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0166 BETH LANE - Health
k 4=Hyanns` iy � - .j - A, { t A if 9 { o A OWN OF BARNSTABLE SEWAGE # L9�c3� VILLAGE _d14e,?'n17 .- i�& ASSESSOR'S OT 10fALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACU ITY: (type)A4?0 1494 dA, NO. OF BEDROOMS / BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: l I b ! 6 _ 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 Z � > � � %Idj1 4 1 , Wa eJ 1 J y 2 y��� ?J Fee No. THE COMMONWEALTH OF MASSACHUSETTI Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE. MASSACHUSETTS ZippYication for Miquar *paem Construction Vermit Application for a Permit to Construct( )Repair(X Upgrade( )Abandon( ) ❑Complete System IkUdividual Components Location Address or Lot No. ' e�C� �e Owner's Name,Address and Tel.No. l�t�jyNN\S� !'1�A �D"ARW IN v ELASl,�j6� Assessor's Map/Parcel Z—+2- 1 0 SR M 15 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. R.odn� �.she+c- S�p+�' ENv. Svcs. 24o-ZBOo 5169--+9(oko Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1510oO sq.ft. Garbage Grinder(1J1 A Other Type of Building fj ON E No. of Persons -I- Showers( vr) Cafeteria( ✓j Other Fixtures LgJwyne*p, k.Mc%%-E a N►c . k^%iNoRY Design Flow 33 gallons per day. Calculated daily flow 333.90 gallons. Plan 'Date In I Z to OS Number of sheets Revision Date A/I A Title r Size of Septic Tank \6T 1 ,nnn C' a Type of S.A. . t f�TO Description of Soil S �D, X 3�I x 1 ,iPc-. _�?N �Hr� Nature of Repairs or Alterations(Answer when applicable) F -\-b Date last inspected: Agreement: The undersigned agrees to ensure the construction and mai%=qce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro mental Cod and not to place the system in operation until a Certifi- . cafe.of Compliance has been issue�th d of Signed Date GJ"-" Application Approved by NVA14 C Date 0 Application Disapproved f the following reasons PermitNo-200-s'- s-s5 Date Issued 11 a I I -tea. l • ' .`' ' -, - • - lP + } N. Oaf `/ } y q►."�4 �, / r Fee THE COMMONWEALTH OF,MASSACHUSE TS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLES MASSACHUSETTS Zipprication for bi�po,.zar �Wp�tem Conotruction Vermit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) D Complete System Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. �?c.1 IN Assessor's MMap/Parcel � Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ENv. Svcs, 39 -'9 cold � '`';r` y Type of Building: + -� Dwelling No.of Bedrooms 3 Lot Size 15 O C)a sq.ft. Garbage Grinder VIA r Other Type of Building 0 0l-C No. of Persons q-- Showers( ✓) Cafeteria( ✓) .., Other Fixtures L tA,.3 A-rn9-� Design Flow 2�D gallons per day. Calculated daily flow gallons, Plan Date I r) 2 t i L')).`5 Number of sheets 1 Revision,;Date N I (a K Title - Cll c� C C\ Size of Se tic Tank �_k\,5`' 1 , G C CG, , T e of S.A. S i,1 t 1 2A"Z ci�J ' P Yr Description of Soil \fie SF r• \ten x 3-4' X I Nature of Repairs or Alterations(Answer when applicable) CAP C A-c, e Date last inspected: Agreement: The umdersigned agrees to ensure the construction and mai enapce of the afore described on-site sewage disposal system en j in accordance'with the provisions of Title 5 of the Environmtal Code and not to place the system in operation until a Certifi- cate of Compliance has been'issued by tWi B , d of Xealth. Signed `" Date ✓ Application Approved by 1 Date 0 Application Disapproved f the following reasons Permit No, 0 r7 S - '/ Date Issued U / O THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTI tat the On-site Sewage Disposal System Constructed( )Repaired Upgraded ( ) Abandoned( )by _ f at 1&6 X e Z J has been constructed i accordance with the prov;sions of Title 5 and the for Disposal System Construction Permit No. UO 5`_s�dated d C, °f . Installer v k l✓ZG Designer 6 / S Ls, The issuance of this ermit sh'Il not be construed as a guarantee that the s stem wt �nfi n as d tied. Date � '� Inspector r��� — — -�----------- ---- _.. _ No. O`(N� �/ Fee ,oa THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mi�ponl *pgten .a, onttruction Verna Permission is hereby ranted o Construct Rep e it " Upgrade Abandon y System locatgd at d L VA and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. ...5; Provided: Construction must be completed within three years of the date of t 's it, Date:_. U (/U S Approved by. 4v,. f °F IME Tpw ti Town of Barnstable * ,, Regulatory Services �p1639. a` Thomas F. Geiler,Director rfD MA'S Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 July 19, 2005 Mr Darwin Velasquez 166 Beth Lane Hyannis, MA 02601 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 166 Beth Lane, Hyannis, MA was inspected on June 10'', 2005 by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has"Conditionally Passed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00)DUE TO THE FOLLOWING: All septic components were over full.. You have two years from the date of the system inspection to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH D PARTMENT TITLE 5 ' ,, OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A . CERTIFICATION