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HomeMy WebLinkAbout0231 BISHOPS TERRACE - Health F [' ,( 99�7 r Hyannis a d e n ll IMP o � � • d A r Y I v o ~ N / 7�� 1'ev[ 7"er� fC�US�ne�s �✓ Q� f�liS /'�,y��✓lTra�) /Yl r 16(e a s� er� Jae � -Irash /2a, ve .3ee.v� 6 V- a- Ya.7 �raf e-r '��/ �fljayse,5- _J QCJ&le�` r`5 �irG� c �oa� /�lo y TOWN OF BARNSTABLE LOCATION S p t S�,e?S 1 f'rA cd' SEWAGE# aO(T-/6</ VILLAGE g y�(,S ASSESSOR'S MAP&PARCEL, RSI 9 INSTALLER'S NAME&PHONE NO. A& SEPTIC TANK CAPACITY DOO o '5A rr LEACHING FACILITY:(type) a -S"pa(�q(, b ize) G P NO.OF BEDROOMS OWNER A te-kA6 iqC PERMIT DATE: ® 3 a O i S COMPLIANCE DATE: -;L®k 5 Separation Distance Between the: K;0 r'.'A0'J'u"J coi+?tq2_ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility CNdOVVIbltd1 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 nn 300 feet of leachi facility) fit. Feet FI'JRliISH ®e Cs_)c c ���C Pr S u-' 1 � �O Caw cam`; p c v Sty c.J- o� w �% ;° 0 - Aug 02 2000 07:19AM HP Fax page 2 9�f Commonwealth of Massachusetts > Title 5 Official Inspection Form ; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t + 231 Bishops Terrace Property Address CN Michael Dirac Owner Owner's Name information Is required for every Hyannis Ma. 02601 3-2-20 t. 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.when A. Inspector Information n tilling out forms P 64 on the computer, use only the tab Michael Sears key to move your Name of Inspector cursor-do not Robert B Our Co INC. use the return key. Company Name 363 Whites Path Company Company Address South Yarmouth Ma. 02664 Cityfrown State Zip Code 508-477-8877 S114430 Telephone Number License Number B. Certification I certify that: 1 am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 16.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection;and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes ``````` j\A OFrAf4 ,,''', 2. ❑ Conditionally Passes MICHAEL .mc 3. ❑ Needs Further Evaluation by the Local Approving Authority ; SEARS ;I e *. No.SI14430 r*t 4. ❑ FailsCj AR, INS? a S 3-2-20 Inspector's Sig ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note:This report only describes conditions at the time of inspection and under the conditions of usef at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doo-rev.7rM2018 Title 8 Official Inspection Form:Subsuftce Sewage Disposal System-Page 1 at 18 Aug 02 2000 07:19AM HP Fax page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments -V9 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name requiredfonfoffnation is Hyannis Ma. 02601. 3-2-20 required for every pop, Citylrown State Zip Code Date of inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) 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): t5hW m•ray.7/2612010 Title 5 official InSpection Fun SUDsurfaae Sewage Disposal System-Page 20118 Aug 02 2000 07:19AM HP Fax page 4 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name Information is _Hyannis Ma. 02601 3-2-20 required for every i page. Cfty/T'own State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont,): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 d 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): 3) 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. a. 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: t6alsp.doc-rev.MA2018 Title 5 Vidal Inspection form'SuDswrface Sewage Disposal SyetM Page 3 of 10 Aug 02 2000 07:19AM HP Fax page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments lug. 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is required for every Hyannis Ma, 02601 3-2-20 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cant.) ❑ 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 b. 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 welt". Method used to determine distance: 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 must be attached to this form. c. Other: 4) 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 t5inW.00c•rev.7I2612o18 Title 5 Official Mspecben Form:SubaurfaCa Sewage Disposal System•Page 4 of 10 v Aug 02 2000 07:19AM HP Fax page 6 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments S 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every Hyannis page. Cityfrown state Zip Code Date of Inspection C. Inspection Summary (cost.) 4) System Failure Criteria Applicable to All Systems:(cont.) Yes No ❑ ® 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 'Y day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy s;below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within,a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd, ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 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. 