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Home My WebLink About0092 MEGAN ROAD - Health 92 Megan Road(,. , Hyannis A.= 292 — 244 !Lj _ ,N o ' a o � e , o e is t Town of Barnstab le >P Department of Regulatory Services u�aNerAat� Public Health Division late MAM 200 Mi—#T nis MA 02601 YVI • �ArEG AAA'I� AIDate Scheduled ime Fee Pd. G D Soil Suitability Assessment for )sew g Disp S1 a a Performed By: Witnessed By: e 1 LOCATION& GENERAL INFORMATION Location Address �? ,,�4� Owner's Name�� ffj/ l✓ /1/ir/l S Address Assessor's Map/Parcel: "/,%*Ze'J 2 604Q Zq(¢ Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Land Use td- Slopes(96) Surface Stones Distances from: .Open Water Body � ft .Possible Wet Area -ft Drinking Water Well Drainage Way-4--/� ft Property Line 3[7 ft Other ft SIMTCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) )�e�d p l old✓Q?/Depth to Bedrock �!/( Depth to Groundwater. Standing Wafer in Hole: Weeping from Pit Race �U Estimated Seasonal High Groundwater z D ] ATI FOR SEASON L HIGH[WATER TABLE Method Used: � CtT/l� / w Depth Observed standing in obs.hole: /`v !L In. Depth to soil mottles: A1 In, s Dcpth to weeping from side of obs.hole: in, Groundwater Adjustment,( I. Index Well# Reading Date: Index Well level Adj,factor Adj.Groundwater Level > Z PERCOLATION TEST bate Time Observation Hole# Z.k'� Time at 4" Depth of Perc Time at 6" _� Start Pre-soak Time @ & .~w 'rime(V-6") End Pre-soak Rate Min./Inch L M �• �.?� /F t9t Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) _ 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:\SEPrIC\PERCFORM.DOC t �a DEEP.OBSERVATION BOLE LOG hole# . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (Munsell) Mottling (Stnucture,Stones,,Boulders. onsis[ency %Graven G .�v P�ea� • DEEP OBSERVATION]BOLE LOG hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten % ra DEEP OBSERVATION HOLE LOG Hole# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, .r Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviolA material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring p rvious material? Certification Ar I certify that ! /J (date)I have passed the soil evaluator examination approved by the Department of viro mental Protection and that the above analysis was performed by me consistent with . the required trainin expertise 1 ience described in 10 CMR 15.01177.. - Signature Dates`J�Z9�lQ Q:\SEPT1CVERCFORM.DOC TOWN OF BARNSTABLE rif,OCATION 47 h- 2A111 Q SEWAGE# r V ' OCR' VILLAGE / ��r11,114-_ASSESSOR'S MAP. PARCE INSTALLER'S NAME&PHONE NO. 07 S� SEPTIC TANK CAPACITY /y&0 LEACHING FACILITY.(type) ® GL CAher(size) NO.OF BEDROOMS 3 OWNER // G PERMIT DATE: /V 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 ori` 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 .sue• y\ h lk, `N/ O PK zL o a 0 0 o r �6 dos No. \ Fee 1,90 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppIitation for Misposal *pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. � Owner's Name,Address,and Tel.No. Assessor's Map/Parcel � — yY A JS J S Installer's Name Address,and Tel.No. Designe ame,Address,and Tel.No. L. 4n SIIL1� o� ��a�'f1v �l�}.S Type of Bu' ing: Dwelling No.of Bedrooms � Lot Size sq.ft. Garbage Grinder( ) Other Type.of Building ]�Uys No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1006 Type of S.A.S. p? 50O 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 ce the system in operation until a Certificate of Compliance has been issued by this Board of Health. '']7''' Signed Date -1 te—20 Application Approved by Date — a Application Disapproved