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HomeMy WebLinkAbout0048 FERNWOOD AVENUE - Health 48 FernWood Ave r 289-096 Hyannis I TOWN OF BARNSTABLE oo�� LOCATION Y S`./yc,� oS� �SEWAGE# QkZS-- VILLAGE_kAt1, y-%y\' ASSESSOR'S MAP&PARCEL 6 /Oct INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 4 tsa-.�h _C„�� (size) Y`G' ' x l �'k (Cf.) NO.OF BEDROOMS S CeY -d 1 Li PERMIT DATE: /S, t COMPLIANCE DATE:C(i O( p(,5- 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 j 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 BYvf � 5` rr..n t, r. -C (j) sJ s 90 O s • ' 1 Commonwealth of Massachusetts 0(0 9-O 9 0 Title 5 Official Inspection Form �„®P Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Femwood Ave. Property Address Joanna Callahan ti Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 Zip Code Date of Inspection page. City/Town State .I Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information filling out forms on the computer, _use only the tab Patrick T. Sullivan key to move your Name of Inspector cursor-do not Ready Rooter Excavating use the return Company Name key. PO Box 89 Company Address Forestdale MA 02644 City/Town State Zip Code 508-888-6055 S112843 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. M Passes 2. Lj Conditionally Passes 3. 8 Needs Further Evaluation by the Local Approving Authority 4. 0 Fails September 2, 2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board s of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: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. t5insp.doc•rev.7126r2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts �- ,p Title 5 Official Inspection Form I� Subsurface Sewage Disposal g posa System Form Not for Voluntary Assessments �� Y rY `...........e 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is August 31, 2020 Hyannis MA 02601 Au required for every Y g page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ 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. Check the box for"yes", .no"or"not determined/(Y, N, ND)for the following statements. If"not determined," please explain. i The septic tank is metal and over/ead* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infilxfiltration or tank failure is imminent. System will pass inspection if the existing tank is rh a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inst is structurally sound, not leaking and if a Certificate of Compliance indicating that the tahan 20 years old is available. ❑ Y ❑ N ❑ below): i I t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled r replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by th Board of Health: ❑ Conditions exist which require fu er evaluation by the Board of Health in order to determine if the system is failing to protect blic health, safety or the environment. , a. System will pass unles oard of Health determines in accordance with 310 CMR 15.303(1)(b)that the syst is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form f Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil abso ption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary o a surface water supply. ❑ The system has a septic tank and SAS a d the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SA and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and S and the SAS is less than 100 feet but 50 feet or more from a private water supply well* . Method used to determine distance: **This system passes if the well wa r analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 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 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 water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 40 feet of a surface drinking water supply ❑ ❑ the system is within 00 feet of a tributary to a surface drinking water supply ❑ ❑ the system is loca d in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts r , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ 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(5)] t5insp.doc•rev.7/2 6120 1 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. � 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 (4+1) DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 612 GPD Description: Number of current residents: 3 (2/1) Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2018= 187 GPD g ( y g (gP )) 2019= 201 GPD Detail: Sump pump? ❑ Yes ® No Current Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.) Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the T le 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Ready Rooter records: Pumped 10/19/2019 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 1 , c Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owners Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: System installed 06/10/2015. Certificate of Compliance on file at Health Dept. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 2 Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: n/a feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 t . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: #1- 18" #2-20" De p g feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: Years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5' x 5.5' x 5' 1500 gallons+ 1000 gal secondary Sludge depth: . Distance from top of sludge to bottom of outlet tee or baffle 34" 34" 1 <1 Scum thickness Distance from top of scum to top of outlet tee or baffle 6" 6" Distance from bottom of scum to bottom of outlet tee or baffle 22 14" How were dimensions determined? Dip tube and tape measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees in place in both tanks. Liquid levels at outlet inverts. Risers bring all covers within 6"of grade. Filter in outlet tee of primary tank should be cleaned yearly. Recommend maintenance pumping every two years of primary tank with full time use. Secondary every 4-6 years. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 e c Commonwealth of Massachusetts r= Title 5 Official Inspection Form < Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade.- feet Material of construction: ❑ concrete ❑ metal ❑ Iberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of ou let tee or baffle Distance from bottom of scum to bo m of outlet tee or baffle Date of last pumping: Date Comments (on pumping recom endations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet'invert, evidence of leakage, etc.): i 8. Tight or Holding Tank(tank must be7pedtime of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal rglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 cry Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 _ page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switche , etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. 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.): One inlet, 4 outlets. Speed levelers in place. No solids carryover. No high water staining over outlet inverts. Riser and 18"concrete cover bring access within 8" of grade. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is Hyannis MA 02601 August 31 2020 required for every y g page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, co/ition f pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 28 Infiltrator Hi cap units ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �- i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is Hyannis MA 02601 August 31, 2020 required for every y g page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No standing liquid in inspection port. No staining, no.sign of past hydraulic failure. 12. Cesspools (cesspool must be pumped as part of inspection) (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 El Yes ❑ No Comments (note condition of so , signs of hydraulic failure, level of ponding, condition of vegetation, etc.): - I t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 o , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is Hyannis MA 02601 August 31 2020 required for every y 9 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs o/hdraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name [nformation is required for every Hyannis MA 02601 August 31, 2020 page. Cityrrown state Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately ------------ Tavr. �t d � ti-.1vc�Se qj F;{* Alt 0 !V'.t,,« A% 3 t� QG: 33r •rev.M26=18 Trde 5 Otfaw Form:Subsurface Sewage D System•Pap 16 of 18 t5irrsp.doc � � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is required for every Hyannis MA 02601 August 31, 2020 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >7feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 05/28/2015 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ® Accessed USGS database -explain: maps massgis state ma.us/oliver.php You must describe how you established the high ground water elevation: Test hole in 2015 found no ground water at 11' (elv= 13.99). Base of units at elv= 21.5. No high ground water in area of system. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Fernwood Ave. Property Address Joanna Callahan Owner Owner's Name information is Hyannis MA 02601 August 31 2020 required for every y _ 9 , page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 No. C / Fee �(/v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLation for Mispo8al 6pstrm Cone CUttion V fmit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( 121complete System ❑Individual Components Location Address or Lot No.L+q 4L4e, Owner's Name,Address,and Tel.NO. 0 qt=)-Y� � A ��AV",%� S 1A8 �a�\''� A L/<" Assessor's Ma /Parcel P ev�v. ✓Y� 0-@601 Installer's Name,Address,and Tel.No.' G®V-S- Designer's Name,Address,and Tel.No. fig-3Qz)-3 3/( eos ,�csczs�- c,A vq.�N.-C: Type of Building: Dwelling No.of Bedrooms �5 ^` -� I Z Lot Size �� `� �{ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) S 5 0 gpd Design flow provided (`� > S gpd Plan Date; c(S Number of sheets Revision Date Title Size of Septic Tank\SRO Type of S.A.S.nn •4 riJ' -C.aD �� �h �S Description of Soil S-6 Nature of Repairs or Alterations(Answer when applicable) � �` , p O fro -t, \` ZQ SAC 5 i< ._��l v.�.. 5 �v� S�a-`J,�� ���,..P l� E-1-�S� �-�.�'.� +r o�`l�-�-•�.