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0144 IRVING AVENUE - Health
144 IRVING A VF NtTE Hyannis A = 287 — 070 7 TOWN OF BARNSTABLE LOCATION I ,av, SEWAGE# d I S` 035 VILLAGE j_�►fin . ... ASSESSOR'S MAP&PARCEL a(?7-©7® INSTALLER'S NAME&PHONE NO.,704 C SEPTIC TANK CAPACITY l S o o LEACHING FACILITY. (type) (size) NO. OF BEDROOMS OWNER — PERMIT DATE: 3 COMPLIANCE DATE: / . Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and'Leactfining 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 3 � T Ci5 f-v a i VV No. �/ � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZipphLation for Vsposaf *pstrm ConstrUttion permit Ye Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. 14� s{1/� �J� Owner's Name,Address,and Tel.No. �'.�Sioe ��- { � Assessor's Map/Parcel �$'� -•� o Installer's Narr�e,Address,and Tel.No. l or Gib;jpp q Designer's Name,Address,and Tel.No. ( y l �sUw2`o-f (To�� s6 S�yy�S`n5 °8) 77 P 7�0?, Type of Building: Dwelling No.of Bedrooms 5 Lot Size p$q sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required 33® gpd Design flow provided gpd ` Plan Date o Number of sheets Revision Dated.ol I't 1012714 14k 1 1 Title 1 Size of Septic Tank S_'®A Type of S.A.S. , Description of Soil Nature of Repairs or Alterations(Answer when applicable) Zkuy q CiC-� l Date last inspected: Agreement: The undersigned agrees to ensure the con ion and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o e nvironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B igne Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �j �— 3� Date Issued 3 l No. C)C/ Fee i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpYitation for Disposal Opstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System 11ndiidual Compongnts N Location Address or Lot No. 144 -4{`v(�y AJ C- Or�wneer's N Address,and Tel.No. c�� c,,v � �t.f j aye K��nh S Qp r� f � p� Assessor's Map/Parcel .2,$ Installer's Name,Address and Tel No. -to tv G" be rvo Designer's Name,Address,apd Tel.No. rk)* Wy a ay ��MS�9��r•3 (ToXI 3f,�—�(�30 End inttrt`�4 andur-V����� =�8 Type of Building: rr Dwelling No.of Bedrooms 5 Lot Size lB 8t( sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33p gpd Design flow provided SS gpd Plan Date Oil 0� k4 Number of sheets Revision Date1a 4-)11`t )oi2?11,( �o Wall �a�3� o, Title Size of Septic Tank 'ea Type of S.A.S. ,�Z-;�y Description of Soil i Nature of Repairs or Alternations(Answer when applicable) �1A ,�.— _X— 1��C�S!: G It /0 n e_ Date last inspected: Agreement:The undersigned agrees to ensure the con tion and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o e vironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B . igne Date Application Approved by Date c� Application Disapproved by Date for the following reasons Permit No. n 76 Date Issued ro- --------------------------------------------------------------------------------------- - r THE COMMONWEALTH OF MASSACHUSETTS q v� ,,j S �c �^n BARNSTABLE,MASSACHUSETTS N rtifitate of Compliance THIS IS TO CERTIFY,that the ��-siteage Disposal system Constructed( (f Repaired( ) UpgradedAbandoned( )by 1 9n C�fT� - p �s r at C t has been constructed in accordance � j // with the prov' s f 't 5 and t Disposal System Construction Permit No�/S 3-S dated -2 Ia 3/15 ' Installer Designer n� #bedrooms Approved design flow ) gpd The issuance of thi pe it shall not be construed as a guarantee that the system will fu,o i n as'esigned. f� Date Inspector --------------------------------------------------------------- --- --- --- - - -- -- -° No. rJLci5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar *pstem Construction Permit Permission is hereby granted to Con/st/ruct( ) Repair( ) t Upgrade( ) Aband. ( ) System located at 7 r 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. '� 4 Provided:Construction must be completed within three years of the date of this'Permit.. Date t o Approved by, TT c , No. Fee �A THE COMMONWEALTKOF,MA3SACHUSETTS Entered.i1.computer:1. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppfication for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(k�Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No. ! (lq ��^(/In Owner's Name,Address,and Tel.No. �30 ;Z64 - Assessor's Ma /Parcel $o 0% Installer's Name,Adess,and Tel.I of �S-�{��-$9c�.Cp Designer's Name,Address,and Tel.No. rl,vl o r7% ,Tv.c ,6-Af?Q1V &ArS&n5 Al 6 A-Udfe(48 Type of Building: Dwelling No.of Bedrooms 5 Lot Size S"r, Arts sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature o 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 Environme a and n o place the system in operation until a Certificate of Compliance has been issued by this Board of Hea igned Date l,G Zs6/v Application Approved by - < Date 3V99, Application Disapproved by Date for the following reasons Permit No. Ls Date Issued Q �� No. � / / - ' Fee / 0 v THE COMMONWEALTHAO_.F M SSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION = TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Disposal 6pstem Construction Permit Application for a Permit to Construct Repair(� Upgrade Abandon( ) El Complete System 91(dividual Components Location Address or Lot No. / yq �f U r'r� AtAeo 'Owner's Name,Address,and Tel.No.330. a C.hr st,,pbe r Pale Assessors Map/Parcel prkj J �— Installer's Name,Address,and Tel.�jo. Designer's Name,Address,and Tel.No. 0_.).r-¢,I o(t� C�Gr�f�v c-N can. , C U•A,x 12 U rS&n S 1+ U 4 t(& Type of Building: Dwelling No.of Bedrooms S Lot Size , t�,re 5 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) r k 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 Environmenl-Code an lace the system in operation until a Certificate of \Environment Compliance has been issued by this Board of Hea . Signed Date /o 3d�'�c Application Approved by Date Application Disapproved by Date for the following reasons Permit No. L/ Date Issued / 3d 1 / --------------------------------------------------------------------------------------------------------------------------------------- 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS `V Certificate of (Compliance THIS IS TO CERTIFY,that the �On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by GUr4cJiAL- at ! ojr s/,r4= has been constructed in accordance with the provisions fof rTitle 5 and the for Disposal System Construction Permit No.aC/S/-4/41ted b c Designer Installer �! '�' _. #bedrooms Approved design flow gpd i el The issuance of this e it shall of b construed as a guarantee that the system will to /nctig designed. I i/� Date Inspecrp! --------------------------------------------------------------------------------------------------------------------------------------- No. ?4 Cr l Ll Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( I,< Upgrade( ) Abandon( ) System located at 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 co •pleted within three years of the date of this pe ' it. Date 0/�c�J��f Approved by Assessing As-Built Cards Page 1 of 1 LOCATIION SEWAGE PERMIT AID, /i 1 2�,fL'I! VILLAGE I N S T A LLER'S NAME l ADDRESS L.E' •uL' BUILDER OR OWNER DATE PERMIT SSY DATE COMPLIANCE ISSUED �Z� �:_ sf'G, i http://www.town.barnstable.ma.us/Assessing/HMdisplay.asp?mappar=287070&seq=1 10/3 0/2014 P' 4 , Fj t' wt tl if x f t 47 + �r• � Y � � . � :r 4 r t ;ra f f.��t 1 y,ti Ll Y. 44 Vol �� � �� • is a. 'r��. �{' �ry����, `� r,: z �� ".•Ftt •f '� F � vf.t i'4 ° 'at � 'r r� ,,i 4 �'i. c ," � ��t � ai. •jta �,##3A a a � r. rit 1� �.*��J"'-' :: )a � Y{ ^ f1s, +S`�(� ����'b�a ���+ 'f � J1` ��r� ,4 � • - �* � .�? '4y,�� -tss-*"'..��'k4, �p�, n,�':,a, K�r� r `:�^ .r� �e�'�� fir.+ - ,�la�e � ;: �, q,.r•�4/F[ cir�� RE ��,� 1 1'-���iJ4 ��i �" It1,S• a � �' n,�< .ij-= * t(!} � ,��ka `i, t�:Y 11 ; � '4{"+�. t�., ,�,��r �{)' �,;Fj . �-, � ti �•�>,` `°�Y}� a �� a ^,-=9�R'c by��+"`al. ,�, '}r''�fJ � � r} � r: ;. r. ��t'��� 1�' � � � � r. a e tr a ',q\ t ,4 fci:`kp, i. d d�,. �•.E4,• 4 �� •�t� �'v. � �-� [C'��� :t,J /h4 (. '"� ,y` .il I�' � 'L�`' ,. ��'. 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'�@`K� � �,4 �� 'v. 1�� �t , a S9 ��t} 'H •�_.t � r;„�� �°. , � U Y�� e ;♦' c' �#[ b Y. �J. � Y'-• s i. }�}�,,�M, �Y} � .. ?� .ate�iY a,'o¢ . � 'k• Sa�t1�`�•�'�"��'. ,�+4� K ? 5'�.> �����"�� J��v£ ;��vyC ��—� �"e a. 3: � n;r.S>:5.,�1.>a-.�:*rT� ���'�� �•L`< ; try r _Irk ., �r w N" Y € spa+ 'a P� i #Y t 'yyt` y�� ��Z• � � � ��9 h* z 4 s - ,r �x0.xy- ♦ t°F#t- f u j L. z t ,ia . e l VPi: > ♦ 4w 2 T�i �,_ a .tit{Y`�y1'_ �*• - �� ':ys,� w: 5 ' � ''����-*� � 4 t y! �'� c !t .v"'�•' � 4 ''� may, z 4 , 1 ti s _ � 1x , a ` iS M L Commonwealth of Massachusetts 02 ?r��p -= Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M >.