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HomeMy WebLinkAbout0027 MARCHANT AVENUE - Health F cl�ant Ave 25 1 A TOWN OF BARNSTABLE ,LOCATION DL- Al*rckw.rJ AUt_ SEWAGE# Z0►7- VILLAGE ASSESSOR'S MAP&PARCEL ' INSTALLER'S NAME&PHONE NO. C✓'i r, SEPTIC TANK CAPACITY bj4 f470 LEACHING FACILITY.(type) ��1�Ngsize) NO.OF BEDROOMS OWNER _( Ceay..5,►� Lk-C 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) Feet FURNISHED BY r Li 3c 33 7 i TOWN OF BST�LE \ ` UDCATIONO'l 4rc, c� , Ave- �r,�5" SE�AGE# fi VILLAGE \T,��3,h�,�r� ASSESSOR'S MAP&PARCEL r v x e r r "AME&PHONE N0.2ii �p cn�eJ-' - SEPTIC TANK CAPACITY l S©c7 <Z \ LEACHING FACILITY:(type) L.,,zA=j , Q';C (size) <CX:i Co k, NO.OF BEDROOMS - ao OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between'the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 •gn� 0 n�CU��S , Ar,. LPJ % / \l t O `er j .0 i 4 1 GO Wl 7 L TOWN OF BARNSTABLE �i t� LOCATION VI l 1� to MCN�r\ _a"-_ SEWAGE# ASSESSOR'S MAP&PARCEL' Ne AME&PHONE SEPTIC TANK CAPACITY 3 LEACHING FACILITY:(type) (size) 'a(' w 4y NO.OF BEDROOMS OWNER T25-�sys5ln"I® 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) Feet FURNISHED BY f 73 61 . J `h - G 4 No. � I ✓ 7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered'incomputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippl cation for Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.A_f MZrc.%t^4 Ave Owner's Name,Address,and Tel.No.Coj&4, LTD 1&4wsl i; > Assessor'sMap/Parcel 144pamosPofA- ��� £ � G�P"`��` C�. 0653) Installer's Name,Address,and Tel.No. z:BIC Designer's Name,Address,and Tel.No. Qar ,,, P.4A*_ - C6 Bcix71 rskon5 "IS Ghw. MS-776-7054 36Z-Z9zz e of Building: :I; Dwelling No.of Bedrooms Lot Size 36,037 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 970 gpd Design flow provided 6 gpd Plan Date t1hil i°L Number of sheets __X� Revision Date Title p Size of Septic Tank woo /=0 Type of S.A.S. ren-ci - _s Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1) 6rp - 'Fa;l,N &tzk,,, - z 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 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o i Date (if 41,kr Application Approved by A Date Application Disapproved by Date for the following reasons Permit No. _'1_:;L0 0 / Date Issued I No. �� 1 Fee THE COMMONWEALTH,OF MASSACHUSETTS Entered'in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppliLatlon for DIBpd9-a06P9tem (Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ), Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.ol c'--4 Owner's Name,Address,and Tel.No. t ' Assessor's Map/Parcel 04AINtI•S P>t 2 ��-� !oZ J w. l yve+ fcr m t2ct. 6�e,�t�, �; of Installer's Name,Address,and Tel.No. 99 tC Stf,t f p, .1 Designer's Name,Address,and Tel.No. Z Type of Building: Dwelling No.of Bedrooms Lot Size s55 7 sq.ft. Garbage Grinder( ) Other Type of Building (z�5,•w�� \ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 790 gpd Design flow provided _Fg7 4 3 gpd Plan Date t!1 t t 1 t 7 W Number of sheets Revision Date r Title Size of Septic Tank `)eyyl `,nit,, Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Up 6-4an Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and,not to:,place the system in operation until a Certificate of Compliance has been issued by this Board o ealt-h _ j Signed \.-�i--� L Date id � , f I Application Approved by a Date t Application Disapproved by 1. 1?C IA ri Date for the following reasons Permit No. (; �' �� Date Issued -------------------- t `' 1 J I I ETH OMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at y tiv fr1.,a P,.� l�.et.. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No__f 2 3 ? dated t ► It Installer E R t c. -5r r v tu5 Designer #bedrooms Approved design flow L7 gpd The issuance of this permit shall not be//construed as a guarantee that the syste will function ,desi'gned, 5 - � Date Jr // Z Inspector, , --------------- No. - 1 4 _.'7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construrtion 'ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at ytr►wpr Llt p%-r 40� 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 must be completed within three years of the date of this�ermit. Date ,\ 1 ( I - Approved by— i Town of Bk astable P# Department of Regulatory Services r s IarABM Public Health Division Bate ` KA-q& $ 1 t6sf} �e 200 Main Street;Hyannis M A 02G0 �rfD►dl'�� ` r� Fee Pd. Date Scheduled 16 A,5ZI Time i ,foil Suitability Assess kent fop ,fie e Disposal f ( - Performed By `'t ,�e.✓ Witnessed By: LOCATION & GENER INFORl�1ATION AL Location Address2-7 Owner's Name , pAkjj (, Address (o�� .V+1 t�f Ly a r Assessor's Map/Parcel: ZED r� I Engineer's Name D9-C_1 e_F_N 1M 61 E-J2, NEW CONSIRUtON REPAIR _g_ Telephone# I - LVJ Land Use �� h � Slopes(40) Surface Stones >1 Distances from: Open Water Body �I y{3 ft Possible Wet Area. } 1ft, Drinking Water Well ft i • 0 ft Drainage Way• > C ft. Property Line ft Other SKETCH:(Street name,dimensiods of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) I I s I _ 1 I °ski Parent material(geologic)C��(,t G �. l . Depth to Bedrock , Depth to Groundwa�dr. Standing Water in Hole. � i Weeping from Plt FAt e� _— Estimated Seasonal High Groundwater DtTERMINATION FOR SEASONAL HIGH WATER TA LC Method Used: I to sail mottles: ln. Depth observed standing in obs.hole: in. Depth1k I in. aroundwater Adjustment Depth to weeping from side of obs.hole: I Adf.fldCor,....�� Adj.CroundwaterLevel.,,,,fl. Index Welt# _ Reading Date: Index Well level ... . . I y _ PERCOLATION TESL' . Date Observation Tiitte at 9" Hole# h 9o . �(e -k st Time at G" --- ' Depth of Percime(9"-u c„) Start Pre-soak Time.@ fir_ I 1 -. End Pre-soak AY Rate MinAnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original:.Public k�e4lth Division Observation Hole Data To Be Completed on Back-- ***If percola�ibn test is to be conducted within 100' of wetland,you must first notify the Barnstable C6nservation Di,,,ision at least one (1)week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) _ (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel ya IL31-V g/14 t� �1 C11 �C,V\ d ; DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.)