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HomeMy WebLinkAbout0025 MAYWOOD AVENUE - Health 25.Maywood a4ve, ue Hyannis A = 287 156 i 'r I i i f . TOWN OF BARNSTABLE LOCW,IONa �t ' u1ba 1 tkr SEWAGE #,;'0d q -kJ— VILLAGE h1) eery ASSESSOR'S MAP & LOT 2. 7 7 INSTALLER'S NAME&PHONE NO. �r4�o/k �•,)Tree,,/ W 3 �5-76 SEPTIC TANK CAPACITY 0-J/S'oo G�G T" -am G=e���P /nd�.— LEACHING FACILITY: (type) so66.1 664,6,) e�-) (size) 9 XS�I,s`X�i NO.OF BEDROOMS BUILDER ORQWNER A r F PERMITDATE: o COMPLIANCE DATE: lb le� 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) /OGf Feet Furnished by Dore 6f-, one n � �a _ a t i �C I __ TOWN OF BARNSTABLE _ LOCATION /`Al C-'ti w 6°� Aq-e- SEWAGE # -1-&I S f- vILLAgE_1-61 4 3j2 ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY / G r L.cl S �� LEACHING FACILITY: (type) C.e-s 5,00 O s' (size) NO.OF BEDROOMS . BUILDER OR OWNER 6J 0 , y•e r PERM T DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist un site or within 200 feet of leaching facility) Feet Edge o Wetland and Leaching Facility(If any wetlands exist withins00 feet of leaching facility) �` / �J Feet Furnished by�W, ( ( �w�g _ l J '/o?— `?/ 0 'S �_ � .. ` � �� Y a - t/1 S � � v �` �� ` i` J � I� - 6 ' � _ _ s_ �� Y � +_ `� � C J � /;�J �. , s ': / Cl a8 -156 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 25 Maywood Ave. Property Address PQ Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name '- is required for 'z every page. Hyannisport MA 02601 12/20/17 City/Town State Zip Code Date of Inspection = r.« Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 13010 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 maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 12/20/17 Inspecto s Sig re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 L'Vm l VS r ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 City/Town 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: New system 2004 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ti 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 City/rown 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): a ❑ 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 ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 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 M 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 City/Town 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 ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 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.doc•rev.6/16 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 495 gpd t5ins.doc•rev.6116 Tide 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hyannisport MA 02601 12/20/17 Cityrrown State Zip Code Date of Inspection D. System Information Description: 2 1500g septic tanks to a pump chamber to d-box and then to the chambers Number of current residents: 0 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: seasonal 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.doc-rev.6116 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 7 of 17 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 Cityfrown 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: Pumped July 2016 per owner 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 UA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval ® Other(describe): pump chamber t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2004 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade:. 12 11 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. >10'feet Comments (on condition of joints, venting, evidence of.leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 6"and 18"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) There are 2 H-10 septic tanks The 151 one is 6" below grade the second is 18" below grade at the outlet with the cover raised to 6"of grade and the inlet is 3' below grade with no riser. Both tanks have effluent filters at the outlet which will need to be cleaned periodically If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500g Sludge depth: trace t5ins.doc-rev.6/16 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 M 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hyannisport MA 02601 12/20/17 � Cityrrown 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 >12 Scum thickness trace 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 >2W. How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested evry 3 years to prolong the life of the system 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.doc•rev.6/16 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 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 ❑fiberglass ❑ 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 ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owners Name is required for every page. Hy P annis ort MA 02601 12/20/17 CityrFown 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.): The D-box was not inspected due to its depth and location. probing gives no indication of a raised cover. It is approximately 4'6" below grade up on the outside of the retaining wall in the front yard. The leach chamber was excavated 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.): Pump and alarm checked and are functioning properly *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.doc•rev.6/16 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hy p annis ort MA 02601 12/20/17 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 per record ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑- overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chamber depicted as"5"was excavated, it is 2'6" below grade, cover raised to 12"of grade, dry at this time, sidewalls are clean, no indication of past backup 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 t5ins.doc-rev.6/16 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for p every page. y H annis ort MA 02601 12/20/17 Cityrrown 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.): Soils are compact and dry 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 17 TOWN OF BARNSTABLE LOCATION: SEWAGE N,>L() JIM- vILLAGE -4ZAod,)14 ASSESSOR'S MAP&LOT 212---f-a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ��G/C ?4,) (size) 4 XY'7.3 -71 NO.OF BEDROOMS ER8UIIDER O PERMITDATE DATE: In b vt Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Tf Feet Private Water Supply Well and Leaching Facility (If any wells exist an site or within 200 feet of leaching facility) . Feet Edge of Wetland and Leaching Facility(If any wetlands exist /06 f Feet within 300 feet of leaching facility) Furnished by 7em, eef. .ar air •�--- Qr iy• 97- ?s6' 4d A t DY- ra• C i_ 16. . �„• __. pr- 366• �� Frorf �• tee• � e � C O OOC Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hyannisport MA 02601 12/20/17 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: >10'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: 2004 NGW 120" 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: see above Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 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 25 Maywood Ave. Property Address Graff, Kathleen Anthony Horne, TRS ET AL Owner information Owner's Name is required for every page. Hyannisport MA 02601 12/20/17 Cityrrown 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 i t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 i oFt"E,+�r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Barnstable ' BA $ WPA Form 1 - Request for Determination of Applicability City/Town ATFOMAfa Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 TOWN OF BARNSTABLE ORDINANCES ARTICLE XXV11 A. General Information Important: When filling out 1. Applicant: forms on the Kathleen H. Graff computer, use Name E-Mail Address(if applicable) only the tab key to move your 2905 N. St. NW cursor-do not Mailing Address use the return Washington 20007 key. City/Town State Zip Code tab Phone Number Fax Number(if applicable) 2. Representative (if any): I t , A.M. Wilson Associates, Inc. Firm Arlene M. Wilson, PWS Contact Name E-Mail Address(if applicable) 20 Rascally Rabbit Rd. Mailing Address ' Marstons Mills MA 02648 City/Town State Zip Code 508-420-9792 508-420-9795 Phone Number Fax Number(if applicable) B. Determinations 1. I request the Barnstable make the following determination(s). Check any that apply: Conservation Commission t ❑ a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to jurisdiction of the Wetlands Protection Act. ' ❑ b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced below are accurately delineated. ® c. whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act. ® d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Barnstable Name of Municipality ^r ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area.as depicted on referenced plan(s). 