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0411 LINCOLN ROAD EXTENSION - Health
!LF411 Lincoln Road 271 —023 annis _ o yYp 4 0 � C a � a 1 Y Ik TOWN OF BARNSTABLE-,Z) 1 LOCATION 4-1 i I-a"46LJ4 .lZ-OS L XX-c' SEWAGE# xo_�-D-3 V-7 VILLAGE 4-J W ASSESSOR'S MAP&PARCEL A-11-_Q' INSTALLER'S NAME&PHONE NO. •�. '_ O�'�I"71-��� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) A K4�•I Jr�t NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table'to the Bottom of Leaching Facility af—S Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY LA. tl 1 a � i 43 �' Tory N B NSTABL.E -` - 1 to #- viLL AsS& oR'S VAP� 'INSx��NANDA MOW . 7 . 77 tDA 'E: CCl1Lit»E�A'1'f: , �1p�si �B�iv�ee�dot �a�imara�ljt �watea�T�bta�gc�crua►rio�i. �n� iti�y: .�...�,..1�..? W:a�xdaclf� Ny�any wetlacdg exist �vlthia3 � .i. leaol 8 sty} < '� � � � � ` s r ,� W � .�., � � � � � � v �. - � No. Fee Zoe) THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPYitation for Misposar 6pstem (Construction 3permit Application for a Permit to Construct( ) Repair(gJj Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No. 4//I L h)cd Y) R4• 4-4- Owner's Name,Address,and Tel.No. $off-3y3-906P Assessor's Map/Parcel;L9j a fa.NVVw Installer's Name,Address,and Tel.No._q08. 1f,1$- esigner's Name,Address,and Tel.No.5crR-3(.�2- ,C3or{•olviti, Co.�s+,n.r�'cm,�nc u5'%�t,c,skyR�• n�� i�t?u'ii'�y Q,3�stj�� ' vace 8 Type of Building: nn Dwelling No.of Bedrooms AI Lot Size ZO SCE - sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) v1a?® gpd Design flow provided 3qg gpd Plan Date j19®tf2m'1 ,n9�_a 0_"A0 Number of sheets Revision Date Size of Septic Tank Type of S.A.S. a-$ppV Was/ X 1 Z Description of Soil S Nature of Repairs or Alterations(Answer when applicable) ' F� Q S� Al Date ast inspected: Agreement: The undersigned agrees to ensure the construction and maint of the afore described on-site sewage disposal system in Laccordance with the provisions of Title 5 of the Environment ode not to place the system in operation until a Certificate of mpliance has been issued by this Board of Health. Signed Date /� o. d't pplication Approved by Date c� pplication Disapproved by Date r the following reasons Permit No. -� Date Issued ' ------------- � � _. z. , ., -. _ . . .... :,. s•. ,:;.._.ram..; ,� ,n�,,., .. ..,, w:r., .. .s>„ ._ .., ...-n._.� *�� , A 170 Fee W THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWWOF BARNSTABLE, MASSACHUSETTS Yes appfieation for Mis osar stem Construction Permit Application for a Permit to Construct Re air v Upgrade Abandon Complete System Individual Components PP ( ) P ( ) g ( ) ❑ ❑P ( ) P Y P Location Address or Lot No. A#/ Li(1cdn R4. /t, Owner's Name,Address,and Tel.No. S08-54/!g- ,05- Assessor's Map/Parcel A91 / 1` Ett Lhti(Q,� A,AAIA Installer's Name Address,and Tel.No.ifs- 1/ - rr Z. Designer's Name,Address,and Tel.No.5. _l-33G -y,5y/ 1�i�C�'roa�i'�.rr.'�•i•cn��,-X'rc �t.�-i t r.���sf-+-y�°• r��ur?�i.•t ; 'r r��?�'Eri;�y����' 9..�'��a�rf1 � . r'i'�C(i":'izin,n i�'� i'1. 1•' A e_%e,e,0 `�lAst/+rn�Trr E� ti l'i 14 Type of Building: Dwelling No.of Bedrooms Lot Size r'U,5 cX3 t sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) VO gpd Design flow provided ,341 gpd Plan Date NgoCrj') 19 30-aO Number of sheets Revision Date Title C J 5_;S _ � (y +s Size of Septic Tank�Cj 5,� i r p lnr)'`qrc-Q Type of S.A.S. Description of Soil e,s,/ % 7� r, —/,o j S J V 1' Nature of Repairs or Alterations(Answer when applicable)/ b.or _ Ole,, ��t»nG.,��r.t�^e� �a�f � �//1"�.S �a Q,-.&f > - i k C An yW f.iui- 2•h k X f 2'S _.,f 1,r , i. ?' 