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HomeMy WebLinkAbout0101 DELTA STREET - Health 101 DELTA STREET, HYANNIS A= 292 003 '1 r TOWN OF BARNSTABLE LOCw 'ION _ :/' ._ SEWAGE # _. V,'T..LAGE N,- �;Zf. 1 ASSESSO MAP & TQG'4 0a NAME&PHONE NO �/. 11 1�4)0—fQ42 SEPTIC TANK CAPACITY �® LEACHING FACILITY: (type) '�' (/ (size) o xy NO,OF BEDRO MS BUII,DER R OWNERS ' S�rsi�C� PERMTTDATE: 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( y wetlands exist within 3� t of le ching facility Feet Furnished by. = 49 S;�_�` 6� �� , �- J _. �. n � w ox,� �� ;, . c:,.n- p TOWN OF BARNSTABLE LOCATION �r a� De(& S�[Cfi0� SEWAGE# a d d F - / VII LAGE �' (ad MAP&LOTa9a-QA-QQy INSTALLER'S NAME&PHONE NO. Grae (ad � ,c ;9,15- SEPTIC TANK CAPACITY ,GUD ///UUD RC (ty pe) l�GL'h ? LEACHING FACILITY: t e l� )fG (size NO.OF BEDROOMS 3 BUILDER OR OWNER ra4-&n fa Sr `STL'r PERMIT DATE: COMPLIANCE DATE: Tr 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 JuSo,� �vLg 1 � 1 1 �N cr- r (,3 g-) - > J va j vJ ----------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in coier:PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSE 2pplication for Disposal 6pstrm ConstrUrtion 3permit Application for a Permit to Construct Repair ,/U ade Abandon Com lete System Individual Components PP ( ) P (�1 Ply' ( ) ( ) �P Y ❑ P Location Addagss%/or Lot No. Qwner�'vtiq's Name, ddress,and Tel.No. /p/ .C/e � s i• f/.f�vu,r,3' /.�kks'fo Assessor's Map/Parcel 7 In4 ler's Name,Address,and Tel.No. •S'�� 7 7y" �34 Designer's Name,Address,and Tel.No.s ad'- Y'7r 1-1 / �alQrft"/t ��yi`�2me6i`<ryy C'&!e- L 1,7wort C�'GS cl 1 T. Type of Building: Dwelling No.of Bedrooms Lot Size 6(j//,7 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3d gpd Design flow provided 3 gpd Plan Date /2 1/1/7 Number of sheets Revision Date Title Size of Septic Tank Ie o o Type of S.A.S. Description of Soil Nature of Repairs orAlterations(Answer when applicable) oo �.�7��0 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. gfied '_ P/ Date i Application Approved by / Date Application Disapproved by Date 'G for the following reasons Permit No. Date Issued l No. (/ � Fee Kte- - TSTHE COMMONWEALTH OF MASSACHUSETTS Entered in compYes PUBLIC HEALTH DIVISION - TOWN .OF BARNSTABLE, MASSACHUSET 2pplication for his osal A stem Construction Permit LL Application for a Permit to Construct( ) Repair(!upgrade( )'Abandon( ) Complete System ❑Individual Components Location Address or-Lot No. p��� . Qwner's Name,Address,and Tel.No. t /0/ �/f'/�G S% hrfP v/r�Nq Assessor's Map/Parcel �zla3 O t Ins ler's Name,Address,and Tel.No. f�A- �S �3 Designer's Name,Address,and Tel.No.3,V- Y7_•- %3/3 �4/ ir�rYofi[i �r-��/�G,,,,rsY�'s,�i twos 4 1' / J✓!"j < <�/� l� P/� �� 3SU ..•f�.�> �-. coi 7 west Type of Building: Dwelling No.of Bedrooms : 3 M , Lot.Size /�, sq.ft. GarbagF/Grinder(`i)f ,,,ref - ... _.,�t',/��_... i�.r q',.,,y,.,,:i •�,•� .. Other 'Type o uilding a No.of Persons ' Showers( ) Cafeteria( ) Other Fix es'� //" s/ t , ' J.• C Design ho2m•n.required) -3 gpd Design flow provided f�. 