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HomeMy WebLinkAbout0093 NOBADEER ROAD - Health 93 'Nobadeer.Road Hyannis 'F/R A 25G 145H00 m "� o TOWN OF B, STABLE �-y- '`0� A'50N • e SEWAGE # VII. AGE G A�'S MAP & LOT 2 J— 1 60 INSTALLER'S NAME&PHONE NO. 5 SEPTIC TANK CAPACITY LEACHING FACII.ITY: (type) (size) NO.OF BEDROOMS r BUILDER OR OWNER 771 UVAP?40I-e PERMITDATE: (I l�If�`7 11/0 COMPLIANCE DATE: 1111 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 r t" o 37 ' LOCATION SEWAGE PERMIT NO. 7 8Z V I L L A G ,J INSTA LLER'S NAME & ADDRESS GUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 4 j f No. `7.. l�5; Fee�v z� THE COMMONWEALTH OF MASSACHUSETTS' Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Miopooal *potem Conotruction der it Application for a Permit to Construct( )RepairXUpgrade( )Abandon( ) ❑Complete System dividual Components Location Address or Lot No. q 3 /Vr1 .,<XC\ c- d� Owner's Name,Address and Tel.No. Assessor's Map/Parcel 950 5 6 i O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size ad I b©/ sq.ft. Garbage Grinder(e01- Other Type of Building No.of Persons 3 Showers(PCafeteria Other Fixtures 22 L A uA p t?'�. &,�GH€-4 �t�� L nQ J©P,Y J Design.Flow � gallons per day. Calculated daily flow 83�I A gallons. Plan Date 1 X I I D O A Number of sheets Revision Date Title Size of Septic Tank oP—2<t 6N- i roa C,Q\ m-, Type of S.A.S. - eC�C� Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4TO-0`cc� - 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 provisiorif of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has a iss d b th' ' and of a gned Date Application Approved Date^Z a/3 Application Disapproved for the following reasons Permit No. O Date Issued 2Z U ±;.Ik No. 5 Fee! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .. ...y cy• Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Migpogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repairj)<Upgrade( )Abandon( ) ❑Complete System /Individual Components Location Address or Lot No. '7 J i\1(j1i C -1pcA , Owner's Name,Address and Tel.No. ��,��-u !\� �4+..� sa- �t� Cat t�vi�iry'ntonlE Assessor's Map/Pazcel 1 �U / 116 t H 5 E Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t v X C aCS• -So PA e �v.�z3r>t„er>ic�! �JC� 604b_ s310 Type of Building: Dwelling No.of Bedrooms Lot Size` � i sq.ft. Garbage Grinder Other Type of Building OC)9- No.of Persons Showers( Cafeteria Other Fixtures LAUA Ivey, �Cr"i'GHE"� S1ok. �1QJop , Design.Flow gallons per day. Calculated daily flow 5 8 gallons. Plan Date M O AC Number of sheets I Revision Date Title Size of Septic Tank Cr 1<I 1 t6 .�,c;\�a Type of S.A.S. i Description of Soil Nature of Repairs or Alterations(Answer when applicable) � r i tf . Date last inspected: s •,r:. Agreement: `- The°undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisio odf Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has - en.iss y . 's Board teif igned Date Application Approved b Date 9 7 3A Application Disapproved for the following reasons Permit No. `Q,0014 S 8L Date`Issued ) C) --tr THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTAFY, that he O site Sewa e Disposal System Constructed ( )Repaired ( )Upgraded evj Abandoned by �rS e at r of {_' r V) has been constructed in accordance with the isposal System Construction pr visi of Title a d the . ruction Permit No.2Q u �$�r� dated 0- 13�b�1 Installer Designer The issuance of this pe t shall not be construed as a guarantee that the , stein will functioli as design d. Date Inspector 7,C-�"� � l No. Q0o T —6 59— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEA MASSACHUSETTS Migpoga[ 6pgtem Cow6truction Permit Permission is hereby grant t Construct( ne air( ) p�•r,�ad )Abandon( ) System located at Q.^ . 12w_' _ 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 thi pe it Date: a� / Approved 4_ ' Town of Barnstable 0 �FIME in _W Regulatory Services Thomas F. Geiler, Director MASS Public Health Division t639- pTE01A0rp Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 , Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: Installer: C Address: ID Address: On pa cO�r ^was issued a permit to install a date) (installer) septic system at based on a design drawn by (address) Sty �nl�)ci)ni �n � Jr sated t a I b o (designer) I certify that the septic system referenced above was installed substantially accordingto the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. p - 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. ���i:Of AdgSs 4 aller CARMEN ti�N SHAY No. 1181 (Designer's Signature) (Affix De 0 , ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVIS N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BAF STABLE LOCATION Ewa ` SEWAGE .. . VILLAGE ASSESSOR'S MAP & LOT a INSTALLER'S NAME&PHONE NO— SEPTIC TANK CAPACITY LEACHING FACILITY: (type) v"V (size) 21�IQ, , NO.OF BEDROOMS BUILDER OR OWNER (7' 0kt'R% J1l0✓!