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HomeMy WebLinkAbout0030 FRESH HOLES ROAD - Health 30 Fresh Holes Rd aka 30-32 Fresh Holes Rd 292-180 Hyannis ° I `r Commonwealth-of Massachusetts c2 90? - $O Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 30 & 32 FRESH HOLES RD E Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 t Owner Owner's Name t ; information is every HYANNIS required for eve MA 02601 3/9/2020 page. Cityrrown State Zip Code Date of Inspection 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 p on the computer, use only the tab Christopher Maki key to move your Name of Inspector cursor-do not use the return Cape Cod Septic Services Company Name key. . 350 Main St. Company Address W Yarmouth MA 02673 City/Town State Zip Code rBu�� 508-775-2825 SI-14423 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. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails zz �✓- i� 3/11/2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board- of Health or DEP)within 30 days of completing this inspection. If the system 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.7/2.612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Fo rm orm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30& 32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town 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: SYSTEM IS IN WORKING CONDITION 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. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal.septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. 0 Y-, ❑ N ❑ ND (Explain below): 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 Flo, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owners Name information is HYANNIS MA 02601 3/9/2020 required for every page. CityrTown 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 or 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 the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health-in order to determine if the system is failing to protect public-health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: 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 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town 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 absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. El The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100-feet but 50 feet or more from a private water supply well**. Method used to determine distance: **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 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 ® 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 Commonwealth of Massachusetts Title ,5 Official Inspection Form Flo Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30 & 32 FRESH HOLES RD Property Address. TOM FALINE-22 FLICKER LANE° MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 .3/9/2020 page. CityrFown 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 %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 ❑- ❑ t the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area—IWPA)or a,mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts ,9 Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30& 32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 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 aft 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? ❑ 0 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)] _ 1 t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts 1? Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms-(design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x'#of bedrooms): 440 Description: Number of current residents: 6 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 Seasonal use? ❑ Yes 0 No Water meter readings, if available last 2 ears usage d '19-336 GPD 9 ( Y 9 (9p )) '18-459 GPD Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30&32 FRESH HOLES RD w Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 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 Title 5 system? ❑ Yes ❑ No Water meter readings,if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: N/A 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 Commonwealth of Massachusetts Title 5 Official Inspection Form �o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town 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: 2005 PER PERMIT DATED 7/13/2005 PER BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: 10+ feet Comments(on condition of joints, venting, evidence of leakage, etc.): LINE CHECKED WITH SEWER CAMERA AND WAS FOUND TO BE CLEAN AND PROPERLY PITCHED t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title. 