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0014 WATER VIEW CIRCLE - Health
14 Water View Circle Barnstable A=234- 082 n I' TOWN OF BARNSTABLE LOCATION 't W.4"T� V ICi+J CJR SEWAGE# ®(`e'f (9(p VILLAGE 13,4PxlS-rASUEE ASSESSOR'S MAP&PARCEL .13 'INSTALLER'S NAME&PHONE NO. 4�APLt,)iD& 6wrowgisgA/ew M77-921 j SEPTIC TANK CAPACITY t ,0 00 GALLOWS LEACHING FACILITY:(type)(a���Te,�(.GN+�a r3�S (size) 125 x X5 / NO.OF BEDROOMS OWNER TAMiC 3'H1LZV PERMIT DATE l�g' — COMPLIANCE DATE: Separation Distance Between the: ��11 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1� A Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) IV ok Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) A Feet ac FURNISHED BY `AP&W 6— -� 29 Li 3 41A �•�F= L"1.3` 1- 0 1. No. Fe THE COMMONWEALTH')F MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Applitation for MispoBAY Opstem Construction jhrmit Application for a Permit to Construct( ) Repair()� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. I&-k VIEW CiR. Owner's Name,Address,and Tel.No. f3,At2DJST4LjEr 3A&V C SOt16Y Assessor's Map/Parcel a 3 r (LL Installer's Name,Address,and Tel.No. 5©S—4-17-99 77 Designer's Name,Address and Tel.No. �1rvEv, E` S®tuS =t-,)<_ 53 sz- LDS P a Type of Building: Dwelling No.of Bedrooms Lot Size (007t sq.ft. Garbage Grinder( ) Other Type of Building P�CS I DZWT t0{, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 gpd Plan Date '7 3(- *'LOU Number of sheets oL Revision Date Title 14 104 6-IL V!_� C l a-Q.C.L Size of Septic Tank 1 ,000 C—o4(.[40 Type of S.A.S. Description of Soil ®���e / PkAAJ Nature of Repairs or Alterations(Answer when applicable) Li:c, 6QZj. PLC* 40C)C_.W . j 8&1ZYt__ 'r?4JK TT 00514i w-ac) �-6�3c 'l'®_�,�1� goo ej 61,--Aa ��P-Fo��6�S P� �v Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by � Date Application Disapproved by oe- Date for the following reasons Permit No. Date Issued lt3/7A /67 �.--.r•.,�+.,,..-.,, �...-- .� ..-, rr. ..�r—.-�-.r.. .,:ti-"�- ..., - - .""r`h V-rt��.+vae^r.;,+"'...Yrn...w.n,. -..,.. .,.. - .. .,.Jr ,�ri+rr. jam• ..,... I'04.� No. Fee u THE COMMONWE LTHH, F MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWWN:OF BARNSTABLE, MASSACHUSETTS ftphcation for ]Disposal O- pstem Construction Vermit Application for a Permit to Construct( ) Repair(K Upgrade( )'`Abandon( ) ❑Complete System . ❑Individual Components._-. Location Address or Lot No. 1+ Wig i X VIEW 0-1R. Owner's Name,Address,and Tel.No. Assessdr%sMap/Parcel � L)S;L, � PWM77jS t�<J �1LL6 Installer's Name,Address,and Tel.No. 50:9-477-8$77 Designer's Name,Address,and Tel.No. G4p6wCoe aNTeXPA-(S6S (R.3o SotjS 153 Wra��csc�:r� sz- n4.�sc�e�"' p a 1 Eft' Ss�Zx,�,c Type of Building: Dwelling., No.of Bedrooms 3 Lot Size LL 600 sq.fl. Garbage Grinder( ) Ott er Type of Building 1)dWJT 10K,,, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3µ�.�'j' gpd Plan Date A017 Number of sheets Revision Date Title ��'� V/C� L' �ftCCLl.sT7�3Q VILC. Size of Septic Tank I r pp0 GAL L,61J Type of S.A.S. ( :SCiC7 Wit, 4-.10 � Description of Soil 'QI-� Nature of Repairs or Alterations(Answer when applicable) V Gtc� k;$U S+`rajor ],nw 646L.LON S8Pry4- 7P•c1K, TV &&1z') W -an -fin H-- d A*X�� Csr.,(V PLAAJ 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:-• "r r Si/gged Date a�! Application Approved by l r - Date 77 �� 000, Application Disapproved by r Date for the following reasons JIF e /D Permit No. Date Issued - --- --- - -------------------------------- - --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS J eertificatP of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(K Upgraded( ) Abandoned( )by CUDc(LXb& Q)JZ a.P/tl,5 /P,A{"'`) at 1� WATER- V19ki eJAZQCC- ZIL**1L1y" has been constructed in accordance r f with the provisions of Title 5 and y the for Disposal System Construction Permit No. A- dated ,�,� 3 1 Installer OADGi ,N09 CZ C PAJ � Designer 1WEViTA ig .�e�1C �'�tJG #bedrooms c Approved design flo gpd The issuance of this permit shall not be,construed as a guarantee that the system ill �ti• as de Ped. Date �,� Inspec tor ' - NoA—V 1`y Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair(A Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:C nstru tionmpust be completed within three years of the date of this permi. Date ��� `f! Approved by 06/28/2018 17:25 5082730367 06037 P. 001/001 Town of Barnstable �t Regulatory Services Richard V. Sc41i,Interim Director 1 HAWWABtE. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790.6304 Installer&Designer Certification Form Date: 04B'18 Sewage Permit# aQ%2 19(C Assessor's Map\Parcel 2 3y I�� Designer: M urn' 5?VIS��rel G. Installer: Gqj?�ak- &e&e(&e—P Address: Q N X Address: -+53 C4~t 0' 1 6+fee-f 5 HA e2 0 7 �as�,�c�, )i A- On �v'Z� �� �' oewide. �+nluQ���-s was issued a permit to install a (date) (installer) septic system at / Wa4f,(Vlew C t(_el a based on a design drawn by .(address) �e e.( k wis . G. dated -Suit-31, Lb 17 designer) ZI 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. 1 certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if.required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' ith the terms of the RA approval letters (if applicable) ► �CNJ� CMt1RCNILI•.IR. (Installer's Signa re) - eslgner's SignKRANSTABLE (Affix D finer s Here) PLEASE RETUR O R PUBLIC I�EALTH DIVIS 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:\Septic\Designer Certification Form Rev 8-14-13.doe I I Town'of BAr nsta.lble. P# 12- Department of Regulatory Services ]Pubiic Heaith Division Date f _ - �atK = . i6 . tee$ 200 Main Street:Hy#nnis.MA 02601 �' l i Date Scheduled / 'Time / Fee Pd ,1o �' aSrxatabilty Assessment for Se e Disposar Performed By! "' Witnessed By: i LOCATION&:GENERALINFORMATION Location Address �L{. /� �.1. Ownec'sName C /�I dress(o(o vo ((,D R" P�-►�STD Address >`R' C� 1 t.LTG f Assessor's MaplP4rcel: 93 V I . Engineer's Name NEW CONSiRUt2N REPAIR Telephone# O (. i Land Use Slopes(96) p� SurraeeStones Distances from: Open Water Body?' ft Possible Wee Area ft DrinkingWater Wel�� ft W Y �. � C� g Other _ ft a ft •Pro c lane a 1 caina e W — 1) g Y P rtY - z SKETCH:(street name,dimensiods of lot,exact locations of test.holes&Per;tests,locate wetlands in proxitnity to holes) lit J�' jr Parent material(geologic) i - Depth to Bedrock ' Depth to Gr`oundwaidr. Standing Water in Hole: ' Weeping from Pit FACE' Estimated Seasonal Vigh Groundwater D ' TION FOR SEASONAL Hid WATER TADLE• Method Used in.. De th Clb erved standing in obs:hole: in. Depth to sell mottles: Depth toiweeping from side of obs.hole in. Clfoundwater Adjustment' ' Index well# _ Reading Date: index Well levy l ` ---- A ,factor,,.,._--w-'AII%�rvundwllter l evei. PERCOLATyON TEST : Dole Time Observation• , Hole# TWO at 9° -- , Time at 6" . 