5) 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 C.4. a Yes No 0 El 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 151nap.doc•rev.728/201 0 Title 5 ofCciel Inspection Form:Subsurface Sewage Disposal System•Page 5 01 18 Aug 02 2000 0720AM HP Fax page 7 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name informationairedfor is Hyannis Ma. 02601 3-2-20 requiredlorevery y page. Cityfrown State Zip Code Date of Inspectlon C. Inspection Summary (cant.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section GA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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 NIA) ® ❑ 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)j t5insp.doc rev.7n6rz018 Tdle 5 Ofidal lnspWo on FofR:Subsurr we Sewage Disposal Syslem Page 6 or 18 Aug 02 2000 0720AM HP Fax page 8 Commonwealth of Massachusetts Title 5. Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i��'vwr$ — 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every page, City/Town Slate Zip Code Date of Inspection D. System Information 1. 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 Description: 4 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes: discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)); 2018- 137067Ga12019- 125083Gal Detail: Sump pump? ❑ Yes ® No Present Last date of occupancy: Date l5inep.yoc-rev.7RW2015 Title 5 pfrwial Inepectlon Form:Subeurftm Sewage 018pp6S1 SYetem•Page 7 of 18 Aug 02 2000 07:21 AM HP Fax page 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is required for every Hyannis Ma. 02601 3-2-20 page. City(Town State Zip Code Date of Inspection D. System Information (cont.) 2. CommercialAndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seatslpersonslsq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 15hac.doc-rev.7M/2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Pape a of 19 Aug 02 2000 0721 AM HP Fax page 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9501 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information�s required for every Hyannis Ma. 02601 3-2-20 page. City/rows State Zip Code Date of Inspection D. System Information (cont.) 4. 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) { ❑ InnovativelAltemative 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): Approximate age of all components, date installed (if known) and source of information.. NA Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 20„ Depth below grade: feet Material of construction: ® cast iron ❑40 PVC ❑other(explain):. Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): tStr.P aoc,ray.7126J2018 Title 5 Official Inapedon Fort:Subswface Sewage otspmaf System•Page 9 of 18 Aug 02 2000 0721 AM HP Fax page 11 < Commonwealth of Massachusetts Title 5 official Inspection Form ri Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every L_ Paw- Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 10" Depth below grade: feet Material of construction: ®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 1000 gal Dimensions: 2,1 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28 , 0 Scum thickness 8„ Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? sludge Budge tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 1000 aal tank with inlet cover at 8" outlet at10", baffle in with a tee out i5insp.deo•rev.71261201a Title 5 Official Inspection Form:Subsurface Sewage DiSposai Syatem•Page 10 of 16 Aug 02 2000 07:22AM HP Fax page 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac owner owner's Name Information is Hyannis Ma. 02601 3-2-20 required for every page. City[Town State Zip Code Dale of Inspection D. System Information (cons.) 7. 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5mnsp doc•rev.M620% Title 5 ofciel Inap"tion Form:Subsurface Sewage Disposal 5yetem Page 1<of 10 Aug 02 2000 0722AM HP Fax page 13 cry Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information Is required for every Hyannis Ma. 02601 3-2 20 page. City/Town State Zip Code Date of Inspectlon D. System Information (cont.) 8. Tight or Holding Tank(coot.) 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(requited). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is a 16x16 with 2 outlets, box is at 38"with cover at 1 W below grade Box is in good working order Mnsp.doc•tev.M1512018 Title 5 O'ficlal Inspection Form:Sjbw Aaoe Sewage Oispoeal Syalem•Page 12 of 18 Aug 02 2000 0722AM HP Fax page 14 Commonwealth of Massachusetts RTitle 5 Official Inspection Form e Subsurface Sewage Disposal System form-Not for Voluntary Assessments 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3.2-20 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cons) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No' Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): •If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System(SAS)(locate on site plan,excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number. ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches J. number,length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Typelname of technology: t5lnep.do rev.712GJ2019 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 or18 Aug 02 2000 07:23AM HP Fax page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is required for every Hyannis Ma. 02601 3-2-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System(SAS)(cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is 2-500 gal chambers Chambers are clean and dry 12. 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 Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.).. t5inap.doc•rev.MW2018 - Title 5 01`66al Inspection Form.Subsurface SawatBe Disposal System•Pape 14 or 18 Aug 02 2000 07:23AM HP Fax page 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is required for every Hyannis Me. 02601 3-2-20 page. cityrrown State Zip code Date of inspection D. System Information (cont.) 13. 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.): t wnsp,doo•rev.7r2mo18 Title 5 OHldai Inspeation Form:Subsurfem Sewage OiWatel system•Page 15 Of 18 Aug 02 2000 07:23AM HP Fax page 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every page. Cdyfrcwn state Zip Code Date of Inspection D. System Information (cont.) 14. 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 A Rear g t l lO 1 J pa 41 •- .)%9 81- X3 0 3 `N.S s 73 b -�3.5 tSin5p.dw.•rev.T262018 Tide 5 official Inspection fortn Subsulace Sewage OiV08al SY51em•Page 16 Of 18 Aug 02 2000 0723AM HP Fax page 18 �y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments W5�i 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every page. City/Tawn State Zip Code Date of Inspection D. System Information (cant.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 1UT No Water feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: May 20, 2015 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ` ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: System plan from BOH Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5insp.cloo•rev.7/26/2018 Title 5 Official inspection Form;Subsurface Sewage Disposal System•Page 17 of 18 Aug 02 2000 0724AM HP Fax page 19 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ` 231 Bishops Terrace Property Address Michael Dirac Owner Owner's Name information is Hyannis Ma. 02601 3-2-20 required for every page. CityrTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form Inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed &Dated and 1,2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included CGS d- Y�dc Hole 5� V v wq*&r r5lnsp.doc•ray.72612018 Title E Official Inspedlon f arm:Subsurface Sewage Disposal System-Page 18 or 18 r No. "1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatiou for Misposal 6pstem Construction 3pErmit Application for a Permit to Construct( ) Repair(K Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 01 j Z15"5'rcRACe- Owner's Name,Address,and Tel.No. bil�olul�ts tn1tCA-4 L_ b tuAc, Assessor's Map/Parcel 5 1 9 Installer's Name,Address,and Te.No. j® ;—4'77—Q Zj j Designer's Name,Address,and Tel.No. iC4V-%otVe� (5)—tdPQvPA5AeY LL-c, :Tc &)-)GC JQWJ0Gc :t Type of Building: Dwelling No.of Bedrooms Lot Size t 51(231 sq.ft. Garbage Grinder( ) Other Type of Building R n- CP1QJ 'tom, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a gpd Design flow provided gpd Plan Date G 3 —40 f 5 Number of sheets ` 'I Revision Date Title X?J l k�I S l"6a�S c HY4 j 3 f� Size of Septic Tank I OOC Type of S.A.S.'1 sO Description of Soil Ffy- t� $A" ��, ��S b� O cry' Nature of Repairs or Alterations(Answer when applicable) 056 &-U ST-W& LOW GAL yFtD K 0 jj QLJ _ge X To (%al 5dO c�c-coa) Le�rc�Q < fi cj I� 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 