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HomeMy WebLinkAbout0049 CHERRY STREET - Health 49 CHERRY ST, HYANNIS A - r 309 3lo doa- Commonwealth of Massachusetts Title 5 Official Inspection Form = Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136!2 V� Property Address Barbara Chester Owner Owner's Name information is 49 Cher Street, H annis MA 02601 March 18, 2021 required for every Cherry y page. City/Town State Zip Code Date of Inspection 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. J Important:When A. Inspector.Information 5 as filling out forms , on the computer, use only the tab Troy Williams key to move your Name of Inspector cursor-do not Troy Williams Septic Inspections use the return Company Name key. Hummel Drive Company Address - South Dennis MA 02660 City/Town State Zip Code (508) 385- 1300 S1682 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 March 18, 2021 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to 7 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V!% 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry required for every 49 Cher Street, Hyannis MA 02601 March 18, 2021 page. City/Town 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: System meets minimum standards set b Massachusetts DEP at the time of inspection onl .This Y Y P only .This inspection is not a guarantee or warrant on the future working conditions of leaching, pipes, P 9 Y 9 9� P P components or the future structural Integrity of said components and only represents conditions found at the time of inspection only. 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 ❑ ND (Explain below): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �= F. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments „V 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry , required for every. 49 Cher Street Hyannis MA 02601 March 18, 2021 y page. City/Town . 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 �_ p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is required for every 49 Cherry Street Hyannis MA 02601 March 18, 2021 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 functioningin a manner that protects the public health p p , 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 Systerr•Page 4 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments U 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is required for every 49 Cherry ,Street Hyannis MA 02601 March 18, 2021 page. Cityfrown 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 Y2 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments !% 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry required for every 49 Cher Street, y Hyannis MA 02601 March 18, 2021 page. City/Town 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? Th e 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 " Commonwealth of Massachusetts o Title 5 Official Inspection, Form i� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry , required for every 49 Cher Street Hyannis MA 02601 March 18, 2021 yann arc ' page. Citylrown State Zip Code Date of Inspection ' D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 + 1 DESIGN flow based on 31,0 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd Description: Number of currenfresidents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: N/A 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 ears usage d 20=44,000 gals. g y g (gp )) 19=47,000 gals. Detail: f /i Sump pump? ❑ Yes ® No (Last date of occupancy: occupied t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is required for every 49 Cherry Street Hyannis MA 02601 March 18, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): N/AGallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: N/A Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: N/A Last date of occupancy/use: N/A Date Other(describe below): N/A 3. Pumping Records: Source of information: No pumping info available. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Fib Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry , required for every 49 Cher Street Hyannis MA 02601 March 18, 2021 y 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 y , ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): r • Approximate age of all components, date installed (if known) and source of information: Tank, d-box and leaching were installed to existing tank on 5/10/07 per compliance. f Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 18„ Depth below grade: feet Material of construction: ❑ castiron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage,'etc.): Lines were found clear at the time of inspection. 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 o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry required for every 49 Cher Street, y Hyannis MA 02601 March 18, 2021 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 18"with risers to 6" feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2 -5'X9'X6' 1000 gallon Sludge depth: 4" 1st /thin layer 2nd Distance from top of sludge to bottom of outlet tee or baffle 2' 8" 1 st / 3' -2nd Scum thickness thin layer 1st / none 2nd Distance from top of scum to top of outlet tee or baffle 6" both Distance from bottom of scum to bottom of outlet tee or baffle 16" both How were dimensions determined? probe/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.): Pvc and concrete inlet and outlet tees were found present and in working order in both tanks. No r evidence of leakage or damage was found. l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachtusetts Title 5 Official Inspection Form = hio Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is j required for every 49 Cherry Street, Hyannis MA 02601 March 18, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): ` Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A 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.): N/A 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other,(explain): Dimensions: N/A 1 Capacity: N/A gallons Design Flow: N/A gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .............. 