- (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) FI' tl 0 3 2' Q n (,d G��lr� DEEP OBSERVATION HOLE LOG Hole# #04 Depth from Soil H rizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from �S ' Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) . (Munsell) Mottling (Structure,Stones,Boulders. Consisten Gravel) F 4 Flood Insurance Rate Map: Above 500 year flood boundary No/ Yes Within 500 year boundary No Yes, Within 100 year flood boundary No= Yes Depth of Naturally Occurring Pervious Material Does at least-four feet of naturally occurring perv'ous material exist in all areas observed throughout the area proposed for the soil absorption system) If not,what is the depth of naturally occurring per ious material? Certification I certify that on Ig (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis.was performed by me consistent with the required"ing,expertise and experience described in 3,10 CMR 15.017. Signature { l✓ Date 3 QASEPTIC\PERCFORM.DOC w down cape engineering, inc. SIEVE SOILS ANALYSIS 27 MARCHANT AVE HYANNISPORT, MA DATE OF REPORT:11/6/12 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 27 Marchant Avenue Hyannisport, MA LOCATION: Darren Meyer Test Hole SIEVE ANALYSIS Weight Sample(Grams): 256.2 SIZE :WEIGHT RETAINED % RETAINED % PASSED ------------- (sum)..................................................................................... 1" 0.0: 0.0 : 100.0% --------------1......................................................f-------------------------------------- -- 3/411 0.0€ 0.0%€ 100.0% ------------- ..............................................------.----------------------------------------- 1/2" i.............................................�:...>--------------0.--- ---------100.0% 3/8" 0.0 0.0%. 100.0% -------------:.......................................................------------------o-----------------o- #4 0.0: 0.0/o� 100.0/o -------------.......................................................---------------------1..................................... #10 14.2: 5.5% ------------- ......................................................---------------------.........:............................ #20 56.8: 22.2%: 77.8% -------------......................................................>---------------------1..................................... #40 133.1, 52.0% 48.0% --------------:.......................................................---------------------...................................... #50 185.3: 72.3%: 27.7% --------------;......................................................>---------------------1.............I........... ............ #80 232.4: 90.7%: 9.3% --------------:......................................................---------------------..........I........................... #100 242.81 94.8%: 5.2% -------------i......................................................>--------------------- ------------------ #200 253.51 98.9% 1.1% ------------- .......................................................---------------------------------------- PAN: 254.4: 100.0%: 0.0% ------------ ------- -- SAMPLE: 256.2€ NOTE:TEST ON PASSING#4 ONLY, 1.4% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR, FINE 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%-6% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >98%SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINAN. MATERIAL 2114 r NONCOMPACTED DAME SOIL DESCRIPTION: FINE SAND r Town of Barnstable �11JE Regulatory Services Thomas F. Geiler, Director HAWMABLE. "kS& Public Health Division Thomas McKean, Director 200 plain Street, Hyannis, MA 02601 Office: 508-362-464-i Fa: : 508-790-6304 Installer & Designer Certification Form I IS IL Date: Sewage Permit;# Assessor's Map\Parcel j --� 1SW S I�, Designer: V ' ( � L° Installer: ri eve Address: V q, Address: ► c- 6ty-11 Or. — was issued a permit to install a (date) (installer) septic system at V � based on a desizn drawn by t (address) dated l 1111. (` Slgnel') YI certify that the septic system referenced above was installed substantially according to the desi(an, which may include minor approved changes such as laieral relocation OF th:. distribution box an&or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. Greater than 10' lateral relocation of the SAS or an, 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. OF MgsV 1 D A E y� j,t�alle,'s Signature) G/ST SO ITAR� (Designer's Signature) (affix Designer's Stamp Here) PLEASE RETURN 1'O BA NSTABLE: PUBLIC HEALTH DIVISION, CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FOR!,I AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU Q: Health/Septic/Designer Certification Form 3-26-04.1doc Commonwealth of Massachusetts Al Copy --Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Citylrown 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. 'rnp°da"t When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company.Name v 2l . P.O; Box 371 Company Address Sandwich MA_ 02563 Cityrrown State Zip Code 508-888-6055 SI 12843 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and rnSWenance of:bn sites sewage idisposal systems. I am a DEP approved system inspector pursuant to`Section 15•340 of Title 5(310 CMR 15.000).The system: ❑ Passes ® Conditionally Passes ❑ Falls; ,;,�, Izo ❑ Needs Further Evaluation by the Local Approving Authority j August 9, 2012 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. �I « �cv I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y< 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every 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): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner information is Owner's Name required for Hyannisport MA 02647 July 30, 2012 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 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): D-Box is H-10 and located under driveway. Recommend D-Box replacement w/H-20 unit ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water q ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Septic tank was empty at time of inspection. High water staining only 4" up from base. Tank appears to be leaking from base. Leak needs to be repaired inspected by Board of Health 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 ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �. 