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HomeMy WebLinkAbout0043 MEGAN ROAD - Health 43 MEGAN RD., HYANNIS A= 1 TOWN OF BARNSTABLE LOCATION IS SEWAGE# ;1013 3 q VILLAGE �{��,r c� ASSESSOR'S MAP&PARCEL �-c 2-.f5-7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) l3 X -'L NO.OF BEDROOMS 3. OWNER /v C,r PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Nye du i�aS Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �Re/c Feet Private Water Supply Well and Leaching Facility Of 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 )64-O w,"S �J n rz Z 75 d. aj k \�� TO OF ARNSTABLE i LOCATION � SEWAGE # VILLAGE MA' (S ASSESSOR'S MAP & LOTZ L Z Fp INSTALLER'S NAME&PHO NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER 11 e'/06 PERMITDATE: 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 � � � f �I � a,, 'i �� � �'�� � J � ��{ it � r �; ,�• ' �. .�. , ,. , y rd n __.. Town of Barnstable P# Department of Regulatory Services Public Health Division Date MAM A 20.0 Main Street,Hyannis MA 02601 Date Scheduled G` L70 Time Fee Pd. V/ Soil Suitability Assessment for Se Di po l Gh 9, Perfumed By: ®ems MC-�Yl �`i Z Witnessed By: 0 LOCATION&.GENERAL INFORMATION Location Address 1�-3 a Owner's Name ulQ �/'ct j4q�: Vf-/Q K vt S Address a h� � ivteq Nre y�,JAssessor's Map/Parcel: Z -Z 5-7 �r Engineer's Name H�°QKK �NEW GONSTRUCTION REPAIR �_ Telephone# ��a F --7 - -'L{ Land Use 12e-c-,JLytA—'2frt Slopes M r-7 Z +Surface Stones -ate Distances from: Open Water Body- � ft Possible Wet Area NF L ft Drinking Water Well _2-00ft Drainage Way ft Property Line o "/ ft Other ft SKETCH:(Street name,dimensions of lot,.exact locations of test holes&perc tests,locate wetlands in proximity to holes) TOW N F Parent material(geologic) D1Vjc 1� De th to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater 2 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: -__ _ in, Depth to soli mottles: Depth to weeping from side of obs.hole: {fl. ©rntmdwnter Adiustn ert .,�.._ ,.tt Index Well# Reading Irate: Index Well level Adl,fhctor�_ Adj.Groundwater Level , PERCOLATION TEST bate , Thne._�. Observation Hole# 2' Time at 9" Depth of Pere 3�00 Time at 6" Start Pre-soak Time® 'lime(9"-6") .._ End Pre-soak Rate Min./Inch. G �� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:VSEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,:Stones;Boulders. Consi tefty.%Gr4vel) DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 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)_ DEEP OBSERVATION HOLE LOG' Hole# Depth from Soil Horizon Soil Texture Soil Color Solt ' Other Surface(in.) (USDA) (Munsell) Mottling (Struclure,;Stones,Boulders. o .. Flood Insurance Rate Matz: Above 500 year flood boundary No _ Yes ., Witlun'500 year boundary No Yes... Within A year flood boundary No///^ Yes Depth of Naturally Occurrine Pervious Material Does at lent four feet of naturally occurring pervio 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 ions material? Certification I certify that on (date)I have passed the soil evaluator examination approved by,the Department of Environmental Protection and that the above analysis was performed by me consistent with .{ the required train' expertise and experience described in 310 CMR 15.017. Date Signature -- . Qi\S,EVnC�PERCFORM.DOC t No. r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes apoUtation for bisposal 6pstrin Construction VPrmit Application for a Permit to Construct( ) Repair(YJ/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or,Lot No. 1f3 /�p5�„ /47p vN .9. Owner'-"s Name,Address and Tel No. j4rir NcLr7r er Assessor's Map/Parcel PAY I a 25 Installer's Name,Address,and Tel.No. Desigper's Name,Address,and Tel.No. �Dagf45 34cswea � sc�$-YCO-71 r,n,-rf Gvvi/cg S� t�77.5313 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 15�3Op sq.ft. Garbage Grinder( ) Other Type of Building fI e7Y"Y- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) *3 30 gpd Design flow provided 3 3/.E gpd Plan Date /] y Number of sheets 7— Revision Date Title Size of Septic Tank Type of S.A.S. !L _ 6-00 gja j), 4A Description of Soil Nature of Repairs or Alterations(Answer when applicable) f-cr v e•J V J9b'( �ifslJG� e kr,-A1bl°`5 e'e WNrcf e°C) 110 1 4- rat;c r.