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HomeMy WebLinkAbout0099 ISLAND AVENUE - Health 99 Island Avenue,'111-1yannis A= i i TOWN OF BARNSTA.BLE L'`CATION if zk d 14te. SEWAGE # VY;f LAGER ASSESSOR'S MAP & LOT P. INSTALLER'S NAME&PHONE NO. �/t��iT e � kg- ��-5 °-21 U SEPTIC TANK CAPACITY LEACHING FACILITY: (type) .S S06!sa (size) NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility• Feet Private Water Supply Well and Leaching Facility (If any wells exist ' on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any weilands exist within 300 feet of leaching) Feet Furnished by 4.14 f � • l• �� -1 t � '' ( � r . �� � X. ., -� �, ���� ��� �. �� .-�. 'f- t �.-. �o�� z ct No. �® Fee O L Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for �Dizpozal *paem Cott.5truction permit Application for a Permit to Construct( ) Repair pqi Upgrade( ) Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. 9c, lc,,� A Owner's Name,Address,and Tel.No. tAr-,td 1-Eyo�nnuEy�o{�- i MA 055(44r•7 cl�► �s1c,.+.� AoL, 1�.�amis�o•�,t�1a O�bv1 Assessor's Map/Parcel 6 S O 1 Installer's Name,Address,and Tel.No. DeE igner's ZJI me,Address and Tel.No. kalkt- J (ror•.tTrihc-rrw+ o,+^ •O- .o 0- 3 -, Type of Building: �,e�`S i,q o 0 r-kP- w Col Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.reN/0 40 gpd Design flow provided (• gpd Plan Date 6 Number of sheets Revision Date Title /- Size of Septic Tank I sl'?J to AumJ Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code arid not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 1" o-o Application Approved by Date /0 Application Disapproved by: Date for the following reasons Permit No. oo 1p —7 D Date Issued 0 /0 No. DOG [ Fee OV Entered in com THE COMMONWEALTH OF MASSACHUSETTS p uteri LZ— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYtcation for Mtgpont 6p.5tem Construction Permit Application for a Permit to Construct( ) Repair_K Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. )9 �e lGn_ A V" Owner's Name,Address,and Tel.No. � h c��n�If 1u1A (24 C"ln ���l�r.Q ►�v�, 1�,IFm;,s4,,�,pla oz 1 f: Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel. �j-��.�i�i�f �r--�Tnt�c-r»,.• Irv, �ti-- ,�•(�• �� �1�61 , k. •�N..Q./,4L,1V1Ya ��.531 , I)'pe of Building Dwelling No.of Bedrooms Lot Size / 44 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 6 Z/1,J Z Number of sheets ,2 Revision Date Title Size of Septic Tank SJ.) ��,�i i 2, s Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer-when applicable) _A k' 1 j 'a A f Date last inspected: Agreement: The undersigned agrees to ensure the construction and�mai :te H'nce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment al,Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. t Signed n Date 06W )c. 10" oo! I � Date Approved by _ /0 h Application Disapproved by: Date for the following reasons Permit No. d oo(O'` / /U Date Issued_ O O t%p " Offe) THE COMMONWEALTH OF MASSACHUSETTS — 10 BARNSTABLE, MASSACHUSETTS - Certificate of Compliance - �si THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired Upgraded / g P Y ( ) P ( �) Pg ( ) aA Abandoned( )by </N Q i at �)�� T-,)E, 0 `� o r„. �, .,n„1' 1 Q� �d has been rconstructed in accordance J with the provisions of Title 5 and the for Disposal System onstruction Permit No. -)00 b /U dated 1�u//u 166. . Installer /art ic�►�_f �7,1f,4,,c 7 in Designer Vv\ A � �— e #bedrooms �n f'P r�`., Approved design flow � � gpd The issuance of this its shall)ncli b'e construed as a guarantee that the system will f(uncti n as desige•. Date 1 °' / �� P Inspector ` 1 � � i---� _ ... No. t)of, _ '7 70 Fee (/Ufa ^. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE;MASSACHUSETTS Oigo!gaY 6pgtem CCon5truction Permit Permission is hereby granted to Construct ( ) Repair O Upgrade ( ) Abandon ( ) System located at r) (���� � 52 1- , h1A (k:-z/4 j and as described in the above Application for Disposal.System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. /� Provided: Construction must be completed within three years of the date of tpermit. / Date 0 1(d/r')(4 Approved by Town of Barnstable' Regulatory Services N� O� t Thomas F.Geiler,Director iAANSJ'l4BFiE : Public Healih Dl'VHS1011 qip. i6_ ADO TFp, Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form ].late: 1 (p/0(, Designer: /"/ Installer: 5w CoNs�n .ttD� Address: . po . gOx 98 Address: . S ewd�tt b253 ,. . y ��66 r ���. tiT ��s ,. was issued a permit to install a (date) Qq -� (installer) / septic system at 6 6 l s L'CA1Q &OA/V E based on a design drawn by (address) M dated //._ G6 a©o b (designer) 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. f I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the.septic system)but in accordance with State&Local Plan revision or certified as-built by designer to follow. �o1 Y OARR-N yGu, M. U AN44 'E 0 1A0 (Install s Signature) ' i o �C1STS ` S \ gNiTAR\�` �l v G V (Designer's Signature) (Affix Designer's Stamp Here)-- PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMFEIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS - BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC ITEALTH'DIVISI(31`t. THANK YOU. Q:Health/Septic/Designer Certification Form _ NI . 1 Town of Barnstable. P# 1 Department of.Regulatory Services l l� • Public Health Division Date • ent.e, s per 200 Main Sheet,Hyannis MA 02601 . �lFD 1�M d Date Scheduled Time—rC-=— Fee Pd. "Soil Suitability Assessment for Sewage Dis �osall . Performed By: � '7 C5 Witnessed By: i LOCATION & GENERAL INF0RMAT ON pp _ Location Address• ' Owner's Name �®�-,,! l� KEN14 to DY � ISi��O FCv�_ HYkNol5pop-t, Iv A QQi - Address q9 ISLt�00i tve- 14W Assessor's Map/Pdtcel: 2�, b l 7 't #rA v! Engineer's Name � M I�4 ���5 NEW CONSTRU('110N REPAIR Telephone# -50 62" -2- Land Use 1��$(�E Slopes(96) Su�faceStones �� Distances from: Open Water Body. too ft Possible Wet Area_-!7�ft Drinking Water Well zU ft � O ft Drainage Way y BOO ft Property Line ft 'Other SKETCH:($treet name,dimensiods`of 104 exact locations of te+t holes&pert tests,locate wetlands in proximity to holes) S l`l cSewA-Z tS 0A-� z D� Tc-F + Parent material(geologic) Depth t0 Bedrock :----.-.---� Depth to Groundwalec Standing Water in Hole:' •N A Weeping from Pit FACE_AA Estimated Seasonal4gh Groundwater �/ 1 101tTERMN TION FOR SEASONAL MGR WATER TABLE - Method usui: Jr. Depth ab�erved standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. ©rounriwater Adjusttnent m�.e...�ft' _ A .ACtor.�.__.._ Adj.dnnundwnterLevel Index Well# Reading Date Index Well levCl - - PERCOLATION TEST Observation - l Z. I Time at 9" -.= — -Mo N Hole# + Time at 6" Depth of Pere , --1,-� ,,7 .L�(,a�l 'Cime(9"-6,i� ,SM t� _ -_ / , Start Pre-soak Time.C -- End Pre-soak Q a3 QI Rate MinAnch X Site Failed; Additional Testing Needed(Y/N) Site Suitability Assehsmeat: Site Passed• i— Original:.Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percola#0n test is to be conducted within 100' of wetland,you must first notify the Barnstable C4#servation Division at least one(1)wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) "-5" A SAtAR Low lD {L��y M�kSscv� rasa 5`r X0 LUAM 5,*0 1 0 2s/g a At Mate, mil, 30 - lZ2 G WlEOcvM 5yJ,Y� DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%ir"sveli rr_5 rr Lo 3l2 /,l�A M0t55wee 444& !o y S/a of a 4*551"W 61"4- `i" 13q" 1�tG11 vat,1;t,A4 2`SY 614 All* S e ru�v�t r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, i Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on (v 61 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the require ar 'na.expertise and ex p rience described in 3..10 CUR 15.017:, Signature Date U$ 15 Q:\.SEPTIC\PERCFORM.DOC Town of Barnstable P�Of 1HE t ti Regulatory Services saiuvsrnB Thomas F. Geiler, Director 9�A 09MASS. Public Health Division lFD MA'S A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 13, 2006 Ms Joan Kennedy 99 Island Avenue Hyannis Port, MA 02647 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 99 Island Avenue, Hyannis Port,MA,was last inspected on March 17, 2006 by, James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Single cesspools automatically fail in the Town of Barnstable. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH EPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:. 991sland Avenue C4 4;= Ci Hyannis Port, MA 02647 Owner's Name: Joan Kennedy ? OG Owner's Address: ✓ t Date of Inspection: March 17, 2006 € '' Name of Inspector: (Please Print) James M. Ford = Company Name: James M. Ford i40 `1 Mailing Address: P.O.Box 49 =`' Osterville,MA 02655-0049 + Telephone Number: (508)862-9400 •-„• > CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the in prmation=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 Needs rther Evaluation by the Local Approving Authority ✓ Fails Inspector's Signature: Date: March 20. 2006 The system inspector shall subs a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of complet g this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP: The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 99 Island Avenue Hyannis Port MA Owner: Joan Kennedy Date of Inspection: March 17 2006 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. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND 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 obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 991sland Avenue Hyannis Port MA Owner: Joan Kennedy Date of Inspection: March 17 2006 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 fail' Y m mg to protect public health safe or the envir onment. ironment. 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 2. System will fail unless the Board of Health(and Public Water Supplier,if system is functioning in a manner that protects the public health,safety and environment: rmines that the 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 99 Isla nd Avenue Hyannis Port, MA Owner: Joan Kennedy Date of Inspection: March 17, 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow ✓ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)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: NOTE.SINGLE CESSPOOLS A UTOMATICALLY FAIL IN THE TOWN OF BARNSTABLE. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 991sland Avenue Hyannis Port, MA Owner: _ Joan Kennedy Date of Inspection: March 17, 2006 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? _ ✓ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ — Was the site inspected for signs of break out? ✓ — Were all system components,excluding the SAS, located on site ✓ — Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ — Existing information. For example,a plan at the Board of Health. ✓ _ Detennined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. M 5 �. Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 99Island Avenue Hyannis Port, MA Owner: Joan Kennedy Date of Inspection: March 17. 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): n/a Number of bedrooms(actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a Number of current residents: 0 Does residence have a garbage grinder(yes or no): n1a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): n/a Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system 10) 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) Tight Tank Attach a copy of the DEP approval ` Other(describe): f Approximate age of all components,date installed(if known)and source of information_: Date of installation unknown-oriQinal Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 991sland Avenue Hyannis Port, MA Owner: Joan Kennedy Date of Inspection: March 17 2006 i BUILDING SEWER(locate on site plan) i Depth below grade: None Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line.. Comments(on condition of joints,venting,evidence of leakage,etc.): i