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HomeMy WebLinkAbout0021 BISHOPS TERRACE - Health r 21_BISHOPSfTERRACE I HYANNIS A=�251 208 F I >F COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS w . DEPARTMENT OF ENVIRONMENTAL PROTECTION d TITLE 5 k OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM ; rt3 PART A CERTIFICATION i Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner's Name: PAULA HOGAN ' s, Owner's Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 ! Date of Inspection: 11/8/01 Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS P:O.BOX 2119 TEATICKET,MA.02536 ® 20�1 , f Mailing Address: �. NQv 2 Telephone Number: 508-564-6813 FAX 508-564-7270 TOWN pF BARNST BLE r HEALTH pE p :. CERTIFICATION STATEMENT n ' I certify that I have personally inspected the sewage disposal system at this address and that the information reported below►s dry true,accurate and complete as ofthe time of the inspection.The inspection was performed based on my training and h experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system ' inspector pursuant to Section 15.340;of Title 5(310 CMR 15.000). The system: X Passes K _ Conditionally P ses Needs Furt r valuation by the Local Approving Authority :> _ Fails M / r � Inspector's Signature: Date: 11/8/01 t' The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)withw=y w " 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 ' THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND RAISING COVER TO NEW LEACH PIT. RECOMMEND PUMPING°EVERY TWO YEARS FOR MAINTENANCE. a w **** 4 This report only describes conditions at the time of Inspection and under the conditions of use at that time.T 1 inspection does not address how the system will perform in the.future under the same or different conditions of use ��� :' Y ✓. ' Page 2 of I 1 3 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS �F,., t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ._ PART A . CERTIFICATION (continued) ' Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 k Owner: PAULA HOGAN Date of Inspection: 11/8/01 ''�?'A�= t Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D ?3 r A. System Passes: k ' X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 ':.0 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: � t THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND RAISING COVER TO NEW LEACH PIT. RECOMMEND PUMPING EVERY TWO YEARS FOR MAINTENANCE. ��;n, B. System Conditionally Passes: _ One or more system components;as described in the"Conditional.Pass"section need to be replaced or repaired.The system, ip;� upon completion of the replacerjent:or repair,as approved by the Board of Health,will pass. �u; Answer yes,no or not determined YN,ND)in the for the following statements.If"not determined"please explain. : n/a 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 T",AA = 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. f ND explain: n/a Myt t n/a 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 N t ...i f; a obstruction is removed s,-;1� x�. _ distribution box is leveled or replaced r ° n ND explain: n/a n/a 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: n/a 7 Page,3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM < { r PART A . CERTIFICATION(continued) d . Property Address: 21 BISHOPSr TERRACE HYANNIS MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 C. Further Evaluation is Required by the Board of Health: Y' t � _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to Y protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system Is*_-. not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water °# _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh „•,h �k 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: F J _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. '} r r I k4 � '. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. Y � 1 _ The system has a septic:tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water " supply well".Method usedlo determine distance n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and Fk ! volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia ;r.: .1f, nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy :<"a 1u of the analysis must be attached to this form. 3. Other: ' n/a :* " y�ri 5 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM , PART A k:" CERTIFICATION(continued) Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 �r. D. System Failure Criteria applicable to all systems: } You must indicate"yes"or"no"to each of the following for alLinspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool1`' X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged t' SAS or cesspool : st : _ X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow , _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. k t r X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. + X Any portion of a cesspool or privy is within a Zone 1 of a public well. _ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. �€ X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free Y from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or <� L less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be J. q, r attached to this form.] {s� ^' _ 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 following: " ` (The following criteria apply to large systems in addition to the criteria above) ` h yes no X the system is within 400 feet of a surface drinking water supply $°� r ..N� , X the system is within 200'feet of a tributary to a surface drinking water supply X the system is located in'a'nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped 'K b; Zone 1I of a public waier'supply well If you have answered"yes"to'an question in Section E the system is considered a significant threat,or answered " es" in Section D above the large s stem,has failed.The owner or operator of an large system considered a significant threat x ` ' Y g Y p Y g Y g � � � •' 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. F. xk tl { a d (Y Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART B CHECKLIST Mµ" Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 Check if the following have been done.You must indicate"yes"or"no"as to each of the.following: r Yes No X _ Pumping information was provided"by the owner,occupant,or Board of Health p X Were any of the system components pumped out in the previous two weeks sos:`i: : X _ Has the system received normal flows in the previous two week period? a-F`1 X Have large volumes of water,been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? s' y X _ Was the site inspected for signs of break out? t X _ Were all system components,excluding the SAS,located on site? , X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? N, X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? 