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0161 BISHOPS TERRACE - Health
161 Bishops Terrace Hyannis ' A= 251 - 199 I I I m TOWN OF BARNSTABLE LOCATION��� � �'.S SEWAGE# 'VILLAGE /� . ASSESSOR'S MAP&PARCEI INSTALLER' NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: 1�� � NO:OF BEDROOMS OWNER y� PERMIT DATE: COMPLIANCE DATE: Separation Distance.B een the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on s . 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 t FURNISHED BY >� �- 1 p e TOWN OF BARNSTABLE LOCATION I (D ( ��� S17 npr(nce SEWAGE# _a() - 39y VILLAGE yr,,N�/� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.�-�r.'A 13 ca lrn5 ,1 uc SEPTIC TANK CAPACITY LEACHING FACILITY: (type) tiM (k"r e,6 (size) I aK .2 a ' NO.OF BEDROOMS OWNER, PERMIT DATE: 12 -'7 -fe COMPLIANCE DATE: Separation Distance Between the: /Vo(vc- 4 r Pr-/C 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 tdr c( Cn M ? ? CJ'\ w c� Q— J J �.1 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Disposal &pstem Construction Permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 161 iS 0pS M,60e-el Owner's Name,Address,and Tel.No. b"�r�� is Assessor's Map/Par el/ In^staller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7J �GS IJf C7V�� N C 5-0 'N0- / n/ We' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building /C51e)e^o 7 4 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :3 3/) gpd Design flow provided�� 3r7 gpd Plan Date /2- ',S—/j3 Number of sheets �Z_ Revision Date Title L Size of Septic Tank w),/gd"N F Type of S.A.S. C� G✓✓/ Description of Soil Nature of Repairs or Alterations(Answer when applicable) 2 5 ZOO 1J&'Q U)&� y 15 tD� G s p�r VICE 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 /0- v Application Approved by Date Application Disapproved by Date for the following reasons Permit No. a 0 it ttj Date Issued No. l Fee 2 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication fsra, ,s gposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(v)/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /G/ i S �o p S 7r r roc C Owner's Name,Address,and Tel.No. Assessor's Map/Parr ��'`�N S :. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ,-j 1 G S ►1 Type of Building: Dwelling No.of Bedrooms Lot Size C� sq.ft. Garbage Grinder( ) Other Type of Building ��y J��►-i G f No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :3 ) gpd Design flow provided 330 30 gpd Plan Date 12 - /a Number of sheets Revision Date Title Size of Septic Tank ,CX15/-,,y r Type of S.A.S. <M C46 �-'�S�)P/T ET Description of Soil Nature of Repairs or Alterations(Answer when applicable) 64-2 i 4/ 1< }-G,�� d c') v v� 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. Si e Date /2 - 7_-/a Application Approved by �.- Date 17 _ -7 - /S Application Disapproved by J c Date for the following reasons Permit No. cl 0 1 7 t Date Issued --------------------------------------------------------------------------------------------------------------------------------------- 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--,---,--) ,,�� 1 1 .1, f-,,.0 i at r— has been constructed in accordance with the provisions of Title 5 and the for Dis osal System Construction Permit No. o 19 "; t dated 12 Installer `1�,, � �. Designer 7!fi,, ��c #bedrooms Approved design gpd The issuance of this permit Ihall not be construed as a guarantee that the system ll'functio'n as desi ed Date �— ,`� Inspector ----------------------------------------------------------------------------------------------------------------------------------------- No. O p O Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS disposal *pstem onstruction Permit Permission is hereby granted to Construct( ) Repair(✓) Upgrade( ) Abandon( ) System located at T/� JZ / 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 f 'X Approved by Town of Barnstable yPv tis Regulatory Services - Richard V. Scali, Interim Director BMI" 'ABLE. 9. �0� Public Health Division rFDMA�a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fay: 503-790-6304 Installer& Designer Certification Form Date: �Z� �� ( (�' Sewage Pc c� Sewa e Permit# Assessor's Map\Parcel' C L�Xtee flkl� Designer: �- v `„t ; v`r � s 1nr Installer: Q i Ai '113:���t• 1 C �� Address: 1 Z in1, Cr s e 1 cl 9a Address: tI : 0 1 0�a?-c_j A re.r 1-alcc to MA G z��c� Ce;.� ��\le 04 O Z O Z rIt ' On (date) � L was issued a permit to install a (installer) septic system at 2oq �R i s 4 o ' R rrtt cc- based on a design drawn by (address) Cn9'i'n 4Ee-t r? 11ya✓4s,fk( dated i'Z 5 A (designer) 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in with the tens of the AA approval letters (if applicable) 1M �sss� PEtER ns aller's ignature) M CviEE N..35109 -- �F0I51E�� (Designer's Signature) (Affix Designe ere) PLEASE RETURN TO BARNi STABLE 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. Cp:,Septic�,Uesi-�ner Certification Form Rev 5-14-13.doe Engineers note:This certification is limited to anus-built inspection of system components as installed prior to backfill.The engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfiiling to specified grades with proper compaction and setting riserslcovers as shown on the design plan. � y r No. got( —�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pfitation for his aY *pstem Construttion Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6 I �� �' Owner's Name,Address,and Tel.No � oL�sJ� Assessor's Map/Parcel Installer's e,Ad ress and 1.No // Cart f' Designer's Name,Address,and Tel.No,- Z-!�?415F, 46#W�� 2!2;;�2-2, TI pe of Building: � Dwelling No.of Bedrooms Lot Size l,5" 46 sq.ft. Garbage Grinder( ) 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. Description of Soil , Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He th. Signed Z Date 4 Application Approved by Date (2—3d Application Disapproved by Date for the following reasons Permit No. — Date Issued "� .. . .. tt ---�•�-...:•:+w- ;,,,;a :..