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 f Compliance has been issued by this Board of Health. Signed l Date Application Approved by Date Application Disapproved by Date ' for the following reasons Permit No - " �/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(A Upgraded( ) l/L1 Abandoned( at y�I t1�p�,rj r XI /r„ •�ttAl has been constructed in accordance * with the provisions of Title 5 and the for Diipposal System Construction Permit No. ?dated Installer,&C41)o ,i ui d,tfr�!. �Gh' i fit° Designer 4-0-0f; t 0 Stu AC Ale-4-Al-41 C #bedrooms is Approved design flow r �c� gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. �.,.. Date J J s 1 Inspector '`�_-\ """"" Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(.K Upgrade( ) Abandon( ) System located at Ad, "! �.a. A1,.,d>,r1131.1s'L and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following 1oca1 provisions or special conditions. --Provided:Construction must be completed within three years of the date of this permit. . . Date l /t / +- Approved by JAN-22-2021 00:40 From: To:15087906304 Pa9e:1/1 • I Town of Barnstable Inspectional Services Public Health Division Thomas McKean,Director td�9•• o ° 200 Main Street,Hyannis,MA 02601 Fax: 508-790.6304 office: 508462.4644 Installer&Designer Certification Form Date: I ZD ,Z Sewage Permit# �zv;y-367 Assessor's MapWarcel Z71 —5 Designer: 10M CR 5"ININ 4 INC Installer: Address: R9Uf bAr Address: Lif 1 -AR MOUTH Pou. I ? 7-5— Manccrnniy M111.5. C On �a13/au r "� ?IC,wa3 issued a permit to Install a ate ►ns ler) s eptio system at LI based on a design drawn by address �/M11 q,� dated 4I I S (ae tp C I certify that the septic system referenced above was installed substantially according to the which es suc lateral inspected adhe tt rse �rP oved yankSWI out(f ued) was the son ofo is distribution box 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 ision or certified septic by designer to follobut in w. Strip out(f required)with State&Local was inspected and tions. Plan vthe oils were found satisfactory. 1 certify that the rs rene�l�ve was constructed incompliance with the terms of Tmzfethe IAA a a 1 ( PP N OF Mq� DANIELA, �� CIJALA as ler's Signature) CIVIL H e No'46502 7-1 (DesPppe�re's Signature (A x tamp ere) PLEASE RETURN TO BARNST LE PUBLIC HEALTH DIVISION CEItTIFIC TE WIT mm OF COMPL A REC IVED Y T QRM AND AS: IS BED STABL PU C S F T DIVISION. YOU. \\tonldeplMPALTH1SCWfiR wnnecNEFriCWeaigaer Carlllimtlon rwm Rev IM-13,00C ✓/ _ C R Y� l^ � r v ��. r Town of Barnstable Inspectional Services Department ewtuvsrABLL b 9 ��� Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8173 October 23, 2020 CAPONE, JAMES J & LORRAINE 2 HARNDEN ROAD FOXBORO, MA 02035 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 411 Lincoln Road Extension, Hyannis, MA was inspected on 10/03/2020 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system."Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). • The distribution box is rotted and needs to be replaced. You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF E BOARD OF HEALTH Thomas McKean, R.S., C Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\411 Lincoln Road Extension Hyannis.doc IMF rp� Town of Barnstable + BARN3fABL£, b 9 Inspectional Services Department Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) UY HER Repair deadline: )- s c"f f . Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts W•- .., 1� '3 Title 5 .Official Inspection Form ,.I Pl Subsurface_ Sewage Disposal System Form -Not.for Voluntary Assessments '+N - ,• 411 Lincoln Rd Ext. Property Address P • Jim Capone Owner Owner's Name information is / 1. required for every Hyannis ✓ MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection r 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. A. Inspector Information Shawn Mcelroy Name of Inspector ` 'Upper Cape Septic Services ' Company Name P.O. Box 73 Company Address East Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on=site sewage disposal systems:After conducting this inspection I have determined that the system: `t ' 1. ❑ Passes 2. ❑. Conditionally Passes 3.. ❑' Needs Further Evaluation by the Local Approving Authority �. 