49 Cherry Street, Hyannis ' M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry , required for every 49 Cher Street Hyannis MA 02601 March 18, 2021 y page. City/Town State Zip Code Date of Inspection D. System Information i(cont.) 8. Tight or Holding Tank(cont.) Alarm resent: El Yes El No Alarm level: N/A Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A Date Comments(condition of alarm and float switches, etc.): N/A "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 level Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence'of leakage into or out of box, etc.): D-box was found level and in working order with equal distribution to outlet lines. No evidence of solid carry-over or backup in the past was found at the time of inspection. l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form is Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is required for every 49 Cherry Street, Hyannis MA 02601 March 18, 2021 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.): si N/A " 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 n 2 -500 gallon with 4' stone Elleaching galleries number: 25'X 12.8'X 2' ❑ leaching trenches number, length: _ I ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system 1 Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry required for every 49 Cher Street, Hyannis MA 02601 March 18, 2021 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.): Soil was sandy. Chambers had a low water level present at the time of inspection. Checked stone and found dry and clean. No evidence of hydraulic failure or problems in the past were found at the time of inspection. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A I� Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts �9 R. Title 5 Official Inspection Form z <ia Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �u 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is 49 Cher Street required for every Cherry , Hyannis MA . 02601 March 18, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A A t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form �' Flia Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is 49 Cherry Street, Hyannis MA 02601 March 18, 2024 required for every page. City(rown 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 Lk' � B 0 al Z 15 ; a; Sig �7i3'r 3_ ybf 6 5 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 o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 u Property Address Barbara Chester Owner Owner's Name information is 49 Cher Street, Hyannis MA 02601 March 18, 2021 required for every Cherry y � page. City/Town 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: 10.0'+ 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: 2/14/07 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 11.0'. Bottom of leaching at 4.8'was found not to be located in the high groundwater elevation at the time of inspection. system installed to plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Cherry Street, Hyannis M -309 P - 136.2 Property Address Barbara Chester Owner Owner's Name information is Cherry , required for every 49 Cher Street Hyannis MA 02601 March 18, 2021 y page. Cityrrown 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 (Ciecklist) 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 gzd ) *ere 1 I.D 1 LO SKA s r o�^nfs � s r o V p f j 1 z ` t ts I r b a - s - (� 8� �u Liy 3x 3 5 TOWN OF BARNSTABLE OCATION /—J �f C 1-i-r I?/? J�y SEWAGE #o2 ® ®? - L� VILLAGE f'Z Y.4-A-//y/ _� ASSESSOR'S MAP & LO ®- INS1ALLER'S NAME&PHONE NO. VZJXJAV ® SEPTIC TANK CAPACITY LEACHING FACILrN: (type) 22 4-4 C (size) 5"P AC NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: J�// 6.7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feetYqach1inLAcjUs Feet Furnished by rr L cf r r 1 1-0 0 �"� �/ TOWN ARNSTABLE LOCATION / S SEWA # q VILLAGE ASSESSOR'S M &LOT 3G //VSP c ,/ /d4j � S NAME&PHO' NO. �- U C SE TANK CAPACITY ��/ C— �/ ��C O/V VDRS FACILITY.(ty (size) NOROOMS tt BUILDRO R ����4 ��/ �S PE C DATE: Seistance Between e:Ma justed Groundwat r Table and Bottom o Ching Facili t Prir upply well and Leaching Facility (If an w is existw n 200 feet of leaching facility) eet Edan nd Leaching Facility(If any wetlands exist / within 300 feet of leaching facility) ` eet Furnished by nM J4. 4� TOWN OF BARNSTABLE `LOCATION C� G W GE # ' VILLAGE L ASSESSOR'S h &3LdTl —� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY V�� LEACHING FACILM: (type) IV t eC��1 , (size) i NO. OF BEDROOMS BUILDER OR OWNER J PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ro 7w S n A Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 41__*11 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Digaal 6pgtem Construction Permit Application for a Permit to Construct O Repaiy(') Upgrade O Abandon O ❑Complete System Zr Individual Components Location Address or Lot No. f C' H C *70 Y Owner's Name,Address,and Tel.No. Assessor's Map/Parcel i r Installer's Name,Address,and Tel.No. d a' �j/` �/�� Designer's Name,Address and Tel.No. d Z�ggl - L Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building + }' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J/O gpd Design flow provided �f 0 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank s O 15)i�` Type of S.A.S. -12 ,* � � �_ C• -Description of Soil 1 16 Allij Nature of Repairs or Alterations(Answer when applicable) ���✓' AO� ,4� /V 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 thi 0 oard ]!h. Signe Date Application Approved by _ Date Application Disapproved by: 401AQ Date I a 7 for the follPwing reasons k e a+-r C L 51 2 a 3 6j �A1 w 1-Y r Permit No. Date Issued ._ �,<.dry9..'�' �� '`a, r r:. � .. }� .,...aJ=.Y"' f,'.>: .""':yam S,:Yi..v�+.,� :.-.... .� j..r'.d'70.s:Y�..-+ ,.t i.. n. r r- .r�•p+�°."'�-..,..-. 67, Fee 4. THE COMMONWEALTH-OF MASSACHUSETTS Entered in computer: ' ,o*'- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpp ication for ZigpOgal 6p5temc Cow5trUction Permit Application for a Permit to Construct O Repair, Upgrade O Abandon O ❑Complete System Individual Components Location Address or Lot No. �/ O C y e RW y f% Owner's Name,Address,and Tel.No. Assessor's Map/Parcel9 44G 0� Installer's Name,Address,and Tel.No. ` Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms ! Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building fAir i„ No.of Persons Showers( ) Cafeteria( ) Other Fixtures r^c -' Design Flow(min.required) gpd Design flow provided 7 d gP �- ' , Plan Date �� ° Number of sheets r Revision Date Title Size of Septic Tank 006 15k tj Type of S.A.S. 4 4- '_�_­--­Description of Soil V(XJ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ;j! y 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 issu#'C,,B.0a,,,- 4d'of/Health. J t Sig Date:,-,. d U 1 Application Approved by / Date ���I � Application Disapproved : I� Date for the following reasons $pry 24Y3_ GU u I•-�� I ��1 C`s��w.:a > T n �ti•P r � � �+it r� u trP{'!• _ �� ��i"",r"',r'` Permit No. A-7 11 / Date Issued J / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (x) Abandoned( )) VV by D r-•^(� at Ll c r f(� -r P has been constructed in accordance _ u ..