HomeMy WebLinkAbout0355 BEARSE'S WAY - Health 355 Bearse's Way, Hyannis
A=292 - 021
rP °
o
1
l °
°
e
I
F
o
I p
fi o
o
t�
r
k � °
+J
; 7 0
�1
TOWN OF BARNSTABLE
LOCATION � . St��S Wi`'t�� SEWAGE#
V11j,AGE L ASSESSOR'S MAP&PARCEL
INSTALLER'S ME&PHONE NO. W I U-,I J-YV I pj Ik)6 FZ7
SEPTIC TANK CAPACITY �-V0
LEACHING FACILITY:(type) Z., N- (size)
NO.OF BEDROOMS
OWNER J �t
PERMIT DATE: COMPLIANCE DATE: r D
Separation Distance Between the: `
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet
Private Water Supply Well and Leaching Facility(if any wells exist
on site or within 200 feet of leaching facility) feet
Edge of Wetland and Leaching Facility(if any wetlands exist
within 300 feet of leaching facility). feet
FURNISHED BY
loop Fee
2
No. VV Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in compute4
r:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for �Di!5popf 6p aem Cott5trUCtion Permit
Application for a Permit to Construct( ) Repair VX) upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. f lr�j Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel C L�
Installer's Name,Addressd,and Tel.No. Designer's Name,Address and Tel.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building ,��-��j No.of Persons Showers( ,) Cafeteria( )
Other Fixtures `///may y
Design Flow(min.required) 17'7'G� gpd Design flow provided/ gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank // �U /�j G�C� Type of S.A.S._Li %� il�lC'/,4
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the 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.
Sig e Zell%/ � ate
Application Approved by Date l
Application Disapproved by: Date
for the following reasons -
Permit No. Date Issued
�_---------- _---------------- — — — ----------- ---
1 '.• � yf �.� _ ,, �: ' `` ,• P _� y r r +s^f ••--_ ,. -.i.....�i..*y s_'a-y vN`�s•vi+-" 'i..i'�.r�w•�
t '
No. co ., ; A Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for �Diqo df, *pitem Cottgtruction 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.
• s
Assessor's Map/Parcel 92
' (,(�/L•�./�4�l� ,C��✓%�/�Installer's Name, ,ddress,and Tel.No. 'Designer',NamVAAPre!s;ind No.0 � � X -', 5*lu�oviC h? _
Type of Building: , 9 �mj 511NG-
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder
� 7C ( )
Other Type of Building � No. of Persons Showers( ) Cafeteria( )
•r
Other Fixtures
-•, Design Flow(min.required) / 7 D gpd Design flow provided / gpd
.-Plan Date Number of sheets Revision Date
s Title ���--
Size of.Septic Tank /ff 90 Type of S.A.S.
- Description of Soil
Nature of Repairs or Alterations(Answer when applicable) AiXy /1vdC /�290 ,/4/, -
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
r 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 b this Board of Heal .
Si „ o Date
Application Approved by If
Application Disapproved by: ~' Date
for the following reasons
Permit No. Date Issued -
_•__-- T .
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired J �Upgmded
Abandoned( )by vt*b1,1*97 xx11 �,r?
at s� S W AT I XI haF'eee o trucc�ee�dV' aEcordance
with the provisions of Title 5 and thefor-Disposa•I•System Construction Permit No. [/W >JI/ dated
Installer �GiG? / Designer
#bedrooms Approved design flow j /� '( gpd
The issuance of this peg mi;(shall
'oot7bbee construed as a guarantee that the system wi unictiioon as,deesigned. �U
Date /(/((/`7 Inspector
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
=i.5poar 4p$tem C�truction Permit
Permission is hereby granted to Construct ( ) Repaig ( ) Upgrade ( A �ain/do a�(/ )�
System located at z_�25 T.S jiC✓/4y / //'(7) ��
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Cins' cti,2 o 'must be completed within three years of the date of this permi
Date Approved by /
V
Town of Barnstable
flp'ME Regulatory Services
Thomas F. Geiler, Director
BARMBTABEZ
Public Health Division
�p t63p. ♦Q'
Thomas McKean, Director
200 Main Street, Hyannis,MA 02601
Office: 503-362-4644 Fax: 1403-790-6304
Installer & Designer Certification Form
Date: ll 10q Sewage Permit#G2Q6.-19---0—=Assessor's Map\Parce�_Wj
Designer: /)� K1Q114 MWN ell Installer:
Address: ge—lo �`/,(! Address: �y� fit /��i(G
mz
On 0 0 /���.��/mil //� _was issued a permit to install a
date) (installer)
septic system at 35S / ASPS WA based on a design drawn by "
(address)
l ►',�o�✓t A4 L dated
(designer)
l certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation orthe
distribution box an6'or septic tank.
1 certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or anv vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
OF �ss9c
y
ARREAJ
ME —
(Installer's Signature o. 1 0
S1
QNITAR�I'�
(Designer's SignaturYBARNSUE
(Affix Designer's Stamp Here)
PLEASE RETURN TO UBLIC 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: Heal WSepticMesigner Certification Form 3-26-4�doc
.Gown of B i rnstable.
P#
Department of Regulatory Services
MOM
Public Health DiviSiOu Date
"r"S& e$ 200 Main Street.Hyannis MA 02601
+6J� ♦
4 A' vi JI
Date Scheduled
Time Fee Pd.
' I
Soil ,suitability Assessment fop 5ew%is osal r
'� Witnessed Y.
!''� i IOfc�}
Performed By:,
i
LOCATION & GENERAL INFORMATION
Location Address'.3 55 13GARS�_-s WAY Owner's Name 1) o tutors LA-ti n t
I85 Serf+ GooDPEE'V
HY4t4 N/S MA 02.6oI Address �i��t���� 0269'5
Assessor's Map/PVcel: Z C�2 � 0 2
Engineer's Name pAr-eA
- !' So 36Z-ZgZ2,
NEW CONS1RUt�1•ION REPAIR Telephone# $ f
19 Surface Stones
Land Use
Slopes(go)
S ay >�n�
Distances from: Open Water Body ft Possible Wet Area 2 SU ft Drinking Water Well ft
> /('„J 1 y i J ft Other ft
Drainage Way ft Property Unc
SKETCH:(Street name,dimcnsioris of lot,exact locations of tqt holes&pert tests,locate wetlands in proximity to holes)
TOP OF FI\dD1\1 \
EL = 50.15
TH
o i
37.5
TH-3 \
T -,1
EXIST. CE55POOL5\\
(SEE NOTE 1 O) �\ P A ER
A.N-r n —
• ' n/1g .
!A, a L Az 14 � Depth to Bedrock
Parent material(geologic)
Depth to Groundwater. Standing Water in Hole:' i Weeping from Plt Face
Estimated Scasonalil-ligh Groundwater
DtTERMINATION FOR SEASONAL HICIJ WAT.El R TABLE
Method Used: in, Depth to salt mottlr�: Itt.
Depth dbserved standing in obs.hole: i in, Groundwater Adjustment It
Depth toiwceping from side of obs.hole: A� fai'tor,.._ pol,f)rnundwatert,evel,,..e•
Index Well# Reading Date: Index Well levt'.I,.; .•.
PERCOLATION TEST . Date..•_•-.. . Vale—
Observation 3
•� Time at 9" �
Hole#
„ „ l
— L 2 Time at6" ----��rJ-- .•^—
• Depth of Perc
Time(9'41) -
Start Pre-soak Time.C�
2v
End Pre-soak
il.
Rate MinJ Inch
Site Suitability Assessment: Site Passed
Site Failed: Additional Testing Needed(Y/N)
BeCom leted on Back---------
Original:.Public Health Division Observation Hole Data To P
***If percolation test is to be conducted within 100' of wetland,.-you must first notify the
.,,_•:_: _ r,...�«,,.,p /11 wedk prior to beginning.