5 Official Inspection Form tlo Subsurface Sewage.Disposal System Form-Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town State Zip Code Daonspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 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: 1500 GALLONS 2 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 1 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? ESTIMATED Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 GALLON H-20 RATED TANK IN GOOD CONDITION. TEES IN PLACE AND CLEAN. TANK AT NORMAL OPERATING LEVEL. t5insp.doc•rev.7/26/2016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts - ,r Title 5 Official Inspection Form 4 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town 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 ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.V26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30 &32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. City/Town 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 switches, etc.): K i *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 EVEN Comments (note if box is level and distribution.to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): DISTRIBUTION BOX LEVEL AND WATERTIGHT t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sys-.ern-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30 &32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required.for every HYANNIS MA 02601 3/9/2020 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, condition of 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: 3-500 GALLON CHAMBERS ❑ leaching galleries number: ❑ : leaching trenches number, length: El leaching fields number,.dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 13 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal'System Form -Not for Voluntary Assessments 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. Cityrrown 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.): 3-500 GALLON CHAMBERS FOUND IN OPERATING CONDITION WITH NO SIGNS OF 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 ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form <N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30 & 32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. Citylrown 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 of hydraulic failure, level of ponding, condition of vegetation, etc.): - 4 ' t5insp.doc•rev.7/26/201a Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts ,g Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments !% 30&32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts I4�p Title 5 Official Inspection Forma hi Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 30 & 32 FRESH HOLES RD Property Address . TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 page. Cityrrown 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: 12'feet 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: 2005 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: You must describe how you established the high ground water elevation: TEST HOLE PER PLANS ON FILE. NO WATER AT 11' 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 . , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 30& 32 FRESH HOLES RD Property Address TOM FALINE-22 FLICKER LANE MARSTONS MILLS MA 02648 Owner Owner's Name information is required for every HYANNIS MA 02601 3/9/2020 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 t � g Rb 416 07 53.8 i TOWN OF BARNSTA.BLE LOCATION TM65 (�( ULB SEWAGE # VILLAGE_114a i.AIS ASSESSOR'S MAP & LOTJqa ! FO INSTALLER'S NAME&PHONE NO. 0a4U-.1,-Jid 'iyNt. SOL SEPTIC TANK CAPACITY LEACHING FACILITY: (type) SOy C Ck,cxrw (size) 13 X NO. OF_BEDROOMS BUILDER OR OWNER PERMITDATE: iz - js' COMPLIANCE DATE: t 3-0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /V o Feet Private Water Supply Well and Leaching Facility (If any wells exist on site w' N Feet or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Nv Feet Fumished by_ e�,�t c,@r �''� pf►3es trC.0 1 J �� 33 W.9 . }7 -. R7 � No. oZC1 o) U ,t, � �. ('�ljr�{.��,i V✓C./'�vv��//van' Fee THE IOMM&AWEALTH OF MASaCHUS&I TS Entered in compute Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppfication for ;Bigogal bpgtem Conelruction Permit Application for a Permit to Construct( . .)RepairJpgrade( )Abandon( ) omplete System Individual Components Location Address or Lot No. + F 8 6S IN t CkZ5 Owner's Name,Address and Tel.No. ��1�InYt� ,Iu�l �'� Assessor's Map/Parcel R'7 '7 _ ISO �� • e� L� . ITV i 1 s A Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 4 Lot Size l SO sq.ft. Garbage Grinder(� Other Type of Building Q C No. of Persons Showers( v�Cafeteria( V) Other Fixtures f A Q pvl—CQ. k'1-r-r tiy's �SvQs1c} lJa v fl�� Design.Flow 4gZ� gallons per day. Calculated daily flow 4-4( 7 gallons. Plan Date 5 19 ©S Number of sheets I Revision Date Title S,jS&-_M Size of Septic Tank Q.%.l tSnn 4e.\ , T•A► +c Type of S.A.S. 3 Innarit acS Description of Soil Nature of Repairs or Alterations(Answer when applicable) oq! Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to-place the system in operation until a Certifi- cate of Compliance has been issued by i Board of Health. Signed Date Application Approved by Date.. a W Application Disapproved for the following reasons Permit No. 06 Date Issued ��s-.`-.- �ti..:. J✓wr•fwL, .:e r£.i -. y- ` ^ ,.s, i 1 >c.,� � - .._ :: -i rv-�...� a.. -.._"„,. Na. :j f)r! ) -d d 0 w a Fee }� (i JC � ✓C/ o�nGQ I pv r THE.'COMIVI( �1WEALTH OF MASS ►CHUSfir,��-TS Entered in computer: ., . Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 9(pprication for Miopooal *patent CCon!6truction Permit� i Application for a Permit to Construct( )Repair Upgrade( )Abandon( ) Complete System ❑Individual`Components Location Address or Lot No. +^ T Z,E5F! }aLCS - Owner's Name,Address and Tel..No. Assessor'sMapRRaarcel Nk4p/)Mks I Ht'A ca��a 1 ad . LJ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Coop wme 514AY Ehly- jdCS , aB - 0a_8 539-igLAP Type of Building: Dwelling No.of Bedrooms Lot Size 1 SO sq.ft. Garbage Grinder(��q Other Type of Building /V CAN F_ No.of Persons , Showers( {/f Cafeteria( V) Other Fixtures L A u a mug. arts fN�k, t A u N ne le Design.Flow AA gallons per day. Calculated daily flow &51-41 a fb q-• gallons. t Plan Date Number of sheets Revision Date. Title _ �J2 ' 'Size of Septic Tank SnA LgA T'A Jc Type of S.A.S. 3 C'�nnm �cS Description yof Soil as- AM nNCA 13 X 3A r X d r Nature of Repairs or Alterations(Answer when applicable) _.