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HomeMy WebLinkAbout0150 BUCKWOOD DRIVE - Health 150 Buckwood rive Hyannis F % A = 272 077 i i i" r li TOWN OF BARNSTABLE LOCATION i So 2u c{c SEWAGE# 70 09 Oq Z VILLAGE �,qoqtS ASSESSOR'S MAP&PARCEL v�7d 7� INSTALLER'S NAME&PHONE NO. 04'euitole 1CA F qo?g SEPTIC TANK CAPACITY IoUO LEACHING FACILITY:(type) Z 111C.,g 12(ol.V(size) _(�� 3y 3 NO.OF BEDROOMS ,3 f OWNER f if PERMIT DAT : q- 11 •- 09 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ( Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility)n/� Feet FURNISHED BY C 4 �- vo �j j. No. a V D I. —0 -, Fee �- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Misposal bpetem Construction permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No_ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 47 �� Innsstaller's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 00_04wAa, cvxtee plr, sv8 y 2-9 Yo 24 JL° �v►�'tne.CnvLp Aso s a7 n U� l�wy £kianc Q•,., Type of Building: 11 Dwelling No.of Bedrooms. Lot Size /U f 3 2c) T sq.ft. Garbage Grinder(may Other Type of Building Q e S . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) j 3U gpd Design flow provided .3 q(o•3 gpd i Plan Date `///&/p l Number of sheets / Revision Date - Title Size of Septic Tank /ood Type of S.A.S. fq Q( Description of Soil 171 ed lk„-, 5121 Nature of Repairs {or Alterations(Answer when applicable) //�/fir i3eir S_e f- G,? r w l&,,,l f loAX IZ �°'� C O.�S D e 0 �,✓�`CZe.f-C l S Sf—iin n /Of S 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 th. Signed Date Y-16— V? Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 0 0 -- 06 2s\- Date Issued? � ------------------------ -------------------------------------- }r....rv,.'t�.wt-rI�I'•+.�4f1'4„hrhy+.+^�:.i'751;•�M[�VY�^v+frv^4�:.r�»".r w�arl.f:1"NI�..�,,.G-wi w^F,,•�.+yT �1.:`R-'-..t+'•'Ww"'w.:.1^'',^wwr.m4.isyy._.-,T""u..r ycf. _ '. ... — Y � h ....4Y•��.�.. ,fir, 3 ' ,k �4�� "'LL�'1 f!t.. •+.. . ' f�. 2. No. Fee 4 T�E COMMONWEALTH OF MASSACHUSETTS 1 Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS: 1plic-ation for P.i4osal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address,and Tel.No. 2-5-0 S wne uxw `Dt Assessor's Map/Parcel I- a 7 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. CMG W,�, V,\tcr hY1SR3 SU j y2� VU2� ��� nslnet�rr� aSSY esr<n1_9"kr Ifwy c�kicrra�.Yj Sv & -173 v 7 Type of Building: Dwelling No.of Bedrooms Lot Size jU, Zy sq.ft. Garbage Grinder(4t) Other Type of Building (2?S • No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided .3 q(A,3 gpd Plan Date `A,/0 I Number of sheets Revision Date Title Size of Septic Tank /000 Type of S.A.S. q 12 -Z �•r-ekl4i S Description of Soil ih.ed i14 ell 1571-n n S{ ri R IrG'r f r Nature of Repairs or Alterations(Answer when3applicable); <7� IZ .4 ' 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. y �nnn�Signed Date 16- u9 ( ' Application Approved by V Y l , c-( Date `/ 4-7 y Application Disapproved by d Date - for the following reasons Permit No. �0 011 — O(� Date Issued -�---�, --.,-THE COMMONWEALTH OF MASSACHUSETTS i ,�� BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that,the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by at V (C rn,dc.c� 77 y? •t / has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0� dated 7,/0 q Installer Designer #bedrooms - Approved desiZ�ctlon oO U N gpd The issuance of this perm!it shall not be construed as a guarantee that the system�ll as designed. Date l /�/U Inspector !J VA ✓: ,C Or - - No. &VV "0� Fee /OO -THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( )/� Abandon( ) System located at (� yG kL 1"tf/jy� !/�(��. hid d e i yl 1 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:�Co{nstruc ion must be completed within three years of the date of this permit. Date "/ > (/ / Approved by 0 � 06/02/2009 11:45 FAX 5084283928 f CAPEWIDE Q 001/001 r ' 1 � s rs Town n. B.,.---i-I Regulatory.Services Thomas F.Geller,Director ot . Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Oflii�e 508-1162-4644 Fix: 509-74i+-(.,�U14 Date; 5-21-01 SCwage Permit# ZOo� Assessor's Map/Parcel ,2.72/7 7 In—stAller Al ! i ticati n Form Designer: 5 C Ertl%,Ct t(�i in.e�, ,.TV-1�.,. Installer; Cct(�ew;ra1e,� E�t F r�Pei a tY� Address: )65,t C(OAVrcc ter t lwt•� Address: _e ® - 13ox T 1.3 ._._.. feel Vimrtlnorvl, 0ZE, • () � n �� ?"D� � wa.s issued a permit to install a (��� installer) septic system at__ 50 I'.S,jckkwc�Ocl �Gu e, _ bused on a design drawn by 5 C: E n�jk1C•Gc i Pt , Tv1 C_ ._..._,..�. destgnrrr�--._..�--- dated, Air+► !b, 7.cXaq I certify that the septic system ref4encvd above was installed substantially according to the design, which may include Ininor approved chan-Ses such as lateral relocation of the distribution boa and/or septic tank, uir Stri put if re p ( required) was Inspected and the � • were fitund satisfactory, p. sc il' 1 certify that the septic systunt referenced above was installed with. major changes (i,e:. greater than 10` lateral relocation of the SAS or any vertical relocation of-any component ofthe septic system) but in accordance with State & Local Regulation~. Man revision or certified as-built by designer to follow. Stripout(if required) acted and the sail, were found satisfactory. fM� COHN L. 'NURCFtC+irL4 .. n or s . igna rC y Iwo signer s SignatureUe g ere) _ P SE RETURN O ARNSTARLY pum. L iV1SIp O -WILL IS A BUIf. EL FOR AS- l HE LF PUL )F L H DIVISION. T OLi. �"0111cr runnA.11py1gnvn ertinearion lurrfl Qrn, T n •J . ocra e 1 olar C1 t.t T v77t.1 T 1I,&A-2 N 1.11-1 r r• C n a raM�.-.0 1 1641ll Town of Barnstable r Department of Regulatory Services ' Public Health Division Date • t+�twsreer� � v suss 200 Main Street,Hyannis MA 02601 Date Scheduled �' 3 01 Time Fee Pd.' �U Soil Suitability Assessment for Se age D'sposal Performed By: V t(CVA2` {i'tn&-1� Cj G S C i , Witnessed By VAIVIdIAL / _ LOCATION& GENERAL INFORMATION Location Addressi?Aj cXw03j -orC JC Owner's Name C;.jjy ll /�` Address Assessor's Map/Parcel: d--72[ O-7 Engineer's Name �dP�wi,&, 61z4" ".$ .t C ffuioee.cinS Sb 6-2 73-v 377 NEW CONSTRUCTION REPAIR Telephone# g 4214 0-L9 Land Use st�bke Fow,tly r2ytrlenh�d Slopes(R'o) 1- Z Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line 7 1 U ft Other - ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) Parent material(geologic) OcAw skn Depth to Bedrock 7 1 2 9 Depth to Groundwater. Standing Water in Hole: 7,l 2 Y Weeping from Pit Race 7 4 2 Y t Estimated Seasonal High Groundwater, 7 12� DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: pvt'c r *ser110{inn Depth Observed standing in obs.hole: 7 12 y__— in, Depth to soil mottles: Depth to weeping from side of obs.hole: 7 1 2 In, Groundwater Adjustment ft: - - -Index Well# = Reading Date: Index Well level Adj,factor - Adj.drtmttdwater Level PERCOLATION TEST bate y"13'07 Time Observation Hole# t _ Time at 4" Depth of Perc 3 2^50 t Time at 6" Start Pre-soak Time @ la,`I�At( - Time(9"4") End Pre-soak /U..'21 A/( Rate Min./inch L Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) /V r Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:XS EPTIC\PER CFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. n i tent , rave y-20 6 S 0 32-.y,o C-2 H 5 /tl11r5-4 _ DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) Fell L 5 /v i t 20-32 C--I L 5 2.5 32 (to L -2 NS /0 %r r-18 c-3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. el DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency,0/0 GERYgl) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes ~ Within 100 year flood boundary 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 e s _— If not,what is the depth of naturally occurring pervious material? _. Certification I certify that on 9. (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 training,expertise an xperience described in 310 CMR 15.017. Signature i4w Date `l ll0-0 9 Q:\S.EPnC%PERCFORM.DOC Town of Barnstable Barnstable Regulatory Services Department j edcaCity B�ARN M