HomeMy WebLinkAbout0037 CHERRY STREET - Health 37 Cherry Street.
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3� TOWN OF BARNSTABLE U�
LOCi,iTION G, � � S�. SEWAGE # 2V 7�
VILTjAGE_ISl ' �S ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. O I
SEPTIC TANK CAPACITY —4FO -a?�C,
LEACHING FACILITY: (type) � �l�.�6��$�'—� (size) x
NO. OF BEDROOMS- 3
BUILDER OR OWNER &&Jff t-) -+ 1,&.gW ).ZQJWJ
V - y
PERMITDATE: 2!/ COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater.Table to the Bottom of Leaching Facility `S Feet
Private Water Supply Well and Leaching Facility If an wells exist
PP Y g t5' ( Y
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leachin facility) g Feet
Furnished by
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TOWN OF BARNSTABLE
L(SCATION ✓7 � SEWAGE #
VILLAGE ASSESSOR'S MAP &
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ��/
LEACHING FACILITY: (type) , � ' (size)
s
NO. OF BEDROOMS
BUILDER OR OWNER,
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetlaid and Le hing Facility (If an wetlands exist
within 300 fee OC cility) Feet
Furnished b '
,. �� ..�
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,� � 1
/ ^ \
/ ,
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No. Fee ✓ �V
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplication for �Digogal *y5tem (fou5truction Permit
Application for a Permit to Construct( ) RepairX Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. � CY'1� Owner's Name,Address,and Tel.No.WIE Inxfo `
yAN�xs R v�DI�J` 3� CGW ew V. I HI A WS, r
Assessor's Map/Parcel 11
Installer's Name,Address,and Tel.No.,fO&'Z/Ze 9";"3$ esigner's Name,Address and Tel.No. 1 �•
ASS
Type of Building:
Dwelling No.of Bedrooms Lot Size 1-1�I q 1 _ sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.re wired) 33o gpd Desi n flow provided 33 0 gpd
Plan Date Number of sheets Revision Date
Title Q�
Size of Septic Tank �foQ C�L Type of S.A.S. ,A
Description of Soil W ?,W— A`�9 6 QugR MEO, Stub +6 AVER.
t
Nature of Repairs or Alterations(Answer when applicable) Aye
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 Certif ate ofip
Compliance has been issued by this Board of Health. t
Si 'Date
Application Approved b Date zi -7 14
Application Disapproved by: Date
for the following reasons
Permit No. r— Date Issued 7
/' *m--tea• _ ., ........... //��
No. . . 150 Fee /QV
t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes'.
ZIPpYication for Migpogat *pgtem Congtruction Permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) X Complete System ❑Individual Components
Location Addressor Lot No. C'N�I� Owner's Name,Address and Tel No)WC E
Assessor's Map/Parcel L s S — 72 g —-5?1 1 S
Installer's Name,Address,an Tel.No.S���/Z�— esi er's Name Address and Tel.No. ��
Jos>°p� 2, LNG �P,� gsspO . ,
f. sM- 7 Lt3 ~ ZD rrR W
Type of Building: (�
Dwelling No.of Bedrooms Lot Size 6i 1 1 / sq. ft. Garbage Grinder &E 1
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures V
Design Flow(min..required) gpd Des' n flow provided 23 0 gpd
Plan Date W Number of sheets Revision Date
Title S S S' 12 P1D
Size of6eptic�Tank p SOOCo 4 L Type of,S,.JA.S. �— � ( �i� G 1A E e
Description of SO],A�P�OX. PIZ�� 01F A+ e 140kTZ VV U� 'E2 M'En. SAPP + VEL
i
Nature of Repairs or Alterations(Answer when applicable)
�Z To PEE R6UGED WH A lV�l�t! I500--GAL -'j�4,Vle q►10
Date last inspected: c:
r A eement:
g , -
dts osal g
I•
Y
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewageP 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 //fC `/'C��� /"` Date
Application Approved b� Date 7 (�
Application Disapproved by: Date
for the following reasons ,
Permit No. , (0 "�'7 Date Issued 7
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
k
Certificate',of Compliance.
THIS IS TO CERTIFY,,that the On-site Sewage Disposal System Constructed ( ) Repaired (�Z ,,Upgraded ( )
Abandoned( )by '' a
at 3 1 �� has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. Ll (I dated /7 F
Installer Designer .V-'—' C Q--
#bedrooms 3 Approved design flow 3 30 gpd
The issuance of this permit shall not be�construed as a guarantee that the system wi 1 fan'btion as designed.
Date ZWj IP Inspector_._��- I,-
7---
No. � Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
Migogat:i§pgtem Congtruction Permit
Permission is hereby granted to Construct ( ) Repair 14-)-- Upgrade ( ) Abandon ( )
System located at 3 7 c-r--
t
i
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: Constructiop mu t be completed within three years of the date -f this it.
Date �/ � 4 Approved y
Town of Barnstable
�oFINE Regulatory Services
Thomas F. Geiler,Director
BARNSTABLE. *�
M � Public Health Division
'OIFu 39. 1% Thomas McKean,Director
2.00 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
' Installer & Designer Certification Form
Date: Sewage Permit# — Assessor's Map\Parcel
Designer: � e %VC / U Installer:
Address: ��� . Address: D • �x ��
On T�&�s .960C'i !�was issued a permit to install a
(dat (installer)
septic system ate ok7 E(-r , yU1lFl__S based on a design drawn by
(address)
ated
(designer)
_X I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required).was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
Of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
Were found satisfactory. �P�ZH OF MAssgc
EDWARD L. yGN
PESCE
I staller s Signature) d CIVIL N
No.32001
p Q
-09 9cc0►sTEP� a�`�'
o�FSS10NM.
(Designer's ignature (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
QASeptic\Designer Certification Form Rev 03-09-06.doc
TOWN OF BARNSTABLE
LOCATION J' G 9::1,JV��. SEWAGE # 2W6"'�
VILLAGE—' f1 ASSESSOR'S MAP & LOT
INSTALLER'S NAIfiE&PHONE NO. a m
SEPTIC TANK CAPACITY l
LEACHING FACILITY: (type) (size).
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: L, � COMPLIANCE DATE:
Separation Distance Between the: ,
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) AjAFeet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by Q a
13.5
SDO
SEA AY
DATE: 12/22/01
PROPERTY ADDRESS: 37-Cherry_Street
Hyannis,mass.
------------------------
02601
------------------------
On the above date, I inspected the septic system at the above address.
This system consists of the following:
1 . 1 -6 'X8' block cesspool .
2 . 1 -1000 gallon precast leaching pit. 6 'X10 '
Based on my Inspection, I certify the following conditions:
3 . This is not a title five septic system, .
4 . This is a sewage system.
r5 . The sewage system is in proper working order
at the present time.
6 . Pumped main cesspool at time of inspection.
7 . Main cesspool acts as a septic tank. Solid waste is
contained and effluent passes to the 1000 gallo
precast leaching pit. ,villS1 SIGNATURE:_,,
8 . There are two adonded cesspools
on westside of the house.
Name:-J^P _ Macomber _jj-------
Company: JoseI)h_P . Macomber_& Son , Inc .
Address:- Box 66
Centerville , Ma . 02632-0066
--------------------
Phone: 508-775-3338
---------------------
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
JOSEPH P. MACOMBER & SON, INC.