by Date for the following reasons Permit No. 01 D Date Issued s No. . Fee 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: / Yes(/ PUBLIC HEALTH DIVISION -TOWN OF-BARNSTABLE, MASSACHUSETTS 21ppfication for Nsposai *psteut Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No: Owner's Name,Address,and Tel.No. - Assessor's Map/Parcel a q,Z - y / p\ UlAsS Installer's Name.Address,and Tel.No. Design s Name,A .Address,and Te No. aj�tj %] gq('0- Type of Bu ding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 y gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1006 Type of S.A.S. s'QO 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 Yace the system in operation until a Certificate of Compliance has been issued by this Board of Health. ^?7' Sign Date tot—2d.�. A/ Application Approved by Date +? ` a ' Application Disapproved by Date for the following reasons Permit No. Off' o e O Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERT Y,that the ewa a On 'e Disposal system Constructed( ) Repaired("�pgraded( ) � g P Abandoned( )by v� at � Amt has been constructed in accordance � U with the itle 5 and the for Disposal System Construction Permit Ne �provisi :"t' s dated 6 / Installer ttbq Designer ev #bedrooms 3 Approved desigaBow 3 S Z / �, gpd The issuance of thdpermit s'all n f be construed as a guarantee that the system wi cro as designed Datef InspectorY_ Loll n ---- ------- - -=-= -------- - ----------- -- - = ------- - -------------------- -- -------------------- No.C96 ,9 d5. Fee r� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal *pst✓t,Construction Permit Permission is hereby granted to Construct( ) Re/pair(✓) Upgrade( ) Abandon( ) System located at o2 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with f Title 5 and the following local provisions or special conditions. Provided:Construction must be/completed within three years of the date of this permit. � Date lD - � 0— r`t Approved by Town of Barnstable Regulatory Services Thomas F.Geller,Director BARMAJ"MAN Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date:G 23 x Sewage Permit#�2014`ZdS Assessor's Map/Parcel 292 P? Installer&Designer Certification Form Designer: Address: / / � Address: f On �'�' `,� ', � 0 was issued a permit to install a (date) tall r septic system at AMOS based on a design drawn by (addres dated (designer) v 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. Stripout (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 component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-bu' by designer to follow. Stripout(if requir _ ected and the soils were found s sfactory. �VJw° I,a�sa� DAVID �Sc� s D. �/ o FIAHERTY, JR. / (Install Signature) No. 1211 0 I's 7z4- A 17AR�h� (Designer's ign e) (Affi esi er's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAofftce fomu\designemertification form.doc > w i Town of Barnstable �rnstabie Regulatory Services Department 1 i MANSTALSM 1639. Public Health Division p1� m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 2705 May 22, 2014 Craig S. &Reena Lewis-Bemis 5 Jannor Way West Yarmouth, MA 02673 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 92 Megan Road, Hyannis,MA was last inspected on 4/11/2014 by Matthew Gilfoy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Backup of sewage into facility or system component due to overloaded or clogged SAS or Cesspool. You are ordered to repair or replace the septic system within-Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in.future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health l Q:\SEPTIC\Sample Failure I,tr\92 Megan Rd HY May 2014.doc r Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23093 7 S(amTP.BL.E .