�r,+n A r 6 1 with the provisions of Title 5 and the f r Disposal System Construction Permit No. Q U 0 -7�-1 2 7 dated .S/1/ Installer b Designer #bedrooms Approved design flow gpd The issuance of this permit shall no)be co strued as a guarantee that the system will functio as desig ed. Date Inspector -----————— —� -------- �I — ———— --- No. Fee I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS �igpogal stem Cow6truction Permit Permission is hereby granted to.Construct ( ) R pair ( ) Upgrade (x ) Abandon ( ) System located at A C r j and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Const ctio must be completed within three years of the date of this-pertr�it. 1. Date 6 r< U/7 Approved by 1 ` t ' f Town of Barnstable Regulatory Services Thomas F. Geiler, Director i" AM Public Health Division s639 �e- wart' Thomas McKean, Director 200 Main Street,Hvannis, MA.02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: I Sewage Permit# ©O7� 7 Assessor's Map\ParceU Designer: 'b 0 2 r r¢Q.n Installer: 0 b �� 4i►'l2 Address: / �oc i n ✓ Address: `l U On was issued a permit to install a (date) r (installer) septic system at q C►1 er - based on a design drawn by //�� (address) 0/-,VV, 0 .. dated S 0 ( signer) 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. I certify that the septic system referenced above was installed with major c anges .e. greater than I W lateral relocation of the SAS or anv vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. PI revision or � certified as-built by designer to follow. ; of 9 ARNE H. ti� tv o� OJALA w r CIVIL rM nstaller's Sfgnature) No. 30792 G/STE��O��(v �SS/ONAL ECG\ (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE VOLL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc a Town of Barnstable FSHE 1p� Regulatory Services Thomas F. Geiler, Director BARNSfABLE, 9A b . •�� Public Health Division rF0 Mp`l A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office:. 508-862-4644 Fax: 508-790-6304. January 10 2007 Leanne Jacques & Barbara Chester 49 Cherry Street Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 49 Cherry Street,Hyannis, MA was last inspected December 6th 2006 by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"fails"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Leaching pit was full, backing up into D-Box and septic tank was full of waste. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE HEAL H DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health r - COMMONWEALTH OF MASSACHUSETTS W Title 5 Official Inspection Form e Not for Voluntary Assessments Subsurface Sewage Disposal System Form Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Property Information: MAP 309— PARC 136 49 CHERRY STREET — HYANNIS, MA 02601 Property Address LEANNE JACQUES & BARBARA CHESTER Owner's Name 49 CHERRY STREET Owner's Address HYANNIS MA 02601 City/Town State Zip Code DECEMBER 6, 2006 Date 2. Inspector: JAMES D. SEARS Name of Inspector A & B CANCO Company Name 350 MAIN STREET Company Address WEST YARMOUTH MA 02673 �' =F City/Town State Zip Code t 508-775-2800 Telephone Number t t: B. Certification ` I certify that I have personally inspected the sewage disposal system at this address and that the information reported—_ below is true,accurate and complete as of the time of the inspection. The inspection was performed base on my training -11' and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP pprovedC-D 9 system inspector pursuant to Section 16.340 of Title 5(310 CMR 16.000). The System: I r111) rrt ® Passes ❑ Conditionally Passes Fails ® Ne Further Evaluation by the Local Approving Authority w 0(.0 r 's Signature Date: m 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 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. ****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 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 1 I COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form a Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. Certification (cont.) 49 CHERRY STREET Owner's Address HYANNIS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Inspection Summary: Check A, B, C, D or E/always complete all of Section D A) System Passes: N/A I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: N/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. Answer yes, no or not determined (Y, N, ND) in the M for the following statements. If"not determined," please explain. ® The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of compliance indicating that the tank is less than 20 years old is available. ND Explain: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 2 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form d Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 49 CHERRY STREET Owner's Address HYAN N IS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection B) System Conditionally Passes (cont.): N/A Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ® broken pipe(s)are replaced ® obstruction is removed ® distribution box is leveled or replaced ND Explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: N/A ® 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 environment: ® Cesspool or privy is within 50 feet of a surface water ® Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form 9 Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 49 CHERRY STREET Owner's Address HYANNIS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection C) Further evaluation is required by the Board of Health (cont.): N/A 2.System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,safety and environment: ® The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ® The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ® The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well* Method used to determine distance: "This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less that 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3.Other: Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 COMMONWEALTH OF MASSACHUSETTS W Title 5 Official Inspection Form d Not for Voluntary Assessments ,1M Syev Subsurface Sewage Disposal System Form B. Certification (cont.) 49 CHERRY STREET Owner's Address HYAN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMEBR 6, 2006 Date of inspection D) System Failure Criteria Applicable to All Systems: J You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ® Liquid depth in pit is less than 6" below invert or available volume is less than '/z day flow ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® ® Any portion of the SAS, cesspool or privy is below high ground surface water elevation. ® NA Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ® NA Any portion of a cesspool or privy is within a Zone 1 of a public well. ® FNT--j Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® NA 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.] YES No ® The system is a cesspool serving a facility with a design flow of 2000 gpd—10,000 gpd. 