- - t� pNCX1 ro Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage,disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t 's Board of Health. Signed Date -Application Approved by Date,C i -�2u,� Application Disapproved for the following reasons Pe.rmit'No. ,2o0 C', atw� Date Issued �U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired( )Upgraded iG Abandoned( )by C.c�A(1p .�:�LQ o teln- fx 0-4 <.< 't at u- -e has been constructed in accordance with the ovisions of Title 5 an the for Disposal System Construction Permit No.90o's-'on dated S-f a-IJ InstallerA a Designer The issuance of this Mlt shall not be construed as a guarantee that a syste widN lah"o 'on as--esigiwd,. Date '�. t Inspect No. ran�— da Fee lew - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS vi'l " ;Di!6poSa[ *patent CCon5truction Permit Pennission is hereby/granted to Construct( )Repair( )Upgrade )Abandon( ) S stem located at ( JO) PL �.r.t e and as described in the above Application for Disposal,::S,ystenr Construction Permit. The applicant recognizes r "s/her duty to comply with Title 5 and the following local.provisions or special conditions. Provided:Construction must be completed within three years of the date of-,.his�permi -� ,. ?Date: � 11�/i, �� _.._... - A,l;proved by .!r // � :1�,� J { ' 9/16/03 Notice: This Form Is,To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, CPr9-Mef 3"Y ,hereby certify that the engineered plan signed by me dated I Q 5 ,concerning the property located at T�t"S�flO� 1FU ► lSmeets. all of the following criteria: • This failed system is connected to a residential dwelling only. There are.no commercial or business.uses associated with the.dwelling. • The soil is,classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information). Lm B) G.W.Elevation OQ5 +adjustment for high G.W. DIFFERENCE BETWEEN A and B cQ S..23 '9 ' ' I SIGNED : DATE: �S NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc Permit Number: Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location: 3� ` 31 �eslr�y\es '� anstft,`� Lot No. 417 �Q Owner: Address:, �� C'der co �er��� ��� ��C Contractor: �Y lcvj Address:_ ��i� , (�jaX (v�l } Q, lYYtpt,T�i� "A Notes: �aeS�a\c1 dZS3� STEP 1 Measure depth to water table tonearest 1/10 ft. .............................................................................. .Date C1� as month/day year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... © Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well mon h/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and'water•level zone (STEP 28) determine water-level adjustment ................................ io 3 STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................ .......................................... �lv, 1; Figure 13.--Reproducible computation form, 15 08,'25/2408 08:51 FAX 5487710722 BOUDREAU AND BOtTDR.EALT Z002 'n O9,s 535 08-2 7 i REGISTRY TABLE LAND COURT 4 f DECLARATION OF RESTRICTION ! f We, Dwight Giddings and Thomas paline,Trustees c►f Adventure Realty Trust, under ty Registry declaxation of trust dated January 24, 1986 and recorded with the Barnstable Coun Re is of Deeds in Book 4898, Page 45, of 22;Flicker Lane,Marston Mills,Massachusetts 02648, owner of Lot 10,as shown on Land,Court l? 'No. 17786-C (Sheet 1}; hereby impose the following restriction upon said land,Which said restriction shall run wiith the land and be binding upon'our it successors and assigns tlerei.a: j t !i The structure constructed or laced u on the Premiss shall contain no more than four(4) #+ j bedrooms unless and until (a,)such structure is:connected to' the'public sewer system,.ox(b)the , Board of Health Of the Towiii of 13arhstablc permits ctherwksc. j i, i ' Property Address: 30 and 32 Fresh Doles Road, 1-Iya;,nnis, Massachusetts f t For title,see Certificate of Title No: 119798: WITNESS ,my hand and seal this a 8 day of, 2005, i Adventure Resat Trust x r i S By D.wil;ht`GY' s s t 4 j t By. cr nas Faline,,Trustee 1 - - C6MMONWEALTH OF MASSACHUSETTS Barnstable,ss. On this { day of 2005,'befoite ine,'the undersigned notary public, -jV , personally.appeared.Dwight Giddings and Thomas F�airie,:'��rayed to me through satisfactory { evidence of identification,vrhich was JJ,,,L, to be the persons { C F.AW FDOCMEA1,%RESTRICODH LTHU M POSADG I.DO i i , 08, 25/2008 08:52 FAX 5087710722 BOUDREAU AND BOUDREAU 10003 r whose names are'signed'on t'he preceding or attached doc'=ent and acknowledged t ine that. ° they signed it voluntarily for its stated purpose,as Trustees i:►f Adventure Realty p ,No,ary Public My Commission Expires: 6 bew MARY C. BECKER NOTARY PUBLIC: Commamrmam of MalfaotWlelsa My COMMIGslan explras July 20,2007 1 . 