SEPTIC TANK: None (locate on site plan') Depth below grade: Material of construction: _concrete _metal _fiberglassi _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): certificate) (attach a copy of Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: j 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: I How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc): i i GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal' _fiberglass _polyethylene _other (explain): Dimensions: I 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc): i i i 7 i I Page 8 of 11 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) i Property Address: 991sland Avenue i Hyannis Port MA Owner: _ Joan Kennedy Date of Inspection: March 17 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): i Dimensions: Capacity: —___gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches',etc.): t DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) I i Depth of liquid level above outlet invert:' I 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.): i I PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): i i i i i i i 8 . i Page 9 of I 1 i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) j Property Address: 991sland Avenue Hyannis Port MA 1 Owner: Joan Kennedy Date of Inspection: March 17 200 i I SOIL ABSORPTION SYSTEM(SAS): None (locate on site plan,excavation not required) If SAS not located explain why: i i I Type leaching pits,number: ; leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: I 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.): CESSPOOLS: ✓ (cesspool must be pumped-,as part of inspection)(locate on site plan) 41 -In driveway 1 42- Backyard _ Number and configuration: I single(steel cover to grade) 1 single #3 Off back corner Depth-top of liquid to inlet invert: - - Laundry+ bath Depth of solids layer: 0" -- Could not locate Depth of scum layer: off 10" Dimensions of cesspool:_6'W x 8'T x 10'bottom to vrade 6'w x 4'T x 8'BTG Materials of construction: Block Block Indication of groundwater inflow(yes or no): No No Commments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Cesspool #3 a Barnstable. ears to be under cement vatio could not locate. NOTE:Single cess of ools au ail in the Town j PRIVY: None (locate on site plan) i Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 99 Island Avenue Hyannis Port MA Owner: Joan Kennedy Date of Inspection: March 17 200 i SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. t vi O ionoj m,5 aAth IA�^trl QA�k P GA(A 4 At y 13 r - 3� to 4 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 991sland Avenue Hyannis Port, MA! Owner: _ Joan Kennedy Date of Inspection: March 17, 2006 i SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 20+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on 'record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours mans Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: i You must describe how you established the high groundwater elevation: Using Barnstable topographic and water contours maps the maps were showing approximately 20'+/ to ground water at this site. i i i i I i i This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or'implied,relating to the system, the inspection and/or this report. ll HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Harold S. arunelle j/ BUSINESS: 775-1300 CHIEF - Smle Oeftftj Save oeived J EMERGENCY: 911 FAX: 778-6448 To ; Town of Barnstable, Board of Health - T. McKean Town of Barnstable, Conservation Commission From ; Fire Prevention Bureau, Hyannis Fire Department Subject ; The installation of above ground storage tanks. Date 5/2/00 Persuant to the applicable sections Of 527 C14R —Fire Prevention Regulations, this Department .has inspected the following location for above ground storage. five' ADDRESS . 