lD Size of Septic Tank 10 OCR G*4CA_QsJ Type of S.A.S. i4AC 3ro (± i/AO Q ZS Cc)oP[.6y IL kc t/ Description of Soil Nature of Repairs or Alterations(Answer when applicable) To 3 Rvw s oi- A h,5 Ac 36 f-44- 010Di R&9& + i C QLR L R •PtM R0c.0 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. ig Date CJ 10 — A o.l;�, Application Approved by DateLq Application Disapproved by Date for the following reasons Permit No. �Qa Date Issued --------------------------------------------------------------------------------------------------------------------------------------- D � ,a 0 .�. - No. (�jG� 5. �•• Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for -0isppsaf ps-t�rnt Construction 3permit Application for a Permit to Construct( ) Repair(,Y) Upgrade( J Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No.75 X7&JAf*P IMI L CoatufA6j(D Owner's Name,Address,and Tel.No. RlGtfdrb I APCrr4`f Assessor's Map/Parcel 3 3(o/UO 2. e 7— 7 5 rNn 1 40 V-A(C• C WMte" �1D Installer's Name,Address,and Tel.No. SoS-qn-0,77 Designer's Name,Address,and Tel.`No. 508- i' CAJG-.Iert�tsXz. wORL'�'z.vc._, d 5 3 C,0144WeIeZja4{ S' . MX;M06r� t 13- Fueea aa4 cg Type of Building: 2 ''` Dwelling No.of Bedrooms 3 Lot Size 5T,50U sq.ft. Garbage Grinder( ) Other Type of Building p h51 D E07 1#4C, No.of Persons Showers( ) Cafeteria( ) Other Fixtures p. ° Design Flow(min.required) 3 3o ( gpd Design flow provided ;I_ gpd Plan Date 3' 0-a o 11. Number of sheets Revision Date Title 7.$ ��D 1A0 —rR,;Q . r C'uM M46?U fD Size of Septic Tank f U CO Type of S.A.S.` /SRC`. _7/"j`d eINRS -t- 1 (fc>UpCW_FAR Xow Description of Soil 5A UD4 WAXA 5Er= �FL-40 1 � . f Nature of Repairs or Alterations(Answer when applicable) I)SE i;x_tTl L)& km Q4.& S.T. -rz) llletafj n'au,C TV 3 P.v s of- S 41), AC 361- C 610D1EE(,6fK + Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on site sewage disposal system in 1 accordance with the provisions of Title 5 ofithe Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. gn`e Date �l— I f - 01�. � Application Approved by Date Application.Disapproved.by, Date �.' for the following reasons rn Permit No. AI c7"� ,. Date Issued.' ---------------------- THE COMMONWEALTH OF MASSACHUSETTS, BARNSTABLE,MASSACHUSETTS r (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by C Ai9EL.i fAG &-r6vjA1Se5 LW_ at 95 :rP-P f it N TkA f L- dcJWW A&U I'> has been constructed in accordance with the provisions of Title 5 an/d`the for Disposal System Construction Permit NoS dated ! 1 -Installer (.A AEtvl D6 C�l/7�1��1��iS L� L�! Designer GN.U,f lJ E7M11UC, W OA"KS I;r— #bedrooms •3 Approved design flow 33o go The issuance of this permit sh 11 no be co fstrued as a guarantee that the system ill func' s igned. Date ��� / Inspector ------------------------ -------------- ----- -------- -------------- --- -- ---------------------------------- No. r-r- Fee ( THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposar 6pstem (Construction 3pern�it Permission is hereby granted to Construct( ) Repair(A) Upgrade( ) Abandon( ) System located at 7'S �Ni)f�rV Tp,p(I u kw,,r-cl4 Q u 1 s 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. 1 � Provided:Construction must-be c'mpleted ithin three years of the date of this permit. { �? mr Date / Approved by r` p f ' DEED RESTRICTION Whereas,.Richard P. Largay, of 75 Indian Trail; Barnstable (Cummaquid), is the owner of the owner of the real property at said address as described in a deed recorded at the Barnstable County Registry of Deeds at Book 5406. Page 278 (the "premises"); and Whereas,Richard P. Largay, as the owner of the premises 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 built 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,Richard P. Largay,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.three (3) 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: 75 Indian Trail, Cummaquid, MA 02637. For title, see deed recorded with said Registry of Deeds in Book 5406, Page 278. p Executed as a sealed instrument this day of September, 2012. COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this6-�O d y of September,2012,before me,the undersigned notary public, personally appeared Richard P. Largay, personally known to me to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. L ,Notary Public : a' = My Commission Expires: hot- J f 10/05/2012 07:49 5084775313 ENGINEERING WORKS PAGE 01 Torn of Barnstable Regulatory Services Thomas F.Geiler,Director a AL i Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 2 Sewage Permit# Z oQ-L9j Assessor's Map/Parcel �3(�—O fJ�— Installer& Desiscner Certification Form Designer: nw? n Wor4s lnc . Installer: CQ `^r� �C�I s� Address: W. Crn s t at tal 1 Address: 15'3 On issued a permit to install a (date) ( er) , e CV rz •�-Lct v-cI septic system at_ �,�I/i 0114 P, Trq ig base on a design drawn by (address) f A'( dated S / I �- (designer) I certify that the septic system referenced above was installed substantially according to I design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system).but in accordance with State& Local Regulations. Plan revision or. certified as-built by designer to follow. Stripout(if required) wo ted and the soils were found satisfactory. -Itt of PETER T. nsta ear's Si a ) McENTEE CIVIL co No.96109 O Designer's Signature) (Affix Design PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. q:\office fonnAdesigneacertificetion form.doe _-��� ass= C� • • c � DATE: l �' Z FEE: 1 V • 1A MAS&ILr, • r �` \ ' REC. BY s�7�+ �v c� p �� � �Illt �►J�LII ,, `W SCAM. DATE: -Board.of Health 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: -757 . 1 gal i ct Vt T Assessor's Map and Parcel Number: 33 4- -®O 2 Size of Lot: +S 5 /e +l- Wetlands Within 300 Ft. Yes oC Business Name: No. Subdivision Name: APPLICANT'S NAME:. --Fe4-e�--T-. McEoo-Q_:e P�' Phone 50�-�{?"7 -$ 3 13 Did the owner of the property authorize you to represent him or her? Yes `� No PROPERTY OWNER'S NAME CONTACT PERSON r4f,-T AlctE�tf-ee /mac Name: 2�c�a✓c( L o✓, 0.y Name: "` `n et l'f�a t Alo,�L[s rc^c Address: P� , d)e 7� Address: If l� Cr'TiS�S`�'c��/ ; �zN'�S*44 UL � 0 Zl(-L 7 OZio�y Phone: 512.?- ('Z - f3y G Phone: .57(JE` 77-53e 3 VARIANCE FROM REGULATION(List Reg.) REASON-FOR VARIANCE(.lay attach if more space needed) 310 -MR 15-,ya57 17 5AS to UIlca,- we l7z�o�-t, - l-o cry! &4 Asef-3 k6_ A-4 1; �c 1-bc�LC NATURE-OF WORK: House Addition`❑ `House Renovation ❑ Repair of nn System ik Checklist (to be completed by office staff-person receiving variance request application) — Please submit copies in 4 separate completed sets. -n rVI _ 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 r. Engineering. Works, Ine. 12 West Crossfield Road, Forestdale, MA 02644 ` Tel/Fax(508)477-5313 March 26, 2012 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 75.Indian Trail, Cummaquid, MA'(Assessors Map 336, Parcel 002) Construction Title 5 Septic'System Dear members of the.Board: Please be advised that an application for variances from the.Massachusetts;Department of Environmental Protection, Title 5, and Local Regulations have, submitted to the Barnstable Health Department for approval. The following variances are being requested: 0 310 CMR 15.405(b) —CONTENTS OF LOCAL UPGRADE APPROVAL 1. An 8' variance, S.A.S.2to cellarwall, for a>12' setback: { 2. A 2' variance to the 3' maximumFcover requirement, for no more than 5''of cover over the SAS. Chambers shall be H-20 rated and S.A.S. vented. LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1.' An 11' variance, S.A.S;to wetland; for an 89' setback: ` Variance requests being made are,due to site constraints. Sincerely, Peter T. McEntee P:E. Engineering Works, Inc. 12 West Crossfeld Road, Forestdale, MA 02644' Tel/Fax(508)477-5313 March 26, 2012 Re: 75 Indian Trail, Cumrnaquid, MA(Assessors Map 336, Parcel 002) Construction 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 Local Regulations have been submitted to the Barnstable:Health Department for approval. The following.variances are being requested: .'