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0037 ISLAND AVENUE - Health
- 37 ISLAND AVENUE,HYANNIS A= 265 029 rT/OWN OF BARNSTABLE -MILOCATION IV rE. SEWAGE # 7ILLAGE 4�Ll * ea� ASSESSOR'S MAP& LOT O—V INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Ip_ LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: SeparationDistance 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 fe of le Ching facility a Feet Furnished by �� ���L�J lJ SUI3`URFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atieast two permanent references,landmarks or benchmarks. Locate all wells within 100 Feet ^nI V v di✓"" ,o J N V �Y Commonwealth of Massochusetts / W Title 5 Officiai Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry& Serene Lee Owner Owner's Name on isrequired for every Hyannis Port QJJYI Y1 3 MA 9/16/2013 _ page. CitylTown 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. I Important:When A filling out forms . General Information on the computer, use only the tab 1. Inspector: � � - key to move your cursor-do not James Ford use the return Name of Inspector key. q ra8 Company Name P.O. Box 49 _ Company Address eUm Osterville MA 02655 City/Town State Zip Code 508-862-9400 S 12482 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this ;�gojress and ithat the4 information reported below is triue; accurate and complete as of the time of the1ppectior ahe i2pection was performed based on my training and experience in the proper function a);qmaintenane of;oD site q sewage disposal systems. I am a DEP approved system inspector pursuanCto Sectiow15.3,,40 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails :'�? Needs Furth r aluation by the Local Approving Authority '� #,aJ A"1rt 9/17/13 Inspect Signature Date The sy t m 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 buy r, if applicable, and the approving authority. ti . r ****This report only describe!,, conditions at the time of inspection and under the conditions of use at that time. This inspect?,an does not address how the system will perform in the future under the same or different conditions of use. t5iri:•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 17 c Commonwealth of Massachusetts Title 5 Officiad 'Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name I information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check. A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or In 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ 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", "rio"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 1. , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.j ❑ 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 4pipe(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): I: ❑ 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massadhusetts Title 5 official Inspection Form Subsurface Sewage Dispos0l System Form - Not for Voluntary Assessments °w 37 Island Ave. Property Address Henry& Serene Lee Owner Owner's Name information is H annis Port MA 02647 9/16/2013 required for every y 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 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 i.s less than 6" below invert or available volume is less than, day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official; Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.), 1 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. t ❑ ® 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 amrp�onia 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 mu,5t indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No Q ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area..'- IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M— ., 37 Island Ave. Property Address Henry & Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 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 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? q ® ❑ 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? El ® 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: N ❑ Existing:.info.rmation. 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)] R D. System Informati6n Residential Flow Conditions: Number of bedrooms (design): 5+ Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins-3/13 - - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Ei Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Island Ave. Property Address Henry& Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: µ Number of current residents: 2 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)): Detail: unavailable ti Sump pump? ❑ Yes ® No Last date of occupancy: currently Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310%CMR 15.203): Gallons per day(gpd) t . Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? y ❑ 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•3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 r' Commonwealth of Massachusetts Title 5 Officiafl' Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/usg: Date Other(describe below): i . . General Information Pumping Records: Source of information: unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons a How was quantity pumped;determined? Reason for pumping: s, 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 inspectiorr''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 it t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 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: installed - 1988 4 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on'.,site plan): Depth below grade: 24 h feet Material of construction: ❑ cast iron ® 40'PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints., venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 101, Depth below grade: feet t. Material of construction: ® concrete ❑ m'etal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Cert4ficate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal. Sludge depth: 6" t5ins-3/13 t Title 5 C%cial 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 37 Island Ave. Property Address s Henry& Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Informatio''n (cont.) Septic cont.Sep c Tank (cont.) Distance from top of sludge.to bottom of outlet tee or baffle 24 2 Scum thickness 6" Distance from top of scum.to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" 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.): pvc tees were present. The:inlet cover was under cement walkway. Grease Trap (locate on site plan): i 4 • Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/a . Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle ' Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 II Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal:System Form.- Not for Voluntary Assessments M a 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) r Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): N/a Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No M Alarm level: Alarm in working order: ❑ Yes ❑ No F 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 i I' Commonwealth of Massachusetts W Title 5 Official. Inspection Form i= Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. t Property Address ; Henry& Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert even Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The D-box was normal Pump Chamber(locate on site plan): i Pumps in working order: ❑ Yes ❑ No` Alarms in working order: ❑ Yes ❑ No` Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/a r, * 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-3/13 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 37 Island Ave. Property Address Henry&Serene Lee Owner Owners Name information is Hyannis Port MA 02647 9/16/2013 required for every H y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits: number: 2- 1000 gal. with4' of stone ❑ 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 g y of ponding, damp soil, condition of vegetation, etc.): Pit# 1 was dry and clean in new condition. Pit#2 had 2'of water on the bottom. The scum line at same level. The pits are H-20 and,inthe driveway. recommend risers and steel covers be installed. There were no signs of failure. Bottom to grade was 8.5' Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration .? N/a Depth—top of liquid to inlet invert Depth of solids layer ,i Depth of scum layer Dimensions of cesspool i 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 - i • Commonwealth of Massabhusetts Title 5 Official' Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry& Serene Lee Owner Owners Name information is required for every Hyannis Port MA 02647 9/16/2013 page. CityrTown I 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.): i 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.): d. I N/a i� a t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 j Commonwealth of Massachusetts u Title 5 Officials Inspection Form l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 37 Island Ave. Property Address Henry& Serene Lee Owner Owner's Name information is required for every Hyannis Port MA 02647 page. CltyFrown 9/16/2013 State Zip Code Date of Inspection D. System Informati0h (cont.) I 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 eliters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately G Ara � li t � o p I Q (3 43 . y �3 a AV 39 a t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massau,chusetts Title 5 Official,; Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments A6` 37 Island Ave. Property Address l Henry&Serene Lee Owner Owners Name information is required for every Hyannis Port MA 02647 9/16/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: a ❑ Check Slope ❑ Surface water a ❑ Check cellar ❑ Shallow wells s . Estimated depth to high ground water: 20 is 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 Idical Board of Health -explain: Using topo and 'water contours maps t ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how yod,established the high ground water elevation: see above r. 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 w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 37 Island Ave. Property Address Henry&Serene Lee Owner Owner's Name information is Hyannis Port MA 02647 9/16/2013 required for every y _ 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 a a t . t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 ri, w EQ 2 5 1 998 BORTOLOTTI CONSTRUCTION, INC. 765 WAKEBY ROAD,MARSTONS MILLS,MA 02649 ' 508-771-9399 508428-8926 FAX: 508428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATIO Property Ad Date of Inspection: G` Ins tor's Name: er's N and Address: 3 CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the Lime of inspection.The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal stems. The System: V ! Passes ' Conditionally Passes Needs Further lEy#4ation B Local Aproving Authority Fails Inspector's Signature: Date: 0 _ i . . The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(30)days of completing this inspection. If the system is a shared system or has a design now