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0259 MIDPINE RD - Health
259 Midpine Road Barnstable A= 349 -021 N. �` � ; � , ,, Fee Entered in com uter: � THE COMMONWEALTH. OF MASSACHUSEI ' p Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplicatiou for Di5pozal *pgtem Cgne;tructiou Permit Application for a Permit to Construct O Repair( )Upgrade( )Abandon( Complete System C`J'Individual Components 10 Location Address or Lot No. ?—G w er's Name,,Address nannd,Tel. /No. K0� Assessor'sMap/Parcel W� T�0• bV fd"L-/lP�j�VTJ_r&Z)w Installer's Name,Address,and Tel.No. Q esi neame_ Address,and Tel. Type of/Building: Dwelling No.of Bedrooms Lot Size% -sq. ft. Garbage Grinder(N*F Other Type of Building No.of Pers ns Showers( ) Ca eteria( ) Other Fixtures Design Flow b gallons per day. Calculated daily flow Ob gallons. Plan Date Number of sheets Revision Date Title �r Size of Septic Tank ����C-,aA� Type of S.A.S. MAV Description of Soil 3 �✓ AA+ 7 U l'r1� �9 Naairs oz A eranons ture ot'l�p nswer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provision of Title 5 of the Environmental Code_ and not to place the system in operation until a Certifi- cate of Compliance has been iss b his Board of Health:— Signed Date Application Approved by W— f Date 1/ V Application Disapproved for the following kasons Permit No. o Date Issued r' No. �614 ✓ z L �� 1r t;.{ .rt F Fee 7 ��,, 7i r r4:d' N i' `�.. ' `C ONV +`FFl OF MASSACHU9E, Entered in computer: y ;� '*•t K�t,���, a--.;:��.,._�.-•' � 'el PUBLIC HEALTH DIVISION L TO BARNSTABLE., MASSACHUSETTtS App rfcation for,. ,tg o of pgterrY' �n-5truction Permit ra f i �" ►t Application for a Permit to Construct(X Repair(- )Upgrade( )Abandon( Complete System LIndividual Components ' Location Address or Lot No. j�) S-r`(,►:A r wger's Name,Address and Tel.No. jAAYz e Assessor'sxMap/Parcel �� i^ vNUr Installer's Name,Address,and Tel.No. t? '111s%ner's Name Address and Tel No. Type of uilding: Dwelling No.of Bedrooms Lot Size. sq. ft. Garbage Grinder Other Type of Building . No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow b gallons per day. Calculated daily flow t gallons. Plan Date Number of sheets Revision Date_ Title � RAO �T Size of Septic Tank L I i Type of S.A.S. �S Description of Soil 2� k-A J 7 t , 0TV try cam 0,vc�""-, ° ® vrn { -�c� t - . ONature of Tlepairs or lterafions(Rnswer when app,:ic- ble) 1 1-71 A I I r / t Date 1st inspected: , t r' {� Agreement: ,t�' } ✓ The undersigned agrees to ensure the construction and maintenance o°t e7 afore described on=site sewage disposal system in accordance with the provision -of Ti e 5 of the Environmental Corde and not to place the system in operation until a Certifi- cate of Compliance has been iss b is Board ealtli �_ h Signed ° Date Application Approved by 'rt s l ►'\ Date Application Disapproved for the following dasons Permit No. o 1 tD— 37q Date Issued 5-rS7 +`CcA0r\ kl�— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MAS�SACHUSETTS Certificate of Compliance ,THIS IS TO CER it t 'af the On-site Sewage Disposal System Constructed( )Repaired ( ) Upgraded( ) Abandoned( )by at - Z w 5-• MG,� �-( has_been constricted n' accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nor0/6 -.3/y dated Installer Designer The issuance of this TOY 1} be construed as a guarantee that the ystem I unct on as designed. Date T // / Inspector No. ( l r 3 ! Fee I �.... THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ;Mi5pogar *pgtem tonfAructton Permit Permission is hereby granted to Construct( )Repair( ��Upgra e( )Abandon System located at 72 L �. ti(a rn and as e'j'cribed in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: ' �L' <Approved b M V 5+ 01 {,I c t )tM G��M rt tG rtfi � D�G� C�el lid lw �h L. 5 w� PESCE ENGINEERING & ASSOCIATES, INC. 451 Raymond Road Plymouth, MA 02360 I' Phone 508-743-9206 epesce comcast.net May 9, 2018 Mr. Thomas McKean. R.S., C.H.O. Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Subject: Submission of Septic As-Built Certification —726 So. Main St., Centerville Dear Mr. McKean. Please find attached the following items pertaining to the existing septic system located 726 So. Main Street, Centerville: • Stamped/signed Installer & Designer Certification Form • Stamped/signed As-Built Septic System Plan, dated May 8, 2018 I also want to report that in addition to inspecting the installation of the new septic tank and D-Box last spring, I ordered the excavation of the existing leaching system (originally installed in 2006). This inspection revealed that 1 PVC lateral pipe was damaged (presumably due to construction traffic). This pipe was repaired last November, and new pea stone gravel was spread over the top of the leaching system, as per my direction. Thank you for your help with this project, and as always, please call if you have any questions. Sincerely, � y Edward L. Pesce, P.E. Attachments cc: Mr. Kerry McNamara L S V� P � Town of Barnstable Regulatory Services Richard V.Scali,Interim Director MAM i sexr►sras�. 1 Public Health Division E Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form P Date: May 8, 2018 Sewage Permit# 2016-374 Assessor's MaplParcel 186182 y Joyce Landscaping Designer: Pesce Engineering &Assoc., Inc. Installer: Address: 451 Raymond Road Address: 68 Flint Street Plymouth, MA 02360 Marstons Mills, MA 02648 r On Nov 1, 2016. Joyce Landscaping was issued a permit to install a s (date) (installer) i septic system at 726 South Main Street, Centerville, MA based on a design drawn by (address) Pesce Engineeing &Associates . dated October 17, 2016 i I j (designer) i r X I certify that the septic system referenced above was installed substantially according to _ the design; which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. i 1 certify that Ithe septic system referenced above was installed with major changes (i.e. greater than 1.0' 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. Strip out(if required) was inspected and the soils were found satisfactory. '. 