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HomeMy WebLinkAbout0026 COMPASS CIRCLE - Health 26 Compass-Circle Hyannis P A = 310 092 ;;; '; t c 1 4 n TOWN OF BAR;ISTABLE IDCATION oC Cam( SEWAGE# VILLAGE `� ASSESSOR'S MAP&PARCELM-3JD L-3?- - , INSTALLER'S AME&PHONE NO. `/ �t SEPTIC TANK CAPACITY /�DdO LEACHING FACILITY:(type) 6 BUS g (size) /�1 x�� NO. OF BEDROOMS OWNER PERMIT DATE: 50 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 Y� ` �� �; � � . r� � �� :� x �� �, � i � ,� . �. �� � . �� � � � . d � << , � � � - `J � �; �, - � -� � � � � � � �� F h No. 20D82Z7 Fee 0 Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYicatiou for ligpogal 6potem Con0tructiou Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot t4o.�2 (04 rd P619S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �f f�p -3/0 ���yy��T,, �-�p / Installer's Name,Address,and Tel.No. a;Z-11s0V P/A/a �'�'/'�kFlv XV E es� ner's Name,Address and Tel.No. ./�� ��-t- 0g - fle 2 Type of Building: Dwelling No.of Bedrooms Lot Size ZQ0 sq. ft. Garbage Grinder ( ) Other Type of Building s � No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.r quire ��?2 0 gpd Design flow provided �3 '; 9: gpd Plan Date h5 2 S c Number of sheets Revision Date Title to toc.> s S'c,Q--c 1 C_ S"C T_M `��(c pA r7IL '?LA 1A Size of Septic Tank I ® O O Type of S.A.S. Div�i G7�i3T012 2�X/2, �(� Description of Soil �L�-w� Nature of Repairs or Alterations(Answer when applicable) 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 unti:✓a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date (j Application Disapproved by: Date for the following reasons /54 Permit No. Zoo 9 r 2 Z rl Date Issued .., "-'-. �•..'rti�3�^ r -, . ..., .�._ i r ,... .. a _ is, No. 20on- C.? Fee /0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 12t"Prication for �Oigogar 6pgtem Cottgtruction Permit Application for a Permit to Construct O Repair 4 Upgrade O Abandon O ❑.Complete System ❑Individual Components i Location Address or Lot No.— Owner's Name,Address;and Tel.No. Assessor's Map/Parcel ���¢1 -/0 LOT Installer's Name,Address,and Tel.No. Z�>1,41& esigner's Name,Address and Tel.No!v,M'?1-�i v IV E/ _ iL — —O/ —50 ?512 Type of Building: Dwelling No.of Bedrooms Lot Size 100 1-// sq.ft. Garbage Grinder ( ) Other Type of Building a� � No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.r quired gpd Design flow provided, 9 gpd Plan Date J 'z g © Number of sheets Revision Date Title S'(Kp- 1 L ?CA'la Size of Septic Tank 16 00 Type of S.A.S. CD Sw)r-/L.-rX4- 'd9— 2�X/2 /(0 Description of Soil Nature of Repairs or Alterations Answer when applicable) ( P Date last inspected: Agreement: #, The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by J f Date Application Disapproved by: Date �k for the following reasons c f! j Permit No. 200 '' ZZI Date Issued —— —---——————————————————————— ——————————=-- ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS } Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (1/� Upgraded ( ) Abandoned( )by at �26 Cd/21) PA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Z=8— 2 2-7 dated _G0 0,5 Installer IAJ VA. Designer i' #bedrooms 3. Approved design flow ( �Q gpd i; The issuance of this permit shall not by constru d as a guarantee that the system will funct o ign d. Date 5 Inspector ------------------------------------------- No. 20 0 o- Z Z-1 Fee /0 0----- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Ots;pool 6p5tem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at 92 6 n s described in the above Application for Disposal System Construction Permit.The applicant a d a pp p yrecognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this pe�it. Date S-- S O — ?U O (9 Approved by 40 Town of Barnstable °`TME Regulatory Services Thomas F. Geiler, Director unxvsrnBt.E. Public Health Division Thomas NlcKean, Director 200 Main Street,Hyannis,MA 02601 Office: 5.03-362-4644 Fax: 508-790-6304 Installer &_Designer Certification Form Date: Jc4606 Sewage Permit# —QP,9g- Assessor's Nlap\Parcel, v_ Designer�'G ` U Installer: I�YA 141 J Address: pd 1i J0 ��( Address: Q.6 // G r Alk On LI& S issued a permit to install a (date (installer) i septic system at r�AYA-% �� based on a design drawn by (address) dated--qul�g (designer) [ 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 andior septic tank. r I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF MgSV �~ o� DARR y (Installer's Sig MEnature) / No. 1140 CS4NITW1'� (Designer's Sig titre) (Affix Designer's Stamp Here) PLEASE RETURN TO BA STABLE` PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FOR-NI AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTaBLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/SepticTesigner Certification Form 3-264.1doc Town of JBAIMsta.ble. P 0 Department of Regulatory Services ] Date Public Health Division KAft eery • I t e$ 200 Main Street,Hyannis MA 02601 1 16 A� s Date Scheduled 'Time Fee Pd. Soil Suitability Assessment for Sewage DaspYosal Performed By: �� �✓ Witnessed By: �� ,J '" I M • 1 LOCATION & GENERANFORMA L INFORMATION Location Addressi. � �AAJ9A-5S CIR-(Z- ' Owner's Name/A L>:SSAr�7R H Ykt j N 1S /� Address' .Z I p cv ftpos G bkat Assessor's Map/Pocei: ?J to/34 