� Logged In As: Parcel Detail Tuesday, May 13 2014 Parcel Lookup Parcel Info Parcel 292 244 Developer LOT 116 ID Lot Location 192 MEGAN ROAD Pri Frontage Sec w_� Sec Road Frontage Firer- - VillagejHYANNIS I DistrictiHYANNIS Town sewer exists at this Road r1014 addressiNo Index Asbuilt Septic Scan: Interactive p a i 292244_1 , t Owner Info __ Co- Owner SEMIS,CRAIG S&LEWIS-BEMIS, REENA Owner Streetl 15 JANNOR WAY Street2l City WEST YARMOUTH State YA Zip�02673 Country Land Info ._. ....... _. ....... .......... _._. _.. -_. ........ ..- ....__ ... � �� Single Fam MDL-01 Zoning RB N hbd�01 Acres 0.23 Use 04 I g 9 _ g ! Topography Level _ ) Road Semi-Improved Utilities jPublic Water,Gas,septic Location Construction Info Building 1 of 1 Year 11973 Roof Gable/HipT Ext lWood Shingle Built Struct Wall Living 12 66 Roof Asph/F GIs/Cm p � AC iNone Area Cover Type' Style Ranch Int Dr all�� Bed;3 Bedrooms Y �_ � Wall _��_._._ � Rooms � �� s Model�Residentiaf Int(Carpet Bath Full Floor` Rooms = ' Heat -._ Total Rooms Grade Average T YP e FHot Air 16 Rooms - 42 �— - Heat ._ Found- Poured Conc. Stories 11 Story Fuel Gas ation( Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23093 5/13/2014 Commonwealth of Massachusetts . ti, F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form . Not for Voluntary Assessments ^M 92 Megan RD Property Address: - Craig & Reena Bemis a Owner Owner's Name information is - required for every . Hyannis Ma 02601 4-11-14 page. City/Town - State Zip Code Date of Inspection - - Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end.of the form. Important:When A. General Information filling out forms on the computer, I use only the tap 1. Inspector: .key to move your cursor-do not. Matthew Gilfoy use the return key. Name of Inspector - B&B Excavation, Inc. Company Name 14 Teaberry Lane - - Company Address Forestdale _ MA : _ 02644 City/Town State Zip Code (508)477-0653 S113640 Telephone Number License Number B. Certification - 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(316 CMR 15 000). The system: Passes. ❑ Conditionally Passes ® Fails 0 Needs Further Evaluation by the Local Approving Authority 4-11-14 Inspector' Signature Date The system inspector shall submit.a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design.flow of 10,000 gpd or greater, the inspector and the system owner shall submit the . report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority.. " . ****.This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how.the system.will perform in the future under the-same or different:conditions:of use. f ' - t5ins•3113 Title 5 Official Insp-ctio Form:Subsurface Sewage.Disposal System.-,Pagel of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. 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: 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-1.1-14 City/Town page. - - - State Zip Code. - Date of lhspection- C. Checklist Check if the following.have been done:.You must indicate"yes" or"no":as to each of the following: Yes: No 0 Pumping information was provided by the owner, occupant, or Board of Health ❑ Z 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? El Z 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.: ® o 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):: no plans Number_of bedrooms(actual); 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): . no plans t5ins•X13:;: Title 5 Official Inspection Form:Subsurface Sewage Disposal System:-Page 6 of 11 U Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 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: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date n - Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): I ` t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1984 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1'6" Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appears to be in good working order with no signs of leakage. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No I Dimensions: 1000 gallon i Sludge depth: T t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 6 Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection tank appeared to be in good working order with no evidence of leakage. Tank in need of pump for maintenance. There is a pipe coming out of wall of dwelling discharging grey water into back yard. Unable to acces dwelling to see where water is coming from, realtor saying laundry is piped into septic. 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 I Distance from bottom of scum to bottom of outlet tee or baffle I Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts N W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town 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 2" 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.): At time of inspection D-Box in poor condition with signs of carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: V t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching in hydraulic failure.Water level over invert in both pits. 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Rear � 8 4 O O Al- 2S bI* 1Z, OA2- "L8' a2 . Zip' OO A 3' 1y' 633- 2 3' Ay , `3' 64- yu, A5- ZS• as . 5- ' t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 92 Megan RD Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >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: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Checked perk test from abutting property ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Perk from 85 Kelley rd, no ground water 10' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 92 Megan RD 'M Property Address Craig & Reena Bemis Owner Owner's Name information is required for every Hyannis Ma 02601 4-11-14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Imo- LOCATION SEWAGE PERMIT NO. �d, M2, a (fit VILLAGE INSTALLER'S NAME i ADDRESS 3, IPA A«eq, 5-0 "p-- 14 r.61G BUILDER OR OWNER DATE PERMIT ISSUED 3- 2- Y OAT E COMPLIANCE ISSUED _,`�'� Q 73> 0 ` ail No.A.J...1 7 .... FEs...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAr�L�THI /.( ......OF....... a�' �l-1C�t /.: .....:............13 Apli iration for Dispuiitt1 Workii Toutitrnrtiun Prrutit Application is hereby made for a Permit to Construct .( ) or Repair (1.--)-an Individual Sewage Disposal System at: .._.c.� ...... :�.� . a , .......?.-O.CL.8............ .......- ...... on.Add ... �r .............................. .... ---------N------ --................____-_______---..----_.. Owner ddress .�.. .._.Y� 1C �c� ., Y S ...... ------ � ............................................... Installer Address Type of Building Size Lot............................Sq. feet v Dwelling—No; of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .........:....................... . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. fc Z Other Distribution box ( ) Dosing tank ( ) ►4 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.-_--:.------••----•-__. L� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------•--•...... ................ 