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HomeMy WebLinkAbout0225 MEGAN ROAD - Health 225 MEGAN ROAD, HYANNIS A= 291243 r, j. t i a i ' Orlans I Moran P.O. Box 5041 Troy, MI 48007-5041 t� 7190 0001 7860 0020 2728 / FILE NUMBER: 617.0497 Town of Barnstable Board of Health 200 Main St Hyannis MA 02601-4002 OREANS I MORAN. PO P.ox 9Q169 Mston.Hnsu husetis 0).196 ORL /\ � S ( MO©A j P�17 S32 ick7 F bs7 53?4iC; J� /-11 �j jt. ';y wvnaaor�ans,carrr December 14,2009 CERTIFIED MAIL RETURN RECEIPT REQUESTED Town of Barnstable Board of Health 200 Main Street Barnstable,MA 02601 RE: BAC Home Loans Servicing,LP v.Marc A.Russell Case No.411216 File Number: 617.0497 Dear Sir or Madam: Enclosed please find a copy of the Mortgagee's Notice of Sale of Real Estate with respect to the mortgaged premises located at-225 Megan:Road;Hyannis;MA 0260](! This foreclosure proceeding is brought by BAC Home Loans Servicing,LP(the"Bank")pursuant to a Mortgage granted by Marc A. Russell to Mortgage Electronic Registration Systems,Inc.,dated July 24,2007 and Registered with Barnstable County Registry District of the Land Court as Document Number 1069689 noted on Certificate of Title Number 142090. As indicated in the Notice,the Bank has scheduled a public auction foreclosure sale for 14th day of January,2010 at 12:00 PM on the mortgaged premises. FEDERAL LAW REQUIRES US TO ADVISE YOU THAT COMMUNICATION WITH OUR OFFICE COULD BE INTERPRETED AS AN ATTEMPT TO COLLECT A DEBT AND THAT O�i�TTdTTd�'TAINED TT�R�O -- Very truly yours, BAC Home Loans Servicing,LP By its Attorneys, Orlans Moran PLLC al till { , Julie Moran,Esq. "I v � r- MORTGAGEE'S NOTICE OF SALE OF REAL ESTATE By virtue and in execution of the Power of Sale contained in a certain Mortgage given by Marc A.Russell to Mortgage Electronic Registration Systems,Inc.,dated July 24,2007 and Registered with Barnstable County Registry District of the Land Court as Document Number 1069689 noted on Certificate of Title Number 142090 of which the Mortgage the undersigned is the present holder by assignment for breach of the conditions of said Mortgage and for the purpose of foreclosing same will be sold at Public Auction at 12:00 PM on January 14,2010 at 225 Megan Road,Hyannis,MA,all and singular the premises described in said Mortgage,to wit: That land situated in Barnstable,in the County of Barnstable and Commonwealth of Massachusetts, described as follows: Lot 2.1 Plan 27099-B (Sheet 3) Excepting and excluding from the above the Fee in Megan Road adjacent thereto. Being the same premises conveyed to the herein named grantor(s)by deed recorded with the Barnstable County Registry of Deeds as Document No.676649,Certificate of Title No. 142090. The Grantor(s)expressly reserve(s)his/her/their rights of Homestead and do not wish to terminate his/her/their Homestead by granting the within conveyance notwithstanding his/her/their waiver of such homestead in the within mortgage. The premises are to be sold subject to and with the benefit of all easements,restrictions,building and zoning laws,unpaid taxes,tax titles,water bills,municipal liens and assessments,rights of tenants and parties in possession. ILKS OFF A deposit of FIVE THOUSAND DOLLARS AND 00 CENTS ($5,000.00)in the form of a certified check or bank treasurer's check will be required to be delivered at or before the time the bid is offered. The successful bidder will be required to execute a Foreclosure Sale Agreement immediately after the close of the bidding. The balance of the purchase price shall be paid within thirty(30)days from the sale date in the form of a certified check,bank treasurer's check or other check satisfactory to Mortgagee's attorney. The Mortgagee reserves the right to bid at the sale,to reject any and all bids,to continue the sale and to amend the terms of the sale by written or oral announcement made before or during the foreclosure sale. If the sale is set aside for any reason,the Purchaser at the sale shall be entitled only to a return of the deposit paid. The purchaser shall have no further recourse against the Mortgagor,the Mortgagee or the Mortgagee's attorney. The description of the premises contained in said mortgage shall control in the event of an error in this publication. TIME WILL BE OF THE ESSENCE. J Other terms if any,to be announced at the sale. BAC Home Loans Servicing,LP Present Holder of said Mortgage, By Its Attorneys, Orlans Moran PLLC P.O.Box 962169 Boston,MA 02196 Phone:(617)502-4100 I TOWN OF BARNSTABLE 15C. LOCATION S K49g&0/✓ SEWAGE# .),00'9 S�eF VILLAGE `�,ytS ASSESSOR'S MAP&PARCEL Y3 INSTALLERS NAME&PHONE NO. �"S Cei�S f- S o �fo a—l0 023 SEPTIC TANK CAPACITY dg�X/STq-6- 1voo 644-, :57' (size)LEACHING FACILITY:((type) �a�i�7rN ( e NO.OF BEDROOMS 1� I OWNER FYI 94/5f��c_ PERMIT DATE: COMPLIANCE DATE: 6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY f � cos C13 O � TNxs � W w N -W N LA -LA e � � ;1 1 ' T t No. Z DQ� �r. c L Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 3pplicatton for Mtgponl �&pgtem Congtructton Verna Application for a Permit to Construct( ) Repair(y Jpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a9-s Otv&tn.,. � Owner's Name,Address,and Tel.No. ) 7 `,9�7J aq/ - ay 3 po i Al411C 121tsSW/> Assessor's Map/Parcel Installer's Name,Address,and Tel.No. s�3�p�loa3 Designer's Name,Address and Te. o. 3 ti�/ �� �� J 7 Type of Building: If Dwelling No.of Bedrooms Lot Size sq.ft. .Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min:lrequired) 2. ZO gpd Design flow provided gpd Plan Date I I Is 1 Number of sheets Revision Date Title Size of Septic Tank Mod ;X/ Y-ih�a _Type of S.A.S. L+ —7f X j y '14- Description of Soil Sly ��I l Pi/ 7��r x 9 4,0 Nature of Repairs or Alterations(Answer when applicable) SC-e c�/J�. rjey_,� 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 he system in operation until a Certificate of Compliance has been issued by this B and of Health. Signed ` Date i Application Approved by /7477�'e_ Date tl'L ZOOS Application Disapproved by- Date for the following reasons Permit No. 2.00$- S/N Date Issued /Z /(e 200� w 4. No. ...,',, j Fee ©U • `~ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t PUBLIC.HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes { Z(pplication for �Digpogar 6pgtem Cowaruction 3permit Application for a Permit to Construct( ) Repair(t,<Upgrade( ) Abandon( )' ❑ Complete System ❑Individual Components Location Address or Lot No.�as ?4 40 GI ti 4W Owner's Name,Address,and Tel.No. 7 -��7J Aql - aN 3 S kl-,ti rc 2,4 ss-e/i 1. Assessor's Map/Parcel NP`7 a,as m f d Installer's Name,Address,and Tel No. 4 3 G/1 /0Q0.130 ,�2 �(s 3 boa C�2 3/ Designer's Address and Tel. o. /i5 �rcJ�.�S' Cc.�S� �Z�rS J�6 .�j ��( / y! Cf1/� Gal9� s 93 ,nrcr A. AA 9� wz x w Type of Building: r Dwelling No.of Bedrooms - Lot Size sq. ft. .Garbage Grinder ( ) ' . Other Type of Building No.of Persons Showers( ) Cafeteria( ) `� - y' >•. Other Fixtures Design Flow(min.required) 2- gpd Design flow provided ° gpd -"Plan Date ) �S��(� Number of sheets Revision Date Title ,/ Size of Septic Tank 610 1" )�! a Type of S.A.S. 4 "75" A 31.E JX !fo � GtiC2 /err ij Description of Soil SLe-e S�J /L.G/ i 7,o,X ice o -94-4---t P Nature of Repairs or Alterations(Answer,when applicable) •r'�f .�,PIJ�Z ��e!s:. .c r � Date last inspected: Agreement: Z 3 o C c -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 placeAthe system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed !�\ ,t.J�d\-S2`"�'- ,?'i ' / ' Date Application Approved by f -` - %�( ;� Date ° ?