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0047 CANTERBURY CIRCLE - Health
47 CANTERBURY CIRCLE Hyannis A= 249 -115 0 TOWN OF BARNSTABLE jOCATION rf/27 SEWAGE# VILLAGE 1 4 41 S ASSESSOR'S MAP&PARCEL(; ®)_5 t INSTALLER'S NAME&PHONE NO. 0 Aft �i d�f —x M;3X,?0663 SEPTIC TANK CAPACITY �c1�0✓1 LEACHING FACILITY:(type)6 � �K 2- " (size) 13 X Z� ! .z-- NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: 4 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �0 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) lu-1A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) A11A Feet FURNISHED BY e RJ N M No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for M posal Opstrin Construction J)Prmit Application for a Permit to Construct( ) Repair( ) Upgrade) Abandon( ) ;Complete System ❑Individual Components Location Address or Lot No. GT 7(A w-t-"8✓4 C t'/ Own! ' o Flhi ame,Address,and Tel.No. Assessor's Map/Parcel Z�/( ((� � C)t)e c i Installer's Name,Address,,pd Tel.No. A i Designer's Name,Address,and Tel.No. �Oa�+2��' ��r Gi y` r�-�-2�[i S' ��"l MAL�u�c(( .f✓�v-ey/ dx �Gr S �lv.-.c 3��� /���cz ZB d''*Yff ee 72Y-3Z7-06/7 Type of Building: Dwelling No.of Bedrooms Lot Size I Z(�^t sq.ft. Garbage Grinder(A/9 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) h) gpd Design flow provided 3 f'Z gpd Plan Date Number of sheets Z Revision Date ti o-1 -� Title Size of Septic Tank Type of S.A.S. o—'ei a,4,1 4-e-® $ Z 0-2)qr,. g, Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hefth. S,igrie z�' '�' Date 7— d' Application Approved by r Date Application Disapproved by Date for the following reasons Permit No. Date Issued / ' 7El'i,J ,. __+ , -.[" ,.4 p ,'A ,'y #+-4: �F.-a-e"K^w.. I No. ` Fee W / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes a: 01pplitation for dispel. .0m Construction Vermit Application for a Permit to Construct`( ) Repair( ) Upgrade ) Abandon( ) i -Complete System ❑Individual Components Location Address or Lot No. t�?���r7t����y t!�'i' Owner's ,ame,Address,and Tel.No. Asse ssor's Map/Parcel '7�((}� I�`C1.F° JhN Installer's Name,Address f d Tel.No. ` Designer's Name,Address,and Tel.No. f / mot ! Iy %')'7 j 1 Miltv�4 tf .f✓i�% t/ 6cT Sa�ZwC � �� , � z=k Laze vt-1�su e��!A 7'Y-327- 06/7 Type of Building: . Dwelling No.of Bedrooms Lot Size Z( (j'( sq.ft. Garbage Grinder(/j 1) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided—3 S`Z.- gpd Plan Date =3 Number of sheets a- Revision Date iV 194 � Title Size of Septic Tank Type of S.A.S. 0.441,44 4-9 r Description of Soil T_ '/,, F Nature of Repairs or Alterations(Answer when applicable) ' � -e .�— ,C C^e S So a a 61-1 k/,-rat%! (5�J O 77' 4 X a 21 -2 �o Date last inspected`. Agreement: lie, 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 I ealth. rSigne Date - 2.3--l Application Approved by (_, ;` Date 2419 Application Disapproved by,/ Date for the following reasons i• Permit No."7A I Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ,. Certificate of Compliatite THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(f Abandoned( )by DDAl-e JOf�t ie e�-/- A5X 717o .y /?,�e,l,�- 7/z s at . Abe •r � �� �v�cA �r ems-G.j-�- /ha`�'been constructed in accordance with the provisions of Title 5 and the for Disposal System!Construction Permit No.70164- dated j� , &9i,lam' Installer Do D 1e, Designer ;. #bedrooms Approved deesign_flow gpd The issuance of this pe it shall not be construed as a guarantee that the system will fund as d gne�,, R..�. Date („i Inspector --------------------------------- ------------ ----------- --------- - - - _ No. li y t�0 Gt(J Fee 00o' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal 6pstPnt Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(>e) Abandon( ) System located at 4-f 7 �-^ ✓may Civ e.j-e 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 perm' . Date 1�f1 Z I Z4 t g Approved by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director * snxxsrnsIZ, Public Health Division Thomas McKean,Director, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# gal V"ua Assessor's Map\Parcel i Designer: � G,¢-u c ✓�Zl�r Installer: ap,_r � 6a Address: (� . ,yC Address: / � M91 0209 a 6n was issued a permit to install a (date) (installer) septic system at 47 C/rL , based on a design drawn by (address) 44 o dated .404C. 3. 