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HomeMy WebLinkAbout0044 IRVING AVENUE - Health 44 Irving Ave o 287-002 Hyannisport hr ° o I'. 0 f[ e TOWN OF BARNSTABLE 2,0 M ti LOCATION ,� \/Qi SEWAGE#. VILLAGE �-,,�Q�, ASSESSOR'S MAP&PARCEL Si INSTALLER'S NAME&PHONE NO. ` 0 nq at'VfZ19W% SEPTIC TANK CAPACITY rr� Z ®qo LEACHING FACILITY:(type)l 6 m. - (size) NO.OF BEDROOMS OWNER G C rA NCB PERMIT DATE: -7 3,0 14 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 �Ype r ,- � C n)1�4 � , j cs� N o� i ro ^n i q 1 l + No. ��� V d�YD Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS YY 4plitatlon for Misposal *pstrm (Construction Permit Application for a Permit to Construct(/Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components L �cateion Address or Lot No. <} Owner's Name,,Address,and Tel.No.T&A AlVey�!'� y r'�' .. �e i, 4_I ``'v�w�j kp,/'� - �edw/►s Y �.�B`..�P sse sor's Map/Parcel "7-fit og J Installer's Name'Address,and Tel.No.. C.�G'� �y Designe 's Name,Address and Tel.No. ),kk CAI— Sq f�L, %,8 'k.4r2-f V. � Type of Building: $$^� Dwelling No.of Bedrooms Lot Size 1 Ib LKI sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Ldoe gpd Design flow provided gpd 1 �' Plan Date Number of sheets Revision Date I f Title Size of Septic Tank Type of S.A.S. Description of Soil 1 jai �o zt d , Nature of Repairs or Alterations(Answer when applicable) FA A S) 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 'and not to place the system in operation until a Certificate of Compliance has been issued by this Bokfrlql��P Signed � Date Application Approved by Date -77 f Application Disapproved by a Date`-) ✓� for the following reasons vl 'r Permit o. ate Issued 'r '4r- .. 7t�:.+».,.^ ,�+.�:-+' .{ f"" e !-`-n'` ' .rr'+ `,..ot i'`' T .a-..»...r:+SyT�:;k^wy� „•:.Tai'{4*, �l;�j"."!" '�,;,.4 ,.., rr.+rn,+i s., •,;,J3. '.:.,,,.y ,. No. CX � •{ .��4 � Fee /M. THE COMMONWEALTH OF MASSACHUSETTS Entered computer:�_ ` PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21pplication for -Misposal *pstem Construrtion Permit Application for a Permit to Construct(/Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.44 ��1kA (': Owner's Name,Address,and Tel.No..✓(At\ /CO Kvwt- M/ t\,j (y.`s 2pf+.. I a+c; Assessor's Map/Parcel ',) r"Y"'t 100_1 • d Installer's Name,Address,and Tel.No.%+O t ti; c J Designer's Name,Address,and Tel.No.�Ikk CA7,4- ,Sq t-;t, 1. ✓ i _ Y y — Type of Building: � - Dwelling No.of Bedrooms Lot Size � � - sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) melee gpd Design flow provided /y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank f-X lK,s Type of S.A.S. a� - _ 1A —Z-ct Q� { Description of Soil e-1✓ Gq ./ r o s On d� ..li Nature of Repairs or Alterations(Answer when applicable) +, - - = Date last inspected: Agreement: 'r ti The undersigne(f,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-C-ode and not to place the system in operation until a Certificate of ✓'f A..Compliance has been issued by this Boalyd of Health .�yS�iigned t� Date ,Application Approved Date --7 � Date'? Application Disapproved by KA Lf/.//rLvl r Y� f Date / for the following reasons "�" t V�4p) t ti9'i..t�c G� °' N VA-14D A "Ir 1= Permit No l Date Issued { x THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS _ Certificate of Compliante THIS,IS.TO CERTIFY,that the On-site Sewage Disposal system Constructed(�) Repaired( ) Upgraded( ) Abandoned( )by (1 .1r,/ /,,-- �� o C L- -At t 1A sty at \ CP+� 1��C� has been constructed in accor�'ce f t with the provisions of Title�5 and the for Disposal System Construction Permit No (iq �� dated Installer tf�3 A r r Designer A.