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HomeMy WebLinkAbout0007 HAVEN LANE - Health -�Haven - �..'hyaNnnis- fIf A =,267 , 104 i I, i I ?;.... Q COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma.. (508)564-6813 TRUDY COXE Secretary ARGEO PAULCELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 9� CERTIFICATION f�� Property Address: 7 HAVEN LANE HYANNIS o�C�� �V� ��2 �` ��,�► Name of Owner PATRICIA LOSCHIAVO J RU?1VE0 � Address of Owner: BOX 444 HYANNIS PORT MA.02647 S EP Date of Inspection: 918199 4 1999 Name of Inspector:(Please Print)JOHN GRACI �, 70Wp0F I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) aia HFAl�R pABIE Company Name: n/a At Mailing Address: n/a o� Telephone Number: n/a E CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes The inpection is based on criteria defined in Title V _ Conditionally Passes code 310 CMR 15.303.My findings are of how the system is Needs Further Evhluation By the Local Approving Authority performing at the time of the inspection.My inspection does Fails not imply any warranty or guarantee of the longgevity of the septic system and any of its components useful life. Inspector's Signature: Date:9/9/99 The System Inspector sh II submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION.RECPOMMEND PUMPING THE SYSTEM EVERY TWO YEARS. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: nta One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. nLa The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. n(a Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced n1a The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed J revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 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 the public health,safety and 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 ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance W&(approximation not valid). 3) OTHER nfa revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped nLa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:918/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 11 5.302(3)(b)j X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 FLOW CONDITIONS RESIDENTIAL: Design flow:-=g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):3 Total DESIGN flow: = Number of current residents:i Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):JM Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): nLa Sump Pump(yes or no): NO Last date of occupancy: Wa COMMERCIAL/INDUSTRIAL Type of establishment: n& Design flow: n(a gpd(Based on 15.203) Basis of design flow: n(a Grease trap present:(yes or no):�tQ Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NQ Water meter readings.if available:Wa. Last date of occupancy: n& OTHER: (Describe) nta Last date of occupancy: Wa GENERAL INFORMATION PUMPING RECORDS and source of information: n[a System pumped as part of inspection:(yes or no):M If yes,volume pumped n(a_ gallons Reason for pumping: n& TYPE OF SYSTEM X 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: nta APPROXIMATE AGE of all components,date installed(if known)and source of information: 1997 NEW SYSTEM WAS INSTALLED Sewage odors detected when arriving at the site:(yes or no): NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 BUILDING SEWER: (Locate on site plan) Depth below grade: 1 Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: nta Comments: (condition of joints,venting,evidence of leakage,etc.) n/a SEPTIC TANK: X (locate on site plan) Depth below grade: B" Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nta If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NQ DLa Dimensions: L 10'6"H 5'7"W 5'8" Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: M Scum thickness:I 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: Il How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS FOR MAINTENANCE, GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nta Dimensions: n/A Scum thickness: nta Distance from top of scum to top of outlet tee or baffle:i3La Distance from bottom of scum to bottom of outlet tee or baffle Wa Date of last pumping: nta Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) DLa revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 HAVEN LANE HYANNIIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 TIGHT OR HOLDING TANK: NQ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: nLa Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) nla Dimensions: nLa Capacity: Wa gallons Design flow: Wa gallons/day Alarm present: NQ Alarm level:jila- Alarm in working order:Yes—No—: NQ Date of previous pumping: Wa Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nLa DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert:LIQUID LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) nLa PUMP CHAMBER: NQ (locate on site plan) Pumps in working order:(Yes or No): M Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) THE PUMP CHAMBER WAS EMPTY revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number: n& leaching chambers,number: _n/a leaching galleries,number: ji/a leaching trenches,number,length: n[a leaching fields,number,dimensions: LEACH FIELD overflow cesspool,number: n& Alternative system: n& Name of Technology: ja& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH FIELD IS FUNCTIONING PROPERLY. CESSPOOLS: _ (locate on site plan) Number and configuration: n& Depth-top of liquid to inlet invert: n& Depth of solids layer: n/a Depth of scum layer. n& Dimensions of cesspool: n& Materials of construction: n& Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)Wa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n& PRIVY: _ (locate on site plan) Materials of construction:nta Dimensions:n& Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:9/8/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a c b � 0 roc aA a� 6 a( 13� 60 4� CO S7 revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 HAVEN LANE HYANNIS Owner: PATRICIA LOSCHIAVO Date of Inspection:918/99 NRCS Report name: n& Soil Type: n!a Typical depth to groundwater: n& USGS Date website visited: n& Observation Wells checked: NQ Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater n/a Feet Please indicate all the methods used to determine High Groundwater Elevation: XObtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) = Determined from local conditions Checked with local Board of health _ Checked FEMA Maps Checked pumping records _ Checked local excavators,installers _ Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) GROUNDWATER IS AT 81"BY ENGINEERED PLANS WHERE THE MOUND SYSTEM IS LOCATED IN YARD revised 9/2/98 Page 11 of 11 �� TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE t ASSESSOR'S MAPS&_Z- INtTALLER'S NAME&1`110�4 NO. SEPTIC TANK CAPACITY p f LEACHING FACILITY: ( ) C1 = e) NO.OF BEDROOMS BUII..DER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist . on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by `1 t7 C7 ` r - •0 W L I I� ot f ' Y TOWN OF BARNSTABLE LOCATION 7 HA VeAl L A Ale SEWAGE #_�? /7..� VILLAGE A-AIA/1 S', Q g r ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. d A AJA C SEPTIC TANK CAPACITY /S 0.0 [/Mfg C 11A X f3C�/t' LEACHING FACMITY: (type) L C A C H rL C/0 (size) 3 X NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: I --aI COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � r r. /\/ 45 r � v ~ // JJ //TOWN OF BARNSTABLE LOCATION 7 /7a�, SEWAGE# V!LLAGE L� ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet �l 'ng f ili� Feet Furnished by i1 i I � _ � � ® f � i 1 ii _� .. i [ - �„ No. ! Fee 50. 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 3pprication for �Dizpogar *p5tem Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )XXVomplete System ❑Individual Components Location Address or Lot No. 7 Haven Lane owner's Name,Address and Tel.No. a r i c i a Loschiavc West HMyannis ort 72 7 Haven Lane West Hyannisport, Assessor's ap/Parcel .2 G 7-1 D Mass . 02672 Installer's Name,Address,and Tel.No./ 0 8 —J J TF Designer's Name,Address and Tel.No. 7 7 5—9 7 0 0 J.P.Macomber & Sbn Inc. Ronald Cadillac PLS,RS Box 66 Centerville ,Mass . 02632 P. O.B. 258 W.Yarmouth,Mass . 02673 Type of Building: Dwelling XX No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder�0 ) Other Type of Building -RES No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 x 110 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loam;L sand t,n noa_rse sand Nature of Repairs or Alterations(Answer when applicable) S e e Engineered plan Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed by thiBqAdWealT SiO4 gned r ( Date 1 7 Application Approved by — Date Application Disapproved for t e ollowing reasons Permit No. `7 (7°7 Date Issued �' i0Y �. No. / 7 �1-7 "� � _ 550.00 ` Fee h� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS/ 1 01ppricatco'n for Migoml *pgtem Construction' Permit f' t )Upgrade( )Abandon( )XX�Com lete S stem/ ❑Individual Components Application for a Permit to Construct(„ )Repair( )Upg ( ) p y po r` Location Address or Lot No. Haven 21 a Owner's Name,Address and Tel:No. a L r 1 C 1 a O 3 C n 1 a V West Hyannisport a,a _._672 7 Haven Lane. West Hyannisport, V Assessor's Map/Parcel, ./ ? /Q Mass. 02672 , 508775-3338 lr Installer's Name,Address,and Tel..1No. —_ Designer's Name,Address and Tel.No. 7.7 5—9 7 0 0 3 J.P.Macomber & Smn Inc. Ronald .Cadillac PLS,RS Box 66 Centerville,Mass. 02632 P.O.B. 258 W.Yarmouth,Mads. 02673 Type of Building: Dwelling XXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder'jo ) Other Type of Building ��� No.of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3X11 O gallons. Plan Date Number of sheets Revision Date Am i Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to coarse sand h' Nature of Repairs or Alterations(Answer when applicable)See Engineered plan Date last inspected: h` . Agreement: , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed by i B�oWd �Wal Signed' 4/� 5/9 Date ' , Application Approved by Date � Application Disapproved for the following reasons t Permit No. (:T 17 _ Date Issued S THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance xxxxx THI I T CERTIFY, h On-site w S S O that the On s to Sewage e Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by J.P,Maeomber & Son nc. at 7 Haven Lane West Hyannispoiit,lAasso has been constructed in accordance f with the p ovp�sions of Title5 and a qr Dis sal System Construction Permit No. dated Installer Designer on Inc. Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date -5- 7 - / -2 Inspector G ———— ------------ ----- -- ———— ---- t� ►y 5 0. 00 No. l r1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS IiOpogal 6.5tem CongtXruction Permit Permission is hereb r nted to C nstruct Re arr U rade t ba on{ ) System located at y,� �HaVeri °Lane (Westptly�ann1'�po tO s' . and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cons �S ction must be completed within three years of the date of this permit. Date: 7 Approved byJi' ;I r' TOWN OF BARNSTABLE A /(/� SEWAGE # LOCATION. LAGS s ASSESSOR'S MAP & LOT VII.. 3 C t?M s6,v 77SS s 3 INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY �D O I 101 6 HA Al - e A e H %� ��D (size) /3 K 3.3 LEACHING FACILITY: (type) NO.OF BEDROOMS 2 BUDER OR OWNER BUILDER PERMIT DATE: -�5� COMPLIANCE DATE:�� ^ 7' 7 Separation Distance Between the: Feet Maximum.Adjusted Groundwater Table and Bottom of Leaching Facility Private.Vater Supply Well and Leaching Facility (If any wells exist Feet on site`or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by., o\ y� 4r , , w _ i N v. RONALD J. CADILLAC, PLS, RS Professional Land Surveyor & Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 Date: 5/z 2•19`7 To: The Board of Health I inspected the septic system installed at and found it to be: V In substantial compliance with Title 5 GX *p,)5 "OTSb IavC"Zl� Not in compliance with Title 5 Comments: 1-s Z" I o w , r 14,70 ✓ AS-BUILT SKETCH � � � z . / f N'U• ��V� �� I h tj -C777 3tis' � 1�U• 13.�r5 1 D G � . 3 17 of l G? 1 I I I N v• � �'�� r Ronald J. Cadillac, PLs,Rs r A � *�� � __ ❑ Delete �01922 u 11/15/200'-'11 001 I A281090 L� �� O Change N Bas C 1 r State 1 Incident Date l Station incident Number 6rpL :1 J� pC B '"Location ❑ Check this box to indicate that the address for this incident is provided on the Wldland Fire Module in Section B"Alternative Location Specification".Use only for wildland fires. Census Tract 50 Street Address ® Intersection U U SMITH STREET { ST u ❑ In front of Number/Milepost Prefix Street or Highway Street Type Suffix ❑ Rear of I I Hyport - ''� 11 MA 11 02647 ❑ Adjacent to Apt./Suite/Room Ity /�„o�" State Zip Code ❑ Directions IlHaven St. V/ I ❑ Cross street or directions,as applicable C Incident Type * E1 Dates&Times Midnight isDWO EZ Shifts&Alarms 413 Oil or other combustible Local Option IncidenlType Iliguid spill Check boxes if Month Day Year Hour Min dates are the ALARM always required LC Still J D Aid Given Received same as Alarm Date. Shift or No Of Alarm.0islrict Alarm 1 1 15 15 2008 09:501 platoon 1 ❑ Mutual aid received I I II II ARRIVAL required,unless canceled or did not arrive 2 ❑ Automatic aid recv. U u ® E3 Special Studies TheirFDID Their Arrival 11 15 2008 09:55 3 ❑ Mutual aid given State Local option 4 ❑ AUtOmatlC ald given CONTROLLED optional,exceptforwildland fires 5 ❑ Other aicl given ® Controlled 1 1 15 12008 IL N ® None heir Incident Number Last Unit LAST UNIT.CLEARED,required except wildland fire special Special ® Cleared 11 I 15 12008 1 1 1:42 Study ID# Study Value F Actions Taken G1 Resources G2 Estimated Dollar Losses&Values Check this box and skip this section if an LOSS ES: Required for all fires if known. Optional for non fires. 45 Remove hazard I ❑ Apparatus or Personnel form is used. Non Primary Action Taken(1) Apparatus Personnel Property I I ❑ 70 11Assistance,other I Suppression 1 4 Contents I El Additional Additional Action Taken(2) EMS L� u PRE-INCIDENT VALUE: optional 86 1 lInvestigate I Other I I J Property I I ❑ Additional Action Taken(3) Check box if resource counts include aid ❑ received resources. Contents I I ❑ r mpleted Modules H1 Casualties ® None H3 Hazardous Materials Release Mixed Use Property Deaths Injuries N❑ None ❑`Fire-2 Fire NNE] Not mixed l t1 Structure-3 Service o �o 1 ❑ Natural gas:slow leak,no evacuation orHazMalactions 10 ❑ Assembly Use Civilian Fire Cas.