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HomeMy WebLinkAbout0221 LINCOLN ROAD - Health 221 Lincoln Road, Hyannis A= 270.- 181 1 i o l T TOWN OF BA/RNSTABLE LOCATION Oak a (. �' o /y C b N SEWAGE # ��S" 9 VII LAG Y/A rt3 Ai i ASSESSOR'S ;MAP & LOTa )0 e(g INSTALLER'S NAME&PHONE NO. RO iZi r"S d ra S cr P`E �t C —2-7 S -927 C SEPTIC TANK CAPACITY oz)©@ 61*l LEACHING FACILITY: (type) (size) a Q ® Dc NO.OF BEDROOMS BUILDER O OWNE L/ f &r` rA PERMITDATE: X 4 q " 0 S COMPLIANCE DATE: 0 ' C3 SY Separation Distance Between the: n Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 6l 4- Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by LA (A) LALA 9-j� t•- Z �aq� P to � " w y' 3 l e i TOWN OF BA.RNSTABLE LOCATION -.2I L--nc to l�aa� SEWAGE # VILLAGE "RAfT1'5-> ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnishedby �� C" tea 5 � � 1 2 �l c ... =�t, . ;. d �� 6 ,. �� �I i 0 f!'� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYiratton for 0i5pozat bpaem Congtrurfio"ri-P-ermit 4; Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( )' El Complete System El'Individual Components ' Location Address or Lot No. Owner's Name,Address and Tel.No. 7 9 0—2 7 4 3 ,s� jpir}coln Rd, Hyannis Rodney & Joanne Viera Assessors ap aza PO Box 2625, Hyannis 2 7 0-1 81 ...___._..___._.. Installer's Name,Address,and Tel.No. 7 7.5—8 7 7 6 Designer's Name,Address and Tel.No.- 3 6 4—0 8 9 4 Wm E :Robinson Sr ,Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco—Tech, $BETE-2.047 . 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 Certifi- cate of Compliance has been issued by this B of H Sign Pq ga Date :.. .�� Application Approved by Date A) Application Disapproved for the following reasons Permit No. ���J Date Issued I ..J4-+- ri r'1:,.� � ,+, '. ' .T' ..�;�.1"`1; � ....R,. .. .. ,r, � :r: �.•^"•..��.-„�-.v,-....a.- .,n,...-.......c..•-�,,•'.r-,. '�.J ti�-�"„-.�. No. C� 5�! kr.�y�"�` �"' ..' i� Fee$10 0.0 0 t -- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZippYication for ;Digpogal *p!5tem Cow6tructiou permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon,( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 7 9 0—2 7 4 3 221 Lincoln R3 uv ranna s. Rodney, & Joanne 'Viers Assessor Map/Parcel pa3 2 6 2 �� 1� j ., •2 /Cr .1y131 y ,I -Installer's Name,Address,and Tel.No; 7 7 7 fit. Designer's Name,Address and Tel.No �+ '��+ Wm E' Robinson 'Sr' Septic` Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft.' Garbage Grinder(no) Other Type of-Building. No. of Persons Showers( ) Cafeteria( ) Other Fixtures _ .n Design Flow gallons per.day. Calculated daily flow gallons., Plan Date Number of sheets Revision Date l t Title Size of Septic Tank Type of S.A.S. x- Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE-2047. 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 Certifi- cate of Compliance has been issue by this B. of th. y Sign•d Wor Date �W� J Application Approved by Date 12 O 5 r g. Application Disapproved for the following reasons Permit No: 5 ay Date Issued G THE COMMONWEALTH OF MASSACHUSETTS Vie a BARNSTABLE, MASSACHUSETTS certificate of Compliance �',j THISaIS TO CERT, Y, that`th�On-site Sewage Disposal System Constructed( )Repaired ( X ) Upgraded( ) Abandoned( by Wm E Robinson Sr Septic Service at 221 Lincoln Road, Hyannis has been const cteo in accordance with the provisions o Title 5 and the for Disposal System Construction Permit No.(_42_��5-_R Ia dated `{' PA 9 k S Installer J<ob Designer tZ The issuance of this pn c l c�t�be construed as a guarantee that th syste il' Inchon as desig Date / Y Inspector Viera .,� \ THE COMMONWEALTH OF MASSACHUSETTS . PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS xi5po.5ar *p!9tem Construction Permit Permission is hereby ranted to Construct( )Repair(X )Upgrade( )Abandon( ) Systemlocatedat .21 Lincoln Road, Hyannis and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constru tion must be completed within three years of the date ff this • it Date: �/ -5 Approved by f yr I orw Notice: This Form Is To Be Used For the Repair--Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I,D{ L,10 D. c__u U6-H 4-tiOWR hereby certify that the engineered plan signed by me dated J U 05 �,t concerning the property located at ZZ 1 L i o L©L N Q meets all of the. following criteria: • This failed system is connected to a residential dwelling only. There are.no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: ``r^� A) Top of Ground Surface Elevation(using GIS information) 43, V c) B) G.W.Elevation 2qj + +adjustment for high G.W. DIFFERENCE BETWEEN A and B 2° 1 SIGNED :(Zc ,& • 4d �`'7 DATE: one NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum.. No additional bedrooms.are authorized in the future without engineered septic system plans. gASepti6percexemp.doc Town of Barnstable Regulatory Services s { Thomas F. Geiler,Director NAM • anxNscge�. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: ` Designer: Eco-Tech Installer: Wm E Robinson Sr Septic Address: _ 43 Triangle Circle Address: PO Box 1089 Sandwich Centerville` on Wm E Robinson ;Sr Sept Uats issued a permit to install a (date) (installer)- Service septic system at 221 Lincoln Rd, Hyannis based on a design drawn by (address) Eco-Tech dated 06-21 -05 (designer) - 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. L__1I 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. �" l✓' L.- moo`' DAVID (Installer's Signature) 0 CO D. UG ANOWR No. 1093 C 0 j SgNITAR�Pa" e (Designer's Signature) (Affix Des>i s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE, OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 8 V Commonwealth of Massachusetts 6 e Executive Office of Environmental Affairs RFC �o E41 - Department of MAy 3 Environmental Protection 70W41 eq 199? INA William F.Weld .IlP ��rNn�SAR, Gowmor Trudy Coxe Secretary,EOEA David B. St,uhs 9 Commissioner - 350 MAIN ST, W. YARMOUTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION MAP#270 PAR#181 PROPERTY ADDRESS: 221 Lincoln Road, Hyannis ADDRESS OF OWNER: DATE OF INSPECTION April 15, 1997 Brunning, Richard NAME OF INSPECTOR James D. Sears COMPANY NAME, ADDRESS AND TELEPHONE NUMBER: A&B CANCO, 350 MAIN STREET,WEST YARMOUTH, MA 02673 (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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS Inspector's Signature: �� Date: April 24, 1997 The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, or C A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: N/A One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or NO). Describe basis of determination in all instances. If "not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, _ or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (REVISED 11-03-95) One Winter Street Boston, Massachusetts 02108 Fax(617)556-1049 Phone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (CONTINUED) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced The system required pumping more than four times a year due.to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _N/A_ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacterial 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. 3) OTHER 2 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 D] SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined N/A in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: N/A The system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exits: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA) or a mapped zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 Check if the following have been done: X Pumping information was requested of the owner, occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection X As built plans have been obtained and examined. Note if they are not available with N/A X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow X The site was inspected for signs of breakout. X All system components, including the Soil Absorption System, have been located on the site. X The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 FLOW CONDITIONS RESIDENTIAL: Design Flow: 330 gallons Number of bedrooms: 3 Number of current residents: 3 Garbage grinder(yes or no): NO Laundry connected to system (yes or no): YES Seasonal use (yes or no): NO Water meter readings, if available 94-95 28,000/95-96 23,000 Last date occupancy: COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present:(yes or no) Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharge to the Title 5 system:(yes