'Depth of Pere start Pre-soak Time. Time(9"-6") :.-- - End Pre-soak Zi © Rate MinAnch Site SuitabilityAssehsment Site Passed Site Failed: Additional Testing Needed(YIN) original:'.Public I3e�ith Division Observation Hole Data To Be Completed on Back ***If percola ibn test is to be conducted within 100., of wetland,you must fitst'notify the Barnstable Cc�.l4servation.DiNision at least one (1)Wedk prior to beginning. -; DEEP OBSERVATION.HOLE.LOG. Hole.# Depth from Soil Horizon . Soil Texture Soil Color Soil Other Surface(in.), (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc % ravel 26` 3.tT k W oj A- louA DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA),. (Munsell) Mottling (Structure.Stones,Boulders: Consistency,%Gravel) �t1 , 1y'_ ' �paa�r►1: _�SJ p � MZz: DEEP OBSERVATION HOLE LOG Hole# Depth from. Soil Horizon. Soil Texture Soil Color Soil Other Surface(in:), (USDA) (Munsell) :Mottling (Structure,Stones,Boulders. Consistency. o Gravel -HOLE Hole L DEEP OBSERVATION H E Depth from Soil Horizon Soil Texture Soil Color Soil then Surface(in.). (USDA) . . (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ra Flood Insurance R ate 1VIa I Above 500 year.flood boundary No Within 500 year boundary No)_L. Yes Within 100 year flood boundary No Yes Depth of Naturallv Occurring Pervious Materlal' Does at least-four feet of naturally occurring pe yi us atertal exist.in all areas observed throughout the area proposed for the soil absorption syst, .. If not,what is the depth of naturally occurring p vious material? Certification .I certify that on (date)ILhave passed the soil evaluator.examination approved by the above analysis was performed b me consistent with De artment of Envi n ntal Protection and that-the ab y p Y P. the required trai ' xpertis and exp ence descr' ed in 310 CN R.15.0 7. t Signature Date Q.\SEPTIC%PERCFORM.DOC ' TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION o, o Date �� — ( ' � 1 Time: In �� Out�I Owner Tenant Address Address Compli ce Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed 00 S(�I E` 171 � PART 11 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) �--� Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here 1. f ti 1 Approved: 12111(, 80 `4 TOWN OF BARNSTABLE MLD Cert: BOARD OF HEALTH JE— ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date t 2 I I (c 105 Time: In Out Owner SIN M i L Tenant Address (pro f o t-4 ©G c 0 V- Ca-C.L9- Address �1VA-T F-a-V'F-i VJ O-CL . Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 1/ 4. Water Supply 5. Hot Water Facilities J/ , 6. Heating Facilities 7. Lighting and Electrical Facilities O ewovtc Ira 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural / Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing Iu h 18. Driveway Width 19. Number of Tenants Observed 1 PART II 37. Placarding of Condemned Dwelling; 0 I�C "w S-C P Removal of Occupants; Demolition Number of Bedrooms - Number of Vehicles Allowed (max) Number of Persons Allowed x jZ Person(s) Interviewed - Inspector y \J If Public Building such as Store or Hotel/Motel specify here No. © Fee ! z THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for �Dioo!a gtent�l ott tru t"o , ernYit Application for a Permit to Construct(Repair(y�lUpg de O Abandon O ❑.Complete System ❑Individual Components Location Address or Lot No.! ��`� G `/ Owner's Name,Address,and Tel.No. i Assessor's Map/Parcel 25y 4or 022 28a. 77$-2. Installer's Name,Address,and Tel.No. �� Designer's Name,Address and Tel.No. �1ds_eNti oe a�5 a0orr'h. WI.,-y.-ev $T! feel dgy 8/ rg4.17 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other.Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs orAlteratio (Answer when applicable) Ora,= - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date C) Application Disapproved by: Date for the following reasons i Permit No. Date Issued '- e .' •v '�-:.....+"'� ft.y �Y..A'��J'"-.. -.., . v'�y,a - .. .-...-�,,+^�,*-�' a� * -a+�,r+''...,,�,..p.,n�� --.+'"'`"r,/ ., No. tf :+ Fee !Q ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH'DIVISION=TOWN'OF BARNSTABLLE;,-MASSACHUSETTS Yes Z(voYication for, �Bi� o�aP4 Rent COR!gtructtoiNvermit Application for a Permit to Construct(64;—Repair(c.)-`tJpg(ad`e O Abandon O ❑ Complete System ❑Individual Components Location,Address or Lot No./4 ' � � Civ>r�z Owner's,Name,Address,and Tel.No. Assessor's Mapyarcel Installer's Name,Address,and Tel.No.S"a 29a- 77S'1- Designer's Name,Address and Tel.No.,fd8;3CY' 0a95' c%S"104 ve L34r�-v5 Type of Building: Dwelling No.of Bedrooms Z? Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ! Description of Soil i Nature of Repairs or Alterat o s(Answer when applicable) 2h 5Tty0/ 3 ^30S(L jJG,/r�.c�TarS GviTZ y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si d t ` Date .. r p` Application Approved b Date (J 3 Application Disapproved by: Date ° •. ;Y for the following reasons i +-�--�: Permit No. s1 � Date Issued b G ——'' -————=————--————————————————— ————————-- ` - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r Certificate of Compliance THIS IS TO CER/TIFY,that the On-site Sewage Disposal System Constructed (e_ Repaired Upgraded ( ) Abandoned( )by at 6/Z GUAo7er- I IzI-W Cirlle has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a(�'`C)-61G dated Q Installer, ®{�� & Designer #bedrooms Approved design flow gpd t The issuance of this permit shall/not be construed as a guarantee that the system will fu'nct' d signed. Date /f%D_ Inspector cm \No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE,=MASSACHUSETTS J lwigool *p,5tem Cow6tructiott Permit Permission is hereby granted to Construct (L) Repair Upgrade ( ) Abandon ( ) r System located at yi 46/ev rW 4�: 1 4,�4sZ e!