4. ® Fails - 10-3-20 Inspector's Signature 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form i� w:, i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is , required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of inspection C. Inspection Summary . , , Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System'Passes:- ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: , i ❑ -One or more system components as described in the "Cond itional 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 ON ❑ ND (Explain below): A ks4. .r t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection form t %I Subsurface Sewage Disposal Form -Not for Voluntary Assessments :- ;�`' 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is required for every Hyannis, _ MA 02601 10-3-20. . page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) f , 2) System Conditionally.Passes (cont.): f ` ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 isremoved ' ' ❑ Y ❑N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N,' ❑ ND (Explain below): r = f , - .. t 1, . • I i ❑ 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 El ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): I 3) Further Evaluation is Required by.the Board of Health:- .r. ❑ 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. a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 f Commonwealth of Massachusetts r " •� Title 5 Official , I ns ection form , .�ai Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 411 Lincoln Rd Ext. - Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) - ❑ 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 b. 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. c. Other: . 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of,the following for all inspections: .Yes ' No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 s Commonwealth of Massachusetts r� `r Title 5 Official Inspection Form M Subsurface Sewage Disposal System Form.-Not for Voluntary.Assessments r ; yFu..✓ ,> 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No 0 ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow ' ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑l ® 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 r and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ' " 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 r ; system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) 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 CA. 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 t5insp.doc-rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 c Commonwealth of Massachusetts 3 Title 5 Official Inspection Form rl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 411 Lincoln Rd Ext. Property Address ` Jim Capone Owner Owner's Name information is required for every Hyannis n' MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.)' If you have answered "yes"to`any-question in Section C.5 the system is considered'a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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?'s ❑ ® 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? ®, 0 Wasthe 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. ForIexample, a,plan at the Board of Health. J Determined i i 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)] t5insp.doc•rev.7/26/2018 t Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Forums p Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): N/A Number of bedrooms (actual): 2 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A Description: Number of current residents: 0 Does residence have a garbage grinder?_. ❑ Yes ® No Does residence have a water treatment unit? ,, ❑ Yes ® No If yes, discharges to: , 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: r , Sump pump? - t ❑ Yes ® No Last date of occupancy: 4 2020 Date t5insp.doc-rev.7/26/2018 Tithe 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts �} Title 5 Official, Inspection- Form ' ill Subsurface Sewage'Disposal System Form -Not for.Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment' ° Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date , Other(describe below): f + - r 3. Pumping Records: Source of information: Owner----pumped 2019 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc-rev.7/26/2018 r Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form h► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. 