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HomeMy WebLinkAbout0009 JAMIE MARIE WAY - Health 9 JAMIE MARIE WAY Hyannis A = 274 036 i T t t ti I a E. i i a l O f I e Ii r TOWN OF BARNSTABLE LOCATION �f ecmi�. X,4rje, SEWAGE# o?®lol O 1 VILLAGE NyAnrliS ASSESSOR'S MAP&PARCEL Lo+ 1 INSTALLER'S NAME&PHONE NO. CAPg&Wee, k 4P,,,,i ses LLG• -W$-jh77--&77 SEPTIC TANK CAPACITY %®O® LEACHING FACILITY:(type) - 5'00 6-21 Ghc-a+bers (size) /3,o d'x o2ci / NO.OF BEDROOMS-3 OWNER ,-nY1 CG/JAI) Tct IAA.S MIJ C4 1' I® —r r, PERMIT DATE: "7 I fy a•C91 COMPLIANCE DATE: 7 a Separation Distance Between the: 'V0 G► Lr,-etW,4 f eo- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Ene�"'"�""� �'DapFeet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) /VIA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within ,/ 300 feet of leaching facility) ,/" Feet FURNISHED BY Cf41P�a'CDL„ 6.g g t�2M S LL Cr ' N A A-3.c A-4=33 A-5-3414 i3 d�d3.5d ,k o 6 z i v No.ao — w� y t: Fee C �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for Zisposal *pstem Construction Permit Application for a Permit to Construct( ) Repair 00\ Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C1 jAM1l: !"4pj WAq h\/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 6:3 G 1011 KI I kA 02.6 balV AA,1A)I Installer's Name,Address,and Tel.No. —6-0:9 477-2-9-1'l Designer's Name,Address,and Tel.No. C, (,LC, C�11 J 4FEYu xjEi t a.�v9j<; =�, a C S-r MAS M WQ51 UsDSSEIEW Type of Building: Dwelling No.of Bedrooms Lot Size 33,360t sq.ft. Garbage Grinder( ) Other Type of Building QQ jTJAUrt Imo_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 jo gpd Design flow provided 14D9k. gpd Plan Date (p act a® I �L y Number of sheets _41 Revision Date Title AN E-: MAZI e irll& L Awns Size of Septic Tank low G.k4 0 0�& Type of S.A.S._ �, SQO l.84Ga DJ6, 86—A3 Description of Soil d &Agsg S " —r a d GO o� 6t k5-e Pow Nature of Repairs or Alterations(Answer when applicable) U S9 GA,STII. & 1 O0CrjWi&) S00TI C hJkL -TO N e�k) D 0)c zo 1. 540 (4`of 6ZUcyC A&xwb 66-tw�� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed (7yza Date ?I ;to(_ Application Approved byl�C. Date Application Disapproved by Date for the following reasons Permit No. 0 — Dag Date Issued (� { ------- ------------------------- ----------------------------- --------- --- --- - No.a V Fee THE COMMONWEAALTN $F MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftPlitatlon for Misposal *pstrm-ComatrUttlon permit Application for a Permit to Construct( ) Repair(* Upgrade(,=) Abandon( ) [:]Complete System ❑Individual Components r Location Address or Lot No. 9 J"j l= MAp .jZ WAq 4?.� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel O 3 a 4 oaAPa�©AN�A cr C.14 (M (S Installer's Name,Address,and Tel.No. SO$ 477-R&1'7 Designer's Name,Address,and Tel.No. PEWIbE �Te+@�6tiS1:'S c.l.G C—t.�^�.Ix�EQ't17JEc 4JOb2J<S��, c c. 5 M AS u6 C WET l awg,- Type of Building: Dwelling No.of Bedrooms Lot Size 3 0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33n gpd Design flow provided gpd Plan Date )•9-3101 �L Number of sheets/ Revision Date Title 9 a A04I 6 M�I E WAY HYA MU S Size of Septic Tank—A G (,%,O j, & Type of S.A.S. a. SOO C-zALA4 ) L94.NILYC C"Beas Description of Soil C S N PnZ C S o-i�ct 5!✓ Nature of Repairs or Alterations(Answer when,ppl cable) .. -i 1 SOOT (� Date last inspected: Agreement: > The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. y Signed Date Application Approved by S Date - 10 Application Disapproved by Date for the l following reasons Permit No. a(�(�_ a 8' Date Issued y ". THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certffitate of Compliartte THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V Upgraded( ) i Abandoned('� )by CAyswmc eNj7 ; KIS3�3 L4_ _ at S64M1�MApr= k4j Hy A 0(!; has been constructed in accordance with the provisions of.Title 5 and the for Disposal System Construction Permit No..,20 dated 771'd Installer C40 EW 6 F_rlil Ate( l�F"� LL)1. . Designer wak<_<; Z&X, #bedrooms Approved design flow '✓3 o gpd Tl a issuance of this permit ssh�all/,of be construed as a guarantee that the system will-fiti x do as.designed. Date / J 3-h.;L Inspectof gn ) No. a o (a — a � � Fee 1 d 0 L THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal :6pstem ConstrUttlon 3permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at "! ZTAwtl i= MA21 E WA\( H`lAw m S and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with kTitle 5 and the following,local provisions or special conditions. r r Provided:Construction must be completed within three years of the date of this permit. i Date (o `a Approved by �Ao nv"-I z/ l 07/31/2012 19:52 5084775313 ENGINEERING WORKS PAGE 01 Town.of Barnstable Regulatory Serrices R Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: -7 1 Sewage Permit# Assessor's Map/Parcel 774 - 0 S 6 Installer&Designer Certification Form De-signer: ,y; ri{,a.