11 certify th t-tlt ystem referenced above was constructed in compliance with the terms t of th approval letters(if applicable) ®WAR PESGE -" (Installer's Signature) ci s2ooi r (Desigher'T Siigmature} (Affix.Designer's Stamp Here) 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:1SepticWesigner Certification Fonn Rev 8-14-1Idoc u L EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON OCTOBER 25, 2016 A. Update on 726 South Main Street, a.k.a. 18 Bay Lane, Centerville, new house construction proposed. Thomas McKean discussed the history of the property at 726 South Main Street (a.k.a. 18 Bay Lane, Centerville) and the Board viewed the current proposed plan and the septic components locations. The Board acknowledged they are ok with the locations and once the inspectors have reviewed the proposed plan a septic permit may be issued. tr ` • � r . w C:\Users\crockersh\AppData\Lo6al\Microsoft\Windows\INetCache\Content.Outlo6k\5E6ZJJW3\E;geerpt BOH Oct 2016 726 South Main St Cent aka 18 BayLn.doc Building SkeCch (Page - 1)' BortowW ed McNamara " Pmerty Address 18 Ln CW Cerebervifle Co Barnstable Stale MA Code 02 -3302 Lender a Services Uffly Ame Uft UUW Ama Garage Ama x 7—) R �'(' Firs[ are + EWrmn IN N _ �9 Raom Den c 6 BT . �r saA• _ �� Second Floor C.OfIlfr1ef11S: - AREA.CALCULATIONS SUMMARY L"O"AREA BREAKDOWN , Code Desarp6oe NetS®e NmTotars Bmakdwn Q'I Second Floor 1080.0 1080.0 Second Floor 20.0 z 54.0 1080.0 4 C � M T€ YVN,OF BARNSTA LOCATiO N . GI �,-n cY SEWAGE # LAG iq M k�e,U ASSESSOR'S & LOT� INSTAL. ER'S NAME&PHONE NO. SEIvaIC TANK CAPACrrY LEAUUNG FACILUY: (tyP) `�� S (size) No.OF'BEDROOMS.._... ..e.— BUILDER OR OWNER. PER,MITDATE:_._., COMPLIANCE DATE: — Separation Distance Betweep the. Maximum Adjusted,Groundwater Table to the Bottom of Leaching Facility Fee Private Water Supply Well and Leaching Facility (If any Webs exist on size or wldt n 200 feet of leaching facility). Foci Edge of Wedand and leaching Facility(If anymetlands exist within 300 X,-- 1eachino fa Gl/� �jr►C �j pA- Feel Furitlshed by Ga ra7 e .. ., .. }'./'✓fir,, I „�i ,, - ,, Y.,� E::2 A-D_ 6� ® ""f wa.y 1wpf .EI'OWN OF BARNSTABLE WCATION E# s VILLAGE SSESSO 'S MAP&PARCEL INSTALLER'S NAME . SEPTIC TANK CAPACITY 00490 Y F.` LEACHING FACILITY.(type) ? (size) NO.OF BED OMS OWNER A PERMIT DATE: 6 COMPLIANCE DATE: Separation Distance Between th Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist�yi\hin 300 feet of leaching facility) Feet # FURNISHED BY A � O � � J � 1 � No. ^C=J� Fee THE COMMONWEALTH OF MASSACHUSETTS` Entered in computer: PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppricatton for Digoar *p.tem Construction Verna Application for a Permit to Construct( ) Repair( ' Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.061 •r IDWI Owner's Name,Address,and Tel.No/:7/"/,<pc,011 Assessor's Map/Parcel Installer's Name,Add ss,and Tel No. L � / Desi ner's Name,Address and Tel.No.����v 4;,'9 jam. ��hvz> /file -- !' 5� Type of Building: Dwelling No.of Bedrooms _ Lot Size ®�sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �� gpd Design flow provided6� gpd Plan Date Number of sheets Revision Date Title ll Size of Septic Tank -� � /L�w Type of S.A.S. Description of Soil 7� Nature of Repairs or Alterations(Answer when applicable) All� A C 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 He Ith. igne Date i Application Approved Date 6 Application Disapproved by: Date for the following reasons Permit No. Date Issued y No. � �CT`-"� � �i V F �. � Fee THE COMMONWEALTH OF MASSs CHUSfTTS;�-. Entered in computer: PUBLIC HEALTH4DIVISION - TOWN`OF BARNSTABLE, MASSACHUSETTS Yes i <y `01ppYtcat on for XMPOar *pfSterri ctConfAruction Permit Application for a Permit to Construct( ) Repair(tl�Upgrade( ) Abandon( ) ❑ Complete S stem y� n p y ❑�/I/n�div�id1u�al�C/omponents Location Address or Lot No. � /�//..�,�/ r ,(✓j�, Owner's Name,Address,and Tel.No� l�l-`G6dJn 6 G(mil��lrT c�yU�v r�ry �` l Assessor's Map/Parcel Installer's Name,Addrssand Tel.No.!/�f ��� /✓��7 Desi ner's Name,Address and Tel. ors .��jA -- Type of Building: s ,.) Dwelling No.of Bedrooms `V Lot Size g Qv sq. ft.�'Garbage Grinder ( ) Other Type of Building _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ���� / gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank �� /� 'Od Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Z2 s 1 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. / Date Application Approved Date Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired v,) Upgraded ( ) Abandoned( )by at &djlx e onstructed in accordance with the provisions oTitle 5 and the for Disposal System Construction Permit o.' PC/O" Q�CO dated -7 0 Installer /w/ �j ;�jF�G' Designer �{,Q, �/ #bedrooms y Approved de flo L;gne, gpd l i The issuance of this pe' it shall not be construed as a guarantee that the system wt}ll functi•n as Date I J vv-. — --=,-1+———No ----- -- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Xigpogar �&pgtem Congtruction Permit Permission is herebyranted to Construct Repair /U rade Abandon l g ( )� p ( Pg � ( ) ( ) r System located at ✓ ���/ 4 !;? v and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/herduty to comply with Title S and the following local provisions or special conditions. Provided: Construction -`ust be completed within three years of the dat\of this pne y Date { /� Approved b P Town of Barnstalble '"E' i.� Regulatory Services Thomas F. Geiler,Director ( • tAEtVBTABL& Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 503-362 4644 Fax: 503-790-6304. Installer & Designer Certification Form Date: 7 111 Sewage Permit �_�S d ssessor's Map\Parcel Designer: Gi �/V1 /Y Installer: f Address: �® Address: 0-2-533 Of(date/_ was issued a permit to install a Q (innsstaller) sm at 2� / l"l �1) 191 WC 1,/ based on a design drawn by (address) Y✓� dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box ancUor septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or am; 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. OF .Mgss9 _. IA o E R /A(InstaAllerV, i,natur " No: 1,140- I 1 W ANI TAB (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF, COi�IPL1ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic,'Designer Certification Form 3-26doc f IKE Town of Barnstable Barnstable Regulatory Services Department AbAmedcaCfty BAR ABLE, :} °cb 639. ♦ Public Health Division Q Arf�k10`� 200 Main Street, Hyannis,MA 02601 2007 Office: 508-862-4644 Thomas F.Geder,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008420 6/01/2010 Today Real Estate c/o David Holt 1533 Falmouth Road Centerville, MA 02632 F ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 259 Midpine Road, Barnstable MA was last inspected on May 19, 2010, by Shawn McElroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic' system showed that the system "Failed"under_the guidelines of 1995 TITLE 5 (310 CMR 15.00) due'to the following: • Backup of sewage into facility or system component due-to overloaded or clogged SAS or cesspool. • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty (60) days from the ®.. date you receive this notification. ' Failure to repair/replace the septic system within the'deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO- Agent of the Board of Health f To �� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information • 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr a Company Address E. Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 Telephone Number License Number B. Certification N •- I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® -Fails ❑ Needs Further aluation by the Local Approving Authority 5-19-10 Inspector's Signature - Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow.of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. , t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Di p sal System•Page 1 of 1 / Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined,"please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structural ly'sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 r Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments x 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-8007966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 - , page. City/Town State Zip Code Date of Inspection . t B. Certification (cont.) B) System Conditionally Passes (cont.): , ❑ , distribution box is leveled or replaced - , ND Explain: i ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health) ❑ broken pipe(s) are replaced ❑ obstruction,is removed ND Explain: C) Further Evaluation is Required by the Board of Health:, ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,'safety or the environment.- I.,System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety.and,the.environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh r" 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health_ , safety and environment:. a' ❑ The system-has a septic tank and soil_absorption system (SAS) and the SAS is within 100 #eet:of'a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water' llktsuliply. t ❑ The system has a septic tank and SAS'and the SAS Is within 50 feet of a private water Supply well. . . t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet`or more from a private water supply well". Method used to determine distance: *" This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool . ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool . ❑ ® Liquid depth in cesspool is less.than 6" below invert or available volume is less than '/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or ❑ ® obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 I Commonwealth of Massachusetts F Title 5 Official Inspection- Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments, M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State . Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No t ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] . ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10;000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. .i . For large systems, you must indicate either"yes" or``no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ,' ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection El I Area — IWPA) or a mapped Zone II.of a public water supply well If you havetanswered "yes"to,any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has'failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5insp official document•03108 - Trtle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 L f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or,"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue is unacceptable) 310 CMR 15.302 5 approximation of distance p ) [ ( )] t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 1 I r Commonwealth of Massachusetts *� W Title 5 Official Inspection Form- .. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments, �M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is - required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 0 Does residence have a garbage grinder? Yes ,❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No , Seasonal use? ,. ❑ Yes ® No Water meter readings,if available (last 2 years usage (gpd)): Sump pump? r. + ❑ Ye's ® No Last date of occupancy: t 3-2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste'discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): - t5insp official document•03/08 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 1 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: NIA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy,of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of,lnspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: e$t Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: R feet Comments (on condition of joints, venting, evidence of.leakage,,etc.);, Good condition. Septic Tank(locate on site:plan): , Depth below grade:, . . . : feet :- Material of construction: F� ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: 1 " years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate), - ❑ Yes ❑ No • . - -y - � �' Dimensions: 1500 gal , - , Sludge depth: 12", Distance from top of,�ludge to bottom of outlet tee or baffle 20' - Scum thickness 1 Distance.from top.of scum_to top of outlet tee or baffle 6 Distance from bottom of scum to.bottom of outlet tee or baffle 15" How were dimensions determined? Tape 't5insp:official document"03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap,(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle a 5 Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): t5insp official document-03/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 �1 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 259 Midpine Rd Property Address Bank Owned (Contact DavidHolt @ Today Real Estate 1-800-966-2448) . Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code, Date of Inspection D. System Information (cont.) i Tight or Holding Tank(cont) Dimensions: Capacity: gallons Design Flow: , gauons per day Alarm present: ❑ -Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ 'No Date of last pumping: pate Comments (condition of alarm and float switches, etc.): , y *Attach copy of current pumping contract(required). Is copy attached? .. ; ❑ Yes, ❑ No Distribution Box (if.present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level. Stain line above outlet invert. Pump Chambe i locate on site plan). Pumps inworking order: .❑ Yes ❑ No n, Alarms in working order. ❑ .Yes, ❑ No t5insp official document•03108- Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official - Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: leachingEl its P number: ® leaching chambers number: 5-galleys ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool numbei: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching galleys had clear signs of hydrolic failure with stain lines above inlet invert. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): .1 Number and configuration : Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes-- ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): , �q . Privy_(locate on site plan): Materials of construction: J Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 ~ Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Barnstable MA 02637 5-19-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. D . _Y 91 Q .. .. . r r D� t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 259 Midpine Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Barnstable MA 02637' . 5-19-10 required for every - . page. City/Town state Zip Code Date of Inspection D. System Information (cont.) Site Exam: r ❑ Check Sloe ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: , ® Checked with local excavators, installers-(attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: Original design plan on file shows no groundwater at 12'. t5insp official document•03/08 ' - Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 i ,f I I Town of ga nstable. P# ��j 1 73 Department of Regulatory Services • Public Health Division Date MASS. %639. tee$ 200 Main Street,Hyannis MA 02601 ct I I Time . � Fe Date Schedul d e Pd. e i - Soil Suitability Asses�sgent fog Sewage isposal , Performed By-A AP-MN �4E` P^ Witnessed By: Ay 1 j LOCATION & GENERAL INFORMATION Location Address .�5`� �t c)p i ti E (Zn - Owner's Name �Jl�C1tf�1/1 � 1� 301 �ti OTI, C ileGc ST �CjAJ�"h C .+r I Address C¢ Assessor's Map/Parcel: (j C( / I Engineer's Name NEW CONSilZUtON REPAIR X ne#-5 9 33 27, 2A • I Land Use RP 1FhIL Slopes('Yo) Surface Stones Distances from: Open Water Body y Z� ft Possible Wei Area'' �200 ft Drinking Water Well �� 0 ft eems�, ))rainage Way �W ft Property Line O _fC Other ft SKETCH:(Street name,dimcnsiods'of lot,exact locations of test holes&perc tests,locate wetlands in proxitnity to holes) 54 $0 46 46 44 54 222_91 rt ` _ 42 I 1 z A 140 LEACH/A. 1 a 3 � � o �• GALLE IITI 3 II I�� rnrn O RI > I i t �I'i ❑d"I rn i m O I' III I N�� f 9I z n i I II I ZOO 6 ;c�jm ❑ �LI I m II m ; m I % Iil II Q RETAI 1 o Z I I I i I I I II II III III I PAVED DRIVEWAY I \ 134 J 1 i m I,_ Illi I1I III I III / I I I Fq 1 1, m N ' �l;i III•II I Ills I II m I50 P..R...1 C. r 1 15 , I 1 �n ARELOT 141 L A3B7 M = �aG(d! WO�SLt Depth to Bedrock � A Parent material(geologic){ Depth to taroundwaker. Standing Water in Hole: Weeping from Pit Pace NIA Est< iated Seasonal Y-Lgh Groundwater I :Wy ATION FOR SEASONAL HIGH WATER TALE R U Method Used: N io. In. Depth Ojb�served standing in obs.hole: - Depth to Sol]mottles: fr. Depth tolweeping from side of obs.hole: in. Oto er Adjustment I _ Adj.laetor etor....._,rs.- AdJ.GraundwaterLevel.,.�. index Well# Reading Date: index Well level - PERCOLATION TEST . Datp.,,_....e. Ttnfe�. ; Observation �� I Time at 9" Hole# Iq pD Time at 6" ------ Depth of Perc Zl I Time(91'4') — Start Pre-soak Time.@ End Pre-soak Rite MinJlnch Site Suitability Assessment Site Passed Site Failed:_- Additional Testing Needed(Y/N) Original:.Public k,e'alth Division Observation Hole Data To Be Completed on Back= ***If percolafiion test is to be conducted within Ioo, of wetland,you must first notify the Barnstable C4#servation Division at least one(1) wedk prior to beginning. 1 DEEP OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. n Consistent %Gravel 35''- 56 b Lo. d q R s ' ao! 1 u C .S44d j4yR,71q DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel en11 3+it Q Lowy Sw 51 'r tj C g1"- 1qy ' c -s V DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (U DA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DEEP OB NATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in) USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra I t Flood Insurance Rate May: Above 500 year flood boundary No Yes Within 500 year boundary No-7 Yes a Within 100 year flood boundary No 7 Yes Depth of Naturally Occurring 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? t If not, what is the depth of naturally occurring pervious material? Certification I certify that on (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 4raftwijn expertise and experience described in 310 CMR 15.017. l t Signature ,/ Date Q:VSEPTICIPERCFORM.DOC I LOCATION _ SEWAGE PERMIT NO. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER 10A�(�, zE DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 7 • L 1' fit, 1 � If �, pry i` No i _ A)HE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH- AVVfirttfilan for Disposal Works TonuIrurtion ramit Application is hereby made for a Permit to t uct (� or Repair ( ) an Individual Sewage Disposal System at 1. 1........ -•-•-•--.......•---•--•------•--•----••---------•--•-----.....•---•-..._.•----...--- .o L ion-Addr ss ..K 0 Alf ----------------------------------------------------•......-- Installer Address U Type of Building Size Lot. .7�___..Sq. feet �-, Dwelling—No. of Bedrooms.............4------------•---_---_-----Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------••--------------------•-----------•---- W Design Flow...................._.__...............gallons per person per day. Total daily flow____ 1 =.... ...........gallons. 1:4 Septic Tank—Liquid capacity/& allons Length./'D���'_ Width__J.�b__c. Diameter-----___ � -------- Depth--- --- o ----�-- Disposal Trench—No........I_......... Width............ Total Length..5Z�....... Total leaching area......Z?If sq. ft. Seepage Pit No..................... Diameter...r'-_"_. Depth below inlet...3.j.73.1. Total leaching area..'.... ®sq. ft. z Other Distribution box ( Dosing to k '~ Percolation Test Result Z Performed by-_G . .....�1 V --------------- Date_.__,l,Zs f _....... Test Pit No. I.......... .minutes per inch Depth of Test Pit..___1 _.__ Depth to ground water._�W_l4-__. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...... ..:1 2�. .�..... C. ......... ................P-":Z_Z.10-----------•--- Description of Soil...............................� � 4 �� ��' , � -----• --•----- ----- -- --- ----------------- xo �0�. � r, ", ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••----•-•••---•--•••-- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ .-• ---- ••-----------•------------•-----------------•---•---•-•--------------•------•---------•---------••-•••-----------•-------------•-•------••--.