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every 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- 1 0,000g pd. ❑ ® 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 40 feet of a surface drinking water supply i ❑ ❑ the system is within U0 feet of a tributary to a surface drinking water supply ❑ the system is loca d in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or mapped Zone II of a public water supply well If you have answered "yes"to any qu stion in Section E the system is considered a significant threat, or answered"yes" in Section D abo a the large system has failed. The owner or operator of any large system considered a significant at under Section E or failed under Section D shall upgrade the system in accordance with 310 C R 15.304. The system owner should contact the appropriate regional office of the Department. . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Cityfrown 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): 1 Number of bedrooms(actual): 1 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 GPD �• Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d See Detail 9 ( Y 9 (gp ))� Detail: High water usage during summer only due to irrigation. Property has been vacant for 4 years. Sump pump? ❑ Yes ® No Last date of occupancy: 4 years ago.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., tc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present ❑ Yes ❑ No Non-sanitary waste discharged to a Title 5 system? ❑ Yes ❑ No Water meter readings, if availa le: f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: No records found. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: System installed 11/18/1981. Certificate of Compliance on file at Board of Health Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'2"feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1feet 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: 11.6'X 6'X 6' H-20 1500 gal. Sludge depth: 1" Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. City/Town 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 Not at operating level. Scum thickness 1 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? Tape measure and dip tube. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet PVC tees in place. Tank has 1"of solids at base w/no liquid. Tank needs to be sealed. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal fiberglass El polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to/of t tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date �. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30,2012 every 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 El metal ❑ fi erglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level.' Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes 0 No . Commonwealth of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every 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.): One inlet, one outlet. Dry at time of inspection. D-Box is H-10 and is located under driveway. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump cham r, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-600 gal w/ 1.5' of stone. ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraAc failure, level of ponding, damp soil, condition of vegetation, etc.): : Y Leach pit located and inspected w/camera. H-20 unit. Dry at time of inspection w/no high water staining visible. Clean stone visible through side walls. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth-top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for 9 P y Voluntary Assessments w 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. CityrFown 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.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, sign of hydraulic failure, level of ponding, condition of vegetation, etc.): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 1 O Ok 3 1 i J v v Of Y i �• Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >4feet 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: Nov. 1980 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: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: Test hole found no ground water at 12' (1980). Base of leach pit 6' below grade. Slope to ocean South of property drops below base of leach pit. Before filing this Inspection Report, please see Report Completeness Checklist on next page. z Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Garage/Apartment) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 July 30, 2012 every page. Cityfrown 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 ti .t _ 'Town of Barnstable Barnstable pF THE Tp� Regulatory Services DepartmentAB- "'m"aCR" QAnNSCAQLE,f J public Health Division - 9 MASS.. 6 ��Q 39.� F° a. 200 Main Street, Hyannis MA 02601 007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3524 6659 August 22, 2012 Coleman Limited Partnership, LP 625 West Lyon Farm Drive Greenwich, CT 06831 RE: 27 Marchant Avenue: Main House The septic system of the main house located 27 Marchant Avenue, Hyannis, MA was last inspected on 8/01/2012 by Patrick T. Sullivan, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following; • Hydraulic Failure You are ordered to repair or replace the septic system within sixty (60) days 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 THE ARD OF HEALTH as McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\T013 Itr. Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21576 ,V _-w Logged In As: Parcel Detail Wednesday,August 22 201.2 Parcel Lookup Parcel Info Parcel ID 286-025 I Developer LOT 1 Lo Location 27 MARCHANT AVENUE I Pri Frontage 158 Sec Road I Sec Frontage -- Village HYANNIS I Fire District HYANNIS Town sewer exists at this address No I 'Road Index 0972 Asbuilt Septic Scan: Interactive` 286025_1 Map Owner Info Owner COLEMAN LIMITED PARTNERSHIP, LP I Co-owner Streets 625 WEST LYON FARM_ DR I Street2 City GREENWICH I State CT zip 06831 Country Land Info Acres 1.11 Use Multi Hses MDL-01 I Zoning RF-1 Nghbd WF12 Topography I Road Utilities I Location Construction Info Building 1 of 2 Year 1928 I Roof Gable/Hip I Ext Vinyl Siding Built Struct Wall Living AC Roof PFA 4440 I Wood Shingle I None Area — - Cover - Type o ,0 1_ {8 BAS 15 l FtA 20 Style Colonial Wall Plastered Roomnt ds 7 Bedrooms 2C26 20 Int Bath .. 4 Model Residential I Floor Pine/Soft Wood Rooms 5 Full + 1 H I 9 15- o Total Grade Luxury Plus I TYPe Steam Rooms 13 Rooms I 3i u o uAi Stories 2 Sty w/UAT I Heat Gas I Found Conc. Block I s'( ou Fuel ation :2o BM, Gross 9400 Area - Building 2 of 2 Year 1778 I Roof Gable/Hip I Ext Vinyl Siding Built Struct Wall http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21576 8/22/2012 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments COP 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every.page. Cityrrown 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 A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name 2� P.O. Box 371 Company Address Sandwich MA 02563 porn City/Town State Zip Code 508-888-6055 SI 12843 Telephone Number License Number "`� zzz B. Certification -- I certify-that I have personally inspected the sewage disposal system at this address and that the �. information reported below is true, accurate and complete as of the time of the inspection. The inspection P ;<r-_ P P P y was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5a(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority � � p August 9, 2012 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 7 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. ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every 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 infil tion or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is re aced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspectip if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank i less than 20 years old is available. ❑ Y ❑ N ❑ (Explain below): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 lev ed 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 oard of Health: El Conditions exist which require further valuation by the Board of Health in order to determine if the system is failing to protect publi ealth, safety or the environment. 1. System will pass unless Bo trdd of Health determines in accordance with 310 CMR 15.303(1)(b)that the system isr notfunctioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner information is Owner's Name required for Hyannisport MA 02647 August 1, 2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and th�SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: j **This system passes if the well water an ysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and th presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no ther 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 ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow CAmmonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. Main Ho use) Property Address Coleman Limited Partnership Owner owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Cityrrown 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 a y passes if the well water � anal sis performed at a DEP certified Y laboratory,for fecal coliform bacteria indicates d Cates 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 J ❑ ❑ the system/ae 400 eet of a surface drinking water supply ❑ ❑ the system 2 feet of a tributary to a surface drinking water supply ❑ ❑ the system in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPapped Zone II of a public water supply well If you have answered"yes"to ann in Section E the system is considered a significant threat, or answered"yes" in Section D a large system has failed. The owner or operator of any large system considered a significant tder Section E or failed under Section D shall upgrade the system in accordance with 310 C304. The system owner should contact the appropriate regional office of the Department I . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owners Name information is required for Hyannisport MA 02647 August 1, 2012 every page. CdyrFown 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): Not known Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 GPD i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is ! required for Hyannisport MA 02647 August 1, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: 'Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): See Detail Detail: High water usage in summer due to irrigation. Property has been vacant for 4 years Sump pump? ❑ Yes ® No Last date of occupancy: 4 years ago 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/itle5 Grease trap present? ❑ Yes ❑ No Industrial waste holding tank prese ❑ Yes ❑ No Non-sanitary waste discharged to tem? ❑ Yes ❑ No Water meter readings, if available: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: No records found Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Three hand made tanks to stone SAS. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed (if known)and source of information: 1929. Age of Home. No records on file at Board of Health for Main House Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments (on condition of joints, venting, evidence of leakage, etc.): Main line newer than existing system. Septic Tank(locate on site plan): Depth below grade: 1feet 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: 33- 15W X 6'L X TD 811 Sludge depth: 'Commonwealth of Massachusetts -Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannis port MA 02647 August 1, 2012 every page. City/Town 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 Y Scum thickness 20" Distance from top of scum to top of outlet tee or baffle 2" Distance from bottom of scum to bottom of outlet tee or baffle 0" How were dimensions determined? Tape measure and dip tube. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet PVC tee in place, all others concrete. Liquid level at outlet inverts. Access covers are 2'X 3'on each tank. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fi rglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of tlet tee or baffle Distance from bottom of scum to ottom of outlet tee or baffle Date of last pumping: Date Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w , 27 Marchant Ave. (Main House) y Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Cityrrown 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 ❑ erglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): I Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No I . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every 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 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.): One inlet, Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump ch/ber, ndition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every 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: 1-4'X 20' Approx. ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Located and inspected SAS with camera. Excavated into stone. Evidence of past hydraulic failure above stone level into soil. System has been overfull. SAS fails Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration' Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow 0 Yes ❑ No Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 'r 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): I commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owners Name inforequireon d for ed for Hyannisport MA 02647 August 1, 2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately j I� 1. a i 3 c ` i i . ,1 �I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Cityrrown 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: '4 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: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: Slope to South of property drops to beach and ocean. Edge of bank+-100'from end of SAS. Drops below base of SAS. SAS not in high ground water. Before fling this Inspection Report, please see Report Completeness Checklist on next page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 27 Marchant Ave. (Main House) Property Address Coleman Limited Partnership Owner Owner's Name information is required for Hyannisport MA 02647 August 1, 2012 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked Z 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 LOCATION SEWAGE P EIMIT N0. VILLAGE INSTA LLER'S NAME i A40RESS Of BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED -� , _ .�i1 .® �-. L •� � �. Wit. ,� � m '' ��,� � '' ® a � / A' I�J �` s _ " ice.° � �a . � � ��✓� r �.'.....l�.U 7 Fmc......... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ..............................O F.....................................................-.... Application for Disposal Works Tonstrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -----.. . ... .......................................... ocation-Address oaJr Lot •--•-•----•-•-----•................. ...................•.. T .�. ll.t. .----- ................................. Owner t Address FW1 .......4-T.IEaJ -�. ...................................................--•-•.............•-------•--..........--•---...... .......... _,�_t.er.!,.1...� .._..-- --••-----____-_____-•--•................. .. P4 Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms....... .....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons____________________________ Showers — Cafeteria fs, Other fixtures . d .._.. -••••-•-•-•--••••--•------• ....................................................... W Design Flow..................................gallons per person per day. Total daily flow........... ....................gallons. WSeptic Tank-t Liquid capacity/:� _gallons Length................ Width._..__.--r-.-... Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length---_-______..:.......Total leaching area....................sq. ft. �.....__._-. _�(�.___ Depth below inlet.................... Total leaching area__ _ -------sq. ft. Seepage Pit No.____.__ Diameter.___ Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by......................................................................... Date........................................ a Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_-----.-.-------__-- f Test Pit No. 2.........._.....minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P+ --------------•••-.---••---......---_..... x Description of Soil ...........................•-----•---•-----------._..----------------------•--------------•--- V ----------------------•-•---•-•--------------•----••••-------•-------------•••--•------------------•---------------------•------------•--•----------- ------------------------------ V Nature of Repairs or Alterations—Answer when applicable.------ f S[_C_-..�x.-. .. __ .e 4-1-_4__I_._1__�s. ._ .•••-•..._.._.....��s.z ZO.f--------------� . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'I U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ssue by the board of health ign Application Approved By..........., f f` 7 - v ---------------------------- Date Application Disapproved for the following reasons_______________________ --...-•-•-•-•-•-----------------•---=--------------•--------•--------------••---------.......--------•----•-•-••-•--•-••--•••----•••--••••••••-•••••--•-•-----••-••-••••••-----•--•••-••---•--••--•-•--- Date PermitNo......................................................... Issued---•-----------•--••-••--•----••---•-•---------------•• Date NO.��...!� ..: ,r •*♦ Fps....'. ` ." :.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ------------- ...................OF....................................._.... ........................................ Apptiratilan for Disposal Vorkg Tunstrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal J$ystem at: / � f ...... q,t ,.fy.i.!7-• V-k k.�9�.f d . Z.06....-- �........................