-4 2 ❑ Propane gas: <21 lb.tank(as in home BBQ grill) 20 ❑ Education use I I � I3 Gasoline:vehicle fuel lank or portable container 33 ❑ Medical use ❑Fire Serv. Casualty-Civilian I 0 L n� ❑ 40 ❑ Residential use 4 ❑EMS-6 ❑ Kerosene:fuel burning equipment or portable storage 51 ❑ Row of Stores ❑HazMat-7 Detector 5 Diesel fuel/fuel oil: vehicle fuel tank or portable storag r ❑ ❑ Enclosed mall 6 Household solvents:Home/office spill,cleanup only 58 ❑ Business&residential ❑Wildland Fire-8 H2 Required for confirmed fires. ❑ 59 ❑ Office use 7 Motor OII:from engine or portable container ❑Apparatus-9 ® 60 ❑ Industrial use ❑ 1 ❑ Detector alerted occupants 8 Paint:from paint cans totaling<55 gallons 63 ❑ Military use Personnel-10 2❑;Detector did not alert them 0 ❑ Other: Special HazMat actions required or spill>55 gal., 65 ❑ Farm use U®I Unknown Please complete the HazMat form 00 ® Other mixed use J Property Use Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicle/boat sales/repairs 161 [3 Church, or cafeteria 361 ❑ Prison or jail,not juvenile 571 ❑ Gas or service station ❑162 Bar/tavern or nightclub 419 ❑ 1-or 2-family dwelling 599 ❑ Business office ❑ 429 ❑ Multi-family dwelling 615 ❑ Electric generating plant 213 ❑ Elementary school or kindergart. 439 ❑ Rooming/boarding house 629 ❑ Laboratoryiscience lab 241 2 ❑ High school or junior high 449 [3 Commercial hotel or motel 700 ❑ Manufacturing plant [3 College,adult ed. 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 311 ❑ Care facility for the.aged❑ 464 ❑ Dormitory/barracks 882 ❑ Non-residential parking garage. 331 Hospital 519 ❑ Food and beverage sales 891 ❑ Warehouse Outside1Z4 936 ❑ Vacant lot 981 [3 Construction site 655 [3 Playground or park 938 ❑ Gradedleared for plot of land 984 ❑ Industrial plant yard 669 55 [3 Crops or orchard 946 [3 Lake,river,stream W7 ❑ Forest(timberland) 951 [1 Railroad right of way 80 ❑ Outdoor storage area 960 ❑ Other street Look u and enter a 919 Dumpor landfill P Property Use ❑ sanitary 961 ❑ Highway/divided hi highway Property Use code only it 962 931 Open land or field g y you have NOT checked a ❑ 962 ❑ Residential street/ddveway Properly Use box: I Residential street,road I NFIRSI RBvhionellIM A281090 - EXP 0, 1111512008 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT - MFIRS REPORT K7 Person/Entity Involved I J Local Option )Business name(if applicable) j Phone Number L.]Check this box if same address as incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three t,iplicate address fines. Number/Mileposl Prefix Street or Highway Street Type Suffix Post Office Box I Apt./Suite/Room City L� I Slate Zip Code ❑ More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary. Owner ❑Same as person involved? Then check this box and skip Local Option the rest of this section. Business name(if applicable) Phone Number ❑ Check this box if u I. I ILJ I I II same address as incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I duplicate address lines. � Number/Milepost Prefix Street or Highway Street Type Suffix � I IUI Post Office Box Apt./Suite/Roam City I I State Zip Code L Remarks: Local Option ITEMS WITH A MUST ALWAYS BE COMPLETED( ® More remarks?Check this box and attach Supplemental Forms (NFIRS-1S)as necessary. M Authorization 197201 (Craig E Farrenkopf C. I I Captain /EMT( I Suppression 11 15 12008 Officer in charge ID Signature Position or rank Assignment Month Day Year Check box if same as Officer in `hard =' ❑ 197201 ICraig E Farrenkopf C. I I Captain /EMT I I Suppression 11 Ll5 2008 Member making report ID Signature Position or rank Assignment Month Day Year A281090 - ExP 0, 1111512008 SN=STREET, page 2 of 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT r L� 01922 1 AI 1 11/15/200` _.I 001 A281090 Lr. I ❑ Delete NFIRS - 1S f �L State * Incident Date ) Station Incident Number Ex� ) ❑ Change Supplemental 7 7[ 7C K? Remarks SMITH STREET BARNSTABLE POLICE CALLED DURING A RAIN SHOWER REPORTING THEY HAVE A VEHICLE ON SMITH STREET NEAR HAVEN LANE LEAKING TRANSMISSION OIL. OFFICER ON SCENE REQUESTED OUR ASSISTANCE. ARRIVING ON SCENE WITH BARNSTABLE POLICE SMITH AND HAVEN DAVIS TOWING PRESENT WE FOUND AN OLDER MODEL OLDSMOBILE SEDAN COLOR GRAY LEAKING WHAT APPEARED TO BE TRANSMISSION FLUID. INVESTIGATING WE SPOKE WITH THE OPERATOR MR. LIAM GERARD MCNAMARA WHO TOLD US AT THE CORNER OF CRAIGVILLE BEACH ROAD AND SMITH STREET HE ACCIDENTALLY HIT A CURBING PUNCHING A HOLE IN EITHER THE TRANSMISSION.OR OIL PAN OR BOTH. HE CONTINUED TO DRIVE TO THE CORNER OF HAVEN AND SMITH STREET WHERE THE CAR STOPPED RUNNING. FROM CRAIGVILLE BEACH ROAD TO HAVEN LANE HE DUMPED EITHER THE OIL PAN OR TRANSMISSION. SOMEWHERE BETWEEN FIVE [5] TO TEN [10] QUARTS OF FLUID. DURING THIS INCIDENT IT WAS RAINING AND A LARGE PUDDLE ENCOMPASSED THE STORM DRAIN. NUMEROUS CARS TRAVELING SMITH STREET RAN THRU THIS PUDDLE SPLASHING RAIN WATER AND OIL INTO A CREEK JUST BELOW THIS STORM DRAIN. ALSO IT APPEARS THAT THIS STROM DRAIN [CATCH BASIN] DUMPS INTO THIS SAME CREEK. THERE WAS A SCREEN OF FLUID COVERING THIS CREEK, WATER WAS FLOWING TOWARD THE LOWER HALF OF CRAIGVILLE BEACH ROAD WHERE WE OBSERVED THIS PRODUCT ACROSS THE STREET RUNNING INTO A MARSHY AREA. INVESTIGATING FURTHER THE BOARD OF HEALTH, AND D. P. W. SANDER WERE SUMMONED. WE PLACED DOWN ABSORBENT PADS AND SPEEDY DRY ATTEMPTING TO STOP THIS PRODUCT FROM LEACHING FURTHER INTO THE STORM DRAIN. D. P. W. SANDED THIS SLICK ROADWAY