31. G 5 '1L 7 ,h•:}'� 1i t The size and location of,the Soil Absorption System(SAS)on the site has been determined based on: Yes no X _ Existing information. For example,a plan at the Board of Health. ` X _ Determined in the field if ari of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] x!: j w • J:4,. t �z Page 6 of 11 � b OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �` :� PART C , SYSTEM INFORMATION < » E Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601b ' Owner: PAULA HOGAN , s Date of Inspection: I1/8/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):3 Number of bedrooms(actual): 3 ;a , DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 r 's. Number of current residents: 2 1 Does residence have a garbage grinder(yes or no):NO Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no):NO3 Seasonal use:(yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): n/a Sump pump(yes or no): NO ' #" �h. Last date of occupancy: n/a ..t COMMERCIAL/INDUSTRIAL 4i*` Type of establishment: n/a . Design flow(based on 310 CMR 45.203): n/agpd a•, Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO ,r. Non-sanitary waste discharged to the Title 5 system(yes or no):NO Water meter readings,if available:n/a ,,1i: Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATIONgff Pumping Records a Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined?n/a k r Reason for pumping: n/a TYPE OF SYSTEM X Septic tank,,distribution box,soil absorption system _Single cesspool Overflow cesspool r' _Privy Y (Y )( Y P P Y) 1p ; Shared system es or no �f es attach previous inspection records if an 4 F _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from fi system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: , ORIGINAL 73 WITH NEW PIT IN 87 h Were sewage odors detected when arriving at the site(yes or no): NO h° i Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS < : SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) w Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN , Date of Inspection: 11/8/01 BUILDING SEWER(locate on site plan) Depth below grade:36" Materials of construction:_cast iron X40 PVC_other(explain): n/a "s Distance from private water supply well or suction line: n/a ..v..;. Comments(on condition of joints,venting,evidence of leakage,etc.): , TOWN WATER SEPTIC TANK: X(locate on site plan) :F. Depth below grade: 30" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a ' If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 1000G L 8'6" H 5'7" W 4' 101,1 " Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle:32" `. Scum thickness:2" Distance from top of scum to top of outlet tee or baffle:6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a ~` How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): THE SEPTIC TANK AND ALL COMPONENTSAPPEAR TO BE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE SYSTEM. [ N F GREASE TRAP: _(locate on site plan) Depth below grade: n/a 'w* Material of construction: concrete metal fiberglass_polyethylene_other(explain): n/a Dimensions: n/a ;i.. V Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a ' Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a a : Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related ' to outlet invert,evidence of leakage,etc.): F n/a .5= s ti, Pagp 8 of l l d OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons 4` Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): Y n/a • DISTRIBUTION BOX:_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): n/a , PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no):NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,.condition of pumps and appurtenances,etc.): n/a p. t ; f. Q Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART CSYSTEM INFORMATIONINFORMATION(continued) , Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) x ♦her" If SAS not located explain why: ' ' n/a p Type YP 6'X 6'/6' X4' leaching pits, number: 2 ; n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a ,. n/a leaching trenches, number, length: n/a �` � n/a leaching fields, number: n/a �': j n/a overflow cesspool, number: n/a n/a innovative/alternative system Y '`•L f T e/name of technology: i Type/name 9Y� n/a F j Comments(note condition of soil;signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): THE LEACH PITS ARE STRUCTURALLY SOUND.THE NEW PIT(6'X 4')W/3' OF STONE WAS EMPTY AT +• '`F; TIME OF INSPECTION.NEVER MORE THAN 1/2 FULL.BOTTOM AT 8'-RECOMMEND RAISING COVER d #,N7Y kd TO PIT. �, .• CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) ': Number and configuration: n/a a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a r 'r Depth of scum layer: n/aI` r Dimensions of cesspool: n/a 'T' h Materials of construction: n/a � Indication of groundwater inflow(yes or no):NO Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): n/a x �r PRIVY: (locate on site plan) Materials of construction: n/a #' Dimensions: n/a ' Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): ,t; Y �!i n Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C } SYSTEM INFORMATION(continued) Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 �r Owner: PAULA HOGAN Date of Inspection: 11/8/01 `. r. SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks Locate all wells within 100 feet.Locate where public water supply enters the building. z r=v.- -c 9cic 5 a LJg o Ob GC p888J }4< AA 0 ft Q f S AO 6 33 U �' � b b , f^!1 37 r µ Fl�4 s y;3.:s :; ��iAr e_ k,15 n • Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 BISHOPS TERRACE HYANNIS,MA 02601 Owner: PAULA HOGAN Date of Inspection: 11/8/01 SITE EXAM _Slope _Surface water _Check cellar Shallow wells : Estimated depth to ground water 12+feet Please indicate check all methods used t determine the hi d 'o s s o ground water elevation: 1:. r s. NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) T ,, NO Accessed USGS database-explain: n/a A..'s You must describe how you established the high ground water elevation: GROUNDWATER DETERMINED ON SITE- 12' NO WATER ENCOUTERED BY AUGER 44 mry J� "I rj.A No. © � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLation for Bispo9al *pstem Construction permit Application for a Permit to Construct( ) Repair(;Upgrade( ) Abandon( ) V01`mplete System ❑Individual Components Location Address or Lot No.:X Qj'k:5�.N® .r1PA- x—_4C Owner's Name,Address,and Tel. �3 7 T Assessor's Ma /Parcel c p �� ° , Installer's Name,Address,and Tel. o. 51 07-�f>�i?'�d.T.5 Designer's Name,Address,and Tel.No. Sni`F'jC4n--'mil j F'cl -L%-(c8 a4 A\ t� Ck 1- Type of Building: Dwelling No.of Bedrooms — Lot Size sq.ft. Garbage Grinder( ) T Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ` �{ gpd Plan Date ' Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S.G21d�C ate/ Description of Soil A Nature of Repairs or Alterations(Answer when applicable)^{`�� ,�,(� Sb� �, ��,.�� �" _L ""�A le- o, '3 cg n: • 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 Si y� Date Application Approved by l/ Date — a Application Disapproved by ir Date for the following reasons Permit No. ''' , Date Issued - j ,, - -,. .. � .r�,'•sa-� ,#, Y *$^§- , _�¢ � x � nNe ,—,'m''C r}:,. ,s�:rv:...'.,:'Z^il"..r,.. -.., pia_. �"P�'h i,k'.,.,. � _. `` 6 4 }r .._•T .. t No. 24C) o + V _ Fee �v THE COMMONWEALTH OF;MASSACHUSETTS Entered in computer: Yes -C PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitatiou for Mippos;al 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) 1, omplete System ❑Individual Components m Location Address or Lot No.ok ♦e p t•J`.AG 2 Owner's Name,Address,and Tel.No.51=7 m2%_63 7T 1 Assessor's Map/Parcel Installer's Name,Address,and Tel.'No. 5 DT-Tr'?"