0 Description of Soil C [. U-:.1. ----........................ -.................................... x V --------------------------------------------------------------------------------------------------•-----•--•---•---------------------. . ---•• - U Nature of Repairs or Alterations—Answer when applicable.............__.- 1.(,��.C,�.__.. �:I._...._.. .�_________.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L4 5 of the State Sanitary Code— The undersigned further agrees of to place the system in operation until a Certificate of Compliance has been sued by the board j of4health. S- d... 1..=t.... .. ..:1 Application Approved By .......... .•.... .... ............................................................... ate Application Disapproved for t e lowing reasons-----------------------•---------•---•-----------------••---•-•----•-----------.....--•-••.......------•--------- ---------- -..............................................................................................................................................................---•---••------- Date PermitNo......................................................... Issued_....................................................... Date No..... . .� : ... r �w FEs......,�5s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH oF.........j ..r` ................... AVpfiration for DhiVoii al Workii Tonii�nr#iun famit Application is hereby made for a Permit to Construct ( ) or Repair (4-,)-'an Individual Sewage Disposal System at: *� j.. .... .. .. ...... 0 on-Add or Lot No i.�. ......................... .... r -)-s................................................_..... o Owner ddress Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......:....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...---._---_ ...... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed b ........................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •••... - DDescription of Soil-----------••...--•- -- ••-•---- - -----------------••• ....-• •.------------•-••--•..........----.--••-- x x ------------------------------------------.. ------------- ..------------------------------------------------------------------------------------------------------I------------------=----............:. V Nature of Repairs or Alterations—Answer when applicable.............. ..... 4.............. .,)4............. -----------------------------------------------------------•---•--•----•---•---------------•--------•-•-•-••...-----••------•......-•-••-•-•••---•----•----•••--•---••--•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees of to place the system in operation until a Certificate of Compliance has been ' sued by the bboard iealth. C W D e Application Approved BY -------•. .T................•--•--•--- . ..... ...i17 .............. to Application Disapproved fort owing reasons-.................................................. ............................................................. ......................................................-................................................................................................................................................. Date PermitNo................................................I -- issued............................. ............... Date•--•---•-•- w. r. THE COMMONWEALTH OF MASSACHUSETTS BbARD OF HEALTH ....... 6 ' ,f 4 6L'+4f0' .!- S+-. )fir F ........................ ' l Tntifiratr of TomVIittnrr THZ IS, O.CERTIFY, That t e Individual wage Di .osal System constructed ( ) or Repaired (L..