Loading...
HomeMy WebLinkAbout0027 GEORGE STREET - Health 27 Georg :Street Hyannis 088 A, 291�... r. I - I t i i i Commonwealth of Massachusetts � P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 27 George St. Property Address I...a Ribeiro Owner Owner's Na required for every me9 information is Hyannis y/ MA 02601 08/13/15 page. City/rown State Zip Code Date of Inspection. 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 filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Linda J. Pinto -use the return Name of Inspector key. - Oceanside Septic, Inc. � Company Name P.O. Box 201 Company Address Brewster MA 02631 Citylrown State Zip Code 508-896-1513 4432 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority dJ, q - Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. Y. vs t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Dis ystem•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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: B) System Conditionally Passes: El 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. ❑ Y ❑ N ❑ ND(Explain below): t5in5•3111 Titles Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ 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): I ❑ 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): _ I C) 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. 1. 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: ❑ 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 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 i Commonwealth of Massachusetts J. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 George St.I . Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ 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. ❑ 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. 3. Other: D) 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 ❑ ® 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 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 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts -_ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityrrown State Zip Code Date of Inspection C. Checklist i Check if the following have been done. You must indicate"'yes' or"no" as to each of the following.- 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms(actual):' S DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 660 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is Hyannis MA 02601 08/13/15 required for every y page. City/Town State Zip Code Date of Inspection D. System Information Description: 1500 Gallon Septic Tank, D-box, and(5) leach chambers with 4' of stone around Number of current residents: 7 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection 0 Yes ® No information in this report.) - Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes Z No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2014: 65,824 Gallons 2013: 95,744 Gallons Sump,pump? ❑ Yes No Last date of occupancy: current Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 I - - Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): Genera(Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume.pum,ped:. gallons_ How was quantity pumped determined? Reason for pumping: 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): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is Hyannis MA 02601 08/13/15 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known) and source of information: Approximately 11 years per Board of Health records Were sewage odors detected when arriving at the site? ❑ Yes ® No 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: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) i If tank is metal, list age: .years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallon Sludge depth: 1/2 tSns•3/13 Title 50flicial Inspection Form:Subsurface sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts -- - Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner owner's Name information is required for every Hyannis MA 02601 08/13/15 page. C'ttyrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29.5 Scum thickness 1/2 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 17.5" How were dimensions determined? 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.): The structural integrity of the septic tank appears sound. The inlet has a concrete cover 15"b.g. and the top of the tank is 34"b.g. There are 2 inlets with sch. 40 PVC pipe with PVC tees. The outlet has a concrete cover 13" b.g. and the top of the tank is 36"b.g. There is a PVC pipe with PVC tee. The liquid level is at the outlet invert with no sign of backup or leakage. F 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 I ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is Hyannis MA 02601 08/13/15 required for every page. City/town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System'Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments " 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert -0" 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.): The D-box appeared to be in good condition with no sign of solids carryover. Riser was installed to bring the concrete cover to within 6"b.g. and the top of the D-box is 40"b.g. There is no sign of backup or leakage. Speed levelers were installed at the time of the inspection and flow appears equal. 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. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: (5)chambers with 4' of stone ® leaching chambers number: leaching galleries number: ❑ leaching trenches number, length: El leaching fields number, dimensions: overflow cesspool number: ❑ innovative/alternative system Type/name of technology:, Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The leach chambers appeared to be in good condition with no apparent stain lines. There is a concrete cover 4"b.g. and the top of the chamber is 46"b.g. There was approximately 4"of liquid in the chamber at.the time of the inspection. There was no sign of hydraulic failure in the area of the leach chambers. 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 t5ins•3113 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): • _ I t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface.Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 21 S]wFu11.IG AFAR b i -D-(30)( E 3 Al 33 '-i" & Rz L I 1 62 C�3 3 3a1�„ t�Z1 11 '3LA i1 C�4�M3E�S 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Z Check Slope ® Surface water . Check cellar ® Shallow wells Estimated depth to high ground water: >5.4' below the bottom of the SASfeet 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: April 15, 2004 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: According to the plan by Down Cape Engineering, Inc. dated April 15, 2004, the site elevation is EL=38.5+/-, the bottom of the SAS is at EL=32.6+/-, and no groundwater was encountered to EL=27.2+/-so there is at least a 5.4'separation to groundwater below the bottom of the SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 George St. Property Address Ribeiro Owner Owner's Name information is required for every Hyannis MA 02601 08/13/15 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins-3/13 Title 5 official Inspection Forth:Subsurface Sewage Disposal System-Page 17 of 17 I l 4_, TOWN OF BARNSTABLE l P►TION 6�2 Gwf e Si— SEWAGE # c2W�- 6031 LOC. �,I�AGE !�(�faMi t ASSESSOR'S MAP & LOT Il` TALLER'S NAME&PHONE NO. ebmso^ Sufic Se ✓ie Sf TIC TANK CAPACITY rS�y e.--LtACHING FACILITY: (type) bfV we ll r (size) ._ NO.OF BEDROOMS BUILDER OR OWNER �ail-I�raS� PERMTTDATE: lob o COMPLIANCE DATE: /r /Y n IoLi Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by t. O O j J ' 4y ,, TOWN OF BARNSTABLE E� LOCATION 117 Gco,g c 5 r SEWAGE # a2A � l VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. t^'�`^ t= WZ�b.a.sc.. SeP�e Sew✓►"u �y�'7f-g'�t� SEF M TANK CAPACITY t ��o ,r LEACHING FACILITY: (type) '>2 —s-Its (size) a X S"�o • NO.OF BEDROOMS 3 BUILDER O�� PERMITDATE: q 2t o COMPLIANCE DATE: �s-Lo -I o y 1-L t 3 8 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r , n ` O , v`oo ` m 6 n! ay„ .a r l Jio. Fj 10 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS _ Entered in computer: es PUBLIC HLALT9 DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYiration for Migpogar *pgtern Congtruction Permit Application for a Permit to Construct( .. )Repair V )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. owner's Name,Address and Tel.N07 7 4—8 3 6—6 4 6 6 27 George St, Hyannis Hermes Santarosa Assessor's Map/Parcel 291 /88 27 George St, Hyannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 2—4 5 41 Wm E Robinson Sr Septic Down Cape Engineering PO Box 1.089 , Centerville 939 Main St, Yarmouth Type of Building: Dwelling No.of Bedrooms 6 Lot Size sq.ft. Garbage Grinder Vo) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install three additional chambers to existing system to plans of Down Cape Engineering 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 Environmen 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been issu by this Bodo ealth. S' Date Application Approve Date = Application Disapproved for the following reasons Permit No. O Date Issued B Fee - Entered in computer _ THE COMMONWEALTH OF MASSACHUSI�'TTS ^,-- des. PUBLIC HdALTRZIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mtgogal bpgtem Conelructiott Permit Application for a Permit to Construct`( . )Repair.