Tan ks-Cesspools-Leachflelds
Pumped & Installed
Town Sewer Connections
P.O. Box 66 Centerville, MA 02632-0066
775-3338 775-6412
COMMONWEALTH OF MASSACHUSETTS
r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
i
TITLE 5
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address;37 Cherry Street
Hyannis :MasG
Owner's Name: Mary Sul 1 ; va
Owner's Address: Same
Date of Inspection; 2 01
Name of Inspector: (please print) J.P. Macomber Jr.
Company Name:Joseph P. Macomber & Son Inc
Mailing Address: P.0_ Box 66
r'Pni-k-ruille Ma 02632
Telephone Number: 508-775-3338
CERTIFICATION STATEMENT
1 certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system Inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
2-Passes .
_ Conditionally Passes
_ Needs Further Evaluation by the Local Approving Authority
_ FiIIs
g
Inspector's Signature: /- Date:
The system inspector shall s mit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority.
Notes and Comments
***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.
Title 5 Inspection Form 6/15/2000 page I
Page 2 of 1 1
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OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Su Ivan
Date of Inspection:
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A System Passes: {
have not found an information hich 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 -sewage system is in proper working order _
at the present time.
B. System Conditionally Passes:
,040 One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined" please
explain.
X&L'Th se t�tanks metal and over 20 years old* or the septic tan-:(whether metal or not) is structurally
-unsound, e 1 antial 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 structwally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
li Observation of sewage backup or break out or high static water level in th istrib^uti—on bo ue to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
_ 2
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Page 3 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Sullivan
Date of Inspection: 12/2 2/01
C. Further Evaluation is Required by the Board of Health:
Wd Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the
system is not functioning in a manner which will protect public health,safety and the environment:
AO Cesspool or privy is within 50 feet of a surface water
4B Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a se tic tank and soil abso t'
/� p rp ton system (SAS)and the SAS is within 100 feet of
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 I of a public water supply.
,&ZP The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
40 The system has a septic tank and SAS and the SAS is less than 100 feet but 1;rl feet or more from,a
private water supply well". Method used to determine distance
"This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that faciliry and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
This is a sewage system. The system consists of
1 -6 ' X8 ' bin .k cesspool and 1 -100'0 gallon precast 1
laaching nit _ 6 ' X10 ' ( Series )
3
Page 4 of I 1
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Sullivan
Date of Inspection: 1 2 22 01
D. System Failure Criteria applicable to all systems:
You must indicate "yes"or"no" to each of the following for all inspections:
Yes No /
_ I/ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
Static liquid level in the distribution box bove outlet invert due to an overloaded or clogged SAS or
cesspool
_ Liquid depth in cesspool is less than 6"below invert or available vohune is less than h day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
/of times pumped .
��/ y portion of the SAS, cesspool or privy is below high ground water elevation.
y portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
�ater supply.
y portion of a cesspool or privy is within a Zone 1 of a public well.
Ptportion of a cesspool or privy is within 50 feet of a private water supply well.
portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
^(� (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large 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.
You must indicate either"yes" or"no" to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no,
the system is within 400 feet of a surface drinking water supply
2the system is within 200 feet of a tributary to a surface drinking water supply
the;system is located in a nitrogen sensitive area(Iinterim Wellhead Protection Area—IWPA)or a mapped
Zone 11 of a public water supply well
If you,have answered"yes"to any question in Section E the system is considered a significant threat, or answered
.,yes'' in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
4
Page 5 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Sullivan
Date or Inspection: 1 2/2 2/01
Check if the following have been done. You must indicate"yes"or"no" as to each of the following:
Yes No
Pumping information was provided by the owner, occupant, or Board of Health
Were any of the system components pumped out in.the previous two weeks
ZHas 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 ?
Zwere 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?
z _ Were all system components, excluding the SAS, located on site ?
%yUJd Were the se tic tank anholes 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 ?
Z— Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has been determined based on:
Yes no,
_N 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 CNIR 15.302(3)(b))
s .
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Page 6 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Sullivan
Date of Inspection: 1 2/2 2/01
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): Number of bedrooms(actual): .7
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# of bedrooms):, 6'A,D
Number of current residents: of
Does residence have a garbage grinder(yes or no):
Is laundry on a separate sewage system (yes or no):xU0 [if yes separate inspection required]
Laundry system inspected(yes or no):*�-
Seasonal use: (yes or no):L/0
Water meter readings, if available(last 2 years usage(gpd)):1 998-99=62, 500 gallons=1 70, 55 GPD
Sump pump(yes or no): iVP — — , 0 gallons=96 . 587—GPD
Last date of occupancy:A/t- 2000-01 =50, 250 gallons=1 37. 68—GPD
COMMERCIAL4"USTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):,Iy
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no): 141,14
Water meter readings, if available: fJ
Last date of occupancy/use:
OTHER(describe): .6J4
GENERAL INFORMATION
Pumping Records
Source of information: i l 7 —/d� ��I
Was system pumped as part of the inspection(yes or no): —�
If yes, volume pumpe How was uantity pupped determined?
Reason for pumping:
TYPE OF SYSTEM
�d Septic tank, distribution box, soil absorption system
'0�Single cesspool
Overflow.eesspoal
Privy
ZP Shared system(yes or no)(if yes, attach previous inspection records, if any)
Z!Innovative%Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained fr.6m.system owner)
Tight tank ;6,0 Attach a copy of the DEP approval
Other(describe): zj
A roximate a e of all coinponents,date installeg(if known)a d sgurce of information:
Were sewage odors detected when arriving at the site(yes or no):la
6
Page 7 of I I �, •
OFFICIAL. INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 37 Cherry Street
Uyannis�Mass_
Owner: Mary sul 1 i van
Date of Inspection: 1 2/22.1 (,)l
BUILDING SEWER (locate on site plan)
Depth below glade: /
Materials of constru u ction: _czst on _40 PVC ,/other(explain):
Distance from private water supply well or suction line: Ld 4j�
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joint_9 appear t i ghfi Nn pvi denrp of 1 eakagp Thp gwStpm is
vented through the house vents.
SEPTIC TANK4&Vlocate on site plan)
Depth below grade: 10
Material of construction:4M ccncreteA4tmetal4/4 fiberglass 0polyethylene
11�4 other(explain)
If tank is metal list age:WX Is age confirmed by a Certificate of Compliance (yes or no): _(attach a copy of
certificate)
Dimensions: ��
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: W4
Scum thickness: tjw
Distance from top of scum to top of outlet tee or baffle: AM
Distance from bonom of scum to bonom of outlet tee or baffle: t,�P9'
How were dimensions determ ned:
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet inven, evi ehcc of leakage, etc.):
Septic tank is not present _
GREASE TRAPR("locate on site plan)
Depth below grade:A/O
Material of construction:fJA concrete�r! metaI4Ji9 fiberglass �9 PolyethyleneAL4 other
(explain): /P
Dimensions:
Scum thickness 4
Distance from top of scum to top of outlet tee or baffle:
Distance from bonom of scum to bosom of outlet tee or baffle:
Date of last pumping:
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structwal integrity, liquid levels
as related to outlet inven, evi=once of leakage, etc.):
Grease trio is not rp pspnt
7
Page 8 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 37 Cherry Street
Hyannis,Mass_
Owner: Mary S 11 1 i van
Date of Inspection: 1 2.12 2.10
TIGHT or HOLDING TANKIke.(tank must be pumped at time of inspect ion)(locate on site plan)
Depth below grade: -1
Material of construction: A1,4 concrete .UA metal 4,1A fiberglass A" polyethylene 'VA other(explain):
,dA
Dimensions: A 114
Capacity: I" gallons
Design Flow: A14 gallons/day
Alarm present(yes or no): 44f
Alarm level: ,t44 Alarm in working order(yes or no):
Date of last pumping: AIR_
Comments (condition of alarm and float switches, etc.):
Tight or holding tanks are not present
DISTRIBUTION BOXAA&(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: .6JJ
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.):
Distribution box is not nr spnt
PUMP CHAMBEI2rL (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Pump chamber is not present
•
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Page 9 of 1 I
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 37 Cherry Street
_Hyannis,ma-ga
Owner: Mary Sullivan
Date of Inspection: 1 2/2 2/01
SOIL ABSORPTION SYSTEM (SAS): Y (Locate on site plan,excavation not required)
1 — n series. 6 ' X10 '
If SAS not located explain why:
Loca
Type
leaching pits, number:
leaching chambers,number: D
40 leaching galleries,number:
ZT leaching trenches,number, length: a
leaching fields,number, dimensions:
overflow cesspool, number:
,,o<O innovative/alternative system Type/name of technology: 1
Comments (note condition of soil, signs of hydraulic failure, level o ponding,damp soil, condition of vegetation,
etc.): No signs
Loam sandVe n ce
ai ure or n SoilMOr
ime U..L inspection. No signs of water intrusion.
