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Home My WebLink About0454 CRAIGVILLE BEACH ROAD - Health 454,,Craigville Beach Road 246-0134 : . Hyannis Iff «� t UPC 17734 Now 2o153�CR "tsr HASTINGS NU 1 �f <c ' �+ `� a� TOWN OF BARNSTABLE LOCATION Z15V �rc._t4v�1�e. Qr�i Rdj SEWAGE # �O<( 3q VILLAGE a ASSESSOR'S MAP & LOT L '07 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY; as,00 LEACHING FACILITY: (type) `? � 105,� (size) hmac NO. OF BEDROOMS BUILDER OR OWNER G f PERMTTDATE: COMPLIANCE DATE: Separation Distance Be een 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 O aB �A �- - - - - -- - --- t 11 e No.!!% G I r Fee , 90 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: j Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS s Zipplication for Zi!6poof *V2;tern Cong;truction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) D Complete System D Individual Components Location Address or Lot No. 1%c,/ /I f Owner's Name,Address and Tel.No. Assessor's Map/Parcel o`T6 u b 7,3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms /O Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 b issued b WooardA ea Si ned Date `3 O Application Approved b Date / Application Disapproved for the following reasons Permit No. �� Date Issued / O No. ��/� °. `"` Fee , THE C"QMMONWEALTH OF MASSACHUSETT Entered in computer: Yes s PUBLIC HEALTH DIVISION -TOWN OF BAR NSTABLES'MASSACHUSETTS ` rication forigo�aYpgterrY �ongtructton+ errrYit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System"*.O Individual Components Location Address or Lot No. `�/ Owner's Name,Address and Tel.No., Assessor's Map/Pazcel b7,3 Vp qS �f �� 1 WlK/7 / a r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.g� X \ 7 arm% Type of Building: Dwelling No of_Bedrooms V,0 , Lot Size sq.ft. Garbage Grinder(. ) 1 Other Type of Building 1 No.of Pdrsons Showers( ) Cafeteria,( -) I Other Fixtures Design Flow gallons er day. Calculated daily flow gallons. Plan Date Number of she Revision Date Title Size of Septic Tank Type of S.A.S. �. ,Description of Soil Nature of Repairs or Alterations(Answer when applicable) - ti Date last inspected: T 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 by Board of-Kealth. Si ned i Date Application Approved bey _ Date / Application Disapproved for the following reasons Permit No. 3 Date Issued �3 3 ——————————.— C, THE COMMONWEALTH OF MASSACHUSETTS , f�� / BARNSTABLE, MASSACHUSETTS - a. (Certificate of (compliance :. THIS IS TO CFRP'*iFY,(that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandone ) y � ¢`� i:a G!" � - has been constructed in accordance, I with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance/o this_ efmit shall not be construed as a guarantee that the�system,wil function as designed. Date �'/ / Inspectofl � �.� A Z. PG-a No. �� —/3-S� -------..------------------Fee ` / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migool *p5tem Conztructton Permit Permission is hereby granted to Construct( V Repair( )Upgrade( )Abandon( ) System located at y5V Ca6t tT I t(P i2 P.4G4 fZ c) and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons ction must �be completed within three years of the d to of this Date: .3 G 7 Approved b Town of Barnstable x x * BARNSTABLE, Board of Health lEn Mo'�" P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. February 23, 2004 Mr. Daniel Johnson, R.S. 804 Main Street, Suite B Osterville, MA RED 454rai�vrlle eachRoad �� ..E {LSA,,. .r.ri£n. _= s r�.� .._ sF.xyy r„r _ •...,ao.4 ..,m a..-ao .3xz.-.. . ..a'x,. ... .6:<a.+,. 11y,26��'QJ�` a Dear Mr. Johnson, You are granted conditional permission, on behalf of your client, Richard Sarabian, to construct an onsite sewage disposal system designed to be connected to a dwelling consisting of ten bedrooms proposed to be constructed at 454 Craigville Beach Road, West Hyannisport, Massachusetts. The permission is granted with the following conditions: (1) No more than ten (10) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The septic system shall be constructed in accordance with the submitted plans dated December 11, 2003. Sincer I yours, Wa e r, M.D. ChairmaI e BOARD OF HEALTH TOWN OF BARNSTABLE JohnsonlOBeds oft Town of Barnstable Regulatory Services snRrrsrnei.e, 9 Mnss. g Thomas F. Geiler,Director �f159. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304. Designer Certification Form Date: Designer: 7,->4,4 rffC, 9 Jr=1f1V-(0wl Address: Q,o On' 313/I o f /2-°6KC Y FrSHe!L was issued a permit to install a (date) (installer) septic system at q5'1 C-446 Wt--e Pew *A6e4" = based on a design I drew, (address) dated tAlIt o.) I certify that the septic system referenced above was installed substantially according to the design. I certifythat the septic stem referenced p y above was installed with changes but in accordance with State & Local Regulations. Revision or certified as-built by designer to follow. • r .�4 44� d_ e G ��- IT& (Desi er's gnature) (Affix Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE .<c LOCATION �-�>� j'4 t dd.�' � ac 2 � SEWAGE # j� VILLAGE-- ASSESSOR'S MAP &LOT 1 INS'TALLER'S NAME&.PHONE NO. SEPTIC TANK CAPACITY:' SDU y 0 LEACHING FACILTTX: (type) � t/ (size) 5 //`� So NO.OF BEDROOMS r BUILDER OR OWNER G� <BUILDER S COMPLIANCE DATE: Olt PERMIT DATE: Separation Distance Be een th Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist ' Feet on site or within 200 feet of leaching facility) Edge of.,Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by i I I 1 I I I 61 /SAS 9t 110 �v AsBuilt Page 1 of 1 TOWN OF BARNSTAgqBLE LOCATION �S C "-4 _1 d V 1Ie &du k I?dj SEWAGE# 3 VILLAGE 1. ASSESSOR'S MAP&LOTJ V4 _ INSTALLER'S NAME&PHONE NO. Z� /J�t-Gr2 � > SEPTIC TANK CAPACITY LEACHING FACII.ITX: (type) � � 1'�r�"1 (size) - /'�C:i NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: �-�-- COMPLIANCE DATE: 6ty Separation Distance Be een 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 4A'L CC' v '4 , t iI i t i t 1 1 I 1 I I I 1 I 1 r 1 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=246073&seq=1 5/12/2014 L4 LA (2) 8" Risers 13'-8" 20'-4" ,M. (2) Riser s f Septic Cover 1„3 15'-7" Planting Bed 23_8" 8' lvay.y a Pl 8' •L (2 8' Risers----,, 13-7 Outdoor Planting Shower � Sh5)-� , Bed Counter (by of ers) HOUSE Deck Deck Plan - Weber Residence Existing 1/4" = 1'-0" - Acer Design Studio - 3/12/15 1 � _ i s DATE: I+ZBC. BY Town of_Barnstable �„° SCBYD. DaTS r Board of Health 200 Main Street;Hyannis MA 02601 Office: 508.862 4644 Sum 0.Rask,R.S. FAX 508-790.6304 Sumna Kauftnan..M.SP.H. Wayne A.Miller.M.D. VARU CE REQUEST FORM LOCATION Property Address: 9sq eA,41 J-vru.E MCA-ell !1--*{ o% %spWt,T Assessor's Map and Parcel Number.. a 4 6 07.3 Size of Lot: Wetlands Within 30D Ft. Yes Business Name: No C Subdivision Name: APPLICANT'S NAME: iZ'C(4fF1-s) -3J&'+4(A14 Phone (S 06) Did the owner of the property authorize you to represent him or her? Yes ?4,— No PROPERTY OWNER'S NAME CONTACT PERSON Name: t2tc*41-0 S-4-h-OlAd Name: Address: 4S9 62-f16-11u.9 $��c� �d Address: 1309 '�°' s, f-; - e OSi Cr'V7c-LL Phone: 77/- Sal! Phone: / o 10 VARIANCE FROM REGULATION(tirttteg.) REASON FOR VARIANCE(May attach Uwe space needed) I)CJ(6y4 ;4S 76 AC0/ieoMf (� laly►t� QWNe+� 7- L`Xrf-,td tlo_je NATURE OF WORK House Addition?;�=, [10 House Renovation 13 Repair of Failed Septic System � ChoWXiso(to be completed by office staff-person r¢cetvutg variance request application) Four(4)copies of the completed vwiarwe request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled din=sional floor plans submitted(e.g.house plans or=mutant kitchen plans) _ Signed letter stating tMt the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting Sate at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) _ Varance request application fee collected (no fee for lifeguard modification renewals, grease trip variance renewals Isanme awncrAcasee only],outside dining variance renewals(same ownetlteasee only].and variances to repair failtd sewage disposal sys terra Y [only if no expansion to the building pmposed]) Variance request submitted at least IS days prior to meeting date VARIANCE APPROVED Susan G.Risk.R.S.,Chairman NOT APPROVED Su=cr Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Stiller,M.D. Q:\HEALTH\KFFZLES\VARZHEQ-DOC f TOWN OF BARNSTABLE LOCATION W!,,'' f ��6 k SEWAGE # /V VILLAGE - k,-4VASSESSOR'S MAP & LOT � ✓ INSTALLER'S NAME&PHONE NO %/ SEPTIC TANK CAPACITY r� /&X LEACHING FACILITY: (typLe)'�ri1J .