or no) Water meter readings, if available: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) NO If yes, volume pumped: gallons 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 re�cods, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: UNKNOWN 1987 PERMIT#87-310 Sewage odors detected when arriving at the site:(yes or no) NO 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 SEPTIC TANK:_X_ (locate on site plan) Depth below grade: 12" Material of construction: X concrete metal FRP other(explain) Dimensions: 1,000 GALLON PRE CAST Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 33" 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: 13" Comments: (recommendation for pumping, condition of inlet and outlet tees ;or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) TANK AT WORKING LEVEL INLET TEE, OUTLET TEE, COVER 12" BELOW GRADE. GREASE TRAP:— N/A-(locate on site plan) Depth below grade: Material of construciton: concrete metal FRP 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 TIGHT OR HOLDING TANK:—N/A— (locate on site plan) Depth below grade: Material of construciton: concrete metal FRP other(explain Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_X_ (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) D BOX IS 16"X16" 26" BELOW GRADE, BOX IS CLEAN SOLID AND LEVEL PUMP CHAMBER: N/A (locate on site plan) Pumps in working order:(yes or no) (note condition of pump chamber condition of pumps and appurtenances, etc.) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 SOIL ABSORPTION SYSTEM (SAS):_X_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 1 leaching chambers, number: leaching galleys, number: leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number: Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PIT IS PRE CAST, 28" BELOW GRADE, COVER 3" BELOW GRADE, PIT HAS 6"WATER. CESSPOOLS:_N/A_ (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 cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments:(note condition of soil, signs of hydraulic faiure, 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.) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 221 Lincoln Road, Hyannis Owner: Brunning, Richard Date of Inspection: April 15, 1997 SKETCH OF SEWAGE DISPOSAL SYSTEM: INCLUDE TIES TO AT LEAST TWO PERMANENT REFERENCES LANDMARKS OR BENCHMARKS LOCATE ALL WELLS WITHIN 100' 3 0' - 0 3° so ' 0 DEPTH TO GROUNDWATER Depth to groundwater: feet P method of determination.or approximation: FRONT OF LOT HIGH BACK DROPS OFF NO SIGNS OF GROUND WATER PROBLEMS. 9 PERMIT NUMBER DATE COMPLETED BY HIGH GROUND-WATER LEVEL COMPUTATION Site Location: 221 Lincoln Road, Hyannis Lot No. Owner: Richard Brunning Address: Contractor: Address: Notes: Figure 13--Reproducible comutation form. 10 Z I TOWN OF BARNSTABLE LOCATION L�f ����� L.' c�/�, j�, SEWAGE # k73 0, VILLAGE ASSESSOR'S MAP & LOT o 70- INSTALLER'S NAME & PHONE NO. Joki A, Au Ato , L/ .X SEPTIC TANK CAPACITY /OOa s4/ LEACHING FACILITY:(type) O;#" (size) f� � S��h e NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER P,6I ie- BUILDER OR OWNER DATE PERMIT ISSUED: 5-- 4? 7 DATE COMPLIANCE ISSUED: _/i Jv $ VARIANCE GRANTED: Yes �`N _ram, � � � �-C� C . '�� d -f , J,V' � � � � ltnf / . ' ib ; . ` i �' �`,i � t /i i.� � ri s .. : , �� No.. 2_-A— vt _ ✓ � Fes$..............'.............. / THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..w .................._0F...... o .n3 �f�+>r1 ....................................... Appliratiou for Uhipmal lgjarkii Tomitrurtiun ranfit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: � Location-Address or Lot No. Owl er Address a .....................................�)N....... . ............................ --•---.....-----•-•------------------^--•---...............------------.......................... Installer Address Type of Building Size Lot_.�Z �---------Sq. feet Dwelling—No. of Bedrooms........2...............................Expansion Attic ( ) Garbage Grinder ( } pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures __________________________________ W Design Flow................................ --__gallons per person per day. Total daily flow._Z9........_.........