HomeMy WebLinkAbout0044 MIDWAY DRIVE - Health 44 Midway. Drive a
Hyannis
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No.e� Fee
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitation for Mispot;al *pstrm ConstrUttion VPrmit
Application for a Permit to Construct(Ile Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components
Location Address or Lot No.}�° s amse�dd ss,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,_anj Tel.No. Designer's Name,Address,,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building � No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required)® gpd Design flow provided �/� gpd
Plan Date 00:.2 "Ov Number of sheets .00e Revision Date
Title
Size of Septic Tank,.00VG Ac_. ® <PAZ Type of S.A.S.
Description of Soil cJ' �E�. �'c3 "j;
Nature of Repairs or Alterations(Answer when applicable) lr4&0'4'
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 thged ��Op
h
S' Date 14Z
Application Approved by Date
Application Disapprove Date
for the following reasons
Permit No. �l — L� �' Date Issued
I
M No.Ak— 1�t f Fee
i.•
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
21ppYication for Big*oral 6pstem Construction permit
Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) omplete System ❑Individual Components
6r
A
Location Address or Lot No.ff/�'j9l � � Owe 's ame,Add ss,and Tel.No.
Assessor's Map/Parcel �" 7,�ti� S'/O
Installer's Name,Address, nd Tel.No. Designer's Name,Address,and
and Tel.No.
�l m li�r,. od O o
77so 7 497
Type of Building:
DwellingNo.of Bedrooms Lot Size s .ft. Garbage Grinder 0
nn 9 g ( )
Other Type of Building 4xe `' No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) J gpd Design flow provided gpd
Plan Date r--,OOO;K Number of sheets /00 Revision Date
Title
Size of Septic Tanko&�f_1,6' 4,'PAZ Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
-Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of H th.
/Sig ed /� Date �a1
Application Approved by �/ / Date 2��6
Application Disapprove Date
for the following reasons
Permit No. � l ( Date Issued -4 I (i®( 6
----------- ---------------------------------------------------------------------------------------------------------------------------
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 �ryJ �
at �7 �IA�/!X 4�0 Ybteen constructed in accordance l F, ' +)�with the provisions of Title 5 and the for Disposal System Construction Permit No74 dated
Installer y��! G � Designer,46o,6-c-, Gam(® �✓rt�yE��'y
#bedrooms I Approved design flow 3 gpd
The issuance of this permit shall npt be 'nstrued as a guarantee that the system ill func ign d.
Date �9 G Inspector
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construrtioo ermit
Permission is hereby granted to Construct( Repair( ) Upgrade(+) Abandon( )
System located at /�./r 1,.�y,/�'S/ , . /Y/�✓�J�
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 17 I _ 20 I/o Approved by
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
1 ' NAM Public Health Division
sa " Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862.4644 Fax: 508-790-6304
Installer&Desigger Certification Form
Date: Sewage Permit# 117-0/6" �'/Assessor's Map\Parcel ° d Liu
Designer: D v. . f� Installer:
9
Address: l p� �Q i � � Address:
On �2 /� 0T0 AV L a ��was issued a permit to,install a
(crate)-�^ - (installer)
septic system at y +� �� �y based on a design drawn by
( dress)
I a iA f E PGJ dated
( signer) — -
T 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.
T 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.
P SHOFMA
~�DANIEL AS9cy�N
a' CIA
(Install is Signa e) CIVIL (n
No. 46502
7 0
U9' t T�\G/8T�R�����
(_ igner's Signature) (Affix Designer's Stamp Mere)
__ 6 C
C_0WJLJ
_ � i H - A18� - At. T
Q:Health/Septic/Designer Certification Form 3-26-04,doo
Town ®f Barnstable l�
tI)eparttngnt„of ,Health,Safety,andEnvirao.ri:m,en.tai,l:Servacgs.; j.
POblic�H�e"wititth]D`iY�i' WA gate: � �6
367 Main Street,Hyannis MA'•0 a P
3 WArtarnaLE,
Fee Pd. l •U,Oy '�G
161A bate Scheduled Time 4
iT}
Soil Su tabillty Assessa�aent f®�° �e�va�e Disposal a
{ � J. Witnessed By:. ✓� �u ��+
Performed By: C2tGe i. W
:..:. ;.: ••.::::.::::..::.::::::.::.....:::;::;:;::;•:::::•::::.