20/18 (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. Strip out (if required) was inspected and the soils were found satisfactory. VI certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was construct-d ,6&9' . , ce with the terms of the 1\A approval letters (if applicable) o� ��l ; ERTY,A No 1211 (I taller s Signature) esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc P Town of Barnstable P# Department of Regulatory Services / er • _ Public Health Division Date / 'o� C__ 4,;; rues. 200 Main Street,Hyannis MA 02601 ND kcj rl Date Scheduled Time Fee Pd._ CV M_k a' M. Soil Suitability Assessment for Se e Disposer .. a Performed By: Witnessed By: LOCATION&.GENERAL INFORMATION Location Address Owner's Name :47 W��G�l25�� ell /�. Address ��j ".v—o SWAk� 2 %4 t zTSTD61L£ Assessor's Map/Parcel: Engineer's Name Z9 l/� ���DY�ALL �1JlZl/ ! E NEW CONSTRUCTION REPAIR _ Telephbne# 7�C�`!, land Use -38R. Slopes(96) `��' s Surface Stones Distances from: Open Water Body Possible Wet Area ft Drinking Water Well y ty 6 Drainage Way ft Property Line ft Other X-) / / ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands-in proximity to holes) v C c. ,1 , /. 4 Parent material(geologic)� yg_,Azz �4>t!/J Depth to Bedrock 4- Depth to Groundwater. Standing Water In Hole:_�w Weeping from Pit Fnee A • Estimated Seasonal High Groundwater DETERMINATION FOR SEASONALIHIGH WATER TABLE Method Used: Depth Observed standing in ohs.hole: '(�/ In, Depth to soll mottles: - In., Depth to weeping from side of obs.hole: ln, Groundwater Adjusttdent ��' Index Well-4 /.� 'Rending Date: Index Well level Adj,fhctor Adj.C3roundwaterLevni_,>/D PERCOLATION TEST Mute 7 7-/k nm0 Observation Hole# Timn at ' Depth of Pero Ua•/ Time at 6" Start Pro-soak Time @ •Z9 Time(90b•60') End Pro-soak 2 ly Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) /u a Original: Public Health.Divis►on Observdtion Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conseirvation Division at least one (1) week prior to beginning. Q:\SEVrIMERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Shcl Color Sall• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders. Consistency,%'(Itavel) v DEEP OBSERVATION HOLE LOG Hole# 7-- Depth from Soil Horizon Sail Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistracy, 12110 r C� 2•5'7 1� d9Z nV'4; ll �L �il/c NiTSh�iJ DEEP OBSERVATION HOLE LOG Hole# Depth from. Soil Horizon Soil Texture Sail Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA;t (Munsell) Mottling (Structure,Slopes;Boulders. Consistency. e i Flood Insurance Rate Map: '/ Above 500 year flood boundary No— Yes .y___ Within 500 year boundary No Yes ' Within 100 year flood boundary No., Yes Depth of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring pervio mtterial exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ions material? _,__.�._ Certification 9s I certify that on - k (date)I have passed the soil evaluator examination approved by the Department of Environmental Prote tion ar:.d that the above analysis was performed by me consistent with . the t'equired tra ni g exper' d xperience described in 10 CNM 15.017. Signatur Datt: 7� 7-/9 Q:\S•BI'TICWERCFORM.DOC t , Town of Barnstable Barnstable ti Regulatory Services Department uAffmdCac j &UWSrABM 039. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0220 March 29, 2018 MULLANE, BARBARA J 47 CANTERBURY CIRCLE HYANNIS, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 47 Canterbury Circle, Hyannis, MA was inspected on 03/15/2018 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH o a c elan,IRS. CIS: Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\47 Canterbury Circle Hyannis.doc ° Town of Barnstable - i AI QNCTlA7 C � Regulatory Services Department Public Health Division 200 Main Street,Hyannis MA-02601 Office: 508-862-4644 Richard Sc4 Diroctor FAX 508-790-6304 Thomas A McKean,CEO Feb 6,2007 Rev. 5111116 DEADLINES T.O'REPAIR FAILED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15,000) _ 'An`x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground ❑Pumping more than 4 times during the last year not due to clogged or obstructed pipe o Backup of sewage into the housd-due to an overloaded or clogged SAS or cesspool ONE 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Any portion of the SA.S, cesspool, or privy below high groundwater elevation ❑Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis.'(This system passes if the water analysis indicates the well is free from polluti6n). TWO (2)YEAR DEADLINE CRITERIA q Single Cesspool ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) o Leaching pit or cesspool with high liquid level,<12"below inlet(per Town Code §3 60-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline. Q;IsEPTICIDEADLINES TO REPAIR FAILED SYSTEMS.doc c Commonwealth of Massachusetts Title 5 Official Inspection Form :R: 4�a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° �t 47 Canterbury Circle t . Property Address '" Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. City/Town State Zip Code Date of Inspection '3 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 Ang out forms . General Information �'�, /o?10 6 olnl the computer, OF fiyrgSS use only the tab 1. Inspector: c`� •' 9�,�''� key to move your cursor-do not James D.Sears = JA M ES ;m use the return Name of Inspector =c�: ;Co key. Capewide Enterprises ' ' IL�I Company Name ��? 153 Commercial Street Company Address Mashpee MA 02649 City/Town State Zip Code 508477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 3-17-18 spector's Signature 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 should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 ,�oOc'r�o(VS Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Failed system. The system is a 1000 Gal. Tank D Box and over flow. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no': or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. I . ❑ 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 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of.the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in OEM=is less than 6" below invert or available volume is less than %2 day flow Cdc/-11NG' t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I c Commonwealth of Massachusetts Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form �o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, - dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): NA Number of bedrooms (actual). 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1000 Gal. Tank D Box and over flow. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No 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 ears usage d 2016-24,000Gals g ( y g (gP ))' 2017-27,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. CityTTown State Zip Code Date of Inspection D. System Information (cont.) 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 Building Sewer(locate on site plan): Depth below grade: 22" 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.): Orange Burge Pipeing. Septic Tank(locate on site plan): 1' 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 Dimensions: 1000 Gal Precast H-10 Sludge depth: 4" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form <Ii� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 26" 2" Scum thickness Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape-Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank show's sign's of being over full. Tank at 1' below grade.Maint pumped afther Inspection. / Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 c Commonwealth of Massachusetts ti 1. Title 5 Official Inspection Form _ F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle "V Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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 16"x21"-20" below grade w/one line out. Wall's are gone on box. Note: inlet line lower then outlet. Will need to replace D Box. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts Title 5 Official! Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 47 Canterbury Circle �v Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ 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.): Leaching is a block over flow pool 8'deep w/cover at 4". Over flow is full,not leaching. Need to replace leaching. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is Hyannis MA 02601 3-15-18 required for every y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately FAR 13 -i� cc U . 9 < 36 r i, t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts l Title 5 Official Inspection Form Ala Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells No Estimated depth t high ground water: 1 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Ck area no G.W. problem's seen. Bottom of over flow at 8' below grade. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1 47 Canterbury Circle Property Address Barbara Mullane Owner Owner's Name information is required for every Hyannis MA 02601 3-15-18 — page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 10CAT SEWAG PER IT NO. VILLA E 1*15/T LLER'S NAME A ADDRESS ® UI DER 0 qER DATE PE T ISSUED /Q DATE COMPLIANCE ISSUED No � ' �- o r� ._ , , j No.._. '.__. Fx a......c .'. .._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - --- _.__----------------_ OF.................................... - SIA �� Applira#ivit for i-sposal Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..... �� ..... ..................... _ ---------------- --- Locatio es or Lot No. caner Address a .......... ,,., r.... ................... ; .,. - , ................._........_. a s ler Address UType of Building 4v Size Lot../,?J 0_V......Sq. feet Dwelling—No. of Bedrooms.................. .....................Expansion Attic ( ) Garbage Grinder ( ) aOtherOther—Type of Building ____________________________ No. of persons_._.. ._ ,'_____.___ Showers ( ) — Cafeteriad fixt es ------------------------------•---.....•-•---------..._..------------------•••••• •-•---••---...._••. g .................••. g P P P Y Y ....•-------gallons. W Design Flow__________________ gallons per person per day. Total daily flow......... ___ WSeptic Tank—Liquid capacity , _gallons Length................ Width................ Diameter................ Depth.___._..______.. x Disposal Trench—No............_........ Width.................... Total Length.................... Total leaching area._..._ . ........sq. ft. Seepage Pit No. - Diameter_._.. . Depth below inlet................... Total leaching area_. q. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.....................................................-•••--•-•••-•-- -•-• Date........................................ Test Pit No. 1................minutes per inch Depth of Test .Pit..____.._____.._._.. Depth to ground water__-__-________.__-.___-. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to-ground water........._.............. -------••• - -------•--------------- ------------•-----••----------------------- O Description of Soil............................. ------------------------------------------___-----------------_,__-------- W ------------------------ ---------------------------------------------------------------------•-••---..----.---------------------------------------------•-••-•_..__._..--••••••••-•-•-••••••••-•-•••••- V Nature of Repairs or Alterations—Answer when applicable._____________________________________.........._........................._..................... -- -----------------------------------------------=---•-------------------•---------•-----._..._...