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HomeMy WebLinkAbout0097 WARWICK WAY - Health 97 WARWICK WAY, CENTERVILLE A-148-054 t SEND9R: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,'2,and 3.Also complete - A. Signature Item 4 If Restricted Delivery is desired. ❑Agent 0 Print your name and address on the reverse X ❑Addressee . so that we can return the card t6�qu V B. Received pb (Prfnted erne) D e ZIA eliv ry ■ Attach this card to the back of the mailpiece, /,�G� /d or on the front If space permits. D. Is delivery address different from Item 1? Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑No !I 4 may y Institute � 97 Warwick Way Centerville,MA 02632 3. service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise i ❑Insured Mail ❑C.O.D. j t } j }4.. Restricted fed tDelivery?(Extra{Fee) ❑Y � 2.. Article Numbe r i1{ �.t (Transfer from serv/ce labeg ii1��. PS Form February ometic Return Receipt ' ry 2004 Domestic. `-,102595-02-M-1540� it v UNITED STATC$ tot � q �� _:� 1• Sender: Please print your name, address, and ZIP+4 in this box • ' { I t r PUBLIC HEL:ATH DIVISION TOWN OF BARNST.ABLE 200 MAIN STREET HYANNIS, iv ASSACHUSSETS 02601 �"` � � '`}1'~s ���i:tlil�•F�E1�}tll{it11E1lEI!!! )i�t'[fill111111111111111111111 I r -� COMMONWEALTH OF MASSACHUSETTS (m EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS - DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A. 7` o CERTIFICATION s Property Address: 97 Warwick Way Centerville, MA. 02632 Owner's Name: May Institute Owner's Address: Same : C) D:tte of Inspection: 11/2/2005 caY N me of Inspector: (please print) Brad J White ,..� Company Name: Windriver Enviromental IMailing Address: 107 N.Main Street • "' Carver,MA 02330 o� 'telephone Number: (508)-866-2576 . CERTIFICATION STATEMENT 1 ccrti fy 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 1-mninu 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 Needs Further Evaluation by the Local Approving Authority X Fails Inspector's Signature: Da e.11/2/2005 inspector shall submit a copy of r1isnspection report to the Approving Authority(Board of Health or within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 i_�pd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Dl:P. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Conmients System is in hydraulic failure I•his report only describes conditions at the time of inspection and under the conditions of use at that Bute. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title � Inspection Dorm 6/15/2000 page 1 Page. 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 97 Warwick Way Centerville, MA. 02632 Owner: May institute Dale of Inspection: 11/2/2005 1 nspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I Dave 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: R. 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. ns\\,cr yes, no or not deternvned(Y,N,ND) in the for the following statements. If"not deternuned"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 exfrltration or tank failure is imminent. System will pass inspection if the cxli ting 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 in(licating 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 Ohstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: 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: i 1 a"c;3 of 1 1 , OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 97 Warwick Way Centerville, MA. 02632 Owner: May Institute Date of Inspection: 11/2/2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to detemune if the system �s Iailin�, 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 2, System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 5p feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 I P:I,,c.4 of I l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 97 Warwick Way Centerville,MA. 02632 Owner: May Institute U>itc ol'Inspection: 11/2/2005 1). System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X _ 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 X Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow _ _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _ _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _l'es_(Yes/No)The system fails.I have deternuned 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. 1". 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 hpd. You must indicate either"yes"or"no"to each of the following: ("Ilie following criteria apply to large systems in addition to the criteria above) 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 Area—IWPA)or a mapped Zone 11 of a public water supply well I f you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "ycs" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of.the Department. 4 Pa-e,5 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 97 Warwick Way Centerville,MA. 02632 ON ner: \qay Institute Date of Inspection: 1 1/2/2005 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _X_ — Pumping information was provided by the owner, occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks'? X — Has the system received normal flows in the previous two week period'.) _ _X_ 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) _X _ Was the facility or dwelling inspected for signs of sewage back-up? X _ Was the site inspected for signs of break out'? Were all system components, excluding the SAS, located on site'? _X Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the conclition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of SCIInI ' 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: I Yes no 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 dIs(ance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 97 Warwick Way Centerville,MA. 02632 Owner: May Institute Date of Inspection: 11/2/2005 FLOW CONDITIONS RI STDENTI.AL u Nmber of bedrooms(design):_4_ Number of bedrooms(actual):3 DESIGN [low based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents: 3 Uocs residence have a garbage grinder(yes or no): NO I s laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO �'atcr meter readings, if available(last 2 years usage(gpd)): N/A Sump pump(yes or no): NO Last date of occupancy: Current C O lM E RC IA L/INDUSTRIAL l'ypc ofestablishment: I;esiL,n flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): \Valer meter readings, if