99 Island Rs4 Hyannisport, MA (D� eJ z' . OWNER/OCCUPANT Joan Kennedy T PHONE SIZE OF TANK(S) (1) 275 gal. Steel Basement Tank COMMODITY STORED #2 fuel oil PURPOSE FOR STORAGE Heating THIS INSTALLATION IS : PRE-E STING A REPLACEMENT NEW This installation complie does not comply with the required installation reg ation listed below. FIRE PREVENTION OFFICE For: HAROLD S.BRUNELLE,CHIEF HYANNIS FIRE DEPARTMENT s 0o T�l 8 1 ,`— 9g Not R BORTOLOTTI CONSTRUCTION,INC. H�[rH0 PTTAeCf 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 508-771-9399 508428-8926 FAX: 508428-9399 G 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ERTIFICATION Property Address: Date of Inspection: Q19 Inspector's Name: ` Owner's Name and Address: O 00, d 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 time 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: Passes Conditionally Passes Needs Further Eval 'on By a Local Aproving Authority Fails Inspector's Signature: i /,vt7� Date: 7 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 flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: - A)SYSY(M, PASSES: 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. 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): 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 n�,'i-sh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC W. 'ER 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 or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clog- ged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year SDI due to clogged or obstructed pipe(s). Number of times pumped -2- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) An portion of the Soil Absorption System,cesspool or privy i Y Po rppoo p vy s 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)LARGE 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 conditions exist: 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. 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 regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: - //Pumping information was requested of the owner,occupant,and Board 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. je,"'As-built plans have been obtained and examined. Note if they are not available with N/A. _,ZThe facility or dwelling was inspected for signs of sewage back-up. ✓The system does not receive non-sanitary or industrial waste flow. _,�he site was inspected for signs of breakout. �GAll system components,excluding the Soil Absorption System,have been located on site. �e septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition of baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge,depth of scum. _jXe 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- 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 RKSYDENTLALe V Design Flow;• gallons Number of Bedrooms:_ 5 Number of Current Residents: Garbage Grinder: 0 Laundry Connected To System: W Seasonal Use: Water Meter Readings, if available: Last Date of Occupancy: COMMERCLALIINDUSTRIIAL: 14)6) Type of Establishment: Design Flow: gallonstday 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: Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: zAII System Pumped as part of inspect, A)0 If yes,vol mped:pu gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspectio records,if any) Other(explain): APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors detect when arriving at th ite: A24) -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: A)o Depth below.grade; Material of Construction: - concrete metal FRP_Other (explain) Dimisions: Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) 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 tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) TIGHT OR HOLDING TANK: /l Depth Below Grade: Material of Construction:—concrete metal FRP—Other(explain) Dimensions: Capacity: gallons Design Flow: gallons/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 level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP_ CHAMBER• Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) -5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION 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: Leaching fields, number,dimensions: Overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure level of ponding,condition of vegetation, etc.) CESSPOOLS: v X s Cd I� Number and configuration:,,2, -' Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool:s flX Materials of construction: ",Y f Ondication of groundwater: Inflow.