1 . WPA Fo00 Rev.0 m Page 1 of 4 „,Erb Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands Barnstable City/Town 'BAIMSTAB WPA Form 1 - Request for Determination of Applicability 16 p. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 TOWN OF BARNSTABLE ORDINANCES ARTICLE XXV11 C. Project Description ' 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 25 Maywood Ave. Hyannisport Street Address City/Town 1 287 156 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): ' (see attached project description) c. Plan and/or Map Reference(s): Sketch plan or GIS plan Date of Plan Title 5 Site Plan by Down Cape Engineering, Inc. Revised through 10/19/03 ' Title Date Landscape Improvement Plan (Preliminary) by Allen W. Abrahamson &Associates 2/25/04 Title ' Title h 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): - ' (see attached project description) 1 ' WPA Forml Page 2 of 4 Rev.02/00 ,Ft Massachusetts Department of Environmental Protection Barnstable Bureau of Resource Protection - Wetlands City/Town BARN,16 9. WPA Form 1 - Request for Determination of Applicability �EDMP�'a`0 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' TOWN OF BARNSTABLE ORDINANCES ARTICLE XXV11 C. Project Description (cont.) E b. Identify provisions of the Wetlands Protection Actor regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). ' All work in previously altered sections of the site and +50' from BVW. 1 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 I ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 El Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed 1 restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ; I ❑ District, county, state, or federal government project ' Project required to evaluate off-site alternatives in more than n❑ J q one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an ' application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. ' b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) WPA Form Page 3 of 4 Rev.02100 i i i 1 Project Description The site is a parcel of±0.6 acres located southeast of Maywood Avenue and running to Hyannis Harbor in Hyannisport. It has long been developed with a single family dwelling, paved parking r area and extensive landscaping. { Resource areas include: a sandy intertidal and supra-tidal beach along the south of the property, the limit of which is indicated by wrack line on the Title 5 Site Plan; an isolated brackish marsh located landward of the beach and running offsite to the west; a low bank vegetated with ' invasive vines and shrubs dominated by Aspen, Honeysuckle, Rugosa Rose and Virginia Creeper; and FEMA mapped A Zone running to elevation 15'NGVD. The existing septic system is located in the lawn south of the house less than 50'from the isolated brackish marsh and less than 100' from the beach. It has failed. 1 The project proposes to replace and relocate the system by pumping and filling the existing leaching pits and providing a new leaching facility on the north side of the house±70' further landward and±10' higher above groundwater than the existing leaching pits. To do this a new septic tank and pump chamber will be added in the south yard, the asphalt in the parking area will be cut to install piping, and some existing landscaping at the front of the house will be removed. - The asphalt parking area will be patched and regularized. A berm will be provided at the to to p p g p g p p prevent street drainage from running down-slope to the wetland and beach. The front of the house will be regraded to provide positive drainage and a drywell installed to catch and trap surface drainage and roof drainage. The house front will be re-landscaped with a new hedge, a brick walk set in sand, a low fieldstone wall, hedging and groundcover to replace the existing lawn. The dog pen,and dog house on the east side of the house will be removed and the kennel area will be re-landscaped with shrubs, groundcover and a path of random stepping stones ' connecting the front and side entrances. Areas of lawn to the south of the house disturbed by construction will be reseeded. Significant water quality benefits are provided by upgrading the septic system and relocating it further landward of wetland resource areas. Benefits are also provided in reduction of maintained lawn and installation of the drainage structure. All work is within previously altered sections of the site. `mot„E �� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Barnstable Cityfrown 9B^MSS& WPA Form 1- Request for Determination of Applicability 1639. 