of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SU MARYo A)SYS W PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair, passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND).Describe basis of determination in all instances. If not determined",explain why not. j The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup or breakout or high static water.level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The. system will pass inspection if(with approval of The Board of Health): . I. W SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): , Broken pipe(s)are replaced - Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD.OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. ' The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. - D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. ' Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. . Discharge or ponding of efluent to the surface of the ground or surface waters due to an overloaded ouclogged SAS or cesspool. -• Static liquid level in the distribution box above outlet jnvert due to an overloaded or clog- ged SAS orcesspool. - Liquid depth in cesspool is less than 6"below invert or available volume is less than U2 day flow. Required pumping more than 4 times in the last year RM due to clogged or obstructed pipe(s). Number of times pumped -2- I ' SUBSURFACE-SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I_of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGk SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant . threat to public health and safety and the environment because 'one or more of the following conditrons,exist: . The system,is.within 400 Feet of a,surface dunking water supply ` The.system ismithin 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: , I. - The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local x" regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST i Check if following have been done: ping information was requested of the owner,occupant,and Boaid of Health. None of the system components have been pumped for atleast two weeks and the system has .been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. -built plans have been obtained and examined. Note if they are not available with N/A. The f tcili or dwelling was' 'ty g inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The'site was inspected for signs of breakout. All system components,excluding the Soil'Absorption'System,have been located on site. tk ' tank manholes were uncove . sephd " � �` red,opened,and the interior of the septic tank was M in- for condition of baffles or tees,material of construction,dimensions,depth of liquid.' depthof studge 'depth ofscum. , The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods:=. -3- ry pp "4N 9}7I'4�... SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B / CHECKLIST(continued) The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM,: PART C SYSTEM INFORMATION FLOW CONDITIONS Design Flow: ions Number of Bedrooms: T Nu r of Current Residents: l/ Garbage Grinder: d Laundry Connected To System Seasonal Use Water Meter Readings, `p�Table: Last Date of Occupancy:_ /�,�/�n 1 o u/I') K. R AiAND 14T IAi Type of Establishment: Design Flow: nallons/day Grease Trap Present: (yes or no Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER.- Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: /)MLL= System Pumped as part of inspection: 06 If yes,volume pumped: gallons - Reason for pumping: TYPJ'rOF SYSTEM: V/ Septic Tank/Distribution Box/Soil Absorption System Single Cesspool overflow Cesspool Shared System(If yes,attach previous inspection records;if any) Other(explain): PROXIMATE AGE of components,te installed(if known)and source of information: odors when arriving at the si . Z -4- I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: V concrete metal FRP Other' (expo) j Ditnisions: S' Sludge Depth: ���� Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: - Distance fiori►bottom of scum-to bottom of outlet tee or baffle:. • '44--& Comments:(recommendation for pumping,condition of inlet and outlet tees or bAffies,depth of liquid level in relation to outlet inverb structural integrity,evidence of akage.etc.) +lam 0 / ti GREASE TRAP:, Depth Below Grade: Material of Construction: concrete metal_FRP_Other (explain) . — . —. Dimensions:. _ .. .. . ._.. _._ Scum Thickness: Distance from'top'of scum to top of outlet lee or baffle: f inlet and outlet tees or baffles depth of liquid mm pumping,condition o et a Comments: (recommendation for pun ping,co p q level in relation to outlet invert,structural integrity,evidence of leakage etc:) TIGHT OR'HOLDING TANK:AL Depth Below Grade: Material of Construcdon:_concret,e metal FRP_Other(explain) Dimensions: Capacity: gallons Design Flow, allons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm and float switches.etc.) DISTRIBUTION BOX: Depth of liquid level above outlet invert: Comments:(note if el and dis 'bu 'on is equal evide a of solids carryover,evidence of I ge int or out of box,elc-) . PUMOP CHAMBER: .Pump is is working order: Cotnmenis:(note condition of pump chamber;condition of pumps and'appurtenances,etc:) - 1 ' 7 f � 1 r , ZJ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) i SOIL ABSORPTIO14 SYSTEM(SAS): (Locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number:Leaching chambers, number: Leaching galleries,number. Leaching trenches,number,length: Leac 'burg fields,number,dimensions: Overflow cesspool,number: Comments:(note condition of soil,signs of hydraulic failure level of pond' g, :on iti of vegetation, CiSSPOOLS: AY) 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(cesspool must be pumped as part of inspection) Comments:(note condition of soilk,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY:_ZJV Materials of construction: Dimensions: •Depth of Solids: Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) -6- f s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. iGG L� I All7 '3 x j>.sst 0 DEPTH TO GROUNDWATER Depth to groundwater: j Feet Method of rmioation or roximation: limit'/��1�T l`/wl��t 5• �/� 1` 7__ . 