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc o ravel
C
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. Gravel)
02 l y`r 2- � �I
DEEP OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con isle c o Gravel)
to'' A LL•a,,A S.�„o toy
lop'-Z7" Q �l .4fA l UY�
�n_g�`' M ed �t.nd I v` P-
''- 40'' � lur-' � nfy 2 j y ark ,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o isten 1
v _to A &Po uv e.3/7-
_•u0'r C. ✓V d' Sao 7,Sy 719
Flood Insurance Rate Map: ,
Above 500 year flood boundary No— Yes __
Within 500 year boundary No k Yes
Within 100 year flood boundary No X Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the
area proposed for the soil absorption system? e-
If not, what is the depth of naturally occurring pervious material?
Certification ,d
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the require ining,expertise and experience described in 3,10 CMR 15.017.
Signature Date OZ D
Q:1.SEPTICIPERCFORM.DOC
Pam:
Health Complaints
07-Feb-06
Time: 6:05:00 PM Date: 9/30/2004 Complaint Number: 17757
Referred To: DAVID STANTON Taken By: DAVID STANTON
I
Complaint Type: CHAPTER II HOUSING
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number::3_5515P Street: Bea�ses Way/
Village: HYANNIS Assessors Map_Parcel: 292-021
Complainant's Name: Hyannis Fire& Rescue
Address:
Telephone Number:
Complaint Description: NEED A HEALTH INSPECTOR AT 355
BEARSES WAY, HYANNIS. FIRE AT SAID
LOCATION.
Actions Taken/Results: DS WENT TO SAID LOCATION. DS
OBSERVED THE INSIDE OF THE DWELLING
WITH A FLASHLIGHT. THE PLACE IS IS
FULL OF TRASH AND BEEN DESTROYED.
MOST OF THE WINDOWS AND DOORS IN
THE DWELLING HAVE BEEN SMASHED.
THE INSIDE OF THE DWELLING HAS BEEN
TORCHED. THE OUTSIDE OF THE
DWELLING IS FULL OF RUBBISH AND
REMNANTS OF THE BURNED DEBRIS.
ELECTRICITY AND WATER HAVE BEEN
SHUT OFF TO THE DWELLING. THE
DWELLING IS BEING FORCLOSED ON. THE
DAUGHTER OF THE OWNER WAS
PRESENT AT THE DWELLING DURING
THIS. SHE TOOK HER PERSONAL
BELONGINGS AND WAS TOLD TO SECURE
THE DWELLING AS BEST AS POSSIBLE
(DIFFICULT AS WINDOWS\DOORS
SMASHED. SHE WAS TOLD THE
DWELLING HAS BEEN CONDEMNED AND
1
Health Complaints
07-Feb-06
THAT SHE IS NOT ALLOWED TO GO IN
THERE. POLICE WILL MONITOR THE
DWELLING OVERNIGHT. DS WILL POST
THE HOUSE WITH STICKER ON 10/01/04.
DS WILL ATTEMPT TO CONTACT
MORTGAGE COMPANY TO LET THEM
KNOW OF THE SITUATION. "FRIENDS"
DECIDED TO DO THIS TO TRY TO STOP
THE DWELLING FROM BEING
FORECLOSED. ON 2/7/06 DS WENT BACK
TO SAID LOCATION FOR A RE-INSPECTION
AS THE NEW OWNER, THOMAS LANDI,
WAS READY FOR AN INSPECTION TO
REMOVE THE CONDEMNATION ON THE
PROPERTY. THE PROPERTY IS IN GOOD
SHAPE, NO FURTHER ACTION REQUIRED.
Investigation Date: 9/30/2004 Investigation Time: 6:28:00 PM
2
TOWN OF BARNSTABLE
BOARD OF HEALTH
i
ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION j
Date
cG^ �� 3o u
P f
Owner �� CeM ti Loot, Tenant ��C �� �y•N� 1 "7-7
Address FIG4 ^ ` Address
Complionce Remarks or
Regulation# Yes No Recommendations
2. Kitchen Facilities
3. Bathroom Facilities
4. Water Supply
5. :Hot Water Facilities ✓
6. . Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
10. Curtailment of Service Y
11. Space and Use.
12. Exits
13. Installatiion and Maintenance of Structural
Elements
14. Insects and Rodents
1.5. Garbage and Rubbish Storage and Disposal V/
/
16. Sewage Disposal t/ :.='l'iowner
17. Temporary Housing
&A4:.
PART II (�rJvl P a�r � y„ {�vaiv rrl!,
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
Person(s) Interviewed IL.�pn�1 Inspector
If Public Building such as Store or Hotel/Motel specify here AW
�,+� %
q WX A
P-111'INV.
,t1. \ ;:.,.,,,ti � '•G ter* �
iU
VFIr
�,• 3 4v t i `�
r
tiar.-
'r7 Orr
•w r
X �
`.
I �. T ��'4 t.l 1•
4-567
, s3 �� ��j � i�. j• �• � �r4 r.
`��(
t :�� L,r.;,� .1 1 k ' �x �t1 t55� �•iSa.�1 �:vA�`=t � �' �•� �1'
� R�f�� Y�^'�r.�.c�� � '., �l 4 1 ¢n,i '"�3 if � � 1 .. i,�;lr• yy
—"�-4�1 ���,,,,.� snd,-�'`'� .,'• .7M a�;s) 3 t y � III"
r
e.a !'>rn.# t 1 ``tF sMr.•yttt r`:T .t, VFAINS
., ✓A�j x" s ,� ;Sl C 4 'c9r xA i
.�
� t
•WF�.`*'+rc`w"".*ySSrryTw.{�` j` pr,• r .Lrk• "�\!: .sj � _•f. '� � � :
gy'S '• •,�'� �' 'f ""^"., C ,'T/r. ,r, ..
bra
• ♦
!r '•A'j .r't'-~yj.tA tz't�pryj/��A
� '�''L"' ,��:t Van� 1�'t'�A• � •• A � } � A r�
i c ��ic• s t 7° r
i y�k�
/7/ ;y§��✓� ��. r�,Rf t� �«f.'yykF�h� �y$>� 7" _ ♦,r r T•:•'t :ram r i N` .!1 y!
^'"����� ���'itr_��rrl ✓ �r�' ram,• 'f
/it�+'sjA� ��,�J��`�5+��!'�"t�y1 �a '•� a 3�i ,L'. � • //. ,... �,x ^r:�,
alp
'• �J �,'� G� �,'•�f3�'�t,���i tF,L-rt a et r 5 ,���,! �'r,
�/,y11^ 5��,r .yyrx;• ( � A � �,. A �„�l �i` fir'" '^'"' cri•t,
✓b`��1 �7 K�ti��� rn ?'� a �;..:
wr
�'�,L,'r'��X ■ {Gs'tTf '� to fi�2 6. 1 �Yt � '�,� .. 1 ,fir �,^' �° � �a
yY ,✓,f' ,q3..,�%� {.µ ..r, -+Lev-. 1�a�. .t�:J .� �'�i. L a x,.
t " . ., ,yr,} A � s`aa ,•, � Y. Sy: r `: �, y-nt�c,+„� -` r
`.�~.++' L t, •fit +:.ia i' �,�.�a r1.�� +,,,.x :. � Y'`��-• � yt.l�4 + �.µ'`*,;; _
.t•+'�t�w i', t.T f sk/�yryfiv �, s• A• '�L +e, qf�' .�rF, »� t
F sr �I•r` �.•��['��•.,`�\aJ.' c' r '� Zia
4 a 4'u t •'P: �,�,,,•. �Y• tN
(7��! / --..�.t+•,..� ��� .ffiv,
r�5° t �t �y' }.1`: y�.ix�,yt+4 s•�` ..*,•'�l. i. `''`� ���,(.s
f+1 � '.i. ` k,,.,.4 - i C k.•t 'L, ry ,� f `Lk•b 1M �/ :: r.,,,y4s.
rt ,•4t "?as 4t4T`t" /• "y'"""' �pyi j��jf: �.v
M
0�5
.,A ♦ ,/y 4.y.ryl,�" r:i '°' e�`�,y "Yt',.4i:.p*r 'e
' -_. J 7 .•{''•a � r`lr.'. (_.'y�Lh N 1 .W^''°k •'/1+ rt y
-F ,�+rr��' � r„::. � / �+�' .kz' 'y'b�1,�°,. � §Il,+�--•r ;�"�G� 4 „y� Gr.