NAS& Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 03/18/09 Cynthia Glista 150 Buckwood Drive Hyannis, MA 02601 FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 150 Buckwood Drive, Hyannis was last inspected on 11/20/2003, by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "System is in Hydraulic Failure-Backup of sewage into facility or system component due to overloaded or clogged SAS" The deadline for repair has past. We, The Department of the Board of Health, have not been informed that you have taken an steps to bring our failed system into compliance. y Y p gy y p Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health FAILED INSPECTION _ COMMONWEALTH OF MASSACHUSETTS -j- 8� EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTIECThON- RECE—A ►oE D ,BAN 0 6 2004 TOWHE0 i 7H DEPTABLE TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP ., Property Address: 150 Buckwood Drive n, Hyannis, MA 02601 PARCEL , Owner's Name: Cindy Glista LOT Owner's Address: Date of Inspection: November 17, 2003 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 ✓ Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported . below is true, accurate and complete as of the time of 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 Nee As Further Evaluation by the Local Approving Authority ✓ Fai Inspector's Signature: Date: November 20, 2003 The system inspector shall subm' a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ` Notes and Comments I ****This report only describes conditions at the time of inspection and under the conditions of use at that I time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 150 Buckwood Drive Hyannis, AM Owner: Cindy Glista Date of Inspection: November 17, 2003 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. Answer yes,.no or not determined(Y,N,ND) in the for the following statements., If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 150 Buckwood Drive Hyannis, MA Owner: Cindy Glista Date of Inspection: November 17, 2003 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 150 Buckwood Drive Hyannis, MA Owner: Cindy Glista Date of Inspection: November 17, 2003 D. System Failure Criteria applicable to all systems: You must indicate either"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 '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped— ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered`yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 150 Buckwood Drive Hyannis, MA _ Owner: Cindy Glista Date of Inspection: November 17, 2003 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: Yes No ✓ Existing information. For example, a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 150 Buckwood Drive Hyannis, MA Owner: Cindy Glista Date of Inspection: November 17, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCLUJINDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped 4 years ago-per owner Was system pumped as part of the inspection (yes or no): No If yes, volume pumped: _gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: A new pit was installed on Mar. 29195-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 150 Buckwood Drive Hyannis, M4 Owner: Cindy Glista Date of Inspection: November 17, 2003 BUILDING SEWER(locate on site plan) Depth.below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting, evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 16" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of sum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 150 Buckwood Drive Hyannis, MA Owner: Cindy Glista Date of Inspection: —November]7, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: -- 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.): The D-box was level No solids were present PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): M 8 ' C Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 150 Buckwood Drive Hyannis, MA Owner: Cindy Glista Date of Inspection: November 17, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 2- 6'x 6'(1000 Qal.) 