Property Address: Owner's Name:_ '�arw i J2 IAS q va 2 Owner's Address:_ IL1. �3�h l`SA nk. Date of Inspection:_ "F Name of Inspector: (please print) 'IDcw I'cA 4y_ Company Name: L�,�i A J•t ven;e t SG,�s ` 5apc e 5ws i C-1 k Mailing Address: -3c)-)A Ct>m rwLcC Ic �D i , s 4 So C.ho t \ckrn j`M oaL59 Telephone Number: -� - It� CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that , inform?ign reported below is true,accurate and complete as of the time of the inspection.The inspectio-'as , performed based on my training and experience in the proper,function and maintenance of on kite sewag e - disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Ti le 5(310_ CMR 15.000). The system: w , Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Ins ector.'s Si nature: Date: 0 P g 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. Notes and Comments �u)1 ®vet 0,11 � Q$ irt .S 6c tAnt diStC; U 70�,`�.►� �rcni is �f' bent, o Y\cd I.eweh r\' ****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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A - 4 CERTIFICATION(continued) Property Address:_ i(h 13arh L� Owner: wi Date of Inspection:_ Colo 03_ pS Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information whichrindicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exists.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined" please explain. - The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally.unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. •A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken,pipe(s)are replaced Obstruction is removed Distribution box is leveled or replaced ND explain: the system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced Obstruction is removed ND explain: _ OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_ IGG . QA LQn-¢ N`i Gnni S.YVA Oa601 Owner:_batc w� �y eaasgz „ Date of inspection:_ b,03 ®- 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 SO feet of a bordering vegetated.wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _The system has aseptic 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 r 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 r coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_ IG16 _&kh Lav-e ' i-�yann�5, rw�oal�ai w - Owner:_'J4c w;r� 1V�1a Scly Q2 Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate`yes"or"no"to each of the following for all inspections: Yes No _\Z. 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 day flow Required pumping more than 4 times_in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is,within 100 feet of a surface water supply or tributary to a surface water supply. 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility ..and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)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. . . You must indicate either"yes"or"no"to each of the followings (The following criteria apply to large systems in addition to the criteria above) Yes no The system is within 400 feet of a surface drinking water supply The system is within 200 feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area(Interim Wellhead Protection Area IWPA)or a mapped Zone 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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST s Property Address: Owner:,bmc U3 ^ 1q-QAck5 q u-e z Date of Inspection:_b 0 03^ �C5 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 . s 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? _ Has large volume 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 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?n oC1C�Ud in ;gin Were all system componentsmakidm&th SAS,located on site? �/ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the A condition of the baffles or tees,material of construction;dimensions,depth of liquid,depth of sludge and depth of scum? r 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: } Ye No _ Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)J OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:_ l ' I-,yann�s l, rv)A oa " Owner:_'��,�'wi(N�SLJ0,SQ,\>-eZ Date of Inspection: FLOW CONDITIONS` RESIDENTIAL 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): r `� Number of current residents: Does residence have'a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no): t�[if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use(yes or no): Water meter readings,if available(last 2 years usage(gpd)); .Sump pump(yes or no): Last date of occupancy: Cu r r-e n� COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd°,. Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or"no): Non-sanitary waste discharged to the.Title 5 system(yes or no) Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 1 nS Lablk o0.c a o AL,1 a-S Was system pumped as part of the inspection(yes or no):_VS If yes,volume pumped:gallons--How was quantity pumped determined? 621� Reason for pumping: c v e_c �,u I 1 `.0 V Qr (01 ,I "'n e s TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool _Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) . Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach a copy of the DEP approval - Other(describe): Approximate age of all components,date installed(if known).and source of information: Were sewage odors detected when arriving at the site(yes or no):&! OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_ ��(Qnnih rY1Aoa�Ol . Owner: Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grader Materials of construction:_cast iron ✓40 PVC other.(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc:):- oK SEPTIC TANK:y.�3(locate on site plan) Depth below grade: L P 1 Material of construction: concrete jnetal fiberglass__polyethylene other(explain) � — P ) If tank is metal list age:_ is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: I ow olQ,n e n Sludge de I Distance from top g of sludge to bottom of outlet tee or baffle: Scum thickness -y " 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 were dimensions determined: t5b rn a t-ed Comments(on pumping recommendations;inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.). Off. GREASE TRAP:_(locate on site plan) Depth below grade:. 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): ; i i a f OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM'INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: UY an n i 5, AA ba ki Owner:- twin %JJQ OL50LUA' Date of Inspection:_ c) 5_ 65 TIGHT or HOLDING TANK: tank must be p pumped at time of inspection) locate on site plan) ( P P P )( P ) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: Qallons ✓ Design Flow: Qallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no). Date of last pumping: Comments(condition of alarm and float switches,etc.):" ' DISTRIBUTION BOX: (if present must.be opened)(locate on site plan) Depth of liquid level above outlet invert:Oir" �0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): 5Lri6vLi¢)r. 6n% Pc)11 oq WthL;k( ,_I)0i2ci 52tztlr Corr pr& L-Og1�pW PUMP CHAMBER: (locate on site plan) Pumps in working order(yes orno): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: '1�(- win Date of Inspection:_ ,,0.3p©cj SOIL ABSORPTION SYSTEM(SAS):)kS (locate on site plan,excavation not required) If SAS not located explain why: Ty e Leaching pits,number: Leaching chambers,number: Leaching galleries,number: Leaching trenches,number,length: a 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.): CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: >, Materials of construction: Indication of groundwater inflow(yes or no): Comment s note condition of soil signs of hydraulic level f ponding, ( gn y e o po ,condition of vegetation,etc. g g ) 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.): r OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_ 1a L4r► Vnn/1i5� MAc0LObl1 Owner:�acw4N �aSquz Date of Inspection: SITE EXAM Slope rn i n Or Surface water Check cellar d C y Shallow wells no Estimated � P depth to ground water l� 'feet ' k( em P Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting.property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) ; Accessed USGS database-explain: You must describe how you established the high ground water elevation: Y t q./t 121 ,� LT. �. j� r y OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address 4 I a Yl cl i 5; (x�tR4 l Owner ` 66cwi Date of Inspection: SKETCH;OF SEWAGE DISPOSAL SYSTEM . Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmacics.Locate all:wells within 100 feet.Locate where public water supply enters the building. E 2 - I AZ f , -A L 11D as 6 3 LP CAS O SEWAGE PERMIT NO. VILLAGE I N S T A LLE.R'S NAME i ADDRESS JOHN A. AA? i0 E,;;aKHOE S RICE 150 77,75-07-7737-c West Barnstable, Mass. 02668 BUILDER OR OWNER , ' ��� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i i� / �/ '�,h � i / j� f 1 ti �� �. � / ,, % �� . ,, � \ �-,� � � � � � �� \. � � N� � ��` � � � �, � ��� ��� -�_. 3 r ,. � � .y TOWN OF BARNSTABLE LO�A 'iON 1 W, I��k L►'1 SEWAGE # r VI LLAG an Y1 i 5 ASSESSOR'S MAP& LOT4-27,-2 40 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) size) NO.OF BEDROOMS BUILDER OR OWNER )CUr w i-fift5 vQ� PERMTTDATE: !;W COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r4t J)!n �Yl/'�1 � rn C 9 n � o s 3 ]3 U � G� J J " No............ Fps.. ®................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----------oF....... � .............. Appliration for B44poaa1 Workg Towitrudion Vantit Application is hereby made for a Permit to Construct N�e) or Repair ( ) an Individual Sewage Disposal System at• -3 ..:........:/4 ....... ... � -- ����. ..._.... ........................... ocation-Add re or t No a ........... o ..._ 7.�................................ �f� A.... ' Installer Address Type of Building Size. .......Sq. feet Dwelling—No. of Bedrooms........3--_..•__--•-----------------Expansion Attic ( )t Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ---------------------------------- -------- Design Flow...........��_________________ gallons per person per ay. Total dail flow------------��.....................gallons. WSeptic Tank—Liquid capacity.