HOPPING TO PREVENT ANY ACCIDENT. WE PLACED AND ABSORBENT BOOM ACROSS THIS CREEK ATTEMPTING TO ABSORB ANY FURTHER PRODUCT. ABSORBENT PADS WERE PLACED INTO THIS STORM DRAIN ALSO: MS. DONNA MIORANDI BOARD OF HEALTH WAS PRESENT AND a SHE CONTACTED D. E. P. REP MR. ED BURKE. MR. BURKE CONTACTED BOTH MS. MIORANDI AND F. D. MR. BURKE WAS EN ROUTE TRAVEL TIME FROM OFF CAPE. NUMEROUS PADS WERE CLAIMED BY US AND DISPOSED OF. DRIVER: MR. LIAM GERARD MCNAMARA 69 CASTLEWOOD CIRCLE HYANNIS MA. 508-771-7412 SAN DIEGO CA. 92109 VEHICLE: OLDER MODEL.OLDSMOBILE SEDAN COLOR GRAY. LICENSE PLATE: 5YZ F520 CA. BOARD OF HEALTH: MS. DONNA MIORANDI 367 MAIN STREET HYANNIS 508-862-4644 D. E. P. MR. ED BURKE. ENGINE 823, CAR 803. WEATHER CONDITION: SHOWERS, COOL, WIND OUT OF THE SOUTHWEST ABOUT 10 MPH, T 59' F. FARRENKOPF, C� CAPT. 11/15/08. ..,� �_-_1L7R1non _ FYD n Y 1/1 S/7nnp I-IYdAIAITC FTDF M=DADTMFAIT MFTD(Z D1=Df)DT onrc 1 Lj S �4•.030)0" — kLL a` 4 L OCATION E d11VG i m CL s4 O o p fp SCE fie: 30 2 x =EDGE --TOF' PK NAIL LO VE=11_69 ASSIGNED ' Z Lsi , how, O \ N/F 10• _ / '01. ATAMI AN TABLE ENGINEERING 4k/ 10' ,' Q T HAS NO RECORD OF _ iJG INSTALLED IN �� .O^ , x ! CO f E.M,C1'\J:T AND NO BASINS .h^ 00 PROP p i p `, — IHIS INTERSECTION. eey�� i o4v .cam. LAj p1 Ar FF, S EE' T wD BY ���• • "~� `� �i_ �T �ZED u,,z J FRict F 7 1 V /.% r^-� \ ? \�\ \ %.` / .. •' .: 7 v r=!_r / �' STFWAA R- T.._, �; e S C n I s' �FtHfT�� The Town of Barnstable Dsaa9Tesz i Department of Health, Safety and Environmental Services a�Y.k,�� Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health March 6, 1997 Ronald I Cadillac, R.S., PLS Professional Land Survey& Registered Sanitarian P. O. Box 258 West Yarmouth, MA 02673 RE: 7 Haven Lane, Hyannisport Dear Mr. Cadillac: You are granted multiple variances on behalf of your client, Patricia Loschiavo, to install a replacement septic system at 7 Haven Lane, Hyannisport. The variances granted are as follows: 310 CMR 15.248 To install an onsite sewage disposal system without providing an area for expansion (no reserve area). • 310 CMR 15.255 (9) To install a leaching facility only five (5) feet away from the retaining wall. • 310 CMR 15.240 (9) To provide only eight inches of soil cover in lieu of the twelve inch deep soil cover required.. 310 CMR 15.211 (1) To install a leaching facility only seven feet ten inches away from the property line in lieu of the required ten feet separation distance. 310 CMR 15.211 (1) To install a septic tank only three (3) feet from the property line in lieu of the ten feet separation distance required. 310 CMR 15.211 (1) To install a pump chamber only eight (8) feet from the property line in lieu of the ten feet separation distance required. cadilaO l I The variances are granted with the following conditions: (1) The septic system shall be installed in substantial compliance with the submitted plan dated February 14, 1997. (2) The registered sanitarian, Ronald Cadillac, shall supervise construction of the septic system and shall certify in writing to the Board that the system was constructed in substantial compliance with the submitted plan dated February 14, 1997. (3) The professional engineer, T. Varnum Philbrook, shall supervise the construction of the retaining wall and shall certify in writing that the wall was constructed in compliance with the submitted plan. (4) The dwelling shall be connected to town water. The variances are granted because the existing septic system is sitting in the groundwater table according to the registered sanitarian. Therefore, the replacement system will alleviate a source of pollution to the groundwater table. Sincerely yours, /Susan G. Rask Chairman Board of Health Town of Barnstable SGR/bcs cc: Patricia Loschiavol cadilaO f NO. TOWN OF BARNSTABLE DATE 2/18/47 0�tHl ter OFFICE OF FEE 65.00 't BOARD OF HEALTH RECEIVED BY rut 39• 367 MAIN STREET HYANNIS,MASS.02601 VARIANCE REQUEST FORK ALL VARIANCES MUST BE SUBMITTED FIFTEEN (15) DAYS PRIOR TO THE SCHEDULED BOARD OF HEALTH MEETING. 771-3431 NAME OF APPLICANT Patricia A. Loschi.avo TSt. NO. 617-287-0110 ADDRESS OF APPLICANT 10 Branton St. , Dorchester, MA 02122 NAME OF OWNER OF PROPERTY same SUBDIVISION NAME Glen Haven Village DATE APPROVED 4/14/1949 ASSESSORS MAP AND PARCEL NUMBER Nap 267, parcel 104, LOCATION OF REQUEST 7 Haven Lane Per Plan SIZE OF LOT 9757 S.F. SQ.FT WETLANDS WITHIN 200 FT.YES X NO VARIANCE FROM REGULATION(List Regulation) 310CMR 15.211 (1), . 310CMR 15.248, 310CMR 15.255 (g), 310CPlR 15.240 (9) Relief from local Reg. VIII Sect. 10.00 to Meet 1995 State Code, if needed. . REASON FOR VARIANCE(May attach if more space is needed) To upgrade a failed system(touches groundwater). PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADY, R.S. i CHAIRMAN SUSAN G.