•''t 144 Irving Ave Property Address _Chris Page Owner Owner's Name information is required for_every Hyannis Port _Ma 02647. 10/30/2014 _ _ page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, I use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain ,�y Company Name --- 8 Johns path Company Address S Yarmouth MA 02664 _ City/Town State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation b the Local Approving Authority Y Pp 9 Y 11/2/14 _ Inspector's Signature Date .,_ _ B I i.3s The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official lnspeclio orI.Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: The system consists of a 1500 gallon septic tank. A concrete distribution box and two 6x8 concrete leaching pits. All concrete components are in good shape and good working order. Standing water in both pits are only within 40"s of the invert. Tank was pumped at time of inspection B System Conditional) Passes: Y y ❑ 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Foern Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 144 Irving Ave Property Address Chris Page Owner Owner's Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City(rown 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 :below (Explain ) ❑ 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•3113 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 ;M 144 Irving Ave Property Address Chris Page Owner Owner's Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town 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 I to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of'l7 commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 144 Irving Ave Property Address Chris Page Owner Owners Name -- information is required for every Hyannis Port Ma 02647 10/30/2014 _ page. City/Town State Zip Code Date of Inspection B. Certification (cost.) Yes No ❑ ® Required.pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking.water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town 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 out in th pumped e 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 disposals stems? 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) p ) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms 5 (design): Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 _ page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system consists of a 1500 gallon septic tank. A concrete distribution box and two 6x8 concrete leaching pits. All concrete components are in good shape and good working order. Standing water in both pits are only within 40"s of the invert. Tank was pumped at time of inspection Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El 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)): 2013 12,000 cf Detail: 2012 16,000 cf 290 Gpd over the last two years Sump pump? ❑ Yes ® No Last date of occupancy: Occupied _ Date Commercial/Industrial Flow Conditions: Type of Establishment: ----_________ Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c°M 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: occupied Date Other(describe below): General Information Pumping Records: Source of information: Pumped at time of inspection Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1,5000 gallons How was quantity pumped determined? Truck scale Reason for pumping: Maintenance 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments j M 144Irvin9 Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 30 years Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 18 "s feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipes are vened through the roof. Septic Tank (locate on site plan): Depth below grade: 1 ft feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gallon Sludge depth: 3"s t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °,M ,•• 144 Irving Ave Property Address -- - Chris Page Owner Owners Name — information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town 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 24"s Scum thickness 3"s Distance from top of scum to top of outlet tee or baffle 42"s Distance from bottom of scum to bottom of outlet tee or baffle "Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was pumped at the time of inspection. Both tee's/baffles were in place Grease Trap (locate on site plan): Depth below grade: NA feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El 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 l5ins•3113 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 144 Irving Ave Property Address Chris Page Owner Owner's Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. Cityrrown 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.): Tank is solid. Levels are normal. 