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HomeMy WebLinkAbout0140 MEGAN ROAD - Health 140 MEGAN ROAD, HYANNIS A= 291257 4 , i I I I ,fin TOWN OF BA%RNSTABLE /'mil LOCATION 116 e.,<l ck- AS SEWAGE #�+ 5 VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) 6 k'GNO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility / 3 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 b / , �✓ mow, S �/l��$ J J 1- T. l T I, TOWN OF BARNSTABLE LOCATION {4p 1,1 L�GsEfip SEWAGE# - 3 VILLAGE J+,f 6NAMtr ASSESSOR'S MAP&'PARCEL(-�-�"r INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (Jc t(I i t.Kt-(,- 40M •�L LEACHING FACILITY.(type) --rku (size) ,)L!1� l�i�•�� NO.OF BEDROOMS '� -�C-0 4— OWNER , L Z-M PERMIT DATE: —1- _ COMPLIANCE DATE: G 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 �k ®�` W�s.�-- � ���� o � o �. R:�: �lY° ��f� ,�� G+,nn;i p� e a3� �� aa= � ,° � '` 1 u i �� � G�� ��� � �+t No. ��L� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye--L� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MAS.SACHUSETTS Zipplitation for MispoSal *pstpm ConstrUttion permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. Jq6 mzad t n S Owner's Name,Address,and Tel.No. N�re�i4 emu, y 5-kv-srsotn(line_- 1,.ru�'c6k,MA Assessor's Map/Parcel a$�`J 00e, Installer's Name,Address,and Tel.No. SO$-Naj5-8%1(0 Designer's Name,Address,and Tel.No, .o?• L/�$y� 2�oc•t�olm�1 eoo��dY'l.z�-h31n,��c p0o(3©xh0y c�ca�Cccyse- Jn�rdr►�t�►x 43�r�faih 5¢ v Type of Building: Dwelling No.of Bedrooms Lot Size J�B ��C/, sq.ft. Garbage.Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) V- 0 gpd Design flow provided 3 gpd Plan Date Svne allj �o(cy Number of sheets ,, ' �Rtevision Date Title_9 e"}�p_5�J r�ZY c� 1 qy ua.,60 Size of Septic Tank 'Jaoc it 0 Type of S.A.S. as k ja Description of Soil Nature of Repairs or Alterations(Answer when applicable) UfAdA;L•f Ke a4%- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the EnvironmentalCode and to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No Date Issued a, No. ° Fee THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes j application for BIsposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System a Individual Components Location Address or Lot No. Jq6 tee 1C,0 A it B�'$ Owner's Name,Address,and Tel.No. 6Z -,?a fVQAra A I I C n y 51eaer:son (AxnQ- • 14tfi,r}V) ,�;4 Assessor',s Map/Parcel� 227 0,;,e„VV ' Installer's Name,Address,and Tel.No. 501�- Designer's Name,Address,and Tel.No..r,6- --*a- 41,j(f (&�t��rtv41^ Oons+jra} ian,-lrx Pis. o-,Y hoc/ f-,clt�, j�'(J��i17AL-d.�A.�`/��x 4--4s �4�ffi 5f- Niur 17hr,},V ]ik , M A ov.a o$; ,f/�t"a'N ", K/n ILIt r? :01 A Type of Building: Dwelling No.of Bedrooms Lot Size //e � '�` "" sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 30 gpd Design flow provided gpd Plan Date �9, p Number of sheets - Revision Date Title I r*4, 5 l,e_ 4L Ilit) it lkr,,.,, An •1.,,'i g iiti;s. A014 Size of Septic Tank%0_X Type of S.A.S.d- 911) Ir Description of Soils Nature of Repairs or Alterations(Answer when applicable) x �r(�c.���� � 1 Date last inspected: w N 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 n o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ." Signed 1�1 Date Application Approved by �,.,d't _ Date Application Disapproved by �`" Date for the following reasons e Permit NO.. Date Issued .4` ------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS QCertificate of Compliance THIS IS TO]CERTIFY, �that ttthe On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by l�pr a�vT t� '.tar+ t �;111„, C at f Yd A/t&4,,eA h AqqJ dot A� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No '" 3dated Installer trfzr 6rSfi'R I..tat�5,!ri trirC7t� A-i�� Designer �.rv► 4 Ale 6b,4^.,t* #bedrooms Approved design<flow _ f gpd The issuance of this permit /shall not be construed as a guarantee that the system will function as designed`*. Date / ! 9� f-'� Inspector ram_ ,h. ..No. Fee v 11HE COMMONWEALTH OF MASSACHUSETTS ( PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal ,6pstern Construction Permit Permission is hereby granted.to Construct ) f Repair Upgrade( ) Abandon( ) System located at Vo A,khm, r'1 �1/lf � a slid and as described in the above Application for Disposal'System Construction Permit. The applicant recognized his/her duty to comply withj(. Title 5 and the following local provisions or special conditions. Provided:Construction.