--•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the ar of health. II pp ned- . •• O _ Date A lication Approved By_ . ...... .._ : . ............. . `�" .: -. ....... Date Application Disapproved for the following reasons---------------------•-•----•---------------------------•------------------------•---------......._.....--••-•--- t.. . ....................•----..............--------....--------•----•--....---•---------•--•-......----......_...-•--•---------------------------------------------------------------------------------•.--- Date Per 1o..------•------------•-•--......•--•-•-------------- - Issued....................................................... j Date ` t _ , 4 No.. ...:......7 .� FEE...... . C............. ')THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, AppfirFatiun for BwvviiFaf Works Tonstrudion ramit Application is hereby made for a Permit to Construct �j) or Repair ( ) an Individual Sewage Disposal System at: ... :; .�.1__ :: :.. .C ............4::j2-......1..•�/---...-----•-----------......--•---------- ---- Location-Address -- •--••••- or Lot No. -...... l_l. ------ ------------------------------------•--__......•-- W Owner Address a -------------••-----.......--------.....----- --•- ........ ---••--------•-••-•-----........--•------....•-- es............................................. - Installer Address Type of Building Size Lot.: '- S feet E I �' __--------- q Dwelling—No. of Bedrooms.____._.___...........................Expansion Attic ( ) Garbage Grinder (� 114 Other—Type of Building ............................ No. of persons................._..._...... Showers ( ) — Cafeteria ( ) 44 Other fixtures Design Flow..................... 5..............gallons per person per day. Total daily flow___` __ .�C" �_=_ -----_gallons. 1 W Septic Tank—Liquid capacity/ 0�gallons Length/_�__ .___. Width.5_:_�.�'...... Diameter__. .....__. Depth:s._.�--?__..... x Disposal Trench—No.......I........... Width.._..12:......... Total Length.5Z� :...........Total.leaching area...... :74-..sq. ft. Seepage Pit No..=-'""":"_- . Diameter._:.-- _--... Depth below inlet... .Z.3.1... Total leaching area..`"."'^:" .sq. ft. Z Other Distribution box 60 Dosing tank ( ) '"' Percolation Test Results Performed by.G. ...^.___�G�.__._ '%� --_.---.--•_-_-._..- Date__.f?.__ !Al-S---------- Test Pit.No. 1.._�Z..minutes per inch Depth of Test Pit..... �_....... Depth to ground water . .__. 44 Test Pit No: 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a G>-�32'' -fir----SU .......................•-•---•-----.._....----- D Description of Soil .�� =`�1- r7 �'��f'it�?f . --.............................................. V .................... W U Nature of Repairs or Alterations—Answer when applicable................................................................................................ --------------------------------•---------•--------------•-------------....--------------.....---------------•------------------------------------------------------------.....•-••--•-•----........--_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. w .�. ned . ................................................ .......................... Date lication Approved By. .. - �' --------------------------- --- --_ Date Application Disapproved for the following reasons-----------------------------------------------------------------•-•--•-•-•-•-•---••-----... •-•--....••------- --•.......................•--------------.....---------------...--------.....---....-----....---•--------•----•--....-•---------•••-•-•---••---•-------••-----•----------••--••-------•-•-••---•--_-_--- Date PermitNo.......................................................-- Issued_..................................................... - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF (Irrtifirair of Toutplitanrr THIS I)�TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.../`l( ......................... -- ------ ___________________ A Installer at..- .'L� =------------ .. . ----•-------------------.....-----------------------...-------....--------------------------------------- i F; has been installed in accordance fwi the rovisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works C'o struction.Permit No. _: -/p.,--�.. _ .............. dated_...._... ______..._____....._........_._...... THE ISSUANCE OF THIS CERTIFICATE SHALL��NOT BE CO STttIBE® AS A GUARANTEE THAT THE SYSTEM WILL FUN TIO SA ISFACTORY. DATE................. --- _ Inspector....__._. _ �. --•- --••-------------•--_...._ .......j-- ----•- -...----...._........._------•-•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Nc4' _�/..? - ...........................................OF.. .......................... FEE......... .......... 131apoliat lurwks Tonutrttrtion mutt# Permission is hereby granted-:�'.��.::.. ......... to Construct 117r ep_air ( ) an Individual Sewage Disposal System atNo........ i5: =- J.......... f�•--------------------------------------------------.---------•-------------------------....-------------------•----•--------------.....----•------- Street as shown on the application for Dispos Works Construction Permit No._..___ :-__- Dated-.....0.7b-y_ ____________ ............... r .........• •...... DATE. Board of Health `i ��-------------------------- FORM 1255 A. M. SULKIN, INC., BOSTON BENCH MARK TOP OF WATERGATE -�- ELEVATION = 38.68 ." LEGEND EX15T. I,000G BARNSTABLE GIS DATUM 44. PROPOSED CONTOUR W m 5EPTIC TANK 48 I 42 II. J 54 52 so / I ® PROPOSED SPOT GRADE. o -- 98 -- EXISTING CONTOUR 222.91 ft ,' i i' ' �'i n 52 54 0 ' ,' ' '. �•' ; J0 II + 96.52 EXISTING SPOT GRADE SITE 50 -10 \\ \\\ ,e-�'V`� ' �' /' �.'����'�;'� / J 'lil W- - EXISTING WATER.SERVICE DOR4L OR. 37 TEST PIT 2 \\ \\ \\ 15-0 WA GAMER O EXIST. LEACHING GPS�INEi E_ 381 OgKM WPze? ��N.' (" ?' _/} i CATCH BA51N FOR ONT DR. ROOF DRAINAGE HAMSTEgp LN. TO BE FILLED o - \ (NOTE.19 LOCUS MAP N.T.S. PK-1 �� i ri it J \ SP -236 ( ) 71 HC-20 .97 / / GENERAL NOTES: _n I HC-21 07 O O \\ ��1 1• ALL CHANGES TO THIS-PLAN MUST BE APPROVED BY THE LOCAL O 5 FT. 501L REMOVAL I BOARD OF HEALTH AND THE DESIGN ENGINEER. O 111\ 51.30 •54 \ 1 / 1 o (SEE NOTE 19) ` 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ - ► m OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE G I m X 1/32 i 1 o O LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ' O 5- ( "% ►GAS b lA b -310 CMR 15.405 (1) (8): II O rn�(n �`' m5F./port (GATE 1)A 3.0 FT.VARWJCE FROM 310CMR15.221(7)TO ALLOW LEACHINO TO BE 7 BP I 03 11;. e.0 FT BELOW OWE VS REO.O 3 FT. (H20/VEW PROVIDED) 045.5 o Z ► �1 P I- EX)�TING i 4t 3 TOEINSPEACTIiODISPOSAL I AND APPROVAL OVAM BirthALL THE BOARD 0 CHEEALLED LTTH.APND THE n ► Z NAG �.' LE pO H I N G ► o / DESIGN ENGINEER. Z