available: I.ast date of occupancy/use: O'I'HEll (describe): GENERAL INFORMATION Pumping Records Source of information: pumped after inspection Was system pumped as part of the inspection(yes or no): Yes I f yes, volume pumped: 1,500 gallons--How was quantity pumped determined?Sight tube on truck !Zc_ison for pumping: Tanl< was overfull and running back.To prevent backup TYPE 01 SYSTEM X Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool - Privy No 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) "fight 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 1998 per as built plan of system. \Vere sewage odors detected when arriving at the site(yes or no): NO f Pagr-7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 97 Warwick Way Centerville,MA. 02632 Owner: May Institute Date of Inspection: 11/2/2005 111.11LDING SEWER(locate on site plan) I cpih below Lrade: 24" \M,uerials of construction: __cast iron X 40 PVC_other(explain): I)istancc from private water supply well or suction line: N/A Comments(on condition of joints, venting, evidence of leakage,etc.): Building sewer is in good condition. SEI-"I'IC TANK: X (locate on site plan) Depth below grade: 8" (\Material of construction: X concrete metal_fiberglass_polyethylene othcr(cxplain) - I i'tnnl< is metal list age: __ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certil,icate) Dimensions: 8' x 5'-8" x 5'-2" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 4" Distance from bottom of scum to bottom of outlet tee or baffle: 24" How were dimensions determined: measured 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 seem to be in good condition.Liquid lei el is high and when the system was pumped there was run back from the leaching components. GRI?ASE TRAP:_(locate on site plan) Depth below grade: \Material of construction:_concrete_metal_fiberglass polyethylene_other Oiin.nsii�ns: 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: Comments(on pumping reconunendations, inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 97 Warwick Way Centerville,MA. 02632 Owner: May Institute mate of Inspection: 11/2/2005 VIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: \'laterial of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Ai�nm level: Alarm in working order(yes or no): bate ()['last pumping: Comments (condition of alarm and float switches, etc.): D!S'CRIB UTION BOX: X (if present must be opened)(locate on site plan)(30"below grade) Depth of liquid level above outlet invert: Overfull ('o:rmen!s ("note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of lc�il<aue into or out of box, etc.): Distribution box is overfull.Both pipes exiting are underwater. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): .\hrms in working order(yes or no): ('0rnments(note condition of pump chamber, condition of pumps and appurtenances, etc.): 8 I'aoc 9 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 97 Warwick Way Centerville, MA, 02632 ON�'ner: May Institute Date of Inspection: 1 1/2/2005 SOIL, ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) I f SAS not located explain why: "Type leaching pits, number: X_ leaching chambers, number: 4 leaching galleries, number: leachin trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: nmments (note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): soil is wet for Vegetation is grass. Chambers are overfull. Upon excavation of chambers hole started fill up with effluent. CI?SSPOOLS: _(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: Dcpvh of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIG Y: (locate on site plan) Materials ofconstruction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.): Page 10 of 1 1 , OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) I'ropert) Address: 97 Warwick Way Centerville,MA. 02632 Owner: May Institute Date of Inspection: 11/2/2005 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. } 12C 4 o y21 t toV� f 1: Ti L� C Inc.o�tinn Fnrm�ii si�nnn 10 ji P,�1' I I of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 97 Warwick Way Centerville,MA. 02632 Owner: May institute D.ite of Inspection: 11/2/2005 SITE EXAM Slope Surface water Chccl< cellar 11;dlow wells I::snniated depth to ground water 5'+ feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained fi om system design plans on record-If checked, date of design plan reviewed: _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: No indication of groundwater @ 5'= per excavation. l � , ,., ; I.„„A�i�„n G•,,,,„i n snnnn 11 TOWN OF BARNSTABLE LOCATION SEWAGE #�06� cZC7S il VILLAGE C'ei'l'krw1i-e �f'i_ASSESSOR'S MAP& LOT L-f SA4 INgTALLER'S NAME&PHONE NO.GhA 8r4k1S Conte- CC) 3 6A SEPTIC TANK CAPACITY / J is Ca LEACHING FACILITY: (type) - 3 G r y 4 Size) /-)— X -- Z NO.OF BEDROOMS BUILDER OR OWNERCor �► 'eh �'r�l/ PERMITDATE: Ss/q.Io COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 leaching facility) Feet Furnished by 1 � i t 42 3 ... f Q b p J T 3 No. 2�b `' Fee _ THE PONWIC+7WEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Miq;pozal *pf�tem Construction Permit Application for a Permit to Construct(-`)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel '44 ►°` 14 si r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. fsd�, � erc--� Type of Building: j ,,*M dat& 't1 s 244ro Dwelling No.of Bedrooms Lot Size ft. Garbage Grinder( ) Other Type ofB41 in No.of Persons Showers( ) Cafeteria( ) Other Fixtures l J r Design Flow gallons per day. Calculated daily flow gallons. Plan Date .26A) Number of sheets 1 Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; -S fit' Ste, Nature of Repairs or Alterations(Answer when applicable) e o � A t D to 3) J,e,t6, Lt rn _ c1 Itr' CC Date last inspected: AZo 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 Certifi- cate of Compliance has been issued by this Board of ftbn _ Signed Date q 136,11ci Application Approved by Date Application Disapproved for the following reasons Permit No. S Date Issued y Y 200 "..s 4 DV No. + ~r` z t d F v ee I THE 0 NJNEALTH OF MASSACHUSETTS Entered in computer: V s "'PUBLIC HEALTH DIVISION TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for 0i.5pont *p.5tem Construction Permit Application for a Permit to Construct('„t)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel `+'} _11 �ihYi ! Installer's Name,Address,and T 1. o. D signer's Name,Address and Tel.