�..• �i ns ler has been installed in accordance with the provisions of TI I LE' 5 of The State Sanitary Code as d cribed in the application for Disposal Works Construction Permit No. !-/ 3................. dated_.,,_/—, L THE ISSIIAN E O'/F THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUA ANTEE THAT THE SYSTEM 1!Y L N O SATISFACTORY. DATE. .............................................. Inspector -----•--•---••----.....................---•--•-------------.-•--- THE COMMONWEALTH OF MASSACHUSETTS BOAOF HEALTH 21I.-IF Permission is hereby granted.._._ ........ �� _ .................................. to Cons c ( ) or Repair (J_-)-•a vldual Sewage Disposal System - atNo.- ......----- �e ------------------------------------------------5dh t-W re as shown on the application for Disposal Works Construction Permit tNNo�.................. ated.......................................... ................ -�--•-r------ --------------------------------------•--•-----•-•---.......... 1/ Board of Health DATE-•• -�" FORM 12.55 A. M. SULKIN, INC., BOSTON _ J.I HYANNIS ROVE 2a SF i cc LOCUS 2 2 N T PARCEL ID: 292/243ST t I� BM FA CETTS COR BLHD S PO D EL=51.22 E N S85'34'38"E PARCEL ID:I LOCUS MAP 6_32 -f - 292/064 UPOLE 13 — — - -�- �- OHW `'° 1 �� I LOCUS INFORMATION Q I / ��/��/�/��/ 5 Lu PLAN REF: 261/37 O v TITLE REF: 19872/231 z PARCEL ID: MAP 292 PAR. 24.4 / p 2 .8 6 ' ZONING: "RB" VVV PAR L ID: /. / O Tw. OAK „ p �. / PUMP, SANDFlLL & t FLOOD ZONE: C" I o 29244 / ABANDON COMMUNITY PANEL: 250001-0005-C DATED:08/19/85 DO AREA= 0,340t S.F. / #92 CESSPOOL PER TITLE 5 It 31 J ! 3-BEDROOM ! ♦ TH7 t ' ,` I SEPTIC SYSTEM ►—I O�OpO�GAL \_ ;� 'r REPAIR PLAN WI p i TOF=52.00 i TO R NN 7.0' ca , Z LOCATED AT: of Z I CN O POPLAR I _`:~ Y. 92 MEGAN ROAD W�w �� / 5:;,. HYANNIS MA. 20.0'-� MAP I PREPARED FOR PARCEL I CRAIG S. �c REENA LEWIS 75; I I /1 LP 3 � I, / RIVEWAY �G 311 1.2 BEMIS 5� I PUMP, SANDFlLL & I JUNE 18 2014 ABANDZ LEACHPIT 22.8' Xk" Iu- PER TITLE 5 E� I - - - - - - - - — _ _ EDWARD �s FENCE 125.83 — — — — — — — o A. �+ N86'36'43»W : .. STONE N No. 89 0 PARCEL ID: 292/245 E . A. S. � _ F SURVEY, INC. 141 ROUTE 6A GRAPHIC SCALE SALT POND BUILDING 20 0 10 204080 P.O. BOX 1729 SANDWICH, MA. .02563> ( IN FEET. :).Pt. 1 inch 20-. BUS:(508)888-3619 CELL: (508)527-3600` = _ I SHEET 1 OF 2 J 1667 �.ieo++A�r�n®� �H�H®Ol�HB16HBHf3�®®�'®0®60�DG9��fEV� H®�171I�t®H�iHO®061�G8�'T��HQi®H9HE9909®0® - �� HHl�HL9®®OHO�OE9�OH��OV>m6 HS®H�HkQmIHCH®H�9H➢H®9EH�H®6HG�.'II®E9®HEHE96HB�®GN8P.4H®H®®®H®09®H®OCBCI68CIQ��OE.Hl� H®�®HGH® - TOP OF FOUNDATION FOOT L.AYER O F FIE)ILIA•0EL= 520 q , rF I Z 1 - - __ 0I - MN I' fC 1rl1 PER '_ : WANN f Ll. 10' MINIMUM----an.� ; (Nor To :SCALE) OR FLIER FABRIC. EL= 51.2' EL= 51.0` _.,._.. ...._ ................................._._..._..._...__...._..._....._........... _.-.. m�ec�m z•�.�.., ---emtccccemm� EL== 50.8' l __...... EL k9 Nk eA, MAX. A+,. 1 50.4 6, E�" lal ��a, I:'R,71`', PF(OP. 4" SCHE:DLILE. 40 P.V,C• „ G�SI',li,",. Il,I'a/'OJ�V a"G. P�IIN.� (EXISTING), ICI E:F{ I,I,:iEli L ,' , s• r a r� f 'E:.F 13 ) C�MR .15..��r05 „ F,I.�L.I� �.� E.L.== •4•, .k5r E:I_ �1•J.Ei_� n0�+[::F, LEVEL � � :5fi MAX. - - FOR 2 10' S=.04 1.aht.i' � , ,fDN� --� FLOW LINE �- ' EXIST. IN4+f:l f IN h!FLF;'I" IPCv/F.:flT _ o ca o o ®®. raw to Sa o INVEAT ! C.__.._.J I._..: _I r::_�::I I::: :::! 0 �EL=49.0' F:I:::.ME9„,"�i:1' tfd'IIP'1. �i:l.�!1�5,•.I�(,D EI•_� 1�7`, i4:; : ' ;iihl�v9J EI. c!/':f1' � ca C�,7 0o c 33;,; EXI_,T. 4. GAS o cp a +I INVERT BAFFLE 0' BJ a, tuai�aaSAI�p:Au_Y o c o �-�', J(( Uc a c iClu9pfhd"rDl .:A14C1 , __- 1�1�-- ---_L �ml. 4.