3��T gpd Plan Date 21,11117 Number-of sheets 2 '-RevisioiyDate Title Size of Septic Tank 1,1 o o Type of S.A.S. 1_ Description of Soil _1_11_,-1✓iv.rw Nature of Repairs or Alterations(Answer when applicable) ao 3 .i Date last inspected: Agreement: The undersigned agrees to ensure the`°construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of . Compliance has been issued by this Board of Health. S ed //,F_�y / 0, ter. Date Application Approved by t! '/% �/ Date / Application Disapproved by Date for the following reasons le Permit No. d 'r&pv Date Issued ------------------------------------------------------------------------------------------------------------------------- ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-sitecSewage-Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by /v f��cvy�i it /vi'- /...� at /U/ /y/�o has been cons ct in ace ance with the provisions of Title 5 and the for Disposal System'Const uctiori.Permit N dated Installer ��'� �• Designer #bedrooms �j Approved design flow 3� gpd The issuance of this permit shall not be construed as a guarantee that the system will fimctio as d sign d. Date ` / / Inspector -- A No. V71 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(4-< Upgrade( ) Abandon( ) System located at /a/ Ste`• '4/yfi*oi,v-, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. r Provided:Cons c l n st e pleted within three years of the date of this permit. Date Approved by / . 1 T v 6' 'B�,ralsta le; �wsrokcd'bll� tOry' IVICe$ Richard V Scah,interrm,Directdr BARNSTAB14 MAC' Public ( ealth,I)avlsjpp �nrv.�°. ` ` Thamas=tilcKean:;Drrecto Z:00'1V1a'in Street,Hyannis,lYIA U26(h' r Office;;5_p8 862-464.4 Fax:1508 /96263t14 1 fnstatler&�.1esiEneY Certit?eataon E�rni /,*"Sew age"Perrnit##. ;7,0 -0!_7 Assessor.'•s Map\Parcel Z9Z-�6$-* 4 Designerr4 l Address:: 1Z U.9t civs—Ae(J Rd Address: resal2 'liR L32rotl� (U- YdtrGtC � ` OZ03 On ,� � f- S JC• was issued a permijo mstall_a; septic sy J a 5 9-� y.4tAv1•d'. based on a'tlesien drawn,by Baer° ,t,,Nt�Gn+ee "�i'L (add>ess); Wc, Lu l vz C, dated, l'Z t Zl 117 i certify that the septic'systen3'referegced above was installed substantially according`to the design,"whch.rnay mctt�d'emrrior`approved""Change''s`isach as<lateral relocatioq of,tlre di$tr'ibution"box aad/or se�ttc t'anlc Strzp out.(;if"rec}aired)was:inspected"and'the sails were found"sahsfactoiy;: I certify that-the septic system'i�ferenced above was siistalicd w th ivajor cl7ange5(i.c. gtea"tek thati i0 lateral.;ielocatioa ot;the;SAS or,any Veitical ielocanon.of any component of thesephc system)brit m accgrdance.witlt State&Lociil Rcgulationg".:Plan rcv�szon or ccthf ed as built by designer to;follow StGtp ouk�.(rf iequred)was inspected and the soils wci•e.found satisfactory,:. I certify that the system refer as enced ab"ove w constructe ` " nce with-the jerms of the;11A appcoual;letters'(if applicable)^ " ` I1. I CIVIL (lns ailer's.Sig}iatui-e,) � ;� rip.�q Al (DeslgneX s Stgnariue) (Atfix Designer tamp Here); PLRASE IRETURN TO•'RARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT'"'BE".'ISSUEll UNTIL: IORIYI' AtD AS-: $UII,T,.CAdLD".ARE 12EGEh JED B,1'THE BARNSTABLE PUBLIC HEALTH DIVISION 'TFIANK YOU. 0:1Scpcic\Dcslgr eT Chrtlticdion Form Rev 6 lit-1ldoe':, Town of Barnstable Department of Regulatory Services t„,ru,NUBM Public Health Division bate HAMM A stiy. .gym` :200 Main,Street,Hyannis MA 02601 Date Scheduled ! / Time ! Fee Pd. (u o Foil Suitability Assessment fog- Sew e Disposal Performed_By: 4:0 SG-lam -z Witnessed By: LOCATION & GENERAL INFORMATION Location.Address 10,1 Owner's Name;—f—�+1 qv1 et �6'L'v.3S r17 G hh tS {� Address. cy�-7 Hyoiawls , MA OZ�(71 Assessor's Map/Parcel: Z I Gi—D�7j ©� Engineer's Name 1Cyt�;r\j2e�`n� WLt t. NEWGONSTRUCIION REPAIR felephohe# Sd �'—��j 1� 3 13d �,pJ� Land Use Fe-S=0WA-LR k Slopes 01b) ? y Surface Stones i Distances from: Open Water Body: AY/A ft Possible Wet Area !P L ft Drinking Water Well _ft Drainage Way ft Property Line ft Other ft Tom+ S - .r•=--_ SKETCH;(Streetname,dimensions of lot,.exact locations of test holes&p5ptests,locate weilands'fn proximityto holes) � Z d ( 6, +.