Loading...
HomeMy WebLinkAbout0086 LONGWOOD AVENUE - Health r'86 LONGWOOD AVENUE ' Hyannis A = 287 --090 a O 0 TOWN OF BARNSTABLE LOCATION e4UF—. SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL �� �Q INSTALLER'S NAME&PHONE NO. e9taK ( CuVeh- SEPTIC TANK CAPACITY t 57aO 4s At— LEACHING FACILITY:(type (size) 5% Ix— NO.OF BEDROOMS OWNER i L-a�— PERMIT DATE: •/ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N Feet FURNISHED BY �E r 3,!F • 3 9-S;- 'r 3 0- 113 � TOWN OF BARNSTABLE LOCATION � "e )gn b I<UIE SEWAGE# _JQ i i-11 VILLAGE ,,:_�g{ qq2� �' ASSESSOR'S MAP&/PARCEL INSTALLER'S NAME&PHONE NOy�r�U L.O�i C1 j�— SEPTIC TANK CAPACITY P NCO LEACHING FACILITY:(type) (size) {`. o NO.OF BEDROOMS 6gA OWNER C UIT—L-a. 1, PERMIT DATE: _!5 Lq= COMPLIANCE DATE: Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 1`a Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Q I � �► co g, No. d f Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in co puler: UBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes f ftpIitation for -Misposar *pstrm Construction i3ermit Application for a Permit to Construct( ) Repair Y/ Upgrade( ) Abandon( ) Ri omplete System ❑Individual Components Location Address or Lot No. g(g �Uwiqua nV e- Own s Name Address,�a,}ad Tel.No. 5-,SS-y�g to ley hi8 - Gvs �f- W6 trG IVorrvs Assessor's Map/Parcel,a$7 ho 118 -Ltd. s4al - d She aVe Installer's Name Address,and Tel.No. 6103- 70 l ' 9 379 Designer's Name,Address,and Tel.No. cSo$ its,- varo� Type of Building:Ili Dwelling No.of Bedrooms C V Lot Size �151 33`) t sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) is(t U gpd Design flow provided Ce 7 9 gpd Plan Date Mav 1-4, R o i q Number of sheets Revision Date Title T'4e,,T 'S Size of Septic Tank ta(zy 14 ao Type of S.A.S. 1"l, �fa �57 Description of Soil Nature of Repairs or Alterations(Answer when applicable) dScaC� ao s r ' �aj( rSODGm..e4.pod�^� d 15 i►7 4n /j,S_a ' X 5'°'1 L­q A SLILL r,1 1 s 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 e a of to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by IV h6c Date vh sZ t Application Disapproved by Date for the following reasons Permit No. 2 ON-y CV Date Issued .2 2 ..A' say� k, "•?dcMM.....- �� \1 i'p NO. I ( tf r E Fee v - Entered in co u r: THE COMM NWE -�- P to O ALTH"�OF;MASSACHUSETTS 3 �QUBLIC HEALTH DIVISION-TOWN'OF�BARNSTABLE, MASSACHUSETTS Yes NpYication for Disposal Opsterrt construction Permit Application for a Permit to Construct( ) Repair J4 Upgrade( ) Abandon( ) 2-complete System ❑Individual Components Location Address or Lot No. Owne 's Name Address,4�aan}�d Tel.No. wZs yag- r. J 1-{yc�rsn•Js evrjoef- d/6 t✓&1Uorris Assessor's Map/Parcel 2,87 9v 13J6 L�sf--U). Parn5kJo ,I - dS4e4,U///e Installer's Name Address,and Tel.No. `J'0Ff- '?0I - 9 39g Designer's Name,Address,and Tel.No. 5'6$-S4,.? - �C O,-x,V Type of Building: �. 'Z .._______Dwelling-`No.of Bedrooms Lot Size �5, 33r' ± sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) I Other Fixtures Design Flow(min.required) Q0 gpd Design flow provided 9 gpd I Plan Date MGy is, a o 17`, Number of sheets / Revision Date Title`T Ag—T ,p i 5 Size of Septic Tank 1 F} AD Type of S.A.S. //•�31�S�7 Description of Soil � I y ,N Nature of Repairs or Alterations(Answer when applicable)i•ts�ie9�. (.$Ub4�Q �a� vn/y'c �c�k, { ���� �i"sr��1/�E. 1 6 (o%- 56o!4 t.Q 14,P ►'e) M l���f3 / x 5 ) -y :S-Aone lei 6 aawy ' ,...,~-S=Q�:1Vt Stu. � �►�S .S'' / - � _„ E Date last inspected: � Agreement: i The undersigned agrees to ensure the construction and maintenance f the afore described on ife sewage disposal system-in.-�..,,,.