�.� Wor4s. Inc. , Installer: �q� is-ea Address: 12 W, Crb :s 1C4 124- Address: �fS"3 C�n�w�c✓��a I SI^- Eij t1a �c M A- 67-4.4y Mrs kQ-,R- (" 02.6Ky on—?-I o -ao 4� w t CA e was issued a permit to install a (date) (insta er) septic system at based on a design drawn by (address) �`— t,vt,- me__ 1�i�n l-*� dated z Q r ?- (designer) )e- I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required)w . ted and the soils were found satisfactory. �N OFgt,�, al► ' PETER T. er's Si a WENTEE CIVIL y No.35109 �OI.T (Designer's Signature) (Affix Design re) PLEASE RETURN TO BAMSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS ,FMRM AND AS- BUL IT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffiee fonns\desig=rccrdficallon form.doc • a~ Towwof Barnstable P# w Departinent of Regulatory Services ` - '` F .��,►�, F Public Health Division Date 200 Main Street,Hyannis M.A02601 Date Scheduled c� C3C Time r �- r —� Fee Pd. --/ Soil Suitability Assessment for S e Disposal Performed By:: Pr 0"AL �-44--� -10 �. By: Witnessed LOCATION& GENERAL-INFORMATION O Location Address Tokml i~ MAIZE LC44Y •rr 7 Owner's Name 'TAtdd1$AiJp ILO TA"1P041 rr 7 Address f 0'j k4 t_K'0$tF T)k. I4jW►15 Assessor's Map/Parcel 9-7`4 1 3(p , Engineer's Name dAQe-w-AW ttdtr NEW CONSTRUCTION REPAIR Tele hone# Land Use: yt�C �n,�l�, 2 .Slopes(96) � � Surface Stones w ` Distances from: Open Water Body���t7 ft possible Wet Area,/J�1� �� g Drinking Water Well fi t Drainage Way Z-�7J ft Property Line , Q1-1f ft Other ft SKETCH:(street name,.dimensions of lot,exact locations of test holes&perc tests,locate wetlands 3n proximity to holes) • 2 I mar® • V `� � Z C-C-A YL-<-:- Parent material(geologic) (J Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Aj Weeping from Pit Fpee Estimated Seasonal High Groundwater / ZE9 ti DETERMINATION FOR SEASONAL HI Method Used: GH WATER TABLE Depth Observed standing in obs.hole: In. Depth to soil mottles: In, Depth to weeping from side of obs.hole: In, Groundwater Adjustment Index Well# Reading Date: Index Weil level „ Adj,Actor AdJ.drtlundwater Levpi -- _... Observation PERCOLATION TEST. bale . Time Hole# Tima at 9" Depth of Perc Z 5 `L 1 �"�Time at 6" .- St art Pre-soak Time® G C.�rtj(Lj Time(9"-61") End Presoak Rate Min:Ftnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observ'dtion Hole Data To Be Completed on Back------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. ! Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# '> Depth from Soil Horizon Soil Texture .Soil Color Soil. Other\ Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons ®� 6 � •S c. •� Y/ ' to x- � la '1 �Nl-c C Sa�vl. 2�5`� V �Tcr- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenov.%Graveh . D"(p � �L.• ld 2yIZ . 6"Z$ SC aszf 12d e-- tNL�-C Sol.-A DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency. Oroyel) Flood Insurance Rate Ma : Above 500 year flood boundary No— Y6;L Within 500 year boundary No X Yes..;..r 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? & i If not,what is the depth of naturally occurring pervious malarial? Certification ,� I certify that on ���_(date)I have passed the soil evaluatorexamination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required traird ,expertise and experience described in 10 CMR 15.017. Signature Date—ij 0-!/�- Q:\.HPTIMERCFORM.DOC y�IKE r ye Town of Barnstable 8A MASS. Regulatory Services 163 Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 - Fax: 508-790-6304 September 30, 2003 Mr. Somsak Sangworn 102 Kilkore Dr.. Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 9 Jamie Marie Way, Hyannis, MA 02601 by Donald Desmarais R.S., Health Inspector because of a complaint. The following violations of the Town of Barnstable Board of Health Regulations, Nuisance'Control Regulation No. 1 were observed: Nuisance Control Regulation No. 1, Part VII, Section 1.00: Refuse on the ground next to the house. You are directed to correct the violations within seven days of receipt of this order letter. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Please be advise at failure to comply with an order could result in a fine of$100.00. Each day's failure to co ly with an order shall constitute a separate violation. PER ORDER OF HE BOARD OF HEALTH T omas A. McKean, R.S. Director of Public Health Town of Barnstable d n �'13o)03 Q:Health/orderletters/refuse/274 South.doc ��� ,��`fir..., ' •�• � �7�"' `�5�' �;; ''l,�'y � t • e i}4}t�,� �ry{ y' <d t� `f"y}:•; _ �. x • y- � +..r-- r M'jt i •'�"� � •.� dP,tY f it nk t'.r � ,1��' '. �� �Y�`-` � •a'� s� �.���:{ SPA'.•,:. _may 1 •\!�"+--ly �1fr./ 3 ' iP ,: ,�. 11�,7."�ry 'n•F�r.` f Gib, 10 f► Ft a a �T «,r • „ � ..M �,t¢ �Y\ � � r � )� r. �:� ,,';'.fir' '„�-, r "�', t'4d.,Y�r "t.�`' s,.t.a� .v'P'c. I►—r r�t�`{ t k f -tow _ 7, i t � ."tee"' •' '!t. �'R f nt �s;� ti 4 ti Ij ,. ��,e..�'7 '�� t, ';.tf ti� �}"4��•`�" �' C�'1{,,; Aol- 'Wt�{�,�Ft Ail, if t ,/, 4r°' •-..�'`'�� 'r '�'„t r!J � 7 il' r � k , �6!tl� 1 i,d•;-• �n �r r ♦J r ' ,f ter, •41. .y er �9/' �. �t,u11 '�'�`i«",x s. ' . s 't ,�-,�,rd rt:,fat F t G. rt.�.•.,'.'�� '��e'f.�`' �'...I S g '"`a' ✓ ! � �y" y^: 4 '`"\�_ � fR ..� �1�,� 7..�� ,,a,�''� X ! it ��r f 1 r ! E7L 6,• t t't �, 1.. Z'ir 4� � J� `1.' I^ • P / !", �u 6 i �f i r, ;? •.� 1' 4 '�� JJI• •,� � 1 1.P�/ 4C r I',.,{i • . ;A!„ ,F t4 ��.� e j / �� ''". r,� ' .c • t � `f. �. "'�. . ,`7 +' ea�P.ai.,` s���rtK,r ��//jj �¢��. ��y,,,,.. *,,��`.,+ fir q��y�X7�„i.r P; i �'� . •. �'�� /ti ../t�'ttt,'�i s ��,•. �v .r.1... \ •! x f��{I f C� � �..Pe' a ��( D't� ky F P ••ti�{�1 .4°�7P ,�r ,�'��P• a� I� 1 V qy :d•J{ ; 40 .tt a .� / ,��l: ry..`` ��" �7 i �' d :r >i l�Fr I. r� yyyytS'jr�f•r\ t ' I COMMONWEALTH OF MASSACHUSETTS =- = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF-ENVIRONMENTAL PROTECTION a yv - -- /� 350 MAIN STREET WEST YARMOUTH,MA vaniO 508-775-2800 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSM NTSRECEIVE® SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAY U 7 2002 MAP 274 PAR 036 Property Address: 9 JAMEE MARIE WAY TOWN OF BARNSTABLE CENTERVILLE,MA 02632 HEALTH GEPT. Owner's Name: FINLAYSON,RICHARD Owner's Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Date of Inspection APRIL 15,2002 Name of Inspector:(please print) JAMES D.SEARS Company Name: A&B Canco Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number: 508-775-2800 CERTIFICATION STATEMENT 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 X Conditionally Passes Needs Further Evaluation by the Local Approving Authority iIs 1� Inspector's Signature: Date: The system inspector shall su mit 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 tot he buyer,if applicable,and the approving authority. Notes and Comments NEEDS NEW DISTRIBUTION BOX. LINE OUT OF BOX HOLDING WATER AT BOX END. ****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 1 Page 2 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: N/A _ 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: X X 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 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: X 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): X pipe(s)are replaced obstruction is removed X distribution box is 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: Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (CONTINUED) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 C. Further Evaluation is Required by the Board of Health: N/A _ 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(l)(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 salt marsh 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 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 M*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: Title 5 Inspection Form 6/15/2000 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in pit is less than 6"below invert or available volume is less than''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be'attached to this form.) NO (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. E. Large Systems: N/A To be considered a large system the system must service 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 is 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. Title 5 Inspection Form 6/15/2000 4 Page 5 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 Check if the following have been done. You must indicate"yes"or"no"as to each of the following Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X Were all system components,including the SAS,located on site? X 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 X 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)has been determined based on: Yes No X Existing information. For example,a plan at the Board of Health. X 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(3)(b)] Title 5 Inspection Form 6/1.5/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 1 10 gpd x#of bedrooms: 220 Number of current residents: 3 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: PRESENT COMM ERC IALANDUSTRIA L Type of establishment: Design flow(based on 310 CMR 15.203): 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: N/A 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 X 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) Tight tank Attach copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 1986 PERMIT 85-1134 Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 BUILDING SEWER(locate on site plan): N/A Depth below grade: 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.): SEPTIC TANK(locate onsite plan): X Depth below grade: 14" Material of construction: X concrete metal fiberglass e polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1,000 GALLON PRE CAST Sludge depth: 2" Distance from top of sludge to the bottom of outlet tee or baffle: 28" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 12" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How were dimensions determined: ASBUILT,TAPE&PROBE Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): TANK AT WORKING LEVEL.OUTLET BAFFLE,TANK AND COVERS 14"BELOW GRADE. NO SIGN OF OVERLOADING SEEN IN TANK. GREASE TRAP(located on site plan) N/A Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 TIGHT or HOLDING TANK: N/A (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/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.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): DISTRIBUTION BOX IS 16"X16",26"BELOW GRADE.ONE LINE IN,ONE LINE OUT. BOX NEEDS TO BE REPLACED.LINE OUT OF BOX IS HOLDING WATER.PART OF LINE OR ALL MAY NEED TO BE REPLACED. PUMP CHAMBER: N/A (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.): Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type X leaching pits,number: 1 leaching chambers,number: leaching galleries,number leaching trenches,number,length leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) LEACHING IS ONE 1,000 GALLON PRE CAST PIT.PIT IS 55"BELOW GRADE WITH COVER AT 28".4' WATER IN PIT.NO HIGH STAIN LINE.NO SIGN OF OVERLOADING OR SOLID CARRY OVER. CESSPOOLS: N/A (cesspool must be pumped as part of inspecti on)(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 or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: N/A (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.) Title 5 Inspection Form 6/15/2000 9 Page 9 of I l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 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. �S F W ddr C Et 4-1 �c -57 y� 0 Title 5 Inspection Form 6/15/2000 10 f i Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 JAMIE MARIE WAY CENTERVILLE,MA 02632 Owner: FINLAYSON,RICHARD Date of Inspection: APRIL 15,2002 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 27.3 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: Observation site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation X Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS WELL DATA WELL AIW 247 27.3' ZONE C 8.8' ADJUSTED 18.5 A3 � - lY•S 0 5 k--S Title 5 Inspection Form 6/15/2000 11 �x TOWN OF BARNSTABLE LOCATION / 7/4/J�E 4h4,f/Z t-J1 Y SEWAGE # VILLA G Ct�II?Y ASSESSOR'S MAP & LOT NI PLEIP 'SNAME&PHONENO. 8 U1,61CD 77S-12- 1"- SEPTIC TANK CAPACITY �T c //�i 5i�f c'�ioti LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER Otis fc imti PERMIT DATE: 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 Wedand and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .c. I } l NI _ O � .. O 31, L a 1C A 1 10 H S E Vlf A tA'l E P E A M I T Pl,0 t�-oq j ol /\001 V f! L-L A G E INSTA L L E 4'S 4 .4 ME 4 A p DIIESS x c 6. 104 B ti I L D F 11 OR ovyll En LA D - T E PERMIT ISSUED If O UED DAT E C ;lPL I A NC E I S 5 1 �a < � r�' o ��—�� � � �� 1�\ � Oo � � .______ � �t,. �. � ; =�� , � , \ �i � No..-.g a 4 Fas..a 1. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............Gee.1L-1...........OF........ Z�..