�.'F)7 _ l:@: R.I IE L 118 C)N ,CJ ..:i' -� BOX (T ,),I-D p __ e�':.h 1 ��'•'�V d:",I p3/,4 n" Ipp O 111/ �I/,,, y ----- l�d.)U1.3L..1... Ytl/�l',`JI'�E�.� �::J P��D��E:. t- \ ,i S, ""' f �.rl 0 ,�, •, - 1 '3 A L..L..01`,] T A 1\11,, ;_?- .�(.)CI CAL.f_. {I_f _1�); DRY I WELLS l.L.., �� X �3 .....� k � J ;.�►L. AI,B (::)1-;'E f_ ]0 N J t C" C� jl C rh C '' 0®mID m umu H®CDID�H9®m ®H�H�Hfll® HC®00® Hma®H� D� _. _ _ CERTIFY TF�Al' I AkFI C:URFEE"F,I:fLY d'F�F]F', „ _ I. i - .VF� E. 1 k' �..Ehtr'_�= y,, r�-�•�• A c•. � _ as dEl:) E3 Y THE t}E:P A r T'�I F:I�I T OF' 1:�C;�T•T C:}fv9 c)F 1 E_,' FI(71_. .. _ G E N�:._FR A,L.., I \l(1,_� I I.._,_7 E�I'flF;t:oI,IIVI I:::N I Ohl._ I 'R4)I EC. I Id iN I•-aN_II �a�l Il•'�,N T TO ;.1(� C PN46 2�1':a.l,k1 _F(".) i d.?!NF.hlal.;1 I GR l..)I.,I N J VVA 1 E F'h} ]OIL EVALLI/A1ION:S AND THAT T'IAE. ABOVE ANALYSIS HAS BEEN PERFORPud1_,_) 1. ALL WORKMANSHIP AND MATERIALS SHALT_ C:ONF•0RM TO D.E.P. BY ME C;CWSISTENT WITH THE: REC)UUf ED TRAINING, EitPERTI`~E, AND EXPI:;RIENCE:: TOWN D:: .3ARNFS�TA,F.31.1': RULES AND R'Ei:GULA11�I:a% ,R .i:_ •.•;) II.:a r:; • R 1, _„ � I _.. , TITLE 5 AND TFIE OaMNd CE L 1.1E.:.�C.f�.II,I.I.�r) IN ,TI,.. ,.,M��f, lug I:71 r. I I I.JIcII ICr• t::f.hcTll- a fI•ie^,.1' "fl If._ Ftif..`,W�I_I_.I�� (�F� P,/I�' ".., __ ^., ,.:,` , .._ � . _. , FOR SUBSURFACE F715f'f)S,AL a:hl- SEMrE:Rj�GE. E GIL E1r'AL..I.JEhI"I+:7N h`� INr:)I :' 'I'EF:�.. tDIJ THE ATTACHED SOIL_ EVALUATION F(.3RM, ` �+ 2. ALL ACCESS PORTS OnA.RI TANK TEES SHALL. BF:: ARE ACC' h, ;ND A, 'C") ANCE WITH :510 CNIR il5.100 THRGUGFI 15.107, �=��-^ 7 I �-�� _��.'��`..�_/ � ACCESSIBLE WITHIN D ' OF FINISH GRADE., 1NIT'll ANY f'rEMAINING ACCESS PORTS BROIJC&H"f T() WITHIN 12" OF FIM':;I.1 L%WcE:. � NI_JI�/BET' (.)I BEDROOMS.. S.........".....,".__:r?..._.__. 3. ALL COMPONENTS OF THE:: SANITARY SYSTEM SHALL BE: �.. . . _�__.. _ �� _ - _ _.._...__... ___�. GARBAGE r.)1'EPOSAL, CAPABLE OF WITHSTANDING 11-10 LOADING UNLESS THEY ARE 1::1�4'u'AK: �h. c1T� E_, T�'I...`:S, CERTIFIED `:FOIE_ E:VAJ_4.1�TGf° i c - UNDER OR WITHIN 10' OF DRIB/E.S OR PARKPgG AREAll THEN THEY mom � �DDImmO�HIDmmH19�HHtl®HHpPNtl HCH®�Hmm®®H®®' � H�lmO®�H6H®7!H®IHH® Tl_b 1 /�,i-.. E.:,:l I��h T'I:..D 1="�.(:DUG MUST WITHSTAND H_-20 LOADING, _ ... .._ _ . 4. THE EXCAVATION CONTRACTOR SHAL.L VERIFY THE LOCATION [ (( r F , ` I a � � 7 /> r OF ALL UTILITIES PR,I()Fti "fO ,H,t414' I"X+^A'u+A"fIOP D. ,., �f JI.aP�:) x �_CIC},�� _� �_..._.,...._,...._...._..._..._....._._.._......__..__.._.-: �:: ': W ':::::::: _...._....._.._...._ ...._ ._ L I:SI,... I�tie ..a f 1 I [u '10l;�0 CAL L SEPTIC TANK l'';: 5. ANY MASONRY UNI"(T� lJ`.SF:I) TO I�I�PII,IG �::aD"v1=I°?.�� I't7 LfI�;AI.,iF_OR WITHIN 6" OF GRADE S-IAL.L. BE IIOR!TARED IN PLACE. ��f.)II...pTE� I p - - - IVIeiY t'(�, <'l�l� C' +" � a" S 9 •� r, 6. FINISH GRADE :hHAL_l. HAVE A MINIIuII.IM OF" a'� (:3RAD1E: _....____.._______..._: I'a,T�eI�L s 7- .r(�!) GAL C)I WELLS ('�V f CRUSHED f EC) STONE I1�. OVER THE S.A..,. AND I7Ir,,1'Ia1BUI'la;aN r34:aX. f5.( .I'�, fJT f.:}d:�f�TI�f,A �41+�)G7,1i,1�1C)I C)'N -r1,_&IE: .:oIC)f::"I 4' C:)I`,i -1 HIE �::IVIr',I�;t) +Ah'dC:) f.3/�C;I°,;Iy1G..1:.: _:......_......._.-_._.--........_...._...._..._..__.._...__....._....._,._..._......._....__...._....-.__._._.....__... T SEPTIC TANK SANITARY TEES :sHAL.L BE. CONSIIF UCTE:D OF ;C)II._ EVALIJATOf"Z: I::DWARC`r WITH CLEAN SAND TLL PER 310 „M2 151255 SCHEDULE 40 PVC AND `HALL. Ex,rE:ND A MINIMUM OF 5" ABOVE THE FLOW UNE AND SHALL BE ON 'ME CE.:NTIE1dLME ,AND _133A 1,(,1.1F,)E.