� _ 1 d �' �ry Parent.niaterial(geologic) tw�tn cif Depth to Bedrock Depth to Groundwater Standing Water in Hole:. z at r. Weeping from Pit PAce i♦Z� t Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGHMATERr TABLE Method Used-... Depth Observed'standing in obs.hole: in, Depth to Soil Mottles:: ` .t 2 `c in. Depth to weeping from side of obs hole: Ufa o in: Groundwater AdJustmi:nt _ ft. Index Well#. Reading Datr: Index Well level,.o a m...,. AiIJ,factor Y_ _ Adj.Groundwater Level.— PERCOLAXION TEST bete TIM,a �. Observation Hole# ✓ !� Timi:at)" - Depth of Perc Time at 6" L �s^4 �. ; Start Pre-soak Time @ p(evi'i•� 'Time.(994) End;Pre-soak 21 4 Rate Min:lInch �'L 1 Site Suitability Assessment: Site Passed, ✓ Site Failed: Additional Testing Needed(Y%N), original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to he conducted within 100'.of wetland,you.nmust first notify the, Barnstable Con§ervation Division at least one(1)week prior torbeginning. Q:\SEPTI0PERCFORM-DOC r DEEP.OBSERVATION HOLE LOG Hole# ,! Depth from 'Soil'Horizon Soil Texture Soil Color Soil then Surface(in:) (USDA) (Munsell) Mottling. '(Structure;Stones;Boulders. gIgistenccy;%Gravel) .►3Z.., G p'6.,t sail ZorL��e '(�,t� 1Zeclo,c ?-S7l't DEEP OBSERVATION HOLI! LOG Hole,# Depth from Soil Horizon: Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (w.unsell) Mottling (Structure,Stones,.Boulders. Con.sisten, '% , ave))_ e C DEEP OBSERVATION HOLE LOG Dole Depth from Soil Horizon Soil Texture Soil Color Soil. Qther Surface(in.) (USDA) (lviunsell) Mottling (Structure;Stones,Boulders. r Consistency. ,Gravel) I DEEP OBSERVATION HOLE LOB Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface'(in.) (USDA) (Munsell)' Mottling (Structure,Stones,Boulders. Consist n " OWED Flood Insurance hate Map: Above 500 year flood boundary No Withia 500 year boundary No X-1 Y—:. ..e; Within t00 year tlood;boundary No` Yes. Depth of Naturally Occurring Pervious Material Does;at least f our feet of nattttally occurring'pervious material exist in all areas obse'rvt;d thri?lghaut the area proposed for the soil absorption system? _ Ye f If not,what is the depth of naturally occurring pervious material? Certification (�� I certify that on 0A (date)I"have passed the soil evaluator.examination approved by the ,�� Department.of Environmental Protection and that the above analysis.was performed by me consistent with the requir. ining;expertise and experience described n. 10.C1vIR 15.017. :Date t"2. j� � 4 Signature Q;ISEPTIGIPBRCF0RM..D0C v Jv_�-Sh-_4�__ f MAY BORTOLOTTI CONSTRUCTION,INC. ftw ftwoq ���' 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 (P b . 508-771-9399 508428-8926 FAX: 508428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 9 `,,*' PART A CERTIFICATION Property Address: �jv/ --� XS Date of Inspection: -/—Qt'p Inspector's Name: , Owner's Name and Address: s ' 7 'CERTIFICATION STATEMENT! I certify that I haye`personallyinspected the sewage disposal system at this address and that the ii forma- tion reported.below is true,°;accurate and complete as of the time of inspection.