-iS Applutttion for Disposal Works Tonstrurtion 1hrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at• HD vS£ :9 q mil" cM 4 R I �4 y ................. �- '.::..'.z .� .. !-1.LJ�t��5 C_s.`;�tc ..... �.YAI. Loc tion-A •ess or-Lot N. ... ."�"f~=.1. =..`, . ..........� .- _ .,�.... .: - -IU...fl:..�. f.&.V-1. �-. :........I: .A.. . wner - Address a 1L:.. ...... �..1 .. ............. ... i4..: .. ...1: ...........1`......&........................ Installer Address Type of Building Size Lot..'�'�j ?S?....Sq. feet Dwelling—No. of Bedrooms.....T.....Ems.-..==..........Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No.. of persons............................ Showers — Cafeteria Q, Other fixtures W Design W Flow............... -.-c. .....!........gallons per person•-••p-e=-r--d-ay. Total daily flow............... gallons. Septic Tank—Liquid' c5a ait 1 ... llons Length.1N s•-- Width:_: Diameter................ DePth.. E*c x Disposal Trench o� ............ Width....................Total Length....................Total leaching area.....................sq. ft. 3 Seepage Pit No.____.��......_..Znr Diamet '_9 .G-r.: Depth below inlet. .5*=� Total leaching area. !..:.!..sq. ft. ... z Other Distribution box (, Dosing tank ( ) 4-7-71•3 ell;, `4 Percolation Test Results Performed by..............T:. .:,7U!n. `?...........:.... Date..8 �Q `�?� Test Pit No. 1...<:L...minutes per inch Depth of Test Pit.....2;:.�..!.3.'Depth to ground water...."-! ....... Li. Test Pit No. 2................minutes per inch Depth of Test Pit.....►?......... Depth to ground water....." :... ......................................................... Q Description of Soil..... I CQ Utm.l e[iurr3 4_4,! 5, t'..1ea-4...... ....... ...bed•-ZiC9 ..f�� .5e+ !.�I i'a� 1 1Z-I4•"� el��t•r. Set >L[o Nature of Repairs or Alterations Answer when applicablle�............. ........:�......................�o............ 'r U P •...................................•-•----...........-•-----•-•--•---..........................----.......................................-•---............-----....................................... Agreement: The undersigned agrees to install the aforedescribed -Individual Sewage Disposal System in accordance with the provisions of LITL; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Co pliance has bee issued by the board of health. , ,. Si ............... .........6— k .. .. D ceicat pprovDate. .......... Application Disapproved for the following reasons:................ ..............................................-.......................................................................................................................................................... Date PermitNo...................................••-•----......... Issued........•---.. .................................. _.. D� _ i No ti THE COMMONWEALTH OF MASSACHUSETTS BOARD OF OF HEALTH N. `��za_a -�.. O F..........r-- �?a�.J_. . ��i'_..,a-- ...--...... �' ...............`:......-----............... a Appl ration for Di.iunsttl Works Tonstrudion jrrmit ; Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: o%jS£ 4% q n fl-W- E. V44,0 1t'_ Lj ................. .. .................................. .._........ -• ... .................--- Location-Address or Lot No w 1 (� �� Owner 1 �--~Yi4- _ / ll/• 1 Address ... ._.... ....... ......... �l ' - -- •- ......-•-• ................ ..... = ! Installer Address Type of Building �___ Size Lot..�� :.; {� ...Sq. feet ...... Dwelling—No. of Bedrooms........1....4-4 ----.._._.Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building 'p•, yp g - t No.. of persons...............:............ Showers ( ) — Cafeteria ( ) a'' Other fixtures � Design Flow.............................. ._gallons per person per day. Total.daily flow..... gal W ............................ ions. c Septic Tank—Liquid capacity�z? r gallons Length ` ....Width . Diameter:............... Depth..f:_EE ,,Disposal Trench No............ Width .... Total Length ..... Total leaching area....................sq. ft. 3 Seepage Pit No. �.. Diameter t.t-T . Depth below-inlet. + :: Total leaching area..?-r-..--,!.:.�..sq. ft. z Other Distribution box O Dosing tank aPercolat on Test Results Performed b ..............T:.S ..... ................ Date..±'Z!±.� Test Pit No. 1...< ...minutes per inch Depth of Test Pit.....1: .!