�ft / 20 06 Application Disapproved by: fF Date," for the following reasons Permit No. Z h u S/4/ Date Issued / Z ———————————————————————————————————————————— w THE COMMO` TWEALTH OF MASSACHUSETTS BARNS�TABLE, MASSACHUSETTS serf ficate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (✓ ) Upgraded Abandoned( )by M 'a 2`�4 1? c� c S C LC► at Sx( S`- JM`eQ4i h �i .S � has been constructed in accordance with the provisions of Title 5 and the for Di/posal System Construction Permit No.21X�6-5/ dated l 2 Installer I 11,5 >3 roVold cCnSJ, Designer E 4S S y rV`y +'n C . #bedrooms ,a,2 Approved design flow 2, Zo Y of d ' " gP„C The issuance of this perm t shall"o b construed as a guarantee that the system 7lunction a/s�designed / i Date ,� Inspector j// .i --- --- ——-- — ' / / r ---- No. 1 Fee /U G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwigpogal *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair (1--< Upgrade ( ) Abandon ( ) System located at :a&S k4 Vf C's rj ,2C.C1 d, f'}1 t12Q/-)/I ;f ,In 6 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. x Provided: Construction must be completed within three years of the date of this perm t.. �. Date /? L 2 O O J Approved by 1 Y • , V f L - Town Of Barnstable Regulatory ServIces SMW S,A Thomas F. Gei$er,Director , ® Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,Mai 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer& Designet Certification Form Date: - /9-0`j Sewage Permit#aioo B- 5-14 Assessor's MaplParcel Designer: 1; ft-� S(A U`e=/ / -L Installer s ��rzaS, eo T Address: t,l /2 J- (D Address: a 3 65yT&-r-etir5cC o?40 /0a V-5 On a - i&- ® 8 6�,,s 51za f, Co,,.,3T - was issued a permit to install a (date) (installer) septic system at 64644?0 rZ based on a design drawn by (address) (designer) dated X I certify that the septic system referenced above was installed substantially according to r the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. . � I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations..Plan revision or certified as-built by designer to follow. Stripout(if required) was inspected and the soils were found saris ry. _5�OF hy4s.� 1 moo`' DAVID y� (Installer's Signature) o FLAHERTY, JR. No.,1.211 S-T ' � SAf117kS1P��/ (Designer's Signature) (Affix Design r rSfamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC BEALTH DIVISION. CERTIFICATE F COMPLIANCE WILL NOT DE ISSUED UNTIL BOTH TMS F0.1M AND AS- IB RECE�'ED By THE BARNSTAB LE PUBLIC HEALTFT DIVISION. TE1AlK YOU. QMepticZesigner Certification Form Rev 03-09-06.doc r t Do•-= 1 r 101 s 883 11-24-2008 11 '- 13 BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS, r QLAA �<< of (owns 's Parris) ZZS a t�N amy,t S MA (a ress) is the owner of ZZ_!� located (address) at MA (hereinafter referred to as nd being shown on a plan entitled °Subdivision of Land in n V1 tr" MA, Property of , et al, duly recorded in Barnstable County Registry of Deeds in Plan Book , Page ; Or on Land Court Plan Number. 77Q9q WHEREAS, as the owner of said lot has, (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said,lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR`15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms 'n ankh cted on the lot be put on record with the arnstat oUni--.Registn_of eeds by recording this document, rl u 00 0 `NOW, THEREFORE, A 3VC A_ UCH does hereby place the (,a (owner' name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: M 00 1. ZZ' qq Din may have constructed ( dress) *� up n the lot a house containing no more:than ww (Z.) bedrooms. �+ a y-G A• u sSsL l( agrees that this shall be permanent deed (owners name) restriction affecting located on. MA, and �.� being shown on the plan recorded in Plan Book' ,,Paged v Or on Land Court Plan L-6T 21 rla�r► 2709-9-1 (SH¢a-t 3 a For title of see the following deed:. Book Ll 2. , Page Or Land Court Certificate of Title Number. '(4 2-0-1:A 0 Executed as a sealed instrument Z+ day of fV oy ZW Q Owner's signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss OV � . ' 20d* Then personall 'appeared the ab ernamed . MYc � known to me to be the person who executed the`foregoing instrument and acknowledg the same to bekfi,229 free act and dee - fore me, Notary Public My commission expires: BARNSTABLE COUNTY REGISTRY OF DEEDSLA A TRUE COPY,ATTEST >A ::` LLo.SAfM d� CAwoNwen. }F L_JOHN'F.ME It My C« on E7�l8 Jure 28,2019 BARNSTABLE REGISTRY OF DEEDS i Town of Barnstable oF�� P#_j JIT� 4 Department of Regulatory Services RAMMatte,: Public Health Division Date KAM t63q �e� 200 Main Street, annis MA 02601 Date Scheduled Time Fee Pd._ l/y Soil Suitability Assessment for Sewage A os_al o Performed B : `� �< ��� J�Z/-36%iitnessed By: 01 S � S a/ C M4 U25-G 3 LOCATION& GENERAL INFORMAT N 197 Location Addressy�j� Owner's Name �C Ns3 N�L Address ��¢���� Z Z¢3 9yvi1 OZ6 0� Assessor's Map/Parcel: /� �� Engineer's Name S �U/Z✓� Pv �x17"S NEW CONSTRUCTION REPAIR Telephone# — t�. 3G(�� . _` , �� r °� y Z�—�3Gva Land Use Slopes(4'0)_�=c� Surface Stones ] Distances from: Open Water Body aft Possible Wet Area ft Drinking Water Well ur=`"tt Drainage Way ft Property Line 7 ft Other .)&o y/da P g SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) ^h O i r — — T fle )7o Parent material(geologic) �"`G,✓ Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater G DETE NATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to stall mottles: In. Depth to_ eeping from side o o hole: in. Groundwater u5tt/ ft Index Well# Reading Dater mett Index Well level Adl,factor Adj.Clroundwater Level f� ��� PERCOLATION TEST bate �� •� °aYme Observation Hole# Time at 4" Depth of Perc 5� � Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate MinJlnch ZZ n'► GI �"'` `/mt ' Site Suitability Assessment: Site Passed site Failed: Additional Testing Needed(YIN) U/ Original: Public Health Division Observation Hole Data To Be Completed on Back------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:XS EPTICVERCFORM.DOC . a DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o istenc ravel DEEP OBSERVATION HOLE LOG Hole#Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 17 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten 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 pery o s material exist in all areas observed throughout the area proposed for the soil absorption system? S If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9S (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection and that the above analysis was performed by me consistent with . the required train' x rtise an a erir A/99,cribed in 310 CMR 15.017. der e� Date /1'✓D — U� Signal Q:\S.EPTIGIPERCFORM.DOC I Commonwealth of Massachusetts Title 5 Official Inspection Fora o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address Mark A. Russell Owner Owner's Name information is required for Hyannis MA 02601 10/23/2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out farms on the computer,use 1. Inspector: only the tab key to move your Reid C. Ellis cursor-do not use the return Name of Inspector key. Ellis Brothers Const. Co. Company Name 23 Enterprise Road, P.O.Box 59, Company Address Yarmouth Port MA 02675 fedOD City/Town State Zip Code 508-362-6237 S 121891 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes CO' ❑ Needs Further Evaluation by the Local Approving Authority J b Insp ctor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. ELL.BROS INSPECTION 08.doc 225 megan road,hyannis.doc-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 �� J Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 