Cesspool structurally. sound at this time.
is
CESSPOOL. (cesspool must be pumped as part of inspect ion)(locate on site plan)
Number and configuration: X�
Depth—top of liquid to inleinvert:
Depth of solids layer:
Depth of scum laver:
Dimensions of cesspool:
Materials of construction: rJr E ilk
Indication of groundwater inflow(yes or no):
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
Same as A
PRIVYAJcA'. (Locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Commentr(note.condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
Privy is not pres
9
Page 10 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Add ress:37 Cherry Street
yannis, ass .
Owner:Mary Sullivan
Date of Inspectioo; 1 2 22 01
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
L�
1 /
\ t
c \
I
10
,Page I 1 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 37 Cherry Street
Hyannis,Mass.
Owner: Mary Sullivan
Date of Inspection: 1 2/2 2/01
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 4 0 ' feet
Please indicate (check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
_Checked with local excavators, installers-(attach docwnentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
sed; Gahrety & Miller Model 12/16/94 Grc)und wat-er alaeve sea 1eyeI .
USGS; Observation well data Jung 1992
USGS; 92-000-1 Plate #2 Annual ranq,Ps nfgr-eund watef.
Tup of n
Leaching `
Pit
Grouridwater �l=eet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method
Therefore, the vertical separation distance between the bolt ESP of the leaching pit and the adjusted groundwater table is
feet.
`.•r+nrn.-n.T►r.T1- Tf'.-tm•n1P117-7ert ren.rrrn::lR*srrr�rr*Rmn rrrrwlu/+tlrrenrT .TT'-r-Y-a--n-.,-. r-...'
TOWN OF Barnstable IlOARD OF HEALTH
SU135UIIFACF SEWAGE I)I SPOSAL ,SYSTEM INSPECTION FORM - PART D CERTI 171 CATION
•••T•1�7••••.' -T.1I I.�.�rr.,T rm'R:„n TIlr.R11 i!ITT't-•.'1 `11R117RRI�TIT.7�T/T�T.f�TT�7 �A 1
-TYPO OR PRINT CI.EARLY-
PROPERTY INSPECTED
' STREET ADDRESS 37 Cherry Street Hyannis,Mass.
ASSESSORS MAP , BLOCK AND PARCEL # 309t--'135
OWNER' s NAME Mary Sullivan
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P. Macomber Jr.
COMPANY NAME Joseph P. Macomber & $err Inc
COMPANY ADDRESS P.O. Box 66 Centerville Ma 02632
Strevt Town or City State ZIP
COMPANY TELEPHONE (508 ) 775 - 3338 FAX ( 508 790 -1 578
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at
this address and that t)Ie i►�forination reported is true , accurate , and
omplete as of the time of ,inspection , The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems .
Che� one ,
System PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or Lhe environment as defined ' in 310 CMR 16 - 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form .
System FAILED* \
The inspection which I have con tIcted has found that the system fails to
protect the public health and the environment in accordance with Title
5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection orm .
Inspector Signature l d Date , dI
Onecopy of this t.ification must be provided to the OWNER, the BUYER
Where' applicable ) and the 130ARD OF HEAL1'11,
If the .inspection FAILED , the owner or"operator shall u pgrade ' the eyatem
within on-e year of the date of the inspection , unless allowed or required
otherwise as provided in 3.10 CF1R 15 . 305 ,
partd . doc
v
DATE: 7/29/99
PROPERTY ADDRESS:_37_Cherry_Street ______
Hyannis ,Mass .
------------------------
02601
------------------------
On the above date, I inspected the septic system at the above address.
Thl.s system consists of the following:
1 . 3-6 ' x8 block cesspools .
2 . 1-1000 gallon precast leaching pit .
Based on my inspection, I certify the following conditions:
3 . This is not a title five septic system.
4 . This is a sewage system.
5 . The sewage system is in proper working order
at the present time .
6 . The two main cesspools should be pumped .
7 . The two overflows are dry .
8 . This is a split sewage system in series .
SIGNATURE: J. -
Name:_,,_ Macomber _,Jr-___--_ 91
Company: Joseph_P . Macomber—& Son , Inc .
Address:_ Box_66------------- � AVG
2
Centerville , Ma . 02632-0066 r ro"OF 3 �9��
�CIFI p�j,TAB[f
Phone: 508_775=3338_—_____ A
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
rSEPH P. MACOMBER & SON, INC.
' Tanks-Cesspools-Leachflelds
Pumped & Installed
Town Sewer Connections
P.O. Box 66 Centerville, MA 02632-0066
775-3338 775-6412
•
C&MMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENviRoNMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617) 292.5500
TRUDY CO}.
Sacreta
ARGEO PAUL CELLUCCI DAVID B. STRUt-
Governor Co:r_:ss:oa
SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM
PART A
CERTIFICATION
N.pectyAdd,.: 37 Cherry Street Nameofowrw James Sullivan
Hyannis ,.Mass . 02601 Address of Owner:
Dau of 4upecvon:
Name of Inspector:(Pleas,Prirst) Joseph P. Macomber Jr.
I arcs a DEP approved systam lrupector purwant to Section 15.340 of True 5 (310 CMR 15.000)
corsspanyNarrw: Joseph P. MaQo, tuber & Son; Inc.
Mating Address: 2 6 3 2-0 0 6 6
T e,l eph,one Number: 4 ag. o1—3 318
CERTIFICATION STATEMENT
I certify that I have personally Inspected the sewage disposal system at We address and that the Information reported below is true, accurate
and complete as of the time of Inspection. The Inspection was performed based on my training and experience In the proper function end
maintenance of on•site s wage disposal systems. The system:
'eases
_—Conditionally Passes
_ Needs Further Evalu lion By the Local Approving Authority
_ Fails
4upactor's Sigrurture: r Date: f�
The System Inspecto hall submit a copy of this Inspection report to the Approving Authority (Board of Health or DEP)wilhin thirty (30) days of
completing this Inspection. If the system Is a shared system or has a design flow o1 10,000 gpd or greater, the inspector and the system o-ne,
shall submit the report to the appropriate regional olffics of the Department of'anvironmerual Protection. The original should be sent to TrR
system owner and copies sent to tha buyer. If applicable, and the approving authority.