1 Fl..IWPDOC$%AEAL\RU-tIUC\BD74LTNUMI'I25I:DG I.DOC i 08i.25/2008 08:52 FAX 5087710722 BOUDREALT AND BOUDAEALt [a004 • c TRUSTEE'S CERTIFICAT) . i We,Dwight Giddings and Thomas Faline,oft/o;22. Flicker Lane,Marstons Mills; Massachusetts,under oath,do depose and say as follows: 1. That we are the sole:trustees of Adventure Realty Trust; under declaration of trust dated January 24, 1986 and recorded with the Barnstable C, my Registry of Deeds in Book 4898, Page 45; 2. That.said Trust has not.been revoked or amended ar�d that the same is still in full force and effect. 3. That we have been duly'authorized and directed by,ill of the beneficiaries of said trust,to sign, seal, acknowledge and deliver the attached or foregoing restrictions concerning property situate at 30-32 Fresh Holes Road,.Hyamu is,Massachusetts. 4. That all of the beneficiaries of said trust are indiVidi';als1z are not minors, are competent and are operating under no constraint or unduo influence. SUBSCRIBED AND SWORN to under the pains and penalties of perjury this Ab'�day of 2005.. / r . Dwight( ddirrgs Tho as:Faline COMMONWEALTH OF K6,SSA.CHUSET S Barnstable, ss: On this day of_ 2005,before, me,the undersigned notary public, personally appeared Dwight Gid ' gs and Thomas Faline,proved to me through satisfactory evidence of identification,which was ,ca_ to be the: 08,125/2008 08:52 FAX 5087710722 BOUDREAU AND BOUDREAU 003 .i whose names are signed on the preceding or attached do6rz ent; and acknowledged to me that they signed it voluntarily for its stated purpose,as Trustees of Adventure Realty Trust; ' i No ary Public I My C01M, ssic)n Expires 6 MARY C. BrCKER NOTARY PUSUC OMMAVedlth of Malwhomft r; My COMM1691an Lxplres 'I i o { July 20,2007 5 j •l I , . ' _._. } i F l~IWPDOCSIREALULESIR]C\BDTtLTHUMPt2SMDGl DOC i ; i ; fi Town of Barnstable �F1HE rqy, Regulatory Services �O Thomas F. Geiler,Director • BARNSTABLE, 9� '. � Public Health Division CFO MA'S A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 7/13/05 Designer: Shay Environmental Services, Inc. Installer: Capewide Enterprises Address: P.O. Box 627 East Falmouth Address: P.O. Box 763 MA 02536 Marstons Mills, MA 02632 On Capewide Enterprises was issued a permit to install a (date) (installer) septic system at #30 & 32 Fresholes Road, Hyannis, MA_based on a design drawn by (address) Shay Environmental Services, Inc. dated 05/09/05 (designer) XX_ 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. 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. IH OF 41,16, CARMEN y�N ( taller s Si re) o� E. U :. SHAY N No. 1181 GtsTEA�O (Designer's Signature) (Affix Des ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form i F � 1 � � r " Town of Barnstable NAM Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,KS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. July 11, 2005 Mr. Carmen Shay, R.S. Box 627 East Falmouth, MA 02536 RE: 30 and 32 Fresh Holes Road, Hyannis A= 292-180 Dear Mr. Shay, You are granted conditional variances on behalf of your client, Dwight Giddings, to construct a replacement septic system at 30 and 32 Fresh Holes Road, Hyannis. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located eight (8) feet away from the side property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located five (5) feet away from the front property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located five (5) feet away from the slab foundation, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211: The septic tank will be located three (3) feet away from a slab foundation, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211: The septic tank will be located five (5) feet away from the side property line, in lieu of the ten (10) feet minimum separation distance required. ShayGiddings2005 These variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the revised engineered plans dated May 9, 2005. (4) The designing sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated May 9, 2005. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to small size and shape of the lot. The proposed soil absorption system appears to meet the maximum feasible compliance standards contained within the State Environ ental Code, Title 5. Sinc r ly your W yne iller, M.D. C airm n ShayGiddings2005 voe mo,,.e 121a,1 f y � � a } �ftNE DATE: U FEE: * seuvsrAeLt, _ :NABS. REC. BY Town of Barnstable SCHED. DATE: 6 Vs Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Vlut35 ? Nt'+���i N1rH Assessor's Map and Parcel Number: B0 Size of Lot: 15 , a F•t Wetlands Within 300 Ft. Yes Business Name: 1Vr�Pt No Subdivision Name: /sir APPLICANT'S NAME: er,%Av ct4 o !w c-'s Phone > " -7f9(0 Q Did the owner of the property authorize you to represent him or her? Yes �_ No i PROPERTY OWNER'S NAME CONTACT PERSON Y Name: Name: Ct M"Ea.1 =zjaCtj Address: ZZ �.Lneicc2 1),ie Address: L1,A, t-A,\\s T IK i� ic` I Phone: Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if'more space needed) t.t�— Rt\ VAQ:%n4 t. :a NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for thissequest Applicant understands'that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK3\VARIREQ.DOC r BARMEN E. SHAY (508)-539-7966 Environmental Services,Inc. P.O.Box 627,East Falmouth,MA 02536 May 10, 2005 Mr. Thomas McKeown Director of Health and Sanitation Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: REQUEST FOR VARIANCE FOR TITLE V SYSTEM REPAIR: Residential Property 30 &32 FRESH HOLES ROAD,HYANNIS,MA Dear Mr. McKeown: In accordance with MGL 310 CMR 15.400, CARMEN E. SHAY - ENVIRONMENTAL SERVICES, INC. (CES) request a variance for the repair of a Title V septic system for the residential property located at 30 & 32 Fresh Holes Road, Hyannis, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Type of Variance: The following are variances to Title V setback requirements 15.211 (1) 1. A Variance to install an SAS 8 feet from each side lot line. 2. A variance to install an SS 5 feet from the Front Lot Line to a Common Right of Way 3. A Variance to install an SAS 5 feet from a slab foundation, a 40 mill Rubber Liner is Provided. 