( )Upgrade( )Abandon( ) ❑Complete System E)Individual Components i � 1 � Location Address or Lot No. Owner's Name,Address and Tel.N07 7 4—8 3 6—6 4 6 6' 27 George St, Hyannis -Hermes Santarosa Assessor'sMap/Pazcel 291 /88 27 George St, Hyannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 2—4 5 Wm E Robinson Sr Septic Down Cape Engineering: PO Box 1 .089, Centerville 939 Main St, Yarmouth ,y Type of Building: # Dwelling No.of Bedrooms 6 Lot Size sq.ft. Garbage Grindero) Other ., Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .gallons per day. Calculated daily flow gallons. Plan Date <- Number of sheets Revision Date Title ' y - Size of Septic Tank Type of S.A.S. Description of Soil, Nature of Repairs or Alterations(Answer when applicable) Install three additional; chambers to existing system to pans ot Down Cape Engineering 004-322. 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 Environment 1 Code and not to place the system in operation until a Certifi- cate df Compliance has been issue),by this BoaWoealth. // �f Signed Date✓) r �) �by__d Date a 7 Application Approvec V Application Disapproved for the following reasons !' Permit No. 5 r;Dafe Issued .�, THE COMMONWEALTH OF MASSACHUSETTS ` Santarosa BARNSTABLE, MASSACHUSETTS Certificate of Compltance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X )Upgraded( ) Abandoned( )by Wm E Robinson Sr Septic Service at 27 George ree , Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer T' The issuance of this permit shall. of 'a construed as a guarantee that the system will function as designed V �. �-�i'� � -- Nr _ate>.` Date '`�`T � Inspector L --------------------------------------- NO. '.� - �9 Feel 0 0. 00 Santarosa THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSE . r Mi!5pogaf &pgtem Conotruction Permit;; Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 27 George Street, Hyannis and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust a completed within three years of th date of this ea it. Date: ' / ! L Approved by---__� 1 No.. I)(1 ' / Feet']v %�` " THt COMMONWEALTH OF MASSACHUSETTS Entered in computer:. j Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migool *pgtem Construction Permit Application for a Pen-nit to Construct( . epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. �,L7 G--oie Sf 4 y<-v K;s, 44) Assessor's Ma arcel �e� 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W-Q- )" S Type of Building: welling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(06) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow z/`� gallons. Plan Date �/�/� D Number of sheets Revision Date Title.-;4/e S S; �� RI�7 SKr a. &/() ? Size of Septic Tank %SUS Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) -,1116 9 Z 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 E ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B d Health. Signed Date v C G Application Approved by Date 10 Application Disapproved f the following reasons Permit No. U � Date Issued a 410 q ---------------------Y —r-----�� w+r r I J ---7 Now 2 Vo�1- ! t� :w,. Fee THE COMMONWEALTH OF MASS�CHUSETrTS+ Entered in computer: Fw: IPUBLIC HEALTH - TOWN O:F.BARNSTABLE., MASSACHUSETTS Yes. t l' Zipplication for )Die;pogal *pgtem Congtruction Permit Application for a Permit to Construct( Repair(-, )Upgrade( )Abandon'( ) ❑Complete System ❑Individual Components Locatio Address or Lot No'> Owner's Name;Address and Tel.No. �7Gc.�'�e Sf." 14 y�y�rs, ryrr� . Assessor's Ma /Parcele� `1 ( � V i$ Y ice$' �:. ,T� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /cc 9'Yw Type of Building: XDwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(00) Other Type of Building 5/ /ems-./ No.of Persons Showers( )'Cafeteria( ) Other Fixtures Design Flow 3d gallons per day. Calculated daily flow . z/7 gallons. Plan Date -�W/s A y Number of sheets Revision Date Title•T;4 S S• 1 c /o n ?-7 1 c 5f• ' 79 - +~'Size of Septic Tank /`J GU Type of S.A.S. f { Description of Soil s -D Cl t,, /0 90 2- y I F i Nature of Repairs or Alterations(Answer when applicable) 1 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 thZEiro nmental Code and not to place the systemrin operation until a Certifi- cate of Compliance has been issued bh tthis B ' alth..Signed ��1f ✓' f Date," 7 � Application Approved by j Date ?/A V " Application Disapproved f0q the following reasons i u i Permit No. 0 o_y '- -/ 77 Date Issued �/ a/ U L —————=——=————————————-———————————•—————s - . THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded( ) Abandoned( )by at -1,-7 i S _ /17� has been constructed//in accordance i with the provisions of Title 5 and the for Disposal System Construction Permit No. Df)0 y-179 dated y l?1//) r � i Installer Designer !, The issuance of this pet shall not be construed as a guarantee that the sys e• will f nction�•as de agn\ed. lltomml Date � a � Inspector No. I Fee Ste) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS , =i!5poga1 *pgtem Congtruction Permit Permission is hereby granted to Construct Rep ( )Upgrade( )Abandon( ) System located at 7 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Gonstr ction must be completed within three years of the date of tlli5�perr(u . p Date: 7l a� U Approved b \\A--/ �N, 1� -- / PP Y h k tNE DATE: '7,62G /S� - - �� Town of Barnstable REC.BY ' A Board of Health SCHED. DATE ( CFO MA'S 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufinan,M.S.P.H. Wayne A.Miller,M.D. Application to Construct or Expand to Six (6) or More Bedrooms LOCATION Property Address: Q a260 Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Phone (502 -1— R 07 LI Did the owner of the prope u rize you to represent him or her? Yes No PROPERTY OWNER'S NAME !� CONTACT PERSON Name: ILK"s _CV r a Z-(CL Name: �►O(/q YIa Address: a7 Geozc-e sf /�p 77 Address: a7 6X0tie 61e Phone: (6-02) 1-5 C7yq Phone: C 9,,0/ q0/ 07�/ Checklist Please submit copies in 4 separate completed sets. Four(4)copies of this application form Four(4)copies of engineered plan submitted(e.g.septic system plans) t Four(4)copies of labeled dimensional floor plans submitted(e.g. house plans) f C7 C N 0-% X UL Q:\Application Forms\SixBedroomForm.doc r— ' � rri Proposal Wm. E. Robinson, Sr. Septic Serviceit P.O. Box 1089 O O o Centerville,MA 02632 Phone#(508)775-8776 Fax#(508)790-1694 SUBMITTED TO:Hermes Santarosa/Glovana Feltrin PHONE:774-836-6466 DATE: 12-02-04 STREET:27 George Street JOB NAME:Additional chambers CITY,ST,ZIP:Hyannis, MA 02601 JOB LOCATION: ARCHITECT:Down Cape Engineering DATE OF PLANS: 11-03-04 JOB PHONE: Description: 1: We will install three(3)additional chambers to exisiting system to plans of Down Cape Engineering,#04-322. 2: We will move the shed. 3: All material and labor. 4: All fees and permits. 5: Rake,clean, loam and seed work area. 6:All necessary pumping. 7: Inspection by design engineer as required by Town of Barnstable. 8: Inspection by the Town of Barnstable Board of Health. 9: 10: 11: *Not responsible for utilities not marked by Dig Safe *Grass seed is complimentary,not responsible for results*Not responsible for sprinkler system. **Fee is based on normal suitable sight conditions,if unsuitable soil or high groundwater table is encountered and/or variances are required,then parties agree to renegotiate fee,prior to proceeding further. We Propose hereby to furnish material and labor-complete in accordance with the above specifications for the SUM OF: $3,000.00 Three thousand dollars. PAYMENT METHOD: Deposit of$1,500.00 with signed contract(paid 12-1-04) Balance Due:Balance of$1,500.00 due upon day of completion. All material is guaranteed to be as specified AD work is a substantial wotkrnardike manner according to specifications submitted,per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and wig become an extra charge Authorized y/�' over and above the estimates.All agreements conwWrit upon strikes, Signature (./ accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal maybe withdrawn *Our xnrkers are fully coverd by American International Group by us if not accepted within days. Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are / hereby accepted You are authorized to do the work as O j�atita ) I specified Payment will be made as outlined above. Signature V CILt' r Date of Acceptance: Signature Page: h o � z ' e 74� r3 G rv�n+ --r a y r I McKean, Thomas From: McKean, Thomas Sent: Wednesday, September 22, 2004 9:18 AM ' To: Geiler, Tom Subject: HEALTH REPORT OF BIRST INSPECTIONS/SEVEN PROPERTIES- Sept. 21, 2004 The following properties were visited on September 21, 2004: - 5 George Street- Refuse violations observed, holes observed in siding of dwelling, $100 ticket citation issued 9/21/04 to owner,Winona Kostic, order letter to be prepared today,follow-up Monday Sept. 27, 2004 - 27 George Street, 4 health violations observed including illegal basement bedrooms without second means of egress, insufficient number of smoke detectors, 4- $100 ticket citations mailed 9/22/04 to owner, Hermes Santa Rosa, order letter to be prepared today - 47 Suffolk Ave. , no housing violations observed, verbally ordered owner to remove carpeting and construction materials from rear yard,will follow-up on Monday September 27, 2004 - 88 Compass Circle, nobody onsite to allow inspectors inside for an inspection, history of violations regarding illegal finished basement bedrooms according to BLDG, reinspection needs to be scheduled, rubbish violation observed, $100 ticket citation mailed 9/22/04 to Vilson Rubio. - 184 Compass Circle, refuse violations observed, $100 ticket citation handed to Lynda Lamb 9/121/04. - 63 LaFrance Avenue, nobody onsite to allow inspectors inside;;,no:violations,observed outdoors, attempted to call : .R::a • �. owner this morning to set-up meeting appt., left message on.:her.answering.machine (508 7.75-6527) .118 Wagon Lane , 3 violations observed including illegal;basement bedrooms:without second means.of egress, 3- $1.00.ticket citations mailed 9/22/04 to owner..lsrael DaSilva& Lea.SM;.order-letter_to be prepared today 1 33 �FtME Tp� DATE ti0 s r. FEE BARNSrABt�, MASS. ti$ 039. ,0�' REC. BY Town of Barnstable 5 CHED. DATE: .Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan 0.Rask,R.S. FAX. 508-790-6304 Sumner Kaufman,M.S.P.H. ��• Wayne A.Miller,M.D. `VARIANT` CE REQUEST FORM LOCATION Property Address: c S7 GcoR,Ge Q ? S c <1 N Assessor's Map and Parcel Number: Size of Lot: nn "� > CD Wetlands Within 300 Ft. Yes Business Name: No Subdivisio,Name: CD r— APPLICANT'S NAME: LAn Phone SO 77 0-RC), m Did the owner of the property a e you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: I��Pg,rMS �tJl()'YiQa i2pSrt�. Name: Q'C Aare . 0.0 Address: oti7 GCO eLc, 2t�, 4woli)IS Address: a7 a 1 S Phone: � 8 ) rl 8 ®-7 4�1 Phone: (503? ) C�0\ 0'7 G I VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)—rz// . ;i Grccoe ,K 3 �� 0O'E. �o ro 6' y--S NATURE OF WORK House Addition ❑C101100 House Renovation ❑ 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 1r'` Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Ex t 57 i,1-] V Four(4)copies of labeled dimensional floor plans`subnitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) . _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same owner/lessee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) E Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne A.Miller,MD.Chairman NOT APPROVED` Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Susan 0.RasX R.S. Q:\HEALTH\Application Forms\VARMQ.DOC j' Proposal � Wm E. Robins e► i, Sr. Septic Service O O P.O. Box 1089 Centerville,MA 02632 Phone#(508)775-8776 Fax#(508)790-1694 SUBMITTED TO:Hei"les Santarosa/Glovana Feltrin PHONE:774-836-6466 DATE: i 2-02-04 STREET:27 George Strew JOB NAME:Additional chambers CITY,ST,ZIP:Hyannis,',I A 02601 JOB LOCATION: ARCHITECT:Down+_'aA;e Engineering DATE OF PLANS: 11-03-04 .JOB PHONE: Description: 1: We will install thrrsr(3)additional chambers to exisiting system to plans of Down Cape Engineering,#04-322. 2: We will.move the shed. 3:All material and't:ibor. 4: All fees and perx_t its. 5: Rake,clean. loan-.and seed work area. 6: All necessary pumping. 7: Inspection by design engineer as required by Town of Barnstable. 8: Inspection by the'rown of Barnstable Board of Health. 9: 11: *Not responsible_for utilities-not marked by Dig Safe. *Grass seed'is complimentary,not responsible for results.*Not responsible for sprinkler system. ** Fee is based on normal suitable sight conditions,if unsuitable soil or high groundwater t-tble is encountered andior variances are required,then parties agree to renegotiate fee, prior to proceeding further. We Propose hereb;i to furnish material and labor-complete in accordance with the above specifications for the I' SUM OF : $3.000.00 Three thousand dollars. PAYMENT METHOD: Depo it of$1,500.00 with signed contract(paid 124-04) Balance Due: Balance of 51,500.00 due upon day of completion. All material is guaranteed to be as spectnied All wod.is asubstantial rvor_mnanlike_ manner according to specifications submitted,per standard practices. ...---- --- Any alteration or deviation from above specifications involving e:ma costs will be executed only upon written orders,and will become an eMra charge AUt11017ZCd' over and above the estimates.AD agreements contingent gent upon strikes, .Slgnature{'.( h { (./ ✓ !.(�.:Sc- -"• accidents or delays beyond our control. Owner to carry fire,tomado and other necessary insurance. Note:This proposal maybe withdrawn `Our workers are fully coverd by Amerwan International Group by us if not accepted within days. Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as Ol�.axa specified Payment will be made as outlined above. slgnature d Date of Acceptance: signature ` l _ J r Town of Barnstable Regulatory Services _ r�rtsreetE. � Thomas F. Geiler, Director • 1'6`9 Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Farm Date: . Designer: Down Cape Engineering Installer5ft E Robinson Sr Address: 939 Main .Street Address: PO Box 1089 Yarmouth, MA Centerville, MA On Wm E Robinson Sr Sept*as issued a permit to install a . (date) (installer) septic system at 27 George St, Hyannis, MA based on a design drawn by (address) Down,. Cape Engineering dated 04-1 5-04 (designer) 1_/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. /, 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. �HOFi+ DADVID (Installer's Signature) COUGRANOWR O # 1093 p �' ITAA�p (Designer's Signature) 'c (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC-HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE LOCATION 22 6- ear9e sl-' SEWAGE # � �' (oS/ VILLAG ASSESSOR'S MAP & LOT INSTALLER'S NAME&.PHONE NO. t,...+• e2lebMse,, SeQfrc St�✓�c� SEPTIC TANK CAPACITY f�d LEACHING FACILITY:.(type) 1pIV wc�l1 (size)' . NO.OF BEDROOMS BUILDER OR OWNER /��'l�U{aSti PERMTTDATE: Ion/ 7/,Py' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted GroundwXer Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) 1~urriished by � 0 0 TOWN OF BARNSTABLE . E� LOCATION SEWAGE:# any VILLAGE ASSESSOR'S MAP & LOT D1? INSTALLER'S NAME&PHONE NO. w,N. �• �'2dbe.xe.,. SeO},c Sc���u jy1;��f�8��� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) • ' i�►e(13 (size). Xd NO.OF BEDROOMS BUILDER 0 0, `c PERMPTDATE: VI�Joq COMPLIANCE DATE: &Y Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by &Ack. of H0US6 +Coy 4. io �q�rx,e►7� -� 27 C�m�Ge- a rum 1 i JAN-26-2005 03 :03 PM DOWN CAPE ENGINEERING 508 362 9880 P. 03 I GEORGE STREET L=1 09.76' R=1 801 I 'J LOT 13 12,382f SCE. FT. J I EXIST. DWELL. TF _ 43.4' , 1 oo ' I SHED I 1 1 0.00 ^r�o �K, -,..� f'Ja'S�A•�I I�Ly . I 04•-322 j SEI'TIC A S-B UIL T LOCATION 27 GF,ORGE STREET (HYANNIS) BARNSTABLE PREPARED FUR; SCALE 1 20' DATE : DF.CEMDER 15, 2004 H. SANTA R O SA REFCR[_.NCE.-, ASSESSORS MAP 291 PCL 88 tH OF M46 ' off 5oe-see-.gM1, ARNE In. $08 3e2--eee0 N. , I OJALA u JOW4 COPP pnginepring, inc, a No. 6 --- - -- - I CIVIL ENOINEERS LAND Sl1Rvf:vORS � ti E� I i39 npin ,C. yernUu th, ma !DATE; FqF.(,, JRVEYOR .� i ' I JAN-26-2005 03 :02 PM DOWN CAPE ENGINEERING 508 362 9880 P. 02 5V Town of]Barnstable Regulatory Services t 1A p Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Maio Street,Hyannis,HA 02601 office: 508.6624644 FAx, 508-790.6304 i D er ikRUOR Furm Date: Designer: DoW�_- n Cape En n®err Installer:Wm E Robinaon Sr Septic Address: 939 Main Street Address: p0 Box 1089 Yarmouth Centerville On Wm E Robins n Sr se t i 4>Nae issued a pormit to install a ( ate n� [or) service Septic system®t 27 C; or a St H i e(a based on a design drawn by esS) ee>,gna _ dated-U 9 2-4 I ceattify that the septic system referenced above was installed Subs, anti ally accordin to the design, which may include minor approved changes such as lateral relocation of N distribution box and/or septic tank. I certify that the septic system referenced about w greater than 10' lateral relocation of the SAS or any verti al relocation with of any ajor component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. H OF • ✓sta er 9 lgnattue) ARNE H c OJALA �. CIVIL No' 30792 9oA 4,C I S PE �o�►��� (Designer s pa ure (A l p mere PLEASE RRTTrRTV TO S L T B A - Q: l"'OVSeptiefI)eltgoer Cmittcotion Form i.(a �Jtld A83S-OI1d3S KnNIED ti69L-66L-80S 9t 9L b00S/bL!LL k^ s Ate\' 30 �I1W HOBBSB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS _;�af Niskole BOARD OF HEALTH CITY/TOWN i z W �u�f1C f�C—QIHA o DEPARTMENT II0Q_ Ma re nnls ADDRESS -�Ij ��!R!�Z � M TELEPHONE Z_Address �¢-� ,Mi�cupant. Floor Apartmen�o._ ___ No"6f Occupants _ No.of Habitable Rooms__.___ No.Sleeping Rooms No.dwelling or rooming units_ _.._ No.Stories p _ r Name and address of owner``]42YW.5 `5.niq �1 P� OLJASv C�.�f_• M AI Remarks Reg. Vio. YARD Out Bld s.: Fences: Garba e and Rubbish " , /;A ahgn'O i0 &NI— Containers: }p;I {- a„ OflAef raij Drainage JOpH;Ad Infestation Rats or other: I 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: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vents ELECTRICAL Panels, Meters,Cir.: p M cfvr- ®revs $2 ❑ 110 ❑ 220 Fusing,Grnd.: f5ciy Ncx'E'f►e4sF- �-,�v� AMP: Gen.Cond. Distrib. Box.