��.r�s�o.1�-' 0o 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' e Date Application Approved b Date S �g Application Disapprov Date for the following reasons Permit No. �/ l / Date Issued --------------------------------------------------------------------------------------------- ----------------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Misposai 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade'(QAbandon( ) 1�40mplete System ❑Individual.,Compoiients Location Address or Lot No.4412 fi�t-v.,cA &pe, Owner's Name,Address,and Tel.No. S Assessor's Map/Parcel (�� � 1'�1N ��s�e��. Q c` Y Installer's Name,Address,and Tel.No.fig- GO 971'_ Designer's Name,Address,and Tel.No. P c7 _ a Type of Building: Dwelling No.of Bedrooms 5 C� �- I� Lot Size sq.ft. Garbage Grinder( ) Other Type of Building `1��'-�: ,': '•t ` No.of Persons"" > Showers( ) Cafeteria( ) Other Fixtures ;,/ _ /., _ ( ) Design Flow(min.required) S 5 O gpd Design flow provided�[� _ $3 gpd Plan Date 3c �3, ®(S Number iof(She{ o� Revision Date Title ` Size of Septic Tank 1 SOO ` -- (0C30 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when Applicable) j; .,� `L, •gip��,( +- \Oho �(1�� S;M` 7�5� �l <1611. L .e,�,. CCn.a�e,l�� rs Y Date last inspected: Agreement: t 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' - Date $- Application Approved b Date / Application Disapprov Date for the following reasons Permit No. Zi016- ��q Date Issued A S /S THE COMMONWEALTH OF MASSACHUSETTS •. , BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY=N11 a On-si Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by at S I� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer (���►�J'� ��v��, "' v.c #bedrooms �� —t > Approved desi n flow. gpd The issuance o this ermit shall not be construed as a guarantee that the system will nct n m desig ed. Date ! (��( Inspector i ' ------------------------------------------------------------------------------------------------------------------------- ----------------- No. ^' / � Fee co THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposai 6pstem Construction permit _ Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized�s/her duty omply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 6// Approved by Town of Barnstable Regulatory Services . Richard V. Scali,Interim Director 1ARNgrABLE ; M P Public Health Division Na Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1� ii IS Sewage Permit# , , l� Assessor's Map\Parcel_2�� Designer: M",e-/$ S8`'tiS r 0L Installer: y 2 N ��.�s-✓�- Address: Address: =� •�`> -t '?=i OK31 On 44111; ff as issued a permit to install a (d te) (installer) septic system at 4� feA(y,t, 08kffl _ AA0.nJ41 S based on a design drawn by (addrss) — NmP, Vet dated 3 1 (design I—certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters(if applicable) OF o Qt (Installer's Signature) r ' t esigner's Signature) ' ►tARt �F�111� PLEASE RETURN TO BARN CABLEUBLIC 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:\Septic\Designer Certification Form Rev 5-14-13.doc itta Town of Barnstable Pit • N • Departiment of Regulatory Services Public Health Division / Date 1cl �5 s'e3Y 200 Main Street,Hyannis MA 02601 ' rill IJIA't a • Date Scheduled a 0 .( Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By:: i l .` i' 0t,,v Witnessed By; (V Location Address LOCATION& GENERAL INFORMATION �-. .Q I 1 t/ �r Owner's Name -- / Address Assessor's Map/Parcel: Engineer's Name NEW CONSTRUCTION m e�(� REPAIR Telephona# 5 n<_?� Land Use �l�°C.�0C 0 • g,�— Slopes(96)�• %� Surface Stones . Dislance9 ftorn: Open Water Body��—iJl% a possible Wet.Area 2cv ft Drinking'Water Well DWhago Wily. _-/Vo ft Property Line . - �,�C.�_ft Otlter ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&porn tests,locate wetlands in proximity to holes) UPC f Parent material(geologic (; G (/ U� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: %✓ Weeping ti-om Pit Pnce Estimated Seasonal High Oroundwater V DETERMINATION:FOR SEASONAL•HIGH WATER TABLE Method Used: Depth Observed standing In obs.hole: In„ Deptlt to soil tnottlec Dellth to weeping from side of obs.hole: !n. Groundwater AdJuetmant Index Well# Reading Date: Index Well 1pval _-� ..__ AiO.Actor- Adj,Grnundwriter Level PERCOLATION TEST hale Observation Hole# Time at 9" J Depth of Pero —p —�rr' �1 Time at 6" 0 L , Start Pre-soak Time @ ' _ Time(9"4") Had Pro-soak Rate Min./Iuch . L 31te Suitability Assessment: Site Passed X. •Sitp Falled: Additional Testing Needed(Y/N) Original: Public Health Division Observtition Hole Data To Be Completed on Back--- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)weep prior to beginning. V v Q:SEPTIC\PERCFORM.DOC �� DEEP-OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Shcl Color Sol[• Other Surface(in.) (USDA) (Munselo Mottling (Structure,Stoneg;Boulders. rteistonr.%%aravell i q 31 f�'t �b� A I,,t�ry► ��t v1 c•1 ���;�� tl+� • l n DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. onsistency.%Oravell "'- " DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(la.