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HomeMy WebLinkAbout0320 BEARSE'S WAY - Health 320 Bea"rs s Way n H annis• ,. . � Y,e F lr l�•�: r �r X�ii?t� r �•. A = 310'"- 010 I I I' 1 � No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plication for -Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) Dic omplete System ❑Individual Components Location Address or Lot No.J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3 (® �U '?* Installer's NamV,Address,and Tel.No.5_` a-- FV<13 S',_ Designer's Name,Address,and Tel.No.So�-364-33f J <,4_A_ s- fr G,a ... 1nn ey G.r- t S a wS c- - a 'Ts 9,::? Type of Building: Dwelling No.of Bedrooms Z Lot Size 3 SQ —sq.ft. Garbage Grinder( ) Other Type of Building Ie�S; No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided _711 �� gpd Plan Date�'1 a's ( � Number of sheets Revision Date Title Size of Septic Tank OQ Type of S.A.S.C.K-rY•P, CCN.n,,,, .e y +y� ®y„�` Description of Soil Nature of Repairs or Alterations(Answer when applicable) �••�c l SGo ��G l©.�d 4� ,�1`. �.e��,T K d C.0 c-( � CA Sao v rP� 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. Signed - Date w `� Application Approved by - Date j/y—(7r t6 T� Application Disapproved by Date for the following reasons Permit No. 0`7 0 Date Issued G�f' TOWN OF BARNSTABLE. 'WAGE LOCI�TiON'. 0 VILLA�GfiA.�SESSOR'S MAP�c LOTS INSTAJ.LEIt'S NAME&PFIOO NO S IB TAN> LEACPIIl+tG P+ACIIl.ITK {sine} i NO OP7B6pk�00N[S _ . IBUILDE :Ohi OWNIER PBRMITDATE COMi'L1F►ly1C E T�ATE....:.:-�. .. Sepumuon 9tsPnetGe 8ctvieeta tea MaicimumAd' 'istetl.GtouodwuteeTabtet66cH�itomofLaac;hmgN�u�lity. �-�:.� - T�le' l�rlvatG UVater Sappy Wou"d L-eactuteo P66loty-.(0py Vi©tls e)"t Fool att ei�d Of'within 200 feat of tsnstiiri�'.Fac�bty) -- -- ci �a� Iet�and'euid:Lt:ac tn$F9q!lt¢y.( uny wetlands exist ivAulii bo feetce ea �iag Luc 'ry? Piirnigh©d:hy `���� �„ C)o �3 O s q L�►e . TOWN OF BARNSTABLE 1 _ LOCATION SEWAGE# _ VILLAGE �1 &PARCEL 3�0 INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY LEACHING FACILITY. (type) c.s�/ o w"�° °'j(size) 0$r >G NO.OF BEDROOMS j OWNER p PERMIT DATE:, 10` l ? ( 6 COMPLIANCE DATE: O IIo Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 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) J Feet FURNISHED BY � b`a•.rya�� - - r AI.,, 320 ►3esP f w�y 3 ` � 3� LQ 3 W J .4, No. 2ol & , 367 - Fee TH4/COMMONWEALTH' OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION.- TOWN OF BARNSTABLE, MASSACHUSETTS 9pplication for Disposal *pstem Construction 3permit Application for a Permit to Construct Repair Upgrade vKAbandon L316omplete System El Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 0 v� 106ICf,$ck_�__Q l-e,, VN\-A 0(SDI Installer's Name '�?" ,,,Address,and Tel.No.5 1�.T, Designer's Name,Address,and Tel.No. -3(Z(ZS- 33( / Type of Building: Dwelling No.of B6drooms Z Lot Size k^-1 ,3C-Q —sq.ft. Garbage Grinder Other Type of I J3 uilding No.of Persons Showers Cafeteria( Other Fixtures It Design Plow(min.required) 0 gpd Design flow provided 510 gpd Plan Date,_:�A A Number of sheets Revision Date Title Size of Septic Tank .4 -S• Type of S.A.S.Cc.)pe- We Description of Soil !f1 SA-A, Nature of Repairs or Alterations(Answer when applicable) C-( Pate last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site se-wage 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. Signed < Date 1O (-7 1 Application Approved by Date 1-6 Application Disapproved by Date for the following reasons • Permit No. 0 Date Issued (6-17 - - ------------------------------------------------------------------------------------------------- ----- --- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired Upgraded Abandoned( )by ley— ...at has been constructed in accordance- with the provisions of Title 5 and the for Disposal System&struction Permit No. dated t-G Instal Designer s<-- 14? Sc-,V', LAC bedrooms Approved design flow a.:)-0 gpd The issuance of this pejI ut shall not be construed as a an that the system will ctio Zh designed Date JoID -Z� 6 Inspector IA I k -------------------------------------------------------------------------------- No. oLo% - 3G� . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Bisposal .4- pstem Construction J)ermit Permission is hereby granted to Construct Repair Upgrade Abandon System located at. �Q Q and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must/be completed within three years of the date of this permit. lo_(-�? _( 5 �\li�n�'C Date Approved by Town of Barnstable `"gET°f+ti Regulatory Services Richard V. Scali, Interim Director % urtxsrABLF- 9� ��$ - Public Health Division �EDMA�a Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 , Fax: 508-790-6304 Installer & Designer Certification Form Date: 10 Sewage Permit# C-7 Assessor's Map\Parcel O (� Designer: t', 37U Installer: \�k Address: Address: On y�Ased a permit to install a dat ) Tins a 1�7 er) septic system at LTV ,lSj�� W �� based on a design drawn by (address) I" ECG Qi✓' ` S %_111 dated 0, r (desig er) p� I certify that a septic system re erenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation-of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I 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 construct e e with the terms of the IAA approval letters (if applicable) RREN 7Cst!aller's Signature) r Flo. 140 (Designer's Signature) (Affix Designer amp-He e) PLEASE RETURN TO BARNSCLEPIU%BLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT E ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc n+✓E r Town' of Barnstable Barnstable Regulatory Services Department j Aff'i'caC j • •AMSTABM • I ' 9 `"39. ,�� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000.2847 8865 j September 13, 2016 Jacobs, Ruth M Estate of 68 Fairview Avenue Dudley, MA 01571 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 320 Bearses Way, Hyannis, MA was inspected on 08/16/2016 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching pit or cesspool with high liquid level,<12" below inlet(per Town Code 360-9.1). You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. aOF BOARD OF HEALTH S., CHO Agent of the Board of Health QASEPTICU.etteis Septic Inspection Failures or Future Evl\320 Bearses Way Hyannis.doc Town of Barnstable b 9. ,. Regulatory Services Department Public Health Division 200 Main Street, Hyannis MA•02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution.box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA I ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation fa driveway due to H-10 components, etc) Leaching pit or cesspool with high liquid level, <12" below inlet (per Town Code §360-9.1) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc 1 3/0 -vlo f ° Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments m `O 320 Bearses Way ►-� Property Address John S ouritsas cy Owner Owner's Name information is annis f - MA 02601 8-16-16 required for every H y r.. page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form.. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 Cityrrown State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am.a DEP approved system inspector pursuant to Section 15.340 of Title 5 (31 0 CMR 15.000).The system: ❑ Passes +. ❑ Conditionally Passes ® Fails ❑ Needs Further EvaI tion by the Local Approving Authority �— 8-16-16 I spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 k040 K Commonwealth of Massachusetts i Title 5 Official- Inspection Forme a' Subsurface Sewage, Disposal System Form --Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner �: Owner's Name information is required for e very Hyannis MA 02601 8-16-16 page. to- 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N . ❑ ND (Explain below): i r t5ins-3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form bl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` �. 1' 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ` ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts . Title 5 Official- Inspection Form ),I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is Hyannis MA 02601 8-16-16 required for every H y ' page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is 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 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or,cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts �+ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if•the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. 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 ❑ Y 9 PP Y ❑ ❑ 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 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 regional office of the Department. t5ins-3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts xa Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 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? E ❑ 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form V I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � ! 