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0056 CANTERBURY CIRCLE - Health
56 CANTERBURY CIRCLE, HYANNIS F. TOWN OF BARNSTABLE L(?._CATION ��� aT� EWAGE# cPOI.�_/o 7 VILLAGE �,,,�,'� ASSESSOR'S MAP&PARCEL / INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /0-0 LEACHING FACILITY: (type) 2 X 50z,1CIS"Qc5 (size) j Z5 of Z NO. OF BEDROOMS OWNER PERMIT DATE: /i3 1 s)_ COMPLIANCE DATE: �l Separation Distance'Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility h A Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) //'i 40 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY '� �..,�• f� � � _� U1 W nl � . � �� �� N � �, � a � � oww � No. V 7� Fee THE COMMON LTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - T OF BARNSTABLE, MASSACHUSETTS Yes 9pplitation for 33iS Y 6psted Consitruttion permit Application for a Permit to Construct( ) Repair ( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5_6 CQ4 e rh Ut/' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel jqq # Red T /_, Installer's Name,Address,and Th No.21 Eck® C'I Designer's Name,Address,Ad Tel.No. w5 EA 'Y1 S'o01 y7`) of4-,�L S�'IS ��,9-3&0-33f/ Type of Building: Dwelling No.of Bedrooms Lot Size 1d,600 sq.ft. Garbage Grinder( ) Other Type of Building Ri.0-S icl,6yJ' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) O'er E 1 gpd Design flow provided a5 ' gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Sze Nature of Repairs or Alterations(Answer when applicable) — �G� ✓1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C .de and not to place the system in operation until a Certificate of Compliance has been issued by this Boar eal1 . 1,7 gne / Date`T_/ j Application Approved by Date /C3 Application Disapproved by Date for the following reasons r- Permit No. / Date Issued �C� -(c.. ,.�•r,.•W k.. Y+r:, r..,.,r- ,,,s"�h't""..;..----..,�� - ��;,a�}.J.iy..f'.r -. - ,.; -x t No. C/"f r/ Fee THE COMMON OF-MASSACHUSETTS Entered in computer: 1! PUBLIC HEALTH DIVISION - OF BARNSTABLE, MASSACHUSETTS Yes i<r ..f 21pplication for 33i8 ,6pstem, �OTYStrUttion J)ermit Application for a Permit to Construct( ) Repair(J ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 540 Ca4ferbutr 1 Owner's Name,Address,and Tel.No./ Assessor's Map/Parcel ' , ar d, y /?r�l 11 r�Cat`1` r'"C Installers Name,Address and Th No. ' '21 F cG,'a eC't Designer's Name,Address,Ad Tel.No. Type of Building:S Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ,QP,s tc4 eP(f No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ' gpd v 4 Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. _ Description of Soil C� Ao, 0 " l Nature of Repairs or Alterations(Answer when applicable) `j — �c:� ►'t Date last inspected: 'k 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 C•de and not to place the system in operation until a Certificate of Compliance has been issued by this Board,of-Hea th. igne Date C/'1 Application Approved by_ Date 1� / 2 Application Disapproved by Date for the following reasons Permit No. ,Z�� ? �( Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) i Abandoned( )by IC ejq$' X t'G�tj"L I 1 11l!C.t yi -at - L G4 V1_I PiP U f�A C a Y C 1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No^ I © ' dated _0 Installer lL(1✓j S �.;k Oa V C'i 1 OCT '�"y1 e Designer �J y (? �GJj J #bedrooms Approved design flow ofl gpd The issuance of this permit shall'ot be,c nstrued as a guarantee that the system will fi ction d signed. Date "7// "'11-2 Inspector\— - ------ ------�=- -------------------- --------------------------------------------- No. 017 !o / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair'O Upgrade( ) Abandon( ) System located at �(� CG<n� ���Uf� C t'(C NI J 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. r � ` Provided:Construction mush be coyrnpleted ithin three years of the date of this permit. Date ` Approved by'�_ Town of Barnstable Regulatory Services Richard V.S.cali;:IAterital Dzrector BAHNWAMR. MAM Public Health Division °i Thomas McKean,]Director 106 Main Street,Hyannis,'NLA 02601. Office: 508-8.62=4644 Fax: 508-790.-6304 .,e Installer.&Designer Certiiification Form Date: Sewage,Permit# I d I _Assessor's MapTafcei - 7 Designer: gn c� /4'Cl- Installer:' Address.• � � Address: &44 -was issued`avermit to install a (date) (installer) septic system at A-1 (I-R - based on a design,drawnby (address) , .r elated 41 t c) t {designer _ ..I certify that fhe septic s}%sterri referenced above was:;.instalted substantially acCOP, 9 to the design, which.may include minor approved.changes suc .as,lateral relocation of tlae distribution box-and/or septic tack. Strip. out (jf required) was:inspected and'the soils were found satisfactory. I certify that the septic system referenced above was installed:with major changes ( e: greater than'l07 lateral relocation.of the'SAS or any vertical relocation of any component of the septic system)-but.in accordance with,State R Local Regulations. Plan revision.or certifiedgas-built by designer to follow. Strip out(if required)was "iiZspected and the soils were found satisfactory: I certify that the system referenced above was constructed e.with the terms of the;M,a atletters if applicable) - t (Installer's SigOatur6) esigner's,.Signature) (Affix.Desire. . PLEASE RETURN TO BARNS DI�?IS LE PUBLIC-HEALTH- ION. CER'TIFIC,A.'