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0051 CHERRY STREET - Health
51 CHERRY SIT- HYANNIS A = 309 137 TOWN OF BARNSTABLE LOCATION �T'.Ci-�� .�( ..S T SEWAGE# 'A0;*—03JL VILLAGE , 4YANLJIS ASSESSORS MAP&PARCEL 3U INSTALLER.,'..S NAME&PHONE NO. ROBcMX- 6 OUX 0-o s 0%-L17-1- ki?1'-7 , SEPTIC TANK CAPACITY t ®00 (S�ALLONS �C��- S LEACHING FACILITY: (type ��LC- � �H (�� (size) 7 NO:OF BEDROOMS OWNER 3-AKeS PERMIT'DATE: 1 3-01 jz ap COMPLIANCE DATE: Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility W/A -Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) AI 1A Feet Edge of Wetland.and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N Feet FURNISHED BY 'R o-aegi - 73' 6tJA � � � � 1�-' P N.: � N � W ,6. � ,,,1- �- � � ' w o , O r; r� � 6hRp9 l/� � w q ��' n ! N � U1 o �., .. - I �' G p -�� N w .{ \ J � (, _ S— � � � � �.f =..t - S �_, S ry, I� No.c:?& —63 c;L— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPhtation for Misposal 6pstrin Construction Permit Application for a Permit to Construct( ) Repair()o Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6( CA CWy 5 r / Owner's Namq,Address,and Tel.No. Assessor's Map/Parcel 369 137 51 CtEC_ Installer's Name,Address,and Tel.No. :5 02-q -%1$7 7 Desi er's Name,Address,and Tel.No. Rrgc�zT OWL-Ca '7' E�!C,Ca�EI �� &-t 63 4A..)(f (C -So. .1 l Type of Building: Dwelling No.of Bedrooms Lot Size I (o- sq.ft. Garbage Grinder( ) Other Type of Building QLS Lpft-&)-tCA_L_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4qo gpd Design flow provided � �, gpd Plan Date 1—Acorn Number of sheets Revision Date Title 5 1 C k c P-P1 Size of Septic Tank 1 In no Type of S.A S. Description of Soil Ly C"nOZ 4Q' Lll� Nature of Repairs or Alterations(Answer when applicable) QAG 6XISM xl t Lean 6A-" rj 6507UC IANK Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of �a� Si ed - Date oZ- RQ Application Approved by Date s� Application Disapproved by Date for the following reasons Permit No. — 0'3 Date Issued y i No. �� P" t - Fee THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 3ppIication for Misoosai *pstem Construction permit Application for a Permit to Construct( ) Repair(V jJf grade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. T' 'HY Owner's Name,Address,and Tel.No. 1 ?�G s s M� tUT P.MIC i Assessor's Map/Parcel 3 Q9 Installer's Name,Address,and Tel.No. j ole_14"7-7..glt-i-7 Designer's Name,Address,and Tel.No. :a-g-X7� -037 7 Q j T 73 OcJ2L G` TG lib[ S&A, ,_ Type of Building: ' Dwelling No.of Bedrooms "� Lot Sizeg sq.ft. Garbage Grinder( ) Other Type.of Building I?_5 Lj)C__Al, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided C�'7(,(,, gpd Plan Date f Number of sheets ( Revision Date Title 5 1 G44E ,Ly TIlC'S-Z 14 YA.Ll"19: Size of Septic Tank_ �0Chn (S: r Type of S.A.S. Description of Soil /,t ti7) ^jam 1 Nature of Repairs or Alterations(Answer when applicable) (� j 61_(e UN(< Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of _ Compliance has been issued by this B�oard eaSineDate .. Application Approved by Date Application Disapproved by Date[\ for the following reasons Permit No. G 3 Z Date Issued -------------------------------------------------------------------------------------------------------------------------'------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS a Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O Upgraded( ) Abandoned( )by P1 owk Co at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No,,"; ,--0 dated r Installer � �� —OQR Designer s M(" _ tx;1 - Ic #bedroomsL 4 Approved design flown'' gpd The issuance of this pe it shall not be construed as a guarantee that the system wil�' cti n�as design . Date �e Inspector { " t� Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 6pstem ConBtrurtion permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at And as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perm`t. y . Date l/ /{� Approved b 1 1 . 4 January 28, 2020 To Whom It May Concern: I have lived in the house since 1967 and the current floor plan consists of four bedrooms and has existed the entire time, no changes have been made. Sincerely, ® 1� Mar a� t R. Rose g,. 