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form d o` Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 49 CHERRY STREET Property Address HAYN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection 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. N/A For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ® ❑ the system is within 400 feet of a surface drinking water supply ❑ ® the system is within 200 feet of a tributary to a surface drinking water supply ® ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 16 COMMONWEALTH OF MASSACHUSETTS w title 5 Official Inspection Form d Not for Voluntary Assessments Subsurface Sewage Disposal System Form C. Checklist 49 CHERRY STREET Property Address HAYN N IS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ® Pumping information was provided by the owner, occupant, or Board of Health ® ® Were any of the system components pumped out in the previous two weeks? ® ® Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ® Was the facility or dwelling inspected for signs of sewage back up? ® Was the site inspected for signs of break out? ® ® Were all system components, including 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)]. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 16 COMMONWEALTH OF MASSACHUSETTS Title 5 Official Inspection Form r Not for Voluntary Assessments SVev Subsurface Sewage Disposal System Form D. System Information 49 CHERRY STREET Property Address HYANNIS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Residential Flow Conditions: Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 220 Number of current residents: 2 Does residence have a garbage grinder? ® Yes ® No Is laundry on a separate sewage system?[if yes separate inspection is required] ® Yes ® No Laundry Y inspected?system ins ected Yes No Seasonal use? ® Yes ® No Water meter readings, if available(last 2 years usage(gpd)): SEE ATTACHED LETTER Sump pump? ® Yes ® No Last date of occupancy: PRESENT Commercial/Industrial Flow Conditions: N/A Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.) Grease trap present? ® Yes ® No Industrial waste holding tank present? ® Yes ® No Non-sanitary waste discharged to the Title 5 system? ® Yes ® No Water meter readings if available: Last date of occupancy/use: Date Other(describe): Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form e` Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address HYAN N IS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection General Information Pumping Records: Source of Information: N/A Was system pumped as part of the inspection? ® Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ® Privy ® Shared system (yes or no)(if yes, attach previous inspection records, if any) ® Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ® Tight tank.Attach a copy of the DEP approval. ® Other(describe): Approximate age of all components, date installed (if known)and source of information: 1988 PERMIT#88-14 Were sewage odors detected when arriving at the site? ® Yes ® No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 E COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Form R � o Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address HYANNIS MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Building Sewer(locate on site plan): %I Depth below grade: 16" feet Material of construction: ® cast iron ® 40 PVC ® other(explain) Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): GOOD PVC Septic Tank (locate on site plan): J Depth below grade: 2' feet Material of construction: ® concrete ® metal ® fiberglass ® polyethylene ® other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ® Yes ® No -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Dimensions: 1000-GALLON PRE CAST Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle 26" Scum Thickness 3" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 191, How were dimensions determined? TAPE-PROB-SLUDGE JUDGE. Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 COMMONWEALTH OF MASSACHUSETTS w 'Title 5 Official Inspection Form e` Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address i HAYN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): MAIN TANK& COVERS AT 2', TANK LEVEL OVER OUTLET LINE-OUTLET BAFFLE-INLET BAFFLE. NOTE: BLDG IN REAR ATTACHED TO TANK, NO TEE. LINE IN TANK ON OUTLET END. NOTE: TANK PUMPED AFTER INSPECTION. Grease Trap (locate on site plan): N/A 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): N/A Depth below grade: ti Material of construction: ® concrete ® metal ® fiberglass ® polyethylene ® other(explain) Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 COMMONWEALTH OF MASSACHUSETTS d Title 5 Official Inspection Form o� Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address HYAN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Tight or Holding Tank (cont.) N/A Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ® Yes ® No Alarm Level: Alarm in working order: Yes No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach a copy of current pumping contract(required). Is copy attached? ® Yes ® No Distribution Box(if present must be opened) (locate on site plan): ✓ Depth of liquid level above outlet invert OVER Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-BOX IS 12" X 16" — 32" BELOW GRADE, ONE LINE IN — ONE LINE OUT. BOX IS FULL TO COVER. Pump Chamber(locate on site plan): N/A Pumps in working order: ® Yes ® No Alarms in working order: ® Yes ® No Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 16 COMMONWEALTH OF MASSACHUSETTS w Title 5 Official Inspection Form d °Y Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address HYANNIS MA 02601 Cityrrown State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): ✓ If SAS not located, explain why: Type: ® leaching pits number: 1 ® leaching chambers number: ® leaching galleries number: ® leaching trenches number, length: Elleaching fields number, dimensions: ® overflow cesspool number: ® innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): LEACHING IS ONE PRECAST PIT — 1000 GAL. PIT AND COVER AT 30". LEACHING FULL, BACKING UP INTO BOX AND TANK. LEACHING NOT WORKING — NEED TO REPLACE. Title 5 Official Inspection Form:Subsurface Sewage Disposal System P g P Y Page 13 of 16 COMMONWEALTH OF MASSACHUSETTS r Title 5 Official Inspection Form A d Not for Voluntary Assessments e� �e Subsurface Sewage Disposal System Form D. System information (cont.) 49 CHERRY STREET Property Address HYAN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A 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, damp soil, condition of vegetation, etc.)