� V-/�,� y and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special coed tions. Provided: Construction ust b completed within three years of the ate oft '� e, ;t. Date rD �� Approv by OIL 4 f Town ®f Barnstable EVE Regulatory Services I SfAB[.E. Thomas F. Geiler, Director� I3ARN ��� Public Health Division \'F-639. Thomas McKean, Director 200 Main Street,Hyannis,CIA 02601 Office: 508-86'-1641 Fare: 508-790-6304 Installer & DesiQner Certification Form Date: LA/op-� Sewage Permit# 19a,92 4 -/Assessor's )/lap\Parcel 2, Designer. � �"'I v"' � Installer: Vd�4d��i &V.d Y Address: PO —��J�( Q�� Address: I/ 02537 On 4 ^to -•d S k!5e4 was issued a permit to install a (date) (installer) septic system at P— based on a design drawn by (address) dated OS ! 0� (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 re;ocatiori of the distribution box ancb or 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 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. A& OF Mgss9�s DA M. 1 R (Installer's Signature) " No. 1140 RfcislE ° ]�� r 1 C' SO I TAO''\ �t I t (Designer's Signature) (Affix Designer's Stamp'Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COiNIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heal th/Septic,'Designer Certification Form 3-26-4.doc 1 ' Town of JB4rnstable P# Department of Regulatory Services Public Health Division II Date_ BEA 1' e$ 200 Main Street Hyannis MA 02601 r YawN,- Time` I Fee Pd. ✓_ ____Date Scheduled ioil,5uitab Assessment li for Sewage Disposal ��,e ;' ,• �� Witnessed BY: Performed By i LOCATION& GENERAL INFORMATION Location Address . I¢ f�j� Vl C l�G owner's Name I L.(,t MA I Address 14 wit-e w6w C'AcF Assessor's Mapffl4Mel: 2 34/052 Engineer's Name NEW CONMRU&nON REPAIR X Telephone#508 Up-2 Z2, Land Use, �`�/ Slopes(i) .5 v Surface Stones 111. pQ 7 ZSb ft, Drinking Water Well y 2Sb ft s, Distances from:;-Open Water Body_ _ft Possible Wet Area 4 Drainage Way 6:1 ft. 'Property Line' 710' ft Other - ft,t >; SKETCH:($treet name,dimensiods'of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) PAOP t �l fikr4�_o 57*108 cri . i � r k l Parent material(geOlogic) uGla f OzJ �+� Depth to Bedrock �! Depth to Groundwakdr. Standing Water in Hole: I Weeping from Pit Pace Estimated Seasonali1jigh Groundwater - J ' DtTERMINA7'ION F'OR SEASONAL HIGH WATER TA'3LE Method Used: Jn. Depth Observed standing in obs.hole: In.—Depth Depth to Sall mottles: {t. Depth to weeping from side of obs.hole: i in, Oroundwatet AdJusttiteet� A .fai tor..,...�.� Adl•droundwaterlevel.,•„e, Index Well# . Reading Date Index Well level ' A dl PERCOLATION TEST Dide�.o �xl►ne l Observation I Time at 9'1 -�•-- Hole# Time at 6" Depth of Pere .----- // -7 A4 v� StartPre-soakTime.( /` /Z _ Time(V-0) l��----- 112) i End Pre-soak r . hate MinJInch 1 G 2M dK� Site Suitability Assessment: Site Passed _ Site Failed; — Additional Testing Needed(Y/N) Original:.Public He$ith Division - Observation Hole Data To Be Completed on Back-------- . ***If percolajion test is to be conducted within 100' of wetland,you must first notify the n at least one 1 wedk prior to beginning. Barnstable Ct�liservation Division ( ) • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis enc %Gravel) w 10 NA Lou I-ov—si. !> ( CDAMA4 9A802•S S N�a tt.Q DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soii Texture .Soil Color . Soil . Other Surface(in.) . ;1, •' :(USDA) (Munsell) Mottling (Structure,Stones,Boulders. ' Consistency,%Gravel) 10 3 oss , �� �� LO DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soii Texture Soil Color'. Soil , ' — Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsiste c t Gravel 1 L L_ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA (Munsell) Mottling (Structure,Stones,Boulders. Consistency. UraveI Flood Insurance Rate Map: Above 500 year flood boundary--No_ Yes Within 500 year boundary No X Yes,,.._ Within 100 year flood boundary No Yes Death 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? S If not,what is the depth of naturally occurring pervious material? ...:. , Certification I certify that on D (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 rrat ' g xpertise a d experience described in 3.10 CMR 15.017. 3 Signature Date_ • Q:ISEPTIC\PERCFORM.DOC 1 r 3 � �S r • 1! s Comi as 1,2,and 3.Also complete 7eed j`+ tem,4 if Restricted Delivery is desired. ❑AgentPrint your name and address on the reverse Addressee; so that we can return the card to you. (Printed Name) C. Date ellvery ` t _ ® Attach this card to the back of the mailpiece, or on the front If space permits. I D. Is delivery address different from Item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No (1 x r 3. Service Type r Certified Mail ❑Express Mail ❑Registered ®Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Fender'rem service fabep 7006 2150 0 0 0 2 .10 3 8. 7206 IRS Fo6"3811,February 2004 Domestic Return Receipt tozsss e2 M-t540 :tea s,4.l�ct � UNITED STATES R11 .. r . PerrrriE'iVo.G-10 • Sender. Please print your name, address, and ZIP+4 in this.box • ry I I Town of Barnstable _ Health Division 200 Main Street Ost Hyannis,MA 02601 I 4C1ck r /�ir►rr/i�ill.+r�'trirn1/Jiti1#411#1111r/i1Iltii11tr,t44) i Town of Barnstable Barnstable Regulatory Services Department A"medC8�' t�tsrasi.e. Y g P � 1 .MASS 030 Public Health Division p4j s639� ♦ m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO April 24, 2008 Z Valerie Thompson 14 Water View Circle Centerville, MA 02632 � ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 14 Water View Circle, Barnstable MA was last inspected on April 14,2008,by Brad J. White, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF ' E BOARD OF HEALTH Thomas McKean,R..S., CHO Agent of the Board of Health CERTIFIED MAIL# 7006 2150 0002 1038 7206 Q:\SEPTIC\Letters Septic Inspection Failures\l4 Water View Circle.doc 4 "r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 14 Waterview Circle ' Ot o Z Property Address Valerie Thompson 3 (� Owner Owner's Name information is ` \ �. required for r'�,. � n � MA 02632 4/14/08 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key a r., to move your Brad J.White ' cursor-do not Name of Inspector use the return key. Bluewater Septic Company Name M ram: L { L- � 350 Main Street r-=7 - Company Address t ` West Yarmouth MA 102673 Rd0" Citylrown State Zip Code- C:7) 508)775-2800 . C..11 Telephone Number License Number B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the.proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 1'7�wf Ole? 4/14/08 Inspector's SignatYector Date The system in 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. 