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HomeMy WebLinkAbout0058 CARLOTTA AVENUE - Health 58 CARLOTTA AVE. ,HYANNIS MAP-248 PAR-206 ,i TOWN OF BARNSTABLE LOCATION SEWAGE# oZ U�Z c3 VILLAGE ASSESSOR'S MAP&PARCE INSTALLER'S NAME&PHONE NO.). A`,I,t, -\T- -6))U( Cr■ fCA SEPTIC TANK CAPACITY C� 6 LEACHING FACILITY.(type) ' (p rJC (size) (j NO,OF BEDROOMS OWNER Vj2 C� PERMIT DATE: C� °�- 1. COMPLIANCE DATE: Separation Distance Between the: n\OG Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /V eet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY D k tiro h)> - Q. 58Cr�r\o(-tc;� NOIC q 33 P W A t Y No. - �. � �� Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUdL':IC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4pliLatlon for M18 osar 6pstem Const Talon Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C'cwj&� 4 Je Owner's Name,Address,and Tel.No. Nyc�wwa)S r Assessor's ap/Parcel �// �I� Installer's Name,Address,and Tel.No. ii Designer's Name,Address,land Tel.No. Z Type of Building: Dwelling No.of Bedrooms Lot Size I C7, ! sq.8. Garbage Grinder( ) Other Type of Building fC51 ttcl No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 0 gpd Design flow provided 31/0, q gpd Plan Date 7 2/ `?/ Number of sheets 2 Revision Date Title Size of Septic Tank /f'Lbl)/1;?j /�(pr/C!t°JPT'/.�G�+/ Type of S.A.S. IPNC� Description of Soil Nature of Repairs or Alterations(Answer when applicable) a n!S Ix/� (� sV,e /4 D U1/`tCi Pi`r~' d f y 0� � L�-I3f7 si.� F�/ L ec �fPNC Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe " Date Application Approved by Date, Application Disapproved by 0 Date for the following reasons d�J �.Permit No. �j_ (� Date Issued t t ,I 10 / No. i, C � �. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ''` PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTSYes 14. 01pplicatlon for Disposal *pstem Construction permit 4' Application for a Permit to Construct( ) Repair( ) Upgrade ;'Abandon `t( ) ( ) ❑Complete System -, Individual Components Location Address or Lot No.��t'4/Jp� 4 d C ! Owner's Name,Address,and Tel.':No. � Assessor's`Map/Parcel y ..��}( la �} t �,. ' ¢' r^ Installer's Name,Address,and Tel.No. Designer's Name;Address,land Tel.No. f Type of Building: 'r Dwelling No.of Bedrooms �i! Lot Size 10, sq.ft. Garbage Grinder Other Type of Building }( �C�) No.of Persons "- Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a gpd Design flow provided y[�, e/ gpd Plan Date ,�/?JJ J 1 Number of sheets "d �' Revision Date Title r , Size of Septic Tank l5t`t�r',11f.s &Wl role l d6js I Type of S.A.S. //�•t1��� Description of Soil �r , i Nature of R"epairs or Alterations(Answer when appliea'lile) .f v�,l G l! P AV,eel / 7 t) lei Date last inspected: ,Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / Signe Date �/ // Application Approved by 4 J Ji Date" Application Disapproved by. Date' for the following reasons . . w.'r .. :k • { •. Permit No. 7' 1 r `�j -WA Date Issued f THE COMMONWEALTH --- ---------=..._ OF MASSACHUSETTS l BARNSTABLE,MASSACHUSETTS Certificate-of Compliance THIS IS TOO CERTIFY,that the On-site Sewage"Disposal system Constructed( :=.) Repaired( �}� Upgraded( ) Abandoned( )by .1 1. • 1 h t n,j n{ at A aE' 1-h a/014 / has been constructed in accordance • t _ with the provisions of Title 5 and the for DisposallSystem Construction Permit No�k��j-..j dated q" ( J a I Installer a}. �1arra.A)M F,aC r' 9ru..`� Designer "�:rV�r •- #bedrooms �_+ Approved design flow, '�, C? d PP P� � gp The,issuance of f this permit shall not be construed a,a guarantee that the system will' ctio n<aas designed ,�,..�.,, Date'''._ t,S.� / ; Inspector ------ --- - --------- ---- - - No: r^, '` *„�,.. Fee KT . '"..�• THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH]AV�ISION-BARNSTABLE,MASSACHUSETTS .. ....� ---..._.. .�» '• —i' "_.—..cam-.._ - Aisposal"6pste�m,Construction Vermit - Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at -i,� Pr,t tt`�1 �C ,1. f 0 1/ NN t-1 and as described in the above Application for Di posal System Constru Lion Permit. The applicant recognized his/her duty to comply with Title 5 anfthe following local provisions or special conditions. r�% F Provided:Construction`must be completed within three years of the date of this permit.))/l 1 ,, r' Date ��J "/ Approved by r l�ie.�!�r/ Y_ `/ , 1 #�':" ...�!