`The'inspectionfwas per- formed based on"niy training and experience in the proper function and maintenance of:on-site sewage disposaVPasses stems. The System: "ConditionallyPasses Needs Fiirther`E uation By c ocal Aproving Authority Fails Inspector's Signature. Date: q G The System Iyspectoi"shall_submit` copy of this inspection report to the Approving authority within thir- ty(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`S IMMARY• . „A)'SYS 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. B)SYSTEM CONDITIONALLY PASSES;. One or more system components need to be replaced or repaired.- The system,upon comple- tion of the replacement or repair,passes inspection. W Indicate yes',�nor,,ornot determined(Y,N,OR ND). Describe basis of determination-in all instances. If not determined",explain why not. The septic tank�is�metal,cracked,structurally unsound,shows substantial:infiltradon or exfiltration,or tank failure is imminent. The system will pass inspectionif the existing sep-tic tank'is replaced with a confornung septic tank as approved by The'Board of Health. Sewage backkup 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): -1 r y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)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 OF HEALTH: Conditions exist which require further evaluation by The Board of Healthjn 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 THATTHE. 'SYSTEMS I5NOTTUNCTIONING 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:PUBLICrWATER SUPPLIER,IF.APPROPRIATE)DETERMINES THAT THE SYSTEM ISFUNCTION- ING IN A.:MANNER-THAT PROTECT THE PUBLIC HEALTH AND,SAFETY:AND,THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface 3 water supply or tributary to a surface water supply. The system has aseptic tank and soil absorption system and is with a Zone I of a public water supply well: ; The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than?,100.Feet bpt,50.��c 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 the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than'5 ppm D)SYSTEM FAILS: 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 deternunation is identified below.`The Board of Health should be,contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent 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 clog- ged SAS or cesspool. Liquid:depth in cesspool is less than G"below invert or available volume is less than 1/2 y day flow: Required pumping more than 4 times in the last year NDJ due to clogged or obstructed pipe(s). Number of times pumped -2- .r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to surfaee;water.supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or,privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with.no acceptable water quality analysis. 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. E):LARGE SYSTEM FAILS: The following criteria.apply to a large system in addition to the criteria above: The design flow of a system is 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: 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-ZoneJI 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. SUBSURFACE.SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check"if the following have teem done: _,Pumping information was requested of the owner,occupant,and Board of Health.