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0217 MEGAN ROAD - Health
217 MEGAN RD., HYANNIS A = v ��No. � � 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpUration for Misposal 6pstem Construction pen nit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No. :,2 1 11t 6&kk) .�is Owner's Name,Address,and Tel.No. / �, l-4YAt��ts a•l7� /Vt P So�HY&Wl Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 50 —4 17—8FS'7"1 Designer's Name,Address,and Tel.No. dAPEW10E a-(SC s 91A lS Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building fDE1JT f 44—, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) C HA C_ L. 1 k)E I`ou-(6- -TD —D4 u< Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b Y this Board of Healt P Signe Date /f3 31" P r Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued +s. R..,:,,r{•+�lF.. `;,"-'� ,y��7 w.•- -�,. "-( .1r-ti•.":ro-.{:...:-++t-.».+^t+"'R'"'r!b "^ '..+.,......�^ama:.�. r_'C'y,'�..r +„''Yi,.+S4' fs,c°+r ^�I!9"."E"�;�".+.'-r.:.-�' .�" j' ,i•' ''s a S. No. -/ ( ?3 8,.;. ' ;`'` $ Fee !! ss.ff THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 121"plication for Misposal 6pstent Construction Permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. ; !1 M C&..AN 30 Owner's Name,Address,and Tel.No. HY tJNtS lNCSc.r:� sF r4c-uSonJ IaJ�L Assessor's Map/Parcela,l-7 M fin/ PT) HYA&.*Jt S Installer's Name,Address,and Tel.No. 502- 4 7 Z-99-77 Designer's Name,Address,and Tel.No. dAPt:LotaE S: Aklsc s MIA lS GUN�6s{6�CClA{� �t tt-�s4Sflp Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building RGS tDENrTt 4,k. No.*of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 'Description of Soil Nature of Repairs or Alterations(Answer when applicable) <Z Fj L/ Date last inspected: Agreement• The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in. accordance with'the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of r G, Compliance has been issued by this Board of Health:-\ Signer —.Date 1 aZQI Application Approved by'-,— \�� Date Application Disapproved by Date for the following reasons , Permit No. _ / J Date Issued �� /`.�"� ✓' _,__-_ :- _-.-__= - ------ --- --- - -- - -- - - ---- -----� -- -- ------- ---------`'------- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliana THIS IS TO-CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�) Upgraded( ) Abandoned( )by CAPE ytaE E"7004 tsIFS� at ;Ll 7 .Mt✓E,./�Jy _RUNE-6 EiFYX has been constructed in accordance f ) with the provisions of Title 5 and the for Disposal System Construction Permit NoPJ dated Installer C41CWt-bE EN7GZPAL9Sr, Designer n►//4 #bedrooms Approved design flow gpd The issuance of this permit shall not be con trued as a guarantee that the system will onas designed. Date / >/ Inspector - --- - - - - - - -- --^--------- -- ------------- ----- ------------------------------------- Zcx "A -75 No. ! -2 Fee THE COMMONWEALTH OF MASSACHUSETTS �! PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal *pstrm Construction Permit y Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at e;/-7 /-�,y 6&AIj P-()At> P\/-Q-AJIU l,S and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date �U!3 / Approved by v Town of Barnstable P# Department of Regulatory Services a .�artar,►ars : Public Health Division Date 5 1,16, J�— o a 200 Main Street,Hyannis MA 02601 Date Scheduled / Time Fee Pd. O Soil Suitability Assessment for S09 791le Disposal Performed By: Hfldlaclt Pti(NIPi'1�1 t elJl CSC Witnessed By: i LOCATION& GENERAL INFORMATION Location Address ' f 7 M�� A*� ����� Owner's Name i4�,Ive,154 G Address Z ? ATW 41� taeenitS Inc Assessor's Map/Parcel ��1 f/Z l{2— Engineer's Name C.�.�4;16r4 -' a4 J + aC� NEW CONSTRUCTION REPAIR Telephone# 71�'^-�� 7� OS-2-73-0 3 7�7 Land Use: -sco51e-F,.-na% dwaljA Slopes(%) 3"(6 Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well — ft Drainage Way ft Property Line 7 f'0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) �•�. fee a�-�art�r� �1cv1 ,�, V t l r Parent material(geologic) O`>FW�6� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: — Weeping from Pit Face w Estimated Seasonal High Groundwater 7 l 2� bgS DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Afe-G� 6 05efllaUoyl (20 Depth Observed standing in obs.hole: —in.in. Depth to Soil mottles: in. Depth to weeping from side of obs.hole: _ In, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level____ ., Adj,factor Adj.Groundwater level=• PERCOLATION TESL' bete 540 Thne tl D Observation Hole# Time at 911 ,. Depth of Perc �o - 58 Time at 6" Start Pre-soak Time @ (i°b p N Time(9"4") End Pre-soak Rate MinJlnch L 2 t 7 Site Suitability Assessment: Site Passed 4 Site Failed: Additional Testing Needed(Y/N) AJ 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 Conseirvation Division at least one(1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# ► I Z Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. i tency,96 Graven l2-fy A 3 I y- yo LIS 1,6 K r 6lb� — yb-/0-0 c-I CS 2d 