�E OF ,COMPLIANCE WILL NU BE ISSUED UNTIL BOTH. THIS. FORM AND AS- BUILT CARD ARE RECEIVED-BY,TAE BARN'STABLE PUBLICREALTRi DIVISION. THANK.YOU Q ASept c\Designer Certifirarian Form Rev:8-14-I3.doc Town of Wwwtable. P# Department of Regulatory Services 3 • ? ,,,�, : • Public Health Division Date 6 16 �e� 200 Main Stree4 Hyannis MA 02601 �bbMlda ' E. W Date Scheduled Time Fee Pd. _ v E t-e ,foil Suitability Assessment for S e Disposal co co Performed By: r r Witnessed By j LOCATION&GENERAL INF6RMATION Location Address .�/ C� p rj U y� C 1 n' Ownea's 1Vame-� Mk IN 9Z LL C— /dY l� Addr6ss B0)G Z(os2-�E"�'�� 1�l �Sr . Assessor's Map/114teel: �C{q (`y Engineer's Name �,yGtr f S C)Nf /M lI '. � - NEW CONSTRU�'i70N REPAQt �_ Telepltoae# SU 331 . Land Use �„�i' 0-P—zJ171!t i,.- Slopes(%) a �. /Surface Stones i 1 Distances from: ripen Water Body R Possible Wee Area!Oft Drinldng Water Well I ft i i • Drainage Way> ft Property Line >�� ! —ft Other ff, SKETCH:(Street name,dimensions of IM exact locations of test holes&poi tests,locate wetlands in proximity to holes) see,, • I y , � I i Parent material(geologic o""1.0v�t S. , Depth to Bedrock Depth to Groundwakdr. Standing Water in Hole:' I Weeping from Pit Face I Estimated Seasonal high Groundwater - E Ed' TION FOR SEASONAL HIGH WATER TABLE Method Used: Depth db,�erved standing" obs:hole: io. Depth to soli Mottles: Depth toiweeping from side of obs.hole: E in, atoundwhur Adjustment $- Index Well# Reading Date Index Well level '• AcUl fAetOr ,,. AdJ-0tYwndWattr LOVO1.,,, I a • PER TEST Date Observation Hole#' 1 t I 7'iine et Depth of Perc ! J 1 Time at 6" --- �� -Start Pre-soak Time,@ End Pre-soak Rate MinAnch- Testing Needed(YIN)Site Suitability Assesmeot. Site Passed _ Site Failed; Addition ix al Original:.Public Health Division Observation Hole DataTo Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,•you must first notify the Barnstable Cc OServation DiNzsion at least one(1)wedt prior to beginning. �D��vS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. o rave 6' Loa44 �� f� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsis encGravel) o 3 ti ) l oar�L r S. Al DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldem Consistency, Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. 1 Flood Insurance Rate Map: v 00 year flood bound No Yes Above 5 y boundary 7 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 terial exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pe 'ious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Departme �4nxironental Protection and that the above analysis was performed by me consistent with the requi ,expe ise and a perience des l ed in 3.10 CMR 15.01 . Signature Date 1-7 QNSEPTIMERCFORM.DOC i I Commonweawil of Massachusetts iclai iInspection Off Perm Subsurface Sewage Disposi:j Sysf eM Form Not for\V'Xlt2rYAsczessrnems oper-Y Address ess P7 e_i-5 54'1 1,2 Owner infor H12tion is Owner's Name required fer /_/11 C;14 4 1 i every page. City/Town 9' ':ore Dare cvlmscec.cn inspection results rnust be submitted on this form. Inspection forms may not be altered in any way. Please see completeness c hecp.ji.st at the and of the fori-n, lmportan'�' When filii:g out A. General Information forms on the computer, use nsPec only t.�..e tab key 4or: to move your cursor-do not if cF use the return Blame ofinspecto,- key. Cornpany Nam- Id YY Company Add'ess Z__OS14 P" State Zip Code Telephone m�er License Number I3 B. Certification I certify that I have personally inspected the sewage disposal system at this addre '-thlat thi8 r, ss and information reported below is true, accurate and complete as of the tjr,,je of ection was performed based on my training and experience in the proper function, and maintenance 10c 1 sewage disposal systems. I a rn a DEP approved system inspector I 0'�"S!-'e pursuan, Sectio< f 15 3,K Title 5 (310 CTAR 15-000'. The system: ri Passe 'can- Conditionally Passes 0? -oca! Approving Authority iqeecjs Further Evaluation by the I CD lspecl.rl Date The system inspector shall submit a copy of this inspection report -1c, the Aporoving Autthori'y (Bo ard of Health or DEP) within 30 day s of completing this in spection. If the system is a shared system, or ', has a design fio" of 10,000 gpd or greater. the inspector and the system owner shall sut,mit,the report to the appropriate reCional office of the DER The original should be sent to the sys7nm g,%,r;_er and copies sent to the buyer, if applicable, and the approving authority, is "This report only describes conditions at the time of inspection and under the conditions of use at that Urne. This inspection does not address how the system will perform in the future under the sarne or different conditions of use. isms-09/08 L Tice'Offldal 1.r)S0eCj,,j F:0,rn� 'iS S 47 Commonweajt�j of Massachusevs TW'e C'al Inspection Form 95-0 oz 1 Subsurface Sewage MsPosal Syste in Form Not for Voiuntary Assessments -i5r�oer,—Y—.Aodrass --- 7',i Owner Owner's Nam- information is A� o required for every page. City!lown Srate Zip cote D2' finsbection Certification (cont.) Inspect;:or. Summary: Check A,B,C,D or E Ow. ays complete all of Section D A) System Passes: E,1-11--h�ave not found any information which indicates that any of the failure criteria described in 310 CrVjR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are it below. Comments: B) System Condit!onai!y Passes.