\t A(I QA Cl..i f LA ._e J U. #bedrooms 1 n Approved design flow n �„ �� /�)v gpd The issuance of this(permmit shall not be construed as a guarantee that the system will functidn as designe/d. Date t /I{ Inspector ----------- ----- ------------- ----------- ------ No.r) X-0 -Fee THE COMMONWEALTH OF MASSACHUSETTS Y PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstrm (Construction Permit Permission is hereby granted to Construct( ) Repair(11' U/ Upgrade( ) Abandon( ) System located at �'�`� `�✓yi✓i e �. d�LeLadA, C ,ooy-4- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date �/ �/ //R Approved by j �/ Town of Barnstable WE �. Inspectional Services Public Health Division • t AMRrnat.e, Thomas McKean, Director i1i79. �� o ° 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel 'Z43"1 0vZ Designer: 5 orr' A.cZAar) Installer: fo-t"y - Address: Address: _<.e$ 9 &z;*,td NA On was issued a permit to install a (date) (installer) septic system at T Trtli Amw-e- based on a design drawn by address) 507'' /A c. 6Afltd dated (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 box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Loc ions. Plan revision or certified as-built by designer to follow. Strip out(if WA ected and the soils were found satisfactory. 0 �n I certify that the system referenced above was co r ed iBRliancvi the to rms of the IAA ap etters (if applicable) a McGann � U •+ #1224 1 (Installers 'gnature) red (Designer's Signature) (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. \Voa\depts\HEALTMSEWER connecASEPTIC1Designer Certification Fom Rev&14-13.DOC Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments rr..� v" 44 Irving Ave. Property Address ' Loutrel 6 Owner information Owner's Name '.0 is required for + every page. Hyannisport MA 02647 11/25/17 =� Cityrrown State Zip Code Date of Inspection " ,0 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. A. General Information 6-1# 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 13010 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 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 11/25/17 Inspec r s Sig-naW Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 Citylrown 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: 1997 install. Per owner all plumbing goes to this system B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins.doc-rev.6/16 Title 5 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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 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): ❑ 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): 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Irving Ave. Property Address Loutrel Owner information Owners Name is required for every page. Hy p annis ort MA 02647 11/25/17 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 M or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins.doc•rev.6/16 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 r 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hyannisport MA 02647 11/25/17 City(rown 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. [ 'his 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.doc•rev.6/16 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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 Cityrrown State Zip Code Date of Inspection C. Checklist 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): 7 Number of bedrooms(actual): 7 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 770 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Seasonal 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 44 Irving Ave. Property Address Loutrel Owner information Owner's Name everyage.ed r H annis ort MA 02647 11/25/17 every page. y p Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: No recent pumping per owner Was system pumped as part of the.inspection? ❑ Yes ® No If yes, volume pumped: 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.doc-rev.6/16 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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name everyage.ed r Hyannisport MA 02647 11/25/17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1997 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 