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HomeMy WebLinkAbout0025 IYANOUGH ROAD - Health lya-Liough Road Hyannis . .. A- 325 — 138 Li U o M o o � N o o � o Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 I anou h Rd. Y 9 Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Im out When fillingng out forms A. General Information on the computer, / ,09�� use only the tab 1. Inspector: key to move your cursor-do not Scott Campbell use the return Name of Inspector key. Cardinal Construction Company Name 32 Ridgetop Rd. AA Company Address Cotuit Ma 02635 City/Town State Zip Code 508-420-1295 S1388 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 6/28/2015 s i ig re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. P y t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert Macl-aughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: I B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El E 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 El ® than Y2 day flow t5ins-3113 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 25 lyanough Rd. Property Address Robert Macl_aughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 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 � 25 lyanough Rd. Property Address Robert Macl-aughlin Owner owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"non as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ,❑ ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins•3M 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form --Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2015 Date Commercial/Industrial Flow Conditions: Type of Establishment: Commercial Design flow(based on 310 CMR 15.203): 402Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 8033 sq. feet Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: 2013=27,675.00 2014=38,380.00 gallons t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wti 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: n/a Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): septic tank. pump station. s.a.s. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. CityTrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: holmes and mcgrath plan dated may 14, 1981 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.5 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): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 4.3 Scum thickness 0 Distance from top of scum to top of outlet tee or baffle n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a How were dimensions determined? tape measure sludge stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): System should be pumped every two to three years. Tees in place at time of inspection. Structural of tank is good. Liquid at proper working height at time of inspection. No evidence of leakage into or out of tank. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 25 lyanough Rd. Property Address Robert Macl-aughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert Macl-aughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): q Depth of liquid level above outlet invert 0 P 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.): box is set level. No evidence of solids carryover. No evidence of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber in good condition. Both pumps 1. and 2. in good working order. Cycled both pumps with manual switch. High level alarm float and alarm working properly at time of inspection. Alarm audible outside when tested. *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: Located. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert Macl_aughlin Owner Owner's Name information is Hyannis Ma 02647 6/28/2015 required for every y page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: 3 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Three flowdiffusors 4'+8'with 3'of stone all around Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 I I Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityfrown 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.): r Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters.the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately C I CAA) 01, 3b -O t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w., 25 lyanough Rd. Property Address Robert MacLaughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 11+feet feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record May 14 1981 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Excavation at time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 lyanough Rd. Property Address Robert Macl-aughlin Owner Owner's Name information is required for every Hyannis Ma 02647 6/28/2015 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i 77 YOU WISH TO OPEN A BUSINESS? C� For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 3.67 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: , 1 a�I`� Fill in please: 7,1APPLICANT'S YOUR NAME/S: P o,_F'c /� L+� i� �"� en I�!�1 >�'� USINEISS` YOUR HOME ADDRESS: 6,!. � �--nci r� G-F ���1r�� halc.v��n,t:,. �j•� K. TELEPHONE # Home Telephone Number I:iC.1!22'i60 ?i� NAME OF CORPORATION: Clre> P, �, . A Cr n NAME OF.NEW BUSINESS,' r TYPE OF BUSINESS `c O IS THIS,A HOME OCCUPATIONS YES : ADDRESS OF BUSINESS. ` .'. ` MAP/PARCEL.NUMBER _� 00K ,(Assessing} c��1`nd U Q�) When starting a new business tllef4 are severa.things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the,appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO IS 10 R�'SOFFZ This individ al he r e ny er r quirements that pertain to this type of business. t orizecjSiPat COMMENTS: 2. BOARD OF HEALTH This individual has be•egr }ej� �iVIVI of the permit requirements that pertain to this type of business. � Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS( ICEN NG AUTHO ITY] This individual he rmed of thr ir6nsi fgerequi eml ern s�tha pertain to this type of business. Authorized i nature* : COMMENTS: Date: 1 /ZI / 7/O I l� TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ( ,� n0, krC, BUSINESS LOCATI INVENTORY MAILING ADDRESS: ��n }�.n ,��1 y��� c�v� E., ��(�1, TOTAL AMOUNT: TELEPHONE NUMBER: cjo4> n can CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes z A 1 Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 's" nature Staff's Initials TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 32..Printers 3.Auto Body Shops `j O unsatisfactory- 4.Manufacturers COMPANy,&pU �1,��':!f!i?�Z, ' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS, �,4W�A*4'X V � Class; 7.Miscellaneous A<0`01 QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS . IN OUT IN I OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) 71 Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: :zgvAA- ku ev _F I DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply XTown Sewer APublic ' <` on-site OPrivate 3. Indoor Floor Drains YES_—No O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter NOW YES NO 1. IV � f r �� Person (s) Inte ewed Inspector Date Date: '' TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: MAILINGADDRESS: Mail To: TELEPHONE NUMBER: Board of Health 7.�--.�-�/.� Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: 011 Does your firm store any of the toxic azardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers ee"Orders") 5. Stores CoMPAI�� � � EMT 6.Fuel Suppliers ADDRESS c25 1�lla�� �� Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) OWN MAJOR MATERIALS , n IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: a � S q-�. S l 1 ocuq i2©w UZ4e , a DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2 W er Supply O Town Sewer blic y�, zaakt hA uK,4w, yi _ Xon-site OPrivate P-, 3. Indoor Floor Drains YES NO-�L O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter i YES NO 1. 