-. Privy (locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): COMMONWEALTH OF MASSACHUSETTS a Title 5 Official Inspection Fora n`�o Not for Voluntary Assessments I Subsurface Sewage Disposal System Form D. System Information (cont.) 49 CHERRY STREET Property Address HYAN N I S MA 02601 City/Town State Zip Code LEANNE JACQUES & BARBARA CHEST ER Owner's Name Date of inspection 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. I l C /-f, l_J I / t 0 Title=(Aft ciai Inspection Form.Sabsur;;tce Se%aa=Disposal)stem ^aee COMMONWEALTH OF MASSACHUSETTS 4 Title 5 Official Inspection Form Not for Voluntary Assessments see Subsurface Sewage Disposal System Form i D. System Information (cont.) 49 CHERRY STREET Property Address i HYANNIS MA 02601 City/Town State Zip Code '. LEANNE JACQUES & BARBARA CHESTER Owner's Name DECEMBER 6, 2006 Date of inspection Site Exam: Slope Surface water Check cellar Shallow wells Estimated depth to NO ground water: 12' Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health—explain: Checked with local excavators, installers—(attach documentation) ® Accessed USGS database—explain: You must describe how you established the high ground water elevation: TEST HOLE 12' NO GROUND WATER. TEST HOLE 3' BELOW BOTTOM OF PIT. Title 5 Official Inspection Form:Subsurface Sewage Disposal System ► Page 16 of 16 N U - !I I h P7V COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS John Graci DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY CORE Secretary- ARGEO PAULCELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 49 CHERRY ST. HYANNIS HOUSE AND COTTAGE 30 C� i�J� Oda C3 Name of Owner LLOYD MCMANUS a P Address of Owner: BOX 269 BOSTON MA.02113 Date of Inspection: 6/26/99 `L+ Name of Inspector:(Please Print)JOHN GRACI /am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) 41Z ©Company Name: n/a Mailing Address: n/a Spy, Telephone Number: n/a I9`99 � � a CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, t� and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes The inpection is based on criteria defined in Title V Conditionallyjubmit code 310 CMR 15.303.My findings are of how the system is Needs Furthion B the Local Approving Authority performing at the time of the inspection.My inspection does Fails not imply any warranty or guarantee of the longgevity of the septic system and any of its components useful life. Inspector's Signature: Date:6/26/99 The System Inspector shal copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING SYSTEM NOW AND THEN MAINTAINED EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:5/26199 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: _ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: nLa 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 ND).Describe basis of determination in all instances.If"not determined",explain why not. nLa The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of 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 exhitration,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. nta 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 pipe(s)are replaced obstruction is removed _ distribution box is levelled or replaced Wa The system required pumping more than four 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 revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 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 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH 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 presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nLa_(approximation not valid). 3) OTHER nLa revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped nta. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. 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 X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412). Please consult the local regional office of the Department for further information. I revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:5/26/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X 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 on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) (1 5.302(3)(b)) X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:5/26/99 FLOW CONDITIONS RESIDENTIAL: Design flow:-=g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):3 Total DESIGN flow: = Number of current residents:Q Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no):DLO Water meter readings,if available(last two year's usage(gpd): nLa Sump Pump(yes or no): MO Last date of occupancy: nta COMMERCIAL/INDUSTRIAL Type of establishment: Wa Design flow: nta gpd(Based on 15.203) Basis of design flow: Wa Grease trap present:(yes or no):�LQ Industrial Waste Holding Tank present:(yes or no): DLO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available:Wa Last date of occupancy: nta OTHER: (Describe) nta Last date of occupancy: Wa GENERAL INFORMATION PUMPING RECORDS and source of information: nCa System pumped as part of inspection:(yes or no):NO If yes,volume pumped nLa_ gallons Reason for pumping: Wa TYPE OF SYSTEM XSeptic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: n& APPROXIMATE AGE of all components,date installed(if known)and source of information: 1988 Sewage odors detected when arriving at the site:(yes or no): DLO I revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 BUILDING SEWER: (Locate on site plan) Depth below grade: Z'E Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: n(a Comments: (condition of joints,venting,evidence of leakage,etc.) nLa SEPTIC TANK: X (locate on site plan) Depth below grade: T Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nLa If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): No nLa Dimensions: L 9'6'H 6'7"W 4'10" Sludge depth: 6' Distance from top of sludge to bottom of outlet tee or baffle: 2E 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: 6 How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING NOW AND THEN MAINTAINED EVERY TWO YEARS, GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nLa Dimensions: nLa Scum thickness: nLa Distance from top of scum to top of outlet tee or baffle:ji& Distance from bottom of scum to bottom of outlet tee or baffle n& Date of last pumping: nLa Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) nLa revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: nLa Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) Wa Dimensions: n1a Capacity: Wa gallons Design flow: n1a gallons/day Alarm present: MO Alarm level:jiLa- Alarm in working order:Yes_No_: NO Date of previous pumping: Wa Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Wa DISTRIBUTION BOX: _ (locate on site plan) Depth of liquid level above outlet invert:Wa Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) JILa PUMP CHAMBER: DECO (locate on site plan) Pumps in working order:(Yes or No): MO Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n& revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: nLa Type: leaching pits,number: 1000 GALLON LEACH PIT leaching chambers,number: j3La leaching galleries,number: j3La leaching trenches,number,length: nLa leaching fields,number,dimensions: nta overflow cesspool,number: n& Alternative system: n& Name of Technology: .nLa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY PIT WAS EMPTY AT THE TIME OF THE INSPECTION, CESSPOOLS: _ (locate on site plan) Number and configuration: nLa