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. onite c DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Sotl Texture Soil Color Sall Iher Surface(in.) (USDA) (Munsell) Mottling (Structura,Stones:Boulders. C ns t Flood_ Insurance Rate M_a_p: Above 500 year f lood boundary No Yes .Z Within 500 year boundary No Yes ' Within 100 year flood boundary No.r Yee . Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per sous material?___.._,___�.... Certification r I'certify that on �•� (date)I have passed the soil evaluator examination approved by the Department of Environm ntal Protection and that the above analysis was performed by me consistent with . the required trafRipg,expertise and experience described in�10 CMR 15.017. Signature ` Date v f QAS BP nL'kPBRCPORM.D O C Town of Barnstable Regulatory Services Richard V. Scali, Interim Director BA ASTABLE.A' Public Health Division 9 MASS. 0 Apr ib39' a`� Thomas McKean, Director ED MA'S 200 Main Street,Hyannis, MA 02601 ` Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Svstems/ l Property Address: �� ���'� �� ! Y22:n A/ Assessor's Map\Parcel: /01 Property Owners Name: In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A ❑ I have been provided a copy of the Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) ❑ I have been provided with the Owner's Manual ❑ M I have been provided with the Operation and Maintenance Manual ❑ ![For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval ❑ L-16Or Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5) i� ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted M ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the y LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 agree to comply with all terms and conditions above. Z erty Owners printed name Property Owners Signature 4� D to Note: This form must be submitted along with the septic system disposal works permit application for all I\A systems including new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited design criteria. Q:\Septic\IA homeowner certification.doc Certified Mail#7006 0810 0000 3524 8257 Town of Barnstable Y ]aa is`ctacE, Regulatory Services E>,r 9 MASS. Thomas F. Geiler,Director A x6;q. 1 rFAMAp' public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 6,2007 JoAnna Callahan 48 Fernwood Avenue Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410,000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 48 Fernwood Avenue, Hyannis was inspected on December 20, 2006 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.190—Hot Water—Hot water at 104°F. 105 CMR 410.351 - Owner's Installation and Maintenance Responsibilities— Open ground on GFCI outlet in kitchen which also does not trip; open ground in outlet in living room. 105 CMR 410.500 - Owner's Responsibility to Maintain Structural Elements— Stains and cracks on bedroom ceiling. You are directed to correct the violations listed above within thirty (30) days QAOrder letters\Housing violations\Rental ordinance\48 Femwood Avenue.doc f of your receipt of this notice by fixing or replacing both faulty outlets as mentioned above; by replacing ceiling tile that has staining; by raising hot water temperature to be between 110' and 130°F. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each days failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF T E BOARD OF HEALTH mas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Jessica Jackson, Tenant Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\48 Femwood Avenue.doc f Certified Mail#0000 0000 0000 0000 0000 T r. Town of Barnstable Regulatory Services A Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 —dy r1'Y1/b^✓�. — C.6 date AV e— address )�- 0�_G0 city,slate,zip NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE 1I — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at `� A was inspected v (Address) on i'a- / / 6 �► by 1.S , Health Inspector for the Town (date) (InsN�R ' of Barnstable, (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number-vi lation desc ' tion 105 CMR 410. �«rJ 105 CMR 410. S - trP.e->ti >� csv�— "6j_T_C Z � `- 105 CMR 410. MO Q:\Order letters\Housing violations\Rental ordinance\template.doc II i 1fg CMR 410. The following violation(s) of the Town of Barnstable Code were observed: (Town code violation number-violation description) . §170-_- §170 - You are directed to correct the violations listed above within C) days._ of (#)your receipt of this notice by �'t- written#� a 0 r You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: (Name,tenant,owner,Fire Dept.,Building Dept....) Cc: TC� (Health inspector's name) (Generic codes located at QAOrder letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC) QAOrder letters\Housing violations\Rental ordinance\template.doc FORM30 HhW HOBBS&WARREN'm THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH CITY/TOWN W W DE�PfP RTMENT 1 ADDRESS �G�p� S(62��j/ GSM SV6y`0y lS v '1 i�-1 L� 6 )_r- ) TELEPHONE Address 1 — — -- ---Occupant Floor Apartment No. __- No.of Occupants—/ No.of Habitable Rooms_ No.Sleeping Rooms-_-/__ __ No.dwelling or rooming units----, No.Stories-- f Name and address of owner a Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: - OV Hall, Floor,Wall,Ceilin Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair Ll to- TYPE: Stacks, Flues,Vents: — PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: — — a H.W.Tanks Safety and Vents — ,c� O ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen 0 Bathroom ,�.. Pant Den Living Room Bedroom(1). 