5 "A )00-120 C-2 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sisten %Grave DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. on i to DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. o si ten s Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ye 5 _— If not,what is the depth of naturally occurring pervious material? Certification I certify that on /°1-7-�'9 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise a d expe 'e ce described in 310 CMR 15.017. Signature Date •5-1(a-12 Q:WEP nCIPERCFORM.DOC TOWN OF BARNSTABLE LOCATION -k ,/ye q a t1 Rd SEWAGE# 2-0 %Z VILLAGE ASSESSOR'S MAP&PARCELo291 02 INSTALLER'S NAME&PHONE NO.Craape.wi dtt ,En4e✓'P--Se5 CLC, 5s0$-9-V n77 SEPTIC TANK CAPACITY /OW �e LEACHING FACILITY.(type) aQ.QM 36NC..H-20 (size) Ha,q-nY, oZ®r NO.OF BEDROOMS-3 eOWNER PERMIT DATE: C®- l 3 _ zo�Z- COMPLIANCE DATE: Ah /02 Separation Distance Between the: N® fir;® P+ a►'�✓>`t/� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 04 a" 120.ll 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 z 300 feet of leaching facility)) Feet FURNISHED BY CaIR4 1 S En,4 fAQ u LG(.- c. > > > � ut., A TOWN O BARNSTABLE i ':ATION SEWAGE # r VILLAGE Z 4 v ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILr Y: (type) (size) NO.OF BEDROOMS Dt BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility '(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet ac ' facility Feet Furnished At .0 U i V .�p 4� LO �O �s t r No. Fee 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWWOF. BAkNSTABLE, MASSACHUSETTS Yes 9pplitation for Misposal 6pBtem Construction Vermit Application for a Permit to Construct( ) Repair()() Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.J 7 M GQkW 'e0Ab Owner's Name,Address,and Tel.No. �v esw� GGvc_L_54 Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. .508-44?'1-89 7 Designer's Name,Address,and Tel.No. -25CR-;-Z 3 037-1 3 WIDE Ee,lT LiS&T GLIC Ze a eVGK(eJ�'106,e E� Type of Building: Dwelling No.of Bedrooms C Lot Size 4,U'5!1 t- sq.ft. Garbage Grinder( ) Other Type of Building (��i Q(-IImM A L, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) e�® gpd Design flow providedS S, gpd Plan Date (o"9-;? Number of sheets , Revision Date Title—at-7 w7(56a 4k) WAb #jbk0&)6 Size of Septic Tank I,000 Type of S.A.S. An A Q IQ DtFiN1�S Description of Soil 0 0,4rQ.5'IG c5(11'tIJQL�4o, hsf PCOW Nature of Repairs or Alterations(Answer when applicable) 0$G: QaST WG-c- f 060 G A4C.(1 6 O I'L& V-04 rto wet t,�,-Dox Tp 20 Ake, 3& i C H-ao NoDiFTv512S i N a-Fi&z a 6Wr:7Q% Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. SiD Date 'i 3-i;Lo �- Application Approved by Date 3 Application Disapproved by Date for the following reasons Permit No. C> OC " Date Issued 6 3 No. V/ Fee 00 Vr THE COMMONWE�ALTWOF MASSACHUSETTS Entered incomp�ter: -Yes PUBLIC HEALTH DIVISION -TOWWOFriBARNSTABLE, MASSACHUSETTS j application for ]Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon(" ) ❑Complete System ❑Individual Components Location Address or Lot No. a 1 *M C-6Ab,) XQ ktj Owner's Name,Address,and Tel.No. ,L Assessor's Map/Parcel �.`f oZ at m4 e c-ow P.0040 L+yr4oj1 S ! Installer's Name,Address,and Tel.No. 508-g77 P 8g 7 Designer's Name,Address,and Tel.No. JC$ aZ 3-03T'1 f G4i0Ew11>E ENT=-VI ISES Lac * 153 f our Sr MAS�P� a�5 �c Et Type of Building:Dwelling No.of Bedrooms Lot Size 1 4f 0 59t sq.ft. Garbage Grinder( ) !. Other Type of Building ICES 10 A,L, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min./required) e�, ,0 gpd Design flow provided 3 5 5 r z., gpd Plan Date Number of sheets ( Revision Date i Title aL 1-7 w1 G-C-&40 ko/4-b 4(Y_A_ (5 Size of Septic Tank r 000 Type of S.A.S. Ao ARC >((4C $tprotGl�USt�,s Description of Soil C L)A k2 G 0AW6 �p 40" 1,505 PC40 i Nature of Repairs or Alterations(Answer when applicable) 015L L�ST({.7 - (O(DO CTtAU-00 5 OT Ld, ��- -ko wt-uJ p-Rt)X 7�) 20 Ake. 3& (aC. H-;c> NoD1FFOSMS its krii&LP c-JE1Qc, Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation untilFa Certificate of i Compliance has been issued by this Board of Health. S' ed Date Application Approved by Date IN Applicatior Disapproved by Date ` for the following reasons Permit No. 06/a Date Issued '3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by 6A FC-W I b S e&)T&W ISLS at . al(-7 M OG A N ROAD H1 AV L S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ©/DL 1�dated 3 Installer CA0tFWrD6 &&M.PPA1_5 « Designer SO- 1aJQjJIJC NN(j06r 'I" #bedrooms �.�.. Approved design flow sokn gpd The issuance oft is pe' it shall not be construed as a guarantee that the system will mZ desig Date InspectorW ,. ------------------------------------- ----------------------------------------- ------------------------------- = - -------------- I " Fee No. do, r / �o THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS )Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at ;Z.t-1 M C-GrW RtA-0 �4\4W(5 ' and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be/ omplete /within three years of the date of this perm( Date (�/ / / e Approved by i 6/15/2012 03:45 5082730367 td1229 P. 001/001 Town of Barnstable �t Regulatory Services . 