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.): _The older leach pit was dry. There appeared to be signs ofpast failure The bottom to grade was 8'6". Liquid was up to the inlet pipe in the newer leach pit There appeared to be signs offailure. The bottom to grade was 10'. The cover was 20"below grade. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): J 9 1 Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 150 Buckwood Drive Hyannis, AM Owner: Cindy Glista Date of Inspection: November 17. 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 6 i O 3 1 al ao a a9 Y y 3� 33 OLID 10 Page I 1 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 150 Buckwood Drive Hyannis, AM Owner: Cindy Glista Date of Inspection: November 17, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30 +/- feet Please indicate (check) all methods used to determine the high ground water elevation:, Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and the Cape Cod Commission water contours map, the maps were showing approximately 30'+/-to ground water at this site This report has been prepared and the system inspected and failed of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE LOCATION Q3U(,C/$W6, d �� SEWAGE # �' / 1 VILLAGE AS MAP & LOT. !INSTALLER'S'NAME & PHONE NO.lz�rQ 4 alk SEPTIC TANK CAP AQITYbc�6 b,1, p Gox ald w6 Pl I LEACHING FACILITY:( ype) r©}(� Pi (size)() NO. OF BEDROOMS 3 PRIVATE WELL OR UBLl WATER BUILDER OR OWNER SC- GA S-k e DATE PERMIT ISSUED: l,,1�j DATE COMPLIANCE ISSUED: s ^ VARIANCE GRANTED: Yes No c L Cz -47 CIA C 'ell � s C � 1, J _ ,,� ASSESSOR No..1_.?^ .'_'.. PAR S MAP IVO` Fas... _ CEL NO: THE COMMONWEALTH � � BOARD OF HEALTH TOWN OF •BARNSTABLE AVVIiration for BinVooul Works Tonifrur#inn Vrrnmit Application is hereby made for a Permit to Construct ( ) or Repair (Van, Individual Sewage Disposal System at: p� —~ Location-Address or Lot No. .... z o..................... ...... ------ .............--....... O .........................................._........_........._.............. o wner 1 n!.. zT dress . c,n^,U! � �C �.... A �k_..7 ...........................................4 � S Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) —'Cafeteria ( ) Otherfixtures ------------------ -------------------------•-----------•-•....---.........•---••...... ••-••------•......--•••----• ......-•---........----•- Design Flow................................ ...........gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity[6. .....gallons Length-_...__----_-- Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.............. ___.. Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) 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........................ ----------------•-•---...•-----•-----••--••-----•----••••---••-•--•----•...-•----........................................_................._..........-••-- Descriptionof Soil........................................................................................................................................................................... ...................................••----................-----•••-•--•-----•-•.--..._...._....----•-••-------•-•••----••..._...•-•---------................ . j......................................... ........................................ N ` of Repairs or Altera ns—Answer when applicabl ... _. . . t - - --4-••.--••-•- �t� -------------•-=---•---•-......-•----•......................................................... Agreement: 'The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with ,the provisions of iI`1 i-.I� 5 of the State Sanitary Code — The undersigned further agrees not to place the system in - operation until a Certificate of Compliance has been issued by th o ,alth. 1 r G Signed.... . ........ ......................................... .... ... ...................... _ Application Approved .--- •. ✓...."a . ' .. Date r. Application Disapproved for the following reasons:---•--------•-----------------------•------------...