10 �L Bedroom 2 Bedroom 3 Bedroom 4 Hot Wate F_gcil. Su .Ten.,Gas,Oil, Elect.: (� Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND . PENALTIES OF PERJURY." AA INSPECTOR ' ® TITLE DATE �- a� TIME l ------� A.M. THE NEXT SCHEDULED REINSPECTION ; P.M. .f 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105.CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A) and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. v �. CERTIFICATE OF ANALYSIS page. '°rrA�WUS� ' Barnstable County Health Laboratory Report Prepared For: Report Dated: 7/7/2003 Order Number: G0320220 JoAnna Callahan 48 Fernwood Avenue Hyannisport, MA 02647 Laboratory ID#: 0320220-01 Description: Water-Drinking Water Sample#: 20220-01 Sampling Location: 48 Fernwood Ave.,Hyannisport Collected 6/9/2003 Collected by: JC COLD Received 6/9/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB:IC Lab Nitrates 4.6 mg/L 10 EPA 300.0 6/10/2003 LAB: Metals Copper <0.1 mg/L 1.3 SM 311113 6/18/2003 Iron <0.1 mg/L 0.3 SM 311113 6/18/2003 Sodium 49 mg/L 20 SM 3111B 6/18/2003 LAB: Microbiology Total Coliform Absent P/A Absent 309 6/9/2003 LAB: Physical Chemistry Conductance 303 umohs/cm EPA 120.1 6/10/2003 PH 7.1 pH-units EPA 150.1 6/10/2003 Note: Sample has higher than average levels of Nitrates.Monitoring is recommended(2-3 times per year)to establish any upward trends. Sodium level above average.Those on low sodium diet may wish to contact physician. REVIVED JUL 2 J 2003 TOWN OF }` HEALTH RNSTABLE Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 4 '= Page. 2 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory �sr�cfnssti.,/` Report Prepared For: Report Dated: 7/7/2003 Order Number: G0320220 JoAnna Callahan 48 Fernwood Avenue Hyannisport, MA 02647 Laboratory ID#: 0320220-02 Description: Water-Drinking Water Sample#: 20220-02 Sampling Location: 48 Fernwood Ave.,Hyannisport Collected: 6/9/2003 Collected by: JC HOT Received: 6/9/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB:IC Lab Nitrates 4.8 mg/L 10 EPA 300.0 6/10/2003 LAB: Metals Copper <0,1 mg/L 1.3 SM 311113 6/18/2003 Iron <0.1 mg/L 0.3 SM 311113 6/18/2003 .Sodium 49 mg/L 20 SM 3111B 6/18/2003 LAB: Microbiology Total Coliform Absent P/A Absent 309 6/9/2003 LAB: Physical Chemistry Conductance 304 umohs/cm EPA 120.1 6/10/2003 pH 7.7 pH-units EPA 150.1 6/10/2003 Note: Sample has higher than average levels of Nitrates.Monitoring is recommended(2-3 times per year)to establish any upward trends. Sodium level above average.Those on low sodium diet may wish to contact physician. Approved By: Lab Manager) Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 FORM3o HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS 9 BOARD O HEALTH � 0 __- l� CITY/T .,��r� W ID P O MENT � / Y! V cuan ��...1 t ADDRESS 7Q1✓ ���/• 4TEH�O/NE% Add'resS S . U Q Q 4Oc P , floor Apartment No. No.of Occupa�s No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories- j Name and address of owner- Remarks� � �_� Remarks -_Reg—Vlo YARD Out Bld s.: Fences: _ Garbage and Rubbish Containers: Drainage Infestation Rats or other: t STRUCTURE EXT. Steps,Stairs, Porches: .� Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: a r .. f w. r. / ^n no STRUCTURE INT. ;Hall,Sta Ewa : {'G1 t^ ^! � W U K Obst-n,..Hall Floor,Wall,Ceilin {jj � T1QGi! Hall Lighting: ri 1�!�1G'l� (' - F73�T-711,16A t Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond, Distrib. Box: Gen. Basement Wiring: y DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Su .Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink . Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE, OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over), "THIS INSPECTIONMREPORIS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTI S PER �/INSPECTOR � ' ' �l' f TITLE A.M. DATE / TIME P.M. T`fl .LC.. A.M. THE NEXT SCHEDULED REINSPECTION_� P.M. 410.750:: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,. when+found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person. or persona occupying the premises. This listing is composed of these items which are"deemed to always have the potential to endanger or materially,impair .the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination,that other violations may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it affect the legal obligation of the person to whom the order is ;•,_ Aseuedy_to comply with such order. - (A) r Failure to provide a supply of water sufficient in quantity, pressure ,- - and temperature, both hot and cold; to meet the ordinary needs of the occupant Uk accordance with 105-CMR 410:180 and 410.190 for a period• of.24 hours or 'longer. (B)-- Failure to provide heat as required by 105 MR 410.201 or improper ` w _. venting or use .of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shut-off and/or