�/�'1��8 � (size) ;v NO. OF BEDROOMS 7 BUILDER OR OWNER f1n°Gf �i�17 PERMIT'DATE: 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 4Z27 exist within 300.fe f Feet Furnished s; e w c ,---mot s TO"1WN" OF B.'.RNSTABL� I . LOCATION rniFyb zr- c�11� t a 7SLW9AQr # 17—�v l VII,LAGE t1�tw ww: �S�11�l' ASSESSOR'S MAP'& LOT 73 e fill INSTALLER'S OAMV&PHONE NO. A ' SEP'TIC�,TA�NK CAPACITY K i ��►• a �;orb SA L ,..J .� - `LEACHING FACILITY (type) •1'1°��Cu#D[ tThnlfL(size) x v r N NO:OF BEDROOMS BUILDER OR OWNER. PERMUDATE: lI ' y— 1 ^COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water.Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300,feet of leaching facility) Feet Furnished by, � �� .. T � r- S . R `�`�°A U � � ' i � �.I '� � e..� .A 6� �� 1 .. � r or � � � i / � `� �.. — ,.�� O �+l h �, � R �`' �..� � �_ ,t �I "` ��. �� • mot' f,; �' '® "� � _1 ar.� • -� .r., � •� �..1. l , < .r f Ar .,f r l !• .� �-0 0 No. 2 /Z)--22 �� .� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pphration for Diopogar *p5tem Construction Verna Application for a Permit to Constrict( )Repair(-,/Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Ll 0L` 0v\Iq Owner's Name,Address and Tel.No. Assessor's Map/Parcel e,3 ]O�f� t Installer's Name,Address,�and Tel.No. �'� Y Designer's Name,Address and Tel.No. Rip C SEiP'Tl C_ v (� A'K Type of guilding: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures �t Design Flow 1 y o gallons per day. Calculated daily flow 14151 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 424q 9 aV voA Type of S.A.S. C Dc.,-r!: 1Xf,-V6_4S Description of Soil VWr 1 ti.c_ b4u� Nature of Repairs or Alterations(Answer when applicable) :r:&fiT%AA oi::� iyi Sr 60X 551 >C N,eta-q� WjA.� LO 3rt0J-e— Ow Std-e_S d Op UK Q& -LC Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d of Health. Signed Date 1 �' ��,� Application Approved by Date /��/ Applicatiori Disapproved for-the following reasons Permit No. !77 Date Issued No.` �; t Fee V _ -- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS App fication for bi.5pogar *pgtem Construction J)ermit Application for a Permit to Construct( )Repair(�pgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 454 Owner's Name,Address and Tel.No. �4•�yam.Nw i��,(J.�7..ti�..ti��a rT r,..,., Assessor's Map/Parcel Z ` �3 r JS ,10�1�►�j �b Installer's Name,Address,and Tel.No. 7-7�'—O Designer's Name,Address and Tel.No. p- C �\P C S E +P; T k C._. -Lcr (3 A xZ CiZ IZvA D .. i x r % < Type of Building: Dwelling No.of Bedrooms_4 Lot Stize sq. ft. Garbage Grinder( ) Other ( Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures �t Y' Design Flow 1 A o gallons per day. Calculated daily flow `4 5`1 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank f--, 4 9 t SCR V W v,) Type of S.A.S. '—C t-xk�-Tlft-ld ! Description of Soil VV"C t�- Nature of Repairs or:Alterations(Answer when applicable) .SLS�T4\1 Er:l(= CSidr7��- ^�_.�..�._.. Date last inspected: Agre em ent: 1the 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- `catte of 6ompliance has bee, n iss d_by-4. ' d of Health. r / z igned �' Date y-c1� Application Approved by y ti Date Application Disapproved for the following reasons 1 } Permit No. -�i r�� Date Issued 7 -------------------------------------.' L-- THE COMMONWEALTH OF.MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( � )Upgraded Abandoned( )by .fh ► -C A PC-n- Sr-p-T l C at Sy C�A I G V 1 LLE 8�ff 1201��l�, N 1v1S a YL7�has been constructed in accordance with the provisions of Title 5 and a for Disposal System Construction Permit No. 9 7-6 dated Installer /qi d -rc...mc�_ o4•a Designer The issuance of permit shall not be construed as a guarantee that the syste w' 1 function a designed thhis . �. Date �,�1 "7i -9 7 Inspector THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS Wi5pagal *pgtem Con5truction Vermit Permission is hereby granted to Construct( ' )Repair(t�Upgrade( )Abandon( ) System located at L/ 3- L( CC—P- I G J 1 L C IZ C ac(4 ' 1J R y 14 �,� P6 tc,� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: Approved by I 10/§07 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. % S CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) f hereby certify that the application for disposal works 1 construction permit signed by me dated 11-W-11? ,concerning the �`e:��r.(,� 1�Q meets all of the property located at �J G��.��, following criteria: v• There are no wetlands located within 100 feet of the proposed leaching facility 1/• There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed /. There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will-not be located less than fourteen(14.)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) ZU ` B)Observed Groundwater Table Elevation(according to Health Division well map) ` a SIGNED /- .7 - /: DATE: 7 LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert '� �J � � �. _ �- �� ' � 1` r' ,< TOWN OF BARNSTABLE 7-to.Srj L 1OCATION 7 C �,� a .�� s �►a ,# 1 - "A �•« ww►ti�S Cl�D� `' AS.SESpSO t'S MAP& LOT 7-46-tad]3 VII TrA,El" T [� INSTALLER'S•NAME'A PHONE NO. SEPTIC'T"K CAMCTTY 5Kti S t =�r�bor� a� �✓ - LEACHING FACILITY: (type) h'.16/L(size) 3&fA>1 Na .OF BEDROOMS. � - " x ,ALvia ' (tom BUILDER OR OWNER I PEIZMrr ATE: l I - I LI-R 1 COMPLIANCE DATE: !/' Z SepaarationDistance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on:.site or within 200 feet of leaching facility) Feet Edge:" Wetland and Leaching Facility(If any wetlands exist within.300 feet of leaching facility) Feet Furnished by 804— j 4q-V :.^,.: Si X IV, v µ;» d � F��srt�t,�•.�,kpt }r E+ U.S.POSTAGE>>PITNEY BOWES i 'KE'bw,l, Town of Barns&ble Public Health Dil,ision BARN51'AB LE. • < I � �v m M6j ` 200 Main Street i5, ZIP 02601 $ 005,590 ffO Mn+" Hyannis,MA 02601 '. ,` ' 02 1VN !I In 00013614.75 NOV. 08. 2011 7006 081.0-000_0- 3_52_4 - 54 r -un-... v�,.�•.r-,....�+-+-.'K•-..ka.nd�l3. i}1 pa r�+.�mr.-..•.�w.a..r..+. �___-_.. __ �..-._•�--�-_�- -`_ __ � -.. U.S.POSTAGE>>PITNEY BOWES r(S r 0ZIP 2 01V2V60 0 $ 000.00° Mr Juilus Palley (f I -. 0001.361475NOV. 09. 2011. 495 Elliott Road - Centerville, MA 02632 NIXIE 029 DE 1 00 111'26111 I RETURN TO SENDER 1 UNCLAIMED UNABLE TO FORWARD 8O: 02604400200 *0969-07939-09-40 �:f -vV t-.3fN'1�SWZ 466E Illlllllll'll'Illlllllllllllllllllllllllllllllllllllllllllllll ! • I 1. oF'(KE r� Town of Barnstable Barnstable Regulatory Services Department ;micac'j BARNSPABLE. "A9. 1639• Public Health Division ArEa µay a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7006 0810 0000 3524 5478 November 8, 2011 Mr. Jullius Palley 495 Elliott Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 495 Elliott Road, Centerville,MA was last inspected on 10/0312011, by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Needed Further Evaluation by the Local Approving Authority" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • The Septic Tank and Leach Chambers are in the driveway and are not H-20 loading. The inspection of the septic system showed that the system"Passes" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) However, it is recommended that the tank be replaced with a heavy duty(H-20) load bearing tank due to its location beneath the driveway. Another alternative would be to relocate the driveway. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO J Agent of the Board of Health Documentl Barnstable DATE: 8/8/02 PROPERTY ADDRESS: 4_5_4 Craigville Beach Road l West HYannisport ,Mass . P. O. Box 452 ------------------------ 02672 ------------------------ On the above date, I inspected the septic system at the above address. This system consists of the following: 1 . 1-1000 gallon septic tank . 2 . 1-Distribution box . 3 . 6-infiltrators . in series . 36 'X11 'X2 ' Based on my inspection, I certify the following conditions: 4 . This is a title five septic system. ( 95 Code ) PARCEL 5 . The septic system is in proper working order LOT at the present time . ��•�..„�� 6 . Pumped the septic tank at time of inspection . Heavy scum & solids layers were present . SIGNATUR Name:- J .- P. -Macomber-Jr. ---- DECEIVED Corijpany: Joseph P,J_ Macomtber & Son, Inc. Address:__Box _Ej............ AUG 2 8 200-t TO"'H EALTH DEPT.BAS-TpBLE -- v_i l le,-bs-_Q2632-0066 Phone: -508-775-3338 - ------------------- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachflelds Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 • -\ COMMONWEALTH OF MASSACHUSETTS = 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: 454 Craigville Beach Road West Hvannisport ,Mass . Owner's Name: Owner's Address: 8 8 02 Same Date of Inspection: 8/8/02 Name of Inspector: (please print) Joseph P .Macomber Jr . Company Name: J. P.Macomber & Son Inc . Mailing Address:Box 66 Centerville , Mass . 02632 Telephone Number: _508-775-3338 CERTIFICATION STATEMENT 1 cenify that I have personally inspected the sewage disposal system at this address and that the information reported below is true. accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes _ Conditionally Passes Needs Further Evaluation by the Local Approving Authority F'o I Inspector's Signature• ' Dater 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 flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 1 I OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:454 Craigville Beach Road West yannisport , ass . Owner: Patricia E. Dar ano Date of Inspection: 8 8 02 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passe) 1 have not found an information hich indicates that any of the failure criteria described in 310 CMR 1 .304—or to ,fO� IR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: .The septic system is in proper 'working order at the present time . B. System Conditionally Passes: AIJ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If"not determined" please explain. X-�V 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: ,001 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 Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Propem Address:454 Craigville Beach Road West Hvannisnort . Mass . Owner: Patri ri a F . Dardano Date of Inspection: RIR/02 C. Further Evaluatio❑ is Required by the Board of Health: A)h_ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failuig to protect public health, safety or the environment. I. S.stem 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 iP Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh S)stem will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or rributary to a surface water supply, 4V The system has a septic tank and SAS and the SAS is within a Zone I of a public water supple The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply %yell ,t)6 The system has a septic tank and SAS and the SAS is less than 100 feet b 50 feet or more from a pn�ate \pater suppl} 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 Irom pollution from that facihr� and the presence of ammonia nirrogen and nirrate nicrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be anached to this form. 3. Other: 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 454 Craigville Beach Road est Hyannisport ,Mass . Owner:Patricia E. Dardano Date of Inspection: 8 8 02 D. System Failure Criteria applicable to all systems: You must indicate "yes"or"no"to each of the following for all inspections: Yes N�Discharge _ ackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or /cesspool 6'i� s �iquid depth in.ces�spvel is less than 6"below invert or available volume is less than ''/,day flow equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number /of times pumped i. _ e� Any portion of the SAS, cesspool or privy is below high ground water elevation. ,Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface ater supply. _ y portion of a cesspool or privy is within a Zone 1 of a public well. y 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.](Z(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes nod !/ t e system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tnbutary,to a surface drinking water supply / the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped . Zone 11 of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 454 Craigville Beach Road West H annis ort Mass . Owner: ardino Date of inspection: Check if the following have been done. You trust indicate "yes" or"no" as to each of the following: Yes No _ /�m inn information w p tton as provided by the owner, occupant, or Board of Health <ere anv ofthe system components um ed out in the revious two w pumped p weeks Has 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 NIA) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out ? Were all system components, �Juding the SAS, located on site ? Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition ofthe baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? —Z— Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes no �/ 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)) 5 Page 6 of l I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Add ress:454 Craigville Beach Road West Hyannisport ,Mass . Owner: Patricia E . Dardano Date of Inspection: 8/8/0 2 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): J-1 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# of bedrooms): �1 Number of current residents: Does residence have a garbage grinder(yes or no): ,l Is laundry on a separate sewage system (yes or no):,L [if yes separate inspection required] Laundry system inspected (yes or no): Seasonal use: (yes or no): Water meter readings, if available (last 2 years usage(gpd)): 2000=81 , 750 ga11ons=223 . 98 G P D Su = _Sump pump(yes or no): g a 11 o n s 18 4 . 9 4 G P D Last date of occupancy: COMM ERCIALJNDUSTRIAL T\pe of establishment: ,(A Design flow(based on 310 CMR 15.203): /),# gpd Basis of design flow(seats/persons/sgft,etc.): �J Grease trap present(yes or no): Industrial waste holding tank present (yes or no):AW Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION- Pumping Records Source of information: None available Was system pumped as part of the inspection (yes or no): If yes, volume pumped: /ItV gallons -- How was quantity pumped determined9A9-/;Ie4/ Reason for pumping: Heavy scum & solids layers were present . TYP OF SYSTEM Septic tank, distribution box, soil absorption system Single cesspool Overflow cesspool x2oprivy /1,0 Shared system (yes or no)(if yes, attach previous inspection records, if any) X10 Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from systq owner) /-O Tight tank /697 Attach a copy of the DEP approval /UV Other(describe): Approximate ate of all co p nents, date installed (if known) and source of information: '45: ;' Were sewage odors detected when arriving at the site(yes or no)!