(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydrauli failure, level of ponding,condition of vegetation, etc.) —7600 - - 60" f " — /a ff 014 olt" CUL pyL PRIVYL,�_)C) Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -6- 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 v ithin 100 Feet. i 36 t� DEPTH TO GROUNDWATER: Depth to groundwater: Feet Method of Determination or A pro 'mation: '��ll�Tr r )`�'aof (�✓ �fi i�lgD� -7- r TO N OF BARNSTABLE Q -LOCATION 9 �M AV(, SEWAGE# �,VILLAGE 14' PO(',- ASSESSOR'S MAP&PARCEL oF6S' 17 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY SIA Cis_t LEACHING FACILITY: (type) size) NO. OF BEDROOMS OWNER_^�4 klAAL�-1 PERMIT DATE: ,'its COMPLIANCE DATE: Separation Distance Between thaQ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching f cility) Feet FURNISHED BY_X/ISpe U'on J� FU�� c a 7 'D � � A W � � TOWN.OF�/BBARNSTAB LE LOCATION SEWAGE ram' SEWAGE # V1-'T:LAG ASSESSO 'S MAP & LOT PE�Y0i0S,NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) -4 l� (size) /- Ca'y k S' W NO.OF BEDROOMS BUILDER OWNER PERMITDATE: COMPLIAN DATE: Separation Distance Between the:. Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by N� (� , ` � J' � - - - - - � . � -` � �� _ t li.,` :Y LOCATION SEWAGE PERMIT NO. a, �lRs'=viz V 1> E INSTA LLER'S NAME ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED. �� � ley. �� _� .�� � • , � '� ___ ,� �. �� ��� i �� .F' �:' i � {;; e > �,. _.i �'r e �� ,r . � .. Hates CCreek c Squaw Island k`.. 5q ua nd Rd LEGEND ' NANTJCKET. F _ SOUND Islan.Ave rTF_ 138 PROPOSED CONTOUR J 138 PROPOSED SPOT GRADE " Hyannis Point. —110 EXISTING CONTOUR j LOCUS MAP N.T.S. 110-02 EXISTING SPOT GRADE TEST PIT W EXISTING WATER SERVICE — — �W PROPOSED WATER SERVICE (, EXISTING GAS SERVICE — OHW— EXISTING OVERHEAD WIRES AP N 2 6 5-01 7 43,449±5F �^ QF Mfs _ _ �� D RR N cy�N ��_ _ _ EX15TING PLUMBING FROM GARAGE TO TOF x OF fl + COASTALcn BE REDIRECTED A5 5HOWN TO EXIT ' BALK/ 0. 1 0 o OUTLET(A). (ALL WORK TO BE DONE BY HAND) ��G►sTE�� // s�AIITAR\�� N550 1 9'00ff i 1 1 .65' STING CESSPOOLS TE 12 - / G nPexnx wrwnor, � ^� 4�°� "� `D SLATE PATIO �� p` o `' N35°41'OOW° � �y m � � °Q / G 28.48' 1 o GARAGE No. 99 2 5TY. I. WD. FRM. U 1 s FLOOR = 100.88' •/ — O ae SLEEVE � � I N O SEWER INE i ESN OF^�Q Q 01 FIT ER�9 WAT IN % RICHARD oyGN �O 13' ° ° b IV WA r So J. ° % ' c Q o, � 50' EXISTING J�,O� v / T _2 CE55POO QQ 2 g9 2 I r_ i 0) �q ss\o 0� N �_ 9 66' T13M= SEPTIC SYSTEM REPAIR N 9� EL:98.43 941_//i�,, F 4` .75 center 99 Island Ave., H annis ort, MA 02647 E.O.P. EDGE OF TRAVELED WAY of Top Prepared For: Joan Kened of 5talr Engineering by: Surveying by: SCALE DRAWN JOB. NO. ISLAND AVENUE Darren Meyer R.S. HOOD SURVEY GROUP 1"=30' CAD—IT P.O Box 981 E. Sandwich MA 02537 (508) 539-7799 DATE CHECKED SHEET NO. (508)3G2-2922 08/18/06 DMM 1 Of 2 PROPOSED TANK SOIL ABSORPTION SYSTEM NOTE: TO PREVENT BREAKOUT'THE PROPOSED INSTALL RISERS W/HEAVY.DUTY FRAME & FINISH GRADE SHALL NOT BE < EL:95.83 INSTALL RISERS W/HEAVY DUTY FRAMES & COVERS COVER SET AT FINISH GRADE INSTALL.RISERS W/HEAVY DUTY FRAMES & COVERS OVER FOR A DISTANCE OF 15' AROUND THE (Existing) OVER INLET & OUTLET SET AT FINISH GRADE THE 2 END CHAMBERS AND SET AT FINISH ( 9) GRADE (TO SERVE AS OBSERVATION MANHOLES). PERIMETER OF THE S.A.S. vEaF,p FINISH GRADE ELEVATION 99.5 n n MAINTAIN 2% MIN SLOPE OVER LEACHING AREA f I 5-500 GALLON LEACHING CHAMBERS 4" SCH 40 PVC L =23'(MAX) IN SERIES WITH 4' STONE.ON SIDES I I CELLAR FLOOR ° =2� lo' ® S- 1% MIN. & 3,75' OF STONE ON ENDS I n A• (MIN.) TEE's ARE TO BE 14 ( ) 4" SCH 40 PVC 4" SCH 40 PVC a6a9 ;y INV.95.83 e" g" ® S= 1� MIN. aaaaa aaa6aaaaaaB I 2' EFF. DEPTH aaaaaaaaaaa LE INV.