0H1p�0`0 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' TOWN OF BARNSTABLE ORDINANCES ARTICLE XXV11 D. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office (see Appendix A)were sent a complete copy of this Request (including all appropriate documentation) simultaneously with the submittal of this Request to the Conservation Commission. ' Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the property owner: Maywood Ave. Nominee Trust Name 2905 N.Street NW Mailing Address Washington 1 Cityrrown DC 20007 State Zip Code ' Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense ' in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Signature of Applicant A.M.Wilson Associates, Inc. Date 3/19/04 Signature of Represe tative(if any) Arlene M.Wilson, PWS Date ' *"*E. SUBMITTAL FEE: $50.00 "check made to Town of Barnstable 1 WPA Formt Page 4 of 4 Rev.02/00 i i c 1 LIST OF ATTACHMENTS GRAFF SEPTIC A—USGS Locus Map B—USDA/SCS Soils Map C—FEMA Flood Map D—MDEM Map E—MDF&W/NHP Atlas F—Septic System Plan G—Landscape Plan H—Wetlands Field Report ' I—Assessors Map J—Abutters List K—Abutters Notice 1 1 1 1 i 1 a A.M. WILSON ASSOCIATES, INC. From: USGS To o ra hic 1 n g P jet I I 3261 Main Street P.O. 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';"`"s.., x<u x •<Y }. z„ � dal ,� � y� a x ,.. ,mow PRODM 204-1(Singte Sheets)2051(Padded) a A.M.Wilson Associates Inc. FIELD REPORT GRAFF PROPERTY 24 MAYWOOD ROAD ' HYANNISPORT (2.1265.00) I � ' A site visit was made on the morning of 5/30/03 for the purpose of identifying vegetated wetlands at and in proximity to the site. The sky was mostly clear with a thin, high overcast. The temperature was±65°F. There had been no rain since the previous Tuesday when there had ' been f0.9". The site is developed with a single family home with attached garage, paved driveway and, on ' the south side, a maintained lawn which runs to the edge of a low bank. The bank is vegetated primarily with invasive shrubs and vines; Aspen, Honeysuckle, Rugosa Rose, Virginia Creeper. A maintained path with wooden steps and walk runs to the beach. To the west of the site and separated from the beach by a low berm is a depression which apparently takes drainage from the adjacent properties and streets. It appears to be only - ' marginally above the normal high tide level. The floor of the depression is 100%phragmites. The phragmites climbs up the north side of the beach berm and up the landward sides of the slope where it mixes with upland shrubs; Rugosa Rose, Bush Honeysuckle, and Virginia ' Creeper. By and large the limit of Rugosa Rose and/or Bush Honeysuckle was used to delineate the limit of the "wetland" plant community. There is a dense band of Poison Ivy on the south side of the berm near the top; higher than the Rose and Honeysuckle. Because of its elevation, it was not included in the wetland. ' The depression appears to be a closed feature. The bottom was dry in spite of recent rains. There was very little organic accumulation and sediments were firm. The feature is too small to confer jurisdiction under the Act, even as Isolated Land Subject to Flooding. It is, however, subject as Land Subject to Coastal Storm Flowage. It may be subject to regulation under the Ordinance as Isolated Vegetated Wetland if survey shows it to be larger than 500 sq. ft. ' The 100 yr. flood elevation for the area is mapped by FEMA at 15'NGVD. Because the lawn area is so flat,the 100 yr. flood elevation will likely be the limit of Coastal Bank except along the extreme east property line. 20 Rascally Rabbit Road ' Unit 3 508 420-9792 Marstons Mills, MA 02648 FAX 508 420-9795 f 1 j a Y f An observed species list is attached. Respectfully submitted,p y A. M. WILSON ASSOCIATES, INC. ?Arlene . Wils , PWS ' Principal Environmental Planner Attachment 1 f 1 M jt i I iI 1 i i I E OBSERVED SPECIES LIST GRAFF RESIDENCE ' UPLAND FACU- Red Oak Quercus rubra FACU- White Oak Quercus alba FACU Pitch Pine Pinus rigida FACU Red Cedar Juniperus virginiana FACU Black Cherry Prunus serotina FACU Aspen Populus tremulides ' FACU- Rugosa Rose Rosa rugosa Bush Honeysuckle Lonicera sp FAC Poison Ivy Rhus radicans FACU Virginia Creeper Parthenocissus quinquefolia FACU- American Beach Grass Ammophila breviligulata -- Fescue