��tJ 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:454 Craigville Beach Road West Hyannisport ,Mass . Owner: Patricia E. Dardano Date of Inspection: 8/8/0 2 BUILDING SEWER(locate on site plan) t� Depth below grade: Materials of construction: cast iron 0- 40 PVC,&other(explain): _1,W Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage, etc.): Joints appear tight . No evidence of leakage -The system ; s vented through the house vents ./ SEPTIC TANK: t/ (locate on site plan) 1,.e6 R"AC15 Depth below grade: Material of construction: concrete..0 meta l,4h fiberglass,e polyethylene i�Qother(explain) Z If tank is metal list age:/_20 Is age confirmed by a Certificate of Compliance(yes or no):46 (attach a copy of certificate) Dimensions: �� y%1��/. ✓��7� 1 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0 el from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Pumped tank at time of inspection . Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump the septic tank every 2-3 years . TnlPt R n„tLe are in place The tank is structurally sn„nd and shat.rsgo e-vidQ^r-@ of leakage . GREASE TRAPfe�kVlocate on site plan) Depth below grade: (,?4 Material of construction:,�concrete,07 metaW114 fiberglass.l polyethylenesGA other (explain): zl�o — Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: 64 Distance from bottom of scum to bottom of outlet tee or baffle: Y,10 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: 454 Craigville Beach Road West Hvannisport ,Mass . Owner: Patricia E. Dardano Date of Inspection: 8/8/02 TIGHT or HOLDING TANU&A,�(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: GO Material of construction concrete,& metal fiberglass go polyethylenerr4 other(explain) y Dimensions Capaciry: gallons Desien Floe: gallons/day Alarm present (yes or no): � Alarm level: V,4 Alarm in working order(yes or no): 44 Date of last pumping: 41 Comments (condition of alarm and float switches, etc.): Tight or holding tanks are not present . DISTRIBUTION BOX: !/ (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 over .No evidence ot ieakage into or out of the box . PUMP CHAMBEW We-(locate on site plan) Pumps in working order(yes or no): _ Alarms in working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber is not present . 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:454 Craigville Beach Road West Hyannisport , Mass . Owner: Patricia E . Dardano Date of Inspection: 8/8/02 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) 6—infiltrators in series . 36 ' X11 ' X2 ' Stons are dry . System is _ Y Y in proper working order at the present time . If SAS not located explain why: Located : See page 10 Type leaching pits, number: leaching chambers, number: leaching galleries, number: 0_ N6 leaching trenches, number, length: 0 leaching fields, number, dimensions: n iW overflow cesspool, number.Q_ ,JfA 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 sand to sandy loam to medium fine sand . No signs of hydraulic failure or ponding Soils are dry Vegetation is normal . CESSPOOLStAiX,(cesspool must be pumped as part of inspection)(locate on site plan) N-u,rnber and configuration: Depth—top of liquid to inlet invert: J Depth of solids layer: Depth of scum laver: Dimensions of cesspool: Materials of construction: /f 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 . PRIVY4�"(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.): Privy is not present. 9 Pig( 10 of t I OFFICLAI_ INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (coniinvco) Properry noorci): Patricia E. Dardano -454 eville Beach Road Orocr: West Hyannis S"s . 011( of InlPtclioo; S)C7TCH OF SEWACE DISPOSAL SYSTEM p70*i0t i iktich of tht '(wit( 4iiPolil IY1tcm inclvd(ng 11" to II ICW r1v0 PCrmtncm rcfcrcncc IMCmarks Otncr/n�ki Lo<iit ill wtlli .:iih,n 100 ftci. l octt< wh<r< Pv"c will" supply cnicrl the Dviloin6. wax. — tc� a r Page 1 1 of 1 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:454 Craigville Beach Road West Hyannisport ,Mass . Owner: Patricia E. Dardano Date of Inspection: 8/8/0 2 SITE EXAM Slope Surface water Check cellar Shallow wells t Estimated depth to ground water feet Please indicate check all methods used to determine the hi ground water elevation: (check) high Obtained from system design plans on record - If checked,date of design plan reviewed: XW Observed site(abutting pro a bservation hole within 150 feet of SAS) Checked wwitTi loca oard of Health ex lain: �1s� P ��/ 2tj, Checked with local excavators, installers- (attach documentation) Yes Accessed USGS database-explain: http : //town . barnstable .ma . us . You must describe how you established the high ground water elevation: IlUsed ; Gahrety & Miller Model . 12/16/94 Ground water elevations above sea level . llsed ; USGS ; Observation well data .June 1992 Used ; .USGS.; Techn ' cal bulletin 92-000-1 Plate#2 Annual..-ranges of ground Water '"i' ns . January 1992 6 infiltrators in series . 36 ' Xll ' X2 ' ,eet L Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the bottom of the leaching pit and the adjusted t groundwater table is feet. ]1 .. n^!!TTT�IiT�]T'RTTTiTT.r•STT.T.T,:•.T'Rrr:1�.T'�I fTTTtTJ1TR.lf'•L� .. �.. .. -.TTT•�.r�T-r-�` _...' bl Barnstae TOWN OF LlUARU OF IIEALTII J 0 SUI)SURFACF SEWAGE DISPUSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION •.•-••••T• •::t-T.!r..^.-.--n.r.-T•r,:1S!r.rP.r.Ttr�r"IRnr-•.9�L'+Ts.T.irm�'TTC1.as RT'RiT�s�s!Rert man''mr+rrvto-rT•crrrm.•.—.r•rrr•-;. ._. -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRES$ 454 Craigville Beach Road West Hyannisport ,Mass . ASSESSORS MAP , BLOCK AND PARCEL # 476 4- 7 OWNER' s NAME Patricia E. Dardano PART D - CERTIFICATION 1 NAME OF INSPECTOR Joseph P .Macomber Jr . COMPANY NAMEJ. P .Macomber & Son Incrw ' COMPANY ADDRESSBox 66 Centerville , Mass . 02632 Street Town or City State iIP COMPANY TELEPHONE (508 ) 775 - 3338 FAX (508 ) 790 -1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system nt this nddress 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 ! Ch;/Syste6' l one : ' PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILED* The inspection which I have conducted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection, form . Inspector Signature- " / %�: Date -- -�' I . T�.. -.-- ne copy of thisj�e"rt.ification must be cHhere applicable ) and the BOARD of HEAL'I'll.provided to the OWNER, the BUYER * If the inspection FAILED, the owner or"operator shall upgrade ' the eyetem within one year of the date of the inspection , unless allowed or required otherwise as provided in 310 Ch1R 16 , 305 . Partd , doc 0-7 Town Town of Barnstable Department of Health, Safety, and Environmental Services + BABNSTABM > Public Health Division 3,67 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: �� 4 DATE: -->. ORDER TO CO WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. / The septic system ed by you located at L/ ,' i/i�12 � °�was inspected on NJ. 11 ` ' by wt4 Loplh2oc a assachusetts licensed septic inspector. I Ili The inspection o your septic stem showed that your system has failed under the guidelines of 199 TITLE 5 (310 15.00) due to the following: You are direc d to hire a licensed Town of amstable septic system installer to submit a sketch diagra of a proposed system to the wn of Barnstable Health Division Office (Town Hall, 67 Main Street, Hyannis) that wil ring the septic system into compliance with 310 C 15.00, The State Environmental Co , Title 5 within (14) fourteen days of receipt oft 's notice. You are so directed to bring the septic system into com 'ance within thirty (30) days of receipt o this order letter. You ar further directed to maintain the system by hiring a h nsed septage hauler to pump t e septic system to prevent discharge of sewage or effluent ' to the buildings, onto the su ace of the ground, or in to surface waters. Any p rson aggrieved by any order issued by the local approval authori may appeal to any cI urt of competent jurisdiction as provided for by the laws of the Co nwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health q\b,WthW6 daWt1c5L&, 07 TROY WILLIAMS SEPTIC INSPECTIONS ff Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 