`No. I l 1 5(5 � r►-? . Vl- &�S J !gin ( tl�p IC u�I' 1 d 7 �1'1r� ' ✓ C/- Type of Building: a H A� >!i 24co DwellingNo.of Bedrooms �� _- Lot Size .s ft t, Garbage Grinder( ) Other Type o i N .of Persons j Showers( ) Cafeteria( ) Other Fixtures t !, Design Flow gallons per day. Calculated daily flow gallons. -.Plan Date a i< G Number of sheets Revis'on-Date � Title "� � ` s ~ Size of Septic Tank Type of S.A.S. Description of Soil S � SG^r f Nature—of Rep irs,orAltorat'on (Answer when applicable) `�P `�p'�) ' C j ledi51' CJCG- MQ 2.00& 44MM A4iof-c rnk� t4 o Cc } Date last inspected: 4 . 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 Certifi- cate of Compliance has been issue b this Board of Health: Signed ~`� Date q/3cl- ir -,Application Approved by Date Application Disapproved for the following reasons ' Permit No. , Date Issued �t (�G cj THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS f� � Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded ( ) Abandoned( )by �= �I S �ac��S Cc h S�, at ! W J r w, GlC "n�-ry, Q /Y't-7 has been constructed 'n aac ordance with the provisions of T' le 5 and the for Disposal System Construction Permit No. dated Installer 131115, 6r,J ;e,_) ec 4), rc Designeferortc, The issuance of this permit shall- *e—, ro, strueas� gojxantee that th n tion as desi.- d--- Date � � t' Inspecto s -------------------------------------- rn ----- _. -,.-- no 05 No. �� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS F Mioponl *pgtem Cow5truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( ) 7 r c�c r) System located at � _ r- 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 conditions. Provided:Cons�;u"c . n must be completed within three years of the date of this permit. Date:_..= % / '7/(�� Approved by W1 Town of Barnstable - motHE , Regulatory Services Thomas F. Geiler,Director + lAR.NSTABLE. +MASS 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: 5 2 2 Sewage Permit# AOd�r o2 4ssessor's Map\Parcel , y F S1 Designer: 166t &RovQ Installer: I- l h S Qrb)i P�—s Address: 6S-7 Ay,N Q 4 t/M;i e, Address: 93 13 P7 I'aran P /U �T On 5— 11-- ae 46�//,s &ol4er5 ��s/ was issued a permit to install a (date) (installer) septic system at q �/a (,Vyc,k I�t,�. C based on a design drawn by (address) dated__/!��6. (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 and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. MARK D. (Installer' Signature) 0 CIVIL - No.45937 ,o e A ACTISTE�� (Designer's Signature) (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:\Septic\Designer Certification Form Rev 03-09-06.doc ' 1/2006 16:00 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL 11002 i IyV,jtf'1 h'. KROXI]D ,S ® BLUESTEIN ,°►TIrQRMYS A1Dh]AIL>o M,B;UBBTHSN 46tp HUGH pUN R0%%P0RT 44G1UA J.KxoXTDA5 600 ATAAbTTTC 4VEIJUB JULII HBRBST PBABODY S-,Ml .NAoI.vg 1301STONt MASSACHUSETTS 022I0 aMny R.D^vzHTI%s JAM"STBCKBL LUtjoaeao PHONE 617-4821SX,•FAX 07002.72= AAmoN I Mmiao Rainju j.G>,urim; V1NCoNT J.Plsn4dw ENZABITe C,R085 PAUL V-HONTZMAN LINDA R.Bpsps Aww9wv j.CiCHELLO BAR04M S.P4 UIs4 jPKN%nK G*.Uov May 1, 2006 �Lx4 T,SACHA oe covr�nt. Mr. Charles S. McLaughlin, Jr. Assistant Town Attorney Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re; Septic System Repair Permit The May Institute,Inc., 97 Warwick Way, Centerville Dear Mr. McLaughlin,- This office represents The May Institute, Inc.,the record owner of property at 97 Warwick Way, Centerville(the property). The purpose of this letter is to confirm the understanding of my client and the Town of Barnstable, acting by and though its Board of Health, with respect to the issuance of a repair permit for the existing septic system at the property. Tlx factual context of this agreement is that the property has an existing septic system that is large enough de c un r current regulatory standards 'c - 8t aria ry d ds to service a four bedroom home. The current system,however, is in hydraulic failure and needs immediate repairs. The home is currently occupied by four mentally retarded adult clients of The May Institute, Inc, which is duly licensed by the Massachusetts Department of Mental Retardation(E)MR)to provide residential services aril case at the property. Pursuant to DMR regulations, each adult occupies a single bedroom even though the "bedrooms" at the property could physically accommodate two adults in each. A question has atisean as to whether this property's septic system is fully and legally Permitted to support a three or four bedroom home (hereinafter, "the issue").both the town and my client agree that a formal resolution of the issute by the Board of Health is necessary. However, since the Board of Health will not meeting in regular session until May 15,2006 and since emergency repairs are needed immediately, it is agreed that it is in the best interest of all parties to put off to a future date the formal resolution of the issue. The parties further agree that, in consideration of the immediate issuance of a septic system repair permit for the existing system serving a tour-bedroom residence, The May Institute, Inc, will lbuit the occupancy of this home during its ownership thereof to a maximum four (4) adults, one to each"bedroom",until further agreement of the parties or, failing such agreement, further order of the Board of Health or superseding order of any authority or Court KRORIDAS&8LUESTWN bLP 1/2006 16:01 FAX 508 862 4724 TOWN OF BARNSTABLE L8GAL 2003 f - ,.. . _ _ .,� 1KROKIDAS&1iL08&'T�iN LZP x Mr. Charles S. McLaughlin, Jr. Assistant Town Attorney Barnstable Town Hall May 1, 2006 Page -2- having jurisdiction over this matter. By agreeing to this interim resohgtion, except as provided in the succeeding sentence,the Board of Health does not concede that this homc is a 10gally permitted four-bedroom home and The May Institute,Inc, does not concede that this home is not more than a three-bedroom home. Each party expressly reserves its rights with respect to this issue. The Town and the Board of Health specifically acknowledge and agree,however, that for so long as The May Institute, Inc.or any other entity operates a group residence for disabled individuals from the property, whether as owner or tenant,and agrees to limit the occupancy to one person per bedroom, and provided evidence reasonably satisfactory to the Board of