.. . r • 310 CIVIR 1.5.405(b) — CONTENTS OF LOCAL UPGRADE APPROVAL 1. An 8'.variance, S.A.S. to cellar wall, fora 12°. setback. 2. A 2' variance to the 3' maximum cover requirement, for no more than 5' of cover over the S.A.S. Chambers shall.be H-20 rated and S.A.S. vented. LOCAL REGULATION, Chapter 360, Article 1 Setback Requirements 4 1. An 11' variance; S.A.S. to wetland,:for an 89' setback. The application and plans are available for review'at the Barnstable Health Department, 2.00 Main Street, Hyannis, MA, Monday through Friday (excluding.holidays) from 8i30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Thursday, April 26, 2012, at 3:00 p.m. The hearing.will be held at.the following location: Town Hall Hearing Room,, Second Floor 367 Main Street. Hyannis, MA ncerely, Peter T. McEntee P.E. Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 March 22, 2012 Barnstable Board of Health : 200 Main Street t , Hyannis, MA 02601 Re: 75 Indian Trail,Cummaquid,.MA, Title 5 Septic Upgrade . Representation Authorization Dear Board members: I hereby authorize Peter McEntee PE to represent my interests for the subject project. 6c,"d Richaed Largay-Owner i 3 CITYfrOWN 12-4rnS-rbl,e AI'PLICANTs ,�, C ►�-a� ;. �c�.r�( A ,r�ti Ci 1v.1 C f ADDit1ESS �� ��cZ�ao ( rzx�1: �J q ., DESIGN..OW 3 3:6 gPd REVIEWED-BY: P � DATE: � ( ( (2 N/A 1W NO Legal boundaries denoted 310 CMR 15.220(4)(a)] ✓ Street, Lot, tax parcel number and lot number noted on plan [3.10 CMR 15.220(4)W] Locus Provided 310 CMR 15.2204 t Plan proper scale? (1"=40"for plot plans, 1"=20' or fewer for ' components) 310 CMR 15.220(4)] ' Easements shown 131.0 CMR 15..220 4 b System located totally on lot served [310 CMR 15.405(1)(a) for .upgrades]- if not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) ; 310 CMR 15.220 4 d Location all buildings existing and proposed 310 CMR ✓, 15.220(4)(c)] Location and dunensions of system components and reserve areas. ✓, 310 CMR 15.220(4)(e)] System Calculations 310 CMR 15.220(4)(0] ✓ daily flow septic tank ca. aci (required andprovided) soil absorpOon s item(required andprovided) whether system designed for garbage grinder ✓ North arrow 310 CMR 15.220 4 .Existing and ro osed contours P10 CMR 15.220 4 Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15-220 4 h ` Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i Location and dale of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [31.0 CMR 15.242 Certification statement by Soil Evaluator [310 CMR 15.220 4 ' Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR �- 15.220(4)(n)] `aadress sl sheet 1.of 9 N/A Location ot every water supply, public.and pnvate, [310 CNIR 15.220.4 within 400'feet of the proposed system-location in the case of surface water,_a hes,and.graI : ed e::watet_.Su .1 within 250 feet of the proposedjy.stein location in the case within.150 feet of the proposed system location n the case of private wa a was Location of all surface waters and wetlands located up to 100 ft. beyQa £setbaeksed m `1Q CvIR 15 211 and any cch:basuis loeaf'e��r��r SQL ti316-CI� 1 S 224 4 . `< Water hnEs and other subsurface utilities-located. 310 C1V R ✓' 15.220(4 n < waterline cross see i 0 CVIR 1 S.211 1 1 Prof le of System showing invert elevations:of all system-. f coin onents rand bottom.of.the.,SAS 31(:Cl �l 5.22 4 0. Starr of desi et. 3 l Q CMR 15.220 1 and-31 fl CMR 15 220 2 r :ed if construction Stamp of Registered Land Surveyor ( equir 4 ac �itiss wkthi i ft Of 40t hire)2- 310:C1,M 15 220:3 Test Holes ad uate two in each of the and reserve eq ': ( P unless-trenc,its as permitted in:310 C vtR 1 S:1 approved fqf an u .ade under LUA at 310 CM i Test hole adequate o.demonstrate four feet of suitable material? 310 CXM 1.5.1 �. 4 Test Holesae4*ato-:confirm adequate uate groundwater.separation? 310 CMR 15.103 3 Bend mark yvitlkiu 50 75!:of-s-;stem 31 Q"CAM 1.5.,22Q 1Vlaterials sp noted?jvarious.sections of 310.CIR System compon"ts not> 36" deep (unless:Local t7pgrade A> -roval or L ,requested) = 3.10 CMR T5,4fl5 Address 2 of 9 N/A OK NO Size OK? 310 CUR 15.223 1 Inlet tee located ten inches below flow line 310 CMR 15.227 6 Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 _s CMR 15.227(6)] Outlet tee with gas bade or approved filter 310 CMR 15.221(4)] Note regarding ation on stable compacted-base t3...10 CMR 15.228 1 Separation between inlet and outlet tees(rho Tess than)quid depth) 310 CMR 15.227 2 Inlet/outlet elevations at least 12" above high.groundwater (except as descriped 3 10'CMR 15.227(5)) or permitted for `upgrades under LUA 310 CMR 15.405 1 Minimum cover . " (Tanks.buried:more.than 9" must.have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232 3 Three access coyers (inlet and outlet must be 20". or greater) middle access at least 8" 7/07 310 CMR 15.228 2 - Access to within 6 of grade - one port for systems<1000gpd, - two fors stems?1:OQ0. d: 310 CMR 15.228 2 All'at-grade covers secured to unauthorized'access? [310 CMR ✓, 4 15.228 2 > 10 ft from builoing foundation 310 CMR 15.211 1 Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? 310 CMR 15.226(3)] cI/ 77 Setbacks from resources 310 CMR 15.211 '0 Required when gther than single-family dwelling or flow>,1000 f d 310 CMR 15.223 1 . First compartment 200% daily flow; Second compartment 100% � dailyflow 310 CMR.15.224 2 .and 3 "U"pipe througl or over`bafi`le outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] ' r Address.. Sheet 3 of 9 Located at least ten feet from any water line? [310 CMR , 15.222 2 Disposal piping 4t least 18" below water line(when water and sewer cross, "see 310 CMR 15.211 1 1. Cleanouts r : aired/ rovided ? 310 CIA 15 222 8 Thrust blocks s in forge mains? 310 CMR}5.221 6 c ✓ Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 3 0 CMR 15.2 6. - - Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.25 1 9 and 310 CMR 15.252 2 c Siphon problem/ eacbfietd below pump,chamber Endca s or vent manifold ' ed? Size and orientation of discharge holes.specified?.(not smaller than . 