-✓/ 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 b this Board of Health. g Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued ///Z1 �-D r No. / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF/BARNSTABLE, MASSACHUSETTS application for Misposal 6Pstem,,tonstruction Permit Application for a Permit to Construct( ) Repair(P)/Upgrade( )'Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. q-1 Mp5wJ r"^'^'`s Owner's Name Address and Tel.No. t Assessor's Map/Parcel a 9'2- - 2 S 7 Installer's Name,Address,and Tel.No. Desigper's Name,Address,and Tel.No. �nu ,I e,S A, 3fv14)" :I•raG 50e)-HGt)-7/'s5 G.rS,vrw/,...5 Iva/��5 Type of Building: Dwelling No.of Bedrooms -3 Lot Size /5,100 sq.ft. Garbage Grinder( ) Other Type of Building ha^`C No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 gpd Plan Date !I 1 7 i 7 Number of sheets Revision Date Title ; Size of Septic Tank Fx,� Type of S.A.S. 2 - SOU qq kenj w� riS Description of Soil Nature of Repairs or Alterations(Answer when applicable) /^/5 4-A/� �/t!,J 13dX lam/ 'L SGO eoryNparf-re) to Talc 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 bthis Board of Health. --Id 4, Date // 7 / ) / t v Application Approved by I% Date V Application Disapproved by Date h' f for the following reasons Permit No. Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance � THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(I/) Upgraded( ) Abandoned( )by�5'4 S �7 f c g ,,.,ro �J C at 1-( 3 /V1 c S w✓ 7Z C) fw o.vim-%s has been consWuctedaewith the provisions of Title 5 and the for Disposal System Construction Permit NoV�ed / Installer .Vu d 51"i /¢ 173✓v w `'"L i✓C Designer e,.r S #bedrooms 3 Approved de ' ow 3U ! gp a The issuance of this permit shall not /o�ru a guarantee that the system fun _ s d� i ned ; f Date Inspector -- ----- -------------------------------------------------------- - --- d� a� No. % Fee t HE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS oisposal *Pstern onstrUctlon/°Vermit Permission is hereby granted to Construct( ) Repair( Upgrade( )' Abandon( ) System located at y 3 10 Y SG.✓ lZ e l and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction in st omTd within three years of the date of this permit. Date Approved by 1 11/08/2013 17:08 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services i Richard Y. Scali,Interim Director ' Public Health Division + �~ Thomas McKean:, Director 200 Main Street,H7annis,MA 02601 Ot6ce: 508-862-4644 Fax: 508-7904304 Installer & Desigmer Certification Form - Date: \l rt-3 Sewage Permit* - 6O °-V K 3 y Assessor's Map2arcel'L 4 -7-s-7 Designer: A ,.p ►.,�_e. ��. Installer-, Address: 2 . Address: �-=a c-e s�r +� (�" �9 6�((,{ G►.��-crw 1 t,t t.'�1� a T4 3 Z On t I " Wa"4 ^ was issued a permit to install a ( to (installer) septic system atP014�0.v,_ 121A 14.4 ol N N.~ based on a design dra Am by P_-, (address) nS, n RRr� ct Wad>_ dated It (desioer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i,e, greater than 10' lateral relocation of the SAS or any vertical ;relocation of any eozaponmt' of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constru with the terms,of the AA approval letters (if applicable) P ETER 7- McENM CIVIL Ier's Signature) fib, 01 Tk� /aMAL (Designer's Signature) ___(Aifix Designer's Stamp Mere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DiVISI lv. CERTIFICATE OF OCARD ARE RECEI�YED BX THE CNT BARNSTABLUXC_FV� NOT BE ISSUED L E PUBLIC HEALTH DDIVISION. RANK YOU, Q;lS ticowiger Ceirific abon Form Ro 8-14-11.dor, RECEIVED S E P 2 2 2000 COMMONWEALTH OF MASACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS TOWHOF TH DEFT. DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY COXE Secretary DAVID B.STRUHS ARGEO PAUL CELLUCCI Commissioner Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Address of Owner: 43 MEGAN RD HYANNIS,MA 02601 Date of Inspection: 911810 JOHN GRACI Name of Inspector: ant to Section 15.340 of Title 5(310 CMR 15.000) 1 am a DEP approved system inspector pursu Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 608-564-7270 rG certify that I have STATEMENT I certify that I have personally inspected the sewage disposal 0as system at this basedress on my to Hang andformation experience-in°t a proper function be ow is true and and complete as of the time of inspection.The inspect P maintenance of on-site sewage disposal systems.The system: ,p X Passes (�I►.