:>oca?<>::1:::>dre :<Nl1�bJ:::•>;::r;:�r::..........:. Owner'sT�Iame �e0
Location Address 4 � Q.�y
Assessor's Map/Parcel: Engriepr's Flame WG�✓'/�1
NEW CONSTRUCTION REPAIR Telephone#
Land Use li` a��_ f J(� Slopes(%) surface-Stones
I �^ ? 42CO tt Drinking Water Well -
Distances from: Open Water Body. 1�.t�� ft Possible Wet Area g
Drainage Way ® ft Property Line ft Other ft
SKETCH:CH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
14
71
7V
D
r�
Parent material(geologic) t Vt Depth to Bedrock
�5
Depth 4o Groundwater: Standing Water in Bole: `�t l3 ` Weeping.from Pit Pace r�
Estimated Seasonal High Groundwater_
....................:.::::..::.....:...:.:..:..:.................
:.:...:...::.::••::.>:...;; ...,.:.,......: i......>''`:'':'` :'s"'•:�'?>.. •'+.••tF ::' :'.:`' i<i?:`•i<i;E > ??E
.til
'Method Used: �tf7.rl:J. ..... in.
Depth Observed standing in obs.hole: in. Depth,4o soil mottles:
Depth to weeping from side of obs.hole:
in. Groundwater Adjustment
Index Well#—__ -Reading Date: Index Well level.-- Arlj�factor Adj,GroundwaterZevel
i•:i;{:;i:i:{:ii iii:•''i'i:;;;::•S:{:`:j,':{i:::::i:::::i:r•v?{i:::;:.::i';::i'ri;
....... .............:::.:::.::::::::::•iiii:.•iii•::::::::::.:: ; :...;.}}:�...,,•..,: l .;:4'•'r{ii: 'r:�:•i"' i'•i :�� a..�:.:y::•i: •i:"�': '0:4i:'
:•: .:.T'+i... v::, n.. ; :::::•.}:X::;r4;::: ': i:v:�I'1IAt�::•::•:: ^. ny;.?:.}
Observation Time:at 9'"
Bole#' _
D ( Time at`6"',
Depth of Perc
Start Pre-soak Time Q Time,(9 -6")
a b
End Pre-soak l v
�.
Rate Min./Inch I '
:.,'; :�• ,..:... 9 .s., •cam' 3W v
Site'F.ailed;d Additiona( esing:Needed:(1'M).
Site'Suitability Assessment: "SiteTassed',
Original: Public Health Division Observation Bole Dteta T®1$e�.oangtleted 0n b�a�lc
Copy: Applicant N, s
- �� .................•:::•::::•:::::..:....:.�'::::.;...:...:::::.:::::.:::.''::::•:•::+::::::::•::::::i:::::i::::::::'���::.'i,yyyy:yy'``�yy...:'::::+:::Y.CC:::::•::i::.: :v::::C:j::::':::::CC'::::::':'::::•:'::
... {. :. '{:jj{::f:: 6':+TT: :;:'<v: .^?.;:[4j: v:;iGivi:i:.:i•.
. ,izon .. .•:: ;'. :.. ;Its`:.. ,, ;:�.!�:±�;:.::.;;:.;:.:::.::<.::.;;;:.>:.>;;:.._::;.;;;;;:.:;;;:.:.
Dep
�•�• �����Soil�Textiirea� { �J�lSoilfColor't'r °..' Soil Other
II -� � •
lli from' Soi] or
(USDA). ,. (Munsell) . Mottling� (Structure,Stones,Boulderes.
Surface(in.) e 10
P p.
D°epth from Soil 1•IoTizon` SoilgT�exture Soil Color Soil� :1;^�r�� Other
° USDA' (Munsell) Mottling (Structure,Stones,Boulderes.
onsistengy,°°Gravel)
d —lZ Cca �t
31, ON
-,Vdplh from Soil Horizon Soil Tex b M
ture Soil Color Other
Suiface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulderes.
onsistena,%Gr el
.........
`Depth from Soil Horizon Soil Texture Soil Color 5m1 Ot ier
Su�lace(in•) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°o Gravel)
ar Above 500 year flood.boundary.-+,No'_ Yes J�
Withlna500 year.'boundary No Yes
V W1j I'0''0 earfloodR�b"o-undary Nb
Id
9R
Pepth of hturalloecurrin�Pervious 16laterial
Does at least four feet of naturally occurring pervioous�material exist in all areas observed throughout the
area proposed for the soil absorption system?
If:not,what is the depth of'haturatly occurring pervious material?