----------....------------------------------ ..................................................... Agreement: The undersigned agrees to install.:the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board of health. Signed__ ,. ._. --- Date ApplicationApproved BY........_....................... ----.........................--••--••-••••••-•••••---•-•_•--- Date Application Disapproved for the following reasons-------------------•------------___--------------------------------------------------------•-,,,--------__--•-•- •---------------------------------------------------------------•----•--------••-----••--•--------•-----•-----------------••--------------------. --------------•------------------------ Date Permit No......................................................... Issued ....,.. D to No..... .. .r...................... Fizz............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................... OF..................................... Appliration for Disposal Morks Tonotrixtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at t P f _..... - t ............. i- ---' x...................................................§Location'Addresg ° 1 or Lot No 4V.. fs �j ORner ? Address ...... �i.... .,.. ....... Ir..:., .......v...,...4. ............. ......................... f�...r sC.,s:.a(ss�...-r.{ ........................_.._ �atstailer Address Type of Building Size Lot.. .' .r ' ......Sq. feet Dwelling—No. of Bedrooms...................c ......._............_ pansio Attic ( ) Garbage Grinder ( ) Ex 0.4.I Other—Type e of Building !a yp g ............................ No. of persons.._.. __�A___._._._._ Showers ( ) — Cafeteria ( ) dOther fixt s ..........---------------------__.-------------------------------- W Design Flow.................;. _.gallons per person per day. Total daily flow......... .....gallons. WSeptic Tank—Liquid capacity 6`�.F'gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No .................... Widthf.................. Total Len-th.................... Total leaching area-----�� ; .sq. ft. Seepage Pit No._ ..__ Diameter_...... �r§.>.'_. Depth below inlet.................... Total leaching area„./ . q. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_---__-_______..__-__._- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.______________________- ........................•--•-----.....•-----..............--•--------_-•-•-- Descr>ption of So>1.................... .. ........ ......... ....- -....... ---•------•••---••--•-•-•---••---•-••--•--•-•-•--•--.._._.______...___._._.._---- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ .............................................................................. .............._.._..__.........--•••--------....-------••-____._.--------••••--------------•_._....._.__....._..._-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bei issued by the boarsi,.of health. f a Signed.. .......................... ..•-._ j Date Application Approved By................................... ........................... ..r..:t..__...._.---•-•-•......_._---------••-.._._.._..---__._.. ........................................ Date Application Disapproved for the following reasons:................................................................................................,........ •-•--.. ....-------•-----••••-•.............•------.......••--••••-••-......-••---••-••-••-•--•-•-••-•----._.._...___-__.-----_...---- --________..----- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,..NEALTH .................OF....... .... ,er�;.w°:mow; Trr#ifirate of Tontplinnrr r�.� r THIS I TO CE ,TIFYl;That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............. �� �.. _... ------------------------ -__-______--•----•--••--------_-_---•-•--•------••-••-----.