�t _ Conditionally Passes Approving Authority _ Needs Further Evaluation By the Local App s S E p 2 2 2000 _ Failsc TQWy OF BANSTABLE HEAL?H DEFT. Date:9118100 Inspector's Signature: ... System Inspector shall su it a copy of this inspection report tays of o the Approving f 10 000 gpdtoagreatere the inspector lan'd the system n thirty(30)downer alth or DEP) The Sy P completing this inspection.If the system is a shared system or has a design flo shall submit the report to the appropriate regional office and he of the t approving authoritepartment of y. Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable, NOTES AND COMMENTS Lt;, 15.303.My findings are of how the system is "The inspection is based on criteria defined in Title V code 310 CMR of the septic system and any of its components useful gfet the time of inspection. inspection does not imply any warranty or guarantee of the longevity M EVERY TWO YEARS TO PROLONG THE SYSTEM'S THE SYSTEM PASSES TITLE V IN'SRECTION.RECOMMEND PUMPING THE SYSTE USEFULL LIFE. i Paoe 1 of 11 ravicarl 912198 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9118100 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. 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 o the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not. n1a The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. nla Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)o due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced n1a The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipes)are replaced -.obstruction is removed revised 9/2/98 Paoe 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 'Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18/00 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM I, NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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'C•i a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nLa (approximation not valid). 3) OTHER n/a revised 9/2/98 Paoe 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9118/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevalion. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, _ X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412). Please consult the local regional office of the Department for further information. revised 9/2/98 Paae 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner: CONCETTI Date of Inspection: 9/18/00 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: F , Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X _ The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X _ Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)j X _ The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. v revised 9/2/98 Paae 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18100 FLOW CONDITIONS RESIDENTIAL • Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual): n/a Total DESIGN flow: 330 gpd Number of current residents:2 Garbage grinder(yes or no): NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): YES Water meter readings, if available(last two year'.s usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: n/a COMMERCIALIINDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow: n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no): NO Water meter readings.if available: n/a Last date of occupancy: n/a t OTHER: (Describe) n/a GENER AL L INFORMATION OR TION PUMPING RECORDS and source of information: nla System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system _ Single cesspool _ Overflow cesspool _ Privy _ Shared system(yes or no)(if yes.attach previous inspection records,if any) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: 1973 Sewage odors detected when arriving at the site:(yes or no): NO SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM revised 9/2/98 Paae 6 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 22" Material