�pllf.gallons Length____._._. �t�idth._.. ----_ Diameter__.________•__- Depth..._ x Disposal Trench—No. ......'............. Width.........:1 ...... Total Length-------- _./---- Total leaching area...---- -• ft. Seepage Pit No......./---------- Diameter___��..h.__ Depth below inlet...... ._...... Total leaching area... .......sq. ft. Z Other Distribution box (� Dosing tank ( n Percolation"Test Result Performed by._---------.t .__ �! 1.-1............................. Date... _. / ,y ® Test Pit No. 1___ i minutes per inch Depth of Test Pit-----1�I._.. Depth to ground water.. �../... (s, Test Pit �'o. 2... _ r}__minutes per inch Depth of Test Pit...f...._______. Depth to 'ground water________________________ O d..- ----.. �..... ---•- f y ? � Description of Soil 'tf" .... - � 00" 'fi/�1y� -/ --- V ....-�� .........................................•.................................... UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------.............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I!'.L y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation.until a Certificate of Compliance has been 'ss ed by the board of he It` Signed . .•-- .. -- ---. -•--• ---• -•--"•--•---•................. Date Application Approved By.._... / _ ----------------------------- Sa--- -�- Date Application Disapproved for the following reasons---------- ----------------------•-----•----------------------------------------------------•••------------•. --••••--------------------------------------•---•-•-----•-'--•-------•-------------..........--------•---'------••-•-•---------•------------'--'-......-'-----•-----•---•---•-•....-------•----'--'•--- Date Permit No......................................................... Issued.-1 .......................... Date No................ ....... ................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F _... ._. ....................O F................:.......•..---.--............---------•---•---------......---------...... ApplirFation for Dispas al Works Toustrur#ion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System a ........... ....... ; ............. rk 0 W Alle, V /P*„ ^7�w 1*0 P Addre ... . ..---•-----•--Installer-•...................................... .............................................Address ...... of U TypeDwelling Building of of Bedrooms........�.�!-: p ( ) Size Lot--G Sq. feet .........................Ex ansion Attic arbag e Grinder ( ) aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) Othert es ------------------------------------------------------••...--------•-•••----•----------....__.....-----••- ........... W Design Flow...... ...:_ ......_ A. gallons per person pe�Oly Total da'1 flow------------ .............. s. WSeptic Tank—L>quid capacity�i!.-... gallons Length................ Width___..___. Diameter--------------.. Depth_._ , .�..... x Disposal Trench—INZ. .................... WidtV,, }y-..... Total Length----------{.t�... Total leaching area-----:Z.A§".sq. ft. Seepage Pit No....... ......... Diameter.._.__ ........ Depth below inlet......_..,.......... Total leaching area..................sq. ft. Z Other Distribution box(;A Dosing tani `,Qj,rr 1.4 Percolation Test Result Performed by. `^" ._✓/".!'!f t- .................. Date... ,.a Test Pit No. I--- -------------------minutes per inch Depth of Test PitDepth to ground water. 1y ----0�----.-- r=, Test Pit No. 2_. minutes per inch,,Depth of Test Pit"'-................... De th to ground water......................... Description of Soil . x UW -------- -----_ ............------......--------------------------------------------------------------------...........--- Nature`of Repairs or Alterations—Answer when applicable-------------------------- :w;........................................................ - --------•-;:------- ._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the rov sions of p 5 of the State Sanitary Code— The undersigned f4rtl er agrees not to place the system in . operation until a Certificate of Compliance has bee ss d by the b9al of h 1 Si ned. �yr ` e 7 Application Approved BY y .:. ..... ----•---. ...--•-----.. .. (- `.`........ _.. Date Application Disapproy.ed for the following reasons-------------------------------------•-------------------.....------------------•---------------------........... --------------------------------------------•------•---------...........---------.....-----------------•------------------------------ ................................................................ Date PermitNo.......................................................... Issued..................................-------•-••-•------- Date THE COMMONWEALTH OF MASSACHUSETTS f f#BOARD OF HEALTH ^ 1 ............ Lt.�1.. . OF............ .. :..t'". ..... � � 4�............... (Irdifiratr of Tout-pliFaata THIS IS TO ERTIFY ga4t e u 'dual Sewage Disposal System constructed ( ) or Repaired ( ) by - -- ..0 AR ------------------------ ----------------------------..............-----•--..........------------............--------------------............ at �--------------•--- ............. . I' 'I _ ----- A-~..............................................ill `�A /Ui{J has been installed in accordance with the provisions of TIC' /�'Tlie State Sanitary C� eal� dLscr�id in the application for Disposal Works Construction Permit No________________________............... da.ted-_1...__._._._......._..__.._..._._._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UE® A GUARANTEE THAT THE SYSTEM WILL FUNCTIO S TISFACTORY. � �( �3 �: DATE -'` -A-•--....-•---....-•------•--------------------------- Inspector ....................................------•---•--•----•----.-..-------..:- THE COMMONWEALTH OF MASSACHUSETTS t i i BOARD e, OF HEALTH � � . OF.......... 6 ....!V �3...!... 9�....................... No..........C-74 ��........ FEE....` .. ...-...... Bispos al Works,�„� Tons r i�� orrai# PermiSsio > hereby granted ------........�....••-----------•--•-------•-•..............••••••---..._...•-•-••-•----....•--•....---........----- to Constr ct`( or R air ( ) anAndividual Sew ye D-s o System al at No.--- .--.••-- ................ -- . ..... t4'-IAJIJ!{+l Street as shown on the application for Disposal Works Construction Permit . o.._.. ,/ ated-_____��--- `�� 7 zy .................. ._ - -r... .. .. - DATE. Zo 4127--- --•--._...-••--------------•-•--•----........ Board of Health FORA 1255 HOBBS & WARREN. INC.. PUBLISHERS Town of Barnstable �t"E r �o Regulatory Services Thomas F. Geiler, Director *k BMWSTABLE. MASS. Public Health Division ArFD�A°'�A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 11101/05 Designer: Sha Environmental Services, Inca Installer: Rodney Fisher v y Address: : P.O. Box 627 East Falmouth Address: 476 Main Street t , MA 02536 Harwich, MA On 10/28/05 Rodney Fisher was issueda•permit to install a (date) (installer) septic system at 166 Beth Lane, Hyannis, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 010/25/05.. (designer) _XX I•certify that the septic system referenced above was installed substantially according to _the design, which may include minor approved changes such as lateral relocation of the 'distribution box and/or septic tank. 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 sy _),but in accordance with State & Local Regulations. Plan revision or ertified as it y designJto follow. . -�N OF MgSs�c CARMEN yes E. (Installer Signature) ° SHAY co No. 1181 GIST0' - S'4NITAR\P� (Designer's Signa ure) (Affix Designer's tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form � W u Logged In As: Parcel Detail Tuesday, February 13 2007 Parcel Lookup Parcellnfo _._._..� .__._..,. Developer# Parcel ID 272-160 Lot LOT 33 Location ,166 BETH LANE Pri Frontage 125 Sec, Sec Road Frontage i village?HYANNIS Fire District!HYANNIS Sewer Acct' Road Index 01 19 Interactive;q Map Owner Info Owner TIMENTA, DAIANE Co-owner Streets i 166 BETH LN Street2 t city IHYANNIS State lMA Zip 02601 Country _ _......_..._ Land Info Acres 10.35 Use ISingle Fam MDL-01 Zoning lRC1 Nghbd 0105 Topography Road E ....... ....: _ _. ........ ........ ........ Utilities, Location Construction Info _ . _... _... Building I of Year Roof Ext 1980 Gable/Hip Wood Shingi Built e _._ Struct}. Wall i Effect(�_ . ... ... ..___ Roof - ...m _ _.... ..._. AG 1145 .. . Asph/F GIs/Cmp None ��� u d Area 3 __ .Cover l Type d V t yz3 3 ' Style Ranch wallDrywall99 Rooms 3 Bedrooms ; —1 l Int i Bath Model ;Residential i2 Full g Floor _ Roomsr.0 Heat- . Total •Grade;Average Type 1 Elec Baseboard s Rooms Rooms. � '� � Foun n Heat d- sto Stories 1 Story Fuel,Electric ation i Poured Conc. Permit History. .___ _...... IIssue Date I Purpose Permit# I Amount I Insp bate Comments i Visit History Date Who Purpose 6/6/2002 12:00:00 AM Paul Talbot Meas/Listed 5/8/2000 12:00:00 AM John Greene Data Mailer 10/15/1990 12:00:00 AM ML ......... _.. Sales History Lime Sale Date Owner Book/Page Sale Price 1 11/8/2005 PIMENTA, DAIANE 20455/274 $299,000 2 6/17/1999 VELASQUEZ, DARWIN O 12346/300 $98,000 3 12/15/1993 BERNARD, ALAN F & LINDA S 8928/025 $100 4 BERNARD, FREDERICK N 3206/175 $0 - Assessment History ......... ............... ......... ......... .......... .............. Save# Year Building Value XF Value OB Value Land Value Total Marcel Value 1 2006 $104,700 $1,100 $600 $149,800 $256,200 2 2005 $100,800 $1,100 $600 $135,700 $238,200 3 2004 $81,800 $1,100 $600 $135,700 $219,200 4 2003 $74,000 . $1,100 $600 $41,400 $117,100 5 2002 $74,000 $1,100 $600 $41,400 $117,100 6 2001 $74,000 $1,100 $600 $41,400 $117,100 7 2000 $57,600 $1,000 $300 $27,200 $86,100 8 1999 $57,600 $1,000 $300 $27,200 $86,100 9 1998 $57,600 $1,000 $300 $27,200 $86,100 10 1997 $53,400 $0 $0 $27,200 $81,400 11 1996 $53,400 $0 $0 $27,200 $81,400 12 1995 $53,400 $0 $0 $27,200 $81,400 13 1994 $53,000 $0 $0 $30,600 $84,400 14 1993 $53,000 $0 $0 $30,600 $84,400 15 1992 $60,200 $0 $0 $34,000 $95,200 16 1991 $59,200 $0 $0 $47,500 $107,800 17 1990 $59,200 $0 $0 $47,500 $107,800 18 1989 $59,200 $0 $0 $47,500 $107,800 19 1988 $44,900 $0 $0 $20,700 $66,700 20 1987 $44,900 $0 $0 $20,700 $66,700 21 1986 $44,900 $0 $0 $20,700 $66,700 Photos Town of Barnstable.Geographic Information System February 13,2007 3 I 1 �� •, it 1G' o-i'f,. _.. x a g+ �y w':•:. .t, -L. rY , 272165. t ` � y, F ..,Illy ' w ,rr u .ilk 1 ' m .