320 Bearses Way Property Address T John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts _ 6-a Title 5 Official- Inspection. •Foern 4 Subsurface Sewage Disposal System Form -Not for.Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name ^ , information is required for every Hyannis MA 02601 8-16-16 I page. City/Town State Zip Code Date of Inspection D. System Information (cont.) r Last date of occupancy/use: Date Other(describe below): General Information I Pumping Records: Source of information: N/A 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 I ❑ 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. f ❑ Other(describe): a. r t5ins•3/13 Y Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts lay Title 5 Official Inspection Form 460 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way t J' Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1959 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"feet Material of construction: ® 9 cast iron ® 40 PVC. ® other(explain): Orangeburg Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): - Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts 7 Title 5 Official-,Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments. 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis '. MA 02601 8-16-16 - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) j Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness i Distance from top of scum to top of outlet tee or'baffle 1 Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage; etc.): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Lz Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name _ information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System"Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) - Distribution Box(if present must'be opened) (locate on site-plan): Depth of liquid level above outlet invert N/A 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.): j Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes. ❑ No* I Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): i I L i * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection -Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � ..✓ 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System"Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): Dimensions: Capacity: gallons Design Flow: t 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts • , . , : I. a} Title 5 Official Inspection. form ` X1 4 Subsurface Sewage.Disposal System Form -`Not for Voluntary Assessments 320 Bearses Way , Property Address John Sgouritsas Owner Owner's Name information is Hyannis MA 02601 8-16-16 ` required for every y ., page. City/Town State Zip Code Date of Inspection D. System Information (cont.) " Distribution Box (if,present must'be'ope6ed),(locate on siWplan): Depth of liquid level above outlet invert N/A 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.): I Pump Chamber(locate on site plan): Pumps in working order: ::❑. Yes ❑ No* Alarms in working order: ❑• Yes: ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System<Page 12 of 17 Commonwealth of Massachusetts �a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 1-10, ❑ 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.): Leach trench shows signs of overflow with stain lines above cesspool outlet. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 3-Seperate Depth—top of liquid to inlet invert N/A Empty Depth of solids layer Empty Depth of scum layer N/A Dimensions of cesspool 6x6 Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts + - Title 5 OfficialInspection .Form V4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. � 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) + f Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): - System has three cesspools and all three have signs of failure with stain lines above inlet inverts. Privy (locate on site plan): Materials of construction: , I Dimensions Depth of solids Comments (note condition,of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts - � Title 5 Official Inspection Form rq 'I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I' 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 000 3 Y- 2 ,� $I • r y • Jill . i ~ - I , Lint e y I e t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title .5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) �- Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high groundwater: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date , ® Observed site (abutting property/observation hole within 150 feet of SAS) r ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: I You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 ` Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 320 Bearses Way Property Address John Sgouritsas Owner Owner's Name information is required for every Hyannis MA 02601 8-16-16 - page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 ve Town of Barnstable Barnstable BAMSTABM Regulatory Services Department 11111.1 9 679 Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000.2847 8865 September 13, 2016 Jacobs, Ruth M Estate of 68 Fairview Avenue Dudley, MA 01571 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 320 Bearses Way, Hyannis, MA was inspected on 08/16/2016 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995.TITLE-V (310 CMR 15.00) due to the following: • Leaching pit or cesspool with high liquid level, <12" below inlet (per Town Code 360-9.1). You are ordered to repair or replace the septic system within two (2)years 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 H BOARD OF HEALTH c S., CHO Agent of the Board of Health Q:\SEPTIC\Lette'rs Septic Inspection Failures or Future Evl\320 Bearses Way Hyannis.doc Town of Barnstable P#_ Department of Regulatory Services 1 1 Public Health Division Date �l0 MASS. 200 Main Street,Hyannis MA 02601 .Q L IV Date Scheduled Time Pl Fee Pd /� ►�+ � ._ � 4oil Suitability Assessment for Sewage Disposal , Performed-By: " e ✓N l+v `e Witnessed By: JIA ' �4 jej LOCATION&.GENERAL INFORMATION Loeadon Address Owner's Name —s`JuS� Address c.�•1 z��st�•�v��,, o�s'7 1. Assessor's Map/Parcel:`�M (� Engineer's Name Z�4s vu< NEW CONSTRUCTION REPAIR Telephbne fk $off - 3 Qb 33 l Land Use' �H 5 �y Slopes(96) Surface Stones Distances ftom: Open Water Body >2-00 ft Posslblc WetA-rea�,�{) Drinking Water Well 2!z�ft DrnihageWay>/-Q-- ft Property Line ��(� ft Other ft SI{ETCH:(Street name,dimensions of lot,exact locations of test holes&Para tests,locate wetlands in proximity to holes) Parent materiai(gcologl) 'ERMINA 1/ `�v�vco• Depth to Bedroak 0 T^ Depth to Orouadwater. Standing Water in Hof o Weeping from Pit Fnoa Estimated Seasonal High Oroundwater DE TION FOR SEASONAL'HIGH WATER TABLE Method Used: ,q Depth Ob rued standing in obs.hole: In, Depth to soil mottles. In.' Depth to weeping from side of obs.hole: ln, Groundwater Adjustment $. Index Wel" Reading Date: Index Well]oval-:.:— Adj,-fhotbr_ Adj.droundwater1avel,,,_• PERCOLATION TEST Data,.._,_.,_, Tama_,_ ___ Observation Hole# _. Time at 9" Depth of Pero Time at 6" Start Pre-soak Time @ ID 0 Time(9"•6") End Pre-soak 10 Rate Min./Inch . ' Site Suitability Assessment: Site Passcd Site Failed: Additional Testing Needed(YIN) 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 Consel}vation Division at least one(1)week prior to beginning. Q:ISEPTICIPBRCFORM.DOC DEEROBSERVATION HOLE LOG Hole# _ Dapth'from Solt Horizon Soil Texture Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnuctura,Stones;Boulders. • t' tsistency.%'aravel) Lo �4 C." DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, 4_gr; " �n� lb�,fts 3 ''- Icy � � �� �,, • � � DEEP OBSERVATION HOLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture Sall Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, consistency, Umvill) Flood Insurance Rate Map: Above 500 year flood boundary No— Yes __ Within 500 year boundary No yy Yes ' Within 100 year Flood boundary No..,— Yes pepth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring p v ous mtiterial exist in all areas observed thrpughout the area proposed for the soil absorptibn system? If not,what is the depth of naturally occurring p rvious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by ma consistent with . the r tr ning,a ertise and experience described in�110 CMR 15.017. Darts Slgnatur� , Q:\s.nrnC\PBRCFORM.DOC LEGEND �� HYANNIS 4 32' -- ROOTE 26 PROPOSED CONTOUR 47 _ P�F ® PROPOSED SPOT GRADE I EXISTING CONTOUR ` N -- 98 -- + 96.52 EXISTING SPOT GRADE I \\ t ROO'�E 28 W— APPROX. WATER SERVICE I LOT 3 \ � ' I AREA = 17342 sf+— \ ' _ 12.5 3e AUCIA RD. m Y TEST PIT LAND COURT PLAN 21173—B 4� I ASSR MAP310 PCL 10 \ ` l SCALE: 1"=20' I I � '7-O O 3 y I I\ � 15 ft = w B \ P SITE C P r Q �C m \\ II T C x \ GENERAL N DRIVE m ` LOCUS MAP ci I Z Z \ LOCUS INFORMATION 1 ( Z 0 ft \ PLAN REF: 21173-8 c) �� TITLE REF: C22893 z gyp. 1TP-� i PARCEL ID: MAP 310 PAR. 010 NOT