- Gen. Basement Wiring: 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. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink A127('S rlq SS a, Stove n i M�GiPl rtin e Bathing,Toilet Facil. Vent., Plumb.,Sipit'n.: Wash Basin,Sho er or Tub: Infestation Rats, Mice, Roac es or Other: Egress Dual and Obst'n: u in(x bedronows Cicffiegrjo A -A brio General Building Posted !3 -5 nj MCOA-Z, oF- ewOtre.SS. QMj1t,C4PA1 Locks on Doors: r0 ;,v�`,}e r>zt _ ,a„s f/1Q k I M✓M� ONE OR MORE OF THE VIOLATIONS CH CKED ABOVE IS A CONDITION WHICH S;_?11eA('-r4 beXoakS MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE' GOtJA-�e I 'i4\ OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE Y,�O�a AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND 9'A I 1-tiestn '�- PENALTIES OF PERJURY." �yv- �de� INSPECTOR _-c TITLE`&'(Q bAC A. DATE Q�?p1) '�1 TIME �0.' Yo _ �P:M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. � r• 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 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 11, 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(8)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. i (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. I (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 Ieadbased 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 41.0.352, so as to expose the occupant or anyone else to fire, burns, shock, acciden"t1or 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. s'�••vpi-,._"_` 'Irw�++'+I��s..�r..tiw"r..►wtr•7�a'w,Me[+� _ - ,�cr•......, �_, !. .. ._. _ .. -. 3D �iRW HoeesaWnRaeN THE COMMONWEALTH OF MASSACHUSETTS -�11 BOARD OF HEALTH CITY/TOWN a DEPARTMENT 49e ou a AA+s (YI ADDRESS TELEPHONE `Address- G�-�--- 4'r�e Floor Apartmenl-No. --- Nof �6bcupant upants No. of Habitable Rooms __No.Sleeping RoomsNo.dwelling or rooming units----.. _ No.Stories Name and address of ownerpS_ Irf1 uln �., Al J ry 1 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish - 1160lporA y it /l� Containers: }- P „ 1 n Drainage J AI 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.: Hall, Floor,Wall,Ceiling: Hall Lighting: 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.: cfor vrcJ Z ❑ 110 ❑ 220 Fusing,Grnd.: e4Jr AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: 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. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove AkjMVrrn,1 , + .,' .. Bathing,Toilet Facil. Vent., Plumb.,Sa it'n.: _ Wash Basin,Showy er or Tub: Infestation Rats, Mice, Roach s or Other: Egress Dual and Obst'n: M in 0 y General Building Posted k) n(I rangy n� rA r ,cc ^or1\I Aa Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHEO' ED 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) V ��}�r+ r1C7"+f�� 3► "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND r 0 `'I (-tC PENALTIES OF PERJURY." I�ZOV' F,c INSPECTOR TITLE Dice,, A - DATE )I ?��.,� TIME LAYO P.MJ: 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 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, acciderit'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. Town of Barnstable GF THE Tp� y'' tia Department of Health, Safety, and Environmental Services ,,,R„STAB Public Health Division MASS' 367 Main Street,Hyannis MA 02601 AtFp�,�a Utiice: 508-790-6265 Thomas A McKean FAX: 508-775-3344 Director of Public Health September 22,2004 Ms.Hermes Santa Rosa 162 Townsend Ave. Lowell,MA 01852 NOTICE TO ABATE VIOLATIONS OF THE STATE SANITARY CODE CHAPTER 2, 105 CMR 410.00,THE STATE ENVIRONMENTAL CODE, TITLE 5 AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 27 George Street, Hyannis, MA was inspected on September 21, .2004 at 10:40 a.m. by Thomas McKean, Health Agent for the Town of Barnstable. Also present were Thomas Perry Building Commissioner,Eric Hubler of Hyannis Fire Department, Sergeant Sweeney of the Police Department and Thomas Geiler, Director of Regulatory Services. The following violations of the State Sanitary Code, 105 CUR 410.00, 310 CMR 15.000 State Environmental Code, Title 5 and of the Town of Barnstable Rental Ordinance,Article 51 were observed: 105 CMR 410.450: Two sleeping areas (bedrooms) with beds observed within the basement without adequate emergency egress provided to each of the two bedrooms. 105 CMR 410.481: No smoke detector provided at the first floor north-east bedroom. 105 CMR 410.481: Posting of Name of Owner and Article LI: The name, address and telephone number of owner was not posted on a twenty (20) square inch sign outside the dwelling adjacent to the main entrance as required. 310 CMR 15.214: There were a total of seven (7) bedrooms observed in this dwelling; including two bedrooms within the basement. However, the existing septic system capacity is designed for a maximum of three(3)bedrooms total. The property is limited to three bedrooms due to it's location within a nitrogen sensitive area and due to the size of the lot. You are ordered to remove four(4)bedrooms from this dwelling,including both bedrooms from the basement by removing entrance doors,by removing the beds,and by opening all door-way entrances (partially or fully removing walls) to each room a minimum of five feet wide within thirty(30) days of your receipt of-this letter. You are also ordered to post your name,address and telephone number on a twenty(20)square inch sign outside the dwelling adjacent to the main entrance within ten (10) days of your receipt of his letter.- You may request a hearing before the Board of Health if written petition requesting same is received within seven(7)days after the date the order is served. 4 Non-compliance will result in the issuance of non-criminal ticket citations of$100.00 each. Five non- criminal ticket citations totaling$500.00 were mailed to you on September 22,2004. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF T BOARD OF HEALTH ,__�FC Q.�McKeane�_ Director of Public Health Town of Barnstable CF IME A gyp' 4 Department of Health, Safety, and Environmental Services &UMSfABLE. : Public Health Division MASS. � 367 Main Street, Hyannis MA 02601 tED MAC a Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public H September 22,2004. Ms.Hermes Santa Rosa 162 Townsend Ave. Lowell,MA 01852 NOTICE TO ABATE VIOLATIONS OF THE STATE SANITARY CODE, CHAPTER 2, 105 CMR 410.00, THE STATE ENVIRONMENTAL CODE, TITLE 5 AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 27 George Street, Hyannis, MA was inspected on September 21, 2004 at 10:40 a.m. by Thomas McKean, Health Agent for the Town of Barnstable. Also present were Thomas Perry Building Commissioner, Eric Hubler of Hyannis Fire Department, Sergeant Sweeney'of the Police Department and Thomas Geiler, Director of Regulatory Services. The following violations of the State Sanitary Code, 105 CMR 410.00, 310 CMR 15.000 State Environmental Code, Title 5 and of the Town of Barnstable Rental Ordinance,Article 51 were observed: 105 CMR 410.450: Two sleeping areas (bedrooms) with beds observed within the basement without adequate emergency egress provided to each of the two bedrooms. 105 CMR 410.481: No smoke detector provided at the first floor north-east bedroom. 105 CMR 410.481: Posting of Name of Owner and Article LI: The name, address and telephone number of owner was not posted on a twenty(20)square inch sign outside the dwelling adjacent to the main entrance as required. 310 CMR 15.214: There were a total of seven (7) bedrooms observed in this dwelling; including two bedrooms within the basement. However,the existing septic system capacity is designed for a maximum of three (3) bedrooms total. The property is limited to three bedrooms due to it's location within a nitrogen sensitive area and due to the size of the lot. ' You are ordered to remove four(4) bedrooms from this dwelling, including both bedrooms from the basement by removing entrance doors,by removing the beds,and by opening all door-way entrances (partially or fully removing walls)to each room a minimum of five feet wide within thirty(30)days of your receipt of this letter. You are also ordered to post your name,address and telephone number on a twenty(20)square inch sign outside the dwelling adjacent to the main entrance within ten (10) days of your receipt of his letter. You may request a hearing before the Board of Health if written petition requesting same is received within seven(7)days after the date the order is served. Non-compliance will result in the issuance of non-criminal ticket citations of$100.00 each. Five non- criminal ticket citations totaling $500.00 were mailed to you on September 22, 2004. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health r Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,&S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. November 29, 2004 Mr. Arne Ojala Downcape Engineering, Inc. 939 Main Street Route 6A Yarmouthport, MA 02675 RE: 27 George Street, Hyannis A= 291-088 Dear Mr. Ojala, You are granted conditional approval to construct a septic sytem designed to be connected to a home with a total of six bedrooms at 27 George Street, Hyannis. The approval is granted with the following conditions: 1) The septic system shall be constructed in accordance with the plans dated November 2, 2004. -2) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated November 2, 2004. Sincer ly yours, W 0e iller, D. Chair n BOA D OF HEALTH TOWN OF BARNSTABLE tel.