- F j j One or more system components as described In the"Conditional Pass" section need to be replaceo or FeD@I--ed. The system, upon completion of the replacement or repair, as approved by the Board of Health, wN pass. "heck the box for"yes", "no"or"not determined" (Y, lil, ND)for tie following statements. if"not determined," please expla';,-,. The septic tank is rnetal and ove,r 20 years oid*or the S-�ptic tank (whether metal or not) is structurally Unsound, exhibits substanJa, infiltration or exfiltration or tank failure is imminent. 3,-,slem is will pass inspection if the existing tank Is replaced with a complying septic tank as approved b,.,, ti,,,e Board of!-Health. A metai septic tank viifll pass inspection if it is structurally sound, no- leaking and if a e,-.,;:f ic i C- of Cori rip? irdircatina that"he tank is less than 20 years old is aV20able. Y ND �Expla;3n belavo-): it 1 aie 5 SL, It onweaft.h of Massachusetts MUM(7 TI'Ve 5 Offidal Inspection Form, Subsurface Sewage Disposal System Form Not fo-Volunt'—Y Assessniems L _P,-0Per-,Y Address SA I k • 0,.vner owlerls Na,,,: informatig-,ic, required fa 11 Ij every 02ge. state zip C,-,c'p Da'Wof lrs Certification, (cont.) B Systen-I CIG',I(Jiflonaily Passes (canit): E! -0b e-i-vatior. of sewage backup or break out or high static .,vafer level in the distribution box du e o broken oi-obs-ructed pipels' or due to a broken, settled or'uneven distribution box. System will pass inspection if(with approval of Board. of Heal,..'0: H El broken pipe(s)are replaceo ❑ V E LI 'KI ND "Explain below): Is i El obstruction is removed E-1 N! j NO 'Emain below"- [I distribution box is leveled Jr replaced N" NO (Explain below): EF The sys4-ern required pumping more than 4 times a year dua to broken or obsb ucted .pipe(s). The systram wiP pass inspection if(with approvai of the Board of H.'eal-th" _j broken pipe(s)are replaced L N ND !Explain below): Y ID N Ell N D (Explain belav").- obstruction is removed Purthirar Evaluntion is R(eqtiired by the Board of Health., Conditions exist J-,,hich reOU'ree further evaluation by the Board of Hea[-Ch in e de, C s',istem Is ailing tC, Protect public h,:)a1'V 1, Safety or t e environiment. 1 . Systern v4TI pass unless Board of Health dE�termines in accordance with 310 CMR 15,3013(l)(b) tha"the s—stem is not functiloning it, a Mannar which will protect pubiic health. safety and the environment: Cesspool or privy .,vithin 50 feel of I L I a surFace e Cesspool or r)r:vy is within 50 feet of •a bord iririgVegef_afedl .veflanc! sa: T111C 5 0"Tcial frs-�ect-, Corr-nonweafth Of Massac-husei:ts -0 M W I I- TRIP,: 5 i�_5 WOM-MMWE __ Utiffidal ifnspection Form EF 11 M Subsurface S,91ivage Disposal System Form Not for Voiuntary Assessn-leris,t' Property Add,ass Owner Owners N:_rns requ:�red for 4 0 61 i4 every page. City.!Town I —6a i Ar/r Safe Zip Code i . Certffication. tco o orlon 2. SYstPm will fall un; �esS the Bo--Ird of Heal-Ili and Public 'Water Supplier, if any) detlarr ripe s that the system js. '-urictionfnr 3 mi a manner that protects the public ' ea:th7 saf9ty and ervironment, the system has a septic ta:,Ik and soil absor,ptio; systern (SAS) and the SAS isv/ihin n 100 feet of P I surface water supply or tributary zo a _;urface v,,ater supply, I Yk The system has a septic tank and SAS and the :;AS is within a Zone I c'a public supply. EJ he systern has a septic tank and SAS and the SAS is within 50 feet of-P private 1.va er supplyweli The systern iha:s a septic tank ard SAS and the SAS is less than 100 feet but 50 feet o.- more from a private water suDDlY 1W81j*`_'. Me,-!Ihod used to deter-M-inu distam;e,: phissYstRnl passes iii the Welf vvzfe r analysis, performed ai a DEP certified laboratorv, T'Ciccjjfo,m L bacteria Indicates absent and the presence of ammonia nitrogen and nitrate ni+ro,;en is equal to or less than 5 pprn, c,,rovided that no,other fail failure criteria are triggered. A copy of the analysts m,_is4 be L attached to ,his froirrn. 3. Other: is it 0 Sysiern Failcjr;:� '.;rite_-ia Applic.-abfe tyO /dl Sys,"ems: You rnuvl 9n0catr-,, *,rp ow,"Nc,"'to each Of t1le f0ilovving for all inspections: ;'es Na Back:JP of sewage into facility or system component due tc c-,v4=rjDa,4e-4 0,, clogged SAS or cesspool ..I n Discharge or pending of effluent to the surface of I Eel the ground ors ife clue to an over()adeo or clogged or cesspool Sta'Lic ;'iqu;:d level the distribut' L cr clogged SAS oi-c;zSspooj ion ��,ox above OUlet invert I.,- -C Liquid dep;tn in cesspool ED is less thar, 6`beiovi ;nveirt Cr FijPb! than ` E I , -� I- e ;3 d f,'mv ---------- IrSPeCU00-Fco�r:S_.,-_SUrf=Ce 7 "amirnonweahth of MassaclIF se-s U Trilde 5 Official Inspection or15 zi Subs efface Sc-wage, Disposal Systej Fr - otfor Vom untary Assessments FFF�C:)C-r-Y A�ddreSS �, r� Owner Owner's N2me intorniation is required for 4 Y7 i od to/ every Page. Cityf Own S, a te Zia p Cody Ins::ection B. Certffi Yes No Required pumping more than 4-1 tEirnes in the last year NOTdue to clogged or r obstructed pipe(s). Number of times pumpeci: z Any pport'on of the Sr"S, cesspool or privy is below high grount water e!evatio�. Any portion of cesspool or privy is within 100 feet of-a sunace*-oater Suppiv or ED tributary to a surface waters.;,pply. Anyportion of a cesspool or privy is within a Zone I -of a pubic well. r�Ilh� II9li lLJ AnY oortion of a cessqooi or privy is within 50 flee, of a private Water su ply wall. p Any portion of a c3ssc.