225 Megan Road, Hyannis MA Property Address; Mark A.Russell Owner Owner's Name information is required for Hyannis MA 02601 10/23/2008 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) InspectionSummary: Check A,B,C,D or E/always complete all of Section D A) System Passes: p ❑ I have not found any information which indicates that any of the failure criteria described in 310:CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ one or more system components as desci ibed in the"Conditional Pass"section need to be replaced or repaired.The system, upon cc rnpletion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND)i i the ❑for the following statements. If"not determined;°please explain. ❑ The septic tank is metal and over 20 year. old'or the septic tank(whether metal or not) is structurally unsound, exhibits substantial ii ifiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing ank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection il it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is I than 20 years old is available. ND Explain 1 ❑ Observation of sewage backup or break 4it or high static water level in the distribution box due to broken or obstructed pipe(s)or due to 4 broken, settled or uneven distribution box. System will pass inspection if(with approval of Board f Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ELLBROS INSPECTION 08.doc 225 megan road,Ayatmi doc.M= Title 5 Offidal kmpec ion!Fonn:Subsurface Sewage Ois O System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Foam Subsurface Sewage Disposal System Form-Not for Voluntary Assessments I 225 Megan Road, Hyannis, MA Property Address; Mark,A. Russell Owner Owner's Name information is required for Hyannis MA 02601 ' 10/23/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) B) System Conditionally Passes(cunt): El distribution box is leveled or replace ND Explain: ❑ The system required pumping more than 4 fir ies a year due to broken or obstructed pipe(s). The system y em will pass Inspection If(with approval c f the Board of'Health): ❑ broken pipe(s)are replaced El obstruction is removed ND Explain: C) Further Evaluation is Required by the Boartof Health: ❑ Conditions exist which require further evaluatio i by the Board of Health in order to determine if the system is failing to protect public health, sa ety or the environment 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functions ig in a manner which will protect public health, safety and the environment: i (Cesspool or privy is within 50 feet of a urface orate' i :Cesspool or privy is within 50 feet of a 3ordering vegetated wetland or a salt marsh 2 System will fail unless the Board of Heal h(and Public Water Supplier,if any) determines that the system is functioning h a manner that protects the public health, safety and environment: El i iThe system has a septic tank and soil bsorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary a surface water supply. ❑ The system has a septic tank and SAS and the SAS;is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SASI,is within 50 feet of a private water supply well. ELLBROS INSPECTION 08.doc 225 Megan mad,l Y-a doc•0=8 Title 5 Orfiaed Inspec doniForm Subswfaoe Sewage Disposal System.page 3 of 15 i j i Commonwealth of Massachusetts Title 51 Official Inspection -Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address; Mark A Russell Owner Owner's Name information is required for Hyannis MA 02601 ; 10/23/2008 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cunt.) C) Further Evaluation is Required by the Boar d of Health(cunt:): ❑ The system has a septic tank and SAS an d the SAS is lessthan 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: i **This system passes if the well water analys s, performed at a!DEP certified laboratory,for coliform bacteria indicates absent and the presence ol ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No { ❑ Backup of sewage into facility or system component due to overloaded or / clogged SAS or cesspool ❑ L-�O 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 ElLiquid depth in cesspool is less than 6" below invert or available volume is less than %day flow i ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ElAny portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ELLBROS INSPECTION 08.doc 225 rtegan toad, doe-03/08 TdIa 5.Official titspection Fame Subwfece Sewage Disposal System-Page 4 of 15 . I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA I Up. Property Address i Mark A. Russell Owner Owner's Name information is y required for Hyannis MA 02601 10/23/2008 every page. Cyrrown state Zip Code: Date of Inspection B. Certification (cunt.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No i ❑ Any portion of a cesspool or privy is within'a Zone 1 of a public well. ❑ V Any portion of a cesspool or privy is within50 feet of a private water supply well. ❑ ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached;to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board ofHealth to determine what will be necessary to correct 7sysft E) Large Systems: To be considered a largm the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either es"or"no"to eachof the following, in addition to the questions in Section D. Yes No i ❑ ❑ the system is within 4 0 feet of a surface drinking water supply ❑ ❑ the system is within X 0 feet of a tributary to a surface drinking water supply ❑ [3 the system is located i i a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a ma ped Zone If of a public water supply well If you have answered"yes"to any question n Section.E the system is considered a significant threat, or answered"yes"in Section D above the la ge system has failed.The owner or operator of any large system considered a significant threat undeq Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.3 The system owner-should contact the appropriate regional office of the Department ELLBROS INSPECTION 08.doc 225 mint toed,hyaMis.Dc-W= Title 5 Official Impection Form;Subsurface Sewage D System-Page 5 of 15 i Commonwealth of Massachusetts Title 51 Official Inspection Form Subsurface S wage Disposal System Form-Not for Voluntary Assessments , 225 Megan Road, Hyannis, MA Property Address' Mark A. Russell Owner Owner's Name information is required for Hyannis MA 02601 10/23/2008 every page. Citylrown State Zip code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ Pumping information was provided by the owner,occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ Has the system received normal flows in the previous two week period? V Have large volumes of water been introduced to the system recently or as part of this inspection? aWere as built plans of the system obtained and examined?(If they were not available note as WA) ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? ❑ Were all system components, including the SAS, located on site? El 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? a Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? i The size and location of the Soil Abs on System(SAS)on the site has ❑ ❑ isting�jrmation. For 'ample, plan at the 6 2rd c Health. L!d El Determined in the field (if any of the failure criteria related to Part C is at issue j approximation of distance is unacceptable)[310 CMR 15.302(5)] ELLBROS INSPECTION 08.doc 225 megan read;hyrarmis.doc-0308 Title 5 Ofidal lnspedion Form:SUIMfifaw Sewage Disposal System-Page 6 of 15 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address Mark A. Russell i Owner Owner's Name information is Hyannis MA 02601 ' 10/23/2008 I required for Y ' every page. Cityrrown State Zip Code' Date of Inspection D. System Information Residential Row Conditions: Number ofbedrooms(design): Number of bedrooms(actual): i DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder? ❑ Yes [G Is laundry on a separate sewage system?