�.�.::.....R,3?5.:.•w.n:tN+..+'.+.rw.rA:rn.-.n;.,,.a....-,.- .. • .. .. - .....-e.-.."••-*.w.�w.ti.-:w.w-..�..-.t��._..r No. d o l ' a . tom : Fee V�/ THE:COMMONWEALTH OF MAS'�SACHUSETTS Entered in computer: PUBLIC HEALTH'DIVISION - TOWN OF.BARNSTABLE,,MASSACHUSETTS Yes application for isPsaY *pstem construction Vermit Application for a Permit,to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6 Owner's Name,Address,and Tel.No-��/�� Assessor's Map/Parcel ' Installer's Name,Address,and Tel.No. /1/ /-,,P/�I,` `Designer's Name,Address,and Tel.No,/ ���vT/Il �l r �/f�r �dc�i�O � ,�� �d 1! . 'Z/ �- • Sc�7 � /� � . 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) �j (� gpd Design flow provided �j .�U, d gpd Plan Date Number of sheets Revision Date Title A. Size of Septic Tank /�' l;-7 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 by this Board of Health. - — Signed Date Application Approved by / Date �e a it T 3 Application Disapproved by Date for the following reasons M Permit No. C;20 1 — 9d 1 Date Issued ---------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( 41� Upgraded( ) Abandoned( )by ,/ � �� i �/, at / has been constructed in accordance with the provisions of Title 5 and the�Isj`st/S - eora�truction Permit No. o�6r/ �� datedInstaller �/ /%. Designer #bedrooms Approved d Sig ow �� j� gpd The issuance of this permit shall not be constru-d as a guarantee that the syste ill` -c' as esigned. Date Inspector v ------- -.---- _-. .. - - - - -- - - = _ = No. � -(f C?d I Fee w y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Bisposal *pstem (Construction 4311jermit Permission is hereby granted to Construct( ) Repair(�o Upgrade( ) Abandon( ) System located at 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 �' d '- r Approved by c (% t r y 7 Town of Barnstable "'E' t.� Regulatory Services Thomas F. Geiler, Director • U&NKne[,e: Public health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 503-362-4644 Fax: 503-790-6304 Installer & Designer Certification Form Date: 7 11 Sewage PermitL�//—c90/1'7Assessor's Map\Parcel 42.0re Designer: Da(re"n m N Installer: Address: Go,C 1( Address: / 2. On _ ,,vas issued a permit to install a (date i n (installer) septic system at 1 �J ���5 based on a design drawn by (address) Vt f dated (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 o ythe distribution box an6'or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation.of the SAS or am 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 foiiow,l OF _Mass. (Installer's Signature) No: 1140 'SEC/SiE�� r' S01 TWa� r (Designer's Signature) F (Affix Designer's Stamp Here) PLEASE RETURN TO BAR STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heahh/Septic/Designer Certification Form 3-264doc Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection (' Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out c forms on the I� computer, use 1. Inspector: only the tab key to move your Robert paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name f� P.O.Box 763 Company Address Centerville Ma. 02632 ten" City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I'have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® F,ails ❑ Needs Further Evaluation by the Local Approving Authority X i 7/22/2010 Inspector's Signature2� Date •?? '" C=? The system inspector shall submit a copy of this inspection report to the Appro ing 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. 1 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sy t m•Page 1 of 17 i t; Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not .determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing.tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 4 . Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. CityrTown 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): r C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 { 5 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town 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 I supply well. i ❑ 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: I **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 nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 161 Bishops Terrace Property Address Stephen Mangano t Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. CitylTown 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. I El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. . i 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 I ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El El Area 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•09/08 Title 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 ;M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: I! t Number of current residents: 1 t 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 ears usage 2008:45,000 9 ( Y 9 (gpd)) 2009:38,000 Detail: 2008:123gpd 2009:105gpd Sump pump? ❑ Yes ® No Last date of occupancy: 7/22/2010 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 5 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 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 Title 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 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: New pit installed 1992 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank (locate on site plan): Depth below grade: 14"feet Material of construction: r ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: 3" t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 29 Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 11" 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.