(508).362-4,541 939 main street rt 6a yarm fax(508)362 9880 outh port mass 02675 down cope eflfineefing , civil engineers& land surveyors ; tructural design November 4, 2004 Arne H.OJala P.E.,P.L.S. Daniel A.OJala,-P.L.S.' 1 and court Barnstable Board of Health Timothy,H.Covell,P.L.S. urveys 367 Main Street Hyannis, MA 02601 {te planning Re: 27 George Street,Hyannis ewage system Dear Board Members: fesigns q On behalf of our client, we hereby request permission to upgrade the se tics stem;at:' the above-referenced address to accommodate 6 bedrooms. The lot lies within an nspections Aquifer Protection District and is served by town water. No variances are requested!" )ermits Thank you for your consideration. Very truly yours, Arne H. Ojala,PE,PLS s Down Cape Engineering, Inc. r cc: H. Santarosa - €€ j.i i y +ri 1 I S • C t i � i r ' t , Qlj- (� I . r •pj { i ( 11ff f SY , Z � �• � r !I rY� 5 A .�y'�. •i L' I ! t i , Town of Barnstable �u.. Regulatory Services --�� Thomas F. Geiler, Director 1 r�►n,va��er�, 1 ,e y: Public Realth Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508.862.4644 Fax: 508-790-6304 Instalkr&Designer Certifkatfotk Form Date: Designer: Down Cape Engineering Installer:Wm E Robinson Sr Septic Address: 939 Main Street Address: PO Sox 1089 Yarmouth Centerville On Wm E Robinson Sr Se tiQvas issued a permit to install a (date (installer) service septic system at 27 George St, Hyannis based on a design drawn.by - (address) D dated�_�z- 4 designer 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 boat and/or septic tank. I certify that the septic systern referenced above was installed with ma' greater than 10 lateral relocation of the SAS or any vertical relocation of any or compoes nent of the septic system)but in accordance with State &Local Regulations, Plan revisia,i or certified as-built by designer to follow. (�staller's�Signatuse) W �o ARNE H. oy"I o OJALA CIVIL en No. 30792 � �0-F (Designers Signature (A amp Here) PLEASE URN TO $ARNSTABLIa >uUBLIC HE $ DIVISYON. CFRTI�ICAT OF COMPLIANCE L NO Bh; ISSUED UNTIL BOTU T ORM AND AS- BUILT CARD ARF,RFCEI'V>G]) BY TFLF, BARNS ABLE PUBLIC LIEAL'I'H DIVISION, THANK YOU. Q:}iealth/Septic/Destgner Certification Form Z0 39VcI AN3S OMM NDSNIaOd b69L-06L-809 9Z:9L b00Z/t,1/ZT I . GEORGE STREET L=1 p9.76' R=1 801 .1 5' LOT 13 12,382f SQ. FT. l l F O I EXIST. DWELL. %_Ad TF = 43.4' L__ J SHED f 110.00' 04-322 (SEPTIC AS-BUILT LOCATION : 27 GEORGE STREET (HYANNIS) BARNSTABLE PREPARED FOR: SCALE : 1"= 20' DATE : DECEMBER 15, 2004 H. SANTAR®SA REFERENCE ASSESSORS MAP 291 PCL 88 OF Mgss9c AR N E yes off 508-362-4541 fax 508 362-9880880 O —+ OJALA down cope engineering, inc. No. 6 CIVIL ENGINEERS .P.tt S 0 ----- LAND SURVEYORS �N E� DATE RE URVEYOR 9s9 main st, yarmouth, ma V i �v0a 000 00ocl Co(o� 3 23y� Town of Barnstable CF 114E Tp� do Department of Health, Safety, and Environmental Services ,,,�,� Public Health Division EBLAP9eb " �0 367 Main Street,Hyannis MA 02601 AtEp��a Uttice: 508-79U-6265 Thomas A-McKean FAX: 508-775-3344 Director of Public Health September 22,2004 i Ms.Hermes Santa Rosa 162 Townsend Ave. Lowell,MA 01852 NOTICE TO ABATE VIOLATIONS OF THE STATE SANITARY CODE,CHAPTER 2,105 CMR 410 00 THE STATE ENVIRONMENTAL CODE, TITLE 5 AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 27 George Street, Hyannis, MA was inspected on September 21, 2004 at 10:40 a.m. by Thomas McKean, Health Agent for the Town of Barnstable. Also present were Thomas Perry Building Commissioner,Eric Hubler of Hyannis Fire Department, Sergeant Sweeney of the Police Department and Thomas Geiler, Director of Regulatory Services. The following violations of the State Sanitary Code, 105 QMR 410.00, 310 CMR 15.000 State Environmental Code, Title 5 and of the Town of Barnstable Rental Ordinance,Article 51 were observed: 105 CMR 410.450: Two sleeping areas (bedrooms) with beds observed within the basement without adequate emergency egress provided to each of the two bedrooms. 105 CMR 410.481: No smoke detector provided at the first floor north-east bedroom. 105 CMR 410 481• Posting of Name of Owner and Article LI: The name, address and telephone number of owner was not posted on a twenty (20) square inch sign outside the dwelling adjacent to the main entrance as required. 310 CMR 15.214: There were a total of seven (7) bedrooms observed in this dwelling; including two bedrooms within the basement. However, the existing septic system capacity is designed for a maximum of three(3)bedrooms total. The property is limited to three bedrooms due to it's location within a nitrogen sensitive area and due to the size of the lot. You are ordered to remove four(4)bedrooms from this dwelling,including both bedrooms from the basement by removing entrance doors,by removing the beds,and by opening all door-way entrances (partially or fully removing walls) to each room a minimum of five feet wide within thirty (30) days of your receipt of this letter. You are also ordered to post your name,address and telephone number on a twenty(20)square inch sign outside the dwelling adjacent to the main entrance within ten (10) days of your receipt of,his letter. You may request a hearing before the Board of Health if written petition requesting same is received within seven(7)days after the date the order is served. Non-compliance will result in the issuance of non-criminal ticket citations of$100.00 each. Five non-' criminal ticket citations totaling$500.00 were mailed to you on September 22,2004. Each day's failure to comply with an order shall constitute a separate violation. . PER ORDER OF T BOARD OF HEALTH On— A.McKean Director of Public Health U.S.'Postal Service CO cc CERTIFIED.MAIL RECEI �.. m m ' T. FF1C ' - � Postage $ .37 vQ C3 Certified Fee 2.30 v C7 p Return Recelpt Fee Postmark (Endorsement Requinco 1. 75 Here r C3 C:l Restricted Delivery Fee C3 O (Endorsement Required) Total Postage&Fees $ 4.42 M C3—� M C3 Sent To o C3Ms Hermes N [� srreer, ---------------------------------------- Rosa .ar.No.; Santa or PO Box No. cry siaie.zrP+a--------162__T9I*'n�e- i__�y •------------------- L A OIA52 ilia .0 el n y A c rA eq y .� H 44 N ►� � - zqr TROY WILLIAMS P L - 13 SEPTIC INSPECTIONS to Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 FAIED INSPECTION COMMONWEALTH OF MASSACHUSET'I'S EXECUTIVE, OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A RECEIVED CERTIFICATION Property Address: 27 George Street MAR 1 p 2004 Hyannis,MA NSTABLE Owner's Name: Peggy Davis TOWN�F B EPT. Owner's Address: C/o Victoria Spencer 15 Tamarack Road,Weston,MA 02493 O Date of Inspection:• March 4,2004 Name of Inspector: Troy M. Williams Z9 Company Name:. Troy Williams Septic Inspections (SAP Mailing Address: 19 Hummel Drive PARCEL ',- ;Z>%% Telephone Number: South Dennis,MA 02660 L0� ( 3 (508)385-1300 - CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system- Passes Conditionalh• Passes Needs Furthcr Evaluation by the Local Approving Authorit) Fails Inspector's Signature: Date: _?Alo y The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth or DEP)within 30 days of completing this inspection. if the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments Although system meets the rrllnlmum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. •••*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. i Title 5 Inspection Form 6/15/2000 page 1 of l l J i Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 27 George Street Owner: Hyannis,MA Date of Inspection: Peggy Davis March 4,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D :a A. System Passes: I have not found any information which indicates that a of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not aluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,ed II pass. i Answer yes. no or not determined(Y,N,ND)in the for the following statements. If"not d rmined"please explain. The septic tank is metal and over.20 years old" or the septic tank(whether I or not)is structurally unsound,exhibits substantial.infiltration or e4itratiori or tank failure is immin System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the B rd of Health. •A metal septic tank will pass inspection if it is structurally, sound,not •ing and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break ou high static water level in the distribution box due to broken or obstructed piPe(s).or due to a broken,settled o even distribution box.System will pass inspection if(with approval of Board of Health): b en pipe(s)are replaced obstruction is removed. distribution box is leveled or replaced ND explain: The tern required pumping more than 4 times a year due to broken or obstructed pipe(s).The system well pass in ctioit if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 • Page 3 of I I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 27 George Street Owner: Hyannis,MA Date of rn3prction: Peggy Davis C. Further Evaluation is Requred 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. I. System Will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)( )that the system is not functioning in a manner which will protect public health,safety and the env' onment: — 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 m 2. System will fail unless the Board of Health(and Public Wat Supplier,if any)determines that the system is functioning in a manner that protects the public be h,safety and environment: _ The system has a septic tank and soil absorption stem(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface wat supply. The system has a septic tank and SA d the SAS is within a Zone I of a public water supply- - The system has a septic tank SAS and the SAS is within 50 feet of a private water supply well. The system has a septi ank and SAS and the SAS is less than 100 feet but 50 feet or more front a private water supply we Method used to determine distance "This system p es if the well water analysis,performgd at a DEP certified laboratory,for coliform bacti;rjo and . atile organic compounds indicates that the well is free from pollution from that facility and the prese . e of ammonia nitrogen and nitrate nitrogen is'equal to or less than 5 ppm,provided that no other failu , criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: t 3 -` Page 4 of 1 l OFFICIAL INSPECTION FORM-NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 27 George Street Hyannis,MA Owner: Peggy Davis Date of Inspection: March 4,2004 D. System Failure CriteXja applicable to all systems: You mu indicate"yes"or"no"to each of the following for all inspections: l..r �..I.... lof-s vN v,y. 1,1. .5,—". i,h, S. Yes No I-4— , ,45 ve- 3- 4 1k,4ce-%— o e iAs ps--� ✓ 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 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 K day flow Required pumping more than 4 times in the last year _ ' ,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 I of a public well. _ ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ 7 Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality an (This system passes if the well water analysis, performed at a DEP certified laboratory,for collform bacteria and volatile organic compounds indicates that the well Is free from pojlution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.l 1 E 5 (Yes/No)The system fgils. 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. L l.argo systctns: To be considered a large system the system must serve a facility with a desi flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following triteria apply to large systems in addition to the criteri ove) yes no the system is within 400 feet of a surface drinkin Ater supply the system is within 200 feet of a tribu. o a surface drinking water supply the system .$located in a nitroge _ nsitive area(Interim*Wellhead Protection Area—IWPA)or a mapped Zoo;II of a public water sup well if x40 ow 1}yft<fgd''yes"to quosttoP In Section it the$y teRrt is considered a significant threat,or answered "y& '�tut 1�� �ove1 the go system has f1;i1Gd ThG ovy{igr�t op¢rator of any large system.considered a sl t� der S ton E ur filled gder$Qeais shad! IP 40 the sY§tarn tt; ceordattce with 310 CINR, !S.3Q�} 4'sI' atfl a er shoulduf hmcot.a p � tt Page 5 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART P CHECKLIST Property Address: ' � 27 George Street . Owner: Hyannis,MA Date of Inspection: Peggy Davis -March 4,2004 Check if the following haXC.been done.You must indicate"yes"or"no"as to each of the following: Yes No f'::;:nping information was provided by the owner, occupant,or Board of I leahli 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? V Have large volumes of water been introduced to the system recently or as part of this inspection? _ 1�/q 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 v1 _ Was the site inspected for signs of break out? _ Were all system components,excluding the SAS, located on site _ qua 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: Yes no ✓ Existing information. For example,a plan at the Board of Health. ✓ _ , tetmined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(3)(b)) '✓ y .. Page 6 of 11 OFFICIAL INSPECTION.FARM-NOT Felt VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISP' AL SYSTEM INSPECTION FORM P ART.P SYSTEM.INFORMATION Property Address: 27 George Street Owner: Hyannis,MA Date of Impection:Peggy Davis March 4,2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(dyjiga):- Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: l l p gpd x#of bedrooms): _3 3 o Number of current residents: o Does residence have a garbage grinder(yes or no):yF_S Is laundn on a srparate sewage system(yes or r1o): Mo (if yFs separate inspection required) Laundry system inspected(yes or no): .vyq Seasonal use:(yes or no):_t10 Water meter readings,if available(last 2 years usage(gpd)): 0 3 v o 0 a/(,,h, 3 Z = 2-1 S. Sump pump(yes or no): N o Last date of occupancy: «r p�w� 2r,�•.�t.s. COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): >no): d Basis of design flow(seats/persons/sgft,etc. Grease trap present(yes or no):— Industrial waste holding tank present(yes oNon-sanitary waste discharged to the Title 5o): Water meter readings, if available: _ Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Nj r-e t- ► e; � 1.� tip Was system pumped as pan of the inspection(yes or r>'o): iv a If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM —Septic t ,distribution box,soil absorption system _Single cesspool yC Ovcrl 9W.eesspodl —privy, _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovotive/Altetnative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Othcr(dehrlb�): Approximate aee of all components.date installed(if known)and source of information: WFr syw,ge odors detected when arrivin at the site(yes of t}o): Rio Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART C SYSTEM INFORMATION(continued) Property Address: 27 George Street Owner: Hyannis,MA Date of InsPeftion: Peggy Davis March 4,2004 BUILDING SEWER(locate on site plan) Depth below grade: a ' F Materials of construction: /cast iron _40 PVC i/other(explain):Ur�hs �s . Diaance fron-,private water supply well or suction line: N`.9 Comments(on condition of joints,venting,evidence of leakage,etc.): I INLS wwo- �-('c.4v. SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Com ce(yes or no):_(attach a copy of" certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or b• e: Scum thickness: Distance from top of scum to top of outlet tee o affle: __ Distance from bottom of scum to bottom of tlet tee or baffle How were dimensions determined: _ _ Comments(on pumping recommen ons, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evide of leakage,etc.): GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_ polyeth ne_other (explain): Dimensions: Scum thickness: Distance frotp top of scum to top of outlet tee or battle: Distinc`fiotti bottom of scum to bottom of outlet to r baffle: Data of lest pimping: Cotnenents(oft pumping recommendations ' et and out tee or baffle condition,structural integrity,liquid levels as related to pullet invert,evidence of 1 age,etc.): �tY Page 8 of 1 OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAI.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 George Street Owner: Hyannis,MA Date of InsQection:Peggy Davis March 4,2004 TIGHT or HOLDING WK: (tank must be pumped at tiXinctilocate on site plan) Depth below grade: Material of construction: concrete metal fibergla _polyethylene other(explain): Dimensions: Capacity: gZn Design Flo%%: g Alarm present(yes or no): Alarm level: Alarm in w _7 Date of last pumping: Comments(condition of alarm a , . DISTRIBUTION BOX: (if present must be opened)(locate o r e plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlet qual,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,conditi of pumps and appurtenances,etc.): Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOS4L SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 27 George Street Owner: Hyannis,MA Date of Inspeftion: Peggy Davis March 4,2004 SOIL ABSORPTION SYSTEM(SAS): ✓(locate on site plan,excavation not required) If SAS not located explain wh): Type leaching pits.number:leaching chambers,number: leaching leaching galleries,number: leaching.trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number:I— innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): A�d. a. u S u n� c i c ..✓r/r�� �✓•1''f'f W.vr s f"o✓h� v t✓w// �. - ✓-.. r. Is f'r -�. ��1++ - ♦ / G J r C� :.. -t c:v T Cf..L ♦ r3 o to / 3e'h < // G. ., .A �h 11 1✓..'J / r L -TA r ( ✓r.— r h � t ��S � W�1,c h �.!r-w .