Festuca sp. ' FACU Bluegrass Poa pratenses Wetland FACW Common Reed Phragmites communis f 1 ABUTTERS LIST GRAFF RDA 1 Map Lot Owners Name and Address 287 125 David & Elizabeth Roache P.O. Box 565 Hyannisport, MA 02647 ' .127 William and Angela Bye 52 Round Hill Road Lincoln, MA 01773 129 Matthew and Victoria Kennedy 4 Maywood Ave. (33) _ ' Hyannisport, MA 02647 k 130 Deborah Wheeler, et. al ' 5425 Galena Place Washington, DC 20016 ' 131 Samuel &Jane Barber 10 Hyannis Ave. Hyannisport, MA 02647 r A.M. WILSON ASSOCIATES, INC. From: Town of Barnstable Assessors Map 3261 Main Street P.O. Box 486 Map 287 i BARNSTABLE, MA 02630-0486 ' (508) 375-0327 I FAX (508) 375-0329 EXHIBIT I I 104.00j 1.02 4u C i 4 0 f C EN 109. V 110 1 tl o S 1.49AC -1k—= .� A84a.., ,vEhU "02gC : �2'a e ,t• o .45AC t 109,OOZ •� pa�a 12/. /.00 qC m' yes t° .: 12e, 120 112 119 U 101 s 113 u�oAcs �IAG r�.� n At '1 '84UPLA140'5 IL _ �"��• u AD e .v y = ►i7 .. M K WAY 4-a1�N4M) � ��I WAY aop ,�• 100 u 1� 114 it 98 t{ AC � $ 1J0 .44 AC. ® � Z I.�JI Q v 1 11® fA, < 118 ^' 115 117 �" ADAc 131 f 95 9 SAC ,arc. 1 i 132 e4 ,o r 5 ra 74 Ac- — z 3 a r I� i 230 NYANN/s MAgBOR 69 i 92ACrS 1000CT 204-1(Single sheets)2051(Padded) i REQUEST FOR DETERMINATION OF APPLICABILITY � ABUTTER NOTIFICATION LETTER I I DATE: 3 /19 / 04 RE: Upcoming Barnstable Conservation Commission Public Hearing ' To Whom It May Concern, As an abutter within 100 feet of a proposed project,please be advised that a REQUEST FOR ' DETERMINATION OF APPLICABILITY Application has been filed with the Barnstable Conservation Commission. APPLICANT: Kathleen Graff 1 PROJECT ADDRESS OR LOCATION: 25 Maywood Ave. ' Hyannisport ASSESSOR'S MAP&PARCEL: Map 287 Parcel 156 ' PROJECT DESCRIPTION: Replacement of existing septic system to more landward position and landscaping. APPLICANT'S AGENT: A. M. Wilson Associates, Inc. 1 20 Rascally Rabbit Rd. 1 Marstons Mills, MA 02648 PUBLIC HEARING: Town Hall,Hyannis Hearing Room—2"d floor Date: 4/ 13 / 04 Time: after 6:30 pm* *Please call Conservation Commission office for exact time. - NOTE: Plans and application describing the proposed activity are on file with the Conservation Commission(508 862-4093) i 1 1 - No. —%00,14 — 05 '' 't _ Fee vQ THE COMMONWEALTH OF MASSACHUSErtTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migozar bpetem Construction 3permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) T Complete System ❑Individual Components Location Address or Lot No. —��J/ n �r Owner's Name,A dress and Tel.N Asses is Map/ParceIy- 7 •- Installer's Name,A dress,and Tel.No. Designer's Name,Address and Tel.No. �OT�i�d15T- 7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size ' sq.ft. Garbage Grinder(1640 Other Type of Building o.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 5— gallons. Plan Date Number o heet / Revision Date Title � ✓� �� Size of Septic Tan /J4/1 2�f pe of S.A.S. J_-5�0�� Description of Soil ►u 1i /®XG Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b his o f He*h. � Signe Date Application Approved by Date q U Application Disapproved for the following reasons Permit No. c'�i-E ^ 4D Date Issued l� No. Fee �O •�'�� Entered in computer: j THE COMMONWEALTH OF MASSACMtf.-.T-S Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS �' Zipplication for M:igozat bpi tem Cou$tructiou'Vermit Application for a Permit to Construct( )Repair(' )Upgrade( ' )Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. Z�'�a �0�� CL Owner's Name,Address and Tel.N r /la t ���? �r� X A�es��,lvlap/Qaz�� �yl�'�l�l�✓�" �/' Installs 's Name,A dress and el.No. Designer's Name,Address and Tel.No. Type of Building:Dwelling No.of Bedrooms 3 ` .Lot Size sq.ft. Garbage Grinder(/�`J�e Other Type of Building X e, Nb:,o,f Persons Showers( Cafeteria( ) � Other Fixtures Design Flow gallons per day. Calculated daily flow I gallons. Plan Date 6 a-3 Number of hs Revision Date Title J .5e 1`/C a ldG!'