�. Depth to ground water....L-1--lc fs. Test Pit No. 2................minutes per inch Depth of Test Pit.....!..?r......... Depth to ground water....1 a ...... -•-•-••----•-•-----•-_... ...... ....... .. --...--• -•--......................................................... O Description of Soil.......T_'! 1 —7�{ ' fpia ._s =:--�- ' 2_e4- r _ . - wt-1 l_ xtl"�a�, ��c.r-�d Z . J"_'r. ;'7C... tc7 �,, `xab�..< , W --•-----•..... .... . ... 7C__ 7�. c.TchNC': �1-L—t+4-- rTL �,�ir-r- r��";,e_ r- - .. Qc 1�Z,C� + j x ...................... . . .... .._.`. �.` ... .... --•• ...... ............. V Nature of Repairs or Alterations—Answer when applicable............................................................................................... ---•....................................•-••----•-•------•-•------------•---.......................---.............-----------•---.....-----•--•-•----.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLs 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Co pliance has been issued by the board of health. p � Sigret ����� . .. � Date .._._....••..plicaton PProvd . .. .. ................................. ....... ..... �C.�:..�_.�... Date Application Disapproved for the following reasons:.................................. ••-••-................-••••-•..........•--......_......•.................... ...........•............................................................•--............---•-•----..................-•----...--•--.............................._................... ' ...---........ Date PermitNo................................................... Issued................................__..___..a... _...-. Date ........... M THE COMMONWEALTH OFMASSACHUSETTSW «� ��Ary_. __. _... , BOARD:,. OF HEALTH ` :t.................. .................OF2................................................................................... Tertif irate of ToutpItunre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired_( ) by........................ .........a,a�.n I A...---••-. -----.................. ..........-•----........................................................ Installer at....................a. ..•••... .........•••••....-•-___................ .•..-•_... ...._...........•-•.... . .......... ............................... . ........ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ ......................................... Inspector................i n � 5 . \, THE COMMONWEALTH OF MASSACHUSETTS V" pV�, BOARD OF HEALTH _ S•--1 134_. ......................................OF..................................................................................... So No...... ............ Fim........................ . �tItsMI eu. # t ; nrmtt Permissionis hereby granted.......... ..................................................................................................................................... to Construct ( ) a' ( ) n ivi�l)el pffWposal System atNo....................... � w �•-V�1� ................................................•---------•-----------....................................... ._ _..._5... Street as shown on the for Disposal Works Construction Permit o.....•..1....... D ted.........1.}_ .�.o�.4� ........ r .......................•... ........................... - • , DATE..._..------a- i� 6 Board of health t r 926 mein street 362.4541 yarmouth mass. 02675 410WO clefpe E/!8'//IEEE/d8' civil engineers&land surveyors structural design _ Arne H.Ojala P.E.,R.L.S. land court "t- d :may ` Richard R.Fairbank P.E. surveys site planning February 21, 1986 sewage system Barnstable Town Hall _ designs Board of Health South Street Hyannis, Ma. 02601 inspections Gentlemen: permits Please be advised that on Febraury 19, 1986, Down Cape Engineering inspected the septic system installation at the Lebel-Sollows property located on Lot 1 Phinney's Lane, Hyannis. We hereby certify that the installation complies with the intent of our.site plan #85-361 dated November 19, 1985. Sincerely, Arne H. Ojala AHO/cdw i 6 °FTHErati Town of Barnstable Department of Health, Safety, and Environmental Services * BARNSTABLE,buss. ** � i639• Public Health Division j ♦0 AIFD�A°�� 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean FAX: 508-790-6304 Director of Public Health September 30, 2003 i Mr. Somsak Sangworn 102 Kilkore Dr. Hyannis, M.A. 