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0110 BISHOPS TERRACE - Health
,110 Bishops Terrace ` Hyannis P a A = 252 180 I No. 43501/3 RE® 1 1004 u@ ® ® 0 0 a v CA z Cly� 1-4 TOWN OF BARNSTABLE LOCATION I to R;shop, '-re- rac c. SEWAGE# ZOI`k- 299 VILLAGE 5 ASSESSOR'S MAP&PARCEL 2 S Z - 180 INSTALLER'S NAME&PHONE NO.' EX (3,uoJ y`)7-OG53 SEPTIC TANK CAPACITY /000 LEACHING FACILITY.(type) SOO go-] (size) 13 X ZS x Z NO.OF BEDROOMS OWNER atm;11 E 2 PERMIT DATE: $-9- 9 COMPLIANCE DATE: 1� '.�L I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Al- 24' AZ, Z,9 'R-Z A4-is ' by' 239 - r , s w 5 - V I-A IP /v,6 41 �J6 pv r. dr}A,,. t�..� ''o-may.; w.. s•` i} - .. uy \ s f r } iL 1..;.0 CATION SEWAGE PERMIT NO. �54A VI Lt AG E /� INSTALLER'S NAME� i AD.DRESS /Aoe BUILDER OR ' OWNER 4 l- DATE PE MIT ISSUED DATE COMPLIANCE ISSUED oti 9� L� 9 Z z z .'ASSESSOR'S MAP NO. PARCEL I 0 LO *CAT ION SEWA G E PERMIT NO. ` 11) VILLAGE ArE.S S B U I L D E R OR OWNER 'D) Vl,( D RMI ISSUED D A T E � S o o �_Z 0 a� 8 `� .p. �� K � � � � . . z . . ; _ � No-J-V If-' G Fee 0 t THE COMMONWEALTH OP MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitatlon for Bispo8al *pstem Construction Vertu Application for a Permit to Construct( ) Repair(Jj Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.110 8;S 5 Terrace- Owners Name Address and Tel.No. � (� G, �a+�;1ly E6i4o Assessor'sMap/Parcel 1Z52 Is J am`/ /to 6;s hop TCr1-0,CC_ Nc�e�,nni5 Installer's Name,Address,and Tel.No. E'X CQ.LA*d;0b% Designer's Name,Address,and Tel.No.,D... F 10 l�era t t I'-ITta.Scrrcl W Fcres�o(a)c t��}7.OG53 �?O•$o,t 331 laat'w►a.� 9y 11 7�yctLG 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) 330 gpd Design flow provided y$ gpd Plan Date g"0 t]-19 Number of sheets 2 Revision Date Title Size of Septic Tank /OOp qa) Type of S.A.S. 500go-) L)C �Z1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) N ZO- ) ,Box - Z-)4 ZO SI)o Q a.I L,C_ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date $-Q 1 ' 19 Application Approved by Date �� �j�1 �•/ T Application Disapproved by Date for the following reasons Permit No. Date Issued / . 4. No- _ � `• � . Fee & Entered in compute TH'E COMMONWEALTW4F.MASSACHUSETTS -- �,._ v.... , Yes PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS 0(pplication for ImIsposaf *Pstem Construction 3permit Application for a Permit to Construct( ) Repair(,/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. //p ,6eS)jo1,t S 'Te-rro�Cc. Owner's Name;Address,and Tel.NoZam•� Assessor's-Map/Parcel ZSZ 1'30 r`y /10 .�3�Sh�P'T�>'ra�cC. NyQrni� Installer's Name,Address,and Tel.No. EX Co.tkxJ toA Designer's Name,Address,and Tel.No.�Qvc ��o.�c rA LiICI "rcaSe rr(j Ljo F©rc:54J .),_- y 7`� DG53 f o•Bo,c 331 Ackrvj',,\�, 9 1116 Type of Building: Dwelling No.of Bedrooms h Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other.Fixtures Design Flow(min.required) J!3 n gpd Design flow provided '�q gpd Plan Date /-l Number of sheets 2 Revision Date Title Size of Septic Tank p ®L► Type of S.A.S. Snn no i L 1 Description of Soil 'a Nature of Repairs or Alterations(Answer when.applicable) Rn 7o T� �, L Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance.has been issued by this Board of Health. Signed Date Application Approved by ertj 1.4 44 (- Date Q'_ <j—/ Application Disapproved by Date for the following reasons Permit No. 's` Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(wol Upgraded( ) Abandoned( )by � � at 4 CC- C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N dated Installer E)ec!,a _�3 A i n n Designer 4 '��r��,�.