�....r.aa _u,....e»z.w ,. ,1,:•. `e... . ..., ,�..�. . . t�',�".. _� ,. ,s„ ,. . � .. t , .. .._. .. ,... ��.. ^�".rr� Town of Barnstable 'WE'O`''�� Regulatory Services Richard V. Scali, Interim Director BARNSTABLE, �$ MAW. � Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, NIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: /® /8 2 Sewage Permit#643PI -331 Assessor's MapTarcel�� Designer: ny „��e�°, /t��or�tsF l�►C . Installer: Address: lZ W, Cn,sjt-�e !` 1 Address: Fo re_-4 tg MA 6 ZG 414 Oil /`/ 2 ,ear 1Yt a�-l� was issued a permit to install a ( ate) (installer) Septic stem at p v�C ( , Y �Od�-r,� �t)� based on a design drawn b} �L (address) g!►g'tieP.r:nq U. CAA /4 C , dated Z (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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructs nce with the terms of the I\4 approval letters (if applicable) tAOF PETER T. WENTEE - CIVIC, Installer's Signature) NO.35109 �FG/STEA�o (Designer's Signature) (Affix Designer tamp 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 DIVISIOI\. THANK YOU. Q:\Scptic\Dcsigncr Ccrtification Form Rev 8-14-13.doc Al, Crocker, Sharon a L� From: McKenzie, Marybeth Sent: Friday, September 17, 2021 1:57 PM To: HeathDeptMailbox Subject: 58 Carlotta septic installation Hello, 0.9 A Mr. Dempsy,2-1�Lillian Dr, called regarding the septic installation at the neighboring house at 58 Qarlotta#2021-331. The issue is that 58 Carlotta's SAS is on his property and he wanted to make sure an inspector verifies that the system has been removed or abandoned.There is a fence abutting the property and he wants to be home when it is inspected. Doug Brown is the installer.Tom has spoken to him numerous times too so if you have any questions Tom can explain. Mr. Dempsy number is 508-778-7731 in case you need to contact him. Thanks, Mb • 1 Commonwealth of Massachusetts .2 Li Title 5 Official Ins ection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. iy Property Address Owner Neal information is Owner's Nam required for Hyannis f MA 02601 10/10/18 every page. City/Town 1 State Zip Code Date of Inspection i PIZ 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. A. Inspector Information Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 13010 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 10/10/18 InspectM 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of 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. t5insp.doc•rev.7/2612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owners Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The d-box and chambers are on the neighboring property at(29 Lillian Rd.) as well as approximately 1/2 of the septic tank. OK per local health agent who stated "it is a civil matter' 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N FIND (Explain below): t5insp.doc•rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 i, <LCommonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owners Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 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): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 f Commonwealth of Massachusetts lvtt5� F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section.CA. 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 t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-,Page 6 of 18 I Commonwealth of Massachusetts P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: 3 bedroom permit 1997 on file Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: ' Sump pump? ❑ Yes ® No Last date of occupancy: occupied Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: No recent pumping per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 I Commonwealth of Massachusetts lF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ 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): Approximate age of all components, date installed (if known)and source of information: 1997 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 3' Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10' feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2'6"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500g 41- Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle >12 Scum thickness Trace-1" Distance from top of scum to top of outlet tee or baffle >2„ Distance from bottom of scum to bottom of outlet tee or baffle >2" How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3yrs to prolong the life of the system t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owners Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping:. Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 r h Commonwealth of Massachusetts P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �o 58 Carlotta Ave. Property Address Owner Neal information is Owners Name required for Hyannis MA 02601 10/10/18 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): H-10 D-box is 4' below grade, average condition for its age l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 I � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 3 infiltrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chambers were video inspected and effluent is approximately 12" below the invert at this time 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owner's(dame required for Hyannis MA 02601 10/10/18 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately s Ccw�A 2 L{ /� 3y 3'7 Lk 3 S76 40 sLk t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments z 58 Carlotta Ave. Property Address Owner Neal information is Owner's Name required for Hyannis MA 02601 10/10/18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >14' 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: 1997 permit NGW 14' Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: 4' seperation per 1997 compliance ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: TOPO mapping You must describe how you established the high ground water elevation: See above Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts � lF Title 5 Official Inspection Form� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Carlotta Ave. Property Address Owner Neal information is Owners Name required for Hyannis MA 02601 10/10/18 every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6(Checklist)completed ® D. System Information: For 8:Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 CS �Gr laf�� �� �a�?�.S , ,, P, �T _. ru Tr 0 F F I C 1 . A S El Cr Postage $ /� ZI / � / a I�- Certified Fee �. 16 Zj m CZ) Postrn Return Fee h u I (Endorsement Required) O H . O (Endorsementn l equired C3 I> Total Postage&Fees Sent To Er 2ack�E---- Street Apt o.; .. -- -^--- - - ---- -...._ r-I or PO Box No. o �, ,Score, P+4 a i Certified Mail Provides: a A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. N e Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. is For an additional fee,a Return Receipt may be requested to provide proof of I delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. 11%N3 iTANT:Save this receipt and present it when making an inquiry. PS Form 3600,January 2001 (Reverse) 102595-M-01-2425 i =` G fVllYll U a Er Postage $ �CO Certified Feettm /� Return Receipt Fee ; mere M (Endorsement Required) L a p Restricted Delivery Fee N �t iJ (Endorsement Required) p �p N of O Total Postage&Fees 0 S. T,M Street t. or PO ,ox N . O City State,ZIP+4 r Certified Mail Provides: ;�► o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a F.eturn Receipt(PS Form 3811)to the article and add applicable postage to cover tie fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,May 2000(Reverse) 102595-99-141-2087 Town of Barnstable oFIME r Regulatory Services Thomas F.Geiler,Director BARNSPABLE, Public Health Division 9 MASS. g 1639. Thomas McKean,Director ArED �A 367 Main Street, Hyannis,MA 02601 I Office: 508-862-4644 Fax: 508-790-6304 Dwight Sackett 150 Sylvan St. Melrose,MA. May 7,2002 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00,STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The,property owned by you located at 58 Carlotta Ave.Hyannis,MA was inspected on May 6,2002 by Edward Barry,Health Inspector for the Town of-Barnstable--because-of-a oc plaint. The following . violations of 105 CMR 410.00,State Sanitary Code H,Minimum Standards of Fitness for Human Habitation were observed: 410-500 There is black mold throughout the house due to chronic dampness. 410-501 The skylight window leaks,and there is a hole in the Jacuzzi floor. 410-501 The glass door in the Jacuzzi room is damaged and does not close properly. 