Date r�®c5 Application Approved by Date CQ�3 /j Application Disapproved b Date for the following reaso s Permit No. 7A9`_6 —11 Cf Date Issued =�� � � NO. J [ -1 f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es Application for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair()( Upgrade( ) Abandon( ) [Complete System ❑Individual Components Location Address or Lot No...t 3 Owner's Name,Address,and Tel.No. N 1�i4t J�(s 1141 C 400--(- b 1 R.r4C,, Assessor's Map7Pazce1 ;1 a C CLI VS7 IJT Installer's Name,Address,and Tef.No. Sp:.4- Z.16 1 Designer's Name,Address,and Tel.No. d4coeotP6 WTMM-1,(--r U-C, :% GVX-VWQW-1L)Gc tom- Type of Building: t - Dwelling No.of Bedrooms 3 Lot Size 5 _sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 o gpd Design flow provided 3 l ri gpd Plan Date (0 - 3 -..0 I S 1 Number of sheets I Revision Date Title 13 l CS(,1�E-4 dPS MRZk !-4Yk—)O(S Size of Septic Tank (1 pdd Type of S.A.S. .1. 5cj < MMw Description of Soil j'(1J << E 7 Nature of Repairs or Alterations(Answer when applicable) USC- (9l, �'f Aj6- 500 Cr�4t,Gtl� LO t-(GU d(BFI2 ;ITT?1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig/n Date .,4-9- ",o `5 Application Approved by / Date Application Disapproved b Date for the following reaso Permit No. S C/ 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 O�ApFio(D/C_ L L C ' at a.�f 1 f e)15 T6,p R Y OAJJO has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer `A D_E tq( D. EJYTWAV! >� LkC- Designer_ �. .� / :=C_ #bedrooms 1_,.� Approved design flow �3'(7 gpd The issuance If th's permit shall not be construed as a guarantee that the system will r c i designed Date ( Inspector 1 --------------------------------------------------------------------------------------------------------------------------------------- No. Fee-�/W- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(k Upgrade( ) Abandon( ) System located at A3 I j44V X)t� 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 /S Approved by ��— T- Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division MAl7ti. Thomas McKean,Director o►"es�� 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Ao -5-1 Sewage Permit#!--X c' -l�`� Assessor's Map/Parcel 25I Installer& Designer Certification Form Designer: JC EC)AineerfnS Toc Installer: GQ(�zwide C-�nterPcis�S `LL Address: 2h5y H%hw Address: t 53 Co.+vme.rcral 5 Ere et East kwcresnarn H ft a 2�36 �i a5hQe e., N ft d Z6 y q On �O l 3 Zp1 Cg6-jiAe. &4ereGSeS was issued a permit to install a (date) (installer) septic System at 23 1 6rb�noes "ferracC based on a design drawn by (address) �- , Tn G dated Sw►c 3, 2 615 (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 distribution 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 req 'nspected and the soils were found satisfactory. ar `roi Jor!N I.. CHVRC. ILL s > JIB. (I st Iler's Signature No IVI 41807 'TDesigner s Signatur (A ix esi nef s Amp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CEII2TIEICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. ,rHANK YOU. q'.ufli.r iumulJc,ignrrccnilic�tinn rumi.doe 1 Town of Barnstable p 1 l j� cl 3 Department of Regulatory Services Public Health Division ii = MASS.ue d Date i439 200 Main Street,Hyannis MA 02601 "t- • TEb Mdy A ,b•� Date Scheduled ,�! Zv Time Fee Pd.j to . Soil Suitability .Assessment for Sewage Disposal Performed-By:- N-CLAtey 7` tb2l��V C SE 1T ` Witnessed By: r LOCATION& GENERAL INFORMATION Location Address Owner's Name M`CAAC-Z •DLRA _ Address I � Assessor's Map/Parcel: `j` �� (� Engineer's Nam��C ®�� 111 e.�p�c�l t �iateQNK 1s cat c.. l.Q ' NEW CONSTRUCTION. REPAIR � .L���1���12t/t.,J� 'zt„!L Telephone SIB► I 3 �C C-�nyl,neerd�n� Land Use Fl�tlnl�y alve(iidt C slopes(3'o) 2- e� _ Surface Stones . 506 2714)377 Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft ' 1 Dralhage Way ft Property Line 7/6 '- . ft Other ft , SIMUCII:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 0+6CW Parent material(geologic) Depth to Bedroeh Depth to Groundwater. Standing Water in Hole: Weeping froin Pit Face Estimated Seasonal High Groundwater 7 ]DETERMaNATION I+'OR SEASONAL•IIIGIX WATER TABLE Method Used: Q((eck Dbseiyao w Depth Observed standing in obs.hole: 7 12.6 In. Deptli Id soil inottles: Depth to weeping from side of obs.hole: IIL Index Well Y _ W, Grnutidwater Adjuattdent Reading Date: Index Well)real p dj.factor _ Adj.Groundwater Levai PERCOLATION VEST bate �s Thue it aw, Observation Hole Time at9" q V Depth of Pere 3�0 -5l !