� #bedrooms Approved desi flowUdesign gpd The issuance of th s pe it shall not be construed as a guarantee that the system will nci Date a Inspector - - -- - - - - ------- -.................. - - - ------- --------------- ------ - No. Fees / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS _ Disposal *- pstpm Construction 3perrnit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at c 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. Date (v/ Approved by Z/ Town of Barnstable y�f1HE r ti Regulatory Services Thomas:F. Geiler, Director BARNSTABLE, = Public Health Division 9 MASS. $,l=e39• A`� Thomas McKean, Director fD►�1A'� -200 Main Street,_Hyannis, MA 02601 office: 508-862-4644 Fax: -50S-790-6304 Date: $.13- 1Q SeNvage Permit# 2O1Q- Z 99 Assessor's Map/Parcel 252- ISO Installer & Designer Certification Form Designer: F1Q)Ner-Uj EnV1'r`0M5-040-1 Installer: R*f3 EXCCXQ36A 1 ow Address: 'P O SOX 331 Address: 114 'Te,5erru L-�J rw 1 Fo res-fatg-Ic. On EXCa UMA i o+., was issued a permit to install a. (date) (installer) septic system at 110 _48 Sk0Q,� ler rgLCC based on a design drawn by (address) dated $-n- 1q (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distriE ution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified.as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. OF ♦ )AV D ,(;Installer' Sign r ) LAHER ' No, 121 (De igner'S gn � ) (Affix Desig er p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE .ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice forms\destgnerceruficauon rurm.doc T D Cry C� �7 I ' I } 3 I t I t a 5rc' ~� rl f br�Cn,'N 4 0P6N I'v o i F4C No R9797 SKETCH ADDENDUM eon«ye1«0— Joad and Neidi Egito RoPenv Adomo 110 Bishops Terrace City Hyannis c--my Barnstable slate MA LpCcoe 02601 LeMer«oKb First Horizons Home Loans Deck First Floor 44' Bath FamRm Dining Kitchen 12' Room 15� Garage 26• ® 12' p(, Porch Living BedRm / Room 12 v 1 2 13 �[ 19' 3 2' 77• BedRm Bath Second Floor —� BedRm 19' 15' • 5' 1T SUMMARY SO FT AREA PERIMETER AREA CALCULATION DETAILS Living Area First Fbar Foss Ftoa 950 140 440 X 12.0= 5280 SemM Floor 501 100 320 X 120= 384.0 Total 1451 240 190 X 20= 38.0 Total 9500 Scoots Floor 32.0 X 130= 4160 170 X 50= 95.0 Total 501.0 CUSACK 3 ASSOCIATES John Powell SKETCH-17 1.800-S2343872 ('I ICA('I( k ASSOCIATES AsBuilt Page 1 of 2 r LOCA j ION / SEWAGE PERMIT NO. 7 VILLAGE J IN ST A LLER'S N Mir,. i ADDRESS 71)L--c5xlea� Or '04c5 �' BUILDER OR OVINER c B DATE PE MIT ISSUED DATE COMPLIANCE ISSUED z 6 � 36 yo http://issgl2/intranet/propdata/prebuilt.aspx?mappar=252180&seq=2 12/19/2018 f ,r OFF Application Number. �.'. r • sAPAWABIA MASS. Permit Fee...1.631-DD Other Fee.......(„! 1639. FD Mfg 6 Total Fee Paid.............AzDaff)... ....................... ...... TOWN OF BARNSTABLE Permit Approval by.................................On........................... BUILDING PERMIT — Map... . .............Parcel......../ .................... APPLICATION Section I — Owner's Information and Project Location Project Address il 13 IS 140 FS TKR PAC,6 Village 1'3APW2 t�&6 Owners Name :I o 0 A to Owners Legal Address 1 0 l S HQP_� T(5&2A-C G City State Zip oz , 0 l Owners Cell# 0 g Z8�-Z 1 t E-mail -J�I P 1 P-!�M ( Q6 (2(4 0-r iA A-I L..C o in Section 2-U Structure Use Group Vn / Commercial Structure over 35,000 cubic feet lJ LlJ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling --^ Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other-Specify Section 4 - Work Description WL AP-G PLANNiNO 1-0 PinJL5O T-Fb 15A-3 ,Mt % -t0 1-tXV6 M a Q-6 i20 om E 0�_ N1!A �(ZAN CC k I L IKaerJ A-rJk 7F,'�MI L,'!O Aa 2 'TO kl c C AS A GJ SQT Ary o si�gAc � ArIc ON C _pL�A,,J A wELL r.A�r,,,,�a+P�• i�nSnmQ ., �.ti �� k �� � �,� -7"I C� a- p Q� �� �� �:�' �. �� 5� u-�.i _.- _ ��: � ��C�� � G 0 ��� � � --- - � _ _ _ - - � - - ����2povh _Z_ ___ ___ _� _ _--_ __,�� _ -_ _ .._ _ _ - --__--- - _. - -- � a.�r�.1� V w -- -_ __ - t _ i ..,. � � J _____ -..--��.. , ____w.____-_ Fee No B9797 SKETCH ADDENDUM eon—or00rner Joad and Neidi Egito FroPxnv AIM— 110 Bisho s Terrace - Ccw Hyannis co-nlv Bamstable Slate MA Zip Code 02601 Leoaer or a¢N First Horizons Home Loans - Deck First Floor .. 44' - .. 