Qertifacatl®n
Ircertify that.on (date)I Mile passed the soil evaluator examination approved by the
Department'af-E' rb'"ei tarTrotection_and,that':the'=above analysis was.perfolmed byime.consistent•w.ith
4the required training,.expertise and experience described in 310 CMR 15.017.
Date �
Signature
i
6 ,.
Commonwealth of Massachusetts
Executive Office of Environmental Affairs
Department of JAR p s 1997 �®
Environmental Protection
"Ill rn F.WeldGommor iudr Cox
Arpeo Paul Celluccl Oavld
U.Gammor
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 9'I AA- J tv r, e c t✓.1 L Address of Owner. ✓ ��� i iL"�r�C
Date of Inspection: (/ 10 (c( 7 (If different)
Name of Inspector. Dcz ,{ P.(), .6 a xr'S
Company Name,Address and Telephone Number. P.
V%C_S L, �s✓w 3�`1 v �� �Lk
�o �vAtt- Spa
CERTIFICATION STATEMENT 'a'�
I certify that I have
tfy 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
Fa"
Inspectoe's Signature: (,// '_"4 Date: l f 1 t l`t
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this
inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority.
INSPECTION SUMMARY:
Check A, B, C, or D:
A] SYSTEM PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
B] SYSTEM CONDITIONALLY PASSES:
O e or mn re system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes
Indicate yes, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If"not determined",explain why not)
The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is
imminent. The system will pass inspection if the existing septic tank is replaced with a Fonformi
by the Board of Health. ag septic tank as approved
(revised 11/03/95) I
One Winter Street a Boston,Massaehusetts 02108 a FAX(617) 556•1o49 a TeNphone(617)M.M N
` Pnnted on Recycled Paper
c
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (oontinued)
P"PeKy Addreas: 11 11 M•A w t b v.
Owner. F v 9-d d;� .0 t L
Date of Inspection:
B)SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(si
or due to a broken, settled or uneven distribution box. The system will pass inspection if(
Health): with approval of the Board of
broken pipe(s)are replaced
obstruction is removed
distribution box is levelled or replaced
The system re9 tu++ed Pumping more than four times a year due to broken or obstructed pipets). The system will pass
u� approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
Cl 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 THAT THE SYSTEM IS NOT FUNCTIONING IN A
MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMEN.r
— Cesspool or privy is within 50 feet of a surface water
— Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF.APPROPRIATE)
DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND
SAFETY AND THE ENVIRONMENT:
— The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tribu
surface water supply. tary to a
— The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well.
— The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
— The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more fro pri
m a vate water
indicates that the well is Ere
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds
from pollution from that facility and the presence of ammonia nitrogen aid nitrate nitrogen is equal to or less than 5 ppm.
3) OTHER
(revised 11/03/95)
2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Addreaw `�L( 'i-t (,� 17'0',
Owner.
Date of Inspection: i l 1 0 l)
D1 SYSTEM FAILS:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for
this determination is identified below. The Board of Health should be contacted to determine what
failure. will be necessary to correct the
— Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
— Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
— Liquid depth in cesspool is leas than 6"below invert or available volume is less than V2 day Dow.
— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(a).
Number of times pumped
— Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
— Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
— Any portion of a cesspool or privy is within a Zone I of a public well.
— Any portion of a cesspool or privy is within 50 feet of a private water supply well.
— Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
El LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design Dow of 10,000 gpd or greater(Large System)
health and safety and the environment because one or more of the following Condt ns and the system is a significant threat co public
— the system is within 400 feet of a surface drinking water supply
— the system is within 200 feet of a tributary to a surface drinking water supply
— the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone H of a public
water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further her ground treatment program
mation.
(revised 11/03/95) 3
f
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Addraes: �( ( w h 17✓,
Dots of Inapeotion:
I� I0/cl
Check if the following have been done:
Pumping information was requested of the owner, occupant, and Board of Health.
_None of the system components have been pumped for at least two weeks and the system has been receiving normal ilow 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.
IL The system does not receive non-sawtary or industrial waste flow
.�L The site was inspected for signs of breakout.
All system components, excluding the Soil Absorption System, have been located on the site.
2_c 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 site and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by non-intrusive methods.
k The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-
Surface Disposal Sysm.
i C /
14 J NCB T' rt_ct
(revised 11/03/95) 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (oontinued)
Property Address: L/(I .fit w�} J✓.