- i accordance with the provisions of Title 5 of the Environmental Code•a of to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date --157.-) Application Approved by �\/ °.•..k' Date t Application Disapproved by Date for the following reasons° Permit No. �- I Date Issued -�-ZAY THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS / Certificate of Compliance i THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by'&4w to 1�'S/It�cat S L Lonaw�. t� Ue_ f Fon&;,,Pli►^- has been constructed in accordance with the p(r�ovisifons offTTitle 55and the for Disposal System Construction Permit No v/ 7 ' dated 41Y Installer &r1 , (>e ;Sri ye- Designer (.J Tj►C #bedrooms ApprovedRdw gpd QThe issuance of this permit sha no a con. rued a guarantee that the system deli nDate Inspector �� (3 b No. �_O I Lf 7� Fee o0_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at $�o 1,L>0j LrX)nel e__ 1 V J j Ca Yi/l l S 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 local provisions or special conditions. Provided:Construction ust b completed within three years of the date of this permit. n (� Date � �� Approved by Town of&rnstable P# JDeparti rent of Regulatory.Services uttr, wa , Public Health Division Date � MASS. °a7fl 200 Main Street,Hyannis MA 02601 4 Date Scheduled Time Fee /Q Q 00 r -- Soil Suitability Assessment for Se e i p0 Performed-By: bah I e 1 6U7 Sa6V-Pi Witnessed By: LOCATIQN& GENERAL,PWORMA,TION I &-JO 00 , �✓L Owner's NameC Location Addregs �f'(p L-O ya. P Address Assessor's Map/Parcel:/ aO 9� Engineer's Namc �a vj­_ e ' NEW C — / ONSTRUCTg[�ON REPAIR Telephone# Land Use:�-a y' / Slopes(`�) v �� Surface Stones NG� Distance's (�l from: Open Water Bod �r yv/J tt Possible Wet•Area/ / ft Drinking Water Well Drainage Way �(`� ft Property P rh'Line 3/" ft Other {t SIM,TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands•In proximity to holes) c:z O VIP ZE &-c l a( Gu+(,t/G�� 0� - - --_ — - - � —/-- --•--- ^'i)op[ttto l3etli'odk- ,/ Depth to Groundwater. Standing Water in Hole:/"// /�\/� Weeping from Pit Fnae Estimated Seasonal High Groundwater. /y IA— DYTERNHNATION FOR SEASONAL HIGH WATER TABLE /� Method Used: Air,W Depth Observed standing in obs.hole: In, Depth to s9II mottles: ln, Depth to weeping from side of obs,hole: In, Groundwater Adjustment fG. Index WeII# Reading Date: Index Well levalCJraundwaterlevel� , PERCOLATION TEST DnteS(p 19 TJtua l0'0C Observation Hole# ®® Tline at 9" _ Depth of Perc t eyL Time At 6" 0.,. 41m ( l) )" -- a Y' - End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Sitg Falled: Additional Testing Needed(Y/N) A Original: Public Health Division Observation Hole,Data To Be Completed on Back-------- ***If percolation test is to be conducted within 100' of wetland,you]must first notify the ! Barnstable Conwvatlon Division at least one(1)week prior to beginD mg. Q:\S EPTICTF-RCFORM.D O C DDEEP.OBSERVATION HOLE LOG Hole#_/____ Depth from Soil Horizon Soil Texture .Shcl Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure, Stones;Boulders. 10 VA • o i ten'y.96'Graydl _ 2z SL 10YA �� —to?- OYR y/ 102-15- . C3 DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, . a sis en %Gave _�y g sL 1oyesi� �0YRj0/�- roc-1S0 C 3 DEEP OBSERVATION HOLE LOG Bole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistepcy. g Orwell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency: Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary Nov Yes Within 100 year flood boundary No.7 Y65— Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the area proposed for the soil absorption system? Y-P S If not,what is the depth of naturally occurring pervious material? Certification I certify that ort (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that be above analysis was performed by me consistent with the required training,expertise and experience described in 10 CUR 15.017. Signature Datb b 7 • Q:�s.