�m�'t bye)com leted within three years ofthe date of this permit. V,,;, Date / /� .+ A Approved by AUG-21-2020 03:14 From: To:15087906304 Pase:1/1 Town of Barnstable E Inspectional Services Public Health Division a a"VIAM I Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Fax: 508.790-6304 Office: 508-862A644 Installer&Designer Certification Form Date: 4 02,D Sewage Permit# �O 0- Assessor's Map\Parccl�7 �i1C. �OW11 CEn� 'J�Installer: BOr�'A t0 Designer: ' Con uct �n,i 3 q Address: r Address. I s I '�yL �or too i.l ynS� LXwas issued a permit to install a On (date) (installer) eam based on a design drawn by septic system at_ ( dress) P6�� o(o-Zq-20?�. t� dated (AgNesiA I certify that the septic system referenced above was installed substantially according to l relocation of the the design, which may include minor approved(hangges suc�a ect d and the so Ic distribution box and/or septic tank. Stri out if re uired) P were found satisfactory. referenced above was or es I certify that the septic relocation to of the SAS or any vett installed relo a on of any component greater than 10' lateral certified the septic tilt by system) in accordance with designer to follow. Strip out(if require)was inspected and theate&Local Regulations. Plan oso is certified as-built g were found satisfactory. I certify t s em referenced above was constructed' .� e with the terms of the pprov etters(if applicable) DAMIELA �:,•� c OJALA ,�•• CIVIL No,4 Insta G502 „_ r�o( ller's Signature) q /ONAL_E ASS �G (Designer's ignature) (Affix Designer's tamp Here PLEASE RETURN TO BARNSTABLE PUBLIC HEALT DIVISIO CERTIFICATE OF COMPL Apt pCEIVED BY TH15 E BAItNSTABLE UB C HF.ALFORM DIV SIOlV• BUILT CA THANK OU. k\W"cptsNHFALT1MEWERConnec1\SEPTI0Dc3I9nerCenirieotlon Fern Rev W4-13.DOC COMMONWEALTH OF MASSACHUSETTS , EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION A f TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION C7*/ S-- Property Address: 161 MEGAN RD z �a HYANNIS �4 Owners Name: BULLOCK . Owner's Address: SAME ; Date of Inspection: 12/6/06 -! ' Name of Inspector: (please print) Douglas A.Brown Cn Company Name: Douglas A.Brown Septic Inspections r� Mailing Address:P.O Box 145 Centerville,MA 02632 Telephone Number: 508-420-4534 Il CERTIFICATION STATEMENT 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: n X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: ate: 12/6/06 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 t,.DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving, r authority. Notes and Comments SYSTEM APPEARS TO MEET MINIMUM PASSING REQUIRMENTS AT THIS TRARPIT IS ONLY HALF FULL AT THIS TIME - ****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. Title 5 Inspection Form 6/15/2000 page 1 Revised on 10/31/2000 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 161 MEGAN RD HYANNIS Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information winch indicates that any of the failure criteria described in 3 10 CMR 15.303 or in 310 CUR 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 Pase'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. Answer yes,no or not determined(Y,N,ND)in 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced 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): j broken pipe(s)are replaced obstruction is removed Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 161 MEGAN RD HYANNIS Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 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 15.3030)(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 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 I 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 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 161 MEGAN RD HYANNIS MA Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 D.System Failure Criteria applicable to all systems: You must indicate"yes or no to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to 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 X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of 