of construction: _ cast iron _ 40 Pvc X other(explain) Distance from private water supply well or suction line: n/a Diameter: n/a Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X (locate on site plan) Depth below grade: 16" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1000G L 8'6"H 5'7"W 4'10"" Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 33" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:nla Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) nla :4 i1 revised 9/2/98 Paoe 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18/00 TIGHT OR HOLDING TANK: _ (Tank must-be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level: N/A Alarm in working order:NO Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nla DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: n/a Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) n/a PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) nla •1 revised 9/2/98 Paae 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1) 1000 GAL 6'X 6' leaching chambers,number: (n/a)n/a leaching galleries, number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (nla),n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT HAD 2'OF WATER IN IT AT THE TIME OF THE INSPECTION. CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: nla Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO s Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a t revised 9/2/98 Paoe 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9/18/00 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) U1 AC(L F 0 'q c � AA �y A6 i, revised 9/2/98 Paoe 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 43 MEGAN RD HYANNIS, MA 02601 M292 P257 Name of Owner CONCETTI Date of Inspection: 9118100 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: nla USGS Date webs ite visited: n/a Observation Wells checked: NO Groundwater depth: Shallow— Moderate— Deep_ SITE EXAM _ Slope _ Surface water Check Cellar _ Shallow wells Estimated Depth to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) _ Determined from local conditions _ Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET revised 9/2/98 Paoe 11 of 11 i ` ——i oo— EXISTING CONTOUR N x 100.98 EXISTING SPOT GRADE ROUTE 28 —W—EXISTING WATER SERVICE —O.H.W.—OVERHEAD WIRES 3 pC�c�o Rd o^sus TEST PIT ;: y 0 LOCUS BENCHMARK _m py LEGEND N 3 PB 261 — P� 37 z m C � o Eldrid e ' Ave. o 0 a LOCUS MAP M 13'50'05" E NOT TO SCALE 83.55' LOT 129 MBL 292- 257 15,300 ±SF I I I 105.24 104,70 edge df lawn x 105.20 e , it 23—� 105 ---- 30 30— -iPROPOSED S.A.S.------r--105.10 X �.N EXlS77NG LEACH PIT T it 104.88 TP-2 '`'1 TO BE PUMPED, FILLED WI TH 104,76 SAND AND ABANDONED EXIS77NG SEPTIC TANK PATIO 105,E TOP OF TANK, EL.=103.67 Z � INV.(OUT)=102.34f ao j 1 f 04.92 N f O V 1 0 rA o�.�--- -- _--�- _ 0 U; - ►v 104.76 WA _ - _ m 06 BENCHMARK SET PATIO PAT/0 O �\ OUTSIDE COR./BULKHEAD X �\ EL.=105.11(ASSUMED DA TUM 104.48 --.104.81 AC \ Y04.26 • - -ig-4:gg� 104.81 `>..- EXISTINri 104.1'� X HOUSE(143) _ to .44 104,88 TbJ-=105.95f 104 \v 103.22 Q 3 ...-. 1,04.41 + 104.29 103 103 0 \ _J 102 L=80.00' ° c x _ 3=447-9:�6=--_-__- 7—NI:101,64 _ 1{}1,�6: 100.90 3 101.00 UPS. i �� OF MSS _ A 9cyG 100.19 99,68 edge of pavement 98.70 100.06. o PETER T. g McENTEE r�1 /� N ROAD oCIVIL "' C ( 'H I- No. 35109 R£G/S1E�``�a�F� f PROPOSED SEPTIC SYSTEM UPGRADE PLAN ';1 1 7(13 OWNR OF RECORD 43 MEGAN ROAD, HYAN N I S, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 ' KAUR, NARINDER Engineering by: 1�, SCALE DRAWN JOB. NO. 43 MEGAN ROAD Engineering Works, Inc, 1"=20' P.T.M. 235-13 HYANNIS, MA 02601 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED . SHEET NO. (508) 477-5313 11/7/13 P.T.M. 1 0 LLJ s f { 4F t lyr - NOTE: TO PREVENT BREAKOUT, THE PROPOSED f FINISH GRADE SHALL NOT BE < EL:102.0" ;r �~ FOR A DISTANCE OF 15' AROUND THE 1 SEPTIC TANK r PROPOSED D-BOX PERIMETER OF THE S.A.S. `•, INSTALL RISERS & COVERS OVER INLET, &' STALL RISER & COVER PROPOSED S.A.S. _OUTLET AND SET TO 6" OF FINISH GRADE ET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F.=105 95 "----- SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS F.G. EL.=105:2t..,._ , F.G. EL.=1.Wl: F.G. EL.