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0364 MITCHELL'S WAY - Health
364 Mitchell Way A= 291 —007 Hyannis l �v I F `I I 0 i l i i i i TOWN OF BARNSTABLE V' 'LOCATION 3G 011 IrX Q k2 SEWAGE# 2-®O°i - �- VILLAGE ASSESSOR'S MAP&PARCEL ,23/: U7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type)C/Z) /V i c a0 y,m &ff(size) NO.OF BEDROOMS oQ OWNER /Ili PERMIT DATE: -7- 1-1- 0 9 COMPLIANCE DATE: Z- @ " 20 e Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility yp eO 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) ` s ' Feet FURNISHED BY C A(�1.�.,J'e c�_o_ � � ) I.J—c- mcx3 T In �k l-0 s _ No. rJ —— l _ ;. � _ �. >i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYicatiou for Mizpotal *pgtem Construction Permit Application for a Permit to Construct( ) Repair�6 Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 36y m Tc4�eUs w y Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ;Lq Installer's Name,Address,and Tel.No. G4P<001 Yr.,� Designer's Name,Address and Tel.No. Sc q i�,«i t ��oz6 ri, �� ��3 2 '7 3 -�3*7-7 J G�� �t ✓wl Type of Building: Dwelling No.of Bedrooms Lot Size L I t 2g O- sq.ft. Garbage Grinder ( ) Other Type of Building ;5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures n _ Design Flow(min.required) 330 ��` gpd Design flow provided 3 LI6. 3 gpd Plan Date Number of sheets Revision Date Title `3(n�c Al Size of Septic Tank 1000 1AA— Type of S.A.S. ST-uh.)-G� Description of Soil 9-e. .P W" , z T"- 3 d�, Nature of Repairs or Alterations(Answer when applicable) ^1'� r e, .9 0--,30 t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ?— 17 —-P-" I Signed Date — Application Approved by Date 7 1 7 _ B Application Disapproved by: Date for the following reasons Permit No. do I Date Issued / — 1 ( — �7-0 D No. C/ _ _ � —� ,4 Fee THE COMMONWEALTH OF.M SSACHUSETTS Entered'in computer: PUBLIC HEALTH Dla/1'SION TOWN,dF BARNSTABLE,MASSACHUSETTS Yes Appltcatton- for, T�,tgogar 6p.5tem Congtruction permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 364 ml 1 e Lz-e e(s w n-r Owner's Name,Address,and Tel.No. � C�t Ti C. �yWe7 Assessor's Map/Parcel )Co t Installer's Name,Address,and Tel.No. J_i C-�[7C r j Designer's Name,Address and Tel.No. C 11 -2 �C�l� (J i301L ?C�3 Z -7 -oS77 J Type of Building: Dwelling No.of Bedrooms "" Lot Size Z 1 t 2,9 O- sq. ft. Garbage Grinder ( ) Other Type of Building . Jam. ,_ Q.-.,� No.of Persons Showers( ) Cafeteria( ) Other Fixtures pp Design Flow(min.required) 3--No t °r T'T�Z gpd Design flow provided 3 y(.. ' gpd Plan Date Number of sheets Revision Date Title -3(�'-( Size of Septic Tank 1000 G A'%- Type of S.A.S. Siry-,k .Ez> Description of Soil C�- Q 2 7-"- 3, Nature of Repairs or Alterations(Answer when applicable) 64<y 1A-V',� �Yj �,� 9 - Date last inspected: a Agreement: The undersigned agrees to.ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the.provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. '�- 17 a-0-0 Signed Datea v Application Approved by I Date 7 - 1 7 2-0-0 / Application Disapproved by: C Date for the following reasons i i Permit No. a0 6 I Date Issued -` 17'- 2-0.D .— —_—.—.—_—T= --- —�-- r —y-- --- -- — — — -- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewa e Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned( )by C A`(I(<,�11 at &I,rc4,e11) 1.j,/,, I 4�� �,�S has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No. 0260 j - a dated 7- Installer C P_t.2.(A AJ i t, e 12 1 Designer #bedrooms l Approved design flow gpd a The`issuance of this pe it s lall .of be construed as a guarantee that the system wi 'fu'nctibnn as designe . Date V Inspector N 1 . 'U No. Fee THE COMMONWEALTH OF MASSACHUSETTS I PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digpo5al 6p5tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( / ) Upgrade ( ) Abandon ( ) System located at '3 (o`{ 0.)Avvyt t 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. Provided: Construction must be completed within three years of the date of this permit. Date 7`17-6 Approved by ` Y ['own of Barnstable Regulatory Services Thomas F. Geller, Director MASS. Public Health Urviyu)n Thomas McKean, Director . 200 Main Sheet, Hyannis,MA 02601 Uttico: 508-802-4644 I il\ il);J-'Niq .II4 Date: �7 2�. U� Sewage Perrnit#.._Zvoi . ZrZ Assessor's Map/Pareel _z 9I./ 67 Installer & Designer Certification Form Designer: _G� � ;ne�cc�;� ,_z ,C Installer; Ca(J�w;C3Ct. nl'erPcis�.� Address: J.b `i Ccci\o Address: e m s k)G r e 1n t m rf A u 2 C>*L 3 1, Oil 7— Ql_ _� _ °tl was istiued a permit to ttstal! a �r�atej (mstallcr)., � - -- septic system at _ _ 3�`l�_-H Ion . based on a design drawn by ... ,.�_.._ ._..,?- - � V1C•_::._....__._,_, d<.1teCl 121 y tb 2uUo) I certify that the septic system referenced above was installed substantially according To the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the snip were found satisfiactory. 