�rTlc�r�ncroRM.noc . FROM :down cape engineering inc FAX NO. :IL-5083629aHl Aug. 21 2014 02:17PM PI hmas T F. Z m Ilea I ivi. �:h Ifyau'Ed'2' WA 02601 Offloi;: 508-861404/1 Fax: 508--�90-6304 YK'. A/ 7 �I—f lk /'L ' ) C A.rl d n-c F.,,: T1. 'WLL-9 iSGILed a e,-l-mt to ilwah a P (lite) bwed on a desigii dtawn by patd (;P'I-tl'-Fy lhat the Seplio sy'qf�"L areft"Tellce.,ti above, wagiiiStalled. slabs-t21.1fially acrordi.71p, to Lhe design„ g-D, W.LiCIL Uldy ICIC',11Ldf-, alino-s'- mch as lateral relor"slioll. of distlibLdiffil boz und/o.c sc.,.p[ic fijjLc.. that the, selpfir, sypte.ui refEvmced above ivaL liD.-stallud with major c.hargfes gealel'tham. 10, lallrlal 1'eloc"alloll of IN5 """As or Rlfj.y Veelf"'al l.clocatior.of&fly-Gm a.poilcalL )y V�0- DANI Z L No,1811502 7. E"SieT's Ri Ll i(Dg. (A--EiD Sta3.up lle�' -"AlVj-7A-HTE'✓ YURMC, HTALTH QW-USLON. flPETTM"km OT — CO'NITIJA-NCE '�LL NOT U, ).S",5fUl;TJ UINTiL 310TY-I.T.TUR, 11ORK AN) AS-,B;TJTIJ,'I' CKPD ,A,TUT, down cape engineering, inc. SIEVE SOILS ANALYSIS 86 LONGWOOD AVE HYANNISPORT, MA DATE OF REPORT: 5/16/14 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 86 LONGWOOD AVE HYANNISPORT, MA LOCATION: DCE TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 178.7 SIZE :WEIGHT RETAINED % RETAINED € % PASSED (sum )--------------......................... ..........................:---------------------,..................................... 1" 0.0€ 0.0%€ 100.0% --------------i......................................................i--------------------�------------------ 3/4" 0.0i 0.0%i 100.0% --------------:......................................................:---------------------=------------------ 1/2" 0.0€ 0.0%€ 100.0% --------------I......................................................>--------------------- ------------------ 3/8" 0.0 0.0% 100.0% ........................................................ 0.0€ 0.0%S 100.0% '-------------i......................................................t---------------------i..................................... #10 4.8 2.7%€ 97.3% --------------:.......................................................---------------------...................................... #20 € 49.3€ 27.6%� 72.4% --------------..................................................... ...... #40 117.2 65.6% 34.4% --------------i....................................................... .---------------------....................................... #50 142.1 79.5% 20.5% i......................................................r-------------------- ..................................... #80 166.0 92.9% 7.1 --------------i.......................................................---------------------..............:....................... #100 170.2 95.2%€ 4.8% --------------......................................................:-------------------- ------------------ #200 176.E 98.8% 1.2% --------------:.......................................................