` "None of the system components have been pumped for atleast two weeks and the system;his 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. V—As-built plans have been obtained and examined. Note if they are not available with N/A. Tie 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 s stem components,excluding the Soil Absorption System,have been located on site. —__62Me septic tank manholes•weri uncovered,opened,'and the interior of the septic tank was m spected for condition`of baffles or tees,material of construction,dimensions,depth of liquid;. ; f , �pth of sludge,depth of scum. —�""slze and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3 �W SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) V The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION,FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTLAi_:_ Design Flow: ,V allons Number.of Bedrooms: tS Number of Current Residents. Garbage Grinder: O Laundry Connected To System: )169 Seasonal Use: Water,Meter Readings,if a ailable, Last Date of Occupancy: CO MFRCLAI./INDUSTRiAL-0 Q Type of Establishment. Design Flow �gallo0..day;.Grease Trap Present:.(yes or no)_ Industrial Waste Holding Tank Present: Non-Sanitary.WasteDischarged:To The Title.V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERA WFORMATION PUMPING RECORDS and source of inforaS' it:: 0�� m System Pumped as part of inspection://0 _ If yes,volume pumped: gallons,- , Reas n for.pumping: TYPE SYSTEM:: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Other(explain): APP OXIMATE:AGE;.of all componen date installed,(if know t)and.source of,information: ewage odors detected when arriving at the site: -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: t-concrete metal FRP Other (explain) — Dimisions:9 5 0 , Sludge Depth: 5-�i Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: 3d 01 Distance from bottom of scum to bottom-of outlet tee or baffle: /Z Comments::(recommendation for pumping,condition of inlet and outlet tees or b es,depth oMiquid ' level,in relation o outlet invert,structural inte rity,evidence of le age tc S" / alli. .: rSV1 Se /7'I11 G ; fir, 'JcFe��) . � GREASE TRAP: <(J Depth Below Grade: Material of Construction: concrete metal FRP Other (explain) — — — — Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: 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.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction:—concrete—metal_FRP Other(explain) Dimensions: Capacity: gallons Design Flow: allonstday Alarm Level: Comments:(condition of inlet tee,condition of alarm and float switches,etc)' DISTRIBUTION BOX: Depth of liquid level above outlet invert: Comments: (note' evel and distribution is ewal,evidence of solids carpyover,evidence of leakyige into or out of box etc.) f 10 PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber,condition,of pumps and appurtenances,etc.) -5- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 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: ,hype. ,n Leaching pits, number:__"Leaching chambers, number: Leaching galleries,number: Leaching trenches,number,length: Leaching fields,,number,dimensions: Overflow„cesspool,number: Comments: (note condition of soil,signs of_hydraulic failure le e of ponding�, n 'lion of vegetation, `" etc.) 07 � CESSPOOLS; 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 soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) d P PRIVY:�4J ,. Materials.of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) t -6 - l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. ecoo � Oct DEPTH TO GROUNDWATER: Depth to groundwater: / V. Feet Methpd of