12"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10' feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 8„ Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) H-10 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000g 31. Sludge depth: t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 Cityfrown 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 '12 Scum thickness trace-1/2" Distance from top of scum to top of outlet tee or baffle >2" Distance from bottom of scum to bottom of outlet tee or baffle >2" How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested evry 3 years to prolong the life of the system 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.doc•rev.6/16 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 M 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hyannisport MA 02647 11/25/17 Cityfrown 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.): No adverse conditions 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.doc•rev.6116 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 M 44 Irving Ave. Property Address Loutrel Owner information Owner's Name everypage. y p required for H annis ort MA 02647 11/25/17 e Citylrown 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.): H-20 box, 3'6"below grade, very good condition 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: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for p every page. y H annis ort MA 02647 11/25/17 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 8 Infiltrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ 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.): Infiltrators were video inspected, dry at this time, end loaded, top of infiltrators approximately 3' below grade, no indication of past backup, infiltrator rows begin approximately 2'off of the d-box 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.doc-rev.6/16 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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. y p H annis ort MA 02647 11/25/17 Cityrrown 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.): Soils are compact and dry 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.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form: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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 Cityrrown 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 2 F7 I I iI t5ins.doc•rev.6/16 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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for H annis ort MA 02647 11/25/17 every page. y p City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >138"feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1997 NGW 138" 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: see above Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form: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 44 Irving Ave. Property Address Loutrel Owner information Owner's Name is required for every page. Hy p annis ort MA 02647 11/25/17 City/Town 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 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE Q LOCATION qq �Z1' IV Qb�ff SEWAGE # VILLAGE— —ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. kI A149 e��040/�_ SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR PERMITDATE: 2 O "4? 7 COMPLIANCE DATE: � J. 16t , 9`7 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 p ! J �� � q � �, � ._ _- �\` N (, `7 No.72cD Fee ®!O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Ziooricatfon for Zigozar *p5tem Cougtructton Vermtt Application for a Permit to Construct( )Repair(' )Upgrade(iV)Abandon( ) 0 Complete System ❑Individual Components Location Address or Lot No. tlqj zl,:� eve. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Des' ner's Name,Address and Tel.No. �7 0' . Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building 6.LeNo. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow !740 gallons. Plan Date ! " 7,= Number of sheets Z Revision Date Title p Size of Septic Tank 7JIV-_4551 Type of S.A.S. — qX Z)l'.415— Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued th' of alt Signed Date Application Approved by Date — 60 4 7 Application Disapproved for the Ulowing9easons Permit No. � Date Issued TOWN OF BARNSTABLE LOCATION P Q1'r SEWAGE # b VILLAGE - r1 hi0,9I'�r — ASSESSOR'S MAP & LOT LL-�0� INSTALLER'S NAME&PHONE NO. � � � eW'15 771 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS - BUILDER OR PERMI TDATE:_7�0 4 7 COMPLIANCE DATE: ' 7 Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) exist Edge of Wetland and LeachingFacility(If any Feet within 300 feet of leaching facility) Furnished by 3z No. 72' ;6 Fee AV THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Yes 01pprication for Mi!5poga1 *p!5tem Construction Permit Application for a Permit to Construct( )Repair(' )Upgrade(r)Abandon( ) ❑Complete System ❑Individual Components s Location Address or Lot No. owner's Name,Add re s and Tel.No. Assessor's Map/Parcel Installer' Name,Address,and Tel.No. / Des ner's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder ew Other Type of Building dee S/ ef#G,e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ile gallons per day. Calculated daily flow 7 719 gallons. Plan Date / 7—Y7 Number of sheets Z_ Revision Date Title Size of Septic Tank 7.- Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) T/l�_le at 4/ e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued th' o'"'d of ,al��li�""'-------- Signed ~ �"' Date Application Approved by Date S. - !D - Application Disapproved for the lowing reasons Permit No. Date Issued i" THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the O -site Sewage Disposal System Constructed( ) Repaired ( )Upgraded(�) Abandoned( )by ©/"t—e L. % �d5 at Y q I- / '41111w_ has been constructed in accordance with the prAwQ of Ti}� awned the f Disposal System Construction Permit No. dated Installer �// / ��s�` Designer il The issuance of this permit shall not be construed as a guarantee that the syste will function as designed. Date - I(9A) Inspector Y �y No. + � � mil -----------------------=---Fee 9lJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS Mizpaar *pgtem Conel tion Permit Permission is hereby granted_LoConstruct( )Repair( )Upgrade(►Abandon( ) System located at !i//{� � h 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 must be completed within three years of the date of this permit Date: r - J 0 Approved by ,�--� ` V SOIL EVALUATOR & I'I?RCOL,A"PION "1'F,S'1' NORMS Page I of 4 �00HE'°``ti Town of Barnstable ItARNSTA6LE, o• Uehartment of Ilealth, Safety, and F,nvironmental Service~ 9 MASS. 1639• �� Public I:Iealth Division �pIED MAr A 367 Main Street, Hyannis MA 02601 Otlicc: W4-790-6265 PAN: 508-775-3144 S011 Sullahillty Assess111C11 t 101- Sc uf/il irG DLSposill ASSESSORS MAP NO' •2 2-7 PARCEL N0• 2" Date: NO. Performed By: Y�AXT�R I4-iE INL _ Date: -q-7 Witnessed By: j��Q—/ ��H� �G r`' '+ I.ncatitut Address LZ� `J kY y Address.and Lot(1: I'ciclthtmc/I Asscss,tr's Malt/Parcel: NI:W(.ONs'11(U(.'1'ION RI?PAIR Office lieview Published Soil Survey Available: No Yes ✓ Year Published Publication Scale lti o Soil map unit c d D___ Drainage Class ElrcE�1�G 5011 Llmltattons rli`4tl t F �r,tr_nP,'_C- t_.,P:' - Surficial Geological Report Available: No Yes Year Published t°-I,; Publication Scale '�I4 Geologic Material (Map Unit) ezk — Landform VAME I lood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes —_ Within 100 year flood boundary No Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month 11 Range: Above Normal ✓ Normal Below Normal Other References Reviewed: DGP APPROVED DORM- 12/07/95 Srl�E7 'L A LINE DIRECTION DISTANCE x L1 N 85'44'30" E 29.34' L2 N 10-10.50" W 32.22' N IF gURKE N/F M��OTf -v N gp'17'17~ E f� 86193' •oc s: Y N 81 50 35" 36.58' P491 SF 1 G _ o•� Was t z35.6 1 L1 ` 1 rn C 1 L ca Q N 42.0' EXISTING 2-STORY G m z C a' DWELLIN ZT�a ?S WOOD FRAME t'► o }IOUSE #44 to 30.3' CB/DH FND o � gp.00 C 243.82 TD CB/DH FND 153•sr S 8 f1'00" W AVEN >llE �,s.