4. A variance to install an SAS within 10 feet of a water line,water line to be double sleeved. 5. A variance to install a septic tank 3 feet from a slab foundation, a 40 mil rubber liner has been provided. 6. A variance to install a septic tank 5 feet from the side lot line. Justification of the Variance: CES has located the Title V System components as shown on the attached plan entitled " Proposed Septic System Upgrade"due to the following site constraints: • Because of the constraints posed by the size of the lot, there is no other portion of the property that would allow placement of the Soil Adsorption System without encroaching further on abutters lot lines. Justification of No Additional Environmental Risk As stipulated in 310 CME 15.410, the granting of the variance requires that a level of environmental protection that is at least equivalent to that provided by Title V can be achieved. The following substantiates that the granting of this variance will still provide at least equivalent to that provided by . Title V: • The site is not within a Zone I or Zone II of proximal to a Municipal Water Supply. Therefore, no municipal water supply will be impacted by granting of the variance. • There are no bordering vegetative wetlands within 100 feet of the property. Therefore the granting of the variance would not impact ant wetlands, salt marshes or coastal banks. • The site is not proximal to any water bodies, therefore, the granting of this variance would not impact any water body. • The setback variances due not encroach within required setbacks to abutters foundations or other existing septic systems. If you have any questions, please do not hesitate to call the undersigned at(508)-539-7966. Sincerely, CARMENE.SHAY ENVIRONMENTAL SERVICES,INC. t cc Carmen E. Shay, R.S., C.S.E. President Town of Barnstable NAM Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 12, 2003 Thomas Faline 40 Cranberry Ridge RoadG /lie Marstons Mills, MA 02648 V^" NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 3 AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 32 Fresh Holes Road, Hyannis was inspected on November 10, 2003 by David Stanton R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. (Free from chronic dampness) Mold and signs of water damage were observed in the front bedroom closet. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The exterior siding was observed unfinished. 105 CMR 410.550(B): Extermination of Insects, Rodents and Skunks. Insects (worms) were observed in the kitchen. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. Several gaps were observed between the kitchen cabinets and the kitchen ceiling. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice, by removing the mold and the source of chronic dampness causing the mold to grow in the dwelling, finishing the exterior siding so it is weather tight, exterminating the insect infestation, and by filling in the gaps between the kitchen cabinets and the kitchen ceiling. 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. Q:Health/Order letters/Housing violations/32 Fresh holes.doc Non-compliance could result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Q:Health/Order letters/Housing violations/32 Fresh holes.doc f B a 9 t r � ' r k tl QL Eno- 07 ID ark _ 11 6 Y 4 gr .. a _ .. x S rrl.y. "� a '�A f, ,a Y4 c-' .:w •• O ■ 7I _t•a .v Fs CD `t Y • � i � 3� v.. $4 e nr} �'. } yr r +y a 5�. a aS AIa u, tq. u 4 I.r; ��.pry ; tt, elk �{ ,e " l f �� ' 04 � f 4 ' yk re a� 5s#1 a �.+gy `1 p "•+., fi < � � �, 6 � Pop k •�34'�� g �y� t N''�1 � ,a�.f 3�b v j w �=r. } ��. w r,�' ,�e' ;ddr�d .�ewFdr, � d' � ♦;°a. a >_ - �'t aha''� " y�d�'* "#' w •a - _.. 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"�� � �• ♦-R'. .as�",.par%.(� % �. t1J.c.+.��5,;. .f.. .�y ,Lynn •, �.. .; 1 „ •�/'.�'�._ .:r.��{ � ,4".�a .MrR.�o �'�' �'� �i .r � ;�L?;a.*4•r J li 5� 'G +r'A.�.+y+�.. ! G:> n ':���t's. `y'. .+'ti:r �.. � .. an /��r e�.� +� q�7 '. �fN�,• �/!f'�� N d \ t �'ty' .Yam?..t i sS• '_ !.'". I�, tis•' ''� n-� ,Cr •r aaSS1v1 ,+ ,y� r�r�. 32 Fresh Holes fed . Unfinisbedt w .5: to . r w. ..gyp r 'K y ti R , p{ � W' - F v a .. w { � a a le b � It Pt � �P w v b Y 4 ti 4 t "& a - 3 A 3 .. , s h� a f ; v 1 ,. yy a. �Ar �7 W.�+.-.d="r"pG¢' � -` ...,� .-t r �:x„ > ..a•.s - .? vaa ,. - t 711 . d " ikz: ot r— - A s tea'#' It— rs > , ' t9 .i ary`y x$t` S �t m �� yin !. � - � w �'i• ..�' � � � � � � �,�' }�� '• s r - . S� Y , *G i # .• !t try r ¢ � , q 4 d l • #i J?�• K'. 'TM.` �' J ,V�, a �,''° r.pf'e�. m.� yp:,� .+y .g...y.• - � -,.. •4 ¢ ' 1 . i1 ... ,.+ ':...1 %'' rrA' r'M'M F+ x •+, 'v'. �F.S r. 1 1 \ ivy , . 1 c •k � fj a I r $ R y a`- Y. "TM; ',`r' U u A . t w } tl I 14 d d- a ¢j'jCtr ii 3 (QQ) #F N<"f' m.EA Cl) µ� t- 0 q .., v 4�. a 1,c•.. , f.. ' R -y°.��� r - .#. �« t� r=,� � °(ri;..•¢��,,,� W� ai �<�, n �. .1,. is "� „ • - , ,. I � i - s w: `at: Al C".:,i vi - P^.. -• .