���-,^7� '��h�'�}°t,�gr '�'c. �` � x ` v l��+y'��'`..•t �i,. C{�� �,..f
..+�,✓ %:/' *1,t�fr f� L'_ [,
�r }'4� .k•,•f t" ➢_ a dl # '• iV+ > t a'+A" `
xt .; .y,' r%r}
�r�Y/• ei�J°s,�y,Y�i�r+ sr••+t / `n �S � t ' •''f'i� `L�,�r if '' /,M, f ,• �� �f,��Jr r I ',�.
�-� e�i .�� �,.�++�j �� i� �sn�ar "• �s.» �� �'L"iR +Y�, � i.' ��'��+��� �i ...
�''r� •r.�r �+ip�,�..1 'f{( #.�1N e.. v}�''".�' '7C *yr++ � � ��,����l y'�1' ,,lr*)T,r.J r'�r � ^�
�'��'s � f+�,° "" �''�� 3.�,•"��' +�`"'yrY�°`x'� r � {�L�}`7�f��1., r .r
FW.4•.._.'�w if ,+s^.y) i"�` .•^' '" �" ��i •. ,7 >;+. + , `. '!'s w7r�',a I .....�.q''! �+fi1y
••/ J: � ! `� 'c^:��7, �'RT' y.4't' a .f: .. +.i<1 � ' !�'�'9` y*r'4 r
1` `S., F/r• r.� � � .�•• 'ter. �r �„ ,��+•NI
4tL Y -w't`��,/,t t� '�_...f..., �• �'irC,b.+� ' t�.u�y'r� v, t +�h�„�,�'� '"� ^a r er�h�V(P?Q "4 �� .
�;;�Y a•r:`" �'"• O',�'/`�� �T•a"j jS
� f.'+n��, "«rh.d yJ ,I I`,✓' .y .` r,1 t M3 ,
r
xl },.1. -yrti�*` Y"`'•'y'Y'.F,,`''\` .-.:.'."•'_�-,,' "��. '"' ;r r �w .� s 1r"e'�E` 4�{ i; +r"""4eir t ,:i't� r r �;•``{`�''
x �f,ci ✓" .. � -�'-'�-f?� 1,+��°3_ r� t1�,;�5..'� r�,.����. s v+f� ��r tT���y�•�''aS,'•' � •� t, �� F ,a .r1 et! � at;,+�':
LaT { ` ,, *1L S} * +d'
Ii al `r`5i4F+It '• >"Y' fr ^,Z * "' S; .'i`
�1 w.---�. ri at�;,. �✓- c / �5r1i j .Jf l�c� S� r y .g r Aov
.;
4�,.r .• •• ! —,J 'y ;� P ai(np,`
�.,;. �sra �-�- •: I"�.. :�rrp a. •'`k'l.L�'{` �•ra�' .ram,�"^» �`''"��YMYMW��,�i6'r•�,i�� ��+", t f•�`° �e�'' otij�.� +. Y � � •
� ro +P
,Y �,. I fib'• T � y � r7 �"• A
�
�. 'St.• .*: � �'����r,•r'�-i�} 3„%`�'.'�f �t. /F`�, 14• ,_'.s'r' y.! "F �, �xr+��.'�•� /�1e=t��
.afj'..•
✓-`''�.r� r/'� ,\' � �. -< .�_ } f%"'h t`f.✓'����'�t��'"�,� .' 1ra�'L'isa-/L' 2 �'�jy��,,..- � � ��1.
�/ r "// `\•: .i 1/ L i Q , ��', ' 3 �iY a. tom}} +��',"y�a� c*� '{�'�' �s .�14'n > •.'I[�
/�_ - emr,s�.• ���yi�.�r�!�•. ,. r�/)' �t� �A��x � •, °„y+1�'+t'r•• ��,"+a'�ssC"yr� Y l�„J�' L' •'s S r.,' g 3`�r,# �� fir•' ,.1,e, J
�. r}=.,r'`� � ""'••f r (. �� ��� 1 Y+I, ,Cd �. c.+� �`Y�•;wp,�+,a•w.:�� fi'� r�"! � • � �,.'�? )/'
r -'���'{,yF � �i"-i _ � ;r �ti w fir* ..+ _ g�'.c 3�r � �++a4 •;y r� r�' t
? �4�1 '1E �`+ �fl
r f RrYi•»rf e F�� ,D,, 1' •` ff, -`1'
�?A-T ,A""tw i +a �'`S' +$ "PY- •t'rF A J , r •,Y
r, �/y rr4,� K�, : '"✓, r
,r�1`f��it !!l ----� � ��lf f�,✓' .�Le �,��..�,�`ar.`„,�';�'fL'u �' r� .,•p'�i'�i ` ,�.�` rt� x r '� 'f
,f�r',s (!��'t�Arf,,l�li/ .�1�.ate � ��f'/� �'T t7/•r � k .'.F° °4 �� •''� +'L"T�:h §; � 4<�F �;� .. F E r
.•a,
' :� � �.a?t� , ` T ✓. � �� i�v.�,� ���!�..a(,.�y+'�h �,� L._ � {,t�.i .�a �� �,..•..; � •.: iy��;4' .�� ,• .. + rr .`
i �.7�i�N-�-• ��far.�,�."� r.� � �n�j}��r'�/�����,%�"�N��r}r •7� A►r.,�y,� ��+� •�,4L�' 3�G^' ,rw#},i�: Js'
at ram . .,. -'•7`-Yr v.�" �..t.�, / e r, •3f �'����'' i`3'i �'�y� ". � r
fj 1fP J+' .�%/\,a �a �' �, t J+l.t{� A+':h jl, ! �i+jd � W � L �� :•+�• � 3. y/::
f!�.' �_ �} "/'��� f+.�4�� � �� %�'•�`pet'''��_ '..� y' "v��ik+� � �.kr� �r.Y, �}�l i L,,fir, °''• _!,t" /�-r c} ` , z.✓i'};,ul 'i�_ ,�/ "..,:> /i ,y,/ tr r )Y�,,�y',!.. t F ` k. r:.r b
7jJ,/f} �tjt #.yr(h rs^ ft�`� �j..��/ r(. �-.� '��-'`�.C'+ v ': Fi,-. [t`5�•��¢ ��� HC�'f'Jri,'. r`.v� u qL �� �y
....`��^+�,� �i.g�'2.7' �a"S"! �'Y.. J.fi �� y'�� J.'•!'},Y r r.Y`f'.4�+.'"bn°yC���{p'3 �°A"� 'ra 'S V �� i .�• ,,
.i,.¢ ��1 � I''g`,f. r6' •'"- -/Lzgq t Ji, s^.• +' Kn t 'f' # }a15 y�
+�/�/Jk,,./,,i�1`'.'_•� � f � j�d•���'sss�•s�,?�..� �'�J=ham i/'= �.y '" `�?�� r .. ,^n L,a r :::" � '. ' -I",' .
ram`•` 3 f'•. ..,,'_ ..� J < ',•.f.,c" .�T-i � •., � � ... 7p�Y �,7C f z I +b�'� " ri� ry ���pj `A�° e,:.