410-481 The building is not posted with a 20 sq.inch sign showing the name,address and telephone number. You are directed to correct the above listed violations within seven days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7)days after the date order is received. However,this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than$500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and$15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH s McKean Director of Public Health CC: Jeanette Murray 58 Carlotta Ave. Hyannis,MA 02601 Q:/healthiwpfil.es,Orden etlSackettl ifs SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X 11V1 ❑Addressee so that we can return the card to you. 8. R ceived by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. -� (�✓� / )&G D. Is delivery address different from ite ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 3. Services Type f�Ceertified Mail ❑press Mail ❑ Registered 19 Return ReceipYfor+AsrGhaadiae +� ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes ` 2. Article Number I (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595.01-M-2509 iltfli !! lllill � 11i �1 i � ii I i I UNITED STATES POSTAL SERVICE First-Cla&s Mail I Postage&Fees F*aid USPS Permit No.G-10 II I I • Sender: Please print your name, address, and ZIP+4 in this box • I I Public Healtt►taboo le i I I Town of Bairns 200 Main St 02601 Hyannis,MaMwtusetts t I 1 �I 3 lit;sElt�!I!)i::�4:sa=:s11:!Fl�f � TOWN OF BARNSTABLE k LOCATION S''49 C-4 A I T A SEWAGE 0 3 7 1� VILLAGE // ASSESSOR'S MAP & LOT. INSTALLER'S NAME&PHONE NO. I ti O b r-s a ^- 7 S " 9 '/'I L SEPTIC TANK CAPACITY LEACHING FACILITY: (type) - �r�6 G e T.=°5(size)/0 NO.OF BEDROOMS BUILDER OR OWNERS PERMITDATE: '7-.�-S- 5 7 COMPLIANCE DATE: 7....3�... �i Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet: Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I � i 1 1� A No. Fee $5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Migooal *pztem Con.5truction Permit Application for a Permit to Construct( )Repair(xx)Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. 58 Carlotta Ave Owner's Name,Address and Tel.No. 61 7—9 4 4—7 7 6 0 Assessor'sMap/Parcel Hyannis, MA Dwight Sackett 150 Sylvan St McnlrnsP Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. WM E Robinson Sr Septic Sry PO Box 1089 , Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( n�) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Install Tit 1 e 5 Septic system consisting of 1500gal tank, D-box, and hr _p stunt- r-knrl H-20 infiltrators. 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 nvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by o of�Health. Signed 1 Date 7 Application Approved b Date = � Application Disapproved for the following reasons F Permit No. Date Issued No: /'~ .,�✓ �S Fee $50.001 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: " PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Yes Application for Mtgpozar *p5tem (Construction V,ermtt Application for a Permit to Construct( )Repair(xxj Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 58 Carlotta Ave Owner's Name,Address and Tel.No. 61 7—9 4 4—7 7 6 0 Assessor'sMap/Pazcel Hyannis, MA Bwight Sackett 150 Sylvan St i -- :2 6 9' Melrose, Installer's Name,Address,and Tel.No 7 7 5-$,7.,7 6 Designer's Name,Address and Tel.No. WM E Robinson Sr Septic Sry PO Box 1089,--.Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( nb Other Type of Building No.of Persons Showers( ) Cafeteria.( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. `J Description of Soil sand - - Nature of Repairs or Alterations(Answer when applicable) Install Tftl a 5 RentiC system consisting of 1500gal tank, D-box, and three stonenrkAd H-20 infiltrators. 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 Rnvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t%* o oCHealth. _ Signed i Date Application Approved by O Date �" Application Disapproved for the following reasons Permit No. r � Date Issued '` Y8 THE COMMONWEALTH OF MASSACHUSETTS Sackett BARNSTABLE, MASSACHUSETTS (Certificate of"'(Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (xx)Upgraded( ) Abandoned( )by at 58 Carlotta Ave, Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No o•. Installer Wm E Robinson Sr Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ''l �a 7 Inspector No. Fee $5 0_00 t THE COMMONWEALTH OF MASSACHUSETTS Sackett PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS . Mtzpozar 6peum QContruction Permit Permission is hereby granted to Construct( )Repair(x )Upgrade( )Abandon( ) System located at 58 Carlotta Ave, Hyannis Installer Wm E Robinson Sr Septic Srv% and as described in the.above Application for Disposal System Construction Permit.The applicant recognizes 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 thi it. Date: 1 "' Approved b 7 ' 1 NOTICE: This form is to be used for the repair of failed septic systems only CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I,William E. Robinson, Sr.,hereby certify that the application for disposal works construction permit signed by me dated S°- concerning the property located at 58 Carlotta Ave, Hyannis,MA meets all of the following criteria: * ere are no wetlands within'300 feet of the proposed septic system. *Jhpe are no private wells within 150 feet of the proposed septic system. P 0obseved groundwater table is 14 feet or greater below the bottom of the leaching facility. * Ther ' no increase in flow and/or change in use proposed. here are no variances requested or needed. SIGNED: CCU DATE LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer proposes a certification plot plan,this plan should be submitted). J f t)t` HOUSE#29) -- 98 -- EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE It -. k. W EXISTING WATER SVC. CA BENCHMARK-f G EXISTING GAS SVC. OUTSIDE COR./STEP -�H.{�- OVERHEAD WIRES EL.=103.13 TEST PIT L1,r Ni 0, O EXISTING LEACH PIT i, BENCHMARK �4 r BE IN OR NED CE --------1 l REMOVED ANDOREPLACED A WITH CLEAN FILL LEGEND , 4 r I / / El FILL, AS AGREED UPON BY OWNERS LL' I / Q � - • 6U O it EXISTING SEPTJC TANK . \`. L--------I / I (TO REMAIN-SEE NOTE 13) L / TOP OF TANK, EL.=100.15f LOCUS MAP J = 1NV. OUT-98.80t N 87*52 o E ( ) GENERAL NOTES: TO BE ABANDONED IN PLACE OR REMOVED AND REPLACED WITH CLEAN FILL 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 10 .00' FILL, AS AGREED UPON BY OWNERS BOARD OF HEALTH AND THE DESIGN ENGINEER. fence line O 10 1 X 101,46 104,85 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE X PROPOSED SEPTIC TANK LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 103.32 PROPOSED SEWER CONNECTI N CONTRACTOR MAY SUBSTITUTE WITH O O O -310 CMR 15.405(1)(b): LOCAL UPGRADE APPROVAL + INV.=99.10t(VERIFY) INFILTRATOR IM1540 POLY TANK 1) A 5' variance, S.A.S. to slab (garage), for a 5' setback. 103.95 TBM1 X I 2) A 1' variance, S.A.S. to cellar wall, for a 19' setback. 103,13 101,40 103.02 p 3) A 3' variance to the 3' maximum-cover requirement, for up to 17' X / O' 6' of max. cover. S.A.S. shall be H-20 and vented. Y CRAWL 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DECK 105.62 11�12.8 DEC DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING IX i FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 103j 1101.55 ENGINEER BEFORE CONSTRUCTION CONTINUES. ICI ON 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. Z IpI Op O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O 105,39 lol GE /EXISTING O W THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0 - rnlrnl GARA SIB, HOUSE(#58) O O HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. C5 �lol T.O.F.=102.7± v i i O rrl 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. Op 10 ISX CELLAR 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. - h 43 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS P 1Z AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 6,38 nl 5 10 ,69 102.92 DIRECTED BY THE APPROVING AUTHORITIES. :' 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 102,4 I :`]y :• 02.3 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING + CONSTRUCTION. LOTS X 101.87 ;. OF Mqs 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS TP-2 I OF 012,34. 10 PETER T 600±S.F. 101 22 �� s9cy� REPLACE WITH IN THE AREABCLEANHSAND AS SPECIIFIEDAND FOR 5' ONL N 5310 CMR IDES THE IN S. AND o . ✓� 106 7 EE �_ 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE VENT 02.33 `� �/ x0 r M CIVIL "' INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL 101.80 G7 No. 35109 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND „..R�>•:. 100.65 fc/s��`�° IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. STONE =101.9 87'52'30" E 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC N $T52'3O" E 100 00' SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. 