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR +� 15.252 2 Materials specified (310 CMR 15.251(5) specifies various,Pipe types-allowed Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or bade tee required on inlet/provided? (when pressure sewer to d-box or-steep pitch of gravity sewer) [310 ,✓ CMR 15.323 3 .a Riser:: dee er than 9". 3:10 CMR 15.232 77 3 . Inside mwimum` erasion 12" 3,10 CMR 15.232 2 Minimum sump [310 CMR15.232 3 e Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] C P tY(ewer a aci c a above workin =desi flow)? [310 g Y storage CMR 231-2; .1 77 Proper setbacks f310 CNIlt 15.211 same assept`c tanks Watertight.20 in inium access manhole at least 20 MUST BE TO.GRADE 310.CMR 15.231 5 Service components accessible (not too deep with piping, disconnects,accessible Alatm float alarm on circuit crate from s ed? Exceeds two=Wts.Matt have two pumps operata M lead-lag mode.: 310.CDC 15.231 6 and 8 Stable Co ed.:Base 010 CN R.15.221(2)] . r , Address Sheet Of 9 Buo.° :Cob ww ;tins.neW4?Provided?1,10 N ,, $221 8 f . s _ n F ! : a • R ''Adder '_ Sheets of 9 Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.24 1 Re uired separation togroundwater? 310 CMR 15.21.2 Aggregate specified as double washed 310 CMR 15.247(2)] t/' System Venting u;q»edlided? (systern under driveway or >36" d 310 CMR 15.241 Inspection ports specified and within 3"final grade?[310 CMR . 15.240 13 Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15:211(1)[4] and +� " Guidance Doc Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253 6 Each structure vYith one inspection manhole(if>2000 gpd must be " r tograde) 310 CMR 15.253 2 Aggregate 1' min morn-4' maxirnurn: 310 C.X4R 15.253 1 2' sidewall credit maximum 310 CMR 15.253 1 a In bed configuration, inlet eve 40 ft. 310 CMR 15, J6) ' um 310 CMR 15 251 1 Width 2 minimum 3 maxun 100 feet-maximum length 310 CMR 15.251 1 a' Minimum separation 2x effective depth or width whichever greater 3x if reserve between trenches . 310 CMR 251 l d Situated along cpntours 310 CMR 15.251 2 y 5 211 1 4 and Guidance Document Breakout OK? 10 CMR 1 , minimum 2 distribution lines 310 CMR 15.252(2)(a)] Maximum separation between lines 6' 310 CM R15.252 2- d Maximum separation between lines and outside of bed 4' [310 CMR 15.252 2 .e Aggregate depth below discharge pipes 6" minimum, 12" .maximum 310 CMR 15.252 2 S aration bet-woeii beds 10' minitnum. 310 CMR 1 S 252(2), Bottom area use. in calculations only 3.10:CMiZ 15.252 2 i Address . Slieet G:of 9 . t N/A =09 1 0 Pressure Dosed System ? Provided'pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing required on all systems >2000gpd or alternative systems under remedial approval [310 CUR 15.254(2) and I/A ; Remedial Use ovals If used in gravelless system -make sure jet is directed as not to scour soil imerfaice Guidance Document Inspections once per year(systems<2000 gpd)or quarterly >2000 dgood to note on plan 310 CMR 15.254(2)(d)] Construction in,f ill -Did the plan specify that the fill shall meet the specification p f3lGCMR15,255(3)? - Impervious barriOr and/or retidnin wall ? Guidance Document Impervious baffier installation must be supervised by designer 310 CMR 15.255 2 Retaining wall must be designed by Registered Professional Engineer 310 C 15.25 5 2 a Side slope not exceed 3:1 ? 310 CMR 15.255 2 Breakout re4uirements met? [310 CUR 15.252(2) and Guidance Document At least 5 ft. from'impervious barrier to edge-of SAS (10 ft. recommended jj 10 CMR 15.255 2 e Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface • i Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? 77 , Is the technology being properly-applied and does it meet all . 7 DEP Approval Conditions? Is there a rote on the plan regarding the requirement for y perpetual maintenance *eement? An alarms involved on separate circuits t Did the applicant submit an operation and"maintenance ' manual? Has licnt submitted a'co of a maintenance agreement? Are the variances listed on the plan-? [310 CMR 15.220 ✓_ RLS Stamp;•-necessary on plan if a component is within five ro feet of a 310 C14R.15.412 4. 'Addr�ss`F f - Skeet 7 of 9. AcFesed flow pr' ed [ #o 14 x r. r N/A Is the system in a Designated Nitrogen Sensitive Area (Zone II for a public supply well)? [310 CMR 15.214; 310 CMR 15.215 and 310 CMR 15.21¢ - also refer to Policy regarding upgrades of such existin stems Is the system proposed on the same lot as served by private well 9 P . 310 CMR 15.21 2 Are the'nitrogen:lvads proposed in compliance? [310 CN#R. 13.2.1. 1 :- Pumping to s2tic tank ? 3.10 CMR 15.229 Shared S stem ?1- CMR 15.290 Affidavit , of u Richard P. Largay Regarding Property at - 75,Indian Trail, , Cummaquid; MA 02637 I, Richard Largay of 75 Indian Trail, Cummaquid, MA 02637, being duly sworn, hereby state the following: 1. In 1986 I was looking to purchase a home in the area.of Barnstable'' Village. A realtor told me about a three bedroom home at75 Indian Trail. - 2 The listing broker, McAbee Real Estate,advertised the house as a three bedroom house with 2 full baths and'one.half bath.,A copy of the realtor's listing inform'ation.is attached as Exhibit A. 3 On November 17, 1986 Ipurchased the home, it had three bedrooms,two full bathrooms and a half bath. There is a master bedroom on the first floor and two bedrooms on the second floor.` 4 In the twenty-five years that'I have owned the home I have not added or changed any of the bedrooms or the bathrooms. The house is in the same configuration as the day I bought it. 5 I have,over the years, made some modifications to the property including t remodeling the kitchen and adding,la front porch and rear stone patio. 6 I recently learned that the Board of Health records for the house state the septic system is for a two bedroom house. This is confusing and, I assume,a mistake. The house has always,been, I believe, a three bedroom house. 7 The septic,system is`in need of some maintenance and I would like the Town . records to be corrected to reflect that the system is for a three bedroom house. Signed under the pains and penalties of perjury.this 23rd day of January, 2012. " Rich rd P: Largay r Ex eb RE List No. 1a ADDRESS OWNER y/—�) Pi ILA BORMS . - �ROOMS ^ TYPE pi' -AN� (� G (Insert Picture Here For Tour) ' S L � BATHS H/BATHS APPROX.LIV^SP. AGE P O.MI�� - SOFTMCREAGE AP �� 1- Ncn�rti1 E . w:.TEr N ~ .GARAGE— SE WER ER - ' BASEMENT. , ., t s . ZONING ` C UFFI W APPLIANCES/EXTRAS LL 1 2' W Cirele AOPIiGble Ogl1 U , Z LR Q �� .\ LEAD PAINT Cr DR HEAT © Q R FRIG —,L cam/ DISHWASHER KIT \w L� ►- DISPOSAL FR ATER ACCESS Z FIR EP ACE MBR / r/ CABLE BR2 STORMS gR3 / FOUNDATION SIZE CD SCREENS BR4 —1�;> iG aLm LOY '.` TITLE REFERENCE Q POOL U.1. 1 J ANN TAXES I] ANN 81=TMT w N�EM�Jc�Q'A�'� p \ ASSMTLD y� o ASSMT BLDC� a a � A �M REMARKS �.r� �` - ` (� Q. CO FEE QE O B:CiflCg 4iCJ J r UST.AGT. C.O n1L`—:C. LI ^� u. DIR. e"o Q ALl (C_PH0NE N0. SHOW INFO. - - '- - RESIDENTIAL LISTING TAND THAT BROKER IS AGENT ACCURACY OF £EOF SUBJECT w T" TYAT BROKERS MAKE NO MA E B SHOU LD:VERIFY ALL INFORMATIEPS N THIS LISTING FOR ACOURACY-HAVE STRUCTURAL b MECHANICAL INSPECTION MADE BY A OUAIIFIEO INSPECTOR.UNO RgpRESENTATION AFOARDING CONDITION OF EITHER COUPONENT W2 AFL ' 4 LAO w - . > 7D '5 .F. F Town of Barnstable.. P# �Ci �P '.