�•.� V � N G p WILLIAM r C. ASSESSORS MAP 287 PARCEL 2 NYE ,p No. 19334 O Q- � 7°po s;:c,��.;* CERTIFIED PLOT PLAN I IFY .THAT THE EXISTING STRUCTURE SHOWN HEREON IS LOCATION: P4 IRVING AVE. HYANNISPORT, MA. 4 LOCATED IN RELATION TO THE TE-,T t1 OLE LATA : O i- 4 1 I MONUMENTS SHOWN AND IS NOT SCAM 1" m 4 v DATE: 12-18-96 LOCATED IN THE FLOODPLAIN. DATE: c- of PLAN REFERENCE: PL BK 297 PG 11 �� � � BAXTER k NYE, INC. THE OFFSETS REGISTERED LAND SURVEYORS k CIVIL ENGINEERS SHOWN HEREON SHOULD NOT BE 812 MAIN STREET USED TO DETERMINE PROPERTY-LINES. OSTERVILLE, MASS., 02655 (508)-428-9131 i APPLICANT: LOUIS F. LOUTREL, JR.. ET UX. 96167 (CPPOl.DWG) It N I U►Zn1 11 S011, INAIXA"1•O K ►;2) page of ' Location Address or Lot IJo. _44 r-2""==�V Oil-site Review ' I� �� PM Weather Deep Hole Number Time: o0 Date: of �, 'a , on site plan) Norma Location (identify Q>:s Slope (%) 3- 8 Surface Stones Land Use f`w`L` FA nn Vegetation -1w1- Landform Y`e Position on landscape (sketch on the back) Distances from: 8so feet Drainage way Ala feet open Water Body 1JfJNE feet Property Line 10 feet Possible Wet Area oesEa-cc feet Other NSA Drinking Water Well DEEP OBSERVATION HOLE LOG other Horizon Soil Color Soil Stones, Boulders, Consistency. "�^ Soil Texture (Munsell) Mottling lStructure, Gravel) Depth from Soil Hor (USDA) Surface (Inches) AP NONE �,t(7L� . S'N rLE G C MS M q ovR h¢eA L A A s� GD^~EL TAP PcP: r✓M-5 o-/P- 103, co) L > M S to-IVtole l03"- I38 G 3 rsoz PC4c tiao wATE '� c I I' L II DepthtoBedrock: O t-Q�.T� ��— Parent Material (geologic) K/�M E Weeping from Pit Face: Depth to Groundwater: Standing Water in the Hole: — Estimated Seasonal High Ground Water: �'f` I 1W.11 APPROVED FORA• 12l07195 G rc)Iin� 11 - SOIL LVALUATOR Pc 101 Page 3 of 4 Location Address or Lol No. nyL- rl-,Ati��.��sDon Determination for Seasonal Higlr. Wafer Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole inches ❑ Depth to soil mottles inches ❑ Ground water adjustment . a .. feet Index Well Number ._M1w-'Ll (r1 Reading Date .....'.! /"..L- Index well level Adjustment factor Adjusted ground water level �- i Depth of Naturally Occurring Pervious Material i Does at least four feet oarea naturally proposed forthe soil bsorptionervious rial sy term in all areas observed throughoutP If not, what is the depth of naturally occurring pervious material? "IA Certification I certify that on mA-r (date) I have ;passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature '-�-� Date DF.P APPROVED FORM• 12/07/95 ' 4 FORM 12 - PERCOLATION TEST Page 4 of 4 1 1 Location Address or Lot No. A-4;+ COMMONWEALTH OF MASSACHUSETTS NA 0- , STA-I-LC Massachusetts Percolation Test` Date: o l o-7 q-, Time:. Observation Hole # 2 Depth of Perc 3� Start Pre-soak End Pre-soak Time at 12 io'. 'LI I Time at 9" Time at 6" 10 2 a Time (9"-6") 3 M lUTrc; SO E Rate Min./Inch 4 M = 4 Minimum of i percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ Performed By: NA-�Tf o Witnessed By: J�p ¢-, P1=Q-.c 11-J G LA E R D�e;n.E...... '^.v`�.T` 4e-s-r-R Ic,T•� ....._....... .. Comments: . . .. _,..: DEP APPROVED FORM-12/07/95 i I m ®an aawm ems"" AJ01 Y r 53 Cet ml Avenue Needham,MA 02494 24=V s,.TY•4r 4'•Br %3r 4'ar P 4.IJ I Telephone: 781-449.4109 'r-T f Ft r-p 5-tr M € EQ. ' E0. € EQ. CI wn A—tdudha .cum f Architecture&Luetior Design __________________________ ______ EWD I I I I � � I I I I I I I � I I 44166 I I TNOF Nt`'d° I I p OIfNNE OF i OIRLINE OF EXISTING 1 � 1 IX6T PORCH FlFISTT FLOOR BELOW I �BEIOw PU i W 1 !ABOVE I I SELOW 1�- I 0 ------- ----fS-I----- -]1 -O- - ----iv T- -T1----- --- LA 1 j wu+n to xta ._________i T�ORIAATDUS(.YINVGRO Om I DIJNNE OF I QB 0 - FLOOR HEIGHT I ROOF ABOVE�I I - - -- -- ----II--==-- i i Issues I_.