[if yes separate inspection required] ❑-Yes VNo Laundry system inspected? ❑ Yes E2/No Seasonal use? ❑ Yes [O/No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? • ❑ Yes No Last date of occupancy: �Z Date Commerciallindustrial Flow Conditions: Type of Establishment Design flow(based on 310 CMR 15.203): Gallons per day(gpd) 4 Basis of design flow(seats/persons/sq.ft,etc. Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 s fstem? ❑ Yes ❑ No i Water meter readings, if available: Last date of occupancy/use: Date Other(describe): ELIaROS INSPECTION 09.doc 225 megan roacL ittyannis.dnc•03108 Title 5,Olfidal UupeChon FO m:Subsurtace Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Forme Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address Mark A. Russell Owner Owner's Name information is required for Hyannis MA 02601 ' 10123f2008 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) General Information i Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes,volume pumped G�U6�ai � gallons i How was quantity pumped determined? Reason for pumping: Type of System: Septic tank, distribution box,soil absorption system El Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the VA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. El Other(describe): Approximate age of all c9mponents, date installed(if known)and source of information: 000 Were sewage odors detected when arriving at the site? I ❑ Yes (9" No ELLBROS INSPECTION 08.doe 225 megan roack�hyannis-doc-03108 Title 5 Official ftWeftm Fomt:SW=ffboa Sewage Disposal System•Pape 8 of 15 Commonwealth of Massachusetts qi Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address i Mark A. Russell ' Owner Owners Name information is10/23/2008 Hyannis MA 02601 ' required for i every page. Cityrrown State Zip Code Date of Inspection D. Sys*tem Information (coat.) Buii*ng Sewer(locate on site plan): Depth below grade: bAt Ma vial of.construction: i cast iron ❑40 PVC El other(explain): Distance from.private water supply well or suction line: i feet Comments.,(on condition of joints,vveen-tinL;vidence�� of leLak-age, etrc�.)),: fia mi i Septic Tank(locate on site plan): Depth below grade: 6� feet ;en* ofconstruction:oncrete ❑ metal ❑fiberglass ❑!polyethylene ❑other(explain) if tank is metal, list age: years Is age confirmed by.a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------- ------------------J----------------------- • j I Dimensions: Sludge depth: ' Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance frdm top of scum to top of outlet tee or baffle i Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? A> ELLBROS.INSPECTION 08.doc 225 megan road,Iiyarmis.doc•013108 Title 5 Olfidal Mspecti.,Form Sulmffface Sewage Disposal system•Page g of 15 t Commonwealth of Massachusetts Title 51 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address j 1 Mark A. Russell i Owner Owner's Name information is Hyannis MA 02601 required for 10/23/2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information (corn.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as rptated to outlet invert,evidence of leakage,etc.): N rQ. t 4 '� lUI�DS i?snl g ' Grease Trap(locate on site plan): j Depth below grade: feet Material oficonstruction: f ❑concrete ❑ metal ❑I iberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee r baffle' j Distance from bottom of scum to bottom of ou let tee or baffle Date of last pumping: Date Comments(on pumping recommendations, in et and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, eviden of leakage,etc.): Tight or Holding Tank(tank must be pumps I at time of inspection)(locate on site plan): Depth below grade: Material of construction: concrete ❑metal iberglass . ❑ polyethylene... 0 other(explain): � 4 ELLBROS INSPECTION 08.doc 225 megm road,lhyerrrris.doc•03108 Title 5 Official IrspeclioniFamr.Sutsurface Sewage Disposal System•Page 10 of is III , s i GOMMOnwealtl of Massachusetts Title 5Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address I Mark A. Russell Owner Owner's Name in formation f is Hyannis MA 02601 10/23/2008 requiredred for o Y every page. Cityrrown State Zip Code. Date of Inspection Al D. System. Information (cunt.) Tight or Holding Tank(cunt.) Dimensions: 4 Capacity: gallons Design Flow: gallons per day Alarm present ❑ Yes ❑ No i Alarm level. Alarm in working order. ❑ Yes ❑ No Date of last.pumping: Date i Comments(condition of alarm and float switc es,etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes VN Distribution Box(if,present must be opened)(locate on site n): Depth of liquid level above outlet invert ai Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence ofleakage into or out of bo), etc.): Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No I Alarms in working order. i ❑ Yes ❑ No i 1 ELLBROS INSPECTION OB.doc 225 rrpn road,h-"ft.doc•03M Title 5 OlfidW trspecon Forrrc Subsurface Sewage Oisposel System•Page 11 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments i 225 Megan Road,.Hyannis, MA Property Address I 1 Mark A Russell l Owner Owner's Name information is required for Hyannis MA 02601 10/23/2008 every page. Cityrrown State Zip Code Date of Inspection D. System' Information (cont.) I Comments(note condition of pump chamber ndition of pumps and appurtenances, etc.): i a • 1 Soil Abso"on System(SAS)(locate on site plan,excavation not required): If SAS not located, explain why: i TYPe/ i leaching pits number. ❑ leaching chambers number: ❑ leaching galleries number. ❑ leaching trenches number, length: ❑. leaching fields number, dimensions: El overflow cesspool number. ❑ innovative/altemative system Type/name of technology: ' Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,;etc.): ec ELLBROS INSPECTION 08.doc 225 megan road,hvannisdoc•03M Title 5 Official I. Inspection Fortn:Subswtace Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 225 Megan Road, Hyannis, MA Property Address 'Mark A. Russell' Owner pwner's Name information is required for Hyannis MA 02601 i 10/23/2008 every page. Cityrrown State Zip Code! Date of Inspection i i D. System Information (corn.) Cesspools(cesspool must be pumped as rt of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert i Depth of solids layer Depth of scum layer Dimensions of cesspool i Materials of construction t Indication of groundwater inflow ❑ Yes ❑ No Comments;(note condition of soil, signs of I ydraulic failure, level of ponding, condition of vegetation, etc.): l ' 7 f 1 Privy(locate on site plan): Materials of construction. i Dimensions i Depth of solids i Comments(note condition of soil, signs W hydraulic failure,level of ponding,condition of vegetation, etc.): I, FI i RROS WSPEcnoN oe.rmc 225 meaan road, is..r�c•03IDB TAIe 5 O[fidal 'i 6isped Fomc Subvaface Sewage Disposal System•Page 13 of 15 3 I • Commonwealth of Massachusetts Title 51 official Inspection Form / Subsurface Sewage Disposal System Form-Plot for Voluntary Assessments 225 Megan Road Hyannis, MA Property Address Mark A Russell Owner Owner's Name information is required for Hyannis MA 02601 ' 10/23/2008 every page. CityrrOwn State Zip Code Date of Inspection D. System Information (cont.) 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. •i t J y All - Af , tv 3 3• l /� � vim` 1 I } } r ELLBROS INSPECTION 08.doc 225 ff.