1 1 D1nln I Bath FamRm 9 Kitchen 1 12' Room — y Garage 26' `— — 12' Porch Living ® BedRm Room 12' 2' 13'is, 32 Bath Second Floor 13, BedRm � - BedRm 16 15, 5' 17' - - SUMMARY - SO FT AREA PERIMETER AREA CALCULATION DETAILS Living lvea F"I Flo. Feat Flo. 950 140 440.X 120= 5280 S—W Floor 501 100 320 X 12.0= 384.0 Total 1451 240 190 X 20= 38.0 Total 9500 S—d Floor 32.0 X 130= 4160 170 X 50= 850 Total 5010 CUSACK 3 ASSOCIATES - - John Powell- SKETCH-IT 1-500.M41872 CUSACK&ASSOCIATES t , ECOJECH Environmental www.eco-tech.us THIS FORM IS A FACSIMILE OF THE STANDARD SEPTIC INSPECTION FORM ISSUED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION(revised 6/15/2000) TITLE 5 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM r 2 PART A MAP CERTIFICATION PARCEL Property Address: 110 Bishops Terrace SOT Hyannis - - Owner's Name: Gary&Carol Purmort Owner's Address: 110 Bishops Terrace Hyannis RECEIVE® Date of Inspection: November 19, 2002 Name of Inspector:(Please Print) David D. Coughanowr,R.S. NOV 2 1 2002 Company Name: Eco-Tech Environmental Mailing Address: 43 Triangle Circle TOWN OF BARNSTABLE Sandwich,MA 02-563 HEALTH DEPT. Telephone Number: (508)364-0894 �\ _ 5 CERTIFICATION STATEMENT: 1 I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. I am a DEP approved system inspector pursuant to section 15.340 of Title 5(310 CMR 15.000).The system: X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature --- �S Date: '�1 ov 2-01 2_06L The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority NOTES AND COMMENTS Inspector's Note—> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19,2002 INSPECTION SUMMARY: Check A,B,C,D or E/ALWAYS complete all of section D: A] System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 5.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B] System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no, or not determined(Y,N,or ND). in the_for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not),is structurally unsound,exhibits substantial infiltration or exfiltration,or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or breakout or high static water level in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced. ND explain The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed I ND explain 2 Page 3 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19, 2002 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 and 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 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 by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form 3) OTHER 3 Page 4 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19 2002 D)System Failure Criteria applicable to all systems: You must indicate either"yes" or"no"to each of the following for all inspections: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. yes no X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 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 1/2 day flow. X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high groundwater elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well X Any portion of a cesspool or privy is within 50 feet of a private water supply well X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form) No (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 beconsidered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 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) 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19, 2002 Check if the following have been done: You must indicate either"Yes" or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant or Board of Health. X Were any of the system components pumped out in the last two weeks? X _ Has the system received normal flows in the previous two week person? 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 as N/A) X _ Was the facility or dwelling inspected for signs of sewage back-up? X _ Was the site inspected for signs of breakout? including X _ Were all system components,wig the SAS. located on site? X _ Were the septic tank manholes uncovered, opened,and the interior of the septic tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge and depth of scum.? X _ Was the facility owner(and occupants,if different from owner) provided with information on the proper maintenance of subsurface disposal systems? For information on the proper maintenance of subsurface disposal