51 her Street Hyannis, MA 02601 I I I 1 I FT . f I -- - -- -- - I I f 51 r ( + � � �___.�� , ._ I I � i i✓ I i it I r -f _ ' I _ f ._ _ � �.. ` I 1 VV , Li lb f- � - Al - -- T L i I I 1 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director B" MASS. Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Desi:ner Certification Form Date: �Z Sewage Permit#.1U9lO=f,3.4. Assessor's Map\Parcel i.3 7 Designer: �G Et)9Gneeai S, 5��. Installer: Pot eJ 0(,ir G B., �✓'C• 6�� Address: 2,85y Address: 361, t��►�1es P,94� y Ea.s4 tuareJnarY1; 1� dZ�c�JO S. 1Grv✓�OV�t►, A Q fib` ! On j—SM—�AX was issued a permit to install a (date) (installer) septic system at J" Gnec-ry 5 based on a design drawn by (address) -SC t✓�` i� eeCr,(1 ZhG, dated -Saylyary 21 , 2,62-6 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the g , Y PP distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. flan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i iance with the terms of the AA approval letters (if applicable) t"OF MaSsgcyG JOHN L. cps CHURCHILL n (In a ler's ' n ure) CIVIL .41 A ,1 nSE :TURN Signature (Affix De t p Here) PL TO ARNSTABLE PUBLIC HEALTH DLVfSION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION �✓ C ��'Y' S 7- SEWAGB # VILLAGE ASSESSOR'S MAP 6i LOT 357 - 3 INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY ��C LEACHING FACILITY:(type) (size) NO. OF BEDROOMS -PRIVATE WELL OR PUBLIC WATER BUILDER OR(OER �/PA IS =/�"✓t WN j DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I/q/Lio VARIANCE GRANTED: Yes No �� 0 � � O ~� � o U � � a �• s. w `� d� W I� No. 1? �'�1/54� fJ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for Migponl *pgtem Congtruction Permit F Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) O Complete System ; 'Individual Components Location Address or Lot No. ;'1— Owner's Name,Address and Tel.No. f- "4AlC/_5 �y-Zf/r Assessor's Map/Parcel 3 O f- /3 7 ,r/ C11r1f If r ST Installer's Name,Address,and Tel.No. 7 9X-A�� Designer's Name,Address and Tel.No. A a C4yC-17 3,rO ^,41A-s7- Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) R Ir DL/,!C/ 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 Certifi- cate of Compliance has been issue by this Board of Health. Signed Date Application Approved by Date �7�j�$ Application Disapproved for the following reasons Permit No. .?416 Date Issued No.'?66 A_ (J 1-1-5 97 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC-HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS 4 Zippltcatiou for �Di000gat *pgtem Con!5trurtton Permit Application for a Permit to Construct Repair(�)UPgrade Abandon ❑Complete System ?Individual Components Location Address or Lot No.S/ C 1 J_1 /P Y .5-7— Owner's Name,Address and Tel.No. Assessor's Map/Parcel r Il T IP,? Y 5 7- Installer's Name,Address,and Tel.No. 99 S-a ro° Designer's Name,Address and Tel.No. Type of Building: �' /r�r` �P elr_r " Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) k Other Fixtures Design Flow gallons per day. Calculated'daily'flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: $a 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 Certifi- cate of Corn Nance has been issue by this Board.of Health. '._. Signed Date Application Approved by Date Application Disapproved for the following reasons Vt �'' ,�ifS l� Date Issued Permit No. ! ^� --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(,I )Upgraded( ) Abandoned( )by A2( 1 r/-IAi C o f� � �,s?iti �� l.Vi f"A/P at />/ /�� Y S r yt has been constructed in accordance with the pr isions of Title 5 and the for Disposal System Construction Permit No,4Z e —4is dated t Installer �� ^-�. Designer rA The issua7nce of this permit shall not be construed as a guarantee that the syste will function as deigned./) Date Ins ector �l -------------------------Fee t� ©��� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mt.5pooai 6potem Conotruction Permit Permission is hereby granted to Construct( )Repair(/)Upgrade( )Abandon( ) System located at -S 1 C r/P t and as described to the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thi