---------------------------------------- PAN: 177.7€ 100.0%€ 0.0% -----------------------------------------+--------------------- ------------------ SAMPLE: € 178.7 NOTE:TEST ON PASSING#4 ONLY, 0.4% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b (GRAVEL&SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >98%SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIA N��tOFMAS& y NONCOMPACTED o� DANIELA. �s SOIL DESCRIPTION: MEDIUM SAND OJALA � CIVIL q - No,46502 T SR S � Commonwealth of Massachusetts ' Title 5 Official Inspection Form Chas Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is every H anniS ort required for eve Y P & iS Ma 02647 9/10/2013 page. City[Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: I key to move your I cursor-do not Sean M. Jones use the return.key. Name of Inspector S.M.Jones Title V Septic Inspection A �V Company Name 1 ,4 74 Beldan Ln. ;' "v Centerville _ \ Ma 02632 City/Town State Zip Code 774-248-4850 smjonestitle5@gmail.com S14522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the iB s�ection. Tj�p ins4tion was performed based on my training and experience in the proper function and,r 7a'1ntenance•of once sewage disposal systems. 1 am a DEP approved system inspector pursuant 1€0 Section TM�340� Title 5(310 CMR 15.000).The system: 3 + o ' ® Passes ❑ Conditionally Passes ❑ Fail ❑ Needs Further Evaluation by the Local Approving Authority r-i• ; w rn it 9/10/2013 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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 official Inspection Form,Subr dace Sewage Disposal System•Page 1 of 17 i 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM 5 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 1 Commonwealth of Massachusetts AEQ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is H annis ort required for every Y p Ma 02647 9/10/2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑. Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: I ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® 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- El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 P Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M s 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail Sump pump? ❑ Yes ® No Last date of occupancy: current Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments b 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hy p annis oft Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cost.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: cesspools, to check for structural intergity 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): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7M , 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannis port Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 { Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is H annis Ort required for every Y P Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene other(explain): 9 ❑ Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Ma ssachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every Hyannisport Ma 02647 9/10/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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.): Distribution box was in good condition, minor rot, box has two outlets, water level was even with outlet invert. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is H annis ort Ma 02647 9/10/2013 required for every _Y p page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 4 ❑ 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.): system consists of a main cesspool with 4 overflow cesspools. All cesspools were pumped to check for structural integrity. All cesspools were found to be in good condition, blocks were tight, no sign of past hydraulic overloading Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 5 total Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ® No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is required for every HY P annis ort Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): cp#1 is constructed with boulders. it was pumped and was structurally solid. it has 2 outlets. size 6.x5' cp#2 is constructed with red brick and was structurally sound, it has 1 outlet, size is 9'dx4'w cp#3 is constructed with concrete block with no outlet. size is 9'dx5'w cp#5 and 6 are constructed with concrete block with no outlets. These overflow cp's had 3' of available leaching with no sign of past hydraulic overloading. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is H annis ort Ma 02647 9/10/2013 required for every y p page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch rin the area below ❑ drawing attached separately Ra- P` oo' (D-3 -; . Z 13- ql 13-z 57 R-3= 27 Ll )3,37 3s A.t f._ 55 &7`e A-S- S� t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information isequired or every H annis ort Ma 02647 9/10/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+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: .Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °M 86 Longwood Avenue Property Address ONEIL, MARIE E Owner Owner's Name information is H annis ort required for every Y P Ma 02647 9/10/2013 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 • y o QQ O O i O Ave rn i �1 10 •� I S r `\ sy DPP ° P m ° IT,o m r �N - Z is m- 5 I °g LL1� P HR ° mf m Pzl � . It \ j = N21 a z= s ° lz zi y S� lz ZZl N DDDDD m �s m P ti m M CURLET RESIDENCE RENOVATION m8 IVAN BEREZNICKI ASSOCIATES,INC. H -o °ARCHITECT ,:1 a 86 LONG WOOD AV& FB g �.a Z HYANMS,MA - %✓ c 9WENDELL STREET,CAMBRIDOE,MASSACHUSETTS,02138 TEL:(617)354-5188 FAX:(617)868-5764 i I r I I { -�-----------=---------------------�------------=-----------------------------� 'III I{ �I '� -n I{ r - -_- =_ _fi_-=___-_-=__ _=_-= _ -_- — — — — — — — -O I- - - I I ° 1 {{ I . I — o g .. — jI "Im98 \ ` ........I.... ' -----� lid ----- ! I I I I i f---------------- ME IT— I I j j ! — — I no I I I 41 j I I r T I I 9 I � ---- � -- - -'- - - - - - - - - ------- L �- �� v I L=-J - - ------- ------- --- ---- — ---- ----- ---J ! T - n-sv• b • b b bb I I ! I rn --- I I -71 r I Zmpg ! n II i - � go a3 � III XX � . �'� �g � �� �gg I • I III , �b �g'1"✓` I '�� 't �8 3 8 E Y�_�___ III IT---'-r- I r I -------------- ��. I - - 11R I I — — ---------- — --- — oC o o, DDDDD I y rn CURLET RESIDENCE RENOVATION a IVAN BEREZMCKI ASSOCIATES,INC. Z O m 86 LONGWOOD AVE. Pg ARCHITECT OZ 4 HYANMS,MA - y 9 WENDELL STREET,CANOIUDGE,MASSACHUSETTS,02138 - TEL:(617)354-5188 FAX:(617)868-5764 i I I ayo i I 9�1�e I I r y y _1„i!iiIi11IiII11II1I"IIIII1i1I1II11I1I1i1II�IIIIIIIIIIII TJ9II1iiIi11Ii1II11II1IIIIII11IIIIIi1I1I1I1i II�IIIIIII x 1�11'i;III'11IIIIi1I1jIIi1I;II1I ek^■1'.O 1 n J _11Iil- ��1pIIIII IiIi11'j'I -_9\-_I— aI_.E,^— C_ep9EB—_ .. �- >p_F�E-— -� --Ogy \€oB- _ N r=am i iO j/m Ij 7 _ IL �kIII{II'It„iii I1r Ijiil kIiI''FrI-I I I1tiI tIi1, I. 8�fPssi- ..1-..J:-\ �I O LLn_ IF L--_ L -—-—--T-I-—-------- -------- I R D i i IO it-------LL------JJ --------- —_—_—_ _—_—_—_—__ eeY___________J_ —------- _______________________________ —__ q) ENTRY® ® ® DW yI I fx xx g FS O��cm I %% --------- ° 382 6 z "ii .11_______ ______ r--_-_- - - - -_-_----II II I- - � ___ -=I ------ --- -- ji------- --------- g - ------------------------- DDDDD IVAN BEREZNICKI ASSiP11iT.11Og��.IrIIIp�IiPPiIIijirij IjijI rIl^hr,I 7Iiy + ., b QaQ C-/ ---/OO�—I—) A��pNy° T- -. —ES- INC. _ '\ Zco/`OO. 1OO'.17 � -n CURLET RESIDENCE RENOVATION lll , ' • y Z O 86 LONG WOOD AVE. g !ARCHITECT Frr� O HYANNIS,MA y c 9 WENDELL STREET,CAMEIRIDGE,MASSACHUSETTS,02138 TEL:(617)354-5188 FAX:(617)868-5764 I k I i I c Il 'I 11 � 11 —�__ ____ _______ i 1 I ``\8� M ig $ i f_______ —rE _ , FR Z I ---------- --- -- --- -------- — i o-- -J I --ii I--Z'=j- - - _________ --- II I II I m- - - ____ m �— I �S- L��VOE S II'i -J