= Department'of Regulatory Services Public:Health D><vi 1 n Date:_ "z. Z_ 2MAM 00 Mam Street,Hyanms ;l)2601 LAM Date Scheduled Time Fee Pd. L G8 C/cD Soil Suitability Assesment for Sew e Disposal Perforrrred.BY:T1'!"1Z,_ ._ -e Y Witnessed B LOCAT1flN- CrEP�E INFq TI4N Location Address • - Owner's Name ��� 7 I lot,a h J �aVA LG,'�%014,� Address Assessor's Map/Parcel: d ^� Engineer's Name 3 3 � 6F u NEW CONSTRUCTION REPAIR :.. Telephone# .51:L 7 3 ? Land Used K I-�'ct :. Slopes(%) ', 'Z— Surface Stones �`y Distances from: Open Water Body ld� l^ ft Possible Wet Area 10 ft Drinking Water Well 7 ISO ft DrainagelCF1 �`� ft Property Line �Q� Way y /— ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes): r Parent material eolo is (g g ) K �� Depth to droik qU4 1 Depth to Groundwater: Standing Water in Holb� Weeping from Pit Face Estimated Seasonal High Groundwater Method used DATER{1VIINATI.ON r+01�S QNAL MGM WATE TA$I�F� Depth Observed standing m obs.hole: 2��� P g in. Depth to soil mottles: 17 in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment &, f Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level r -? COLATrcr�TES'Y' Observation Y Hole# Z Time at:9" Depth-ofPero..: Time at 6" Z b Start Pre-soak Time @ $ Tmte4,(9 -6 ) 3 Q End Pre-soak Rate MindInch AG Site Suitability Assessment: Site Passed Additional Testing Needed�0 Site Failed .. Original: Public Health Division Observation Hole Data To:Be Completed.on.$ack------, -_ ***If percolation test is to be conducted within 100'of wetland,you must first notify the " Barnstable Conservation Division at least.one(1)week prior to blegipning. Q:ISEPTICIPERCFORM.DOC Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure;Stones,Boulders. Consistenc °/Gravel &a -I 07 Cz s L 2�sY� lQ� �3z C LS la '2s� l3z= ley may ; L SYs3 7,5rn.s632 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in. ) ---- -._(USDA)- Mot flog----fShrUctiire;-Stnncs,Boulders: ----- Consistency,%Gravel) -3o a 6 t�7(zs`S C, 5 2�S Ys/3 lEpB �RVATT{J1' IQLE 60G779.96 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA)' ' (Mansell) Mottling (Structure,Stones,Boulders. — -- Consistency,%Graven DWOBSER l LOG Hole'# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Graven Flood Insurance Rate May: Above 560 year.flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally'.Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all:areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on I1 14 (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,-expertise=and experience described in 310 CMR 15:017: Signature Date Q:\SEPTIC\PERCFORM.DOC x J Jj Richard Fleming said his attorney researched and learned that the property never had condominium papers filed. He is looking into having the units subdivided so they each can hook up to the sewer independently. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to continue to the August 21, 2012, meeting to allow the legal matters to be. worked out. IV. Hearing — Housing (New): Fisherman's Village Condo Association, violation —draining, grade is slanting down towards foundation. Mr. McKean explained that the method of fixing the violation is up to the condominium as long as water does not collect and pitch back into the foundation. All were in agreement that a drywell would be acceptable and-management will move forward with the installation of a drywell. V. Hearing — Septic Failure:- Peter Sullivan, Sullivan Engineering, representing'Richard Callahan, owner- 120 Bridge Street, Osterville, septic failure, house is not in, use, requesting an- extension. The property is in the marine zone and the owner is trying to figure out the,besf use for the property without losing the flow associated with it right now. The house is vacant and will remain vacant for a year as,they determine the use: The Board granted an extension for one year on the septic repair; or, until the house is occupied—which ever is sooner. VI. Variances — Septic (Cont.) Peter Sullivan, Sullivan Engineering,+representing C.. William Carey, owner- 986 Sea View Avenue, #A, Osterville, Map/Parcel 091-002, 2.72 acre parcel, proposal to grandfather the four bedroom house without installing new septic system (continued from June 2011): The Board voted to approve the existing septic system as a grandfathered.four- bedroom system for Unit # A at 986 Sea View Ave, Osterville. ;The Board was aware there is another house on the property-the other house was not discussed at this meeting. VII. Variances — Septic (New): A. Peter McEntee, Engineering Works,was representing Richard Largay, owner— 75 Indian Trail, Barnstable, Map/Parcel 336-002, 3.55 acre parcel, septic repair of failed system, three variances. Page 2 of 4 aoH 4/26/12 . 4 The Board voted to approve the plan with the following conditions: 1) a three bedroom deed restriction will be recorded at the Barnstable County Registry of Deeds, and 2) a proper copy of the deed°restriction will be submitted to the Health Division. B. Theodore Skirvan, owner- 114 Long Pond Rd, 0.49 acre parcel,, Marstons Mills, discrepancy of bedroom,count on septic`permitJh file. y, The property is confirmed to be a 2 bedroom with the existing septic and they want to meet with an engineer to discuss putting in an innovative alternative (I/A).system in place of the 1,000 gallon tank, to bring the system up'to a 3°bedroom. The Board voted to continue to the May 8, 2012 meeting to present an innovative alternative system. Vill. Informal Discussion: w A. Peter Sullivan, Sullivan Engineering, representing Michael Barnfield, owner - 233 Bay Lane, Centerville, Tight Tank Modification, discuss grey, water system possibility. The house would have to be re-plumbed to separate water into'the two systems but hopefully, the slab is still open from the interiorwork done. The`property has a lengthy record of pumping showing they have been responsible with their tight tank.- The Board said that as long as there is not an increase in flow, the setback of 50 feet has been allowed..- Peter spoke with Brian at DEP and he will consider the idea. Dr. Miller said he,had been told by DEP in the past that unless a Title V system could_be put in, then the option to add,a separate greywater system was not.available. The'Board.was happy to hear the State may be changing their views towards greywater systems. Mr. Sullivan will take the next step and speak to DEP in more detail. , IX. Variance — Food (Newj: . r, A. Jason O'Toole, owner— Pizza Barbone, 390 Main St,_Hyannis, toilet facility variance. The Board voted to approve,the toilet.facility variance with the condition that the maximum number of seats at any onetime is 55 seats with the two.restrooms available. The owner may submit a letter to Thomas McKean stating that the other restrooms are available during the working hours of Pizza Barbone, at which time Mr. - ' McKean will grant 57 seats. - Page 3 of 4 Box 4/26/12 L O CATION SEWAGE PE OMIT 930. 7.l 1001A4 7791A L 83- 118 VILLAGE R A ADDa IgSTA LLE S qA E E S S Zj4� /3_ w4 CA /Aic 0 U I L D E 0 Oa 0=h tOz- - C4mgpc, t/je DA T E PERMIT ISSUED DAT E C0MPLIAFICE ISSUED Zz ,. i / 1 75 74/G No.._.....