2 J�f1x ti*4-1.;-A r06A f�" ma's&s {a J2rf TOWN OF BARNSTABLE 'LOCATION �1�0 P �� SEWAGE # VILLAGE Ali9�I/�I/ ASSESSOR'S MAP & LOT INSTALLER'S NAME Cz PHONE NO. SEPTIC TANK CAPACITY B LEACHING FACILITY:(type) p (size) NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER I B D OWNER BUILDER � r1� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: '� VARIANCE GRANTED: Yes ' No r V g v c No.. ............ Fizz ....... / THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -------------ToV14..........OF.....1 AA,-,S..--•.t•�!�.� C k'C��. n.�►�/ Appliration for Dispagal Works Tonotrnrtinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /{ ................................................................ Location-Address or Lot No. YL- ................ ...._.. A� !-r:.��--................................. Address ---- = - ...................••- - ��.y -----/''�/�l- ® � !F Z-- Installer Address UType of Building Size Lot----------------------------Sq. feet a Dwelling—No. of Bedrooms_,_---_._---'i-- ---- -__-.Expansion Attic ( ) Garbage Grinder )%� ag a Other—Type of Building __ Cafeteria Other No. of persons............................ Showers ( ) Cafeteria ( ) Otherfixtures . ...............W �.--.--•------•---•••--.......................---•-------------•--------••--•-•-•---..........•--- v Design Flow..............1.1.0....._...� _.gallonp person portay. Total daily ow............` 0...................gallons. �PG Septic Tank—Liquid capacity__..........gallons Length/0_ - .. Width.S... Kh. Diameter________________ Depth...t'.-.Y. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No........ ......... Diameter.106� 12_!"_. Depth below inlet... r.-!q-�... Total leaching-area- 7A .sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by-_.L'fP6:.L.d12__.S/AYV"( co -. Date.. 0� .... a Test Pit No. 1 2,minutes per inch Depth of Test Pit...�,� �... Depth to ground Test Pit No. 2--1-w-li,.minutes per inch Depth of Test Pit---/.2,-t?...... Depth to ground water-_-+Yj; -w -y---------------------- �_ �� _ o g x Description of Soil.........I45r ^�-1--------1' -.Qp lflrt ----�` � --1'�iG.-- �°7..-"� `-7 — c - 1-e•� r M-� r_:u_.. �.nte-- r � ,st' ,r-1 -V-- �•—� �p ...... 07 1 � x7 t �._..�. �� --------------------------- U Nature of Repairs or Alterations—Answer when applicable_____________________________________________•_____--____-_________________-___•---•--------__. --------------------•-•---•--.....-------••-------•--•-•---•-•-•-•---------•••-•-••-•-•-••••--•-•-------•••---•••••----------•••---•----••------••-------••-•-•........-•-•--•----------•------••-•_.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ii L 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 --------------•---..................---.......------•-------•----•---•----------• ................................ Application Approved By----•------ ...................... ••---- � _ 2............ Date Application Disapproved for the following reasons:............................................................................................................... ..............••-•--•-•----•-----•..................--•--•-•--------••--•...-•-•----•-----••••---..---...-•-••---•--•--•---....•------•-•----••-•......-•-•-•......................Date--•---........ PermitNo......................... ........ -•-••-•----------. Issued..-------����s- --------------------------- ate No.. ......-....... F�a.. _:........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _.---------TQW 0..---......OF..... t2. 1..S.. r 13 --L ...�- `�_!!..l'1►7.r S Appliration for Disposal Warks Tonstrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: T S 6- A,gel D A v,,c � L-© r IVO, S70 .........................................................•---•-•--•--•.... . --....----------------....._...--•------------------__ ........_..------------....... Location-Address or Lot No. .......j& !; ................ ............ - .... __... . er Address Installer Address UType of Building Size Lot............................Sq. feet �_4 Dwelling—No. of Bedrooms____________ _______________________________Expansion Attic ( ) Garbage Grinder Other—T e of Building (7fkiZ s� a YP g -------------�--__.___. No. of persons............................ Showers ( )--- Cafeteria-(•••)- Other fixtures.......................... -•---••--- Design Flow.............1._�_l�_.....................gallons per person per day. Total daily flow..........`1.4�G�....................gallons. WSeptic Tank—Liquid capacity/-_ .gallons Length!!�'_�__. Widths"_� 'r�._ Diameter________________ Depth__5:__�__y_.' x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area___________________sq. ft. Seepage Pit No-------2..._-_-._ Diameter.l.(.)/—1 _©___ Depth below inlet_;S`:a..___. Total leaching area=?_v __`�___.sq. ft. Z Other Distribution box (�) Dosing tank ( ) '-' Percolation Test Results Performed . a lrs.� minutes per inch Depth of Test Pit-�, Depth to ground waterNv__W!!-/_t Test Pit No. 1_ �cr�_�.. . P P --•-- � P 44 Test Pit No. 2`,eSS.