1 certify that the septic system reterenced above was installed with :najor changes Hx, greater than 10! lateral relocation otthe SAS or any vertical relocation of- any componvnt of the septic system) but in accordance with State & Local Regulations. flan revision or certified as-built by designer to liollow. Stripout (if required) • ' s )ected and the soils were found satisfactory. pi OF JOHN _._.._. _._ CHUHC1tl1.t. ., n." 1L'r�$ till tUre)- IVII 41&Q O csignt;r s Signature (Al I)i ne i;ri Mere) 1'dSE RI TURN 'I U ARNSTABLE PUBLIC; HEAL DIVISION CI„'R_rIFICA'1-1, OF COMPLIANCE WILL NOT BE ISSUED UNTIL BATH-TI- IS _FORM AND AS- BUILT 'ARD ARE RECEIVED 13V THE BARNSTABLf: PtJ,,�3L,TC IITALTH .11IVISIC?Il. THANK VOID. y',nfl'iva I'nrnrialc:p;n¢rc�r111'cation I',an,Ls� Z0 'd Z920 2ZZ 209 nNIZI33NIDN30r wu OI : 0i 600Z—ZZ--inr J Town of Barnstable P# 12 ,S 7 Department of Regulatory Services a�MASI : Public Health Division Date 200 Main Street,Hyannis MA 02601 i°�o text" Date Scheduled Time 9A Fee Pd. V D Soil Suitability Assessment for Sewage sposal Performed By: . ! Il�.�lw�1 �(�p,nW , eL I GSG Witnessed By: ry "V. LOCATION& GENERAL INFORMATION Location Address ,'Ire Owner's Name C S Address l,� Assessor's Map/Parcel: Zg 1 O 7 Engineer's Name&A f4o�,�„� ��'���t)c> �C 6115cneex"'J NEW CONSTRUCTION REPAIR • � Telephone# �(y9 �-{Z �fo z� 5� -9 -0 377 Land Use Stye 6zvt itr ��gCcku( Slopes(g'o) L`5 Surface Stones Distances from: Open Water Body ft Possible Wet Area -' ft Drinking Water Well. ft Drainage Way ft Property Line 7 0 ft Other ft SKETCH:(Street name,dimensions of lot,exact.locations of test holes&perc tests,locate wetlands I`n proximity to holes) J 5'e� Ga fc� -Q(2. elan el&" Parent material(geologic) LW�5vl Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 7 128 e 63-S Weeping from Pit Face 7 1 �,Ss Estimated Seasonal High Groundwater 7 12t7 bg DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used ;Xt"- 0loee.ru04tdn. Depth Observed standing in obs.hole: 7 t16,__— in, Depth to soil mottles: 712� In, Depth to weeping from side of obs.hole: -7ile in, Groundwater Adjustment ft. index Well# - Reading Date: index Well level Ad j,factor Adj.Groundwater Level,R e PERCOLATION TEST bate 4-0 T6e tl A4 Observation Hole# 1, Time at h" Depth of Perc 3®-y� Time at 6" - Start Pre-soak Time @ t F 2 3 A ti - Time(9"-6") - t End Pre-soak l 1:33 h h Rate MinJlnch L Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) AJ Original: Public Health Division Observation Hole Data To Be Completed on Back:----------- ***If percolation test is to be conducted within 100' of wetland,you`must first notify.the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S EPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. ravel Fill L7.-ty A S C071, 311 lY-30 t3 LS to-if 46 'So"l 2'tl C ti-C 5 Sauk Colo Gs l DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ray o 22 1243 ti—Cs 2.S��/6 ` DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C i to c Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sol] Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con s' n Flood Insurance Rate Man, Above 500 year flood boundary No_ Yes ._. Within 500 year boundary No—tr— Yes Within 100 year flood boundary No✓• Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? — If not,what is the depth of naturally occurring pervious material? ..� Certification I certify that on r��� -99 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and xperience described in 310 CMR 15.017. Signature r Date ro"r'2-0 9 Q:\SEFnC%PERCFORM.DOC Town of Barnstable Barnstable Regulatory Services Department ANWmicacv v$TAEI: . RAM 163,91. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO May 8, 2009 Maurice and Flora Curtis 945 Main St. East Greenwich, RI 02818 Re: 364 Mitchell's Way, Hyannis You are scheduled to appear before the Board of Health at their public meeting scheduled on June 16, 2009 at 3:00, to show-cause why your property or dwelling should not be condemned to continued use of a failed septic system. According to our records, your septic system failed on October 14, 2008 and you were notified by certified mail to repair or replace your failed septic system on 12/22/08, 1/15/09, and 3/25/09. However, to date, the system has not been repaired or replaced. The purpose of the hearing is to provide you the opportunity to provide testimony, documentary evidence, and/or witnesses pertaining to the repair or replacement of your septic system. The meeting will be held on June 16, 2009 at 3:00 PM at the Town Hall, 367 Main Street, Hyannis in the second floor conference room. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Town of Barnstable Barnstable SHE T y =r64; Regulatory Services Department r �O"`'ti AID-AmedcaChv Public Health Division , P 4 QAII$TA QLt ` j . 