---------.....••---•----......-••-•-••............ ...._ ............. Date Issued-... Permit No............ ---� �.... �.... _..77i•............. •-' Date No....../ ��� �� Fss....... �?.• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF -BARNSTABLE Appliration for Diopagal Workii Tonotrnrtion Itrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( Van Individual Sewage Disposal System at: t `� ... �..?L�C,w o.�.... ►- �4, ......-"----"--......-•---•---•-----•..............................•--........................ Location-Address or Lot No. .....�.s:a�k ------------------------------------------------- .....-•--•----.....-"-•--................................----.................................... ` Owner A dress Installer A dress Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (�� Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures -------------••-•""""----•-"-.......---••""-------"-•-••••••....•••-•••--....•-••••••...-•-..,.....------•-...• ...._•............... .............. Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacityl,tC O.gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............... .......................................................... Date.........--------....................... Test Pit No. 1................mitmtes 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........................ ---••---•................••••••-••-•-•-•-•••••••---••---•---••-•........._.........•-----.........................---•--------............................... Descriptionof Soil--•---------••--------.."---"--•-----"------".---------•----------------------•-----------------------------...----•---"-••--•--"-•----------------------.-..----.------ -----------"------------------------•-"-------------............-----------------...•• •--•-•.....-----••----••---•----....--•-••--••••-•••...•••••••••••-•-•--•..._..----•••-•••---•.....•--........•- Na u\e of Repairs or Alterat'ons—Answer when applicable..... .. .. r <<:-.- = .... s � v ..---- ��d---.----'----��.J.d"i-.. ..c�;�..;t;----"� c:�'::::���[� Agreement: The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with the provisions of T1'A, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the realth. (C _ Signed.... •' .�. .l a.�... Date..._.APPlication Approved B ! .... ........ Ay Date — Application Disapproved for the following reasons:---•.............":"--••-•---...---....."-"-•-•"--....-•"-"-........."--......................................_ ---•"-......"......................•-""---....---"--......---.....................------•-••-"---.............---••-.........•-•-......... .........._.......................... ...------••-- Date Permit No....... �9:1 ..... Issued...... .`....�...��.._........�..:L........ t Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of BARNSTABLE Qlatif iratr of f aUt;11 Ftnrr THIS IS TO CERLIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (� /..,....................................................................................................................................... Installer at....."------!`� ----""..C��Lf� �?U-1 .t�...�1�C- �; ,`. . ..."-------".................:.................. has been installed in accordance with the provisions of T A _of The State SanitaryCode a�e�cribe n t J i application for Disposal Works Construction Permit No.. ..... ..�'..I .. .... the— dated ..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU#RANTEE THAT THE SYSTEM WILL FUNCTION SATI ACTOR ._. ..- � ............................. InsP eco "..-. -DATE..................... . ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN of BARNSTABLE FEE.•�. ._.�� No....................... i Ropooat Work. Tonotrudion Permit Permission is hereby granted.......cak\....M.... . ..................."------.....................-"-"-................._.... to Construct ( ) or Repair U > an Individual Sewage Disposal System at No.- ------�C--------- k� .G ------------------- ------ t ireet as shown on the application for Disposal Works Construction Permit N`�..