-•--- Syr - Installer �" s ----------- at.......... . t has been nsealle�d ilt�accordance ivrth t o prop Isions o ,(. .............................................................. f cle NI of f he State Sanitary Code as,described in the application for Disposal Works Construction Permit No........................... ..�,__.�} dated --___:. ��,, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. 1.�.' _.� ...................................... Inspector---...- ��/ THE ,COMMONWEALTH Of,P/j?}gAqF�tY 80ARD OF HEALTH ....... ....OF..................................................................................... No......................... r } r r`Z' FEE........................ �i��ro��l ur�'�`��u� ��rttr#iun rruti# Permissiop„as 4)reby granted ,-rrt. f_-:y .r.w ; 2 ` � ...._.�.. . .` .._... ! j ` e....... to Construct ( ) (r Repair ( ) an Individual Sewage,Disposal System atNo................................................ .......... ....._................._. _._-_.__........._........__-_..................._._.........._........ ..... Street as shown on the application for Disposal Works Construction Permit No Dated .� Z. ................. o- .................. I3uard of Hcalth k DATE........ .. d.. . ......................... , FORM 1255 "ORBS a WARREN, INC.. PUPLIS,HERS HYANNIS 0\31E 28 PUMP, CRUSH, SANDFILL R AND/OR REMOVE CESSeOOL•S AS ' NECESSARY PER TITLE 5 Locus CB/DH 48.38 BARN. { HIGH SCHOOL F \ PARCEL ID: Mq�N PARCEL ID: 5��. 249/116 STD FT 249 80 a N. Dc BLHD LOCUS MAP LOCUS INFORMATION Oh _ (j ,O PLAN REF: LCP# 25929-B 9 �1 - - _ r�� �) 19 TITLE REF: CTF# 103125 8 \ PARCEL ID: MAP I1249 PAR. 115 N STATE G FLOOD ZONE: "X" OAKS = - G -= - CB/DH COMMUNITY PANEL: 25001CO562J DATED:07/16/14 U _ n4 46 t9 #47 c SEPTIC SYSTEM STK TACK 45 _ - TOF=49.00 = i CB DH REPAIR PLAN / 44 -� �♦ ♦ ♦ _ - _- �T/C // / LOCATED AT: \ ♦ = PARCEL ID: G / 47 CANTERBURY CIRCLE �So'N 4 .9 �p 249/115 ^ /oQ ��/ HYANNIS, MA. SSssrB. ♦ ,�"� `3s ___ _ AP-eA= 1`Z tt9Q- `y //� 2 PREPARED FOR IN, ¢S F OAK -_ = off w ^J�7/ v\� UPOLE J O H N DIXON AUGUST 3, 2018 94 8 \ / / 47 , J NAS46 l" \ w c CPAS o DAVI ,f CAMP / o D. FL E , \/ / CBAS Fc/S T ER R=50.00 cB/DH j!l SANITAR�P� I g MacDougall Surveying & Associates GRAPHIC SCALE P. O. Box 2428 20 0 10 20 40 80 M a s h p e e, Ma. 02649 PH. (508)419-1086 CELL (774)327-0617 email: ( IN FEET ) macdougallsurvey@comcost.net 1 inch = 20 ft. f..� SHEET 1 OF 2 J#2020 F t) , PROFILE OF 2" LAYER of 1/s" - DOUBLE WASHHEDED STONE OF=49.00 CLEAN SAND. FdLL PER 310 CMR 15.255 4" SCHEDULE 40 P.V.C. SEWAGE DISPOSAL SYSTEM MIN. PITCH 1/4" PER FOOT (Nor To SCALE) OR FILTER FABRIC T � � 47.4 47.4 45.5 FG 45.0 FG 45.0 FG COVER COVER COVER 4" SCHEDULE 40 P.V.C. RISER RISER RISER MIN. PITCH 1/8" PER FOOT 42.7 70' SS=.04 VEL FOR ' LONGEST 14' ® 5=.015 ;4J6 LIQUID LEVEL �" 14'0 45.35 6" SUMP ® O ® ® ® ® ® ® O ® ® ® o42.38 6 BASE OF 4 .21 4 0 0 0 ® ® ® ® ® ® ® ® ® ® ® ® ® ® o0 MIN• MECHANICALLY ® ® ® ® INV. 48" ADD COMPACTED SAND 4 �4' ao.o BAFFLE PROP. DB3 3/4" TO 1&1/2" DISTRIBUTION DOUBLE WASHED STONE BOX 25' all 6" BASE of MECHANICALLY COMPACTED SAND 2-(H-10)500 GAL. CHAMBERS (j8"W X $'-6"L X 33"H) ;i a PROPOSED (H-10) ' SOIL ABSORBTION (TRENCH FORMATION) 1 ,500 GALLON TANK SEPTIC SYSTEM DETAIL PAGE SYSTEM (S.A.S.) 13' X 25' #4 7 C A N TE R B U R Y . CIRCLE BOTTOM OF TESTPIT ELEV.= 34.9 H Y A N N I S, MA. (NO GROUNDWATER) GENERAL NOTES DESIGN DATA: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF NUMBER OF BEDROOMS......... 3 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED GARBAGE DISPOSAL................. NO -- 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE TOTAL ESTIMATED FLOW ACCESSIBLE WITHIN 6" OF FINISH GRADE. BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE . 330 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF MY (110 GAL./BR./DAY X 3 BR.) ------- CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, 330GPD X 200% = 660 GAL UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY ARE ACCURATE CO E WITH 310 CMR 15.100 THROUGH 15.107. USE PROPOSED 1500 GAL. TANK MUST WITHSTAND H-20 LOADING. E INSTALL: 2(H-10) 500GAL CHAMBERS (W/4' CRUSHED STONE 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UTILITIES PRIOR TO ANY EXCAVATION. ON THE SIDES AND ENDS) AND BACKFILL 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE EDWARD A. STONE, C RTIFIED SOIL EVALUATOR #2359 WITH CLEAN SAND. FILL PER 310 CMR 15.255 OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE { OVER THE S.A.S. AND DISTRIBUTION BOX. SOIL CLASSIFICATION................__ 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF DESIGN PERCOLATION RATE..... <2 MIN+.,/IN. SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE TEST PIT RESULTS P #15 7 2 7 EFFLUENT LOADING RATE.........__74 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND REQUIRED LEACHING CAPACITY.....3_30 GAIDAY LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SHALL 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN SOIL TEST DATE: JULY 17, 2018 LEACHING CAPACITY PROVIDED.....352 GAL DAY 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT B.O.H. AGENT: DONALD DESMARAIS ELEVATION OF THE OUTLET PIPE. SIDEWALL: (1 3' + 25')x2x(2 SIDES)(.74)= 112 GAL/DAY 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. SOIL EVALUATOR: EDWARD A. STONE BOTTOM: (13' x 25')(.74)= 240 GAL/DAY 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS BACKHOE: DONE RIGHT BRET ELLIS BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. TOTAL= 352 GAL/DAY 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND » FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL TH#1 EL.= 44.9 (PERC BOTTOM@ 60 <2 MPI) 352 GPD PROVIDED - 330 GPD REQUIRED = 22 GPD RESERVE BE LEVEL. 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER TO MACDOUGALL SURVEYING & ASSOC. FOR B.O.H. AND DESIGN ENGINEER 44.4 0"-6" A LOAMY SAND 10YR5/1 N/A REVIEW AND APPROVAL. MacDougall Surveying ++-22' B LOAMY SAND 10YR6/6 N/A 13. IN STATE.ZONE II 43.1 6 34.9 22"-120" C COARSE SAND 2.5Y7/6 N/A PERC & Associates NO MOTTLES, NO GROUNDWATER OF M4SS9 P. O. Box 2428 CONSTRUCTION NOTES: TH#2 EL.= 44.9 ' o� DAV s� Mashpee, Ma. 02649 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND FLA R ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER o 11 PH. (508)419-1086 WORK ON THE SITE. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 44.2 0"-8„ A LOAMY SAND 10YR5/1 N/A CELL (774)327-0617 Ft WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 43.3 8++-20 B LOAMY SAND 10YR6 6 N/A C/STE email: IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ++ SANITAR\pN macdou gall survey©Com cast.net 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING 34.9 20 -120" C COARSE SAND 2:5Y7/6 N/A TAPE OR A COMPARABLE MEANS. NO MOTTLES, NO GROUNDWATER SHEET 2 OF 2 J#2020 �L HYANNIS NOTE: AN OVER THE COUNTER VARIANCE OF 7.4' FROM S'A.S. TO THE HOUSE WAS GRANTED. ROUSE 28 F, T CB/DH LOCUS 48.38 BARN. HIGH SCHOOL PARCEL ID: �� FST Mq�N PARCEL ID: 249/116 0r0 ST 249/80 SQL. 4 a�_e R FT ��Dc�tX (iT�ABA��ONFO y29QS,, r 01 C. �^1 LOCUS MAP O. LOCUS INFORMATION 0 Q�� 0 • A UT14 �Q) PLAN REF: LCP# 25929—B TITLE PARCELS D: MAP 249 PAR. 115 12, Q� G IN STATE ZONE II 21.6' 0/i- FLOOD ZONE: 'X" G CB/DH COMMUNITY PANEL: 25001C0562J DATED:07/16/14 #47 G SEPTIC SYSTEM i , 3 TOF=49.00 CB/DH AS—BUILT PLAN ` 4. N N U;'14 // LOCATED AT: PARCEL ID: G ^ Q 47 CANTERBURY CIRCLE s01%%, 0 249/115 /o �� HYANNIS M A. SSs, tij AREA=12,194t S.F. Irv* 161 ' C /11 PREPARED FOR IN, �S co OH W D / rr\`` F .,`o' V UPOLE JOHN DIXON Ci9 \ W ,/ 1! / OCT. 1, 2018 CB/DH OF A14S /Q W O� / Cp S A C/�' o�� D I s Y C� *LAMP / F Y 0.12 A B C \ / i/ R=50.00 CBAS CB/DH S01TAR%aN Q 1) 18.0 18.7 f 2) 23.4 . 14.9 MacDougall Surveying 3) 14.4 53.8 8c Associates 4) 20.7 59.4 P. O. Box 2428 5) 20.3 51.3 GRAPHIC SCALE Mashpee, Ma. 02649 20 0 10 20 40 80 PH. (508)419-1086 CELL (774)327-0617 h email: IN FEET ) macdougallsurvey@comcast.net 1 inch = 20 ft. J#2020SAB