(:Gj or privy is less 'than 10. feet bL-.-t greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This II system Passes if the well wa-ter analysis, performed at a DER 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 cony of the analvsis and chain of custody must be attached to this form.] The systc- rn is a cesspool serving a ffaciilty with a design flow of 2000gpc.'- I 0,000gpd. The syster" fails. 1 have determined that one or more of the above failure criteria exist as described in 31.0 C;MR 15.303, therefore the system fails. Tle system owner should contact the Board of Health to determine what will te neCessaty to correct the failure. E) Large Systems: To be considered a large syst(Bm tfja,�3ysfew. must serve a facility with a design flow of 10,.00G gpe,to 15,000 a d. Or arge systems, you must indicate eith r"yes"or"rlo`to each of the f0flo,ivinc, ill addition to 4.-- questions in Section D. li Yes T cij E] 'he s =,tern is within 400 feet of surface drink ing wailer y S DID! fl-)e sYstel-nis within -00 feet of-9 tributary to a surface drink' ll the system is located in a nitrogen sensitive area (Interim V'vtellh Area'- IWPA) or a mapped Zone. 1;of a it.lic Interim i .,e:=d �-vater suooiry^--.If If you have answered "yes;'to any question in Section Eilie systn-m considered a ii or answered "Yes'; in Section D above the large system has failed. The owner or c,ilera4cr of system considered a significant threat, under Section cor failed under Section D call Loorar,'a t sYstern in accordance 3 10 CAR 15.304, regionial Olffice of the Cepar-L`rnent. The system Owner should contact ;he (�ffic:;j Tscenor Fc Commonwealui of massachus, T'Ve 5 Offidalinspection Form Subsurfane Sawage Disp-osal System Forin - NOt for Volun tart',8�,,:,sessf-:-ie,-its -P7rC-pe y-Address /0 Owner Owner's Name info,-n2tjo,j is - f-equ!;red for every page. City/Tsmn slate Zip Code Da•t Of insoe'cliop. C. Checklist Check if the following been done. "YOU MUSt ind;:c�a�e "yess"o, "no" as to 0,eacp i the f-0'I*,),,/v:nc: Ye S P ;mjing in'l-Irm-ation was provide`-,' by the owner. occupant. or Board cf Health E ' `where 'any of the s yatern components pumPed out in, the Previous tWo weeks? Ell Has tl-;e system received norm a;flows in the previ(--;us two week period? Have large volumes of water been introduced to the system recently o s p ' o' r a a rt this inspection? Were as built plans of the systern obtained and examined-, (if they were not availab'ei-,ote as N/A) Alas 'he facility or o'llvelling inspected for signs of sewage back up? VI/as the site insoected for signs of break out? El- Were all System components, excluding the SAS, located on site? 31 ❑ Were the septic tang: rnanhOleS Uncovered, opened, and the interior of the tank inspe,�;Led for the condition of the baffles or tees, mater P :ia' of construction. cOrnel- �sions, cept,l of liquid, dept) ofsludgle: and deoth of scum, ? L7 V]as -he facility 0,*,ner(and occq a-7-,'s if dllfflelrent frorri owj r? provided /ith 7e information on'he Proper maintenarice of:subsurface sewage disposal systems-, L The size ard locatic Dn of tn I 5 e Sell Absor ptior System (SAS) on the site has been d--termined based on: Existing inforn-la"jon. For example, a plan at the Board of Health. Determined in thefie'l (if any of 1.1he faihure, criteria rebated to Fart sat S lue approximation of distance is unacceptable) 310 WR 15.3 0 2(5),1 D. Systern Wonrnatbn ResideWAI Flow Corditions: -)ims ;design): Number of bedroorns (ec�u�mf), Number of beoro LD E S i G N T!o w b 2 s e d on 3 11 0 C M R 15.2 003 f xamp=e: gpd x of bedrooms): Oil i ![4111- 1 1 i5ins-mcB Sj* t Cornrnonweaif,h of massachLisetts po T'de 5 Offic,aj I on ®�nsecti orm, Subsurface Ser.,vaqF. Disposal Syster;, OrITT eVol:or Voluntary Assess,-nents PrrOperty Address i Owner X7 11 informakdoi-I is -61Wn-e�sNalr�-e - rea required for every,page. City/1 Own State ziz)Code Dple of 1h, ,,A S 0 C-C,; System Description: 7 0 1-5 All, NUalber of currerit resideni".s.- Does residence have a garbage grinder? Yes -i No Is laundry on a separate sewage systerr, [if yes separate inspection required] Yes o Laundry system inspected? Yes ;mac H Seasonal use? Detail: Yes Water meter Feadirigs, if available 'last ye@1,3 USeCE, {gpd)): f Sump pump? yz; I LL No Last date of occupancy: Dat �)Vt Com-mercial/lndus?rial Flow Conditions- i Type of Establishr-nent.- Design flow(based, oin 310 CI MP, E!5-203).- Gallons per C---=,, �lii ( ���' k Basis cz Gesic-,n floW (seats/Persons/sq.ft., el,*C.i,- Grease trap present? No Industrial -waste holding tank present? V es J Nor-sanitary Waste d's-char ed the. Tille 55 system?? Water meter readings, If available: C,9/08 0-Mmonwealth of Massachusetts a g Tftle 5 0-ifficial fnspect'on Form, Subsurface Sewage Disposal 113'ystern Form Not or VOIL"ItainI Assessments Proper.'y Addi-ess h d i Owner U-yvne!s!Marne inforr-nation is requi4d for every Page. Cit-Y/T�-WTI state ZiD Cod= D. System Imforniation (cont.) Last date of occupancy/use: iE Other (describe below): General Infornnaffon it Purnping Records: 1-oum-e of inforr-nation., Was system pumped as part of the inspection? ❑ Yes If yes, volume Pumped: gallons Hovv was quantity pumped determined? Reason for pumping: Type of Systgn,,: 4 tarikl, distribution box, soil absorption system Single cess.ocol Li Ovelf,cow cesspool 01 Lj Shared sys;er-, (Yes or no (if yes, attach previous inspection recorts. if 2�v' 1-nnovative/Alternadve technology.At.tach a conk/of the current operation ari(j Maintenance contract (to be obtali.ned from s� own s,,e,- Ml _er) arid P inspection of he I/A sk/stem, by si/stern; o:)er2tor under corit Pttach a copy of the DEP approval. Other;des crIbel- MOB Commonwealth of Massacjjusei�.t,,3 Title !; Off,co PectiGn Frorm '9ubsurface SQ-Wage Disposal Systern Forin -Not f r Volurlt2ry,Assessmerfts r,a is Pro.