-,GQS' — Designer's Name,Address,and Tel.No. le' Type of Building: Dwelling No.of Bedrooms Lot Size _sq.ft. Garbage Grinder( ) Other Type of Building . S No.of Persons Showers( ) Cafeteria( ) " Other Fixtures Design Flow(min.required) _ gpd Design flow provided p :3 gpd Plan Date ( Number of sheets Revision Date Title i. Size of Septic Tank dQ Type of S.A.S.0�,.,c 1. �� Gu,,�;,��ti_.p,•"j a,�/ S v� Description'of Soil ' ' Nature of Repairs or Alterations(Answer when applicable)"=T� T � (S`CaCJ �S �ca.,.n (S;"; tr' Al .. k4 -C2© Sly-Z ✓/ '� S'�o �-�'d. et) ` e-,n y. G U,,le,.A LA`C,r`So 6 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in a 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 oLfeakth Sim Date S4A �? Application Approved by Date �_. .�. ,r�Lcw. Application Disapproved by Date for the following reasons } -- Permit No. ;_Q " + T Date Issued ------ - ------------------------ -----------2- ..�, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( i Upgraded( ) Abandoned bY( ) "C-.flC y lkC �ti CJ"' L�4 to at has been constructed in accordance with theprovisions of Title 5 and the for Disposal System Coon�nstruction Permit No.7nR�' dated Installer =,a4�Qrl�C'X���3`- r,.d c,�T; Designer #bedrooms Approved design flow ,, _ d The issuance of this permit shall not be construed as a guarantee that the system will fcti,>011s desig�))ned..Dater � Inspector1 tq;J 1�.�C ) No y r C,.; M1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *peitem (Construction Permit Permission is hereby granted to Construct( ) Repair(�/)� Upgrade( ) Abandon( ) System located at y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit %,4 Date �, li K �� Approved by �• , S Town of Barnstable a� inspectlona1 Sorviees ' FOR@ Rculih Division Thomas McKean,Dir@etgr ZOO Main Sft@tl Xlyaapio,MILA 02691 ry Inxtallor Ruiner Ca_ ifiia-floe Fo Dot@; � I ftwag@ F@r1nit# (I MaOar@@ ;S 'fig Dmip@r; �'�, ,��-4. ®A was issued a Permit to il'§tail a �a 1A a_ 0@pti@ gygt@-m- at -a �-r timed AA a dmisA drawn by - jaddmss) M,.m wiener i certify that the i epti@ gy0m referenced above was installed 505taAtia11Y mwdin W f 66i gAa whi@h rAay In-@iude miner approved 0AP9e5 690 9-8 iaterai fdMitiN @ th@ d;othbutl®A boy, and/or §@pti@ tank: Strap out (if regWired) was ift*@@ted a d the 501I5 were round 5atlA tery: i w1tiffy that the �e tic tAA" refereA@ed above wa§ iA tal1_ed with @r ehaA e� (i=s= greater°than i0j iat�rai rig@atigA @s� Ar vertieai rei��ateA® y eepeAeAt g the septic tint a@@Ard@e with Mate ®@a11eAia �As: Sian revii@n or @erti ed a�=haiit h�de�i nor f 11Qw: strip Brit(i re uired�waa tn§pe@ the 9gtls were found matid� ry: 1 @ertifY that the sypte-.,m mfere-nM ahev@ was @®Aura@ted in @=pilan@e with the to ring of the AA apprewal iettein(if applWahle) 405 e A�r _�AatAre '.a. taA�p--ere— PLEASE RETURN TO BARNON A LE PUBLIC HEALTH D_IV IO CERTIFICATE ie� T U - _ - - Tg"SSTLE F - - TW �lEe�ldeA�§l� L �W 6@m@c-A§ tTi 3i_gn@f Ccilifiatim Fm My J-DW d Town of Barnstable Barnstable TFiE T�y Regulatory Services Department e"a�i i 9llA ASS.L MASS. public Health Division b MASS. 0 200 Main Street, Hyannis MA 02601 2e07 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7006 0810 0000 3524 5652 March 13, 2012 Mr & Mrs Aarron Floyd 21 Bishops Terrace Hyannis. MA 02601 ORDER TO COMPLY WITH STATE'ENVIRONMENTAL CODE, Title 5. The septic system located at 21 Bishops Terrace, Hyannis, MA, was last inspected on 2/29/2012 by Douglas A Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails"under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: 9 System is in Hydraulic Failure You are ordered to repair or replace the septic system within six (6) months from the date you receive this notification. P F TH OARD OF HEALTH Thomas McKean,R.S. CHO Agent of the Board c4iHealth . I Document2 i __ _ _ __. G�i' IN �. �. � i ��, E l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments '< 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is or required f HYANNI q S every page. City/I own MA 02601 2/29/12 St ate Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important, A. General Information Whhenen filling out forms on the computer,use only the tab key 1 Inspector: to move your DOUGLAS A BROWN cursor-do not use the return Name of Inspector key. DOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address ditty VILLE MA City/Town 02632 State Zlp Code 508-420-4534 S 14297 Telephone Number License Number B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. TheiespeCfj�n was performed based on my training and experience in the proper function and maintenance ofgn sl sewage disposal systems. I am a DEP approved system inspector pursuant mdiht ti ; on 15.Title 5 3 ;3 0 of 10 CMR 4 1( 5.00 O . T ��The system: �,. •.... ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority t � 2/29/12 I pector's S• ature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Su surface sewage Disposal System•Page 1 of 17 v 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21 BISHOPS TERRACE Properly Address FLOYD Owner Owner's Name information is required for HYANNIS every page. City/Town MA 02601 2/29/12State ZipCode Date of Inspection B. Certification (cont.) Inspection Summary: Check A B CC D or, E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: LEACH PITS ARE IN HYDRAULIC FAILURE B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old" or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS every page. City/Town MA 02601 2/29/12 State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, L s' safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntar y Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2/29/12 State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *' This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrog en is equal less than 5 9to or ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. CitylTown 2/29/12 State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [Th is system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09M Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 'e 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS every page. City/Town MA 02601 _ 2/29/12 State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms 3 (design): Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner owner's Name information is required for HYANNIS MA 02601 2/29/12 every page. City/Town State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT CARD SYSTEM CONSISTS OF A SEPTIC TANK D-BOX AND 2 LEACH PITS Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? j ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09/08 Title 5 Official Inspection Form:Subsurface sewage Disposal system•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 21 BISHOPS TERRACE Property Address FLOYD owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2/29/12 State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: CURRENT Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ . Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2/29/12 D. System State Zip Code Date of Inspection Information (cont.) Approximate age of all components, date installed (if known) and source of information: APPEAR TO BE ORIGINAL Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.).- Septic Tank(locate on site plan)] Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑fiberglass 9 ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form- Not for Voluntary Assessments '< 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. Cityfrown 2/29/12 State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cont.) 