�a 2� ......®................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH [.C�. .4 .........OF............ `?r �'e .......................... , pphration for 1hop sal Works Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair k) an Individual Sewage Disposal System at: � ... ........... .. ...-------- -----•--••-------•--•------..........._._ Location-Aadress or Lot ----....�v e;_. t. gg''__.............. 1 ! l!`r o,u�. �N fiT �i�1 j_AJ, ... . Owner Address W ---.t�..g�.. �..' � .p.....� .f........................•----........ ... .... ............................................................... L. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...._.......................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons____________________________ Showers a YP g ---------------•------------ P ( ) — Cafeteria ( ) QOther fixtures -------------------------------•---•--------••--------.---•----------••--•--•--- -------------••---•-----...-------------.....---•----------------•--- W Design Flow_____________�'�_.--�________.._.._..._._____gallons per person per day. Total dail flow__.__._..__'.............................gallons. WSeptic Tank—Liquid capacity/gUU_gallons Length..... `__. Width........ _`._ Diameter________________ Depth....-I.E..,..... x Disposal Trench—No..._.._�____.______.Width-----e..._....... Total Length__________ Total.leaching area__Z:4....sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching are a..................sq. ft. Z Other Distribution box (N Dosing tank ( ) '-' Percolation Test Resu t Perfor d b __��! ._4(_._L 4�L_ f�� Date_._. __--_- __� ---------- Test !e a a - Y <N------------ --•- Test Pit No. 1.__.___.*.....minutes per inch Depth of Test Pit..../4f_.____ Depth to ground water!VA._.4✓-''7E7- fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-______..__.__._.____.__ _6zj�. t� .................................................................__..__._...... .. .. ... ....-- --- ---- ----- ----- - Description of Soil ...ff �= ---•. ..4.e ) - x U --------------------------•--------•---•------- .._..------------------------------ _---------------------------------------- _--------------------------- •-------------------------- _------- W U Natµre of Repairs or Alterations—Answer when applicable_ - .___�__ P 4 L OL CU`7'OO. s,__LV 074 ------- ---------------- Cp ------------- - Ir! � W.....i7C�.---T�_•�` 1�! '�$cxl�iS °X--ip(!A 19 100 0 r........ Agreement: The undersigned agrees to install the afore ' ribed Individu Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary ode— The and si ed f rther agrees not to place the system in operation until a Certificate of Compliance has b n issued y the d of hea S •- ...;.- ------------- ........................................................ ...... 3...._ D Application Approved BY ...- ----_�. a -_.......� Application Disapproved f he lowing reasons----------------------------•--------------------•----------...-------..••-------•----------------------•------ ---•---•--- •------------- Date PermitNo......................................................... Issued_....................................................... Date ft-A • No Fus.:��.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----_.. .�------..OF........---.4...A NS ` '9 +C. ..............._._. Appliration for Biipnsal Workii Tonstrnrtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair 01O an Individual Sewage Disposal System at y I tJ Z>r 49 J `W.ta�L� 4C&1t4A1A 1D Location Address • or Lot No Owner Address - Installer Address d Type of Building Size Lot___________________________Sq. feet Dwelling—No. of Bedrooms......................__.__.____________.___Expansion Attic ( ) Garbage Grinder ( ) a'4 e of Building .._._.... No. of. ersons.........:.................. Showers Other—T YP g ------------------• P (. ) — Cafeteria Otherfi tyres -----------------------------------------•------- -------------------------------- ... . -- ..... ---• W Design Flow..............:.... o .gallons per person per day. Total daily flow _.........................................�Za gallons P; Septic Tank—Liquid capac}ty�_._..____gallons Length...... Width 'g" Diameter.._...._ ._ De th ___.. Disposal Trench—No. ______l___________. Width_._,_ .t_._._._ Total Length_.__ _..___ Total.leaching area_. ;__.aq. ft. Seepage Pit No--------------------- Diameter.................... Depth below-inlet.................... Total leaching area..........:-;__.._.sq. ft. Z Other Distribution box (X) Dosing tank W Percolation Test Re E�'Go 'Sf�9 d b W). k.e,���� /IC.G� Y w -- - a' -• ---- Test Pit No. 1.......,*._._minutes per inch Depth of. Test Pit...I: " ........ Depth to ground watered___ ' 7tlG�iu�/T fx, Test Pit No. 2................minutes per inch Depth of -Test Pit.................... Depth to ground water......:.................. P+' ----------- _ O Description of Soil-------• ----�""iC-- ._._.t.� -- 1� - - --- -- - -- -= ........ x .5 V .....•-•••--••-----------•----------------•-----•----•----------•----------•........--------•...-----•••--------•----•---•---------------•-------•••-------------•---•---•--------•--•••-------•....----- W U Nature of Repairs or Alterations—Answer when applicable._ ----yr.---_i'... _` --_��L O' " �_ U�`ro1�`� 1 1 L(G: 02 Loo al K-M) TO A, 1}ci1E 1 I�Lttlr„�a `� 1 tfl�7 U CGii. .... ............................................................... `T_.........--•................................................................................................................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT U 5 of the State Sanitary Code— Theundersigned further agrees not to place the system in operation until a Certificate of Compliance as b enissued by the bod d of,hearth. Sied .- ......................................................... ... -.�...l. .......... Application Approved B _. / w....................... . t t Date Application Disapproved f the r llowing reasons:.............. --•----------------------------•-------------•-----...----•--•---------::::_: ---•....................•------•----...--------- Date PermitNo......................................................... Issued_......................------------•-•-•-------........ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................. . ....OF.................... ................................................................. %ertifiratp of Tomplianrr T IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Rel�gired I Insta has been installed in accordance with the provisions of TIT 1"F of y g f - it:I i i -- e application for Disposal Works Construction Permit No............... .. ................... dated__, ._ r_. p 5 of T State Sanitary C d s sc Ibe m the j THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UARANTEE THAT THE SYSTEM Wly. FU)tCTION SATISFACTORY. DATE.... fl....�..�_................................................. Inspector................. •. . ........................................................... T MONWEALTH OF MASSACHUSETTS } ( BOARD OF HEALTH .............................................OF..........................................