14waterviewcirlet5.doc-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 r, i Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration`or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due. to broken or obstructed pipe(s) or.due to a broken, settled or uneven distribution box:System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 14waterviewcirlet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface.Sewage Disposal System.Form Not for Voluntary Assessments ,M 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is Centerville MA 02632 4/14/08 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the'Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soilabsorption system (SAS).and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ . The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 14waterviewcidet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 II l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is Centerville MA 02632 4/14/08 required for every page. Cityrrown State Zip Code Date of Inspection Bo 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 El 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. El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 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. YP P An portion of cesspool or privy riv is within 100 feet of a surface water supply or _ ❑ ® tributary to a surface water supply. 14waterviewcidet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 AM Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. Cityrrown State Zip Code Date of Inspection B. Certification(cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® Any portion of a cesspool or privy is within'a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Z. 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 10,000g pd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ the system is within.200 feet of a tributary to a surface.drinking water supply El El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA),or a mapped Zone.II of a public water supply well If you have answered"yes to any question in Section E the system is considered a.significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate i regional office of the Department. 14waterviewcidet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is Centerville MA 02632 4/14/08 required for every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue ® ❑ approximation of distance is unacceptable) [310 CMR 15.302(5)] 14waterviewcirlet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments p Y M 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is Centerville MA 02632 4/14/08 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: -� System was pumped November 2007 per owner 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 ❑ CIJD� 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: System was installed in 1993 per as built plan of septic system: Were sewage odors detected when arriving at the site? ❑ Yes ® No 14waterviewcidet5.doc•03108 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 wM 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. Cityfrown State Zip Code Date of Inspection Da System Information (coot.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron 0 40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Building sewer appears to have a belly in the pipe and needs to be addressed. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: 0 concrete ❑ metal ❑ fiberglass ❑polyethylene ❑ other(explain] If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 8' x 5'-2" x 4'-10" Dimensions: Sludge depth: 2 1/2 Distance from top of sludge to bottom of outlet tee or baffle 2911 Scum thickness 1 9" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 1711 � How were dimensions determined? Measured 14waterviewcirlet5.doe•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System>Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. Cityrrown 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.): Inlet and outlet tees are in good condition. No evidence of leakage in or out of tank. Inlet line from house is holding water from I'from the tank for about 14'. Belly in pipe needs to be addressed when replacing system. Grease Trap(locate on site plan): Depth below grade:. feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 14waterviewcirlet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 J Commonwealth of Massachusetts Title 5 Official Inspection Form`- Subsurface Sewage Disposal System Form -Not for;Voluntary Assessments 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches,•etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution.Box(if present must be opened) (locate on site plan): 3" Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): '-� Distribution box is corroded and level is high. Minimal evidence of solids carryover:Box is 26" below grade. Replaced cover as old one was severly corroded. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 14waterviewcidet5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 f Commonwealth of Massachusetts . W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632. 4/14/08 every page. Cityrrown State Zip Codes Date of Inspection D. System Information (coot.) e Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 @ 6'x 6' ❑ leaching chambers number: ❑ leaching galleries number: ED leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): }Vegetation is normal. Soil is wet. Leaching pit is overfull, with evidence of liquid up into.the riser. - System is in.hydraulic failure and needs to be replaced.. 14waterviewcirlet5.doc•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15. Commonwealth of Massachusetts r Title 5 Official-Inspection Form. Subsurface Sewage Disposal System Form- Not for Vol u ntary.Assessments G M ,•''r 14 Waterview Circle Property Address Valerie Thompson Owner Owners Name information is Centerville MA 02632 4/14/08 required for every page. City/Town State. Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to.inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan). Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 14waterviewcidet5.doc•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. 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is Centerville MA 02632 4114/08 required for every page. Cityrrown 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. tlK 2,i"g t cKtstlJ�1(� 6DX 41 rr %6- 3 �� K i 27' y boa &—A;.are S 114 t u i+ 11', c « A l SLc:Pe psi TD T+c 40 ram► v i Y CATQ1f "8ASi,%J ws-b POP, opwAei:YL x. A► 2QQIJ Uj C P,CLG- 14waterviewcirlet5.doc•03108 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 14 Waterview Circle Property Address Valerie Thompson Owner Owner's Name information is required for Centerville MA 02632 4/14/08 every page. City/Town State Zip Code. Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope "j3 FC is A SLO PC Orr Tz F C Surface water Check cellar _ CEic-UL tS �t� c.� Ir� MG 5 LJ. Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from.system design plans on record, If checked, date of design plan reviewed: pate ❑ 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: —$ Well A1W-247 ZONE C LEVEL @ 23.4 ADJUSTMENT 3.6' SEE BELOW You must describe how.you established the high ground water elevation: —.—.1 Where the septic system is located is sloped up from road and the adjacent property. See the attached plan for groundwater information. Took elevations on site using,the transit and no indication of groundwater @,15'. Bottom of the leaching pit is at 103" No groundwater @ 180"with 42" adjustment, system is at least 35"out of groundwater. 4 ThompsontT5.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 �rr i IQ GL-eV467u t !5 Q4:2,�-&W k P-V-s A4Q `G-S W i S SY S T-81r'\ TO P Ct P-C CCU' C NTtf,V c LL(i— MA Cac t cc �i/�5 rtir �S{N THE Town of Barnstable �Op Tp� yP ti� Regulatory Services Thomas F. Geiler,Director $ 1639. � PIED MD'�A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future not does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. a ',9,,r TOWN OF BARNSTABLE LOCATION -Lrp"Z� u!,—ZeL — V%W elWL-. SEWAGE # VILLAGE ASSESSOR'S MAP & LOT,�13y -0wZ INSTALLER'S NAME & PHONE NO. Nice C-4 ft-4 &V SEPTIC TANK CAPACITY \! o o o LEACHING FACILITY:(type) (size) �, w d NO. OF BEDROOMS 3 PRIVATE WELL R PUBLIC WATER UILDE OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:?-e- �21 -m� VARIANCE GRANTED: Yes No r - i o r7 TOWN OF BARNSTABLE LOCATION 1`r' Gvs�Th� I/i�w �«G�l SEWAGE# VILLAGE ASSESSOR'S MAP/& LOT �2 INSTALLER'S NAME&PHONE NO. fd F-'i2 0^9-759 a a."",j SEPTIC TANK CAPACITY lDov LEACHING FACILITY: (type) 3 - ;34,s-a c�h�Ts (size) 2S x 12.141 NO. OF BEDROOMS 3 BUILDER OR OWNER /;I, PERMITDATE: "G— 0 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leac 'ng facility) Feet I Furnished by 1 ` � . o Hit ` - o yhSpEctfoa Pori' i TOWN OF BARNSTABLE e� LOCATION l�/ Gv�7.6� V-L-W ef tt��r/lQ SEWAGE # oU g—2YU VILLAGE V/// ASSESSOR'S MAP & LOT 3y 082 6INSTALLER'S NAME&PHONE NO._���'�'2 0,7-.39 d015,p 7 SEPTIC TANK CAPACITY 10-0 I, LEACHING FACILITY: (type) 3 — 30 SD C/1/ljs (size) 2ZLX 12.4 NO. OF BEDROOMS 3 BUILDER OR OWNER_ 197,- (f!47'Gf a PERMITDATE: COMPLIANCE DATE: "�� ` Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leac 'ng facility) Feet Furnished by TOWN OF BARNSTABLE - I LOCATION �t..p� �Q.S- W,,�e vt_ V IVO SEWAGE #� �s c` PILLAGE ASSESSOR'S MAP Sr LOT,:�31 -®0001,1, INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY N, n® LEACHING FACILITY:(type) p`� (size) c NO. OF BEDROOMS 3 PRIVATE WELL R PUBLIC WATER' UILDE OR OWNER NICtcU DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:S& VARIANCE GRANTED: Yes No L� o j • � 1 6 o j5,spCcrl&w Pori i 17 i. S-7 f�> f r j r No.. :'.. � Fps ........ THE COMMONWEALTH OF MASSACHUSETTS ASSESSOM MAP NO: 2�Z_/ BOAR® OF HEALTH PARCEL NO: ...--------.........OF...... �`�j ' .... Apptiration for Dispaii al Works Tnnstrurtion Frrntit 1 Application is hereby made for a Permit to Construct (r� or Repair ( ) an Individual Sewage Disposal ` System at: Y1 Lo ion-Address r�No. Owner Address W Installer Address Type of Building Size Lot___4.33le-0...Sq. feet Dwell per, Other—Typel of Building gms.____�_________________ No. of personsnsion Attic ( )Showers (GajbageCafeter a\.,( ) Pa Other fixtures ------------------------------------••-..__._.- ----••- W Design Flow......&VAA6Q.f����____gallons per person per day. Total daily flow---------33._d�_'_.......................gallons. WSeptic Tank—Liquid capacity,,.. gallons Length Width._5.1�___. Diameter________________ Depth__,5.� x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._._.0 Diameter_____/0......... Depth below inlet......4_......... Total leaching area...246-4...sq. ft. Z Other Distribution box ()() Dosing tank ( ) aPercolation Test Results Performed by.......... ________________________ Date....lAk3g, __._______. 4 Test Pit No. 1...�.i.__.2....minutes per inch Depth of Test Pit....,[_ a__.__.__ Depth to ground water 07'__.r__ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil.................... ----------------------------------------------- ---------•-•---._...---------- U --------••---••••-•••-•••---••--••-•--•------- s ...s�-G:/�t�z-__. --------------------•-------•---------------•----------•-------•--------•--- UNature 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 iITA U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has enissue4.by the board of health. Signed. v..... ............... .......................................... .............--•- .........-•-- •-•-• -Date Application Approved BY y `5 � ____________________ �Da te Application Disapproved for the following reasons:......................................•-•--•------------- ................................................... •------•-------------•---...--•--------•-------------•-•••-•---------•••••----•--•-•••-•---------...-----••-••••------•-•-•••••-•••-------•••---.._-•-•-••---•---•---••-••----•-•••--•-••---•---__------ Date ................................ ._....--- Date No......................... FEs............._............