+ 27214 ll • 0,4 m r 1 I „t e 272160 "+ • # 166 ' ;�; .... y 272164 p ,.1: r �" ,• � 1, n t t --. r s 'I ► : �t 272139 T 1�1 - 2721-6-1 JM► Y - L n # 1.78 .' 17 le r DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:272 Parcel:160 boundary determination or regulatory interpretation. Enlargements beyond a scale of .Selected Parcel Owner:PIMENTA,DAIANE Total Assessed Value:$256200 1"=100'may not meet established map accuracy standards: The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner.. Acreage:.0.35 acres .. Abutters . boundaries and do not represent accurate relationships to physical feafures.on the map Location:166 BETH LANE / such as building locations. Buffer '� 11/07/2005 16:31 FAX 7818900197 PGLAW vluuz E?k 20455 Ps 274 ;79000 11-48-2005 a 02 W 53D QUTCLAINDEED I,Darwin O.Velasquez,of Hyannis,Barnstable County,Massachusetts For consideration paid and in full consideration of Two Hundred Ninety Nine Thousand Dollars($299,000.00)grant.to Wane Pimenta,an individual of 166 Beth Lane, Hyannis,MA NASSACHIISETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS With Quitclaim Covenants Date: 11-08-2005 0 02:53pn Ct14: 1647 Doc': 79000 166 Beth Lane,Hyannis,MA 02601 Fee: $1 r022.58 Cons: $299000.00 The laud with any buildings and improvements thereon,located on Beth.sane,Barnstable (Hyannis),Barnstable County,Massachusetts and shown as Lot 33 an a Plan entitled "Plan of Land in Hyannis, Barnstable,Massachusetts for Cape Investment Trust"dated January 2, 1973 and recorded in Plan Book 271,Pages 83 and 94,13arnstable County Registry of Deeds which land is particularly bounded and described as follows: WESTERLY: by the Easterly sideline of Beth.Lane, One Hundred Twenty-Five and 00/100(125.00)feet; NORTHERLY: by Lot 32, on said plaru,One Hundred Twenty and 00/100(120.00) feet; m �p v3>EASTERLY: by a portion of Lot 12 and Lot 11 on said plan,One Hundred Twenty- Five and 001100(125.00)feet; and �"�� SOU'TfiF.RLY: by Lot 34 an said plan,One Hundred Twenty and 00/100(120.00) 4 r r feet. N CD Being the same premises conveyed to Grantor by Deed dated 6/17/99 in Book 12346, Q>m rn Page 300. + Qfiactir,, W W VaMESS my hand and seal ti xu _j±day of ve.&loe. 2005. V N a`0 C3 X L:�L rn Da . Velasquez v COMMON WEALTO OF MASSACHUSETTS Barnstable,ss On this '7 m day of �J 00-e-A 200S,before me,the undersigned notary public, personally appeared Darwin G.Velaquez,proved to me through satisfactory evidence of identification, which was a NIA.License,to be the person whose name is signed on the preceding document,and acknowledged to me that he signed it voluntarily for its stated purpose NOTARY PUBLIC-STATE OF FLORIDA *Catherine Zielinski �l✓ Commission#bD42546 J Expires: JUNE 20, 2009 ' Bonded Thru Atlantic Bonding Co.,Inc BARNSTABLE REGISTRY OF DEEDS i • i 9/16/03 Notice: This F rm Is To Be Used For the Repair;Of Failed Septic Systems. Only PERCOLATION Ta EST AND SOIL EVALUATION EXEMPTION FORM . i c i I, 14 J tt : hereby certify that the engineered plan signed by me dated ID JZfa 105 ,cc ncerning the property located at 1 Lerse N-1-YWN N1 S meets all of the following criteria: I i • .- This failed system is cc nnected.to'a.residential dwelling only. There.are.no.commercial or business uses associated with the.dwelling. ' • The soil is classified as,.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may'conduct deep test holes and percolate' n tests.at the site without a health agent present. • There is no.increase in.1 low and/or change in use proposed . • There are no variances i equested or needed. • i • The bottom of the prop'ised leaching facility will be located no less than five feet above the maximum adjusted grol.ndwater table elevation. [Adjust the groundwater table using the. Frimptor method when licable] Please complete the follo ing: A) Top of Ground S, ace Elevation(using GIs information). (Qd B) G.W.Elevation O +adjustment for high G.W.!ij,5 = 34-•� . i DIFFERENCE BETWEEN A and B i SIGNED : DATE: 10 I Z(O I&s NOTICE Based upon the above infoi mation- a repair permit will be issued for bedrooms maximum. No additional b drooms,are authorized in the future without engineered septic system plans. i R1W - a3a q:\Septi6percexemp.1oc VC ��S 00 �� Q Certified Margaret L. Earhart Senior Advisor (CSA)° Long Term Care Specialist co m 0 2 � P b �, Y Yv�o v► � a�o 0 o ( I in a a�Oo cJ a- u a ` ar• ha b s h� V Q� �-S�.QNuto av-e-_ -�o L L. av\a dot l vz^-Q- L S cL aC- of u i c� ar t^a e-v-QA �, C r-owS are-- a a�►'` CAS 0 �l a e,�� cx Ike U rn ^vv II � Genworth Finandal 152 Beth Lane, Hyannis, MA 02601-2226 Phone: 508-246-2332 Fax: 508-437-5938 Y k vU i 1 S YA peg®capecod.net � '" t ., �,u�, i _ F- f 0 � TYPICAL SYSTEM PROFILE AREA PLAN FINISH GRADE-S9�aQ NOT TO SCALE FDN TOP SCALE 00 - v FINISH o f FINISH .GRADE OVE-R �TANK= 00. ��lle� GRADE OVER PIT-_ • T 33 BE TH S LANE PVC OR • -' •` r,, ot. C. I. TEES15� 0 0 0 • BSMT /0'0 0 FLR8,+!