Ae 't. Date: / 'l ��t� Approved b 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FORA DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated , concerning the property located at meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. g • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S.will be located with 250 feet of anyAyegetated wetlands,the bottom of the'proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, i Please complete the`following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation +the MAX. High G.W. Adjustment. _ DIFFERENCE BETWEEN A and B SIGNED : DATE: [Please Sketch proposed plan of system on back]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cent o o I b I -� � � o � � iii I I � � -- r I TOWN OF BARNSTABLE t" . LOCATION �` C ��Ple S SEWAGE # x VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME Cz PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY �d�( LEAC CLING R A f-TT.TTV ftv l (si�ol NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER I DATE PERMIT ISSUED: j V 1-�- t r �.. .DATE;...COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y .ZS .23 1 - _ s 1 _.. jpj l ) COMMONWEAUPH OF MASSACIIUSE'FTS x x L'XECU'.I'IVE OFFICE OF ENVIRONMENTAL A-F FAIRS h DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED 350 MAM STREET WEST YARMOUTIi,MA 508-775-2800 JAN 2 4 2001 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 51 CHERRY STREET 1IYANNIS,MA 02601 Owner's Name: FRANCIS DYDEK 0mier's Address: 51 CHERRY STREET I IYANNIS,MA 02601 Date of inspection JANUARY 8,2001 Name of Inspector:(please print) JAMES D.SEARS Company Name: A&B Canco Mailing Address: 350 Main Street West Yamioutli,MA 02673 Telephone Number: 508-775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected We sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMMR 15.000). The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: _1-8-01 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 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 tot he buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X _ I have not found any information which indicates that any of the failure criteria described in 310 CUR 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 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 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: 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: Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTIMJED) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8 2001 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 the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a 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 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 and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title 5 Inspection Form 6/15/2000 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM '! PART A CERTIFICATION(CONTINUED) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to 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 pit is less than 6"below invert or available volume is less than%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 X Any portion of the SAS,cesspool or privy is below high ground water elevation N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A 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 conform 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply 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 H 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 is 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 I system owner should contact the appropriate regional office of the Department. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 Check if the following have been done. You must indicate"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 Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X Were all system components,excluding the SAS,located on site? X 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 X 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)has been determined based on: Yes No X Existing information. For example,a plan at the Board of Health. X 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(3xb)] Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 440 Number of current residents: 0 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): 1999 2161 CU.FT./2000 4474 CU.FT. Sump pump(yes or no) NO Last date of occupancy: N/A COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seatsJpersons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: N/A Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X 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 copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 1987 PERMIT#87-629 NEW D-BOX 1-8-01 PERMIT#2001-007 Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 BUILDING SEWER(locate on site plan): N/A Depth below grade: Materials of construction: Cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): X Depth below grade: 18" Material of construction: X concrete metal fiberglass polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1,000 GALLON PRE CAST Sludge depth: 3" Distance from top of sludge to the bottom of outlet tee or baffle: 27" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 11" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined: ASBUILT AND TAPE 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 AT WORKING LEVEL,TANK AND COVERS 18"BELOW GRADE,OUTLET BAFFLE. GREASE TRAP(located on site plan) N/A Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no) Alarm level: Alarm in working order(yes or no): Date of last pumping Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): D-BOX IS NEW JANUARY 8,2001.BOX IS 9"X15",20"BELOW GRADE.ONE LINE IN,ONE LINE OUT. BOX IS CLEAN AND LEVEL. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type X leaching pits,number: 1 leaching chambers,number: leaching galleries,number leaching trenches,number,length leaching 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.) 4X6 PIT. 3'STONE PER ASBUILT.PIT IS 3'BELOW GRADE.COVER 20"BELOW GRADE.PIT IS DRY. STAIN LINE IS 18"UP WALL.NO SIGN OF OVERLOADING. CESSPOOLS: N/A (cesspool must be pumped as part of inspectionxlocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: N/A (locate on site plan) Materials of Construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) I Title 5 Inspection Form 6/15/2000 9 Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM[ PART C SYSTEM INFORMATION(continued) Property Address: 51 CFIEMY STREET - I-IYANNIS,MA 02601 Owner: DYDEK,MANCIS Date of Inspection: JANUARY 8,.2001 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. 3 7 F\3 , 0 Title 5 Inspection Form 6/15/2000 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 51 CHERRY STREET HYANNIS,MA 02601 Owner: DYDEK,FRANCIS Date of Inspection: JANUARY 8,2001 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 25.7 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observation site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation X Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS WELL DATA. WELL AIW 230 I Title 5 Inspection Form 6/15/2000 11 TOWN OF BARNSTABLE LOCATION S� ClI fIPi'Y ST SEWAGE # r l/ VILLAGE H1 ASSESSOR'S MAP LOT 3-of' h1 /aJP&70,es II�ST*EisfiWS NAME PHONE NO. A & B CANCO 775-6264 -SEPTIC TANK CAPACITY 5 Eoo�71 c- /ti5,001'C /&A/ LEACHING FACILITY:(type) (size) NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER O OWNE I Ic-eXA 5 ovs oo£cT.� DATE-i#R49T48&UED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No to a b1p w as • TOWN OF BARNSTABLE -3d 9 , r 3 - LOCATION ( CW E?'��l �' SEWAGE VILLAGE Y I�JIB VI�`� ASSESSOR'S MAP & LOT `rt INSTALLER'S NAME & PHONE NO. 1 ��,.A> SEPTIC TANK CAPACITY_____j 0 Q ® LEACHING FACILITY:(type) VQ:r- Ct4S'i- PtT' (size) NO. OF BEDROOMS PRIVATE WELL O7BLI�1 WATE Z� BUILDER OR OWNER DATE PERMIT ISSUED: c' --;:4 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i - - - - - - - r-_, n � � �� ��� L � a o � a o `� � �I 1[� _ r�1 � � �1 �� _ � �1 ��. 2 m /� A r �� r �/ I ,. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....`........ -fJ\A_4-.....OF.......... .......