--.�..Mated...... ... ... ........................ ...................... ._...-•••-•--••••---•••-•••••-•-•-.... ..-•-.------ ---- �� Board of Health DATE.................•-• ------..-_....."--.......................-•-........... dr •�.-- -*- 2 TOWN OF BARNSTABLE LOCATION /So �Ul��G,, N-SE9EQ-TJON ,, !! VILLAGE 14 YA4g bt ASSESSOR'S MAP & LOTa7-)'' 77 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY '-c EACHING FACILITY: (type) a ' �X L A TS (size) NO. OF BEDROOMS , BUILDER OR OWNER CI^ G/ , 4 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leach�igg facility) Feet Furnished by /1 S� 0,1 �Or� F � t� D c o � O v W � 1 �c w yG WWI 11c, O ��� r T.O.F. EL.= 61.1'± PROVIDE PRECAST CONCRETE GENERAL NOTE S EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-Box= 59.4'± 4"SCHEDULE 40 PVC MIN.SLOPE 1 % FINISHED GRADE OVER DIFFUSERS = 59.30' - 58.80' COVER TO WITHIN 6"OF F.G. OVER INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH ACCESS BOX TO SLOPE @ 2% MIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE RISER TO WITHIN 6"OF FINISHED GRADE WITHIN 3-OF F.G. (ONE PER TRENCH) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 60.0 ±_ FINISHED GRADE OVER TANK EL. 59.7'± 5-DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE IL_ k DESIGN ENGINEER EXISTING 4" . PROPOSED 4" 9"MIN. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PIPE 36"MAX. 9"MIN. SEWER PIPE 36"MAX. TOP OF SAS B.O. 56.53' SYSTEM UNLESS OTHERWISE NOTED. 6" 3" 3" DROP MAX F_ PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2- DROP MIN 3" 9" MIM SLOPE 0 1% JOINTS (TYP.) ELEVATION =56.53' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 10" 4"PVC IN FROM _ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF - 14" SEPTIC TANK 4"PVC OUT TO 1*33'(TYP 16"TYP THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. _ . .) LEACHING FACILITY 0.90, 10.7 n5"TWY P 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR CONTRACTOR SHALL 12" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48' VERIFY CONDITION OF OUTLET TEE 56.5 MIN. 6.35' AND CONDITION OF EXISTING TEES k 56.10. \-55.20 (LAID FLAT) -2.875'(34.5") 5.75' 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 22"ZABEL FILTER ? 6" , CRUSHED STONE 5.0' (TYP.) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#Al 801-4x22 OVER MECHANICALLY TANK NECESSARY COMPACTED BASE (TYP.) 5'MIN. 11.50' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 30.0'(TYP FOR BOTH TRENCHES) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 60.00' ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE ON A NAIL SET IN A FENCE POST AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 48.47' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT L CROSS SECTION VIEW BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES -CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 12 ARC 36HC (#3616BD) BIODIFFUSERS TO THE DESIGN ENGINEER. 'FO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. .......... 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING 401" / U 0 TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 76 PERC NO. 12535 APPROPRIATE AUTHORITY. • INSPECTOR: David W.Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. C.S.E. APPROVAL DATE: Oct- 1999 4, N DATE: April 13, 2009 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. Ass ELEV TOP 5&80' Ij REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ELEV WATER <48.47' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). Wit 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a <2 min./inch Z PERC RATE SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. W & ko 0 Uj DEPTH OF PERC 32"-50" • 16. PROPOSED PROJECT IS LOCATED WITHIN: • TEXTURAL CLASS: 1 ASSESSOR'S MAP 272 PARCEL 77 LO MAP 272 1 LW M 46 a 6 OWNER OF RECORD: CYNTHIA E. GLISTA z /1 4/ z'� LOT 78 z e Z • on Fill .5880' ADDRESS: 150 BUCKWOOD DRIVE a. z HYANNIS, MA 02601 4" 58.47' '59 o 1 S • • B 41 Loamy Sand 34 0/ a 9 4 1 OYr 5/6 FEMA FLOOD ZONE C LU a - of • 20" 57.13' 0 120. 