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 El 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 144 Irving Ave Property Address Chris Page Owner Owner's Name -- information is required for every Hyannis Port Ma 02647 10/30/2014 page. Cityfrown 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 At Normal Level 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.): Distrinution Box is level and at normal level with no signs of carry over or decay. 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: l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ 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.): Level in pits are 40"s below invert 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•3/13 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 '4M 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No signs of hydrualic failure or ponding 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection For o Subsurface Sewage Disposal System Form - Not for Voluntary Assseessments 144 Irving Ave Property Address Owner Chris Page information is Owner's Name required for every Hyannis Port page. Cltyrrown Ma 02647 10/30/2014 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 ............................ I � L y 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 144 Irving Ave Property Address Chris Page Owner Owners Name information is required for every Hyannis Port Ma 02647 10/30/2014 page. 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: 12 + ft 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: 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: usgs Map shows ground water at 12+ft below surface You must describe how you established the high ground water elevation: usgs Map shows ground water at 12+ft below surface Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 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 144 Irving Ave Property Address — Chris Page Owner Owners Name -------- information is required for every Hyannis Port Ma 02647 10/30/2014 page. 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 LOCATION SE°`KJAGE PERMIT No VILLAGE INSTA LLEIt-S J NAME i ADDRESS ball ® UILDE R OR OWNER DATE PERMIT -ISSUED'� _ o D A T E COMPLIANCE ISSUED ��� _ � —� c `\\_ I' . � • ' � v..�6 \ ,�� , � � � \ 4 ._ ���� \� � ram,. �•`J' s.��� t \, I�_ No._fa'D ....�......... v • THE COMMONWEALTH OFJASSACHUSETTS -BOAR® OF HEALTH All - 1i1 1V..............OF....... / s�/S7— jGG ......................... Appliratiou for Uhipuiial Works Tomitrurtinn Vamit 6AO0 Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: 144 —77 i i✓G L ��s e � .....---•.............��.......-.1�'� / ._.... r--------• ..........................................�--•--------••---••-------•••----...........-....._ Location- ddress or Lot No. / T...........NC . Owner Address 3 a -- ----------- C -•- .......... ES.......�c J....----...`7/l5 ---------------------------------------- Installer Address '`��� d Type of Building Size Lot____!__"'__ _____ Sq. feet f Dwelling—No. of Bedrooms._______._._-,.__^__________________________Expansion Attic ( ) Garbage Grinder 1 �f Other—Type of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtures ____________________________ _ W Design Flow.......... _______________________gallons per person per day. Total daily flow______- .....................gallons. WSeptic Tank—Liquid capacity/S __gallons Length._. Width..-s_`T_ Diameter________________ Depth__- ` x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......9!f........... Diameter------1©_rT Depth below inlet__.�_.�2'....... Total leaching area._�_�__...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Results Performed by---ram'--°z14-5--a Date_N6/? 3_---------------- Test Pit - Test -- Pit No. l4rsszt�zminutes per inch Depth of Test Pit__.!s6'�__. Depth to ground water________________________ Test Pit No. 2...