- Time at6" 11. 32�m Start Pre-soak Time @ �) I L� '1 t Time(9"•6") 3 End Pre-soak ,f:2 7 an, Rate Min./Iach , L 2: Site Suitability Assessment: Site Passed. y�S _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back-------- �D US ***If percolation test is to be conducted witbin 100' of wetland,you must first notify the Barnstable Conseir vation Division at least one(1) weep prior to beginning. Q:\S EPfIC\PERCFORM.DOC DEEP-OBSERVATION ROLE LOG Hole# I .h Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. psi tcncy %'oravell 9`J2 .a A L.5 1-Ci f 3/z — Iq7- ,6 13 1 L 5 1 oYf &16 Some cobbles 3640 C--1 r s 2.sy s63 60- 1 z6, C- 2 �^'I-� sand 2V S16 2,a'/ Grailel c-bwe; DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Cra DEEP OBSERVATION BOLE LOG Role# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. y Flood Insurance Rate Map: Above 500 year flood boundary No— Yes . Y__ Within500 year boundary No! Yes y , Within 100 year flood boundary No., Yes Depth of Npturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterial exist in all areas observed throughout the area proposed for the soil absorption system? °�e.S If not,what is the depth of naturally occurring pervious matorial? Certification I certify that on a ? (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required tra'ping,expertise and experience described in 10 CMR 15.017. Si ✓2na�/fi �/� lJ� • gnature Data;---�--� ' Q:\S.EPTlL'WERCPORM.DOC ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH J C�. � � ( /`1 (`l. Cr OF............... Appliratinn for Dhipati al Works Tutw ..union Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ...Z3 9..&i :. / '. �tS •--------------------------------•-----.-------•--•-.-------------------------------•-----------._.................... •----------••-•--------- 496"7 �� oca' n- dress /� Q ZZTJ�Jwo•.. ...................... _....... -........................----..._......................... [,�r/(J.. �.LSt:..zr'c.[5.......' .......... ,-a .......................................................................................------•• -• •--- r Installer Address Type of Building Size Lot............................Sq. feet ' Dwelling—No. of Bedrooms.............. ..9 Attic ( ) Garbage Grinder ( ) � Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures -------------------------------- --- w Design Flow.............. ....................gallons per person per day. Total daily flow.................��.._.................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------- ................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leactfrng area....................sq. ft. Seepage Pit No---------- Diameter____.Os.il Depth below inlet......�?._...._... Total leaching area.....`&9,. q. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................................................................................................-............................................................... x w -- --------- ------------- VNature of Reprs or Alterations—Answer when applicable_ __ ___________________ U_ __...__. Agreement: The undersigned agrees to install the aforede 'bed Individual ewage Disposal System in accordance with the provisions of i ITL,1 5 of the State Sanitary C e—The under ' n rther agrees not to place the system in +, operation until a Certificate of Compliance has bee ssued b the ar f heal a L GL� ro S' ed .i - Date ApplicationApproved By--•-----••--•---.. .. • ...... .•. •--•- . ............................... -----.................................. Date Application Disapproved for the f ollowin reasons--------------------------------------------------------•--------------------•-----------..................... -••-----------•-----•------•-•...............•--•-----------......--------•-----------......--------•---.--•--••--•---•-•----------------•---•-•-•----------•--•----------•---•-•------•---••---••---••- Date PermitNo......................................................... Issued-....................................................... Date ...... Fmc .06.......... THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH ............ .............OF..WA577AW.(O............................................ Appfiration for Disposal Works Tonotrudion rnmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ......... .................................................................................................. Location-Address or Lot No. .5; Z V . . ........ 