__. r__.___I /' �OOTIINE OF FIRST I N®bc Dote Do f1 PRQ 10 _.._�_f _ ________- ___ _i__ FLOOR BELOW IOU ROOM // 14R O 74N' » I ODRINE OF I I 1-1_•_r � WOOD I 1 ,// I„ 13T 0 1 I CEILING ABOVE r I ' _ A B B B 8 r v-t_i,i 36"HIGH _____ 1 B •---_________ T O 7 I RAIt1NG WALL BELOW � � PROPOSED 6 r or PosT De — \— — rQtWOOD PRa�LLEA € (t'lJ — P -�-- I ABOVE 1� '--'-�L" RIDGEI------- ---- S w 4 - B i - - --------------- ------r;---------- EX WOOD - `C7 I {�J WOODR B 1 I ' 4 r--�j ♦� --, --._—-_ -_ CLOSET 11NEN I TItE bl' li \ BfDROWI I I I I I OF -'--- _--- `----'I \ =-_ /Y•toT -ttlr EQ. f EQ. 1'-IQT€ siR _ b O � � �i rROP.BAM j Y Y I I��tl_ I I I�j i L��I I r��1 �I `{_ 1__ ____.L 1 I siF _. e L-J ® ® I I I ax{ TILE F i _� a.. �___ _ . I I 1- .. ON NEW 1 I 1 � _ r- 3 I\ i 1 � I\. i� �_ I'VERIFY LOC�110N OF POSER FLUOR I IIiIIL ®tiiI '�wWeINll-DO OEWRD _BEI'D'N__F_ WRNE OF EXISTING _ Q _____ ______ __ FIRST FLOOR BELOW __ _ __ r Q I 12 LIAE SLOPS SLOPE NE CD CD p p p i Revisions O D.. ABOVE ------ ------ If u. mipsm ----- L�1 1 ONRJNE S -- ® ®_� ® I' '1 I ___ _ _ DUST. BELOW I EX L_J I______________ i I amINE -- -------------- i------ OF PROP. I I I -- i I . PORCH BELOW I i I it I I 1® BF�OON t I II I I I Bel j I S 1 `I L_ I � I -__ ______I I `-t C______________ ____.. J I Chedud 4 PERGOLA BFlOW I -- '- ��----'-' I--h, - i �' I IX � IIJI E% I Dmwn 1 U1 I �' �_ I I O'Neil Residence i I 44 Irving Avenue Hyannis Port,MA i i I i i i I i PROPOSED SECOND FLOOR PLAN Y-6 EQ. EQ. 3'•C FA. EQ. 2'-9r 4'-Bl I'-tOT 4'-B3' Y-3f � 4-8f 7-11' 24'-V O RENOVATED GARAGE f32-V,V.I.F. • I Drawing 6cole: IN'-1'V \IJ02/ Rajm Number. 201821.00 Date I-,R �! 2019.0g12 A 1■0 � d BON ig Six FRI I e I � O 0 I I --------- ------ L- F7 rill r It O I liSOID'150(3 I m patliftem p ul d 0 Mims swum I? — $:---_ o _ II i Rgi ==-ntt=II 11 --' j_=III h 8 I(Ir------�s /ntr- T g w _ II II V IIH e ��_______; itif- T /`_-_____—__—__—__—__—__—__—__—__—__—__—__—__—__ ------- ---_ tl tl- uu-_ ® ti - b .Tf-----------II11- h I C 111 11 II 'o=====__ lilt -11 Tr IIIall 191 it it e i 1 4 lot-. �R I «� O I I I _ I I i o � L000 DML�l3 NO �,b o b 3 I y? OWPGdO MW $ 1-013-MG I d 666 I D'Tsm A'z -_ --- ------------------- I__—__ - —`�' - - ----- - 13501D'L9Y3 3 --- ----- ----- ------------------------ _ - �g 21 I o AL A:ti �'t •AI 0 NIP ATA wi II 1 u ti, JltL 07l61 l I 1IF T—— T. I e � I s IL b ®� _____________________ a W, __________________ t = o NDUYAs WA 0 '' .P;S ---------------------- I I i I I s I I 0 A:tiZ ' e �g 7 � DIREL IION -1 D1�,I" Nc C' _-A_. _. -- --- I N_ 85_44°30" E 29.4' I. 2� : N P � Su ITAAA i s NU 2733 sup Cift _ SF L Oil Nano I .. fielie - _ p40 - - 'fjo l.7 36.573 � 3 o S5 y� a ?I x - 40 sl CH CB/QH FND cp OF PAVrMENT 2 SW ASS .,SSORS MAP 787 PARCEL 2 rt ° (ROCIURI"CERTIFY THAT T} E EXISTING .. . AND PROPOSED ADDIJION SHOWN - y LOCATION: 044 IRVING AVF HYANNISP' T, m� HEREON ARE LOCAT17D IN RI=I..A'110N 1-0 - THE: MONUMENTS SHOWN ANDIS REV. 02- 12-97 �. NOT LOCATED IN THE FLOODPLAIN, � DATE --07®9' 1 PLAN REFERENCE" DATE - AC CCF & NYE. INC- ME - g REGISTERED LAND SURVEYORS Oa-f`SE7S SHOWNHC_RE�c�N sF•IU(.ii�) N0_i_ H., BE USED 1-0 DETERMINE PROP RT7--LINCS t'•IVII. ENC;1Nf-[-:RS ,. 812 MAIN 51REET O`,T["RYfLI MASS_, 02655 APPLICANT: LOUIS 6p OW SFii=E-t 2 OF 2 ar~i r;-7 larjpn-7 nwr-) 1) I G a 0 Fa-T-A � tif=t-7 - IDA I L,.f, i ck&j�/s -I7 7 x r 1 Of� frr j� 1 �:r�' t� 1paf 1 c 1 Af`,I1C_ i use x Cam _ f � eriXsL- LE: K i w6 s-i STD M DE5(i!n t . I f 1� 30•� -r d�4..1-� �'f'.`�=--1Y�-QC�L"Q _:.�,(..? �! f ��I,C�,Cd.' .1. `i � 1 /:DD JA N APF"CAT10" AaEA oa�j SI O LWALL- Aar--A r 1. 1 i -- e0TT0M A aCA cv _ C064PACTEP "ILL i ' MAX111.11A,.- $ , v•vvvv•��r�•v vV��vvvtivv� PEASTONE . �vvv`alvr y vvvv..•r♦ v••aiv•• •vvV941#**V 3/4 TO vvvbavvv ..�•. OOuB[ (1) RELOvE JNSUITABLE SOILS BENEATH }'ROPOSFD S*�STLN, SACKF III. �v�i w v iv *♦••'• v v v v v ±2 4NTH CUM GRANULAR MATERIAL I TERIAL, PLL TO BE CRADE:U AS FC)u >�: NOT 1 v v v•r• ry••.