�. tr,:o- !•.,`�=l ✓'+ i�r,•� �s s� .,; r ? '�/f 3'"w' r,�,+3'`-, r`f�``F r`}'L.�,+y '+;'/ts ' �' i ` `P ,' /
to-�
�� S j. '� /� • =•�« ,,iE, :"5 YY sv�"/d,"' i � FfiYtMai,
"' w�/� � + •i•" P� ly I
a L••"� t ♦ I /-�,,r ° ,"- t+ "" • ti :<s�,\k >S"v::i.' ' M wr t`.WJ `r`KT
,Agio
,{, .r•��s Fes. 4 ,/r .,,.✓ � �) .�';i`"'�-t '] '�nA.4� •rt"rxu�„F��
ems;( Ap
<_ _�,l�' - k/•S �r'.`��X' ' = 7 .. :R. .�•-1.t�: ,r[,,•�3 �., ` srr r-s��'5 ��'`�.J+�'r'`f"�;�f r�r. ;��5 y_! yr'�+"$r
aL t /�,n!t" y�"r "C't_` ,s ��ti �.�j,�-•l '60k1 '�`*i a�'�Y a4 'r ,��* A'r •'` .� Jr �r�
1 t7- P• I Sy/ 7 � tK< `l !! � 'n+fir ,' .+1 } J7 �+ 1� -V
�F5 ..rfP { + >s'"'.�` .,,•d' gh`Gi t LA.1 tr _ y � t c
t "aY //�•'. / t r!•I•7 �t4'a,_`" "j
.�✓�• /',,,! ��'t/. �i a"'1'�r` +� J' ;U � Y.''«�'�/L��+j �+.,/"f ter, 'i�$ .\ :� '3 �,y,,;g���+' � I!. F'.
:�. i47a.,,t.a%' ..�4 t! r:txs,:a .,5r+4°-- ,1< �nt;lri t' ,"'sC` s' T i;r h•��. v::3'• ,r .
}
i
iA V'i
Uj
�,n..'.yxwt .1 t" �� h yid- �} r ♦>�� �, +
Who
{ �`°aY.^"� ,I' ter' 6 yll� �G�� '�� '��.� 7� .w' 7` ��'�k�,Wp * • ,- ,/�� s ' '�+w �t`1�
46
,ko'
Olt
� .�'."�. .yam► ,d�"* ,ra iF .� {;' ._
}
r
a
f
��`
� yt'
s
,yrM!�,yr14".. i*'
a y !'
��yyyy
?
r €
r
g 5
a
/()
Z a ;<
Cri
uj
CD
ZVI -
41
�.` ^� '
i�':►. N� `I r�'ecti r'`SYY� i+{ • ' t��`'�'.�."'•,r � z� •�3�1 r .. i � � a•.� _
.�'`"%", ei�"t'y r� 1� ...yti � w•4�,�.�• ���'Sv' `n,'�,r^ '� r' .F f \,�. �°"." r��.�
. ,.—.•, `:ate c
J" ��CAq�-"�,�tar!' :'r V(„te '�`'f`t, �"� '�YI 7 f= r _ 4. — '' ••y e_ `�)l +.
�tisj,tt' .✓ f't,Y•i1 `'i "��`5'i�.y� ' r f
RMt pli' • 1 if-'4�di.t,•�,� lA I 0 �I r t I l�•
Will
� ` � J �G� 'N f. ' ��' �, � • �r .• ' !� I.f� `'y L. .`fit -
•T � r�a.�`� s e �: ',�S t� \ �'r,l��� i t �rr•' +�,ti �`�'w r ��'y+
41
; 1 f•fir
� ^l f .tom' • �i r,.aY. >�!,,��.5.,._,..
ZIP
+
� =' )'l�4 �� �����`P q�.R,'tid' Y `��11.•.� � Y E�,i Y (1�..,, :Y/pr„
.i �;..� +.-r�s•, tet�rti,(�, ;r�. f,F'. .y. i4, '\' r. '�I j`f.>, t•'>,,aa? \ !7 �:
':�v-S�y��t to-�i ,4;r.- •�•i wl,r_, l.l� �' J ;�?�t ,-._t. l �. �r `/� •�'.�.t !1.
I
M .
Ki
"
.i... —
r r
............
F
r F
n � d
Q
� $ O
{
s uN
• Fxx
_ t
F.
.a
a
r ���� � �r a - � _ �• '+� ek'* � �,
..
u
s
n
t};
YYrj�
9 - �r.
A'
1 r �p �M�1 1"W; •�i
• t ' , t j' Y � V 1 ���� gyp..
♦ �' ol/
•� �A�f A ice... � R. `-
k
R
t
!_.r,� ,k.v,.r.ry �. r. --,a��;i� : ;y! r ��7f � r �1 •�1 . :�:11° i �
A�'?' �'� ��� ti�� � a�,� �� •IUD s_. '� ,1 �d�.•,
.rr�r��4`
# .�_
..7'Z
`-I. ` 't r 1ry�/'i , "' "i�'1Y 1 1 � 7'•`�sr,`'1} kt` ...)
Q
r+y..rr,
_i.K:—t' �•E ✓fir -�r", ""'tom,.'�,, ,. '4°,��1. T r i.
.�� .':` `,� f,+- '� .yk'f--x�?�= ,fit �:f �+*��� � '� f "!•' y �-,
"0117
t, tTf/ r «k`s 1ttc� y� H fCi' r^
` ! ^*� •::Sim✓- °'•.r" '"''"w `�,.,dj" :k�. e T''
1«r�� �\y f,.��� �w f'Y ?yar �• �r'xi1 _ r � -
+
'{,...� �� t
�'
AM
�• iF
t'o�"'K"a�jj--•0 �+hr`J',�.,:.:% � r t^f:1-#�.�a�'�' �•�`.°` � o- ��,�",�,�� { t
s. `..--�_`Y, /�J-.�,�a—'7?+.•:"3�x,c�e, i�{;"�;l;,� s t .e f t�t e,�
_4
-��� �r.ti•R�� .�'4.`�Tf'i'w+ �'�.t,,�� "� '7 �' 1 g � A y.�* `< W
ow.
-4 .,
t
f
k
I
f,� t
I
t
w
+
�� ; t, � { i\ t • ��� s-..:. may+. qdY: ,:, ! �� �
l
f
tx
;. . _ .
,
�y
•. � V al.
w E��ie •y••'"w.i 'h*' k � A 'J+ ` '��a..�.� .-�9 �:x`^'w�+ � -
,1
k ♦ ,} 'V "
li�
I", pr
x
cl
lit
a
„
' ° r
s
.,�`4 r Y R�.�t 1 Y #: s �, ,•,.Y'��. `a...* y ` ��' ,r �a �� \��t'�x.�1
,
y�,.} A. ,y.• i 41 R y i k V
^ 'lk9 '.,,�,. is ....,'�". �
1reit
° .{ � w.'`�4 "�'�,:�. Y „g 1'� Yti���^ Ns• � 4i 1' � " '� 1��s� ��Y " ,� ��`
mot} l t
''•._ 'y`^-`"� ?`'a.,.+',^Alafx �F ,� t� [°j �� j�Y\ + .; �'►: �r �' R.. i
(
M1 1} Y � J t �t�f � ♦ 4t
•�1��?, ..S $ ,��'j�' �t ��\a "� �s�• '� 'Av'��' �w+�}h}{?##���1gI p��'v �i, �,d¢�t�"7 �,�.:
It
. 1 W
e
i �a.