[)e,—,,y Address /0 a-iner Umers Nam &,vnef-� e mforrTlation is required for City; ever/page- Ciltyi7o=�ni -6 a L z;y, State Zip Code I)---',e -f—Inspec—ton SteI formal" M I'm tion (cont.) Approxt:rnate age 0"all components, date installed (if known) and source of information: -jL 119 2 d- 41 f P1 4. Wer e sewage odo,s detected When arriving at the si', Yes [4:--' o Bijilrfing Sewer'locate on site plan): Depth below grade: Materia construction.- U cast iron JiD 40 PVC VX-T�lier(explain): ---------------- i�c cast"f iron Distance from I o,riV-3ta water supp?y well or su.-tion line: _-- feet Comments (on condition of joints, venting, evidence of!eakaga, etc.)- Septic Tank Ooc:ate on site plan;: Depth ibelo%ri grade: fvlat tructiCTI: on c r!e t e El rr�etal F—`be-glass L polkethylene 7-1 otilher (explain) If tank is metal, list age: :3 ao-e cco::firrned by a Certificate of Compliance? (attach a coy of certificate) Yes oll `!!l Dimensior;s: J SILc!-Gc- deptil., C22 ti Commonwealth of Massac'husetts TWe 5 Offfc;al 1"Ispect'on Form. Subsurface Sewage Di'spoSal Systern Form Not for Property Address Owner j inforrriatioi-I is reau-ired for every page. Ci' S4 te T P C 0 C,e ; ate fnso=dtic, 0. System '1nfc.)rmaflo_n "co_n__t_) __ 'a Septic Tank (ct-,rit.1 .itDistance from t0P Of sludge,to bottorr. ci Out et teE, o b ffie SCUM thickness Distance from ',(,-:,D 0"SCUM to"OP Of outlet tee or baffle, I l Distance from b0l,40M Of sr'um to bo'dom of Outlet 'lee or baffle cimens w CF sicns detarrn'ried? ,...,e Comments (on PUMOing recornmenda-l'icris, inlet anal outlet tee or ba'frle condition, structura! '.1, , ; tegrity, liquid levels as related '0 outlet invert, evidence of leakage, etc-.): rl W-) A, Grease T rap Oocate on si,,'.e plan): Depth below grade: -- f eet -------- iMa`eriai of c-)nstrucltion: lr fiberglass PC[\/e't ylene 17 other (expipin)- Dimensions:Sc.uirn VniCkness Distance f-orn to,) o-" scurn to to,! of Outlet-".-ee cr baffle Distance from bottom of scum to jot,orr, of -outlet tee or baffle Datc- Of last purn.ping.- 0"'08 T'(1e 5 Corn iro nwea ith of pqassac-I.,[j s e jt,,j Aiji 11, :11 TH- e 5 Offidal Inspection Form . v Subsurface Sewage Disposal Systenj Form NOt for Voluntary Assessments 441, jr Prcperty Address Owner in;,ormation is bwne-S Dame required for 4�1 e eery page. C';tyl Town State Zip coce Date cf;rs-nect:�7on D. System �nfortmafilon 'cont.) Comments (on DUMI-pinG recommendations, inle-an outIlet tee or balffie conditioni- , s-r;,jc-ural integrity, : L C', IiOuid levels as related to outlet inve.rt, evidence a.:leakage, etc.): Tight or H,;4ding Tank ~:;tank must be pumped-=t dime Of inspection) (locate or, site cd2n): DePth belovj grace: Material of construction: concrete L—j meta, [-'j fiberglass Polyethylene other(expla;n'- Dimensi-ons: Capacity: ciplions Design Flow: qall,ns per day Narnn present: ves F, tq r-, Ale:i-rn !e-v,,Dl: Alarm in working order- Yes N Date o",,last pumping: Date — Comments (condition: of alarm and float switches, etc.;: Atl.aczhf CODY of current pumping conlract (requir d). Is COPY 2"ached? S- Commonwealth of Massachuse�ts OF tfidal Inspection Fornn r i -M,gc Subsurfac,--,� sLiVaqe Disposal Systef,,j Form Noffo r Voluntary Assessments Roperty Address Owner -61 17P E r—SNara is information is viner s e requ*d for All o- 601 every page. C;ry/I�vfn -yStem InTformation fi D. S Distribution (if present must be opiened" 'locat9 on site plan Bo, Z7, Dept f liquid level above outlet invert Comment's (note if box is level and distribution 40 outiels e-j;j-al, any evidence of solids carrvo%ei, an%, evidence of leakage into or out of box, etc.): J Bump Chamber(iocate on site plan): PUM-ps in working order: Ell Yes F No Aiarn-is in working order: 0; Yes E'l No Comments (mote condition of pump chamber, condition ;f purrips anr:* a,ppurltenarces, etc.): Soil Absorption :);stern (SAS) (locate on site plan, excavation not reqi-jired): If SAS not located, explain v.,rhy: rifle 50 s.recticn COMMOnwealFIth of Massac�iuEc.,ir I ts T'He 5 Cjff�C�aj Inspecti �K:ac-e Sewage D- r o n; Form I Wn-W7 g P=�Y,F?- isPOS21 SYVerl Form Not f1cr VO'untary Assess..ments N,V, 5V` Hrooeriv Address Owner 611-11-1 tTarna infuriation is required for every Page. C'tvf,-own S� te 2:i D C, d" �0 Tf� System Informat! T,�,e Hi ieachInq pi leaching chambers nurrilber: leaching gallerle13 n Um b e r: leaching trenches number, length: EJJ leaching fields number, dimensions: overflow-cesspool number: ---- j ' innovativei iternative system Typeiname of technology.