`0 GAL. 4REINFORCEDIST. BOX .• a"' e o e r CONCRETE 8., TO`BE INSTALLED ON e , e e • s • , . • e : . , . e o . _ . . ,o . .. A- 'EV TAB BA e ;� • • '• a o ' � r ., .A, , e .,.,,o, ..o .•:. . .b ... .. , :o,. L EL S LE SE SEPTIC TANK + e e e , • • • e e e • TO BE .INSTALLED ON A e LEVEL STABLE " BASE . e • • r� • • • , , :e. 2 18 12 WASHED PEASTONE ALL BRICK a :-MORTAR COURSES AS AROUND F F FINES . • • a • e o e • e. OU D FREE O IRONS, REQUIRED TO BRING COVER TO GRADE ND DUS I N PLACE .,... M , HI PIT 4 I MA if 3 4 TO 1-1/2 ' WASHED'CRUSHED ; ... 2 C NHOLE COVER 8 / LC�T: BASE T B V FRAME SEE DETAIL STONE ALL AROUND FREE OF S 0 E LEVEL _ - IRONS FINES AND DUST IN ts t, 4 I E PLACE .:- SEE C r . _ FOR FGRADE 2 -= - I � � ...,. .... SYSTEM PROFILE Fr� ,�• . . SOIL AND PERCOLATION _ 00 _ , 4 " DATA r. LOT 3,.3 8 T._ T PE R C.' RATE , 2 M IN./IN. /- 4 , �o . FORINV. ELEV SEE_• � . , o , � o ,• : , , ... � BY.: C. D: SPOHR INLET _ , o , SYSTEM PROFILE TAKEN 6 . • ,.. LINE 0 0 ..,.. T-- o WITNESSED BY. B,a .crr,$ �1 _ t� 0 �, ,; ., •" �,_:.. �„ o OPENINGS W/4-I/8 a f T i OUTER DIA. , DATE ' - t a- I 0 - • _ ,. INSIDE DIA. f.56, /C� 7 _ _ < a TEST FAIT GND .ELEV. _ D a TOTAL D AREA as= oisr 0 0 0 /t/D l�US�"• wo9 r31E"p,, O 0 D p 41CJ /OG' to O GAL. — o , " 0 0 0 (l 0 0 0 0 0 a _ . . loger " • COA SF I"Afp > 11 BOT. PERC. 'HOLE 10 f EFFECTIVE DIA. ;I ( DOWN .48 1� - :; ., LEACHING PIT SECTION /, � t� ;� • � a r, NO SCALE � -- ©2 lit/ DESIGN DATA : NOTE.. DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM � ,.� ' Y 1 NO. OF BEDROOMS r A/U DISPOSAL , 1. V LEACHING PIT NOTES: .. € o EST. TOTAL DAILY EFFLUENT GALS J �, •r./ e l . .`CONC.TO BE 4000 P.S.1` a 28 DAYS: SEPTIC TANK GAL. 2. REINF. W 6 x 6 6 GA. W. W. M. 117 CCRrlFy a.•'. 3. 2 AND 4 T A SNQWit/ QlV Tt-ft,� l.�rt1 �GAf�'c�k/I�5•. , • : SEC . IONS ARE AVAILABLE FOR ,. ` GENERAL NOTES T�1NAl Cc �� 1 , 1/A) GREATER DEPTH REQUIREMENTS o.kr ,, e' "• II: 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN f v. k>E6 /-A7_10AtS NOTE. f ACCORDANCE WITH TITLE OF THE STATE SANITARY CODE.64) /./15'r.4 L.. RrcG1 r�' EXCAVATE TO ELEVQg '�0—OR LOWER AS DATED JULY 1,197� 7 81 ANY LOCAL RULES APPLICABLE. 8/<,. 27/ ,¢ it REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING , 2. ANY CHANGE TO THIS PLAN MUST BE APPR D. ':I N - MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY IMR. CHARLES D. SPOHR. OWNERS A' Q WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY YV E� ` BU LD ER r' 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING COMPACTED IN PLACE. I 4 NOTIFY THE ENG I N€E AND B Aft F T _ /�S , ' R N 0 J 0 HEALTH FOR INSPECTION. CLA�'�a'� _ / �' �' ,��1�. �+: "'. � : SIDE ;AREA - S.F.�.�S.F./GAL GALS i 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED.. '` BOTTOM AREA= 7 S.F.�a_..S. F./GAL GALS „ �- . - _ 5. THESE ELEVS. MST NOT BE CHANGED WITHOUT WRITTEN` TOTAL AREA = ` S. F. TOTAL �' GALS / APPROVAL BY CHARLES D. SPOHR. LEGEND 6. FOUNDATION INSPECTION REQD. WHEN EXCAVATED. { + 50.0 EXIST. GROUND ELEV. B. M . NOTE : , _ • 50.0 FINISH GROUND<ELEV.� UNDERLINED�� .� L �• 1"3 axe REV. DATE DESCRIPTION , s. , ,, 13r � A 47 50 PIPE INVERT. ELEV. O TEST PIT LOCATION SEWAGE DI SPOSAL SYSTEM P FOR SEPTIC TANK AREA PLAN C`LA RAC �, FLY N BUILDERS ClISTRIBUTION BOX NOTE o �r�n -�- r rs A10T lA 7H p p f. S"[J ?V y l LOT 33 13 E T H � LANE 1.2 A�- rr#r- _ C ° f (� . �: . j i� 4 C. 1 . PIPE � a , Oh .� D. AY H YA oC r -79 SY C.-qr� . 1� - 1 _ CP 1 TCHEP W N �I I t!! ! 1 4 BIT. FIBER PIPE TIGHT JOINTS Sk i t Q ,io. 7A68 o.'r DESIGNED: C•D"'SPOHR DATE30 car ,,7 RA 1 PROPERTY LINE 9 D w N G N0. A ' C/STES 160 b _: gip, -- �� fsSie`+ L DRAWN; C 5 SCALE:AS SHOWN MAP SEC PCL LOT HOUSE T�yVII/ 1Ns4 ' .. s MIN. CODE DISTANCE 3 01 9 D CHECKED: C.`D, S +NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. � VENT PIPE (O Least 24 Inches toB� SECTION A -A ALL auTLET PM BOX FRAM THE 10' min. from Schedule 40 PVC w/Charcoal Odw Flter SE � 1 1Y - aqNptETE cavER Existing Foundation I house to septic tank PROFILE VIEI OF ADDITION TO LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 FT. TOP OF FOUNDATION ELEV. 100.00 (Assumed) tic tank covers mMad be D-Box °O"°r ^"'� �O ' Septic 6 h. d covers mfinished trees within 6 in. of finished grade .'�_ I 3 - 5"OUTLET it_r. ...°-, r Grade over Septic Torok - 99.00 Grade over D-am - s9.00 I I over SAS - 99.50 3" of 1/8' - 1/2" washed Peost _ Kwoocau'M �ti� 5 �l 1 3/4" t/ 1 1/2 Washed crushed Stone �� T 5.5- � ouTLET S - 0.02 3 HOLE H-10 4-PVt(CAPPED)NW-ECIM PORT TO BE S" a• 3 1Y L Box r maids W cover TOP OF System- Elver. -96.2s 6tSTALED AND TO BE ■Tl�t 6" of GRADE 11 .'! JC /d8 to �� g p se0.01 a Greater t6 s- fj/j are Ft>fll EXIST. pFaUNDAT1Ot ari f\ rA S< 001'per foot 0"Eftctive Depth4' - SCH. 40 T OD 5, PLAN SECTION CROSS-SECTIONi tl r' ri 5 Units Q 625' = 30' CONCRETE FULL FDuwDrl u 6 vi rn 0.83' 10 inches _ . 