iaT�iiC I I I i8 ry _ 8 4 A - gig ------------ IZ xx 7---------- L xx ROPE / I —------------------ D - P CURLET RESIDENCE RENOVATION g IVAN BEREZNICKI ASSOCIATES,INC. ARCHITECT ~ y Z O O - 86 LONGWOOD"E. _ Fig N q HYANMS,MA xy a 9WENDELL STREET,CAMERIOOE,MA SSACHUSETTS,02138 IEL:(617)354-3188 FAX:(617)868-5764 NO ---------- --------------- p 4 T o 9 5 R _ o � 4 33 > E P ski m e P 5 v 8 n m s y 3 Z x � n 70 P � > W o f a § Mm e G� m 8 m s, ai § m 8 8 y � p4 pS @ d i3 f+ 9 R 3 n M s � 3 $4 Pg 9 9 3g nA z o S 9 S § sq R _ y7y d ! ;s " a j; B $� t3•,e� W �r, � 3 I € § S12 e zg m m rn z O D D D D D m CURLET RESIDENCE RENOVATION m $ IVAN BEREZNICKI ASSOCIATES,INC. 0 sg e 'ARCHITECT C<) C) - 86LONGWOODAVE. frll < QO b HYANNIS,MA - 9 WENDEL,STREET,CANMRTD()E,MASSACRUSETTS,02138 V7 TEL:(61')354-5188 FAX:(617)868-5760 I j j j — -------- i - ---------L--------- FIT, _ _< — — — D ocm a I m UEEI o J I I j j j j j8 j I I mo -m 8^ •m -- - a----------� — — — —� D "i 8R o I I I I j o w o U b so m -m j - - - �� 7f N� Z I I I g I j i I IIFE EEE, I j ® I ma j -� - - - - - - -p ie I ❑ i I ------ I ------' I I I i I I Wig. I I a a I i -- W - — - - t- - - - - - - - - � s o j gg DDDDDA z W m ' D - s - CURLET RESIDENCE RENOVATION rvaly aEREzrrlcxl AssoclaTEs,Ilvc. ~ O O s6Lot4cwooDAVE. cg 'ARCHITECT f� Z HYANMS,MA 9 WENDELL STREET,CAMBRIDGE,MASSACHUSETTS,02139 TEL:(617)354.5188 FAX:(617)86&5764 Po i M §m o— ------- Z N c G�w G��G���G��G��^G'�� L''�� L•' g j ROLii 'Q on $ 9AJ11 1 4 Fla• �h o: IL C EXISt FIN CM O El� IN I a I I ® I I I 0£ I I z I - a L' F G �L L so t? C�^ �Yv •E , j j j I j I I i > -—-—-— <� r 4 �Q�tiIQ� S$ �L� rn DDDDD n �s o N� s IVAN BEREZNICKI ASSOCIATES,INC.CURLET RESIDENCE RENOVATION �� m :ARCHITECT 86 LONGWOOD AVE. Gg , N Z O HYANNIS,MA 9 WENDELL STREET,CAM$RIDGE,MASSACHUSMS,02138 TEL:(617)354-5188 FAX:(617)868-5764 I - Y Y -----� ------- - -o a� zg 1 of ss� I �� s-.v�• s,rr g � - .r-s mnf v� m svr ra/rE sfa• � P I wrw a . z —ILL SIM /! y it =a�= oil 9� ; ; i 8 • m r - i mgg �m f 1:0 I �_J Z1 O %I I -- ♦\ \` ` p-- —_ _—__ �BFAF a � f —_ _ —_—_—_ —_—_ _ z OI ❑ —$ ♦ — g - I �s I Tip —p 4 s� z / I J z �♦ I 6 o G � �O •^I G \I 3 .0 71 b 3s i I — ----------------- -- -- J a— --- ----- --------- -- -- I I I I I I _ — - - - - - - - - - - - - - - - - - - - ------- ---- --- --- —� p-- — _ b b bb . - _ M" I €€ r -------------------- --- ---------------f------ --I+7 I I 1 i i 1 'I ' n _LT r 3 I P€ il2 1 II I I I I v qO I II ,ICJ v Qi�i A I j i :I UN c zX I• _ 1 I1 I,j .1 p yS _ ______.-____�;, N6�6 zD i lii— i i oA i i r-a vz i j 1 �a l i iia I - i'� Z I ' O i' ii ii i I'I I ._ ,C r�jl_, I �� Mer'1 , 1 I 11 a 11 A.I I. �i I I '"1 9��11 �I: � I,; O ___ ___--- , 11 I I 1 1 / i(-•) � 1 1 �5�, I I I I F �^$Ct I I ,�J I , I 11 1 1 11 C��£ OF IK, o� I I.' '� � I �'.i �. i t - •. � \``��_ i'Q I I I II II I II I IXX Lr `—_ , 6 NYKs I I OG Oi0 F(IMG o \� -------------------------' _—___—Y_9 St_ OTjy- - o I I III �I�i IIIII III li $2 I 8 l �o �WR� � M II gv�ll �i 11 I II II �� II �1I �m II �� i S am OI i i C T i Nall i � _5�i Cm i� � III 8 g�� ® O) , II II ___------ ----------- -- f'--- I I I I I I I I I I/LGI I $I I I I J..YY I II II P II I II I ET ,II II 111------- I , ������nnnnii 1 1 1 t I III OiI 11 11 11 II II II II I I II II 1 -II , I II II I I 11 II II 11 LL . I - I I I I I I I I I gm I 8F I I K oi [��' nz� n - ----- ---- -- ------ 6 0 0>7 I ' 1 •' �� i m g 4 3�o it l L____�______v_------�__�__�__r84 _______________ __ I ® sx 15 i L — —_—_—_—_—_—_—___—_—_—___ °z T T D D D D D a a < s IVANBEREZNICKI ASSOCIATES,INC. y = o N _ CURLET RESIDENCE RENOVATION Q ARCHITECT n O N P • 86 LONGWOOD AVE F� DrT3 q -HYANNIS,MA 9WENDELL STREET,CAMBRIDGE,MASSACHUSETTS,02135 '-� TEL:(617)354-5195 FAX:(617)S6S-5764 o-------i-�==_=____-- -----_---_-_-_----- _-_-_--_--------__----______—____=-- Icy— �I�--- —0 --------------------- IFJ' Dorn Iiiil � ! I Li I I II zzcrn z > mD I �Q osc I I! =sail r Z o I a� 3% 9� I I I I F (/l , _ i� z I I 11111 ,. 