2. l Person (sAnt6M6wed Inspector ate TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANYAVjV,-Z_ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS - - CSCr , Class: 7.Miscellaneous UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA .ERIALS IN OUT IN OUT IN OUT #&gallons Age ITest Fuels: Gasoline,Jet F el (A) Diesel, Kerose e, #2 (B' Heavy Oils: f _. waste motor of (CY new motor of (( transm' sion/hy raulic Synth tic Orga ics: de easers Miscellaneous: FOZIS4 4-'rrct"I "o Le C IIn fir% 41-r /v LIZA DISPOSALIRECLAMA ION REMARKS: 1. Sanitary Sewage 2.Water Supply d- W< -,fo� 4 O Town Sewer Vublic c On-site OPrivateey 11,oA o. 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC %A,IC7atch basin/Dry well O On-site system 5.Waste Transporter WERE IT. �tz 2. l� •� ��1/--fig Person(s) Interviewed Inspector Date o.. Fss......................... THE COMMONWEALTH.OF MASSACHUSETTS .�-- BOAR® OF HEALTH ..............�...........OF....4 S7441-C ..... ApplirFation for Disposal Works Toustrnrtiun rrnti#- Application is hereby made for a Permit to Construct or Repair ( ). an Individual Sewage Disposal System at .............. _.._.............._.. ..... ................................. .....•-------•-----------•---------•---------•----•------...........------------.........--------- or Lot • - _--- .............................-......................... ....... -------- .................... ... ---------------. -------•-----............. Address o BST .�... v� f arc_ _ _�_ •( ............ ......... ---••••- pq Installer Address r UType of Building Size Lot............................Sq. feet ►-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage.Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ......................................................................... w Design Flow...........:......��_.................___.gal lons per person per d y. Total y flow.... 0.2.---..--__.---•---.--..-gallons. WSeptic Tank—Liquid capacity-17,P..gallons/04ength._..19` _ Width. Diameter...... Depth__ Z_�,--_. x Disposal Trench—No. .................... Width.................... Total Length...,,??..............Total leaching area..__..OP.....sq. ft. Seepage Pit No-_------------------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil...o-z..... 'µ-/ ill ?...� tL -----•---� �� per r7;4z%xv� --- -- - w U Nature of Repairs or Al r tions—Answer when a licable._- � ........l.-/Z�7!G$j' / ............... lf� �• • • VrF'T/ldQrC7DXf ..... Agreement: - The undersigned agrees to install the afore cribed Individu Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary ode= The u.de lg urther agrees not to place the system in operation until a Certificate of Compliance has b issued b the of lied ----------------------- ------- 'T Application Approved B Dat ' l. ............. . ' ,pat e Application Disapproved for the f o g reasons:__ Zl"�°. ✓mod -- % Da te PermitNo. - -- Issued....................................................... Date Ito.--•-•- _---------- Fss..... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD DOE HEALTH ''JAL r. OF..... y1 Apphrutiun for Dispos rl. urks Tonutrurtiun Prrutit Application is hereby made for a Permit to Construct ( !) or Repair ( ) an Individual Sewage Disposal System at ...............,-- -._............ ..........."---•-• -•-••...--•..___-------------- ---•------•--------------••-•------------•--•----•-Location- d rej or Lot IQoa f" ........................... ..._ ..... -----_.. ...__... ...----•-... -•-...••--........ wher Address �--•---..n� ��-�.- r °-------ems......%fir,/ �c-! . a ....................•--..._... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ••--•--•---•----•---•--•--------•-•----••-----•--•-••.---••---------------•-•---••••--- -••••--•--••-•-•-------•--------------.......---.._..-------- w Design Flow__________________ ��______........................gal per person per day. Total d y flow_.__...........................................gallons. WSeptic Tank—Liquid capacityl?�I:71_gallons��I ength___. __�-L_`__ Width. ........ Diameter.............. Depth__C.L.."... x Disposal Trench—No_____________________ Width.... .......... Total Length...3_d........ Total leaching area...... fl.....sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (j' ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date..................:..................... ,4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OGr--- ---------------•------•-------•----------•••--•....------......._.....---•••••-••-...._........................................................... O Description of Soil_.a^_�_._..�c' = 7J/1...50/Lc.- - .......................................I .. x CtJ'� .r✓`Y! Cif..v vx...�" Z------`..... W -------------------------------------------------------------------------------------------------------------------------------------•-•-•---------••-------•---•------•-•._.____••--•- . --•_-•---- U Nat re of epai s or Al �ations—Answer when applicable-- f: .......l-_22_S7__t" _-.._.l=._A 1' �<t••a Cry ...�-•--- . . �r---�f':F`1"t�--C!•�- .-�` ��<f= l' x&�_t�f�ZZ�rtt ._--•--•---•---- U /! y Agreement: The undersigned agrees to install the afore scribed Individuarl Sewage Disposal System in accordance with the provisions of iIT TIE 5 of the State Sanitary ode— The and-'si d,further agrees not to place the system in operation until a Certificate of Compliance has e� issued y the..b a,: of he th. f � y,� Application Approved By...........(.. ? .._ W. _. ! / __...... r 2/.* �IJate Application Disapproved for the }' ng reaso s: ____ ✓ � '�__-E'-'?1 �. a�.. t .f ^iE .r � . .! ....................................... ' Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................................................................. �rrtifiratr of Tuutpliunrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.---•--•----------------------- --------------______-----------______-•------------- ---------------•-----------••---•----------------------------_-_______--------------------------------- Installer at..................................................................................................................................................................................................... has been installed in accordance with the provisions of TI'L-E j of,The State Sanitary Code as described in the application for Disposal Works Construction Permit No.I/_P� __ �_ _5_____________ dated_............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATOFACTORY. DATE J�• ......__... Inspector �� 26 -� .._.....---•-----------------------•--...-- THE COMMONWEALTH OF MASSACHUSETTS i > BOARD OF HEALTH ................................ ..........OF..................................................................................... No.. ........ FEE........................ Diu uuttlWorks C�unutrurtiun Vrrmit Permission is hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( . ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit,No..................... Dated......................................... -------------•-- Boaid of hI alth DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Min. distance 20 X 150 = 1 5' 4 diam. Schedule 40 PVC Pipe ( tight joints ) - 30 FL E x i s t i n Gr o 4 PVC P i p e } level tight joints ) + 2 —S = 0.005' 30' RESERVE AREA VENT PIP 34 24' 3' Three 4'wide x 8' long S01 L T EST FLOWDIFFUSORS® o TEST PIT N- I Proposed Fin i s h Grade Elev. = 18.0 J de _ Date of test APR I L 14 , 1981 _ All Access Manhole covers set at finish grade -- /�" G o /G 12' min- cover o�cleon backfill8. oom - J PHIL I P D HOLMES IO'min. -- - -- Test taken by �j ; 5 h �� �/ --- ------ _--o Inv. =16.15 --- \ F / DIST. Witnessed by PAUL MURRAY, RON GIFFQRD.-- F I oo r � g BOX ti Bot tom elev. = 15.15 Elev.= 14. I ZOA ,�, �I M N - - -- Percolation rate - --_ 2 min.,'inct, S-0.02 ---- - - rJ _ M� (b `6 4.15' Ground water NOT ENCOUNTERED 0• +,n S - 0.02 �� ----------- �� v TEST PIT N° 2 - _ ------ ___—- — - ( observed s e r v e d a t e I cv 10.9) - �, Elev.