• WASHED .. STONE. . n1GRE YHAN ISX RETAINED ON No, 4, SIEVE, NOT ►JORE TNAN 9OX R'ETAWEC� .�r x._w. ON No. SO SIEVE. OF F-RAClICw PAS19NG No. 4. 1()% OR !.f_';S TO PASS Na, 100 SIEvE AND SX.OR LESS TO PASS No 200 S;F'YT.. 'CAA. TO BE A rPI OY_[) BY !_NGINEER FOR CONPtJANCE PRIM TO �rl Ar,'[Ny 0r' �;f:. END SE(:T9ON No _' .._, ..... IT p� G t F 4 ` .o 4_ coo C z SULVANI ^„ O N nr y33 d a�5q Y.n v t.i COD J 1 . 8,8 2--r am : , r ; ; r ` ` I -- � � D AT E I GvI`t r �4.(�lT ftY�b'.4'778...rr.r :'1 :. --------------- _..._ __ J+T4ZC*.s r..C*AP L`!ep w ITS ItiE S�,DEL-IN E A" PA A P I P A QC=L__ .u3wZ z:i? Fitt i-ih bA YF e- a-- .t 44---eC- i Oil I rf:.-4A-L lii.•}f L,D 1 W..'S. r 44 �s.3T fizz EIS T*&_t 5*4 V R-C)P F V.T1 e L E:l% . p pl r eA w r i HYANNIS, MA CONSTRUCTION NOTES Grafton TOP OF FOUNDATION MINIMUM 20" DIAMETER COVERS Ave Winchester o 1.) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (310 CMR 15.000): EL=50.2± RAISED TO WITHIN 6" OF FINISH o a) STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND GRADE (OR AS NOTED) Ave > c > EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. EL=49.6± EL=49.0± c °' � Woshin ton Q .;/ �/ ���`�%\\� �> Ave Q 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR //\�� j/ /\�j��j �j�`��f�r LOCUS a a, VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. ��` -' a Wochusett Ave o 3,) TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS AND D-BOX SHALL BE INSTALLED ON A STABLE n GEOTEXTILE '' MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. 48.1± 46.0 FABRIC 4,) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND Irving Ave THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN 6" OF FINAL GRADE. LEACHING _= FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL M HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED 47 8± _ prchp�t VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC Existing .o _ \46.7 46.3 46.13 45 5 3/4" to 1sto�d DAoVe 4Ve MARKING TAPE, ACCESSIBLE TO WITHIN 3' OF FINAL GRADE. 46.9 0 �t N - iv! 1-1/2" STONE SgRood 5.) PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A 00 DB-3 C (Double wosh) MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, r SITE LOCUS AND NOT LESS THAN 1% OTHERWISE. GAS BAFFLE H-20ppRated SIX (6) 500 GALLON H-20 PRECAST NOT TO SCALE 6.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 , , D- 130X 43.5 CONCRETE LEACH CHAMBERS WITH 2' OF PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED STONE ON ENDS AND 3.5' ON SIDES AT END OR AS NOTED. ---5'± 30' 14't EXISTING Longest Run ' 4, Ground Water Adjustment 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE 2,000 GALLON LEACH CHAMBERS 5 Index Well: MIW29 (A) PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO SEPTIC TANK (END VIEW) Reading Date: 11/96 ASSURE EVEN DISTRIBUTION. FLOW PROFILE Index Well Level 6.6 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES (TO Remain EL=38.1 Adjusted High Adjustment Factor: 0.6' IN ORDER TO PROVIDE A WATERTIGHT SEAL. NOT TO SCALE Ground Water 0.6' 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. EL=37.5 Bottom Test Hole 10.) IN ACCORDANCE WITH 310 CMR 15.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE, 1.) Assessor's Map 287 Parcel 002 11.) THERE ARE NO KNOWN WELLS WITHIN 150' OF THE PROPOSED SOIL ABSORPTION SYSTEM. 2.) Book 31086 Page 67 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF 3.) PL. Bk. 107 Page 23 THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT 4.) This property is not in a Groundwater USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. _ Protection District 13. THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS I Map 287 I Parcel 003 5.) This property is not in the Flood Zone CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE I DES 14.)I THE RBOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE SYSTEM DESIGN CALCULATIONS BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE Mop 287 1 SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT Parcel 001/002 1 SEWAGE DESIGN FLOW REQUIRED: 6 BEDROOM DWELLING 0 AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED, 110 GPD / BEDROOM = 660 GPD REQUIRED 15.