#/, _minutes per inch Depth of Test Pita'jr_t.1........ Depth to ground water.__._•____________f -------------------------------•---------••-----------------------•----------•--.......-------------•------------.... O Description of Soil.........- (� -- --`'t ------- OR !°3 F 2 =,�•—• �•7 6�� �vAn� W � •---��14J-----0� - '- - n--..._.. L+/� ��.4.E�L,4�ttz._..._.._ /.lt�f! �/-�l�l. x7 �z- U Nature of Repairs or Alterations—Answer when applicable...................................................................................... -----------------------------------------------------------------------------------------------------------------------------------•-----------------•--------•----------------------..-----........•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance 'with the provisions of iT >a, 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...................................................................................... ............................... Date ApplicationApproved BY.................................................................................................. ........................................ Date Application Disapproved for the following reasons:.............................................----------------•-----------------•-------------------......--•••- ..•••--•.•.•-•.•••-••-•••-•-•.••-_-_•---------------•---•------.......-•---------------^--•-••--•------•'----......-•--•------•-----------------••----•----------------•------------ -----•-------- Date PermitNo.----- .................. ..........------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OFq HEALTH ............I ..C:�-O........OF........... /.�1A_/ ..5.:�:.f'Z L..fL._............ ....... Trrtifiratr of Taautpliauarr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY............................................................................................................................................................................•.--------------------- [_ Installer at t __ J_5�-._='..... 41� 1 1�.A ._ _Llt_tt2r.�. Dl'r-r fi �,•�¢t2 �"..c-� �d 13 has been installed in accordance with the provisions of T i iiE j of The State Sanitary Code as described in the application for Disposal Forks Construction Permit \o._ �_____"-].'�79....... dated_-;._ ____________________ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT rHE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................Ca.�. .: .................................... Inspector.................. + ................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH D .729 ............7v-W44..............oF..:/3-��2�ss.1'/�=�-4.�_:.................................... ST •.. FEE.......J ipaaal i , arks ua #rur ion mi fer Permission is hereby granted- -_ _... '-........---••---....----••-•-----------------------------•-----•------------•-•----------•-•. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.... ?111 tu.0 _-I+A," Y�. .--- �?�/x7 �- ,S i x-�•--Z'S�L/a.N�............... Jt eet �, as shown on the application for Disposal Works Construction Permit No. _ .._�"(r"� Dated_______ :_.%�___ {)__._._.__. ....................... ................................... 1 Board of Health DATE ---•• -- .•---- FORM 1255 H096S & WARREN, INC., PUBLISHERS ti :September 20., 1984 Y'hu-Hsiutg Lee, M. 'D. 11 Cutler Road Needham,. Ma. 02192 : Dear -Dr..' Lee e ; We are-`in receipt of your recent letter requesting to renew the ecwage Permit WQ. ' 80-496 for Lot 50, Islandview Road, Hyannisport. . The renewal fee ,is now $50',,00. We will `renew your permit upon the -•receipt of an additional $15.00; When,your. permit was, renewed in :1982 a new:'number -was, assigned.. .. The hew-number'was No. -82-518.. Upon,-receipt of your :check, we vial notify You of, the new number. If you have-' any questions, please'cal.1 -Mr. Ronald Gifford at 7.75-1120,: e$tension 182, -between- the hours, of. 8:30 - 9 v 30 A.My or 1200. to 2 r00 P.M'. Very .'t.ruly yours, .;John 14. .gelly- b: Health ry. Director •f to lic „Peal . - JMK/mm l EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE STREET EAST BOSTON, MASS. 02128 (617) 569-5800 September 11 , 1984 Mr. John M. Kelly Director of Public Health Board of Health Town of Barnstable 367 Main Street Hyannis, Massachusetts 02601 Dear Mr. Kelly, Because of various reasons we have not able to start the construction at 37 Islandview Road of Hyannisport. I would appreciate it very much if you could renew-. the sewage permit No, 80-496 for Lot 50 Islandview Road Hyannis, Massachusetts. Enclosed please find a check of $35.00 required for the renewal of the sewage permit'. , Than you. Sincerely yours, fYhu-Hsiunag Lee, M.D. 11 Cutler Road Needham, Massachusetts 02192 ✓, ..fie r f r s,'.d Tt T - ` -September 13. 1. '• - Er 5 'XhtiHsiung,'fLee�' Ne dh , Nia� Q2192 r ' r} ti: We .,Aret in receipt .of ,your 'recent letter. requesting an .ex- a t#n ion :of time or groui sewage perm tNo ,B -496 for Lot 50, .Y yf•���anC�Vl.et�` yj` Fiy�;nnisport.• '^ �. ir .. .r i t.: 1.•F• fei 1 i t • e. w• - •4 h an other•U t, f• 3~ •Q w w en t e e for t r ^'n recei 5` 0 e. ill ewe r�nit o a e o •r o . `1 .. .ears^ •- twr ' _ Tf' you have =any Fquestions,; p easa', ca1.1 Mr Gff ord at *775 1-12Q? :extensidrn ,5 7; 'ki'etweer� t'he` hours •off 8 30 -- 9:; 30 A.m. or } 123Q�PM. to 200 ,P,M. n. �. Very r truly yours Ro } Sohn ` F Drectors•Qf; Publ:iC Mealth` •,, :. � t., _r+t r 1 d , .N•.�•rC. .� 5•' aS'^�4 ref• C 1 ac-. � �: � Mb` - r .r t` .i , A t; V.4. � * .N c �� ��� � �' "�. Y l g '6 •s,��t;'t - ., L` _. !, . r' .. .. r . s• s Y.t .. 