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C 1 ......... ...OF.................... p` / G" Appliration for Disposal Works Tontrurtion nutit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System at• .................................................................................................. .................................................................................................. Lotion A dcess N i.... 5 L 'v_ G / ✓Cr Grt .. .... ,.'�j..... ........................ �Y... Owner Address W Installer Address U Typeg Size Lot.._`_ -� of Building ....Sq. feet Dwelling—No. of Bedrooms.....3....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------•--•-------•-•••......--••--------•... Design Flow_._._ 1� �%�`!�r� l�..gallons per personper day. Total dai1Z.flow........_13.0........................ ..........gallons. W • WSeptic Tank—Liquid capacity/_-5._.-:_gallons Length-__-•---.::.._._ Width_. __..___.._ Diameter________________ Depth..-._._'17..__..... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_______._--_---_-_sq. ft. Diameter....�._ Depth below inlet..... ............. Total leaching area... °"----sq. ft. 3 Seepage Pit No._...���-___-_- ��----_-- t - Z Other Distribution box O Dosing tank, ( )_ / L� ,�_ /-9.j. �G< Date.. a Percolation Test Results Performed by......... Y4 14 Test Pit No. 1..S---Z._.minutes per inch Depth of Test Pit ..Z:� ........ Depth to ground water`tVa;�__------- Test Pit No. 2................minutes per inch Depth of Test Pit.................•.. Depth to ground water........................ ---•----� ���----- -. -ra.�,;�=J{i✓�?sij��•----------------------- - ----------------------- •--------- •-------------------- O Description of Soil................ .-- x ------------------•-----------------------------------------V ---••---•---•-•--------------•---•-•-•----...---.....------•----------------•-----•---------••----------...------•-•---......----------•••---.......................................................... UNature 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 TITIL- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has issue the board of health. Signed _Ni; -• - --------------------------•--••-------•-----•-. -----............_..._ cn�— .� — � Date Application Approved By....<_--_._....-_..._ ' 1 - + --------------•--------•........---••-•-•-•-•..._.........---••------ -•----•------••---. ----••......------ Date Application Disapproved for the following reasons:................................................................................................................ .............................•-------••-----•---•---••-•-----------....---•--...........---....------•---•••._.......•-•------•-•----••-------•---•--•------------------------•----••---------••...----- / -.Date' ,. Permit No..... :..: 'f ' ..._.. ., ._.... Issued........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tntif iratr of TontpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( `) or Repaired ( ) �// / s �� Installer / = ............ j i t �... ` .� " �.+ i Re-+�O ,/ rZ i M /�f �f•/ + l 1G.3 �^�6�:t ' t .j++ , f at -•....._••••-•. --------•-----••--....._•--------------------•---•-- ---- has been installed in accordance with the provisions of TITLE «^5'oof The State Sanitary�Code as described in the application for Disposal Works Construction Permit Xo:r_; .....!t-........................ dated_ 1 --_'._:_%------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE SYSTEM WIL FUN ON SATISFACTORY. DATE --•• r ---•---•--••••••.... Inspector..:..... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ., . ...........................................OF.................................................... FEE........................ Disposal,Works TFonoir ion rrntit Permission is hereby granted......... ..__ `r.... to Construct ( ) or Repair_( , ), an Individual Sewage Disposal System at No" e / � ' Street as shown on the application for Disposal Works Construction Per No..................... Dated.......................................... .......4--•..... . Z�V -------�/���$ �' DATE------....3''--.f.........�r�......-•--•-......•---- FORM 125S HOBBS & WARREN, INC.. PUBLISHERS 289.25 ft _.. , r $3 rt - - - - - - \ LEGEND w , BENCH J N \ _ PROPOSED CONTOUR ® 132 PROPOSED SPOT. GRADE _ I \\I TOP GF CONC BOUND -- 98 -- EXISTING CONTOUR ELEVATION = 59. 25 Existing Leach Pit + 96.52 EXISTING SPOT GRADE I BARN TABLE GIS DATUM t j \ (See Note 10) \ W— EXISTING WATER SERVICE ---- _____`� I o I \\ 2- \\\` ------ -----� � TEST PIT 25 W s4 i I I 12 ft i \ TH-1cO -0 T 25 J \ o �r, alit PaR g AT Ell .. \\ N 0 0 AREA �� 43600 sf +- r / I T � \ , D �\ H-2 F LOCUS MAP N.T.S. a Z \ I , G i GENERAL NOTES: \ I \\ \\ o * \\ 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 1 I \I \ y 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS.- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR I I • 1' \ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1 / \ DESIGN ENGINEER. i o I 1 \\ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ) N FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN j' cG OF Mq ENGINEER BEFORE CONSTRUCTION CONTINUES. 11 l%Vln9 \\ 2 �_ QX., Ss � 5. ALL ELEVATIONS BASED ON ASSUMED DATUM, j room \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF I I \ p DA "`" THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF \ l / MEYER \ k%tchen E Y I STING bath � � HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. { I \ ` No. 1140 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.. I d r RP �1 DWELLING 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED I TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. NITAR\p� n 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY j —— _ __ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING r�IQ Fi-rr�F F N D N bed 'I __ qp'Ob CONSTRUCTION. j •. I EL — 59.28 room (], 10. EXISTING LEACH PR TO BE PUMPED, CRUSHED AND REMOVED j 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION �- �\ 12. THIS PLAN IS TO BE USED FOR SEPTIC;SYSTEM PURPOSES ONLY j AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY j _ l Q 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING j I I \ 152 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED OTHERWISE) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW I FOR THE USE OF A GARBAGE GRINDER bath 16., NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING ——-—————- I ° J I+ bed 17. INSTALLER TO INSPECT PIPE FROM HOUSE TO TANK FOR PROPER PITCH I room. bed rd I `\, �� �� _--- ���`�� room I , I > open to I �� ---t--Q---f------------------ L below i s j ___-- ) r 2ND FLOOR i -------I---------- -- - I i 242.39 ft PROPOSED SEPTIC SYSTEM UPGRADE PLAN _ ------------------------- '-- - ------ 14 WATER VIEW CIRCLE, CENTERVILLE, MA EDGE OF PAVEMENT Prepared for: Carter SURVEY REFERENCE: \n/ /� T E R MEW ( R (� E MAP. 82 Engineering by: Surveying by: SCALE DRAWN JOB. N0/ \ 4\ \ t� �/ LOT.OB2 DARRENM.MEYER,R.S. Bco—Tech 6nvironmenta! 