„ Ef'� s•s«.. - r R r. � L # _ • "k d � Ea r E lz ,S r O �.. -�} �#`+,<.. "( ) ,1 s �v s "!F •} '•y .0 *,g _r '}' ' '#' k' tIS..�t i s h s Mj Co l;A JU f .. r TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE I1:MINIMUM STANDARDS FOR HUMAN HABITATION Date1)) 10/017 Owner u' i (� ♦1 `^'� FU Tenant ���"^ 2�,1 i Add �� ress F��� t �✓� M� ✓�^�`�� Address 32 Fntrk l' I-e1 Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities — -;c � 3. Bathroom Facilities 4. Water Supply X( 5. Hot Water Facilities X 6. Heating Facilities 7. Lighting and Electrical Facilities X 8. Ventilation 9. Installation and Maintenance of Facilities X 10. Curtailment of Service t 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural 'I✓lo eg �vo? 0M Elements ? , eti IV 6 rmr o Serve �'� k� 14. Insects and Rodents _ 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing Wilk PART II v�,l 37. Placarding of Condemned Dwelling; 1" Removal of Occupants; Demolition 1 S Person(s)InterviewS�.,-�PA9:2 Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN.INC. LOCATION EAGEPERMIT 'NO0r3 ���SW 3-az YELL E A LLE NAME E► ADDRESS ,p4 T. 0 r �0 BUILDER OR OWNER DATE PERMIT ISSUED �S DATE COMPLIANCE ISSUED �� ` cr7, � _ O- 0 w c`Ys�aC. �' �+ b wf No........-1.... 2,........7- ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........7o.VJ ..A.............OF...........I�.. ..... ........................................ ........ .... .... Appliration for Bhipoiial Works Tonotrurtion Frrutit Application is hereby made for a Permit to Construct or Repair QPQ an Individual Sewage Disposal S7stern at: 3 - ft rl�lf POLE 14%r�&A XAA 5 ----------- -------------. ......------------------------ ---------------------------------------- ............ oc.ali.n- .dd.ress r t le.....V t kAA . 4C...................................... .... 0 ..- Owner t Addrps... . ......... .......... ... ........................ A..................................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures ....................................I.................................................................................................................. W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length________________ Width._.___.._._._... Diameter---------------- Depth...._........... Disposal Trench—No. .................... Width-------------------- Total Length.....__............. Total leaching area....................sq. f t. 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..__................._.. Test Pit No. 2................minutes per inch Depth of Test Pit...........------ Depth to ground water..._._..........._.._... ............4---------------------------- I............................................................................................................ 0 D;scription ofspli......5?zm.... I....... ..... .... -----r ...r.r......S.V6.5001t-------- A-- 04r� ofr ........................................................................... .. ............................................... ..................... U ...............­--------------------------------------------------------------------------------------------------------------------- ..................................... �4 -----66�...Af A. '9At-LtrK-V,- U Nature of Repairs or Alterations—Answer when applicable- ----6401.... ---------------------------------------- ...MW.....��.o-----C&I . .....W37.774.....3.Tr................ir...tA.40le— .. .......(jo .......................... Agreement: The undersigned agrees to install the a rede bed Individual Sewage Disposal System in accordance with the provisions of'== 5 of the State S-n try e—The undersign fu her a rees not to place the system in operation until a Certificate of Compliance has bee issued by the boar Ith. 64 ..................................... ............................... ....... ApplicationApproved By........ ...... . ....................................................................... -.//ate Application Disapproved th flowing reasons--------------------------------------------------------------------------------•---------------------•••------- .......................................................................................................................................7..................................................I............. Date PermitNo......................................................... Issued....................................................... Date No:.D.3 _ FEs... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. .1-1- ............... ICI Appliration for Dhipniia1 Warks Towitrurfivtt Vamit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at ..... ..._ ._ --•-- ---•---------------------------------•--•-- ......-••-•-•---•.......-----•--------•--- Location-Address or t No. �--E:....-•-•--------•--•------- ------�t 1 l-I-I�---•---------------�-!A---.t-��i Sf Kfl c� Owner Addr s I..... C�V r� �� 1��C.: t�l, i_l-\}2c1!G... ...�/I A....................... Installer Address d Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..----.____-_-__--___-_. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...............•. _...---•••••----•-•••-•----•••-----•----------------------•--..................---......................................................... D Description of Soil..... ?Q 2 1i1 1 U� l�a- h Yl 0 kt `� � � �����-S r✓'� �tJ F� -- ---------- x Lc)tit �� -L-t/ JtZ. �i�a, t 1): (�::... �`_ -, V�-}r!li vl✓ 1 '2. v ..