- I I.00 0 0 0 _ 1250 Gal._ M >1 __ _ _ GROUND WATER - _ Date of test APR ! L 14 1981 M c c - - Test taken by PHI LIP D.HOLMES , SEPTIC _ � - - - - - R.C.I'OUNG ��� �� - TANK _1 - �_ � o� - --- o n 01 > -_ _ I >. )I. ! - Witnessed by PAUL MURRAY,_RON_GIFFORC J > ��' H-20 Loading v, a Percolat ion rate min./incr', �I �I PRIOR L E A A IO Ground water„ 4 BELOW SURFACE_ 1 PUMP N 0 T TO SCALE 3 4' 3 CHAMBER i S 01 L _LOG ( Provide approximate C ' ecn back fil _ 3„ NS I N` 2 24 hour holding capacity ). T ooa ° tc I. washed stone 'o`- 4n all sides covered Depth Soils Elev. Depth Soils lev H-20 Loading �_s �° �°, o a u„�°:� .°., . I with a 2' layer of � to _ 0 25.3 PUMP NOTES 2" washed stcne Pace L O A M , �_OA M , Hardware cloth all SUBSOIL 243 1' SUBSOIL i 12.8 --- 1.) Provide Two MYERS SR4 , TAIT WH4 i cround to Keep stone ur approved equal pumps capable of passing i Medium at least I ! inch solids with liquid level controls. CROSS SECTION `rom getting inside of 2 q 9 Medium 4' SAND 98 2. ) Pump controls and alarms sholl be in accord with NOT TO SCALE cnariber. -- t he requirements of TITLE 5 of the STATE SANITARY CODE. S AND Ground waterl 3. . Control panel and olarm panel to be installed inside of building. 8 1 i R AVE!.. GENERAL NOTES II 13.3 � M I )NO CHANGE TO THIS SYSTEM SHALL BE MADE UNLESS -- i APPROVED IN WRITING BY HOLMES and McGRATH, INC. i 2)SUBJECT TO INSPECTION DURING CONSTRUCTION BY - 10 '- 6 " THE BOARD OF HEALTNH AND HOLMES and LMc�G�RATH,INC I - 3)OVER DISPOSARL SYSTEM bURING OR AFTER CONSTRUCTION. j 4)DISPOSAL SYSTEM TO BE CONSTRUCTED IN ACCORDANCE 1 Access manhole covers under paved WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE. DESIGN CRITERIA PY OF THESE PLANS MUSTBEKE - I - areas shall be raised to finish grade. 5)DU�R NG THE TIME OF CONSTRUCT CN THE SITE F P ,N J` L A 8033 F ! Other areas require covers to beset 6)A COPY OF THESE PLANS MUST BE FURNISHED TO THE Hai Y F �� .� ., cI er d a within 12"of finish grade. CONTRACTOR CONSTRUCTING THE DISPOSAL SYSTEM. — - g---- P---- - ---..---. I�\ I ? )BEFORE BACKFILLING THECONTRACTOR SHALL NOTIFY Access manholes with a depth of more than Leachin Area Capacity r �° eq. 402 ( I'yir� ) INLET _ � ,_ , � = ,UTLET 5'from finish grade shall have a minimum HOLMEe and McGRAT� JNC. AND THE BOARD OF HEALTH ----- -- ----- ---- -- - AGENT TO INSPECT THE SYSTEM AS CONSTRUCTED. inside width or diameter of 4 ft. Side Area proposed 80 (square fit-1 J 5' 6" 8) HOLMES AND MCGRATH SHALL BE NOTIFIED 24 HOURS - ---_- - __ �. PRIOR TO CONSTRUCTION TO INSPECT AND CHECK Bottom Area proposed__ 300 s uare_ft. r?ARFS ANr' t orATION r,F i`74CIL I TIES --"-- t-- '- — ` Heavy duty metal frame8tcover or reinforced eaching Capacity proposed 500 (gal's/day). concrete cover over"T9'where required . ' Gut!ei pipes from tt* distriiwtiOn D-,x ,hal Uu'le? set t least ' + Domestic water supply from TOWN SYSTEM • — _-- - _-- be s eye fora I a,. from the box. -- _ - Concrete block I(nockaufi: -_ or u 1 5� �. -t-a- .1 _. _ _ _ Precast concrete units , ( H C Loading ) STEEL REINFORCED PRECAST CONCRETE = Brick masonry. ------- Removable covers---- - -'16�- _ �-T- Tee --r ., - - -- --- ---- t•_ „ ,, , ��_ �. o , n T,, � ° 6• ,t,,l t-7 -__-..- j O'.,� , ,._E T -'_,... 2-6 � - �-;T; ,� ,• � � , .F-=� -�•= 5-20-81 ADD VENT , ADD NOTE NUMBER 8 3 -min.clearance required - - ; -�- INLET • INLET "T UTLET 13 �— '� DATE =- _ DESCRIPTION Drawn by Checked by - i,.-2 mm-inlet to outlet 6 min. - TEE • ; 1"0. - ��� :� ° • a , - _-_ - — �----�— -= -- -'777— R E V I S 1 0 N S IOmm. Liquid level —. 14" CL JJ PLOT PLAN min. Pi L - - 1• ;�,, ; tts bh E a, - -- 6-1' o - Ev - - Ja i --_-_ _ `- — -0 — Ai� I-� — 3'_0" -- .�-- 2'_s" —�- OF PROPOSED SEWAGE DISPOSAL SYSTEM :W --— �_ - -- -- — -- 4 _ - i -_ -I _ i d - _ I� I I i FOR J O H N E. CONWAY J , � --- --- -- --. a 1�- —� Crrcte;e cover ' p 4�` 1 Y A N 0 U G H ROA D �� �• 4' , e ,e —L o , —'+ 4 e 6 i � - 6 -- -- - - -- --- — � j ITee E -•- min. !