-RASH, R.S. JOSEPH C. SNOWr M.D. BOARD OF HEALTH TOWN OF BARNSTABLE RONALD J. CADILLAC, PLS, RS Professional Land Surveyor Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 NOTICE OF BOARD OF HEALTH HEARING To: Abutters Re: Barnstable Board of Health Hearing Project Location: 7 Haven Lane., Hyannisport, MA Assessors Map 267 Parcel 104 Applicant: Patricia A. Loschiavo Project Description: The applicant seeks to upgrade an old septic system on an existing house to Title 5 standards. The following variances to 310CMR are requested: Vary 10' distance of leaching to Stewart property by 2'-2" (7'-10" provided), Vary septic tank and pump chamber 10' distance to Atamian property by 7' and 2' respgctively (3' and 8' provided). All above Reg. 15.211 (1): No reserve area provided. Reg. 15.248. Wall to leaching is 5'. Reg. 15.255 (g). 8" of total cover proposed over leacli*g. Reg.15.240 (9). Relief from On-site Sewage Disposal Construction Regulation 10.00 to meet 1995 State Code Title 5 is requested. Applicants Agent: Ronald' . Cadillac Hearing Scheduled: Tuesday, March 4, 1997 at 7 PM 2nd floor Tows Hall 367 MAin Street Byannis`y IVIA Plans and application are on file with f6 Board of Health at Town Hall, or contact R.J. Cadillac with any questions. RONALD J. CADILLAC, PLS,RS Professional Land Surveyor& Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 ABUTTER LIST AND NOTIFICATION DOCUMENT To: BDA-?=o o Y 1-iaiji + Date: 2 I 1 6 Iq 7 Re: Proposed project at: 7 HRuE;ti L pw /a-PI n AM�(7, Lot 1 p Owner/Applicant: 'PAiYz-o C t))- A - L oSC H I AVO ABUTTERS: Map Z 6 7 Lots q 1 L S Map 2 7 Lot (po ?0 , 3( QK .3Z�, 6qd W44 ftn n 6J2Qr-7-,-N A Map ZG Lot 101 Map?�J Lot ®(o kEok) cam- FZZRSA 74 WQCd 6 rL,6k- I er-rAcZ7 64- C 1 A-)r DID,-)-Ij 1� • Spy N�- � �} 01 8q L 0rn D 11 Map ZL Lot Map Lot t)e EONer.SEL wesT HA,r4,d . c1 D 6167 t-ytlq 02124 Map Lot Map Lot ►__ SENDER:o ■Complete items 1 and/or 2 for additional services. I also wish to receive the 1,©S r 8 C rn ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address I d permit. d ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery rn ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Numbercc d a I �p �j E 1 1 4b.Service Type C9'C "�a«Mvn ❑ Registered ❑ Certified rn N �� dW► � 011`G/(0 a ❑ Express Mail ❑ Insured LU W 1 f ❑ Retum-Receipt for Merchandise ❑ COD a7.Date of'Delive 0 z �°, cc 5.Received B : (Pant Name) 8.Addressee's Address(Only if requested LU and fee is paid) g 6.Si na • (Adofessee or ent) I'y A i i:'/ " i— PS Form Ul1, D c ber 1994 Domestic Return Receipt I UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • RIONALD J. CADILLAC, P.L.S. Registered Professional Land Surveyor 16 BREWSTER ROAD 'WESTYARMOUTH, MA 02673 z I I I I I I ai SENDER: �4 L v_ ■Complete items 1 and/or 2 for additional services. osc g:,g I also wish to receive thei e► ■Complete items 3,4a,and 4b. following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Attach this form to the front of the mail ieoe,or on the back if ace does not d permit. p p 1. ❑ Addressee's Address ■Write'Retum Receipt Re uested'on the mail piece below the article number. d �, P a p 2. El Delivery rn ■The Return Receipt will show to whom the article was delivered and the date a o delivered. Consult postmaster for fee. 0 v 3.Article Addressed to: 4a.Article Number d a 15ar�)sk<X1rL(X� CO 9 a E 4b.Service Type 0 u �� ab ❑ Registered ❑ Certified Im W or) S (z) o ' ❑ Express Mail El Insured U) c N Y ` ❑ Return Receipt for Merchandise ❑ COD G 7.Dat�of Deliry w Zy � p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested W and fee is paid) t 6.S' ure: A see or Age t A Form 3811, December 1994 Dol�stic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid 1 USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box• 1 RONALD J. CADILLAC, P.L.S. Registered Professional Land Surveyor 18 BREWSTER ROAD WEST YARMOUTH, MA 02673 � I l"'il"Will I fill ill 1 111„illl„1„hilt r - T d SENDER: I also wish to receive the °o ■Complete items 1 and/or 2 for additional services. pCG y ■Complete items 3,4a,and 4b. following services(for an in Print your name and address on the reverse of this form so that we can return this extra fee): card to you. U ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. ( ■Write'Return Receipt Requested'on Re uested on the mail piece below the article number.d p q p' 2. ❑ Restricted Delivery rn ■The Return Receipt will show to whom the article was delivered and the date « c delivered. Consult postmaster for fee. �0 d 3.Article Addressed to: 4a.Are Numb V'7 c 4 /� �S� �a O / 4b.Service Type o y` t ❑ Registered ❑ Certified cr N � i of vSfol), M(/9 ���a�' ❑ Express Mail ❑ Insured y ❑ Return Receipt for Merc ' e ❑ COD i fl 7.Date of iv w ,Z 7 llY _ 0 eive e ( int N e) 8.Address es Yf r ed and fee is i t e: (Addressee or gent) c N PS Form 3811, December 1994 Domes e u n Receipt 0 r�St eesIMT 0S mnit UNITED STATES POSTAL SERVICE Ipm 0 Print your na ss .and ZIP Code in this box 0 RONALD J. CADILLAC, P.L.S. Registered Professional Land Surveyor 18 BREINSTER ROAD WEST YARMOUTH, MA 02673 0ep , 7 ;'.) 