NOTES AND COMMENTS
s
revised 9/2/98 Page Iof11
�, Pnnt$d on st"I.d P.pe,
al
CIL
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 37 Cherry Street Hyannis ,Mass .
owner: James Sullivan
Date of kupectko 7/2 9/9 9
INSPECTION SUMMARY: Check A, B, C, o/ D:
A. SYSTEM PASSES:
i M 1 .3 exist. An failure
N 5' found an information which indicates that an of the failure conditions described n 310 C R � 03 t y e
I have not fou y Y
criteria not evaluated are Indicated below.
COMMENTS: The two main cesspools should hp pumped _
'rho two over-flews aFe- pr-esently dr-y .
B. SYSTEM CONDITIONALLY PASSES:
_A, 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.
Indicate,yes,.-no,.or not determined(Y, N,or NO). Describe basis of determination In all Instances. If "not determined", explain why not.
D sep
tic e tic tank is metal,unless the owner or operator erator has provided the system inspector with a copy of a Certificate of
P
Compliance(attached)Indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or
the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiluation, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
C.� Sewage backup or breakout or high static water level observed in the"distribution box is due to broken or obstructed pipe(s)
or due to a broken, settled or uneven distribution box. The system will"pass inspection if(with approval of the Board of
Health).
broken pipes)are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumphtg-room than-four-Imes a yeardue to broken cr obstructed pipe(s). The system will-pass-
Inspection if(with approval of the Board of Health):
broken pipes) are'replaced
obstruction is removed
m
revised 9/2/98 Page 2or11
rk
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 37 Cherry Street Hyannis ,Mass .
Owner: James Sullivan
Date of Inspect'(m:7/2 9/9 9
C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM
IS NOT FUNCTIONING IN A MANNER WHICH.wILL.PRO3ECT THE PUBLIC HEALTK AND SAFETY AND THE ENW80NMENT:
A-140 Cesspool or privy is within 60 feet of surface water
,0 Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS
FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS Is within 50 feet of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well is free from pollution from that facility and the p,rel�s ce of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5 ppm. Method used to determine distance (approximation not valid).
3) OAT�HER
� I
revised 9/2/98 Page 3of11
G� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
PropeMAddr"4: 37 Cherry Street" Hyannis ,Mass .
Owner: James Sullivan
Dane of Irupection: 7/2 9/9 9
D. SY
STEM FAILS:
Your�t�must Indicate either 'Yes' or 'No' to each of the following:
wv I have determined that one or more of the following failure conditions exist as described In 310 CMR 15.303. The basis for this
datermination Is Identified below. The Board of Health should be contacted to determine what will be necessary to correct tlta failure.
Yes No
Backup o wewase Inca iscility-or9-retem component due¢o sn overloaded orcbgged'SAS orKesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool,
Static liquid level in the distribution box above outlet Invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool Is less than 6' below Invert or available volume Is less than 112 day flow.
_ _k Required pumping more than 4 times In the last year NOT due to clogged or obstructed pipe($).
Number of times pumped_.
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a Cesspool or privy Is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy Is-within a Zone 1 of a public well.
Any potion of a cesspool or privy Is within 60 feet of a private water supply well.
.� Any portion of a cesspool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
colilorm bacteria, volatile organic compounds, ammonia nitrogen•and nitrate nitrogen.
E. LARGE SYSTEM FAILS:
You must indicate either 'Yes' or 'No' to each of the following:
The following criteria apply to large systems In addition to the criteria above:
. The system serves a facility with a design flow of 10.000 gpd or greater(Large System) and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
Yes No/
the system Is within 400 lest of a surface drinking water supply
the system•Is-wit,kin 200 faetof-a-t+i4utary•(o a suslaoadrinkw+q wetea+uAPly
the system Is located In a nitrogen sensitive area(Interim Wellhead Protection Area -IWPA) or a mapped Zone II of a puDhc
water supply well)
The owner or operator of any such system shall upgrade the system In accordance with 310 CMR 15.304(2). Please consult the local regional
office of the Department for further InforInation.
revised 9/2/98 Pe¢eaofll
I -
j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART 8
CHECKLIST
Prop"Addlress: 37 Cherry Street .Hyannis,Mass .
Owrw: James Sullivan
Date of Inspection: 7/2 9/9 9
Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following:
Yes No/
Pumping information was provided by the owner, occupant, or Board of Health.
None of the systemocompoaents hamebean puP ped4wT-at,Jeast two awes andtbe-rystem hasbaenvaceiviwgwee al flow
rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this
Inspection.
As built plans have been obtained and examined. Note if they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or Industrial waste flow.
_ The site was inspected for signs of breakout.
_n All system components, * luding the Soil Absorption System have been located on the site.
The septic tank manholes were uncovered, opened, and the interior of the•septic tank was inspected for condition of baffles
or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum.
The size and location of the Soil Absorption System orr the site has been determined based on:
Existing information. For example, Plan at B.O.H.
_ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)
(15.302(3)(b)J
The facility owner.(and.ocrulpaaU,.lf diffareai from o�xner).wara pravidad.with infnrmaiiorinn r►L- Ta. nterL=a^f
Subsurface Disposal Systems.
fl
revised 9/2/98 Page 5orn
i
SUBSUFkFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
PropeMAddreaa: 37 Cherry Street Hy.annis ,Mass .
Owner: James Sullivan
Date of Inspection:7/2 9/9 9
FLOW CONDITIONS
RESIDENTIAL:
Design flow: /!D g.p.d./bedr om.
Number of bedrooms des) n� Number of badroomi(actual):
Total DESIGN flow
Number of current residents
Garbage grinder(yes or no):
Laundry(separate system) ( s or to _;, If yes, separatelnspaction.required
Laundry system inspected es r no) —
Seasonal use (yes or no): /f �i. L/
Water motor readings,If available (last two year's usage (gpd): d / 70. MJadVJ4y 1I�
Sump Pump(),es or no): �p
Last date of occupancy! 9P
COMMERCLAL/INDUSTRLAL: 7 ff v
Type of establishment:
Design flow: IA 'A gpd ( Based on 15.203)
Basis of design flow 244
Grease trap present: (yes or no)L
Industrial Waste Holding Tank present: (yes or no)A&
Non-sanitary waste discharged to the Title 5 system: (yes
Water motor readings,if available:
Last date of occupancy:_
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
i PUMPWG RECO DS sour of infbrrn tion: �A
System pumped as part ofof inspection: or no)
If yes, volume pumped: 5allons
Reason for pumping:
TYPE OF SYSTEM
Septic tank/distribution box/soil atscrption system
Single cesspool
Overflow aea;st;ol t."fegf,ArdL v ` /�✓f .AS�U dvf d- 11d.
Privy
Shared system (yas or no) (if yes, attach previous Inspection records,If any)
I/A Technology etc. Anach copy of up to data operation and maintenance contract
Tight Tank _�0`1' Copy of DEP Approval
Other
APPWXIMATEAGE of all components, data ins u llad,-W known)-and sou►ce.of4sformation: —
Sewage odor detected whan•arriving at the sltU: (yes or no)a
I •
i
revised 9/2/98 Page 6of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM WFORMATION (cortdrwod)
NopottyAddrass: 37 Cherry Street Hyannis ,Mass .
OwIn. '. James Sullivan.
D"a of v apocdw:7/2 9/9 9
BULLI)NO SEWER:
(Lout$ on site plan)
Depth below grade:
Matsrlai of consvuc on:vcast Iron.240 PVC_other(explain)
Distance hom prI ats wa er aupply wall or suction line
Dlamst$r�,_
Comments: (condition of Joints,venting, evidence of leakage,-etc.)