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 were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiber lass 9 El polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD - Owner information is Owner's Name required for HYANNIS MA 02601 every page. City/Town ode 2/29/12 State Zip C Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass 9 El polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09U Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 21BISHOPS TERRACE Property Address FLOYD Owner Owners Name information is required for HYANNIS every page. City/Town MA 02601 2/29/12 State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2/29/12 State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ leaching chambers number.- leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altern'ative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): LEACH PITS ARE IN HYDRAULIC FAILURE Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. Cityrrown of 2 Date State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 21 BISHOPS TERRACE Property Address FLOYD Owner owner's Name information is required for HYANNIS MA 02601 every page. City/Twn o 2/29/12 State Zip Code Date of inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately j k t5ins•09108 TiBe 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °< 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2 State Zip Code Date te of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. tsins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 21 BISHOPS TERRACE Property Address FLOYD Owner Owner's Name information is required for HYANNIS MA 02601 every page. City/Town 2a State Zip Code D-Ma ate of of Inspection E. Report Completeness Checklist ® Inspection Summary; A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable pp to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 1 Assessing As-Built Cards Page 1 of 1 �t TOWN F BARNSTABLE LOC ON 1 $ Ct SEWA a VILLA JE ASSESSOR'S MAP&5'OT� '�-L INSTALLER'S NAME PHONE NO. fir, a Og SEPTIC TANK CAPACITY LEACHING FACII.ITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 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 44�1q A8 5Sf A V6 De cF fic. P5 s � a� o 0 t ttp://town.bamstable.ma.us/Assessing/HMdisplay.asp?mappar=:'51208&seq=1 2/27/2012 Own of Barnstable pit 13 57- v SIRE I JDepactmQxjt of�Regulatory Services IIAM TAHL6, ° Public AB& � 2J0 N1ain Street,Hyanuis MA 02601 Date Scheduled— / Tinie �© Fee Pd. (�=� Foil Suitability Assessment for Se l� Disposals 1'crYannud By; lVllnessed By: ILOICA7[ION & GENERAL l[NYORNIATION-- Location Address /� t T Or C ( ,Tg 11 Owner's Name �(Z�'l F100 CN �Vl{ J `^y� �[4ddress Assessor's Map/Parcel: / / g Engineer's Namc NEW CONSTRUCTION `REPAIR Telephone It ✓✓✓ j' Land Use , Slopes(Yo) Z Surface Stones Distance's front: Open Water Body ft Possible Wet.Areu �"0� ft Drinking WeLer Well "�"" ft Drainage Way �� Ft Properly Line (J fl Other ft b SKETCH.,., (S(reet came,dimensions of lot,exact locations of lest hales&perc tests,locate wetlunds'in pronintity to holes) �� `fir l�► or o v c Parent material(gcolog)CC Deplh LQ Budroek, Dcplh to juZ,ter. 5tandhtg Water hi l-fole; /U r� � Weepllig('font Pit PROP __ _ __. — — Esiimate l Seasonal High Oioundwaterr DJCT ERIIUIaiA7['JCON JCS OR SEASONAL HIGH WATER TABLE 141c1had Used: Depth Obser landing in obs.hole: In, Depth w SQ11 Ikl9lli.YI. :� In, Depth to weeping from side of obs.hole: �ui!L ClruunJwular Atif u9lhtent„� �F�T��fC. Index Well Reading Date: ry�In�dexr Well tleAVnryh1�'r�7 iwr�„y�AdI,ftlCtbl' _ A41,Ort7Undwner Levi O �L"JLUA�,tI.OLA A J1�.1�A'V J4,JlUSt,0. MU U.11tl_h2-- Observation Hole{p Timo at 9" Depth of Perc <14 l'In'ip at 6" e Start Pre-soak Time @ Time(9`4') 1 d End Prc-soak Rate Min./Inell ,Site Suilabillly Assessment: SiLe k'assed_ Sile-Failed:—�_ Additional Testing Needed(Y/N) .� Original: Public Health Division Observation Hots,Data To Be CompteLed on Back---/�- -- ***It percolation test is to be conducted within 7100' of vmfland, you un➢ultsit first UoUry lt)Ine. Barnstable Corise>iv;ition Division at least 0110 (1) vYec16 prior to begd11lain.g. Q:ISEPTIC\PLRCPORM.DOC IDIlC]EP.0I[,SIr R ETA T10N]Elf®)C.,' { ]L 0� '--- l�c0lh from Soil 1"lori2on Texture IroIe? # SurFace(in.) Sail Soil Color Soil (USDA).. 'Sonsell) Mottling Other (Mu ✓'� o (� g (Structure,Stc.nes';r Boulders,j L,C � Con istenc ravel to M i-R . r0LES DREP OBSERVATION HOLE LOG Depth from Soil Horizon Hole SurFace(in.) Sail Texture Soil Color ---- (USDA Soi{ er (Munsell) Mottlirg (Structur0e,lStones, Doulders. Consis enc %29 >J ayel YA �. ] -El-E' [B OBSERVATION HOLE E ]L 0G IDl from Soil Horizon Hole SurrnrFace(in.} Soil Texture 5011 Color. -'--�— (USDA) Soil Mottling Olher (Munsell) n g (,.,trucfure,Stones,boulders. ' Co sisteney,%pr-well --—_ — —� ]DlSoil Horizon TIO LJG Depth fiom Soil Hoizon �'®� Hole# Sr„face(;n) Soil Te; ore Soil Color (USDA) SQII -Other (Munsell) Mottling (Structure,S o e.;t n S Boulders, ConsistencyT 6 Q�a_vell Ill➢®od Insurance Rate maw Above 500 year flood boundnry No Yes Within 500 year boundnry No Yes ' Within 100 year flood boundary No� Ye5 _ IDle ��� of NI tuirally Occnarru_ng Pgrvious Material Does at]east four feet of naturally occurring pervlous material exist in all areas observed throughout the area proposed for the soil absorptions stem? It'not, lvhat is the depth of naturally Occurring )envious marfwhi l 1 � �v?¢tllg---ieaftio� .. certify that on /" .CO-)(date)'I have passed the soil evaluator examination approved by the IDepartmont of Environmental.Protection and that the above analysis-was performed by me consistent with tfre regfeired training, expertise and experience described in '10 Cl\d R 15.017. Signature, Date 711 +r , Q:IS2PTlC\PERCrORM.DOC t �^. Message Page 1 of 2 McKean, Thomas From: McKean, Thomas Sent: Monday, February 06, 2012 8:39 AM To: Town Main Mailbox; Geiler, Tom Cc: Lynch, Tom Subject: RE: Website Contact Message Good Morning, To follow-up on your original question, I reviewed the file and viewed the zone of contribution map regarding 21 Bishop's Terrace, Hyannis. According to the 1987 disposal works construction (permit#87-298), the septic system was designed for three (3) bedrooms maximum. It is comprised of a 1,000 gallon septic tank and a four feet deep leaching pit with two feet of stone surrounding it. On November 8, 2001, the septic system was inspected by a Massachusetts Department of Environmental Protection (DEP) certified inspector. He determined that the system was designed for only three bedrooms. On page six of his report, he indicated that there were three bedrooms actually observed there. In addition, this 0.34 acre property is located within a groundwater protection district and is limited to 330 gallons per acre per day (limited to 3 bedrooms maximum) per Section 232-5 of the Town of Barnstable Code. The assessors define a bedroom differently than the Massachusetts Department of Environmental Protection (DEP). The assessor's determine that any room with a closet is considered as a bedroom. Whereas, DEP defines a bedroom based upon 'privacy. floor space, ceiling height, means of egress, and various other factors. If you purchase this property, it appears