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not Tor Voluntary Assessments 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. Citylrown 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 No Comments note if box is level and distribution to outlets equal, an evidence ( q y e Bence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has two outlet laterals.Evidence of solids carryover.No evidence of leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, conditnion 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 M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town 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/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy soil.System shows signs of hydraulic failure.01d LP was dry but stain lines obseved above invert.New LP was full at time of inspection. 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis ' Ma. 02601 7/22/2010 every page. City/Town 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.): J 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 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis annis Ma. 02601 7/22/2010 every page. Cityrrown 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 I 1 3> l5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town r State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of LP 25' 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: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED-.Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 � a Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 161 Bishops Terrace Property Address Stephen Mangano Owner Owner's Name information is required for Hyannis Ma. 02601 7/22/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE A LOCATION / 6/ /�y�'/a �Qj- SEWAGE # V:L LAG E_HU�2a,7,s ASSESSOR'S MAP Q LOT INSTALLER'S NAME & PHONE NO. �eT-7-j'Cf^,1v7 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) J�'� (size) % �L NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER LAMA _ 5 . DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: � VARIANCE GRANTED: Yes No V M�ti \ {� •� � � � � � � � � � � \ \ �, \ ����� �� � � � Q � �� .� � � � �� � �� '� �, . � �- . �. ... __ � THE COMMONWEALTH OF MASSACHUSETTS AP BOARD OF I- EALT�►n �• 136I TOWN OF BARNSTABLE trU Appliration for Disposal Works Tons U Pumit RE Application is hereby made for a Permit to Construct ( ) or Repair NXX) an Individual Sewage Disposal System at: 161 Bishops, Terrace Hyannis ,Mass . ............................................................................................. ........................................................o. Mary Carlson N .......................................... Location-Address or Lot --.......----- (s] J.P.Ma e o mb e r Jr. Owner Address Installer Address Q Type of Building Size Lot............................Sq. feet U DwellingXXNo. of Bedrooms..................3._..____.______._.._.__._Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.................................. Showers ( ) — Cafeteria ( ) d Other fixtures .............................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................Width................ Diameter._._.-__----_ - Depth................ x Disposal Trench—No. .................... Width.................... Total Length................... Total leaching area.....................Sq. ft. Seepage Pit No--------------------- Diameter.................... .Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.......--........... Depth to ground water........................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----.................... a ------------------------------------ •---- •--•-------------- •........... --------------•----------------------------- •------------------------------------.----- 0 Description of Soil---------------------••----•----•---•---___----------------- ---------------------------------------------------------------------------------------------------------- x Sand &___Gravel U. --------------------------------- . -------------------......--------------------------------------------------•---------------------------•-----------•--•------------ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... 1-1_�J_�J__0 gallon -leaching,;___pit. - ---------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli nce has ee issued by t o health. Signe ------ --- a --- 5/10/92 -- ----------------------- --------------- ---------------------- Date Application Approved By ................. . .. --------- ----- `7s oL Date Application Disapproved for the following reasons- --------------------- --------------------------------- ------------- ----------------- --- -------------- ------------- -------------------------------------------------- -------- ---------------------------------------------------------------------- ---------------------------------------------------------------- ........................................ �y Date Permit No. --------?- ;`)... l ...................... Issued -----................. --- --- ---- ........................................ Date I i No........... ®J` Fim... ....30..00 +- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - - TOWN OF BARNSTABLE '� Appliration for Uiipniial Workii Tvn rnr i Prrutit Application is hereby made for a Permit to Construct ( ) or Repair Y�Xh) an Individual Sewage Disposal System at: 161 Bishopd Terrace Hyannis ,Mass. ................_................................................................................ -•-••••---•-•..._....-----••-••--------•--•-----------•--•--••.....-----•..._...-----.....•-__--•- Mary Carlson Location_Address or Lot No. ." W J.P.Ma e omb e r Jr.Owner Address Installer Address Type of Building Size Lot............................Sq. feet U Dwellin -YXNo. of Bedrooms________________2__________.________.__.__EX anion Attic a g p ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures W Design Flow............................................gallons per person per day. Total daily flow._._.__._._______.::__.