411 Lincoln Rd Ext. Property Address , Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of,information: 1981 Were sewage odors detected when arriving;at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): , Depth below grade: 18"feet ' Material of construction: ® cast iron ® 4b PVC' ° ❑ other(explain): ' Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts 4� Tide 5 Official Inspection Forrn o Subsurface.Sewage Disposal System Form-Not for Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is Hyannis ' ^' MA 02601 10-3-20 required for every y _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"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: 1000 gal Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle ` 29" Scum thickness 0 n Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage.- t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 C Commonwealth of Massachusetts , ,pr Title 5 Official Inspection Form i �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. 411 Lincoln Rd Ext. J Property Address Jim Capone Owner Owner's Name informatioor every yn is required f Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , 7. Grease Trap (locate on site plan): r 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 r Date of last pumping: , 'Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet`invert, evidence of leakage, etc.): 8. 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 i Design Flow: gallons per day t5insp.doc•rev.7/26/2M Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts 1� 4 ,� Title 5 Of�'�icial, In Form' . For . i VI Subsurface Sewage Disposal System Form Not for.VolunWy Assessments ' 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 1 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) U 8. Tight or Holding Tank (cont.) 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 9. Distribution Box(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.): D-box is in poor condition and is crumbling from decay. t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts , Title 5 Official Inspection Form - �i Subsurface Sewage Disposal System Form -Not-for Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is Hyannis MA 02601 10-3-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in Working-order: �` ❑ Yes ❑ No* Alarms in working"order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required):; If SAS not located, explain why: .4 i . Type: e ® leaching pits' ' number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form ? :!► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments fyA`1 411 Lincoln Rd Ext. Property Address Jim Capone - Owner Owner's Name information is Hyannis MA 02601 10-3-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding,.damp soil, condition of vegetation, etc.): Leach pit was holding water at 30" below inlet invert with clear stain lines above inlet invert. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration ' Depth'—top of liquid to inlet invert' ti Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official ,Inspection Form Subsurface Sewage Disposal System Form,-Not for Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone Owner Owner's Name information is Hyannis- y . MA 02601 10-3-20 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , ; - , ; 13. Privy (locate on site plan): ' Materials of construction: f Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts ri pi Title 5 Official Inspection Fora w:� i�i Subsurface Sewage Disposal System Form -Not-for Voluntary Assessments 411 Lincoln Rd Ext. Property Address Jim Capone k Owner Owner's Name information is required for every H annis "� �� MA 02601 10-3-20" y page. City/Town State Zip Code Date of inspection D. System Information (cont.) g° / 14. 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 r C o YJb f t5insp.doc-rev.7/26/2018 r Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 f " c Commonwealth of Massachusetts Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 411 Lincoln Rd Ext. ' Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , - 15. Site Exam: , ❑ Check Slope r ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record :If checked, date of design plan reviewed: Date ® -:Observed site (abutting property/observation hole within 150.feet of SAS) ® Checked with local Board of Health - explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev,7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts 3 � 3 Title 5 Official Inspection Form Sri Subsurface Sewage Disposal System Form--Not for Voluntary Assessments 411 Lincoln Rd Ext. ` Property Address Jim Capone Owner Owner's Name information is required for every Hyannis MA 02601 10-3-20 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ' Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ' ® D. System Information. For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 ' OCAA J SEWAGE PERMIT N.O.. ! V_ILLAGE I INSdTA LLER'S NAME i ADDRESS f. NUILDEIII ON OWNER m DATE PERMIT ISSUED I0 -/C) -,7!i DATE COMPLIANCE ISSUED ��?