-- Appliratinn for Disposal Works Tonstrnr# uri 1rrmit Application is hereby made for a Permit to-Construct ( ) or Repair ( 44_an Individual Sewage Disposal System at: ---............ ....................... ................444-`*,.AVt ev."]t4.............................----------__.... n Location-Address% or �Oor Lot No. ........—... ..:.i. .._.._.-FQ-.7... .A+.4r. ----------------------•-•-^-- ...................... ,Z�f -�Wae.......--......-----........--...-_--....--.....--- W • _ `?bG- P!dZ_..... R k!.Td.4. ......•........ .....................•.L�.\' Ad s .�. �_.t .4t, �.. Installer ----------------------------- Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..... .................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures ---------------=------------------- -- -• . WW Design Flow........G_.:_-6�..............::.........gallons per person per day. Total daily flow........ ..................gallons. WSeptic Tank—Liquid ca.pacity.LOW..gallons Length._.�...... Width..��_._........ Diameter................ Depth................ Disposal Trench—No..............:...... Width .______._....... Total Length......................Total,leaching area...................sq. ft. x 3 Seepage Pit No......j............. Diameter.... Depth below inlet----&.-64--./.. Total leaching area.................sq. ft. Z Other Distribution box ( _ ) Dosing tank ( ) aPercolation Test Results Performed b ............................................................................ Date........................................ ,.a Test Pit No. l ..................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... �r -•------------------------------------------=-------------------------------------•----------------............................................._.......... 0 Description of Soil.........................................................................................-............................................................................. ---------- ---- ---------- W ---....- • -------------------------------- - ---------------- - -------------------- ----••--•---•-•••-••. ... ••••••-- --------••---------- .....-•.... .••••••••-•-••-•.-- UNature of Repairs or Alterations—Answer when applicable..;37Y:-_5..0#%AA._..."`:TTc' 1- .......... ....... S.P t G 1 i 1 --------- ---. csF�r.... t......l<s/ `��g` -------......� ....fs-W---- Agreement: '0 The undersigned agrees to .install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1'LU 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. rd t Signed.. -= .....�s_�_. Date Application Approved,B Date Application Disapproved for the following reasons:................................................................I..........................................--- ....................................... ........................................................................--................................................................. ---- D ate Permit;No......••C1. .............I................---.. Issued........................................... • ..—..._..... Date re Ce 1 -37 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....l.... ?Ut t/` OF........ !(7.+ ,;5 �ct.�C.... Appliration for Disposal Works Tanstrurtion lrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( t)—an Individual Sewage Disposal System at: Location.Address or Lot No. .__.......-. ..._ n .. ................................ .............. VK -c-V- !='" -............-...._......»»....»........ w •----�---�a��.,-�,�- r � Address. —01 �� ;� , s ......... ..........-- c- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.....- -`a..................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Qi Other fixtures ...--•-----•...............................................---••-•-----•--.....-------------•-----•----..._.-•-••-.•---•--•--•-..........----•----- _�_ WW Design Flow-------- ......................gallons per person per day. Total daily flow........� ..................gallons. WSeptic Tank—Liquid capacity.!.W.__...gallons Length--_ ...... Width..'-''__-.......... Diameter................ Depth................ x Disposal Trench—No..................... Width}.._...._.......... Total Length.................... Total leaching area ...................sq. ft. .3 Seepage Pit No...... ............ Diameter....2 (.......-Depth below inlet-_ .*.. Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inc Depth of Test Pit.................... Depth to ground water....................--. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ---••-----------------------•------...---.......... ----------------- •-•------------ •..................................-....................................... 0 Description of Soil............................................ W U Nature of Repairs or Alterations—Answer when applicable_-:T.-.. n-5:E AA 1..... Tk 4-? ?...........t.!:5.Z 2....... E' �i K "_1`r #_tr�l ..,-r-c:e l PA"1'_..J.^Ay_ Tea..............................................c 6-� ..... f ...... v Agreement: t4y(b The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11 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:.' � -•-<-'� _.,`�_.... � r x: �. ate ApplicationApproved By........... •.....•--•� ....................... .................... a ....•--.------ Datee Application Disapproved for the following reasons:---•-----------------•--•--•-•-•----•---------------•--•---•------•-----------•---..........•----........_...... ..-•--------------------•-----•--------------••-•----...-----•---........-----.................----------.•-------•--••--•-•---••---•----....-•----...-----•-------••--••--..........---•--.......------ Date Permit No.......Ff.2..--•G-a-•I-•_••---------.-_.». Issued....................................................... Date ---------------------------------------------------------- ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD';OF HEALTH t(,l w OF.........)`a. '�'tti 5y�I � .......................................... ................................................................. (Errtif uttte of Toutpliatur THIS:IS TO CERTIFY, That-the_Ind vidual Sewage Disposal System constructed ( ) or Repaired • Installer at.......................... _i r 1 'f 2�/ S•". tf �.vt S ----------------------e.---------•--•-- - i has been installed in accordance with;,the provisions of TIT LP �5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.._. �__ �'y�_.... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -- .� %l, --7� �.... ................. Inspector... =_ .............................................. ..._.._.... _ ------ --------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....y �a.:w� sn -...OF.. ... `?cn....�::.��`1.V7....... No FzE. a.» jBispasttl 19orks Tonotrti_rtion jJrrmit :r Permission is hereby granted............. _ 12':r_ 'Zn__e �' .--.-----•-------. to Construct ( ) or Repair ( Q,an Individual Sewage Disposal System r c,T...... _ ..................................................at No.:........- - F-•-..._ -•-- -..._ Street g as shown on the application for Disposal Works Construction Permit Nc(1.L�9,el- Dated.......................................... pp,, - Board of Health DATE.............7.._........ 1_.^g.�....._.. FINISH GRADE OVER D-BOX= 38.7'± FINISH GRADE OVER CHAMBERS= 38.5j' - 38.8' GENERAL NOTES T.O.F. EL.= 40.9 ±f REMOVABLE WATER-TIGHT COVER SLOPE @ 2% MIN. OVER SYSTEM 3/4" TO 1-1/2" DOUBLE WASHED PROVIDE EXTENSION RISER WITH COVER OVER INLET & OVER CONCRETE RISER TO WITHIN STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. 6"OF FINISHED GRADE 4" SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT w/ACCESS BOX WITH 2' OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 39.5'± F.G. OVER TANK EL. = 39.3'± 5" DIA. OUTLET(S) F COVER TO GRADE (SEE NOTE#21) STONE OR GEOTEXTILE FILTER FABRIC-, CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS I I I 1 I TOP OF SAS= 35.83' PLACE RISERS ON DESIGN ENGINEER. COVER(TYP.OF 3) PROPOSED 4" 9 MIN. 9" MIN. EXISTING 4" 36" MAX. CHAMBERS w/PIPED 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL �SEWEFZ PIPE PVC SEWER PIPE 35.00 36"MAX. BREAKOUT EL= 35.50' INLETS TO 6"OF SYSTEM UNLESS OTHERWISE NOTED. _ o o FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3 DROP MAX 3„ 9„ L 64 ± PROVIDE WATERTIGHT 2" DROP MIN MIN. LOPE 3 0 ELEVATION =35.