failure to restore electricity or gas. ` (D). .'Failiire to supply the electrical facilities required by 105 CMR 410.250(B), 410.251(A); 410�253(A), 410.253(B) and the lighting in common area required by 105 -CMR 410.254. =(E)- Failure to provide a safe supply of water. *.;(F) _Failure to.provide a. toilet and maintain a sewage system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. '(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and .410.451. (H) --Failure to comply with the security requirements of 105 CMR 41'0.480(D). (I).. Failure.to comply with any provisions of 105 CMR 410.600 through 410.6.02 _ _- -.4bich. results in any accumulation of garbage, rubbish, filth or other causes 'of sickness which may provides food source or harborage for rodents, insects `rot' other pests or otherwise contribute to accidents or, to the creation or ::spread of disease. " -(J) The presence of lead-based paint on a dwelling or dwelling unit in .violation of-the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (B) -Adef;:foundition, or other structural defects that may expose the _occupant or anyone else to fire, burns, shock, accident or •other dangers or _ isipAtr6ent.to health =or dafety. (L) Failure to- install electrical, plumbing, heating and gas-burning facilities in accordance with accepted '.plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilities as - are-required-'by 105 CMR 410.351 and 410.352 so as to expose the occupant - or anyone else to fire, burns, shock, accident or- other danger or impairment - to:-health or safety. (1Q--Any-of the following conditions which remain uncorrected for.a,period. . _ . ._ of five of-more-days following the.notice to or knowledge of the owner of said condition or conditions: _ (`t) lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven _ or any defect that renders either operable. (2) failure to provide a washbasin and a shower or bathtub as required , - -in 105 CMR 410:150(A)(2) and 410.150(A)(3) and any defect which -- renders them inoperable. - Q). -any defect in the electrical, plumbing, or heating system which makes . _. such system or any part thereof in violation of generally accepted -plumbing heating,,_gas-fitting, or electrical wiring standards that do not create an immediate hazard. .(4)_'Ia' Iiure to maintain a safe.handrail or .protective railing for. every stairway,• porch balcony; roof or similar place as required by 105 CMR 410.503(A) and 410.503(B). (5) failure to eliminate rodents, cockroaches, insect infestations and other pests 'as required by 105 CMR 410.550.• (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through (M) shall be deemed, to be a condition which may endanger or materially fir the health or safety and well-being of an occupant upon the failure of the-owner to remedy said condition within the time so ordered by the board of health. l P C T ON SEWAGE PERMIT NO. VILLAGE t S LLER' NAME i ADDRESS -41 ou DER R W R DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� �Z,'� � ` , .. .. -� Fps............................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1 W. .................OF......6.4 ............................... Appliratiou for Uiipuoul Works Tomitrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (K) an Individual Sewage Disposal System at: ��.t�-� d ---------/ �' .lt� l sS----------- ----------------- L ion- ddress or Lot No. -------------------------- -------•----------•••.....-------•-•--..... ............_.... Owner r Address . ....� . ... ......................... ..•-- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (PL4 ) Other—T e of Building No. of persons............................ Showers — Cafeteria a 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 ( ) Percolation Test Results Performed bY....................-..................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil.......�------- 'ig�l x •----------•-•------...•-•-•--•----....---•-•----•----------•-•--.............................. ......... W UNature of Repairs or Alterations—Answer when applicable_________-'. ___ _e)0-6----------------------------------------------------- Agreement: w 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 be issued b the oardd of health. -- -- -- - - --- - Da Application Approved BY =- ---_----------- /Z Date Application Disapproved f o he f owing reasons----------------•------------------------------------------------------------------------.........---•••-•....-- Date PermitNo......................................................... Issued-....................................................... Date No '��¢! Fps.... ` ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / T i,�_.. Appliration for Uispwial Works Tnnstrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................--.....:............................................... -- ot . --- Location-Address orNo ......•....--••--•-•—................•------•---•--......------------.......................... ..........