Health of such use and such limitation of occupancy is provided to the Board of Health,the Board of Health will treat the property for all purposes as a four-bedroom residence. Notwithstanding anything to the contrary herein, The May Institute, Inc, expressly acknowledges that, based on all of the information which has been made available to it to date, The May Institute, Inc.believes that the actions of the Town of Barnstable and its agents, servants, and employees to the date hereof have been exercised in good faith witb respect to the issue, and are not arbitrary, capricious, or discriminatory by any definition thereof. Finally, we agree that the Town may and indeed should place a copy of this letter into the permanent Board of Health file on this property as a public record available for the education and use of any who may be interested in this matter. Please sign your name in the space provided indicating the agreement of the Town and the Board of Health to the foregoing. Very truly yours, Samuel Nagler Attorney for The May Institute,Inc. SNN Town of Barnstable,Acting By and ThroujIkIls Board of Health By: Charles S, McLaug 1% Assistant Town Attorney 0362\0000\162340,3 i n sttte t Town 01 Barnstable P# Department of Regulatory Services i> aT�a� t Public Health Division . iEo A 200 Main SPreet,Hyannis MA 02601 Date _ Date Scheduled Time Fee Pd. !� 'Soil Suitability:ASsessment or W. Performed By: cl,-iE � f wage Dl OSaZ; Witnessed By: Location Address 9 7. Warwick WaOyN&GENERAL INFORMATION Ceriterv ;lle_r. MA.. Owner's Name .:The May Institute: Address 7.22. A ,Main :Street Assessor's Map%Parcel 14 8/.0 5 4 Yarmouth',Port MA .675 Engineer's Name Mark Bibb,.,::P E: NEW CONSTRUC770N — REPAIR X. Telephone# 5 0 8-7 7 8-8 919.Land Use , c Slopes(96) Surface Stones Distances from: Open Water Body ^ _ R Possible We Area w g prinking Water Well Drainage Way . ft �� ft Property Line ft '. Other. - ft SKETCH .(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes +` 51 pt Z 4!. 3 - . I 3 . Parent material(geologic) VTW� Depth to Bedrock . Depth to Groundwater. Standing Water in Hole:1�6 w AA Weeping from Pit Pace IT Estimated Seasonal High Groundwater DETERMINATION FOR SEA Method Used: ONAL HIGH WATER TABLE Depth Observed standing in obs.hole Depth to weeping from side of obs.hole"""""i°' Depth to soil mottle:` in index Well B Reading Date: Index Welt level • ' in Groundwater AdJustment ft. .-- .. .AdJ.factor _ Adj.Groundwater Level,,,,,, observation PERCOLATION TESL': Date 6T Hole B /, i2 .' ime Ji� me at 9" Depth of Pere �ir ;-To'r•., I G <> Ti ____ 2 r�6"f}CiN Timt Start Pre-soak Time® Q 95ma(9"61) End Pre-soak / DO /d Rate MinJInch L'Z L Z Site Suitability Assessment: Site Passed Site Railed: . Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------= If percolation test is to be conducted within*100'of wetland You must first notify the Barnstable Consefvation Division at least one(1)week prior to beginning. Q:%SEPTICIPERCFORM.DOC + ..:ram ...._ .. .. — . 1 DEEROBSERVATION H%E LOG ;:' Hole# . _ Depth from Soil Horizon Soil Texture Soil Color Soil• Other Surface(in.) Soil (Mansell) Mottling (Structure,Stones;Boulders: . to' v 1 S�Aiv►� Qj o ,, DEEP OBSERVATION HO E LOG Hole# -� Depth from Soil Horizon Soil Texture t Soil Color Soil Other Surface(in.) (USDA) (Munsell), Mottling (Structure,Stones,Boulders. Consistency,%Gravel) if //9 . - z 1Z, DEEP OBSERVATION HOLE LOG Hole# Depth from.' Soil Horizon Soil Texture Soil Color Soil Other Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistency,lb Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from So Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. on i len 1 Flood Insurance Rate Man. Above 500 year flood boundary No Yes Within 500 year boundary. No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv�pqs material exist in all areas observed throughout the area proposed for the soil absorption system? 17i If not,what is the depth of naturally occurring pervious material? ,q Certification I certify that on %/ C�'L . : ` (date)I have passed the soil evaluator examination approved by the ' Department of En Ironmental Protection and that the .above analysis was performed by me consistent with the required training,expert' l:and experience described in 310 CMR.15.017 • Signature Date 2. q • • ', w. .. W., •QN\EPT_ ;'RIS CPORM DOC t ' ' r . ap Parcel j Permit# O House# 9-7- f Date Issued Health(3rd floor)(8:15 -9:30/1:00 21&A :J��WFee � 4, ; Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Z3 SEPTIC 5YS MUST BE Planning Dept.(1st floor/School Admin. Bldg.) INSTALLS LANCE Definitive Plan Approved lanning Board 19 W ' EN r RON AND (� s TOWN OF BARNSTAB?LE TOWN ONs Building Permit Application Project Street Address 9 r? 0,C L-;a jk-zo, Village (!.-6n4,- _ 'V;))&. Owner j?cN,` �r 1,*w3 3C; a' Q j. Address SG►�cc��, Telephone 3 Permit Request��U C `l v h �C UC'. ► ,1 GAD(„ First Floor square feet Second Floor % square feet -Construction Type V3 pO0 'QPgE Estimated Project Cost $ g!!q) W0, oy Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ' LNo On Old King's Highway ❑Yes No Basement Type: 1A.Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) "'® — Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing e�,) New�_ Half: Existing New No.of Bedrooms: Existing 3 New I Total Room Count(not including baths):Existing (0 New First Floor Room Count Heat Type and Fuel: "AGas ❑Oil ❑Electric ❑Other Central Air ❑Yes -4 No Fireplaces:Existing 1 New d Existing wood/coal stove ❑Yes '�kNo Garage: ❑Detached(size) Other Detached Structures: O Pool(size) ❑Attached(size) 1-2 y 2 4 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 'KNo If yes,site plan review# Current Use .�, �, ;>1 Proposed Use , Builder Information Name C o X Telephone Number W6--3ci3 Z Address R t5- Btnt 1 L`Fjlp License# 04+A',)_,7_ 1 lbw>"t,� , Y�d�9 D Home Improvement Contractor# 1 b2 406 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r. J , z 00 0af •..� ---- 6 ` t o f I�hr PLOOr�pL^ J Fill ewe i . MEET RUMP(& i - e. go E Q i o d i tL u Z � m a d d L> allIz 4' i9 _ s t — � o r >. aNy F`LO� ' g11fW1�.TP(; ' — os.coM Mow Pl.n MM..v.