__...........minutes per inch Depth of Test Pit____! ________ Depth to ground water________........................ ----•--••--------------•-...----•-••--•------•-------•••-----•--=----------......--•-•-•--•••--_............................................................ O Description of Soil--cq_"=84:' Cod-,-�._ 'Sy/_3-So<<--•-----. .................. x W --------•------- ---------------:-------------------------------------------------------------------------------;.................................................................................. x —Answer when applicable---_ /5'o_Q__���- Nature r 4f s or Alterationsn�------------------------------------ ---•--------------------------- ------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT -.: y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has n issue b the b a d of health. S -- ------ - � . --... .ZC� _. . D to Application Approved By........... �-- .............. Date Application Disapproved for the following reasons:................................................... ----------••-•-•-----------------------•----•--------•----- ••------•-•-------•---•----------------•---•-•-••--•---------•---•---••--------•----------------•--------...------•--.--..--------------•------------....---•-•---•---•---------•----•-...__•-••-•---•--- Permit No......................................................... Issued_--1`���-••�-17-- Date...... Date a � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ....0F......�/'i7Z.1...S...913G ......................... Appliration for Dhipaaal Workii Tomuurtion "ami# Application is hereby made for a Permit to Construct (5.,-) or Repair ( ) an Individual Sewage Disposal System at: // {� /� T2 1/i�/C /1•�f�" ��h/rka�sr.rs to viI T— �7 �Pv,,-r.7u .. ...... ........................................... ........................................... .................•••---•._.........................._.._.......................................... Location_-Address or Lot No. ............................ .................................................. ..........•--•••••••----•-••-----•......--......._....... - •- Owner Address ` 7-> lI e7t' a ';._5 7 �i iGG Installer Address Type of Building Size Lot..2'�-/�- P-•-----Sq. feet �- Dwelling—No. of Bedrooms................ .............__.._.Expansion Attic ( ) Garbage Grinder (� ) Pa-1 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures -------------------------------- - _ W Design Flow......__S-5........................gallons per person per day. Total daily flow-------5�. ........................ WSeptic Tank—Liquid capacityef: ..gallons Length-_/4_.r�__ Width..,�.. Diameter________________ Depth_.- �' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------- Diameter...... Depth below inlet__G.LE....... Total leaching area..: !q....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by.r7"10"A s... ___._-�_._Z� .____ :............. Date_. o!/. 'Q a a Test Pit No. i��.`� !. _minutes per inch Depth of Test Pit.._� :___._ Depth to ground water________________________ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.... ........ Depth to ground water........................ P4 •--•----•-----•---------•---•-••••••••••-••--••-••••••••••-•••••--•................•---•-•---.--••--......................................................... D Description of Soil... -gam.._. o -'-? ? 'Su! _ So r C.............`.. .�- ��1�-n S. ?vi x r W x ••••-----------------------------•......---•..._..----•••------------------------------•••••••••-•••--...-••••••--------•----------•-----------•--••••--•••••-•--•••••-----•---•----•---•-..........-••- U Nature of Repairs or Alterations—Answer when applicable._ ;. , : ,_C____.__..,/ -_-.--__S__T ------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TINE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed,.• =,U�A,,,;tWA) U ����,,--------------------------- ------•--••-•••----•••......•-•--•••. ••••-•......•---................ / /9l / Date Application Approved B ...........--•---C ? ...... // ./ =- l r / c� --------- Date Application Disapproved for the following reasons____________________________�...._....__......_.__...._..................-••-••••-_____• --------__.... -------------------------------------•--..._..-----------------------------------•-•-•...