��b 57 -G �� r0 �i i .................... w THE COMMONWEALTH OF MASSACHUSETTS ►I 3 ,. BOARD OF HEALTH Z ��ENl................OF....... � ' ......................... 1 , a J , pphration for UhOoiial Workii Tomitrnrttnn Famit �} Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at -----------------L......... ------------------......------------..... ;6 �Eon d ess o Lot No. jcaner R Address 1.4 � Installer Address Q Type of Building Size Lot_A.§�?O._:-_..Sq. feet aDwelling—No. of Bedrooms-----------------3_---_-_------_-___.-__Expansion Attic ( ) Garbage Grinder ( ) p� Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- . Design Flow...............6"151......................gallons per person per day. Total daily flow........... ...................gallons. WSeptic Tank—Liquid capacityl990-__gallons Length-___---_..... Width.___ ___. Diameter---------------- Depth_._..0 ----- Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------/----------- Diameter-----40.`...... Depth below inlet.._.Y... ._.'._. otal leaching area...0��_..__sq. ft. Z Other Distribution box (�( ) Dosing tank ( ) 0 � �� ��� 7 ` 0 4 Percolation Test Results Performed by.-__C6L?R<9F....gW...4t 0......... Date..49..—.J.3"_:'-..7%......... 17 Test Pit No. 1 G __-_-minutes per inch Depth of Test Pit----/Z........ Depth to ground wa=4V ___ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat -_-_-_-__..__---- P4 •-••--••••---•--------------••---••-----......_----.........--•..---•• •-•••-------------•----------------------------------•• __._._...._...._. O Description of Soil..Q..... -,3.r--_C..uA�-..�... 1 4/ t.....�!�'?-!-_ coi. -s �® ! , w U Nature of Repairs or Alterations—Answer when applicable............................._......_................______...._................._.............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L-T T Y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----------•---•-------------------------•---- -------------; ------- Date Application Approved By...... r •• f----------- ..../I•_./0-- Date Application Disapproved for the following reasons:.............................................................................................................. _ ........... -•--•--•---••--•----•----------------------•----•---•--•-•-------•------.....-•----•-----......_----••------••-•-- ----- .......................................................... Date Permit No......................................................... -. Issued.--&.: .7-= Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N................OF....... -�F3yews�.. 1 3LC.:. .............. r`. Appliratton for Elh4paoul Works Towitrar#'tun ramit Application_,is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at -•--............ r .................................... --•..............••-•--•_.L.Q.T. ..........-••-•--•-•••• ............. L n-Add ess or Loot o. ._. Owner Address W ..........-•••...f-l_� ...................................................... a stall.... t _. Sq. feet t Installer � Address UType of Building Size Lot._fU S flG_--•...- Dwelling—No. of Bedroom's..................3......................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of persons............................ Showers P1 Other SSeS - -------••-----•••-•--••-••----•-------------- --.--•---------•-•----•--•-......•--.......---............(-••->--- Cafeteria (---•-.. Desrign Flow c Tank—Liquid capacity 1���._gallons ll per person per day. Total di ill flow.:.........3.�.Q..................gallons. Septic q p ty ga ons Length.......�1-._.. Width._._ ..... Diameter................ Depth............. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_._.................sq. ft. x Seepage Pit No......_ Diameter..... 0.._...... Depth below inlet...J. � otal leaching area.. �88 s ft. � -�..- --- .�• P - -..... g q. Z Other Distribution box (g(:) Dosing tank ( ) v ' 4 - d aPercolation Test Results Performed by..... G?1 5� .__L eW....4t.. am......... Date...9.-. - .J.. ......... Test Pit No. 1_G _._.minutes per inch Depth of Test Pit.._.�Z......... Depth to ground wat 9;0 NaT'_.... -ov .� E'D Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................:...... t� -------------------------------•--•-••-------------.......----..........-•--------••-= =--........................................ O Description'of Soil..O-�---- 3......L.G,1M... .._ ; s0/Ca..... ........ E e ............ c� . -•...............................................................•-•------...••---••--•........._.........--••---....----------... W U Nature of Repairs or Alterations—Answer when applicable............................................................................................... � _ - ---•---•-------------------•---......••-------•----••----•-•-•-----------.......•••--...............•--•---•--------•--------•-•• ----------------------------------------------------••-••----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT°.%: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. E' Signed ..... .......................... ............. j� Date ty Application Approved By.......... s a _ _.��. ` `T Application Disapproved for the following reasons:.. Date � `•c" ----------••...............•----.......-----------•-•--------------•-•--------------•-••••---••---- A` Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OE• HEALTH .......... .......OF .. . .&Q... "_4.. ..................................... (IrrufarFttr of TOntpliOnrr ,. THIS IS TO CERTIFY, That the Individual Sewage Disposal Systerim constructed ( �A®rRepaired ( ) by......................................... . K . .....--. ---- ..... = .a nstaller at.._.. j 1 r has been installed in accordance with the provisions of TIm 5 f he State Sanitary Code as describedyin the application for Disposal Works Construction Permit No........ ..._ .. ........ dated__../,t)".f0.!:- e� ......... THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEK WILL FUNCTION SATISFACTORY. DATE.......... —a7- Inspector....---_.. ............. THE , THE COMMONWEALTH OF MASSACHUSETTS BOARD ® HEALTH � �'✓. _ , ''° .....OF.......... ':�............... FEE ......... ......... 7Mi��o,�ttl Turku �Onutrttrti�ri r4rnttt Permissionif hereby granted..............................................--.......--•------•--------.....--•--------------•--------......----- to Construr .- �,"-- epair ( Iivldual Sewa D' posal Sy em _o St as shown on the application for Disposalr1ohs Construction PeWo_________ _______ ted._�(�.`1 ....._..... ----- ��� -•--. = _ �g v oard of Health • ` DATE...... ................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ; Z. 11. 1 . ., ,; - #- � N 11 / / . 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A" Z �1 � . 7- Oh/ s / `7' E3 Tti .� �' Q 'TQ ,T,. _ /j {i w w }}�� "� J) . . by -w. ti.�4- Js� /-..I'.1a--�.:!h •t ...�T _ f3Y 'iV'7L .'l :+,motif. If-r4 t• `'f i < t _ _ - :, I, •, ._, _ �� p. -_ 7�, 1 _ {_. h% $ e . `' R: � a c:: y 4�I1.I I�_,1t1,�1�I.�..l--.1l"�V .. .. s,.- y' 1�'._ .7`t 9F? /at 7' r - r . F;. n. 1 y, - C. C a'-"aa ... e." ,,.- r. kI-...s, w.r. 4 ,s.; }'" „4 '°' - x^ Y. _ 7; F':xf a �r, , S �...>. .,.. r x, x.. 2 I K}, 4. ' E ^!#, t,`=, -�. x r r. c. ti4. .c`"B:• I _ vi, -_ .. ..:.+� L`.+ '..s,�-_'ax =...ld .ww .w r > _f .w•T`". _ '' ,>�x y _ , �'_7 ALL S SHALL SYSTEM PROFILE MARKED SYSTEM TTAP OR BE NOTES PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2' PEASTONE OR GEOTEXTILE a w TOP FOUND. EL. 60.1' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING 3o N .y \ MINIMUM .75' OF COVER OVER PRECAST F2% SLOPE REQUIRED OVER SYSTEM 57.5' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. ` o o v co e NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST PRECAST H-10 THICKNESS REQUIRED BLOCKS OR UNITS TO BE AASHO H-M RISERS (1YP.) PRECAST RISERS a, 2'0 cJ6 7' 4"OSCH40 PVC MORTAR ALL H-10 s" MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. v ' 12" MIN. INT. DIM. 4 (TYP.) 0 4' , LOCUS i ENDS SIDES 54.33 r " **EXISTING " 00000 ^ ' . 