systems please go to: WWW.ECO-TECH.US The size and location of the Soil Absorption System(SAS)on the site has been determined based on: X _ Existing information. For example,Plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to part C is at issue,approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19,2002 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a_plan not available at Health Dept. Number of current residents 2 Does the 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): n/a Seasonal use(yes or no): no Water meter readings, if available(last two year's usage(gpd): 152 gpd Sump Pump(yes or no): no Last date of occupancy: current COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow(based on 310 CMR 15.203):: gpd Basis of design flow(seats/persons/sgft/etc.): Grease trap present: (yes or no)_ Industrial waste holding tank present: (yes or no): Non-sanitary waste discharged to the Title 5 system: (yes or no). Water meter readings,if available: Last date of occupancy/use:_ OTHER: (Describe): GENERAL INFORMATION PUMPING RECORDS source of information: System not pumped in recent past(Owner) Was system pumped as part of the inspection: (yes or no) No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM: X 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/Alternate technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe) APPROXIMATE AGE of all components,date installed(if known)and source of information: Age: 16+years(Disposal Works Permit#86-258) Were sewage odors detected when arriving at the site: (yes or no) no 6 Page 7 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19,2002 BUILDING SEWER_(Locate on site plan) Depth below grade: 1 ft Material of construction:—cast iron X 40 PVC_other(explain) Distance from private water supply well or suction line 20+ Comments: (on condition of joints,venting,evidence of leakage,etc.) Sewer is vented through roof and appears structurally sound with no evidence of leakage or backup into dwelling SEPTIC TANK: X (locate on site plan) Depth below grade: 16" Material of construction: X concrete_metal_fiberglass_polyethylene other(explain) If tank is metal,list age_ Is age confirmed by Certificate of Compliance_(yes or no):_(attach a copy of certificate) Dimensions: 8.5 ft x 5 ft x 5 ft(1000 gallon) Sludge depth: 8 in Distance from top of sludge to bottom of outlet tee or baffle: 26 in Scum thickness: trace Distance from top of scum to top of outlet tee or baffle: 10 in Distance from bottom of scum to bottom of outlet tee or baffle: 14 in How dimensions were determined: Probe to ton of tank Comments: (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Pumping not required at this time,but maintenance pumper is recommended every 2 years. Liquid level at outlet invert.Tank and tees appear structurally sound and functioning as intended.No evidence of leakage in or out. GREASE TRAP: none (locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle:_ Date of last pumping: Comments: (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19, 2002 TIGHT OR HOLDING TANK: none (Tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete_metal _fiberglass_polyethylene_other(explain) Dimensions: Capacity: gallons Design flow:_gallons/day Alarm present(yes or no):_ Alarm level: _ Alarm in working order(yes or no):_ pumping:Date of last Comments:(condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: X (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: at outlet invert Comments:(note if box is level and distribution to outlets is equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.) D-box appears structurally sound with no evidence of leakage in or out.Effluent level at outlet invert Few solids in tank. PUMP CHAMBER: none (locate on site plan) Pumps in working order: (yes or no) Alarms in working order: (yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19,2002 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan;excavation not required) If SAS not located, explain why: Type: X leaching pits,number I _leaching chambers,number _leaching galleries, number _leaching trenches,number,length _leaching fields,number,dimensions _overflow cesspool,number —innovative/alternate system Type/name of Technology Comments: (note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) Soils above leach pit appeared unsaturated.No evidence of surface ponding breakout lush vegetation,or other evidence of hydraulic failure was observed.Leach pit contained 30 inches of effluent in a 6 ft pit CESSPOOLS: none (cesspool must be pumped at time of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): PRIVY:none (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19, 2002 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'(Locate where public water supply enters the building) LEACH 0 PIT 4 LOCATIONS 3 A B ❑ D-BOX 1 48 f t 7 f t 2 2 50.5 ft 12.5 ft SEPTIC 3 52 f t 17 f t TANK o 4 56 f t 26 f t B � DECK A 3 BEDROOM DWELLING # 110 W Z J W H Q 3I BISHOPS TERRACE NOT To SCALE 10 Page 11 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Bishops Terrace Hyannis Owner: Gary&Carol Purmort Date of Inspection: November 19, 2002 SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to groundwater: 35+ feet Please indicate(check)all methods used to determine high ground water elevation: Obtained from system design plans on record-If checked. date of design plan reviewed Observed Site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of health-explain: _ Checked local excavators,installers-attach documentation) X Accessed USGS database You must describe how you established the high ground water elevation. Town of Barnstable GIS Department records indicate that the groundwater table lies over 35 feet below the surface of the lot. 11 NSp � C . Tt0N PEA RTGA. GE I C3161 0 L F AND l nury L� t.i`LJADTI Y .MORE F -1F NT. A T � NFR DnNA� D J ► YNCH , lR B .A R , S JOSS PH D o JntaE C , D., URs'i _CEMBER 11 , 198q " C ALE 1 1" 50 Ise. STORY a�! LOT 31 '`�s`s STON,E:toRiVE:: .i : LOT 33' T.: A C E B. I S H' 0 'P S E H or Aj�1 f!�:' Lend Surveyors Civil Engineers KENNETF{,; yi.IaCOSf02tlllttaUt1lC� ti10., 11C. z rj. 261 {Winn ` FERREIRA';. _1 o:28J fi ''� " ' i� � N �irbfclr?i, AA 027,10 Commonwealth of Massachusetts Executive Office of Environmental Affairs f�EC�IV77.� Department of APR .2 8 1997 Environmental Protection HEALTEC4_PT. TOWN OF LA�SIVu Irti L� William F.Weld Govemor Trudy Coxe Seaelery,EOEA David B.'Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION ' `M1 Property Address:: Address of Owner: �(L�Z30 QC�t,_ Date of Inspection:`3 lO `i �e i�-y,. Niu v: (if different) Name of Inspectort-7_�'� 5 _. Company Name, Address arir Telephone Number: ►M►p--c.101-S t_.M,"r CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal syst fms:; The system: �sses " Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature:---�) ------ Date: �W 7 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the,system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sera to tnc• systen? owner anu copies sent to the buyer, if applicable and the approving aj'hori;y. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: � (.� I have not found any information which indicates that the system:violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indi6te yt•s, no, or no( determined (Y, N,.or ND). Describe basis of determination in all instances. If"not determined", explain why not) _ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. Thip system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) 1 One Winter Street • Boston,Massachusetts 02108 a FAX(617)556-1049 • Telephone(617)292-5500 `J Printed on Recyded Paper i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) -- Property Address:Ili0 Owner: S�RCzCS. �� 11 y Date of Inspection: B) SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS,REQUIRED BY-THE BOARD Of HEALTH: " /T Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the• public health, safety and the environment. ` 1) SYSTEM WILL PASS UNLESS-BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. -- 2). SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ 1he ,\'sien) hay a SentK tank anu 5011 auSurptiun syxeni anu is within iO3 -i 16 a 5uifa�c ru.ci "pp!) Or trib;,,a;) tc, a surface water supply. _ The systen: ha, a septic tank and soil absorption system and is within a Zone I.of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system ho5 a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm• D) SYSTEM FAILS: ; �l 1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this'determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. _ Backup of sewage into facility or system component clue to an overlo, -d 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. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) i Property Address:Ili ko Owner: �12iC'( �tc.r 1 c_ 1�•� Date of Inspection: D.)-SYSTEM FAILS,(continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy,is less:..,than 100;feet but greater than 50 feet from a private water supply well with:no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. Ej.LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 suppiy well' The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. n I (revised 8 15/95): 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 8 CHECKLIST Property Address: Owner: N' vz. Date of Inspection:. ....Check-if-the following-have-been-done:-.--- - ✓Pumping information was requested of the owner, occupant, and Board of Health. one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. �'As built plans have been obtained and examined. Note if they are not available with N/A. he' facility or dwelling was inspected for signs of sewage back-up. ZThe system does not receive non-sanitary or industrial waste flow Zhe site was inspected for signs of breakout. All system components, excluding the,$oil Absorption System, have been located on the site. I he'septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge, depth of scum. -- 7he size and location of the Soil Absorption System on the site has been determined based on existing information or app ximated by nun intrusive methods.,, rt ... .. �. .1 ,�,. if .ftn•n� information. _ �L�e.fa�i..;� o.;:.- ;:;•.., o:r::;,.. ::�, 1. c': .. . • f+o�- ov.ner) were provided ��•rth on the proper maintenance of Sub- Surface Disposal System. M1�• I (revised 8/15/95; 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - .-._.- SYSTEM INFORMATION Property Address:.k) Owner: f�RT��ai:•b Date of Inspection: -�o -7 FLOW CONDITIONS RESIDENTIAL: Design flow: Qallons Number of bedrooms:.-7 Number of current residents: Garbage grinder (yes or no): Laundry connected to system (yes or no):� Seasonal use (yes or'no):-24 Water meter readings, if available: N V1- .Last dale=of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:__gallons/day Grease trap present:.(yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: (� % �)Qi a L4 � VS Nowt .Lx e, 'Q-IQL� — — --- System pumped as pan of inspection: (yes or no) If yes, volume p,impr'd gallons . , Reason for pumping. TYPE OF>MEM Septic tank/distribution box/soil a_bsorption'system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: 7��lS Sewage odors detected when arriving at the site: (yes or no�/� - (revised 8/15/95) 5 ii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: tb __\ Owner: R rrz�'aj rr)..' Date of Inspection: yet p.-,7 SEPTIC TANK:(/ (locate on site plan) Depth below grade%� Material of construction: ✓oncrete _metal FRP_,other(explain) r Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: y Scum thickness: O" , Distance from top of scum to top of outlet tee or bafflerrl, Distance from bottom of scum to bottom of outlet tee or baffle: Comments:. (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in-relation to outlet invert, Structural integrity, evidence of leakage,etc.) GREASE TRAP:L (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _other(explain) Dimensions: Scum thickness. Distance from top of scum to top of outlet tee or baffle: DictanCe from.bottom M 'rtim to hnt!nm OI O;I!)P! tee o' bame', Comments: (recommendation for pumping, condition of inlet