90 55; �m Hyannis MA 02601� 200 Main Street, H y 2007 Office: 508-862-4644 Thomas F.Geller,Director FAX: 508-790-6304 Thomas A.McKean,CHO . January 15, 2009 RE: 364 Mitchell's Way Hyannis, MA To Whom It May Concern: One of the procedures in obtaining a Building Permit for the-Town of Barnstable is obtaining a sign-off on the application form from the Public Health Division. The Public Health Division reviews the components of the septic system at that time. In regards to the above address, the Public Health.Division did not have the full information on record of the system in the ground. When this occurs, the homeowner is responsible for obtaining someone to identify the components in the septic system and report back to the Public Health Division. Septic Inspectors are obligated to notify the town when they come across a system which is in failure. The inspector,David Mason, notified the Public Health Division that the system was in failure upon his inspection on October 14, 2008. Currently, the homeowner has been given a deadline to repair or replace the system within sixty (60) days I hope this inforination will answer your questions. Sincerely, Sharon Crocker Administrative Assistant JALETTERS\Let 365 Mitchells Way Hy Jan2009 sc.doc w Town of Barnstable Barnstable y A"menca Cfiy "� 'R.egulatory Services Department - n ,r tiAttus-rAUI.t, � � 9o�b�9 Public Health Division —�� --- 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO G CERTIFIED MAIL# 7006-2150-0002-1041-8276 December 22,.2008 Dennis Coleman 364 Mitchell's Way Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 346 Mitchell's Way,Hyannis MA was last inspected on October 14, 2008, by David Mason, a certified septic inspector for the State of ,Massachusetts. The inspection of the septic system showed that the system "Failed" under the guideliizes of 1995 TITLE 5 (310 CMR 15.00) due to the following: Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool: You are ordered to repair or replace.the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER..OF THE BOARD OF HEALTH T "a= z s �. Kean, R.S., CHO Agent of the Board of Health QASEPTIC\Letters Septic Inspection Failures\364 Mitchell Way Hy Dec2008.doc - Barnstable Town of Barnstable Regulatory Services Department �caft • .ARNtSTA • 1 .� 1 3�. � Public Il ea th Division _ m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geder,Director FAX: 508-790-6304 Thomas A.McKean,CHO 03/25/09 - \ Maurice and Flora Curtis 945 Main Street D E. Greenwich, RI 02818 1 O a FINAL ORDER p ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 364 Mitchell's Way, Hyannis was last inspected on 10/14/2008,by David Mason, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that.the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "System is in Hydraulic Failure-Backup of sewage into,facility or system ' component due to overloaded or clogged SAS" The deadline for repair has past. We,The Department of the Board of Health, have not been informed that you have taken-any steps to bring your failed system into compliance. Therefore,you are ordered to repair or replace the septic system within 3.0 days from the date you receive this notification. You may request a hearing before the Board of Health,.a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure.to repair/replace the septic system within the deadline period will result in future enforcement action: PER ORDER OF TH BOARD OF HEALTH homas McKean,.R.S., CHO Agent of the Board of Health LOCATION SEWAGE PERMIT NO. VILLAGE -007 i r � p� INSTA LLER'S NAME & ADDRESS R UILDE R OR OWNER 4-~ DA T E P E R M I T ISS. U E D DATE COMPLIANCE ISSUED z Jf ,{ell i t g COMMONWEALTH OF MASSACHUSETTS S A F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS �0�8 d DEPARTMENT OF ENVIRONMENTAL PROTECTION s�•v David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS_ SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 364 Mitchells Way,Hyannis,MA 1 Owner's Name: Dennis Coleman Owner's Address:364 Mitchells Way,Hyannis,MA Date of Inspection: October 14,2008 Name of Inspector: (please print)David&Mason 4 Company Name: N.A. , N Mailing Address: 4 Glacier Path East Sandwich,MA 02537 Q Telephone Number: 508-833-2177 CD s CERTIFICATION STATEMENT A �-+'► I certify that I have personally inspected the sewage disposal system at this address and that the info ation reported" below is true,accurate and complete as of the time of the inspection.The inspection was performed ased on i y training and experience in the proper function and maintenance of on site sewage disposal systems. I am a Dom " approved system inspector pursuant to Section 15.340 of Title 5.(310 CMR 15.000). The syste Passes Conditionally Passes eeds Further Evaluation by the Local Approving Au ority X ils Inspector's-Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority( and 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. Notes and Comments: Tank should be pumped as a matter of maintenance. The information as identified represents only the condition of the system on October 14,2008 at 5PM. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different - conditions of use. Title 5 Inspection Form 6/15/2000 page 1 ' t Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2007 Inspection Summary: Check.A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Parking area should be defined to prevent parking on septic tank and pump chamber. B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or.break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced . I ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ' broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S Tnenartinn Fnrm 6/1';0000 2 i ' Page 3 of 11 PART A CERTIFICATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A Tit1P S Trenartinn Fnrm �ii si�nnn 3 Page 4 of 11 CERTIFICATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 D. System Failure Criteria applicable to all systems: You must indicate"yes".or"no"to each of the following for all inspections: Yes No _X_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X_ Discharge or ponding of effluent to the.surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool NA Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool -NA— Liquid depth in cesspool is less than 6"below invert or available volume is less than'/2 day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _YES_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 109000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply,to large systems in addition to the criteria,above) . yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question-in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Titles S TnCnP!`tlnn Rnr All VIOW) 4 Page 5 of 11 Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name:Dennis Coleman Date of Inspection: October 14,2008 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health _X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? _X Have large volumes of water been introduced to the system recently or as part of this inspection? _X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for.signs of sewage back up ? X Was the site inspected for signs of break out _X _ Were all system components,excluding the SAS,located on site?(INCLUDING THE SAS) _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on. Yes no X Existing information.For example,.a plan at the Board.of Health. _X_ Determined in the f-eld:(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S TncnPrtinn Fnrm 6/1;/')MO 5 i Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_2 Number of bedrooms(actual): 2 per assessors records DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gallons per day Number of current residents:_0 Does residence have a garbage grinder(yes or no): (Not Allowed) Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no):No Seasonal use: (yes or no):No Water meter readings,if available(last 2 years usag (gpd)): Sump pump(yes or no):No Last date of occupancy. 1 year COMMERCIAL/INDUSTRIAL Type of establishment:_ Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.)- Take out-No seating_ Grease trap present(yes or no):NO_ Industrial waste holding tank present(yes or no) NO— Non-sanitary waste discharged to the Title 5 system(yes or no) NO_ Water meter readings,if available: Last date of occupancy/use:Within 1 year OTHER(describe): GENERAL INFORMATION- Pumping Records Source of information: Barnstable Board of Health Was system pumped as part of the inspection(yes or no):NO If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping:Maintenance pumping conducted after inspection TYPE OF SYSTEM _X Septic tank,distribution box, soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection.records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): With pump chamber Approximate age of all components,date installed(if known)and source of information: 1970 Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM Titles r%TnenPrtirm Fnrm A/1 V1000 6 Page 7 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 BUILDING SEWER(locate on site plan) Depth below grade: Approx.28 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. SEPTIC TANK: N.A.(locate on site plan) Depth below grade: 16 Inches Material of construction:_X_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical 1000 gal. Sludge depth:4 inches Distance from top of sludge to bottom of outlet tee or baffle: 28inches Scum thickness: variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle: 0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How.were dimensions determined: actual measurements Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.)inlet tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage. Structure of tank appears adequate.Effluent level over outlet tee. Maintenance pumping is required.Evidence of backing up of system into tank GREASE TRAP: N.A. Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles 5 Tnenartinn Fnrm An a')nnn 7 Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 TIGHT or HOLDING TANK: N.A._(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:_UNKNOWN_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:' Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): Unable to locate d-box. No information on file with Health Dept.Probing did not locate d-box. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition"ofpumps and appurtenances, etc.