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE �o TEE SEPTIC TANK TEE °°°°°°° WITH 310 CMR 15.000 (TITLE 5.) a Q *55.3' o o c`o WATERTEHT D'BOX °o°°o° ®®��®®®���I� p®�®®®® o�o�o�o� fe l$ o°o°o o '°°°°°° ;°°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Rou GAS BAFFLE::' o 0 0 0 0 o FOR LEVELNESS °000004 ®��®®®®®®®� ®®®®®®®®®®� ° ° ° ° '-Oo�o9�°00 °° ° °°° °°°°°°°° QO w °o°o°o° ®®®®®®®®� ® ®®®®®®®®®®® °o°o°o° NOT TO BE USED FOR LOT LINE STAKING OR ANY ° ° ° ° ° ° ° ° 51.50 53.77 53.60 °°°°°°°° °°°°°°°° OTHER PURPOSE. i r: 4 LIQ. LEVEL (ACME OR EQUAL) .; a o p f 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.p000000°00000°o°o°o°o°00000°0000000°000°00000 °o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°oP LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. r -o_�_ o 0 0 0 0 0_°_�_°.n_o.o 0 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. a a ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR o� w i 6" CRUSHED STONE OR MECHANICAL CONCEALED WITHOUT INSPECTION BY BOARD OF OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83` -65 COMPACTION. (15.221 [2]) b HEALTH AND PERMISSION OBTAINED FROM BOARD ���s 000 cR, ui OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP 46.5 BOTTOM TH-1 VERIFYING THE LOCATION OF ALL UNDERGROUND & ( 7 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND I OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. SCALE 1"=2000'f FOUNDATION EXIST. SEPTIC TANK 21' D' BOX 12' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 271 PARCEL 23 FACILITY BE REMOVED BENEATH AND 5' AROUND THE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC PROPOSED LEACHING FACILITY. SITE IS LOCATED WITHIN A ZONE 11 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED TWO BEDROOM DEED RESTRICTION REQUIRED PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM FOR . RE-USE. REPLACE WITH 1500 GALLON AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGEND SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF SAND. NOT SUITABLE 99- EXISTING CONTOUR x 99 j EXIST. Spot ELEV. SYSTEM DESIGN: -[991- PROPOSED CONTOUR 198•4] PROPOSED sPor El. I GARBAGE DISPOSER IS NOT ALLOWED I TH1 DESIGN FLOW. 2 BEDROOMS CAD 110 GPD = 220 GPD TEST HOLE USE A 220 GPD DESIGN FLOW SLOPE OF GROUND 5$ p o SEPTIC TANK: 220 GPD (2) = 440 UTILITY POLE BENCHMARK: BULKHEAD COR. **RE-USE EXISTING 1000 GAL. SEPTIC TANK =59.10 NAVD88 _. .IRE HYDRANT q MOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING LEACHING: s8 a� SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD O O a •D0 BOTTOM 25 x 12.83 (.74) = 237 GPD �+ TEST HOLE LOGS �SBJ 0 TOTAL: 472 S.F. 349 GPD ENGINEER: CRAIG J. FERRARI, SE '#13871 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) '5] 5a Q rn WITH 4' STONE ALL AROUND WITNESS: DONALD DESMARAIS - _ �-� ✓�-- a to DATE: 11/17/20 --J LOT AREA /T o o co 10 500 S.F.f k PERC. RATE < 2 MIN/INCH O 0 J II , MA I 20-239 DECK v�41 APPROVED DATE BOARD OF HEALTH CLASS SOILS P# xo o ELEV. ELEV. x Q' o., 4 57.5' 0„ 4 57.5' d S) c _ a � A A LS LS 10YR 3/2 If 10YR 3/2 12 B 10 B 140.0 \ \58 GRAVEL EEL TITLE 5 SITE PLAN LS LS es OF 10YR 5/6 54, �, 10YR 5/6 R 'aFT N 'oF y� 42 36 54.5 NIE ti�. . ss #411 LINCOLN ROAD EXT O �� qo � � A. � �o DANIEL A. y�� HYANNIS MA OJALA U o OJALA C C q No.409E ; " CIVIL PERc q°Fsss� o� Io�_1p c 4s5o2o � PREPARED FOR - ��SURv y rv2 .,.. : F /STEM G� ^�-�NUFMAS6 ��NOFM,%` /0NAL �N aFJ q� JIM CAPONE MS MS �� 9oti F�� DANIELA. yGs i o`' DANIEL G�� r, OJALA s A. i", 10 CIVIL DATE: NOVEMBER 18, 2020 OJALA 2.5Y 7/4 2.5Y 7/4 A No 40980 U/ P �No.4650� off 508-362-4541 F�gg`U SS/ONA.L R\' 6� ( fax 508-362-9880 t�NO SUE�0 downcope.com 32,. down cape engineering, Inc. 46.5 120 47.5 civil engineers Scale: 1"= 20' - 2 _. ___..--� land surveyors NO GROUNDWATER ENCOUNTERED ( �' �� 939 Main Street ( Rte 6A) DCE #2�-329 0 10 20 30 40 5o FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 20-329