� etNL� n HY A N N I S6 BA R N STA BL E MASS .i 1 OuTLET k.no:Rout�l �" Krx7ckouts TYPICAL 1250 GALLON SEPTIC TANK H—ZO LOADING) ' - - �--a scale . As Shown Date: _— May 3,1981 „ ,_ , 6"mir a � ' 2-4 - holme s and me grat h , inc. SCALE :3/8 - I 0 i -- t... - IP' i_ _ civil engineers and land surveyors 1 O ; Lam' P '�� ° dQ� p � _ _ ____. ______ �_ _ 220 main street TYPICAL DISTRIBUTION BOA falmouth III ma. 02540 N O T T O S C A ! E y Y �-� Drawn B R.S .J. Checked B - ---- -- r . ,;��i �,q�! /l•',.-, JOB N2 81096 DWG.N2 27-1- 13 SHEET 2 OF 3 DA�E 1981 � E GIN' ER } 2 i t 1 I Y A N 0 U G H ROAD STATE HIGHWAY BENCH MARK 9 N E CORNER OF CONC. SLAB o ELEV. = 14.64 N G V Potum f Metal 19 0. 9 91 - LSB w/pin CB w/dh o fnd fnd Light _ W GLi ,fl \ fO Utility I Pole O concrete ! Pole 2A ' sloes 1 39'± 69 O � O stockade fenc ..1 a•{ ei�\ PO\Q ( 36 �9r p I , , Proposed , LOT C 1 `I 30'' Existing I Add iti P i 4 � 471408 s.f. 8U ! L DING I 36 � Existing - MghbPo\ N Sp 4 � Existing . ING 9 a IFir:;t F I(Y)r EIev. = 4.00 BUILDING 2 1 ego\ o\e, 16 2 Ilwll i Existin cess �Vc� P D I H 99 O ' No�l , � O f Z Ir O /4 ; SEPTIC Z I� TANK - - 0 Minimum horizontal distance from the top edge of the 60. 4' 1 1-4 ' Leaching System to the intersection of t he proposed 1 r 1 finish slope is 20X 150 = 15' j -- Test Existing / — 22 - --� N Hule rrP 140 i,� e OD A �lrtionOD - - R Three 4 x B FLOWDI USO� + 0.4 , with 3ft.of stone atlaround� 37 - J.5'wid�-x 5 IonS \ --Bij P r-TiA.I�B ER-11R , - /6 - ,,, - - Rv E 14 o 18 Grading in this7X _-- C 20 a r e a by o t h e r_s_. - Test - - �H o I e 4 I �0--- - . �-• _ BOX �—' , 0 22 _- - 77- ( �v 4�� - I _ _ �� u' 24 2 28 ---- /l �C U" r� �� I i ..f �, f ..'Sn �.. ` ..?...� .1L�,...L'��^.i tL ._ ..E'>,.$ . r SAL �S 1 EIS'' 28 3 ,,. -' JOHN E . CONWAY post 8 ra.I fence -a a� "Qos _ TABL E A . t 30 ,� , 22 HYANNIS - BARNS _ _ . M _ -SS MPN 5 Scale : I" = 201 Date: MAY 1 3, 1981 t TITLE REFEFtFNCF hol e s an me grat �� NOTE MP COMPOSITE PLAN OF LAND IN civil engineers and fond surveyors f THE NORTH ARROW IS DERIVED FROM RECORDED ---- - - — - 220main street HYANNIS�BARNSTABLE, MASS__ i - I fa'mouth , rna. 0254n o� O1 FOR"LOU 1 S- A.—BYRN E ___.-- -_. ---- (drawn 8`� -BK,-R_S.J. Checked HY PLANS OR DEEDS. THE NORTH ARROW SHALL N T _ BE USED FOR ORIENTATION FOR SOLAR HEATING N _ DATE D_-__FE.B. 15.1949 PURPOSES. ASSESS2PS MAN N° - - 34 3 2 _p. J 'R tia° 81096 L�WG.rv�' 27-113 SHEE11 I 0 I^ 3 { i -j— Access - monholecover set at finish grade. 5-0 ' 12'Dischorge pipe ' 5 _ 0 1 ram- -T PLA N Provide 4' of cover if discharge tine remains full of effluent after pumping . B >, - --- v n� —�6 '— -- -- 1 „ CHARGE _ Y8" SL,TS j INLET i i w Cleonout and i�24' CEt.7ERS ;; Inspection I ' --4— — - i cover _ L____________ _��_____f .__ ___----__-_- R y A Alpproximotle NOTE O t-=-______-=____=--_-_ _- 24 hour Q cldl All' I h I of PUMP CHAMBER to be waterproof construction �t ,_i__------- -- - ---T7- '---__- _____ ____-� capable of preventing round water infiltration . A I _-, t 1 capacity P P 9 9 REINFORCED , RB — - (ALARM ------------------------- q B Pum OFF PLAN VIEW . ' Galvanized Lifting Hooks „ — f 2 l PUMP CHAMBER ( TYPICAL DESIGN ) -1 i CROSS SECTION Knockout For 3 = 1 '-0 Bed instnllct,cv. SIDE VIEW 9 8 —Cleonout and Inspection ^over. 0o b Dom. 61. 18 O 8" o17-1 � 2 C7 / O C+7 O O 2 a" �� P,nockout For 1/2"Concrete >I 4 Trench Installation 12 12" SECTION B - B SECTION A -A TYPICAL FLOWDIFFUSOR NO SCALE ® DENOTES REGISTERED TRADE NAME. DATE _ DESCRIPTION_ _ Drawn by Checked by R E V I S 1 0 N S PLOT PLAN OF PROPOSED SEWAGE DISPOSAL SYSTEM FOR JOHN E . CONWAY IYANOUGH ROAD HYANNIS BARNSTABLE MASS. Scale .' As Shown Date' May 13, 1981 hol me s and me grat h , inc. civil engineers and land surveyors 220main street falmouth , ma. 02540 Drawn By R.S.J. Checked By JOB N° 81 096 DWG.N° 27- 1- 13 SHEET 3 OF 3, DATE: 4 19&I C 6 1 L EN INE R