=95.7 p BOX 3.75' 8.5' X 5 = 42.5' 3.75' wATR TEST EFFECTIVE LENGTH = 50' PROPOSED 1500 GALLON SEPTIC TANK �LE�Ess INV(outlet A): 96.6t* GAS BAFFLE TO BE INSTAALLED ON INV.=95.53 INV. ELEV.= 95.3 INV(outlet B: 9 1) OUTLET TEE AS MANUFACTURED BY (See Sheet 1) TUF-TITE, ZABEL, OR EQUAL TOP CONIC. ELEV.= 96.33-- -BREAKOUT INV.=96.08 goals 00000 ELEV.= 95.83 aaaaaaa 1 aBaaBBa NOTES: 1) ALL INTERIOR PLUMBING TO BE MODIFIED TO MEET "VE OUTLET ELEVATION AND LOCATION (A). (PERMIT REQUIRED) BOTTOM ELEV.= 93.33S' 4'2) SEPTIC TANK AND D-BOX SHALL BE 4' MIN.ABOVE BOTTOM OFF WIDTH = 13' SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY T.P EXCAVATION OR G.W COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED LEACHING SYSTEM SECTION IN 310 CMR 15.221(2). " BOTTOM OF TEST HOLE EL: 88.04 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. ,r SOIL LOGS GENERAL NOTES: 'SEPTIC SYSTEM PROFILE DATE: MAY 15, 20' 06 1 1 SOIL EVALUATOR: DARREN MEYER R.S. CSE \I APPROVED Y THE LOCAL ALL CHANGES TO THIS PLAN MUSTBE 0 ED B N.T.S. WITNESS:BOARD OF HEALTH AND THE DESIGN ENGINEER. E DON OESMARAIS 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS BARNSTABLE BD OF HEALTH OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS: Elev. TP-1 Depth Elev. TP-2 Depth 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 99.8 A 0" 99.2 A 0" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE l SANDY LOAM SANDY LOAM DESIGN ENGINEER. 10YR 3/3 10YR 3/3 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 99.39 g 5" 98.79 a 5" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LOAMY SAND LOAMY SAND ENGINEER BEFORE CONSTRUCTION CONTINUES. 2.5Y 5/8 2.5Y 5/8 5. ALL ELEVATIONS ARE ON ASSUMED DATUM. DESIGN CRITERIA 97.30 C 30" 97.2 C 24" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF NUMBER OF BEDROOMS: 6 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. SOIL TEXTURAL CLASS: CLASS I P MED. SAND MED.SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER MAIN. 96.14 2.5Y 6/6 95.04 2.5Y 6/6 DESIGN PERCOLATION RATE: <2 MIN/IN 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. DAILY FLOW: 660 G.P.D. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED DESIGN FLOW: 660 G.P.D. 89.64 1 1122" 88.04 1 34" TO ORIGNIAL CONDITION ( TO BE DISCUSS W/PROP OWNER) GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) NO G.W. ENCOUNTERED NO G.W. ENCOUNTERED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE PROPOSED SEPTIC TANK: 1500 GAL. CAPACITY (H-20 LOADING) PERC RATE: 2 MIN/IN. "C" HORIZON PERC RATE: 2 MIN/IN. "C" HORIZON THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING LEACHING AREA REQUIRED: (660) = 891.89 S.F. CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS .74 IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. USE 5-500 GALLON LEACHING CHAMBERS (H-20 LOADING) IN SERIES AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 12. EXISTING CESSPOOLS TO BE PUMPED AND FILLED BY HAND. SIDEWALL AREA: 2(13' + 50') X 2 = 252 S.F. CESSPOOL IN FRONT TO BE PUMPED REMOVED, AND REPLACED WITH BOTTOM AREA: 13' x 50' = 650 S.F. SEPTIC SYSTEM REPAIR/SITE PLAN C SAND 13. ALL SEPTIC SYSTEM COMPONE TS T I BE H-20 LOADING. TOTAL AREA: 902 S.F. 99 Island Ave. H a n n I S o rt MA 02647 DESIGN FLOW PROVIDED: 0.74(902) = 667.5 G.P.D. Pre pored For. Joan Kennedy � C NJ MEst CvnS�7v�� f vk �11, t?I �P� � y� i Engineering by: Surveying by: SCALE DRAWN JOB. NO. ,r rQss��e �1`I Dan" M?-R.� Hood Survey Group N.T.S. CAD=1T b11K W 6,�r j,n� G s �' _ I E..0 and e, ,('� � 0 u/0�_ � E. Sandwich, MA 02SJ7 (508) 539-7799 UP,A S 0 ' Gg Sv�.� W q-�QF�7' ��.ey! ��G ZG1n� ! a f/ L )� I I' (508)362-2922 DATE CHECKED SHEET NO. y,h y�rs �� 'b y �T 811812006 DMM 2 of 2