`.0 '�•I � �� �t .� r"y� V��+ a 41, tt" i RY i���"� \',•S!
^J 11 4
c'
Y. p
�. 1 ► S V'
y
IL
� •" _�'-Rc.�r Nye,�� t * #� � a��4a L� � " � 0_, F .4 ^ #}'..�.
� �t 4 7 ! �� � �_,� � +�n��#g^�+y��i '•v. �� k' � t,I'�r t/ �i fif 1t y. �
t'�r}lA !,''� + fi'M''41r+•i i q. ,.i, �^ "'r "'1 ��+ F ? .�'�,�' r.� ^;«.p'+ +� *'� f i!' " a
T
y ?. 4*. , ...".. • 4#.- �Its i, t�T add. !' �•,kz^"rR'!'.,� �t 1
�i 1 .1• t „ c . �,.`�,,, •���+i .r'"�.; "a�w t � � �,�r zit�ls6�,i..
;�`tea., t �' ' �:5 �•" „M1 i �1 t.ztte � /
iy
• ~ + ��o.•' ', i++����� ! �!{�4" � � � t�� .w• -�r� 1 4N�+���+j' 4. y j\ � ♦tr 4 v
1 t :tom " .ot .. ., y ' :1 ill' .«` wi'� -.•�tsr tt e t F`
111
. i
.F
v
• � r '� - 'get _' �..r ,�,t�,...t t ,• � ' ; \ i
' . - '��,. '�,t •� 1rIY •'"a; .' � «{.,�fr$ �,��„ 'J�t� �,�a` �„ � �„�,1� _ �*'ji t\ ; d ri' +
'fie "" y'"- , '✓'-� .° '}
`r.°, .. 'zs: � ew•� :r !• 4. F �� w �r d ' `«'r r�4'i4+ ,,,�� � } �. �i� t i ,
.w
,r♦ tT �' a j A�A •. ` _ ���i lye``xt�� "" � y, ��r
•.�r .�' t t �N--wr iii:. �y��•.���--�, c`�,tt rh �� � `*•fY'`..
•}yam� .. � P +♦ "r• �F' k• �t 1' 't i r,#'I. ��♦ � g :t� �4
tee'
.. r
j.'Ta .!, s� 7• ,s�. VZ,ra r ..+?— ",+�� t y
.t
rxA
LO
LO
• �'•C� .' .. � "� � ` F'h � try li. � u
.�q r
��{/�y •.r �,�- -� � amyl. .- ,
'` /� �°" .. '!� •• 7" #• �< �� _ 'f tip � 4�' t
• _ a.•. w at +Mat . � { a .,.«.�. .• 1�% •�*t
` ,_ YSFj � y�i Z �y",�y��? � �• � �*- k••' � �� � Y a fir!1 1
IM
71
hx:M'e.to
.a • _ ! �►'"•"IY4� .�•x
IN
1
AV
�.�Spa•• «i •�' 14w ♦ • ♦ i .
a
a
'V4�rlf✓� .+T.s ��w
yy rr swr i
I �
S ♦m 'a `�
f' C�Ja
1 a�
� .,fir • �' y �� R `
ch
tj
AI
NO NOW
all
I71
F
t'••
zzo
It
As
• ( fff � � FF3 � • ,'�y a'
.t
' i �,..
x
y ,
r Y
' t
� f.
»mo wr
m }
r
s a`
fq
34
tom- � fi
G . e.? 3 7 s .-...��=;,-.,v.' .w"¢.yw> i�..�� tl,,,✓�"'o- �' '^ .. �w�i'wwa:n.4Y.w"'�+"
e F x
o r
s
�4k 'irA}p} q
+` 7_ +
x
4
r ,
t g,� satl
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET. BOSTON, MA 02108 617-292-550 ��ss
REVS'V`'
E®
WILLIAM F.WELD OCT '7 3 199 7 TR Y C0)LE
ScCrew.•
Governor HEALTH DEF r.
ARGEO PAUL CELLUCCI TOWN OF BAFWMM STRUHS
Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO sioner
PART A
CERTIFICATION
I 6 SS�
Property Address: 3 S� 6��'��SzS l�`�'�1IV�cthhi SAddress of Owner: oh
:Date of Inspection: i p- 2q-a 7 (If different)
Name of Inspector: .6. S
I am a DEP appr ved system inspector,pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: i c�- C
6_n It-
Mailing Address: 4
Telephone Number: —
CERTIFICATION STATEMENT
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 inspection.- The inspection was performed based on my training and experience in the proper function and
maintenance of on-si7sewa disposal systems. The system:
s
_ Conditionally Passes
_ Needs Further Evaluation By the ocal Approving Authority
F '
Inspector's Signature: Dater
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
INSPECTION SUMMARY: Check A, B, C, or D:
AI SYS M PASSES:
I have not found any information which indicates that the system violates any of the failure criteria a8 defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMMENTS:
eI 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.
Indicate yes, no, or not determined (Y; N,.or ND). Describe basis-of determination'in all instances. If"not determined", explain why not.
_ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or
the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank
failure is.imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank
as approved by the Board.of Health.
(revised 04/25/97) Page 1 of 10
DEP on the World Wide Weo: http:r&www.magnet.state.ma.us/dep
�J Printed on Recycled Paper
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 3sS Qea—,es �jahV,1S
Owner: boh &sS�-tt
Date of Inspection: tp—ILj-47
BI SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four 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
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 the
public health, safety and the environment.
1) SYSTEM WILLjPASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or
tributary to a surface water supply.
_ The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of a public water supply well.
_ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
_ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid).
3) OTHER
(revised 04/25/97) Page 2 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 3S57 &L o`X S 9-
Owner: lboA
du SSA _ J�
Date of Inspection: f o _ Z4 _ 9-7
D] SYSTEM FAILS:
You ust indicate ear.er "Yes" or"No" as to each of the following:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Yes Flo/
Backup of sewage into facility or system.component due to an 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 dogged 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 1/2 day flow.
4/ 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 S Soil Absorption System,cesspool or privy is below the high groundwater elevation.
Any portion of a 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 I of a public well.
f1�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. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
You must indicate either "Yes" or "No" as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
AThe system serves a facility with a design flow of 10,000 gpd or greater (large System) and the system is a significant threat to
public health and safety and the environment because one or more of the following conditions exist:
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 II of a
public water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04/7S/97) Page 3 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
3 SS g
Property Address: °-a`�Sz S �� ��•Y%• S
Owner: b Ch
Date of Inspection: 1. o — 'Z,N —C17
i .
Check if the following have been done: You must indicate either "Yes" or"No"as to each of the following:
Yes No
_ Pumping information was provided by the owner, occupant, or Board of Health.
None of the system components have been pumped for at least two weeks and the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or
as part of this inspection.
_ As built plans have been obtained and examined. Note if they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow.
_ The site was inspected for signs of breakout.
_ All system components, excluding the Soil Absorption System, have been located on the site.
_ The septic tank manholes were-uncovered, opened, and the interior of the septic tank was inspected for condition of
baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
/ The size and location of the Soil Absorption System on the site has been determined based on:
_✓ _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of
Sub-Surface Disposal System.
_ Existing information. Ex. Plan at B.O.H.
Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is
unacceptable) [15.302(3)(b))
(revised 04/25/97) Pago 4 of 10
SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 3SSSe) S WGu� l�G-hen: S
Owner: h
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL:
Design flow.1%2,c-,) p.d./bedroorn for S.A.S.