'z � — - - - - - - J oa -- - --- --- - - u - - - - - -} o p ,-( j z o---_—_ _—_—_ —_ _ _ _—_ _—_— 4.—_—_—_— m _ nay._—_—_—_—_—_+_�_—_ �•J l a; o --- ---------------- --------------- ------- --- --------------t ,I ----------------- r i ----- ---—---— ---—--- — —-- —� I ' — — - N _ - - - ------- Lil:1--------------- I , T -- — — — + — rnN l i I I Ij � m zarn ! Ln p---- --------- N 00 Z — --- � r r r - -- rz -_-_-_ _ N I rD ! a ? co f ! �n I m 8R 8 I I ®i Fnn wi,ii•iy a E ;a ez .y �,� I 3'ro-. .una, I ! [;2 001 4 I ! O— -- --- ---_- -- -� _ L- - - - Z I I 003 § ,Gl SCF1 C ' Y C1 all m _ p8 sal _ to I I ------------------ z N T W D D D D D s IVANBEREZNICKI ASSOCIATES,INC. y = CURLET RESIDENCE RENOVATION Q ARCHITECT A O 86 LONGWOOD AVE d > Z 0 Ill 4 HYANNIS.MA � 9WENDELL STREET.CAMBRIDGE,MASSACHUSEITS.02135 O Cl TEL:(617)354-5188 FAX:(617)868-5764 F HYANNISPORT QUO 4�Nv� 66QdPN 22 _ sMlr�-r Sr. QP,G 69 i O. Q�Ft PARCEL ID: o �45.9 4 287/089 Q 68 i ;! n r , G 86' ��oo LOCUST 86 LONGWOOD 29.8Cb ' AVE O &REE r /moo' #86 �� N SB(FND) sawA oAD 39.4 OS N / 46.0 X LL / O Q 5�P 0, � � � LOCUS MAP OCNX HOLLY GAR. 40 PLAN REF: 22/101 N �C 89.1 c TITLE REF: 7976/055 Li R �Y �O PARCEL ID: MAP 287 PAR. 37.7 PINE i /� �� ZONING: "RF-1" SETBACKS:( 5'S-15'R XLEACH PARCEL ID: WITHIN 1 MILE WIND DISTRICSURE "B" 63.5' (�� 33.8 PITS 287/093 FLOOD ZONE: "C" COMMUNITY PANEL 250001-0008-D DATED:07/02/92 LU ca BUSHES G - Sc TREES 31.s�C � tj CERTIFIED PLOT PLAN cc� (PROP. ADDITION & STAIRS) LOCATED AT: 0-11 0 (V 86 LONGWOOD AVENUE ' HYANNISPORT MA. N o PREPARED FOR co NIGEL & MARGARET ���, CURLET O Q-' JANUARY 10, 2014 PARCEL ID: 287/090 �� I ��P4j� of W�Ss4 oy G AREA=.81 ACRES � mac; I � ED HARD LEGEND STON H '0 N o.28 35.5 X SPOT GRADE lV PARCEL ID: W PINE TREE v 287/092 HOLLY TREE CB/DISC UNREGISTERED (FND) 145'f PLAN 221101 /� ,/ MacDougall Surveying 146,75' LCP 20173C STONE �� , & Associates CL _ REGISTERED — P. O. BOX 2428 GRAVEL VEHIE TRACKS (FND) ---- — — — —— ——— --- - WAY 30 t5 30 Mashpee, Ma. 02649 l 0 PH. (508)419-1086 fax 508 419-1.087 GRAPHIC SCALE: 1"=30' email: macdougalisurvey@comcast.net SHEET. 1 OF 1 J 161OCPP ,. I i SYSTEM PROFILE ALL SYSTEM COMPONENTS`SHALL BE MARKED WITH MAGNETIC TAPE OR PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS ASSUMED (GIS SPOT ELEV.) i FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING •Smith MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 31.0 �O�StOa 3. MINIMUM PIPE.PITCH TO BE 1/8" PER FOOT. dd PRECAST H-10 BLOCKS �J�8 RISERS (1YP.) PRECAST ORISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST �' O 2'0 PROP. TEE kP440 PVC MORTAR ALL H-10 UNITS TO BE AASHO H-ZQ LEVEL 1ST 2' 3' COMPONENTS 3 ENDS (�P') SIDES 28.0' 5. PIPE JOINTS TO BE MADE WATERTIGHT. oywo 10- 1500 GAL H-10 ➢oeao�oovoo ,.. TEE SEPTIC TANK TEE °°°°°°°° 0�®� DDOCI �0��-O -0��0 .;00000000 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 34.0 \33.75' °o°o°°°o ®�0®®®®D�CG` ���0�®����� >0°0°0°0° WITH 310 CMR 15.000 (TITLE 5.) o Locus :: 0000aooMIN 'SUMP o >00000°oo �aaoo®000aIt, 000®®aaoaaa °0°0°0°0 GARAGE SLAB GAS BAFFLE °o°o°oIN. INT. DIM. �i >0000000.0 0 0 0 0 0o 0 0 0 0 0 o 0 0°0°0°0° ruing ° ® 7. THIS PLAN IS FOR PROPOSED WORK ONLY ANDELEV. 