•••-••-••-•--••. Date PermitNo......................................................... Issued----------•---•---------------------------------•------- Date I / _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ro....:.: OF ..! ...-......1....'........................................... �` ................... ..........- i (grrtif i.rFatr of TontliliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by is ' .. ...--•----•----•-------------•-----•-•----------- ---•••---------•--.....•---••••-•........................--•--•--....................._..----•- ...... ............. . Installer at.............. .. -....:.... ' ....................................................... --- ........................................ � �,� .1 has been installed in accordance with the provisions of TILE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N'o�r"i t ... '�L .............. dated----/_/_ ..`_t.4.!t-"L....._........ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. �/�Gi� DATE--•.._.J�?.-... .- ....................................0............. Inspector -•• v-- .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH in.. OF......_..- .r.:..:..:...... y....,,,....,. .. . _ FEE....................... �io�vo�tl or�� �ono�rttr�ion rrnti� Permission is hereby granted ''-----•--a . f...------------------------• •----------------------------...............-•----•--.......---....... to Constructs-(/ ) or Repair (v) an Individual Sewage Disposal System atNo......... � _....__._ . . . ------ � .....�...'-•-•---__'_. --•-- ••-----.._.--------------------------------------------------------------- Street as shown on the application for Disposal Works Construction No..................... Dated... `-_�_�_`......�........... f DATE... ^/ ... Board o£ Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 00, 32'1 �r 7 k-4 73, 0 7�¢,v�ti✓4y p� t h r k P)l So i P��wscr° O 0 D,sr: N v o h 1 co x ls-R STING S'vv,_2476 dqu ow 0.c 1 a ) F✓�v eE Lor"/ 4fa.2l7o-/ aF 47 NZ J � � I �,•ti .rye VIAI CERTIFIED PLOT PLAN NoTr- LOCATION jvo2T, . SCALE . .i,..30 . . . . DATE M v. 7 i 9;8- PLAN REFERENCE 66-?AIC "1. .4 /�.er7b a.c LsaT Z. A /.,�1( 4-A,rv. .v,s. .PoJer �1 L EY iN I�.e�c 1¢9 S r „ . . . . . I CERTIFY THAT THE .. SHOWN ON THIS PLAN IS LOCAL ED .. GROUND AS SHOWN HEREON AND�T_tAT', ORMS TO THE SETBACK REQUIREMi'N.T HE TOWN OF C�QiS P.4G'C ;� . . . . . WHEN CONSTRUCTED. /44 TieViv,- 14'VEWut DATE . . . . . . .. . PETITIONER. REGISTERED LAND SURVEYOR 'p tj • -�. N�T sue_Au. �rfn�v�ous S�fl��'T` Z ®Fz Sf'>Z��T� Hsy',�-,2iAL ra�3c'�6'�-ioV�a 7¢ 30 M TOP OF FOUNDATION A-�vo l � i„„�/ cGsx►w� .SAWD. CONCRETE COVER CONCRETE COVERS e; 4"CAST IRON 12 MAX. PIPE (OR � 12"MAX. 4"ORAN.GEBURG(OR EQUIV.) e EQUIV.)— MIN. PIPE- MIN. � LEACH ' PITCH I/4"PER. PITCH 1/4"PER.FT PIT otl PRECAST NVE -� LEACHING 0'0 EL.v?-. ��?.. INVERT INVERT o W PIT OR o SEPTIC TANK EL.Zo.86• •. DIST. EL Zo.Gc _ Q. EQUIV. o INVERT. � BOX -t .•. o; EL..Uco3 �.ScO GAL. INVERT INVERT `D ww p: :.i, 3/4��T011/2 � ELZPt77 zo.3 3 EL... w a \: WASHED w STONE 3z ' ¢ ..: PROF 1 LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALEr,% SOIL LOG WITNESSED BY : DATE NaV. 3/y8o TIME.9%3oi►.y !4tiG.�: !�.�i�, BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,7;V !793i P�: ENGINEER ELEV. . .ZZ•.Z?. . . ELEV. .ZZ.7o. . . 4A-i a( DESIGN DATA .spa-sores ;; !r� NUMBER OF BEDROOMS r. 84- TOTAL ESTIMATED. FLOW . .45 7Q . . . GALLONS/DAY D6+at. BOTTOM LEACHING AREA 78.' ,moo. . SO.FT. /PIT SAD 5Am-ooD SIDE LEACHING AREA . . . SQ.FT./ PIT GARBAGE DISPOSAL . ) ��. .(50% AREA INCREASE) TOTAL LEACHING AREA s'�3oo SQ.FT /SZ„ � , PERCOLATION RATE MIN/INCH LEACHING AREA .PER PERCOLATION RATE SQ.FT. Nb .WATER ENCOUNTERED Z Pi75 Wirt/• Ti�/o NUMBER OF LEACHING PITS . . . . APPROVED . . . . . . . . . . . BOARD OF HEALTH °C'S"dJ4-3 o.t�f�-t�,s/-Des.? '01-G 7c"S T DATE. . . . . . • • THOMAS E.KELLEY CO. AGENT OR INSPECTOR ENGINEERS—SURVEYORS 340-LONG POND DRIVE Vv OF A14SS9 , MOUTH,MASS. ? THO S, o . 12669 o K �. 260 O N / FSS/ONAL PETITIONER '• 1� v 0 fi j m .. 13 p#I p b .BIC B-A6 .>1L 11,BL ,ell PA .dl CA ..BF Fd II IT I III --------------- f \- ,I'I{ ,--r -- dill i l ) _L— L__1_:- _= _ B ., -�_-' ------ =_ t 13 p a 6 .BIL P,LL ,BR CSI > p 'I q r9 ^............... B B B B B a B B ♦ kT I IllMR 19 � B B B B B B B a� i B B B B B B B , z B B �i B B ♦................................................................................. ............................... ................ . '- 0 9 �- i AIL 11-21. me'9L - .91E Ll-2l ABC P9 .Ell a•A 9N k,9 .Llt PA AIL 0-29 .Ln Pb .919 9,9 .W 9'4- AIB-S \ AIL Pdl I O '1't E - .•,wry"/& ®Ir O �r .� _ I N o-az a /eL 7F=, L-------------------- - G 0 I 9 E l-J Wu-'! t I loa t2 moI tl < a I I L Lt9 y I S,. AIL PJ I yI - . 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THE INTENT OF THIS PLAN IS TO SHOW PROPOSED WORK AT LOCUS W PARCEL 2s��o� DEVELOPED LOT PROTECTION DEMOLITION N/F H $ I I J LOCUS AREA IS � OF: 144 IRVINO AVENUE 7 J 94 HUG FAMILY AND REBUILDING ON NON-CONFORMING 'LOT SURVEYING _. BK 9510 PG 094 LP IJ II 2.) ASSESSOR'S MAP 287 PARCEL 070 � ---_ DEED REFERENCE. BOOK 25975 PAGE 163 Q E)CISTING PROPOSED PEAK REFERENCE: BOOK 149 PAGE 105, BOOK 115 PAGE 127 Registered Professional Engineers / i J OWNER: CAROLE A PAGE, iRt15TEE and Land Surveyors`""-- 20% (5,137 SF) 26.7% (6,873 SF)i 25.6% (6,574 SF) 0 LOT COVERAGE: ) 9 3. PROJECT BENCHW�(: NAVD88 DATUM Z I 1 l 1 1 78 North Street - 3rd Floor PAR / J FLOOR AREA RAT10: 30% (7,706 SF) 46.8% (12,02 SF) 41.3� (10,6 2 SF) 4. ZONING INFORMATION: I \ GAL 287_ - ) N 077 1 Hyannis, Massachusetts 02601 \ /F ,y$ i J y 0•16. BK 2 1 LONGWppD LLC /j J BUILDING HEIGHT: 2-1/2 STORES OR 30 FT ZONING DISTRICT : RF-1 W 46 PG 7S / \ L CURRENT MNUM ZONING REGUIREMEM: Z / - -- -- \ 1hone 509)t 771-7502 r, -•.- - --. =+ _ ,.,, ', ... _,_, .- INN. LOT AREA _ 43,560 S.F.Si � I -- •- --- -- - - - - - - - - - - = - l NOTE. EXISTING. AND PROPOSED CONDITIONS PROVIDED BY VALLIERE DESIGN STUDIO MIN. LOT FRONTAGE = 20 Fax - 508 771-7622 MIN. LOT WIDTH 125 z 2tro ► � www.baxter-nye.com.com �! W Z I ti I FRONT YARD _ 30 SIDE dt REAR YARD = 15 -15 o n� N 154.79' COMMON N O `� OVERLAY 067RICTS: NONE .R .� p �, \�,. STAMP: STAMP o Q ► RIVE F ,,�•, .�,. `,.. , . . I r J i p 5.) A TiTLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERS TO BE I NECESSARY, A ME SEARCH SHALL BE PERFORMED BY OTHERS. c� i r Hi o ry I E <, f - - - --• •-- •.... �. Y ' yl 6.) THE PROPERTY:LINE INFORMATION SHOWN iS BASED ON CURRENT AVAN.ABLE RECORD- r� WI,o(�rd { .J INFORMATION CONSISTING OF P - UNS AND DEEDS. O.6 / \ u 51 60 THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUNDLrs 9.9 i' FIELD SURVEY PERFORMED BY 9AXTER NYE ENGINEERING & SURVEM ON \ \1 I 1 P - • DULY 16, 2014. � I rn 7t 1, ;' I ii / ` x .2 r 7. COMMUNIiY PANEL NUMBER MWI 0568 J DATED 7 16 14 \ cn I \ I , THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE X UNSHADED / I , CbNSULTANT o n►1 )Ir \ I I r p I \ I "- OBTAINED_FROM M ASSACHUSETT'S GIS WEBSM ,1 z i I I J 8. a I m 07 I I I / AS OF 7 014: III J P , m I < rn CEFITt3t of WALL WAS o , , SiTE DOES NOT APPEAR TO BE WITHIN AN A C.E C. (AREA OF CRITICAL aL11m _ N I ` o I t#LD ?n'Pl.J10E i I w II I ENVIRONMENTAL CONCERN). f f 2.7 PROPOSED HOUSE \ \ s: SITE,DOES NOT APPEAR TO BE WITHIN AN AREA OF MUTED WHAT OF RARE C O N S U L T A N T z 11 JI I II G \ 19.3 J W I c, I I GARDEN WILDLIFE PER EXI \ _ I I STING 'T \ III I NHESP MAP OCTOBER 1, 2010 "ESTIMATED HABITATS OF RARE`WILDLIFE` I .. I ,� REA P GARAGE \ FOR USE WITH THE MA WETLANDS PROTECTION:ACT REGULATIONS (310 CUR I �14 I I I ----- I G.F.E.=2 \ 10).• ' I \ SITE DOES NOT APPEAR TO CONTAIN A CERTIFIED VERNAL POOL PER NHESP AMP 21,4 OCTOBER 1, 2010 IcEnnED VERNAL POOLS., 1 II SITE DOES NOT APPEAR TO 8E WITHIN A PRIORITY HABITAT PER NHESP MAP / I I / PREPARED a / �� _ ___ _ 0„^tOBEk i, 2010 "PRIORITY HABITATS:,OF RARE SPECIES FOR SPECIESS UNDER \I / i f i THE MASSACHUSETiS END►ANGERED SPECIES ACT, REGULATIONS (321 CMR10). #144 / IJ SITE DOES NOT APPEAR TO BE WITHIN A STATE APPROVED ZONE AGROUND r \\ , � � / t / i WATER RECHARGE:.PROTECTION AREA. Christopher Page EXiST•ING I ll x20.o P.O.Box 372 , e e -- DWELLING - 5.) UTILITYtNFONtMAT10N SHOWN N: I r � Hyannis Polk �•��. �2� 7 \ ! I �/° ,. �_ • THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE Y IZ ;.i ". ALL EXISTING UTiLITTES, AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRICTION. EXISTING I rti -._- i . 