__............gallons. R: Septic Tank=Liquid capacity/ gallons Length..X` `... Width..4"/O' Diameter______ --.... Depth: � ........ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area___--_-..____-------sq. ft. Seepage Pit No---------- _________ Diameter........6�� ...... Depth below inlet... ..._... Total leaching area..t.94. ......sq. ft. Z Other Distribution box ( -� Dosing tank ( ) aPercolation Test Results Performed by.-_ __ !� .`�'�y ................. Date......9_`.4.-.. 7-------___. a Test Pit No.?........r?r-_.____minutes per inch Depth of Test Pit---/`/c.5-..... Depth to ground water_____..--------------- - 44 Test Pit No. I....._..Z......minutes per inch Depth of Test Pit..... . ........ Depth to ground water.....Z_S------------ P+ -------------•-----------------------•--------------------- ........................................................................ O Description of Soil.. f'a; ...................�-15;;- . ���. x 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'TTL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by e board of health. Signed.---- ...... Da Application Approved By------.--•----- -- -- ----------• ......................................................... ................ ----� . � .-- Date Application Disapproved for the f ollo reasons-----------------------••-------•----•-------•--------------------- ...............................•-•...---...•-•-•------•-----...-----------...-•-•---------------------•-----------------------•-----------------•--•--•-••--------------•-•--••-----•--••••----.......-- Date Permit No.------....b o ...- ---------� ..•--_... Issued-------•-•---------------------•...------------ Date ALL CAPE ENGINEERING REGISTERED ENGINEERS AND LAND SURVEYORS 49 HARBOR ROAD HYANNIS. MA 02601 TEL.: (617) 778-0058 Platch 1I, 1988 gown o j- l,c✓uvitabte 19c,".iv t-cJ-?to l5ocurd o�- Peatth l�;au2 �S�y eet /:lycuuui, !�✓I. 02601 2.Z--181 and y84.) .C•�.Ycco.C�i. ,' oc�l, � l)Cc.�vcde�t �ai,ue kval., Sg)tic ,rtitera 1-wwe bee,2 -I.yvAat ted acco4.du, .to ptan4 by thr4. Cony-)any. � I Cdwa�ul Ke-a u e y, P.C. J t No._ U f 1 l Fps............._.............. --.. 4- � ... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -•......................:................OF................................................ Applira#inn for Dispati al Works Tom3trnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................__.............................................................................. .........................Ji f............................................................... Location-Address or Lot No. ......----•---•---.............................•----•-•-------•-•----•-._........................ ..........--...................................................................................... "�'w�` Owper/A 1 / _ Address a --•-........•••••--•........................�-•-•---•-•-••••••_k'-/-'-'".)......................-•- Installer Address d Type of Building Size Lot_j._4_ �...._____.Sq. feet U Dwelling—No. of Bedrooms........ .................. .............Expansion Attic ( ) Garbage Grinder ( ) p.I Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------•••• - W Design Flow............................... ''.._.__gallons per person�per day. Total daily flow.�ZO......_._.......... .............gallons. R; Septic Tank—Liquid capacity ..gallons Length."Zz`.... Width.�_'-?�'. Diameter__.-_—_____ Depth ... ._..... Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___--.._.____--•----sq. ft. Seepage Pit No-­------------------- Diameter------- Depth below inlet..3...:?_......._. Total leaching area_!�-_.......sq. ft. Z Other Distribution box ( _/� Dosing tank ( ) I _ aPercolation Test Results Performed by._/t_�y!__l��('!.-__! /-`f_�!�l_________________ Date..... _...G___. fC _---------- Test Pit No.',,l....... -_-__minutes per inch Depth of Test Pit-..z�•__5_....._ Depth to ground water____•--............... r3, Test Pit No. 4....... ......_minutes per inch Depth of Test Pit---- __.......... Depth to ground water----7:. .............. P14 ............................................................. Description of Soil ' ' -4- ��=�...................`44� 5!=- ` i.,.Ia/' x • U ..............................................-•-••-•--••-•---------------•---....•-----.......