Determination or Appr9oximation: &41 ly -7- LO SEWAGE PERMIT NO. VILI A GE _ INSTA LER'S NAME & ADDRESS � 8UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��� j I r CO t. LEGEND ROUTE 28 -- 38 -- EXISTING CONTOUR a o` N G �^ x 30.98 EXISTING SPOT GRADE n pB 342 Pp S 1 1°54'19 W 37.3 PROPOSED SPOT GRADE 01) rn °°� F 107.63' RE R� -W EXISTING WATER SERVICE G - -- --- 44, 4 - EXISTING GAS SERVICE 42.91 fl.H.IAL--- OVERHEAD WIRES D x ----N-----------_ TEST PIT lb, °y 41.71,__-- BENCHMARK G ,�._-- LOCUS J` 40 47 x38.77 -' 42,20 -�:! 35' ' 2s'-` '� ►'_`"� LOCUS MAP NOT TO SCALE / rX 7�0 <;.PROPOSED S_r_ 1 INSTALL A 40 MIL POLY LINER _.t--. 37.3 1 TOP OF LINER, EL.=36.5 / 35.9311 BOTT. OF LINER, EL.=34.0 PARTIAL STRIPOUT TO SUITABLE "C" HORIZON MAY BE REQUIRED GENERAL NOTES: 27' 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF PROPOSED O p HEALTH AND THE DESIGN ENGINEER. PUMP CHAMBER I / Z 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE 0 STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. �3 ,21 EXIST. LEACH PIT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO x x/ M �\+ 6� ABOVE /'r N i TO BE PUMPED INSPECTION AND APPROVAL BY THE BOARD OF HEALTH & DESIGN ENGINEER. 37.18 Lo GROUND FILLED WITH SAND 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER POOL W OR BEFORE CONSTRUCTION CONTINUES. BM oD Ln !ti 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM, BARNSTABLE G.I.S.t. Z I I 6 / ao 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE EXIST. SEPTIC TANK I ,32 36.60 / 35.14 x (TO REMAIN) I O m PROPERCONTRA INOSPEOR OWNER TO CTIONS DURING NOTIFY CO CONSTRUCTION. LOCALBOARD OF HEALTH FOR TOP, EL.=35.86 I DECK(above) 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. INV.(OUT), EL.34.50f ( x 37 7 r- BENCHMARK 8• THERE ARE NO PRIVATE ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. 3.94 + 36.213 COR.�BOTTOM STEP 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SHOWN ON 42.87 EL.=36.60 THE PLAN OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 1 / l EXIS G1 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY LOCATIONS l 1/ SPLIT LEVEL I OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. I / l HOUSE(#101) } 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS BENEATH / l i AND FOR 5' ON ALL SIDES OF THE THE S.A.S. AND REPLACE WITH CLEAN SAND / 37,�3 T.O.F.=37.6f I ! x 35,52 OF Mqs AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY / x -__ 35.76 [ y�`� tiG A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. / 36.90 36,87 36.15 - PETER T. 13. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED EXISTING SEPTIC E I McENTE - SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. x CIVIL "' 14. CONTRACTOR SHALL TAKE ALL NECESSARY PRECAUTIONS TO MAINTAIN THE No. 35109 STABILITY OF ADJACENT STRUCTURES. 1 WALK LOT 4 A O 15. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND VE o::: ..: Ecls�E �� IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. I 16,117 ±SF �� ..`<D. IVEWAY';. �9 y t E j 116.41' 3 UP,. I x N 11•54'19" E r <<� LOCUS: PARCEL ID: 292-003-004 36.97 / 34,86PROPOSED SEPTIC SYSTEM UPGRADE PLAN �� edge 34,36 of 34,07 P°vementf33,94 CAT33.80 SIN 101 DELTA STREET, HYANNIS, MA L� �� Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 OWNER OF RECORD LTA ,<v`� ��11J�� �� Engineering by: SCALE DRAWN JOB. NO. BREWSTER, TATANIA Q 1"=20' P.T.M. 300-17 101 DELTA STREET • 34,28 Engineering Works, Inc. HYANNIS, MA 02601 34,84 PK SET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKEDTSHEE�TNO.