•................ 1 oc ion-Address •--- ••-• / Lot N �l f..... o �r ...._... a t v....q y•-••••.................••----•..... ....................... '�f .�14�/,�.1 - t.?v ................................ Owner t/ Address .. ................................................ .......... ..'.�_ .:✓. f../. "1.................................................... Installer Address Type of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms........h fl.!4-1.....................Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons............................ Showers — Cafeteria F' 'Other fixtures ................................................... -----------•--- ------------------------------------------------------ W Design Flow........ ..... gallons per person per day. Total daily flow .__....._ g� � -- •-----g P P P Y Y� �-�-----•=----••-------dons. 04. . Septic Tank Liquid capacity! gallons Length---------------- Width................. Diameter---------_...... Depth................ x Disposal.Trench=No..................... Width.......:............ Total Length:................. Total leaching area.... .............sq. ft. 3 � eepage Pit No......../_.......... Diameter...., __D.... Depth below inlet................... Total leaching area..14(t......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OC... ...-.,, .,.,.aw ......._..._•__ _____•............................................................................:::...................................................... Description of Soil.:... 9. ......................................................... U -------------------------------------------------------------------------------------------------------------..- 14— W •••-••--••-•-----•-------------------------••---••----•--•----•--.....------------•---•••••••••-•••-----••-•--- ...............................j •• { .............•... U Nature of Repairs or Alterations Answer when applicable_..__. � �1 C: r._«r._r_____...... < ,5-- t ti-- -------------- ----••••--••••••••••--•-•-- Y� Aj---------------------------------•------------------------------------------......-----•... Agreement � The undersigned agrees-to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT I Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee" issue by the boa d of h It igned •-- • • •---------•-•--•---••.•-- ........ to Application Approved By............ ... •...•........ 7........ ....... ... ........ .... Date Application Disapproved for the following reasons:_...---•------------------------------------•----------•--------•----------------------•-----•-•...-••-••....... ------•........................•-------------------------------------------------........-----------...---•------••••••-•••-•-•--••-------•-•---....---•-••••••-••--•••----•-------•-••-••••---•••...... Date PermitNo.•-••-••-•-••--•••••-•..............•---•••......•-•..... Issued------....-•---••••--' ------•-------•-----------•------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH u'�1...............OF.............. .......................................... Trrtifirtttje of Tuntphattrr T IS IS CERT F hat the Individual Sewage Disposal System constructed or Repaired g P �' ( ) ( by-----. fix' --------------------- - .............. f .............. •-----------. at.• j_•�- ..............................O.O.P.A. .1 2._'"._1! i 2.....--4. has been installed in accordance with the provisions of 1 5 of The State Sanitary"-C 'e as described in the application for Disposal Works Construction Permit .........__.37.............. dated... L.—,7._:_F_e)..........._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................•--••......•--•• Inspector........... -------------------•--••-•••..._..................-:..:.:... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT CrOF..........ter" ... . to........... ......••-••....... No......................... FEE-•-. . Disposal IV (go udion amit e; Permiss{'on is hereby grante e' •--........ -------------------------------••••...........................••-• .... to Con�rug ) or pain ( an div'dual Sewage Dispos�' -7, J�OV ystem -•-- -- . Street j as shown on the application for Disposal Works Construction P No bated.A .................... Board of Health w DATE 1y ..s FORM' 1255 HOBBS & WARREN. INC., PUBLISHERS ' I LEGEND ALL COMPONENTS UNDER PROPOSED CONTOUR �°�°D 1/f N q SCHOOL HSE DRIVEWAY TO BE H2O LOADING, ce,w/DH ``�'�. /` / /SRO 28. PROPOSED SPOT GRADE �. P POND FOUND y `�o��' eFRr�02? t —— 98 —— EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE W— PROP. WATER SERVICE wNG A� NO" .•J �.,` � IR 4qR HYANNIS NORTH c� ���' -LAwN= ���OF / I / ® TEST PIT q Aror HARBOR o s� \s0 c �� C +172 �` / "" toes �• / 7 + / NAN�CKE,1 SpuNp yIp N 2 +1641 .1 STI G CRUSHED N ONE �a Mn I" (V/ SE IC NK 9R Ar i �� v( JJ� 5 ft. soil removal LOCUS MAP / +15.7 (see note I G) LOCUS INFORMATION 2 // S fX/$j/N (rem e) { • Ii� OVMIaTu"EC 0Oc, � PROP. 1 ,00 % / ASSESSORS MAP 286 PARCEL 25 0E � G,` ,--•. � 2 H2O SEPTIC TANK /s `� ' \ .■. REFERENCE CERT: 175945 pe. Cy, REFERENCE REFERENCE PLAN: LC 28550A PROP. 2,000 : ,4 -- o _ o �cor�,;,.• FOUND PROP. POOL HOUSE (SLAB FND) LOCUS FLOOD ZONES: H2O SEPTIC TANK % o • • ;' +1a.a , ZONE V10 (EL 14) AND ZONE C OEcK O +1 ' aC o q �, _ .\� I O x 18 FIRM PANELS: 250001 0008 D & 0006 D OVER SOT 23• / �, O 67• MAPS REVISED: JULY 2, 1992 ■,.. '•'•'•'•' ' PROPOSED POOL Pgrio A�l"� ZONING DISTRICT: RF-1 loo'BUFFERLINE r+ UTILITY SHED (SLAB FIND) •' ___-Kop.21000G — SEPTIC SYSTEM PROP. H 20 SERVICE N+rs.a \ sEPTIc?}ia.7 , \ SEE NOTE 7 � � � 1,I7 µ REPAIR PLAN fR ���L� o LOCATED AT: 27 MARCHANT AVENUE EL-1 EL MA 7.0 DOOR SILL / fXl `_ tt� L LLL 6'p' 7 HYANNISPORT 16 SnNG �/NG a ` � < ®;� �/ a1 � z PREPARED FOR of M�ss9 OCEANSIDE LLC qA0 i � o �� so'BUFFER LINE ,.. - a �w P1�+�""� \ "q v DO D I E ` NOVEMBER 11, 2012 REVISED: 11/17/12 - H2O NOTE IXIST. LEACHING ° °' � R. z �36.807 i I I o 11�F0 see note I O orrnN CEL 25 1 ��'4 x A PROJECT MANAGEMENT — AWN_ �'M' NG f S.F. a3 zz ".- w� 16M. G. DESIGN BUILD INC.. EXISTING r- m + +�.