•-••-----•-•..._..••-•-•---•-•-••--------••-•---------••-••--•••-••--.............-----•-•--••......---•- 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'T' y r- of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is tied by he board of health. ! -3 -/O- Signedr ----------••......-----•-•---•-••-•--- ................................ Da Application Approved By------ -----w-------- ....................~ � r�--- Date Application Disapproved for the f ollo ' g reasons---------------••--........_.........-•-•-•--•---.-• --•-••......-----------•......•-•-•---•-----•---------••-- -•••-•-•-•-••--------------------••-------•••---••-•••••-----•••-•-•---------•••••------•......•••--------•-•-•--•--•---•--••-••----•-••••--••----•.................................................... ) Date PermitNo.......... ................................f ...... Issued.................................................----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �... ...........................OF...... '.... .................................................. 'rrtifiratr of faont�rli�anrr THIS��•�, TO CETI i That the Individual Sewage Disposal System constructed ( or'Repaired ( } byN"= J '' -------------------- --....------....----------...-----------------------.................------.......------------------. at...... ...... t> 11....... 1A..... l— / .........7 al ........... -----------•......•...' -----vim •- -------------------------- - has been installed in accordance with the provisions of fill'3 of51he State Sanitary C. as d cribed in the application for Disposal Works Construction Permit No._.._1I._�.. ............ dated_--.-__�___I -_-.�______... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS (� BOARD OF HEALTH ---- ............OF._... �� 1U.......................................................... N ........................ FEE.� ........ Diupuoa ork tliui�tftnuton amit Permission ' herebygranted......... _ -----•. ......V .. .. ........•. ----•••--•----••------••-----•-••--•--•••-•--•-..................••••. to Construct ) g0epair ` ),an Individual'Sewagq�Disposal A�sat No..L k- ► ==- k .'�� «l�-� /--------------- - .. ............................................... ......... Street _ � as shown on the application for Disposal Works Construction P mit Nol.!__-?_�._._�gDa-t �d,_........................................ ( ---- - 1.�!-►-� -- Board of Health DATE...... =- !c7 ...................................... FORM 1255,NHOBBS & WARREN. INC.. PUBLISHERS , --- _ . � i��lavadeh �,ri.v e 4 0 w•�de - - , o0 �oz:s2 ... I . . , , : j - a ton p : lC'oz7 81 81 A - .o y � Al2,4005 9 -r N No ,e �.G. tot 82, A Z�. A PRbr�hsaap../000 _ _ Gate a-9._87 f—icc `t a AREA loc�a 4i roc G S — - , , ,... - 9�G-Cap e-ova Alsee�cnc-.. _. .. , o - 14� �9 Raabo4. l?ocd - , ., )Vqa , Ma. '02601 . `� 4z% roo9. L. r� 9.2 �O.Oo ►� ,/.3 f1b 2 BM Q • IW 9•s i/ l0 4 . o � , . ; . . _ __� : . ' sue, �� .� .�o � 301 Ind. 0 wade L:. , No. bed-toov-ri 2 i { T gc%bac:e d no �h etch /?l cwe o eC'c�nd :rn M Mu. _ f.. . . _. _ ..._..-.-_. . _-_- _ _ � yam,..__- �a t, tom Cow 220 ��d_ �02 octet V, rSte .4.nc J'e�ch c�ea . ISO :,Co& 81 �'1 .A a4- wn ova. l'rhd Cover t a� � n /SO a p.l an 10614 N and;plan bk-. 306 pc�. 16, Capac.� 301 �q�d .: d eu orv� baue be.evi cd.4us ted o• audtvh &� d on'1014 , I , Za�e Acezt. yt�a�cvaita�i SoaiccZ`o rdec�,�,Fi r. t , - i. �I -- —4- T , t M,,ad}}e 2-6 87:.. J rF ENGt%IEEAi -NIUSt 11sul wv ... x Wi/l.• N .�'ertvie2 : �"u—�l— �r��—tt'1 ��Adsal .. uvreaed , . aIG. Ph EytCo �. i K - i7 r. i _ etc./Ga te. 2.,.19LLn pPJG .I i g•4 - I ,Jr1 +c C-I T0- F'LFaN r L - I I i ?SSip I - p � r z�7�d'�L .Sy> �P,t�: of > .;,•;N*s -- -- ,dub cocvt4a rur�e is ° , �aE fb & bony :'- z 324^O 9f�aSTi ` i4 bony; ! rry T A i ,EAL'�N wA i " ..._r_.-_.—_L..... ._.�,..._... ._ ._�- .. .. SOIL TEST LOG � . � . � DESIGN CALCULATIONS DATE OF TEST: JUNE 20. 2005 SOIL EVALUATOR: DAVID D. COUGHANOWR. RS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD GROUNDWATER ENCOUNTERED AT 162 in TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS ELEVATION - 43.14 .