(508) 477-5313 12/21/17 P.T.M. 9 r EXISTING SEPTIC TANK & NOTE: TO PREVENT BREAKOUT, INSTALL A 40 MIL PROPOSED PUMP CHAMBER POLY LINER AS SHOWN ON SHEET 1. PROVIDE RISERS & COVERS AS DESCRIBED: TOP OF LINER, EL.=36.5 1) INLET COVER SET TO 6" OF GRADE. BOTT. OF LINER, EL.=34.0 2) 20" OUTLET COVER SET TO GRADE PROPOSED D-BOX . MANHOLE COVER SHALL BE SECURED INSTALL WATERTIGHT RISER & PROPOSED S.A.S. TO PREVENT UNAUTHORIZED ACCESS. COVER SET TO 6" OF GRADE INSTALL INSPECTION PORT OUTSIDE DRIVEWAY FOOTPRINT F.G. EL.=37.3t F.G. EL: 37.4t F.G. EL.=37.3(MIN.) to 39.0f F.G. EL.=36.3(EXISTING) PROVIDE ENOUGH WIRE SLACK TO REMOVE PUMP MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 4' DIAM. INSPECTION PORT, L - 8'(MAX) 13' x 35' LEACHING FIELD W/2-4" PERFORATED IN S.A.S., SOLID ® S=l% (MIN.) ABOVE S.A.S., WITH SCREW CAP —— — ® S=1%2'MIN. + Z sc" 40 gocKs 4'SCH40 PVC SET TO WITHIN 3' OF GRADE. 4"S=1 (PVC TOP EL.=35.59 PR�V1of P'LL 11'scsos CAPPED ENDS e 6" EFF.DEP111 6 � INV. EL.=35.80(END) SEX/STING 14„ to" INV.=36.06 I SLOPE OF PERF. PIPE = 0.5% I SPLIT LEVEL INV.=36.23 35' EFFECTIVE LENGTH PROPOSED D-BOX HOUSE"'10 ADD INV.=34.25 3 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) T.O.F.=37.6f' EFFLUENT 2 FLOATS FILTER USE OUTLET INV.=34.50t INV.=35.98 KNOCK OUT EXISTING BOTT. EL.=29.96 . SEPTIC TANK 1000 GALLON MONOLITHIC CK INV.=34.50t PUMP CHAMBER (H-10 RATED) ESTABLISH VEGETATIVE COVER- EXISTING ve) EXISTING (See Pump Detail, Sheet 3) (FIELD VERIFY) FINISH GRADE NOTES: EL.=37.3 to 39.0t 1) PUMP CHAMBER & D-BOX SHALL BE SET LEVEL AND TRUE ;.,.:,•... . ,.. ;. ,;:,.;;,:;<.;:•::>;-,;..,r„ .-; APPROVED TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED BREAKOUT E EV.=36.3 '.;,:.,,;:., ;„'•.:; r.: .:';; -;-: �::. ;��.,;;, FILTER FABRIC STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). EL.=36.1(END) 2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=35.30 3/4"-1 1/2' DOUBLE WASHED TON 00 XS.A.S. 36". D STONE 3 - MAX. COVER OVER SEPTIC TANK, D-BOX & S .S. SHALL BE ) 3.5 6 3.5' u7 � 4 CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR 5' MIN. SEPARATION TO G.W. j AND 4' OF NATURALLY 13' EFFECTIVE WIDTH TO CONSTRUCTION. OCCURRING PERVIOUS SOILS 5) EFFLUENT FILTER SHALL BE INSTALLED ON OUTLET SOIL ABSORPTION SYSTEM (SECTION) LS TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER EST. HIGH G.W. EL: 30. SHALL BE INSPECTED AND CLEANED ANNUALLY. SEPTIC SYSTEM PROFILE SOIL LOG DESIGN CRITERIA 1 SEO S.A.S. DATE. DECEMBER 19, 2017 (REF. P#15554) �,� PROPO NUMBER OF BEDROOMS: 3 (AS PERMITTED) SOIL EVALUATOR: PETER McENTEE SE#1542 . ���-- SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS RS HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH DAILY FLOW: 330 GPD 38.3 FILL 0" 38.0 FILL 0 DESIGN FLOW: 330 GPD (LOAM) (LOAM) GARBAGE GRINDER: NO 37.6 C 8" 37.5 C 6" LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF PERC S.A.S. LAYOUT .74 GPD/SF 36"/48" EXISTING SEPTIC TANK: 1000 GALLON CAPACITY MED. SAND MED. SAND PROPOSED PUMP CHAMBER: 1000 GALLON CAPACITY, H-10 2.5Y 6/4 2.5Y 6/4 PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN.), H-10 PROPOSED SEPTIC SYSTEM UPGRADE PLAN INSTALL AN 13' x 35' LEACH FIELD 30.3 HIGH G.W. _ 96" 30.3 HIGH G.W. - 92"REDOX REDOX Q1 DELTA STREET, ,HYANNIS MA SIDEWALL AREA: NOT APPLICABLE 7.5 YR 5/8 + 7.5 YR 5/8 Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 BOTTOM AREA: 13' x 35' = 455 S.F. 27.8 STDG. G.W. - 126" 27.8,1 STDG. G.W. 122 Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.....................................455 S.F. 27.3 132" 27.3 132" Engineering Works, Inc. N.T.S. P.T.M. 300-17 LEACHING CAPACITY = 0.74 GPD/SF x 455 SF = 336.7 GPD PERC RATE: <2 MINJIN. 