Depth-top of liquid to inlet invert: n/A Depth of solids layer: n& Depth of scum layer. n& Dimensions of cesspool: nLA Materials of construction: nLa Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nLa PRIVY: _ (locate on site plan) Materials of construction:n& Dimensions:n& Depth of solids: n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nLa revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:5/26/99 NRCS Report name: nLa Soil Type: Wa Typical depth to groundwater: nta USGS Date website visited: nLa Observation Wells checked: N-Q Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record X Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers XUsed USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS AND VISUAL-12+FEET revised 9/2/98 Page 11 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 49 CHERRY ST.HYANNIS HOUSE AND COTTAGE Owner: LLOYD MCMANUS Date of Inspection:6/26/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks n/a e� Ian l Co�l�r revised 9/2/98 Page 10 of 11 q TOWN OF BARNSTABLE LOCATION C11,FA I1 y sakfi± SEWAGE VILLAGE � ASSESSOR'S MAP & LOT g'- 3(-,PA0 INSTALLER'S NAME & PHONE NO. 14,. SEPTIC TANK CAPACITY /Ooe d -/ ak /d 0,0 64,A LEACHING FACILITY:(ty &r-.,--A4r (size) /0 oa l�A NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER PW.S BUILDER OR OWNER srrdE: DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No V' e o O� 0 r �1� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HESkl-TH . ......OF........ ................................ Trrtif irate of Tourplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by.................... ......... -----------------------•------..----------.•........•..-•--------------................................--•---••-•-----.... --{{ �-}► Installer . at...............�.0.1-•-- d-; -•------•----•-••-----------•---•-•---•----- has been installed in accordance with ie4provisions of TLC j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.........9•R.-.IISTRUED ........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION rS/ATISFACTORY. DATE...................2--- a 1 -- . ... Inspector...........---...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No....Tf t I.* • ........ FEE.....?15 ...... vi o l ork� (11rn#rudion "permit Permission is hereby granted------..... ta:. �&.pos� -------•--•---•-----------------•-------•----•-----•----------.---••-•----.-•--- to Construct ( or Repair ( ) an Individual Sewagystem atNo.:...................... ......... ......1......t..r.........I '° ,. ....------------------------....--••---•-•-----•--................. V treet as shown on the application for Disposal Works Construction Permit �/�D'ated.......................................... .................................� B t ek--� of Health DATE............._ " ............................... oard 42- No..... .:.. f�s� c!- !3 ..4 -�C✓ o ' Fizs.. THE COMMONWEALTH OF MASSACHUSETTS BOARD F• HEALTH c.J"j ..._.......OF............ .���TiSt�L ............................... ................................................................... Application for Disposal lVarkii nnstrixr#inn Application is hereby made for a Permit to Construct ( <or Repair ( ) an Individual Sewage Disposal System at:� ��i� --5 Location or• Lot-N•o-.. ss ..A . ...................... ......................................................____.._..-----...._---...... . ...... i Owner Address Installer Address Type of Building Size Lot..-�//..Z. ....-.-.-Sq. fee aDwelling—No. of Bedrooms............................................Expansion Attic ( ' ) Garbage Grinder )o 04 Other—Type of Building ............................ No. of persons..............--............ Showers ( ) — Cafeteria ( ) Other fixtures .................................. . W Design Flow..._._......70.....................gallons perm q.da�y. Total da11yy f�9w.._......---..3 0.............._�ll1onsf, WSeptic Tank—Liquid capacity gallons Length.� _.. Width..Y.l�-_- Diameter................ Depth-S ...... x Disposal Trench—No...........:......... Width_.............. Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.....___.i........ Diameter.......__.__..... Depth below inlet.................... Total leaching area..L6.7....sq. ft. Z Other Distribution box (t� Dosing tank ( i�, i1% ~' Percolation Test Results- Performed by.... Pv4...............�..........__ Date....... ...`..�..�......../f ai---•----------•--- ' Test Pit No. 1..G.....--..minutes per inch Depth of Test Pit... �_....... Depth to ground water..7 (Sr Test Pit No. 2..G ..minutes per inch Depth of Test Pit...P ...... Depth to ground water.."/ ...... = ... 0 Descri tionofSoil. -ZF...,lo.e_......-S�f�s°/L Zy�-/S,�_ GGe'n¢!'J rse�/o.rt ��t�I> --------------- ".� O-Z-� o t� 0 2 - �C ��ia�/uvt S�f�✓�. -•------------------------ c-� ------ tf F...t�.-i �` /..5`�` L c ^f......_.. ................................................ W -•---...••-------------------------•-•----•------------•-•-------------------. --=--.........--•---..........--------------------.....--- .............................................-........•...... U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. •........................:....:.......••----......•--•--------.....----------•--•..._...........----••-•••....---•--......---------------•••--------•---•-----......................-•-------........ Agreement The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with the provisions of I'L1L 5'of the State Sanitary Code=The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ............... Signed LI�V -..._ Application Approved B —!S^e A � PP PP Y....:..... - �...... Date ' Application Disapproved for the following reasons:................................................•-•---•----.............................. ........._.._ ..-•-•---•...................•-•------•---•--•--•------•-•---•--•--------..---------------•--••--•------•---•--•----•----...---------•-•---------...------•-•-•....----•-------....---•-•---•-•-•-•-•--- Date Permit No....��------."r ...... .._...... Issued... :... .............. Date �+4.r.-..-.rr.+M.r.,._"...a'.+f,'r .. - .. .. . iy....-•�.�o=*'...:.z..�.,,r•.:;, ,f_... '��..4a.v--'iAd�3i��a.�N:$ir..•r.+et`e...nnvn.�....!rn,t�.t,L•nrt •�'� -� i '�,`S', -:ens-.s...uw..: �Zi..��...+1ri".,.s-�.wr'+-.......w.d._.a- �.w�"•�4� •c :i5�:-..� ..fi.'�4 !'v.-+:i�F a..t&_.......�:- t No....�:,1:...� sS &„ _'." r '''-` " '.� z Fxs...' ...:..- .. ' . THE COMMONWEALTH OF MASSACHUSETTS BOARD O�JF HEAD}LTH 4�) c ! :................. ... ..fir•..._.: /"> :/✓%/'/7 ,C �fr 5 ....._.... ................................................................... Appl ration for Disposal Murks Tonstrnrtiun "rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• ......--•--....._......_..............................................:•- -...--•___-___•--__ ................................... -- - .