�M.eDM:uMww.r.1. . .. ti.:r...w:TwN 4n.r..l G.ner..r.r 3rULr NUMe[O ' ' N 1im.A wm1NaH.n ' .. A% OO TOWN OF MtNSTABLE ` e' R �v j y rJ� SEWAGE # LOCATION ! .YMLAGE / ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ��" � ���� 1 (size),f NO.OF BEDROOMS ]WILDER OR OWNER PERMITDATE: "'1' COMPLIANCE DATE: �'-2Z"1 V' Separation Distance Between the: Maximum-Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland 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 exi within 300 feet of leaching facility), Feet Furnished by' r $ a_ Y ' Z9� 50.00 No. Fee THE CJMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 3p pricatton for ;Dizpaal 6pgtem Con!5tructton Permit Application for a Permit to Construct( )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 97 Warwick Way Owner's Name,Address and Tel.No. 4 2 8—6 7 3 2 Assessor'sMap/Parcel Centerville, MA David Bar dfield Q.S 97 Warwick Way, Centerville, MA 0 632 Installer's Name,Address,and Tel.No. 'Desi ners Name A 775-8776 B ddress and Tel.No. W E Robinson Septic Sry PO Box 1089, Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ti Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 L e a c i n c1 consisting of D—box and f=vr maximizers. 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 Certifi- cate of Compliance has been issued by t 's and of H lth. Signed Date ems..���S 04 Application Approved by Date Application Disapproved for the following reasons Permit No. 9r Date Issued iS—q `. .^• m�^"'T• •,w,.E..,i.. � , ..�,.. .. •. ` .-. � v+-"^r^-s•.�^`a-r" µ.:.,�,Y.^'�.^•^'_*+•w.v-.u.*+•+..�T'"^.""�^_"'i'" �,.„ram-^a*-.Ati..Y-*'^R"."e'�.7(, q !� �•, $50.00 , No. /I(J Fee _- 1 THE Cd UONWEALTH OF MASSACHUSETTS Entered in computer: Yes 'PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application for M.5pool *pgtein Construction Permit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 97 Warwick Way Owner's Name,Address and TeL No. 4 2 8—6 7 3 2 Assessor's Map/ParcelCenterville, MA David Narndfield /-'/ - 0_ - 97 Warwick Way, Cenyte2rille, MA 0 632 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Sry PO Box 1089, Centerville, MA 02632 � .. Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq. ft. Garbage Grinder PO) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Leacing consisting of D-box, and foar maximizers. IyLv 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 Certifi- cate of Compliance has been issued by t is oard of Hzalth. j r Signed ) ,/ DateJ` Application Approved by F. Date r--I3 Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS Basidf ie d BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired �cx Up grad Abandoned( )by at 97 Warwick Way, Centerville has 4een constructed in accord ce with the provisions of Title 5 and the for Disposal System Construction Permit No. 19J'Z dated Installer W E Robinson Septic Service Designer The issuance of this permit shall not be c trued as a guarantee that the system will function as designed. Date � - (,, Inspector Fee THE COMMONWEALTZd�MA�)SACHUSETTS PUBLIC HEALTH DIVISION - BRNST LIE MASSACHUSETTS Bardfield Zmigogal *pgtem C95truction Permit 'Permission is hereby granted to Construct( )Repair(x )Upgrade( )Abandon( ) System located at 97 Warwick Way Centerville Installer: W E Robinson Septic Sry and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. , 3-11�Date: `� Approved by NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated l j r , concerning the property located at 97 WarwickWay, Hyannis, meets all of the following criteria: * There are no wetlands within 100 feet of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Evaluation(according to Health Division well map) 3 SIGNED:�� , .�--�-��- DATE /3 LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). Ll TT 17 /Zl'_ v A i F lo l O CATION SEWAGE PERMIT NO. VI C E I N S T LER'S NAME A ADDRESS y BU1 R DATE RMIT ISSUED LIZ2� 1' DATE COMPLIANCE ISSUED _ i 6 �3q J ............... THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH ...............OF............. r��/�! �� _-��_-_4� qg Appliratiun for Dispasal Works Tonstrnr#inn ramit p\I P I Aplilication is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: • ----- Location-Address f or Owner Ad r ss 1 --.......3.....p a 0_ . ----------------------------- .................V - c,f w.l..c: . Installer Address r Type of Building Size Lot... f�y__ _.Sq. feet V Dwelling—No. of Bedrooms........ ................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — a YP g -•------•-•--•-•--•-------•• P ( ) Cafeteria ( ) Other fixtures ..---------•-- a--•--•--•------.--•---------------- W Design Flow............. .......................gallons per person per day. Total daily flow............�.�.................gallons. WSeptic Tank—Liquid capacityZPaggallons Length...6►...... Width---4........ Diameter................ Depth._�......... Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No......I............ Diameterl4r..-P._I.... Depth below inlet.....6............ Total leaching area:;5-.76.L4-sc_4t.6'P,ID. Z Other Distribution box (V Dosing tank ( ) '—' Percolation Test Results Performed by-_e—D.W ... ._._...�-�?40Z_L � /��: Date.j_"'./. 7._-8-�...__. a - Y ---------- Test Pit No. 1.� ..minutes per inch Depth of Test Pit.1111." Depth to ground water.A-?41'-r � ?�" fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground watei�U°�T�p-6j> a ......................................:..........••-••••----------•-••---------•.........--•----•---......................................................... �` 1-0 Description of Soil........ .........R.46_ 9_AS:2.-•-----•--....-•----------------------------------------------------•---------------------------•---•-•------------- x W UNature of Repairs or Alterations—Answer when applicable....................................................................................._.......__. ......................................................-................................................................................................................................................. Agreement: T undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the ov" Tolls iI'r'Li� 5 o the State Sanitary Code The undersigned further agrees not to place the system in op at' n u I er i j t Compliance ha b iss d by the oard of health. 1 a n prove at PP P ve BY ..l_. ��� Date App i tion Disapproved r the llowing r ons:--•-••------•---•-•-------•---•-----•-•-•----••-•---•••---•---••---•--•-•••-----••---••••---••••................ ...............................•----------••-•--•-••---------...