*M mad, .doe•03108 T OffidW Inspection Bonn:Sub.a Sewage Disposal System•Page 14 of 15 Commonweaith of Massachusetts Title 5Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary A�ssessments I � 225 Megan Road, Hyannis, MA Property Address' 1 Mark A.Russell Owner Owners Name information is required for Hyannis MA 026011 10/23/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ❑ Checkf Slope $s f ❑ Surface water � � 1 J ❑ Check cellar A) � � •' I I ❑ Shallow wells Estimated.depth to high ground water. teat Please indicate all.methods used to determine the high groundwater elevation: ❑ 1. Obtained from system design plans on record 1 If checked,date of design plan reviewed: Date! ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers.-(attach documentation) i Accessed USES database-explain: I • �_ • _ �l I You must"describe flow you established the high ground waterjelevation: � � I 0 (57 ELLSROS INSPECTION GSA=.225 megan load,hyannisAoc•03= Tide 5 Official Inspection Form:Sebsurfaw Sewage Daposal System•Page 15 of 15 i 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM f PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If-. "not determined" , explain why not) ' w u Backup of sewage into facility"?; Discharge or pondin of effluent g to the surface of the ground or surface waters. Static liq uid level in the distribution box above outlet invert? _A11.4 Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? Required pumping 4 times or more in the last ear? number of times pumped Y Septic .tank is metal? cracked? ' structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? within . 100 feet of a surface water supply or tributar to water supply? � : Y a surface within a Zone I of a public we1:1? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not' the SAS) ? Al within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a r'p ivate.,.water supply well with no acceptablewater quality analysis? If the well has been analyzed to be acceptable, attach co well for coliform bacteria, volatile organic compoundsf ammoniater nitrogensls and nitrate nitrogen. i r 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 , 34 I A-, i DEPTH TO GROUNDWATER depth to groundwater method of determination or approximat: "on: y ASSESSOM MAP , . . rd� ./ PARCELN� >, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 4 ress of:, ro ert ,2 Owner's name: R };M, Date�of -Inspection r t �-�,z s.- C �C6�9�D PART A :L CHECKLIST MAY 1995 � ' HEALTH DE + Check ;:.if the following have been done: MWN OF p {F ] fty '. Pumping information was requested of the owner, occupantu, 8nd.dBoard;<of Health. . . � ;. " None of the system components -have been pumped for at least two weeks and the system has been receiving normal flow rates du 'X g that period. Large volumes of water have not been introduced{"intowthe:'. < ' system recently or as part of thj.s inspection. ' As built plans have been obtained and examined. Note if the are not available with N/A. a --y�- t The facility or dwelling was inspected for signs of sewage back-up. a � The site was inspected for si �s of breakout.� g, v All system components, excluding the Sty$, have been'"locatedY`on the �: . slte. _,. i M�The septic tank manholes were uncovered:; opened, and ''th�` 4 P e..;interior_.:of the. septic tank was inspected for condition of bafflestor;Ytees, ,. material of construction, dimensions, depth of liquid, depthwof;, ' sludge, depth of scum. The- -size and location of. the SAS on the site has been determined based . ? i ` on existing information or approximated, by non-intrusive1.,Fmeth'ods. . '- J• { The facilityowner jx yi (and occupants, if different from owner) Were i provided with information on ttie proper maintenance :6f;'SSDS_*_Z'1,`,,� ,_io1w r R " (Copy Ks .:. dki1 r SUBSURFACE SEWAGE DISPOSAL SYSTEM .INSPECTION FORM:' • . ' PART B SYSTEM INFO T,. FLOW 'CONDITIONS # If reside � � � r ntial numb �r< ( er of bedrooms number *of k-cur"rent resi ten ; �garbage;�gri"nderfi yes or t is } v� laundr ' no y } r � x•:•r Y connectedy to system, yes or no ISIQ= s .rz ,sLY. } . easonal use, yes or no If nonresidential calculated flow: ,. . � W.ater: meter `readings, if available Ale ta �7-- 143 Last date Of occupancy GENERAL INFORMATION a. Pumping records and source of infor,:;.ation: System ,pumped as part of. inspe .:+ ion # - yes,, volume Pumped yes. `or no Reason for Pumping: p LPt�n �. �� _ r nTi— ' 'Type of.`System Septic tank/distribution box/soil absorption s s Single .cesspool y tem Overflow: #cesspool . Privy Shared system (yes or no) (if yes, attach previous ins ection records, if any) p Other _(explain) o ------------ Approximate age of all components. Date installed, if known. Sourc information: Source. of /'. Sewage odors detected when arriving at _he site, yes or'.no r 1C SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFO'; iATION continued SOIL ABSORPTION SYSTEM (SAS) :__ to ((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 and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool , numbe r er t Comments: (note condition of soil , signs of `•:ydraulic: failure, level of ponding' , condition of vegetation, recommendations fop maintenance or repairs,etc. ) < <- P%/ " T C G+ J/ CL1.7.SPOOLS�(locate on site plan) : number and configuration � f 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, recommendations fos:' maintenance or repairs,etc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, signs of hy,1raulic failure, level of ponding, condition of vegetation, recommendat-lons for'. maintenance or repairs,etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK. (locate on ,site plan) depth below grade: material of construction: ,,4� concrete metal FRP other(explain) dimensions:- �R �;� X y'X�� sludge depth Z46-'' distance from top of sludge to `bettom of outlet tee or baffle 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 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, recommendations" for repairs, etc. ) AR :n.17 Y�t p �J� iti.0 L1 ,� l r,�.�+��� //✓L -" DISTRIBUTION BOX: (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, recommendation for repairs, etc. ) s PUMP CHAMBER: , (locate on si a plan) Pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc. ) t " 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM FART D CERTIFICATION Name of Inspector ee, Company Name Company Address Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage dispo;.z�.a1 systems. Check one: I have 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 he FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in -1.0 CMR 1'5 . 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector' s Signature ' Date Original to system owner Copies to: Buyer (if applicable) Approving authority .,i TOWN OF BARNSTABLE LOCATION Merl" 2cQ SEWAGE# �— VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. hShf��`'`�'h SEPTIC TANK CAPACITY �'7 l S �f CohS LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom,of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I � a 1 r - E N� i TOWN OF BARNSTABLE x LOCATIONS i SEWAGE VILLAGE �`(�wsyZ6- ASSESSOR'S MAP & LOTgZL- .*7 INSTALLER'S NAME 6z PHONE NO. ,PKM S'jJ SEPTIC TANK CAPACITY 1,006 AL- LEACHING FACILITY:(type) Pl t (size) X e G 6 NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER B .R OR OWNER jqrj,,,% � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED- VARIANCE GRANTED: Yes No T MU0 w � _ CP ro 91 n 'S e Rz � { ASSESSORS MAP NO! � PARCEL(d0•,---E � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Alipfiration for Di!ipmial Wark.6 Tlanitrnrtinn rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System a --------------- --•---•-------•------------••-•-••-----••----------------•---•---_.......................