Owner. `
Date of Inspection: ✓`d`( � til'}- L
f/fo����
SEPTIC TANK X
(locate on site plan)
Depth below grade:—�:-
Material of construction:Aconcrete_metal_FRP_othehaplain)
Dimensions: ^ x `x OG C�
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: 30
Scum thickness:1_
Distance from top of scum to top of outlet tee or baffle:_��
Distance from bottom of scum to bottom of outlet tee or baffle:-11.:l
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.) Tv -- lr-c'
1.L•�`-'y., i��1.—� (�C T� A �/ .a ��' l'1 h�.`L �,�
GREASE TRAP-
(locate on site plan)
Depth below grade:
Material of construction:_concrete_metal_FRP_otherle:plain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or bane:
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.)
(revised 11/03/95) 6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (oontinued)
Property Addreer. Cat( 444w f.
Owner. ('v d4.L -'Lt-4 c
Date of Inspection: I//o/7?
TIGHT OR HOLDING TANK-
(locate on site plan)
Depth below grade:
Material of constriction:_ooncrete_metal_FRP_other(e:plain)
Dimensions:
Capacity:-- _r ri
Design flow: aallons/day
Alarm level:
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
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, etc.)
PUMP CHAMBER_
(locate on site plan)
Pumps in working order:(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 11/03/95) 7
E.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address¢ f j�/ ✓1i1:ct�w+ �✓
Owner. I-✓�4 c�;G �(/1 G
Date of Inspection:
SOIL ABSORPTION SYSTEM (SAS):
(locate on site plsa, if possible;excavation not required, but may be appeo:imated.by non-intrusive methods)
If not determined to be present,explain:
Type:
leaching pits, number: O�i G.
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
mments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation etc.)
G ( ,'ter
CESSPOOLS:_
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer-
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater:
inflow(cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:_
(locate on site plan)
Materials of construction:
Depth of solids: Dimensions:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.)
(revised 11/03/95) 8
e
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 'IL( 44.'c .Owner.
Date L .0,f c
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two Permanent references landmarks or benchmarks
locate all wells within 100'
7/
l
S. r
DEPTH TO GROUNDWATER
DePth to groundwater. - feet
method.of.determination or approximation:
(revised 11/03/95)
9
1
TOWN OF BARNSTABLE
LOCATION ��'hJ�c���I y ��• SEWAGE#0
VILLAGE Lr ASSESSOR'S MAP.&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY.4e4,- �S`®� 6W
LEACHING FACILITY:(type)GC ,r �� (size) .13#a
NO.OF BEDROOMS
OWNER Tl9ls-c'ZA4a,/1j/�J'
PERMIT DATE: ol�l COMPLIANCE DATE:
Separation Distance Between the: "V®
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o0�6-�tstj
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 leac—hiinng facility) Feet
FURNISHED BY VJ Z-e�O F�//�
N-, O
ri
t;a
I'C4
SYSTEM PROFILE MAR ED WITHCMAGNETICTTAPE OR BE
1 SHALL
NOTES
PROVIDE MIN. 20" DIAM. WATERTIGHT
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 ^
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE ��• 1V, GfP
TOP FOUND. EL. 76.0' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS EXISTING
� 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Locus
MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 74.0
PRECAST H-10 NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
RISERS (IYPJ THICKNESS REQUIRED BLOCKS OR
2'0 4'4►SCH40 PVC COMPONENTS PRECAST RISERS UNITS TO BE AASHO H-10 \
` H-10
; PIPES LEVEL 1 ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT. o
10" 1500 GAL H-10 14" ➢0�04 � 4�*73.35
ENDS (P'P') SIDES 71 .33 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
71.09' TEE SEPTIC TANK TEE > ° ° ° ° ,: G o
70.84' r
aO® O ®O�� ®®®® O _��a� >o°o°o°g° WITH 310 CMR 15.000 (TITLE 5.) �� cep °
0 000
0.0 0 ° o ° >°�°�°�°� 0000gGAS BAFFLE °0°0°0°0°04 °°°°°°°° o��oo�aa�a �oaoaao�aoa 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND
° �_^ ^ `V >°000000O ®®®ao®ao�a ❑���®®�0��0 '°o°o°o°o NOT TO BE USED FOR LOT LINE STAKING OR ANY
° ° ° ° o0 00 0 0 � 0 00000 0 0 ° °
' °°°°°°°° OTHER PURPOSE. ` e
4' LIQ_ LEVEL (ACME OR EQUAL) . 70.81 70.64 °°°°°°°° °°°°°°°° 68.5
000°°o°e°°o°°0°°0°000000000000o0o;0z0;00000000oco 8. PIPE FOR SEPTIC SYSTEM TO SCH. 4D-4" PVC.