-------•--------------------------......._.....--•-••---------------------------------------------------•------•----•••---•-••----_.._.. Date PermitNo......................................................... Issued...................................................... Date No... ............ Fxs.... " ' ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , /... o.44..............OF.............. .RAX ..................... Appliration for Uispnsal Works Tonstrurtinn ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage, Disposal System at: ,.;io -Address ..L.•�l�?�,f�1 .. , ---------------- - caner A ress Installer Address UType of Building Size Lot....1.15.. ._0p_0.Sq. feet a Dwelling—No. of Bedrooms..........3...............................Expansion Attic ( ) Garbage Grinder ( ) a . Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----•-----------------•-------------------------•----•----•-•-•-•-------•---•----•------••----•----•-------------------.....--------•............... W Design Flow.............Sa.......................... gallons per person per day. Total daily flow.............43. 2................gallons. WSeptic Tank-Liquid capacity./04P.Qgallons Length----d3.1_____ Width__--4......... Diameter................ Depth....4`...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......1............ Diameter..,fD„__$..'... Depth below inlet.....6..`......... Total leaching area._--'�"i0_14.#-9q-Et. 6.P,f>. Z Other Distribution box ( %4 Dosing tank ( '-' Percolation Test Results Performed by W----- �. _ •L. *...�!�-iG.Date...4 ."',(.'"7._"_ �-+_.... Test Pit No. 1...'..<Z-..minutes per inch Depth of Test Pit.../11...... Depth to ground water_�-?Q"r.. �Y f%q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water5P�N7*2e4---=4Fi> P4 .....---•-•-------•-----•-•-•-•--••-•-------•-••-----•--...-•--•----.....-•-•----------------•---......._......----•.........•-•-•--•----............._...... O Description of Soil-----.....% ..........P4-.&&2---•---------------•-•---== c.� ----------------------•---------------------------•••--------•--••-••--------------------••-•-----•-------------------•------------------•----•------------•-•--------•-----•---------••-------------- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------•------•---------•-••-••---•--•-•--•••••-•---------•••-------------••--••-...-••---•-------------•-•--•---------•-•--•----••------•----•-•---•--•••--•-•-•------.....---- Agreement: T undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the p . vi ionsf�f TI'"LL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in ope ati un,l a r '•` to Compliance ha b sued by he board of health. 1 ne ........................................................ ... --........... to PPIiaft' n r ve By-•-• .. ..... ..........• ............... --........................................... �..tt Appltion Disapproved 'the flowing r ason..--•-----------•--•--------------------•-----••••------•--------••-----------•-•-----••-•--••--••-•--=--•-•-••-- .................................................... •---•-....---•----------•-•••-----...•--•-•------....•-•------------------•-•-•------•-•-•---•--•-•--............................................. ` Date PermitNo...................................................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtif iratr of Tuntplittnre -PATIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) "` -� Installer at.-" •0 ra:ts --- ....••••........---•---- • v -----------------------------------•••--------- has been installed in accordance with the provisions of Iij of The State Sanitary Cod,,"/as esc ibed in the application for Disposal Works Construction Permit N _' _. ______________________ dated_.s � _ _ ._____._._......___. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................•--•--•--••--•---•---•----•-------.......---------------••---- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Nc�� ...••/i.Z......... FEF4a............... Disposal Vorkv Tlanstrnr#uan amit Permission is hereby granted_p. / .................. ..................----•-•---------••............-••---------•-•--.....•----••-•----........--------.-•-•- to Construct ( air ( n ' rye Disposal System atNo................ •-----.. Street as shown on the application for Disposal Works Construction Permit No..... . ....... Dated.......................................... •---•----------------- -•-- ------------------------------•------------------- ----------- p�f Board of Health DATE..................u� �r�i�.".0.. ............................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS I certify to the best of my best " AS - BUILT" professional knowledge, information BLDG TIES DESCRIPTION INVERT and belief that the Septic System As-Built conforms with the I A B ELEVATIONS LOCUS INFORMATION Pan approved by the Barnstable Board 1. ® HOUSE 90.73 CURRENT OWNER: THE MAY INSTITUTE, INC. of Health or as noted. 2. 28.0' 43.5' IN TANK 90.24 3. 37.8' 39.1' OUT TANK 90.06 TITLE REFERENCE: BOOK 12579, PAGE 347 4. 54.7' 52.0' IN "D" BOX 89.70 PLAN REFERENCE: BOOK 350, PAGE 55 5. OUT "D" BOX 89.51 6. CHAMBER IN 89.40 ASSESSORS MAP: 148 7. 1 57.2' 60.9' 1 OUT "D" BOX 89.51 PARCEL: 54 8. 61.4' 57.5' CHAMBER IN 89.35 ZONING DISTRICT: RC Professional En 9. BOTTOM CHAMBER 87,04 SETBACKS: FRONT 20' Engineer Date 10. BOTTOM CHAMBER 87,36 SIDE 10' NO GROUND WATER REAR 10' MINIMUM LOT SIZE: 87,120 S.F. EXISTING LOT AREA: 15,000±S.F. OF 44Ss9�, NOTE: MAJOR CHANGES MARK D. tiN OVERLAY DISTRICT: ZONE 11 1DIBB 1. SIZE OF SOIL ABSORPTION NOT PER PLAN. NITROGEN SENSITIVE Q CIVIL No.45937 w S.A.S IS APPROXIMATELY 10'x53', SIZED TO ZONE: GP ISTEA�OQ HANDLE A DAILY FLOW OF 578 GALLONS. FEMA FLOOD ZONE "C" AS SHOWN ON AL THEREFORE LEACHING AREA IS ADEQUATE # FOR A 4 BEDROOM DESIGN. ZONE DISTRICT: PANEL 250001 0015 C 2,. LEACHING AREA MOVED. INSTALLED AREA MEETS ALL SETBACK REQUIREMENTS. AS - BUILT SEPTIC CB/DH PLAN FND #97 WAR WI CK WAY ��Cti /ro CECENTER\ALLE T OR h lq S 7-REEoO+r M ASSACH U SETTS (P R/VA1F 40, hg�F _ LOT 19 _ JOHN B. &NJOY KELLIHER MAY 229 2006 ASSESSORS MAP 148 PARCEL 53 CABLE/TEL. N/F REVISIONS: I I Box DAVID & DONNA L SILVA ASSESSORS MAP 171 NO, DATE DESC. PARCEL 72< L - STOCKADE Ff N�N 51*53'40" E 150.00 - >_ I o B BITUMINOUS DRIVEWAY 13.T - b �! - I � v I WG ' W W LEACHING_ 0 0' I � 3 ►^ GAS TWO STORY CHAMBER I- z G G E WOOD FRAME