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 1 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. [This system passes if the well water analysis, performed at a DEP certified laboratory,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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 3 10 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• 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) 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 11 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 yeA'm 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 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 161 MEGAN RD HYANNIS Owner: BULLOCK Date of Inspection: 12/6/06 Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No X Pumping information was provided by the owner,occupant, or Board of Health X Were any of the system components pumped out in the previous two weeks ? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out ? X _ Were all system components,excluding,the SAS,located on site? X _ 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? _ X 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: Yes no X _ Existing information. For example, a plan at the Board of Health. X _ 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(3 ))(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 161 MEGAN RD HYANNIS MA Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection. 12/6/06 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design). 3 Number of bedrooms(actual): 2 DESIGN How based on 3 10 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: Does residence have a garbage grinder(yes or no): NA Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NA Seasonal use: (yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): Sump pump (yes or no): Last date of occupancy: coax w COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow(based on310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): _ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): _ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): 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) Tight tank _Attach a copy of the DEP approval _Other(describe): 1000GAL TANK AND LEACH PIT Approximate age of all components, date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site (yes or no)? NO Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 161 MEGAN RD HYANNIS Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: X concrete_metal_fiberglass _ polyethylene other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): _(attach a copy of certificate) Dimensions: Sludge depth: '8" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 4" 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: How were dimensions determined: WOODEN POLE Comments(on pumping recommendations,inlet and outlet tee or baffle condition,,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.)- TANK LOOKS STRUCTUALLY SOUND AT THIS TIME. GREASE TRAP:_(locate on site plan) Depth below grade:_ 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 161 MEGAN RD HYANNIS Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 TIGHT or HOLDING TANK: tank must be pumped at time of inspection) locate on siteplan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: NA (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 eq ual,ua an evidence f solids ( q y o so ds carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): G Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 161 MEGAN RD HYANNIS MA Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 SOIL ABSORPTION SYSTEM(SAS): _(locate on site plan,excavation not required) If SAS not located explain why: Type X leaching pits,number: 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.): LOOKS LIKE A 1000 GAL PIT ABOUT 1/2 FULL AT THIS TINE STAIN LINE A LITTLE HIGHER THAN LIQUID 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 or no): 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.): u Page 10 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 161 M IGANRD Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. �Q 1 V Page 11 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM ] INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 161 MEGAN RD HYANNIS Owner's Name: BULLOCK Owner's Address: SAME Date of Inspection: 12/6/06 SITE EXAM Slope: Surface water: Check cellar: Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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: t Id - 3,9 ash TROY WILLIAMS SEPTIC INSPECTIONS Certified.by MA Department of Environmental Protection �5©��3, 5-1300 10 19 Hummei Drive South Dennis, MA 02660 7y COMMONWEALTH OF MASSACHUSETTS RECEIVED EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS AUG 13 1998 DEPARTMENT OF ENVIRONMENTAL PROTECTI©�)\' 70WNOFBARNSTABLF ONE WINTER STREET. BOSTON, MA 02108 617.292-5500 HEATLHDEPT # F WILLIAM F.WELD `TRUDY GOJiE Govcmor Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION /y0 Ale c. �J. /72yw„� y Property Address: �y Address of Owner: pp��� ��/� c/y Date of Inspection: $ �9f1 (If different) Name of Inspector: Troy Williams �o Sf� e Rr6"-d 1 am a DEP approved em inspector pursuant to Section 15.340 of Title b(310 CMR 1S.000) 7 Company Name: Troy .Wi 1 I isms Septic Inspections 0. Mailing Address: _19 Hummel Drive, South Dennis ,. MA 02660 Telephone Number: (50$) 385-1300 yC',N •s CERTIFICATION STATEMENT 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 inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes — Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: S/1�cT1� /�✓.cJc t(.e���^a Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or D: Aj SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: e) SYSTEM CONDITIONALLY PASSES:fI/119 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If'not determined',explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector whit 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 conforming septic tank as approved by the Board of Health. (—is.d 04/2S/17) _. Paq• 1 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM, INSPECTION FORM PART A 140 Megan Road,Hyannis,MA CERTIFICATION (continued) Property Address: Dorothea Riberdy Owner: August 11, 1998 Date of Inspection: BI SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced 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 pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Av/A 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 THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) 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 to a surface water supply or . tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone 1 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 (approximation not valid). 3) OTHER SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 140 Megan Road,Hyannis,MA Owner: Dorothea Riberdy Date of Inspection: August 11, 1998 D) SYSTEM FAILS: /U/4 You must indicate ewer "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined 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 Backup of sewage into facility or system component due to an 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 1/2 day flow. 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. 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. El LARGE SYSTEM FAILS: A You must indicate either "Yes" or "No" as 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 the system is within 4.00 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (—im.d 04/25/97) P - 1 n1 ,� ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 140 Megan Road,Hyannis,MA Property Address: Dorothea Riberdy Owner: August 11, 1998 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes, No _ Pumping information was provided by the owner, occupant, or Board of Health. Lf None of the system components have been pumped for at least two weeks and the system has been receiving n/ormal flow rates during that period. large volumes of water have not been introduced into the system recently or as part of this inspection. _ N14 As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. _ 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: _✓ _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)j (r. i..d 04/25/97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION 140 Megan Road,Hyannis,MA Property Address: Dorothea Riberdy Owner: Date of Inspection: August 11, 1998 RESIDENTIAL: FLOW CONDITIONS Design flow: 530 g.p.d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 40 Garbage grinder (yes or no):No Laundry connected to system (yes or no):�� S Seasonal use (yes or no): /V(J Water meter readings, if available (last two (2)year usage (gpd): 27/76 _ C oyo 4 ��,r l 9G �S 7 = ��� ovu Sump Pump (yes or no):A Last date of occupancy: «n f 11--4 ro:r COMMERCIAUINDUSTRIAL• A1111 Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title S system: (yes or no)_ Water meter readings, if.available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: .