O I �'O ESP 1 / GALLERY 1 34 I `-� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING r� - I (NO' IE 10) \► FROM THOSE SHOWN'HEREON SHALL BE.REPORTED TO THE DESIGN n I I �1��II 1 j�� J i ENGINEER.BEFORE CONSTRUCTION CONTINUES. a �c i C-22 �RIVEIVP� 5. ALL+ELEVATIONS BASED ON ASSUMED DATUM. q J 50.84 1 E0 1 I I l 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE`FOR THE FAILURE OF Z j P P' - �`-_ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF o / i 1 /� I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ►_ 1 1` `�`� ► 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED p J 1 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. UA 9..IT'SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10. EXISTING LEACHING TO BE,PUMPED, "CRUSHED AND REMOVED PER TITLE V. j 52.36 50' 1 % / i' % I FILL WITH CLEAN MEDIUM SAND. -9P II JI / i J' 1 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION .48 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY LOT 1, 41 s1 I I 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING / / I 34 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) 59.49 AREA = 38700 sf +- I l 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW ( 36 FOR THE USE OF A GARBAGE GRINDER, 16. NO WETLANDS WITHIN 100 FT. OF, PROPOSED LEACHING / 40 ! 17. PROPERTY IS NOT IN .ZONE OF CONTRIBUTION. 15p. po 44 42 j 18. INSTALLER TO FIELD VERIFY H2O CERTIFICATION PRIOR TO INSTALLATION. 205.5� ft 4 19. INSTALLER TO FILL LEACHING DRAINAGE CATCHBASIN AS SHOWN. DRAINAGE PIPING TO BE RE-ROUTED. OF �As �' 20. REMOVE ALL UNSUITABLE SOILS 5 FEET AROUND LEACHING TO EL. 34.08.OR TOP OF C LAYER AND REPLACE WITH CLEAN MEDIUM DAR G SAND PER 310 CMR 15.255(3). SOILS MAY VARY SIGNIFICANTLY. M _, No. 1140 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 259 MIDPINE DRIVE, CUMMAQUID, MA NITAR�a� MAP:349 -Prepared for: Mike Dedecko cti' SURVEY REFERENCE: LOT. 021 Engineering by: Surveying by: SCALE DRAWN DEED BOOK 24204 DARREN M.MEYER,R.S. lbeo-Tech SAW"Ammembd 1 =20' DMM PLAN OF LAND BY BARNSTABLE SURVEY CONSULT. INC. �Q ✓�I.VU PA GE. 169 Poeox9si (508) 364-0894 DATE: CHECKED SHEET NO. DATED: JANUARY 1969 UU EASTSANVWICH MA-02537 s08W2922 06/30/10 ` DMM 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED ' NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:36.0 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=48.21 INSTALL OUTLET ANDERS SETa COVERS TO 6"OF OVER INLET & INSTALL FINISH GRADE SET TO 6"I OF GRADE VER INSTALL A 4" DIAMETER ONE CHAMBER (MIN.) AND SETCTO 3"TION POFT OF G OVER �� Mgss9� F.G. EL.=48.Ot F.G. EL.=46.Of F.G. EL: 43.Ot F.G. EL: 42.0-38.0(MAX.) � DAN� M VENT o. 1140 L = 10't 9" MIN COVER/ L - 20' TEE L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) ,��� 0 ® SCH4 (MIN.) 36" MAX COVER 0 S=1% (MIN.) 0 S-1% (MIN.) ST 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC . 14" 6 11.3„ .TO U 301 L 1>. INV.=45.20 4a"LIQUID INVERT" [EtiEt . . INV.=44.95 GAS BAFFLE PROPOSED INV.=36.80 4 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32'/ROW D-BOX INV.=37.0. D2-6 INV.=35.61 SOIL ABSORPTION SYSTEM (,PROFILE EXISTING 1.000 GALLON SEPTIC TANK (H20 LOAD) 18" OF COMPACTED' FILL ABOVE CHAMBERS FOR VEHICLE TRAFFIC RESTORE VEGETATIVE COVER . EXISTING SEWER OUTLET LL WITH CLEAN PERC SAND 75" TO TO TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING f'• :.'::.,• c. PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=36.0 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.= 35.61 I GRADE ON A MECHANICALL COMPACTED SIX - INCH CRUSHED STONE BASE, AS SPECIFIED-IN BOTTOM ELEV.= 34.67 EXISTING SUITABLE &Ali 310 CMR 15.221(2) 5' MIN. ABOVE BOTTOM OF 2.83' MATERIAL 3) REPLACE EXISTING 1,000 GALLON SEPTIC T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH 4 k 2.83' 11.32 L. 76„ TANK WITH 1500 GALLON SEPTIC TANK (5.17 PROVIDED) IF FAILED, DAMAGED, OR UNDERSIZED. BOTTOM OF TESTHOLE EL.=29: _50 USE 4 ROWS OF 5-HIGH CAPACITY ADS 160OBD PROFILE 4) INSTALL INLET & OUTLET'TEES AS REQUIRED BIODIFFUSER (H20) UNITS-NO STONE W/ CONTOURED WEDGE 5) PLACE SANITARY TEE IN D-BOX. SEPTIC SYSTEM PROFILE TYPICAL SECTION 1s'' N.T.S. N.re. 11.2" DESIGN CRITERIA SOIL LOG P#; -� /2R73 I- NUMBER OF BEDROOMS: . 4 BEDROOM EXIST DATE: DUNE 28; 2010 f 34" SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. SECTION END CAP ' WITNESS: DAVE STANTON, BARNS. BOH DESIGN PERCOLATION RATE: <2 MIN/IN Elev. TP- FILL Elev, TP-2 Depth 16'"' HIGH CAPACITY (H-20) . BIODIFFUSER UNIT De th DAILY FLOW: 440 G.P.D. 42.50 - 0" ' 41.50 0" ` DESIGN FLOW: 440 G.P.D. FILL FILL „ MODEL 16" HICAP 40.50 GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) - A LOAMY SAND 24' 39.67 A 22 LOAMY SAND LENGTH 76" PROPOSED SEPTIC TANK: USE EXISTING 1,000 GALLON CAPACITY 10YR a 2 „ IOYR a 2 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 39.58 B 35 38.67 a 34" EFFECTIVE LENGTH 75 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (440) = 594.59 S.F. LOAMY SAND LOAMY SAND „ DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 74 SIDE WALL HEIGHT 11.210YR 5/8 " 1OYR 5/8 OVERALL HEIGHT 16" DISTRIBUTION BOX: 5 OUTLETS (MINIMUM) (H20 LOADING) 37.83 CI 56 36.58 C1 59 _ OVERALL WIDTH 34 • r � e 4640 TRUEMAN BL liO SANDY LOAM SANDY LOAM e HILLIARD, OHIO 43026 PRIMARY S.A.S. �� 10YR 6/6 10YR 6/6 CAPACITY 13.6 CF USE 4 ROWS OF 5 - 16 ADS BIODIFFUSER H-20 UNITS-NO STONE (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. AND EXTENDED 0,75' W/ CONTOURED WEDGES 35.0 90" 34.08 89" VA BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF BIODIFFUSER). C2MED. SAND C2MED SAND PROPOSED SEPTIC SYSTEM SITE PLAN (BIODIFFUSERS) 20 UNITS x 6.25 LF x 4.70 SF/LF = 587.5 SF 2.5Y 7/4 PERC 0 33.75 2.5Y 7/4 259 M I D PINE DRIVE, C U M MAQ U I D, MA t ` 30.50 9144" 29.50 144" (CONTOURED WEDGE) 4 ROWS x 0.75' x 4.70 SF/LF = 14.1 SFPrepared for: Mike Dedecco TOTAL AREA = 601.6 SF PERC RATE <2 MIN/IN. ("C" HORIZON) Pre P DESIGN FLOW PROVIDED: 0.74(601.6 GPD/SF) = 445.18 GPD > 440 GPD req'd NO GROUNDWATER OBSERVED - Engineering by: Surveying by: SCALE DRAWN JOB. NO. w DARRENM.MEYER,R.S. Eva-Tech M2v1"j2MenteJ NTS D.M.M. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 Po BOX 88f (508) 364-0894 to conduct soil evaluations and that the above analysis has been performed b me consistent with the DATE CHECKED requirements of 310 CMR 15.017. 