•. ------..-•--- ......--•-•----•-------•-------- . ......----•------ ---•••--•----•-•••---------••-•----------•......--•---•. W V Nature of Repairs or Alterations—Answer when applicable__ !l) '_o k�' c,`l Kj f- (-1' i /_ ��°�-je 4- --- --- --- -- Tf7r '`t'•) C'I`��`i '`'- &(�� �1-� Lok71-1 Tr ?r-� G t�� r t tc--YZ-: -------- - ------------------------•. -•---•--•-•••-•--•---•-----•------•...•••--- Agreement: The undersigned agrees to install the aforedes!ibed Individual Sewage Disposal System in accordance with the provisions of 1I.1E 5 of the State Sanitary CVo-e— The undersigned'fur her agrees not to place the system in operation until a Certificate of Compliance has been'iss led by the board,of-h lth. -- 1 i' � '-r/'5Is 1 --------------------------------- ---- Application Approved By......... .- ............ -------------------•-•- ---------...--C,f ... ...--- �f ate Application Disapproved f the allowing reasons--------------------------------------------------------•----------------------------------------------------_... .............................. ------•--•-------------------------------------------•--•--------------•--'--------------•-------------------------------------------------------------------------------- Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ° f BOARD OF HEALTH ............................................OF..............................................................I............ ....... Trrtifiratr aaf Tumpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................................................................................................................................................................................................... Installer at----------•-------•-•--•----•-•------•---•---------•----•----------------------•--••---•......--------------•--•----•------•--...•-------•-----•---•----------•..... ---------- •--------------- has been installed in accordance with the provisi'o of TI r. 5 of The State Sanitary Code � s i din the application for Disposal Works Construction Permit No----- _.-__ .2�_.......... dated_....��. ,2" ..... ............... THE ISSUANCE OF THIS CERTIFICIE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................•-------•--..........----....------..............--•---•-------• Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,t,11�1 ............OF......� .i�t (L`. .1.��>L�-- . No... ................�� _- FEE... Displaga1 Works Tomitr ivit amii Permission is hereby granted...����L-DP-_...___13____.0 ilk_._.._( ( K)G to Construct ( ) or Repair (�() an Individual Sewage Isposal System r\ at No..-3 - _ t� ~� ! �` � 1 .._..._. uw_tIC �?Z l�'tL( 4C..- L - Street y as shown or. the application for Disposal Works Construction Permit ._— ------- Dated.......................................... -------------------------- --------- ---------••-••---•-------•-•-------•-----•...----------•••----.._ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS LotAT ION SEW A C E. PERMIT NO. 30 -32 'zz PITLE 1 A LLE NAM 6 ADDRESS 4 U I L;D E.R olt Omni 0A'TE PERMIT ISSUED �S DAtC ' COMPLIANCE ISSUED . 011111001 P 3a+3 36 i 1 3 FEET'MAXIM UM U COVER PER BOH - 4 TO BE CUT DOW�FROM EXIST. GRADE OVER SAS .. ALL OUTLET PIPES FROM THE 10 min from NOTE. ALL PIPES ARE TO BE 4 SCHEDULE 40 P.V.C. VENT PIPE O Least 24 Inches tan) SECTION 'A -A DISTRIBUTION Box SHALL BE O Schedule.4��PVC w ChafC001 Odor Filter SET LEVEL FOR A7 LEAST 2 FT.. CONCRETE COVER �hclse to sept c tonk PR ILEVIEW OF LEACHING SYSTEM �Exlstmg Foundation Septic tank cove's must be _ .,. �, 3 5' O UTLET • ,_ j ,�-�^ - within 6 In. of finished grade - % '4 - KNOCKO 3 i ! 1 nH.n.P'if Ln a ^,.� Grad* our Septic Tank - 98.00 Grad e over O-Boz - 98-00 ode ovK SAS - 'ELEV� 98.00 J 5.S' 12' INLET s j 7 t ' _. .. _ b I J/f Irho/C�Mt St.- �l/e'- //S' /-Ml hrM+u - _ 4 � � ':!S . 0 J. ; 36�� 3 HOLE H 20 , _40 � A f S 0.,0` DIST. BOX 3' Maximum Cover Top of SAS-EIev.=94,75 , J� C. m 25' NEW OR GREATER 5 5 4 - SCH. 40 Te t.15' Ifa, s of x O 1,500 GAL S= 0.010' per foot 1 _ r f x' +f• j SEPTIC TANK o 0 o S o-o o PLAN SECTION CROSS-SECTION u _ o zo' o 0 0 0 { at H 2D 0 Effective Depth > or a a ca o ' of >:3 C'+,lts a B•5 25,5 } � I _ FULL FOONDATTON� _ a 9 ; ° o 3.25 25.5 3.25 a : •� II II II 4' -5' 4 �i 3 HOLE H-20 DISTRIBUTION 'BOX �„ _¢ _ ✓ - 6 f 4 T �-J rn SYSTEM PROFILE �,a a/ , /2 � ,, 32' NOT To SCALE > fioompacted stone � y > , , . E t, - . - aSWP�fl�bNhylaway0so-tri�r?EG:- -y.. _, , r"".:"'- --•-.> y 41 - 13 it t �ffec :ve Length .r Not to ;Seals. e ,Effective Width > e)_.: c •c ABSORPTION SYSTEM'CSAS) - _ � GENERAL NOTES 6 In.of 3/4'-1 1/2' 0 50 - C H-20 LEACHING UNITS / WIGGINS PRECAST 1. Contractor is responsible for Di safe notification compacted stone OD P Dig safe and protection of all underground utilities and pipes. NOTE. ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6 BELOW GRADE Not to Scale P 9 P P Bottom of--Teet Hole 1. E1ev.•66.00 2. The septic tank an distribution ':box .shall be 'set level on 6 of 3/4 -1 :1/2 stone. Obs. Groundwater =Test Hole 1 Elev.