-......._.,,._...._f;•Ilail,l':R_._�;��l::`.'�".'�f".,....�. .................. r,,. I ;,i., .. - i Y ,!. � LOCATED DIRECTLY LINDER `ITI'L: CL_EANOUT M''NHCLES. a01._ C,L !e _a...�IFIL.,A,-f l( I ,...... _.__......._,___,...: 8. THE INLET PIPE INVERT 0_E'u'ATION ;SHAL.L. BE NO LE-SS THAN DE:aGN PERCOLATION RA fE.,... �::;�__�'��.�e�l�v. 2 INCHES NOR MORE -THAN .3 INCHES ABOVE THE INVERT f:Ff 1�I,.,1ECJ_f _.Cb,AhG)IP',I(a Fi�A�f-f.: .....,...._._:..?�.`.�:.. ____.... ELEVATION OF THE' OUTLET PIPE. I� �L 1_; �_ � � a , � - � C' 9. THE SEPTIC 'TANK SHALL HAVE A MI ,IIPo11lJP�l C:i7Vl:.R OF 4I IIICIIE":;. �.fj� I �_J._.. :�_ J ,• :) f,.1: ,a)LIIRI.'.:C) _. , ,(.;ff IJb t::/o,l ratf.;I`T f...., a.•�(r!Co11 .,I�:,), h`I 10. THE OUTLET SANITARY TEES SHALL BE EQUIPPED WITI A GAS - `E LEACHING{INCi IDt�,Pia(;I TY �'F;OVIDED...., 5°72" SLAT^/.1�7/1Y . , ... ��,. I=1_.L.1�+.• DEP"fT'1 (III.') f-iClf�l;'C�N __..._.:�TF`,;�TLJI"tiE:�~ C_,C)L_(;117.4_ I�u7t:ITrLIIVIu t`�11:!-if ram? BAFFLE, 4 INCHES IN FAAkIdE,..flaFd AFJf> C:C7f,l'fRU '`fE:F:a 01= •d" F 1 ,.. .........___....._....--"-_._...._.__..__...__ ....._._...._ -..�..._ --__...._...,__ _.._._.._._.._... F . �: , y ... . :,4,,• , ...c r , t:;t:L'I Ira.,.... E..f� ,M v ;:,AhIIC) I L _.. . _� SIf:}I:1�",P,��I�...L.: (•1,S L. >,., I n..z'.;,(,._ ,.al f)L.,..a 11 �I) 1 1.:r 11. ALL PIPES SHALL BE Si:;l-IEG)UL1.: ��a(:I I-bC: .�,EaDYE"F". PIFf.; Ald.f;i �i" � �� •, a'YI 4/°�: � ,� ' FIRST TWO FEET OUT OF THE DISTRIBUTON BOX !..'.HALL 48 n}_-.. _____E'• ,0.. EI LtDAiv1Y SAND 16Yf'5,,ki -_._I��'L.-.._..__ ._.__ e_.. ?TTOM: (;T::a• x 2 5';(,4) = .�40 GAL./CAA''(' a BE LEVEL. ._.....__._._.._____...__.__..___..__-.._..._._._._._..__.._.«_._...._____._.___....__ _.__.__ n s - 12. CHANGES OR REVISI( NS 'f) SEPT(,:: L1E:>IGN 1;1:4;IUIF2!F' 1,4(,TII:1ICah1"Iif:DN $I,3.Ca :aL4" 'IrI F" hugfL: ;;lhl'I[1 c'f ''(- /{'+ I+Ir1A, I0'9,.',(3R T(T f�hlL.T: '1:asGAL/DAY TO E.A.S. SURVEY, INC. E'OR B.0.1 i. ANf,) I'�E.;IGIV _,.__.__........_.._....._..._..__....._..-... I t __._..._.._._...._..__... ENGINEERS REVIEW AND APPROVAL NO (:Y� IUNCaV^dAT E R ENC(: UN•T'IERED/140 K&O r Tl.E S 3552. GPD PR(nMDED - 330 GPD REQUIRE =-: 2 GPD RESC:RVE 13. PROPOSED SEPTIC SYSTEM m iwor WITHIN STATE APPROVEI:) ;TONE: II � IMME HYmu mHm _ r- CONSTRUCTION IAOTEzS: I f'� r) E:.�.. ,1 1 ��I f �..J o DAV'Ifl � ,. PT �., .� G ....__.._.._........ T:_...__. ..._...... . _. E"� TIC: ,_,r:;Tr M 1-)E.T�+,II_ E'AGIE 1. CONTRACTORS /r 11'dSTAL.LERS SHALL hlf::IrIF'Y GRADES AND lE_..I:hu'. fJEI'-'..fEl II'I. ) f�l)f' "i`(:IN _«.. ._..T� )� I(`1f'ti� C0 I.:DR f'J(:) f FL1114.,I � � ELEVATIONS AND SITE: CONDITIONS PRIOR TO COMMENCING t.l I`f"fl:.I� FL6 R. #9 _, MEG AN ROAL 11. ._._..._.__..........._....__._ -...._.__ ..__.. -.... .,.._... 'fie. (!) F� 'e .: a ROAD -;.;- f '„ WORK ON THE SITE. F, O kM'Y ,SAND IUYF, - 2. NO DETERMINATION I-Il,`.a FIEI:.I,I M/h,C)E: Re�i ICD (:C)Ih�f'l..i+11W;;9:: 1.1:, all .:"f I;;I. f.1,Alhll i° a.dh,hJiL.hI'J�/, _._ R WITH DEEDED OR TONING RE.GUI_ATIONS., OWNER / APPL.ICAhNC _.._._...._ . __ ._..._.._._......._._......_,___ �_.__...�_;_..�__.___._._.__.... � _ _�. ,.e:__._ ,1U1>JE 1 3� 201e� 38 3 '4'-14�F" ?�.aY'7/b N/A 1 OXGF, SAI �P IS TO OBTAIN SUCH D�:ETERMINATION FROM APPROPRIATE AU'T'HORITY. C, IvI/L aAPJD /VITAR 3. ALL SYSTEM CC)NIPf:DIVEP+ITa :aariAll. HCF: AIAF;I*;E'.Im7 1hi'IIkI IakAC:IPrIF:T'It:: IVARMNc:;; NO GROUNDWATER�i :: I O s'-_D `Ni.;l IhIIOT..I_-ES1 F'E:.Fz;(:: TAPE OR A COMPARABLE Fa1E::APJS, L..RC,,..a.JIJ I l_f.1.. f d! �/ 1 SHEET ;e: L)f - ? 1y� I�iE3''r