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM T/t1P S Tnenartinn Pnr A/1 S/9000 8 Page 9 of i 1 PART C SYSTEM INFORMATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why. Type _X_leaching pits,number: Assumed there is 1 pit. Unable to locate.No info.on file with BOH leaching chambers,number: _leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions_ overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: NA (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool-, Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: N.A._(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation,etc.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles S Tncnartinn Fnr F/1 9 r Page 10 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 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. w OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Title S TncnPrtinn Rnrm A/1 1;iInnn 10 Page 11 of 11 Property Address: 364 Mitchells Way,Hyannis,MA Owner's Name: Dennis Coleman Date of Inspection: October 14,2008 SITE EXAM Slope ` Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water_20 feet Please indicate(check)all methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain: Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. Additionally,existing site and abutting site topography does not indicate ground water to be within 4 feet of bottom of leaching facility. Test holes in the area on file do not indicate ground water within 20 feet of grade. f Titles S Tnenartinn Rnrm AM rVY)NI 11 LOCATION SEWAGE PERMIT. NO. d i;l L A C E ;0 —p077 I N S T A LLER'S NAME & ADD.RESS y e-oj Iliad R U It D E R OR OWNER ►7!5-t.e--lag iG: ;,a 62 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 C�� /mac, 'x i l � •� �yi � �,� _ R� �- o �` f �- I i i - o J No.....71��....... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ......... .........OF........... ..................I...... .................... Appliration -for DiiiVaiial Workii Tutuitrurtion Vrrutit XApplication is ereb ma for a Permit to Construct (P�or Rep it an Individual Sewage Disposal Syst cati d ess Lot No. ..... .. ........ ....... �L�....f I. ...............I... - ------------*---------------"------ .. ........... ... -- -- ----- --- - -- ----------------------------------- �w e I s ler Address U T of Buil iy /Size Lot----------------------------Sq. feet Dwelling ----- 111-No. of Bedroo .........................Expansion Attic Garbage Grinder Other—Type Of Build* 0. of ersons S odvers Cafeteria ---------- %------------------------------------ Other fixture ------ ------- .. .. .. Design 0 Flow,............................i ..� .-gallons per person per day. Total daily flow--------------------------------------------gallons. 9 septic Tank Liquid c�ipacitv I gallons Length................ Width.........--.-.-..Diameter__._...._.._.__ Depth.--_____...._: Disposal Trench—No.—-----------------*Width-_-_---.---_-------- Total Length................._._ Total leaching area....................sq. f t. Seepage Pit No---------/----------- Diameter.................... Depth below inlet_._____________---_- Total leaching area------------------sq. f t. Other Distribution box .(�) Dosing tank ( ) Percolation Test Results Performed by----------- -------------------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................._. Depth to -round water---------------------_- Test Pit No. 2................ruinutes per inch Depth of Test Pit......._........_... Depth to ground water_-.-_-_.-_--_---____---. •---•------•-----------------•----•-------------------------•-----•------------••--------------------------------------------------------------------------_ 0 Description of SoiL.------_............................. .......... ....................... -------------------------- ............. -------------------------------- -------------- ...... ....... P � ------------------------------------------------------------------------------------------------------------------- ----- --------------h 4�----------------------------------------- U Nature of Repairs or Alter, ions Answer hen applicable................. -------------- ........... /- --------- ------------------- ----------------------------- Agreement ----------- X ---------- /U --------------------------- ---: r J`G vccL The undersigned agrees to install the aforedescribed n i ,e Fvr waWisrp4i-al Syste i u aecfr(K'ai the provisions of Article X1 of the State Sanita�� o The undersigned Vher agrees not to place the system in s operation until a Certificate of Compliance has �_sby th f ............... ----- ------------- .. .... .. Signed--- --- .. ..... .....2;�----- ...... -------7 Date Application Approved By................ �(..........................................--------------------- ----------/-/ As- 7--- Date �,---- --. Disapproved for the f;llowing reasons:.'........ ................................................................................... --.............. ......................................................................................................................................................................................................... 