= NONE OBSERVED , 3. Backf,ll should be clean sand or gravel with no stones over 3" in size. ,- 4. This system is subject to inspection during installation 40 P Y T I FROM L UL E YLENL LINER 0 E EV _ b Carmen .E Shay Environmental Services` Inc, i Y Y 98.00 to '92.00AND TO EXTEND 10 BEYOND TANK 5. The contractor shall install this system in accordance PERCOLATION TEST Y � with Title V 'of_ the Massachusetts state code, the approved plan r #38 & #40 and Local Regulations. during installation the contractorencountersn Date of Percolation Test. ,MAY 9;_2005 6. If; du ng sta lotion e con. act oy itconditionsor Ite conditions that are different Test Performed By. CARMEN E. SHAY, R:S., C.S.E. r so s from those shown on the soil to or in our design Results Witnessed By. WAIVER (per BARNSTABLE B.O.H.) g g ( Excavated By. SHAY ENVIRONMENTAL SERVICES, INC. I` installation must halt & immediate notification be Percolation Rate: Less Than <2 MPI ` made to"Carmen E. Shay - Environmental Services, Inc. v r 7, No 'vehicle or heavymachine shalldoe over the septic system unless noted as H-20 septic components. Test Hole 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. No. 1 _ - 9. All Distribution Lines .shall be 4 diameter Schedule 40 NSF PVC pipes. --- i ASPHALT S HALT 4 DEPTH r _ ., 10, All solidpiping, tees & fittings shallbe diameter. solLs ELEV. __ � ,. A ng DRIVEWAY ! " a sal ! �\ Schedule 40 NSF PVC pipes with water tight joints. Sandy fl �_, ` 93 11. Municipal Water is Connected to ALL OF The Residence and Abutting Loom I -,�` `. 60' Properties Within 150 Feet. 10 YR 3/2 \ NEW 1500" al.' . '. � � � a TEST -HOLE #1 0 -8 Ar 97.25 i Septic Tank Loamy ELEV 98.00 5' THE PROPERTY LINES ARE APPROXIMATE AND Sand r ` �fp / - COMPILED FROM THE SURVEY PLAN GENERATED BY ! >� ARN MA ENTITLED to rR s/s BEARSE & KELLOG, 8 STABLE, E LED _ 9 , 1 . \ e 3o Be s5.so / SUBDIVISION :PLAN. OF LAND IN -BARNSTABLE, MA LC 17786 C Med. NOTE: LOCATION ,OF NATURAL \; 8 DATED MAY 21, 1954. IT SHOULD BE USED FOR NO PURPOSE 1 OTHER THAN THE SEPTIC SYSTEM INSTALLATION. r 5 Y 7 r GAS LINES NOT VERIFIED I J T^ i. 2.5Y7/4 Failed » 86.00 I 1.;,, 4„ PVC 30 144 1 �• . Cesspool :,.,. #30 & #32 I i � r ,•� f CLEANOUT EXISTING CESSPOOLS TO BE PUMPED OUT AND _ O(' 'tf x{ x FILLED IN PLACE OR REMOVED TO FACILITATE INSTALLATION OF NEW SAS. N TF TR P , , >„ _ • r.- o+ NO._ ,-ANY,_.S� IP. E.. 0.: .SOIL CONTAINING-LEACHATE 2 EXI STIIVG- w a_ _ r3 FROM THE EXISTING CESSPOOLS TO BE DISPOSED BEDROOM` �, OF AS :PER BOARD OF HEALTH SPECIFICATIONS. � _ I ASPHALT � i•, • ts'f HOUSE DRIVEWAY / n?,,. :'7 p a NO :WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY I -- ;, i _ ;,•.•v ASSESSORS MAP 292 PARCEL 180 Perc #1 ( _ ,�' 3'� CONCRETE SLAB LEGEND Depth to Perc: 30" to 48" - _ FOUNDATION Perc Rate= Less Than 2 MPI �s5' , I � 4" PVC ,. try V HW - I : eat PI e M Observed ES T® NONE OBS. _144 Assumed O, P ADJUSTED H2O Elev. = NONE OBS. - 144 Assumed 0 104X1 DENOTES PROPOSED I SPOT GRADE I ' DENOTES EXISTING X104.46 j tS �9 SPOT GRADE PL PROPERTY LINE #22 & #24 of n<+nl 26 ,& 28 PROJECT BENCH MARK 96 PROPOSED CONTOUR # # TOP OF FOUNDATION ' ELEV. = 100.00 (Assumed) - -97 EXISTING CONTOUR 1 3-24'DIAM. ACCESS MANHOLES DEEP TEST HOLE & PERCOLATION TEST LOCATION `1' 1 - 6 FOOT STOCKADE FENCE INLET / 1 UE-111 1. Contractor is responsible for Digsofe notification, LOCATIONVERIFICATION and protection of all underground utilities and pipes. INLET �.`.f : OU - .� THE ACCESS COVERS FOR THE SEPTI , C , .T - DISTR T N x, .-r BU 0 BOX AND LEACHING COMPONENT P LOT P LAN SHALL BE RAISED TO WITHIN 6" OF STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE. VARIANCE REQUESTED: OF PROPOSED PLAN VIEW _ INSTALL TUF-TITE GAS BAFFLES OR EQUALS i. REQUEST AVARIANCE. TO INSTALL SAS 8' FROM SIDE LOT LINE - 0 OSED SEPTA SYSTEM UPGRADE ON ALL OUTLET TEE ENDS ' 2. REQUEST AVARIANCE TO INSTALL SAS 6 FROM `FRONT LOT LINE �u �S PREPARED FOR 3-24 REMOVABLE covErts 3. REQUEST AVARIANCE TO INSTALL AN SEPTIC TANK 3' FROM THE HOUSE FOUNDATION - 40 MIL: RUBBER LINER PROVIDED. D � DWIGHT GIDDI�NGS '` 4• " 4. REQUEST AVARIANCE TO INSTALL AN SAS WITHIN 10 FEET OF 3 min. clearance -- - AT A'WAT I � 6 min. 2 m1n..Inlet to wtleC ER LINE WATER :LINES TO AT SLEEVED. INLET T�_-__- e IN to. T- Ltev.l f oc�T 5. REQUEST AVARIANCE TO INSTALL AN SASFEET FROM 30 8c 32 FRESH HOLES ROAD a { _ A SLAB FOUNDATION (40 MIL RUBBER LINER PROVIDED. 5' -r ^" 5' -7' 1 l N Y �(�\I Ire\ f3' I 4 0 min. i1CaC�CxG¢.. Ef1 ''�e.\� C:'�oTliG., rJ Gtot`�• �A"f;L•L. I 1 .i : I V I Y I. A S , MA i ' ::, � 'a...Ne. ••.,Lktuid depth '. 0 4 .. ,, Desl n Calculations - g PREPARED BY: Numberof Bedrooms: 4 Bedroom EXISTING MM 1O'_O' 5 _aG rb a age Gander, Noh � 1►1 �/ 1 ►' �/ uLeac rn Ca acit Re wired. 440 Gala Da MfN. PER T •L/ .Li . �llCROSS SECTION END-SECTION 9 P Y q / Y ( TI LE V)Se tic Tank _ x 44 p 2 0 Gal./Day 880 LSE NEw 1,500 GAL. Septic Tank. ENVIRONMENTAL SERVICES' INC. SOIL ABSORPTI N AR • r 0 2Q 40 . 50 , 0 AREA: Using percolation rate of <2 mrn.�nch Bottom Area. 0.74gal/sq. ft. x 416 s ft. - 7 4 l N TYPICAL 1500 GALLON SEPTIC TANK a 30 ,8 gallons P.O. , BOX 627 w II.Side a Area: 0.74 ' 1 .'A a, s ft, x 180 s ft, 133.2'gallons tc 9 / q q 9 F EAST FA M TH ..NOT TO SCALE �' STE L OU MA 02536 _ Providing. 441:04 gallons - - SA \A r _ NITAR TEL FAX 508 548 0796 H-20 OADIN User PRECAST ,._ , / . LOADING) (3) EC ST 500-C UNITS, HAVING 2 EFFECTIVE DEPTH, SCALE. .1 -20 , A _ S 1 . T C L 20 RA N 0 BE USED WITH 4 F WASHED D W BY CES AT S WI 0 W S EO STONE ON THE SIDES,.AND D E.MAY 9 20O`J 3.25 0 WA SHED AH TN , S ED STONE E ON <THE-ENDS. P _. RO,iEC7' SD737 FILENAME:. SD7 7 P. W � 3 P D G_ SHEET 1 OF 1 ` ,