that the only option available to you at this point is to eliminate a bedroom if there are in fact four bedrooms present there. One way to remove a bedroom is to remove it's privacy (by removing the door at the doorway and by providing a five feet wide opening there). This can be accomplished at any one of the four rooms so that it does not meet the DEP definition of a bedroom. If one of the four rooms is located within an attic space or within a basement, it already may not meet the definition of bedroom if there is no second means of egress or if the floor-to-ceiling height is less than seven feet. If you should have any additional questions, or if you would like for us to review a proposed floor plan of the home, please fee free to telephone us at 508 862-4644. Sincerely, t Thomas McKean -----Original Message----- From: Town Main Mailbox Sent: Saturday, February 04, 2012 1:34 PM To: Thomas.McKean @town.barnstable.ma.us; Tom.Geiler@town.barnstable.ma.us; Perry, Tom Cc: Lynch,Tom Subject: FW: Website Contact Message . In to the web. y 2/6/2012 Message Page 2 of 2 Dan From: email@town.barnstable.ma.us [mailto:email@town.barnstable.ma.us] Sent: Saturday, February 04, 2012 7:41 AM To: Town Main Mailbox Subject: Website Contact Message Message: Good morning. I have made an offer to purchase a house at 21 Bishop's Terrace. On your site, the house is listed as 4 bedrooms. The owner has changed her listing from 4 BR to 3 BR. The septic is rated for 3 BR. My question is, does the septic have to be rated for 4 BR? May I buy a home with 4 BR, if septic is only rated for 3? Thank you. Name: Paul Greenwood Email: paulgreenwoodlghotmail.com Click to reply Phone: 5082802388 2/6/2012 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F.......................................................................................... Applutt#ion for Disposal Works Tonstrartion Prruttt . Application is hereby made for a Permit to Construct ( ) or,Repair ( ) an Individual Sewage Disposal system at Locatiw�-74ddress or-Lot No. ........ .�..1:?. :1.Q. ......- 47,,�._tt ----=TAL-------- -------...........c�.:11✓IV.- ..... ......---- -.........---.........:.......:. Owner Address a .......' ...__.. ®1f _,�.... ............................ .. r....................................... , Installer ddress Type of Building Size Lot..:............. Sq. feet Dwelling—No. of Bedrooms....... ...............................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ............... ...:..........•---•.........._ WW Design Flow......:{S..-6. ................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---/-z�...... Depth below inlet---..V._......_. Total leaching area.................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............... ....................................................... Date................................... .. ,aa Test Pit No. 1................minutes per inch Depth of Test Pit...................... Depth to ground water.............-.......... Test Pit No. 2................minutes per inch Depth of Test Pit....:__.=:.......... Depth to ground water........................ x ............................................................-................................................................................................ 0 Description of Soil-•-----------------------•-•--•-•-••------.......--•-------....------------•-----....----_-......•-----•------•------•------•--.......-----•--•------•••----•-----•-.... W .. ..........-----..... .... ---•- _ --•--------------------------•-----------•----... . . ---•----••-------•----- .-----.... -----•---•.._....••.... UNature of Repairs or Alterations—Answer when applicable........4.&V ....._` ..... ........ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal. System in accordance with the provisions of iITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h ed by th nardof j Signed. �!-` �- Date APPlication Approved BY C == ...................................... Date Application Disapproved for�the following reasons:...............•...........................................................................................-_-- ---•--•-----••-••••-•••-•....-•-••---•--•••••---•••••....••••••-•-•••-••--••....------•.............•••.........•••---••••••-•---...-•----......------------....._..................._..--•••-....._.._ Date Permit No...... .c,1. •-•- ----------------------- Issued......................................................_ Date Fss.... _r .. THE COMMONWEALTH OF MASSACHUSETTS + BOARD OF HEALTH '' ..................._......•-•.............OF..:::................................... -•--==- Application for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: n ! `:�!Y'�=1 c.&. --•---•-• /7, l•r�, + :........................................_...... . Location-tAddress •-' or Lot No. l._ n t7 1 r, � r^.+1 Ht l 1-12, 4,m � ----••-....- •____...............y..._._.. ..,......y.,..- •-........�,....._...._... ........---.._..^_......_....`.-•-•-- •....-........................................ Owner W Address -- ...........................•••-•......... ....................._..•••--._..... .................................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--- ,,. ..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------------------------•-----------------.............---•-----................•-••••......•...... Design Flow........C. `.--~.------_ gallons P P P Y Y WW .......... llons 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. Seepage Pit No........ .......... Diameter...,/..,�4....... Depth below inlet..._.V......_._. 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........................ OG ---------- -------•-------------------------------------------------------------------- .._.._..... .. 0 Description of Soil...........----------------•..............--•-----••--............----•---•-----•-------...------•-------------•---......................_...._.........•.............. �C x ........................................................ -•----•----------------------•••••••-•--•----------------------------------•--•---...-•----•••......----.....-•-------......................... U Nature of Repairs or Alterations—Answer when applicable........1. .Y9......'1`-_l-.._.��_�__..� �--,CVie:: Agreement: ro . ... m......................................................... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h4ssbeenfissued by the :ebboard of health Signed.._-.�. l � v / t �1 "' . ' Date 14 Application Approved By............. •• -.... .. - .. �- r 1 -•�-•-•-• -•-----•--.....-- ........................................ Date Application Disapproved for the ffollowingV reasons:...............................................................................:....................•....._-_ -••---••---------------•-•--------------------------•-------------.......-•--------••-----.....---------......:----------........--------••-=------------------.........------------------............. Date s PermitNo...... 2=--�� ,� .................... Issued....................................................._ Date ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......-T 4,,�,.•./�! OF......