� r�.i�^^to.. .if J o...., a v�� r ✓�� A �-1-u �� 7Ytj�--. / l� q-�-nn c �h 0�h s� f. System pumped as part of inspection: (yes or no) A(- If yes, volume pumped: gallons Reason for pumping: TYPE 9f SYSTEM • _� Septic tan k/distr6utimerr-be,dsoiI absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: UY 4 ; / �z (n � �{arJr�,1c � I yrS SyJ. Sewage odors detected when arriving at the site: (yes or no)ND SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 140 Megan Road,Hyannis,MA Owner: Dorothea Riberdy Date of Inspection: August 11, 1998 BUILDING SEWER: //�14 (Locate on site plan) Depth below grade: Material of construction: _cast iron _40 PVC — other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: /concrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance .—(Yes/No) Dimensions:_ /X 9'�C �, /(BOO q /loh Sludge depth: l Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0A1 Distance from top of scum to top of outlet tee or baffle: WO S c-ter+• Distance from bottom of scum to bottom of outlet tee or baffle: VG 1 c- How dimensions were determined: 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.) Go c,_.� 4-- -{-r—, CA 1 /' r✓1 ( A H b vT l t I C.✓'c. v ti.� , {.� Wt✓ hcf vl ✓J v /r N � k a v �- / r►r GREASE TRAP: /V (locate on site plan) Depth below grade: 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: 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.) (rwiud 04/25/97) ,,, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 140 Megan Road,Hyannis,MA Property Address:Owner: Dorothea Riberdy Date of Inspection:August 11, 1998 TIGHT OR HOLDING TANK: /y/� (Tank must be pumped prior to, or 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/day Alarm level: Alarm in working order_Yes; No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:-j-/1'4 (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:,//9 (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 140 Megan Road,Hyannis,MA Owner: . Dorothea Riberdy Date of Inspection:August 11, 1998 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible: excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: U&Ac leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, si ns of hydraulic failure, level of ponding, condition of vegetation, etc.) �� S w n JC a c/I 7Ca vl -fa •� y t'_ «mil /�/ we c 4.J 4. ivr S � ' 0 w � 1, 4 Y—(w ' o L� L: L7Suc VrU u rr-a � �tv.. �• /h 0.3f CESSPOOLS: i9 (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: A111 (locate bn site plan) Materials of construction: Depth of solids: Dimensions: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (r—i...d 04/2s/97) .� P.qe a of 10 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 140 Megan Road,Hyannis,MA, Owner: Dorothea Riberdy Date of Inspection: August 11, 1998 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 6w�-t✓ a� �•ooQ`(ro h a5 6 rX6 L.r; Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 140 Megan Road,Hyannis,MA Owner: Dorothea Riberdy Date of Inspection: August 11, 1998 Depth to Groundwater= Feet ddjustcd high groundwatcr Icvcl Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers IL Use USGS Data Describe in your own words how you established the High Groundwater Elevation. Must be completed) f)4V I't, d / J c� ro.� H� Wc�f-cv �t✓��._ SYSTEM PROFILE �K IMTFICOM COMPONENTS T E o BE NOTES (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 28 1. DATUM IS NAVD 88 Rout ACCESS COVERS TO WITHIN 6" .OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE \ TOP FOUND. EL. 52.4 FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING 50.5' MINIMUM .751 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 49.