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR 15.000 STATE ENVIRONMENTAL CODE, TITLE 5 The property owned by you located at 9 Jamie Marie Way,Hyannis, MA. was inspected on September 30, 2003 by Donald Desmarais, R.S., Health Inspector for the Town of Barnstable, because of a complaint regarding overcrowding.. The following violations of 310 CMR 15.000 State Environmental Code, Title 5. 310 CMR 15.00. There were seven bedrooms located at the residence. However, the existing septic system capacity is designed for only three bedrooms total. You are ordered to remove the two bedrooms located in the basement and two other bedrooms located on the first floor. A total of four bedrooms must be removed by October 31, 2003. A re-inspection is scheduled to be held on Monday, November 3, 2003 at 2:00 p.m. You may request a hearing before the Board of Health if written petition requesting it is received within seven (7) days after the date the order is served. Non-compliance could result in a fine of up to $100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH V up fr) omas A./McKean CV-n 0 5 Director of Public Health Town of Barnstable • • Y .. . , .. n..l ... .. . .+-['.".st .. „r'„n.. ... t '.*.'�., is .. :..,4?r.Y. .. ..i.. � `#;,:. a •'.^w!+_ 5 a , _ ._. _. .._ ,...,_. .. . . _ _ ION. SEWAGE._ ...a,, .., . .. - — - a d #; 4. .. ..- _ SEPTI TAN.- _ . ..: _ _ _ .1. C K D — CH s: ,_ .. S . . BOX .:-�cb .LEA _ .TOP-OF FON 3' } 7777, P.. MSLJ ..: t r OSTONE ; f J WASHE , s l� k�. - It 4 '- 0 i OUT -- IN o '.' yt..: .:.. :. ,•.,..,, ,;. �r' r �.., UIN T, , r , • 7�SEPTIC •� �„;, $3.0 Z.1O ZAs. 1 Or TANK I b w { :8 N• Y s' t r ELEV. S4 ELEV. .� do •� \ . S`: ' s o _�_ y v_ I 8 • �7ELEV.ELEY az -41 a ,...:,WASHED.STONE '� TEST HOLE LM. `P �.-11 c� • 1 A.,t7Ll►/( C.O:_S 1.ah_.I 75.O.{-{. TEST BY LoT 4 ` 49�: �. TEST DATE 0 4�lYi� 3 BEDROOM HOUSE ` 3 _r ��.� j—. WITNESS Pad :.DESIGN.. f-` :, �1 �-� �- a r °� � •�„d.�. T.b:,� 1 Hd-.t T.H. +� 2 E _S �B ,+ 9 / / ,. Q '; ' oo --LC. ELEV. 'A'A ELEV. NO SZ !�; m } •4} B� �J �'P subsd;i t r PERC RATE z- MIN DISPOSER DISPOSER DISPOSER . t Z4' 011 8Z.7- ( f FLOW RATE 9s3o (GAL-/DAY) 3'�� 1 �, ..\ SEPTIC TANK �y r-m.,e.� R EQ'D SEPTIC TANK SIZE - Ico:� r LEACH PACI LITY — ( SIDE WALL �`��:� I'O•� aZ ) 3-7"7,0 .G/D. mel,ter: BOTTOM SZ ]r/�1 _- r�•3. 1 -o? _ S.. 3 G/D. Lexae. trG �iuh t TOTAL Z�1 •I 5.� a 47--I It - USE: L7�t LEACHING �1 i 6 ��1 / ✓I ISM �I.Z 141► 7Z.`� '--- r _—— .DC.7Tl-•� 7G a . WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) J�c*Z� N M 1_DATUM(MSU+TAKEN FROM -+��A� 5' QUADRANGLE MAP Of I(�uQp -7� T 2.MUNICIPAL WATER --------AVAILABLE OF yj C r' rf A �( 3.PIPE PITCH:Y•"PER FOOT o��EP qr(q � lys H. .4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO• .44 E jALA S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(2)FT. �� iL y' 6.PI PE JOI NTS SHALL-BE MADE,WATER_TIG14T 192 _ O. 3 III 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. STATE ENVIRONMENTAL CODE TITLES4'8' - P E� <@ -- SITE PLAN. ECISTE� •��. $. T�-�tb P� a fJ FOL Y�+c�7tY��� wo7C_1C C.r+`�r L+. ►� 5+-10LJL'D fo A I'll 11 2�U 4+�q �sS/�/l:i I� G\� LOCUS: tio-c- 01* u�D C; Pam �sra�z�`C t_t�a _� QJ AL . REG.PROFESSIONAL ENGINEER REF: down cape @4NbvI#7eer/#7bv PREPARED FOR: CIVIL ENGINEERS LANDSURVEYORS BOARD OF HEALTH - •• REG.LAND SURVEYOR r CONTOURS (ExI1STING)_ti-.:.._.._:- ZwJs ,q�x 0$8 WIA St, SCALE (PROPOSED)—0-0-0-0— APPROVED DATE MA DATE_ f R= 1473 22' O =104 67, PG 19 PB 355 C- ' x 80.68 \ ` � y x 81.53 0 80,08 x\ \\ EXISTING LEACH PIT \` TO BE PUMPED, FILLED WITH TP-1 `\ \ \ SAND AND\ABANDONED TP-2 r i 80.64 t . ♦ uQ81.61 \� ,Lg gip' .:.♦x \ 6 EXISTING SEPTIC TANK (TO REMAIN) ` >->� ' x 81.8 `\ N �\ TOP OF TANK=80.34 81.82 \ c� INV.(OUT)=79.0f x \81.73� I DECK 81.73 BENCHMARK 81.72 81.70 x 60.87 OUTSIDE COR. BULKHEAD x + i EL.=82.09 (Assumed) 81.48 x 81.97 x EXISTING , 81.55 HOUSE(#9) T.O.F.=828f �a .0 i� �9,. ♦,�' 3 �, ,,, Sao .♦y Nx 81.25 �' y eRQoe�S N i ♦ S• O 81.97 80.37 00 ♦ �� J ((6, �� 81.16 81.2x0 0 i C9� 32 8. DECK CS 80.02\1 9.75 �1 W CO \ �`T i 111 UP cD h� 3144 80.13 ---------chi©-- _ _ c - "- x;,.7974� - ' - L�O' 1Q ' 79.26 78.04 EXIS71NG 79s7 �� HOUSE(#9) T.O.F.=82.8t 78.86 78.40 \\ ----�$------ - O x 77.73 77.92 N N S.A.S. LAYOUT 4 77.59 �. CO LEGEND 7T43 40 `> 76.58 Z � - x LOT 1 -- 98 --EXISTING CONTOUR 33,360tS.F. x 100.98 EXISTING SPOT GRADE MBLU 274-036 W EXISTING WATER SERVICE G EXISTING GAS SERVICE --e.H:W.