� Ae iI +l C1`r. ,t 4. ..................................... Trrtif utttr of Tomplianre THIS IS TO CERTIFY, Thatjthe Individual-Sewage Disposal System constructed ( ) or Repaired by--------------- f -r.,� ►- � r� r ` i o Installer at....... ................. r'1 t i`1 11 r�� - �., r Il G Cp � t r G 1. v-. � .........................----- 4,................Y.•_...•.._...._....--........_.._..:.._.._._......_,_.•_......._.......,.....ne......--------...�,..._ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.....5;*;_.�_..-_ _, .} "___._.. dated..:............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. ' - -"f- ) .................... Inspector..... - Q ,� ..., _-----r---------------------------------------,----------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD �nOF HEALTH 7- ......� ..1} !l�.1!`�'......OF....... l�..........y':r.CrG. �? � .......................... No.. _ - FEE.......:- wispo 41 Works gTons#rnrtion Permit Permission is hereby granted------ ._ '►'"..!.lea �� Y -... ..._._.. to Construct ( ) or Repair ()-an .... . Individual Sewage ewage Disposal System at No.:..........................._: C(\,C I r/- ;.v,-ir G � ' ..............•...._._......................_.•....•.... --^ = :- , Street ...... as shown on the application for Disposal Works Construction Permit No.!{Zc a._`•r__�'.. Dacted.......................................... Board of Health DATE................................................................................ No, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpYicatiou for Disposal 6pstem (Construction permit Application for a Permit to Construct( ) Repair(v)/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a ( j5 h0qc5-Ter Owner's Owwneerr's Name,Address,and Tel.No. Assessor's Map/Parcel - 26 ( 7 Ft S _FCC62L9 1, 14 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 13+3 Excavc fon 50q.-4-1-7-0 3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33. 0 gpd Design flow provided gpd Plan Date 312.Q I(2- Number of sheets Revision Date Title J{' ��fe I CiA Size of Septic Tank Type of S.A.S. 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 is Board of Health. �ig"e (2Date I t Application Approved by ® Date Application Disapproved by Date for the following reasons Permit No. al�A72W Date Issued 1 No. Fee , THE COMMONWEALT+H-OF MASSACHUSETTS Entered in computer: } PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21p lYicatlon for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(.1/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components a Location�Address or Lot No. p� 13)5 ho�j-Te(- Owner's Name,Address,and Tel.No. G6 Ow Assessor's Map/Parcel 2 S ( 7 K� ;J ace 2DSl 2.I�y8�by s 1�rc � l 0240 Installer's Name,Address,and Tel.No: Designer's Name,Address,and Tel.No. {34 6 e xcc1Ya.+ion Type of Building: Dwelling No.of Bedrooms \3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 U gpd Design flow provided gpd Plan Date 3 Number of sheets Revision Date s Title T, la - 7 Size of Septic Tank Type of S.A.S. t 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 is Board of Health. ' ig ed 3 ( �i o Date Application Approved by 0 Date Application Disapproved by Date ' for the following reasons ._. . Permit No. Date Issued y. ---- -------- ------ -------- - -- _• ,. ------ - ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by G .X<l l vo-I ) at 2-1 G 5 I� jt�«(g has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer bf zr Designer -Do riL() (6,/o p, 1(1 Q i c)eex l n a #bedrooms '' Approved design flow 3 y gpd The issuance of this permit shall on be construed as a guarantee that the system will func' n es' d. Date i Inspector No. -` - --�- -- -- - ---- --= --------- --- - J� �No.. Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon( ) System located at .Z I G s c� hn i o Tt4 m(Q( ,,/cam n n l 15 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Con ct l must co leted within11three years of the date of this permit. / Date Approved by �� FROM :down cape engineering inc FAX NO. :15083629880 Apr. 05 2012 09:03AM P2 fimrun.s di'. CeaFPIr, 0i�:ntNc°6:�as /,"/;�rd�.+Fr?.A�Y7/ -_— "Oil M,�iu St imt,'flyn.,uniR, 50l, LM.-044 lax: SO&-'7StJ-S OA hist�idler ski�Rc Op-en�itiu¢Dn��+avaanu. fSa�>t�.: � /� �r.-eva��P P'e:ria:ni(tr ���,:;QDlC''s .Cvx•�a�nl]P'�v�('eeD o�9_� -�C�.O� i �Q�dlu•a�,w: �...— t-1 �,r9,rlu a:e�: zy _� Oa _ was issued a pe„nil t to iusta:l.l.a sErptic tiy:;Fcla�7t_ U J�f �_' ��-✓Yk.CQ based oul a.demp,-i dralvn by �I(aysilCtL) "— i certify that the ,;epLir. sysiern a ibnvc WUE .iasiullc:d suhst/a TAially acco--vdbig to the desien, vriLch may includic .crjnor anpruvcd cbanges such as 1.3fe 1. relco.titi.on of the distubut.ion hnx aiidirn- sapdc,'ant;: ! ct:rtify that thn SeI71:ii; Nysi;r.ra refercncc(i, at)ove was iusta.11ed wilt- cnljor ch-,inges (i.e. - — geatc:r fb�m 10' Iatr..ea.l re matioa of the SAS or alt1�V',. Local relou.aiioa of any C-Gri1,I?un.vie.. of t c,w t-- tie septic -,ysteuo but in.accurdaucith Skn CK• cal Rc il,rtioxis. iylaz'rvvis ul.m celfifiud as-built by clt.si.p.er to iollo-W. tl�L-21 �Ah DA 1,1, Ir ta.U.e�'ti suguahlY,} Civil- No.46502 � IS T t- �`��``� NAL ())er,7 iCf.''S 7 1L9tl7.CF1} ( fE-x .)e�t79Ti(-.1'',, 2tauop lle7e) 1'➢,�+,,?v3�.fdV1TiJ1t�1�T 1: �5�7O�Irl`�glal�jl,.lM, l�T)BLRd: kMALTII PI V➢S101`I. t':�.�`t:(1HI.�!!�'.k'��,_ f�J(�' _ -- 4 Cloi►a 1�,B5);�d-E idP ,il i�1i"n'.9.' :YP�� b u'UD!:tD_111' .YL L6�'R'A3 ,At'O:��.l; .Af-U.D AS ULll(,'.C' �'l4t&1L] r�1�4.. 1WECL,iY >O IB 'A UEAj-c'jR:t)1r6I_�0N. T`TITA N&5-VOTI C�:tiesilt]bSr.7(id)r.5lgarr Cei-EuFri'nrI Vmm 3..?.6-04.dnc No...... 7 ._... F$s.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �................ ©�. ►b vJ p0 rv -�, /Z -s r�1 �-------------------------- Applirativu for i ipasal orkii Tantitrurtion Vanfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: T ...............*....e..'........ �T..��dress................................... ...............................................ot No. .......................................... Owner Address a .............., !f�f�.!L�4...%.... ...........:........... ......................................... ................................................ Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........ ...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons_._____--_-____--_.......... Showers ( ) — Cafeteria ( ) 44 Other_ixtures .-----------•----------------•-. W Design Flow.......... ..........................gallons per person per day. Total daily flow............. 08..................._._gallons. WSeptic Tank—Liquid capacity�tO.M.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.,,IQO-.O �Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) S/? Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water-__-__---__._---__._-.-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W --------------------------------- -=•------------- ••-•------------------------------- ---------------------------- -.-------------------- -•----- O Description of Soil--------------------------------------------- --- v --•----------------------------------------------------•------.----------- W 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 Article XI of the State Sanitary de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be :sued by the board of health. / Signed- 4---`. - .--••-•--_----------------- ----1A//O/Z...i /� 1 ----- Dft Application Approved BY "�l`U..L G= CJ /� �-------------------------- ...........1(l.