4 . i 1 is -n't. . .... ............... % SENDER:v ■Complete items 1 and/or 2 for additional services. L et73C# I also wish to receive the H ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address Z permit. y y ■Write°Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery fA ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. C 0 3.Article Addressed to: 4a.Article Number d R-Z:-O-�Zk P 1 gm C E 4b.Service Type 0 �9 (,U(3o�j brw)r, I'Er'ror-Z ❑ Registered Certified °C N ,,n ❑ Express Mail insured c ' Spr-,��(O l J" A 0�0'79 ❑ Return Receipt for Merchandise ❑ COD '0 a 7.Da a of Delivery, Z 0 m 5.Re eiv By: ri/ ame S.Addressee's Address(Only if requested W and fee is paid) t M g 6.Signature:(Addressee o g nt T X y PS Form 3811, December 1994 Domestic Return Receipt '� First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 0 • Print your name, address, and ZIP Code in this box • I I p i � 1 RONALD,J. CADILLAC, P.L.S. flegistered Professional Land Surveyor 18 BREWSTER ROAD WEST YARMOUTH, MA 02673 i i i i i i SENDER: 1 also wish to receive the a ■Complete items 1 and/or 2 for additional services. 05CH-1AV0 v+ ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •5 4) permit. d y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery CO) a ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 0 3.Article.Addressed to: 4a.Article Number ate, Ay11'cL 5qY✓W--Se+ O E 4b.Service Type ❑ Registered ❑ Certified rn ❑ Expres ❑ Insured crRo1.j ❑ Return N N❑ COD 7.Date o e tvery 0 ?1 a o 3 5.Received By:(Print Name) 8.Addres ee' d s(C d equested and fee �O r X Apg g 6.Signa e: ( ddressee or nt p X _ a N PS Form 811, Decembek 1964 Domestic Return Receipt r UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid LISPS Permit No.G-10 I • Print your name, address, and ZIP Code in this box• Qp' I RONALD J. CADILLAC, P.L.S. Registered Professional Land Surveyor 18 BREWSTER ROAD WEST YARMOUTH, NIA 02673 PHILBROOK ENGINEERING & 107 BEACH STREET CONSTp� p� DENNIS, MA 02638 RUCTION 1-508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 30 May 1997 To: Town of Barnstable Board of Health Attn: Septic Compliance Hyannis , Massachusetts 02601 re: LOSCHIAVO Septic Retaining Wall 7 Haven Lane, Hyannisport, MA Dear Sir/Madam: This letter shall serve as documentation for the materials and satisfactory completion of the septic system retaining wall at the Loschiavo residence. All the construction items pertaining to the wall and footing work have been completed to include placement and spacing of the reinforcement. I certify that the structure has been erected IAW the Massachusetts State Building Code and will be suitable for its intended use. Respectfully submitted, �X0 OF 44ss�� T. VARNUM PHILBROOK, P. T. VARNUPJI PHILBROOK o MECHANICAL �' b No. 30690 i2- "°�o rsTER``°�`�`i �FSSIONRt ��G I i • r I II 1 I rh I r OUN g , �a z - -r - op a Z �j i j � I ! c i tu• 1 — !C` i N I I S I p.TaxJta _ � I � � A I j � •� A m y odX n �4 a " Co �. . \ w = a. �., Z M 6 :Q„ G xo . c000 x � XO! �bo Z� k^ rh rz, cep' ! Z� \� i�JA��-1 � � �'� Of �.a ter- I o ti o . C coN ,Joof If a r y, IZ rN �.c IT13, o r: — + ° A7ATGy, l d'X is r.'r. 4Tc'y i INSPECTION SCHEDULE SA41 )+N 1 LOCUS IS A.M. 267, COTES . PARCEL 104 I NOT TO R.J. CADILLAC TO BE CALLED TO: . 2. ELEVATIONS SHOWN ARE ASSIGNED. SCALE 3. LOCUS IS IN FLOOD ZONE B ON FIRM DATED JULY 2, 1992. rO1 V4 � ` ` Beach 1. STAKE WALL LOCATION + S 7 I -,� j e 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) Rd mith 2. BE PRESENT WHEN 3 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON. TOWN WATER. ti WALL AND FOOTING -' " E 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. cc' Loy m 5 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14 ARE POURED. \ x .00P8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW 9�'ii�soo 3. INSPECT 5' REMOVAL. \ W \ D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET, p '� 4. FINAL INSPECTION. \\ �� p 9. DEPTH OF' COMPONENTS NOT TO EXCEED 3', OR VENTING MIDST BE PROVIDED. a ,prc.` �� BUILD UP COVERS TO WITHIN 1' OF GRADE. MORTOR CHIMNEYS IN PLACE. _ / O ONE COVER OF TANK TO BE WITHIN 6" OF GRADE. 7o \ ( LOCATION MAP h � 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEASTONE ON TOP. �S 0�_ I 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 12, IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING TEST HOLE 1 IS TO BE CLEAN GRANDULAR SAND MEETING SPECIFICATIONS OF 310CMR 15.255(3). ��� BENCH MARK--TOP PK NAIL 13. PUMP AND FILL ANY EXISTING CESSPOOLS. 41 AT EDGE DRIVE`11.69 ASSIGNED / / 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. DEPTH (inches) ELEV.