'000000000°0,�0�0,,00000°000°0�o�o�o 0 0000°00 LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EDUAL.
3/4"-1-1/2" DOUBLE WASHED STONE (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25' X 12.83' CONCEALED WITHOUT INSPECTION BY BOARD OF r
Route 28
COMPACTION. (15.221 [2]) o HEALTH AND PERMISSION OBTAINED FROM BOARD Q°
,d OF HEALTH.
0
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND
9 8 p VERIFYING THE LOCATION OF ALL UNDERGROUND & LOCUS MAP
( % SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) 63.5' BOTTOM TH-1 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
NO GROUNDWATER FOUND WORK. NOT TO SCALE
23' SEPTIC TANK 3' D' BOX 16' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
FOUNDATION- FACILITY SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 252 PARCEL 65
PROPOSED LEACHING FACILITY.
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL SITE IS LOCATED WITHIN A ZONE II
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 12. EXISTING LEACHING FACILITY SHALL BE PUMPED
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM AND REMOVED OR PUMPED AND FILLED WITH CLEAN
LEGEND SAND.
99- EXISTING CONTOUR SYSTEM DESIGN:
X 99.1 EXIST. SPOT ELEV.
PROPOSED CONTOUR ( v GARBAGE DISPOSER IS NOT ALLOWED
198.41 PROPOSED SPOT EL. ��� DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD
TH1 USE A 330 GPD DESIGN FLOW
Y TEST HOLE
2 SEPTIC TANK: 330 GPD (2) = 660
� SLOPE OF GROUND 7Jc.00,
USE A 1500 GAL. SEPTIC TANK
�Qo UTILITY POLE
LEACHING:
FIRE HYDRANT 20.Cyc0�'- �� '
LEANOUT SIDES: ,Y 2 , 25 ,+, 12.r83, 2
_. _ �_ _ � 1 GPD,,NOTE NOT ALL SYMBOLS MAY APPEAR 1N DRAWING` X \ ° (lYP) __- __. _
TH2 BOTTOM 25 x 12.83 (.74) = 237 GPD
EXISTING TANK TOTAL: 472 S.F. 349 GPD
TEST HOLE LOGS x T ' ° 00 ANDBFI LED WIDTH
^ 1 CLEAN SAND PER USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
ENGINEER: CRAIG J. FERRARI, SE #13871 X o L TITLE 5 WITH 4' STONE AT SIDES, 4' AT ENDS
o
WITNESS: DAVID W. STANTON RS
DATE: 10/6/2016
PERC. RATE _ < 2 MIN/INCH EXISTING
DWELLING
o
0 �
CLASS I SOILS P# 15162 TOF = 76. APPROVED DATE BOARD OF HEALTH MA
BENCHMARK:
ELEV. ELEV. CBDH ELEVATION
099 4 74' 000 4 74' =74.0 NAVD88
PAV
FILL FILL
15" 12" DRI ,5J�
A A ar LOT 19 ss TITLE 5 SITE PLAN
LS LS 7,500± SF. `� OF
10YR 2/1 10YR 2/1
20" 18" o 7 #44 MIDWAY DRIVE
B S� HYANNIS, MA
421* 10YR 4/4 70 5' 36" 10YR 4/4 71 ' 1 11 PREPARED FOR
M
11LJJ WA Y D' " 0 _ DENNIS THEOHARIDIS
�\ 0-;ASH OF M A of a,�ss
PERC C C _ DANIEL oy oc, oyG� DATE: DECEMBER 5, 2016
s DANIELA.
o' 1� �o OJA q REV: DECEMBER 7, 2016 (EXISTING TANK NOTE)
U CiVIL
MS MS KN No 41 u No.46502
�°Fess��`zTER���`�� off 508-362-4541
^,Q sUt,v , �sSioVAL ECG fax 508-362-9880
10YR 7/4 10YR 7/4
I downcope.com
ROW cape engineering inc.
126" 63.5' 126" 63.5' ` .�
�.f�l J� civil engineers
NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' land Surveyors
DANIEL A. OJALA PLS PE DATE 939 Main Street ( Rte 6A)
DCE # , 6-3®2 0 10 20 30 40 50 FEET YARMOUTHPORT MA 02675
16-302