Join .
s
-vent .
(local$ on site plan)
Depth below gradetA
Mst$rla) of construction. concret$41-4m$ta)NRFlborglassy/9 Polysthylensd other(oxploln)
If tank Is (netal, Ust age • is.age.confirmed by Certificate of Compllanco_ lYe$/No)
Dimensions: 42
Sludge depth: — -
Distance from top of sludge to bottom of outlet tee orbafflo:_AM
Scum Wcknsss:_ IA
Distancs from top of scum to top of outlet too or baHlo:�
Distance from bottom of ;cum to bonom f outlet%so or baffle:�
How dimensions ware detsrminsd: V--4
Comments:
(rocommsndadon for pumping, condition of Inlet and outlet Use or•bafil$s, depth of liquid level In role^on to outlet n.ert, rvvcwre::ncet:
ovidsnco of loakags, etc.) , Tite
GREASE TRAP: iti
(locate on slto plan)
Depth below grade: ./�
Matsrlal of construction:400ncrsta�'lmatalWFiborglassJ�fPolyothyleno othor(explelnl
Dimensions: Of
Scum Wcknoss:
Distancs from top of scum to top of outlet too or batfls'A
Distancs from bonom of scum to bottom of oudst too of baffle:
Date of last pumping: AM
Comments:
lrscommendedon for pumping, condition of Inlst and outlet toss or battles, depth of liquid level In roladon to oudat in+en. rvucc�r,l in:.�r
evidence of leakage, etc.)
/ •s
revised 9/2/98 Pseo7of11
SU4SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM WFORMATION (continued)
Prop-TyAdar—: 37 Cherry Street Hyannis ,Mass .
°wr.&(: James Sullivan
oat, of Inspection:
TIGHT OR HOLING TANK(Tank must be pumped prior to, or at time of, Inspection)
(locate on site plan)
Depth below grade:
Material of construction:4AconcretamdmetaL4 FiberglassA Polyethylene&other(explain)
AW
AA
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm In working order:Yes A No/1 K
Date of previous pumping: AM
Comments:
(condition of Inlet tee, condition of alarm and float switches, etc.)
Tight or holding tanks arc not p^r-eSent .
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet Invert:/ _
Comments:
Inots-if level and distribution Is equal, evldeno-e of solids carryover, evidence of leakage Into or out of box, etc.) — —
Di S ri bit ti nn hnY i cz n�t-preSejjt —
PUMP CHAMBERAW10-
(locate on site plan)
Pumps in working order:(Yes or No) d
Alarms In working order(Yes or No)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
Pump rhamhPr is not nregent
/ s
revised 9/2/98 page 8of11
t
U SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
..,' PART C
SYSTEM INFORMATION (continued)
NopaMAddres-s: 37 Cherry Street Hyannis ,Mass .
Owna(: James Sullivan ,.
Data of Inspection: 7/2 9/9 9
SOIL ABSORPTION SYSTEM(SAS):
(locate on site plan,if Possible:excavation not required,location may be approximated by non•Intrusive methods)
II not located, explain:
Type:
leaching pits, number:%
leeching chambers,number:
leaching galleries,number: U8
leaching trenches,number, length
;�V----
leaching fields, numbs(, dime sions• /J
overflow cssspool,numbanr . �d� � /��Z�'
Alternative system: C c
Name of Technology:
Comments:
Of hydraulic failure,level of ponding, damp soil, condition of vegetation.,etc.)
(note condition of loll, signs
Loa o si ns o
ail 5 . i s are
CESSPOOLS:
(locate on site plan)
Number and configuration: d
Depth-top of liquid to Inl t invert:
Depth of solids layer:
Depth of scum I:yer:
Dimensions of cesspool:
Materials of consuuction: 11snlJ/ f
Indication of groundwater:
d as part of Inspection(
Inflow (cesspool must,be pumps
ess mped . ows were ry .
No evidence of water intrusion .
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.
ame as
PRIVY:MAO
(locate on site plan)
01/� Dimensions:
Materjals of constructign: /V
Depth of solids:
Comments;
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation;etc.)
Pr •
L �
Page 9 of I
revised 9/2/98
L1 .'
.jSUSSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM
PART C
SYSTEM WFORMAT10N(Con*Xr 4d)
Nw--WA6&—: 37 Cherry Street Hyannis ,Mass .
Owrw: James Sullivan
Da.or k"P*Cti�: 7/29/99
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include tl@s to at Fait two permanent reference landmarks or benchmarks
locate all walls wlthln 100' (Local@ where publlc water supply comas Into house)
ID
revised 9/2/98 Pap 10oru
4
�
Li(j(j
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 37 Cherry Street Hyannis ,Mass .
Owrw: James Sullivan
Date of Irupection: 7/2 9/9 9
NRCS Report name
Soil Type_
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep _
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to Groundwater Feet
Please Indicate all the methods used to determine High Groundwater Elevation:
_.`Obtained from Design Plans on record
V 0 served.Site(A�butting property, bservation hole, basement sump etc.)
Determined from local conditions
Checked with local Board of health
Chocked FEMA Maps
P Checked pumping records
Checked local excavators, Installers
Used USGS Data
Describe how you established the High Groundwater Elevation. (Must be completed)
Used water contours map .
Gahrety & Miller Model
12/16/94
revised 9/2/98 Page 11 of 11
•
O
i
4''r.nn r..—n r�-+-.•.� rwi-arn•nnwnrn.rt rwrr.arn�.•�.n►.�.wn,.�wv nn.-w�►..r�•. '
.rn-rr+-.imp--' �•,r..,`
TOWN OFBARNSTABLE GUARD OF HEALTH J
� IISUIIFACF 9F.H�AGF I)I !'U3AL�SY9TFM IN�9i'F�CTION FORM - PART D .- CERTIFICATION
-TYPO OR PRINT CLEARLY- 1
PROPERTY INSPECTED
STREET ADDRESS 37Cherry Street Hyannis ,Mass .
ASSESSORS MAP , BLOCK AND PARCEL #
OWNER' s NAME James' Sullivan
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P. Macomber- Jr.
COMPANY NAME Joseph P. Macomber & Son, J nc.
COMPANY ADDRESS Box 66, Centerville, Ma. 0263.2-0066
Street Town or Clty Stat• LIP
COMPANY TELEPHONE (508 )775 -3338 FAX ( 508 )790 _1578
CERTIFICATION STATEMENT
I certify that I have personallyinspected the sew
P age dis osa7
P system at
this address and that the information reported is true accurate
, and
complete as of the time of.-inspection , The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems .
Check one ;
I
_]Z/S 7steai PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 15 . 303 , Any failkire
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form.
System FAILED*
The inspection which I have con3ticted has found that the system fails to
protect the j-)ublic health and the environment in accordance with Title
5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form .
Inspector Signature Date �
One copy of this ertification must be provided to the OWNER, the BUYER
( where applicable ) and the 130ARD OF IIEALI`11:
• If the inspection FAILED, the owner or"" ' orator shall u P pgrado ' tho system
within one year of the date of the inspection, unless allowed or required
otherwise as provided in 13.10 CMR 16 . 306 .
partd . doc
TOWN F�BARNS,TA.BLE
LOCATION 4 p'
VILLAGE �� ��. ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. .�
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) �i` (size)
NO�OF BEDROOMS
BUILDER OR OWNER dOa
PERMIT DATE: " ' COMPLIANCE DATE:
I�
Separation Distance Between the: _
Maximum Adjusted Groundwater Table to the Bottom of Leaching FacilityFeet
Private Water Supply-Well and Leaching Facility (If any wells exist_
on site or within 200 feet of leaching facility) F Feet
Edg6of Wethmd and aching Facility(If any wetlands exist
within 300 f t o a acility Feet
Furrushed btZ -r
3��woti
CP
ct
V
v
r
� a
'00-'i
TO NOFBARNSTABLE
_LOCATION SEWAGE #
�I
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO.