1 t �kti 4 .� i, �_ i.';4 l s��s µi yy 'c.. , • st ,. s. T �.^ .fir .,� r t �.N� ti t r�_! '• z l .< .. - r r4[r t �•{ f ' 3 -l ` � Y•` 1: Pr • i•••r s • _ .. ... 1'1 _ `' , w September 2, 1982 + Board of Health Town of Barnstable 367 Main Street Hyannis, Mass. 02601 Dear Sir, Because of high interest rate on construction loan, we have not started the construction at 37 Islandview Road of Hyannisport. The land has, not been disturbed since we obtained the foundation permit on ,;0ctober' 20, 1980 (it has been renewed and approved untill October 20th, 1982 by Mr, Joseph DaLuz). I would appreciate it very much if q'ou,.:could-extend_;the sewage permit. Conservation Commission Project permit file No SE 3-644. 37 Island Ave. , Hyannisport, Mass. (Lot 50) Certificate No, 81055 Thank you very much for your attention. Sincerely yours, Yhu-Hsiung Lee, M.D. , o EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE STREET EAST BOSTON, MASS.02128 (617) 569-5800 September 15, 1982 Mr. John M. Kelly Director of Public Health Board of Health Town of Barnstable 367 Main Street Hyannis, Massachusetts 02601 Dear Mr. Kelly, Thank you very much for your letter dated September 13, 70 1982 regarding^my requesition for an extension of sewage permit No. 80-496 for Lot 50 Islandview Road, Hyannis. Enclosed please find a check of $35.00 required for the extension of -sewage permit. Thank you again. Sincerely yours, Yhu-Hsiung Lee, M.D. 2- L_ I - ) ZONE: RF- 1 U E ©� C MAP: 265 PCL. 29 A�V C N � FLOOD ZONE: V10 (EL 22); NON—HAZARD "C"' L'25.92 N D 24.08' Ro 133.84 Panel No. 250001 0008 C (8119185) A souAw ISLAND +.� . PLAN REFERENCE.- LAND COURT 13772 I I�� N75-p6'00'E S8z913 E c BENCHMARK. FROM ABOVE MENTIONED F.E.M.A. '� / �� G�. FLOOD INSURANCE MAP RM 12 EL. 66.66' NANTUCK£T SOUND V LOT 51 L.C. 13772 LOCUS MAP I scale: 1'>2000' NIF 3 EDWARD J. PAVSEK 257 BANBURY LANE n PITTSBURG, PA. 15220 LOT 52 L.C. 137721 z j W ! N NIF N CHARLES TAROANICO h e aI 5 STANDISH AVE. $ CANTON, MA. 02021 50 __ 6,055 S.F. C.B. � 0.60 Ac. _-- J FND. � W C.B. S80'50'00° CE 1 FN .ro E ISL \ W E \ /CATCH 8T PROPOSED - 1 \ BASIN 15 STAIRS lo\2' C. (EXISTING u- EXISi1N �O PAVEMENT) GA BRZWY• 9 s e 26 ' \ PROPOSED C.B. \ \ PR OS ADDITION �O• OP �-�" A6p WALKWAY_ o: AS 2a APPROX. LOCATION APP OX LOP ' T. 1 C.B. EXISTING \ FND. EXIST. LEACH. PITS SE T. TAN \ 51__ 51 15° DWELLING . - CONC 1l R/NS 100'OFFSET A A K STA. _ TOP OF COASTAL / h �o .068\\ BANK \.5 B,TRE' y, PROPOSED NE �? NG ee'' z LOT 49 L.C. 13772 1 . ENTRY W/ROOF 12 25 5yNG o� a ` NIF LOT 44 L.C. 13772G c ° I 342� a \�. ANNE W. STRACHEN BRICK s BUCKSKIN DR. WESTON, MASS. 02193 SEWALL T. JOYCE WILSON B9. °; '49 pEca ��'Z {N0. 11• EX/S77NG BOX 188 HYANNISPORT GE z0o WOODEN MA. 02647 i'-'•'•pNiii \STAIRS . TUAIP PATIO /o'S N at \75V1/MP�i:•:•. .1AE..j'C-� 5 ...•' ol REPLACE TREES WITH °"':,1.-STI>wp A.. 5 RED CEDARS G. aL FND. �• EDGE OF LAWN201 p6 0P A` \\/ SIT PLAN t "PLAN REVISIONS"" FND. GRASS ®EACH AL FDR SERENE LEE 1 6 5/13 PROPOSED RENOVATION DPH , "Ile, 7110113 ADJ STAIR FOR SETBACK DPH °G/ PP'�` \ �� LOT 50 ISLAND AVENUE NE J�1O \ �A „SQUAW ISLAND" 2oN121 �,\e SANDeEACH BARNSTABLE, MASS. . Scale: 1"--20' Date: 211112011 NO. DATE DESCRIPTION BY �ny HIS�N.WA�i Warwick & Associates Inc. DRANK BP. GSL DATE,211112011 NANTUCKET SOUND - uee' GRAPHIC SCALE 63 County Road Box BO> CHEGYEO BH $HEFT I OF I �0 °1 w 1° (TIDAL) 9�L North FalPnouth, Afass 02556 uuo (508) 563 - 7777 P•Icoad Pro/eav 20041LL£Idrg\LEr.&g IN PEER) I.mon zo fL � DWG: "LEE" REV.'07 7012011 29. 11 LOT 51 L. C. 1 J772 12,7 N/F ED WARD J. PA VSEK 3 257 BANBURY LANE Lo PITTSBURG, PA. 15220 �Cl o ►72 w U) to N (CO A 0 )21 so 26,055 S.F. r C.B. �— 0:60 Ac. . _ - FND. - 50pp"W C.B. S80• F N 1 CE �1 � FND �o EXIST. 69•g9,— CA TCH �m 15 PROPOSED \ BASIN STAIRS 1 _�a 1 \ �0\21 � N N N cr FND.B. (EXISTING w EXA GE •5. �__ o� PA t/EMENT) G qwy- .�6' r r rht �• o' C.B. PROPOSED 5 FND. ADDI TION �� ` w 1 \ PROPOSE SLA 22�p 1 WALKW�� o'`# PAT. APP�OX LOG�� C.B. EXISTING APPROX. LOCH TION SE FIT TAN _ �� r FND. EXIST. LEACH. PITS `r. DWELLING OCONC. N 2 a RINS A WALK STA. 100' OFFSET ': 5 -4 a\ TOP OF COASTAL �0 6 \ BANK 8.,7RE�. PROPOSED NE' ENTRY W/ROOF 1?•25 E�\ V1.\�G 0 q C if- C. g� '� 13772 C' u, #� 3�2� e �s AN; Ow BU BRICK Z C.B. 0 o R"' G\C c> FND. EXISTING (CE WI L SON g9' 2 OE cn i I NNI SPOR T 1� �� GE ,'CA�VN-- ' DO WOODEN e \STAIRS '647 . . . � 5�, � � PATIOS /.'.'•' 10"STUMPoo,. Ti�MP �.'• 'S '•OFF AWNS 1.5 40 8 STUMP.•.'Q�,P • G ... REPLACE TREES WITH a ', 'S Tl)YNP R�'.'• ECK C.B. 5 RED CEDARSol EDGE OF LAWN00, 0� \ 0 C.B.01 -BEACH ,L e FND GRASS w� Q A` AL �o , \,\�� \I \P • ®SAND Y BEACH « ! I u9 4-I._ .,u� ,ol - n9.i It°�;II r• r .�,lkl ,91r I -. � ' - i i ' 1. I �;�•tr - m i 1 S pip ��.- ,• 5 I: ILI ) Z He - ,. rr cif s 6 - I uB.l.ol P-q tlol � I '�y'. S.° ,� •I tl•,P', 0 �- } 00 �� 3 j I UO - I --- YS7-'�— 4 1I I I i i 3 t .i � I VJ rt z r ` 14cD III 3 - I I 1 `�. _ I Y , � ZLo �� I r er to s d 1 d Z fit S • ,. r I f I� I I I , I l Z .\ ..t s / I ! ...... -rj w -41 jet .I r l I I 1: 4 i'M I p �!!9 e i I I aF pav'rI fwN :e --------------------- ffl� -lye J FNs W'rWdl N• � � ' 3>-I� r ... t ;� ' .,.` •. `-�,.- . . .�' �_ i��_ -� Q I .:'I ;HPa.I/ _ice (�p'?@Ib eq• w/bn'9Plf O Z� Sim s 0. 2 0 .F l pQplJ D'�A71`I A I I S r m �! a _ r 4'a 7L 411 4vr'�' r '- ^: .