1 further certify that i have passed the Soil Evol. Exam in October, 1999. EAST SANDWICH,MA 02597 50s-3s2.2sz2 SHEET 2 O6/30/10 D.M.M. 2 Of 2 CENTERVILLE OF Mgss�c EDWARD L. yGs 4� °1j®►' PESCE ' CIVIL AM. 186 — NO. 32001 �e PAR. 36-3 t°�' � cIsTE-C \e�% ? /ONAL Ems' LOCUS FORMER EXISTING CESSPOOL ABANDONED & FORMER EXISTING U 50 Sri AIL FILLED WITH COARSE SAND WATERLINE NOW DWARD L. ESCE, .E. DATE �F CUT AND CAPPED LOCUS MAP A.M. 186 PAR 82 AM-7P,197t IF. AL �O me PLAN REF: 312/77 O •' TITLE REF: 20071/251 Ow % ASSESSORS MAP: 186 PARCEL 082 O FLOOD ZONE: "AE" (BFE=12.0)/(13.0) irarzexo AM 186 l PANEL: 25001 CO563J EFF. 7/16/14 PAR 63 \ GROUNDWATER PROT. OVERLAY DIST."AP" AL ZONING: "RD-1" SETBACKS: 30'FRONT 10'SIDES & REAR 0 my .p AS—BUILT SEPTIC �► m ►o / SYSTEM PLAN I° ,a / LOCATED AT: 726 SOUTH MAIN STREET CEN TER VI LLE, M A. �. AS-BUILT 1,500 GALLON / PREPARED FOR APPLICANT: �� •�••� �O C� , HC-2 SEPTIC TANK aj HC-1 10i I �/ o¢o A,° � I // KERRY M. MCNAMARA (2) AS-BUILT D-BOX~ (3) \ c4) DATE: MAY 8, 2018 SWING-TIES 0 GRAPHIC SCALE 9 �0 � DESCRIPTION HC 1 HC2PE,!s C"F, SEPTIC TANK IN (1) 17.0' 16.0' ENGINEERING 40 0 20 40 80 160 \c02\ L &ASSOCIATES, INC. SEPTIC TANK OUT(2) 13.0' 18.5' Edward L Pesce, P.E. 40.0 w w 451 RAYMOND RD \ i-B6.13, / 't o s DISTRIBUTION BOX (3) 30.0' 36.0' A PLYMOUTH, MA 02360 ( IN FEET ) BENCHMARK:TAGBOLT ON �/ BENCHMARK:TOP OF CATCH epesce®comcast.net Phone:508-743-9206 1 inch = 40 ft. HYDRANT ELEV.=12.76'(NAVD) _ BASIN ELEV.=8.76'(NAVD) LEACHING FIELD (4) 50.5' 62.6' cell:508-333-7630 FAX:508-743-0211 SHEET 1 OF 1 #1131 58-0' 23'-61/2' 34'-51/2" Z-T L T-11' T-11' 5'-11/2' 3-6112 5 5'-1' L S' 3-61/2' 2 S ;_3 N R ih 1 YI m - a,_, !� EDRO M MA ®' O WING ROOM — — — _ 105 1 04 Lj SCREENED PORC LF 12'-1" 4112 1T-0" ��) 3 w — — — — J - - N G E 5' '-2' IV-0 3/4" 13'-9 3l4' 107 11o000 4-0. I Jai,, ;� ell000l 1u I D/LAUNDR ItCH Nao , - . — — — — J U 22'-F J1 110311 O � Q 19 01 � . n 1 2 PORCH DINING ROO A S2.1 q v q v c A A A A 3-7' 6'-11, 6'-11/2' 3'-11718" 5 T-3518' 3-51/8' T-1' 6'-11' 23'-61/2' 29-51/2' 14'-W 56-W F First Floor 1/8 =1'-0" Bldg Permit ao m a Zm07 -- McNarama Residence 08.29.16 � �»NDN �J yg Z D 9� Map&Parcel 1.86-082 Min.Lot Size 43560 SF Submission z'ma8F ° amw Realdentlal Current Zoning RD_1. Allowable G.C. N/A A mr'Oa /A 1 m D"��a Ana ' m w Concept Design Dealgn 8 Minimum Frontage - 20 FT Lot Size 72,197 SF lHy 08.29.16 ©E 2.97°m 3 Zm .P.;A Plan /26 South Main Street Front Setback 30 F'T Existing G.C. 2,075.9 SF o w 5 m c-4m G p n°o A Side/Rear Setback 10 FT Proposed G.C. 2,223 SF m N Centerville, MA 02632 Total Proposed G.C. 4,298.9 SF FLOOR I'Lf-1N*Q "'mv7, I - = 6'-1 1/4' L 16-31/2' L 6'-1 114" EQ EQ 2 1 S2.3 3'$' 14 0' o -5 3/4' 11'-2 /4' '-10112' 101/2' 11'-2 314° 3 3/4' i ! � . I INK 29" 43' 43 '29 DROCA'.._.. __ _. V E BE�RO M 206 III _ 4 ATHROO 4 WIC 1T-0112' —10'-5" 10' 1/2' 11'4 3/4'211 �I i III I = T-01/2' ` 5'-41/2° 4'-21/ 1/2' -31/2' 20'11" I _ S rER BEDkOOM 209 iSTER BAH O a 210 UND f 205 ED ® L . _ SITTING AR _ 201 - 13'-6 12" T-10 /2' 21'-1' r , _ — _ 2'-9" 4'-3' 4'-3' 2'-9' 20 v 4 u I N I FITNESS STUDY N S2.1 N - III,; . EQ EQ 9'-1 1/4' Second Floor 1/8'.=1'-0" : °_�� McNarama Residence 09.22.16 Bldg Permit `"° "'m` j 4 mo��m9T»mom �� v'o.rn�L1�A c�c _ Map&.Parcel 7.86-OS2 Min.Lot Size 3560 SF �''mo Z�° x0, Residential CurrenfZonin. RD-7. N A. /� I'� Submission 7M M o A K m w g Allowable G.C. � 1.L11 L/� m"Dm $ r�p mm ni Concept Design Geslgn & Minimum Frontage 20 F''T' 1.otSize 72,197 SF 09.22.16 aQQ p 18 BayFront ©E9.fR"00y Dyw Plan. Lane Side/Rear Se 30FI' ProposedG.C. 2,223SFF • \ " Side/Rear Setback ]0 F I' Proposed G.C. 2?23 SF m�310 �oA ` —= A m W# T a � Centerville, MA 02632 - Total Proposed.G.C. .4,29$.9 SF FLOOR PLAN ' a�, ;r .,, is ,, .. Y •, .. • , Lz al A .i"'JtY. w'7. t• k,4 .� i`• Mr r: so f :•',i +� ;' t�:i. +`: 1�L' i. is 36r GO LEV,:4Pa,2 EICV. .41.1->) {tiE t � i i� rY ' ( a S►�.� � .LEA., L S rt . CtaA-*Lg�. j11.N� , 1 G1 s c .t I Sa � V. v.-� _ ".� - �, + � pr '�. `, . . � r't 1..+�4-.- {, .�.;a• WAY"^ �/ZZ - j � h Y� F . r`e .fir• f o Ge' _� l ` .. -.. j k'p1�.,j / NYr�N ��, •'I 4., JJ' - b 1 •� t ' - J , , • - , . r .. .r` 'r. ' +(.... �' �-. 1, i� '^r M� r dry' * 7 '•.�` .. r j. . , _ //- A w ` • • a ' 1 'ftf, 16 64 V •t 153 LOT 165 4 _ x t rt�'R1 T�tc AD . �- _/ w�`-^.j'Et" ' �"•�I t� E1�GAV1 :TkS,�'s ot� 0F 71+ b z .5( ^'� -- PROS t1:�G1P�7 'aL CAM- LCT 151 4 �. �� EcF V qTt GR'S �3A��D r�-? •4-55umiCD VA- 3 i.1� � t AI MMUM C3t.J l LCP Jla c-) F12otJT t_5' �i vE, —l.5 REAiz 5. OA IO /TAN H O Z 4 COVER TO 'K D TO f>INtS�! Cs •vE MrM. 2%� WtTNlN ONE. FOOT of O SH GRAM OVER LEACH AREA !.0 ', ^. cow -_�..�.�, �$ -- _- _y. ��uci c rr,>*.�s rov 4z- -m , .44 �F►+JES FRoM IMFcivolf wow l�.7�ZAT1eJCa N� p of SaofiEE Tl 1. AWN WA,HE0 IN R7" — . � / q� t _ I S N E r ` GALLON 4'MirI rl I RT ` I 1 AL Pt A Ot4�tATY �D +, et b0-r V. ---Y't 5 GAR 6AC2E G RI HIDER, -- Zo'M!I•J. 9 aT'A L 4 --4�x Z4' SEPYIG SYSTEM �oN51RU�?toN tH OFDE�IC3� C.[aMPi.1TA"'t"IONS.: SHALL CONFORM Tb THE /.RASE,. �o ctao,! NUMi3j�,g OF L�fG0PDOMS; _ -4 8W,Jf RONMENTAL COGS "rrn.E g REv I ZE.u 7- 1--7-7 ry -rjjF- 'rO WtJ D E.51 ca►J FL o v�/ . - - - a, DOAfZD OF NSAVT�-t R6cat4k-A-n0t4S v vtl, 2740 LEACH In1CA RATS- SEPT.G '(ANK, D15T2t r�TiON Oo �' r - AND LFAGH I & PIT TO 06 O fr RPQ 'O. LEAD-}. CAPA C ITS RI:itJFotWC.:v GotJGRETE MtM -C1G�Go�rtG2"E 5'MNG P TH193�010/�1o/1P51 U �� Ro �D EA L ,G4 CA ?10 ecITy 1-I•i O P51 -7/ ► ,OADi tv4 DRt�lE:anlAy Nor To DE LOC4crV:oc) ,..••�•�N•.., m U1W L.s55p 1. 20 ,.,•`'��oF,"Ew y'•� . UEyiCaN L.DA©Itll� U�.O ••'�,'�P:��tER�K/F��'9.f- . ALL PiI PF.� Tof3 1n/AT 'fiG Nt �, : 7 + �li� : �� gy�1`C-M To DS 014 F 54M eto�E s`- �°.� •��,, ,,yy0ARNIP. 11290. OF VEfiDS -rGFitS i 4Agr j9aJ cK Fgp.-cA,.-vT TEr1 . tA�4� '" • ZO t"J c�R. SuD 4G ..f.. R — ENGINEERING C. R. DESIGNING BUILDING H 6 A L.T►-� A�aEtJT APP90VAL. SHORT INC. DENNIS, MASS. 3$5 .2$31 OUT -= FINISH GRADE OVER D-BOX= GENERAL NOTES K/�f FENCE ,j O ` MAX 3:1 SLOPE �sj - TOP OF FOUNDATION = 12.7' PROVIDE PRECAST CONCRETE REMOVABLE CONCRETE COVER 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS EXTENSION RISER TO WITHIN 6"OF TO WITHIN 6"OF FINISHED GRADE SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY FINISHED GRADE OVER OUTLET COVER 5" DIA. OUTLET(S) APPLICABLE LOCAL RULES. 10 ` ``� FINISHED GRADE , 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD @ FOUNDATION= 1 1 .0' FINISH GRADE OVER TANK EL.= 1 1 •Q ± OF HEALTH AND THE DESIGN ENGINEER. 20'MIN. ACCESS COVER 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL �\� • 36"MAX �Qv 8 / �� .� (TYPICAL FOR 3) 36"MAX. . SYSTEM UNLESS OTHERWISE NOTED. _0 �_ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN Qp gory PROPOSED 4" ELEVATION= 7.9' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A �'^ 6s SCHEDULE 40 PVC PROVIDE WATERTIGHT 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF T` 7 T'r MIN.SLOPE@t% 6" 3" 2" DROP MIN. 3„ 9„ JOINTS (TYP.) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 6 3" DROP MAX. 4" PVC IN FROM 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SEPTIC TANK 4" PVC OUT TO / 9 r 14" 8.3 1 LEACHING FACILITY 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 8 8' 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK / �y 8.Q' MIN. i 7 8' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS PROPOSE.. �� 0 R OUTLET TEE NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH WATERLINE / ``' ` s ' 48 AND DESIGN ENGINEER. 6' CRUSHED STONE �9 -RELOCATED 1,500 8'S 22"ZABEL FILTER �� OVER MECHANICALLY 8 ELEVATIONS BASED ON AN ACTUAL DATUM OF 8.76' N.A.V.D. OBTAINED FROM THE TOP OF N COMPACTED BASE CATCH BASIN AS SHOWN ON PLAN. Csp 12 , / �' 15 4' GALLON SEPTIC TANK 11 8' MODEL#A1801 4x22(GAS 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION �Qj O > / BAFFLE ON BOTTOM) 5 EXISTING D-BOX OUTLET DISTRIBUTION BOX THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT ♦ �'91-� 11 :o SLAB = 12.3' TO BE INSTALLED ON A LEVEL STABLE 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES ,(� I BASE. FIRST TWO FEET OF OUTLET TO THE DESIGN ENGINEER. TP 2 / / V" PIPES TO BE LAID LEVEL. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE IF PROPOSED 1500 GALLON CONCRETE SEPTIC TANK WATERTIGHT. CROSS SECTION VIEW LENGTH 10'-611 WIDTH 51-811 DEPTH 51-7" 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING / 4 �, REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM ,Q s� � a .N.4 2� SEPTIC TANK PROFILE EXISTING DISTRIBUTION BOX APPROPRIATE AUTHORITY. o� �9, NOT TO SCALE 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED 000, NOT TO SCALE UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. 9 v 4" SCHEDULE 40 PVC MIN. SLOPE 1% FINISH GRADE EL. = 10.0' -10.5' 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT DUST AND FINES. UPo � APLE � .~ ^_ O 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE -� I A o j 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE t' 2" OF 1/8"TO 1/2" DOUBLE WASHED STONE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL Q Q I_ -� I- UNSUITABLEIAL WITH CLEAN COARSE SAND FREE FROM CLAY, = 4 O. z z _I I I_I I I-I I I_� _I I I_I I I_�I I_ _�I I I I I_I i I_TT FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 4" PVC PERFORATED PIPE 10 L = 6 8. 1 3 ° 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE SLOPE AT .5 /o TOP OF S.A.S.= 7.9 9' MIN. CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. BENCHMARK: TAGBOLT ON �� BENCHMARK. TOP OF CATCH 36 MAX. HYDRANT ELEV.=12.76' (NAVD) BASIN ELEV.=8.76' (NAVD) 7.4 J 16. PROPOSED PROJECT IS LOCATED WITHIN: SITE PLAN 1 ASSESSORS MAP 186 LOT 83 - - ----- - SCALE: 1"=20' OWNER OF RECORD: KERRY & ELIZABETH MCNAMARA A'*anloYo�► o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o ADDRESS: P.O. BOX 1144 OSTERVILLE,MA 02655 6"EFFECTIVE DEPTH FEMA FLOOD ZONE AE (El 12.) 7.6' BOTTOM OF FIELD EL. _ ' AS SHOWN ON COMMUNITY PANEL# 25001 C0563J (16-JULY-2014) 6.9 SHEDS TO : - 2' 3' 6' 6' 3' ZONING: RD 1 BE REMOVED - 35, 18.0' 5' MINIMUM REQUIREMENTS &SETBACKS: A.M. 186 6��, TYP!rAl FIELD PROFILE FIELD ENDVIF�A' ' MIN. LOTAREA=43,560SQ. FT. • ADJUSTED HIGH GROUND WATER ELEV= 1 •9 PAR. 36-3 mob, rz .�'� MIN. FRONTAGE =20 FT NOTE: PREVIOUS EXISTING PEAT LAYER WAS REMOVED EXISTING FIELD DETAILS INDEX WELL M.I.W. 29,ZONE A, GW ADJ.= 0•5' FRONT SETBACK = 30 FT. SIDE & REAR SETBACK = 10 FT. p j` � BELOW LEACHING SYSTEM AND REPLACED WITH CLEAN (INSTALLED AP R I L. 2006) OBSERVED GROUND WATER ELEV.= 1 •4' v '� COARSE SAND PER 310 CMR 15.255. O "P1D� '°+R,� NOT TO SCALE (per test pit data at 416 Main Street) 17. DEED REFERENCE: o _ _- __ ___ -_ - -- - __ -- 1. DEED BOOK 20071, PAGE 251 - - - -----_ --- TEST PIT DATA TEST PIT DATA m.ALL n 20' TlNG NATERLINJ£' M BE CUT AND AGENT: Donald Desmaris AGENT: Donald Desmaris EVALUATOR: Edward Pesce, P.E. EVALUATOR: Edward Pesce, P.E. CESSPOOL (ENGwasn 2V CONFMM VW - May 12, 2005 May 12, 2005 g DATE: DATE: A.M. 186 PAR. 82 C9 AREA-72,197f S.F. e r TEST PIT#: 1 TEST PIT#: 1 o 1� Y � l > Ar ELEV TOP= 3.67' ELEV TOP= 4.80' �L-{ x1ti ? C`✓1 -!� t, 1,0 'IeCL `, ELEV WATER= 14.24' ELEV WATER= 14.24' PERC RATE _ <2 Min/In PERC RATE _ <2 Min/InWYAND a A.M. 186 PAR. 83 aryl DEPTH OF PERC= Lab Analysis = 0.74 gpd/sf DEPTH OF PERC= Lab Analysis = 0.74 gpd/sf ROAD TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 � 6��, 00PIQ �� LOCUS - LEGEND °� AD 0 3.67' 0 4.80' ----------- 50 --- EXISTING CONTOUR I Q O m ' 0 03 ;O S ��� ACH R A Sandy Loam A Sandy Loam 50 PROPOSED CONTOUR l E NG 13" 2.59' 12" 3.80' e PROPOSED SPOT GRADE ExISTING 1500 � O L� BLoamy Send ' Z GAL TANK TO BE 10YR 5/4 - m RELOCATED Q U 1 O B Looamy Sand - -- w -- .---.- - PROPOSED WATER LINE \ o c�� 10YR 5/6 18" 3.30' `� SI ETC PROPOSED UTILITIES Lo EXISTING PUMP � / _,. C. CHAMBER TO BE • 24" / / REMOVED g •c$ 1.67' C 1 Medium Sand �4 C-1 Medium Sand 2.5Y 6/4 TEST PIT LOCATION �$ 2-5Y 7/3 30" 36" ___-- _ 0.67' 2.30 PROPOSED 1500 GALLON SEPTIC TANK l 4• PROPOSED s• \ \ Perched G.W. @ 36' EEI 88� 0. pL rr RAIL FENC ` \ MAX SLOPE C_ Peal - 4"SOLID SCHEDULE 40 PVC PIPE E LOCUS PLAN C-2 Peat 2 10YR 2/1 10YR 2/1 ❑ DISTRIBUTION BOX -_ 68" -0.87' vpnLs � � ,,� 71' -2.25 0 DESIGN DATA 71 Standing 36"- -1.12' ♦� Med. Sand& C-3 Med. Sand& REV. DATE BY APP'D. DESCRIPTION 6 SEPTIC TANK DESIGN C 3 1OY 3/6vel 10YarV/4 PROPOSED SITE PLAN NUMBER OF BEDROOMS PREPARED FOR: 4 120" -6.33' 120" -5.20' / 4 . DESIGN FLOW 110 GAUDAY/BEDROOM KERRY MCNAMARA M wA°E°sE ��^ry . / \ 7 / TOTAL DESIGN FLOW 440 GAUDAY 0 LOCATED AT N i \ y. -RELOCATED 1,500 DESIGN FLOW X 200 % = 880 GAL/DAY 12 154' GALLON SEPTIC TANK 726 SOUTH MAIN STREET EXISTING D-BOX USE PROPOSED 1500 GALLON SEPTIC TANK CENTERVILLE, MA rj / 0 SCALE: 1 INCH = 30 FT. DATE: OCTOBER 17,2016 ° � INSTALL A 18' x 35' LEACHING FIELD 0 15 30 60 120 FEET a3 �s ti �q IDEWALL CAPACITY NO SIDEWALL AREA CREDIT TAKEN 9 BOTTOM CAPACITY - a� APLE o (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY OF ASS"oZGE __4 0 Z < (18'x 35) (.74 GPD/S.F.) = 466.2 GAUDAY J AR yG``"� f� ENGINEERING 1� L=s e.i s / " " TOTALS: � civ1L 1 Edward L.APeOeI ASSOCIATES, INC. BENCHMARK: TAGBOLT ON BENCHMARK: TOP OF CATCH O. 3200 451 HYDRANT ELEV.=12.76'(NAVD) / BASIN ELEV.=8.76'(NAVD) TOTAL LEACHING AREA 630.0 SQ.FT. � PLYMO UTH,OMA 0 360 TOTAL LEACHING CAPACITY 466.2 GAL./DAY � epesce@comcast.net Phone:508-743-9206 NOTE: FIELD SURVEYING PERFORMED BY SITE PLAN Q - cell:506-333-7630 FAX:508-743-0211 MACDOUGALL SURVEY. SCALE: 1 30' / C� -- "= `-'v„ Drawn By: BJW Designed By:EP Checked By: EP JOB No. 1131