COMMONWEALTH OF MASSACHUSETTS r EXECUTIVE OFFICEOF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION u ONE WINTER STREET. BOSTON, MA 02108 617-292.5500 WILLIAM F.WELD TRUDYCOXE Governor Sccrcun ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioncr PART A ? CERTIFICATION Property Address: y y I Address of Owner: J �, orf Date of Inspection: 1 y (If different) Name of Inspector: T roy W i 11 i a m s 1 am a DEP approved s em inspector pursuant to Section 15.340 of Title 5 (310 CMR 1S.000) Company Name: Troy Wi I liams Septic Inspections �z>� >��^• S�o,�f� �c, . Mailing Address: _19 Hummel DriVp , ;ntlth Dpnnis , MA 02660 Telephone Number: _( 508) 385-1300 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 inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes _ Conditionally Passes ,Needs Further Evaluation By the Local Approving Authority V Fails Inspector's Signature: Date: 1 f t 5 7 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, 8, C, Or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: N 114 One or more system components as described in the 'Conditional Pass' section need to be replaced or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N,or ND). Describe basis of determination in all instances. If'not determined',explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (anached) indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exftltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. - (rwt��d 0�/25/f7) p t.q• 1 or 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A Mb�- Oq /' CERTIFICATION (continued) Property Address: /l/�Owner: M Date of Inspection: A)Q(J . /// /91 B) SYSTEM CONDITIONALLY PASSES (continued) /v ///-g Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD /Q O OF HEALTH: /1 l�l Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland'or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, I)`APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER (rev1 ud 04/2S/971 d _• .n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 7 `�' �" &u 07-er l Owner: Date of Inspection: /V ou DI SYSTEM FAILS: You m t indicate eio,er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes, No _ Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or / cesspool. Y _ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. _ Liquid depth in eeupool is less than 6" below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. A/ Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. A/L-) Any portion of a cesspool or privy is within a Zone I of a public well. Jef_[/a 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 front a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: //119 You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well) The owner.or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Pago 3 of 10 r i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: MC)rt- Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. ✓/. _ The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. ✓/ _ All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of / Sub-Surface Disposal System. ]L _ Existing information. Ex. Plan at B.O.H. JL _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)] (revised 04/25/97) _ Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C l/r / SYSTEM INFORMATION Property Address: 7^S,`� Cral�v/I� �-a�— 'eU ' Owner: l� r� V Date of Inspection: Moo . FLOW CONDITIONS RESIDENTIAL: Design flow: 5/ d g.p.d./bedroom for S.A.S. Number of bedrooms:. Number of current residents: o2 Garbage grinder (yes or no): /1/0 Laundry connected to system (yes or no): `�F 5 Seasonal use (yes or no): No Water meter readings, if available (last two (2) year usage (gpd): `/(; �� 2 = 7/,Ovo �, /lo h s SS Dj&f u A, S Sump Pump (yes or no): NU Last date of occupancy: COMMERCIAUINDUSTRIAL• A/1-9 Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no)A1 o If yes, volume pumped: gallons Reason for pumping: TYPE Q.F SYSTEM _V Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Copy of up to date contract? Chher APPROXIMATE AGE of all components, date installed (if known) and source of information:—71Z , fa 5- 6,j ; 14 . Sewage odors detected when arriving at the site: (yes or no) (revised 04/25/97) a Page, S of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C I/ n SYSTEM INFORMATION (continued) Property Address: Owner: M0 r-� Dale of Inspection: Nv f/, BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: —cast iron _40 PVC _other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:-,Z/ (locate on site plan) Depth below grade: /o Material of construction: -.6-/Concrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age ,_ Is age confirmed by Certificate of Compliance —(Yes/No) Dimensions:_ S ),:f- X 6 . / /O G U Sludge depth:_'15 -' Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: / Distance from top of scum to top of outlet tee or baffle: 49 Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity,, evidence of leakage, etc.) cS e,o�i 1� ti [-� w w S �v t L�t � ,; S g,C- Cw h A / 7 L✓✓�. �../ 4 j\ IA! -� I / /i CA J ✓ L l' f L / /L•�V'cs/7'L �✓Iw.,h. L_ Yii�rL GREASE TRAP:�i4 (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: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (rwlsed 04/25/97) d Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM / /,� e— / INFORMATION (continued) Property Address: 7 '`r �'�f /� 2 C ece '` Owner: 0 rt:- Date of Inspection: NU V 1�� 43CJ TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or 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 level: Alarm in working order _ Yes; _ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: G o✓e— , Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) C.v L ( )) �.., t., -�C )'t__ ti..�dt ✓�� !� a w 4 5 vi o T c,Ya.(o u S-� PUMP CHAMBER: (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (ravlmod 04/25/97) a Page 7 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 6—U I/ '2`RG4" ecj Owner. Date of Inspection: N D V, SOIL ABSORPTION SYSTEM (SAS):_ ! / (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 01i c_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding condition of vegetation, etc.) /h /�� C 17 J 41 (A� 1 �^ t ✓ /C J / / l )L G / 1 /C��1 �. 'J C.//T �. CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: —A/4g (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.) (r.vis.d 04/25/97) Paqe a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSJTTEEM/ INFORMATION/ (continued) Property Address: 7S� yC—��1 �G �"a u Owner: A4 rc� Date of Inspection: A)D() ! �/ SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) r ) A I � kA 3/ ftu �V�vfCI . (revised 0{/1S/97) Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: i l e� P---,e.a c1 A Ed . Owner: /lip✓ Date of Inspection: N Q L) ( / 9 1 �— Depth to Groundwater — Feet adjusted high groundwater level Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in w our y own words how you established the High Groundwater Elevation. Must be completed) 0( 6 r 11�:.�C/� ' �., 5 G✓4'S O , s � ct tie c� c/�a'S n a r �.� � Cam T'c � � !� �w� �� u. e-- (revised 04/25/97) rage 10 of 10 F' TOWN OF2BARNSTABLE LOCATION �'� //' SEWAGE #4.n VILLAGE L.1 �-i_ �a.`'�`ASSESSOR'S MAP &LOT-LA 6 073 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ��o LEACHING FACILITY: (type) (size) NO.OF BEDROOMS N BUILDER OR OWNER PERM TDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by-. 1 10 /y 7 5 i ��„ ,d V � S ell �_�— 1 IL -_— J u3 No......&!-_ Fps..j...15.00...._ THE COMMONWEALTH OF MASSACHUSETTS c1 �) BOAR® OF HEALTH ------....T.°�- ----------------OF.........Barnstab�e.. Appliration for Uhipoiial Works Tonstrartion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 4..%..Gxa igv-i11e..Peach..aaad-,...laest..H�rann-isP-art....MA-----Q2672...-----•--....... �A .....------------------*........ Location-Address or Lot No. liPim.