SEPTIC TANK CAPACITY X
LEACHING FACILITY: (type) (size) .
NO.OF BEDROOMS
BUILDER OR OWNEr— � t
PERMITDATE: COMPLIANCE DATE:
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 e' t
within 300 feet o eac fa"il'ty —`'ect '
Furnished b
Cry '��➢�
p /
6-1 f \�
t
r
as
LOC&.TIOKI SEW&C-jE PERMIT U0. I
IKI2)T ALLER 5 IJ&t.AIE- t ADDRESS
is
BU.LLDER.S
_-__DIaTE.__P_.ER"VT
D ATE - CONAPLI MACE ISSUED ;
r
�O A
Ic
�O
C Cq
o
No.. ../_Y_. :... FEE..21....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
t1�1 '+ O F1i1�t
ApplirFativaa for Bi-4putiatiVorko Towitrurtion Vanift
Application is he�eby made for a Permit to Construct (�- 'or Repair ( ) an Individual Sewage Disposal
Syst
i-----•- ----------------------------- 7
Location-Address r or Lot
•---------•-----•---------•-----•---•------------------------------••--•--•-----••---•------------ -••--...._....-------------•-••--------••---••-•-•--•....-••---................................_.
O
caner Address
-----------•......---- -----------------------------------
Installer Address
PQ
of
et
d TypeDwelling—No. of Bedrooms__._.-----------------------------------Expansion Attic ( ) Size Lot_-G�bag�Grinder�(fe
h r—Type of Building .-- °`'�N_........ No. of ersons.._._�_________________- Showers — Cafeteria
p-, Ot e YP g P ( � ) ( )
a' Other fixtures .-_-.- _-__---_--__
d
W Design Flow....___.... ®...Y�!.L ............gallons per person per day. Total daily flow_-______1®J---------------------------gallons.
WSeptic Tank—Liquid capacity------_-----gallons Length---------------- Width-.-__-._.-- _.. Diameter__.--_--_..-_ Depth-.-.--.-_-..---.
x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area--------------.-----sq. ft.
It/
Seepage Pit No..A®;!J!'L _____ Diameter____ ____________ Depth below inlet......7_.......... Total leaching area..2_41 p0 sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed bY-------------------------------------------------------------------------- Date------------------------------ •------
a Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water.-.-_--..-----.--.-_--
fi Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water--------------------
9 ----------------------------------------------•••----•-•-----•----•••••-••-•--••-•--•--••......-•---.........................................................
0 Description of Soil-----------R&A_ -`------S'v` -p--.................... ------------------
U ----------------------------------------------------------------------------••--••----•-•-•-•----------------••-----•-•----------•--•---•- •--- -- ----- -- •. ----- ----•-••........- ----
------------------ ---------------- -----------------• ------------------------------------------------------------------- ^ ...
i
U Nature of Repairs or Alterations—Answ& when applicable.:7n/ �____. �_._ ___
------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------ -----••------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 3
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 b n is d,by,the board
f h th.
S -d--------------•---- •- ------•------------•--o- --•----�---------�-�---ti------,----- ................................-•------------
Date
i .APPlication Approved BY � rl
Date
Application Disapproved for the following reasons:............................................................................................••---.-------_-----
-•--••---••........................•-----.------..--••--•-••---------------------•-•••••---.....------•••...----•------------------_...-•---------•-•--------•--•-----------------••----•---_...._.------
Date
PermitNo......................................................... Issued----------......--------------------....................
Date
.r. . FIz$ +
No ...................
` THE.COMMONWEALTH OF;WASS§ACHUSETTS
BOARD F 'HEALTH '
OF
f• _ � ..
nr i priiial Works Tomitrurtion .prr ftµ
Application,is.- eby made-for a Permit to Construct (Uoror Repair ( ) an Indivi ul Sew ge` Disposial
Syst
�. Location-Address pr Lot No t
.f
�cow1r Se>,t r 4,• !Qs GG C't: 7?t �i�r�.s` s�'
-- ------•-•- ......................... --- ------ --- _ -- ---- --------
Installer Address ---
Type of Building Size Lot_. ___*�_., Sq. feet. 1
Dwelling—No, of Bedrooms :_� _________________________Expansion Attic ( ) `` bage`Grinder ( °'
a Other—Type of Building �wt~__._..._. No. of persons__._#�-,_-- )
-------- ------ �:` r� - Cafeteria
Q' Other xtures ------------------------------------------------------ '
W Design Flow__....________?___________________gallons per person per•day. Total daily flow........��:..__ +� gallons:
W . Septic "-rank—Liquid capacity _gallons Length---------------- Width.......... Diameter 1 Depth................
x Dispos, l Trench - No............ Wid _______________ Total Length __ Total.leachin' ,re1' ._ ------------so. ft.
Seepage Pit No �d04 SSE
t Diameter----___.,......... Depth below inlet____:_ 4 ___ Total leacli! At r -------sq. ft.
z Other Distribution box ( ) Dosing tank ( ) F
Percolattort,.Test Results Peormed by______ _ ______________________________________ ________ _________ Date_.
v.
1 Test Pit No. 1_____ minutes per inch Depth of Test Pit.................... Depth for grou w tter t
f=, Test Pit No. 2................•._minutes per inch Depth of Test Pit____________________ Depth to ground water'.'-",. _._
O . Description of Soil-- ---- 4CK d !!94" 4. `
---------------•------------•--•-------------------••----•--------------------------••-------- ------_ --
U ___________________________ -_______'________- _________.__.____.__._-___________.._._..._ ___ ___. ..................
i, R
•^ _____________ ____________________ ___ ______F_-____._ _______ `
P'T-1 K,�
f �.Nature o Re aI or.Alterations—A _i h
:. U P .. , . ., • ,nswe wen applicable._.... _ ,�.-- �/;'_.___'.'._--
'__--_••_____ .� __ T •__•r•_-------- - h=.- - - 4 -_ ---------------- .
Agreement tF' <'# P
ors.. l p •.
S The undersigned agrees:to'>-instil tl or described Indi Ydtial Sewage Disposal`"System in accordance wit I�7;
the provisions of Article ki-of the State Sanitary Code-wThe;undersigned further agrees not to place the system in d;
operation until.a Certificate of Compliance has;been'issued by,the board of health. b- 4yr
r{
1 ___ r ------------------------------
Application .J x 45 1E,
Approved B - -- ----- �r�`��'�----- . ............---------- 4 i. Date '
Application Disapproved for the following reasons______________ _____ ___ ______________________ ._.........................._ __
{ -
77
Date
PermitNo......................................................... .:.Issued.------. ............. .............................
'�. s. Date r , s�°Y`r
y ,t - . , t - ..,4'" ��,:i"'-a+ :pzr a F�•� � f - a e4*b ��..
TH'E C®MMONWEALT' Q`F SSACH'USETTS
jB.OA'RD' HEALTH ,. .
»,
. .