••....... -itio�\�es`5 Q or Let No. ......................_....................•la--•----------------------- W wnor—�• r-- Address F.k.a... v- enlj i. ra.. , �. Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.........�--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons-...___________-_____.------ Showers ( ) — Cafeteria ( ) d Other fixtures ----------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow-.-----------------------------------,------gallons. WSeptic Tank—Liquid capacitv............gallons Length................ Width..--_---.--.._-- Diameter................ Depth................ x Disposal Trench—No- -------------------- Width___---....____------ Total Length---------_---------- Total leaching area----------_.........sq. ft. Seepage Pit No--------_..-_---.-- Diameter-------------------- Depth below inlet-------------------- Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by................................... ...................................... Date.------------------------------------. Test Pit No. 1----------------minutes per inch Depth of Test Pit._.__._-_____---_- Depth to ground water........................ rs. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---------.......... ..._. R'4 ---------------------------------------------- ----------------------------------------- '•'---------- -------------------------------------- ._.---------------- 0 Description of Soil..........................-.............................................................................................. ......._....-----------------.......---'------ U --•----------------------•---------•--•...------•-•-•-----•----------•-----------------•------------------------•-----------------•----------•-----------------•-•--•----•-•------...------------......f- ----------- -- --------------------------------------------------------------------------------- '1 U N ture�f Repairs orlAlte ations—Answer when applicable.---. .:�-_-_ __6-.X..._______________________�g_X__�a.... .... ----------------•-----------------------------------------------------------------------------------------•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a.Certificate of Compi' ,has been i sued b the board f health. r Signe ----------- --- -- .�--- -v------------- -- --------------------- ....v. -./--...----7.: nn Dace Application,Approved By ............ ......... --------------- --- ..................................... ..........� s Dace Application.Disapproved for the following reasons: -.... ---------- ------ .......... ....................------ ------------- ..�.....------------- .-------- -------- -/---------- ..-..---------------- ---------------------------------- ------------ ...----------- -------- ------ ........... Date Permit No. :�-✓ �'.. �� -c/..._. Issued .... i'���-.1...- ... -- Dace 1-4 Fmic THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - TOWN OF BARNSTABLE Appliratinn for Diviun l nrl�n Cann #rnr#inn rruti# E Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System_ a a..:.: . _gay,. �� �...._.. I.P.,n,U•-.... --•-•-••••------••--••-----....•----•---•-•---•••. •----------•--•----•••--------------•-•-•- 1 ratio@^ \ddresa` ,,.� or Lot No. - _ `--••••---•'-•------ ----------------------------------------------------•=••- n �� -���-►�'1..... �_._.p-��=�- �'t'--�--�•!��C_�C�IL. Address Installer «� Address Type of Building Size Lot............................Sq. feet I a - _ Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) p.l Other—Type of Building --_--------------•-.-.-____ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures ---------------------------------------------------•--------------------••-----•---------•-- W Design Flow------------------------_...................gallons per person per day. Total daily flow-------------------------------------,......gallons. 0: Septic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter................ Depth.............. W x Disposal Trench— No. .................... Width-------------------- Total Length--.-__-.-___-__---- Total leaching area....................sq. ft. Seepage Pit No----------........... .Diameter....-._---..-..----. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~" Percolation Test Results Performed by-------------------------------------------------------------------------- Date...................................... W Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water_..-_.----_-____-.--.--. (%I Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-.--__.---_-___..._-_--. Da --•------------------•-•••.........-•----•--••-•-•---••..................•-•-•--••-•-----•......................................................... Description of Soil......................................................................................................................... ..............................................x V ................•-••----•-----•••••---••---•-•-•-••-•••••-•--••-••-•-••--•---•-•-•---•----•-•-•....-•----•-••-------•......••-••---•• ••---•-•-•••••----••••••-----••••----•----•-•••---••••------•••••. , W U N ur f Repairs or Alt�ations—Answer when applicable.-..., ."'__ _6.. -_---------------------5�_�e...G_._�I ,._. �° ............................................................ - Agreement: i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compl' _has been i sued b the board f health. Signe ------ .. ... .( v 1�. --------------------------- ------ :.. .. Dare Application Approved By ...._......... ........... - - ... .. .. �'�s .... _.... �, ........... Application.Disapproved for the following reasons: ----------------------------- -I -' - - Date............. - Permit No. ... .- �a- 1-.-.-- Issued �� Dare .�;�..-�.3.�..:--�.,�-.�.�...-�.-..��...►.�•�:.�:,.��-...�.��-...;•:.a,�c..-�—r�+a_�c�J,rr+..+-,a��a.�e��e�s:�,.....�-�.,....-�:.�.-- _,�,�..,._ ,-_.:-�-.m.—e.�aa.�...�.�. -_ - _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH hi TOWN OF BARNSTABLE CIlex#ificax#e of Compliance THIS IS TO ERTIFY, That„the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........................ .�-�--- ----�J`-/'�.......... 4-.--� Q.fV-x---4....L-'.-... -._...._... �j Installer at /��" ------------ -- - ! has been installed in cor&nee with the provisio of TITI.5 of e Stat.Xnvironmental Co e,4 described in the application for Disposal Works Construction Permit No. ". ._ dated } THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE r SYSTEM WILL FUNCTION—SATISFACTORY.DATE-.- v _. Ins ect - - �THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...... .... •• FEE... �........... �i��rn ttl nrkn �n n ixr#inn �rruti# Permission is.hereby granted... 0LT9_.(C_ ........Ko ---------------- ...............................-............... to Construct ( ) o,,�rARepair (4-) an Individ Sewage Disposal System �"' as shown on the application for Disposal �Vorls Construction Permit Street ! _- ` . y� - ----` a'ked r Board of Health DATE. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS _ D Wlocat .on: 'a _ Village:- Hyannis--- Installer: Frank J. Linhares - - - _ P.-C�.-Box-6 1 -��attapo�:-sett, l�ass_� -- Builder: William F. Dacey Jr. -- -112_West_ Niairi._St. _ Hyannis-, - - ------- - -- �a-s s Date Permit Issued: 7/2/74 -Date-Complianc.e -I-ssued: _ _ -- _-- -- — - --_—_-.