4 Thomas F. Geiler,Director • DABNSTAOLS. Public Health Division MASS. rE16)9. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: "15"t 2- Sewage Permit# 2012-' I'��1 Assessor's Map/Parcel 211 Z yZ Installer &Desiener Certification Form Designer: "SC En�quteeri��, T�nG_ Installer: Ga(?ewlde_ EOFetec(szS, LLG Address: Zf,5y Cconyw Address: East w�ce.h arrl M A' C 253 6 C ML- On 1�>-t3 -tiO0- C�.�e�wi�e 64VP _was issued a permit to install a (date) (installer) septic system at_�217 �1 ems,,, (ZooA based on a design drawn by (address) TgnG. _ dated -Suv►e. 9, 20e2 (designer) _ 1 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 %verc 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 cerritied as-built by designer to follow. Stripout(it'req ' nspected and the soils were found satisfactory. r� wti� ti JCHN L. $ CHUJR NI L JR. (In, aller's Sig azure) No 1a�aoi NW esigner• s Signatur (Affix esi er s mp Here) PLEASE RETURN O 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. ,.�'•.nlli;c ILrni;1��r;ign�rccniiicution 1'onn.doc v t r 141 DATE:19115L41_=— PROPERTY ADDRESS:_2.17 Megan Road_________ Hyannis ,Mass . -- 02601—_ On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 1-1000 gallon septic tank. 2. 1-1000 gallon precast leaching pit . Based on my inspection, I cc:�Ify the following conditions: 3. This is a title five septic system. ( 78 Code ) 4. The septic system is in proper working order at the present time . 5. The leaching pit is dry at the present. time . SIGNATURE:„f Name:_,�, acombe-•.,Try_----_ j Company: gj.2.2h_P. Macomber_& Son , Inc . Q ? Address:_ Box-66 ------------- w Centerville , Me 1,2632-0066 � ' 44 Phone:...508_775_3338_______ t g y 8� THIS CERTIFICATION DOES NC'- CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. ' '.-.OMBER & SON, INC. Tank:-Cosspools-Leachfields Purr,ped & installed Tov.: lower Connections P.O. Box 6 nterville, MA 02632-0066 7; 338 775-6412 COMMONWEALTH OF MASSACHUSETTS L f EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER.STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION ProipertyAddress:217 Megan Road NameofOwrwBill Deveau Hyannis ,Mass . AddressofOwner: 140 Northizate Road Dow ofa,spection: 10715/99 Northboro,Mass . 01532 Name of inspector: (Please Print) Joseph P_Mac o m b e r Jr . I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: J. P.Macomber & Son T n c Ma&VAddress: Roy 66 Centerville ,Mass 0 32 Taspltorre Number: fir-08 :77:53338 CERTIFICATION STATEMENT I certify that 1 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 Cam' Inspector's Signature- �'bVtIonreport Date: "07* The System Inspec hhlbmit a copy of this insp to the Approving Authority(Board of Health or DEP)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 'sball submit the report to the appropriate regional office of the Department ofnvironmental Protection. The original should•be•sent tovw system owner•and.copies sent to the buyer, if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page Iof11 �1 Printed on Recycled Paper t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (corrttrwed) PropsMAddraas: 217 Megan Road Hyannis ,Mass . Owrw: Bill Deveau oa,of 4►ap.ction: 10/15/9 9 INSPECTION SUMMARY: Check A. B, C, o/ D: A. SYSTEM PASSES: IV 2� I have not found any information which Indicates that any of the failure conditions described In 310 CMR 1-6.303 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. Indicate yes,.no,.or not determined(Y, N, or ND). Describe basis of daterminatlon In all Instances. If 'not determined', explain why not. The septic tank Is metal,unless the owner or operator has provided the system Inspector with a copy of a CsrtMcate 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 exfiltratJon, or tank failure Is Imminent. The system will pass Inspection If the existing septic tank Is replaced with a complying septic tank as approved by the Board of Health. AlOA16 Sewage backup or breakout or high sta I observed In the Ibutlon box s due to broken or obstructed pips(s) or due to a broken, settled or unsysn dlstrI utlon bo The system will pass Inspection If(with approval of the Board of Health). broken pips(s) are replaced obstruction Is removed dlstrlbutlon box Is levelled or replaced The system required pumplrtg•man than•four-times t+•yeardus to broken or obstructed plpe(O. The rysttrm wilt-parr— Inspection If(with approval of the Board of Health): broken plpe(s) are'replaced obstruction Is removed I revised 9/2/98 Page 2ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 217 Megan Road H y a n'1i i s ,Mass . Owrmw: Bill Deveau Date of Inspection:10/15/9 9 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine If the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICHIMLLPRQTECT THE PUBLIC HEALTH.AND SAFETY AND-THE EN aE1ONMENT