� -. � ,-, �. '. :. - ..ba SI�D' 4h _ y •, Q,I�L�Z� z:q /� �R 6� rl : 1 - I Li - p,l k I , I i r �� I'c•>:'- ' ' ''_ _—_ � h�Ay(EYL 6Eb l`wr'I ¢abwnF/ � d!i � - 1 i z 7 : I - { - I. B�IDE I01-0�X lar,o",c y/0 FIRFLnct I a I _ a 4�Y� T£ ♦7N 7FL 2.PFa.hvE cONLRE7t 6vhEti aF 41tEh y�--l� KEQJIREO ForL-Abl/rAW H.540iPMW+T`' CINo1 u IN& Ex7EFivr+ EvanQM6Nj."). AL•L1�,.5,fOii6D.LONaR6(&�iIJRFAC6h - - ('IOjE•6, ... _- - -. _ . :.:-- --' To *,is A F0*0"FwwM .a. pi.L QaNj'p RsroN1 kffNlzE'+ON WOW"µa m -PKtE N.16 M -p R oc-* K68.01mD W(L-MAI •rD o«hDE ¢vuaFlI.JM SIN PN. pP FV• � . �Y•6 Q _`•"I 1 '. �..�•-exln,"Ti,.'µi(EI H _:. _EyhEpT..wrgeycto�rEf-krrc.P,rtH.N61N :6i�FnoF"yTcn(Lh. .F.n.;¢wNk"- N4,_5.. _ - - - w - �woeNwM NO.1 ITeM- Z.'7%ND Nc.4od-.vo4.:A11- yco t E: yells I Lo,l + ProDEN DLM go, 2 31 q66 ! P I i «.. I ...ZLWi- art-t;•-.15-B6 If,C'P�7k) Y¢D,I,_� • - .. �� ti. 71 k _ " w I •/ I + I I a• � o b o Imo, I I o Q 17 1,e n! toot �Iz ti, 54. . G{ y............ To- Or F' All 7a 9 I r3 5 Y } ' . IdY� "I � I J I ' 4��,f -[,•-• I if. :� � {� 4 9 11 I ' 11 1� I I �' ,.. , I a t 1 d'�'' �• , �' 1`�I's I I' a __ I to 1 - DIN �: II I 1 : i t t l• lAt r OAT 207 777-4 44 I ^1) 771 [ - f I - , i I — 776 � ' ,�I- •I. is — � I I sI - -- -- - —--- - if , , 1 f 1 ,l I _- I s I I �I ' t i I 4 .a•. S 1s i 4� �4,,';i I e �- I sp,hl�I �i'i I • {Ip{ _ - lire ; I ( _ F II d I ! t � I �. . I .d IT 71 1 77 — ' , QD 71 II I I I i y � � 1 f t v A , L EACHI NG 3AS/N SECTION NOT TO SCALE She'e e1 2 g T ..'� ;7 a,a+T;•' ;.? _• 24"C./•MH COVER VEARTH FILL �, BRICK AND MORTAR COURSES AS REO D• TO BRING " COVER TO GRAD B' FLOW LINE INLET .L_. _ _ � ,:: 2'�- "TO WASHED PEA.5TONE FREE OF IRONS, PIPE :,. , •• FINES AND DUST IN PLACE OPENING WITH 4%g" 1 •. ' ' 3/4" TO I%2" WASHED CRUSHED STONE FREE OF 7 % • ' OUTER D/AMETER IRONS, FINES AND DUST /N PLACE AND l 314" INSIDE — , ' .• ' ' , • DIAMETER 1 . CONCRETE TO BE 4000 PSI 28 DAYS • �� 2. REINFORCED WITH 6"x 6" NO. 6 GA. W. W 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR r, GREATER DEPTH REQUIREMENTS 4,0., �-- 4' — s'o"---' '—� 4. NUMBER OF PITS REQUIRED_ 2 MIN. I / NOTE: EXCAVATE TO ELEVATION EFFECT%VE D/AMETER /B.00 OR (NOT TO EXCEED 3 'TIMES EFFECTIVE OEPTH) LOWER AS REQUIRED TO REMOVE ALL - WATER LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN ',. rYPICAL PROFILE GRAVEL TO DESIGNED GRADE. FL. EL. 34.5 v+ /8"STD. LT. WGT. C.1. MH COVER ' " ,r °: , �3.25 �•, 3/.� �1.�� 1: 4"C 1.PIPE 4"B/r FIBER P/PE T/GNT ✓o/NT OUTLET LEVE/. DWELLING FLOW LINE O TO FIRST JOINT 00 11 00 1 1 C. I. TEE 0 00 1 1 STD. PRECAST 1 1 f p 0 0 I 00 1 1 I I 29,to CONC. ?P•77 i f 000 p 0 1 1 1 1 ' I D/ST. BOX TO BE ��•�?� I. 11 100 00 0 1 I 1 /fit^cGAL. SEPTIC TANK , INSTALLED ON LEVEL, .',; • .;8'; . s: _• . STABLE BASE j 000 0 0 'j .4 100 0 0 1 SEP T I C TANK TO BE 1 100 00 1 1 I INSTALLED ON LEVEL, I I1 100 00 1 1 ; STABLE BASE. 1 11 I 100 0011 � , LEACHING BA I ' 1 1 10p 0 0 0 I 1 , i BASE TO BE LEVEL i i j g p p O j j ; ' ' EL. 22.DO SOIL AND PE'RC. DATA PERC. RATE : MIN. /IN. ®,� F TEST PIT N0. 1 i=i. z� TEST PIT N0. 2 z. 30.E i i c a,4 •� .TEST BY : C•.�LV. G.G. �u�-vccr yrc.�%e_1Z7 i1/7< 9 3 �a� l•. � WITNESSED. BY . TEST PIT GR. EL. (r QATE: 4- /98CI ' /6.9 &o /1/c C2.uv. WAS rZ vo GQ�v1�. yY�r=e DE5I61V DATA GENERA L NO TES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. ` DISPOSAL_,_.. ___ SEPTIC TANK DIST. BOX AN LEACHING BASINS TO BE STANDARD .::,,.._ •• ¢-�o G;�D �• 5a`• osnc�s7rT— PRECAST REINFORCED CONCRETE UNITS. EST. TOTAL DAILY EFFL. 6&C GPD. . ..:': . SEPTIC . TANK GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , SIDEWALL AREAGAL./SQ.FT, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF . -BOTTOM AREA GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977. LEACHING REQUIRED�.IL SQ.FT, . ANY CHANGES TO THIS PLAN MUST BE APPROVED BY .THE BOARD ACTUAL LEACHING AREA OF HEALTH. - LZs Q.FT. ' . .,AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/41 / FT, UNLESS INDICATED OTHERWISE. I. - . SEWAGE DISPOSAL SYSTEM. r(4�rRTINE.ORAN N _ .p 123417 q 4 /,^i c'� /�/,�,vrJ /�✓E. ��'�ir,�vy' / .�,yr� IiAL E� �a SCALE AS INDICATED • N'M. M. 6°!3'A RWI CK a ASSOC. , INC. Box 80/ - -NORrH SAL ovrH • ' ` MASS. 02556 ' l6/7/ 56.E —263 Cgnwwcc o i . 'I'C7y .... . - IJ � �' /t..l � � ��:V/,�' !�ao.� ZC1•'t!� •/irow-y,4 z�,e'� "c„ ,� j 4 RC ,ate °° oB ! ,,` �J 'mow N�5 24 z9.> �. i Z- 4V,I& 5�''17.:eoe?��s y".cca�.0• � � COCt/:5 ' 20 .�- I Jy^ZO /�'�. £G'gl•.��i T� .� �. Fib '. Cdil7G:.G�CN.;i3ASl�LJ f.... ,r NA I • -L. o C u s �.41� I { 4 ht N N /?7721' ao ro A A i4, svo W41-4 15'Z20 0. 1 f- ` , l 12 ' ,*Q,, GX l•57 1 i I W� a _ �� � F�t l%Z•�3zY, seocGe' I ,e.= ,+.,�, 1 .9 12 B'` 8.'G1CIN EL e3A � - � j N $TXa:a.1�3TJY3=.C3.tJ.SE kCY�. I ' ( �'. y 1 •� 2 O of"G, l 0 .- - L C 1•5 77z .Z p oo, C 28x E"' 5L CT'/O ! ca - - i;X G �T27, PRISC.45r .2EiNF. Ga1tlC-eer. Pe'44L iv�/2"x�'a"Foo T/�!G f8A _ W1 V-457Oit/f" l� /z:'.� 57 .e005 Z'o�G 4LOitJG LF_i'✓Cr7T 41 OF 1W,04,G C fn, o0o �,�b u _Wf�P f�o.�•ES. 20" O/G `.BoT.N 9!/?.�`:"R. ;q��J/OF+�� N � l=oc r� v� ram, 0" 7, iz o eogp, 6, �l�c n�slEC,c wFe�� 4l�r c144 6>4 4L7F•O AX.r,,9 5 "��t;�= L�.a/ o, s L~or'O Galls 0 �E� r v��s-PL o.t�s`tFia w/TN AA47-1v--A-,4r--r_/41- ¢C -- P, 7o i / o c 41 c oc./O• :��.Q c.4�.-.f_3-Asl.�' ��.. � ���" �'� / .� 6� o�2-- r�A 2 8• i , vv� s ' ci, ,eorV.cocD lr� �► � E �' FN g // 3 /'� C 1 p �\ r 77 7)0 , Q / 7 i LOT 44 ZC' /3772 ( \ IV' vo owl t 24 2c,47 f \ \ 0 ( / o c %3 772'-Z � 5 9 A-11AP M op so r r - , o cep �'v•J \ � ,R'�`'�' as .-'�;�: '' ,;"�. ,,,•- ; I � �+ � ' � � ,�, I o ?R �j D, fffdd -c.o ILLI�+::I��y=„�'�' �aY.��r � •a'�",':,. � 3 �., # I gx J- I Wa Uz fop 7 C FL A A FN° y -� Z dT ,5'0 �. C ✓3 '? 