1"=20 DMM PLAN OF LAND BY: LE1h(/ELDREt6C$ jA6,1JIrR '' DEED BOOK.•9976 PO�gNDW/CH,MA02537 981 (508) 364-0894 DATE: CHECKED SHEET N0. DATED: 3U.IE 3O / z DEED PAGE.018 , 508-362-2922 05/20/08 DMM 1 of 2 (q81 A J • ELEV. TOP i " FOUNDATION (Existing) FINISH GRADE= 58.5 = 59.28� F.G.EL: 35.5 F.G.EL• 34.0 F.G. EL: 31.0 MAINTAIN 2% MIN SLOPE. OVER LEACHING AREA x ' OVERS TO WITHIN 6 OF GRADE r s" INSPECTION PORT :v . �, •; W/IN 6" OF FINISH GRADE 7=T L = 20 .,,,,}'" SCH 40 PVC L = 5' _ o 0 o a o 0 0 0 0 S, 11 6 0 (MIN.) ) - (MIN.) 14 � S- 1� (MIN.) T A EE S RE TO BE 4" scH 4o PVC I NV.55.140 ..�...,.:.; �:l I INV.5b.20 0 0 o a o 0 GAS • I PROPOSED DB-3 G C EXISTING OUTLET BAFFLE c+ •. :. •. ...•.• '10 DISTRIBUTION BOX INV. 56.12 �.. ... �� ' H i A INV. 55.85 EXISTING 1000 GALLON SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION FRXWx v sar. 9" MIN. 2) D-BOX SHALL BE SET LE`!EL AND TRUE TO PER T1 TLE 5 GRADE ON A MECHANICALL COMPACTED SIX OF Mgss9� INCHE2 STONE I ELEV=54.92BASE, AS SPECIFIED IN v. BREAKOUT EL. = 55.50 310 CMR 15 y 2 N o D R 3) REPLACE EXISTING 1,000 GALLON SEPTIC 24 STONE » JO „ f TANK WITH 1500 GALLON SEPTIC TANK oouece wASNeo saws 30 5 o. 1140 IF FAILED, DAMAGED, OR UNDERSIZED. IN U j 4) IN INLET & OUTLET TEES AS REQUIRED .SEPTIC SYSTEM PROFILE BOTTOM EL.- 52.92 A S4NIT00 SEPARATION 5.67 FT. I 146" INFILTRATOR 3050 SPECIFICATIONS BOTTOM of TH-1 EL: 47.25 SOIL ABSORPTION SYSTEM (SECTION) SOIL LOGS P#: 12208 DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOOM DATE: , MAY 20, 2008 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN C WITNESS: DON -DESMARAIS DAILY FLOW: 110 G.P.D. DESIGN FLOW: 330 G.P.D. HEALTH AGENT GARBAGE GRINDER: NO (not designed for garbage grinder) i INLET END Elev. TH-1 Depth ; Elev. TH-2 Depth SEPTIC TANK: 330 gpd x 2 = 660 gpd USE EXIST. 1,000 GALLON SEPTIC TANK (OPEN) 58.50 0" I 58.25 0" A S1NDR 3/3M LEACHING AREA REQUIRED: (3��) = 445.94 S.F. FILL a.s" Du ACCESS PORT FOR INSPECfl 57.83 8" 57.75 6" ON. e A , SANDY LOAM USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE SANDY LOAM 10YR 3/3 ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 10YR 5/8 57.09 B 14" BOTTOM AREA: 25 x 12.16 = 304 SF 55.83 32" 10YR 5/8 M SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF Ct 54.92 40" C1 TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd 0 o e a PERC o 0 0 0 0 0 0 ®54.50 LOAMY LOAMY PROPOSED SEPTIC SYSTEM UPGRADE PLAN SAND INFILTRATOR 3050 2.5Y 5/4 ! 2.5Y j4 14 WATER VIEW CIRCLE, CENTERVILLE, MA Prepared for: Carter NOMINAL CHAMBER SPECIFICATIONS Engineering by: Surveying by: SCALE DRAWN JOB. NO. „ 47.50 132" 47.25 132" DARRENM.MEYER,R.S. 6co-Tech Ahvimnmontal N.T.S. DMM SIZE (W x H x L) 51 x 30 x 85.4 Po BOX 981 (508) 364-0894 WEIGHT 80.0 LBS. PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) EASTSANDWICH,MA02537 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508-362-2922 05/20/08 DMM 2 Of 2 ,I 289 25 ft CENTERVILLE- LEGEND h , s j I \ O PROPOSED CONTOUR N/OR�(�Nc 132 BENCH M A E"K, PROPOSED SPOT GRADE a I \j TOP OF CON C BOUND 98 —_ EXISTING CONTOUR ELEVATION = 59. 25 \ BARN TABLE CIS DATUM ��\ �\ + 96.52 EXISTING SPOT GRADE c LOCUS C I W— EXISTING WATER SERVICE _' � ------------- I ° \ -___-- - --�2 ® TEST PIT �J V/fll, . I ' 00I \\ EXISTING - ---__ R, 12 ft \10 25, \ I--- �, \\ TH-A o o �� TH-1 LOCUS. MAP- I , 0 o LOCUS INFORMATION 6 \ LEACHING U(T \jH-B EXIT_-;000 •- E1TH-2 PLAN REF: 318 80 SEPTIC TANK \ \ 90 TITLE REF: 0978/018 j I ! \ \\ \ PARCEL ID: MAP 234 PAR. 082 ZONING: "RC" I FLOOD ZONE: "X"' ' COMMUNITY• PANEL: 25001CO561J DATED:IJ7/16/14 60 SEPTIC SYSTEM REPAIR , PLAN o O LOCATED. AT: co j Tx. w ter service roomqipDA� 14 WATERVIEW CIRCLE kitchen EXISTING both CEN TER VI LLE, M A --_ PREPARED FOR (� , 5�I \ a ► DWELLING I' - —58 JAMIE SyMILEY di,$F 7 pF FNDN bed _ 56 DULY 31, 2017 I , \\ \\ . I EL 59.28 room �\ /} I OF z I DA I ` bath bed L,O T 25 J I ��� room bed SANI TAR�a ILd room I_ AREA = 43600 sf + — ,� � I � Pen to \�� ------t--a F-------------------- • () I o be/ow -----= I ------- ------=--_- I 2W FLOOR MEYER & SONS, IN;C. T I - - - - - - - - - --- - -- - -- -- - ---- ---------------------------------------------------------------------- 242.39 ft EAST SANDWICH, MA. 02537 \----------------- --- EDGE OF PAVEMENT - ------ PH: '(508)360-3311 FAX: (774)413-9468 meyerandsonstitle50gmail.com W A TER VEW C ,l R CLE SCALE: 1"=20' SHEET 1 OF 2 J#1912 rw '� ELEV. TOP FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS -' (Existing) •1 4 BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (59.5) 59.28 F.G.EL: 58:0 F.GEL: 57.8 F.G. EL: 59.0 VENT M MAINTAIN. 2% MIN SLOPE OVER LEACHING AREA "__,"k a p :. 2 / AS F GEL::57.04 �. " OF 38" DOUBLEWASHED 3/4.. _ 1-1/2" ' .• . STONE OR FILTER FABRIC :' SHED ON DOUBLE WA ST E 4" SCH 40 'PVC 10, 1 ®®®®• 0 ®®®® 14 6 © S= 1 (MIN.) ®®®®®®®®®®® A' TEE'S ARE TO BE ®®®®®®®®®®® a 4" SCH 40 PVC INV:55,20 2 EFF. DEPTH ®®®®®®®®®®® INV.55.60 INV.55.0 4' .2 X 8.5." GAS _ �. �PROPOSED DB 3 EXISTING OUTLET BAFFLE D = 25' _ i. ,.: •.. ..:..f....a� �. ISTRIBUTION BOX INV. 55.85 s 4 EFFECTIVE LENGTH (H20) INV. ELEV.= 54.75 EXISTING 1 ,000 GALLON, SEPTIC .TANK GAS BAFFLE TO BE INSTALLED ON ���H OF BREAKOUT' OUTLET TEE AS MANUFACTURED BY DA R M - ELEV. 55.75 .TUF-TITE,, ZABEL, OR EQUAL TOP CONC. ELEV.= 55.75 i_r _ _ . .I NOTES `1) CONTRACTOR SHALL VERIFY ALL EXISTING �, No. 1140 "' LNV. ELEV: 54.75 ®®« E3Ea PIPE INVERTS;PRIOR'TO CONSTRUCTION 4_ ®®® 2) D-BOX,SHALL BE SET LEVEL AND TRUE TO �f�/STERN ®®®®®®® GRADE ON,A MECHANICALLY COMPACTED SIX 1NfTAR�A� BOTTOM EL.