¢� ----- Date Application Disapproved for the following reasons------------------------------------------- ...................................................................... ..-----•----------••........................................•----•--•----•-••-•-----•-----•---------••------••-----------------•--------------------------•-------•------•----••....._..--•---•-••--•-- Date Permit No.----...;t.---7------------------------------------- Issued......&�/D7 /..._............ Date � - ' ' Fmo............................ THE COMMONWEALTH oFmAssAc*uSsrrs BOARD OF HEALTH -- r '�''��........ .......OF........... �� �~����s �~�� �� �������� ��� ��- '�� - -�-- --~- ------'------~ ��nrn---~- � Application is hereby made for uPermit to Con struct ( or Repair ) an Individual Sewage Disposal System at.: _ ................. ...-_--- ---------------'-'_._-_ Lgeatjoi,i.-Address ` or Lot No. -_ ............ ----_----,-_- _---_-_-_'--'-'-'-_ n-"�/ A0000" --___.�-�� _�..^_--__'_-- _--_..-----------'-----'-------------------- m�"�, . � _ � Address Type of Building Size Lot' feet � Dwelling--No of Attic Garbage Grinder ( ) � PL, Other-Type of Building -_--_-.......... No. nf persons............................ Showers ( ) -- Cafeteria ( ) �p °``p"*= ^^` ="''"=°`�� ^,'=' a"=" ----- - --------^ ' ' "`p"^ =�"° "^ Total^" .................. leaching " =�^ x ^`. �� Other I)�t�bu6ou6ox� ) --,? »n. Dosing tank ( ) ~� Percolation Test Results Performed hv------_.-----------__.--.----_' Dut�.--_---.---,-.---.. - TestPit ��� l-_-_--ro�otoaper inch Depth of Test P�-_----_ Depth to ground water-.------.- �14 Test Pit No. 3................minutes per inch Depth of Test Pit-------' Depth to ground wutcii--------' 0 _-'-__'---.--___.--------__-.--.-_--------.-'---'-__--_-_---'- Description of Soil...............................................j,' . . � U Nature of Repairs or Altezadoua--Aouwcrvvhco applicable..------ ---------------------................................... ............................. --- ------------------------------------------------------------------------------------------------------------'------------------'------ AQrcomeor: The undersigned agrees to install the aforedmcribe6 Individual Sewage Disposal System in accordance with the provisions of Article XI not to place the system in | operation until u Certificate of Comul�oc� 6ux ^ 7n issued.by the board of health. 'y � �°�~� ` ------.. ..........�.�_~ . /� . /�� ,e/-,r-�~~~ ^g,y u Approveducuvu yy/vvru By'--^---'�---'��.---�-_-_.--/-----'_._--'- ........................................ Date Application Disapproved for the following reasons:---------- ..................................................................................................... ................-----------'-'-'------'---------'----'---'-'-'----'-------'-'-----'------ /v�o/ - " ��-� Date/@ . ' _ ,"/ Permit 2�u -' ___- -' Date THE COMMONWEALTH opw^soAo*ussrTs � BOARD OF HEALTH , -��g ���y�~ ��F---��,/°�/� ..------.°- THIS I5T0 CERTIFY.. That the Individual 3mvuge Disposal System constructed ' ) or Repaired ( ) bc-----' '�� ---' /���" ��*� e, ---_-------.------_-'-----------------------_------' �"*,n", has beerf"installed in accordance with the provisions of Article XI.of The State Sanitary Code"�;es, the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA �ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................................- .......-_'_.-_'_ -..---.---_--_.--..-'-._-- �f-__-__' ' ' ^ 7�- THE COMMONWEALTH oFmAssAc*uoErrS / BOARD LT It � �= ............ '..-----'--��F_--_-----'----_'-----'--.-'''. ` »« � � ' ' � ' Permission is *,-»y Qruoted. .......................................... ..._-'- --... . . � � ,.' - ° '�~ .^ �� ^ ' at. ="- ,^' , ' . . .'~ ' � ue shown duthe 'for Works Construction Permit __-_'_-._-_- -' --.-_.'-'''_.'--..__ � ^ � ` u"*^/� �=u^ � '----''-''--' , ` � ' ~ � rvnM /255 xooasaWARREN, INC.. o pvL's � ��~ ��/xv ,�~~°~' ^ / . � TO�F BARNSTABLE LOCATION SEWAU # VILLAGE ASSESSOR'S MAPp�&LOT .INSTALL ER'S NAME QPHONE NO. Og SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by C7 O .s u v-o p o as a .f c .9 a TOWN OF BARNSTABLE LOCATION SEWAGE# .a 'VILLAGE ,S ASSESSOR'S MAP&PARCEL e7SI INSTALLER'S NAME&PHONE NO. Q [3 EXCAVcLa;0A SEPTIC TANK CAPACITY 1000 ! acj LEACHING FACILITY: (type) (ay1 (size) 1,;x OBI NO.OF BEDROOMS 3 OWNER -DGniS G PERMIT DATE: •e79.1 a 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 Ai- z)' . AZ- V ❑ 3-4- 3' C3- zV'6 D3" 3 8 C4 . 31*,1" Q 04 - A tJ REAR ITW O r TOWN OF BARNSTABLE LOCATION �j [�'Vc,`nen�_(r area G� SEWAGE # ._ZC�g VILLAGE ASSESSOR'S MAP & LOT ` INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY :r lz!Zx` _(1 m LEACHING FACILITY:(type) 'y' (size) ( NO. OF BEDROOMS-_PRIVATE WEL15ZKPUBLIC WATER BUILDER OR OWNE 0 a�A YV DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No goo a 'r 'i .ry HYANNIS f BENCH MARK o Q TOP OF FOUNDATION 7 0.5 0 LAKE BARNSTABLL21 DATU WEQUAQUET ico W = <<.. 69 �� Q >- LOCUS ? it Lou: 21 B HOPS TERR. 71500, 69 � o 69� 10 ft i� LOCUS MAP �P-2 I,UNPAVED LOCUS INFORMATION � q • i DRiVEWAr PLAN REF: LCP# 25306—B TITLE REF: CTF# 214385 PARCEL ID: MAP 251 PAR. 208 ZONING: "RC-1" I PAVt D FLOOD ZONE: "X" W I DR�VEW COMMUNITY PANEL: 25001CO562J DATED:07/16/14 AY SEPTIC SYSTEM REPAIR PLAN o ' / LOCATED AT: o+ ��� 21 BISHOP'S TERRACE PROP 1,500G z z �° HYANNIS, MA. D I ' SEPTIC TANK J I coZ L�L1 PREPARED FOR L-u ° o I BHUPENDRA PANDIT/ X � W 1250. W 0 J /,� Q READY ROOTER EXC. w 4 i o MAY 18, 2021 o 0 20 f� � pQ-P\ a W N d 0 i OH �� O `r'P9 DA EN N ZO _ 771LOT 53 AREA = 15122 sf+— LAND COURT PLAN 25306—B _� `�NITAVL0' ASSR MAP251 PCL 208 69� �- -- W 75-21' -�`-�- SCALE: 1"=20' MEYER 8C SONS, INC. �-� LEGEND P.O. BOX 981 a• . P L_ A N PROPOSED CONTOUR EAST SANDWICH, MA. 02537 ® PROPOSED SPOT GRADE PH: (508)360-3311 SCALE: 1 in = 20 ft t --98 -- EXISTING CONTOUR FAX: (774)413-9468 0 20 40 + 96.52 EXISTING SPOT GRADE meyerandsonsinc©gmail.com 0 10 20 40 W— EXISTING WATER SERVICE TEST PIT SHEET 1 OF 2 J 2024 ELEV. TOP NOTE: ' PLACE MAGNETIC MARKING TAPE OVER ALL COVERS DROP FND. BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE, 4 �, (Existing) FINISHED GRADE (66.0) = 70.50 F.G.EL: 69.60 F.G.EL: 67.2 F.G. EL: 66.3 A f MAINTAIN 2% MIN SLOPE OVER LEACHING AREA F.G.EU 66.70 77. 2" OF 3/8" DOUBLE WASHED • :; STONE OR FILTER FABRIC 3/4 - 1-1/2- STONE DOUBLE WASHED STONE " 4 SCH 40 PVC 10"1 ®®®®• ®®®® a; 14U 6 ®®®®® ®B®13 TEE'S ARE TO BE ® S= 1% (MIN.) 4" SCH 40 PVC INV.65:95 2' EFF. DEPTH ®®®®®®®®®®® ..a.:: INV.66.10 INV. 65.75 4' 2 X 8.5' 4' PROPOSED DB-3 = IXI511NG OUTLET INV. 66.35 BAFF E DISTRIBUTION BOX EFFECTIVE LENGTH 25' INV. 66.85 •• '..•.. •. . .•.. .• . . (1-120) INV. ELEV.= 65.60 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON �1\ OF MAss9 BREAKOUT NOTES: D RREN M. OUTLET TEE AS MANUFACTURED BY - ELEV.= 66.6 o s 1) CONTRACTOR SHALL VERIFY ALL EXISTING TUF-TITE, ZABEL, OR EQUAL ME ;R TOP CONC. ELEV.= 66.60 PIPE INVERTS PRIOR TO CONSTRUCTION " 11 0 " : INV. ELEV.= 65.60 2) TANK/D-BOX SHALL BE SET LEVEL AND TRUE ®®®® . TO GRADE ON A MECHANICALLY COMPACTED SIX RE PlEa3E3000E311iii! ®®®®®® 6/S�EQ� INCH CRUSHED STONE BASE, AS SPECIFIED IN QNITA0 _ BOTTOM EL.