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR 1123.51' SEWAGE DESIGN FLOW PROVIDED: SIX (6) 500 GALLON H-20 LEACH CHAMBERS DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO clq _ --___ WITH 2',, STONE .ON THE ENDS AND 3.5' STONE ON THE SIDES COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, M ! - __�--"�- ---, -___ Vt = [(55.0 x 11.$3) + 2(55.0 + 11.83) (2) x .74 = 679 GPD PROVIDED ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. 1 Reserve Arec 1 16.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER TESTING 29 34 1 679 GPD PROVIDED > 660 GPD REQUIRED WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. Parcels 1 & 2 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY 50 17,492± SF SEPTIC TANK CAPACITY REQUIRED: 660 GPD X 200 = 1,330 (MINIMUM) SEPTIC SYSTEM COMPONENTS. /r , ,' r - SEPTIC TANK CAPACITY PROVIDED: 2,000 GALLON SEPTIC TANK (EXISTING) r ` 1$.) TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE, TITLE 5. SOILS CAN BE �� 1 1 ! Patio A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN,FLOW VARIABLE AND TEST HOLE DATA IS NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF i�f� ,� r 1 Ma 287 $ SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT THE see Note Test / p SOILS PRIOR TO PROCEEDING WITH INSTALLATION OF ANY SEPTIC COMPONENTS.' #19 1fHole Parcel 147 19.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND I Proposed ( I Addition ABANDONED IN PLACE OR REMOVED AS REQUIRED. AREA TO BE COMPACTED TO MINIMIZE SETTLING. L, I Proposed oD = Poechd N D-Box N Raise cover to within Raise cover to within House 44 6" of finish grade 6" of finish grade 6 Bedroom TEST HOLE LOGS k9% rTesiI b� h'� j w TOF = 50.2 _ j Pit 1 n ' I... ICY ..di..;; Test Hole 1 (EL=50.0±) ti I �2 sAS o o Patio ,s47 j r V k `' c M t✓ D Depth Elev. Layer Soil Class Vt Soil ` 1 7p `Tr / /! ` t ? Soil Color Mottling Comments 50� 1 `1 o o !o c ��t 1` - k9 if / - c /1 O O '") H, lJ 00 Top Foundationohw i TBM EL = 50.21_ -~`f �f r 0"-18" 48.5 Ap Sand Loam awn Area with Roots _ p ` -f _ ' --lj Y Y None I 3 nw - f W - ( ( w e_ � °h To Bound �; ,r1�e 18"-36" 47.0 C1 Medium Sand 10YR 5/6 None riabe, Single Groin TR Gravel <5% - --SQ"_---t - c 'I rsM EL = 44.0 � - -153.82 36"-120" 40.0 C2 Medium Sand 1 OYR 6/2 None riabe, Single Grain TR Grovel <5% ' 2' 8.5' 8.5' 8.5' 8.5' $.5' 8.5'---t2' Irving Avenue / 55.0' NO GROUNDWATER ENCOUNTERED Raise covers within gr 6" of finish rade Test Hole 2(EL=49.0±) Depth Elev. Layer Soil Class Soil Color MSoil Comments e�Athofottlin 0"-28" 46.7 Ap Sandy Loamy None was I Note:-own Area with Roots 6 This plan is only valid for current regulations and may 28"-58" 44.2 C1 Medium Sand 1OYR 5/6 None riabe, Single Grain TR Grovel <5% EF Scott A. v� not be suitable for future regulation changes that may occur. O McGann 0 58"-103" 40.4 C2 Medium Sand 1OYR 6/8 None Friabe, Single Grain TR Grovel <5% U #1224 rn 103"-138' 37.5 C3 Medium Sand 10YR 6/2 None �� 4 ifs lb Proposed Sewage Disposal System NO GROUNDWATER ENCOUNTERED 44 Irving Avenue Hyannis, MA DATE OF TESTING: 1/07/97 P 8827 Prepared by: SOIL EVALUATOR: JOHN ELLIS Prepared for: WITNESS: JERRY DUNNING, BARNSTABLE BOH All Cape Septic LLC PERCOLATION RATE: LESS THAN 5 MIN/INCH GRAPHIC SCALE Sean & Catherine Oneil 618 Route 28 PERC IN C2 LAYER 30 0 15 so so 150 Hyannis, MA 44 Irving Avenue West Yarmouth, MA 02673 NO GROUNDWATER ENCOUNTERED Note: Y (508) 771-4200 Floor Plans to be submitted ( IN FEET allcopeseptic@gmoil.com ) with B u i,I d i n g Permit application 1 inch = 30 ft. G��> c�� Date: 7/1819 Sheet 1 of 1 By: MA Check: SM Project No. AC-1$7 or p ,AA _ 'Rev. Date: 9/10/19 Added Perc Test Data