7 a Date 6 _ Permit No.---------i Issued---------- l....................................... Date ------- -------------------------- -- -------- No.... _: ........ F>�>�....1, ../J.. ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... ... .... .. ..................OF..................................... .... ............. - ........... Appliration -for Di.ipoott1 Workii Towitrurtion Vrr-,ntit Application is ,ereb 'made for a. Permit to Construct ( /�}or Re it ( ) an Individual Sewage Disposal . Syst ........ '=- :- ........... .......... . -_---------------•-----------_--_ _ cah dress Lot No. ---•----------------- ----.................... W -caner dres t-a - ______________________________ Installer Address of Buil i g Size Lot____________________________Sq. feet ' Dwelling No. of Bedroo -------- #_________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Build .` o, of ersou Sowers ) Cafeteria a' Other fixture - --•-------- ) gallons per person per day. Total daily flow............................................gallon~. W Desi n Flow --------•--•------------------------xx P4 Septic Tank , Liquid capacity/Af!_-gallons Length................ Width-----------.._.. Diameter___-__------__ Depth................ 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 (k Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date_____---------------------------------- a Test Pit No. 1................minutes per inch Depth of "Pest Pit_----------------- Depth to around water......-----------.-----. (� Test Pit No. 2................minutes per inch Depth of Test Pit._-___.__.__________ Depth to ground water__.--.__-__._-_.-___-. - ..•-•-•-•--•-------------------------------•'----•---•-••------------___._..__...•-••----_.___'-----......................................................... O Description of Soil-_-__ .-.____._ - y-_______ ____________ U -----------------------'•- y" •---- Vf',� G -----•-�� f _ W --- ------- ------------ -- -1k ----- ----•-- --•-----------_---- ----------1✓��lrlr+ °�4' T"-f--'� f,�tF'`� -------- �+ V Nature of Repairs or'A1terations—Answer when applicable. .__--- __ ____ _________ joy .---____. ,�tis-_ r Agreement: C 6 r r� ----•/% e5+v The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanita o e— The undersigned 9/they agrees not to place the system in operation until a Certifi45.�cate of C© ?P,�Si red. - ssued by t 3 x Y f thr / Application Approved BY.......... / -C y= ,::.................. Date Application Disapproved for- the f olLowang zeasons x ' a •--- • - -•--- -------- -------- -------- ----------•---•-------- ...............................................................-------------------•----------•----------------------------------------- -------------------------------------------_.......------••--•- Date PermitNo. "'r --------------- -----------•---- Issued....................................................... Date THE COMMONWEALTH OF,MASSACHUSETTS BOARD OF ,-HEALTH �rrtifir tp of fromtal �tnr THIS IS TO CERTIFY, That the Indivi al Sewage Dispy��" nstructed ( ) or Repaired by.._.....e _._••••• --.ty •. ..... ---• _t.'. ...".'- --------------•--•-------•--•--------•--- I Installer at------------40 "'�---- .............................--•-•--------------------------••-•-••-•• - has been installed in accordance with the provisio"fs of article XI of The State Sanitary Code as described in the applicati Disposal Works Construction Permit 30 _______________________ dated. ../ :" _74 ........ TH ISSUANCE OF TH.'IS CERTIFICATE SaAL,: NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM INIL FUNCTIONS TISFACTORY. DATE Inspector j/--� �_____:______ k t � .�,.^, i� �7 wvt..°,� ,ti�' •�a.,ty�41�:.;�'� bCl.n��M r:F:���zL,M+t �-�'.s'J .. .. � �. THE COMMONWEALTH OF MASSACHUSETTS BOARD O'F""HEALTH - C, � ....O F.... ..eft s �'L*,r�! ".............................•------• ,No. � `� FEE... 5_._-� ,� z�rk,� �on�tr�trtion rrutit Permission is hereby granted----------:%:-�AIf=' ?'G-ev. to Construct (4) or Repair ( ) an Individual Sewage Disposal System atNo 4.191"_...___/10 '----- - -- ------ ---------------•-•---•------------------ ------------- Street as shown on the application for tl�tspgsal Worts Construction Pe m.-Ait N Dated_-_. I , �. ) �,,,.f •c.1•y�5�..� - -•- � DATE____-J b Bar f F t'� of le FORM 1255 HOBBS &,WARREN, INC.. PUBLISHERS r a r ,r -7] �. IIOT ,5 2 II � 1� G) � 9 5). 5 /0 TG a 30 p W O u wi�s►,F-Y C. lj 0 p Ws0Q 5T vx �9PT�2�x. L a c.9 Tio ti/ • OOF Ex/ST/niG . S41v/T/9 R/ SYSTE/ au WORKMANSHIP AM[) MATt;KIALS SHALL CGN1=0F�M -rL) FK0YI5l0ti15 OF- R1;.Q, E, �TIT�E 5 G,ND THE `�aWN OF 13ARNSTASL-1✓ I�'ULeS AND F.'16ULATI0NS .'FOR sU�s�J��AcE: vise%sAL of SA►.i iTARY SEWA(a�-:7 Z) VA2)i9 n/C E 2 F100 r- u/ELL 7-0 LE/9G/—//A/ 6 Pt T 'A OF RICHARD fA 1AMES O c O`HEARN RICHARD ` LE ,END �0 1AMES No. 17871 t~n 1s U (No EARN cn EXISTING SPOT ELEVATIONS 0x0 �,L�01STEV�o(J�,= v F w EXISTING CONTOUR - - - O- - - � SURy" ;'' r0;ST FINISHED SPOT ELEvATICNS O.O ^''`� `i►R S�i;ITAR FIN/SHED CONTOUR O APPP%OYED: BOARD OF HEALTH CERTIFIED PLOT PLAN IN BAR►...I STAB I--G�' DATE AGENT L4T 1-11;7 M ITG N 1✓LI✓5 SWAY 1" CERTIFY THAT THE PROPOSED RICHARD J- O EARN F�L.S., R. S. jBU/LDING SPOWN ON THIS PLAN /-c.,/ NIAIIV ST. (RTE. 28_) �CONFORIWS TO THE ZONING LAWS LAI-EST DENNIS , MASS . c�F I.3A/2/vs r,9� ��- /✓/Ass. _ DATE. 10/IZ1-77 SCALE: .F �tT` /3^) � 9cJOt3 Nv. ► I(o cry/E,"JT_ �a/NA/ 17 L....,...s ...