Number of bedrooms:_
Number of current residents:
Garbage grinder(yes or no):V
' Laundry connected to syst (yes or nod
! Seasonal use (yes or no):
Water meter readings, if available (last two (2)year usage (gpd): `\ o X L�.c�
Sump Pump(yes or no):4—
Last date of occupancy:CNl
COMMERCIAUINDUSTRIAL:
Type of establishment:
Design flow:_gallons/day
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)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
System pumped as part of inspection: (yes or no)_
If yes, volume pumped: stallons
Reason for pumping:
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
—61.- mgle cesspool
kf Overflow cesspool—e-0 1
Privy
Sham system (yes or no) (if yes, attach previous inspection records, if any)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information:
Sewage odors detected when arriving at the site: (yes or nolf
(revised 04/25/97) Page 5 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property ddress: 3 S S 13P •fs�S � )
Owner: Y'yx
Date of Inspection: I o_2.(_ 1-7
BUILDING SEWER:
(Locate on site plan)
Depth below grade: �t
Material of construction: ✓cast iron _40 PVC _Vo-ther (explain)OR
Distance from private water supply well or suction line
Diameter�_
Comments: (condition of joints, venting, evidence of leakage, etc.)
SEPTIC TANK:
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain)
If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No)
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle:
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:
How dimensions were determined:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
GREASE TRAP:
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _Fiberglasf _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:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
(revised 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: SS 2>e
Owner: 1--> �-
Date of Inspection: (v
TIGHT OR HOLDING TANK: I (Tank must be pumped prior to, or 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: gallonstday
Alarm level: Alarm in working order_Yes; _ No
Date of previous pumping:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert:
Comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.)
PUMP CHAMBER:
(locate on site plan)
Pumps in working order: (Yes or No)
Alarms in working order (Yes or Not
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
•
(revised 04/25/97) Page 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner: O,—,h Qx,.sSeck 1
Date of Inspection: 1 o-- 2 4—c1.7
SOIL ABSORPTION SYSTEM (SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
I leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
Name of Technology:
Comments:
(note condition of soil, signs of hydraulic failure, level of pond' condition of vegetation, etc.
v
CESSPOOLS: �—
(locate on site plan)
Number and configuration: R-If Depth-top of liquid to inlet in : - F
Depth of solids layer: %
Depth of scum layer: tt t
Dimensions of cesspool:
— 421ex
Materials of construction-
Indication of groundwater:
inflow (cesspool must be pumped as part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
I SYSTEM INFORMATION(continued)
Property Address:3S5 6ec�,vsz)s W4-1:s
I �lsC�.hfi� S
Owner: Q ph gL�bSc
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (locate where public water supply comes into house)
I
I
I - /
i
i
a7I
. O
I
(revised 04/25/97) Page 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 3SS R>2A-3-se ,S%-- U3 z S
22
Owner: b ub F)"fie.A-
Date of Inspection: I cv --.),y-q 7
µ� wv41-e✓
Depth to Groundwater �� Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observation of Site (Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping.records
Check local excavators, installers
_zUse USGS Data
Describe in your own words how you established the High Groundwater Elevation. Must be completed)
,eA v-Aoo-w—
(revised 04/25/97) Page 10 of 10
-,r.Vj
"uV! 4 ,
y,
W
LK
BAI
r` TOWN bir'.-IMRNSTAb
M "RIM,
1 -A yk W,
PIRMI'm
Ira
:Ordihance or.:Re.gu Atmoh.—
GIs0.4,
-WARNING ' NOTICE
N gr L WPI , CIM&�r dobof Offendertbamie
"-
-
4
.Addrets of, Offender V/ B Reg
'
VillagetState/zip, A;A'0
us ness� NAme. am/tpj on V
4-'Address,Bus1hes jq
Si�4nature of Enforcing Officer,,, k
5
Vil.la�ge,State/Zip:
V .n L
L��'a' 6 ' oft Offense' 3 IV,I 1A)OrA L4 AW$4 P
En -Dept/Division
fl6kcingf
11
ill'. Azrmstr I'JA4-1v) e 4 ji Ah. (e r
Offense:
q.
Facts X aftK, ,.it Of lem A
h h At, this t4r�e' no ega actim has'--been taken
'Is.
WIl-l*,'s*e' t;77e�!'ion y,.a,s -a� war
goal Town age
1:11V_i_� h 1_._�,of_ 'o ncies to achieve voluntary comp'l of Town
M
'66F ARiagu-lat ons.* Edu6 n eftoits." and warning, notices. are R'i i I` - .
aq,
t 't
�V t atio Subsequent violations will result in
.a ro "sate le al; action by the' Town
F ICt
Health Complaints
12-May-03
Time: 10:40:00 AM Date: 5/7/2003 Complaint Number: 4020
Referred To: DAVID STANTON Taken By: DENISE PERRY
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 355 Street: BEARSE'S WAY
Village: HYANNIS Assessors Map-Parcel:
Complainant's Name: ANONYMOUS
Address:
Telephone Number:
Complaint Description: COMPLAINANT STATES GARBAGE PILED IN
BACK OF DRIVEWAY.
Actions Taken/Results: DS WENT TO SAID LOCATION. THERE WAS
A PILE OF RUBBISH PRESENT AT THE END
OF THE DRVIEWAY. A WARNING NOTICE
WAS MAILED WITH TOB REGULATION.
Investigation Date: 5/7/2003 Investigation Time: 2:45:00 PM
1
a
n PHONE CALL
���� A
FOR DATE TIMED .M.
M ' b
OF \01 NEO
RHON 5�l C L 'LL -AMALEDL
^AREA CODE RIUMBE XTENSION
M E S S A G!� CALL
WILL CALL
AGAIN
CAME TO
SEE YOU
WANTS
SEE YOU
SIGNED 08hiversOI 48003
NOTES
v ✓j i
ti.rf j"j3.•:t�"� ; 1
6" yy�' `�''7.Y���`tsr,... .i yt'ro'!wmq•r y.,i"�"n'..'.,.°y.y(.��,r 'y��.w�.rr...',,µ}rFsp^xN^'—!�v.r��fcl '��i��F �'" r�'d�:'�i'r `""?!� �'Ci'"''�-
w '
Y' TOWN .OF BARNSTABLE 370
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager L nw, �p� (.��� S,p dob
of Offender
S• 611-44rs'eS W�L4 MV/MB Reg.# ,
Village/State/Zip '' !y �,, n, rt"� A d 0 !/ SS#
Name a,`35 am m; on f /20L)j
Business Address
gnature of Enforcing Officer
Villa e/St°ate/Zi
g P
Location of Offense3 S pe lrrl i i u .a✓,4, C �ifa1, b
nflorcing/ Dept/Division
Offens 11l- /4 4 ) 1 WA A a / / do
Facts J1), dj ,lv w1A, L4.1 r lr.:a,,-
�� ff 11 f
1 d,�l /;'.l/fe<P ri •�'��r (r `ln ri)00, LW vY• 6? 1 � . Clu7.v1 /.)r' .TiC'�P 1"! '✓ �rJ !7� SSL�'
This will. s'er'rve only as a warhing. 'A this time no lregal action has' been taken.
i It s the . goal '- of . Town agencies to, achieve voluntary compliance of Town
Ordinance s, , .Rules - and Regulations. Education!, efforts and warning notices are
Attempts to gain voluntary compliance.' -Subsequent violations will result in
appropriate' legal. action ,by• the, Town,
.
WHITE OFFENDER CANARY ORD. FROG PINK ,ENFORCING OFFICER GOLD ENFORCING DEPT.'