Cesspool or privy Is within 60 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS Is within 50 feet of a private water supply well. AV 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 Ab All revised 9/2/98 Page 3of11 slJ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property address: 217 Megan Road Hyannis ,Mass . Owns: Bill Deveau Date of Inspection: 10/15/9 9 D. SYSTEM FAILS: You must indicate either"Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No f "f( Backup ofaewegs iMvfeciRtyror-system component•due tto en overloaded orcbgged•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. l�faaQ— Static liquid level in tF distri tion box bove outlet invert due to an overloaded or clogged SAS or cesspool. u Liquid depth inceaep 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. - E LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems In addition to the criteria above: No 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 �f K/ the system is within 400 feet of a surface drinking water supply the system-le-within 200 feet of a t«butarY to a surfaoa drk�fcir+gaw+ior+upply _ -- _ 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) The owner or operator of any such system shall upgrade the system In accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further inforptation. revised 9/2/98 Page 4of11 rh SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 217 Megan Road H•y a n n i s ,Mass . owner: Bill Deveau Dane of Inspsco«,:10/15/9 9 Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following: Yes N Pumping Information was provided by the owner, occupant, or Board of Health. None of the system ton4µoaani&baLabaen pr+snpod+fopstJeasi two•awaaka aad�the'rystem hasbaaoascaiti;wq+weol Aow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this Inspection. _ 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, luding the Soil Absorption System,Rave 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 orrthe site has been determined based on: /. Existing information. For example, Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C Is at Issue,approximation f distance is unacceptable) 115.302(3)(b)) _ The facility owner.(and.--pAaU_jf different from nwnar),Wale.prnuidati.Wlth Iafncmati d:vn a proper maintanaaceof SubSurface Disposal Systems. , i I revised 9/ /2 9 8 Pate 5 of 11 r y rk SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECf4ON FORM PART C SYSTEM INFORMATION Prop«tyAddress: 217 Megan Road Hyannis ,Mass. Ownw: Bill Deveau Date of inspection:10/15/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow: l//,7 g.p.d./bedro m. Number of bedrooms(de Number of bedrooms (actuel):-9 Total DESIGN flow. Number of current resldents: Garbage grinder(Yes or no):_J Laundry(separate system) ( s or no ._ If yes, separate Inspaction.roquired - Laundry system inspects °r no Seasonal use(yes or no):, Water meter readings,if available(last two year's usage (gpd):At,' f Sump Pump(yes or no): /L8 1(�j _ �1 , s� n�r� Last date of occupancy: y( G -- / �'( %" COMMEACIAVINDUSTRIAL Type of establishment: Design flow: j)A apd 1)3ased on 15.203) Basis of design flow Grease trap present: (yes or no) Industrial Waste Holding Tank present:(yes or no),Z� Non-sanitary waste discharged to the Title 6 system: (yes or nol A _ Water motor readings,if available: Last date of occupancy:-4J� OTHER:(Describe) Aa Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and ourqe of Information: System pumped as part of Ins action: (yes or n.)AP If yes, volume pumped: gallons Reason for pumping: — TYPE OF SYSTEM Septic tank/distrils 40na b=1soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract --1T Tight Tank _Copy of DEP Approval Other A�Q APPROXIMATE AGE of all components, date Ins tallad{if known)•and source•of.information: • — - Sown@ odors detected when arriving at the site: (yes or no) revised 9/2/98 P2ge6orn i J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPE"ON FORM PART C SYSTEM INFORMATION(continued) Property Address: 217 Megan Road Hyannis ,Mass . Owner: Bill Deveau Darts of kupection: 10/15/9 9 BUILDING SEWER: (Locate on site plan) if Depth below grade: Material of construction:�J�cast iron 40 PVC LJ4 other(explain) Distance from private water supply well or suction line Diameter. Comments: (condition of Joints, venting, evidence of f"kage,-etc.) Joints appear tight . No Pv6denre of 1PnkagP S C TANK: 3 (locate on site plan) l� Depth below grader Material of construction.: concretes✓/7metal RFiberglass.eA PolyethyleneA)4,other(explain) If tank Is(natal, list age Iss../age.confu/med by Certificate of Compliance 1I4 (Yes/No) Dimensions: Sludge depth:�i Distance from top /)Cludge to bottom of outlet tee Ortraffle: /0 —• Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottpon of outlet to or baffle: 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, structuraHotegrity, evidence of leakage, etc.) rump tank every 2-3 years . Inlet & outlet tees are in place . The tank is structurally sound and shows no Pv; denre of lPakagp GREASE TRAP: (locate on site plan) Depth below grade:la4 Material of con3tructionrU/9concrete metal Fiberglass,4!V Polyethylene. other(explain) Dimensions: Scum thickness: ! Distance from top of scum to top of outlet tee or baffle: /,24 Distance from bottom of�cpm to bottom of outlet tee or baffle: 41 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.) rease trap is not present . revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property address: 217 Megan Road H y a n n•i s ,Mass . Ownw: Bill Deveau Date of Inspection:10/15/9 9 TIGHT OR HOLDING TANK;&&&',(Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade: Material of construction (1,�concreteVAmetaW3FiberglassNAPolyethylened�4other(explain) A1A )14 Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes A1.� No�(/� Date of previous pumping:t— Comments: (condition of inlet tee, condition of alarm and float switches,etc.) Tight or Holding taaka arP not =rPRPnt DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: i _ Comments: (note-if level and distribution is equal, evidence of solids carryover, evidence of leakage Into or out of box, etc.) — — Distribution box is not =rPsPnt PUMP CHAMBER- ( locate on site plan) Pumps in working order:(Yes or No) .U4 Alarms in working order(Yes or No)_Y2,&4 Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Pump c am er is not present . revised 9/2/98 Page 8of11 cy i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop-rYAdd�,—:217 Megan Road Hyannis ,Mass . dill Deveau Date of IrupocOw.10/15/9 9 SOIL ABSORPTION SYSTEM(SAS):z (locate on site plan,If posslble; excavation not required,location may be approximated by non intrusive methods) If not located, explain: Type: leaching pits, number:J[ leaching chambers,number: leaching galleries,number: leaching trenches, number, length: leaching fields, number, dime Ions: overflow cesspool,number: Alternative system: �+ J Name of Technology: / O �O'� Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) Loamy sand to mprf; „m f; „o AANd Ne _ - Of hydniattc - re is normal . Leaching CESSn0LS: k, (locate on site plan) Number and configuradon: Depth-top of liquid to Inlet Invert: Depth of solids layer: Depth of scum layer: Dimenslon"s of cesspool: Matarials of construction: Indicatjon of groundwater: inflow (cesspool must be pumped as part of Inspection) Cesspools are not recant Comments: (note condition of soil, signs of hydraulic tailure,.level of.p*nding,condition of.vagetatlon, etc.) Cesspools arp present . PRIVY: (locate on site plan) ,A/�I Matarj.ls of construcdgn: 41n Dimensions: Depth of solids: Comments: (nots condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation;etc.) Privy is not nroSegit revised 9/2/98 Peee9orII Af _ �,,, SUBSURFACE SEWAGE DISPOSAL SYST€3d INSPECTION FORM � PART C ', chi-' SYSTEM INr-oitm nom(oorrtLr.+aC) ptoyA�,.ss: 217 Megan Road Hyarinis ,Mass 0w^w: Bill Deveau D ou of In,�.ctlon: 10/15/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include dos to at coast two pumanant reluenco landmarks or bonchmuks locate all wills wlWn 100'(Locate whom publlc water supply comas Into housa) •O � rd � � w L � � --- � 1 \ J� 'O 3� -go • . D revised 9/2/98 Pataloof11 F - r " SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 217 Megan Road Hyannis ,Mass . Owner: Bill . Deveau Date of Inspection: 10/15/9 9 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater4�eFeet Please Indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed.Site(Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Used water contours Map . Gahrety & Miller Model 12/16/94 revised 9/2/98 Page 11of11 •...IAT rTt'A.�Tr.rnrJRf'ATPfIlTlTslnr7*.Rr.1'+rnrlTir�rRn.n TRn{L1�.v.RT T11'1Tr"t++n*-:..t-.r'� 'I'UHN OF Barnstable BOARD OF HEALTH -� ,,:.-... .5-m Mmm"F SEWAGE_pi DISPOSAL SYSTEM INSPECTION FORM - PART D^- CERTIFICATION - � _ 1 J 1 —TYPE OR PRINT CLEARLY— PROPERTY INSPECTED STREET ADDRESS 217 Megan Road Hyannis ,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # 22- OWNER' s NAME Bill Devedu PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr . COMPANY NAME J. P.Macomber & SorrlrYnc . COMPANY ADDRESS • Box 66 Centerville ,Mass . 02632 Street Town or CSty State LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at DrI-ecommendat' lons his address and that the information reported is true , accurate , and omplete as of the time of�inspection . The inspection was performed and any regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : _zSysteui PASSED + The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection whic11 I have con tcted has found that the system fails to protect the public h1e'hlth and the environment in accordance with Title 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . - Inspector Signature Date J ✓'�` ne copy of this certification must be provided to the OWNER, the BUYER (Where applicable ) and the I30ARD OF HHAL1'II. * If the inapection FAILED, the owner or operator shall upgrade ' the ayatem within o'ne year of the date of the inspection, unless allowed or required otherwise as provided in 3.10 CMR 16 . 