--....................................... Location-A0lress or Lot No. .........................5.., . � _.... _.G'_4_'.K4_.. . .........._......._.... ....._............................................................................................ Owner Address W � � . ^ •, P ...... •............................. .......•--------•-------.Z............_........_..... Installer Address Type of Building Size Lot.......[_.�:..t� ......Sq. feet Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder Other—Type T e of Building ___..... No. of ersons__________________p� yp g _.______•-----_----. p ...------- Showers ( ) — Cafeteria ( ) QOther fixtures ----------------------•• '7 == WDesign Flow.............f ...... _.__gallons per--person per day. Total daily flow_____________________________................gallons.. WSeptic Tank—Liquid capacityZ�:2 '_.gallons Length_ C._ _ Width �.f '_.__ Diameter________________ Depth__::'...{... x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area.......-............sq. ft. Seepage Pit No..........'--------- Diameter....._.`''_...__ Depth below inlet....... ........ Total leaching area._ ..sq. ft. Z Other Distribution box (v`) Dosing tank ( ) Percolation Test Results Performed by...._,:!��_s}c o�::-•-_--_-_-_•.--...---•..........................: Date..... .......Z....................=.,. 1-4 4 Test Pit No. 1__�.�__minutes per inch Depth of Test Pit...Z_�`•__.............. Depth to groundwater_..':_../.rF... . L, Test Pit No. 2..::.. .._minutes per inch Depth of Test Pit... .`�__.._.. Depth to ground water_.T.�_.` y �+ ......................................................--- --- -- ........ O Description of Soil O . -Z ...................................... / � :'ai S....."..� U O.-�_--% </ Tr ( 7--._S�.i n ---- -�-5` � -�f rv���✓ =a✓.....-�?�r✓��._:�� •..-•--•............................ -•-- W U Nature of Repairs or Alterations—Answer when applicable.________________............................................................................... -•------•-•--------------------------------•---------------..._......•...-------------•---•-----...._._..-----------------------•---•------•-......-----•--------....-----------..........---•----...... Agreement: The undersigned agrees to -install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL 1TLE 5 of the.State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. t Signed....... 3_'::{1_v._. t. .-t. ..<....1x.n . . /��� -- - f j Date Application Approved By-------------- -- --` .L_! ® ate^.. .. Application Disapproved for the fo owing re ons:_•••-• --_••----••••--•••••••••••......••••••......-•-•••••-•--•-------------------- ........................................... --------------------•--•-----...........----------------------......_..--.---•----------------------------:._.......... Date PermitNo.------ If �- ..... -----. issued_....................................................... Date 20 FT, MIN _ TOP OF FOUND. _-� SC II L TES I EL. - 10 FT MIN. DATE OF SOIL TEST WITNESSED BY CONCRETE 4" SCH 40 PyC PIPE CLEAN SAND PERCOLATION RATE mitV INCH COVERS MIN. PITCH 1/8 PER FT. OBSERVATION HOLE I OBSERVATION HOLE 2 CONCRETE ELEV = `1 ' r ELEV.= r' 4" CAST IR N PIPE 12 _- COVE': -- 2 LAYER OF I/8 '-- :12" WASHED FOR EQUAL, MIN ` _ _ ._._ . STONE ~-� ' SJx �- �p" 417.1 PITCH 1/4 PER FT. r: FLOW LINE C t e��! .�/ G L O :N rl E = MIN. L 20- EL = '� 7 7 LEVEL i EL. = DIST EL. -,7 WATER AT rjl EL.= WATER AT r EL.= BOX 3/4 - 1 1/2" � GALLON WASHED STONE . ° ° p 00 • DESIGN c,ALCULAT10NS SEPTIC TANK � W ° a EL.= 9p � - SE C q NUMBER OF BEDROOMS PRECAST LE tiCHI� f .1i,+? GARBAGE DISPOSAL UNIT BASIN OR E( I 6' DIAM. TOTAL ESTIMATED FLOW _ GAL./BR /DAY z BR.) s?U GAL./DAY ppm SEWAGE DISPOSAL SYSTEM PROFILE REQUIRED SEPTIC TANK CAPACITY � �% -� GAL. NOT TO SCALE ACTUAL SIZE OF SEPTIC TANK 61 GAL. BOTTOM OF T,. OR USGS PROBABLE WATER TABLE EL.= -7 LEACHING AREA REQUIREMENTS SERVED WATER TABLE t / / ) EL.= SIDEWALL AREA tAL./S.F BOTTOM AREA GAL./SE LEACHING CAPACITY BOTTOM t S{DEWALL) ' J GAL. 'I LEGEND: RESERVE LEACHING CAPACITY / S�}• 7GAL. EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR - -- - 00- --- %' FINAL SPOT ELEVATION _ NOTES FINAL CONTOUR 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. a SOIL TEST LOCATION TITLE 5 AND THE TOWN OF ., RULES AND f � + UTILITY POLE TOWN WATER W =�=W REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. , — 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO CATCH BASIN ® ) WITHIN 12 OF FINISHED GRADE . y 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H 10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING MIN. FRONT SETBACK SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. >4� , .MIN REAR SETBACK 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE MW. SIDE SETBACK SHALL BE MORTARED IN PLACE. � 0 N ,/6• NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH et7.74 DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. RucAPPROVED BOARD OF HEALTH 7 � 7 �s r SNIT DATE AGENT 99 o✓T Zia PROJECT LOCATION, L O ' m ,,V1 0">;r, CGI C5 � Y �TrG f Z ) s• AP►LICANT t D f J PROFESSIONAL LAND (E � s� v KL 203 385-6478 SOUTH DENNIS, MASS, 02660 cyfR ' SCALE' Q �r �J REV. 0 . LOCATION MAP L-:08 INo' C i 3 7 SHEET OF u SYSTEM PROFILE NOTES FLLEEGEND TOP FNDN. AT EL. 43.0' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD 100.0 PROPOSED SPOT ELEVATION nl , �� s Q 41.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING o 0 0 *:rt 2X SLOPE REQUIRED OVER SYSTEM 41.0 100x0 EXISTING SPOT ELEVATION 3 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT. a F` *A=39.5' RUN PIPE LEVEL OR GEOTEXIILE FABRIC / s e 100 PROPOSED CONTOUR FOR FIRST 2' 3' MAX. �h her y FOR 1000 PROPOSED�_ 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO 100 EXISTING CONTOUR ;y:*EXISTING GALLON SEPTIC TANK *EXISTING GALLON sEPnc 38.35' H- 10 __ tr et BAFi.E 38.6 TANK (H- 10 GAS6" sump 38.1 38.8 St, r � = 5. PIPE JOINTS TO BE MADE WATERTIGHT. tevens fort ��5 38.27 p000 O ODDO 0 38,0' appa p p00p o Mitchells � MIN. (2_5 X SLOPE) 6" CRUSHED STONE OR MECHANICAL p p p p p p p p p 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH t SOW = 4, COMPACTION. (15.221 (21) 2' p p p p ED p p p p o 36.0' MASS. ENVIRONMENTAL CODE TITLE V. South S Bois y DEPTH OF 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �' MOO t TEE SIZES: TO 1 1/2„ DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. INLET DEPTH = ion„ V o OLmET DEPTH = 14„ 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 1 So Jeer o ( X SLOPE) ( 1 X SLOPE) P n EXISTING PROPOSED 6' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED / FOUNDATION EXISTING SEPTIC TANK 2' SEPTIC TANK 8' D' BOX LEACHING WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION 12' FACILITY OBTAINED FROM BOARD OF HEALTH. LOCUS MAP 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALE: 1" = 2,000't BOTTOM TH-2 EL. 30.0' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION *THE INSTALLER 'SHALL VERIFY THE OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 309 PARCEL 136-2 LOCATIONS OF ALL UTILITIES AND ALL **THE INSTALLER SHALL VERIFY THE SIZE COMMENCEMENT OF WORK. BUILDING SEWER OUTLETS AND ELEVATIONS OF THE EXISTING SEPTIC TANK AS 1000 LOCUS IS WITHIN AP OVERLAY DISTRICT PRIOR TO INSTALLING ANY PORTION OF GALLONS AND ITS SUITABILITY FOR RE-USE. 