-- OVERHEAD WIRES _ TEST PIT e-"-DRAINAGE BENCHMARK x 75.64 EASEMENT-� 1 x 75.5 N LOCUS L=71 26' 1 Q � 1 w1 R=1153.22' � 1 1 , rn� � p< o St°t• UP 76.05 edge` 5. of ^ • Povemen 9a 75.91 y�N NE Q Y 75.75 75.70 L� 0- M 3° A16- q� 01 OF M LOCUS MAP ASS9�yG NOT TO SCALE o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE CIVIL N 9 JAMIE MARIE WAY, HYANNIS, MA No. 35109 OWNER OF RECORD A��F PSZER ��� Prepared for: Copewide Enterprises LLC, 153 Commercial St, Mashpee, MA 02649 TANAPON TANASANDILO TR E Engineering by: SCALE DRAWN JOB. NO. 102 KILMORE DRIVE DRIVE Engineering Works, Inc. 1"=30' P.T.M. 189-12 HYANNIS, MA 02601 (Q(7�'� iZ 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. & CENTERVILLE BANGLOK REALTY TRUST (508) 477-5313 6/29/12 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL: 78.9 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET INSTALL WATERTIGHT RISER & PROPOSED S.A.S. AND SET TO 6" OF FINISH GRADE. COVER SET TO 6" OF GRADE PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" PROVIDE ACCESS TO GRADE OVER OUTLET COVER OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F. EXISTING F.G. EL.=82.Ot F.G. EL.=81.6t F.G. EL.=82.0t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 10' AROPO L =. 17' S=1% (MIN.) @ S=1% (MIN.) 4"SCH40 PVC4"SCH40 PVC 6" as 14" BaOBOES BBBaaaa EXISTING 48" LIQUID aaaaaaa LEVEL ADGAS D J . 4' 5.2' 4'(SIDES) INFLEV.=78.74INV.=78.57 INV.=79.00t D-BOX EFFECTIVE WIDTH = 13.2' (FIELD VERIFY) INV.=78.40 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H=10 RATED TOP CONC. ELEV.=79.2t BREAKOUT ELEV.=78.9 - NOTES: INV. ELEV.=78.40 ease aaaaa aaaaa aaaBa aaa aaaa aaaaa aa0a 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=76.40 INVERTS, PRIOR TO INSTALLATION. 4' ENDS 8.5' 1 4' 2) D-BOX.SHALL BE SET LEVEL AND TRUE TO GRADE 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 29.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED T.P. EXCAVATION OR G.W. STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO GROUNDWATER, EL.=70.9 - 4) CONTRACTOR SHALL INSPECT EFFLUENT FILTER ON 3/4" TO 1-1/2" DOUBLE OUTLET TEE AND REPLACE IF NECESSARY. WASHED STONE SEPTIC SYSTEM PROFILE 3D UBLE OF 8 s oNE2" N.T.S. (OR APPROVED FILTER FABRIC) SOIL LOG GENERAL NOTES: DATE: JUNE 12, 2012 (REF P#13,666 SOIL EVALUATOR: PETER McENTEE PE (SE�1542) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT BOARD OF HEALTH AND THE DESIGN ENGINEER. ELEV. TP- DEPTH ELEV. TP-2 DEPTH 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 80 g A 0,. 81 8 A 0" LOCAL RULES AND REGULATIONS. SANDY LOAM SANDY LOAM 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 80.4 B OYR 4 2 . 6" 81.3 B10YR 4 2 6" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. SANDY LOAM SANDY-LOAM 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 78.4 C10YR 5/8 30„ 79.5 C10YR 5/8 28" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. ' 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. PERC 36'/48" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. M-C SAND M-C SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 2.5Y 6/4 2.5Y 6/4 8. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 70.9 120" 71.8 120" 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PERC RATE <2 MIN/IN. ("C" HORIZON) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING NO GROUNDWATER ENCOUNTERED CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). rUE:a� ® 0 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE ®®® ®®®®® 33" INSPECTED BY THE DESIGN ENGINEER PRIOR TO BACKFILL. w U®® ® ®E313. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND N Z IS NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. - 102" 4" KNOCKOUT 20" DIA. COVER DESIGN CRITERIA 4" KNOCKOUT / 4" KNOCKOUT 62" NUMBER OF BEDROOMS: 3 BEDROOMS SOIL TEXTURAL CLASS: CLASS 1 0 DESIGN PERCOLATION RATE: <2 MIN PER INCH 4" KNOCKOUT DAILY FLOW: 330 G.P.D. DESIGN FLOW: 330 G.P.D. GARBAGE GRINDER: NO & NOT PERMITTED WITH THIS DESIGN 500 GALLON CAPACITY, H-10 LOADING EXISTING SEPTIC TANK: 1000 GALLON CAPACITY CHAMBERS LEACHING AREA REQUIRED: (330) = 445.95 S.F. N.T.S. .74 PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE AS SHOWN 9 JAMIE MARIE WAY, HYANNIS, MA . SIDEWALL AREA: 2(13.2' + 29.0') X 2 = 168.8 S.F. Prepared for: Capewide Enterprises LLC, 153 Commercial St, Mashpee, MA 02649 BOTTOM AREA: 13.2' x 29.0' = 382.8 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................551.6 S.F. Engineering Works, Inc. N.T.S. P.T.M. 189-12 DESIGN FLOW PROVIDED: 0.74 GPD/SF(551.6 SF) = 408.2 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 6/29/12 P.T.M. 2 Of 2