--...................................................................................... Owner Address W Installer Address dType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Buildip ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures __________________________________ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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 ( ) Percolation Test Results Performed by................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-_____._________-_..__. Lip Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ' p4 -------•--••--...•--•••-••----•--•--•-••-•--•••-•---------•.............................•-••-.--............................................................. x Description of Soil -=.......... ..............................e •---------------- V .....------•-----•------•-•---•------•---------•-------------•--•----•------------•-•---•-------•-••-......-••--•----•-----•-•--••---•--•-••.---- W ----••-----•-------• --------------------------- -•••-••••-•----------••-•••--•••-••-•-----•-••••------•-••-••-•------•--•-•••-•----...-------•-------••••-•-•-•---•-•---•--------••--•--------•-_..... UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------•------•------------•-----------------...-------••••--•...:.............•--•----••-------------------------------------------------------------------------......__._....--- Agreement: The undersigned agrees to install the.aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL i' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. .......................... - D = - Application Approved By....... .__ �' -'............................•----------------•---.•.....r`f � ........ Date Application Disapproved fZrh---$ f lowing reasons------------------------------ - ----------------------------•----•------------....------------------------------------•---•-----...------------•-----•--••----•-----•-•••-••----•--•-••--•--••--•-------•----------•-••-••-•......----- Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............f........ ................OF.:.... ........'.''.Z............'........:._.! :......................... (9rdif iratr of Tuntplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...............:;...............-••-----•---------......._....------......•--•••.....---•-= ,..:,.:......--------..•-----•---------------........----=--......................----•--•-••- Installer at...............................••--•••---•-•---------••---•-•-•-•---••--•-•----•--- --...................................................................................... ---- has been installed in accordance with the provisions of TIT I F 5 of The State Sanitary Code /, ee gibed.in the application for Disposal Works Construction Permit No... —��� ______________ W__ _�--__.._.._........_. PP P ---- dated--..p�rf._ _ t� THE ISSUAPCIVOF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM Wit U)(CaaTION SATISFACTORY. DATE..o� ..... .. ../......................................••-----...---• Insp:SSACHUSETTS r........`.......................................................•.................. THE COMMONWEALTH OF BOARD OF HEALTH , � ............................................OF..................................................................................... Na ........r......._ FEE--40--•-•--........ Disposal Iforkii ODnnitrudion rrntif Permission is hereby granted = ..........................................................................................................Construct ( )' or Repair ( ) an Individual Sewage Disposal System atNo................... •-------•-------•-•---------•--------•--------•--•...-••-•--•--------------.--•--------------•---•---•---•-•--•-•-••--••---•-••----•---•-•----•-•--------•----•-•-••-.----- Str'et as shown on th/ali on for Disposal Works Construction Permit No.__ :_: .______ Dated......................................... ...................... ...................................................................... DAT �,. Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS MR 41 � _ I M, — — 'IT°R All pk 0 -�U : m 6 n._ t ` � !� y t i c o � � r a ,k GENERAL NOTES: HYANNIS 4 PROP.. 1,00013 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SEPTIC TANK BOARD OF HEALTH AND THE DESIGN ENGINEER. 30 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 24 c 1 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE // `1`� 2 6 27 2 8 r 2 � 112.9 9 LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR � 0 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE / / 1 Q pQ O DESIGN ENGINEER. / _I I GJ 3o O 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING / \kTP-? / �I I I 1 i �� LOCUS Z FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN W ENGINEER BEFORE CONSTRUCTION CONTINUES. /' !/ I I 1 LLJ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. O / / I I ` 1 FER OOD AVE. O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / (lO // ( ` I N G R 0 U N D I I 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. / I I M I N G ! 