-�..........+e -ems..-+.-+-:-. , ,��>..---•z--Rs—1..-.-�—=.-r_--e��._—._•+::•-r--mac.=-�>>..^- - i..a_�__cyc:i���z-�=r---r^-.� CLEAN SAND Fc - /Oo • o /GET ��/.v CONCRETE 4 SCN. 40 - PVC PIPE CONCRETE COVERS COVER e.. N1/N. P ITC H PER FT. 2Z14w 3 /2"MAX. PITCH FLOW i �. LInIE N 2" LAYER 7CAST IRON .t oY /�' o 0 0 , of /8= /2 PIPE MIN. PITCH "pER PT D/ST. o j o WASHED STONE ll U E,D S TONE BOX o00 ' 0 314 o w 4 o WASH N o W -FcFv /DG O GAL. o 0 . ° PRECAST LEACHJNG SEPTIC 4 W o PIT OR EQUIV. 0 TANK �o,4�� F 4 F.T. susso/c INVERT ELEI/ATIoNS /G FT ��/w - /8 " /i� //� INVERT AT BUILDING % 7• 6 FT. IAILET SEPTIC TANK 97• Z FT. GROUND WATER TABLE OUTLET SEPTIC TANK 9 7• o FT. SECTION OF INLET DISTRIBUTION BOX `�6 FT. SEWAGE DISPOSAL SYSTEM SRw� 04ITLET DISTRJBUTION BOX 96•s FT. NOT TO SCALE INLET LEACHING PIT 9G• D FT. ---- SOIL TEST _ I4t4'_ DESIGN CALCULATIONS DATE OF SOIL TEST /� 7 ^v° NUMBER OF BEDROOMS WITNESSED ,BY �2 PERCOLATION M/N INCH. P�tH OF GARBAGE DISPOSAL UNIT. .. . . . . . . . . . . S/DEWALL AREA z• t GAL.IS.F, a`� ss� RI CHARD �^ � CHARD TOTAL ESTIMATED FLOW .. . . . .. .. . .. .. . ... .. . E z U GALIDAv BOTTOM AREA 2, 0 GAL/S.F. �° RICHARD U aAMES ; .�_ GALIBRIDAY X 2- $R EARN ELEVATION = 97. / OJAMESNEARN �' No. REQUIRED SEPTIC TANK CAPACITY........ 3 3 0 GAL o. 690 ti � � y A .—o � N O 2 C/ST ACTUAL SIZE OF SEPTIC TANK ¢�� TE�; TO .BE INSTALLED. . . • /D D G GAL. SANITAR%F� su r3 so/c - LEA CPING PI T(S) /- /OFr DIAMETER, REQUIRED LEACHING AREA . . . . . . . . . • .. . .. . F 77 . EFFECT/VE DEA:'rH SrAF3 c MASS ACTUAL L EACHI/V G AREA 267 S.F. 6 FT. EFFECTIVE DEPTH RICHARD J O'NEARN,R.L.S.,R.S. RE SER vE L E�4CH/NG AREA G 9 S.F. WEST DENNI s S MASS. JOB NO. C__7/VATE2 _ E/ /e0(J/V TF/L� -_ j)17 = -1 DAT%D /3�7 SHEET Z OF L _--------------- PROVIDE PRECAST CONCRETE T.O.F. EL.= 48.9'± EXTENSION RISER WITH CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE 1 % GENERAL NOTE S COVER TO WITHIN 6"OF F.G. OVER INISH GRADE OVER D-BOX= 46.4'± FINISHED GRADE OVER BIODIFFUSERS= 46,0 - 46.8 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS - ----r INLET AND OUTLET COVERS. SLOPE @ 2/o MIN. INSPECTION PORT WITH ACCESS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY FINISH GRADE �- REMOVABLE WATER-TIGHT COVER OVER BOX TO WITHIN 3"OF F.G. APPLICABLE LOCAL RULES. @ FND. EL.= 46.2+ FINISHED GRADE OVER TANK EL. 46.8± RISER TO WITHIN 6"OF FINISHED GRADE (ONE PER TRENCH) 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 5" DIA. OUTLET(S) -__-_ ..- ____._... -_____-- --_-__-- _. ______-- _-- __._ __.____. -- __. . - _ DESIGN ENGINEER. i3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXISTING 4" PROPOSED 4" t PVC SEWER PIPE „ 9"MIN. SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE -. _ � i 36" MAX. 36"MAX. TOP OF SAS/B.O. = 43.93' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 6N 3„ 3"DROP MAX ! ELEVATION =43.93'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS - 2" DROP MIN 3 9 7\- 44.T&± A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF PROVIDE WATERTIGHT THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 10" JOINTS(TYP.) 14" 4"PVC IN FROM �NP) 16"TYP 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SEPTIC TANK 4 PVC OUT TO 0.90 10.75 TYP 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. O LEACHING FACILITY + 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS CONTRACTOR CONTRACTOR SHALL SHALL VERIFY SIZE 48" VERIFY CONDITION OF 12" 6" I NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED 43.50 42.60 (laid flat) 2.875'(34.5")--1 WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 44.00 MIN. ! 43.83 (TYP.) EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 5.0 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 48.00' ESTABLISH ON A NAIL SET TANK NECESSARY 6"CRUSHED STONE (TYP.) 5'MIN. 11.50' IN A TREE AS SHOWN ON PLAN. OVER MECHANICALLY 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH COMPACTED BASE 30.0'(TYP FOR BOTH ROWS) DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE 5 OUTLET DISTRIBUTION BOX , AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 35.73 ENGINEER. BASE. FIRST TWO FEET OF OUTLET BIODIFFUSER PROFILE BIODIFFUSER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE PIPES TO BE LAID LEVEL. WATERTIGHT. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE CROSS SECTION VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE DISTRIBUTION BOX DETAIL 12 - ARC 36HC (#3616 B D) BIODIFFUSERS REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOT TO SCALE NOT TO SCALE APPROPRIATE AUTHORITY. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED TEST PIT DATA UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND N. SPECIAL NOTES: ; + •• !