andoutlet tees or baffles,•depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised E/ 5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION (continued) Property/A�ddress: 11 O Owner: (V,(TZV)Jr6:u— Date of Inspection:. TIGHT OR HOLDING TANK: (locate-on site plan) Depth below grade: Material of construction: _concrete _metal FRP —other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) it DISTRIBUTION BOX:, (locate on site plan: Depth of liquid level above outlet invert: i!'21 lv,t . Comments: mote if ievet anu distruut-L,1: i> r44,3:, e,;urncr of;ul�d: Ca,r>u%ei, evidence of leakage into or out of box, etc.) Gi!>c+1�1 PUMP CHAMBER: (locate on-site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc:) (rev lied 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION.(continued) Property Address: I) Ih't,�huCl; �'e-y v'„ (,-;1 Owner: Av fz 10')i b,✓ Date of Inspection: 6_Ll 7 SOIL ABSORPTION SYSTEM (SAS):_-,- (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) CESSPOOLS: (locale on site,plan) Number and configuration: -Depth-top of liquid to-inlet-inuen:._. ..__ —Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of gruund�+atc:. inflow (cesspool must be pumped as pan of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:/l (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:) B (revised 8/15/95) - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:'_j G �U' 1wPS j V(rc ( Owner: I i f S Cl_i c�r✓— Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 7t 341 • DEPTH TO GROUNDWATER Ho Depth to groundwater: 1� feet method of determination or approximation:' .) N rc (revised 6/15/95) 9 { lot .. C/CJhE��/CI� COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE 4 TOP OF FOUNDATION . BROU HT TO WITHIN 6 OF FINAL GRADE FVIPOI•II•I)EI�tCl/ ServicesEL. 58.0' EL. 56.0' (not to scate� COVER TO BE W/I 3" OF GRADE CLEAN SAND P.O. BOX 331 2" of 1R' to 2" DOUBLE WASHED EL, 56.0' .i Hamich, MA 02645 4" CAST IRON or EQUIVALENTPEASTON5-OR GEOTEXTILE 774.994. 1166 7 MIN. PITCH 1/4" PER FOOT FILTER FABRIC l� a"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE COVER TO BE W I 3 O GRADE t VENT REQUIRED FLOW LINE ffii5t2'tobe%v.11 "• 5' 1.1% —�' S' 1% R •. EL.53 9' 1 � L.EXIST. 14 —� —► ..>.... .. ,C aMR [_ .• �e Q �® 0°0°0000c EL.EXIST EL.53.6' po'0'001090 0g0,o°o°0O0 0 0000 .'®� ©LJ^G1d1 p'p p 1 c°c0o0o0� EL.53.03' o 0 0000000o p a C 1 p®�Q®® p o°o°o°o°c EL. 0 0 0 0 0 0 0 0 0 0 000000 0000c2.0 ✓GAS BAFFLE EL.53.0' 00°00000o C= = p [� p 00000°0°0c./ nor ®��r ., a(H-20 D-BOX) 0000000 000000 a . . ;0000o0o0c 0 0 0 0 0 0 •• ° °0°0°0°0° EL. 51.0' NSTALL INLET TEE SOIL ABSORPTION SYSTEM '� ••. 6"CRUSHED STONE OR 1"ABOVE OUT INVERT:1:''';:'a;,•.;:•e:'': MECHANICALLY COMPACTED 2 500 GALLON H-20 CHAMBERS 1000 GALLON SEPTIC TANK I (DATUM: ASSUMED) (EXISTING) 3„ WITH 4'STONE AROUND INA ¢ to 1 DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION I BOTTOM OF TEST HOLE EL, 45.5' EL. 45.5' USGS ADJUSTMENT: N/A LOCATIONMAP GROUNDWATER ELEV: N/A LOCUS N TH I I m Z iby n. 56 DECK EXIST. L.P. O TH-1 LP EXIST. S.T. ,@,'ly 2 2i EXISTING j�• NTS DWELLING 223.5' •'r. O r� — ` $ '68.3' ss / GARAGE FLA _ R. to LOT 32 BENCHMARK:` / E` \ /\ 0.74 ACRESt TOP OF FNDN; J QI. TER DRIVEWAY MAP 252 LOT 180 EL.58.0' NfTAR% I� DATE.B/7/2019 REVISED: LEGEND F ( ss 144•77' , SITE AND SEWAGE PLAN FOR B& B EXCAVATION, INC./ 6- 6 6 G GAS LINE 1ANZLLY EGZTO W W--;;—k,r WATER LINE a a 10 BISHOP'S TERRACE -6 6 6 E E EXIST. ELECTRIC 99 EXIST, CONTOURS (HYANNIS) BARNSTABLE, MA .}———— 99 PROP. CONTOURS SCALE ■ 1" - 4 0t W,,C Ueg U,S UNDERGROUND UTIL• 4 REF.•LCP2530EB SH 3 PAGE 1 OF2 i ........................ ................. ...... .. ........ ............... ......... . ...... . ...................... ............. .............. .............. .... .. .. .. ...... . .............. ........ .. ... ........... ......... .. ... ........................................................................................................................................................................................................................................................................................... ................................................................................................................... ... GENERAL NOTES DESIGN CAL CULA TIONS S YS TEM DETAIL Flaherty Environmental Services P. 0 . Box 331 1. ALL PRECAST COMPONENTS TO BE H-10 Harwich, MA 02645 RATED UNLESS OTHERWISE SPECIFIED. NUMBER OFACTUAL BEDROOMS 3 774.994.1166 DISTRIBUTION BOX AND ANY COMPONENTS WITH ANY ANTICIPATED GARBAGE DISPOSAL UNIT NO VEHICULAR TRAFFIC TO BE H-20 RATED. 2. THE DESIGN OF THIS SYSTEM DOES NOT TOTAL ES TIMA TED FLOW ALLOW FOR THE USE OF GARBAGE (I 10 GA LIBRIDA Y X 3 BR) 330 GAL./DAY GRINDER. REQUIRED SEPTIC TANK CAPACITY 660 GAL. 3. MUNICIPAL WATER IS AVAILABLE. 25' 4, ALL CONSTRUCTION TO CONFORM WITH SIZE OF SEPTIC TANK 1000 GAL. (EXISTING) 310 CMR 15.000 AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL SOIL CLASSIFICATION I CODES AND REGULATIONS. 5. INSTALLER/CONTRACTOR TO REVIEW& <2 MIN./INCHDESIGN PERCOLATION RATE VERIFY ALL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GALADAYIFT2 12.83' DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL RESPONSIBILITY LEACHING AREA, (2)x(25.0'+ 12.83%2) = 151SF 6. INSTALLER/CONTRACTOR IS 25.O'x 12.83' =320 SF RESPONSIBLE FOR MAINTAINING SAFE 471 SF x 0.74 =348 GPD WORK AREA, VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE" USE(2)500 GALLON H-20 CHAMBERS WITH 4'STONE (1-888-344-7233) 72 HOURS PRIOR TO IN 12.83'X25'CONFIGUR4TIONASDIAGRAMMED CONSTRUCTION. 7. ANY CHANGES TO OR DEVIATIONS FROM RESERVE LEACHING CAPACITY NIA THIS PLAN MUST BE APPROVED IN WRITING BY FLAHERTY ENVIRONMENTAL SERVICES AND LOCAL BOARD OF HEALTH, 8. FINISH COVER OVER COMPONENTS IS (NTS) NOT TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN 9. ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE PUMPED DRY AND SOIL EVALUATION FILLED WITH CLEAN SAND OR REMOVED TEST HOLE#1 TPT#19-91 TEST HOLE W TPT#19-91 AND REPLACED WITH CLEAN SAND. Evaluator. DawdD.Flaherty Jr.,RS,REHS Evaluator. David D.Flaherty Jr.,RS,REHS SOOF 1 O.ALL COMPONENTS TO BE PROVIDED SE#2755 SE#2755 BOHWIness- David Stanton,RS BOH Witness. David Stanton,RS OD WITH WA TER TIGHT ACCESS PORTS Date.. August 1,2019 Date August 1,2019 WITHIN 6"OF FINISH GRADE. F H 11.ALL SEPTIC TANKS, DISTRIBUTION TN-1 ELEV.56.0' TH-2 ELEV.56.0' BOXES AND PIPING TO BE INSTALLED WATERTIGHT, 0. 9" OIA LS 10 YR 312 0.-9. OIA LS 10 YR 312 GISTE 12,NO KNOWN WETLANDS OR WELLS AFITAIR0 WITHIN 150 FEET OF PROPOSED 9--30- 8 LS I0YR514 fi 9"-30" B LS I0YR514 LEACHING. 5�6 13,THIS IS NOT CERTIFIED PLOT PLAN AND UNDER NO CIRCUMSTANCES IS THIS 7 certify that on November 12,2002,l have passed —�T) Perc PLAN TO BE USED FOR ZONING OR the examination approved by the Department of SITE AND SEWAGE PLAN FOR BUILDING PURPOSES, j 5 Environmental Protection and that the above analysis has been performed by me consistent with the B & B EXCAVATION, INC./ 14.LOT IS SHOWN AS ASSESSORS MAP 252 30--120� C MS 2.5Y616 required training,expertise,and experience described 30"-126" C MS 2.5Y616 JAMZLLY EGZT0 LOT 180. In 310 CMR 15.018(2). 15.LOCUS PROPERTY IS LOCATED WITHIN 110 BZSHOPFS TERRACE AN AQUIFER PROTECTION DISTRICT F (HVANNZS) BARNSTABLE, MA (ZONE II). G.W.ELEV.NIA G.W.ELEV.MA BOTTOM TH-1 ELEV. 45.5' BOTTOM TH-2ELEV. 46.0', PAGE 20F2 DATE.-61712019 ..................................................... .. ... ................................................................................................... ................................................................................................................................................................................ .................................................................................................................................................... ......................................................................................................................................................................................................................................