4 .......... .......................................... ..... ..4e..< ............................... r A....Us..........................................................A416.67-r...d_one...al ................ .......44�...tq " Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of.Bedrooms............Z............................Expansion Attic Garbage Grinder P4 Other 7—Type of Building ............................ No. of persons............................ Showers Cafeteria P4 . Other fixtures ..................................................................................................................................................... tl� .I Design Flow.................;$r------------_----_gallons per person per day. Total daily flow....... ...................gallon,. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width........_._._._. Diameter._._...._..__._. Depth................ Disposal Trench—No..................... Width.................._. Total Length...._............... Total leaching ar:ea....................sq. f t. Seepage Pit No.........1.......... Diameter*""I&.5...... Depth below inlet......(............ Total leaching area._'ZA?5",rsq. 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--___-_______-_--_--_-_. f4 Test Pit No. 2................minutes per inch Depth of Test Pit._._................ Depth to ground water._____.................. 9 .......... -------------------------------------"------------------------ ----------*------*---­------------------- 0 Description of .Soil ..................... ..............7.................................................................................................................................. ........................................................................................................................................................................................................ U ........................................................................................................................ ------­---- .............................................................. U Natute of Repairs or Alterations—Answer when applicabledi k---4 M­411-7 4V-C=--14OV19.Z:8;r AIM......... ..... 6 7Z fe.7/'1.1.,('6 X.k...I..... - A Q;7.......................................... Agreement: The undersigned agrees to install the aforede ibed Individtiaewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary C e—The under g further agrees not to place the system in operation until a Certificate of Compliance has bee issued b the bar of hea Sed.... ............ ....... ...................................................... -.------- Date ApplicationApproved By.................. .. ............ . ... ...............I............ ........................................ Date Application Disapproved for the followi easons:................................................................................................................. ....................................................................................................................................................................................................... ,X — Date PermitNo....................................................I- Issued......................... ------ --------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD RF HEALTH ............ X.. .?'.o.e.4 ...........OF.......BIA-46de-14... ......................................... t (9rdifiratr of Toutpliattre THLY IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by.......... V0e_... ..... ------------------------------------------------------------------------------------------------ 7 at........Z3.1------- e-5......k'S ......�K .....11 ......................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary C de described in the 0' The ,,*,,:ae Jan application for Disposal Works Construction Permit-No— ......... dated- ------ ..................................... ffCV4-----------------S R E THE ISSUANCE OF THIS:CERTIFIC, H VL J7;BE CONSTRUE TEE THAT THE SYSTEM WI e FU TIOWSATISFACTORY. DATE...2712 5 .................................�...... Inspector.... ....... . .......... -e.................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 F.......... ...........................................................................0 .. . ....... FEE..2;�..ale).......... lghlposa Workii Trstrudion 'prrutit Permissionis hereby granted.............f..d...101-le............ .................................................................................. to Construct ( ) r Repair f�_) an Individual Sewage Disposal System 31.... .7-Ir Z e at No.....Z Z5..fti?5..... .?..o., ...................OS�-------------------------------------------. ......... .................... Street as shown on the applica n for Disposal Works Construction Permit No........... ...... D ... .... .................... the i / ' , .................. ....... ........................ --------- ------------------- oard of Health D)drE. ...... ... ..................................................... FOR. 1255 A. M. SULKIN, INC., BOSTON _e, _77ZI T.O.F. EL.= �'72.7' FINISH GRADE OVER D-BOX= 71 .0'±_ FINISH GRADE OVER CHAMBERS= 71 .3' - 70.7' GENERAL NOTES fPROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO NE T DOUBLE WASHED WITH COVER OVER INLET& STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS FINISH GRADE OUTLET TO WITHIN 6"OF F.G. OF UBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 71.6 ± F.G. OVER TANK EL. = 71 .5'± 5" DIA- OUTLETS) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) STONE OR GEOTOEXTI EOFI TER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. i 2 DESIGN ENGINEER. IS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE CHANGES TO THIS TOP OF SAS = 68,33' PLACE RISERS ON ALL PROPOSED 4" 9"MIN. 9 MIN. CHAMBERS WITH 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL ---EXISTING 4' " �� SEWER PIPE � - SCH-40 PVC 36 MAX. 67.50� 36"MAX. BREAKOUT EL= 68.0' INLET PIPES TO 6"OF SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE � FINISHED GRADE - 66'3" 3" DROP MAX �i. 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2"DROP MIN 3 9 L=41 _ PROVIDE WATERTIGHT ELEVATION =68.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A k\-*6 OPE�1% c 1 " 4"PVC IN FROM JOINTS (TYP.) ��,� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S-A.S.AND THE TOP OF 14" 0,3'± SEPTIC TANK 4" PVC OUT TO 0 0 0 O 0 0 0 °° O 0 0 0o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE © LEACHING FACILITY 0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN " " o00 = = =INLET AND OUTLET ! CONTRACTOR CONTRACTOR SHALUTLET TEE 68.00' MIN. 6 67,83� o0 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF 2 0 0 0 0 00 000 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE °° o o oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY oQ 00 _ NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 5 4.0' 8.5'(TYP) 4.0 4.0' 4.0' OUTLET DISTRIBUTION BOX TMP') 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 70.00, TO BE INSTALLED ON A LEVEL STABLE 25.0' ( ESTABLISHED ON TOP OF MAG NAIL IN ROAD AS SHOWN ON PLAN. - BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 60.20' PIPES TO BE LAID LEVEL. 65.50 12.83' 9- CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON CHAMBERS 5'MIN- CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT TANK C CROSS Si EC�Tp ION VIEW /� 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES VERIFY EXISTING SEPTIC TANf� PROFILE � � TION �O DETAIL TYPICAL CHAMBER PROFILE CRAM DETAILS TO THE DESIGN ENGINEER. CHAMBER 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE __ ____. -_.___._ __ _____ _ _ _ ____- _-_ ___-__._.__�_.______ 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING MAP 251 TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 108.92, PARCEL 195 PERC NO. 14693 APPROPRIATE AUTHORITY. N78 0 '14 • ? INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS EVALUATOR: Bradley Bertolo, EIT, CSE LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • THEY SHALL WITHSTAND H-20 LOADING. C.S.E.APPROVAL DATE: July 2003 DATE: May 20,2015 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. • ELEV TOP= 70.70' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ' • • ELEV WATER= <60.20' �j�•• / � '� • • * 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN /// . s • PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ad„ o / \� w 'a '" w•• • DEPTH OF PERC = 36"-54" 16. PROPOSED PROJECT IS LOCATED WITHIN: co`" cd • ASSESSOR'S MAP 251 LOT 194 • • • : TEXTURAL CLASS: 1 \ EXISTING 1000 GALLON SEPTIC • s ♦ . ' OWNER OF RECORD: MICHAEL J. DIRAC _ TANK TO BE UTILIZED IN THIS DESIGN * • • • • LOCUS ! • m ♦ 4 . 0" 70.70' ADDRESS: 231 BISHOPS TERRACE M • w ' Fill HYANNIS, MA 02601 / #231 !