- PERC AT 72 in 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DEPTH SOL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 43.14 - 0-28 FILL , SOIL ABSORBTION SYSTEM: A 29 ft x 10 ft x 2 ft LEACHING GALLERY CAN LEACH 28-32 A WOOD LOAM 10 YR 3/2 NONE FRIABLE Abot - ( 29 x 10 ) - 290 of Asdw - ( 29 + 29 + 10 + 10 ) x 2 - 156 sf 32-54 B LOAMY SAND 10 YR 5/6 NONE FRIABLE Atot - 446 of 38.64 Vt 0.74 x 446 - 330.04 GPD 54-168 C ,� MEDIUM TO 10 YR 6/4 NONE LOOSE ' 29.64 . COARSE SANDI USE A 29 ft x 10 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED 29,14 GROUNDWATER ADJUSTMENT OBSERVED GW 29.64 INDEX WELL MIW-29 READING DATE MAY. 2005 LEACHING GALLERY fEM GALLON DRYWELL OhENISIONS AND DETAIL READINGG , 6.4 ADJUSTMENT 1.2 CONSTRUCTION DETAIL USE "-2OUVT ADJUSTED GW 30.84 DRY WELL UNIT INSTALL ONE INSPECTION 8'-6'x 4'-10'x V-9- STONE RISER TO WITHIN SIX 2 ft EFF. DEPTH INCHES OF FINAL GRADE AND INDICATE LOCATION 29.0 ft ON AS,GUIL T PLAN -NOTES N o O 34 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN G �c]pp OQ� in 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT I/8 INCH PER FOOT MINIMUM. opppooaCpC::j p cl OOQ00 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS p©o mop 00 OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4' 8.5 4' 8.5 N p�pOpp 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES ' ' 4' BEFORE EXCAVATING FOR SYSTEM. 29.0 ft NOT TO /02 h7 SCALE 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED. REMOVE ALL CONTAMINATED SOILS AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON."FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-O BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE' INSTALLATION OF LOW FLOW FIXTURES -TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING:"OF'THE.,'SEPTIC;. TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR,FLOA:bING. DO NOT RODNEY & JOANNE VIERA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM`'t k,; 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFOR.E 'S7�ARTING WORK. 221 LINCOLN ROAD HYANNIS, MA II) SEPTIC TANKS SHALL BE INSTALLED LEVELY'fi"AND 'TRUE TO GRADEON A LEVEL ECO-T H ENV RONMENTAL STABLE BASE THAT HAS BEEN MECHANICA.LL`xY COMPACTED AND ON TO WHICH EC EN Y I SIX INCHES OF CRUSHED STONE HAS BEEN PLACED`'-TO' MINIMIZE UNEVEN SETTLING 1 2) SEPTIC TANK TO BE_:PU.MPED :DRY,, AT- HE OF SYSTEM REPAIR AND CHECKED 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL :INTEGRITY,. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-2047. _ DUNE .2I.,.2005 .IN . :_ - ... .,mot ,. ., .. # w "v .. ... v..:i, . . :, .. .♦ 0... .: .. -.. : •."" PLAN REFERENCE `CONTOURS LHYA 38 PLAN BOOK 306 PAGE 16 EX18'TING - - - - - - - 50 ASSESSOR'S MAP: 270 MINIMAL GRADING PROPOSED40 LOT: 18129ftx /0ftx2ftLEACHING GALLERY42 - USE H-20 UNITSET Qz - LOCUS MAP O ?o z o 4 i2 NOT TO SCALE / V Q ? 1 O Q� LEGEND b,� Q �I EXISTING Gas mQ-j p a 1000 GALLON o 0 L/rV�c �C y Q o p W SEPTIC TANK. Qjt-) Q �� H-20 D-BOX O V o Cj 36 �_ 0-0 W TES T PIT a LOTS 81 & 81-A I2-0 � EXIS TING +_ W,q WATERI LEACH PIT • TOTAL AREA - 12400 sf /NF`oTE ' p O A VFp D / TREE -NUMBER TO Q _ 00 R/VEw� Y �./ IN INCHES.REFERS DIAMETER DENOTETYPE�P 36 �O0 f \ 40 .2 40 O-OAK M-MAPLE P-PINE ' 67.61 ft 38 43 �t BENCH MARK FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE WVERT ELEVATIONS' TOP OF WATER GATE VENT ELEVATION - 43.22 PIPE BARNSTABLE GIS DATUM TOP OF FOUNDATION RAISE COVERS TO WITHIN PLAN j 6 in OF FINAL GRADE EL - 43.92 +- ONE INSPECTION RISER FOR SCALE. in = 20 f t LEACHING GALLERY D—BOX 2- LAYER STONE SEWAGE DISPOSAL SYSTEM PLAN /3- DROP � H-ZO i FLOW LINE TEE % -TO SERVE EXISTING DWELLING 4- H-Zo RODNEY & JOANNE VIERA 48- GAS�� PRECAST 3/4'-11/4' HOFIy 3 BAFFLE MT DRYWELL STONE o`'� DAVID S9cy� 221 LINCOLN ROAD HYANNIS. MA 6 in BOTTOM OF u, 17 \�O.3�11— SOIL ABSORPTION tD. EbSTNO STONE 38.58 LEACHINGJS SYSTEM ��; COUGHANOWR ECO-TECH ENVIRONMENTAL BASJIN, 38.7S GALLERY No. 1093 43 TRIANGLE CIRCLE SANDWICH I'1A 0256 EXISTING 38.25 s.00 f, . -P �� EwBTI►iG (END VIEW) OISTE 508 364-0894 1000 GALLON TA EwaToac3 z�i+ o) 6.7 t+ to {t �S ETE-2047 JUNE 21. 2005 172 SEPTIC TANK b) 20.8 r v THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT ESTIMATED - 30.84 1JI/le 2.1. 2_0O5 BEARS THE SUMP AND SIGNATURE OF THE:DESIGN ENGINEER SEASONAL HIGH ORIGINAL PLANS NTENDED FOR SUBMITTAL TO.TIHE BOARD GROUNDWATER OF HEALTH WLL BE SIGNED IN BLUE-AND STAMPED N''RED. y E