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PRECAST H-10 WATERTEST"D'BOX FOR LEVELNESS BLOCKS OR s N RISERS (TYP.) MIN. 2 WALL THICKNESS PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST. Locus \ o g 49.4' 4"0SCH40 PVC MORTAR ALL UNITS TO BE AASHO H-M �° ° PIPES LEVEL 1ST 2' COMPONENTS INVERT IN 45.17 t• �ENDS (NP) �S-,DES 46.0 5. PIPE JOINTS TO BE MADE WATERTIGHT. a 10- EXISTING 14" - Po ;e�0 ,' - °°° ° ° o000000° ®®mm =F= ®®®®- ®®® >°° ° °°° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE o TEE SEPTIC TANK** TEE 48.07f'* ��,o;000,0000 6" MIN. SUMP g°°°000° ®®�0®®®®®®® ®®®®®®®®®®® ° °°° ° °°° ° °°°°°° WITH 310 CMR 15.000 (TITLE 5.) Hya. E et >. �^�°0�°o^oq 12" MIN. INT. DIM. A)-0-0---�-O-- ®®®®®®®®®®® ®®®®®®®®�®® a�oog000 GAS BAFFLE ` o000008g ®®®®®®®®®®® ®®®®�®®®®®® ;g0000°g° E/em. Sch. St• 45.44 45.27 °°°°°°°° °g°o°g°g 43.17 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND L {evells Nor h `n St• NOT TO BE USED FOR LOT LINE STAKING OR ANY ? . OTHER PURPOSE. Mitchells ZY •" " ''` H-10 500 GAL LEACHING CHAMBERS BY ACME PRECAST OR EQUAL � o 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED m 6" CRUSHED STONE OR MECHANICAL ALL AROUND PRECAST STRUCTURES 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. �a,n South OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83, COMPACTION. (15.221 [2]) - 9. COMPONENTS NOT TO BE BACKFILLED OR m (6.3X St. SLOPE) (--!-X SLOPE) ,n CONCEALED WITHOUT INSPECTION BY BOARD OF West Moin St. e � HEALTH AND PERMISSION OBTAINED FROM BOARD FOUNDATION EXIST. SEPTIC TANK 42' D' BOX 12' LEACHING OF HEALTH. c FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP **INSTALLER SHALL CONFIRM MINIMUM 38.0' BOTTOM TH-2 VERIFYING THE LOCATION OF ALL UNDERGROUND & *THE INSTALLER SHALL VERIFY THE SEPTIC TANK SIZE AT 1000 GALLONS NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF , LOCATIONS OF ALL UTILITIES AND ALL WORK. SCALE 1 =2000 f j BUILDING SEWER OUTLETS AND AND ITS SUITABILITY FOR RE-USE. ELEVATIONS PRIOR TO INSTALLING ANY REPLACE WITH 1500 GALLON SEPTIC 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 291 PARCEL 257 PORTION OF SEPTIC SYSTEM TANK APPROPRIATE TO SITE BE REMOVED BENEATH PROPOSED LEACHING FACILITY. NDY AROUND THE CONDITIONS IF NOT SUITABLESITE IS NOT LOCATED WITHIN A ZONE II 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGEND SAND. 99- EXISTING CONTOUR X 9-91 EXIST. SPOT ELEV. -[99]- PROPOSED CONTOUR 198•41 PROPOSED SPOT EL \ v U TH, SYSTEM DESIGN: TEST HOLE \ Q a \ \\ \ GARBAGE DISPOSER IS NOT ALLOWED SLOPE OF GROUND EXISTING 3 BEDROOM DWELLING 7 Qo UTILITY POLE _ 0/ \ 511 FIRE HYDRANT DESIGN FLOW. 3 BEDROOMS 0 110 GPD = 330 GPD \ a USE A 330 GPD DESIGN FLOW NOTE' NOT ALL SYMBOLS MAY APPEAR IN DRAWING Q, \ 51 O SEPTIC TANK: 330 GPD (2) = 660 k \ TEST HOLE LOGS > � \ **RE-USE EXISTING 1000 GAL. SEPTIC TANK 142 60 LEACHING: DANIEL E. GONSALVES, SE 13587 �\ ENGINEER: # FAQ o / � SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD DON DESMARAIS, RS 6 v ' WITNESS: BOTTOM 25 x 12.83 (.74) = 237 GPD 6 � 24 2020 ® s /�� DATE. / / / �n S LOT 38 TOTAL. 472 S.F. 349 GPD PERC. RATE _ < 2 MIN/INCH 11,769± S.F. (USE 2) ME OR EQUAL 500 GAL. LEACHING CHAMBERS (AC XISTING DWELLING ) CLASS I SOILS P# 20-1 13 . TOF = 52.4' `-�;c�c�� i'-'�� `�' WITH 4' STONE ALL AROUND ELEV. ELEV. W w PORCH ��`_?�\\ x 0" 48.7 0,, 48.5 c w O , .� FILL FILL 50 c \\\may _' \\ x APPROVED DATE BOARD OF HEALTH MA P I 6 A o DRIVEWAY , ALP I AVED ' 00 A TITLE 5 SITE PLAN x LS LS OF 10YR 3/2 8" 48.0' 10" 10YR 3/2 47.7' •a V_ TH1 140 ' MEGAN ROAD B B \ CONCRETE BOUND TH2 HYANNIS, MA TEMPORAR LS LS EL. = 31.7' GARAGE PREPARED FOR 10YR 5/6 10YR 5/6 �ORT 34" 45.9 36" 45.5 OLOTTI CONSTRUCTION PERC ALLEN C (�' JYl OF A1gSS ����Zt1 ASS9nfi� M/CS M/CS DANlELA 4c DANIEL � \ DATE: JUNE 29, 2020 OJAI A. {� CIVIL OJALA Cr 2.5Y 7 6 2.5Y 7 6 off 508-362-4541 / No.46502 �, N0.40980 � ,po fax 508-362-9880 °�\crsr\ �� °� Fs '�� downcape.com ss/ONA4. cti� � Uf2� '. a • • A, down cope eagineefing I,ac- 126" 38.2' 126" 38.0' _ NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' civil engineers` _ _ land surveyors 939 Main Street ( Rte 6A) LICE #20- 129 a 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02575 20-129 BORTOLOTTI-ALLEN.DWG