____.______..._______gallons. WSeptic Tank—Liquid"capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------_-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) — Dosing tank ( ) `-� Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .-•-------•---__..-----•-------------•-•----•-----•---•--------....-------•----••---•--•----.._..---......................................................... 0 Description of Soil............................................................................... ------------------------------------------------------------------••------..........---- vSand & Gxayel--------------•------- ---=-..------------------------...._.__...------•-----------. W f 1 x r = '=° ------------------------------------------------- U Nature of Repairs or Alterations'Answer when applicable__________________________------_..____..______.____._.._____._..._.____._.___.__..:_...._____. .............1-lU0J... allon•--leaching.pit Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to place the system in operation until a Certificate of Compli nce has ee issued by the oar d : health. 5/10/92 Signed ... .............-.. ------------- ---------------------------------------- Date"" Application Approved BY -------_------ ` .... -------------------------------------_------- ....... - -...�-.%b�L �.es�.,.+�-�_J � � - +:.. Date Application Disapproved for the following reasons- ......................................... e� _ ,Dare Permit No. ------. 1 ... �.d.. ---------------------- Issued ---------------- Dare f�. THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH TOWN OF BARNSTABLE Terttf raW of Tompliance H,tJ S S TO CE TIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX), JT' N,acomge Jr4. b Installer at ...l6l...B iGhop.s-..--T-e-r-racl-e.---Maya nni-s.,.Ma._&s------------- - ------------------------------- ---------------- ------------------------------.................. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ............ICI,-^)...... ... dated .............---------.-----:................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR ED AS A GUARANTEE THAT THE SYSTEM WILL FUNC-TIP�ATU_�A�CTORY. DATE----------------------------- ----------------------------------------------------------------------- Inspector ................ ------_'.-----------------:................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 30 No....;--'�---`-1d=� FEE.........--•---:..----00- Permission is hereby granted...J.-P.tMae.®mber__J ,............................................................................................... to Construct ( ) or Repair (XX) an Individual Sewage Disposal System - at Noi�i:__ iiska!)na.-Terrace• Hyannis -mass Street as shown on the application for Disposal Works Construction Permit _'��S_ Dated.......................................... / 7_ �n Board of Health DATE -�--•------•-------•---••-•-------•------------------------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS I . I Town of Bai--nstable. P#�� ' Department of Regulatory Services ]Public Health Division Date �llntrarABLE, . , 98y ems$ 200 Main Street Hyannis MA 02601 Date Scheduled' �l� / ( `Time Fee Pd. i i i Soil Suitability Assessment for e Disposar Performed By: V L,/J-V Mh I �� Witnessed By: i LOCATION & GENERAL INFORMATION Location Address y �� � - ( ' ; Owner's Name 0,k—L; Address Assessor's Map/P-4rcel: f �j t I Engineer's Name D0,[1,PZ A_. 44 NEW CONSIRUt0N /REPAIR I Telephone# ,7 3I'l Land Use l �=!!1` / Slopes(4'0) Surface Stones Distances from: Open Water Body .' ft Possible Wet Area L2� ft Drinking Water Well ft ainage Way ft Property Line / ft Other ft pt SKETCH:(Vreet name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proxitlnity to holes) u -0 ::� X_ m� m z L {,tilY, ✓ . , v[D Qi II O 1H Z Ul � LOT 4 q rn 50 to Parent material(ge(jlogie) Q Depth to Bedrock Depth to Groundwater. Standing Water in Hole:' Ind A I Weeping from Pit Face . I Estimated Seasonal iliigh Groundwater ! DtTERMINtTION FOR SEAS OVAL HIGH WATPR T"LF Method Used: II, I Jtt. Depth Cibperved standingan obs.hole: in. Depot to Spll mottltts: . Depth toiweeping from side of obs.hole: i in, ©r letor tttlr AdJuetment ! ! _ A .f factor.,,..._._.. AdJs tJrpundwnterlevel.,�, Index Well# _ Reading Date: Index Well level - PERCOLATION TEST .. Date T1ne Observation Time at 9" Hole# 0 Time at G" Depth of Pere ��— p i 'Time(9"-b") Start Pre-soak Time.@ — ` f0 End Pre-soak �f Rate MnJIneh Additional Testing Needed(YIN) �/ ' Site Suitability Assessment Site Passed /t Site Failed: . Original:.Public F41th Division Observation Hole Data To Be Completed on Back ***If percolafiitin testis to be cond*.><cted within 100' of wetland,, ou must first notify the Barnstable C44servation Mision at least one (1)wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil " Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel Ott- (�'1 DEEP OBSERVATION HOLELOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel) 0".Iotl 0�� ,j4(,- mq 7/ DEEP OBSERVATION HOLE LOG Hole# A Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muasell) Mottling (Structure,Stones,Boulders. Consistenc %Gavel DEEP OBSERVATION HOLE LOG_ Hole# Depth from Soil Ho' Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,3oulders. Consistency, ra Flood Insurance Rate Map: / Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood bound ary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? i If not,what is the depth of naturally occurring per •ous material? Certification 10 (4 I certify that on ' (date)I have passed the soil evaluator examination approved by the DepartmentalEnvir inmental Protection and that the above analysis was performed by me consistent with the required 'n ,;experti a and experience described in 3.10 CMR 15.017. Signature �r �/� Date 2� 1 Q:ISEPTICIPERCFORM.DOC Lead Paint inspections by Fred Hemmila �,j 1.6 Quaker Road, East Sandwich, MA 02537-1027 Tel. 508-888-8378 In Mass: 800-286-8378 FAX 508-888-8397 Email: fred1ead(a�comcast.net Website: www.fredhemmila.com LCTTER OF FULL INITIAL LEAD INSPECTION COMPLIANCE DATE: �,TU h1e= . 