= 52.75 ®®®®®®® , INCH'CRUSHED STONE BASE, AS SPECIFIED IN I, 3.75 5 FT, 3,75 310 CMR 15.221(2) : _ 2 5' 3) REPLACE EXISTING 1;000 GALLON SEPTIC TANK 5 00 FT;_ SEPARATION .. EFFECTIVE WIDTH 1 WITH 1500 GALLON.SEPTIC TANK IF FAILED; DAMAGED, NOT.'H20 LOADING, OR UNDERSIZED. SEPTIC, SYSTEM PROFILE . 4)'.INSTALL,INLET &':;OUTLET.TEES W/ BOTTOM OF TESTHOLE EL: 47.25 4M (SECTION) GAS ,BAFFLE>AS REQUIRED °' FROM PERC TEST CONDUCTED 5 20 08 R :12208 500E GALLON* ABSORPTION0)S LEACH. CHAMBER GENERAL NOTES: .. . : _ . : _ ' , C� , S O I'L LO`G S P#:y15412 DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 3 BOARD OF HEALTH AND THE DESIGN.ENGINEER., NUMBER' OF BEDROOMS: BEDROOOM DESIGN. 2. ALL WORK AND MATERIALS%SHALL CONFORM TO THE REQUIREMENTS DATE: DULY 1 2, 2017 SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL-RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: . SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 DESIGN .PERCOLATION RATE: <2 MIN/IN - 310 CMIi 15.405 (1).(e): _ DAILY FLOW:' 110 G.P.Q. X 3 BR = DESIGN FLOW: 330 G.P.D. 1).A 0.75.Fr. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING WITNESS: DON`- DESMARAIS; BARNSTABLE HEALTH , GARBAGE GRINDER: NO (not designed for. garbage`grinder) TO BE 3.75 Fr (MAX) BELOW GRADE VS REO'D 3 FT.,(H20/VEW PROVIDED) 3. THE SEWAGE DISPOSAL SYSTEM SHALL-NOT BE BACKFILLED PRIOR Elev. TP-1 Depth Elev. SE L. SEPTIC TANK SEPTIC TANK: DESIGN ENGINEER. ry ' 60.0 0" i 59.80 Th-2 Depth 330 gpd x 200% = 680`gpd, 45E EXISTING 1,000 GA TO INSPECTION AND-APPROVAL BY THE OF HEALTH AND THE �- 3., 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FILL FILL LEACHING AREA REQUIRED: 30) " 94 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN •74 ENGINEER BEFORE CONSTRUCTION CONTINUES. e' '. 57.84 26" �' 57.80 24" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. A LOAMY SAND A 'LOAMY SAND USE TWO. (2) 500 GALLON H-20 PRECAST LEACH.CHAMBERS W/ 4' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 4/3 AOYR '4/3' STONE ON ENDS"'& 3:75' STONE ON SIDES: 25' L x 12:5' W x 2'D THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 57.34 32" 57.34 - 32" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION: B B BOTTOM AREA:' 25 x:1.2.5= :312.5 SF 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.' LOAMY-FINE LOAMY-FINE SIDE,AREA: ' (25 + 12.5) X 2 X fr 2 = 150 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE-RESTORED SAND SAND tOYR 6/8 tOYR 6/8 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE !' 55.84 50" 55.47' 52" _ d THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DESIGN FLOW PROVIDED: 0.74(462 S.F.)' 342.25 G.P.D. vs 330 G.P.D.GPDreq CONSTRUCTION. C MEDIUM C MEDIUM ' 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE_ 5. 2.5YSAND 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM. UPGRADE P L A N REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. 49.0 132" 48.80 132" ~ 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 14 WATERVIEW CIRCLE, CENTERVILLE, .MA <2MIN/INCH IN IC" SOILS 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY, PERC TEST CONDUCTED 5/20/08 P�1:12208 Prepared for: Smile AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED Engineering and Survey'by: SCALE DRAWN 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. , & MM ,14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. * 1,rDarren M. Meyer, R.S., CSE, hereby certify that I am MEYER SONS,INC.,INC.o'currently approved by MADEP pursuant to 310 CMR 15.017N.T.S. to conduct soil evaluations and that the above onalysis�has been performed by me consistent with the POBOX981, 15. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) " CHECKED DATE'Y SHEET NO. - requirements of 310 CMR 15.017. 1 further certify that I.have passed the Soil Evol. Exam in October, 1999. EASTSANDWlCH MA02537 ` ' 508-362.2922 07'/31/17 DMM 2 of 2 ; _�w��� -_ r+'-�...� .w+.r��r.w..�r.•�rr._.•_.v.w•..�•�.w..uer rwf ��i.+.�w.._-. W.w -, . •�..r - _ _.. -. .__.�._...._._._. ... .-.�_...- �-__.._- � .8//Z S 0 1 L ! nfi I I n, s7 NO. 1 -- 0 N 0 1 S I T "I'J" L A N , I - i 4 f G,eq✓E� S TOP OF FOUNDATION El. : 58o wrrf/ 6 :� sToN�s 7 � f[. 49, MIN. 2% FINISHED GRADE 9 IN EL S_ ,G8 `,e I : •:: + ' sso�IN Il s4g6 MIN. COVER G,e, IN Itdmmv j!m 1/8 3/8 WASHED STONE 2 COVER I IN ElSS46 L i iN li 55.2 / l `• • • ' 1 IN EL:¢ `•' •� •• • •+• 3/4 1 1/2 WASHED STONE 4 ' LIQUID LEVEL : o • S• NO G.�//i1/D!�/A7F.� alp DEPTH bwco PERC TES1 RESULTS PRECAST SEPTIC TANK WITH • ' • •`° PRECAST LEACHING PITS PERC RATE : I • ' ' II CAST IN PLACE INIEi AND EL48�o °�• ' NO,; owE SIZE: "D/.9M X __ WIY MESSED BY M� ��„�.✓�.vG 1 -_ T/IdL� BOARD OF HEALTH OUTLET T S PER TITLE V DATE ; SIZE : •/50o GALLONS z �=DIA - r�.✓E L-23- 93 I Sra•✓E 0 F S'� 1� E LONG x 58 W I D E x ='�" D E E P l 4 Pervious !°'DIA ALL AROUND Material i E L. ¢.�o PRO ' I LE A' PRO SEC ► S EWA SYSTEM SYSTEM 0ES16NF0 Y THE TOWN OF e�v57ti8�� � _ _ REGULATIONS ANO STATE TITLE V Fu' s SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4`-, 1 ' D , A,��.���r. G%�'4�/ND`✓ATE,e I ' 42; �D 1 . ALL PIPES SHALL BE SCHEDULE 40 ?.V.C . SEWER PIPE p� 30� x N LaT�D, �s 1. All PIPES SHALL BE SLOPED 1/4 •' SCR FOi�T EXCEPT FOR � � ' _ �3 Goc sf I t , R , l •� �� SEPT • `e V/ee7 I, ) THE FIRST Z FEET OUT OF THE 1 4Nhit, 1 Si1A , l BE LEVEL ' i 3, DESIGN FLOW .3 BEDROOMS O AT 10 GAL AV 0 E A BR 3�� _. GAL / DAY SEPTIC TANK SIZE .j2w X/so/ _, >_s- GAL � ,�_ � � � - • � USE iL90 GAL. W GARBAGE OiS ?OSAI LEACHING SYSTEM : U S E 011-2 /, t G ',157-C"-. �EF'TH Fa2EC�ST LE.-ICES/ /T I of y��l"��,B �j h//TN Z C'F hiAS.%ED .STUr✓E ,51e0///✓� . h o'o$ x IP -- � I i EFFECTIVE AREA : SIDE 7Leh"' Z.S = 2*/7- 5 .V6k2S= 47/ G�� �! 410 = BOTTOM 7T2 x/o = Tr r Z54 /.o TOTAL FLOW OTAI REQ ►, FLOIflI - -5� X ���, _ 33oG�o Vy�Lr OAADAGE :DISPOSAL ,� 1. - 4 R E S E I1 V E FLOW --�9 - 330 L: Z�9 G A t 10 Il Y IN__�iEA Y� �\\R. g4 R I F E MEN C L. P i. A N S raL� G� 4r i✓ B ,t 4, f 9( -c 29 �p��J��✓, /N�- — 5�✓�E — i � A ? PROVEO BY _ BOARD Of HEALTH /Owti of a.�,��7- 0ATE : _ SITE AND SEWAGE FLAN PROPERTY OWNER Raa7i!E� 6 4 \,H OF�M„� 3��1H Of / FOR : v�C.Yl1LAS BU/LO/�vG CD. � �v 'r �.�✓r 8GE �_?�,,� � o� %.yeEE 0 f 0 R 0 0 M I N G L F FAMILY 0WFL1. 1NG f WILLIAM DOYLE,ill �4 c�a UEBEAMAAI LOT NO• ZS i l✓.9TE,e I//E/+t/ C/.e CG E i <1 �`�' �4�°� DOYLE ENGINEERING ASSOCIATES, INCORPORATE 7,0+q3 Box 595— 530 Thomas B. Lender: Road W. Falmouth, MA 02574 if I