D-60X ' ' N w I BUILDING 4 i 00 °D ( TOF=93.26 4"PVC I >> rn INV=90.73 DECK 5 8 BITUMINOUS {s o SIDEWALK 1 6 ( o p 1 f 13.0' 2 o m 1500 GALLON J l x I 11 w1 3 -r SEPTIC TANK 0 9 M o 11 RICHARD C.ONSTATINE PREPARED FOR: O(i(3 -��0�1/3 OBSERVATION ' A ASSESSORSARCELM73P 171 MARCY VINGNEAU I PORT L -J m THE MAY INSTITUTE I A BULKHEAD 722-A MAIN STREET MN° LOT 20 YARMOUTH PORT, MA 02675 n� N/F N I THE MAY INSTITUTE, INC. o n M� ASSiESSORS MAP 148 I1 TRANSFORMER 15,000±S.F. 13 UPDUP S51 53 40 W STOCKADE FENCE 150.00, 0 20' X 20' 657 Main Street, Unit 6 DRAIN EASEMENT I W. Yarmouth Massachusetts 02673 508 778 8919 L a IL LOT 1 © 2006 The BSC Group-Norwell, Inc. M STUART & OLIVIA CHAFETZ ASSESSORS MAP 171 SCALE: 1" = 20' PARCEL 96 N/F S JOETTE M. BARNICOAT 0 2.5 5 10s N ASSESSORS MAP 171 0 10 20 40 Fr 0 PARCEL 74 . T PROJ. MGR.: C. FIELD M FIELD: GPH 3 CALC./DESIGN: P. HAGIST N DRAWN: P. HAGIST m CHECK: C. FIELD ° FILE: 8924-SAB.DWG s 0 DWG. NO: 5693-02 `° SHEET 1 OF 1 JOB. NO: 4-8924.00 n To P ��F FOU tip. D e S r. Oox 1 o /!o /13.Oo le.z3 c-! w 40 r' F' S ED STOti/ . --�-- --- 1 fl2.00 00 a -41 r_. r tio7-� T / EXTEti/D f3G. L ;9 PPL/C/9 BL r- exrsf /nc1 yrovnd Prof; /e H02/2_ SC/9LE V E- 14Z? T- SCr9LE / " = i0' /")AiVHOLE COVE,eS TO W17-14//-J —o — o—o—o — P�oPosed c�rovnd Pr-ofr /e SCA4ED. 40 PVC. O,e — FL ow EOur94- TO SEOr/c Cr- l/n/rmuM A4- per- /5 I'7f2 2 0 e ° e e o D 0 0 T. BOX (a'dra. , 'Q/ /000 GAG SEPT/C Tf'1�1.0 GtJQ S hed s-f 0 r'1B o a e. ° °° o e 1 SCr9LE : X" = I -©" LE.9CH FAIT LD E- S / G A./ T S T L O G 63ED,E001-7 HOUSE DATE : �_-iZ-83 7'E•57- BY: �ow _yG�JELL ,_.i^-lam. PE ,e C. )F2 A T E < 2 /1-')i ti./iti/C'f-/ A2�7-E J300 GF�LS/DF�Y' D�TuM f r I 0 Q j SEPT/c 7-.9n./*, . _3_30 x I, 5 =495 TEST HoGE / TEST H0LE ' Z sf o C/SE _ioov_ GAL TA>rf� E f9 c 1-4 P/ 7-: D i A. 15, 000 p EFr DEPTH —�2 —. _ /12.0 6 050 A� G4" 0 Q S/DEwi9LL = l97g S. F. Z.5 G. P. D. �Sv BOTTOM = Blo.(o S. F. ( /, OAj _ CI,_�J o. -, TOTi9L G Fes. D. Fes/ 7- 0T \ 144 E A-)c 0U11TEJEE/7 E- t-` L•- Al P;2OPOSED O.V TyE G�'oUn/D f3S $NOLt/ti/ Off/ TH/ 5 P6F9Aj DOES ,c T- ZO PL, ygkj 4300/c' 350 R,GGE 55 G O^-1)=0 2M 7-0 -r -/E B U/L r,/A,/G SET- In /9,42 IAJ/ G Ac::� /o A Y B AC*::� ,2 E Q L1/A2 E M E&.I TS O F- T f--/E .VS T y E_,- ------ • c E,v TE,€' V ,2 z� Fo,e: L E /J S G O ,2 D O I-I SC�9LE AS SNOwti/ .Df-iT� : �H �yUA�EY 25 la84 <s` EVEfiETT : EVERETT P, G 1 , HINCKLEY 1187 �-/ n e /e at;on // D S T C A\\ 132300 4 � � L- Jr V �L 6• B \ OISTti���i 9 � �'n fG�$TER� `��' hp Sl3K� oo c , Proposed e /e vat�on �EQU/A2C- 7E; A/TS ��FSsJ4NAL �`�7 O v T H Mfg S. -rC r- o n-f c o—_ t -- - - -- — ex /5t/ ncy contours de f9Pfa,20VED . ,BO,4?F2D of HE�tL TH A.Aq A , Lo= ��A.sS. 1# Bi - /13 - s , s t , SOIL TEST PIT DATA: P# 11204 01 /20/06 SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION BOX DETAIL: NOT TO SCALE LEACHING DETAIL: NOT TO SCALE REVISIONS NO. DATE DESCRIPTION 4" PVC PIPE NOT TO SCALE NO. OF OUTLETS : 5 TEST PIT -__.0 TEST PIT -#� NOTES: 1. SEPTIC TANK SHALL BE STEEL 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE GIRD. EL. 92 0 GIRD. EL. 91.9 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. TEST. HIGH GW. < 81.0 EST. HIGH GW. < 80.9 2. SEPTIC TANK TO WITHSTAND H-10 LOADING TEES TO BE CENTERED UNDER MANHOLE COVER. REMOVABLE 2" WALLS F---22'S' �{ NOTES: ---------� UNLESS UNDER PAVEMENT, DRIVES OR COVER °0 °0 0°°° 0000 0° °o° ° °° o0 0 0 0 0 0 0 0 ' TRAVELED WAYS WHEREIN H-20 LOADING ° 00 6 UNITS ° o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SHALL APPLY. PVC 0 0 0 GENERAL NOTES: A � A ,y:•v..+,a:•v..+.�:•v...,,:•y,:•'+ 2" 1• UNLESS UN ER PAVEMENT, DRIVES LOADING o0 0 LOAMY SAND � ' LOAMY SAND 3. ALL PIPE CONNECTIONS AND CONCRETE 1OYR3/3 „ » o „ ' 10YR3 3 6" $ CONSTRUCTION SHALL BE WATERTIGHT. 2-24 DIA CONCRETE MANHOLES TRAVELED WAYS WHEREIN H-20 LOADING 0 0 0 0 50 12 1. THIS PLAN IS FOR DESIGN AND W/ METAL HANDLES BROUGHT " SHALL APPLY. 0° HIGH DEN ITY 00 CONSTRUCTION OF THE SEWAGE 4. FILL ALL UNUSED KNOCKOUTS WITH TO 6" OF FINISH GRADE T 15 ° " o OLYETH LENE INFI TRATOR 050 o DISPOSAL FACILITY ONLY. MORTAR. TEE TO BE UNDER 6" A 8 2. PROVIDE INLET TEE OR BAFFLE WHERE 0°00 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o° 2. ALL CONSTRUCTION METHODS AND B B M.H. OPENING 12" MIN. 5,5 OUTLETS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LOAMY SAND ' LOAMY SAND R SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR MATERIALS SHALL CONFORM TO MASS. 1 OYR4/4 10YR4/4 �'��'%� 'X . 3» �ea �a a eea�oea T IN PUMPED SYSTEM. f 57' D.E.P TITLE 5 AND LOCAL BOARD ' `� PAN VIEW - LEACHING CHAMBERS OF HEALTH REGULATIONS. 2" 3. FIRST TWO FEET OF PIPE OUT OF DIST. RAISE M.H W/. 4" BOTTOM ON LEVEL - 3. ALL PIPES LOCATED UNDER PAVEMENT „ 10'-6" SEWER BRICK 6" MIN. 3 4" TO BOX TO BE LAID LEVEL. ,,;. -�,o a STABLE BASE " / LOAM & SEED DISTURBED AREAS OR TRAVELED WAY SHALL BE SCHEDULE EL = 89.7 27 EL = 89.4 30 10'-0" & MORTAR N CROSS-SECTION 1 1/2 CRUSHED 4. ALL PIPE CONNECTIONS AND CONCRETE 40 OR EQUAL -NORMAL WATER LEVEL 12 STONE BASE CONSTRUCTION SHALL BE WATERTIGHT. 4. THERE ARE NO KNOWN PRIVATE WELLS 3" �: 3 MAX. COMPACTED FILL 36 MAXIMUM 12 MINIMUM C1 56„ C1 56" LOCATED WITHIN 150 FT. OF THE PRECAST SEPTIC TANK 10" 14" 5. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 0 0°0°°�°00 000 000 000 3" LAYER PROPOSED LEACHING FACILITY NOR ee ANY KNOWN WELLS PROPOSED WITHIN INLET TEE " " < PEASTONE 5-1 30 1 150 OF ANY KNOWN LEACHING FACILITY. LOAMY SAND LOAMY SAND _ /2 O QQ OD DENSITY O 00 O GRAVELY 10-15% GRAVELY 10-15% - - " ._ " = " 30„ 0v p 0 0 O 5. WITHIN LIMIT OF EXCAVATION REMOVE 1 OYR5/6 „ 10YR5/6 „ - _ _ w e � 15 1/2" EFFEC. Qj INFILTRATOR 3050 O 00 ALL TOPSOIL, SUBSOIL AND OTHER 120 114 5-25'-8-4 4'-0" MIN. as m+u°N 5-8 24 p O POLYETHYLENE 0 ? =' LIQUID DEPTH (GAS CON e O 0 p 0 IMPERVIOUS MATERIAL. PRECAST DIST. DEPTH too LEACHING 0 p6. REPLACE ALL EXCAVATED MATERIAL WITH MEDIUM2 SAND MEDIUM2 SAND N _r ` BOX CHAMBER O CLEAN GRANULAR SAND, FREE FROM ORGANIC 10YR7/3 10YR7/3 INDICATES „ " - .�:: -: e e .-- MATERIAL AND DELETERIOUS SUBSTANCES. �_ ESTIMATED :-ee....-��.-.:e•:�::a --.. .