IN STATE ZONE II r n yy --W C P � V 1 1 47 j PROP. 50OG -2 I ; SEPTIC SYSTEM m SEPTIC TANK I REPAIR PLAN I LOCATED AT: 's 320 BEARSE'S WAY HYANNIS, MA PREPARED FOR ESTATE OF RUTH JACOBS/ READY ROOTER EXC. SEPTEMBER 25, 2016 o �j 0) OF Mgss9�y� DA EN N. tp BENCH MARK OFZ\J� 1�0 TOP OF FOUNDATIONC/$T��" 47.49 NITO(\ ciV b Q BARNSTABLE GIS DATU C 1 MEYER & SONS, INC. 46 ' P L_ A N P.O. BOX 981 EAST SANDWICH, MA. 02537 SCALE: 1 in = 20 ft 0 20 40 PH: (508)360-3311 FAX: (774)413-9468 0 10 20 40 meyerandsonstitle50gmail.com SHEET 1 OF 2 J 1808 ELEV. TOP FOUNDATION NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE" FINISHED GRADE (45.80) = 47.49 � F.G.EL: 46.5 F.G.EL: 46.2 F.G. EL: 45.80 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA .D •v F.G.EL: 45.05 ;, 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" • . STONE OR FILTER FABRIC DOUBLE WASHED STONE A 6" 4" SCH 40 PVC to"I 14 s \@I 1% MIdF. ®®®®®®®®®®® A' TEE'S ARE TO BE INV.43.35 , ®®®®®®®®®®® 4" SCH 40 PVC 2 DEPTH ®®®®®®®®®®® T ------- V. 4' 2 X 8.5' 4' PROPOSED DB-3 EFFECTIVE LENGTH = 25' EXISTING OUTLET BAFFLE QA INV. 44.40 INV. 44.0 DISTRIBUTION BOX INV. ELEV.= 43.0 , © INV. 44.99 PROPOSED 1 ,500 GALLON SEPTIC TANK t GAS BAFFLE TO BE INSTALLED ON OF Mass BREAKOUT OUTLET TEE AS MANUFACTURED BY DA REN M. s ELEV.= 44.0 TUF-TITE, ZABEL, OR EQUAL EAR TOP CONC. ELEV.= 44.0 No: 1,4q �' INV. ELEV.= 43.0 �EaEa ®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ' ill \\ `' ® ®®®®® p ®®®®®®® PIPE INVERTS PRIOR TO CONSTRUCTION �f�/STtn� ®®®®®®® 2) TANK AND D-BOX SHALL BE SET LEVEL AND MNITAR\a� BOTTOM EL.= 41 .0 3.75' ®®5 FT.®® 3.75' TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) �' SEPARATION 7.10 FT. EFFECTIVE WIDTH = 12.5' 3) INSTALL INLET & OUTLET TEES W/ GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 33.90 _ SOIL ABSORPTION SYSTEM (SECTION) 4) INTERIOR PLUMBING TO BE MODIFIED TO MEET OUTLET /500 GALLON LEACH CHAMBER LOCATION AND ELEVATION PLUMBING PERMIT REQUIRED GENERAL NOTES: SOIL LOGS P#:15159 DESIGN CRITERIA 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NUMBER OF BEDROOMS: 2 BEDROOOM DWELLING 3 BEDROOM DESIGN BOARD OF HEALTH AND THE DESIGN ENGINEER. / 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: SEPTEMBER 15, 2016 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS. SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DAVE STANTON, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARBAGE GRINDER: NO not designed for garbage grinder) DESIGN ENGINEER. ( 9 9 9 g ) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SEPTIC TANK: FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Elev. TP- 1 Depth Elev. TP-2 Depth 330 gpd x 200% = 660 gpd, USE PROPOSED 1,500 GAL. SEPTIC TANK ENGINEER BEFORE CONSTRUCTION CONTINUES. 45.90 0" 46.05 0" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. A A (330) = 445.94 S.F. LEACHING AREA REQUIRED: 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMYYR SA/N1D LOAMY SAND YR 74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 45.23 B 8" 45.38 B 8" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. LOAMY SAND LOAMY SAND STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 8 ALL TO AREAS ONDITION AGREEDURING CONSTRUCTION UPON BETWEEN OWNERANAND CONTRACTOR.BE RESTORED 1oYR 5/6 10YR 5/6 BOTTOM AREA: 25 x 12.5= 312.5 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 43.15 C C SIDE AREA: 25 + 12.5 33" 43.14 35" f� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ( ) X 2 X 2 = 150 SF CONSTRUCTION. PERC m TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REWD 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. MEDIUM- MEDIUM- ,�, 40'9D SAND SAND DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd .,, 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 2.5Y 6/6 2.5Y 6/6 72 ANNo IS NOT TO BE PLAN IS TO E USED FOR ECONSDERED A PROPERTY LINE PTIC SYSTEM PURPOSES ONLY INE SURVEY A PROPOSED SEPTIC SYSTEM UPGRADE PLAN 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 33.90 144" 34.05 144" 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. <2MIIN/INCH IN'"C" SOILS 320 BEARSES WAY, HYANNIS, MA 15. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPECIFIED) NO GROUNDWATER OBSERVED Prepared for: Jacobs/Re dy Rooter Exc. Engineering and Survey by: SCALE DRAWN • 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX981 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. E4STS4NDVWCH,MA02537 DATE CHECKED SHEET NO. 508-362-2922 09/25/16 DMM 2 of 2