-.......................................... >r No.. ..................... FEE........................ t 11 arb ('21111nitrnrttinn "Permit Permission is hereby granted.... ........................ sp y to Construct _ R ai n In ivl ual Ta > osal.S. stem Street as shown on the application for Disposal Works Construction Permit No........._.. '__'Dated.................................. ..., Board of Health DATE................................................................................ FORM 1255 A. M. SU'LKIN, INC.. BOSTON w r860 �. S N ..r , Ln- - < APN 336-004: APN 336-084. o � _ " APN 336-085 . . " �: � f #_ 1-0't � p „ , ' 9 / Rd o� Holly L 13 a,. 189,t 2G -- - -- ---- 24. __ 26 - _ p --: _ - ,- 2� _ ,o � -26 - -- _ _ - ------- _ Z r i ,. U7 O � O - �_- - - _ °se Ln = S r7 ............ - ------- - , -- 2.4 - • chi ,1`a _------- �0�.� LOCUS v o. 24 -- Z - - a- 1i --- - \ -- c. - - ,i , F' Q ---22- ,- , �6 8- �'�, p � Route A m F 22 - - -- m. s,s y -- _ i o CL - ---- ------- - ---- --18- 20 • �• ,• / -= - --,8 --= - : : .•� _ LOCUS M AP' ` E }-6_ NOT TO SCALE GENERAL NOTES: •• 1 ALL:CHANGES TO THIS PLAN MUST BE_APPRQVED BY. THE LOCAL s: APN 336 002 BOARD OF. HEALTH AND THE DESIGN ENGINEER. 154,500S.F.: 2. AT RIA SHALL CONFORM TO THE REQUIREMENTS ALL WORK AND M E LS, Q 3.55fAC: .-OF,THE STATE,ENMIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES.AND REGULATIONS EXCEPT AS' REQUESTED BELOW: —310 CMR 15.40$(1)�b) 1) An'8'.variance, S1A.S. to cellar wall, for a 12- setback. 2` variance to the 3'. maximum-cover requiremerit, for 5' of A O' ) maz. cover."S.A:S:-shall be.H-20 and;vented: O i p. /�] —LOCAL REGULATION Chapter'.360. Article 1 - Setback_Requirements t, r An 11' voriance_,.'S.A.S.'to Wetland;' for-aN 80' :setback. cl? ,y �. WA TER .'SURFACE EL.=14.l f p ... 3) 3:' THE SEWAGE DISPOSAL SYSTEM SHALL'NOT BE BACKFILLED `PRIOR N _ M - TO'_INSPECTION.AND APPROVAL BY THE `BOARD OF HEALTH AND THE' % .. D IGN.' NGbNEER. x Z •` . . r7 E �.. — �+-- = 4, FROM SHOWN ENCOUNTERED DURING CONSTRUCTION DIFFERING a - `,. — — \ Z HALL BE REPORTED°:TO THE DESIGN ., ENGINEER BEFORE CONSTRUCTION CONTINUES.. 4 \•' Q 5. ALL .ELEVATIONS .BASED ON•"AN ASSUMED.,DATUM BARNSTABLE G.I.S.t);, F+ (_ ) `••. •1• •• �. v,.� I 6 THE DESIGN ENGINEER, IS NOT.RESPONSIBLE FOR THE FAILURE OF THE T TOR OR, CAL /•• ----=--- C , __ sz, HEALTH FOR. PROPERINSPECTIONSO DURING H CO�STRU BOND 0 , •• F c? j 7. WATER SUPRLY PROVIDED BY TOWN WATER SERVICE. N�, 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSE --- ----- ••e •, 9. ALL AREAS CLEARED ,,FOR CONSTRUCTION SHALL BE RESTORED' AS �a`' •�,: AGREED UPON BY OWNER. AND CONTRACTOR OR AS OTHERWISE DECK_ - I , ' PAT/o `. DIRECTED BY THE APPROVING AUTHORITIES, _ DE 1-8` 2, k _ 10; IT SHALL. BE THE. RESPONSIBILITY OF_THE CONTRACTOR .TO VERIFY Q' ____ ___ ' I^� : �,Y� •— ••—••—• THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING x' - -- --- 20 STING ^ HOUSE(#75) r _---� i PORC \`----------- CONSTRUCTION. »\ -_----------- -- -�'�-"-, - 1. WHERE REQUIRED; CONTRACTOR.SHALL,REMOVE ALL. UNSUITABLE.SOILS - Q� --- — - -- - _ ----- „ -- SHELL c, ,. ---------16 �- - 4 - p . 1 IN THE.AREA BENEATH AND FOR,•5' ON, ALL SIDES OF THE S.A.S. AND D IN 3rlo CMR '24 -- DRIVE AB ` "-- _- :_____ -- fi__ �St,_ _ ---- 12. AREAS REPLACEREQUIRING STRIPOUT'OF WITH CLEAN SAND 'A EUNSUITABLE MATERIALS_255( SHALLBE DRl ----1"& INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.' -�. 13. THIS PLAN' IS :TO BE USED. FOR SEPTIG'.SYSTEM PURPOSES ONLY AND . QF. tilgs t IS NOT TO BE',CONSIDERED A PROPERTY'LINE SURVEY. _- �P�� s9c I --441't _ Q_ M�NTEE PROPOSED , SEPTIC SYSTEML. �UPGRADE PLAN -. / OWNER OF RECORD CUMMAQUID MA o ctvlL �,_ (20 / V � 75 1 N D IAN . TRAI L,� TR,q/ No. 35109:: � x E LARGAY, RICHARD P _ � - FT w/O PRIVATE ROAD) 75 INDIAN TRAIL Prepared for: Capewide Enterprises; 153 Commercial St, Mashpee,'''MA:. 02649 ` p� S£G/SZE�NG\�F`�� I P.O. BOX 32 I Engineering.by: SCALE DRAWN : ,loe. NO. / CUMMAQUID, MA 02637 _ �,' _ p. -5 204$.11 Engineerng Works, Inc 1" T.M. ?A l.Z SEE SHEET 2 12.`WestCrossfield Road, IF restdale, MA 02644 DATE SHEET NO. r CHECKED 3/2 20 SCALE (508)_417. 5313 0/12 P.T.M of 3 w . h l7i' tkks,� T�r LEGEND 41 EXISTING CONTOUR Pond - 18 _- 14,09 WATER SUR x 16.82 EXISTING SPOT GRADE i� 77- T� �- 14.36" FACE EL. — �'. ,w; `' 1 6 a� 14A5 W EXISTING WATER SERVICE —G EXISTING GAS SERVICE —O.H:W.—OVERHEAD WIRES. 14,05 x 15,28 148 AM �. TEST PIT 14.58 154,500S.F. {� BENCHMARK k 14 20 14.15 Ed9e�. of Pond 14 07 /� ------- 6-------- 15.92 1 3.55±AC. m + 15.28 �J,45 -'<x` 6 03 9� .� . 1498 1409 ' • j �� �o� x ,..r - ------------- X7 - 2 19,35 1x 15 3' 1� x 19.74 �9----- `x 20__ 20,83 � x 17.08DECK L •x 16��259 PA;T/0 1a39 _ X BENCHMARK SET DECK21,23 + __ _,. . 14,03 R'T`OLl7SlDE COR./STOOP EL. 26 10 x19,,22 - � Edge of Pond, ----------�� x�2128 x19,1321,04 �. \ 14,03WALKOU- ExrsTINc \21_97 i i .98 X HOUSE 75 x 22;48 � ` �� x 14.82 �# > INSTALL\40 MIL POLY,,LINER x14,94 25 4;6RCH \ _TOP •OF LIN1=R;�L 22 OaBOTT: OF LINER, Z.- 9 '-�-6---•-- r__ SHELL `� \� DRIVE �Y26.26 + 26,186 24,62`_ 1tp AL6;10 \PAVED _-- N. 4,71 r\ `\ ` ��8417;5825.94 26.49 _rIDRIVEWAY 1 --�L I ^ '� x :� \ .78 � PROPERn, LINE I __I I -�1 -j' ITT- -\ _ �' �' ` 70 :\ \`\ \ 20.29X t + 20 5�, i18,22>'J7,3 { 4V 2, cox\,80 � LL2�26 87` 20,75TP-2 D TP-1x 20.85� ' 18 82 12" 2a 30 --- VENTSPK SET 27, 28.09 --- �\ \ eand27,66 � � c, 2ed9from P W � 20" gEULDER .). cr I \ 23.90 , . 65 20,W , . .X .2G,5.7. .> \ 43, xrs,nNe . .(ToREM SEPTIC TANK _ ��HEDGE . . . . W1F'iOF,�fTANKY23.Slf EXISTING S.A.S. 20FTW/.DE, P T� W4.97f :(GTO BE REMOVEDf''/VATE�_ (SEE NOTE 11; SHEET D� 24 0.00 Pi� 23,32 j 4 UP � 0f ANSoPK SET -16 GPROPOSED SEPTIC SYSTEM UPGRADE PLAN PETER T. CENTEE75 INDIAN TRAIL, CUMMAQUID, MA CIVIL No. 351Prepared for: Capewide Enterprises, 153 Commercial St, Mashpee, MA 02649 EGLSTF Engineering by:_'r, o EIF SCALE DRAWNJOB. N0.� 1,_20' P.T.M. 204-11 En ineerinry Wo nc ks, I West Crossfield Road,Works, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 3/20/12 P.T.M. 2 Of 3 ' S _ vylk a NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.21.8 5(G FOR A 'DISTANCE OF. 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER .INLET & INSTALL RISER & WATERTIGHT _ INSTALL 1 INSPECTION PORT AT CHARCOAL VENT OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE EACH END OF S.A.S. (CONNECT ALL LINES) T.O.F. F.G.' EL.= EXISITNG F.G. EL=26.0t F.G. EL: 26.5t F.G. EL: 26.83(MAX.) f f f MAINTAIN 2% GRADE (MIN.) OVER S.A.S. INSPECTION PORT L = 15' L = 6'(MAX) (1 MINIMUM) O S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 17.46' 6 INSTALLED LLLIO"l 14" 6 10.75" TO I LENGTH EXISTING 48" LIQUID INVERT I _ I 9.45" LEVEL ADD 3 ROWS OF 8 UNITS AT 5.0' UNIT + 1.2' (1 COUPLER 41.2' 16" GAS BAFFLE 1NV.=21.67 PROPOSED INV:=21.50 ( / ) ) = 12.37" INV.=22 18 D-BOX SOIL ABSORPTION SYSTEM (PROFILE) EXISTING INV.=21.40 10.38" EXISTING SEPTIC TANK INVERT DOME END ESTABLISH VEGETATIVE COVER HEIGHT BACKFILL.WITH CLEAN-NATIVE OR POST END PERC`SAND TO TOP OF .CHAMBERS 33.75" NOTES:CONTRACTOR SHALL VERIFY ALL EXISTING PIPE: BREAKOUT=TOP . TOP ELEV..