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED / \✓ / TP- " / SWIM I TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ✓ J POOL 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. C.10. ! LOCUS MAP 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. ` /O / r i 1 REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. �� ,'/ I i" r / ! 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION O ,�� �� // \� % l r O It A LOCUS INFORMATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY O QP / r r l r // -J/ I POOL SHED AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY // // / II PG: 071 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. O / r / HOUSE TITLE REF: BK: 18123 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. 1 PARCEL ID: MAP 289 PAR. 096 ,' ( J o j/ / FNDN I O 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) J � / TOP OF J 10 f EL = 30.17 +- I p -I ! M !1 -0 m , SEPTIC SYSTEM -E o © �— o REPAIR PLAN LOCATED AT: 20 Jft �n z z m I I I z o II 48 FERNWOOD AVENUE CONVENTIONAL 13X42 PROP. 11150OG i I i D I HYANNIS, MA. 5 BEDROOM FOOTPRINT t SEPTIC TANK i I ! I PREPARED FOR rn CALLAH AN Fr READY ROOTER EXC. LO m 1 ' JUNE 3, 2015 I \ AREA = 1 y9/784 sf+- PLAN BOOS: 38 PAGE 91 J - \ \ .N \\ Fr - �'`� OF ANSS ® ASSR VAP2(89 PCL 98 30 I -M�R 2 3 I / - - (---.,156.00 26 si 25 S4NITA���'� I 24 AVENUE MEYER & SONS INC. FERNWOOD r LEGEND P. x 981 .1 .0. Bo �-�-�- PROPOSED CONTOUR E. SANDWICH , MA 02537 BENCH MARK PLAN L Q �V I ® PROPOSED SPOT GRADE PH: (508) 360—3311 TOP OF FOUNDATION / \ I --98 -- EXISTING CONTOUR FAX: (774) 413-9468 * 29. 55 SCALE: 1 in `20 ft + 96.52 EXISTING SPOT GRADE meyerandsonstitleS@gmail.com BARNSTABLE GIS DATUNII 0 20 40 W— EXISTING WATER SERVICE www.meyerandsons.com 0 10 20 TEST PIT SHEET 1 OF 2 J 1747 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS INSTALL RISERS W/IN 61' OF FINISH GRADE FINISHED GRADE (25.0) F.G.EL: 28.0 F.G.EL- 26.5 F.GEL: 26.0 F.G. EL: 25.5 fMAINTAIN 2% MIN SLOPE OVER LEACHING AREA a• i BRING ALL COVERS TO GRADE 25.0 EL.=, 24.65 INSTALL TWO INSPECTION PORTS (MIN.) :a 10" 14 6" El 'w INV. TEE'S ARE TO BE INV. 10" " 14 � / 11.3" TO 4" SCH 40 PVC a. EL.= 23.95 EL.= 23.60 TEE'S ARE TO BE INVERT INV. 4" SCH 40 PVC INV. INV.=22.45 BAFFLE = 23.70 EL.= 23.35 INV. INV 4 ROWS OF 7 UNITS AT 6.25'/UNIT = 43.75'/ROW GAS 1 ..•...•.. EL.= 22.75 BAFFLE EL.-_ 22.55 EXIST. OUTLET PROP. 1,500 GALLON SEPTIC TANK 4 PROPOSED DB-5 RESTORE VEGETATIVE COVER A EL. 29.00 PROPOSED 1,000 GALLON SEPTIC TANK H-20 DISTRIBUTION BOX 9B EL. 26.75 TO TO NTH TH CLEAN PERC SAND TO TOP OF CHAMBERS OF MgsS , BREAKOUT=TOP E LEV.=22.8 7 NOTES: 1) CONTRACTOR SHALLV VERIFY EXISTING INV ELEV22. 5 ' PIPE INVERTS PRIOR TO CONSTRUCTION o� DARREN M. y✓> BOTTOM ELEV.= 21.54 EXISTING SUITABLE 2) ALL COMPONENTS SHALL BE SET LEVEL AND TRUE TO t�EYER 1 MATERIAL GRADE ON A MECHANICALLY COMPACTED SIX c �J } 2.83' INCH CRUSHED STONE BASE, AS SPECIFIED IN No � 5' MIN. ABOVE BOTTOM OF / i T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 4 x 2.83' = 11.32' 310 CMR 15.221(2) p (7.55' PROVIDED) ��E. USE 4 ROWS OF 7-HIGH CAPACITY 3) INSTALL INLET & OUTLET TEES W/ S4NITAR�P� c^ BOTTOM OF TESTHOLE: EL:13.99 = INFILTRATOR (H20) UNITS W/ ENDCAP-NO STONE GAS BAFFLE AS REQUIRED �� I 4) PROPOSED OULTET CONNECTED TO COMMERCIAL SEPTIC SYSTEM PROFILE BUILDING REQUIRES A PLUMBING PERMIT TYPICAL SECTION N.T.S. ---� 75" I DESIGN CRITERIA F SOIL LOGS P#: 14700 NUMBER OF BEDROOMS: 5 BEDROOM DESIGN - 2 UNITS/ 4 BEDROOM HOUSE & 1 BEDROOM COTTAGE DESIGN FLOW: RESIDENTIAL: 5 BEDROOMS ® 110 GPD/BR = 550 GPD DATE: MAY 28, 2015 DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, CSE 1614 GARBAGE GRINDER: NO (not designed for garbage grinder) WITNESS: DAVID STANTON, BARNSTABLE HEALTH SEPTIC TANK: 550 gpd x 2.0 = 1,100 gpd USE (2) TANKS (1,500 PROP./1,000 PROP.) IN SERIES I **meets 2 compartment tank requirement** TP-2 De •Elev. TP- 1 El Depth " ev. Depth LEACHING AREA REQUIRED: (550)/.74 = 743.24 S.F. 25.78 0" 24.99 0" ' t DISTRIBUTION BOX: USE H2O DB-5 DBOX LOAMY SAND i A LOAMY SAND 15" ( ) 1OYR 4/1 10YR 4/1 y 25.11 8" ' 24.32 8" PRIMARY S.A.S. B LOAMY B LOAMY YR SAN6/D 6/6 1oYR s/6 USE 4 ROWS OF 7 - HI-CAP INFILTRATOR H-20 UNITS-NO STONE 23.20 31" 22.49 30" 1r' PERC TEST C MEDIUM C MEDIUM SECTION INVERT BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF CHAMBER) ® EL. 20.78 SAND SAND. HEIGHT END CAP (CHAMBER) 28 UNITS x 6.25 LF x 4.73 SF/LF = 827.75 SF 18.28 C2 tOYR 6/4 9o,.. tOYR 6/4 17.32 C2 92" INFILTRATOR - HI CAPACITY (~H20) CHAMBER COARSE COARSE TOTAL AREA = 827.75 SF 2.5Y D 2.SY D PROPOSED SEPTIC SYSTEM UPGRADE PLAN DESIGN FLOW PROVIDED: 0.74GPD/SF(827.75SF) = 612.53 GPD > 550 GPD req'd 14_78 132`! 13.99 132" 48 FERNWOOD AVE, . HYANNIS, MA PERC RATE <2 MIN/IN. ("C" HORIZON) **11.32 X 43.75 = 495 SQ FT. > 400 SQ FT. REQUIRED NO GROUNDWATER OBSERVED Prepared for: Callahan/Ready Rooter Exc. Design and Topographic Plan by: SCALE DRAWN MEYER&SONS,INC. N.T.S. DMM • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310-CMR 15.017 PO BOX 981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the EASTSANDWICH,MA02537 DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. I further certify that,l have passed the Sol Eval. Exam in October, 1999. 508-362-2922 06/03/15 DMM 2 Of 2