Z Engineer's Name D"'(Q(i k NEW CONS1RUtt~1ION REPAIR /� Telephone# Id� Land Use � �' '� Slopes(%)_ -=--- Surface Stones ( O ft Possible Wee Area {t Drinking Water Well ft Distances from: Open Water Body rea Drainage Way > I()c? fc Property Line O fft Other ft SKETCH:($trcet name,dimcnsiods'of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) Sc� f5v-n-f0 C-n 5 t 1 i s I Parent material(gedlogic) `Ct•'L c'J 0 i Depth to Bedrock 1�➢ , iWeepingN •A. • Depth to GroundwaWr. Standing Water in Hole:' i from Pit Face Estimated Seasonal Thigh Groundwater DtTERMIN TION FOR SEASUNAL HIGH WATER TALE Method Used: in. Depth to loll mottles: in. Depth Gib,�erved standing in obs:hole: � in. proundWnter Adjusttdent �• Depth tolweeping from side of obs.hole: , A� factor_,._.4. Adj.droundwaterl evel.,,,,e, htdex Well#�. Reading Date: Index Well levil PERCOLATrON TEST Dntp , ---. Observation NJ Time at 9" -- ..------ Hole# �y r Time at 6" �_.._....-- Depth of Pero 1 D Time(9"•6") . Start Pre-soak Time.@ - End Pre-soak Rate Min./Inch G ! Site Suitability Asse$sment: Site Passed4. Site Failed: Additional Testing Needed(Y/N) Original:.Public HOIth Division Observation Hole Data To Be Completed on Back----------- ***If P �ercola ion test is to be conducted within 100' of wetland,;you must first notify the 'Unv-,gable rAiiservation Division at least one(1)wedk prior to beginning. 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistenc Gravel) 2.SY(/ DEEP OBSERVATION HOLE LOG Hole# ?� Depth from Soil Horizon' Soil Texture Soil Color Soil,,'_ Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. h ` Consistency.%Gravel) y 0" i 211' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent Gravel DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) ` (USDA) (Munsell) Mottling (Structure,Stories,Boulders. \ o it Flood Insurance Rate May, Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No X Yes Depth of Naturallv Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? -� If not,what is the depth of naturally occurring pervious material? . ... Certification I certify that on CO) Ct (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 3,10 CMR 15.017. V v Signature Date • Q:ISEPTICTERCFORM.DOC DATE: 4/23/02 PROPERTY ADDRESS: 26 Compass Circle ---Hyannis ,Mass __ 02601 ------------------------ RECEDED On the above date, I Inspected the septic system at the above address. This system consists of the following: MAY 0 3 2002 1 . 1-1000 gallon septic tank . 2 . 1-Distribution box . TOWN OFBARNSTABLE 3 . 1-1000 gallon precast leaching pit . ( 6 ' X 10 ' HEALTH DEPT. Based on my inspection, I certify the following conditions: MAP 31b2 • 4 ,1 This is a title five septic. system. ( 78 Code ) PARCEL -- 5 . The septic system is in proper working order LOT at the present time . 6 . The leaching pit was dry at time of inspection . tL4z. SIGNATURE:1 _ Name:-J . Macomber Jr�______ Company: JosePh_P_ Macomber_& Son , Inc . Address: Box 66 Centerville , Ma . 02632-0066 Phone: 508-775-3338 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachflelds " Pumped & Installed Town Sewer Connectlons P.O. Box 66 Centerville, MA 02632-0066 775.3338 '775-6412 r COMMONWEALTH OF MASSACHUSETTS • EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 26 Compass Circle Hyannis ,Mass . Owner's Name: y Owner's Address:146 Marble Street APT 10 Stoneham ,Mass . 02180 Date of Inspection: Name of Inspector: (please print) Joseph P.Macomber Jr . Company Name: J . P .Macombe�& Son Inc . Mailing Address: Box 66 02632 Telephone Number: 508-775-3 28 CERTIFICATION STATEMENT 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 based on my rraining and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Sectlon 15.340 of Title 5(310 CMR 15,000). The system: /Passes _ Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fai s Inspector's Signature: Date: The system inspector shall mit"a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared.system or has a design now of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ••'This report only describes conditions at the time of Inspection and under the conditions of use at that / time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I u � Page 2 of I 1 OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Compass Circle Hyannis ,Mass . Owner: Patrick Grady Date of Inspection: 4/2 4 0 2 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. S stem Passes• 1 have not found any information hich indicates that any of the failure criteria described in 310 CMR 15.303 or to 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper 'working order ' at the present time . The leaching pit was dry at ' t .e time of inspection . B. System Conditionally Passes: Ve? 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. ,Vd 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: 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: 2 i Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 26 Compass Circle yannis , ass . Owner: Patrick Grady Date of Inspection: 4 2 4 0 2 C. Further Evaluation is Required by the Board of Health: -VD 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 .ZD Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,safety and environment: /vQ 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 I of a public water supply. ,0 The system has aseptic 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 supple 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: 3 Page 4 of 1 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Compass Circle Hyannis , Mass . Owner: Patrick Grady Date of lospection: 4/24/02 D. System Failure Criteria applicable to all systems: You must indicate "yes" or"no" to each of the following for all inspections: Yes No _ �.( ackup of sewage into facilirN,or system corr:ponent due to overloaded or clogged SAS or cesspool ischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool i/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool �/�/Dua G'�CA9' l,4ly �iquid depth in=&&peot is less than 6" below invert or available volume is less than 'h day flow equirecl pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number ` — / of times pumped . T �/ y portion of the SAS, cesspool or privy is below high ground water elevation. I/ 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 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 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,) ,(%C) (Yes.fNo)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design now of io,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 _ tthe 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- 1WPA)or a mapped Zone 11 of a public water supply well If you have answered "yes" to any question in.Section E the system is considered a significant threat, or answered -yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.364. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 26 Compass Circle Hyannis ,Mass . Owner: Patrick Grady Date of Inspection: 24 02 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No / Ll 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 ? _ yHas the system received normal flows in the previous two week period ? ZHave 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? -Z/- Was the site inspected for signs of break out ? Were all system components,lekcluding 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: Yes no / r/ 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(3)(b)) r 5 Page 6 of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 26 Compass Circle Hyannis , Mass. Owner: —Patrick Grady Date of Inspection: 4/2 4/0 2 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Nwnber of bedrooms(actual): .� DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms):' �1� Number of current residents: C� Does residence have a garbage grinder(yes or no): t Is laundry on a separate sewage system (yes or no):;m [if yes separate inspection required) Laundry system inspected (yes or no):W5 Seasonal use: (yes or no): ,LC� Water meter readings, if available (last 2 years usage (gpd)): 2000-27 , 000 gal Ions=73 . 98 GPD Sump pump(yes or no): 2001-18 . 750 gallons=51 . 37 GPD Last date of occupancy: COMM ERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.2.03): gpd Basis of design flow(se ats/persons/sgft,etc.): AI Grease trap present(yes or no): Industrial waste holding tank present (yes or no): /j,'h Non-sanitary waste discharged to the Title 5 system(yes or no): 40 Water meter readings, if available: Last date of occupancy/use: 11VA OTHER(describe): AM GENERAL INFORMATION Pumping Records Source of information: _ it i9r'/�>`iA,fA6' Was system pumped as part of the inspection(yes or no): If yes, volume pumped: 0 gallons •- How was quantiry pumped determined? Reason for pumping: TYPZ OF SYSTEM Septic tank,distribution box, soil absorption system Single cesspool Overflow cesspool Privy 422 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) ILO Tight tank IVO Attach a copy of the DEP approval /L)�Other(describe): tilA Ap Iox1iate ate of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):V 6 Page 7 of I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 26 Compass Circle yannis , Mass . Owner:Patrick Grady Date of Inspection: 4 2 4/0 2 ,BUILDING SEWER(locate on site plan) Depth below grade: W Materials of construction: cast iron ✓40 PVC other(explain): �1�} Distance from private water supply well or suction line: /0 ,- Cornments(on condition of joints, venting, evidence of leakage, etc.): Joints aoDear tight An evidence e€ leakage The systemns vented through the house vents ./ SEPTIC TANK: t/ (locate on site plan) Depth below grade: Material of construction: Concrete metal 4,2) fiberglass 1J�olyethylene )t)other(explain) 41i If tank is metal list age:4L6 Is age confirmed by a Certificate of Compliance (yes or no): t,# (attach a copy of certificate) / l Dimensions: y`l6lldL�29116 Sludge depth:jiJ Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: �,c.�,t✓ Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee qr baffle: How were dimensions determined: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): ' Pump the septic tank e�rery 2 3 years . 1niet & eutlet tees cire in place ThP rank iS Structurally sound andshows leakage . GREASE TRAPlocate on site plan) Depth below grade:.t)4 Material of construction;, concretex�,V metaV)d fiberglass tAjolyethylene2A other (explain): wlP Dimensions: A Scum thickness: M * Distance from top of scum to top of outlet tee or baffle: 4.);4 Distance_ from bottom of scum to bottom of outlet tee or baffle: /1/� _ 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.): Grease trap is not present 7 Page 8 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Compass Circle Hyannis ,Mass . Owner,Patrick Grady Date of Inspection: 4/2 4/0 2 TIGHT or HOLDING TAN /6(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: 164 Material of construction: AM-concrete4l�l—metal ,,f//ia fiberglass ifls4 Polyethylene&t other(explain): Dimensions: 44 Capacity: k2A allons Design Flow: gallons/day Alarm present (yes or no): Alarm level: )019 Alarm in working order(yes or no): Date of last pumping: A)d Comments(condition of alarm and float switches, etc.): Tight or holding tanks are not present DISTRIBUTION BOX: Z(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box has one lateral . No evidence of solids carry near _ Nn Pyi dpnrP of l Pa agP into or out- of thebOx PUMP CHAMBER! 01--{locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Corments(note condition of pump chamber, condition of pumps and appurtenances,etc.): Pump chamber is not present . 8 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: 26 Compass Circle Hyannis , Mass . Owner:Patrick Grady Date of Inspection: 4 24 02 SOIL ABSORPTION SYSTEM (SAS): t/ (locate on site plan,excavation not required) 1—precast leaching pit . 63 X 10 ' If SAS not located explain why: Located : See page 10 . Type eaching pits, number: leaching chambers, number: XJO leaching galleries,number: leaching trenches,number, length: 4.0 leaching fields,number, dimensions: overflow cesspool, number: Vd innovative/altemative system Type/name of technology: zz/a &LO, 7kt/� Comments(note condition of soil, signs of hydrauli,c•faiiure, level of ponding, damp soil,condition of vegetation, etc.): L Loamy sand to boney fine sand. No sighs of hydraulic failure or ponding . Soils are dry . Vegeta-tion is ndrmal .( he leaching pit is presently dry . CESSPOOLS,t4�(cesspool must be pumped aspart_of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: AA Depth of solids layer: _ A 4 Depth of scum laver: 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.): Cesspools are not present PRIVY .?,/.e (locate on site plan) Materials of construction: WX Dimensions: I1j�i4 Depth of solids: x1W Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy is not present 9 Pa8t 10 or I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 26 Compass Circle Hyannis ,Mass . Owner: pa ri rk Grady ' Date of Inspcctioo: Q f 2A /09 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the scwagc disposal system including tics to at least two permanent reference landmarks or ocnchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. a�L 1 10 Page 1 1 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 26 Compass Circle yannis , Mass . Owner:Patrick Grady Date of Inspection: 4 2 4/0 2 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check)all methods used to determine the high ground water elevation: 4)d Obtained from system desip plans on record- If checked, date of design plan reviewed: bserved site(abutting property, bservation hole within 150 feet of SAS) o Chec ce with local Boar o ealth-explain: T�CS Checked with local excavators, installers-(attach documentation) f, Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used : Gahrety & Miller Model 12/16/94 (;rnnnrl ,.,error above searevel . Used : USGS June 1992 Observation Well data Used ; USGS : Technical Bulletin !t 99-0on-1 platground water �1 aua4 RCP s , Leaching Pit :eet Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the botto of the leaching pit and the adjusted groundwater table is ; feet. 11 1>•r4rnrw n-r��n-ern. mr•nmrr�nrs*r.rr..r.:•.r+•n�rr:mrR*•rtm nsrnv*virry r+s+ .t-Tr-rT-�r--n-:..-.,r-..,' TOWN OF Barnstable BOARD OF HEALTH 0 SUI)SURFACR SEWACF I)I3f'OSAL SYSTF,M INSPECTION FORM - PART D CERTIFICATION T.•f1••.-•.•1-T.i/.�.�TTIT TAI•R.'1TfTT4S'1TiTTr1'.T-•.•t-'IRR`Y iT1IlR-1TTRC�11�Ri>OAR1t!tr1R7 fR1.1I ..+err+- r•-.• —TYPE OR PRINT CLEARLY— PROPERTY INSPECTED STREET ADDRESS 26 Compass Circle Hyannis , Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # 310/392 OWNER' s NAME Patrick GrAdy 0 PART D - CERTIFICATION NAME OF INSPECTOR Joseph P . Macomber Jr . COMPANY NAMEJ . P.Macomber & Son Incrw ' COMPANY ADDRESS Box 66 Centerville , Mass . Q2632 Street Town or City State LIP COMPANY TELEPHONE (508 ) 775 _ 3338 FAX ( 508 ) 790 - 1578 q• CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal, system at 4 >rlecoinmendatlons his address and that the information reported is true; accurate , and omplete as of the time of inspection , The inspection was performed and any regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one : i/Y System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe. environment as defined in 310 CMR 15 - 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* \ The inspection which I have con Acted has found that the system fails to Protect the j)ublic health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically p y noted on .PART C FAILURE CRITERIA of this inspection form , e Inspector Signature Dat _ `>'� V_0-t ne copy of this rt.ification must be provided to the OWNER, the BUYER ( Where applicable ) and the 130ARD OF HEAL1'1l, * If the inspection FAILED , the owner or " ` erator shall u p pgrade ' tho eyatem within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CHR 15 . 305 . partd . doc _ TOW Or RAMSTABLE LO ,ATIOi` d SEWAGE # V LLAGE a��. �` ASSESSOR'S MAP & LOT JNSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) 140. OF BEDROOMS / D ILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feJ of leaching facility) Feet Edge of Wetland an Le ng F ility(If y etlands exist within 3 et f 1 hi cility) Feet Furnished Ty- 1 ``\ `�� W �. \� \ \�! � \. j� � 1�� 4 �\� �' � `. � � �\ �� =. �. •� �_.. ` Y LOC T10 SEWAGE PERMIT NO. V I L L A G AZ All -f &2/ l IW..STA LLER'S NAME & ADDRESS 1 - r Y _} B VI'LDE R OR OWNER DA'-TE PERMIT ISSUED Zo DATE COMPLIANCE ISSUED a ♦ \ � � ti f < 5 "1• � Q1 `V 4 y Imo A 1 1 ,gyp , THE COMMONWEALTH OF MASSACHUSETTS �I, I b EOARD OF HEALTH ' ------....T.own...................oF........Saxnstab.le-----------------------------..._........_....-•-- %� - App iration for Dhipati al Works Tow3trnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: � Compass Circle HyannisM ......-•-.......................•-•••----- ,.. p Location Address or Lot No. ........ 4 ................................................. .................................................................................................. a wn Address Spero TheohOareidis Yarmouth u•t--h �...... . Ma, Installer Address Type of Building Size Lot......10...0 ...........Sq. feet U Dwelling—No. of Bedrooms........ ..................................Expansion Attic ( ) Garbage Grinder ( ) a dwellirWo. of persons ................. Showers — Cafeteria p., Other—Type of Building ........................ p ( ) ( ) Q, Other fixtures -------------------------------- - W Design Flow......................55.................gallons per person per day. Total daily flow-------3,3.0.............................gallons. WSeptic Tank—Liquid capacity..10.D_Ckallons Length___-8'.fi". Width-4'-6;...... Diameter________________ Depth................ x Disposal Trench—No..................... Width....___._...._____.. Total Length.................... Total leaching area..... _.�....sq. ft. Seepage Pit No....---- ----------- Diameter...... . Depth below inlet---62. ......... Total leaching area....4 '._..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........Norman..Gras.sman....................... Date....10---5-=.7$_-__-_--__.. Test Pit No. 1-----. __minutes per inch Depth of Test Pit____________________ Depth to ground water------------------------ 44 Test Pit No: 2................minutes per inch Depth of Test Pit-----............... Depth to ground water........................ a -----------------•--•••-•----•--•--•------------------------------........_...........-•----•-----.........----.....----.....-----------------...------...._. 0 Description of Soil........... ...... edium__-to..cos.rse...Ldnd..--------------------------------------------------------------------------------------- x ---•-•---------------•----------•----•---------------•----•---•-•----------------•------------------- ------------------------------------------------•---------- ------...... .. -- . -------•-•--................................................ 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 iIT L y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. igneden :...... ------------- --- --- Date Application Approved By......... - ....... Date Application Disapproved for the following reasons:..............-------------------•••••---••--------•----••••-•----------------------------•-------••--•--------- ..................::.:...................................................................................................----------------------------- ................................................. Date PermitNo......................................................... Issued-..... �1 2 -------------------------- Date w � FEs..... ..... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .\l OF........Barnatc l -........ -.... e-................................................ .---...Town-. AlipfirFatilan for Dhipag at Workii Toutitrnrtion. permit Application is hereby made for a Permit to-Construct ( ) or Repair ( ) an Id/Vi Odd Swage Disposal System at �..C(2 pass"C tcle � ........................................I�y�il.C��.S�...�`!j�x......................... .......... - .......................................................... • Location-Address or Lot No FS•. ••-•--•••--•.... •---•-•---------•--•---------- ..... OwneF Address a Spero Theoharis s Yarmouth_..-- Ma. -- ............. Installer Address dType of Building Size Lot...100-=•--------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p_4, Other—Type of Building ..____....dWE?11117ngo. of persons_...L...6_________________ Showers ( ) — Cafeteria ( ) Other fixtures --------------- --------------- - --------- =•---••. ^' gallons per person per day. Total daily flow____-_. gallons.- W Design Flow----•---•-•-•---------�`�---------------g P P P Y• Y ��0-----------•---•------...---- W 'Septic Tank—Liquid capacity-.10LO.%'allons Length----$!,611.. Width.4 .&".... Diameter................ Depth................ x Disposal Trench—No..................... Width... ....... Total Length.................... Total leaching area..... sq. ft. Seepage Pit No........1---------- Diameter..... Depth below inlet...61.6......... Total leaching area... .. sq. ft. t Z Other Distribution box ( ) Dosing tank ( ) Percolation. Test Results. Performed..by.........Norman...Grossmi ...................... Date....10!nSm -8................ aTest Pit No. 1..... 2...minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch j,.Depth of Test Pit.................... Depth to ground water.....,................... a ODescription of Soil..................M.1n.=..to...CQX"i��_.�nd...-------------•-•------••-•-•-----------•-----••-•-•----------•-----•-------------- U ----------------------- •--•----------------- .-----•---._..._..----------------•-•----------------------------------------------------------•-----------------------------------•----------- = -----•-- W ---------------- -------------------------------- ----------•--••- -••---•••----•--•----•-•----••--•-•••---------...-•------•-••------------••---•---•••--••-------•--••••-•••••......--•--•-•-- UNature of Repairs or Alterations.-Answer when applicable_______________________________........................................................:........ -----------..................................................................................... ............................................................... ..................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL s 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. igned ---- --------------•---------------=--•--•-• •. Date Application Approved By.......... - ` .7 Date Application Disapproved f qr the following reasons:................................................................................................................ .. Date PermitNo........................................................ Issued_........................................ -•-=--•- Date ?` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF OF HEALTH P ' ..................TOTo n...........OF.............Ba=S.tom? e... ............................. ...... 011atif iqtr of Toutji�iaanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) by--------------Spero..Theoharida.s....................................................................Lwti--------------------------------................................ Ins ller ' Com ass C1r.Cie at ---......-•--------------•- - ........•................................................................................... has been installed in accordance witli°the provisions of T r off+The State Sanitary Code as described in the application for Disposal Works Construction Permit da.ted__. '............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 6 CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...--•••-•-•--•..............................:.............•--- Insprector:_ ............................................................ ' a , THE.COMMONWEALTH OF MASSACHUSETTS <. BOARD OF HEALTH 0,0 ......... ............OF............................... w. No. FEE........ ................ . ..- �i ,a aa1PArk.5 Cnnnstrnrttion Vamit Permissioni h ranted................. =~--•----------------••--•--------•---•------------•----------......---•-----------•-••---•-••-••••--..............•..... to Construct ( or Repair ( ) an Individual wage Disposal System atNo....!=.................................................................... ------•-----••--------- ----------------------------------------------------------=-- Street as shown on the application for Disposal Works Construction P o.___ _ Dated .. .......-• ............ _ - /�4,.. �.!► �" BWoHealth7, - DATE �[:;. _ .. -------•-••----•-•-•.................••......--•._....` r FORM 1255- HOBBS &'WARREN;.INC.. PUBLISHERS - "^'t s No..- • - ��: .}- �.• Fps... 5....-... THE COMMONWEALTH OF MASSACHUSETTS . 0 BOARD OF HEA T ......oF.. .. . ..- ................ ApplirFa#iou for Uiipnsal Works Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct • System at: or Repair ( ) an Individual Sewage Disposal i _ _ r' ocation- ess or Lot No. Ire Ow Address a .............• = ...-•-•••----••.. -- ----• Installer Address d Type of B lding Size Lot___ ....--_- q. feet V Dwelling—No. of Bedrooms............. .. _....Expansion A is ( ) Gafbage Grinder ( ) Other—a Type of Building g .. o. of persons.......... ............. Showers ( ) — Cafeteria ( ) Otherfixtures ----------------•-•---•••-•-- ----------••......---------•••••-•--------------------------•-..-•-• ............................. Design Flow............: .... _gallons per person per/day. Total dai flo .......... gallons. 04 Septic Tank—Liquld capacity/ allons Length___ . . idth..�..6�.. Diameter________________ Depth................ W : Disposal Trench—No. .................... Width.................... Total ength____........_. otal leaching area.....__._.._.. ..s ft ' Seepage Pit No........ Diameter------ Depth below inlet.... ------- Total leaching area---- �sq. ft. Z Other Distribution box (�) Dbsing tank '-' Percolation Test Results Performed by.. .__ __ ,� ! Date.. . . .......� i-.. ,ate- - Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground wat .................__.__. Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_]_ x ................. ......... Description of Soil------.� ��?1 � .rd!�• V ----------------•------•-- --------------.. ----------------------------------------------------------------------- ------------------------------------•-------------------------------------------------------------------------------------......---------...------......---•-----------------------------.............. 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 i1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by the board o_ th. 1 S i iened..... ......- � . Date Application Approved By........ ••---••--- Date--.....•...... Application Disapproved for the following reasons:................... -----------------------------------------------------------------•---•-•----------•-••----...-•-----------•••-••-•-----•---------•------••-••---•••--------•----•--------•-----•-•-------•-••----•-•-•-- Permit No.............•-••......-------•--••• — .�- - Issued. .............................................. Date Date G-A) • Fps...' ..............- THE COMMONWEALTH OF MASSACHUSETTS BO oRD E H EA TF 6. Ile App iration for Diopm al Varkii Tonitrurtion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Of I Location-Aid/dressy or Lot No. e f f -- r-''._•v-•'`r f...l... •'. - .�«/_." ...r l.lA�6: JL .._t: .:`:i ��''.t.........................�^4 ..- -"i ---.'�-.i :L.:� �.'. ...._-..... ! OwnJer= f ' �' Address Installer Address UType of Building �} Size Lot............................Sq. feet a Dwelling—No. of Bedrooms______________; _f___..............._.___Expansion is ( ) Garbage Grinder ( ) ,46 �,?; No. of persons__________ _ __p, Other—Type of Building 64 ,. .......... Showers ( ) — Cafeteria ( ) a Other fixtures . --- -----------•-------•-- W Design Flow______ .._ _______gallons per person perodayy Total daij� fl9.w___.__. ..........gallons. WSeptic Tank—Liquid capacity/. 40gallons Length__ ___ Width.Z�!--- _..' Diameter________________ Depth................ Disposal Trench—No_ ____________________ Width.................... Total Length............e_.,/Fotal leaching area........,,_rr•___......Sq. ft. Seepage Pit No_______ ___________ Diameter------- --------- Depth below inlet... e_...... Total leaching area.... / ' q. ft. Z Other Distribution box ( ) Dosing'tank ( ) Percolation Test Results Performed by. ('l "t �>a.� ..s� ,t ! ......... Date_, r/O,� �'"` a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground wate _.W_R_________,__�. K (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground waterr'd!�^__ xr rw ----- ODescription of Soil------- � `� ' ..._.__�. .. � = .� ."' `.' .................................................. x V •---------------------- ••-•-------- ------------------- •............................................................................................... W UNature of Repairs or Alterations—Answer when applicable............................................................................................... . ...-••-•-••---••••-•--••••••---------••-•-•-••••-••--•-••--•••-•••••••-••-•--•••--••-•------••-••••••----••---•-•-•-••--•••••----•-••••-••-••--------•••••••........................................... Agreement: The undersigned agrees tp install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Cod The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been Issued by the board of..liealth. � - Date -'-"--- Application Approved BY ___-- DateDate Application Disapproved for the following reasons--------------------------------------------------------------------------------------------••••......-•---••-•-- ......---•-••-•-•---...---•-----------------•-------•----•--•-------------•--•--.._..------•---._...--------•----•------•-------•-------•-•-------••--••••-----•--------•-•---•••----•-----•--•••-_---•- f. Date Permit No.......................................................... Issued.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtif ira of Tompliattrr THISfIS TO CERTIFY ,That;,thie Ind:v dial Sewage Ili posal� System constructed ' or Repaired ( ) t r by •.... 4'1 �1_- �.� ' _I 1� . nstaller. f` has been installed in accordance with the provisions of F r of The State Sanitary Cade as described in the application for Disposal Works Construction Permit N .__ ..... _____.____ dated__..- _"... _-�_r .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .� ` C�" ... Inspector....... _ /GC 2.. DATE =� _...,...... 'l/---. + THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � !". t"� ......OF......f .s, '° ,1r,. ..... FEE........................No. .._ .......... BILIV0.00, Nork,5 01wand amit, wo Permission is hereby granted_.____! ..._ _( .... ,_.!` c'____ ?' _ ,. to Construct ) or Repair ) an Individual Sewage Disposal System atNo. i ._ ' .- . .------ >� ................--- .... Street as shown on the application for Disposal Works Construction Pe > o__________ _ _____ ted__ `_ .............. Board of Health DATE----- r, ......•-- --•-.............................................. FORM 1255 .HOBBS' & WARREN, INC., PUBLISHERS LEGEND 11 .I Cape 7 t Cod Mall t PROPOSED CONTOUR tom% �`. ® PROPOSED SPOT GRADE ——gg —— EXISTING CONTOUR ,r ` / BENCH MARK a'1 � '; v�lr ,r + 96.52 EXISTING SPOT GRADE ,..� TOP OF '0NC 80UI\1D ELEVATION = 49. 42 W— EXISTING WATER SERVICE 1 L ' r�mg4'Rab ' \ BARNSTABLE CIS DATUM TEST PIT Rciah," S`�? \ 1�lalnto n�o' AREA = G st } 1 — 1i �'lu�f� �� SPr�c �� 1 �Qq ST } t� \. \� \,\ LOCUS MAP N.T.S. 50 •\ \ GENERAL NOTES: v 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. \,\ O I \ �' 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ 1) O / \, OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE \ �\ / I \ o� ✓ LOCAL RULES AND REGULATIONS. \ \ O z I \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR \ \ \ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN \ \ \ \ ENGINEER BEFORE CONSTRUCTION CONTINUES. \ \ 2 \ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. \ \ fr \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 0 \ \ \ \ ' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. l -�7 \ \ \\ \ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. � \ \\ r OX. �FV \ \ Existing Leach Pit 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED o{e \ . TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. \• a�X 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE > \ ti� \ \ (Note lO) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND FILLED 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY , 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. .�-- %i(, 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. OF Mgss9� \\ d� - , , h 15. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) DARREN M Vi to I ST P L A 1\11 SANI TAR\a SCALE: 1 In = _�0 ft PROPOSED SEPTIC SYSTEM UPGRADE PLAN � . � 20 O ?p 40 26 COMPASS CIRCLE, HYANNIS, MA o 1 O 20l` Prepared for: Mike Dedecko MAP.' 310 Engineering by: Surveying by: SCALE DRAWN JOB. NO. SURVEY REFERENCE: L0T.-392 DARRENM.MEYER,R.S. Eco—Tech Environmental 1"=20' DMM ASTSANDWICN,MA o2537 � � DATE PLAN OF LAND BY NORMAN GROSSMAN. CE ° 4STSA81 DEED BOOK: 19516 5 508 364-0894 SHEET NO. � CH ECKED DATED: MARCH 16, 1973 DEED PAGE.* 158 508-362-2922 05/28/08 DMM 1 Of 2 r, i ELEV. TOP NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FOUNDATION (Existing) FINISH GRADE=50.0 = 51.97�.•�F.G .EL: 50.50 F.G.EL: 50.0 F.G. EL: 50.0 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA MAX. COVER OVER LEACHING = 3.0 FT. x := COVERS TO WITHIN 6 OF GRADE 6" INSPECTION PORT t ' W/IN 6" OF FINISH GRADE 6„ 4" SCH 40 PVC 4" SCH 40 PVC ° ° ° ° ° ° ° ° ° ° '. @S=290 Ll 10"I ,. 14 ® S= 1� (MIN.) e I S= 19� (MIN.) A (MIN.) TEE'S ARE TO BE Y. 4" SCH 40 PVC INV.47.20 ° ° ° ° ° ° ° IN 48.28 1 INV.47.00 GAS J PROPOSED DB-3H ° EXIST. OUTLET BAFFLE � 7. ..-,, ..; ..•. ... , ,. . H-10 DISTRIBUTION BOX 25, INV. 48.53 EXISTING 1,000 GALLON SEPTIC TANK INV. ELEV.= 46.78 RL W?F 9" MIN. GAS BAFFLE TO BE INSTALLED ON NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING OR a Jam•owsiE ''asHm SMN.1 PER TI TLE 5 OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION TUF-TITE, ZABEL, OR EQUAL 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BREAKOUT EL. = a7.28 GRADE ON A MECHANICALL COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN INV. ELEV.= 46.78 310 CMR 15.221(2) DOUBLE W.�SHED SJp4E a/s'- 1-1/2' 24 30 5 3) REPLACE EXISTING 1,000 GALLON SEPTIC IN I/ER T I TANK WITH 1500 GALLON SEPTIC TANK BOTTOM EL.= 44.78 IF FAILED, DAMAGED, OR .UNDERSIZED. ---t�8" 50" 8" 4) INSTALL INLET & OUTLET TEESAS REQUIRED SEPARATION 5.33 FT. I 14621 - P#: 12215 SOIL LOGS SEPTIC SYSTEM PROFILE BOTTOM OF TH-1 EL: 39.45 SOIL ABSORPTION SYSTEM (SECTION) N.T.S. DESIGN CRITERIA DATE: MAY 28, 2008 NUMBER OF BEDROOMS: 3 BEDROOMM DESIGN SOIL EVALUATOR: DARREN MEYER, R.S., CSE SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) WITNESS: DONALD DESMARAIS HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 110 G.P.D. Elev. TH- 1 Depth Elev. TH-2 Depth DESIGN FLOW: 330 G.P.D. 50.20 0" 50.40 0" i KIT Bth BR GARBAGE GRINDER: NO (not designed for garbage grinder) 10YR 3/2 10YR 3/2 A LOAMY SAND A LOAMY SAND GAR SEPTIC TANK: 330 gpd x 2 = 660 gpd USE EXISTING 1,000 GALLON SEPTIC TANK(330) = 445.94 S.F. i 64.01 B 5" 49.90 B 6" i LI V RM BR BR LEACHING AREA REQUIRED: LOAMY SAND LOAMY SAND .74 10YR 6/8 10YR 6/8 USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE 46.78 C1 41" 47.07 C1 40" ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L X 12.16' W x 2'D FIRST FLOOR BOTTOM AREA: 25 x 12.16 = 304 SF SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF PERC ®45.70 TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D MEDIUM MEDIUM I �� OF MAS DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs.. 330 G.P.D. req'd SAND SAND 2.5Y6/4 2.5Y6/4 ��P� s9�y PROPOSED SEPTIC SYSTEM UPGRADE PLAN R�2E 26 COMPASS CIRCLE, HYANNIS, MA Ir 1 14 39.45 129" 39.65 129" b �i 0 Pre pored for: Mike Dedecko PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) O Engineering by: Surveying by: SCALE DRAWN JOB. N0. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED AfG�S1E DARRENM.MEYER,R.S. Eco-Tecb Environmental N.T.S. DMM SANITAR\t' �y PO BOX981 (508) 364-0894 GATE CHECKED SHEET NO. 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