01 COMMUNITY PANEL# 250001 0005 C 29 C) • • 0 • • • c-, Loamy Sand 17. DEED REFERENCE: L.C.C. 169159 2.5Y 6/6 32" 56.13' 18. PLAN REFERENCE: L.C. PLAN No. 35404A(SHEET 1) FISTING 1000 GALLON SEPTIC C-2 Medium Sand MAP 272 ;,\NK TO BE UTILIZED AS PART 1 OYr 5/8 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 55.47' OF THIS DESIGN 40" LOT 77 Perc 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 10,320 S.F. ± I 50" 54.63' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 'C' HC-2 i _5 Medium Sand C-3 2.5Y 6/6 O -5 Lij Co GARDEN #150 LOCUS PLAN 0 3 N EXISTING APPROXIMATE LOCATION OF _Z EXISTING LEACHING PIT TO BE SCALE: 1" 1000' 3-BEDROOM PUMPED AND FILLED WITH CLEAN, 124" ' 48.47' DWELLING COARSE SAND No Mottling, Standing )r Weeping Observed TOF =61.1' ± o DESIGN DATA E TEST PIT DATA LEGEND 0 LP PERC NO. 12535 50xO EXISTING SPOT GRADE Z MAP 272 i INSPECTOR: David W.Stanton, R.S. LITGHT POST NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel, E.I.T. 50 EXISTING CONTOUR co LOT136 DESIGN FLOW GAUDAY/BEDROOM GAS 110 co C.S.E.APPROVAL DATE: Oct. 1999 PROPOSED CONTOUR TOTAL DESIGN FLOW 330 GAUDAY DATE: April 13, 2009 BH 0 % 660 GAUDAY TEST PIT#: 2 O/H/W EXISTING OVERHEAD UTILITIES ............................. DESIGN FLOW X 20 (2) 1 GAS H -1 USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 59.30' GAS EXISTING GAS LINE (3) t 7 GAS PROPOSED DISTRIBUTION BOX ELEV WATER <48.97' W_W___ EXISTING WATER LINE GAS 10.0,CONTRACTOR TO VERIFY G \� ' PERC RATE = V TEST PIT LOCATION 'k APPROX. LOCATION ONLY S PROPOSED TOTAL 12 ARC 36HC BIODIFFUSERS INSTALL 12 - ARC 36HC (#3616131D) BIODIFFUSERS DEPTH OF PERC 0 0 EXISTING 1,000 GALLON SEPTIC TANK P2 Z 59.3 (6 BIODIFFUSERS EACH TRENCH) SYSTEM CAPACITY TEXTURAL CLASS: I� � \� / - PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE LP (TOTAL L.F.OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD 13 PROPOSED DISTRIBUTION BOX IF;'-(FND) 0" 59.30' (60.0')(7.8SF/LF)(0.74GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY Fill PROPOSED ARC 36HC(#3616BD)BIODIFFUSER 58.97' 2 / TOTALS: B Loamy Sand I OYr 5/6 TP1 I 20" 57.63' 0 58.8 TOTAL NUMBER OF BIODIFFUSERS: 12 S76o 0 C-1 Loamy Sand '40,,,e MAP 271 TOTAL NUMBER OF COUPLINGS: 0 2.5Y 6/6 .00, LOT163 TOTAL LEACHING AREA: 468.0 SQ.FT. 32" 56.63' REV. DATE DESCRIPTION o TOTAL LEACHING CAPACITY: 346.3 GAL./DAY Medium Sand C-2 MAP 272 1 OYr 5/8 PROPOSED INSPECTION PORT WITH ACCESS 40" 55.97' PROPOSED SEPTIC SYSTEM UPGRADE Benchmark 10 (4) LOT111 Nail Set in Fence Post BOX TO GRADE (TYP OF 2) PREPARED FOR: Elev. =60.00' Approx. M.S.L. NOTE: CAPEWIDE ENTERPRISES EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE APPROXIM/�, �.JCATION OF Medium Sand IP (FND) DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C-3 EXISTING LEACHING PIT TO BE 2.5Y 6/6 LOCATED AT PUMPED AND FILLED WITH CLEAN MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO NOTE: COARSE SAND ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST 150 BUCKWOOD DRIVE I MODIFIED JULY 23,2008). TRANSMITTAL NUMBER=W000052. HYANNIS, MA 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. SWING-TIES 124" 48.97' SCALE: 1 INCH 10 FT. DATE: APRIL 16, 2009 1 0 5 10 20 40 FEET DESCRIPTION HCA HC-2 No Mottling, Standing or Weeping Observed 'jvi oF NNOINNI 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE L.LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE BIODIFFUSER CORNER(1) 41.0' 67.7' RESERVED FOR BOARD OF HEALTH USE o CHURG JOHN PREPARED BY:JC ENGINEERING, INC.1iILL CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. - REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS BIODIFFUSER CORNER(2) 34.4' 43.7' C'nap 2854 CRANBERRY HIGHWAY ARE NOT CONSISTENT WITH TEST PIT DATA. BIODIFFUSER CORNER(3) 45.8' 52.7' T EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 3. PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. BIODIFFUSER CORNER(4) 50.9' 73.91 Designed By:MCP Checked By:JLC JOB No.1597 SCALE: 1"= 10' Drawn By: BSM