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. ESTIMATED HIGH GW, 'EL.=30.3 (508) 477-5313 12/21/17 P.T.M. 2 of 3 ` NEMA 4 JUNCTION BOX CORROSION RESISTANT _ & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER WITH BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE SECURED FRAME & COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER OR EQUAL. PROVIDE ENOUGH WIRE SLACK TO REMOVE PUMP INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING HOISTING CABLE 709 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANEL PROVIDE ENOUGH WIRE ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. SLACK TO REMOVE PUMP INV.(IN)=34.25 2" BALL VALVE (FIELD ADJUST FOR 20 GPM RATE) DOSING & STORAGE REQUIREMENTS (INSTALL QUICK DISCONNECT FOR EASY REMOVAL) 2"SCH. 40 DISCHARGE (THROUGH RISER-SEE PROFILE) DESIGN FLOW: 330 GPD ALARM ON EL: 31.46 2" 90' ELBOW W/ 1/4" WEEP HOLE DOSING REQUIRED: 4 CYCLES/DAY (SAND) PUMP ON EL: 31.29 FOR SELF-DRAINING FORCE MAIN 330 _ 4 = 82.5 GALLONS/CYCLE BOTTOM OF PUMP OFF EL: 30.96 1 13" 2" SWING CHECK VALVE DISTANCE REQUIRED BETWEEN PUMP PUMP CHAMBER 9" 2" SCH. 40 PVC DISCHARGE PIPE ON AND PUMP OFF FLOATS: ELEV.= 29.96 ADDITIONAL 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 82.5 GAL/CYCLE --a- 250 GAL/FT = 0.33 FT/CYCLE (SAY 4") PROVIDE 2 FLOATS: 3" (TO PREVENT PREMATURE PUMP BURNOUT) STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS FLOAT NO.1: PUMP ON/OFF—SJ RHOMBUS (PROVIDED WITH PUMP) STORAGE PROVIDED: FLOAT NO.2: ALARM ACTIVATION FLOAT—PROVIDED WITH ALARM PANEL LIBERTY LE40 SERIES PUMP .4 H.P.i 115 V INV.(IN) EL: 34.25 — PUMP ON EL: 31.29 = 2.96' (ON SEPARATE CIRCUIT FROM PUMP SPECIFIED) WITH 2" DISCHARGE, OR EQUAL STORAGE PROVIDED = 2.96 x 250 GAL/FT = 740.0 GALLONS PUMP AND ACCESSORIES AVAILABLE AT: CAPE COD WINWATER WORKS CO., HYANNIS, MA. (508) 862-0166 NOTE: APPROVED ALTERNATE MAY BE SUBSTITUTED. f PUMP DETAIL ° 4" TOP 24" DIA. COVERS (TYP.) o a �8'-3-1/2" INLET OUTLET — r-F — --- — BUOYANCY CALCULATIONS 5' 3 1/2" 3" A I I I I A 1000 GALLON MONOLITHIC PUMP CHAMBER 5' S 1/2" 54-1/2" 48" 51-1/2" , REINFORCING RIB LIQUID 3" _ _ BOTTOM OF UNIT EL.= 29.96 3„ LEVEL \ /I I ( \ / HIGH GROUNDWATER EL.=30.3 BUOYANCY FORCE PER FOOT OF DEPTH: 8.3' x 5.5' x 1' x 62.4 lbs./cu.ft. = 2848.6 lbs. LL _ — MAX. DISPLACEMENT = 30.30 — 29.96 = 0.34' W-1/2" MAX. UPLIFT PRESSURE = 0.34' X 2848.6 Ibs/ft = 968.5 lbs. CROSS SECTION A-A 4" KNOCKOUTS PLAN VIEW WEIGHT OF UNIT EMPTY = 8,338 lbs. (TYP.) 8,338 Ibs > 968 Ibs O.K. SPECIFICATIONS 1.) CONCRETE 4,000 PSI AFTER 28 DAYS. 2.) CONSTRUCTION CONFORMS TO DEP TITLE V REGS. 1 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 310 CMR SECTION 15.226.3.) REINFORCEMENT PER ASTM C1227-93. APPROXIMATE WEIGHT =8,380 LBS 101 O 1q DELTA STREET, HYANNIS, MA 4.) PROVIDE POLYMER COATING APPROVED ALTERNATE MAY BE USED. Prepared for: Cape Cod Septic Services, 350 Main 'St, W. Yarmouth, MA 02673 1000 GALLON MONOLITH IC PNI►wp Engineering by: SCALE DRAWN JOB. NO. CHAMBER Engineering Works, Inc. N.T.S. P.T.M. 300-17 WIGGIN PRECAST CORP MODEL#1000MONTH 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 12/21/17 P.T.M. 2 Of 3 i i