= 63.60 ®®®®®®310 CMR 15.221(2) «f 3.75' S FT. 3.75' 3) INSTALL INLET & OUTLET TEES W/ (/I SUITABLE SOILS SEP. 4.10 FT. GAS BAFFLE AS REQUIRED APPROX 24 FT ABOVE TOWN EFFECTIVE WIDTH = 12.5' SEPTIC SYSTEM PROFILE GIS WATER ELEVATION BOTTOM OF TESTHOLE EL: 59.50 SOIL ABSORPTION SYSTEM (SECTION) TOWN GIS GROUNDWATER EL. 35.0 (500 GALLON LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P#: 13573 DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOM DWELLING/3 BEDROOM DESIGN 2012 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL DATE: MARCH 27, SS I (0.74 GPD/SF) DESIGN PERCOLATION RATE BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL EVALUATOR: ARNE OJALA, CSE SOIL TEXTURAL CLASS: CLASS 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS MIN/IN OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPUCABLE WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Elev. TP-1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO (not designed for garbage grinder) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 69.50 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROP. 1.500 GAL. SEPTIC TANK DESIGN ENGINEER. FILL 69.60 0" 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 68.50 12" ;, 68.60 FILL12" LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LOAMY SAND LOAMY SAND ENGINEER BEFORE CONSTRUCTION CONTINUES. 68.32 10YR 4/2 14" t 68.42 1OYR 4/2 14" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' S. ALL ELEVATIONS BASED ON ASSUMED DATUM. E MEDDIIURM 8S/A�ND E MEDIUM SAND � � > 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1DIU g A STONE ON ENDS & 3.75 STONE ON SIDES: 25 L x 12.5 W x 2 D HEALTH FOR PROPER IOWNER PECTIONS DURING FY CONS�TRUCTIONN.BOARD OF 68.14 B LOAMY SAND 16" 68.24 B 16" BOTTOM AREA 25 X 12.5= 312.5 SF 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. tOYR 4/8 LOAMY SAND 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 66.32 38" SIDE AREA (25 + 12.5) X 2 X 2 = 150 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. C 66.60 36" TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE PERC TEST MEDIUM C MEDIUM THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SAND I D DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd SAND CONSTRUCTION. 2.5Y 7/4 2.SA 7/4 10. EXISTING LEACHING TO:BE PUMPED, CRUSHED AND FILLED PER TITLE 5. EXISTING TANK/BOTTOM TO BE CRUSHED AND FILLED IN PLACE 59.50 120" 59.60 1 120" PROPOSED SEPTIC SYSTEM UPGRADE P LA N 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. (-Cl- HORIZON) 21 BISHOPS TERRACE, HYAN N I S, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. t Pre pored for: Pandit/Re d Rooter Exc. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 • 1/8-/FT (UNLESS SPECIFIED) • 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 05/18/21 to conduct soil evaluations and that the above anayels has been performed by me consistent with the PO BOX981 REV DATE requirements of 310 CMR 15.017. 1 further certify thct 1 have passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 CHECKED SHEET NO. 5083622922 DMM 2 of 2 1 ALL S�STE SHALL SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE v ` PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES o ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROVIDE INSPECTION PORTS TO 1. DATUM IS APPROX. NGVD \ TOP FOUND. EL. 69.8' WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS EXISTING 2% SLOPE REQUIRED OVER SYSTEM 68 8' o m MINIMUM .75' OF COVER OVER PRECAST 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. t v oN PRECAST H-10 LOCUS y RISERS (TYP.) . 4. DESIGN LOADING FOR ALL PROPOSED PRECAST ° � ,a. 2'0 67.5 4"OSCH40 PVC UNITS TO BE AASHO H-10 cod PIPES LEVEL 1ST 2' 65.8' 5. PIPE JOINTS TO BE MADE WATERTIGHT. 10" RE-USE EXIST. 14" •y 0�5 TEE ** 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE TEE SEPTIC TANK p o r *66.1' 65.21' WITH 310 CMR 15.000 (TITLE 5.) 3 Q� GAS BAFFLE:! �° °°°° 0.67' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 4__ ° 65.41 65.24 64.54' NOT TO BE USED FOR LOT LINE STAKING OR ANY r s, OTHER PURPOSE. o� Q° 6" MIN. SUMP cl R to 12" MIN. TNT. DIM. 24 QUICK4 INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. (NO STONE PROPOSED) ° 6" CRUSHED STONE OR MECHANICAL 11.3 x 24' x 0.67' 9. COMPONENTS NOT TO .BE BACKFILLED OR COMPACTION. (15.221 [21) CONCEALED WITHOUT INSPECTION BY BOARD OF 5.64' HEALTH AND PERMISSION OBTAINED FROM BOARD LOCUS MAP ( 1 7G SLOPE) ( 1 % SLOPE) OF HEALTH. EXIST. LEACHING 10. CONTRACTOR SHALL BE RESPONSIBLE FOR NOT TO SCALE FOUNDATION SEPTIC TANK 69 D BOX 5 FACILITY CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT BOTTOM TH 1 EL. 58.9' OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ASSESSORS MAP 251 PARCEL 208 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS WITH 11= ' PRIOR- TO INSTALLING ANY PORTION OF SEPTIC SYSTEM W WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF NOT SUITABLE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH 'CLEAN SAND. SYSTEM DESIGN: BENCH MARK - TOP OF BOTTOM 115.00 1S0p STEP AT LANDING EL. 69.8 GARBAGE DISPOSER IS NOT ALLOWED HOLLY 12" OAK 4 DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD CLUMP " AK TH1 x 68.78 68 USE A 330 GPD DESIGN FLOW � ■ 67.06 68.57 68.94 SEPTIC TANK: 330 GPD (2) = 660 RE-USE EXIST. SEPTIC TANK** 12" OAK i TH2 66.92 LEACHING: x • CO 17 _ / 69 N 1� �e / .I GRAVEL j _ __ 473-_SF,A-17 x 4' LENGTH_= 18.92 SF_ PER STD. PARKING / QUICK 4 UNIT 74 6a Sa PAVED DRIVE �5 1 330 GPD/0.74 GPD/SF = 446 SF LEACHING 55 TEST HOLE LOGS REQ'D `°� x 69, 6 8 C. 6 06 7 .58�, 66.67 446 SF/18.92 SF/UNIT = 23.6 UNITS � � ENGINEER: ARNE H. OJALA, PE, SE ,� se 6 69.\20 THEREFORE, USE GRAVELLESS SYSTEM OF (24) WITNESS: DON DESMARAIS, RS SHE 6 x 69 69.09DECK STANDARD QUICK4 UNITS IN FIELD CONFIGURATION OF 4 ROWS OF 6 UNITS DATE: MARCH 27, 2012 e� EXIST. 68.57 � - < 2 MIN INCH 1 DTP FNDN.= o �` / PERC. RATE - / 68 75 66.75 24 UNITS x 18.92 SF UNIT = 454 SF> 446 SF EL.69.8 ��6 h 454 SF (0.74 GPD/SF) = 336 GPD (OK) CLASS I SOILS P# 13573 1 y � � 4 ELEV. [�� ELEV. x 68.66 r 4 V x 68.45 I , MA 0" 68.9' 0" 68.9' APPROVED DATE BOARD OF HEALTH 12" FILL 12" FILL - _ OVER HEAD UTILS. AB LS LB _ TITLE 5 SITE PLAN 14" „10YR 4/2 14 10YR 4/2 sa.34 OF LOT 53 E E ,15,122 t SF 3 21 BISHOP'S TERRACE Ms MS .3 HYANNIS 16" 10YR 6/1 161p 10YR 6/1 115.21' PREPARED FOR B B 466.56 LS LSo q /o� OFhfggs9cf B&B EXCAVATION/ lOYR 4 6 10YR 4 6 ��" gsS��yG y DAAIEL �U ` FLOYD / / 65.9 DANIELA. smI0 OJALA 38" 65.7' 36" U 0i A Cn No,409 x MARCH 28, 2012 PERC 4 e C C No.46502 � s \° , P =� q �� off 508-362-4541 � �N� �� y y�F3� rSsy� fax 508-362-9880 MS COBBLES MS ( g sm I downcape.com �r it6���- o V �� ' DANIEL ti� OJA�A A. CIVIL o OJALA down Al a eA 1aeer1ft inc. 2.5Y 7/4 2.5Y 7/4 No.40980 �� 120 58.9 120 58.9 �� � o. o�o T „ ���s _ �-���,���� � Ffi S� e_�� � civil engineers NO GROUNDWATER ENCOUNTERED Scale: 1 = 20 ^j,'2-S �� t a� �' <° os R�fo land Su�Veyo�S 939 Main Street ( R to 6A) >2-05 > 0 10 20 30 ao 50 FEET DATE DANIEL A. OJALA, P.E., .L.S• YARMOUTHPORT MA 02675 ,s b-o �� TOWN OF BARNSTABLE LOCATION` ���S�r A �� r���� SEWAGE# Q0a VILLAGE ASSESSOR'S MAP&PARCEL aS INSTALLER'S NAME&PHONE NO� ,ta�'Qai �.3-� �e��► _ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS OWNER R �\q�S�g>� PERMIT DATE: � f 'a COMPLIANCE DATE: Separation Distance Between the: \ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ` S 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 e,,A ' V�� aN% , ri