306 . partd.doc Location: Lot #22 Megan Road __ _Sew. Permit_ 2 4 _ -R --- - - - Vi llage:- Hyannis -- - --- - -- - -- . -- - -- Installer; Frank J. Linhares - - - P.O-. Box -661 - Ma:ttapoisett,- Mass. - - Builders William E. Dacey, Jr. -112-West Main--St-. --Hyannis-, Kass_, Date Permit Issued : Date _Compliance Is-sued_: --_q_/_ �` � � - .. �G �i'. -� J ' , t. No. ... a THE COMMONWEALTH OF MASSA U T S BOAR ®F HE T � � ------------- ..................---OF.... . .. . (.. . . --•- .---------------------._. ... ........ Apphraftan for Bifi anal orks c r#il � rr i Apph ion s hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System •-•-•••-•....,late ..... .. al........... .. 7 ._..-Location -- _- . .rLot No. ......... ....("�+\�S) ....e... ......�_.... 6 tja (�r'� Owner ddress a .. . .... ............................. Installer p Address d Type of Building Size Lot.......�. ., q. feet Dwelling—No. of Bedrooms......... .......___Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons--___---------_--___- Showers ( ) — Cafeteria ( ) PaOther res --------------------------------------- --- W Design Flow.......... ...............................gallons per person per day. Total daily flow............................................` gallons. WSeptic Tank—Liquid capaci llons Length................ Width._....._.. __ Diameter--.--_.__.__-__- Depth................ x Disposal Trench—No........:........... Width._____ .._.._.. l L �al leaching area ft. Seepage Pit No.•-•---••... G/�r o filet...._ .. .-- Total leaching area-------- sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _ � li`/717 `" Percolation Test Results Performed,by-------------------------------------------------------------------------- Date......................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r3, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M .•-- --•-- ............... ...............................................- ...................................................................... O DTcr ption of Soil._----- (� � �. .--•- ---•-•......:...............• •--••• ....................... --•--•...........•••-••---•-••-•-•---•-•---•-------•-•-••-•-••--•••---- W ---------------------•---- ...............---••-••--•-•----•...-----•--••---•••-••-••••---------•--•--••-•-••-••-•-•--•---•----•----..-- UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— ae and-lsi d further agrees n�_eo place the system in operation until a Certificate of Compliance has been su the p health. Sign .J � 1� �11;7hl / to Application Approved By...... .. .--------- �-- - --- Application Application Disapproved for the following reasons:................................................................................................................ ------------------ ------------------ ------------------------ •------•-----•---...-....... ---------- •-------------------------- -.--.------------------------------------------------------------- Date Permit No. .... Issued.-..-7.. � ?�.................... THE COMMONWEALTH OF MASSA HUSfETTS �p I BOARD, O F H E LT l--I' �,..�......:.4...................... � OF....... Applirafion for 13hipogal Wore 'I trurtion rrutit Application hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at t (1 Location-Address or Lot No. j < Owner � Address t ��.. / -ssli4/�.................. ....... ✓�F tF.:.1 �r �4�:.'f Installer Address ++ d Type of Building Size Lot........ feet Dwelling—No. of Bedrooms........... .... ______________________Expansion Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building _________________________•_- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa Other fixtures --------------•------------•--•-------.._.. -------e-----------•-----•---------------.. Design Flow.......... _ g P P P Y Y �_ W ____________________gallons per person per day. Total daily flow____________.______..___._.___........._..__gallons. WSeptic Tank—Liquid capacit.4�— gallons Length................ Width._/_.......!.- Diameter................ Depth................ Disposal Trench—No................... Width...__......._ X tal Len h� 1.2y. .'Total leaching area..:.`. "��'..sq. ft. Seepage Pit No............... H aamefer__C',4::______:-.Dept below let.._.___._.___.__ Total leaching area...-___-----_..._sq. ft. Z Other Distribution box ( ) ,/Dosing tank ( ) 0 �" 4;11717 '� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OA�� D�scri�ption+o{f�_ Soil f % q�/�L {�f� U -- ._ .. .. _.__7-- ---••--••--------------------------- _ ..................__.....................................____........ �� 1 it U'; Nature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------•-----.....--••--.....----••-•-------•---------------------------------------------------•----•---------------------------------------•--•-•------....