0 0 0 L3' SYSTEM PROFILE o 6 ti.o< 3/4"-, ,/2 �, Iq w 31.25 3 HOLE H-10 DISTRIBUTION BOX ar 1, r 4 c corrpocted stone c a o ; '° 37.25' NOT TO SCALE e>p e Not to Scale - _ I eso7lwk�tkwrt6.g}igre21BTWAOW •.i ! r 1•- > 3.5' �� 1 3.5' 1 Effective Length GENERAL NOTES > c � 1 a 13 y o SOIL ABSORPTION SYSTEM (SAS) 6 in.of 3/4"-1 1/2" p c compacted stone ao Effective wit' INFILTATRL'R HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN 1. Contractor is responsible for Digsafe notification, Verification of Utilities NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE J M (OR EQUIVALErT) Not to Scale and protection of all underground utilities and pipes. w Bottom of Test Hole 1 Oev.-67.50 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" 2. The septic tank and/4" distribution box shall be set Grmmdwater Observed _ NOW �V� level 11 h of be -1 1/2" atone. -------- -- -- 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. PERCOLATION TEST 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: OCTOBER 17, 2005 and Local Regulations. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 6. If, during installation the contractor encounters any Results Witnessed By. WAIVER (Per Barnstable B.O.H.) soil conditions or site conditions that are different EXCAVATOR: Shay Env. Svcs. from those shown on the soil log or in our design Percolation Rate: Less Than 2 MPI 0 32" installation must halt & immediate notification be - made to Carmen E. Shay - Environmental Services, Inc. Test Hole Test Hole 7. No vehicle or heavy machinery shall drive over the No. 1 No. 2 septic system unless noted as H-20 septic components. DEPTH SOILS ELEV. DEPTH SOILS ELEV. 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 0 9&50 0 99.50 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Sandy Loom sandy Loon, 10. All solid piping, tees & fittings shall be 4" diameter 10 YR 3/2 10 YR 3/2 Schedule 40 NSF PVC pipes with water tight joints. 0.-9. As 97.75 0-_6" Ae 9.00 11. Municipal Water is Connected to ALL OF The Residence and Abutting co Sandy Sandy I Properties Within 150 Feet. Loam Loam 1 10 YR 5/6 \1 THE PROPERTY LINES ARE APPROXIMATE AND 10 YR 5/a 1 COMPILED FROM THE SURVEY PLAN GENERATED BY 9.- �. 8e 196.00 6"- 24" Be 97.50 Medium/Coarse Medium/Coarse 125.00' CHARLES M. SAVARY OF HYANNIS. MA Sand Sand I ENTITLED "CERTIFIED PLOT PLAN OF LOT #33 BETH LANE, HYANNIS, MA" DATED OCTOBER 30, 1979, AND PLAN BK 225 PG 109 2.5Y7/4 2.5 Y7/4 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 24'- 132 c, 24"_ 132 c, IT SHOULD BE USED FOR NO PURPOSE OTHER THAN ,'� Failed THE SEPTIC SYSTEM INSTALLATION. LEACH PIT- TEST HOLE #1 O ELEV.= 98.50 EXISTING LEACH PITTO BE PUMPED OUT AND FILLED IN PLACE.. 8' 37.25' i NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE D-Box�.�``' '- ' ; x;�'E : •:�''�t;t � yy FROM THE EXISTING LEACH PIT TO BE DISPOSED f OF AS PER BOARD OF HEALTH SPECIFICATIONS. TEST HOLE #2 i I I T I IERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY I Perc inn � ELEV.= 99.50 l ' EXIST. 1000 GAL. � I O 1 SEPTIC TANK , PROJECT BENCH MARK Depth to Perc: 32" to 50" 20• L_ _ I ASSESSORS MAP 272 PARCEL 160 Perc Rate= 2 MPI I TOP OF FOUNDATION Groundwater Not Observed 1 4" PVC o ELEV. = 100.00 (Assumed) LEGEND No Observed ESHWT 1 Vent I ADJUSTED H2O Elev- = None C> O o f NH 104X1 DENOTES GRADEPROPOSED 2-16" DIAM. ACCESS MANHOLES DECK EXISTINC 6 3 BEDROOMDENOTES EXISTING p HOUSE f X 104.46 SPOT GRADE J ass i LOT 34 -; `, o LOT #32 CSi # PL PROPERTY LINE INLET \ OU T PROPOSED CONTOUR k` THE ACCESS COVERS FOR THE SEPTIC TAW, I `0. � - - - - - -97 EXISTING CONTOUR DISTRIBUTION Box AND LEACHING COMPONENT I EXIST. fI SET DEEPER THAN a INCHES BELOW iWiSHED DRIV•EWA1Y I I .- _•`�-. .•..- - -- - -• - GRADE SHALL BE RAISED TO rMT/i1N 6� OF STEEL REINFORCED PRECAST CONCRETE RMSHED GRADE. i LOT #33 I DEEP TEST HOLE & PLAN VIEW NSTAuiff T -nTE GAS BAFFLES OR EQUALS I i 15,000 Square Feet +/- PERCOLATION TEST LOCATION I 3-24' REMOVABLE COVERS-� ; i 6 FOOT STOCKADE FENCE I I I rn I I I lINLET d'mr,.1 _ Y m Filet to outlet 6.� WET125.00' -- Liquid Mud OUTLET I 1 ,. u 5' -7- I - P LOT P LAN - �$ s8- � I 1- .. 4'-a' min. 1 og '� ------ OF PROPOSED SEPTIC SYSTEM UPGRADE Liquid depth ' ---1 -- -------- PREPARED FOR 4'-10 - ' - BE TH ' AS' LANE MR . DARWIN 0 . VELASQUEZ CROSS SECTION END-SECTIONAT (40 FOOT RIGHT OF WAY) # 166 B ET H LANE TYPICAL 1000 GALLON SEPTIC TANK NOT TO SCALE HYANNIS , MA Design Calculations �TN OF A'As PREPARED BY: Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) c� Garbage Grinder: No CARffEyV E. ,SHA Y Leaching Capacity Proposed: 330 Gol./Day Minimum (Min Per Title V) VIRONMENTAL SERVICES, INC. Septic Tank : - 2 x 330 Gol./Day = 660 USE EXIST. 1.000 GAL. Septic Tank. N 11 SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Bottom Area: 0.74 gal/sq. ft. x 372.5 sq. ft. = 275.65 gallons 'Q `�@'; P.O. BOX 627 0 20 40 50 Sidewall Area: 0.74 goL/sq. ft. x 78.72 sq. ft. = 58.25 gallons SIN TAR EAST FALMOUTH, MA 02536 Providing: = 333.90 gallons TEL/FAX : 508-539-7966 Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1 "=20' DRAWN BY: CES ATE: OCTOBER 26, 2005 TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE SCALE: 1"=20' PROJECT#SD820 FILENAME: SD820PP.DWG SHEET 1 OF 1 ON THE ENDS. NO STONE UNDER.