� Size of Septic Tank d0 � DDO P"1W ype of S.A.S. s i Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement-- The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to,place the system in operation until a Certifi- cate of Compliance has been issued ,, hi o •d f He 11h. Signe Date Application Approved by Date Application Disapproved for the following reasons _ Permit No. 0 G 5 'g Date Issued �� (j E�COMMONWEALTH OF MASSACHUSETTS Z 7 l5 BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERJ;F)', that theOn-s Sewagg Deposal ern Constructed ( ) Repaired ( Upgraded( ) Abandoned )_by at J� aY A22VO ?W— has been constructs accordance with the provisions of Titl 5 and the for Disposal System Construction Permit No. 0 LeI !U 5� dated y��in Installer Designer The issuance of this p rmit shall not be construed as a guarantee that the system ill fur ction as designed. Date �U �' U c� Inspector . �. f —�Q�=�I�-�G J,=-------z�,� f�6 ---------- / No. Fee 6)0 5 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'wDi5po5al *pgtem on5tructiou Permit Permission is hereb rant d to Construct Re air l� U rad Abandon System located at y 11A PO � Pg � s�Ol •�i and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to I comply with Title 5 and the following local provisions or special conditions.. Provided: Con`s��tn}cho�must st be completed within three years of the date of this,permi . Date:_ J Approved by TOWN OF BARNSTABLE LOCATION- � � SEWAGE It VILLAGE 0t3 16'1 ASSESSOR'S MAP & LOT . 0 (Sl INSTALLER'S NAME.&-PHONE NIlO. �if��6�i�,' �..$)Trrtt/d� �g � 46 • SEPTIC TANK CAPACITY IrC4 64 G 7- /,640 G1= LEACHING FACILITY: (type) (size) NO, OF BEDROOMS BUILDER O WNER r' tC PERMITDATE: COMPLIANCE DATE: 1 u b 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 I' Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) %OG Feet Furnished by 7i�:�✓ [161 max-./9` e t 7- 79' 6 C C) nn� Town of Barnstable Regulatory Services F. Geiler,Director Thomas , `" Public Health Division En Na+ Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: �4 �7 Sewage Permit# u&+" 61. Assessor's Map\Parcel Designer: L-- .. e_ /1 et-ia Installer: �� �/� LLD k��°•^ Address: �� �. Address: y On was issued a permit to install a (date) (installer) septic system at °2`7 E.JOo Q y� based on a design drawn by (address) .� Q dated 7 ( signer)_ certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ZH OF h,113X, o� ARNE H (In ler's Signature) OJALA in CIVIL CA No. 30792 STO' XI (Designer's Signature) (Affix - .amp Here) I PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc : , t, . f a Y T M PROFILE ._ „ - a S S E TOP FNDN. AT EL. 23.8 1 ro scAlt) " PROVIDE INSPECTION PORT. COVER To WITHIN oCF,w ACCESS COVER TO MATFIIHI 6 ..OF FIN GRADE AVE n ACCESS COVER (WATERTIGHT) TO 6 FIN. GRADE i iMHWIiM _i5` Or COVER WiTF1l1 6 OF FIN.`;GRADE OVER PRECAST 2x SLOPE REOVIRED Ov" SYSTEM 26.0' 1. SEPTIC 3 DOUBLE WASHED PEJ►STONE . TANK 1 '. RUN PIPE ttbEl '~ FOR FIRST 2' 1 .. cr, 3 -MAX. s. PROPOSED » 23A Eon GALLON'SEP'iIC t 14.10 t � TEE ' TANK H- 22.26 : EDC3C7C3 O'CJ00 - Q 22.43 22.1r 0 0 E3 C3 C3 C3 C3 El 0 ` a a n o c3 © coo o 6 CRuSa D STONE OR MECHANKA COWACTION. (15.221 121) 2 rO,0IOC7 0 00CIC3 '20.17' OF FLOW . RAIN M1N, oEPTH 3 `4' TO i 1 2" DOUBLE WASHED STONE ( t X SLOPES 1 / ,- , (max SLOPE) � � tEE SIZES: ..-- I « : : „ MYAtINK KARDbR * ET DEM : 10 ✓ j 1,4" ounET oEPrH .. 5.17' LOCATION MAP NTS PUMP , LEACHING FOUNDATION--- 16 ST 3 ST 2* 84 D BOX 20 > n, CHAMBER" FACILITY 2 y ASSESSORS MAP 287 PARCEL. 156 1 15.0 , r ' a SEPTIC TANK 2 m , ALARM AND C13NTRilI PANEL : `i Ta BE INSTALLED INSIDEBUILDING. ALARM TO BE `ON INV. IN 13.70SEPARATE;CIRCUIT`FROM PUMP' RE PIPE TO D 80X 1000 GAL.' H-10 S! 2 PRESSU14Iiii! 13.75 K TO PC SLOPE To DRAIN BAC700 GAL,ALARMDN FLOAT SVtTCN~ RESERVE' WEEP»SETTINGS PUMP CHECK VALVE6' CRUSHED,STONE OR MECHANICAL a, R $' COMPACTION. (15.221 j2)) VtN21CING RANGE ZOELLER 'VASTEMATE' 4' SUBMERSIBLE MODEL M282,112 HP PUMP' PUMP OFF 8' SYSTEM (OR EOUAL) 000 6 CRUSHED STONE'OR *THE INSTALLER SHALL VERIFY THE COMPACTION E SEPTIC I W T A C 'DESIGN, (GARE3AGE DISPOSER �s ALLOW ED LOCATIONS OF ALL UTILITIES AND LL PUMP HAN1B R BUILDING `SEWER OUTLETS AND ELEVATIONS C E DESIGN FLOW, 3 BEDROOMS 110 GPD = 330 P T IN T LNG ANY PORTION' OF (NOT To SCALE) ._._,.,..GPD RIOT 0 S ALL GARBAGE GRINDER PROPOSED 330 x '150 = 495' GP6 " SEPTIC SYSTEM ._._ BENCH MAR OP OF 495 ` USE A GPD DESIGN FLOW N 5.9`GONG. B D. ,EL 2 CONFIRM SUITABLE SOILS IN LEACHING Acumr T SEPTIC TANK: 33O P2 660 ' ARE PRIOR o INSTALLING ANY G D { ) ' PORTION OF SYSTEM. NOTE: UNDERGROUND WAFER,METER'PIT UTKJT;ES MAY BE Ri AREA Of PROPOSED ' 1 USE (2) 500 GALLON SEPTIC TANKS SYSTEM (UNMARKED AT TIME OF TEST HOLE 6.8 PRpCEAURE) LEACHING : $ 25.6 0 i 2(47,5 + 9 83) 2 (.74) _169 SIDES: 47.5 x 9.83 . 74 4 BOTTOM: b 1 r TOTAL. 695 S.F. �514 GPD HOLLYS ` PROP. VENT (FINAL PLACEMENT r O O USE / OO GAL. 'H- 0 LEACHING HAMBERS ' CONStJLTATtON WITH HOMEOWNER) r i.