-h lt..-...................... ........ �54__q gvi lle Beach Road,-W:._HyiKnn isport, MA ---------- Owner Address a A & B Uess ool Service Inc. 128 Bishops TerraceHynis 02601p , , a _ _M Installer� Address Type of Building k Size Lot........ .................Sq. feet Dwelling—No. of Bedrooms.................... ......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of ersons----------------3......... Showers — C4 YP g ---------------------------- P ( ) Cafeteria ( ) W Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit................--.. Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.:.-.-_--__..__.....__-- R-4 •---------------------------------------•--•-------------------.....------------......------•-•••---........................................................ Q . Description of Soil....�aaad...............................................................................................................---------------------------------•-••---- W V Nature of Repairs or Alterations—Answer when applicable inst a llation_._p;__a__ , -- d-box .......... anda00al. leachf erf- -- - -.-g ..-- -- _-_ vlow)-.-ston __ acked--------------- ----------------------------------------------------•------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further.agrees not to place the system in operation until a Certificate of Compliance has s edby the boa - 00 Signed ...... ....... . ... Gam! b 2126�84 Application Approved By...4M&........ .4.A.4 ft., . 2 2$a - ------------------------------ ......-----1... ..-7- ---------- Date Application Disapproved for a following reasons-----------------------•--------•----•----------------...---------------------------------------•-------...------ -----------------------------------------•--------------------------------------------.....--------..................---.....-----------------------------------------------------------.._..-----....... Date Permit No...11-3.1-64:�----------------------------------- Issued....-----12,/26,/84 Date l__ _ No.......g.4.-..Lz�� _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------....Town-- -----------------OF..........rystabje.... Appliraation for Disposal Works Tnnstrnrtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal . System at: 4. i6•C1�e•Beac�I; oacY &'est 13rar� s�at;•• A (1b2 ..• .... Location-Address or Lot No. J-Olin--D&0 ..--.......................................................................... _454--Lra.i9vi_1le_-. ach..Rc d+..fit.... iy r Qa MA Owner Address aA.. es oQl.Say .�e.. 1 A-•-----••--•-----•------•-----... 12�.. lehQ •.��x ��•-•�iY, ti$,.-Mp' 02601 Installer Address \�PQ Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...................3......................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ____________________________ No. of persons._._-_________._3.__._._._ Showers ( ) — Cafeteria ( ) Pa Other fixtures -------------------------------------------------•••. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..............•...... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z- Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Dated. ................................... 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 ---•--••••-•-•----•-•••••••••---•---•--••••••••-•-------••--•••.....-••---•--------------------------------•---------•------•••--....._----•-------•-----••-- QDescription of Soil----Sand..............•--•-••---••---•-•-••----....--•-•----•------•••-•--------------•••-•---•••-----•-•••--...---•••••-••--••••••-------•-•-••-•-...---•-•-•--•- x - U ---------------------------------•--...--------•---••---------------------------------------•----............................................................=.....•------•-••-----••---...---...--- w UNature of Repairs or Alterations—Answer when applicable.ins:tall&tion-_of_.a.__1,600._�.epttQ.,tank,.-d-box and--a_.1,000_. a1...ieach--Pit---�-overfl aw)...st me.•-Panked.---------------•-------------•---------------------.._... ._......-•--•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has u by the boa _ o eal.-h'-f ne •. ..` ................ ! 12�26/8t1 . Application Approved By ---•-•...... .. ...... ..... -•-•- ...............••-••-•-•----- ..........12Mlt34........... Date Application Disapproved for the following reasons-....................= --------------------------------------------------------••--------------------.........._ =----•--------------------------------------•------------------------------- Date Permit ................. .. Issued---...:.12,26,84 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................T.Qw -.............OF..........B.=stab. ............................_................... V rtifira it of T�anapliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X) i by....AA__F-..QR.s!5.P.Q01_•9Qr. .0 ....... 11......02601......................... - Installer at........454 rg&_.Ajle-Deach••Rd.-,.West Hy-asmispc»z^t, N!A 026'�2 ------John Mort---------------------------------- has been installed in accordance with the provisions of TIT F i ` The State San itar C��}jde s described in the \ application for Disposal Works Construction Permit No._ __b__l_��_____.______•___. datedy12l.z6 __......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE- . Inspector........ --••-•-•••-•••-- i !i THE COMMONWEALTH OF MASSACHUSETTS A BOARD OF HEALTH r T own Barnstable .. .................0 F........-........._.._.._......._.-.-......-............_..-__..._...._•_.._......... No.. .�.::A FEE;....1....0.. Disposal,Marks 01.11ustrndilan Uvrrmit Permission is hereby granted------A_&_. -_Ces Q ,.•5 ea !r1q,--------•-------------•-------.....-------•-------•-•••••._..._.... to Construct ( ) or.Repair ( X) an Individual Sewage Disposal System at No.454 Street as shown on the application for Disposal Works Constructi Permit N4 •_____________ ted�12f 26/8 12 26/E4� 1 Board of,;Healtl DATE................ •-••••••-------...--••-•-•-••---••-•-•.•-------------•---_... FORM 1255 A. M. SULKIN, INC., BOSTON \ :>< 4'�' 3'-10 1/2' 4' 9 V8' 3'-4 1/4' 3'-8 1/2' 1'-10 1/ 1'-I1 1/4 '-4 5/ ' 1'-8 1/ 11-9 5/ ' 1 3/ 1-Il 1/ '-4 5/ 1' 8 1/ 1'-I1 1/4' 28310 10 2'-1 3/4" 3'-10 1/2' 4'-3 I/2' 1'-111/4' 310 2'-13/4' i28 3'-3/4• - 12'-0' I li / , dATNROoM m _--. NEW o N ao AT R OM fiX t, _10 lR co ao 2'-6" 8' 11/2' f fi' - 4" 6 I0 7r_ 12' 63 1 5' 3 4" -- DEN 1✓Xr nsom 2'1 '8 Sideli hf 9 x9 Model 8000 / Arched Corners D3 68 �� 2'lx6'8 Sidel hf ;)T 9 8 .0 < =i 6' French Door ' C s T. NOTES: co cc ;; I ��' Customer Provided Foundation—Verify Curb Height 5'-4 3/4' 6-3 5/8' 7 Attachment to Existing House—Gable to Eave 7�0' (2) IS' Shed Dormers Tt I (2) 38' Shed Dormers 21 co c _ 1242 - ZFloor Addition N '.; t3E�ROQM-NEW (3) 9x9 Garage Doors w/Arched Corners /„ (4) 9—L'its Entrance Doors KITCHEN _ 10 9 (27) Standard. Windows :i a (3)— (2) 28310 Windows N N 6' 2" D N G - �' 8 3 8" � Transom _ 1) French Door w/Sideli lots & N ClearsP an Trus ses ROOM _ N Floor Trusses—lot & Znd Floor f ... lfi (2) Glass _.._ _ 28'-0" _ (1) 5Fe Dormer-w no ccess 12'-10" 22' I0" I7' 2 3/8' 22' (1) 8' Gable Dormer w/no Access w/Glass 25-1' _— 6'-2" (1) 12' Gable Dormer w/no Access w/Glass FAM L y'Rd M /+ 5'-ll 5/8" Doghouse Dormers—walls 3' lgh — NEW , GARA GE Grl R rl GE Exterior Deck and Stairs l I I N G � +"1 (4) 7'x3' Triangular Windows ?-- -- N C W N E fin/ '- 16'-e• SUN ROOM o 2' 11' Interior Doors and Walls Provided by Customer co 3'-5 5/8" (1) 4462 Window ooa.Dormers woes 4• m (2) 2442 Windows No Accost Comma to be View Fr c° NEW I w co ij (2) 6'x4' Triangular Windows L 1 (2) 2456 Windows N cc 5-4 3/4 4'-6 3/4' I 5.9. (5) 2'x10' Fixed Skylights —j o I" Fr h Door /Fxed Si es Fr h Door /F xed Si es Verify Window D3 68 28 10 9x9 Model 8000 w/Arched Corners 9x9 Model 8000 w/Arched Corners I 2'-11 1/8'1 4'-7 5/8' 3'-10 3/4' T-11 1/2, 12'-3 3/8' 1 6-3 .1/2' i5'-01 101-0' 5-0' 20'-0' 28'-0" 1 38' 0' 86-0" fie sral Stab notes: Floor to slope 2'.' towards doors if you do not use a floor drain. Plates to be anchor b by straps, FIR ST FLOOR top eons or anehor bolts on 8' eenten (verify local code). 