� /-- (AREA TO MHW`. m 6/$iE TIMBER STAIRS �+ « •+F�./ - --- N --LAWN- /��r� NE CB w � S4 ITAR\�'� G I HOMESTEAD LANE AND LANDING + 'nS «++�S.t +,, + .`- o 1/_�- OUNO ...�.+«`.+.'.+«+`.+.`«+.�..• �� ���\S 1 R RUGOSA �D-6 \ l� YARMOUTH PORT, MA 02G75 ' . . ♦ ♦ . ♦ . . ♦ ♦ . . ....+� . nM �,uRsr � / (508) 3G4-G494 1 s +.tit + + o dFlp LANDING) O D- - - // \ j,+ E W�. . F'a-s• + ��. 0-3�.-- --""��� ! 0-8 \ > EXISTING +++++ • • -I _.-D72 -- >4 12- TIMBER STAIRS I ROSA RUGOSA ^-' AMEgIOAfh@EACH GRASS N ANO LANDING SITE WETLAND CONSULTANT — ARLENE WILSON t �6 C roP T°B_z of Toed_1a— B..K b L w : ,,,•� — � 14- _,� A.M. WILSON ASSOCIATES, INC. �yT �-- TOP - v of `� ";==_i r_= _�:s �DUNE ` +1a.5 20 RASCALLY RABBIT ROAD =- O --r = �- MAR5TON5 MILLS, MA srA- -_-__--_��� _--�� ,� (508) 420-9752 _4- -- =L_ STA-2 --�- .5.-_ - i -� -7�` DUNE_. - ��i STA-6 STA-7 STA-8 ------ s 4- - S�-3 FOB enNK AND DUNE rzECONsrrzucrlON 5EE 5E3-5001 AND ACCOMPANYING Pews SITE SURVEYOR - STEVE DOYLE & ASSOC. ` R -- _---- __ 1 42 CANTERBURY LANE BOI�IY ��'�� - - - - HIGH - 01-31-12 .-.-.......-.-•-•......-•-•-• NRACK- - - UNE-.- - - - - - EA5T FALMOUTH, MA 0253E APPROk1Mg1E - - - - (508) 540-2534 ,kHK, LINE EL 2.0't � SITE SANITARIAN — .............................................how... I MEYER & SONS, INC. FIElO LOCATION 01-31-12(12 30 PM) PO E30X 81 , EL 0.2 A 3G21 2922A 53} I LINE...................,........ �/O FC oOo 4 NANTUCKET �'Bee SOUNLi," SCALE 1"=30' SHEET 1 14 OF 2 J# 04 F SEPTIC TANK SEPTIC TANK 1 NOTE: METAL RINGS AND-COVERS TO GRADE OVER ALL COMPONENTS T.O.F. EL.=16.1 INSTALL RISER & COVER INSTALL RISER COVER D-BOX & LEACHING SET TO 6" OF GRADE INSTALL RISER & COVER SET TO 6" OF "GRADE + FINISHED GRADE (15.0-14.5) SET TO 6" OF GRADE MAINTAIN 2% MIN SLOPE OVER LEACHING ARE F.G. EL.=15.St F.G. EL.=15.7 F.G. EL.=16.Of F.G. EL: 15.2 M, ,. I ,. A " 9" MIN COVER/ L = 11'/40't 36" MAX COVER ± 9" MIN COVER/ ® S=1% (MIN.) 14.50 L = 20' 36" MAX COVER L = 35' 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" 4"SCH40 PVC 0'-S=l% (MIN.) ® 5-1% (MIN.) STONE OR' FILTER 'FABRIC DOUBLE WASHED STONE s- 10• 4" SCH 40 PVC 14' 4"SCH40 PVC 10" " 4"SCH40 PVC y INV.-1 4a' uouiD INV.=13.25 14 ®®®®' O ®®®® LEVEL 48" L/OUID INV.=12.80 6• Ca? S= 1% (MIN.) ®®®®®®®®®®® } INV.=13.05 LEVEL INV.=12.55 ®®®®®®®®®®® GAS BAFFLE) 2 EFF. DEPTH ®®®®®®Ea3®®®® I. GAS BAFFLE INV.=12.35 + , PROPOSED 2,000 GALLON (H20) SEPTIC TANK 4 7 X 8.5 4 PROPOSED 1,000 GALLON (H20) SEPTI TANK PROPOSED DB-5 , PROPOSED SEWER OUTLET-(main hse) .DISTRIBUTION BOX EFFECTIVE LENGTH = 67.5 QA INV.=14.10 PROPOSED SEWER OUTLET-(prop. pool hse.) I INV. ELEV.= 11 .95 © INV.=14.50 EXISTING SEWER OUTLET BREAKOUT © INV.=14.20 OF Mgssq� TOP CONC. ELEV.= 12.95 ELEV.= 12.95 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING yG ' PIPE INVERTS PRIOR TO CONSTRUCTION 1 D R N M s; INV. ELEV.= 1 1 .95 ®®®0 E3E3 2) TANKS AND D-BOX SHALL BE SET LEVEL AND �R ®®®®®®® TRUE TO GRADE ON A MECHANICALL COMPACTED ' 11�0 1 ®®®®®®® SIX INCH CRUSHED STONE BASE, AS SPECIFIED BOTTOM EL.= 9.95 ®®®®®®® IN 310 CMR 15.221(2) siS1� 4' 5 FT. 4' 3) INTERIOR PLUMBING QA TO BE MODIFIED TO MEET S4NI TARP'* , PROPOSED OUTLET ELEVATION AND LOCATION. l �tl��[�� SEPARATION 7.75 FT. EFFECTIVE WIDTH = 13.0 (PLUMBING PERMIT REQUIRED) SEPTIC SYSTEM PROFILE T T W BOTTOM OF TESTHOLE EL: 2.20 r SOIL ABSORPTION SYSTEM (SECTION) 4 INSTALL INLET & OUTLET TEES GAS BAFFLE AS REQUIRED / (500 GALLON (H20) LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P#: 13772 DESIGN CRITERIA NUMBER OF BEDROOMS: 8 BEDROOOM (7 BR's in Main House/1BR studio in garage) I. BOARD OFCHANGES TO THIS PLAN THE MUST BE APPROINEEVED BY THE LOCAL DATE: OC yOBER 25, 2012 DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DESIGN FLOW: 110 G.P.D. X 8 BR = 880 G.P.D. OF THE STATE ENVIRONMENTAL CODE, TITLE v, AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 GARBAGE GRINDER: LOCAL RULES AND REGULATIONS. WITNESS: DONALD DESMARAIS, BARNSTABLE B.O.H. (not designed for garbage grinder) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR SEPTIC TANK: 770 gpdd x Z00% = 1,540 gpd, USE NEW 2,000 GAL. (H20) SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 110 gpd x 200% = 220 gpd, USE NEW 1,000 GAL. (H20) SEPTIC TANK DESIGN ENGINEER. Elev. TP-1 Depth Elev. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING TP-2 Depth **MEETS 2-COMPARTMENT TANK REQUIREMENT FOR MULTI-FAMILY** FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 15.00 0" 14.70 0" D-BOX: USE DB-5 14.42 7 14.12 7" ENGINEER BEFORE CONSTRUCTION CONTINUES. A SANDY LOAM A SANDY LOAM (880)/0.74 = 1189.18 S.F. 5. ALL ELEVATIONS BASED ON NGVD DATUM. 10YR 3/2 lOYR 3/2 LEACHING AREA REQUIRED: 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF " USE SEVEN 7 500 GALLON H2O PRECAST LEACH CHAMBERS THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF B B HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. SANDY LOAM SANDY LOAM W1 4' STONE ON SIDES & ENDS: 67.5' L x 13.0' W x 2'D 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE, ENTIRE LENGTH TO BE SLEEVED 12.33 C 1OYR 5/8 32" 12.03 1OYR 5/8 32" AND RE-LOCATED AS SHOWN. C BOTTOM AREA: 67.5 x 13.0 = 877.5 SF 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SANDY LOAM SANDY LOAM SIDE AREA: (67.5 + 13.0) X 2 X 2 = 322 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 1OYR 6/8 1OYR 6/8 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE TOTAL SQUARE FEET PROVIDED = 1,199.5 vs. 1,189.2 REQ'D THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 8.25 81" 7.95 81" CONSTRUCTION. SIEVE 0 EL. 7.50 2MED-COARSE C2MED-COARSE DESIGN FLOW PROVIDED: 0.74(1,199.5 S.F.) = 887.63 G.P.D. vs. 880 G.P.D. req'd 10. ALL EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. SAND SAND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 SPECIFICATIONS. 2.5Y 6/6 1 2.5Y 6/6 PROPOSED SEPTIC SYSTEM UPGRADE P LA N 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 2.50 150" 2.20 150" 27 MARC HANT AVE.,HYAN N I S PO RT, MA 12, THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PERC RATE <2 MIN/IN. ("C1" HORIZON) Prepared for: Oceanside LLC 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. MEYER&SONS,INC. 