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND SEPTIC SYSTEM REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. -ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST -HOLE LOGS REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. ENGINEER. DAVID FLAHERTY, R.S. WITNESS: DON DESMARAIS, R.S. DATE: FEBRUARY 14, 2007 m PERC. RATE _ < 2 MIN/INCH CLASS I SOILS P# 11629 rR ELEV. ELEV. 'o FFT SYSTEM DESIGN: o" 4 41.0' 0" 41.0' " / S/OFWq��� GARBAGE DISPOSER IS NOT ALLOWED FILL FILL k" 13" 39.9' 12" i PAVED DESIGN FLOW: 3 BEDROOMS ® 110_GPD = 330 GPD 0.0 ' DR I � �, - �/ USE A 330 GPD DESIGN FLOW / A A b �/ SEPTIC TANK: 330 GPD (2) = 660 10YRS3 2 LS ��' **RE-USE EXISTING 1000 GAL. SEPTIC TANK 17" / 39.6' 19„ 10YR 3/2 39.4' Gas ADD 1000 GAL. SEPTIC TANK AS SECONDARY g g METE 0 LS LS LEACHING: lOYR 6 8 ' 1OYR 6/8 DWELL GATE SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD 34" 38.2 36 38.0' TOP FNDN EL=43.0' BOTTOM 25 x 12.83 (.74) = 237 GPD i TOTAL: 472 �.F. 349 GPD M,QT TJB/ �� A �� _C_ / BY DECK Po� a TH°� USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) PERC BENCHAMRK WITH 4' STONE ALL AROUND MCS MCS CDR CONC BULKHEAD ELEV = 42,4 irr O.�TM+-t 132" 2.5Y 7/4 30.0' 132" 2.5Y 7/4 30.0' Y,.. TH-z MA E RE-ROUTE tMTFPI to' OF O APPROVED DATE BOARD OF HEALTH NO GROUNDWATER ENCOUNTERED •;�. �r ANY SEPnC COMPONENT AND SLEEVE WHEN SENER Q7 e p A f 1 t. f• / LINES CROSS YM7HIN 10' n� TITLE 5 SITE PLAN WObD\� u RHODY 10' DIA k\DECIk;,` EXISTING OF c, C.0✓ } PLANTS/ w / cj' "CARDEN ARE ' - 49 CHERRY ST. BBLDG. (HYANNIS) BARNSTABLE MA a 3 PREPARED FOR k _ TR HOUSEBARBARA CHESTER. AROUND 2 OAKS Cyq/,y All\ FNCFk DATE: FEBRUARY 14, 2007 \x ;' REVISED DATE: MARCH 5, 2007 (SAS) SHED REVISED DATE: APRIL 25, 2007 (TANK) Scale:1"= 20' 52.0 0 10 20 30 40 50 FEET i j off 508-362-4541 t fax 508 362-9880 H OF R4 �&;ZH OF,y4SS ti A.RNE H. q�y� U�o ARINE �� 0JALApjALA 4 down cope engineering, inc. CIVIL y No.26348 No.30792 p �o �F r �� w�4 Ess\o`'� Cl VIL ENGINEERS Fs FO � R NA ���o LAND SUR VEYORS ATE ARNE H. OJALA L.S. 939 Main Street - YARMOU THPOR T, MASS. DCE #07-0 >2 07-012 CHESTER.DWG (DDF) SYSTEM PROFILE NOTES LEGEND TOP FNDN. AT EL. 43.0' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD ACCESS COVER (WATERTIGHT) TO so. n, 100.0 PROPOSED SPOT ELEVATION s � Q ' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 41.0' 2. MUNICIPAL WATER IS EXISTING o 41.0 2x SLOPE REQUIRED OVER SYSTEM 1 o0xO EXISTING SPOT ELEVATION 2" DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. e a R` *A=39.5' RUN PIPE LEVEL OR GEOTE MLE FABRIC Oh 5 herr 100 PROPOSED CONTOUR FOR FIRST 2' 3' MAX. =y *B=40.4' PROPOSED 1000 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO =*EXISTING 1000 *EXISTING GALLON SEPTIC \ -- 100 EXISTING CONTOUR :µ *EXISTING GALLON SEPTIC TANK 38.6 38.35' 38.8' H- 10 tr et fi TANK (H- 10 ) � g SUMP 38.1' 0 O 0 0 0 5. PIPE JOINTS TO BE MADE WATERTIGHT. f te�n5 NOf �.0 St BAFFLE 600101wr4f 38.27 c 38.0' 00a0 0 0 � � 0 Mitchells � MIN. (2.5 x SLOPE) 6" CRUSHED STONE OR MECHANICAL 0 0 0 0 0 0 0 0 O 6. CONSTRUCTION TAL S TO BE IN ACCORDANCE WITH St. - 49 COMPACTION. (15.221 [2]) 2' 0 0 O 0 O 0 0 0 O o 36.0' MASS. ENVIRONMENTAL CODE TITLE V. Sa�tn Lewis y ME DEPTH OF FLOW - „ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO m Main I NSLET DEPTH = 1�_ 3/4 TO 1 1/2 DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. „ c�dde( OUTLET DEPTH 14" O 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. ( 1 x SLOPE) ( x SLOPE) P EXISTING PROPOSED 6' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED / FOUNDATION EXISTING SEPTIC TANK 2 SEPTIC TANK 8 D BOX � LEACHING WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION 12 FACILITY OBTAINED FROM BOARD OF HEALTH. LOCUS MAP 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING SCALE: 1" = 2,000'f BOTTOM TH-2 EL. 30.0' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION *THE INSTALLER SHALL VERIFY THE OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 309 PARCEL 136-2 LOCATIONS OF ALL UTILITIES AND ALL **THE INSTALLER SHALL VERIFY THE SIZE COMMENCEMENT OF WORK. BUILDING SEWER OUTLETS AND ELEVATIONS OF THE EXISTING SEPTIC TANK AS 1000 LOCUS IS WITHIN AP OVERLAY DISTRICT PRIOR TO INSTALLING ANY PORTION OF GALLONS AND ITS SUITABILITY FOR RE-USE. 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND SEPTIC SYSTEM REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. -ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST HOLE LOGS REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. ENGINEER. DAVID FLAHERTY, R.S. WITNESS: DON DESMARAIS, R.S. 0 DATE: FEBRUARY 14, 2007 m PERC. RATE _ < 2 MIN/INCH Cy CLASS I SOILS P# 11629 S r �� ��� ELEV. ELEV. S, SYSTEM DESIGN: o" Q 41.0' 0" 41.0' �K GARBAGE DISPOSER IS NOT ALLOWED FILL FILL m � � q / 13" 39.9' 12" ' i PAVED i DESIGN FLOW. 3 BEDROOMS 0 110 GPD = 330 GPD 0.0 DRI USE A 330 GPD DESIGN FLOW A A / LS LS M SEPTIC TANK: 330 GPD (2) = 660 10YR 3 2 / / 1OYR 3/2 '�' **RE-USE EXISTING 1000 GAL. SEPTIC TANK 17" 39.6 19" 39.4' ADD 1000 GAL. SEPTIC TANK AS SECONDARY B B GAS METE LS LS EXIST. LEACHING: 1OYR 6/8 1OYR 6/8 .. DV GATE SIDES: 2 25 + 12.83) 2 (.74) 112 GPD 34 38.2 36" 38.0' • TOP NDN - , EL F o' `, BOTTOM 25 x 12.83 (.74) - 237 GPD , T TLIB/ n _ _- -472 ,S.F. 349. GPD_ - - - AooN. ,_ PER _', ; PORCH n eRs � c DECK / ON W USE (2)° 5010 GAL. LEACHING CHAMBERS (ACME OR EQUAL) POSTS BENCHAMRK WITH 4' STONE ALL AROUND MCS ` MCS COR CONC BULKHEAD _ ELEV = 42.4' TM-1 GCo. 132" 2.5Y 7/4 30.0' 132" 2.5Y 7/4 30.0' Q 1"-2 MA .•,��: APPROVED DATE BOARD OF HEALTH NO GROUNDWATER ENCOUNTERED _ O RE-ROUTE WIM 1a of ANY SEPnC COMPONENT AND SLEEVE WHEN Cb =s -_ M WOW7 � � :~,4 RHODY 10' DIA TITLE 5 SITE PLAN DECIZ}',!a�j 1A, OF 4, 1/1_ °nsc o✓ PLANTS/ 2U . GARDEN AR 49 CHERRY ST. B cc, BLDG. �_ (HYANNIS) BARNSTABLE, MA o ti \ 3 PREPARED FOR TR E HOUSE BARBARA CHESTER AROUND 2 OAKS Cyq/N fix\ DATE: FEBRUARY 14, 2007 �k REVISED DATE: MARCH 5, 2007 (SAS) SHED REVISED DATE: APRIL 25, 2007 (TANK) I _ s : Scale:1"= 20' 52.00, 0 10 20 30 CFO 50 FEET i i off 508-362-4541 fax 508 362-9880 OF ASS ��p.�.jN OF iygss 9 I� I RNE H. 90 �� ARNE cyc off° (JALA yGR+ 0� H. CIVIL Cn OJALA N down cape en g ire e erin g, il'7 c. Na. 30792 No.26348 �o�� Id F I e� ��� Ess%o Cl VIL ENGINEERS FS f�NAL LAND SUR VEYORS ATE ARNE H. OJALA, . ., .L.S. 9J9 Main Street - YARMOU THPOR T, MASS. DICE #07-0 /2 07-012 CHESTER.DWG (DDF)