2.0 11 N1 A�y (~ GPr,Cl,Son1 I L I J? JbfOPS i EkRJOtC.6:- Dean This letter is to certify that I inspected your property located at I Ct Ols!f6f5 TEkKA-Grr apai-tment no. �_, and 'relevant common areas, in the City or Town of HyA-ejp115 for dangerous levels of lead according to 105 CMR 460.730 of the Regulations for Lead Poisoning Prevention and Control, and detennined that there were no violations of the Lead Law, Massachusetts General Laws, Chapter 111, section 197. The inspection was conducted on nI also certify that I observed no evidence that unauthorized deleading activities may have J�-� occurred in this unit or in its associated common areas. Please be advised that Massachusetts law requires that only certain residential surfaces be fi-ee..pf lead paint. Thus, this letter does not mean that your property contains no lead paint. The premises or dwelling unit and relevant common areas shall remain in compliance only as long as there continues to be no peeling, chipping, or flaking lead paint or other accessible materials and as long as coverings fonning an effective barrier over such paint and materials remain in place.The law grants you a 30-day maintenance period to repair deteriorated lead paint or detached coverings over such paint, and to clean up, during which time this Letter remains valid. The initial inspection report t indicates which surfaces, if any, contain a dangerous level of lead, as well as those surfaces, if any, that were covered upon initial inspection. Sincerely, Inspector ` DPH License Number r Should you have any questions about this letter, call the Department of Public Health at 1-800-532-9571. Letter of Full Intitial Inspection Compliance rev 8-08 Revised 8/08 Page I of I Lead faint Inspections by Fred Hemmila 16 Quaker Road, East Sandwich, MA 02537-1027 1,e1. 508-888-8378 In Mass: 800-286-8378 FAX 508-888-8397 Email: fredlead a uomcast.net Website: www.fredhemmila.com LETTER OF FULL INITIAL LEAD INSPEC`rION COMPLIANCE DATE:_ TTo tJt= e, 201 1 NI p kY E GAt—LSOAJ _ 11� ► 13 t�bfOPS TEP-K ftC.E' AYA-,J �)I s HA 040 1 Dear f'LS , Cf4*'-L5D Iy This letter is to certify.that I inspected your property located at l C( 6j S(fbf,5 TT5�,g -GE- apartment no. � and relevant common areas, in the City or Town of j-}y� ��1ts for dangerous levels of lead according to 105 CMR 460.730 of the Regulations for Lead Poisoning Prevention and Control, and detennined that there were no violations of the Lead Law, • Massachusetts General Laws, Chapter 111, section 197. The inspection was conducted on \� l also certify that I observed no evidence that unauthorized deleading activities may have jz�J occurred in this unit or in its associated common areas. Please be advised that Massachusetts law requires that only certain residential surfaces be fi-ee.pf lead paint. Thus, this letter does not mean that your property contains no lead paint. The premises or dwelli►fg unit and relevant common areas shall remain in compliance only as long as there continues to be no peeling, chipping, or flaking lead paint or other accessible materials and as long as coverings forming an effective barrier over such paint and materials remain in place. The law grants you a 30-day maintenance period to repair deteriorated lead paint or detached coverings over such paint, and to clean up, during which time this Letter remains valid. The initial inspection report indicates which surfaces, if any, contain a dangerous level of lead, as well as those surfaces, if an),, that were covered upon initial inspection. Sincerely, Inspector DPH License Number • Should you have any questions about this letter, call the Department of Public Health at 1-800-532-9571. Lola of Pull Intitial Inspection Compliance rev 8-08 Revised 8/08 Page I of Fes .'® ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �W I 1 1 D GtJdc/.. ._._. --....OF....... Appliration for Dispofial Morkii C owitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ���...., Q. ":.. ---. �y:........Asa ........ ��� y <� �. ............................................. Location•Address or Lot No. .......... ..........aP...I4!.C._Y.............................. ........... ........ .e?, ....... Owner a ....Address............. ,r / :..........�:/ f.......................... Installer Address UType of Building Size Lot..�S�d_D ......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------- d W Design Flow............�.41....:....................gallons per person per day. Total daily flow---_.....,,?,aa........................gallons. WSeptic Tank—Liquid capacity_/O,"gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft. ?� Seepage Pit No..f_ 0,011*4- Diaryie�................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution bo. ( ) 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...................... ..................---------------------------- ............. ......_..-------------------- ------------ ------ ---------------------------------------------- 0 Description of Soil-------------------------------------------- U .•-••-•-•••••••••-••---•••••--••••--•••-----••-•••-••••••••......Sf9/!�a...........iAoUg�-L---- "--•----•-•-•--•-••••-••--••-•----•--.......................................... W ---------------------------------------------------------------------------------------------------------------------------------------------------------------•--••------------------------------••--- Z j Nature 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 e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has is ued by the board-e€ke Signed-1L�,••s•• .:..J. ... ... ..... Date ApplicationApproved By................................................... .............................................. ........................................ Date Application Disapproved for the following reasons:----------------- .............................................................................................. Date PermitNo......................................................... Issued........................................................ Date No....={ a :_...__. F$$'` ..:. ". 'A........_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................._OF....... ............................................. Appliration for Disposal Workii Tonstrurtion Vamit Application is hereby made.for a Permit to Construct ( ) or Repair .( ) an Individual Sewage Disposal System at Location•Address .. ...... oY Lot No { ....... ....l. A... ,�� '�"'•�..... F. .i:.�" . ..,..,,.. .......... ... ...,.: '. 't �.,........../ .c s.::.:.,f........_... ,.'.'�.t.s✓' ' Owner ✓ Address- Installer Address QU Type of Building Size Lot_.........................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Buildin _.. No. of persons............................ Showers — Cafeteria Otherfixtures ............................................=......................................................................................................... W Design Flow..... ✓....:..................gallons per person per day. Total.daily flow...... .''%...........................gallons. WSeptic Tank—Liquid capacity-44l4 gallons Length................ Width...........,---- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._A_ /_/>_" ?: Diameter -- - ------ --- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) '`y Dosing tank ( ) aPercolation Test Results Performed by -----------------------•--------------------------------------- Date Test Pit No: 1-----------_....minutes per inch Depth of Test Pit.................... Depth to ground water--_._.-_-____-_----_-_.. G Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-------------------- ---------------•-----•-•-....--------------•-----------••••-----.............------------------------......----..._....----------- p Description of Soil........................................................................................................................................................................ W f/ --------------------------------------------------------------------------------------------------------------------------------------------------------------•-------------------------------------- VNature 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 NI of the State Sanitary.Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been > ued by the board-ofMheakb.- •" Signed ..._,_ .�r::F ._ ... ....t it ,, _ . .._. .............. Date ApplicationApproved By..............................................----------- ........................................ ........................................ Date Application Disapproved for the following reasons-----------------------------------------------------------------------------•--•...............----............ ........-••-------------------•-----_.._......_...----------.._............--•--•......_......-•---•........_......-----•-•--...........................-----•-•-•--......--••----------.....__._........ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................................................:............................ Terfifiratr ,af Clutp arty TI1�IS T,p, CERTIY that the Ind>vu�1�$� Disposal System constructed ( ) or Repaired ( ) byy- ---- --• ---•••. -------- `'d ;-,r t.,F-.j --- tatter at--------•--------•--•-------------•--••--- ------------------------•--------------------•-------------- ----- ---._...._........:..---•--•------•----•---•-...........----------••---•--•---•-------. has been installed in accordance with the provisions of Article -I.of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---------------------------------------- dated------------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................... ...................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD �-OF // HEALTH ....................OF................... ............................................................ No......................... FEE:.:..................... i Permission is hereby grant' d--.---- - - --• -------------------• ----•--- --•, -- •..... •••--•-----•--.........--•-............ ........ to Construct ( 4) or Repair ( ) an Individual Sewage�Dispgsal System t+ at.No....... !..r...:: ..... '` +:....::. r s'v rf' Street r. .: ........... ....... as shown on the application for Disposal Works Construction Permit NO.. . '....t..-.__--,Dated...... _ ....`............................. .••------•--------••------•----------------------------------- •----•..........•••-•-.--....._...- Board of Hcalth DATE.......................... •---••---.....------------- ......................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS HYANNIS `r LEGEND BENCH MARK PROPOSED CONTOUR TOP OF CONCRETE ® PROPOSED SPOT GRADE BULKHEAD CORNER * ELEVATION 68. 12 -- 98 -- EXISTING CONTOUR BARNSTABLE' GIS DATUM + 96.52 EXISTING SPOT GRADE SITE r W— EXISTING WATER SERVICE 68� TEST PITS 3 \ 115.00 11 1=t I I EXIST. 1 ,000G �08 W SEPTIC TANK N ROUTE 28 U (to be re-used) LOCUS MAP N.T.S. \ _ EXIST. 