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) I, Darren M. Meyer, R.S., CSE, hereby certify that I amicurrently approved by MADEP pursuant to 310 CMR 15.017 Steve Doyle & Assoc. N.T.S. DMM to conduct soil evaluations and that the above analysis has been performed by me consistent with the EA TSANDBOX 981 (508) 540-2534 DATE 16. REMOVE ALL UNSUITABLE SOILS 5 FEET AROUND LEACHING TO EL. 8.25 OR TOP OF C2 EAST SANDWICH,MA 02537 CHECKED SHEET N0. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. 508-362-2922 11/11/12 DMM 2 Of 2 f RF\/I'-,Fn' 11 /1 7 /1 ? - H?n NInTFF I` ca' CAPE Co E A H 'ri' O C U S E HYANNIS , CONSULTANT LIST GENERAL CONTRACTOR. MG DESIGN BUILD, INC. 61 HOMESTEAD LANE YARMOUTH PORT, MA 02675 j'ACDESIGNBUILD COUTLOOK.COM T: (508) 364-6494 STRUCTURAL ENGINEER jAMES A. BAD£RA jR- '.. B.ADERA ENGINEERING , L.L.C. P.O. BOX 716 ORLEANS,MA 02653 JASBADERA @GMAIL.COM T: 508-776-6804 LANDSCAPE ARCHITECT RICHARD JOHNSON RICHARD JOHNSON' LANDSCAPE ARCHITECT P.O. Box 746 FALMOUTH, MASSACHUSEfTS 02541 HTTP:11RTJLARCH.COM BUILDING PERMIT T: (508)495-0021 AUGUST 20, 201.3 DRAWING LIST NUMBER TITLE DATE i Ll_01 DEMOLITION&PROTECTION PLAN. 8.15.13 I L1.00 LANDSCAPE SITE PLAN 8.2 1.13 'Al FIRST FLOOR PL-.N 8.20.1`S i A2 SECOND FLOOR PLAN 8.20.13 A3 BUILDING ELEVATIONS 8.20.13 DELL M I T C H E L L - ARCHITECTS A4 BUILDING ELEVATIONS 8.20.13 A5 BUILDING ELEVATIONS &SECTION 8.20:13 20 Newbury Street GSti GENERAL STRUCTURAL NOTES 8.20.13 Boston,MA 02116 1 s001 FOUNDATION PLAN 8.20.131 J 5700 FIRST FLOOR FRAMING PLAN 8.20.131 T: 617.266.0201 I S100.1 FIRST FLOOR SHEARwALL PLAN 8.20.13 .. F: 617.266.2111 I S200 SECOND FLOOR FRAMING PLAN 8.20.13 !S200.2 SECOND FLOOR SHEARWALL PLAN 8.20.13 dma@delImitchellarchitects.com �5300 CEILING FRAMING PLAN 8.20.13 i C)Dell Mitchell Architects,Inc. 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U 5 w mLn 3 BUILDING SECTION A DRAWING ( A5 CAPE COD HOUSE J 27 MARCHANT AVENUE J a � HYANNIS, MA W W z sz = _ W E Lu GENERAL STRUCTURAL NOTES: pRAWING SHEET INDEX m ` 1.THE RENOVATION OF THE EXISTING BUILDING SHALL BE IN SHEET No. SHEET NAME ` ACCORDANCE WITH THE EXISTING BUILDING CODE OF MASSACHUSETTS GSN GENERAL STRUCTURAL NOTES JAMESA�ry� WHICH IS BASED ON THE INTERNATIONAL EXISTING BUILDING CODE ERA,S 001 FOUNDATION PLAN awL H S 100 FIRST FLOOR FRAMING PLAN 477�5 2009(IEBC 2009). z o " F FcrsTeP``P`` 2.ALL NEW CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE MASSACHUSETTS STATE BUILDING CODE,8TH EDITION BASE CODE(780 S 100.1 FIRST FLOOR SHEARWALL PLAN CMR),AND ALL AMENDMENTS, WHICH IS BASED ON THE z I3 S 200 SECOND FLOOR FRAMING PLAN INTERNATIONAL RESIDENTIAL CODE 2009(IRC 2009). S 200.1 SECOND FLOOR SHEARWALL PLAN 3.PROJECT SCOPE OF WORK: S 300 CEILING FRAMING PLAN A)PROVIDE MODIFICATIONS TO EXISTING STRUCTURE BASED ON S 400 ROOF FRAMING PLAN Li U ARCHITECTURAL PLANS PREPARED BY DELL MITCHELL ARCHITECTS, D 001 STRUCTURAL DETAILS E DATED 8-20-2013. 0 B)NEW WINDOWS AND DOORS WITH NEW HEADERS,JACK,AND i N KINGS STUDS AS REQUIRED BASED ON EXISTING CONDITIONS. N N U 4. THE DESIGN DOES NOT INCLUDE PROVISIONS FOR RETROFIT OF THE 'd EXISTING STRUCTURE TO MEET 110 MPH,EXPOSURE'C'WIND DESIGN , �g n_r y a REQUIREMENTS. BADERA ENGINEERING,L.L.C.SHALL NOT BE HELD d r LIABLE FOR THE EXISTING CONSTRUCTION THAT REMAINS UNDISTURBED AS PART OF THE RENOVATION OF THE EXISTING f c o m STRUCTURE. IF THE SCOPE OF THE PROJECT IS REVISED FOR ANY o0 J E REASON FROM WHAT IS OUTLINED ON THESE PLANS,THE DESIGN AS SHOWN HEREON SHALL BE DEEMED NULL AND VOID. W J 5.THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING ALL APPROVALS AND PERMITS PRIOR TO CONSTRUCTION. 6.THE CONTRACTOR IS RESPONSIBLE FOR CONTACTING THE LOCAL BUILDING OFFICIAL FOR ALL REQUIRED STRUCTURAL INSPECTION(S). IF THE BUILDING OFFICIAL REQUIRES THAT THE INSPECTION(S) BE COMPLETED BY THE ENGINEER OF RECORD,THE CONTRACTOR SHALL LEGEND: - c CONTACT THE ENGINEER OF RECORD 24 HOURS PRIOR TO THE TIME = WHEN THE INSPECTION(S)IS TO BE PERFORMED. THE CONTRACTOR SHALL INSURE THAT ALL STRUCTURAL MEMBERS AND CONNECTIONS GRIDLINE NUMBER s ARE VISIBLE FOR INSPECTION. IF DURING THE INSPECTION, ANY l j— PORTION OF THE STRUCTURE IS DEEMED NOT VISIBLE OR IS W INACCESSIBLE FOR INSPECTION, FINAL APPROVAL OF THE ENTIRE DETAIL a \ 3 STRUCTURE WILL NOT BE GIVEN UNTIL THIS CONDITION IS CORRECTED \— ) BOTTOM erDRAW SS < c` D001 �Q{TpH C=Di7t.W WG SHEET NUFAER c to d AT THE CONTRACTOR'S EXPENSE- 1 SECTION 7.ALL WOOD CONSTRUCTION CONNECTORS AS SPECIFIED ON THESE CONSTRUCTION DOCUMENTS TO BE SIMPSON STRONG-TIE IN SIOD 13OTFM =DRAY NUMBER BQ�O=Oe7AWPdC SHEET NUP.@ER ACCORDANCE WITH CATALOG C-2011. IT IS THE RESPONSIBILITY OF THE LLJ J CONTRACTOR TO INSTALL ALL CONNECTORS IN ACCORDANCE WITH O MANUFACTURER'S SPECIFICATIONS. z SHEARWALL TYPE O 8.ALL ENGINEERED LUMBER PRODUCTS TO BE TRUS JOIST OR J Q Z T N APPROVED EQUAL INSTALLED IN ACCORDANCE WITH MANUFACTURER'S • SHEARWALL HOLDDOWK TYPE L — Y SPECIFICATIONS. J Q T SHEARWALL HOLDDOWN i— O L-J > 9.ALL CONCRETE CONSTRUCTION SHALL BE IN ACCORDANCE WITH ALL --- SHEARWALL CG 4 APPLICABLE CODES AND ACCEPTED STANDARDS. PERFORATE SHEARWALL CONTINUE I-- Q Z PLYWOOD ABOVE AND BELOW OPENING (n O = 10. ALL STEEL CONSTRUCTION SHALL BE IN ACCORDANCE WITH ALL WITH NAILING ACCORDING TO SPECIFIED O c APPLICABLE CODES AND ACCEPTED STANDARDS. J SHEARWALL TYPE. � L < 11.ALL EXISTING CONSTRUCTION REQUIRING MODIFICATION FOR THE ` BANG WALL � << N INSTALLATION OF THE NEW STRUCTURAL COMPONENTS SHALL BE CUT z �J AND PATCHED TO MATCH EXISTING CONSTRUCTION. jH2E HEADER OR BEAM SIZE W C� J F N 12.CONTRACTOR SHALL BE RESPONSIBLE FOR ALL TEMPORARY JACK STUD CONSTRUCTION AND OR SHORING AS REQUIRED TO SUPPORT EXISTING o K KING STUD DRAVANG N STRUCTURE DURING INSTALLATION OF NEW CONSTRUCTION AS K B.F. KING STUD(BALLOON FRAMED) o OUTLINED HEREIN. W ESN Gn F " I -PERMIT SET W a ---El D' ❑ ❑ I I .. PERGOLA PENDING REVIEW OF L------- L------J U CONSERVATION COMMISSION. J (REFER TO ARCHITECTURAL >I I J ±� PLANS FOR MORE INFO.) 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