� W0.y i ti ✓1 t , CESSPOOLS: (cesspool must be pumped as pan of inspection)(locate on site plan) Number and configuration: yL,4 o : ti L Depth—top of liquid to inlet invert: 3 r Depth of solids layer: Depth of sc►im layer: /i, Dimensions of cesspool: S',�,S`r Materials of construction: Indication of groundwater inflow( -es or no): Ato Co`m/ments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimspsiops: Depth of sollcls: Comments(rlpte condition of soil,signs of hydrauh ilure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM'--�NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART G SYSTEM INFORMATION(continued) Property Address: 27 George Street Hyannis,MA Owner: Peggy Davis Date of Inspection: March 4,2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. 39 p 26 ' 319 �Uti����� tea'h G.-S )Poo i ` Page II of II OFFICIAL INSPECTION FORM—W)T FOIL VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL;SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) Property Address: 27 George Street Owner: Hyannis,MA Date of Inspection: Peggy Davis March 4,2004 SITE EXAM Slope Surface water A Check cellar ✓ Shallow wells Estimated depth to ground water 3 feet Adjusted high ground walcr clevation�0 •_�feet Please indicate(check)all methods used to determine the high'ground Hater elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation'hole within 150 feet of SAS) Checked with local Board of I lealth-explain: Checked with local excavators, installers-(attach documentation) —jel Accessed USGS database-explain: .tii.✓ z-`r Za,,: !3 1 ' Z You must describe how you established the high ground water elevation: VS Ga S C9 rs...�.�,�g-�-SC-- ,�±_r.. ...0 0:/'. .�•L,b�t a w �.�tti. ' iirNr� 12•� Thi$report has been prepared end the sy$c0 Inspected as of the date of inspection. This report is not a vya��t1r cr gua►pptee that the system wilt function properly to the future. fiere have been no warranties or �untt) ,@ithti►txprQssed,Wfi�ten or Implied,relating tg the syetern,the inspection and/or this report. 11 TOP FNDN. AT EL. 43.4' SYSTEM PROFILE.; � TEST HOLE LOGS a ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN MINIMUM .75 OF COVER OVER PRECAST ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: A.H. OJALA, PE /[40.0 RE ST /� WITHIN 6 OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM wrlernRD 38.5 WITNESS: DAVID STANTON, IRS RY nucE 37.75" 2" DOUBLE WASHED PEASTONE 4/13/04 �_ZZ LOCUS z RUN PIPE LEVEL �': DATE: i FOR FIRST 2' GEORGE 5 3' MAX. .t•���, EXISTING 1500 / PERC. RATE _ < 2 MIN/INCH m GALLON SEPTIC 3 g p / 35.51 36.25' TANK (H- 10 CLASS I SOILS P# 10702 BRISTOL GAS 35.33' : .. 000a 0 oaao BAFFLE 35.5' 0 00 0 ' MIN 34.67 CI m C7 (� O O C� L� CJ 4' AROUND (?%: SLOPE) �6" CRUSHED STONE OR MECHANICAL 80 C1 C� © 0 CI 0 0 �I 2 L 00C] C� C] C [O o ELEV. COMPACTION. (�5,2z1 [2]) M2 $ 0 32.67' „ ' 0 38.4 DEPTH OF FLOW = 4 3 4 TO 1 1 2 DOUBLE WASHED STON; ( % SLOPE ( % SLOPE) „ A TEE SIZES: / / - INLET DEPTH 1�„ LS 10YR 2/1 OUTLET DEPTH = 14 B LOCATION MAP NTS ' LEACHING LS FOUNDATION- 15r SEPTIC .TANK 17' D' BOX .. 12' FACILITY (_ 28 TY 5.47' 2.5Y 6/4 ASSES MAP 291 PARCEL 88 36" 35.4' C PERC MCS 27.2' 10YR 6/4 I GEORGE STREET -�f- �k2,� -- - - -+ 46.2 134" 27.2 T / NO WATER ENCOUNTERED 42.3 +-4�.3" - 2.0 2,3 L=109.76' R=1801 .15' NOTES: I I . SEPTIC DESIGN: (GARBAGE DISPOSER iS_NO1 Al I nWFCL ) 1 . DATUM IS APPROX. NGVD -_ o I DESIGN FLOW: _6 BEDROOMS ("110 GPD) = 660 GPD 2. MUNICIPAL WATER IS EXISTING \ LOT 13 I USE A 660 ,GPD DESIGN FLOW 0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 12,382t` SQ. FT. m I SEPTIC TANK: 660 GPD 2 = 1320 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 ti I I 5. PIPE JOINTS TO BE MADE WATERTIGHT. F9 I I USE A laQQ_ GALLON SEPTIC TANK (EXISTING) ° t 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 7 G + -4�3 LEACHING: ENVIRONMENTAL CODE TITLE V. <% ry + 42,5 42.5 S(GES: 2(50.5 + 12.83) 2 (.74) = 187 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT TO BE USED FOR ANY OTHER PURPOSE. �-- © BOTTOM: 50.5 x 12.83 (.74) = 479 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. y EXIST. DWELL. TOTAL: 900 S.F. 666 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT TF 43.4' 41.8 USE '5 (TOTAL) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED lDECK INv EL. 36.8' - FROM BOARD OF HEALTH. -� 42.4 EQUAL) WITH 4' STONE ALL AROUND 10. PUMP & REMOVE OR FILL W CLEAN SAND EXISTING SEPTIC 2 + 41.8 ( / ) E C SYSTEM (ADD (3) 500- GAL. LEACHING CHAMBERS TO EXISTING INv EL, 37.75' 41 LEACHING FACILITY; ADD 4' STONE TO END & SIDES) BRICK STEPS TO SE. + 1 -01 + 39'.6 + o, LEGEND � I + 40,5 41.5 TITLE 5 SITE PLAN 39 '100,0 PROPOSED SPOT ELEVATION OF 3 .5 27 GEORGE STREET 100x0 EXISTING SPOT ELEVATION 8 SHED IN THE TOWN OF: 100 12" 40.1 PROPOSED CONTOUR ( HYANNIS) BARN STABLE 1 W.PINES TH "• x �};� 100 EXISTING CONTOUR PREPARED FOR: HERMES SANTAROSA 110.00' ADD (3) 500°GAL. LEACHING , CHAMBERS WITH 4' STONE AT END + � � O AND SIDES TO EXISTING LEACHING 20 0 20 40 60 FACILITY. PROVIDE NEW D'BOX BOARD OF HEALTH AND PIPE TO EACH CHAMBER BENCH MARK - TOP OF CONC. BOUND EL. = 41.8 APPROVED DATE MA SCALE: 1 " = 20' DATE: NOVEMBER 2, 2004 f off 508-362-4541 fox 508 362-9880 I � ��qSo d �,ZN Or own cape engineering, Inc, �� �,jHOF�'tiSs ARNE y�� ARNE H 9ryG CIVIL ENGINEERS o H. A � o'ALA LAND SURVEYORS �N 26348 P � N . 30 0 - 22 939 vain st, yarmouth, ma 02675 O vUc11J< 3i AR ALA, N4 DATE j 1 TOP N. AT EL. 43.4' SYSTEM PROFILE - TEST HOLE LOGS FNDN ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) � PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGWEER: A.H. OJAIA, PE E�IIEYAR 40.0' MINIMUM •75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 38 5' WITNESS: DAVID STANTON, RS ]GE ALICE LOCUS'• 37.75' RUN PIPE LEVEL 2" DOUBLE WASHED PEASONE� DATE: 4/13/04FOR FIRST 2' < 2 MIN INCHORGE��11�� LROSED 1500 3 MAX• PERC. RATE _ / 36.8' 10702 STOL LON SEPTIC 360 35 5 CLASS I SOILS P#36.25 (H- 10 ) GAS 35.33' p L� CJ1�r .. � r7 rBAFFLE 35rj 34.67' CI [� (� [� 0 C `� 4' AROUNMIN O L7 Cl C7 C+ ELEV.SLOPE) �6" CRUSHED STONE OR MECHANICAL $ „ , 4' COMPACTION. (15.221 [2]) MIN 2r 0 i� i� CI 32.67 0 38.4 A DEPTH OF FLOW - ( 3 % SLOPE) ( 2 % SLOPE) 3 4" TO 1 1 2" DOUBLE WASHED STONE LS TEE SIZES: 10" 4'` 1 OYR 2/1 INLET DEPTH = OUTLET DEPTH - 14" B LOCATION MAP NTS LEA�:HING LS FOUNDATION-- 15 SEPTIC TANK 17 D BOX 12 LEA"-' TN ASSESSORS MAP 291 PARCEL 88 28, 5.47 2.5Y 6/4 36 35.4 C PERC MCS 27.2' 10YR 6/4 GEORGE STREET _- -+t A.2,Q 42.2 134„ 27.2' T2 2.0 NO WATER ENCOUNTERED �- - - -- -- - '42.3 NOTES: L.=109.76' R=1 801 .1 5' I APPROX. NGVD f l SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT -A1 I OWED 'i 1 DESIGN FLOW:' _3 BEDROOMS (-1-10 GPD) 330 GPD AL VA?'EI: IS EXISTING I 1 \ LOT 13 a i USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. oL\ 12,382t SQ. FT. I ) = 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 SEPTIC TANK: 330 GPD ( 2 660 F� I 5. PIPE JOINTS TO BE MADE WATERTIGHT. u USE A 15QIl GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 0 7 vo I L + 41Z 9 LEACHING: ENVIRONMENTAL CODE TITLE V. G 2(25 + 12.83) 2 (.74) = 1 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT <�� 'v + 42.5 42.5 SIDES: TO BE USED FOR ANY OTHER PURPOSE. 71 1 BOTTOM: 25 x 12.83 (.74) = 237 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. F 0. TOTAL:. 472" S.F. _GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT EXIST. DWELL. INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED DECK TF - 43.4' 41.8 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. _ INV EL. 36.8' EQUAL WITH 4' STONE ALL AROUND -� 42,4 ) 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM rn 42 + 41•$ x INV EL. 37.75' 41Ix - _--�BRICK STEPS TO SE. + 1 ��, 8 + 40. LEGEND PROVIDE CLEANOUTS + 39.6TITLE 5 SITE PLAN + 40.5 41.5 0-0--0 39 100.0 PROPOSED SPOT ELEVATION OF c-P 9.8 3 ,5 27 GEORGE STREET 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: S + 2 3 5' $ SHED 100 PROPOSED CONTOUR ( HYANNIS) BARN STABLE 12" OA 40.1 1 " WPINES + TH 8 X }; 100 EXISTING CONTOUR PREPARED FOR: PEGGY DAVIS 110.00' 20 0 20 40 60 + 41.34 0 BOARD OF HEALTH BENCH MARK - TOP OF MA SCALE: 1" = 20' DATE: APRIL 15, 2004 CONC. BOUND EL. = 41.8 APPROVED DATE off 508-362-4541 fox 508 362-9880 I OF�d gss9c H OF P,fgsS� o`er ARNE H ARNE cti� down cape engineering, inc. CJALA H. CIVIL OJALA N CIVIL ENGINEERS No. 30792 No. 348 LAND SURVEYORS G1sTV- SOP S NAL 939 main st. yarrtouth, rya 02675 ARNE H. OJALA, P.E., P.L.S. DAT 04--09 > 1 TOP FNDN. AT EL. 43.4' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" o OF FIN. GRADE TO SCALE) PROVIDE INSPECTION PORT WITHIN 6" OF FINISH GRADE. A.H. OJALA, PE ACCESS COVER (WATERTIGHT) TO ENGINEER: 40.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 38 5 DAVID STANTON, RS M�Rr ,wce vNEYARo WITNESS: 2" DOUBLE WASHED PEASTONE 4/13/04 �_ LOCUS 37.75' RUN PIPE LEVEL � DATE: FOR FIRST 2' _ < 2 MIN INCH ceoacE fn 3 MAX. PERC. RATE - / m EXISTING 1500 36.8' GALLON SEPTIC �_ 35.5' CLASS I SOILS P# 10702 BRISTOL 36.25' 36.0 TANK (H- 10 ) GAS 35.33' -,• BAFFLE ' C0000 o 0 0 0 0 0 0 0 C; 35.5 0 34.67 o a o o .0 O 0 O CI c 4' AROUND (M2 � SLOPE) � o 6" CRUSHED STONE OR MECHANICAL g " Q ELEV. � COMPACTION. (15.221 [2]) MIN � ' 2 0 0 0 E 0 0 0 0 E c 32.67 0 38.4 DEPTH OF FLOW = 4 ( 3 % SLOPE) ( 2 7. SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LS TEE SIZES: INLET DEPTH = 10" 4" 1OYR 2/1 OUTLET DEPTH 14" B LOCATION MAP NTS FOUNDATION 28, SEPTIC TANK 17' D' BOX 12' FACILITY LEACHING LS 6 ASSESSORS MAP 291 PARCEL 88 5.47 2 5Y /4 36" 35.4' C PERC MCS 27.2' 10YR 6/4 GEORGE STREET 42,2 134" ' 27.2 - - - - -- - - - - - - -I-42.3" -- T -4 2.0 NO WATER ENCOUNTERED 4-�:4 - - 412.3 I � NOTES: RCQj2.3 L_109.76 R=1801 .15' " I 2 I -u I SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT AI I-()WFn ) 1. DATUM IS APPROX. NGVD - _ � � � EXISTING.. _ r r vGS1GN=,i�'LOi�: �'xBE©BOvMS � 110..GPM ._� 660 r„ -Gu,_..