=21.83 INVERTS, PRIOR TO INSTALLATI.ON:_ . , INV. ELEV.=21.40 2) D-BOX SHALL BE'SET LEVEL AND-TRUE TO - �•' GRADE ON A MECHANICALLY COMPACTED 'SLX'' BOTTOM ELEV.=20.50- ' INCH CRUSHED. STONE BASE, AS SPECIFIED "Z•83'', NOTE: UNIT'CONFIGURAT OK AND AVAILABILITY SUBJECT N 310 GMR "15.221(2). - 4' OF NATURALLY OCCURRING - -TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL - 3) INSTALL INLET & OUTLET TEES AS REQUIRED.' PERVIOUS MATERIAL . EFFECTIVE WIDTH=8.5 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 4' MIN. SEPARATION TO G.W. 4640 TRUEMAN BLVD' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE - EXISTING SUITABLE HILLIARD,"OHIO 43026. UNITS MUST BE STAMPED H-20 AS MANUFACTURED BY TUF-TITS, ZABEL OR EQUAL. ESTIMATED GROUNDWATER, EL.15.5(MOTTLING) MATERIAL Are 36HC SIDE PORT COUPLER POND SURFACE EL.=1'4.l t ADVANCED DRAINAGE SYSTEMS. INC. T USE 3 ROWS OF 8-ADS Arc36HC UNITS + 1 COUPLER PER 63.25" SEPTIC SYSTEM,EM PROFILE ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE id 1- f G TYPICAL SECTION r 16 uA ILL) N.T.S. SOIL LOG. 34.s" DATE: FEBRUARY 22, 2012 (REF#13,496) DESIGN CRITERIA SOIL EVALUATOR: PETER McENTEE (SE#1542) NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DON DESMARAIS R.S.-HEALTH AGENT TOP VIEW SOIL TEXTURAL CLASS: CLASS it Elev. TP- 1 Depth Elev. TP ' 2 Depth 60' 26.5 '0" 26:9 0 END CAP END CAP DESIGN PERCOLATION RATE: 15 MIN/IN A A FRONT VIEW SIDE VIEW SANDY LOAM SANDY LOAM END CAP. DAILY.FLOW: 330 GPD , 10YR 4 2 26.4 10YR 4/2 REAR TOP VIEW DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM GARBAGE'GRINDER: NO / / NOTE:.UNIT CONFIGURATION AND R AVAILABILITY SUBJECT SIDE' VIEW 10YR 5 S 1 OYR 5 8 'TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL,MAY ' . - 24 D" 30"• 24.4. 30" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED:,(330-GPD) = 589.3 SF C1. C LOAMY SAND 4640 TRUEMAN .BEND 0.56 GPD/SF 10YR 5/3 60" PERc e HILLIARD, oHlo 43oz6. Arc 36HC DETAIL a 21.5 48" 60 ADVANCED DRAINAGE SYSTEMS. INC. UNITS MUST BE'STAMPED H-20 'EXISTING SEPTIC TANK: -1000 GALLON CAPACITY C2 PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-1:0 RATED, SANDY LOAM PROPOSED .'SEPTIC SYSTEM UPGRADE PLAN._ SANDY LOAM f� 17.5 2.5Y 5/3 108" 2.5Y 5/3 USE 3 ROWS OF 8-ADS Arc 'j6HC .UNITS +" 1 COUPLER PER c3 . 75 INDIAN TRAIL, CUMMAQUID, MA' ROW, WITH NO SEPARATION BETWEEN EACH ROW & NO STONE LOAMY SAND 10YR 5/3 132' Pre ared' for: Ca ewide Enter rises, 153 .Commercial St, Mashpee," MA 02649 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) MOTTLING 5 /82' 15.5 P. P P / C4 SCALE DRAWN JOB: NO. (Arc36HC Units) 24 UNITS x. 5.0 LF x 4.80,. SF/LF 576.0 SF SILT LOAM Engineering. by: (COUPLERS) 3 COUPLERS x- 1.2' x 4.80 SF/LF = 17.3 SF 14 5 5Y 5/3 . 144''..F.� 15.9' . 132" Engineering Works, Inc. N.T.S. P.T.M. 204-11 TOTAL AREA 593.3 SF PERC RATE: X MIN/IN. ("C" HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET.NO. DESIGN FLOW PROVIDED: 0.56 GPD/SF(593.3 SF) 332.2 GPD ESTIMATED HIGH GROUNDWATER, EL.=15.5(MOTTLII�� (508) 477-5313 V/2W12 P.T.M. 3 Of- 3 - �--_- o lnd�an Nell Ja cJ N o rt NLAPN 336-004 APN 336-084cv APN 336-085 r 110t 139'f Holly Ln 189'f C„ -- � Z 2� o' p MM " --z 4-------- -------------=------ 24 ------------ 4----_� ' J __ J : — ------ - -' a A 1 j LOCUS� ---------------- - a$Z / ', Route A p------ ()0 J J i ---- �, a J JIN Q � LOCUS MAP -------T-6- ' NOT TO SCALE N CID /•. GENERAL NOTES: e ®� ��@��®ry 1.' ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL A G V BOARD OF HEALTH AND THE DESIGN ENGINEER. f ` 154,500S.F. 2. ALL WORK AND MATERIALS SHALL CONFORM TO`THE REQUIREMENTS (• 3.55±AC. OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: l +; • —310 CMR 15.405(1)(b): •� J^ 1) An 8' variance, S.A.S. to cellar wall, for a 12' setback. O \ `• Pond ;/ 2) A 2' variance A. the 3' maximum cover requirement, for 5' of � max. cover. S.A.S. shall be H-20 and vented. �` �` •� / -LOCAL REGULATION Chapter 360. Article 1 — Setback Requirements �• J 0 3) An 11' variance, S.A.S. to Wetland, for aN 89' setback. Y WA TER SURFACE EL.=14.if i p r7 \ c� ,� •�. ( 3. -THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR r7 •� a. l\ N cD TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �ti \ F •`. N DESIGN ENGINEER. a N \ `• ,R 3 •� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Q p �, �. — — — — — -�— — Z FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN •�., l �• O_ ENGINEER BEFORE CONSTRUCTION CONTINUES. `• •� ` Q 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM(BARNSTABLE G.I.S.t). ooft.`\ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF�`� \` \�` �•, •�•• •`••� •^• y THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. �`� �'� /� `"�",, •'� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. �6,. ••\ + •` 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. ----------— :; 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE v �✓ i' DECKPA TIO L- ' l DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY `-- —__:� �' j ,EXlS77NG "� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING {j________ \ \ HOUSE(#75) r-- �� \\ �. CONSTRUCTION. -------------------��.___--- J, PORC \ �. �,� _ 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS a ` SHELL ---- -- — \ �\ �2 ---T6" --�__----�G IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND __—________ — 7E___ `� � Q X p �' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ____ .y. ---___ PAVED 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE DRI UE -_--c�, �� --- — INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13.,THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND \, OF M � �� _ IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. PROPOSED SEPTIC PETE R T. a TIC SYSTEM UPGRADE PLAN � � IVQ� � McEN TEE CIVIL N �2D " ' TRA ` 9WNER OF RECORD 75 INDIAN TRAIL, CUMMAQUID, MA No. 35109 Fr W/DE p LARGAY, RICHARD P R/V / I!' A / A 02649 p rE p ` 75 INDIAN TRAIL _ Prepared for: Capewlde Enterprises, 153 Commercial .St, Mashpee, M p �FGI$I --� �`�� A�) P.O. BOX 32 SCALE JOB. NO. Engineering b DRAWN 9 9 Y FS N� , S10 L E y, CUMMAQUID, MA 02637 1"=50 P.T.M. 204-11 Engineering Works, Inc. —SEE SHEET-? 12 West Crossfield Rood, Forestdole, MA 02644 DATE CHECKED SHEET NO. 3( �'1 — ;� 20 SCALE (508) 477-5313 3/20/12 P.T.M. 1 Of 3 LEGEND 18 —— EXISTING CONTOUR x 16.82 ' EXISTING SPOT GRADE 14,36 WATER SURFACE EL.=14.1f —W EXISTING WATER SERVICE 1 6 14.05 —G EXISTING GAS SERVICE • `�'� /• —O.-H.W- -OVERHEAD WIRES •4,48 �•. APN 336a-002 ®- TEST PIT 14,05 x 15,28 14,58 154,500S.F. BENCHMARK 0 14,20 14.15 of Pond 14.07 /--------1-6--------.x 1 .92 I 3.55tAC. - .Fo E� �_• + 15,28 x 12./45 14,09 x 14.98 ,� x-�6,03 o� ---------------- �\7�\ .O + 15.71 14,47 i 19.35 �\ � �l 1 + x 19,74 � \ �\ Jai x 20 5 20.83 � x 17.08 DECK� 8.- � x 16?�2 x 15,59 PA To BENCHMARK SET '` \� \`� 14.03 RT. OUTSIDE COR./STOOP ---18 ��---- - �i 21,23�- --_ DECK EL.=26.10 x 19. 