„, H-20 LOADING, OR AS INDICATED ON PLAN. • PERC NO. 12587 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF : • INSPECTOR: David W. Stanton, R.S. 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. EACH SEPTIC SYSTEM COMPONENT. ' . o ! EVALUATOR: Michael Pimentel, E.I.T. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE M 0 C.S.E. APPROVAL DATE: Oct. 1999 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF ZONE 2 ' DATE: June 8, 2009 UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST f TEST PIT#: 1 w. E. PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL • '� • j - 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. • ELEV TOP= 46.40' CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. MAP 291 � �• '� � ELEV WATER= <35.73' 16. PROPOSED PROJECT IS LOCATED WITHIN: `- PARCEL 06 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. ' • W -i PERC RATE _ <2 min./inch ASSESSORS MAP 291 PARCEL 07 Q MAP 291 30 DEPTH OF PERC PARCEL 05 ] = "-48" t✓� FEMA FLOOD ZONE C ON PANEL# 250001 0005 C tV �4°06� C.0 °0 j TEXTURAL CLASS: 1 OWNER OF RECORD: MIRIAM C. COLEMAN &JOAN C. DOZIER o _ ADDRESS: 364 MITCHELL'S WAY HYANNIS, MA 0 I 0" 46.40' m � s z - MAP 291 �. Fill Q 45.40' 17. PLAN REFERENCE: PLAN BOOK 172, PAGE 147 i PARCEL 07 j 12" Loamy Sand a ill 21,290 S.F.± /! A 10Yr 3/1 j Z 14" 45.23' 18. DEED REFERENCE: DEED BOOK 17722, PAGE 338 Loamy Sand 0 0 B 10Yr 5/6 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 0 o w N 6 wo 30" 't 43.90' 20. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY FOR o0 0° Benchmark MAP 291 + Perc SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF cn Nail set in Tree 48" 42.40' THIS PLAN OTHER THAN ITS INTENDED PUPOSE. / Elev.=48.00' PARCEL 04 / Approx. M.S.L. • / j , ji CCr C Medium-Coarse Sand 48 / / 48 / PROPOSED INSPECTION PORT (5-10%gravel;el; some I x 'IN�/L� WITH ACCESS BOX TO GRADE cobbles) X O�pj / (TYP OF 2) TRF , LOCUS PLAN 128" 35.73 _: SCALE 1"- 1000' Standing/ APPROXIMATE LOCATION OF EXISTING No Mottling, g or Weeping p g Observed I PAVED DRIVE 46- LEACHING PIT TO BE PUMPED, FILLED WITH CLEAN COARSE SAND&ABANDONED TEST PIT DATA / DESIGN DATA PERC NO. 12587 LEGEND wAL w J F INSPECTOR: c R.S. O' TP2 David W.Stanton, EXISTING SPOT GRADES Q j �M. `� as.a' �P i SHEZ`' NUMBER OF BEDROOMS ASSESSOR'S 2 x 50 w >d �, 46 0° ( ) EVALUATOR: Michael Pimentel, E.I.T. 0 W X DECK �` `� NUMBER OF BEDROOMS(DESIGN) 3 (minimum per Title 5) C.S.E.APPROVAL DATE: Oct. 1999 - - 50 - - EXISTING CONTOUR U) >_ )I _47 24.3' J d x 1L DESIGN FLOW 110 GAUDAY/BEDROOM DATE: June 8, 2009 J o_I � PROPOSED SPOT GRADES x TP 1 TOTAL DESIGN FLOW 330 GAUDAY uJ p LL O , #364 46.4' �' TEST PIT#: 2 _ W x \E EXISTING \. o _ 660 2-BEDROOM � Y ,,�`' _._--- � DESIGN FLOW X 200 /o - GAUDAY 50 PROPOSED CONTOUR ELEV TOP= 46.40' IU-- o X i / pE O/H/W EXISTING OVERHEAD UTILITIES W DWELLING / tk� °Zp`30 USE EXISTING 1,000 GALLON SEPTIC TANK ELEV WATER= <36.40' � TOF =48.9'± N69 6�I' MAP 291 GAS EXISTING GAS LINE I " `J / PARCEL 03 INSTALL 12 -ARC 36HC (#3616BD) BIODIFFUSERS PERC RATE _ I o o PROP. TOTAL 12 ARC DEPTH OF PERC= W w EXISTING WATER LINE N 46 �5 36HC BIODIFFUSERS �5 � (6 PER TRENCH SYSTEM CAPACITY / ) TEXTURAL CLASS: 1 -� TEST PIT LOCATION X PROPOSED- GA /� / (TOTAL L.F.OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD DISTRIBUTION BOX Fo O O EXISTING 1,000 GALLON SEPTIC TANK (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY -- 0" 46.40' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE x Fill I MAP 291 TOTALS: 4° 46.0T ❑ PROPOSED DISTRIBUTION BOX x / PARCEL 230 j B Loamy Sand PROPOSED 16" HIGH ARC 36HC(#3616BD)BIODIFFUSER x / TOTAL NUMBER OF BIODIFFUSERS: 12 10Yr 5/5 EXISTING 1,000 GALLON !� TOTAL NUMBER OF COUPLINGS: 0 SEPTIC TANK TO BE UTILIZED 22" 44.57' TOTAL LEACHING AREA: 468.0 SQ.FT. r / I Rh AS PART OF THIS DESIGN TOTAL LEACHING CAPACITY: 346.3 GAL./DAY REV. - DATE BY APP'D. DESCRIPTION _ - -- -_- --- - .-__--- -------- --- -_-___ / 3) Medium-Coarse Sand PROPOSED SEPTIC SYSTEM UPGRADE 2.5Y 616 o PREPARED FOR: 0 4) NOTE: (5-10/o gravel; some EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE j cobbles) CAPEWIDE ENTERPRISES HC-1 DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER -- -- -- --- - H . _w,m.., "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST i LOCATED AT MODIFIED JULY 23, 2008). TRANSMITTAL NUMBER=W000052. 364 MITCHELL'S WAY DECK (2 120" 36.40' HYANNIS, MA #364 SWING TIE MEASUREMENTS No Mottling, Standing or Weeping Observed EXISTING (1 -----.-__ ---- --__-__ SCALE: 1"=20' BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: JULY 16, 2009 2-BEDROOM 0 10 20 40 80 FEET DWELLING SHOF TOF =48.9'± DESCRIPTION HC 1 HC 2 ,, "tixg,� BIODIFFUSER CORNER(1) 36.8' 45.5' CNQRN L iu. �� PREPARED BY: JC ENGINEERING, INC. BIODIFFUSER CORNER(2) 25.7' 45.1' 1 2854 CRANBERRY HIGHWAY SITE PLAN BIODIFFUSER CORNER(3) 45.4' 75.0' EAST WAREHAM, MA 02538 HC-2 BIODIFFUSER CORNER(4) 52.5' 75.2' 508.273.0377 SCALE: 1"=20' Drawn By: MCP Designed By: MCP Checked By:JLC JOB#: 1630