�L� ,2 Sr _...�.. EQUAL WITH 2.5 ,STONE AT SIDES AN hT N 12 GI�ERRY : r. D 2 25 ENDS 4. ., . 16" H; 6 ;: -'"'y� '4--... 26.4 OAK •:•.4 � . ' . .. '. . e3. TEST HC]LE�, LOGS �� �� EXISTING `1000 GAL. SEPTIC TANK Ti BE 22.6 0 7 ARN A` `PE . � _... , 5.8 PUMPED AND REMOVED AND' 1500 GAL. E H 0J LA, aE .; ENGINEER. 1,, .> 1". - -+ 24.t INSTALLED I ' '� �.'+ 5.6 l S LLED N ITS PLACE -- PAVED .:,. 6H DRIVE C _ <u CHERRY DATE. 613 03 _ .t. , { f 22ai , CJ : . - < 2 MIN' INCH cv '. .;, PERC. RATE - / + 23.a' NOTE_ PRIVATE WATER SERVICE TO OwELL1NG. . IF ' WITHIN 10' OF SEPTIC SYSTEM COMPONENTS; .1T I 0 23.8 ? MUST BE SLEEVED:OR RE-ROUTED " CLASS SOILS 1049723.1 A vo � ti 2 z Zi .0 + EXISTING 23 2 C ELEV.' �,/� 1 ?0 / DWELLING 2�.Q- TOP FNDN I 19 r 5 23.8' PROP. 1500 `GAL. LOAM SEPTIC TANK'. i 8 ` FILL � A�+ � 'NOTES: ES; , 12 ,S � o l B ls. 6.1 a �� �f 1. DATUM IS NGVD 15.3 C 16s MFS `. k �S EXIST. PTiC + MUNICIPAL W T EXISTING 10YR 5 6 0o 14.5 E SE 2. WATER IS 'TANK* r 24 ro 3. N MUM APE PITCH TO BE 1 f 8 PER FOOT. 23 0 c> 1a.4 .1 4. ,`DESIGN LOADING FOR D'BOX AND CHAMBERS TO' BE AASHO H- 20 i 15.1 PUMP CHAMBER TO BE H--10. „ Bvw 5 16.2 S. PIPE JOINTS TO BE MADE WATERTIGHT.„ 5.6 1 6 6. CONSTRUCTION ,DETAILS TO BE IN ~ACC4.9 ORDANCE WITH MASS: 15,0 'ENVIRONMENT COD TIT V. ME.' COS BVw<4 AL CODE'TITLE r " BVV 6 s. s 7. THIS `PLAN �1S FOR PROPOSED SEPTIC SYSTEM, ON Y?;AN I �E L D SNOT o TO BE USED FOR ANY OTHER PURPOSE. , 2.5Y;.6/6 0 15. a, 8. PIPE FOR SEPTIC SYSTEM TO SCH. 405.3 4 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD F HEALTH A '0 EAL H AND PERMISSION '.OBTAINED Bvw 2 «r--- FROM BOARD OF HEALTH. 10. PUMP, & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM ff I 120 15 I1 NO WATER ENCOUNTERED 8.1 t BVV I S , b.2 TITLE 5, SITE v L_AN OF 5MAYilVO D 'SAVENUE ' .2 IN THE TOWN OF: ' (HYANNlS,P0,RT '� BAR N STABLE � .2 :PREPARED OR. AM WILSON ASSOCIATES/ KAT HLEEN � GRAFF G V •.;, P BOARD OF HE 20 ` , WR 20 40" 6O MA . APPROVED DATE 20 JUN 6 ' , ' ', • .a aos-�-use SCA . DATE. E 2003 f..ea 3U-swo 1p REv 1 O 19 03; GG t1 { IARNfi do wn cope r:n rneerm rnc. P- 9 9• _ . ENGINEERSBdB ~, OI .L. LAND -SURVEYORS .,.,. J �_ ALA ,. 39 Mam st. arMouth Ma D267 n , P L+S. _ DATE ... y 5 > a ~ i x , .ry ,. • , - * s ar r __`':'" T.,�.`•"-'__._ _._._._•___.._._......,.... ...'L:.'!'L�".'2T_7 .�.__-___..__.___..._-__._ .__ _ �. ..«_.—_ _ _ ....._._.__. ._. __. __,.___..__ _�..__. _. _._-!�T�.=_._..-._._..«.. .._---.._ .. _ __..__.._�-...�_.�!'Y�1CT... _. ��`z_ _. _•. ._^.:�'�"'^::�'^_"!'.:_. ._.._.. 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' .i t'Lr-_.� ! �'`r../ �1 . j���rnJ,J �� 11,� ��J�!:J \,_ '� ; X •� IN+�-J�y�. ` � '� � :.c`,%���.�`�+!-lrJ •• �)1�� :< fj '� ;�_,/, i��f�..__ --' - _ ,�•�j i �'Z.C,� 2_ /J a-•.1.;�� P'L�/�1 �1�'i �.}��-1 f:�). �.. �.• �. _-1 � t�✓� f �. _'t �/ ,. F / s."°"y 1�- 1 C, { {1-•� �' � \� - -"- �"�'� t }� 't; -�'- _ 'Y` .� (` E",),�� - ` ��-✓. �/ice�1' /� ____-___-__._. (1� W+ �' _�, /'':-'s,•4��:�,j(�-- .rt �� _`I �• { + 1 7 4 1 .4- } ..--, i1-` )` It k - '', �w GG�..-7'C/��/L/`�J'� V!✓�1,�/r•y/' � � --- � \~— � ---L'�t...ul_1'�lJ`✓��Ls7 C.=-�..�rl Vim' !v`�` � �� � � IT: /,� .. -' L� +-•r •...i 11•� ' �!.i�i i(: 1 [: \Ci ii.`:(; C11.\\;!S! x,\�iit ) lt)�:i: ;t iIRM �:1) t {{ � il'1)\.: �•'•{:.,!..., -. rt �.,IY 1 rl lv•.\rl � ( ( � r 1 � wv (tl'i?(') UI l.ftil: .`. A',1) litl't!(ii'. NC 1`:f ?lip, i)i; \'„1.`.(i 1ti 13. 131)`' Di%, \'.\IMi .`•1 \il:l P NI: . :Ut1 1::i'.\ 1�! �+Z} 1{\ W t'.��.( A1'1: V%(.ilk i:i'.i�l`:r i. orn : SYSTEM PROFILE TOP FNDN. AT EL. 23.8' ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT To SCALE) PROVIDE INSPECTION PORT, COVER TO WITHIN OCEAN AVE. ACCESS COVER (WATERTIGHT) TO 6" FIN. GRADE F MINIMUM .75' OF COVER OVER PRECAST F WITHIN 6" OF FIN. GRADE 29. SLOPE REQUIRED OVfR SYSTEM 23.0' 1 SEPTIC `- 2" DOUBLE WASHED PFASTONE FI - TANK 1 Q RUN PIPE LEVEL 3' MAX. o S FOR FIRST 2' -, IN PROPOSED 1500 c, 0.75' M GALLON SEPTIC ffl14.10 t a �q ITEE 21.5 EDGEHIu IrAvw000 LOCUS TANK (H- 10 ) 73 GAS aW�� 20.85' Oor AA I fl O O f� O t� -y: BAFFLE o 21.02• 0000 0 20.6T o o a o © 0 o a a N 0000 0000 000o Q � CI CIO C m O o `i ft% 2' Q �-6" CRUSHED STONE OR MECHANICAL O CI O C 1J Ci O 0 0 18.67' i COMPACTION. (15.221 [2]) c i DEPTH OF FLOW = 4' MIN N 3 4" TO 1 1 2" DOUBLE WASHED STONE TEE SIZES: (_1 `e SLOPE) { 17.. SLOPE) / / i " HYANNIS HARBOR INLET DEPTH = 10 OUTLET DEPTH = 14" ADD ZABEL FILTERS TO (BOTH) 4.17' 13.6'f SEPTIC TANK OUTLETS LOCATION MAP NTS FOUNDATION- 16' ST 3' ST 2' PUMP 97' D BOX 20 LEACHING FACILITY ASSESSORS MAP 287 PARCEL 156 1 2 CHAMBER 14.5' { GROUNDWATER EXPECTED AT EL. 5.0'f SEPTIC TANK 2 ALARM AND CONTROL PANEL j TO BE INSTALLED INSIDE h. ., BUILDING. ALARM TO BE ON INV. IN 13.70' 14.0. 