41.3' 0000°oA°°o°o°o � o00 o 0 0 0 , 27.44' 7' °°°°°°°° ' °°°°°°° 25.0 NOT TO BE USED FOR LOT LINE STAKING OR ANY o 4' LIQ. LEVEL (ACME OR EQUAL) OTHER PURPOSE. JOOCOO;OpOQoo;OO;O0;OpooOooOOOoo;OOO•pop Op OOOOO 000O i " OOOO OO 0O0O n0,,000000OOOOon0e.0 OOOnO'OOOOO, H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. Nantucket 3/4"-1-1/2" DOUBLE WASHED STONE nd ALL AROUND PRECAST STRUCTURES : (6) UNITS REQUIRED SOIL 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 57.0' X 11.3' 9. COMPONENTS NOT TO BE BACKFILLED OR *39.3 f COMPACTION. (15.221 [21) o CONCEALED WITHOUT INSPECTION BY BOARD OF C6 HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. (_?3 SLOPE) (9•5 SLOPE) ( 1 SLOPE) 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP LEACHING 19.0' BOTTOM TH-1 & 2 CALLING DIGSAFE (1-888-344-7233) AND FOUNDATION- 23' SEPTIC TANK 66' D' BOX 29' NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL WORK. UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS ASSESSORS MAP 287 PARCEL 90 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ' PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SHALL BE REMOVED 5' BENEATH AND AROUND.THE PROPOSED LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. SYSTEM DESIGN: GARBAGE DISPOSER IS NOT ALLOWED P�� s TEST HOLE LOGS �G� �956 DESIGN FLOW: 6 (BEDROOMS @ 110 GPD = 660 GPD ENGINEER. DANIEL E. GONSAI VES, �SE � � 249 Q�OSe p USE A 660 GPD DESIGN FLOW , 86.°p' SEPTIC TANK: 660 GPD (2) = 1320 WITNESS: DONNA Z. MIORANDI, RS x407, '4 USE A 1500 GAL. H-20 SEPTIC TANK DATE: MAY 6, 2014 4" PVC PIPE- INTO __. i , 49. /� O '�- 1'.29 41.99 -ONLYCr9ELD h I SLAB LOCATED. OTHERS PERC. RATE _ < 2 MIN/INCH r Cl* ��� ARE VER" APPROX. LEACHING: t��� c� ii' EXIST. DWELL. UNKNOWN PIPE DI cnoy/ ONLY SIDES: 2 57 + 11.83 2 .74 = 203 GPD CLASS I SOILS P# 14353 4 ix7 �Musr BE colj�$ / / �� GARAGE SLAB 46 I BOTTOM 57 6.°9 1 .83 .74), = 4 6 GP � 45 AT EL. 41.3'---- 30 36 I x 4.24 GAR BENCHMARK: USE GRADE AT ELEV. ELEV. I I 44 35.29 TOTAL: S. 79 GPD 0" 1 31 .5' 0" 2 31 .5' I I 43 9.43 GARAGE CORNER, ELEV. 35.3' 4 4 I 71 42 '39 3 . 3s.3 USE (6) 500 GA I. LEACHING CHAMBERS (ACME OR EQUAL) A W I !'� 41 /` �37.57 c H-20 1500 34.3° WITH 3' STONE AT ENDS AND 3.3' AT SIDES (H-20) SL /SL 40 O .3 GAL. SEPTIC TANK 34 3.95 6" 10YR 3/1 6" 10YR 3/1 LZLI �4 w� ; `' B B Q 5 o.os HODY/HOLLY 1 --33 3.49 �7 STAKE SET /SL /SL O .p0 x37.60 �36.42 34 I / 1OYR 5/8 „ 1OYR 5/8 O I 4.97 �33.87 -32 22 24 s .3 C1 C1 O I �4 2 / 0 �«3 88 /�TH1\\. 3 . MS/ /MS I x 34.40 \ x 30.91 STAKE SET. . J MA / 0 0.21 46" 10YR 6/4 48„ 1OYR 6/4 f39 ; 8J3' // // 30.,2 APPROVED DATE BOARD OF HEALTH �' '3s.72 (�P�G 5' REMOVAL OF UNSUITABLE SOIL REQUIRED I � u � / / � AROUND PERIMETER OF LEACHING FACILITY,. C2 C2 Gr0 s2.99 / / DOWN TO SUITABLE SOIL LAYER. REPLACE SILT SILT LOAM I I �J / / WITH CLEAN MED. SAND, TO MEET S I G�S / x�o.3 9.s, STAKE SET SPECIFICATIONS OF 310 CMR 15.255(3) x 5.05 // // 29.72 10YR 4/4 23.0' 100" 10YR 4/4 23.2' I I // 102" �• .�38. 4 � i TITLE 5 SITE PLAN M M� �� / /? C3 C3 I x 33. 7 OF SIEVE II M/CS M/CS i x3,.56 7 x33.66 �� x3°.02 86 LONGWOOD AVENUE HYANNISPORT " 2.5Y 6 3 2.5Y 6 3 ► LOT EA 1Z 1) 8 84 150 / 19.0 150 / 1�•� � I 35,3 7tSF STAKE SET / M o NO GROUNDWATER ENCOUNTERED I I• x/12 PREPARED FOR ■36.52 x 30.68 OTTI CONSTRUCTION/ off 508-362-4541 14675 x3o,s 5(13�/)�1 BORTOL fax 508-362-9880 .. 6 �� � fl E.B. NORRIS I downcape.com © F���M Of M�S �Yl� �,l b ;v� �� . S '� . CN rags d�� n o Mra M� A S • x° L'i DANIEL c4\� downc pe engineers g inc MAY 13 2014 a n 01, _�a A. , c1m civil engineers , c If Flo. n ,' o ` �, o�a�,, land surveyors no. �2 , �\�� �C�C�S T E'''+x'�V j c � ��y� � �� ��F'r=S S C'�t� r�r� Scale! C CI I e: 1 = 30' 939 Main Street ( R to 6A) YARMOUTHPORT MA 02675 0 115 30 45 60 75 FEET DATE DANIEL A. OJALA, P.E., P.L.S. 4-087