7z D W SL Ieo I 2�v 8$�3//4/�6 iC/q,v �--UCrr� So = ( owF n KEG/- 5�lJitJG -SFI 'E�vE M. W4R J-V/CK .466 0 C !0 O X 8 0 4 ,I SLAB FLOOR ELEV. 30.70 5" DIA. OUTLET(S) REMOVEABLE COVER GENERAL NOTES EXIST. FINISH GRADE AT FOUNDATION ELEV. 30.7 FINISH GRADE OVER DIST-BOX ELEV. 31.1 i RISER WITHIN 1) THIS SEWAGE DISPOSAL SYSTEM SHALL BE CONSTRUCTED IN CONFORMANCE WITH THE GRADE OVER TANK 31.0 6" OF GRADE REGULATIONS OF TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND THE REGULATIONS OF THE LOCAL BOARD OF HEALTH. 9" MIN. 2) THE LOCAL BOARD OF HEALTH IS TO BE NOTIFIED: (A) PRIOR TO BEGINNING CONSTRUCTION IN THE EXCAVATION FOR THE PURPOSE OF SOIL EXAMINATION TO INSURE CONTINUITY OF PERMEABLE MATERIAL. tri (B) PRIOR TO BACKFILLING THE COMPLETED SYSTEM FOR THE PURPOSE OF 32.3' 02X - - -- ----- PERFORMING AN AS-BUILT INSPECTION. 5.9` 0 2.OX SLOPE _ _ PROVIDE WATERTIGHT (C) PRIOR TO CONSTRUCTING THE SYSTEM IN A MANNER OTHER THAN SHOWN FLOW LINE 0 JOINTS (TYP.) " 3" = 4 PVCON THIS DESIGN. FROM SEPTIC TANK 3) CONTRACTOR TO VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH 29.37 14 28.47 4 PVC OUT TO _ 28.72 LEACHING FACILITY DIG SAFE AND OTHER APPROPRIATE AGENCIES. REPORT ANY DISCREPANCIES TO THE 28.35 2' LAID FLAT (S=.005) DESIGN FIRM. *EXISTING INVERTS SHALL J\Li' 28.18 4) ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING. IF THE SYSTEM IS BE FIELD VERIFIED 48" LOCATED UNDER A DRIVEWAY, OR WITHIN 10' OF AN AREA THAT MAY BE TRAVELLED ON, PRIOR TO THE PROPOSED H-20 THEN THE SEPTIC SYSTEM SHALL WITHSTAND H-20 LOADING. INSTALLATION OF ANY 1,500 GALLON CONCRETE SEPTIC TANK GAS SEPTIC SYSTEM BAFFLE 5) WHERE REQUIRED, THE CONTRACTOR WILL REMOVE ALL LOAM, SUBSOIL AND OTHER (TANK TO MEET SPECIFICATIONS OF "WIGGIN" DB-5 UNSUITABLE MATERIAL IN THE AREA BENEATH AND FOR 5 FEET ON ALL SIDES COMPONENTS 5 OUTLET DISTRIBUTION BOX OF THE LEACHING FACILITY. THE CONTRACTOR SHALL REPLACE ALL UNSUITABLE r, ADJUST PITCH 310 CMR 15.226) OR APPROVED EQUAL MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE ACCORDINGL Y. - - - - - - - -- --- - - - -- - - - - - - --------=H MATERIAL. REPLACEMENT MATERIAL TO HAVE AN INPLACE PERC RATE OF TWO MINUTES NOT LESS THAN 2% TO BE SET ON 6" OF CRUSHED STONE OR LESS. PLACED ON A COMPACTED LEVEL BASE TO BE SET ON 6" OF CRUSHED STONE 6) 4" SCHEDULE 40 PVC PIPE WITH TIGHT JOINTS TO BE USED IN DISPOSAL SYSTEM PLACED ON A COMPACTED LEVEL BASE. FIRST 2' OF OUTLET PIPES TO BE UNLESS OTHERWISE NOTED. LAID LEVEL AS PER TITLE V. NOTES: 7) THIS SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE DISPOSAL - ALL COVERS SHALL BE MARKED H - 20 SEPTIC TAN K DISTRIBUTION BOX DETAIL WITH A MAGNETIC MARKING TAPE. N.T.S. N.T.S. NOTES : TEST PIT DATA INSTALL OBSERVATION PORTS ACCORDING TO TOWN OF BARNSTABLE STANDARDS. 1. NO HEAVY EQUIPMENT OVER SYSTEM. LOT 50 ISLAND AVENUE FINISH GRADE OVER LEACHING AREA EL. 30.5-31.1 2. DISTRIBUTION BOX TO BE PRECAST INSPECTOR: DON DESMARAIS v\/yNv^/N/N/IWN"/I/ /NVIN/ V /F/Nk/ v vy'lw�,%/v lw�" I/ /N/\/I/ /V%/v vyw%/\/V%^/ V%^/777 v REINFORCED CONCRETE UNITS, WITH AN H-20 CAPACITY. DATE: 06/15/11 USE HIGH CAPACITY H-20 UNITS 3. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN PERFORMED BY:J.E. LANDERS-CAULEY, P.E. 4" DIA. SCHEDULE 40 PLASTIC PIPE 12"MIN. THIS LAYOUT USES STONELESS TECHNOLOGY. ACCORDANCE TO REVISED TITLE V OF THE STATE 8 MAX. BACKFILL INFILTRATOR 'UNITS WITH SAND TEST PIT # 2A TEST PIT # : 2B I ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS A �� THAT COMPLIES WITH TITLE 5 SPECIFICATIONS EL. TOP = 31.1 EL. TOP 31.1 . FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE. T 4.-`ANY CHANGES TO THIS PLAN MUST BE APPROVED EL. WATER< - NONE EL. WATER - NONE BY THE BOARD OF HEALTH AND THE ENGINEER. 219-1 5. AT THE COMPLETION OF CONSTRUCTION, PRIOR TO 0» 0" 16" BACKFILLING, THE BOARD OF HEALTH AND ENGINEER SHALL BE NOTIFIED FOR INSPECTION. FILL FILL 6. PITCH ALL SEWER LINES 1/4" PER FOOT. 24" 24" A UNLESS INDICATED OTHERWISE. 34" O/A LOAM O/A LOAM 27.16 7. INSTALLER TO LOCATE ALL UTILITIES. 8. `INSTALLER TO PROVIDE AT LEAST ONE OBSERVATION PO 8.6' 9. INSTALLER TO CONTACT THIS FIRM TO CONFIRM 30" 30" 43.75'-56.25' 11 32' SOIL CONDITIONS DURING SYSTEM INSTALLATION. B - LOAMY SAND B LOAMY SAND 10. ALL SEPTIC SYSTEM COMPONENTS TO BE CONFIRMED 10YR 6/6 10YR 6/6 BY SURVEY. INCLUDING BUT NOT LIMITED TO, THE 52" 52" BOTTOM OF TEST HOLE EL. 18.6 C - FINE SAND C - FINE SAND BOTTOM OF LEACHING AREA, PIPE INVERTS, AND TOP OF STONE 10YR 8/2 PERC ® 10YR 8/2 LEACH FIELD PROFILE END VIEW 11. ALL MARK NGRTAPE ALL BE MARKED WITH A MAGNETIC 56" i N.T.S. N.T.S. i 126" 126" DESIGN DATA SHEET 2 OF 2 SEWAGE DISPOSAL SYSTEM DESIGN FIELD LAYOUT , C+ \ 'i s LOT 50 ISLAND AVENUE Joy{���y\`�. Nli S 'AUL :Y BARNSTABLE, MA CAPACITY REQUIRED CAPACITY PROVIDED 56 5' • ., � �',�' LOCATED AT: LOT 50 ISLAND AV E N U E CURRENT RESIDENTIAL - 6 BEDROOM 43.75 ,x 4.72 SF/LF = 206.50 (1 10 GPD/BEDROOM) = 660 GPD 50.00' x 4.72 SF/LF = 236.00 y" ' TOTAL = 660 GPD MINIMUM 56.25' x 2 x 4.72 SF/LF = 531.00 43.75 b J�'u° BARNSTABLE, MAS SAC H U S ETTS SEPTIC SYSTEM DESIGNED FOR 6 BEDROOMS. 206.50 + 236.00 + 531.00 973.50 DATE SCALE DRAWN CHECKED JOB NO. DWG. N0. 973.50 x .74 = 720.39 GPD. LEE LEE RT N PO N PIPE W/TH OBSERVA 710 08 22 11 N.T.S. JDR ANY ADDITIONS SHALL NOT INCREASE THE � NUMBER OF BEDROOMS. CARBON FIL TER RESERVE AREA CALC'S REVISIONS Tyarwzck 4ssocZales Inc. SEPTIC TANK 50.00' x 4 x 4.72 SF/LF = 944.00 NO. DATE DESCRIPTION BY 63 County Road- Box 801 944.00 x .74 = 698.56 .North Falmouth, jVass 02556 j 660 GALS X 200% = 1,320 GALS. DESIGN CAPACITY (508� 563 - 7777 PROPOSED H-20 1,500 GALLON SEPTIC TANK