TOWN OF BAR.NSTABLE _ d
LOCATION S—DS SEWAGE #
VILLAG ASSESSOR'S MAP & LOT_
INSTALLER'S NAME 6c PHONE NO.Ky �`�"-{"1 � no � a�'(l
SEPTIC TANK CAPACITY 6CO `'1 IO° A
LEACHING FACILITY:(type) .I (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER "I 'vl/ G✓h� _� _
DATE PERMIT ISSUED: 81 @
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �
,.
a�
�x�s -� ��s s �od�S
. . �a ,
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. .......0 FF 11 ►,t ---- ..
for Uiupuuttl Works Tonutrurtiun Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair (,L an Individual Sewage Disposal
System at:
`..W.V-r-(................. .............. ......................................_.........
L tion-Address ----or•Lot No.
......
------------------------ .....•••••••••-• ........._.................................
Owner A Address
............ .. __. ,.._._ ...... ......
Installer Address
Type of Building Size Lot............................Sq. feet
..� Dwelling—No. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder ( )
N Other—Type T e of Building .............. No. of ersons........_................._. Showers — Cafeteria
w yP g -------------- P ( ) ( )
a' Other fixtures ................... ..........................................
WW Design Flow.....-.....A;� .................gallons per person per day. Total daily flow...... � ......................
WSeptic Tank—Liquid*capacity___.........gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width...._` .... Total Length......._...`....... Total leaching area....................sq. ft.
3 Seepage Pit No......./............ Diameter......0 C-..... Depth below inlet..... ` ......._. Total leaching area..................sq. it.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......:..............................••------•---------------._..._----_. Date........................................
a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ---------------------------------------------------------------•---....••--...••--•---------........----------.....-------...-------.........-•••............
0 Description of Soil.................................................................................................._____------------------.......-•-•----...............................
W
V •-•••••••-----•-•--------•-...-•-----•-----------------------------------------------------
••••------------------
-----------------------
••------------
..__._....----------
_-----_------._.....
---------------------------------------------------------------------------------------------------------------•-----------------.._....----------------•---.....----------..._......... .......
U Nature of Repairs or Alterations—Answer when applicable------ .....fl ..---....�. :....�� _.� .......
..............� e--:... ��. - __.. :-----•-----------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iI'L 12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of kealth.
Signed........__. -•--- ---------- --- ---------•--------- �`l_\1T __
Date
Application Approved By................... . . �- ........ �-
D�te
Application Disapproved for the following reasons_______________________________________________________________________________________________________________
..............•--..........--•-•------•-----•----------------.....-----......-----------......._.....----.----------------------------------------------------------------------•----------•--.......•••-
Date
Permit No 0 I -•- 1 -----•------__------ Issued......................................................
Date
vr..i,sT�• w��.-r)�— .� tc�-� _ _ _-' •r �'--- _ v-+�.) fir...-+;•w _. _..i.7iW.S l.. - - r -
\_ THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..-Tv.. ..... ..:....OF7 rOA \ + 1p-kE.. :..
", ppftratinn for Disposal Varks Tonstrudion trrmit
Application is hereby made for a Permit to Construct ( ) or Repair (u-<an Individual Sewage Disposal
System at:
.............. �i_,•,��a���5....�:?.. •---•---•-•-•-• ..............*� � . �='��` \S --•. ... ............................._.._... .
~~ •L tion-Address j. or Lot No.
..._ -a :c�- � 1.......................... ....•-------.....:S' ..---•------------•---..-.._--------.-..-.--_--------
W net dress
pq Installer `!Address
VType of Building Size Lot............................Sq. feet
.-� Dwelling—No. of Bedrooms......................................Expansion Attic ( ) d Garbage Grinder ( )
a :---=Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q Other fixtures ...............................................................
W Design Flow............. ..................gallons per person per day. Total daily flow..... ,?.........................gallons.
WSeptic Tank—Liquid'capacity............gallons Length:............... Width................ Diameter................. Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No......_./............ Diameter...... v.._.... Depth below irilet.....b............ Total leaching area..................sq.-ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by....... :. ................. Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -----------------------------------------------.............------.......-......
............:................................................
0 Description of Soil.................
W ......................... j..__.._..__.
x ..................:.\'*............................................-...................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable......0!VD.....n 4✓_.........n..'ctq___-ID\ •_� �� -�
........_._S ( :, r-�.el/, QS�1_ C�CSS0C . ...............• r 1
.' Agreement: •--•-- ------------•-�----------------•----;--.....................
The undersigned agrees to install the'aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITA IE '5 of the State Sanitary Code— The undersigned furtt:er agrees not to place the system.in .
operation until a Certificate.of Compliance has been Issued by the board of iealth l
r yn-
Signed' `J --- _ r % � '
y. :.
i !_ _._
' Date
Application Approved By................4 _ _. . _.�,..,,� ...__. .:..�!�.-._.�
= Dante .
Application Disapproved for the following reasons..........................................................................................--•-••••--..........
..................................................................................................................................................................................:--••------•----.....•--
Permit No.....?_- -_ -� .. Issued.....................................................
.1_. ._ ._......-•--•---• Date Date »
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r .U`^l�-L..OF .`Q.11�_ .. ..�1?. .....................:.......
Trr#if iratr of Tantphanr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by......................••. ........
Installer
at...•••••••....................�--J...j..s._^. I ------...... 1 ,^'S7
--••--------------------------------•-................
has been installed in accordance with the provisions of TIT I;;, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No........ c�^_.1�.,,R/........ dated................................................
THE ISSUANCE OF THIS CERTIFICATE.SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............. ........ ' Qf.Q.......... Inspector.
U... . �.. ..... ....... . ................
THE COMMONWEALTH OF MASSACHUSETTS _.
BOARRD��OF HEALTH
. � t� / _.............................
No......•. ,• FEE... �•—
posal ]Parks Tonstrn#ion trrmit
Permission is hereby granted...... 0 l-ia`..... ....s '..u/�.�...✓•....•........................•............................
to Construct ( ) or Repair ( L)an-Individual Sewage Disposal System .
at-No.:.......... ...................11Z_•C �. '�..�C �. ....\ '`!a _. ..................................................
Street ` G�
as shown on the application for Disposal Works Construction Permit N;�__1.�f. Dated..........................................
2 =----------------•.....j.-- r�0.'d
-----••----...-----------.....................----...-
// i of Health
DATE................P.7=----V•• Z...--•-----•---••-••-•••-•----- A
• a
of Al4S LEGEND
DAM g PROPOSED CONTOUR m"e
I, 991 PROPOSED SPOT GRADE. � p
1140 boy x ;7
—— 98 —— EXISTING CONTOUR Gy S/
c
'PECIS(E Vv + 96.52 EXISTING SPOT GRADE O'p.
�NITAR0' B OENCH MARK _ a u
B E — I W EXISTING WATER SERVICE
\ / RAINT SPOT ON TEST PIT Y e T
EDGE OF PAVEMErIj / 1 — ICONC PATIO CORNER * IS
SIDE
WAL \-
K r 5O __ \I — — --- - ELEVATION = 49. 74 a y u
PP.VED _ -
_•— I — ............
— EARN STABLE CIS DATUM v `
25.00 ft ---•----•—� I \ \
!i _0 j ���\ L I y \\ \\ I LOCUS MAP N.T.S.
;1 <
GENERAL NOTES:
ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
p L 1 \ , BOARD OF HEALTH AND THE DESIGN ENGINEER.
! I— 1 \ \ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
1 Q 1 \ \ OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
1 D \ \ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
__< 1 DESIGN ENGINEER. -
! I \' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
�. EXISTING I t`.\ �9 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
!; DWELLING I ENGINEER BEFORE CONSTRUCTION CONTINUES.
I /. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
t,,' / \ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
1 r \•
v'1 TOP OF F N D I\I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
w i EL = 50,15 // \ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8 ALL
AREAS A DISTURBED DURING CONSTRUCTION CONDITTIONAGREEDUPON TO BETWEEN OWNER AND CONTRACTOR.