1" of level and 1"of square With a broom finish (recomended). x All � AI �.� �aV��,'4g(,W �y� •6+:i+aV."`"1Y' * `sswrrd ;•.,"t y h. - - LFLRLFLF r 'pry" �`� "}lj f 3 t �+ tie '+�"��p`�',�99,r��",�,k"•�y�S �.'S-sus �w. b- t. a _. y I a.. yh � *h� iF.si n '-,y.'a 1 3'-10 1/2' 4'9 1/8' 3'-4 1/4' 4'-0' ;ti• - , w y, 2'-0' I-il I/4' '-4 5/ 1' 8 1/ 2'-0' 2'-0' 4 31 1 ' ;i'-Il 1/4' 26310 2'-1 3/4' I :0 2 I 4'-3 V2' t �!'-!11/4' 310 B 2'-13/4' 2. I -�-- BA H Roo 2'-0' 4'-3/4' N E W m 3-10 I/4 f CD 8' 11/2, T-8 1/2' 4'-3/4' T-10 1/4` 6EDROOM 5' l0' T-Il 5/8' ! T-11 5/8" �'=2 3/4 4'=®" - B-A HROo l BED OOM BEDROOM i0'-I 114' �; x.. 18N t Vl� IPA• 1!'mn _ W III � �1 NSW - NE !u �� NE - - - �; CL ST. 3'-1 5/8, 3_a. 3-2' Co i§ o Manufactured trusses 24" 00 attached to 2'"0 3/8' i9-5. Manufactured trusses 24" OC attachwall plates with WP RT7 Apro> ax. wall plates with UBP RT7 hurricane anchor or equivalent hurrican alsnt 11 ---> T-I5/8' ( ti N �) GAME ROOM ! cr V a i rz�0 13,_10. I3'=I®" Placement of Skylights to be Determined on Site �i BEORODM BEDRoom IV-1 1/4' N E W N C 5'-4 T-4' '-4' 9'-4' /8' t i 2'-0• I8'-0' 28'-0' 36'-0' Z-O . i 38'-0' 20'-0' SECOND FLOOR a cam.: 41EPTI7 Tani i t Sri + MODE'_ iREYPrit..CAST CritiC S' 5WN40 IL s 98 3{AYG) ...._._... !-`� _ FINISt•ft � / �� _,.- i ' 24"DI - 24"me UN �! �r f 9S#6 ( TUST PIT DATAIL 24.-ON, € 9118 Performed By: Daniel B. Johs;: On i Jrl Post �_ Witnessed By: Sam White } �"' _ 6" 4CH 4C. 75 .. _ ' EL - , ,.. *1f�'w WINE i !b + i� - ?ABEL ML;•CR,a- NO '61t Date: October 17, 2003 4"SCH40TEE -SEPTIC TANK TOW. i o fE•'�ti•� f 4'L!(}L C LFvEL ` REXAREMENTS Of 4 r,4465 'k L, GAS BAFFLE 310CMR 15.226POP ' 2 TP-1 ML. : 96.4) 4"SCH 40 'WATER TIG►�'►Fe � I � 3 ' { V � TEEETC. --�----1 ��I._ 4" A/0 Lod;m: sane: ( '-•�"'""""""" �/ - I �!�WALL SLFE1tES:riASKETS � .. .. 4 1 lOXRS/8 Loam BE 2 Bw, y and ST'A, CAST IN F1�ACf OR ; tom* l D. m'.�t1 �' b1EGwAN1l�M.:LY •,-,- ---r' - - t .. So L+ ?0w °r 1 _1 , __20" Cl, 2 . �Y7 /3 ine-me��_..m sand 1,` aTEDAT FACTOFK. o COMPACTED w s 1 TABa:E"VEL&t5E _. US44M;TDAIS No Observed ESHWT <=3/4"DIA. �+r No &served Groundwater - - " 11'10"LXS'4"WXTt"ii ,E;rs T b poac PERCOLATICU 'PEST DAT1► �O tzt 6t ,g„Er°..lEtlj Au y i y�vxl � --- �� 1_ i.� Date: October i7 2v03 4 u!OnP SQVtrC TAMx y�,// f � I 1 + I 1I MCD£L SEtt?Rt'' ' 'R MOV4BL-c COVER 2Li`1. i Soil Class : Class I (0.74 G/SF) ! f 4"5tCH4000TLE1 LATERALS •\ •� er i - T .1 r A1�♦�1•� r D1�TR►Fiu,iOIV 8t7}i TC MEET----- -------- SHAD BE SET LEVEL FOP A. r. REQUAEMENTS OF 310 CMR --�' MINIMUM OF Tr•IE Ftf"RT TWfj j 1ST bR{.I.ad 6 ++ , �4 t� {{ ,� T�►NK , .J\ i +jt ��tyrrNo- Perc Rate : < 2 MPI (TP-I ; 15-232fVATFPTIGHTNESS. FEET AND CONhr r gTLt 1 SEPf ry A� r - -t- ,, 4LH DISTFTIbluTIW' CONSTRUCTION.ETCH 41C .. , ,•xO � _ L-••-� S WITH DUD SICH. f . Depth of Test 1 .$ � �•• �fiN6NNIAA.KA ! i 3 I --�t-1 -a01� � .- �' 97 EhrST/NIS ; - _� NO LE TS F' t� 9 .>0 t r - EL 9F 13 EL.= 9d,io j +° tug - 1 4� _` eecK # ioscN ` 6"'JWNI - + + C SCHEDULE OF ELEVATIONS p o o c> - M r:ANICA_LY R11-IHEh ( orJL. /' i L7t� S7QNE (t=3J1"`R►ES Tar o+� ..._.. _� _-xlr i 9c1r4 Inv. Out roundaticn (existing 97 2 ._..STAKE LEVEL BASE Irv. In is Tank 00 � - --- _ � v c r�a4+�.�c Septic T 9 6. ---•-- --..-.. 4.s-Mootit r �t�•�E Bt.= 100,00 p NO. OF ACTUAL DISIQeUTMIN �- -1-- Inv. Out Septic Tank 95. 75 t Inv. In Distribution Box 95 . 30 LINES 5 r O Al AELK /IOv t ' 9-. . 13 LE iG H F ` t,a„4iror � t 1LP oG �� (r+fS �lNE ! IriV. Out Distribution Box 4 • /rrT'ti NOJ1E Irv. Begin of Leaching Field 95, 00 _E;.�HIry- 1NO", C LEACHINGr'FLDDfMENS;ONS u�{.'dE 5: r, g d of Leaching Field 5a'L '` " or 1 `` f9 0 Inv. End ! AQS� SECT �rf E: ��,s t' I I 9 4 7 5 y , , 0 5 -'-' Bottom of Leaet:ing Field 94 .25 4 � 10KSt , 1' RNISHED GiRADE - r E = 02) ebb ftr t 8 4 t 6Fe• ma's � ".� � , 1 � ;!• N Observed ES HWT I GW . ,�--'- o Obs ry d (Bottom TP-� � 8b 4 ,•--•ft..•9?.Sd4'VG �� y i / / ! r 4"SCH 40 PVC PIPE ( - r'oAsN• ' LEGEND f 1 iMIN) LAYER 1/ 1/ DQUBLf D��k 4 I - - - - - - (BREAKOUT) WASHED STONE I , Existing Contour 98 I ( OU ) �_ D e r r! oo NO,OFr GRAOlNG �- �� E� =94 75{ENDi Proposed Contour 98 REQUIMD FOR BREAK y,,>; pq ,q�Da t 0 i 1 � G�'t= ro+•9 OUT FOA. THII SEPTIC j-- 3l4" 1 tr2 DOUSLE WASHE i I vi- 99.5 DESIGN ca o o I STORE Test Pit 30 1 EL a 94 25 Finished Floor Elevation FFE E END OF DISTRIBUTION LMS TO LEACHING FIELD TO MEET -� I t ~� - BE CAPPED,UNLESS VENTED �� REQUIREMEN'" 310 nF _asement Floor Elevation. BFti REF P'.AWAND MORLE1, ,'L►��EMYtf � ! � i ,4,..1E .A/A1 I _ t 1 Water Line W OTTOM 7P ; (EL-86.0 ' ( OBS RLrE G� 1 E t I yy{ - t I (1 E ! y ass CC'.c�ri L2G^. ':F:' ::c .: ._"r - :� . 1:. i V 31v _, 4 and _ - __.FT_ Board f CT _'�_fr1 R_ q Idtions . r. -___ _---- - -,ere a r -ic r.non r vat,e ., _ ,p..:�:i i_ a :.� - -h i 150 rL »r�•�lc.(,E d�k�r-, l� oa�. - , o, goof. Sv��'c Z eet/400 feet, resD�ectively, the pr-:posed leaching area . r _ _vovE. ► -:tf�;. er 7 .yc a -Here 1S G we`_1s ^s: 1I7.C!� ... vv fee- �-a zrCrpospoa leachina Pr-rtR 'Z area, ncr ►s t`}e prC Cie ieaci-:.'r ciea twit::4" 200 feet of a S� _= �e. _ron. . .- ----- _. - .. ... -__._..__. Il n>• , \rvt0. r ER _ ..,E r;i, r' T f t •°y... Y 5 ADR AllF _P 'EA a for � �.d1St._-.� .7L1.7 f.�i ►/e �.+ ��_. G::'� reriCivAi♦ �.ir3.vr r�i installing V A l ' L oc T ? `Rp A. ` a y i �`• Ji --.'e -e�2,^r_��' a rCA . OA l G /, p / `/ ` ,,yam a I y tt '•`r r `o ` 4••C`, ' ,, ` �•: /0(,'Tt P12 L) �tt+ C�r �G I 7-t l > �1. `�� ' CNAD�rtK 4 . _Nc �f:a.^.Q�S to='� wTi .hQ ma I a.. the r1G-� °die -:oI-, `_r e �3pprova.l A ;•aA1GvrL=F BEACi•: y = r 4D 'p ne �Ga�d -ea_ . ,. ano _1e .deS .�.'. Rr,a_nee r. 01 HYANNI 5 •��Qd _ea•_:"._n^ ? 1 s :�?S_•:-t'•,) cr rise with rpo 4 icd4o i o° o T r _ a o r r VENT A aY fi PORT /2' rti i 6•tt'ADE ENO . oak Tv f a �+ , 7 = p- c - - 7 �4 AtA. b E . ContCor1r �� or tc licit. - 'aFe �� ' �s• *o � _ . oI ~r "` __+Gtt1 --- _ ' j'(�+N•� y b ex: _.. `l:i;. t' 31 eri f r, m 9b �r -' ---- -- "CA y7 r`e L �'� 'pF, _ - -- - g6}t<e _ !Vye- � N`/,- -e-! et 7 �,� page 1? . r"ne 4eL -- - -� -'` ._ _ as a proper o - rDe 1 t ':' c ! y�'a ' r' Pet., book ,29 3 / i-Lne Sti Ie,f . r./o `. } � =, ---� cN o - ,7yzF ., ..._ �_ f -- --- __ _ Ontr3� .�r 'shall :t ri ` ail �:1 _`. . _ �xiS�_ng structure � -�-, l LIQiN°TIR� y y�. .l� � � �'.iS VARd�� .___ S�. _r ----_--._ ..__ --y i _� _ _ - y - _ V` /' _� Croposed a: -- - - 7- •°- E 1e SepT_' __ 1 1 -- _ EKI}TIN( i pr 7C, :Hd__a�� O! _: _ C��C eTi �riQr ?1. . _ G- �. �� .q�� cq•• a i na sc�4o PEAF. PVC 5 o.oS ._ �5- fF't- .t _ ;. ' e - '" F? a' 16FE= A,Sf 9b- 00 1 �5, �S r3_ / - �9 S�U'94� v s'^Cw-. _ter _`� �:. . - - _ . _ 9 -7-) /s� - e e3 sec _he con I , , �'__40 �EAcrt<aU f/6 c.D = `�r . "y, . . . n i c _ _ S,na be I { r4'�5_ i °� YJ ga►uw•+ CCnfleCte 1 '.?7�f SeDr _ 51 _P![�, lE' _^WiSpCSCeC > f led. r>>''tatl g al l'T on1 5o K 3 a \.v } a, - o Y. VAR IA�S: BarnPt4ble Board of Roal,�h SM9ulations Request varianr7e =<� yes _,n -ae -iew ,• - : _ ;stem �Spp (A�torl CALCULATIONS 5Eor+c r4NK 4 Bedrooms (existing`. t 6 Bedrooms croccsed) 7, dSr "3edrocm ;{ Be.r�c►�s : : G='� t Percolat j ,)r Rate - < PROPOSED LEACHING ; eR&A: 3ott n-*, Area : i 500 SF X "J . -4 eta: Leap.._-:g -apac_-y • Tr-+ DEL," 86,4) SUBSURFACE SEWAGE DIST ) :h; SYS', 1;�' .» ``I;�` 454 CYaic3viil Beach Rer a. E - :srinisp.a- � � � �[' ' `•.o}�',. 9CAtE: e.iYpfiOVEG BY ....,. ._.. ._ _......, 'y{- _..yam _. omjkwtA 1 J0144; A ` y LATE 12/11/03 D.re:ta utix,. ( MEVIiE� ,, tRichard SurZ_,an 1 rr' '... fox,, .,1,+ ...,_�_.r�_ -- . ...r....•, .. Q� �• _._- _-. _.