-•••e-.a:'..tee-:• _• • � ///��� " „ EL = 81.0 132 EL = 80.9 132 •a " „ 3/4 - 1 1/2 MIXTURES AND LAYERS OF DIFFERENT CLASSES SEASONAL HIGH BOTTOM ON LEVEL STABLE BASE 47 - 50 47 WASHED STONE OF SOIL SHALL NOT BE USED. THE FILL SHALL DATE: DATE: GROUND WATER PLAN VIEW 7 1 2 12 NOT CONTAIN ANY MATERIAL LARGER THAN " " /��w�x /�`� � / TWO INCHES. A SIEVE ANALYSIS USING A #4 01/20/06 01/20/06 s MIN. 3/4 To CROSS-SECTION VIEW ' INDICATES 1 1/2 STONE PLAN VIEW CROSS-SECTION OF CHAMBER SIEVE, SHALL BE PERFORMED ON A TEST BY: TEST BY: REPRESENTATIVE SAMPLE OF FILL. UP TO 45% THE BSC GROUP, INC. THE BSC GROUP, INC. _ OBSERVED BY WEIGHT OF THE FILL SAMPLE MAY BE -� GROUND WATER RETAINED ON THE #4 SIEVE. SIEVE ANALYSES ALSO SHALL BE PERFORMED ON THE FRACTION DESIGN CRITERIA. OF FILL SAMPLE PASSING THE #4 SIEVE, SUCH WITNESSED BY: WITNESSED BY: INDICATES CB/DH ANALYSES MUST DEMONSTRATE THAT THE DONALD DESMARAIS DONALD DESMARAIS FND MATERIAL MEETS EACH OF THE FOLLOWING PERC. SPECIFICATIONS: PERC. RATE: PERC. RATE: TEST DESIGN FLOW: SPECIFICATIONS: MUST PASS 4 SIEVE _Z_MIN./INCH -MIN./INCH 4 BEDROOMS AT 110 G.P.B. D 4, G. .D (4.75 mm EFFECTIVE PARTICLE SIZE) SOIL EVALUATOR SOIL EVALUATOR F-1INDICATES A 10y-100% MUST PASS #50 SIEVE M. DIBB M. DIBB UNSUITABLE CB/DH TOWN OF BARNSTABLE NEW REGULATIONS - - -� r�Ptel � (0.30 mm EFFECTIVE PARTICLE SIZE) MATERIAL FND REQUIRE SOIL EVALUATOR TO INSPECT Jnc, zppE, rC,,,,� �. ,, Q� NG 1r �a,��� 4o -toy MUST PASS100 SIEVE SOIL CLASS: SOIL CLASS: J (0.15 mm EFFECTIVE PARTICLE SIZE) 1 1 BOTTOM OF EXCAVATION PRIOR TO ANY REQUIRED SEPTIC TANK: C�� s 1N� La.� ►I OX-59 MUST PASS200 SIEVE eeA �{ OC.e,fcfc^ nnak. (0.075 mm EFFECTIVE PARTICLE SIZE) L.T.A.R. L.T.A.R. INSTALLATION AND ALSO PRIOR TO FINAL 440 X 200% _ 80 GAL. 7. EXISTING UTILITIES WHERE SHOWN BACKFILLING. h SEPTIC TANK PROVIDED: _ 1500 GAL. IN THE DRAWINGS ARE APPROXIMATE. 0.74 G.P.D./SQ.FT. 0,74 G.P.D./SQ.FT. vJ r 7-0�)/ h THE CONTRACTOR SHALL BE RESPON-G SIBLE FOR PROPERLY LOCATING AND A COORDINATING THE PROPOSED CON- DATUM: S "rR � 4 SIZE OF LEACHING FACILITY REQUIRED: STRUCTION ACTIVITY WITH DIG-SAFE 0 AND THE APPLICABLE UTILITY (PRIVA frJ VERTICAL DATUM: ASSUMED 40' �D T g DESIGN PERC. RATE. <2 MIN./ INCH COMPANY AND MAINTAINING THE E) EXISTING UTILITY SYSTEM IN SERVICE. LONG TERM APPL. RATE 0.74 O G.P.D/S.F. DIG-SAFE SHALL BE NOTIFIED PER BENCH MARK SET: TOP OF CONCRETE BOUND ELEV.=91.53 THE STATE OF MASSACHUSETTS c6/DH 440 GPD j 0.74 GPD/SF = 596 S.F. STATUTE CHAPTER 82, SECTION 409 AT TEL 1-888-344-7233. THE FND LOT 19 ENGINEER DOES NOT GUARANTEE PROFILE: NOT TO SCALE JOHN B. &NJOY KELLIHER THEIR ACCURACY OR THAT ALL ASSESSORS MAP 148 SIZE OF LEACHING FACILITY PROVIDED: UTILITIES AND SUBSURFACE STRUCTURES BENCH MARK: PARCEL 53 ARE SHOWN. LOCATIONS AND EL=A FIRST PIPE LENGTH TOP OF CONCRETE NOTE' USE HIGH DENSITY POLYETHYLENE ELEVATIONS OF UNDERGROUND UTILITIES TOP FOUNDATION BOUND ELEV.=91.53 ALL EXISTING SEPTIC TAKEN FROM RECORD PLANS. THE CONCRETE COVERS TO WITHIN TO BE SET LEVEL CABLE/TEL COMPONENTS TO BE N� LEACHING CHAMBERS(6 UNITS) 12�X2"X57� EL=92.3 6" OF FINISHED GRADE. FOR MIN. 2' BOX DAVID & DONNA L. SILVA CONTRACTOR SHALL VERIFY SIZE, J }- REMOVED FROM SITE ASSESSORS MAP 171 LOCATION AND INVERTS OF UTILITIES _ FINISH GRADE ' IN ACCORDANCE WITH _ ' , � AND STRUCTURES AS REQUIRED PRIOR EL-91.8-92.1 " ,- 92` 1. ADE TITLE 5. PARCEL 72 B❑TT❑MSIDEWALL- ._ 1212X 57) X 2 = � 34 4 PVC SCH 40 ST I OCK TO THE START OF CONSTRUCTION. 4" PVO� \ - N 31 '¢0" E 150.00 a SCH 40 ONCE ,, 960S,F, � "• F3. THIS SYSTEM IS NOT. DESIGNED FOR 4" PVC SCH � LEACHING CHAMBER .3: -. J � / X � THE USE OF A GARBAGE GRINDER. In B I=D I=G J < 3 L� 92 5 11.4' -2 I 960 S,F x 0,74 GPD/SF = 710GPD A GARBAGE GRINDER IS NOT - G 6 I X91.9 RECOMMENDED DUE TO RECOGNIZED X92.0 e. I=C I=E H J 0- BITUMINOUS D IVEWAY �'" 1 - 31.4' SYSTEM DVERSE IMPACTS TO THE LEACHING i EM IS OVERSIZED DUE T❑ EXTENDED FACILITY. 5 OUTLET ,�F r l w WATER USE ❑F DISABLED OCCUPANTS �ro SEPTIC TANK DIST. BOX 6' SEPARATION J v * J APPROXIMATE PROPOSED LOCATION OF f OBSERVATION 9. EXITING INVERTS ARE TO BE CHECKED BY g J EXISTING SEPTIC I PORT o THE CONTRACTOR PRIOR TO CONSTRUCTION. j EST. HIGH GROUNDWATER J ' ' Oil J Ily W W / D 0. THE ENGINEER IS TO BE NOTIFIED OF v ANY FIELD CHANGES THAT MAY BE L1_ 3 rn f GAS PROPOSED m 13 REQUIRED. w w G G D-BXTREE LINE _n rn LOCUS INFORMATION INVERT ELEVATIONS.• �ETE TWO STORY WOOD FRAME PROPOSED m OD / BITUMINOUS BUILDING DECK s 12'x57' CURRENT OWNER: THE MAY INSTITUTE, INC. BSC GROU J a �' / SIDEWALK TOF-93.26 LEACHING ni _ TOP OF FOUNDATION 93.26 A o t INV=90.73 4 PLO 1- CHAMBER TITLE REFERENCE:91 8 rn E ENCE: BOOK 12579, PAGE 347 657 Main Street, (RT. 28) Unit 6 4" INVERT AT BUILDING 90.73 B o ��� z �. W.Yarmouth Massachusetts 4 , WI PROPOSED o N/F PLAN REFERENCE: BOOK 350, PAGE 55 02673 " INVERT AT SEPTIC TANK (IN) 89.60 C 31: W L J 1500 GALLON O RICHARD C. CONSTATINE 4„ INVERT AT SEPTIC TANK (OUT) 89.45 D 6 a/jj3 --oils 20, SEPTIC TANK 0 ASSESSORS MAP 171 ASSESSORS MAP: 148 508 778 8919 4" INVERT AT DIST. BOX IN 89.27 E J �/9 3 PARCEL 73 PARCEL: 54 ( ) � PROJECT TITLE: 4" INVERT AT DIST. BOX (OUT) 89.10 F BULKHEAD' ZONING DISTRICT- RC I \ 'NAO _ LOT 20 SETBACKS: FRONT 20 THE E MAY INSTITUTE,N/F SIDE 10' INVERTSA LEACHING FACILITY: J \ M�'`O BENCH MARK- ASSESSORS MAP INC.IN REAR 10 SIGN FOR J STAKE SET PARCEL 54 SEWAGE DISPOSAL X91.7 X91.5 TR NSFORMER NAIL ELEV.=91.86 MINIMUM LOT SIZE: $7,120 S.F. I, 15,000±S.F. 4" INVERT AT BEGINNING I X91.7 / EXISTING LOT AREA: 15,000±S.F. OF LEACHING CHAMBER 88.90 G S51'53'40"W STOCKADE FENCE 150.00' OVERLAY DISTRICT: ZONE II SYSTEM REPAIR 20' x 20' ELEVATION AT BOTTOM DRAIN J NITROGEN SENSITIVE OF LEACHING CHAMBER 86.90 H EASEMENT ZONE: GP #97 J FEMA FLOOD ZONE "C" AS SHOWN ON o ZONE DISTRICT: PANEL #250001 0015 C WA R WI CK WAY NO OBSERVED GROUNDWATER LN/F CENTERVILLE ca 80.9 J LOCUS PLAN BOTTOM OF HOLE STUART & OLIVIA CHAFETZ NO SCALE a ASSESSORS MAP 171 M ASSACH U o SETTS PARCEL 96 JOETTE M.BARNICOAT ASSESSORS MAP 171 m N PARCEL 74 Z Q� FLOOR LAYOUT v nC) No.4v937 PREPARED FOR: °f LOCUS � MARCYVINGNEAU EEO TITUTE ~ Q-P� 7 2E A MAIN MAY STREET DINING KITCHEN m m I BED3 9� p q, No.380�9 •�P� `off• YARMO UTH PORT, MA 02675 a �F`cs/ONAL GARAGE BED #4 VARIANCES REQUESTED: ����r��� �f � s �G�.� �a DATE: FEBRUARY 1, 2006 LIVING /Zooc BED #1 BED #2 ,�. �P� � COMP. DESIGN: K. HEATY CL W Z � ,�� CHECK: M. DIBB PLAN VIEW z�� l zO°� �� DRAWN: P. HAGIST FIELD: D. GAZZOLO / J. McCARTIN SCALE: 1' = 20 FEET FILE N0. 8924-SEP.DWG FIRST FLOOR SECOND FLOOR NONE co N 0 10 20 40 FT. DWG NO. 5693-01 JOB NO.4-8924.00 [SHEET 1 OF 1