13.75' SEPARATE CIRCUIT FROM PUMP 1000 GAL. H-10 S/ 2 PRESSURE PIPE TO D'BOX 700 GAL.+ SLOPE TO DRAIN BACK TO PC GAS ALARM ONBAFFLE RESERVE WEEP HOLE FLOAT SWITCH�� SETTINGSi PUMP ON CHECK VALVE - 6" CRUSHED STONE OR MECHANICAL 4' WORKING RANGE COMPACTION. (15,221 [21) ZOELLER 'WASTEMATE' 4' SUBMERSIBLE MODEL M282 1/2 HP PUMP PUMP OFF 8' SYSTEM (OR EQUAL) 000`�0000 00- 0000 0000 6" CRUSHED STONE OR *THE INSTALLER SHALL VERIFY THE COMPACTION LOCATIONS OF ALL UTILITIES AND ALL PUMP CHAMBER SEPTiG DESIGN: (GARBAGE DISPOSER is ALLOWED ) BUILDING SEWER -OUTLETS AND ELEVATIONS DESIGN FLOW: _L BEDROOMS ( 110 GPD) = 330 GPD PRIOR TO INSTALLING ANY PORTION OF (NOT TO SCALE) SEPTIC SYSTEM GARBAGE GRINDER PROPOSED; 330 x 1507. = 495 GPD BENCH MARK - TOP OF USE A 495 GPD DESIGN FLOW CONC. BND. EL. = 25.9' PROVIDE INSPECTION PORT WITHIN '6" OF GRADE SEPTIC TANK: 330 GPD ( 2 ) = 660 WATER METER PIT PROVIDE APPROX. 57' OF 40 USE (2) 1500 GALLON SEPTIC TANKS MIL LINER TO DWELLING SIDE --- ® OF SAS. TOP AT EL. 21.5'. LEACHING:RE-ROUTE UNDERGROUND ELECTRIC \ BOTTOM AT EL. 17.5' 2(49.5 + 8.83) 2 (.74) 172 Cv SIDES: GAS SERVICE TO BE 49.5 x 8.83 (.74) = 323 RE-ROUTED G BOTTOM: �FOrR/c \ TOTAL: 669 S.F. 495 GPD G HOLLYS USE (5) 500 GAL. H-20 LEACHING CHAMBERS (ACME OR �Q 12" CHERRY ,;__ ji \ ' EQUAL) WITH 2.5' STONE AT SIDES AND 3.5' AT ` ENDS q PROP. RETAINING WALL D( 1 OTHERS) OAK (DESIGN BY TEST HOLE LGGS z �.. yf'` '' F_ 12 *EXISTING 1000 -GAL. -"SEPTIC TANK TO BE 7 s - -- PUMPED AND REMOVED AND 1500 GAL. ENGINEER: ARNE H. OJALA, PE / " .N INSTALLED IN ITS PLACE SAM WHITE RS �' c ` PAVED SLAB " 3 ' WITNESS: cy DR►VE DATE: 6 f�3103 ���4 / a � " CHERRY ** NOTE: PRIVATE WATER SERVICE TO DWELLING. 2 MIN/INCH U / 1 ' TH WHERE WITHIN 10' OF SEPTIC SYSTEM < PERC. RATE _ �'�J / \ COMPONENTS, IT MUST RE SLEEVED OR RE- LITE GAS IN RE-ROUTED. CLASS i SOILS P# 10497 O 269 ? / THIS AR O PROVIDE APPROX. 8' RE-ROUTE �6 L. x V DEEP x 1' / \ WATERLINE THIS PROP. VENT WITH CHARCOAL FILTER J WIDE STONE TR NCH AREA O AND BUGSCREEN (FINAL PLACEMENT BY ELEV. 2 21 'j�' EXISTiN<, CONTRACTOR WITH HOMEOWNER EF/I �� 1 20 �, DWELLING CONSULTATION) O" PROP. WOR TOP FNJN PROP. 1500 GAL. LIMIT LINE 1 19 /� = 23.8' PROP. 300 GAL. AREA DRAIN LOAM SEPTIC TANK 18 (MIN. 25' FROM LEACHING FACILITY) FILL T O \ SEE LANDSCAPE DESIGN PLAN FOR DETAILS 12" O IST & FINAL PLACEMENT POSITION � F \ B 0+0 MFS o �o ,S �\k NOTES: 24" 10YR 5/6 22.5 o`O� EXIST. SEPTIC �� \ TANK. N% 1. DATUM IS NGVD 0 BE REPLACED WITH EXISTING ** C 15 O GAL TANK) 2. MUNICIPAL WATER IS BVW 5 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT: , s 4. DESIGN LOADING FOR D'BOX AND CHAMBERS-TO -BE AASHO H- 20 MED. COS BVW 6 BVW a PUMP CHAMBER TO BE H-10. 0 5. PIPE JOINTS TO BE MAtTE WATERTIGHT. 2.5Y 6/6 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. BVW. 3 ^ ENVIRONMENTAL CODE TITLE V. 7. :THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM -ONLY AND IS NOT TO BE USED FOR ANY OTHER PURPOSE. BVW 2 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 1 9. COMPONENTS NOT TO BE}�BACKFILLED OR CONCEALED WITHOUT 120" 1 14.5' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. NO WATER ENCOUNTERED 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM 11 . ADD ZABEL FILTERS TO OUTLETS OF BOTH PROP. SEPTIC TANKS BVW 1 TITLE 5 SITE PLAN OF 25 MAYWOOD AVENUE IN THE TOWN OF: ( HYANNISPORT) BARNSTABLE PREPARED FOR: AM WILSON ASSOCIATES/ E KATHLEEN GRAFF. 0-- BDARD OF HEALTH 20 0 20 40 60 MA APPROVED DATE 1.r - DATE: JUNE 6, 2003 IN-HOUSE VARIANCE REQUESTED UNDER MAX. off S0°- "f5"aez-eeao sq b. soe �'' ya /" � REV 10/19/03 (GG) REV. 8/16/04 UTILS) FEASIBLE COMPLIANCE 15.405 lb: REDUCTION of ARNE H �/ ARNE s>;N REV. 3/31/04 (WLL) REV. 8/26/04 (SAS) IN SETBACK, SAS TO SLAB FOUNDATION (10' I OJALA H. �, TO fi' AND SAS TO FULL FOUNDATION (20' To down cope engineering, inc. CIVIL OJALA y REV. 4/14/04 (CONCOM)._- 4,) No. 3079 fib.26348 REV. 7/28/04 (ZABEL) CIVIL . ENGINEERS LAND SURVEYORS cis 10 1 _ suRv 939 thin st. yarmouth, ma 02675 ---- -___..- .. 03--081 ARNE H. OJALA, .E., P.L.S. DATE