__ _ - ! lye - fit`, t►�r 454 Clalgville Re&eh ii_44 Y. l�jq�""*�. � ai2 1 00se o•10 a*to 0'*6o Or a p►�Fo 0;1� lroo rtlo rrso rflo /f�10 AN �. "ateR %?jc Sz,-Tl(. DFSIGK MC 15Cr. 420-1904 4MIMr1 4 i 11f o J gl' :.4 4j1it ¢*rat, Baits e, Ort.z" 11.r• W► 02455 9.1^32 2500 GALLON SEPTIC TANK .__._ MODEL:SHOREY PRECAST CONC. ST•251a0•H-10 S6AC.E : 1 „s.lo' EL. =98.3(AVG) FINISHED GRADE TEST PIT DATAit I=III 24"DIA I 24"DIA [9TMINI 24"DIA 9 b -- - - - - -- - - -- -9 6 3 H 10 i-� tilt Performed By: Daniel B. Johnson __ -- -- ----- - "----- - -�; Witnessed By: Sam White FLOW LINE I� 9`f4 4 SCH 40 10' 14" ZABEEL FILTER Ate- 1700 �� EL■9&00 SEPTIC TANK TO MEET } n. tj,.- M q Date : October 17, 2003 4"SCH 40 TEE 4'LIQUID LEVEL REQUIREMENTS TXt6S r5 OF GAS BAFFLE 310 CMR 15.226 FOR --«ENT TP-1 (EL. 96.4) i V SCH 40 WATER TIGHTNESS, C" - 4" A/0 s ,E E ETC. Loamy C fA4t4 Ls ., FrE� T y andALL ty 4" - 21" Bw, 10YR5/8 Loam sand SHALL BE CAST IN PLACE OR o o 0 - -� - 2 . 5Y7/3 Fine-medium sand INSERTED AT FACTORY o 0 5' (MIN") EL -90.0 0 o COMPACTED T I N PLACE �i" 120" C1, No Observed ESHWT ' CRUSHED STONE No observed STABLE LE-Y'EL BASE 97 <=3/41DIA. u rJl�E , sroundwa`er SEPTIC TANK DIMENSIONS, 11'10"L 6'4"LY X T 4"HPooL ENc S A oar a to sNE° • PERCOLATIOdTssT DATA SA,S DISTRIBUTION ISTRIBUTION BOX (A, bE _` Date: October 17, 2003 I H '20 MODEL. SHOREY PRECAST CONC. DB-6 H-20 Eftsrrt�(r � Fr�S'Ir"tb � � 97y� �oD SEiTrLTANK 9 y ) REMOVABLE COVER Soil Class : Class i (0. 74 C 4"SCH 40 OUTLET LATERALS/SF) I DISTRIBUTION BOX TO MEET SHALL BE SET LEVEL FORA �S� fiALLotJ Nor _ 13 SEPTlL TANK b, _ FEET AND CONNECTED TO REQUIREMENTS OF 310 CMR MINIMUM OF THE FIRST TWO rrE 9� __ Et ,r,Ntr Perc Rate: < 2 MPi (TP-1 ) 15.232(WATERTIGHTNESS. rtr ' t " NO {�+ S� CONSTRUCTION,ETC]. '°' EACH DISTRIBUTION LINE "---- "--" `-� ( E, -. " '- -- �arr""'� Depth of Perc Test : 21" - 39" WITH SOLID ;CH �1oPVC PIPE (` 4"SCH 40 6" a 1 - __ .._.._ __.. __ -�_------------ _ .___.__ _ _ .__ .__ _- L MAR-ICE ;.. M,J� ..._.__ ........,._. BEN N i i D-6°� - - _. � NO. OF OUTLETS.S EL S15,30 ' �AisJ�E fL,= 9d,10 i '° ArcK Ld •off !z7' ._.._ -- g£ tze o e y SCHEDULE OF ELEVATIONS 6 CRUSHED ( 98 E*,srrvb raP of C __-_ _ - - - - - _ OkAu+L I1' oa°o (MINI o 0 0 o MECHANICALLY STONE(<=3/4"Di,� si�ILE toot-14 - ) ( Inv. Out Foundation (e:ti sting] 97 . 2 T A `a '�` " - - _ f..j ____.__ � .__ ---------_____.__�-----__------- SABLE LEVELB SE I 9 q•scN�10 T ' -- �- -� Irv. n Septic Tank 96. 0 ' '0 4 5 V.I n 3 9 a,.a / i 7' ____ U 0 ; I r Asjomc tt{,s too.00 ( Inv. Out Septic Tank 95. 75 o ( z9t ExrsfirF )"� t TJP o: r" (rA; LrNE� Inv. In Distribution Box I NO. OFACTUALDISTRIBUTION o v£ r< o !� pn.oP"c"'I r 95 . 30 i LlNE5:5 Inv. Out Distribution Box 95. 13 I LENGTH OFLEACHING LINE 50' LEACHING FIELD K c fl Qs 1 ) �Aa w6E #�9. ( rr ro N°J}E� I LEACHING FIELD DIMENSIONS. ! FFE= /°l'4' I 1 ( $LsA , ( Inv. Begin of Leaching F�e�d 95. CO 'END"CROSS SECTION �2oPoJE� ' Inv. End of Leaching Field 94 .75 F><�=rut,4 .i 50'LX3C''rVX0.5'H ( 1 Bottom of Leaching Field 94 . 25 i FINAL GRADE TO BE STABILIZED SCALE = NONE 1 I FINISHED GRADE(SLOPE - 02) F �t,s r ' �B,�iNo- ' _ .,,-•- 1-- � _. ,� ..._-"'...__.--.._,-..--- •-t...L.�1_-.1_-.-X �`a$ No Observed VE S HWT/GW (Bottom T P�l ► 8 6. 4 L •37 5(AVG ) � 4"SCH 4 C � 6 g R t r ov E D� I ` _-- r ( I.RGEND 0 PVC PIPE 2"LAYER 1/8".1/2"DOU B LE ,...� 12"(MIN) I I ) + 70 Existing Contour - - - 98 - - - IBREAKOUT) _ - WASHED STONE NO OFF GRADING � 6 `6 "'.- --EL -94.75(EN0) 1 qoe+ rr opt Proposed Contour 98 REQUIRED FOR BREAK 5/16" ORIFACE DIA 6" 3/4"-1 1/2"DOUBLEWASHE ! D """'--•- I 1 ~`� t-�r z ror.q � OUT FOR THIS SEPTIC e • • 4rE= s9,5 • o c o STONE Test Pit DESIGN - -- -- 30 �� EL -94.25 • �� ( 1 t Finished Floor Elevation F>+E END OF DISTRIBUTION LINES TO LEACHING FIELD TO MEET f Basement Floor Elevation BE CAPPED, PPED,UNLESS VENTED- -7.85' REQUIREMENTS OF 310 BFE (REF PLANAND PROFILE) CMR 5.252 i / l r p Water Lire W 1 �-_-BOT TOM TP-1fEL-1841 ,ta.eq 't S� 7L 3�� ) 1 M NO OBSERVED GW G NO OBSERVED FSHWT 1 I Gas Lae _--_--.__...___ ._....- __ _.___.. ... _- ..�_....._.._....._,._�.-...__.._..__ i NOTES All construction methods shall conform to the Title V ( 310 CMR 15) and the Barnstable Board of Health Regulations . 2 . There are no known private or public wells within 150 �X416-Nil LLE tA�/a yr `` � , o ,,,, .+ t feet/400 feet, respectively, of the proposed leaching area . A ` r sr ° �rw f° r 4 ' There is no wetland Within 100 feet of ouncvrrt.+ Qrt CREST � ''v^r�HAt£ O � the proposed leachir.a eu. t+ '` is Ro '� c RD PtTL i area, nor is the proposed leaching area within 200 feet of a .- .._ .._ . _._______._- ._.. a r SAN° = RINAJ DY XFn yy�6*j.1 _�. _._ -----�-... v� Ea i Pu7:iR c:• 1 riverfront . •r1R pL Y 3 . Existing SAS to be pumped and removed prior to installing it NDfq Pfyq !✓A k ° L°!-'-� �7 En " 00" / the new leaching area. •� Y Cf �. qr ii F ' y y 1 \ SNoREi i e O `Da I C �� lY E o RD or,4{ �Z o r'/L t O F S E-P 7-1 L_ S y S TCM ` CHADWICK 4 . No changes are to be made in the field without the approval A � -)rj - RD "A f AY N RAGVrLLE BrA�N ac of the Board ob Health and the -design engineer. Sc.4�E 3 SHE► I M r � i a u A �,; �,, JL �5- �; 'BAN a 5 1 5. Proposed leaching field is not designed for use with '�0 q"scd�° z o g r a`` r f "APL garbage disposal . , IZrs�'R PO R � f}ND lovEtl-T�„ /� b� sr �oLF I a orNE ��ve 6. Contractor to notify Dig Safe 72 hours prior to of U,�AaE E Y � � �pRES* s' oAK construction. (800) 344-7233 . 98 ° -' T` - --� '3,(Mr") V S> 7 . Property line and location of existing house taken from ' 'GFRN sf I survey of property, prepared by &,Y-ifr, Nve 9 N�+l•��ttp. e,�.ve+EeT `. For property line dimensions, reference Deed, book ALLsfwer. T,, `"- �6� '1 ! page it; . The septic plan is not to be used as a property Bfls�`� �, � � -``'y `R5� line survey. 9b sr?fN,T �� c_/►L o - '�9 - "` _ -- r ; SE„cN sT 8 . y 1 plumbing from existing structure • � Contractor shall verify al ,f)L sa � ;yA. _ _ y and proposed addition will be connected to the new septic ` 9S, >S O1 _ _ _-_._ _ -��- - •�_ ^_ _ system prior to construction. If any existing plumt�zng 0 4"scr+140 ✓CO.Or. Pvc -- -- �F. exiting the structure is found to be d;fferent the that Are 94,5± 96,0_^7 yS,3 5 13 Ss,a v5 �9.76 SQU h-' 9 { �SAr oP shown on the approved septic system plan, the contractor - - - �� shall notify the designer. Ali. internal plumbing shall be �c �Isr�tB�no� 50c. x 3o'w A,S.N q s5 .° q�'�d .w connected to sox r 5,0+� new septic system, unless otherwise specified. VARIANCES : Barnstable Board of Health Regulations •aO) > ± 1 . Request variance to design the new septic system 9� for 10 bedrooms. goo �iiLL or/ � ------- _.__. 5 E P rr l r4,0( I ! CALCULATIONS : � t 4 Bedrooms (existing) + 6 Bedrooms (proposed) 7' $s 110 GAD/Bedroom X 10 Bedrooms - 1100 GPJ so Z Percolation Rate - < 2 MPI (TP-1) I Soil Class: Class I (0. 74 G/Sz) ' � I j PROPOSZD �csnM AM: 4 ee ! Leaching Field: 50' L x 30' W x 0. 51H ! Bottom Area: 1500 SF X 0 . 74 G/SF lQ0 GPD Total Leaching Capacity: 1100 GP^ i aotTO.vt Tf-r LfL,= $6.�� ___._.. ,,,t•� NrJ�c�p� I�r .....�...�-........m.... ....,...W...._,.,.,...,...,.....,..,,..,.. s . sUBSUR.FACE SEWAGE DISPfOSAI, SYSTEM ' 454 Cra.1_ -llle Beach Road W. .� ��,,,��(;►e1 � hyannisport I 3 No.� SCALE: CiI�AVJN I"iY jo 77 DATE: %2 'Ci 3 Lar.;el 8 Johnson REVISED l l e�tv et,h &aA.l W� annis �` � -r.- r .r_-__....._... r._ ... _.._...r._ ._ ... .y_ .. ..- _....-r..........� ,._.._ .....r...__.._.. -,....-.T_�_._.. .._. „r.. �� 054 Cra�.g-. ', Et"t port, Itl1 03672 0400 pot D ot.LO O+So O+Tp U 0t70 Oulu a 14-00 (16-[0 1f-i0 0 � '•.� �"•-"°R'E;,:i�.a' DSEPT:c: CESIGN ~:Nc' (508) 424-1900 DRAWING NUMBER \ (}� 1 { 904 Bain Street, suit,, p.. osr_ezviliw FfJ0. 02.S55 J-1033 t.J a+rtmen>.we•-^av:naev:a•ex,.u;:.:.,e_.�v+^nr�n«.;.,¢.+,v su+a.•