/� 13" MAPLE In s • EXISTING / � z ' , '► t 12" 69.70' FEMA FLOOD ZONE X /- 3-BEDROOM g # ZONE 2 • , A Loamy Sand DWELLING -- o ` COMMUNITY PANEL# 25001C0562J TOF=72.T± a w • • w � • 10Yr 3/2 U = '� w I� • a 14" 69.53' 17. DEED REFERENCE: L.C.C. 128408 � � � # '" „ � • Loamy Sand �1 ' • * • B 10Yr 5/6 18. PLAN REFERENCE: L.C. 25306-B(SHEET 3) �' • Some Cobbles DECK ` • + : 36" 67.70' ' • h ar !' , Perc 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. ~ ' • • • 54 Fine Sand 66.20' Z 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY � � DC-1 ' w w 6 • 0 * • C_1 2.5Y 5/3 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY LIJ Q �- -._ TWIN 14"OAKS M `- ! '� ` • + FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. o MAP 251 \�� 'Cr I t� 4 V� 60" 65.70' 21. A 4"PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A w / LOT 194 / BHA / z DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A O 15,037t S.F. Medium to Coarse REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. � / 14"OAK / LOCUS PLAN C-2 Sand 20%Gravel &Cobbles 22. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE / Ol 11 TOOP HC-1 VPS 7Q / APPROXIMATE LOCATION OF EXISTING SCALE: 1" = 1000' 2.5Y 5/6 APPROVAL IS REQUESTED FROM 310 CMR 15.211: LEACHING PIT TO BE PUMPED, AND 126" 60.20' 1.) A 5.8'WAIVER(20.0'- 14.2')FOR THE SETBACK FROM THE PROPOSED LEACHING SYSTEM / --- GAS � O / REMOVED IN ACCORDANCE WITH TITLE 5. i TO THE HOUSE FOUNDATION. 1 GAS GAS - GASH GAS --- °A GA ______ GAS PROPOSED" 2) No Mottling, Standing or Weeping Observed OI�1 n D-BOX" BOX -------- - - --.- -------- 0 - ------ ------ ----- ----- - - ➢� TEST PIT DATA ----- --- DESIGN DATA LEGEND �' PERC NO. 14693 \ OIOI n O` INSPECTOR: David W.Stanton, R.S. 50x0' EXISTING SPOT GRADE `{ x 10.5' NUMBER OF BEDROOMS (DESIGN) 3 O r ROPOSED 2-500 GALLON LEACHING ! EVALUATOR: Bradley Bertolo, EIT, CSE 50 / �£ _ (r` CHAMBERS W/AGGREGATE DESIGN FLOW 110 GAUDAY/BEDROOM - EXISTING CONTOUR 1 0 C.S.E.APPROVAL DATE: Jul 2003 1.� O j RED JAPAN y 50 PROPOSED CONTOUR O < -£ SAP. cLO v TOTAL DESIGN FLOW 330 GAUDAY DATE: May 20, 2015 o V DESIGN FLOW x 200 % = 660 GAUDAY 50 PROPOSED SPOT GRADE 1� z O ROPOSED INSPECTION PORT TEST PIT#: 1 OIL ! P 1, . USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 70.70' GAS EXISTING GAS LINE `Ox7. I ELEV WATER= <60.20' ❑/H/W -- -- EXISTING OVERHEAD UTILITIES 1�1 w / _ PERC RATE _ � / �11.Tt(4) W W EXISTING WATER LINE 12.83- 3) DEPTH OF PERC = INSTALL 2 - 500 GAL. CHAMBERS W/ AGGREGATE TEST PIT LOCATION OIL <�� �_ I TP 2 TEXTURAL CLASS: 1 / m / 70x7' �Q� SIDEWALL CAPACITY �� / BUSH ' '� (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY O O O EXISTING 1,000 GALLON SEPTIC TANK 1\,1 (TYP) __� (25.0'+ 12.83')(2 ) (2' ) (0.74 GPD/S.F.) = 112.0 GAUDAY OAK �% 0" 70.70' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 11" OAK ���� I BOTTOM CAPACITY Fill �I c MAP 251 0 PROPOSED DISTRIBUTION BOX 1 \ / (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 12" 69.70' O 1" OAK `n (25.0'x 12.83') (0.74 GPD/S-F-) = 237.4 GAUDAY A Loamy Sand / ^ PARCEL 209 �O PROPOSED 500 GALLON LEACHING CHAMBER 1� / `s L � M 5"OAK 10Yr 3/2 OIL " PINE �n �#6" OAK 14" Loamy Sand 69.53' 17" PINE TOTALS: B 10Yr 5/6 / / I REV. DATE BY APP'D. DESCRIPTION � TOTAL NUMBER OF CHAMBERS 2 36" Some Cobbles 67 70' 14" PINE TOTAL LEACHING AREA 472.2 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE I TOTAL LEACHING CAPACITY 349.4 GAL-/DAY S770 / Fine Sand PREPARED FOR: 25 30"E C-1 2.5Y 5/3 CAPEWIDE ENTERPRISES 76.00. t 70- f 60" 65.70' --� o / LOCATED AT NOTES: _ I Medium Coarse 231 BISHOPS TERRACE E�F - C-2 Sand 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF PAVEMENT 20%Gravel &Cobbles HYANNIS, MA 02601 EACH SEPTIC SYSTEM COMPONENT. r^� SWING-TIES 126" 2.5Y 5/6 60.20' SCALE: 1 INCH = 10 FT. DATE JUNE 3, 2015 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF o 5 10 20 ao FEET DESCRIPTION HCA DC-1 No Mottling, Standing or Weeping Observed H of nggs THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST s� PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL -- -- - °� cs<;, PREPARED BY: CORNER OF STONE(1) 18.3' 17.2' � � JOHN L. ,� BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. Benchmark RESERVED FOR BOARD OF HEALTH USE U CHURCtJLL JR. JC ENGINEERING, INC. Top Mag Nail CORNER OF STONE(2) 30.8' 24.5' iL 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE GROUNDWATER Elev. =70.00' N 41807 2854 CRANBERRY HIGHWAY PROTECTION OVERLAY DISTRICT AND PARTIALLY WITHIN THE ESTUARINE Approx. M-S-L. CORNER OF STONE(3) 42.9' 45.2' �j�" �� EAST WAREHAM, MA 02538 WATERSHEDS. SITE PLAN CORNER OF STONE(4) 35.0' 41.T �Y 508.273.0377 SCALE: 1"= 10' Drawn wn By: JC Designed By:JC Checked By.JLC T JOB No.3081