:. .J•..�. -: .. ... .... .............. .... {
"f �rrifirtle.:gf umli�tnrr f E
T T S IS C Y hat t Indi dual S Isp System n tructed ( ) or Repaired
`
by
R
i - - ---- -•------
e
has been installed in accordance wiah='the provisions of A 'pf The State Sanitary'`Coli'a�s Jesrbe .iu►the
s. q fi ?
application for Disposal Works Construction Permit No,--. ____-_= '7p_-- ___:__. dated____________________
TAE.ISSUANCE OF;THIS ;CERTIFICATE SHALL. NOT.BE CON SY ' ED A GU ANTEE THAT THE
Sys.0 I WILL FUNCTION SATISFACTORY.
DATE--- - .. t Inspector_._._'
'THE COMMONWEALTH OF MASSACHU'$ETTS
BOARD HEALTH
Atli
l;s
No.•••----- --- ...... FEE
A t� g�tt la ' r i,a�t` rr i
.. �
---0�1
Permtss n is hereby 'gran . ___
to Constr u) o epa' )ft'ari Individual e Dis al ystem
'at ,`No:_ .
•• . }
StreetX.
as shown on the application for Disposal Works'COnstruction P i No.__ - _ _ Dated------------------------------------------
a
Board o ea •
*b� DATE.--�---- '-- __------------- - '
t
FORM 1255 HOBBS & WARREN. INC: PUBLISHERS --
+ of s -
�'+. _t3'Mk.a...a•.A:.>..�....y i.sS.,.yb�s......i+...��•ct4s?'tie..'.�,.;D� stm:,+w<. k..e.a.,s�: kt:x�� is, '�lm, .i..1�i s �, --
• I I tYna�� ,.
0
070 . .
' r
FINISH GRADE OVER D-BOX= 199.70' ' 3/4"TO 1-1/2" DOUBLE WASHED GENERAL NOTES
TOP OF FOUNDATION = 201 .2' 4" SCHEDULE 40 PVC MIN FINISH GRADE OVER CHAMBERS = 199.60 - 199.70 STONE TO CROWN OF PIPE
, REMOVABLE CONCRETE COVER SLOPE 1% SLOPE @ 2% MIN. OVER SYSTEM
FINISH GRADE OVER TANK EL.= 199.50 TO WITHIN 6"OF FINISHED GRADE 2" OF 1/8"TO 1/2" DOUBLE WASHED STONE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
1 FINISHED GRADE
i-y �=ri`.,r- + iL{ i r-� r _7�„� � � ��„____�_ -�_ _._ _ _ __ _ ._.._ _______..�� � _ METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
@ FOUNDATION = VARIES - .ter III r r�r.r �� ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES
5" DIA. OUTLETS , - 6Q, T "�
O -
� �: �� _. TOP OF SAS = PLACE RISERS ON ALL
197.
i 9 MIN. 2 PROVED BY THE BOARD
r F � - �r r 20" MIN. ACCESS COVER a, ,ram
- = + �r ..fir +- .,. r 36 BREAKOUT EL
f CHAMBERS TO ANY CHANGES TO THIS PLAN MUST BE AP
+ � - 9 MIN. - r. 196.60' " MAx. = 197.10' FINISHED GRADE OF HEALTH AND THE DESIGN ENGINEER.
3 (TYPICAL FOR 3) 3, 36" MAX. r 9" MIN.
,
PROPOSED 4" 36" MAX. 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
I SCHEDULE 40 PVC CONCRETE RISER-------.,, BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
_ 2" DROP MIN.
- -- MIN.SLOPE @ 1% 6„ �_____ 3" DROP MAX. g„ 0
_ PROVIDE WATERTIGHT 0 O 0 0 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN
ELEVATION = 29.43 FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS
198.50' 4" PVC IN FROM JOINTS (TYP.) 0 A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF
{ (EXISTING) 197-50' SEPTIC TANK 4" PVC OUT TO THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
10" O LEACHING FACILITY 2'0 5, SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
EXISTING 4" _�� , _
C.I. PIPE 197.75' 48 14" OUTLET TEE 197 20 nnily ���197.00' 0 0 t " 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
F s5 go,
6" CRUSHED STONE y.rai� i 4 � �° -
�--- 10.0' �� OVER MECHANICALLY �•
� 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN
6" CRUSHED STONE 22 ZABEL FILTER COMPACTED BASE t~ A ' 1j C 3.5 8.5' 3.0 �-- �1 3 5 4 0' 4.9' (TYP.) I 4.0' SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO
MODEL#A1801 4x22 -- - r
OVER MECHANICALLY 29.0 BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH.
! COMPACTED BASE 3 OUTLET DISTRIBUTION BOX TO BE
BOTTOM OF TEST PIT ELEV.= 188.70 12.9'
__ L_ _ a. INSTALLED ON A LEVEL STABLE BASE. 8. ELEVATIONS BASED ON ASSUMED DATUM OF 199.T OBTAINED
_ `` 4. a c FIRST TWO FEET OF OUTLET PIPES TO 194.60' L 5.0' MIN. REQUIRED
Mm" _
FROM TOP OF C.B/D.H. (SEE SITE PLAN).
� ,� rl '� "r it- BE LAID LEVEL. (5.9' PROVIDED)
9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
PROPOSED15OO GALLON CONCRETE SEPTIC TANK (CROSS SECTION VIEW) TYPICAL CHAMBER PROFILE CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST72 HOURS PRIOR TO COMMENCING WORK ON SITE
DISTRIBUTION BOX DETAIL (2-500 GAL. H-10 CHAMBERS ) H-10 CHAMBER DETAILS AT1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORTANY
NOT TO SCALE DISCREPANCIES TO THE DESIGN ENGINEER.
NOT TO SCALE NOT TO SCALE 10- ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
y STRUCTURES SHALL BE MADE WATERTIGHT.
TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
,, v - T' } •,_., '
ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH
INSPECTOR: Dave Stanton, R.S.
PROPOSED 2-500 GALLON DETERMINATION FROM APPROPRIATE AUTHORITY.
as
H-20 LEACHING CHAMBERS ++ '1 , ,; �� .� ti > i , r% r / � EVALUATOR: Edward Pesce P.E. C.S.E.
/ ` ;.
12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
"� Irs r•Cw Q%r f BIi.I? B. E11 AkfcPff T r .;
DATE: December 16, 2005 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
THEY SHALL WITHSTAND H-20 LOADING.
TEST PIT#: 1
,
` 7014?j�nc� •� ELEV TOP = 199.70 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND
( ►i:'�j `� . / , C 7°� =/ FINES.
'�M y t.,i �» i �1 ELEV WATER= N/A
� r
%�+rr 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
;41? \ PERC RATE _ 3 Min/In UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF
_, , •�t . ' �: �, {,, ) 1�_F� � . ,. - LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
.... �� - .Ul f ) .•••y+Wes:. r t �j ' - '`1
j , DEPTH OF PERC - 36" 54" COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
1))3/�0� t, N ti � � i' � + d t r
,.Fa Fd9e �` •_, a ' l"�?�, ' } � TEXTURAL CLASS ACCORDANCE WITH 310 CMR 15.255(3).
9e o of T 1
t�� 3J '+' + '` r e + CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
Dive
LOCUS
SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
EXISTING LEACHING PIT TO BE
e , d1 c>+ 7 0 199.70 16. PROPOSED PROJECT IS LOCATED WITHIN-
PUMPED AND FILLED WITH CLEAN '� � ��.,, i°�b � �``��`_'��.� �• i;. ���.. -•-�C`' �t �, � ., � � ti
/fc /� `. \ n �7r, , :.r;, A Sandy Loam
SAND �' ` `.:� oa i /y �i A s S ' E'� i �G r 309 135
v ASSESSORS MAP PARCEL
\ z,'e { 10" 198.89'
r k w B Loamy Sand FEMA FLOOD ZONE C
rn of xt99.� nw ca c 10 YR 5/8
a w� ? ` " I�4 _
INV
/ g � 28 197.3T AS SHOWN ON COMMUNITY PANEL# 250001 0005 C
" _
PROPOSED H 10 D BOX" ,� '•••..:..., T r. �_ d✓ � 7 c r ;
?'$�xc P.P' t P• �_ • \. 1 r*'� 1 ! I 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
j P O ? >;? s- o00dHrifo t, :SI -
r :< Med. Sand
T
7 ' ]`J3x8 7 _
;, , O �❑f� E� r. t , .,,, .. , � • C 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
/ ra<. ( `, , �r �t , j &Gravel
t �1
< :,,� ,•' ri f(�f+' .; ri 10 YR 6/4 FOR SEPTIC SYSTEM UPGRADE. PESCE ENGINEERING WILL NOT ASSUME ANY LIABILITY
a /I ✓ f s' '. Jl1 i
�W/« ?�� ' ', r c p - I(; FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
PROPOSED 1500 GAL. SEPTIC TANK } 1� _ o ',` E ' �r . /k�' 4r; + 196.70'
0 •�.. + �..., �'.'�� ..v..x?99.? ^�v ,i' C.�� ,l T ;.,�S .fit +�C. h i �{��� � t �_- f� 36
' 9
La �� O ,� ,��;,� ?��xi ?o �� ,� LEGEND
+ 1 Perc
�\� Setboo it IBM Top Of
„ 195.20'
Ci•, �/- e J ✓e ' r i 11.` F g, Cyr ^, "`,� '` -
/ D i CB/DH elev ii .1• c 'r v )ti
p >u � . k y i s 54
e
( O y7 / IV 199.7 Assumed
EXISTING CESSPOOL TO BE PUMPED ° - / ?9gx?
/ `'ter / O
° 3 t r 1t F{a[bo r
AND FILLED WITH CLEAN SAND /q r ci a r crau d� +
m � ` /. �,. � Deciduous Tree
y / 1 Z/ O J ae'
c� / l �29.0' / `3) ���` Coniferous Tree
Sy LOCUS PLAN
0 CB/DH No Groundwater
/} n
Utility Pole 132" 188.70'
SCALE: 1" =2000
Water Gate (round)
/ °oe ' f ,/�/ Q Cesspool TEST PIT DATA LEGEND
St
°ti° 1� DESIGN DATA
/ ® Catch Basin
} j / 1P INSPECTOR: Dave Stanton R.S. - 100 --_. i EXISTING CONTOURS
r7 Cy 39x- Ir J 1 i ?9�3xJ Test Pit
\4 j ' / 3 EVALUATOR: Edward Pesce, P.E., C.S.E. �tj _ _ PROPOSED CONTOURS
ASSESSORS REF.. OHW- Overhead Wires NUMBER OF BEDROOMS DATE: December 16, 2005
l�. Lot 8
Map309, Parcel 135 r a xo / �0 v 199x� � � �� / - -199- - Elevation Contour TEST PIT#: 2 �0 PROPOSED SPOT GRADE
DESIGN FLOW 110 GAUDAY/BEDROOM
TOTAL DESIGN FLOW 330 GAL/DAY ELEV TOP= 199.70' �m-�- EXISTING OVERHEAD UTILITIES
?9r3xi o rUl „y DESIGN FLOW X 200 % 660 GAL/DAY ELEV WATER= N/A EXISTING GAS LINE
?�af'r / ^ ;0� �o
USE NEW 1500-GALLON SEPTIC TANK PERC RATE = 3 Min/In
\ '� ---------- EXISTING- EXISTING WATER LINE
o DEPTH OF PERC = 36"-54" TEST PIT LOCATION
FLOOD ZONE: �-s !f1 1 F r u, _ TEXTURAL CLASS: 1
l q, olnk�` „'Sl r ?Qx _ / / INSTALL 2 500 GAL. CHAMBERS
Zone C Community Panel eo°e ! ` -- - O O O EXISTING 1500 GALLON SEPTIC TANK
/ ~ ` 1 T9&14
/ r PROPOSED 1500 GALLON SEPTIC TANK
No. #250001 0005 C198X9 // / jj_ SIDEWALL CAPACITY O O O
August 19, 1985 J Q / , 0 199.70'
A Sandy Loam PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE
�o t�. I
r l , ?99x2 (LENGTH +WIDTH) (2) (2' HIGH) (0.74 GPD/S.F.) = GAL/DAY 10" 198.89'
EXISTING DISTRIBUTION BOX
(29.0' + 12.9') (2) (2') (0.74 GPD/S.F.) =124.02 GAL/DAY Loamy Sand ❑
�t B 10 YR 5/8 ❑ PROPOSED DISTRIBUTION BOX
0 r� ;( BOTTOM CAPACITY 0 PROPOSED 500 GALLON LEACHING CHAMBER
i
/,______/ / ter.
(LENGTH +WIDTH) (0.74 GPD/S.F.) = GAL/DAY
,i ro Seltivck Parcel9,19Are l raaxs (29.0' + 12.9') (0.74 GPD/S.F.)= 276.80 GAL/DAY
ZONE: _ `- `--�_ _ ,�_ _`- --- (19,194fSF) `,� TOTAL: 400.82 GAL./DAY
?98xs ,,.. - REV. DATE BY APP'D. DESCRIPTION
District RB > .; TOTALS: C
Med. Sand
s'ar�o670-0 = - &Gravel PROPOSED SEPTIC SYSTEM UPGRADE
Area (min.) 43,560 SF cBnd" 10 YR 6/4 PREPARED FOR:
N/F ?s9x3 TOTAL NUMBER OF CHAMBERS: 2
Frontage (min) 20' �°�'Ssa Crane /
16�%07 ?9yx3 _ MICHAEL A. TRITTO JR. & VIRGINIA RIORDAN
Width (min) 100 ._..
TOTAL LEACHING AREA: 541.69 SQ.FT.
Setbacks: Front 20' / M,tdred/F TOTAL LEACHING CAPACITY: 400.82 GAL./DAY
Side 10' Rear 10' / 18841146°" LOCATED AT
No Groundwater 37 CHERRY ST
108" 190.70' HYANNIS, MA 02601
OVERLAY DISTRICT: SITE PLAN
SCALE: 1" =20' RESERVED FOR BOARD OF HEALTH USE of Drawn By: MLP
�ZH Mqs
AP - Aquifer Protection District As ��P s90 r Designed By: EP
Shown on Plan Entitled "Revised �o�' EDWARD L. �GN - ` ►'
Groundwater Protection Overlaya -+ fi
PESCE Checked By: EP
t Erl � � r
Districts" - April, 1993 No.32001
CIVIL r & ASSOCIATES JOB No.: 908
A��o FAST �� Date: MAR.7,2006
0 10 20 40 FSS(nh, ' , 451 R �'MOi41L3 RC1
80 FEET n PLY(M OUTH, MA 02360
Wed, 08 Mar 2006 - 1:24ann epesce@adelphia.net Phone:508-743-9206 Sheet: 1 OF 1
L:\CDS\Pesce engineering\37 Cherry Street Hyannis\ SCALE: 1 INCH = 20 FT. cell:508-333-7630 FAX:508-743-0211
37 Cherry Street.dwg PAP [A-� I