=105.0f F.G: EL=105.0t P6, 3'(max.) L = 30'@ S=1% MIN.) ® S=1% (MIN.)4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2"DOUBLE WASHED STONE B (OR APPROVED FILTER FABRIC) 14"EXISTING48" LIQUID a mamma 3/4- TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD PROPOSED 4' 5.2' 4' cas BASE INV.=101.87 D BOX INV.=101.70 INV.=102.34t EFFECTIVE WIDTH = 13.2' EXISTING 3 OUTLETS INV.=101.50 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS-SHOWN H-10 RATED TOP CONC. ELEV.=102.3 NOTES: BREAKOUT ELEV.=102.00 1)'CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=101.50 ease ease INVERTS, PRIOR TO INSTALLATION. eases eases seas eases 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.= 99:50 , rF GRADE ON A MECHANICALLY COMPACTED SIX 3' 2 X 8.5'=17.0' 3' INCH CRUSHED STONE BASE, AS SPECIFIED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 23.0' ' IN 310 CMR 15.221(2). PERVIOUS MATERIAL 5' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL.=95.1 = AS MANUFACTURED'BY TUF-TITE, ZABEL OR EQUAL . EST. DEPTH TO G.W. BELOW EL.=94.5 BARNSTABLE G.I.S. LOCUS TP EL.=50f BARNSTABLE G.I.S. GW CONTOUR EL=29f SEPTIC SYSTEM PROFILE F SOIL' LOG GENERAL NOTES: - DATE: NOVEMBER 6,°2013 (REF#14,178) r' SOIL EVALUATOR: PETER MCENTEE PE(SE#1542) 1. ALL CHANGES-TO THIS PLAN MUST BE APPROVED. BY•THE-LOCAL WITNESS: DONNA MIORANDI R.S. HEALTH AGENT. BOARD OF HEALTH AND.THE DESIGN ENGINEER. , ELEV. TP- DEPTH ELEV. TP-2 DEPTH 2. ALL WORK AND MATERIALS•;SHALL CONFORM TO'THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 105.1 q 0" 105.1 q 0" LOCAL, RULES AND.REGULATIONS. SANDY LOAM SANDY LOAM 3. THE SEWAGE DISPOSAL SYSTEM SHALL•NOT BE BACKFILLED PRIOR 10YR 4/2 10YR 4/2 ' TO'.INSPECTION AND APPROVAL BY THE. BOARD OF HEALTH AND THE 104.6 B 6. 104.6 B 6^ DESIGN ENGINEER. . "SANDY'`-LOAM`' _-0 'a"_.''SANOY-LOAM� ��-- 4. ANY-CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING T 10YR 5/4 10YR 5/4 { FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 102.1 36" 102.3 34" F ENGINEER BEFORE CONSTRUCTION CONTINUES. C C PERC i, 5.-,ALL ELEVATIONS BASED ON ASSUMED DATUM. 36"/48" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR' PROPER ,INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. t " f M-C,SAND M-C SAND. 8. THERE ARE NO.WELLS WITHIN 150' OF THE PROPOSED S.A_S: 2.5Y 6/4 2.5Y 6/4 .9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED 'UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE- DIRECTED BY THE APPROVING AUTHORITIES. 95.1 120" 95:1 120 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PERC RATE <2 MIN/IN_ ("C". HORIZON) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR .TO BEGINNING NO GROUNDWATER 'ENCOUNTERED CONSTRUCTION.. - 11. WHERE REQUIRED, CONTRACTOR'SHALL REMOVE ALL°UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND . REPLACE(WITH.CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE ®®®® 0 ®E INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL 3310 C '13. THIS.PLAN 1S TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND w ®®®®EO Ea®Ia NOT CONSIDERED TO•BE A PROPERTY TINE SURVEY. > ®�u®®� ®®®® Z w 102" Y DESIGN CRITERIA 4" KNOCKOUT '4 NUMBER" OF BEDROOMS:' - 3 BEDROOMS 20 DIA COVER SOIL TEXTURAL CLASS: CLASS 1 62" f 4" KNOCKOUT / 4" KNOCKOUT �M DESIGN PERCOLATION RATE: <2 MIN/IN' DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD 4" KNOCKOUT , GARBAGE GRINDER: NO-not allowed with design ' y LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 500 GALLON /�CAPACITY, H-10 LOADING 74•GPD/SF CHAMBERS EXISTING SEPTIC TANK: 1000 'GALLON CAPACITY '1( PROPOSED D-60X: 1 INLET,' 3 OUTLET (MINIMUM), H-10 RATED N.T.S. y USE 42-500 GALLON LEACHING CHAMBERS' IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN � SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES 43 MEGAN ROAD, HYANNIS, MA 4 . SIDEWALL AREA: °. 2(13.2'. + 23.0') X, 2 144.8 S.F. BOTTOM AREA: 112'°x 25.0.' = 303.6 S.F. Prepared for: D. A. Brown, Inc., P.O. Box. 145, Centerville, MA 02632- TOTAL AREA .......'.._......•.......:•..••._',_•••,••448.4 S.F. Engineering by: SCALE - DRAWN JOB. NO. Engineering Works, Inc. N.T.S. P.T.M. 235-13 DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 11/7/13 P.T.M. 2 Of 2