•-••----------...-•-----••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not.-to place the system in operation until a Certificate of Compliance has been issuedy the Koal!4 of health. /£ 1 Signe :l `' "�` '` a ......:{-...r- . ' )------ - -------- . -f.r.. ..... / ,f / D Application Approved By_______ _ •___!�L-�- L:." X ��-'�'' -- --l . �_- ` Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ....................................•--•-•------------•----•--••••••--••...--•-----------•-----...........••----••--•--------••-•----•-------••••-----•••--•----•-•••••---••-•-•-------•-••--••---•--.... Date PermitNo......................................................... Issued........................................................ Date -- THE COMMONWEALTH OF MASSr4CHUS�ETTS `. BOAR:D�OF HE—TH ,.,(................... ' ... ..... ........ ....................OF.....��� `f f!1 ...e..�.. .:' (Intifirate of Toutpliana TKhS—PS"TO CERTIFY,lFhat the In--- ns divid Sewage D' posal System constructed (—) Repaired ( ) by.... �'lr ter. ........ - ................................. ------•--•----------------- Installer at.. b =•=r-...• Z= G-1 : c �,2::__�`.._ Z% ......_.....7 '. .-.......-r"`'"_...... has been installed in accordance with the provisions of Article XI of The State Sanitary Code des ribed in the application for Disposal Works Construction Permit No.... ......... dated...... . ._ �c _ ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS B®ARD - HEALTH( Di ignsal-Vorko Tonotrurtion unfit Permission is eb ranted..-' �._ '' � . to Construct 4,,,),or ] c�pair ( ) an ndividual Sewage Disposal System at No.. /�= '" d... ...................Y. a'"----- " ........ •-----` ( r ,'. _:/"yam" Street as shown on the application for Disposal Works Construction P,�rfrii't No._._/r'?_...1 Dated.._G _... _1-7/.._. ��....... ---------------•-•---- Board of Health DATE. (/ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Definitive Plan Approved by Planning Boar Z -----19 2_ Area Diagram of Lot and B44d r). ............................................ SUBJECT TO APPROVAL OF BOARD CF HEALTH U 2C M _ < ,N .22 I hereby agree to conform to all the Rules and Reilations of the Town of Barnstable regarding the above construction. Name ....:..dU11&) .. Gl,�,�� ram........................ 4"SCHEDULE 40 PVC MIN. SLOPE I% PROP. 4"VENT WITH CHARCOAL GENERALNOTES T.O.F. EL.= 50.8'± FINISH GRADE OVER D-BOX= 49.41± FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFFUSERS= 48.0' - 49.41 -PROVIDE H.D.P.E. RISER SLOPE @ 2% MIN. w/COVER TO WITHIN 6" REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OF F.G. (TYP OF 2) RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 3"OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 49.8'± F.G. OVER TANK EL. = 49.8'+ 5-DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS DESIGN ENGINEER. EXISTING 4" COVER(TYP.OF 3) PROPOSED 4" 3.631 MAX. 4ATMAX. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PIPE (SEE NOTE 21) (SEE NOTE 21) TOP OF SAS B.O. 44.93' SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. 3" DROP MAX PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3' 2-DROPMIN 3" 9" 11 MIN.SLOPE@ 1% L 32'± JOINTS (TYP.) ELEVATION =44.93' FOR A DISTANCE OF IS AROUND THE PERIMETER OF THE SAS. UNLESS A 101- 4"PVC IN FROM 1.33' 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF I OUT (TYP.) 16 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. Q SEPTIC TANK 4" PVC 0 0.90. .15" P) LEACHING FACILITY SL OPE E 01% <P 1 t-rl ' '47.0'± t10.7 j(TYP) 4" *47.0'± (TYP) 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR CONTRACTOR SHALL 'I ITI =�T Tr:c: 44.77' 12" T6-j 44.50'j 43.60' (laid flat) -2.876(34.5-)_� 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48- VERIFY CONDITION OF OUTLET TEE MIN. . 44.60 (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK EXISTING TEES z 5.0' REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND CONDITION OF GAS BAFFLE I FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS 6"CRUSHED STONE (TYP.) &MIN. 14.375' OVER MECHANICALLY TANK NECESSARY COMPACTED BASE 20.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX (TYP.) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 50.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 38.40' BIODIFFUSERS (END VIEW) ON A CORNER OF THE BULKHEAD, AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSERS (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW (BY INFILTRATOR SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 'CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE H-20 DISTRIBUTION BOX DETAIL ARC 36HC (#3616BD) H-20 BIODIFFUSERS TO THE DESIGN ENGINEER. FO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE WATERTIGHT. TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING PERC NO. 13647 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. INSPECTOR: Donald Desmarais, R.S. EVALUATOR: Michael Pimentel, E.I.T. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE C.S.E. APPROVAL DATE: Oct. 1999 THEY SHALL WITHSTAND H-20 LOADING. DATE: May 16, 2012 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ELEV TOP 48.40' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV WATER= <38.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). PERC RATE <2 min./inch LOCUS • 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN DEPTH OF PERC= 40"-58" SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. TEXTURAL CLASS: 1 16. PROPOSED PROJECT IS LOCATED WITHIN: ZONE 2 ASSESSOR'S MAP 219 PARCEL 242 EXISTING LEACHING PIT TO BE .7 MAP 291 PUMPED, FILLED WITH CLEAN OWNER OF RECORD: WESLEY C. WELSH . 0 0 48.40' PARCEL241 COARSE SAND &ABANDONED ADDRESS: 217 MEGAN ROAD o Fill HYANNIS, MA 02655 EXISTING 1,000 GALLON SEPTIC TANK C%j 12" 47.40' TO BE UTILIZED IN THIS DESIGN z A Loamy Sand FEMA FLOOD ZONE C BRICK FIRE PIT < 14" 47.23'I 10 Yr 3/1 COMMUNITY PANEL# 250001 0005C 1 Benchmark d Loamy Sand 17. DEED REFERENCE: L.C.0#192428 Bulkhead Comer B 10 Yr 5/6 Elev. =50.00' 18. PLAN REFERENCES: L.C. PLAN#27099-B Approx. M.S.L. 40" 45.07' zx LSA N81-36-30-W Perc 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 581, 43,57 7 77.5;ro U.P,414 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY Coarse Sand FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY MAP 291 C1 2.5Y 5/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 0 /C >1 PARCEL 242 MAP 291 BH 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE f4 (0 o X 14,059 S.F.± APPROVALS ARE REQUESTED FROM 310 CMR 15.221 (7): PARCEL 218 7 COCOO CO CO (1.) A 1.47'WAIVER(3.00--4.47') FOR THE MAXIMUM COVER OVER THE LEACHING SYSTEM. #217 100" 40.07' 0 LP (2.) A 0.63'WAIVER(3.00--3.63')FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. (0 EXISTING >< LOCUS PLAN Medium Sand 2-BEDROOM I C2 2.5Y 6/1 DWELLING d r SCALE: 1"= 1000' TP 1 TOF 50.8'± 0) _\11 120" No Mottling, Standing or Weeping Observed 38.40' DECK 0 48x4' I PROPOSED 4" PVC VENT PIPE; TP 2 1 EXACT LOCATION PER OWNER 48 ' WV--, CO 49x4 TEST PIT DATA DESIGN DATA LEGEND f\ \ X GAS Uj PERC NO. 13647 LU 50 EXISTING CONTOUR RIVE 24"OAK PAVED D INSPECTOR: Donald Desmarais, R.S. EVALUATOR: Michael Pimentel, E.I.T. MAP 291 cm PROPOSED CONTOUR - Uj NUMBER OF BEDROOMS (DESIGN) 3 (MIN. PER TITLE 5) 1'�; I C.S.E.APPROVAL DATE: Oct. 1999 PARCEL 219 DESIGN FLOW 110 GAUDAYIBEDROOM GAS EXISTING GAS LINE PROPOSED INSPECTION PORT I DATE: May 16, 2012 WITH ACCESS BOX (TYP OF 2) N81036,30-W TOTAL DESIGN FLOW 330 _GAUDAY I - E/T/C EXISTING UNDERGROUND UTILITIES I TEST PIT#: I PROPOSED H-20 173.91, 1 01L DESIGN FLOW X 200 % 660 GAUDAY i PROPOSED TOTAL 20 ARC 36HC (#361613D) H-20 DISTRIBUTION BOX ULI ELEV TOP 49.40' W EXISTING WATER LINE BIODIFFUSERS IN A FIELD CONFIGURATION USE EXISTING 1,000 GALLON SEPTIC TANK ILLI ELEV WATER <39.40' -X-X-X-X-X- EXISTING FENCE LINE PERC RATE MAP 291 TEST PIT LOCATION DEPTH OF PERC INSTALL 20 - ARC 36HC (#3616BD) H-20 BIODIFFUSERS PARCEL243 EXISTING 1,000 GALLON SEPTIC TANK TEXTURAL CLASS: 1 SWING-TIES SCALE: 1-=20' SYSTEM CAPACITY EXISTING LEACHING PIT DESCRIPTION HC-1 HC-2 (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0" 49.40' LP (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING DAY Fill PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE BIODIFFUSER CORNER(1) 482 28.4' 12" Loamy Sand 48.40' 0 PROPOSED H-20 DISTRIBUTION BOX BIODIFFUSER CORNER(2) 60.6- 33.4' TOTALS: A TOTAL NUMBER OF BIODIFFUSERS: 20 14" 10 Yr 3/1 48.23' PROPOSED ARC 36HC(#3616BD) H-20 BIODIFFUSER BIODIFFUSER CORNER(3) 71.8- 51.4' TOTAL NUMBER OF COUPLINGS: 0 Loamy Sand BIODIFFUSER CORNER(4) 61.7- 48.3' TOTAL LEACHING AREA: 480.0 B 10 Yr 5/6 TOTAL LEACHING CAPACITY: 355.2 40" 46.07' REV. DATE BY 1APP_'D_., DESCRIPTION HC-1 PROPOSED SEPTIC SYSTEM UPGRADE BH NOTE: Coarse Sand PREPARED FOR: EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE C1 2.5Y 5/6 CAPEWIDE ENTERPRISES DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER #217 "MODIFIED APPROVAL FOR GENERAL USE" ISSUED TO INFILTRATOR 2-BEXIEDROOM STING SYSTEMS, INC., DATE OF ISSUANCE OCTOBER 3, 2003(LAST MODIFIED LOCATED AT MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. 100" 41.07' DWELLING 217 MEGAN ROAD TOF = 50.8'± Medium Sand (4 DECK C2 HYANNIS, MA 02655 0.01 2.5Y 6/1 NOTES: 8.4' 120" 39.40' SCALE: 1 INCH = 20 FT. DATE: JUNE 9, 2012 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC 0 10 20 40 80 FEET HC-2 No Mottling, Standing or Weeping Observed )II MASS/I- SYSTEM COMPONENT. 2) PREPARED BY: RESERVED FOR BOARD OF HEALTH USE 304A 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED (3 CN�?Co JC ENGINEERING, INC. C-) LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. 2854 CRANBERRY HIGHWAY REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. G EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 3.) PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY DISTRICT. SCALE: 1"=20' Drawn By: BSM Designed By:MCP Checked By:J JOB No.2221 ----------- -------- ---------- _I