1 ,000G GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL LEACH PITS BOARD OF HEALTH AND THE DESIGN ENGINEER. (to be removed) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE h LOCAL RULES AND REGULATIONS. f Q � � ��4� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE it DESIGN ENGINEER. Lv z 0 m X 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING M -9 I FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN a o z ENGINEER BEFORE CONSTRUCTION CONTINUES. < _� i 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. o "� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF z 0 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF Lj HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. L 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED WATER — 67 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. GATE — _ e 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING n CONSTRUCTION. / 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. GAS 20 ft GATE / FILL WITH CLEAN MEDIUM SAND. (COMPONENT LOCATIONS PER TITLE 5 INSP.) 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION PACED DRtIEWAy GAS LINE w // 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY { f AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 0 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING . _0 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) 1 <° % 15, THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER T-2 // 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING- LOT 44 T H-1 $ 17. PROPERTY IS IN ZONE II OR NITROGEN SENSITIVE AREA. AREA = 15065 sf + — ® -4 72 ff [ i OF MA0f9� /i ° ° ° ° 1 66 »,2- DARE' M y� o. 1 0 00 N PROPOSED SEPTIC SYSTEM UPGRADE PLAN ,I � cISTEt° 67 161 BISHOPS TERRACE, HYANNIS, MA -4NITAR�a� „a� ) 66 Prepared for: Carlson Engineering by: Surveying by: SCALE DRAWN DARREN M.MEYER,R.S. E00 Tech En V. 1"_20' DM M MAP.,251 PO BOX 981 i EASTSANOW/CH,MA 02537 DATE: CHECKED SHEET NO. LOT.- 1ss (sob) 3s7-sos7 508-362-2922 06/28/11 DMM 1 of 2 _ < NOTE: TO 4PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:64.39 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=68.85 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETERS INSPECTION PORT OVER OF 414s OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. s9�y . F.G. EL OUTLET F.G. EL.=67.50t F.G. EL: 67.40f F.G. EL: 67.25 (MAX.) D R s s c o. 1140 L = 10'f 9" MIN COVER/ - - t 36" MAX COVER L - 35' TEE L - 10'(MAX) INSTALL TWO;INSPECTION PORTS (MIN.) ® S=1'6 (MIN.) 0 S=1% (MIN.) 0 S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 4#I�E� �NI TAR\LLja� INV.=65.66 10" 14' e 11.2" TO � 48'LIQUID INV.=65.41 INVERT 4 LEVFL PROPOSED INV.=64.10 GAS BAFFLE ' 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25'/ROW INV.=64.30 DB-5 INV.=64.0 SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1,000 GALLON SEPTIC TANK a EXISTING SEWER OUTLETS RESTORE VEGETATIVE COVER BACKFILL WITH CLEAN PERC SAND 75" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TO TOP OF CHAMBERS PIPE INVERTS PRIOR TO CONSTRUCTION '+"•'' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BREAKOUT=TOP ELEV.=64.39 GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 64.0 INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 63.06 EXISTING SUITABLE ENE N 310 CMR 15.221(2) 2.83' MATERIAL 3) REPLACE EXISTING 1,000 GALLON SEPTIC 5' MIN. ABOVE BOTTOM OF _ TANK WITH 1500 GALLON SEPTIC TANK T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 4 x 2.83' = 11.32 f 76" IF FAILED, DAMAGED, OR UNDERSIZED. (7.21' PROVIDED) USE 4 ROWS OF 4-16" HIGH CAPACITY 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL.=55.85-=- ADS 16008D BIODIFFUSER UNITS-NO STONE PROFILE GAS BAFFLE AS REQUIRED 1 SEPTIC SYSTEM PROFILE TYPICAL SECTION N.T.S. N.T.S. 16" 11� DESIGN CRITERIA SOIL LOG P#: 13335 f N -A )6c) A NUMBER OF BEDROOMS: 3 BEDROOMS DATE: JUNE 27, 2011 f 34" � SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. SECTION END CAP WITNESS: DON DESMARAIS, BARNSTABLE BOH DESIGN PERCOLATION RATE: <2 MIN/IN 16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT DAILY FLOW: 330 G.P.D. Elev. TP-1 Depth Elev TP-2 Depth DESIGN FLOW: 330 G.P.D. 67.10 0" 67.20 0" MODEL 16" HICAP GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) FILL 66.27 10" 66.37 10" LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT PROPOSED SEPTIC TANK: 330gpd x 200% = USE EXIST. 1,000 GALLON CAPACITY A LOAMY SAND A LOAMY SAND EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (330) = 445.94 S.F. 65.77 10YR 4/1 16", 65.87 10YR 4/1 16„ SIDE WALL HEIGHT 11.2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. .74 B LOAMY SAND B LOAMY SAND OVERALL HEIGHT 16" DISTRIBUTION BOX: 4 OUTLETS (MINIMUM) 64.02 37" 64.12 37"10YR 5/8 z IOYR 5/6 OVERALL WIDTH 34" 4640 TRUEMAN BL►iD PRIMARY S.A.S. C C 13.6 CIF HILLIARD, OHIO 43026 USE 4 ROWS OF 4 - 16" 1600BD ADS BIODIFFUSER UNITS-NO STONE MEDIUM SAND MEDIUM SAND FINE- FINE- CAPACITY (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) PERC ® EL. 62.75 2 5Y 7/4 1 2.5Y 7/4 (BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.73 SF/LF = 473 SF PROPOSED SEPTIC SYSTEM/SITE PLAN 3. DESIGN FLOW PROVIDED: 0.74(470 GPD/SF) = 350.02 GPD > 330 GPD req'd 55.85 135" 56.20 132" 161 BISHOPS TERRACE, HYAN N I S MA PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: Carlson NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN JOB. NO. DARRENM.MEYER,R.S. Eco Tech Env. NTS D.M.M. s • I, Darren M. Meyer, R.S.. CSE, hereby certify that I am currently approved b MADEP pursuant to 310 CMR 15.017 y P PO BOX 981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the DATE CHECKED requirements of 310 CMR 15.017. 1 further certify that I have'passed the Soil Eval. Exam in October, 1999. EAST SANDWICH,MA 02537 (508) 367-8097 SHEET NO. 1 508-3622922 1 06/28/11 D.M.M. 2 of 2 h LEGEND N 67 —— EXISTING CONTOUR — x 100.98 EXISTING SPOT GRADE o a 'OVERHEAD WIRES _ c = o v a > MCP 25306 e 4 G EXISTING GAS SERVICE m 3 Y Z a W EXISTING S,A,S, 2 a o 1 TO BE ABANDONED OR W EXISTING WATER SERVICE 'a 3 g f CONNECTED FOR FUTURE TEST PIT USE WITH BULL RUN VALVE Brian Ln t n BULL RUN VALVE BENCHMARK 3 RECOMMENED—BUT N 11�25'46" E F CE / NOT REQUIRED Route 28 Falmouth Ftd— v o: x 66,63 LOCUS Dunns x 67,42 131.00 T Pond x 67.35 x SHED LOCUS MAP 67.52 + 67,7�30 r 1 — — — NOT TO SCALE 67,oa 1 GENERAL NOTES. + 67.31 C EXIST. S.A.S.0p9 1 66,27 1 BOARDHANGES TO OF HEALTTHTHIS A D TIHE DESIGN SBENGIINE OR ED BY THE LOCAL EXISTING SEPTIC TANK I_ — — — — TOP OF TANK, EL.