21.78' 106. 9 PARKING 115. OWNER SHALL OBTAIN WRITTEN PERMISSION FROM PROPERTY OWNER 101.81 SDLID ,Z` OF 29 LILLIAN DRIVE TO ABANDONED S.A.S. IN PLACE AND ALLOW EXISTING 103,12 102,31 CATCHBASIN 1 SEPTIC TANK TO REMAIN IN PLACE AND CONTINUE TO BE USED. ® PROPOSED SEPTIC SYSTEM UPGRADE PLAN D 99,51 104,59 i i edge of av't 100,00 99,16 105.04 MAG,NAIL/TBM2 02.66 101.731 9 P 100,45 PK SET P 58 CARLOTTA AVENUE, HYANNIS, MA 103,57 OWNER OF RECORD Prepared for: MacKenzie Neal, 59 Carlotta Ave, Hyannis, MA 02601 CA IL L 0 T T A AVENUE' 8 C LOTTA ZIE Engineering by: SCALE DRAWN JOB. 21 BENCHMARK-Z 58 NNIS, TA AVENUE Engineering Works, Inc. 1��=20' P.T.M. 215-21 4 HYANNIS, MA 02601 9 9 DATE CHECKED SHEET NO. MAGNETIC NAIL SE 12 West Crossfield Road, Forestdale, MA 02644 EL.=103.57 PARCEL ID: 248-206 (508) 477-5313 7/21/21 P.T.M. 1 of 2 t I _ t 4 . NOTE: TO PREVENT BREAKOUT, THE PROPOSED -FINISH GRADE SHALL NOT BE < EL. 96.0 EXISTING SEPTIC TANK FOR'tA DISTANCE OF 15' AROUND THE PROPOSED D-BOX PERIMETER OF THE S.A.S. PROVIDE RISERS WITH COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. 1; OUTLET MANHOLES SET TO 6" OG FINISH GRADE. SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT T.O.F=102.7t F.G. EL.=102.1t F.G. EL.=102.4t F.G. EL.=102.5t F.G. E L.=102.5t VENT MAINTAIN 2%Ir DE MIN': OVER S.A.S. SET REBAR FOR LOCATING L = (MI L 1 (MI L = 5' ONE 2'x;'x64' LEACHING TRENCH WITH INSPECTION S=1% (MIN.) © SCH4 (MIN.) p S=1% (MIN.) ��� SCH 40 PERF. PVC DISTRIBUTION LINES PORT 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 6" iu to"I e 14' 2' EFF. INV.=98.95 48" LIQUID DEPTH LEVEL ADD GAS PROPOSED BAFFLE INV.=98.55 INV.=97.38 SLOPE OF PERF. PIPE = 0.5% TBM1 INV.=98.70 D BOX 64' EFFECTIVE LENGTH 103.13 3 OUTLETS INV.=97.32 INV. EL.=97.00(END) PROPOSED SEPTIC TANK H-2o SOIL ABSORPTION SYSTEM (PROFILE) 1 CRAWL CONNV. ECT TO EXISTING SEWER MAINTAIN 2% GRADE (MIN.) OVER S.A.S. i i� DECK DEC 2" LAYER OF 1/8"-1/2" DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC) FBREAKOUT ELEV.=97.82 NOTES: INV. EL.=97.00 3/4"-1 1/2" DOUBLE (p' EXISTING 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 2' WASHED STONE �O) GARAGE HOUSE(#58) INVERTS, PRIOR TO INSTALLATION. p�'m' SLABS BOTTOM ELEV.=95.00 T.O.F.=102.7± 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO ' I �IpI GRADE ON A MECHANICALLY COMPACTED STABLE BASE OR 3. i O CELLAR 5' MIN. ABOVE BOTTOM OF , OR SIX INCH AGGREGATE BASE, AS SPECIFIED IN 310 CMR ONE 2'x3'x64' ��-�� rj 15.221(2). T.P. EXCAVATION OR G.W. LEACHING TREHCH 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 'Z BOTTOM OF TIP, EL.=91.5 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE / AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. �/ ESTIMATED HIGH GROUNDWATER IS BELOW EL.=90.00 ENGINEER SHALL VERIFY AT TIME OF J.NSTALLATION SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM (SECTION) i 'N �Cob DESIGN CRITERIA SOIL LOG DATE: JULY 14, 2021 (REF#TPT-21-183) NUMBER OF BEDROOMS: 3 BEDROOMS `� SOIL EVALUATOR: PETER McENTEE SE#1542 SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT (LOADING RATE=0.74 GPD/SF) ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN 102.5 0" 102.5 A 0" DAILY FLOW: 330 GPD FILL FILL 1OYR 4/2 DESIGN FLOW: 330 GPD / 101.8 C 81, 101.8 C 8" GARBAGE GRINDER: NO-not allowed with design ✓ a 32" LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 0"/48" 1 SEPTIC LAYOUT .74 GPD/SF PROPOSED SEPTIC TANK: .1500 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 1 OUTLET (MINIMUM), H-20 RATED ° MED. SAND MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN INSTALL ONE 2'DEEP x 3'WIDE x 64'LONG LEACHING TRENCH WITH 2.5Y 6/6 2.5Y 6/6 STONE .AND SCHEDULE 40 PERFORATED PVC DISTRIBUTION LINE 58 CARLOTTA AVENUE, HYANNIS, MA SIDEWALL: 2 SIDES x 2' EFF. DEPTH x 64' LONG 256 SF Prepared for: MacKenzie Neal, 59 Carlotta Ave, Hyannis, MA 02601 2 ENDS x 2' EFF. DEPTH x 3' WIDE 12 SF r . BOTTOM AREA: 3' x 64'...................... 91.5 132" 91.5132" Engineering by: SCALE DRAWN JOB. NO. ..................:...... = 192 SF N.T.S. P.T.M. 215-21 TOTAL AREA:.............................................................. ...............460 SF PERC RATE <2 MIN/IN. "C' HORIZON Engineering Works, Inc. . NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 GPD/SF(460 SF) 340.4 GPD 1 (508) 477-5313 7/21/21 P.T.M. 2 of 2