— c t ��< ��� � �` . -• (, r ( 1 -Lo atiion: _Lot #21 Medan Road--- — sew. per.Village : Hyannis- Installer: - Frank -J. Linhares P._®.__Box 66.1.- -Mattapo_isett , Mass. - --Builder: William_ E. Dacey-Jr. - _ 112_ West Main _St.._ _ Hyannis- -Date Permit - Issued: -7f2/7 ~-- - - - -- --- - --- -- Date Compliance Issuede \ Ilk 9.5 1G i 1 No......? ..... ....... ...... ;LTHE®OA��ALT OFhiEALT ETTS � s ..................OF.:.... .._ .....��..�..........�.. -- - ---------------- Appliration -fox Diipviittl Workii T anion Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage(Disposal System at ---------------- ----- --------•----- .-------- ---••-......-•--••-----• --••-••. ----------- ion-Address � or I.o -o. -- --- ------------- - - ner Address W Installer - Address Type of Building Size Lot_A Sq. feet V Dwelling—No. of Bedrooms----------- ._ -Expansion Attic ( ) Garbage.Grinder ( ) per-, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixture W Design Flow................ .,r gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacXi _..._._ a o Length---------------- Width................ Diameter_._.--_-.----- Depth--_-.-._-_----.- xDisposal Trench—No.________________--�-.��. fidt _-._--___--___-__ otal Length---------- _._.._. tal leaching area------ . ft. Seepage Pit No.----------- rTie ......_ - otal leaching area--------------•.-sq. Z Other Distribution box ( ) Dosing tank ( ) ,� �— �Ca�Y �4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------- ,4 Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..-___._-_._.-.-__.----- (P.-I Test Pit No. 2----------------minutes per inch Depth of Test Pit._-_-____-__----_-. Depth to ground water---------------.-------- ------------------- ----•............................. .................... •. .......................................................................... 0 Description of Soil---------- -------------- - ............•--•-••• ..................... ....... -- ------------------------------------------------------------------------- V -------_-------------- •.• ...................................... ---•-------•------••-•••--•-----•--- ----------------------------------- W ------------------------------------------------------------------ --------------------------------------------------------------------------------------------------------........................ 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 NI of the State Sanitary Code— The u rsigned further agrees not to-place the system in operation until a Certificate of Compliance has beeq iss d by t oard of heal ,/0 Sig .--- ----- -:----•--- --- --- -------------------•-------- •------------------------------- ate Application Approved'By-------- f� ------ ---- - �� __ a at te Application Disapproved for the following reasons:........................... ..•----------------------------------------•---------•-----------------••--..------ ----•-•-----------••---•-•------•-----------------------•-------------------------••-----------•-------•------•--------------•-----.---- ..:..:. ------ -------- -Date Permit No......................................................... Issued..... ate IV _q* No..--- Fizz./67................... .......... THE COWg LT OF H MSALT. S BOAR MMON ETTS . ..... ....... .... ... ................-OF..--. ... ... .................... Appliration -for 11-4poiial Works T-Paiviturtion Vrrnift Application is hereb made for a Permit to Construct C---)�®r Repair... ) an Individual Sewage iDisposal System at: I ------- - 4 _ 0000 . ......... ion,- ress ----------- -------- ------ ---10----- -- -- ----- --- -- -----------------—-------- or Lo No. .......... ------------------- 4 --------- ----------------------------- ................................................................................................... netAddress .......... ......... La Installer Address U Size Lot_ Type of Building S o feet Dwelling—No. of Bedrooms-______._ :____.____.____.Expansion Attic Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons________.________________-__ Showers Cafeteria ( ) Otherfixturep—._-�.................................................... ............... ------------------------------------------------------------------------- Design Flow---------------- 5;7!___........gaL19ns per person per day. Total daily flow........................................._gallons. W Septic Tank—Liquid capac� 7 Peoj"_!V.6gF,`a1roX Length................ Width---------------- Diameter................ Depth __1------------ 1 otal -----------sq. f t. Disposal Trench—No. 1 t ------------ ­ al Length----------- ------/�tal leaching area-- Seepage Pit No------------ ------- /rotal leachinc, area Other Distribution box Dosing tank A dim e 1� r----t__ leaching area_. 4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. I----------------rninutesperinch Depth of Test Pit_-_________________- Depth to ground water------------------------ f� Test Pit No. 2----------------minutes per inch Depth of Test Pit_._.._.__._______.._ Depth to ground water.......___..._______.__. -- --------------- .... ----- -------- .................................... .. ........................................................ _-- ------------- . .. ....... ...... ------- -- ------- -------------------------------------------------------------------- 0 Description of Soil- ---- ------ ---------- - -------- ------- .............•.................. .. ...........m-------------------------­ ------------------------------------------------------------------------ U ---------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 u ersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss ed by t oard of h a Sig#---- ------- -------- --- ------------ ----------------­-------- A- ------------- ate Application Approved By------ 2- 0(/ ------------------- -latef ................ -- -- ----------- Application Disapproved for the following reasons:---------------------------- ......................../----------- .................. ............................................................................................................................................................ ......... ...... .... ................. ate Permit No. ............................... Issued..... . ....... .................. ,-D e------ a e THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH .......4W................................OF.....�Or.................................................................... (irrtifiratr of 19ahtpliatta THIS IS t Vdividu4Sewa -ror Repaired ETIFY D�W' l System constructed b ...................... ........................ . .............................................. Installers —PVL *— - "!.'. at....................... ...... . - __ _-*�----�_o!�...................................................................................... has been installed in accordance with the provisions of Attic The State Sanitary Code as described in the application for Disposal Works Construction Permit No---------- ---- --------------------- dated-_-..._..._....__....._._...______:__...____.._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST�-RTD As � ARANTEE THAT THE SYSTEM WIL U TION S ISFACTORY. DATE.......... ............................................ --- ---- - ------ --- ---- Inspector......................................... (---------------------- THEE COMMONWEALTH OF MASSACHUSE S LT BOARD 2PVHEALTH , e . .... ................... .............OF.......... ............. .................................................... N ........ FEEL..................... vii or tr Permission is e y granted------- .............................. 'It ------------------------ ------------------------------------- -------------- . .. ......... or Re to Construct or Re it d _5ewag; Disposal stem,&y at No... ........ �LIn ividual. ............... ..... . .................... ................ ..... ------------------------------------------------------- ... .................. Street as shown on the ap plication for Disposal Works Construction Per ted------ .... .. ------ --- I - . .Al.-7. ........................ Board 0 ealth 11. DATE............................................................................... FORM 1255 H0138S & WARREN. INC.. PUBLISHERS SUBJECT TO APPROVAL OF BOARD OF HEALTH r �r I I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _F 132DATUM : SYSTEM PROFILE , _ r VERTICAL DATUM: ASSUMED NOT TO SALE BENCH MARK USED: REAR CORNER OF BULKHEAD r' rS YS TE M DESIGN ELEVATION 1 =00 DESIGN FLOW 28 TOP OF FOUNDATION BEDROOMS AT 110 GPB/D 22D- GPD ELEV, 100,86 RAISE COVERS TO WITHIN 6" OF FINISH GRADE OBSERVATION-n LOCUS �r� 9� � FINISH GRADE FINISH .GRADE INSTALL ' . PORT TO GRADE REQUIRED SEPTIC TANK �a ELEV, 99.8 ELEV. 99.5 »TEE» FINISH GRADE IN N ?�, ;: d/��� /�� ///,C��` ELEV. 98.5 220 x 2 = 440 /f/,�� /,��` .� GR©UND ELEVATION 98.3 GAL. � �--- ,•r/r.� i .` ,.� ..� �,�//ram. , , SEPTIC TANK REQUIRED = _1_20 _GAL. 1 MIN.-3 MAX. COVER EXISTING SEPTIC TANK TO REMAIN = 1000 GAL. top M�rCN�. :� ��•� � 17't�S= 12% TOP ELEV 95.79 ///���` » » y (ts 4" p 10 OS= 2.3% 2 ' MIN 1/8 -1/4 DOUBLE WASHED PEA (STONE ____-- 3 ®S= 2% -< wq y �; 4 PVC SCH '40 �. O O O O O '' <7 SCH 40 EXISTING INV.= 2 MIN-3 MAX 0 00 00 000 O0 x SIZE OF LEACHING FACILITY REQUIRED INV.= 98.16 97.93 10"TEE 14"TEE INV.= A O 00 00 00 00 co 97.75 6„ O O00 ©00 O 0 3/4" DOUBLE WASHED STONE WEST MAIN ST• DESIGN PERC RATE <_2MIN,/INCH GAS BAFFLE 5 OUTLET 00 00 a FOUR 75 x34 x16 CHAMBERS LONG TERM APPL. RATE_Q•_74_GPD/S.F. e '•�� 4'-1" LIQUID LEVEL D-BOX . INV.=95.57;: S.A.S. (7.0' x 34.0') o p, I SIZE OF LEACHING SYSTEM PROVIDED: ( ll LOCUS MAP ` '`�`� INV.=95.40 co b E EV. 94.46 220 _ 0.74 SF/GPD = 298 S.F. MIN. REQUIRED NOT TO SCALE: ° FIRST 2' SET LEVEL oo `� USING 4 CHAMBERS WITH 2' STONE AROUND EXISTING 1000 GALLON TANK TO REMAIN TEST PIT #1 ELEV 85.8 NO GROUNDWATER ENCOUNTERED SIDEWALL = 2(7.0+34.0 ) x 0.92 = 75.4 S.F. D.T.H. #1 D.T.H. #2 BOTTOM = 7.0 x 34.0' = 238 S.F. BATE: 11-10-2008 DATE: 11 10-2008 _ TOTAL LEACHING AREA = 313.4 S.F. GROUND ELEV. 97.9 GROUND ELEV. 97.8 313.4 S.F x 0.74 = 232 GPD NO GROUNDWATER NO GROUNDWATER 232 GPD PROVIDED > 220 GPD REQUIRED 12 GPD RESERVE OEA OEA NO (GARBAGE DISPOSAL / GRINDER ALLOWED) LOAMY SAND LOAMY SAND 10YR 4/3 10YR 4/3 VARIANCE REQUESTED 10YR 5/1 6„ 10YR 5/1 8„ B B LOAMY SAND LOAMY SAND 10YR 5/6 10YR 5/6 TO THE ALLOW THE SYSTEM TO BE INSTALLED FOR 2 BEDROOM 24" _ 24„ ELEV =95.9 ELEV =95.8 N/F (3 BEDROOM CAPACITY MINIMUM REQUIRED.) CAPACITY ONLY AS THE PROPERTY IS .LOCATED IN A ZONE II AREA. WELCH A TWO BEDROOM DEED RESTRICTION TO BE RECORDED #217 MEGAN ROAD » ASSESSORS MAP 291 MEDIUM SAND 54 MEDIUM SAND PARCEL 242 LOCUS INFORMATION 10YR 7/6 10YR 7/6 10% GRAVEL 144" 10% GRAVEL 144" ELEV =85.9 ELEV =85.8 CURRENT OWNER MARC A. RUSSELL B.O.H. B.O.H. J / D. MIORANDI D. MIORANDI BENCHMARK ADDRESS #225 MEGAN ROAD q HYANNIS, MA 02601 SOIL EVALUATOR. SOIL EVALUATOR N F NORTHEAST CORNER OF _ • 508 771-2271 ED. STONE ED. STONE MUSER CONCRETE BULKHEAD BACKHOE OPERATOR. #52 ST. JOSEPH ST y PLAN REFERENCE L.C. PLAN 27099-B, SH-3, LOT 21 ELLIS BROTHERS ELEVATION 100.00 p ASSESSORS MAP 291 �� .. 581�36�30" TITL:E REFERENCE CTF. 142090 G. SOIL TYPE: �_ _ PERC RATE: <2 MIN. PER INCH PARCEL 219 ' ` LOADING RATE: 0.74 GAL/SF/MIN 1 C \ I INDICATES DEEP ASSESSORS MAP 291 DTH #1 TEST HOLE EXISTING I PARCEL 243 ! 1000 GALLON \ 1 r1 I 1 TANK TO 6 \ I I LOT AREA 13,766f S.F. INDICATES X 97.7 DTH I#2 I I I I \ I P-1 44" PERC TEST I I REMAIN •.....,, \ b PROPOSED w.� 75" INDICATES ADJ. GROUNDWATER � L.C. LOT #21 1 � I 1 �9� � j OBSERVATION PORT 85 INDICATES OBS. GROUNDWATER 00 N/F I I I 27 BEDROOM O RUSSELL / I L.J + BEDROOM z 000 #225 MEGAN ROAD / 1 _ \ I GENERAL NOTES: w ASSESSORS MAP 291 / I J PARCEL 243 / I t'C'�= I I 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. N / I r I iT S S 0 10 15 20 30 50 DTH #1 I I I BATHROOM TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SEWERAGE. o I I / --� #225 I I 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE z II DECK �Op ACCESSIBLE WITHIN 6 OF FINISH GRADE, WITH ANY REMAINING GRAPHIC SCALE: 1 INCH = 10 FEET ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE , X 97.6 I (,,,,,� I J / DECK LIVING CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE �a „r` I / KITCHEN ROOM I UNDER OR WITHIN 10 OF DRIVES OR PARKING AREAS THEY PROPOSED I MUST' WITHSTAND H-20 LOADING. 7' x 34' S.A.S. I 22' 60cl I I 4. OFEALLCUTILITI�S PRIOR CONTRACTOR SHALL VERIFY EXCAVATION. THE LOCATION r' ; i �\1 _ .,... -- -- ._.. ,...,. _.._ ••�_ W-- _ �` _ _ I I II - _ 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE �I OR WITHIN 6 OF GRADE SHALL BE MORTARED IN PLACE. � , / 1 1 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER FOOT OVER THE, S.A.S. AND DISTRIBUTION BOX. \ __ _�'" _ _ / o 7. SEPTIC TANK SCHEDULE 40 PVCTARY TEE'S AND SHALLSHALL EXTENDEACONSTRUCTED MNIMUM OF 6�FABOVE \ cD \ •) _ AS _ GA 00 //I SITE AND SEWAGE PLAN _ _ S THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND \ :• 1 =. EXISTING.%LEACHING PITS TO I o - - _ GAS / I REPAIR UPGRADE LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. y!y / \ BE`:'PUMPED,, SANDFILLED 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN \ L T I \ \ ABANDONED IN ACCORDANCE - _ EXISTIN DRIVEWAY / 'Q #225• M EGAN ROAD 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT \ ELEVATION OF THE OUTLET PIPE: \ WITH TITLE 5: - _ _ 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES \ \ '� / I 1N 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A��GAS \\ \ _ - _ _ �/ - I H YAN N S, M ASSACH U SETTS BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4 PVC +� \\ '� I- � SCALE 1 " = 10 DATE: NOVEMBER 15, 2008 11• ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE N,F 170 25' T T T T F THE OX WHICH SHA CRUZ FIRS TWO FEE OUT 0 E B LL I N81.36, ,� BE LEVEL #233 MEGAN ROAD 30 W i T I PREPARED FOR: 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION ASSESSORS MAP 291 I \ TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW "PARCEL 244 I 1 I MR. MARC RUSSELL AND APPROVAL. I I . #225 MEGAN ­ ROAD 13. MAGNETIC TAPE TO BE INSTALLED OVER ALL COMPONENTS OF S.A.S. ' II I HYANNIS, MA 02601 CONSTRUCTION NOTES: NOTE TO CONTRACTOR UP II (508) 771 - 2271 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND AS CERTIFICATION REQUIRED BY THE TOWN OF BARNSTABLE. #15/8 L. j ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING DESIGN ENGINEER TO BE NOTIFIED 24 - 48 HOURS PRIOR TO WORK ON THE SITE. SITE EXCAVATION AND SEPTIC INSTALLATION. �j"0F PREPARED BY: ' S. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE SYSTEM CAN NOT BE BACKFILLED UNTIL INSPECTIONS HAVE EAS SURVEY INC. s,s WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS BEEN PERFORMED. ' �c TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. F ER 141 R T, 6 A A 3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING 1 a �C)P� ' MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND �'F �sr �a P. O. BOX 1729 A N 2ns�® S.A.S. AREA IS PROHIBITED a ,o, SANDWICH , MA 02563s%� Pew PH, (508) 888-3619 LA FAX (508) 888-2496 .. - ' I u