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A _ 4" PVC IN FROM JOINTS (TYP.) o o ��� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14" \ * '.} SEPTIC TANKAt C OUT TO 0 0 0 0 0 0 k° 0 0 00 0 b THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 36.6 _ ING FACILITY o0 1.00 0 f�1 I� f�1 05. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. D 0 L__ Q FQ ooCONTRACTOR TO PROVIDE CONTRACTOR SHALL CONTRACTOR SHALL 35.57' 35•40' -�- o 0 0 0 0 0 CD0 ° o0 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SPECIFIED DROP BETWEEN VERIFY SIZE AND 48" VERIFY CONDITION OF OUTLET TEE o o � o 0 0 0 001.00' o0000 0 00 0 0 0 "D o0 0 00 0 000 00 �o CDC o o ao� o 0 000 00 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK INLET AND OUTLET CONDITION OF EXISTING TEES GAS BAFFLE CRUSHED STONE 1 it o0 00 00 00 00 0 0 o0 00 00FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS ER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE f 4.0' 4.0' / 6.0' 2.0 3.0, 2.0 i AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX (TyP ) 56.0' (TYP.) ( 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 40.00, TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 27.40' 7.0' ESTABLISHED ON THE CORNER OF A STOOP AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET /33.00' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON SEPTIC TANK PIPES TO BE LAID LEVEL. 5' MIN. LC-6 CHAMBERS THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT iCROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE H-20 Di i ;SIB � � I��� DETAIL H-20 CHAMBER DETAILS TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE TO ANY WORK&. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE ---____-- -._-_---_ .._. __-_---_----.---- _ _._____-----------_--_- _ NOT TO SCALE - �- _.-...._.�__.__ _ WATERTIGHT. "EST P1 DATA 11_ NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING PERC NO. TPT-20-11 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 45 APPROPRIATE AUTHORITY. INSPECTOR: David W. Stanton, RS \ W ` EVALUATOR: Michael Pimentel, EIT, CSE 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED N + UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR MAP 309 ,\ t �,� , b C.S.E. APPROVAL DATE: Oct. 27, 1999 11 TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. LOT 153 I \ \ •• DATE: January 21, 2020 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. �O •� � TEST PIT#: 1 ELEV TOP - 38.40' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE , - MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ! / ELEV WATER- <27.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY. U.P. #192 j- 3' - FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). � CyR � � � PERC RATE - < 2 min./inch �\ �© r4Ry ? '� L '0£� f; 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN o �CFOF w�OF S`r� ' t DEPTH OF PERC= 42"-60" SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. -sow pqV� �gyo�FET - - - LOCUS �: ,. ;' \ a, TEXTURAL CLASS: 1 16. PROPOSED PROJECT IS LOCATED WITHIti. RHODODENDRON yFD( _ a� F►.y��k- ) z b ` u ASSESSOR'S MAP 309 PARCEL 137 32. / OWNER OF RECORD: JAMES & MARGARET R. ROSE 8 �611,a 99� e ARBOR // r/ S t j • �r,'r A 0 Loamy Sand 38.40 ADDRESS: 51 CHERRY STREET 7'oQ 10Yr 3/1 HYANNIS, MA 02601 QUAD 290' FEMA FLOOD ZONE X EXISTING LEACHINCC """ CHERRY 1 B Loamy Sand COMMUNITY PANEL# 25001C0566J PIT TO BE PUMPEC LID �j '_ 3 1 0Yr 5/6 FILLED w/ CLEAN SANG __.__ --- d "'� 17. DEED REFERENCE: BOOK 24592, PAGE 192 &ABANDONED _ � EXISTING � � B Fire � �' V x39.5 COg 39 St � T 42" -- 34.90' 18. PLAN REFERENCE: PLAN BOOK 87 PAGE 95 x39.6 l �- eCES LEACHING CBN N I 3 TONE R f rat' Perc x39.3 �� TRIPLE /°Q AA,QO� tr, � O �a / � 60" 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. I / CHERRY/ ��.`; �P P 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE, THIS PLAN IS TO BE USED ONLY i 3 P rya` / ` � m4ry FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY O / o ( Medium to FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. EXISTING 1,000 GALLON SEPTIC TANK ____._ _...____----.-- ® / ° v 32 4 J , C Coarse Sand - _-� - " x 50 2.5Y 6/6 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A TO BE UTILIZED IN THIS DESIGN I x39.6 S�� / �� 5785. OF ,$ '/�� �� / ''� e o DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A f � ` Y' , �- (10-20% gravel) REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. x 39.3 v PROPOSED SEPTIC PIPE TO BE ' O ' ry ' LOCUS PLAN 22. CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL REQUIRED PERMITS AND o SLEEVED 10' EACH SIDE OF J ��' z CO APPROVALS FOR THIS PROJECT. CROSSING EXISTING WATER LINE / SCALE: 1" = 1000' 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE APPROVAL O / 132" O / 1 27.40 IS REQUESTED FROM 310 CMR 15.211: 1 No Mottling, Standing or Weeping Observed (1.) A 5.0' WAIVER (10.0' -5.0') FOR THE SETBACK FROM THE SAS TO A SLAB FOUNDATION. (' o�S�QOA "� i ) DESIGN DATA T F R T PIT 1)�A_FA � LEGEND FRygNG ��.�/ TOF -40.9'± f PERC NO. TPT-20-11 / ` ° �� ) ! 0 Pi 50x0 EXISTING SPOT GRADE °D in NUMBER OF BEDROOMS (DESIGN) 4 INSPECTOR: David W. Stanton, RS `° �. % EVALUATOR. Michael Pimentel, EIT, CSE - - 50 - EXISTING CONTOUR � / 38x4' DESIGN FLOW 110 GAUDAY/BEDROOM c� © Oct. 27, 1999 I 50 PROPOSED CONTOUR #51 Benchmark x38.8 C.S.E. APPROVAL DATE: _ EXISTING Corner of Stoop HC_ L, e TOTAL DESIGN FLOW 440 GAUDAY DATE: January 21, 2020 I -Lr - 4-BEDROOM Elev. =40.00' -� PROPOSED H-20 DESIGN FLOW x 200 % = 880 GAUDAY ! EXISTING LANDSCAPED AREA DWELLING Approx. M.S.L. p p ¥ � DISTRIBUTION BOX TEST PIT#: 2 �O �_ USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 38.70' EXISTING OVERHEAD WIRES \ 18" OAK \ X ELEV WATER = <27.70' �3 W W EXISTING WATER LINE O MAP 309 INSTALL EIGHT (8) LC-6 LEACHING CHAMBERS PERC RATE _ LOT 136-2 GAS EXISTING GAS LINE DEPTH OF PERC = CONC ) �`O co SIDEWALL CAPACITY x38.6 TEST PIT LOCATION Aq0 / N ry � (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPDIS.F.) = GAL/DAY TEXTURAL CLASS: 1 (56.0' + 7.0') (2 ) (2' ) ( 0.74 GPD/S.F.) = 186.5 GAUDAY --.--- -.-..-GC- •0, 0 ro-007, EXISTING 1,000 GALLON SEPTIC TANK 0" OAK PORTION OF DRIVEWAY TO BE BOTTOM CAPACITY 0" 38.70' REMOVED AND PLANTED q Loamy Sand n. PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE SWING-TIES GARAGE (� WITH GRASS (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 6 10Yr 3/1 38.20' DESCRIPTION HC-1 GC-1 GC-2 I (56.0 x 7.0') (0.74 GPD/S.F.) = 290.1 GAUDAY Q PROPOSED H-20 DISTRIBUTION BOX B Loamy Sand 0 PROPOSED H-20 LC-6 LEACHING CHAMBER CORNER OF STONE (1) 35.0' 39.2' - 0 TOTALS- 10Yr 5/6 CORNER OF STONE (2) 40.4' 407 - MAP 309 GC- f (4 I x38.8 PROPOSED 8 H-20 LC-6 CONCRETE LEACHING TOTAL NUMBER OF CHAMBERS 8 �LOT 137 42" 35.20' REV. DATE BY APP_'D. DESCRIPTION CORNER OF STONE (3) - 20.9' 13.5' 21,692± S.F. CHAMBERS w/CRUSHED TOTAL LEACHING AREA 644.1 SQ.FT.�p� -- STONE TOTAL LEACHING CAPACITY 476.E GAL./DAY CORNER OF STONE (4) - 17.9' 7.3' PROPOSED SEPTIC SYSTEM UPGRADE 3) , PREPARED FOR: �-PROPOSED INSPECTION PORT Medium to ! ROBERT B. OUR CO., INC. C NOTES: Coarse Sand 2.5Y 6/6 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE (10-20% gravel) LOCATED AT OF EACH SEPTIC SYSTEM COMPONENT. � l 51 CHERRY STREET 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF ( HYANNIS, MA 02601 THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH / ! TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL j! BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. / 132" 27 70' SCALE: 1 INCH 10 FT. DATE: JANUARY 21, 2020 = t14 OF 0 5 10 20 40 FEET 1 � No Mottling, Standing or Weeping Observed 3.) ENTIRE PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 11 o --"- - c JONN L G PREPARED BY: OR ESTUARINE WATERSHED. RESERVED FOR BOARD OF HEALTH USE C ROCM ILL JR. JC ENGINEERING, INC. Ca 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A 2854 CRANBERRY HIGHWAY COURTESY FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE r MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. ^F E EAST WAREHAM, MA 02538 CONTRACTOR SHALL NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO SITE PLAN 508.273.0377 Drawn B BE INCORRECT. Designed By:SJI Checked By: MCP JOB No.4995 SCALE: 1' = 10 Y SJI