- Cl-mments (note Condition of s(ail, signs of hydraLAC faiiure, ie'vel of pondiing, dam- soil. Condition of vegetation, e T.,: 'essPcOfs (cuss puol must be ourn.PeO as Part of inspection) (loopatte on site plan - Number amd confiqurFfion Depth -tcp o-f to i.nfet Invert, Dept of solids layer Depth of scum falfpr Dimensions of cess000: Materials of construction Indication 0'grouncl',,va-ier V es Nc Title 5 0-c; Title 5 C)ffic'-1 IrlSpectu"n., n F P.xrm Sui7 rface SYstflm Form Not for Voluritary Assessn-ants Property Address Owner information is Ovmar's Name required for even I-age. Citv/'Tmm tat..S0 1—) Zip Code f lr--ectio-i D. Systern 11-1f,-;rMaTdOM-1 (con-"-) COMMerItS (nc)f.e condition of Soil, signs of hydraulic failUre, kavel of ponding, condition or li'llit W11 ► etc.): Privi floca.te on site plan):Y IL tC it Materia's of construction: Dimensions Depth, of soijos Comments (note cond-Iticri of soil, signs of hydraulic f,.Iftire, le--,tel Of ponding, condifion of vegetation, etc.1: ins-09/08 1. TUe 5 Cffiria! 'I LI SSZICI Tif-le 5, Officia- I Inspec-on Form Subsurfacs "ee/a!� Ot WE DiSPO-3-1, System Form - N for Voli-intar�.-- ,�issessrr-,,-_rl',s t CIP- FrOiPer'y Addre-z-- 10" Owner informi'a J Owne-i'S Purr-.I q Jon is rectuiied for every page. C:'ty/To-e,jn State zip cc,,:= Da_ -ao ��Z-"e D. System Information (cont.) Sketch Of Sewage Disposal System: providp, a View Of the sewage disposal sys�Lem, a,,- !east tw ind.ludfng es to O<�P-rrnarient reference landrnadks or benchmarks. Locate all wells' within 100 feet. L: O'C2-Le wher e lir., water supply enters t'he building. Check oine of tree bcxes below: E ,jar J_S ketch in the area below r d aixing. jttacl�erjl sep- 3ratelv I. 14 r A-7-1 -30 tie Offiv-iei (,c"m.r110r1wea1flh (anf Mass ac�usL nt o ff c Pection Subsurftice Sewage Disposs-1 Systp rjj Form Not fo tO!u7,t2.;-yAss`;ssments f5TOPerty Address Owntr iflfOrlration;s AX required for every.-'608. it�v/-Fawn '/'0 -2 C; /- -C State n li Syste'�-Tll Inh-wmation (c onz.) Sft Exzlnl: Check Slope Sun=ace water Check --P-Har Shallow wells =,.,.:M2ted denth to high ground water: feet P'eace ii—lficate a!f Methods used to-de"'*ermirle the hic-h ground%-atelr e.'avFfloj-,: Obtained from System design plans on record p If Chec<ed, date of design, plan reviewee: Gate Obse-ved site ,abutting prop e tly/observa"io,i hole 1xi-'4'hin '150 feet of SAS) Checked vvith local Board of Health-exc)j:.jjr-j: �j� I ,,ill Checked with local excavators Installers - (a`tach 0-umen*ation) Accessed USGS databasF�- e.yplaln.- You must describe how Ysu es'abllshed the high ground water elevation: L4 - _� � ;� f - 0 -746 11ij, iijil 1 t5 I E300r--cling this hIsPOCt"On Report, Piea!;e Sep- Report ns-rIC/08 CVMPIeteness Checkfist On next page, 5 Off21 lnsceaioncnm:S'jbsu�fa 7-2 4zp�—�Ce F, li C`MF�tOPIWealth of Massach-usettss Title 5 Official Inspect-on Form Sub-gurface -'Reiwage Disposal Sys:,terrj Form -Not for VOIU�ta---Y,�,ssessment- -Aw—d Owner wner's Name infictrmation is required for every page. Ci NfTown CV601 - /0 2 1C"9 State DID Code Date of Inspection E. Report Completeness Che-c--klist C, ins ection Surnrnary: A, B. C, D or E checked R-inspection Summary D (System Failure Criteria Applicable to All Systems) compieted 211-s--wem information— E::StiM2-.ed depth to high groundwater 2'--Sketch of Sewage Disposal System eith er drawn on page 15 or attached in separate file 1,-1SPecf;Or Form:suSL:r-ace S:OS2 TOWN OF BARNSTABLE 7� LOCATION �; �y�P/�Ui?�?� Cl2, �15/ SEWAGE # VILLAGE ���y�,,,, , S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type)'. (size) NO. OF BEDROOMS 3 PRIVATE �''E' ' :�R PUBLIC WATER BAR OR OWNER ffQi3L9,1 r l"�• '���Ii,a-1y DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ��- N .�5� No..; .. �� FR$.... .."... ....... THECOMMONWEALTH 6F MASSACHUSETTS .,y BOAR OF HEALTH .......__... .._.--------------OF....................................... .. - - ................ ...... Appliration for 19isposal Works Tomitrurtinn Vrrmff Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy st at &112,� � � �.------------------- ------------------ ..................----------------............s, / , or Lot No. ..................... ......... oW .... .......... .............................. ---------.---.--------•---. q� I t ler- Address Type of Building 1�.,� �� Size Lot_/ ,9 ....Sq. feet �- Dwelling—No. of Bedroom ....._...._�.... ...........................Expansion ttic ( ) Garbage Grinder ( ) `4 Other—T e of Building a Other—Type g ____________________________ No. of persons..........__ � ..... Showers �Pw Cafeteria ( ) dOther fix --- -- -------------------------------•-----------•--•------•----......•---••--•---•--•- --••................................ Design Flow................ ... ...............----gallons per person per day. Total daily flow........ Y -------------------..gallons. WSeptic Tank—Liquid capacity.1 gallons Length................ Width.... Diameter....__._..._.... Depth............ x Disposal Trench—No.......:............. Widk-r- ...._:4 Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----6"�� ter.Diame .... : epth below,inlet.................... Total leaching area..................sq. ft. z 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........................ O Description of Soil--------------------------------- ............ -- ---- 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 XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the boar�of.hhealth.Signed...-- ---•• . •. -•--••••--�•. -------------------------------- Da e Application Approved By................................... If . . .......................... --.--- -- - ------ Da e Application Disapproved for the following reasons----------------------------------------------------------------•--------------------------------......