1.0 UNDERGROUND INFRAS'TRUCfURE: UTILITIES, CONDUITS..AND ONES ARE SHOWN IN AN APPROXiMtATE WAY � r7r { , / I NE. 0 G W A1- ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE P\ l�N AVAILABLE UTILITY RECORDS NOTED HEREON. THE;CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR GARAGE: r P G � -.. � _.... _ ANY AND ALL. DAMAGES:;WHICH MIGHT BE OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE SAID I I , 0 P 9 B ,' IN►W- RUCTURE AND UTILITIES EXACTLY. IF FIELD CONDITIONS DIFFERS FROM PLAN INFORMIATiON THE CONTRACTOR SWILL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. I i r J I , 2U.0 I i _ 19.9 _ 1 �rI -- -- - - - -- --. I ,-- -. SOURCE INFORMA7N0N FROM PLANS HAS BEEN COMBINED WITH 0 U / I � ( ,� ( � � x 2 2� ED OBSERVED EVIDI]JCE OF UTIUTTES T _ •_, DEVELOP A VIEW OF THOSE UNDERGROUND UTILITIES.' HOWEVER, LACKING;EXCAVATION,.:THE EXACT I / r I LOCATIOPI OF UNDERGROUND FEATURE, CANNOT BE ACCURATELY, COMPLETELY AND RELIABLY DEPICTED. V r - v, J O �I -; ELIABL o J o 1� - OR J I EACH N WHERE AIpOITNONAI. MORE DETAINED INFORMATION IS REQUIRED, THE CLIENT IS ADVISED THAT Q_ (n PI� N EXCAVATION MAY BE NECESSARY. - a INVERT � s I e _ � 1 SYSTEM O� T � FROMSEP SYSM INSPrT ION tE,aRTw a DON12 EXISTING ;PTC 08AvEEO0 o _. ram • t. 0 r I .� I r , � FILE AT !3� of rlEAtr,�. 11es srawN TO PREwuvs eu1LDIIG t:oa�r�Nr. FIELD vr�dFlG1Ti0N r� 1 z i IN Tq � LL 1 • � � o I RMt LOCATION. '< DOC) � 1 NECESSARY.TO CONFIRM R 1 , -� L _ 0 LOCAT C.1N 0 SEPTIC , 0 I ` A L L ,., T F , If R N i 1 F" _ E. I S J t1. E COME Ch r.tT F'ER FIELD z Tlc _ P i ►AN \ , ELECTRIC LINE SHOWN OPf THIS PLAN WAS FIELD LOCATED ON 07 16 14 INDICATING OVERHEAD SERVICE - / - 19.8x I • IOC,/,Ttd COVERS x•,� J \ . FR�DA6 UTl[JTl' POLE . 19.7 i � � . - P _A i R C 9 O � L 2 �.: $ � 7 I I x a 0 21 , 7 1 / WATER LINE INFORMATIONN SHOWN ON THIS PLAN'WAS tAKEN FROM WATER DEPARiAi CAR[). J 10 55. ___ i , HYAN - ENT 11E NISP ` l IN. / 12 r/ PC ' .P 0 1 1 • : A P 2 IS PRO 11= C C N LOCATION XIMA COMPILED M SERVICE RECORD. SHOWN, ;! GAS LINE L:OCA FROM GAS E ORE. THE GA.� METER SH IP►I 16 1 r , I . 8 � x I 1 .5 ; I R� 2.1 0 f WAS FlELD'LOCATED. "-INS\ OUT 16.07 r p O n )a T 10. 6 .� 0 -� ,@/7 Y_ 10. PO HME AD4IERSE POSSESION. SaIBLC CItQA.r l //10 � � EN � I GAS r I ,:. 1 P r,l METER , , \ 0 .- -� I A. � Ii cv RETAINING w FENCE, DRNEWAY AND LANDSCAPING y r �-� s I ' N o Q3 c� fi G .• S i , .. , P ca r U 9. BUL _ _ -_ICr�, ��-' K L I : l 1Co w _ J ,1 ,P n H E r A cn , D �, ---- .r I SE AT LS arE MNOLE FRAMEPUM' & DEMOLISH �LEAvFI ,FT , r � COVER TO WITHIN 6' OFWADE. - Q SEWER LINE (OUT) EXISTING SEPTIC TA F. -- 1- FINISH O r , 1- _.-.. ._ � RISERS � covERS SHALL BE wATER1IGFR , t1, : r �. pp 47 1 : CA 3 0 t r x ,P S 21,5 .3\. C � _ R E EN , , r r 1-• C V7 CH POR I ._. ,I W I , , ;, w i r C C s 20.8 19.7 { r - o d" CU r ; O O o , I c) J - I r I J 3 MIN. .� •Y r� "I I : , I I ; CL I 3 SCH 40 PVC .. c0 / \ ' + I 21. V 3 � �• PL I d :NIA. O L AYSET 1J i �, r i W 10 I/N 201 ( Z _� - ■ U - 1 o IN 1 'iPN OIIT 6.50 J � ._ INN 6.80 S-�."` PVC' Z .. TANK T FOR 5 S J SEPTIC BEINt00M1 U is I ,u.. H i I \ _ W I � _ PVC TEE /4 MIN. � � Q I 5 BEDRo0M1s x 11o'GPo BEL)ROOM 550 GPD ( ) J 1 550 x 200% 1100 GALLOWS REQUIRED < 1 + CAS BAFFLE Y� p i 1500 ON SEPTIC TIMIK .4 I � � o USE GALL ,. . ,, •• �: : II l • c� 19.0 REINFORCED CONCRETE 6 CRUSHED 20.0 �._ J ,- �� \ C� STONE BASE $ a METER __ _J ► 3 0 8 A.... _ Yo o l?o 0 V I cu o w/ ►. Lu r\ n ��� �.'�. ■ wrr war. ww•rw�" L . •+•w r►•�:9%9"www 4r A w h � ZWV tJPl. I AID W TO BE INSTALLED ON'A LEVEL:STABLE BASE .r r w Ln Li19 � •. SEPTIC TANK TO BENSPECiED dr CLEANED ANNUALLY W .. r I G _ P ACE o x I o ? 070 A , x a ti 25 m � � 6� 1 .3 f p Q ,n w n N g / �S. �� 1 I TANK - OF OUTLET TEE BE1Ow FLOW UN O / F• LW ID DEPTH N SEPTIC DEPTH E z m GA 19.3 / /i 4 FEET 14 INCHES S , . SHEET TITLE -� 0 i _ 5 FEET 19 INCtIES - A - ■ HE O _�--__ , 6 FEET 24 NICHES a -_____ I . . HEDGES --_i is _ ---� � G �- >-- w 7 FEET zs NICHES House Demolition and G (� 8 FEET N ---•-�-.% G � � \ -�_,` I _ �' 34 ICES : _ ■ _ � G --�. � tru �Recons ct on Plan C ---- N 83 0" - 18.2G ___ 4 HEDGES tDH FND (HELD)15 G , , , - SHEET NO DESIGN SCHEDULE " ELEVATION 3 - -- G 52. ; I 17.5 3 FINISH r G , S FLOOR G CIRO i o - - _ . - SEWER INVERT AT HOUSE 17.20 ED - _ G ----,_ GE '0 - F P .� A VE •.._.: __ c, SEWER INVERT INTO SEPTIC.TANK PAVEMENT T -__ ___ - ----- DATE -09 05 14 o G _! f' ------ ==•z==.:'" SEWER INVERT OUT OF 5EPT1C TANK 6.50 �� K o `" -- 16.18 10 0 10 20 D0 - _ SCALE 1N FEET // •SCALE . 1 = 10 - 0 DRAWN/DESIGN BY. OAF CHECKED BY . MINE ry - 0.i W,- C7f►W--- nP, ., 54 CADD FILE -054DW.dw. O B N O: 2014 0