2 Ede of Pond i x�1/2 r` x19,13 �� �\ �._ 14,03 21.04 --------X25-0��-------------- Ifenc I W LKO I i I 98 EXISTING _ �\ z \� �� x 4,82 21.97 I x 1 HOUSE(#75) ' x N2.48 ------------- -- 25.46 I i RCH E `� `� INSTALL\40 MIL POLY, LINER x 14.94 25,50`` 30 �� �� TOP OF LINEF��L.=22.0 + - Z6 — .\ \ BOTT. OF LINER, EL:=�9 a -------___-____-----_---���--- ----------Z4--- — SHELL - + 26,18� 24,62`_x 1 �\ \ �\ 2 92 DRI1/E�V�Y , 26.26 ALI 6�10 P PA l/ED =--__ __ z 3 cV 4'71 'Z� \��7�84 x17,58 __--- -----------�6----- 26,49 �, 10" -�� - _ 5.78 \\ \ _- ----- PROP 25,94 �� DRII/EWAY I ��' _ _ 7--r- - x �\ �\ 20.29 18,91• •.l \vf 208--= -�8 -- ERTy LINE o� � i - +'20 sue_,`_ i' x 18,221 HEpG W 7,3 41' _1 � ' 26,87 ~ - - x .80 �� 20,75 L2 8 11' TP-1 \ x 20.85- RQPER z' ent 18,82 TP-2 P m e �,....-. 12" ,��.30 _ � 0 VENTS �Y � .,, � �� � - - PcJ �y _ _ f PK SET _ 24 •�•�.�•�' _ 27,66 27, - 28,09 ��� .. �3 ` r ��' X 20:85 edge o �.-►• from W x 20 �OULDER�. �� 20,65 •100' Pond / 23.90 - D/ W _____ ��'HEDGE / EXISTING SEPTIC TANK � � / , . • . •�� . . . . 43 TOP OF REMAIN) EXISTING S.A.S. (2O Fr WIDE PR TR W 4,97 W f TO BE REMOVED OVA 7Z- O, - 14,INV.(OUT)-22.18 (SEE NOTE 11, SHEET 1) OAD� o I 24 ���. • 23.32 U 00 OF ��, Mgss9C�G✓, ova P K S E T PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN o McENTEE N 75 INDIAN TRAIL, CUMMAQUID, MA CIVIL No. 35109 Prepared for: Capewide Enterprises, 153 Commercial St, Mashpee, MA 02649 p £�l$TE��� ��� Engineering by: SCALE DRAWN JOB. NO. A ENG� Engineering Works, Inc. 1"=20' P.T.M. 204-11 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 3/20/12 P.T.M. 2 Of 3 t . i • - I ' • I NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.21.8 ^ FOR: A DISTANCE OF 15':AROUND THE PERIMETER OF THE S.A.S. . SEPTIC TANK i PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL 1 INSPECTION PORT AT CHARCOAL VENT EACH END OF S.A.S. (CONNECT ALL LINES) T.O.F. F.G. EL.= EXISITNG F.G. EL.=26.Of F.G. EL: 26.5t F.G., EL: 26.83(MAX.) f f f MAINTAIN 2%IGRADE (MIN.) OVER S.A.S. L = 15' L 6'(MAX) INSPECTION PORT _ ® S=1% (MIN.) ® S=1% (MIN.) (1 MINIMUM) k °� 6„ 4"SCH40 PVC 4"SCH40 PVC 01746- 1170 11 101I - - - INST LLED� . I 1 a" s _ 10.75".TO _ LENGTH EXISTING 48" LIQUID INVERT I i' I 9.45" LEVEL ADD GAS BAFFLE INV.=21.67 PROPOSED INV.=21.50 (3 ROWS OF 8 UNITS AT 5.0'/UNIT) + 1.2' (1 COUPLER) = 41.2' 16" 12.37" INEXISTINGB �O SOIL ABSORPTION SYSTEM (PROFILE) INV.=21.40 DOME END EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER HE GHT BACKFILL WITH CLEAN NATIVE OR POST END PERC SAND TO TOP OF CHAMBERS 33.75" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT=TOP INVERTS, PRIOR TO INSTALLATION. TOP ELEV.=21.83 _ INV. ELEV.=21.40 2) D=BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=20.50-~ INCH CRUSHED STONE BASE, AS SPECIFIED - 2•83' NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT - 'IN 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 3) INSTALL INLET & OUTLET •TEES AS REQUIRED. PERVIOUS MATERIAL EFFECTIVE WIDTH=8.5 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 4 GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 4' MIN. SEPARATION TO G.W. I 4640 TRUEMAN BLVD AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. T 1 YEXIMATERIALI'TABLE a HILLIARD, OHIO 43025 UNITS MUST BE STAMPED H-20 ESTIMATED GROUNDWATER, EL.15.5(MOTTLING) - Are 36HC SIDE PORT COUPLER - POND SURFACE EL.=14.1f - ADVANCED DRAINAGE SYSTEMS, INC. USE 3 ROWS'OF 8-ADS Arc36HC UNITS + 1 COUPLER PER 63.25" SEPTIC SYSTEM PROFILE ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE ' TYPICAL !SECTION dV��jls" N.T.S. " SOIL LOG 34.5" CRITERIA DATE: FEBRUARY 22, 2012 (REF#13,496)" , DESIGNSOIL EVALUATOR: PETER McENTEE (SE#1542) NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DON DESMARAIS R,.S.-HEALTH AGENT TOP VIEW SOIL TEXTURAL CLASS: CLASS II - Elev. TP- 1 Depth Elev. TP-2 Depth 60 26.5 q 0° 26^9 I,A 0" END CAP END CAP DESIGN PERCOLATION RATE: 15 MIN IN FRONT VIEW SIDE VIEW DAILY FLOW: 330 GPD 1OYR 4 2 � 10YR 42 SANDY LOAM )SANDY LOAM END CAP 26.0 B 6" 26.4- .B 6" REAR/TOP VIEW DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW GARBAGE GRINDER: NO 10YR 5/8 10YR 5/8 TO CHANGE WITHOUT NOTICE, PRODUCT DETAIL MAY 24.0 30" 24.4 30° DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330'GPD) = 589.3 SF C1 C 0.56 GPD SF LOAMY SAND - 4640 TRUEMAN BLVD 10YR 5 / PERC HILLIARD, OHIO 43026 Arc 36HC DETAIL EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 21 5 C2 3 60 48"/60" ADVANCED DRAINAGE SYSTEMS, INC.a UNITS MUST BE STAMPED H-20 PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED SANDY LOAM 2.5Y 5/3 SANDY LOAM PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3 ROWS OF 8-ADS Arc 36HC UNITS + 1 COUPLER PER 17.5 C3 108" 2.5Y 5/3 ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE LOAMY SAND 75 INDIAN TRAIL, CUMMAQUID, MA 1OYR 5/3 MOTTLING 132" 15..5 132" Prepared for: Ca ewide Enterprises, 153 Commercial St, Mash pee, MA 02649 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) 7.5YR 5/8 C4 P P F P (Arc36HC Units) 24 UNITS x 5.0 LF x 4.80 SF/LF = 576.0 SF SILT LOAM Engineering by: SCALE DRAWN JOB. NO. (COUPLERS) 3 COUPLERS x 1.2' x 4.80 SF/LF = 17.3 SF 14.5 5Y 5/3 144" 15.9 132' Engineering Works, Inc. N.T.S. P.T.M. 204-11 TOTAL AREA = 593.3 SF PERC RATE: <2 MIN/IN. ("C'j HORIZON) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.56 GPD/SF(593.3 SF) = 332.2 GPD ESTIMATED HIGH GROUNDWATER, EL. 15.5(MOTTLING) (508) 477-5313 P.T.M. 3 Of 3 52 1 D NOTE- : E-XC19'✓FTG FoP A Io" te'A0/U, CatVN�t�� FaSS18L&-� Ah�Lou/vG 7`N ELE 6cN dwe ///tr '7`- '`j ,r,� !ti, '� as�,e. SE"EATH -TflC- 807T•om, _ 48_. . � , OF THE LE6CHt�-)G . -__;. _ 4 6� �/ c1: s o r5 FI,E' E A To E [.E �/ 4 0. 9-� C C J V/TN 44 4 20 4co.6o 4z 40 1 /v D 7-& EX7-EJVU J9C.L F-�PPLICRc�3LE C T / a AJ V-� ,� T 5Cf�3L E- / ' i0' MAtiIHOLE COVE2S / 0 wiTI-41J _'o"--' o—o—o— proPosec� car©und pr"'Of'i!e FLOW SCHED. ¢O PVC. 0/2 �rn/n/mum %¢"" per foof� Z /ac/er EQuI'9L TO SEPTJC ,3/�"peasfonp Ti9 JVK r f A,w b r7 /tea : , '�zoc ►T �/4 �2 niST' B ©x E /-i 1►")JiJ/.yarJN+ G, Sump — Z8 '� ' --� /G r faL SEPT/C TAn./k 314 " / Z 3 4 xS t�ot��d ���Jsat gashed l sfone 6 y ,l )C-of0t7do"ot- egucx/ lured e, of LD i c ell 74 .��Mou I J i r7, /AJ/ 7n/E t 4 :* -/ P L Olnl /2AT� �'_ GAL /p�7Y t�'1fr .L Z�ATc�M # ,. t. .�'_}� °p o ;' TE-S7�- 14OLE / TE5T- Pot- 2 L``. - f°P o .._ — �?•8 /`►P fit `�4 T _ o a. r�:�cr S a lose �7.4 sA ��� ! v5E -/OOO_ GAL. TAJ� k loam a ` tea.oo ,{ 48 ' `st�7 5 „ Subsoil 5i 4ei .� \ 5� t1ne SO.n-l/ G la y 50./ 144 C70 Wa. e, r Er?courr7�ere� / CC- 2T;-/=Y THAT THE EiU/LZ7/r�lG E- — , - / A � P,QOPOSED Oti% THE G2oun/D AS - �v S vv G E P L /49 /u O/V TH/S PL Ati! D CAE S CONF0,2M TC� THE BLJII DIAJG SET- Pow �>CIST/ti! G 1, jr--. �AJG E3 �C K /2 E Q U!,2 E:M�JvTS o� -r•I--!E- /IV / f� N' , �' �JST/9 L F �.. UM,^�7� Q U/ MASS. PEE PA ,2ED Fps : rc,�i U ( J• �e rlt 0L L SCALE �l,5 SfiotnJAJ DATE- Er HIN EVER � H. �Y CKLEY y MMO. 13230�Q LAJ Inc 0 0 0 e x /S n e /e vct-f't ors f3 L L7 G 5ET-,B AGK ,2 Y A K /V) (DLJ 7 /L'7 F� 5 S. P P IA9 PPA2 c)v E LD : e x/S./-, n c� COntovr5 �'r' o r f _ __ f'f E30/9,QD OF HC—FF�LTH —n---•-a --- --_ __ F,.-�,f,o.�d c o r7 •t-ours s t d e - _ ?-