! i \ 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
I i \ CONSTRUCTION.
I 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED, AND FILLED PER TITLE V.
1 O 0 5 \ 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION
50 �\ �] \•.\ 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY
1 _ 4 TH-4 \• 13. NO ADDITIONAL PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING
1, I \• 14. ALL PIPING TO BE 4` SCH 40 ® 1/8"/FT (UNLESS SPECIFIED OTHERWISE)
1 ° I \ 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW
1 37.5• TH-31� \•\ FOR THE USE OF A GARBAGE GRINDER
1 O \ 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING
1 H \\ \ \
:1 TH-2
1 15 It EXIST. CESSPOOLS\\ \
(5EE NOTE 10) \\ L 1 \\
'1 O3HS —
1 ^o�i N A P,�E A0. 49 oc + — \
—•-- PROPOSED SEPTIC SYSTEM UPGRADE PLAN
49—•
355 BEARSE'S WAY, HYANNIS, MA
------------------
---- — -- Prepared for: Mike Dedecko
80.00 f t
MAP' 292 Engineering by: Surveying by: SCALE DRAWN JOB. NO.
SURVEY REFERENCE: LOT.021 DARRENM.MEYER,R.S. Eco—Tech Environmental 1"=20' DMM
PLAN OF LAND BY DAVID H. GREENE, PLS DEED BK.•20619 Po BOX 961 (508) 364-0894
DATE: CHECKED SHEEP N0.
EAST SANDIMCttAM02537
DATED: MAY 18, 1971 DEED PG:144 508-36,2-2922 02/02/09 DMM 1 of 2
I
NOTE: TO PREVENT BREAKOUT, THE PROPOSED DESIGN CRITERIA
NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:46.69
FOR A DISTANCE OF 15' AROUND THE NUMBER OF BEDROOMS: 2 BR EXIST./4 BR PROP. (PROP NOT IN ZONE II)
PERIMETER OF THE S.A.S. SOIL TEXTURAL CLASS: CLASS I
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. I DESIGN PERCOLATION RATE: <2 MIN/IN
T.O.F. EL.=50.15 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER DAILY FLOW: 440 G.P.D.
OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. DESIGN FLOW: 440 G.P.D. RREN M.
F.G. EL.=50.0t F.G. EL.=49.5(MIN.) F.G. EL: 49.5t F.G. EL: 49.5 - 49.0(MAX.) GARBAGE GRINDER: NO c:0 MEYER
PROPOSED SEPTIC TANK: USE PROPOSED 1,500 GALLON CAPACITY " No. 1140
LEACHING AREA REQUIRED: (440) = 594.59 S.F.
.74
�fC/51E0
L = 10'"t L = 20' L = 5'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) DISTRIBUTION BOX: 3 OUTLETS (MINIMUM) OZ•03, NITAR�1'�
® S=1% (MIN.) ® S=1% (MIN.) 0 S=1% (MIN.) ('
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC I
PRIMARY S.A.S.
USE 2 TRENCHES (13 TOTAL UNITS) OF 16" ADS BIODIFFUSER H-20 UNITS-NO STONE
10' 6' 11.3" TO TRENCH 1: 6 UNITS (37.5 linear feet) TRENCH 2: 7 UNITS (43,75 linear feet)
1F" INVERT
INV.=47.91 48"LIQUID INV.=47.66 BOTTOM & SIDE AREA: (GENERAL USE APPROVAL FOR 7.9 SF/LF OF BIODUFFUSER)
LEVEL } (BIODIFFUSERS):
GAS BAFFLE) PROPOSED INV.=46.80 2-TRENCHES (6 UNITS/7UNITS(13 TOTAL) AT 6.25'/UNIT= 37.5'/43.75' 13 UNITS x 6.25 LF x 7.9 SF/LF = 641.9 SF
:. ,.. .
D � SOIL ABSORPTION SYSTEM (PROFILE) DESIGN FLOW PROVIDED: 0.74(641.9 GPD/SF) = 475 GPO > 440 GPD req'd
INV.=47.0 DB-3 INV.=46.3
PROPOSED 1,500 GALLON SEPTIC TANK
RESTORE VEGETATIVE COVER
EXISTING SEWER OUTLET _
75"
NOTES:
1 SEPTIC.TANK AND D-BOX SHALL BE SET LEVEL BREAKOUT=TOP ELEV.=46.69 EXISTING SUITABLE
INV. ELEV.= 46.30 MATERIAL
AND TRUE TO GRADE ON A MECHANICALLY COMPACTED
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 45.36 kill
310 CMR 15.221(2). 2.83
2 INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF �� 76"
T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH
3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE (8.31' PROVIDED) 2-TRENCHES (6 UNITS/7UNITS(13 TOTAL) PROFILE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BOTTOM OF TESTHOLE EL.=37.05 _ ® s.25' PER UNIT= 37.5'/43.75' 11
SEPTIC SYSTEM PROFILE TYPICAL TRENCH SECTION T
N.T.S. 1 2"
- rN -
SOIL LOGS DATE: FEBRUARY 2, 2009
SOIL EVALUATOR: DARREN MEYER, R.S., CSE I�34" �
P#: 12464 WITNESS: DONNA MIORANDI, BARNS. BOH SECTION END CAP
16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT
Elev. TH- 1 Depth Elev. TH-2 Depth Elev. TH-3 Depth Elev. TH-4 Depth
49.58 A LOAMY SAND LOAMY SAND LOAMY SAND 0" 49.5 A 0" 49.10 A 0" 48.72 A 0" MODEL 16" HICAP
LOAMY SAND LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
10YR 3/2 10YR 3/2 1OYR 3/2 10YR 3/2 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
48.91 8" 48.83 8" 48.27 10" 47,89 10" EFFECTIVE LENGTH 75 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
B LOAMY SAND B LOAMY SAND B LOAMY SAND B LOAMY SAND SIDE WALL HEIGHT 11.2" 4
10YR 5/8 1OYR 5/8 10YR 5/8 10YR 5/8 OVERALL HEIGHT 16"
46.58 36" 46.5 36" 46.85 27" 46.47 27" OVERALL WIDTH 34" 4640 TRUEMAN BLVD
Ct Ct C1 C1 13.6 CF HILLIARD, OHIO 43026
MEDIUM SAND MEDIUM SAND MEDIUM SAND
10YR 6/4 10YR 6/4 10YR 6/4 MEDIUM
6/4 ND CAPACITY (101.7 GAL) ADVANCED DRAINAGE SYSTEMS. INC.
d 9 PERC ®44.75 PERC ®44.85 PROPOSED SEPTIC SYSTEM/SITE PLAN
41.08 102" 41.0 102" 42.10 84" 41.72 84" 355 BEARSE'S WAY, HYANNIS, MA
,fF;
A MEDIUM MEDIUM MEDIUM MEDIUM
SAND SAND SAND SAND Prepared for: Mike Dedecco
2.5 Y 7/4 2.5 Y 7/4 2.5 Y 7/4 2.5 Y 7/4 Engineering by: Surveying by: SCALE DRAWN JOB. NO.
144" 37.5 144" 37.43 140" DARRENM.MEYER,R.S. Eco-Tech !Environmental NTS P.T.M.
37.58
37.05 140" PO Box981 (508) 364-0894
. PERC RATE <5 MIN/IN. (-Cl" HORIZON) PERC RATE <5 MIN/IN. ("Cl" HORIZON) EAST SANDWICH,MA 02537 DATE CHECKED SHEET NO.
soy-3sz2922 02/02/09 P.T.M. 2 of 2
NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED