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HomeMy WebLinkAbout0184 COMPASS CIRCLE - Health 184 Compass Circle Hyannis NMI A = 310 407 Z y> CIS i s f L �I I n us Materials Inventory Sheet Checklist ate l MPhysical Street Address-Check database to ensure it exists. Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to 'clean brushes all count as hazardous materials-no blanks) Storage Information -location of storage,.howlong is storage for? If none, note that.: Disposal Information=where and who? If none, note that. Applicant Signature -.understand what is listed and noted Staff Initial any questions, know who to ask- {, J. sh in ./Rinsin ? -give a vehicle washing policy and : Vehicle Was g g T explain it Attach the'Business Certificate with your,sign off and comments `*The inventory�forrn-should explain what the business.consists of and the procedures fhey are doing P y Notes to be left to.explain what ou'-discussed.with them. . r� YOU WISH -0 OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by ME L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this firm al. 200 Main St., Hyannis. Take Ilie Completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S " YOUR NAME/S: - O ,I:ar ju },Iy BUSINESS l YOUR HOME ADDRESS: C'� % CiR }4 }�I�IUr1/IJ TELEPHONE # Home Telephone Number - NAME OF CORPORATION: !�ZS -e NAME OF NEW BUSINESS TYPE OFBUSINESS CD C D IS THIS A HOME OCCUPATION? y YES NO ADDRESS OF BUSINESS ' . CO S C( / NI^ MAP/PARCEL NUMBERS% (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of.Yarniouth Rd. & Main Street:) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has bee for d of the permit requirements that pertain to this type of business. MUST XMPLY WITH ALL �- - rVI� KAZARDOUS MATERIALS REGULATIOr!q Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY] This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: r TOWN OF BARNSTABLE Dater TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: ejm coaRuC±1041 BUSINESS LOCATION: INVENTORY MAILING ADDRESS: (9 (OWP.R55 Cjp TOTAL AMOUNT: TELEPHONE NUMBER: '7 1 5K8 GY qy CONTACT PERSON: JJEL I SSO Al P . S(R AAOS EMERGENCY CONTACT TELEPHONE NUMBER: _`7 ( 7 �{5 y MSDS ON SITE? TYPE OF BUSINESS: Cbrystkv_�jnry INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: © Last shipment of hazardous waste: Name of Hauler: © Destination: Waste Product: © Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) C9 lubricants, gear oil ❑ NEW ❑ USED (0 Degreasers for engines and metal C) Printing ink QDegreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers U Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes 0 Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED /n Any other products with "poison" labels v (including chloroform, formaldehyde, —' `-Paint-&varnish-removers, deglossers "` hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): I p P o Metal polishes 0 Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids 0 (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS APNic 's Signature Staff's Initials McKean, Thomas From: McKean, Thomas Sent: Wednesday, September 22, 2004 9:18 AM To: Geiler, Tom Subject: HEALTH REPORT OF BIRST INSPECTIONS/SEVEN PROPERTIES-Sept. 21, 2004 The following properties were visited on September 21, 2004: - 5 George Street- Refuse violations observed, holes observed in siding of dwelling, $100 ticket citation issued 9/21/04 to owner, Winona Kostic, order letter to be prepared today,follow-up Monday Sept. 27, 2004 - 27 George Street,4 health violations observed including illegal basement bedrooms without second means of egress, insufficient number of smoke detectors, 4- $100 ticket citations mailed 9/22/04 to owner, Hermes Santa Rosa, order letter to be prepared today - 47 Suffolk Ave. , no housing violations observed, verbally ordered owner to remove carpeting and construction materials from rear yard,will follow-up on Monday September 27, 2004 - 88 Compass Circle, nobody onsite to allow inspectors inside for an inspection, history of violations regarding illegal finished basement bedrooms according to BLDG, reinspection needs to be scheduled, rubbish violation observed, $100 ticket citation mailed 9/22/04 to Vilson Rubio. - 184 Compass Circle, refuse violations observed, $100 ticket citation handed to Lynda Lamb 9/121/04. - 63 LaFrance Avenue, nobody onsite to allow inspectors!inside;;no.violations observed outdoors, attempted to call owner this morning to set-up meeting appt., left message on her_answering machine (508 775-6527) 118 Wagon Lane , 3 violations observed including iI legal,basement bedrooms without second means of egress, 3- $100 ticket citations mailed 9/22/04 to owner.Israel.DaSilva & Lea SM; order letter to be prepared today 1 DATE 911105 .r PROPERTY ADDRESS 184 comRdsz Ci2c2e �Hyannis Mazz 02601 On the above date, the septic system at the address above was Inspected. This system consists of the following: 1. 1-1000 ga i2on tank., 2., 1- Diza.igut.ion Box 3., 2- 500 gaiion .2each.ing cham9eaz Based on inspection, I certify the following conditions: 4.- 7h.i6 .iz a 7.itie T.ive Septic Syztem.' 5..r Septic zyztem .iz .in paope/t woak.ing oadea at the paezent time., SIGNATURE Name: Robert A. Paolini Company: Joseph P. Macomber & Son Inc . Address: P. 0. Box 66 Centerville, Mass 02632 Phone: 508-775-3338 or 508-775-6412 C P. MACOMBER & SON, INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections x 66 Centerville, MA 02632-0066 775.3338 77.5.6412 • � Y COMMONWEALTH OF MASSACHUSETTS lugEXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION T TIDE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM FART A CERTWICATION pr,QpWy ; 184 Compass C.iacie anniz Mazz owBws Name.: S eve Du m e k owmes Addre= 6 8 An e i i c a. D z i v e 1tam.cng am a Date.o(h Name of inspator:(please printlR o&e 2 i l a o$.i n.i CompwyNan J.P_Macomber & Son Inc. Nita ft Addres. Rnx 66 Centerville MA 02632 Telepl me Namnber:5 0.8-7 7 5- 3 3 8 CERTIFICATION STATEMENT I certify that I have personalty inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 1&340 of Title 5(310 CMR 15A). The system: XXX passes Conditionally Passes Needs Further Evakpfinn by the Local Approving Autbodty Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report.to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection If the system 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 Ow DFR The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments " report only describes conditivos at The time of inspixtim and under the coaditlow of use at thsit. that This inspection does not address how the system will perform in the future under the same or different conditions efuw-- , Tide 5 Inspection Fong. 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION.FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM' PART A CERTIFICATION (continued) Property Address: 184 Comlrazz C iac 2e yann-iz 77a Owner: Steve Vymek Date of Inspection: 5 Inspection Summary.; .Check A,B,C,D or E/ALWAYS-complete all of Section.D A. System Passes: YES NO I have not found any information which indicates`that any of the failure criteria described in 310 CMR 15.303.or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Se17t.Gc t zUZtem .�.s .in a2eolzea , of ling narlen n f fl,o n en �.me. B. System Conditionally Passes: NO 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. NO The septic tank is metal and over 20 years old*.or the septic tank(whether metal or no 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: NO . 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: NO- The system required pumping.more than 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 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 184 Com12¢,3z Ciacie owner:. Steve Yme Date of Inspection: 9 7' C. Further Evaluation is Required by the Board of Health: NO 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. I. 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: n o Cesspool or privy is within 50 feet of a.surface water n o 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: n o The system has aseptic 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. n o The system has-a septic tank and SAS and the SAS is`within a Zone 1 of a public water-supply. n o The system has a septic tank anal.SAS and the SAS is within 50 feet of a private water supply well. no The system has a septic tank and SAS and the SAS is less than 10.0 feet�ut 50 feet or more from a private water supply well".Method used to determine distance v tau¢ **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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INS-PECTION FORM PART A CERTIFICATION(continued) Property Address: 184 C o m a z z 'C i It c i e yannT6 owner: Steve yme Date of Inspection: 911105 D. System Failure Criteria applicable to all systems:. 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 T 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 X cesspool _ Liquid depth in-cesspool is less than.6"below invert or available volume is less than May flow 7- Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number X of times pumped _ _ Any portion of the SAS;cesspool or privy is below high ground water elevation. _ X Any portion of cesspool or privy is within 100 feet of a surface water supply.or tributary to a surface X water supply: _ Any portion:of a cesspool or privy is within a Zone 1,of a.public well... _ 7_ Any portion of a cesspool or privy is within.50 feet of a private water supply well. 7 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.] NO (Yes/No)The system fails:I have determined that-one or:moreof the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system ownershould contact the Board of Health to determine what will be necessary to correct the,failure. E. Large Systems: To be considered a large system the.system must serve.a.facility with a design flow of 1.0,00.0 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 X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located fn.a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSALSYSTEM INSPECTION FORM PART B CHECKLIST Property Address:184 Coma�z s s Cilic.2e . yana7.6 Owner:Steve yme . Date of Inspection: 5 Check if the following have been done.You mast indicate')Vs!'or"no"as to each,of the following: Yes n 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 mote 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,�nlcluding 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)on the site has been determined based on: Yes no X Existing information.For example,a plan at Oe 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(3)(b)] 5 I Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEMJNSPECTION FORM PART C SYSTEM INFORMATION Property Address: 184 Coin a s.5 Ci zc.ee yann.c.5 Owner:Steve l-yme Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number-of bedrooms(actual): 3 -3 3 0 DESIGN flow based on 310 CMR I5 203(for example: 110 gpd x#of bedrooms): . Number of current residents: 0 n n o wn Does residence have a garbage grinder(yes or no):n o Is laundry on a separate sewage system(yes or no):n o [if yes separate inspection required] Laundry system inspected(yes or no):n o Seasonal use-(yes or no):a 0 2 0 0 3=10 8 7 5 0, ga.O.2 o n s qP D=2 9 7., 4 5 Water meter readings,if available(last 2 years usage(gpd))2 0 0 4=10 2. 7 5 0 as.i o n s G%.D=2 81.E 5 0 Sump pump(yes or no): n o Last date of occupancy: unknown COMMERC14JINbUSTRIAL .N/R Type of establ*Went. Design flow(baseed on 310 CMR 15.203): gpd Basis of desib flow(seats/persons/sgf,etc.): Grease trappresent(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 Pumped tank 8/11/05 Source of information: Was system pumped as part of the inspection(yes or no): n o 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 T 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 ob_tained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Sn.6taiiad now, teaching 1/7/03 J., ., Nacomkea Were sewage odors detected when arriving at the site(yes or no): no 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 184 Com12a 6.6 C iac ee Owner: Steve yme Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: 2" Materials of construction:_cast iron X_40 PVC_other(explain): Distance from private water supply well or suction line:� 2 0 t Comments(on condition of joints,venting,evidence of leakage,etc.): ,7o.intz aRReaa ;Light., No z.ianA ne Ponke7g? I)Qui-a / .th20uah houze vent SEPTIC TANK:_(locate on site plan) Depth below grade: 2" 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) n Dimensions: 8, 6"X 5 8 X 4 1 0" Sludge depth: , a a c e Distance from to of sludge to bottom of outlet tee or baffle: t a a c e Scum thicknesses a c e Distance from top of scum to top of outlet tee or baffler t a a c e Distance from bottom of scum to bottom of outlet tee or baffle: bta c e How were dimensions determined: m e a z u a e d 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 tank even 2 �In$et R. 0ut an Z.s .s a u c u a a y .sound. GREASE TRAP:n 0(locate on site plan) 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.): yaeaze taap ,is not paesent 7 Page 8 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN FARM PART C SYSTEM INFORMATION(continued) Property Address:184 Coml2azz C.i 2 c i e yanniz — Owner: Steve D7 mek Date of Inspection: 917105 TIGHT or HOLDING TANK: n o (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.): light olt ho2d.ing tankz aze" not Rzezent . DISTRIBUTION BOX: y e Aif 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.): Box iz _Revee., Haz 2 iateza�.s , No zo eid ca22y oven., No 2eaka.ae .in oa out o'e gox PUMP CHAMBER: n o (locate on-s�"lan) 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:): BumI2 cham9ea .iz not paezent 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. 184 C o m p a.3.s C.ia c 2e yann76 Owner:Steve l7yme _ Date of Inspection: SOIL ABSORPTION.SYSTEM(SAS): (locate on site plan,excavation not required) IfSAS of 1 dated explain why: Located .3ee 12age Type leaching pits,number:_ X leaching chambers,number: z 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.): Loamy to medium .zand.o No zign.s o� 7fa.ieusce o2 12onding., So.iez aae ay., Vege a .ion iz noamd.e CESSPOOLS: n o (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: r 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.): c PRIVY: no (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.): P/tj.Vq .i.5 not aesent 9 Page 10 of 11 OFFICIAL INSPECTION FORM'.—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE-DISPOSAL SYSTEM INSPECTION FORM PART C- SYSTEM INFORMAT'I.ON(continued)' Property Address:18 4 Coml2a.6.3 C i z c 2 e yanniz Owner:Steve yme Date of Inspection: 05 ` SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system inchuling ties to at least two, or benchmarks.Locate all wells within 100 feet.Locate where pubk S 67M v i /I _� -- - )Ora � 10 r•,nsnrn r+srrsrw-r-+rnrmrnmr,anrtvnrrerm:T++tsfrl�+sro+•rt'n*svrn-a+rr�rs�is+n 7•trr••e-��.trr.� :Tr.r••� TOWN OF &4RNS7ABLur .. BOARD OF HEALTH z,-T�....._T„__•SUI)SUIiFACF SEWAGE DISPOSAL SY�TFM INSPECTION FORM - PART D�- CERTIFICATIONunvnm ��r T* -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 184 Compazz C.iacie '. ASSESSORS MAP, BLOCK AND PARCEL IV OWNER's NAME Steve Dymek PART U CERTIFICATION NAME OF INSPECTOR Rogeat Paoiini COMPANY NAME ao.selrh P., NacomlleA'19' Son Inc COMPANY ADDRESS Box 66 Centeavieie Nas.s 02632 Street Town or City. state LIP COMPANY TELEPHONE ( 508 ): 775 -.3338 FAX ( 508 )790 ,. 1578 ■Ii R CERTIFICATION STATEMENT I certify that I have personally. -inspected the sewage disposal system at I address and that the information. reported is true, accurate, and omplete as of the. time of .inspection . The inspection was performed and any recommendations regarding upgrade , . maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , • u i 11�:+it, Check one: XXXXSystem PASSED j The inspection which I have conducted has not found any information which indicates that. the system fails to adequately protect public health or the environment as defined in 310 CMR. 15. 303 Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con tcted has found that the system fails to Protect the jiublic health and the environment in accordance with Title 61 310 CMR 15 . 30.3, and as .specifically noted on PART C - FAILURE CRITERIA of this i ection form. Inspector- Signature Date ' Xw .aiT.JLSiT�3P3JCST ..5��;.1':SQCL:7.7L�6T'Tc . ne copy of this certification must be provided to the OWNER, the BUYER here applicable) and thia BOARD OF HEALTJI. * If the inspection FAILED, the owner or""operator shall upgrade ' the system. within o'ne year of the date of the inspection, unless allowed or requi,re.d otherwise as provided in 3.;10 ChI.R 15 , 305 , ' TOWN OF BARNSTABLE LOCATION /.F y C d 114104 5 S C 0'\1 SEWAGE # ),Cy 03-- C a� V LLAGE ��/A A1111S ASSESSOR'S MAP & LOT — INSTALLER'S NAME&PHONE NO. A4 A C 0,44/3 f f fi S CA' SEPTIC: TANK CAPACITY Z,000 0 L AV LEACHING FACILITY: (type).`�— e`L S (size) NO. OF BEDROOMS _ BUILDER OR OWNERS PERMITDATE: 0 t ` -Z COMPLIANCE DATE: d 00 Separation Distance .etween 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 �Z � i All No. . '00 Fee' 5 0. 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippItcatton for ]Dt5pooal *p.5tem Con0trurtton Permit Application for a Permit to Construct( )Repair(X)§ Jpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Not 84 Compass C i r 1 e Owner's Name,Address and Tel.N$tephen Dyme T ann rtialSs. 02601 1 8 4 Compass Circle sessors a�/Parce Hyannis,Mass. 02601 Installer's Name,Address,and Tel.No.5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—2 7 3-0 J.P.Macomber & Son Inc. JC Engineering, Inc 5 Roundhill RLVD East Wareham,Mass,. 02538 Type of Building: DwellingxXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 0. 9 gallons per'day. Calculated daily flow 3 X 1 1 0=3 3 0 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) Om i t t-i n g 1 P a r h i n g pi t , T nc;t a l l i n g two T4-1 0 SOO gal Inn 1 eachi nq cbamhers. ( 25 'X1 3 'X2 ' 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 be*issued B d He lth.- -Signe 2n t DateApplication Approved byDate / o 2- Application Disapproved g reasons Permit No. 2,00-3""009— Date Issued a .-.� .._.-.--: - -...--_..- , .... ,..,. .. ...+- .-•^-ems,.- r .... �-.,�, .. .. .. z ,t ... ,. .,g. - 2� G a: Fee No. 'U®O f . $5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for izogaYp5tetu Cottgtruct ion ermit Application for a Permit to Construct( )Repair(X)5YJpgrade( )Abandon( ) ❑Complete System ❑Individual Components • r Location Address or Lot No.1 84 Compass C(br 1 e Owner's Name,Address and Tel.Nog.tephen DYme 1HVann'� s Mass.02601 �184 Compass Circle Assessor s. a /Parcel 0 2 6 0 1 Hyannis,Mass. Installer's Name,Address,and Tel.No.5 0 8—7 7 5= 3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—2 7 3—0 3 J.P.Macomber & Son Inc. JC Engineering,inc 5 Roundhill BLVD East Wareham,Mass. 02538 Type of Building: - Dwelling_KXX No.of Bedrooms 14 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 1� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 5 0 a 9 gallons per day. Calculated daily flow 3 X 1 1 0=3 3 0 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)_Omitting It-aching nit- T n s t a l l i ncr two m-1 n son coal l ran 1 Pachi ng nh,amhQrfi 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 Tit e 5 of the Environmental Code and not to place the system in operation until a Certifi- ,,,,cate of Compliance has been issued by y this.Bo &H/jelth. G / Date 1 /6/0 2 Application Approved by Date 1 � D'z-- Applicatio`n~Disapproved for the following reasons Permit No. 2t_X-)3--ya8_ : Date Issued !w 0 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(XX))Upgraded( ) Abandoned( )by ,7_P_?4;gr nmher g gun Tnc at 184 Comloass Circle Hyannis.Xass. has been construc tein ccordance with the provisions of Title 5 and the for Disposal System'Construction Permit No. 2-00 3"OUS dated C 3 Installer J.P.Macomber & Son Inc. 1' Designer JC Engineerincr The issuance o§this permit shall not be construed as a guarantee that the systemwill function as designed. Date V l 10 7 7 0-4 Inspector --------------------------------- ------ . No. ZCo34 cog Fee$50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5al *pgtem Con5truction Vermit Permission is hereby granted to Construct( )Repair71(XX)?(Upgrade( )Abandon( ) System located at 184 Compass Circle- Hvannis,Mass. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her d&ty to comply with Title 5 and the following local provisions or special conditions. ' Provided:Co s tion must be completed within three years of the date of this pe Date: (o Approved by i . TOWN OF BARNSTABLE LOCATION 0,44 fI ��r SEWAGE # �.003-^ ®d VILLAGE hl/A/1/.O/1S ASSESSOR'S MAP & LOT v— i'w 7 INS TALLE 1'S NAME&PHONE NO. A4 /A C 014 6 elf t S C N SEPTIC TA111K.CAPACITY D 0 0 O L D ! LEACHING FACILITY: (type)-;Z = LlJrLZZS (size) i NO:-OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 0 0 Z D� Separation Distance etween 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 g I 'I _C i y L0 CATION // SEWAGE PERMIT NO. JYyAN.y.s /���jS VILLAGE INSTA LLER'S NAME R ADDRESS II I BUILDER OR OWNER DATE PERMIT ISSUED 79 DAT E COMPLIANCE ISSUED 5 _ �P Z w ' � u � Z � � _.Q No......1M.4Z...... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ................. ';(�.. ...................................... Appfir' afton for Uiopaaal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct (q or Repair an Individual Sewage Disposal System at: ocation4 1dress.., 0 ner Address .10 ..f! ..; ------------------------------ Address ............................................... Installer Type of Building Size Lot.....LA1.1-16-4)...Sq. feet U Dwelling—No. of Bedrooms -- _---------Expansion Attic Garbage Grinder ( �_l PL4 Other—Type of Building No. of persons........(.................. Showers Cafeteria ( Otherfi ures ...................................................................................................................................................... Design Flow........................................gallons per person_per day. Total daily flew.._...._.3..�a..6..................gallonWs. Septic Tank—Liquid capacityJ0.W+Plons. .' Len'gth.:S.'J�... Width---V_4�... Diameter................ Depth................Disposal Trench—No..................... Width.................... Total Length..._.._._._..... Total leaching area.......µ U..sq. ft. Seepage Pit No-------I------------ Diameter.................... Depth below inlet._.......__.._..._.. Total leaching area..................sq. f t. Z Other Distribution box ( ) . Dosing t�n_' Percolation Test Results Performed by..... as Test Pit No. I................minutes per inch Depth of Test Pit.._.._......-..._.... Depth to ground water.__'.'-ro/'0.eV_— Test Pit No. 2................minutes per inch Depth of Test Pit___.._..........._.. Depth to ground water.___._.......-.......... ............................................................................*.......­­­----------*.............*......."........*------------"...*'*'*" 0 Description of Soil......`5` k..... .......... .......................................................................................... -------------------------------------------­*--------------------------------------------------------------------------------------- -----------*---------"------------------------- .................. ----------------------------------------------------------------- ................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ....................................................................................................................................................................................................... Agreement: I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TILZ 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 boar of;Imlth. 7 J' Signed....... ...... . .. ......;4t/�.�. .......... ................................ Date Application Approved By..... .................... ........ ..... Date Application Disapproved for the following reasons:................................................................................................................. .........................................................................................................I.............................................................................................. Date Permit No.......710.41...................................... Issued......//_I.Ir- 7� ................................................ Date r S No._•--•'z•..... ..... ..... THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH E Appliratinn for Di"os al Works Tnntrurtinn famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ._... . ":7................................... ��-C-.a"c-��---_--....::�.. ��z=`. ........................................._. ........ l Location:A,adress r� or 4t No. .........ti`..?--•_C:;_F;s:.. �i.�r n.L�.:. i1Gu .......... -•� . n�G� .v:�._..:. f....Z 1:....< - I�`�✓1�/r?ii(.� �y /� O ner Address W C L:..... /_l -c. l.!JG: ..----•......................... .....••--•----------...--•--••----...--------......_........_.......----- ...----• --•--.... Installer Address U Type of Building Size Lot..... feet ,.. Dwelling—No. of Bedrooms........ .................................Expansion Attic ( ) Garbage Grinder ( ) a _ aOther—Type of Building _Lr:-. %- L:__:'. No. of persons........Viz................. Showers ( ) — Cafeteria ( ) A4Other fixtures --------------- -•--------•--------------•-••----•--.-----•-----•---•-------.....-------•----------. W Design Flow.-.._.....=..:.............................gallons per person per day. Total daily flow................=_ ..................gallons. 9 Septic Tank—Liquid capacity........:.:gallons Length................. Width..`'....(t... Diameter................ Depth................ W Disposal Trench—No..................... Width..............._..__ Total Length...`......._......_ Total leaching area......':.' ......sq. ft. x Seepage Pit No........I............ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by ....J"_:......................................................... - -�� r--'..--. _.- Test Pit No. 1................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........................ a ----•-----•-------•-------••-----------------------•-------•••--•----............_........----_...----..._.....••-...........--•---•••-•---..........._------ ODescription of Soil.... `=='f-----•-�=---.....I•-------------- =-=--=- `= ` ---•-----------------------•-•--•--------••-•---•----.........----•-•----••---•-------•-•--- x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----•---------------•-----...------------------•-----------------------•--•-•---------••-•--•--....----•----------•--......----•-------------••-------------------.....---......._..................._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTLE 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......=-= j.....�_ .. � Jf ...-----...._.... Date _ Application Approved B A _ /i_ , ? r' Date Application Disapproved for the following reasons:..........................................................................................D ._......___. ..--••---•-------------------•-------.....---•--------------...........---------....----•--•--•---........................._..-------------------•---------------------•- r-•" Date Permit No._---_.. ✓_/.............•••••-•---•-••---•••••-_. Issued....... f- =-- . -- 7.1 -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................4 ".rc:r ............. a (Intif irtttr of TI-ImpliFanrr THIS IS TO CERT FY, That the Individual Sewage Disposal System constructed (,K or Repaired ( ) b).....p _-------'--j `_. ..::.:�` ? J !^ f,.I Installer �-----====f---_ has been installed in ac ordance with the provisions�dTITLF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-------- .................. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALTH/ Z r./..A.</................OF.. �4W No......'?L- /......... FEE...C._.I........... Rspo#,al OrkiiALUnntrnctinn ramit Permission is hereby granted----- to Construct ( ) or Repair an Individual Sggvtrage Disposal System �� Irz__at No.------�--�......--•-•-•.....•--1-....... --� =--h--. (r_�•;''�`� - --«--------- •_._._... Street as shown on the application for Disposal Works Construction Permit No............. ......_. Dated..........:.....:.................... Board of Health DATE....... /. /'- ................................................. / FORM 1255 HOBBS & WARREN. INC., PUBLISHERS T ^ � ~ ' . . ' v/olof jai 'D � � � ---- - -- _Afe.4 &5 y- ^~ ~ ~ " tj C4 cc ..�pe ' ^' ' ^ . ' 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 99.9' - 100.40' GENERAL NOTES REMOVABLE COVER I SLOPE @ 2% MIN. OVER SYSTEM I FINISH GRADE OVER D-BOX=1 00.20' 4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE 100.00' 99.60' - 99.40' 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE � 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE @ FND. EL.= FINISH GRADE OVER TANK EL.= METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 20" MIN. ACCESS COVER TOP OF SAS - 98.33' PLACE RISERS ON ALL CHAMBERS (TYPICAL FOR 3) 36"MAX. 9"MIN. TO 6" OF FINISHED GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD EXISTING 4" /// 97.50 36" MAX. BREAKOUT EL = 98.00' OF HEALTH AND THE DESIGN ENGINEER. PVC PIPE 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 6" 3" 2" DROP MIN. 3„ 9„ PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. ---- �---� 3" DROP MAX. JOINTS {TYP.) 000 o 4" PVC IN FROM = = = O o o O 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 14" -98•40 SEPTIC TANK 4" PVC OUT TO o oao 00 0� ELEVATION = 98.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 98.65 � (CONTRACTOR ! LEACHING FACILITY oo � � � � � � � � � � o o A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF (CONTRACTOR SHALL VERIFY) oo THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SHALL VERIFY) I OUTLET TEE 97.75' MIN. 97.58' 2 0 o0 0 0 0 00 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 12.T CONTRACTOR TO VERIFY 48 _ Q 00 0 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. EXISTING SIZE OF TANK AND o - 0 6' CRUSHED STONE o0 0 0 (APPROX.) EXISTING TEES A� OVER MECHANICALLY i 4, 7. LOCAL BOAR g 5' I ' D OF HEALTH TO BE NOTIFIED 4' 4' PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND i OUTLET DISTRIBUTION BOX 25 (TYP.) READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED - TO BE INSTALLED ON A LEVEL STABLE _ WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. BASE. FIRST TWO FEET OF OUTLET 95.50' GROUND WATER ELEV.= 90.40 � 12.9' EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 2 - 500 GAL. CHAMBERS 5' MIN. LENGTH 7'10" WIDTH 5'10" DEPTH 4,0„ 8. ELEVATIONS BASED ON ASSUMED DATUM OF 101.7' MSL OBTAINED CROSS SECTION VIEW FROM THE TOP OF FOUNDATION AS SHOWN ON PLAN. SEPTIC PROFILE DISTRIBUTION O DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER ENDVIEUV NOT TO SCALE 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION NOT TO SCALE NOT TO SCALE _ THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY ���^ PIT �� DISCREPANCIES TO THE DESIGN ENGINEER. INSPECTOR: NOT WITNESSED 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE LOT 16A `'� "� x "� STRUCTURES SHALL BE MADE WATERTIGHT. PROPOSED , SOIL EVALUATOR: Samuel Philos Jensen 2- 500 GALLON 11/27/2002 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR a v,, DATE: ---LEACHING CHAMBERS ;�� IX _� y,* ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN LOT 22A ' I �� TEST PIT#: 1 SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. .q EXISTING LEACHING PIT N�51SSS„w "' j + 1 ELEV TOP = 100.40' 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS TO BE PUMPED AND ,' „, ` � a ELEV WATER= 90.40' LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH FILLED WITH CLEAN SAND ,,,aR�� �. w CASE THEY SHALL WITHSTAND H-20 LOADING. ro PERC RATE = <2 MIN/IN (MEASURED) � �( 'b 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND x, a DEPTH OF PERC= 36" FINES. ply� � w �,�� {i TEXTURAL CLASS: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND - , ,w, � - - UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES 4, ��' ' �+ 3 ) '� ,) OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN A It i �� � I COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN �� � � ,� Fill ACCORDANCE WITH 310 CMR 15.255 3 5.01 �. ,.... . ., �'�;• •,� '� I `~ �,,,A,,," , ;, 'rye, cw , A.�` ` .+ ' ° 32" 97 73' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES " FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. h � . �. .... F, ,,,, py, r ' r 36 97,40' :s. 0 i 4 ,,,�. ,5 .,. �.• ... � ./ i t. '� � _''-," 14 ��'i lid j,tom' �@ �."" t o LP ,:x Perc 16. PROPOSED PROJECT IS LOCATED WITHIN: 2 ASSESSORS MAP ID: C� 8 8, 54 96°0� 310/407 .. rn�� rn ) M-C Sand N tlO A � I Y r ,I "` fY r r ' .. � 2.5Y 5/6 m 17. OWNER OF RECORD: MR. & MRS. STEPHEN DYMEK y C )� ' Loose, Single Grain f' d' � �. ^ v m, � � x � ADDRESS: 68 ANGELICA DRIVE 41 *j ,� i �� ,;� FRAMINGHAM, MA 01701 Q B.M. g � � „ I ��� 5-15/o Gravel and ' ,. o TOP OF FOUNDATIONS �r 1 ff ( �, a ELEV.=101.70' _ _ 1 f �fi tI 1 Cobbles ASSUMED � i � �. � n 4 � Verigated 18. PLAN REFERENCE: BOOK 273 PAGE 94 PROPOSED - 7 hh "D" BOX .-` j 71 b �' ,. i No Groundwater or 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. a Weeping Observed of 120" 90.40' 20 PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY LOCUS PLAN FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. SCALE: 1" = 1000' LOT 17A co 0 Q> �7 N �� ---- ._..._. ------ ---- --- co Q z PERCOLATION TEST RESULTS 12., DESIGN DATA DEPTH OF PERC: 36"-54' LEGEND START END PRE-SOAK:OAK: 11:52 ��3 EXISTING SPOT GRADES O NUMBER OF BEDROOMS 3 (ASSESSORS) (25-GALLONS POURED - --- - 50 EXISTING CONTOUR EXISTING EXISTING AND COULD NOT 1000 GALLON 3-BEDROOM p NUMBER OF BEDROOMS 3 (ACTUAL) SEPTIC TANK DWELLING W W V NUMBER OF PERSONS 3 TIME ATM2INTAIN 9") N.A. 50 PROPOSED SPOT GRADES o r p DESIGN FLOW 110 GAUDAY/BEDROOM TIME AT 9": N.A. PROPOSED CONTOUR TOF = 101.7' d �! TOTAL DESIGN FLOW 330 GAUDAY TIME AT 6": N.A. ^� v TIME FROM 9" TO 6": N.A. - - EXISTING ELECTRICAL UTILITIES I DESIGN FLOW X 200 % _ 660 GAL/DAY RATE: <2 MIN/IN EXISTING GAS LINE j (/, � LSE EXISTING 1000-GALLON SEPTIC TANK DEC Q Q W - W ---- EXISTING WATER LINE � TEST PIT LOCATION O a INSTALL 2- 500 GAL. CHAMBERS '' /� __]fib✓ ial� (,� Q Q EXISTING SEPTIC TANK pl 9,49 SIDEWALL CAPACITY II 9,51 - 4" SOLID SCHEDULE 40 PVC PIPE (L:NGTH + WIDTH) (2) (2' HIGH) (.74 GPD/S.F.) = GAUDAY x 99,28 �` 188'83 WG (25' +12.9') (2) (2') (0.74 GPD/S.F.) = 112.2 GAL/DAY O DISTRIBUTION BOX GARAGE 500 GAL. LEACHING CHAMBER 4 4 BOTTOM CAPACITY MAP 3 O ` 2 `� DRIVE 98,85 (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY "�r� �'-. `' � (25'x12.9') (.74 GPD/S.F.) = 238.7 GAUDAY ! REV. DATE BY APP'D. DESCRIPTION PARCEL 40756 -- -- ----------------_------- -__-__- PROPOSED SEPTIC SYSTEM UPGRADE I AREA= 10,160 ± SQ. FT. "•�, TOTALS: PREPARED FOR: 98.-74 STEPHEN DYMEK TOTAL NUMBER OF CHAMBERS: 2 98.72 TOTAL LEACHING AREA: 474.2 SQ.FT. LOCATED AT S�5°1SSS„� TOTAL LEACHING CAPACITY: 350.9 GAL./DAY 184 COMPASS CIRCLE LOT 18A 80.00, __ HYANNIS, MA 02601 SCALE: 1 INCH = 10 FT. DATE: DECEMBER 18, 2002 0 5 10 20 40 FEET LOT 20A `~` W,111 I s^, PREPARED BY: o CHUR.�NILL JR. s ep- JC ENGINEERING, INC. No 8°' 5 ROUNDHILL BLVD. -- - - ---- -- - _ ., EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1"= 10' Drawn By: DS Designed By DS Checked By JLC ! JOB No 322