•--...--•- Date Permit No.... = Issued.. ...._._ .. Da e --------------- ------------- Y No-0 Ficic........................... 7---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... --------------------_OF...............................--.-.. Apphratiou for Disposal Warks Tonotrurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Syst9ffi at: 6� ..... .................................. ........ ................. ............................................................................. address Location-Ai�r or Lot No. -t ....................... —4. 77.7-1; ............................................... .......................... ......... ............... ....... ......... Owner Address............ .................. .. ........ ........... ............ ...... k�e.. ........................... Address U Type of Building Size ....Sq. feet 4�1 Dwelling—No. of Bedrooms._...... ...I...........................Expansion ttic, Garbage Grinder � i A'�..... Showers t,�'4 / Other—Type of Building ............................ No. of persons........ �0 4-- Cafeteria P4Other fiyAutt§ ...................................................................................................... ------------------ -------- Design Flow_...___. :1 ........r.......�?_gallons per person per day. Total daily flow........_ --------------------gallons. 04 Septic Tank—Liquid capacity.J.Pt.,.tgallons Length.................. Width...._.._........ Diameter.......... ..... Depth................ Disposal Trench—No...................... Width t.'-,_!2Total Length.................... Total leaching area...................sq. ft. Diameter._A.; Depth below inlet.................... Total leaching area..................sq. f t. Seepage Pit 7 1 11 A Other Distribution box Dosing tank Percolation Test Results f Performed by..................... .............................................. Date---____..._.....---____..__..______..--- Test Pit No. 1................minutes per inch Depth of Test Pit----_-___-_--......_ Depth to ground water------------------------ f-T-4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 9 ��j ..... �, ................... ........................................................... .......... ............................ ............. 0 iption ....................... .............................................................. Descr of Soil..............................e......�.A, U ........................................................................................................................................................................................................ W ........................................................................................................................................................................................................ �V. U Nature of Repairs or Alterations—Answer when applicable.---........................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witli 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 bee,tf,issued by the board of health, ....... ................................ Signed.. .........i............... ........ ........ Dale/ ................ ...... Application Approved By..................... 7 .. . ... ...... 7........ ................... .......... Dae6 Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF—HEALTH OF................ .......................... . Tertifiratr of (Inutphattre THI4)IS-Vb, ",ERTJ,'k,,P,3 That the Individual Sewage Disposal System constructed '4010'or Repaired re f« &I f by........... .........I ....................... ................ .................... . ....................... A ------- sic", --------------•----: .......... ..... ............. .... at....... . ..............L ----------- has been installed in accordance with the provisions of Article XI If The State Sanitary Code as dqscribed in the application for Disposal Works Construction Permit No------------------- 1 4_ , dated�....�J_aq_ .7.7 .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF PEAj, ee, 7 d� ...........................................OF..................................................................................... No......................... FEE...... 0" fx1ts#4r -wit Permissionicy hereby granted........ .._ ................_ .._._..._.._.._..-__ ;.r................................................. to Construct or Repair Sy&e4t 6 atNo..........................................................................................................................0�..,VF /.........................7....... - � f, .....*�_Z., Street as shown on the application for Disposal Works Construction Permit No.-_... ............1'oo'...................... ....................................................................................................... 7 Board of Health DATE........ ----- ...... ....... .......................... FQR%j 1255 HOS13S & WARREN, INC.. PUSLISHER5 /X� 7- 73 LEGEND HYANNIS U1 PROPOSED CONTOUR RTE ® PROPOSED SPOT GRADE _— 98 _._ EXISTING CONTOUR ° _ HILL RD. + 96.52 EXISTING SPOT GRADE -� BLUEBERRY {i W— EXISTING WATER SERVICE r LOCUS A:o r 56 CANTERBURY CIR � TEST PIT + SCALE: 1"=20' " c`S 56 57, SP 115.00' 5%----- LOT 12 --�— AREA = 12000 sf+- I I LOCUS MAP 54- I PLAN BOOK 205 PAGE 95 ASSR MAP249 PCL 1171 I LOCUS INFORMATION \\ I II I PLAN REF: 205/095 TITLE REF: 24743/284 I \ I I E I PARCEL ID: MAP 249 PAR. 117 AYI FIRE z bR,�Ew I I AVER I I I O FLOOD ZONE: "X" 53 ' P I I I p�T I\ COMMUNITY PANEL: 25001CO562J DATED:07/16/14 I SEPTIC SYSTEM T REPAIR PLAN LOCATED AT: \ ; rOo \\ 10 f 56 CANTERBURY CIRCLE � 20 f t \ ° \I t \ _ HYANNIS, MA \ \\ \\ n \ I � \ I PREPARED FOR o EXISTING 1,000G 13-00 II ROW S EXCAVATING SEPTIC TANK APRIL 10, 2017 m m \\ \ EXI TIN,G 1,000G II OF ,yq 52 \ \ EAC� PIT \\ \ I , r� DA�2 N y�I I 51\ 1 o I 1 40 C) \ \\ \\ \ \ I �-- '�E6/STF S 7 N I TAR 116.68' 55 S6 \P 51 52 53 54 UTILITY :x POLE MEYER & SONS, INC. PLAN BENCH MARK P.O. BOX 981 SCALE: 1 in = 20 ft ® EAST SANDWICH, MA. 02537 PAINT SPOT ON O 20 40 YBULKHEAD CORNER PH: (508)360-3311 55. 57 FAX: (774)413-9468 O 10 20 40 BARNSTABLE GIS DATU meyerandsonstitle5@gmail.com SHEET 1 OF 2 J 1894 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH O TOF PTIC TANK GR DE SHALL H DLTNETPERIMETER50F 0 E S.A.S.FOR A DISTANCE GENERAL NOTES: INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX EL.=57.31 t OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL STALL LOCKING COVERS IF AT FINISH GRADE SET TO 6" OF GRADE INSTALL A RISER OVER ONE CHAMBER (MIIN) BOARD OF HEALTH AND THE DESIGN ENGINEER. IN F.G. EL.=5 INSTALL AND SET TO 3" OF F.G. 2. ALL WORK ANQ MATERIALS SHALL CONFORM TO THE REQUIREMENTS F.G. 'EL'=55.80t F.G. EL: 56.0t OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE .e F.G. EL: 56.50(MAX.) LOCAL RULES AND REGULATIONS. 3. THE INSPECTIOAGE NISPOSAL AND APPRO VAL ALL SHALL NOT BE BY THE BOARD OFCHEALTEH AND THE PRIOR 9" MIN COVER/ DESIGN ENGINEER. 36" MAX COVER L = 10' L = 20(MAX) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ® S=1% (MIN.) EL.=54.42t ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2" OF 3/8" DOUBLE WASHED _ 1_1 ' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 3/4" 2" STONE OR FILTER FABRIC / ENGINEER BEFORE CONSTRUCTION CONTINUES. DOUBLE WASHED STONE 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. U-j10" 6 �+\INV.=53.401' 14 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF "48"LIQUID ' IN 53.1 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �ygL 5 EM E3 E3 EM EM EM EM EM EM®® HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. GAS BAFFI E J ' W ®®®®®®®®®®® 7. DWELLING IS SERVICED BY MUNICIPAL WATER. INV.=52.88 E3 EM E3 E3 E3 E3 ER E3 E3 EM E3 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED INV.=53.05 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. EXISTING 1.000 GALLON SEPTIC TANK ) 4' 2 X 8.5' 4' 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. EXIST. SEWER OUTLET EFFECTIVE LENGTH = 25.0' 10 REPLACE wrrH EXISTING HCLEAN MEDIUMING TO BE MSAND PER CRUSHED AND REMOVED PER TITLE 5. ITLE 5. INV. ELEV.= 52.60 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BREAKOUT 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PIPE INVERTS PRIOR TO CONSTRUCTION TOP CONC. ELEV.= 53.60 EL. 53.60 13. NO KNOWN PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. ) GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 52.60 ®a. 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW aa a®®®®a®® FOR THE USE OF A GARBAGE GRINDER. INCH CRUSHED STONE BASE, AS SPECIFIED IN aaaaaaa 310 CMR 15.221(2) BOTTOM EL.= 50.60 ®aaaaaa 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK ' S FT. 4' 17. PROPERTY IS LOCATED IN A GROUNDWATER PROTECTION DISTRICT. WITH 1500 GALLON SEPTIC TANK IF FAILED, DAMAGED, NOT H2O LOADING, OR UNDERSIZED. SEPARATION 5.10 FT. 4 EFFECTIVE WIDTH = 13' 4) INSTALL INLET & OUTLET TEES W/ SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 45.50 (500 GALLON LEACH CHAMBER) N.T.S. SOIL LOGS P#:15325 DESIGN CRITERIA **NO PROPOSED INCREASE IN FLOW** NUMBER OF BEDROOMS: EXIST. 2 BEDROOM/ 3 BEDROOM DESIGN DATE: APRIL 10, 2017 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DESIGN PERC RATE: <2 MIN/IN SOIL EVALUATOR: DARREN M. MEYER, IRS, CSE DAILY FLOW: 110 G.P.D. X 3 BR DESIGN FLOW: 330 G.P.D. WITNESS: DON DESMARAIS, BARNSTABLE HEALTH GARBAGE GRINDER: NO (not designed for garbage grinder) Elev. TP- 1 Depth Elev. TP-2 Depth SEPTIC TANK:_330 gpd x 200% = 660 gpd USE EXIST. 1,000G SEPTIC TANK 56.70 A 0" 56.5o A 0" LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. Low s3A/N2D LOAMY SAND�D USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS 55.95 B 9" 55.75 B 9" LOAMY SAND LOAMY SAND W/ 4' STONE ON ENDS AND 4' ON SIDES: 25' L x 13' W x 2' D 10YR 5/8 IOYR 5/8 54.12 31" 53.92 31" BOTTOM AREA: 25 x 13 = 325 SF C C SIDE AREA: (25 + 13) X 2 X 2 = 152 SF P®520� MEDIUM MEDIUM TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D SAND SAND I 2.5Y 6/4 2.5Y 6/4 , DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352.98 G.P.D. vs. 330 G.P.D. req'd 45.70 132" 45.50 132" �V � OF ' ssq�y PROPOSED SEPTIC SYSTEM UPGRADE PLAN l PERC RATE <2 MIN/IN. (*Cl" HORIZON) D WEr� 56 CANTERBURY CIRCLE, HYANNIS, MA NO GROUNDWATER OBSERVED 11410 Pre ared for: Ron's Excavating System Design and Topography Plan by: SCALE DRAWN DATE �� MEYER • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 � � MEYER&SONS,INC. N.T.S. DMM 04/10/17 to conduct soil evaluations and that the above analysis has been performed by me consistent with the NITAR�P� [� ) PO BOX98f REV DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. ( / EAST SANDWICH,MA 02537 508-3621922 DMM 2 of 2