=66.7 67.24 I 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS INV.(OUT)=65.37f(VERIFY) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE BM IKE7 48 LOCAL RULES AND REGULATIONS. 68.12 BENCHMAR �V-2 . 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE COR./BULKHEAD X DECK P�1 \ DESIGN ENGINEER. EL. 68.12 BH _ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING = �� 67.75 25 � + 68,04 �` :. �• FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ,J 67.10 ENGINEER BEFORE CONSTRUCTION CONTINUES. •`' I N 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 0O i 67,31 ".::I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF MLOi C):: ,<:;: C„i THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF _ EXISTING I..;; �- °,.° HOUSE(#161) 6718 N HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. Z T.O.F.=68.91- ry k P 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 68 27� O I 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. ' x �I, " > 10 m 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 34 1' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE `6 10,�I DIRECTED BY THE APPROVING AUTHORITIES. 67.79 x ; �.` 8 PROPOSED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PATIO S.A.S. lU �, THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �� OF MAS CONSTRUCTION. 9 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS o PETER T. �, x LOT 44 67,12.: x 67,4 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND McENTEE REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). CIVIL "' 67,55 15,065f S.F. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE No. 35109 x 6 93 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 67.30 A.. I 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND x 67,74 �j: ! NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. N I .` ': • L 67.82 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 131.00' t SYSTEM COMPONENTS NOT SHOWN ON THE PLAN S--'I'1'25�47- � _ i PARCEL ID: 251 -199 67 - - - { 66,86 66.88 EDGE OF PAVEMENT 66.82 66,73 66,71 66,61 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 161 BISHOPS TERRACE, HYANNIS, MA Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BISHOPS TERRACE t OWNER OF RECOR Engineering by: SCALE DRAWN JOB. N0. • D} FINDLAY, MARTHA J Engineering Works, Inc. 1"=20' P.T.M. 289-18 277 OAKLAND ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. HYANNIS, MA 02601 (508) 477-5313 12/5/18 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED PROPOSED SEPTIC TANK FINISH GRADE SHALL NOT BE < EL. 64.5 FOR,A DISTANCE OF 15' AROUND THE PROVIDE RISER WITH FRAME & COVER OVER PERIMETER OF THE S.A.S. INLET & OUTLET MANHOLES AND SET OUTLET RISER PROPOSED D-BOX j TO FINISH GRADE. OUTLET COVER SHALL BE SECURED IN, TALL RISER & COVER PROPOSED S.A.S. TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE INSTALL RISER & COVER 'OVER ONE CHAMBER AND ` T.O.F=68.9t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=67.5t F.G. EL.=67.2t F.G. EL.=67.2f F.G. EL.=67.5f MAINTAIN 2% SLOPE OVER S.A.S. ' L = 64' _ DECK •• 43.9 L = 16'(MAX.) FBIH �- 11.7' ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" 33.9 4"SCH40 PVC 4"SCH40 PVC 6" DOUBLE WASHED STONE LE I 10"1 n 6 eaaSaBa (OR APPROVED FILTER FABRIC) 14" 2' EFF. a0aaa063 ' EXISTING 48" LIQUID DEPTH a00Ba6a -3/4- TO STONE DOUBLE EXISTING "a� W LEVEL AOD cAs PROPOSED 2.6' 4.8' 2.6' BAFFLE INV.=64.33 _ INV.=64.16 HOUSE#161) `l. s N z INV.=65.37 �� EFFECTIVE WIDTH = 10' T.O.F.=68.9f tX 2�3' (VERIFY) 3 OUTLETS INV.=64.00 rLt EXISTING SEPTIC TANK H-10 2-500 GALLON LEACHING CHAMBERS WITH STONE AROUND AND BETWEEN_CHAMBERS AS SHOWN INSTALL PIPE 33.5' -- 11.6' H-10 RATED BETWEEN CHAMBERS TOP CONC. ELEV.= 64.8t BREAKOUT ELEV.= 64.50 NOTES: INV. ELEV.= 64.00 aaa® a Baa aaaaa aaaaa aaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaaa aaaaa aaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.= 62.00 4' ENDS 8.5' _ 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 29.0' SEPTIC LAYOUT ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.221(2). 5' ABOVE GROUNDWATER 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE NO GROUNDWATER, EL.=55.8 - 3/4" TO 1-1/2" DOUBLE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. WASHED STONE 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE ®®®®®®®®®®® 33" 9" (OR APPROVED FILTER FABRIC) N j ® Z ®LZ®®®®®®®®® SOIL `SLOG 102° DESIGN CRITERIA DATE: JUNE 11, 2011 (REF#13,335) 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: DARREN MEYER IRS 20" DIA. COVER WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN 67.1 011 167.2 0" DAILY FLOW: 330 GPD FILL I FILL DESIGN FLOW: 330 GPD 67.3 A 10" ' 67.4 A 10" 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: 330 GPD = 445.9 SF 65.8 10YR 4/1 tOYR 4/1 ( ) B 16" 65.9 B 16" 500 GALLON CAPACITY, H-10 LOADING .74 GPD/SF LOAMY SAND LOAMY SAND CHAMBERS EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 1OYR 5/8 I 10YR 5/8 PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN.), H-10 RATED 64.0 37" 164.1 37" PERC C PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES WITH 34"/52" STONE AROUND AND BETWEEN CHAMBERS (10.0' x 29.0') F-M SAND F-M SAND 161 BISHOPS TERRACE, HYANNIS, MA SIDEWALL AREA: 2(10.0' + 29.0') X 2 = 156.0 SF 2.5Y 7/4 2.5Y 7/4 BOTTOM AREA: 10.0' x 29.0' = 290.0 SF - Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 TOTAL AREA:........... ..............446.0 SF 132' Engineering by: SCALE DRAWN JOB. NO. " " Engineering Works, Inc. 55.8 135' S6.2 N.T.S. P.T.M. 289-18 IN. ,l PERC RATE <2 MIN C HORIZON / 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. _ DESIGN FLOW PROVIDED: 0.74 GPD/SF(446.0 SF) = 330.0 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 12/5/18 P.T.M. 2 Of 2 4 3