--=-- . : ...---� R--MUNIoIPAL-.WATER - LOT 13 I I 'USE A 660 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 0 \ 12,382f SQ. FT. I I SEPTIC TANK: 660 GPD ( 2 ) = 132E 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 P I 5. PIPE JOINTS TO BE MADE WATERTIGHT. j y�9 I USE A 15.O.Q- GALLON SEPTIC TANK (EXISTING) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 7 LEACHING: ENVIRONMENTAL CODE TITLE V. + 42.5 42.5 SIDES: 2(50.5 + 12.83) 2 (.74) = 187 7 TO THIS BE USED FOR ANPLAN IS FOR RO POTHER PURPOSE.SED SEPTIC STEM ONLY AND IS NOT 50.5 x 12.83 .74 = " F � 'BOTTOM: �- 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. o TOTAL: 900 S.F. 666 GPD . 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT EXIST. DWELL. F HEALTH AND PERMISSION OBTAINED DECK TF = 43.4' 41.8 USE 5 (TOTAL) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD H FROM BOARD OF HEALTH. INv EL 38.8142.4 EQUAL) WITH 4' STONE ALL AROUND 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM • 2 + 41.8 x (ADD (3) 500 GAL. LEACHING CHAMBERS TO EXISTING INV El. 37.75' ,41 LEACHING FACILITY; ADD 4' STONE TO END & SIDES) N BRICK STEPS TO SE. + '}''r rI IT i + 40,5 + 39.6 41.5 LEGEND / 1 / LE 5 Sl / E PLAN 39 100.E PROPOSED SPOT ELEVATION OF � 3 ,5 27 GEORGE STREET 100x0 EXISTING SPOT ELEVATION 8 SHED IN THE TOWN OF: + 12„ PA 40.1 100 PRoposED CONTOUR ( HYANNIS) BARN STABLE };� 100 EXISTING CONTOUR 1 " W.PINES + T'i x PREPARED FOR: HERMES SANTAROSA 110.00 ADD (3) 500 GAL. LEACHING + 41.34 O CHAMBERS WITH 4' STONE AT END 20 O 20 40 60 AND SIDES TO EXISTING LEACHING FACILITY. PROVIDE NEW D'BOX BOARD OF HEALTH AND PIPE TO EACH CHAMBER BENCH MARK - TOP OF MA " ' NOVEMBER 2 2004 CONC. BOUND EL. = 41.8 APPROVED DATE SCALE: 1 = 20 DATE: off 508-382-4541 fox 508 362-9880 ��.�.ZN �A �F rSS9C' down cape engineering, inc, ARNE �+ ARNE H a o H. OJALA i CIVIL ENGINEERS o � y � CI y N 26348 N j . 30 LAND SURVEYORS � TER 04-322 939 main st. yarrlouth, ma 02675 AR ALA, . °"^ e . DATE TOP FNDN. AT EL. 43.4' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN 6" OF FINISH GRADE A.H. OJALA, PE ACCESS COVER (WATERTIGHT) TO ENGINEER: 40.0' MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM WITNESS:0 VINEYARD 38.5' DAVID STANTON, RS MARY AucE , LOCUS =-75' RUN PIPE LEVEL 2" DOUBLE WASHED PEASONE DATE: 4/13/04 m EXISTING 1500 FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH GEORGE GALLON SEPTIC 36.0' 35.5' CLASS I SOILS P# 10702 BRISTOL 36.25' TANK (H- 10GAS ��0 35.33']Z8' BAFFLE 35.5' o aaaa O oaao 0 34.67 Q Q 0 [� 0 Q 4' AROUND (M2 % SLOPE) ! 6" CRUSHED STONE OR MECHANICAL Q ELEV. COMPACTION. (15.221 [21) MIN 2' = 0 o� 32.67' 0" 38.4' TEE SIZES: DEPTH OF FLOW = 4 ( 3 % SLOPE) ( 2 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE LS INLET DEPTH = 10" it 1OYR 2/1 OUTLET DEPTH = 14" B LOCATION MAP NTS 15 LEACHING LS 28' FOUNDATION- SEPTIC TANK 17' D' BOX 12' FACILITY 5.47' 2.5Y 6/4 ASSESSORS MAP 291 PARCEL 88 36" 35.4' C PERC MCS 2 7.2, 10YR 6/4 GEORGE STREET f4.2..3 - -- - -+ 42.2 134" 27.2' -+-4g 2 2.0 NO WATER ENCOUNTERED +-�� -- - - - - -- - - - - -- - 42.3 I NOTES: 2.3 L=109.76 R=1801 .1 5' 2 I I APPROX. NGVD I D I SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT Al I OWED ) 1. DATUM IS DESIGN FLOW:-_6 BEDROOMS ( 110 GPD) = 660 GPD 2. MUNICIPAL WATER IS EXISTING LOT 13 I I USE A 660 GPD DESIGN FLOW 3 MINIMUM PIPE °PITCH TO BE 1/8" PER FJOT. 0 \ 12,382f SQ. FT. I < SEPTIC TANK: 660 GPD ( 2 1320 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 R � I I rn I ) = I I 5. PIPE JOINTS TO BE MADE WATERTIGHT. yw I I USE A 1aQ0_ GALLON SEPTIC TANK (EXISTING) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 7 I L + 41z g LEACHING: ENVIRONMENTAL CODE TITLE V. G� + 42.5 42.5 SIDES: 2(50.5 + 12.83) 2 (.74) = 187 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT -� TO BE USED FOR ANY OTHER PURPOSE. BOTTOM: 50.5 x 12.83 (.74) = 479 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. TOTAL: 900 S.F. 666 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT EXIST. DWELL. INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED DECK INv EL. 36.8' 41.8 L AL, LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. L_ TF = 43.4' 42.4 EQUAL) WITH 4- STONE ALL AROUND 10. PUMP & REMOVE OR FILL W CLEAN SAND EXISTING SEPTIC SYSTEM x (ADD (3) 500 GAL. LEACHING CHAMBERS TO EXISTING INV EL. 37.75' 1 41 LEACHING FACILITY; ADD 4' STONE TO END & SIDES) tk ----BRICK STEPS TO SE. + 1 N. o + 39.6 + 40, LEGEND + 40.5 41,5 TITLE 5 SITE PLAN 39 100.0 PROPOSED SPOT ELEVATION OF 3 .5 100x0 EXISTING SPOT ELEVATION 27 G EO R G E STREET 8 SHED IN THE TOWN OF: + 12" OA 7140,1 PROPOSED CONTOUR ( HYANNIS) BARN STABLE I 1 " W.PINES + TH o X };� 100 EXISTING CONTOUR PREPARED FOR: HERMES SANTAROSA 110.00' ADD (3) 500 GAL. LEACHING CHAMBERS WITH 4' STONE AT END 20 0 20 40 60 + 41.34 AND SIDES TO EXISTING LEACHING FACILITY. PROVIDE NEW D'BOX BOARD OF HEALTH AND PIPE TO EACH CHAMBER BENCH MARK - TOP OF MA CONC. BOUND EL. = 41.8 APPROVED DATE SCALE: 1" 20' DATE: NOVEMBER 2, 2004 off 508-362-4541 fax 508 362-9880 ���ZF1 OF Lfgss9 H OF 1,f,SS down cape engineering, Inc, s 4 AR N E y�� �`� A R NE H cti� o H. �, OJALA �` CIVIL ENGINEERS O LA N � oI N N 26348 N . 30 LAND SURVEYORS � `a P � 04--322 939 Plain st. yarmouth, tea 02675 Al ALA, ON4 E . . DATE TOP FNDN. AT EL 43.4' SYSTEM EM PROFILE TEST HOLE LOGS _ ACCESS COVER TO WITHIN 6" OF FIN. GRADE (N OT TO SCALE) PROVIDE INSPECTION PORT WITHIN " 6" OF FINISH GRADE A.H. OJALA PE ACCESS COVER (WATERTIGHT) TO ENGINEER: 40.0 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM DAVID STANTON, RS VINEYARD 38.5 WITNESS: MARY ALICE 2" DOUBLE WASHED PEASTONE 4/13/04 J_ Locus =.75' RUN PIPE LEVEL DATE: 7ZL FOR FIRST 2' < 2 MIN INCH cEORGE 7EXISTING 1500 3 MAX. PERC. RATE _ / rn •. 36.8 , � , GALLON SEPTIC 36.0 35.5 CLASS I SOILS p# 10702 BRISTOL 36.25' TANK (H- 10 ) GAS 35.33' BAFFLE. 35.5' C:>C:> o (� 0 0 Q r::> 4' MIN 34.67 0 � 0 0 C� ROUND 2 % SLOPE) 6" CRUSHED STONE OR MECHANICAL 0 0 C4 ELEV• OMPACTION. (15.221 [21) MIN ' (� 0 Qo0 32.67' O 38.4' DEPTH of FLOW = 4 ( 3 % SLOPE) ( 2 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE S TEE SIZES: INLET DEPTH = 10" „ 1OYR 2/1 OUTLET DEPTH 14" B LOCATION MAP NTS FOUNDATION- 15 SEPTIC TANK 17 LEACHING LS D' BOX 12' FACILITY ASSESSORS MAP 291 PARCEL 88 28' 5.47 2.5Y 6/4 36" 35.4' C PERC MCS 27.2' 10YR 6/4 GEORGE STREET f A2-4; -- - - -+ 42.2 134" 27.2` - _ - - - _ - ..._. - _ - - - -+-42,3_' _ - -r -+-4p r 2.0 NO WATER ENCOUNTERED +- NOTES: � 2,3� L-1 09.7 6' R=1 801 .154412.3 1 . DATUM IS APPROX. NGVD I D i SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT AlI I (1WFh ) :--)ESIGN FLOW. BEDROOM) ( 1 11..0 GP.. D') = 660 rynv 2.-' UNI'CIPAL WATER LOT 13 I ;USE A 660 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 0 \ 12,382t SQ. FT I I m i 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 _SEPTIC LANK: 660 GPD ( 2 ) 1320 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 15.OIL GALLON SEPTIC TANK (EXISTING) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. + 7 G I L- + , 9 LEACHING: ENVIRONMENTAL CODE TITLE V. <% + 42.5 42.5 SIDES: 2(50.5 + 12.83) 2 (.74) - 187 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT TO BE USED FOR ANY OTHER PURPOSE. 50.5 X 12.83 (.74) = 479 BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. � o ra TOTAL: 900 S.F. 666 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT EXIST. DWELL INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED ` DECK TF = 43.4' NV EL 36.$' 41.8 USE 5 (TOTAL) 500 _GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. I 01 2 42 + 41.8EQUAL) WITH 41 STONE ALL AROUND 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM x (ADD (3) 500 GAL. LEACHING CHAMBERS TO EXISTING INV EL. 37.75' 41 , LEACHING FACILITY; ADD 4' STONE TO END & SIDES) ---BRICK STEPS TO SE. + .1 + 40. LEGEND �� o - TITLE 5 SITE PLAN o + 39.6 + 40.5 41.5 39 100.0 PROPOSED SPOT ELEVATION OF c 3 .5 10OX0 EXISTING SPOT ELEVATION 27 G EO P G E STREET TREET 8, SHED IN THE TOWN OF: 12 OA + 40A 0 100 PROPOSED CONTOUR ( HYANNIS) BA R N S I-i- A B L.E x 100 EXISTING CONTOUR 1 W.PINES + �" PREPARED FOR: HERMES SANTAROSA 110.00 ADD (3) 500 GAL. LEACHING CHAMBERS WITH 4' STONE AT END 20 0 20 40 60 + 41.34 o AND SIDES TO EXISTING LEACHING FACILITY. PROVIDE NEW D'BOX BOARD OF HEALTH AND PIPE TO EACH CHAMBER BENCH MARK - TOP OF MA SCALE: 1 " = 20' DATE: NOVEMBER 2, 2004 CONC. BOUND EL. = 41.8 �APPROVED DATE off 508-362-4541 fox 508 362-9880 ����,ZN OF/,f,Sss9 down Cape engineering, inC, �o ARNE y°N o� ARNE H cya o H. a OJALA CIVIL. ENGINEERS 0 LA cl N 26348 N . 30 cn LAND SURVEYORS � a P -0q 3i�� 939 vain st, yarmouth, mo. 02675 oNa E DATE - 0 4 3,2 2 AR JALA,