(feet) L01 I ,� 3 BENCH MARK--TOP CONCRETE 0 Fill 11.2 BOUND=12.00 ASSIGNED TEST HOLE DATE: October 10, 1996 t2" O / PERFORMED BY: Ron Cadillac, Soil Evaluator N/F �'Oty` J / WITNESSED BY: Edward Barr Inspector A loam 10yr /i �o o x I 1 / REPLUMB TO KEEP PERC RATE: <2'-00" Inc C Pa layer) 19 y >> ATAMI AN 0' _ TANK INVERTS ABOVE / ( y ) B layer 10yr 4/3 Ca c4' SOIL SURVEY 1993 : Carver coarse sand loamy sand MAXIMUM HIGH WATER GEOLOGIC MAP(1986): Barnstable plain deposits 30" 8.7 NOTE: BARNSTABLE ENGINEERING Invert 10.90 a� C toyer 10yr 6/6 DEPARTMENT HAS NO RECORD OF 70' DRAINAGE BEING INSTALLED IN /7roposed--REPLUMB Invert 10.27 O / Use Gas Baffle 33^ observed water 8.45 THIS EASEMENT AND NO BASINS p Invert 12.76 EXIST NEAR THIS INTERSECTION. \� ,��y `ti �' Q' provide 9 cover Proposed posed 144 med. sand see detail .v •�� \\� I I �90' �0//? / MAKE TOP PEA STONE �� ��jf I �,,: / 1500 Gal. P invert to.52 WATER TIGHT Sanitary�..``` 1 G„ 102" 2.7 I�I PT / Proposed Tee Bottom 6.02 �� / / I Invert 12.93 Invert 14.10 O / / I Use 6" Stone under Proposed Proposed 5 13�45 1. ALARM TO BE WIRED BY ELECTRICIAN ON 0' FNT N t �S ry .;: LEVEL SEPARATE CIRCIUT FROM PUMP. 100' \\ 6(�, `786� \`� `\�.`\\ 9Y I .'.) r 19 -- i f 3>1 46 2. ELECTRICAL WORK TO BE INSPECTED BY �t�} \ \ I \ / OBSERVED WATER=8.45 It; WI �� ? RING INSPECTOR. '`^•,� � � � A � :�A��;: I I , 3. ALARM TO BE LOCATED IN HOUSE. DESIGN DATA 4. PUMP TO BE CAPABLE 0 Passlr;I:G LEACH AREA f + 1-1/4" SOLIDS AND,INSTALLED IN "STRICT N/F i �°•.� 4 \'`\\ o! " �� I � / BEDROOMS4 �3 CONFORMANCE 4^nTH MANUFACTURER'S ,A, F` y ? % I I. \ LEACH AREA IS A FIELD MADE Y°UP OF A 13' „X 33' RECT- R Sn„ / (> ,°; -� '. `*�'''; /, .r1t =F,RBAGE GRINDER: No TANG' E �7lTld A 13' X 4'--9 RIGI-IT TF�IAPJGLE ADDED AS SHOWN. SPECIFICATIONS. STE Yy. 1+ ;. C t �. 1 REQUIRED CAPACITY: 330 c-,! D I'i 3- ,. I12 HP 1ut.,, ,-or `,t; �\>,\ ,, ;�,: / - ^, 4O' PVC PERFORATED PIPES DOWN CENTER SPACED 4' R.: N EQUIVALENT. l SEPTIC TANK: 1500 GAL. r P r, ,T , ,X ! r3�O k / APART AND 2 1/2'` FROM EDGE OF LEACHING, I i CHED A ; I BOTTOM LEACHING AREA: 459.9 SF INCH PER FOOT, CAP ENDS: y H--10 1000 ' GAL. PUMP CHAMBERT/ [(13' X 33')+-(13 X 4.75)/2] A 5 REMOVAL IS CALLED FOR OF 'TOP AND SUBSOIL ONLY MAKE FACTORY WATER TIGHT DRILL 3/8" WEEP/VENT HOLE I ! SIDE LEACHING AREA: 0 SF DOWN 30 t TO MEDIUM SAND, BOTTOM OF WALL FOOTING KI NONE PROPOSED AT 32"f EL. 8.5)--DO NOT DISTURB SOIL BE- _ - , n P ' x a DESIGN CAPACITY: 340 GPD LOW THIS DEPTH WHERE PROPOSED FOOTING WILL BE, CHECK / 1 [(459.9 SF) X .74 GPD/SF] Invert 10.21 ALARM 35" / PUMP CHAMBER STORAGE CAPACITY: 330 GAL. BUOYANCY CALCULATIONS-PUMP CHAMBER ON 32" l I I DOSES PER DAY:(AT DESIGN FLOW) > 4 WEIGHT OF EMPTY CHAMBER AND 9" OF COVER OFF 28"�-� mmii-nom 3000 psi rete CHAMBER= 4.12 TON (PER SHOREY) WALL DETAIL concrete Bottom o,71 b--#4 rebars 0 9" COVER= .75' X 4.83' X 8.5' X 110 LB./CU. FT. X 1 TON/2000 LBS. 6 STONE UNDER r _. EN GINEERS�INEERS STAMP FOR WALL "°COVER 1.69 TON 9 TOP CONC. WALL _ EL. 14.7" 12 #4crebars Q STRUCTURAL DESIGN ONLY. TOTAL= 4.12 TON + 1.69 TON = 5.81 TON MAXIMUM FEASIBLE COMPLIANCE APPROVALa-MQUESTE� L PROPOSED GRADE=15.1 \ 18" o.c. vertical °16.30 13� WEIGHT OF WATER--HIGH GROUNDWATER DOWN 10 & horizontal (8.45+1.2-5.71) X 4,83' X 8.5' X 62.4 LB/CU. FT. X 1 TON/ 2000 LBS. -- WEIGHT WATER= 5.05 TON 1. VARY LEACHING TO PROPERTY LINE BY 2'-2" (7'-10" PROVIDED). OUTSIDE FACE OF RE- f * i l �� OF MASS TANK AND '9" COVER ARE HEAVIER BY 0,7 TON. VARY SEPTIC TANK TO PROPERTY LINE BY 7' (3' PROVIDED). TAINING WALL TO HAVE "� -) �`��� VARY PUMP CHAMBER TO PROPERTY LINE BY 2' (8' PROVIDED). DIMENSIONS AS SHOWN ' outside T. VAFitdtifial �' ALL 310CMR15:211 (1). ON PLAN VIEW. FACE WALL inside 3 * ' PHILI3ROOK +,I 2. NO RESERVE AREA SHOWN. 310CMR 15.248. (' v , ,, MECIIA.NICAI. 2' OFF PROPERTY LINE. 3. WALL TO LEACHING IS 5'. 310CMR 15.255 (g). 6.2' No 1tt6?ct l' provide <.� `�.� 4. 8" OF TOTAL COVER ABOVE PEASTONE IS PROPOSED, 310CMR 15.240 (9). II 3' min. o DES S SITE PLAN APPLY ASPHALT MASTIC & 0.060 GAUGE I BUOYANCY CALCULATIONS 1500 GAL. H-10 OLY FILM LINER TO INSIDE OF WALL 3„*T.11611 FOR WEIGHT OF EMPTY SEPTIC TANK AND 9" OF COVER �Y`LtQN, meets Ctb � 5 � -v 2 .3 el. 8.5 TANK= 5.74 TON (PER SHOREY) PATRICIA A. LOSCHIAVO 9" COVER=.75' X 5.67' X 10.5' X 110 LB./CU. FT. X 1 TON/2000 LBS, 4----#4 rebars 0 3"* 3"* all lap splices 9" COVER=2.46 TON 11" 0.C. a minimum o �4�?WEIIGHT OF WATRN HIGH GROUNDWATER OWN `"� 22" long 1 �� LOT 23, ,7 HAVEN LANE, H YAN N I SP ORT, MA 8.45+1.2-6.02 X 5.67' X 10.5' X 62.4 LB/CU. FT. X 1 TON. 20 T #4 rebars C� `� ` I * 3"' min. � WEIGHT WATER- 6.74 TON �NQFMA 36" o.c. cover of steel � 1 /1 � FEPRUARY 14 1997 SCALE. 1 "-20' i TANK AND 9" COVER ARE HEAVIER BY 1.4 TON. NOFMq q � RONALLT �N 2� ALDLEGEND t ES! S o (� 7H 1I TEST HOLE LOCATION, NUMBER (� C�? I LA A G PERC TEST LOCATION ( �J , v 0 RONALD J. CADILLAC, PLS, RS W WATER LINE MARKINGS �' ¢�P G GAS LINE MARKINGS (IF SHOWN) , �Ao �/ SgN�SAVRkPA� PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN ---OE OVERHEAD ELECTRIC WIRES (IF SHOWN) f x 'a EXISTING ELEVATION ('X' MARKS POINT) C� P.O. BOX 258 l 7 WEST YARMOUTH, MA 02673 { "6 EXISTING CONTOUR y n� UTILITY POLE (IF SHOWN) _ ' (508) 775 9700 „ OU-- OVERHEAD UTILITIES (IF" SHOWN) HEALTH AGENT APPROVALDATE A ? 1 OF 1 OO EXISTING SEPTIC COVER I 1-940