$ i 2 U PERMTTDATE; COMPLIANCE DATE: Separation Distance Between the:. Maximum Adjusted Groundwater Table and 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 s all i ,�I 3b Sep 9 Roberts Septic P.O. Box 1557 Hyannis, Massachusetts 02601 ph. (50S)-778-1898 fax (508)-790-9 732 October 26, 2004 Mr. Thomas McKean Director, Health Department Banstable, Massachusetts re: Giovannone,.93 Nobadeer Road, Centerville Mr..McKean,. Roberts Septic has been contracted to repair existing leaching system at the above mentioned property. A deposit has been received and scheduling has been activated. The estimated time of t completion has been stated at ten weeks plus or minus. incerely, arlene Roberts Roberts Septic P.O. Box 1557 Hyannis, Massachusetts 02601 ph. (508)-778-1898 fax (508)-790-9732 October 26, 2004 - Mr. Thomas McKean Director,Health Department Banstable, Massachusetts re: Giovannone, 93 Nobadeer Road, Centerville Mr. McKean, Roberts Septic has been contracted to repair existing leaching system at the above mentioned property. A deposit has been received and scheduling has been activated. The estimated time of completion has been stated at ten weeks plus or minus. incerely, arlene Roberts •g 1 F i " a` + �� .. , L.I t Dc # 2A i DD za j zm �w 61 ru, r �: 1 CD � _ ��.:. � l ` - � � a L� _� i � � � ,,.�.,.-r., .�. r.. 4 ... 2 _ {F�� 3 ..xa# Town of Barnstable Regulatory Services * * * BBAMMW9rABLE, * Thomas F. Geiler,Director 9 MASS. g �p 1639. Public Health Division TFD MA'S A Thomas McKean,Director 200 Main'Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Louis A. Giovannone Date: September 22, 2004 609 Bay Lane Centerville,Ma. 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. R Several months have passed by since you have been ordered to repair your "failed" septic system located at 93 Nobadeer Road , Hyannis You are reminded that you are ordered to hire a professional engineer to design a replacement septic system and to hire a licensed septic installer..to replace:the system on or before November 1, 2004. You may request a hearing before the"Board of Health..if.petition..requesting same is received within ten days. Non-compliance may result.in anon-criminal ;ticketccitation ofJ00,dollars. Each day's failure to comply with an order of the Health Agent shallFconstitute as a.separate violation. PE E T BOARD OF HEALTH Thomas . McKean,R.S., .O. Agent of the Board of Health __�CC: -Board of Health=- ---- Ino—engineer_plan 1HE tp Town of Barnstable Regulatory Services BARNSTAB Thomas F. Geiler,Director 9 MASS. �pr�o 3�A10 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 a. Louis A. Giovannone Date: September 22, 2004 609 Bay Lane Centerville, Ma. 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. r. A Several months have passed by since you have been ordered to repair your "failed" septic system located at 93 Nobadeer Road , Hyannis You are reminded that you are ordered to hire a professional engineer,to design a replacement., septic system and to hire a licensed septic installer replace theaystem on or before November 1, 2004. =,:!::'You .may request a hearing before the Board of Health`if,petition requesting.same,is ireceived :within:ten"days. Non-compliance may result in a non=criminal,ticket`c tation of 100 dollars.,Each day's failure:to comply with an order of the Health Agent shaltconstitute as a separate.violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S., C.H.O. Agent of the Board of Health CC: Board of Health Ino_engineer_plan �� LACE .. RETURN ....• - 1 YA `KE'°�ti Town of Barnstable Public Health Division200 j Hyannis1n,Street f,MA 02601 r ''i�?S'04 7002 METER 7",0,97 1000 0004 6683 22..94 NOTICE - ,��'Q�� For"�r6uis A. h e ILe,irr ll mev L. terville, 9 ETU RN ! --- en t s PI n WIRE ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B, Received by(Printed Name) C. Date of Delivery ® Attach this card to the back of the mailpiece, I or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 19 ❑Yes 1 -- I If YES,enter delivery address below: ❑ No I I t I I Louis A. Giovannone I 609 Bay Lane Centerville,-Ma 02632 3. Service Type I I - - t ❑Certified Mail ®Express Mail ❑ Registered ❑Return Receipt for Merchandise i ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - 0 0 t (Transfer from service iabei) 7 2 1000 0004 6683 2- 2 9 4 I €l I I PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 __� j ■ p 9 llVY1 � ��i��1L� Er rU m 6FFICIAL _.E I � n � �� Postage $ CCertified Fee 30 41 Post.01 C3 Return Receipt Fee ^� `CHrere (Endorsement Required) O Restricted Delivery Fee \\ O (Endorsement Required) �y Total Postage&Fees $ 4 , 7 Z USP fL Sent To-- .- — ---- — -- C3 I Louis A. Giovannone orPO1 609 Bay Lane c&y,s` Centerville,Ma 02632 b _T i Certified Mail Provides: n A mailing receipt o A unique identifier for your mailpiece n A signature upon delivery a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. c NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece `Return Receipt Requested".To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Cerified Mail receipt is required. i _. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,April 2002(Reverse) 102595-02-M-1133 OF ZHE r cwti Town of Barnstable r �P Regulatory Services *9 BARNSTABLE, * Thomas F.Geiler,Director Mnsa17 59 Public Health Division - Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Louis A Giovannone Date: 4/29/04 609 Bay Lane Centerville, Ma 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 93 Nobadeer Rd., Hyannis was inspected on, 2/22/1999 by John Graci a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: The liquid in the SAS is over the invert pipe. System was in hydraulic failure. Our records show that the system has been in a failed state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street, Hyannis), within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00,The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter: Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422 Failure to comply 'th this order will automatically result in a public hearing scheduled before the Board of Health. T . BOARD OF HEALTH mas A. McKean,R.S., C.H.O. Agent of the Board of Health CC: Board of Health t . k/failed_septic_letters " Septic Inspection Information 2/2211 250 mom": 145H00 ............ ARW 193 `» 9 > [tta H annis John Grad FF 0 ;;;;:.:.::::::........................ iwsri The liquid level in the SAS is over the invert pipe,is in Hyfraulic Failure. ' l', C - -� FAILE : NSP D � E CTION V COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS John Graci DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02t08(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 b TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORCTOWONOFOM ' PART A CERTIFICATION Property Address: 93 NOBADEER RD. HYANNIS MAP 145 LOT12Name of Owner GIOUANNONE Address of Owner: C/O PHILL MCCARTIN R.E.812 MAIN ST.OST ATT.DAN WAREHAM Date of inspection: 2122/999Name of Inspector:(Please Print)JOHN GRACI1am a DEP approved system inspector pursuant to Section 15.340of Title 5(310CMR.15.000) DEPT 4* Company Name: John Gract Title V Septic InspectionMailing Address: P.O.Box 2119 TeaTicket,Ma.,02536Telephone Number: (608)664-6813 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: _ Passes The inpection is based on criteria defined in Title V _ Conditionally Passes code 310 CMR 16.303.My findings are of how the system is _ Needs Further EvaluatiQp By the Local Approving Authority° ' performing at the time of the Inspection.My inspection does X Fails not imply any warranty or guarantee of the longgevity of the " yseptic system and any of its components useful life. .. x Date:2/23/99, Inspector's Signature:., - The System Inspector shall bmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.I 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. NOTES AND COMMENTS s_.. . SYSTEM FAILS TITLE V INSPECTION.THE SEPTIC TANK NEEDS TO BE PUMPED,THE LEACH PIT WAS FULL,THE WAS NO LEACHING LEFT IN THE PIT.PIPE COMES IN ON A RISER,AND PIPE IS BROKEN. t • r 4 �:A revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 145 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22199 INSPECTION SUMMARY: Check A,B, C, or D: A. SYSTEM PASSES: w I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS:. nla B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. NQ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. NO Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _ broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced NJD The system required pumping more than four times a year due to,broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _ broken pipe(s)are replaced obstruction is removed u ki c f .. a # P �'Y,:-•; - a revised 9/2/98 Page 2 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22/99 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has aseptic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nta (approximation not valid). 3) OTHER n(a revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: . X I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped nla. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a 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 I 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.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply' X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST, Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22/99 Check if the following have been done:You must indicate either"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 None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined.Note,if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined In the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [1 5.302(3)(b)) X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. r revised 912198 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION . Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22/99 FLOW CONDITIONS RESIDENTIAL: Design flow:-Q g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):3 Total DESIGN flow: n/A Number of current residents:4 Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): n& Sump Pump(yes or no): NQ Last date of occupancy: nla COMMERCIAUINDUISTRIAL ;* Type of establishment: n& Design flow: nLa gpd(Based on 15.203) Basis of design flow: nLa Grease trap present:(yes or no):M Industrial Waste Holding Tank present:(yes or no): KQ Non-sanitary waste discharged to the Title 5 system:(yes or no):MQ Water meter readings.if available:nLa Last date of occupancy: Wit OTHER: (Describe) DAL Last date of occupancy: n& GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection:(yes or no):NQ If yes,volume pumped nLa- gallons Reason for pumping: nla 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: nLa APPROXIMATE AGE of atl components,date installed(if known)and source of information: SYSTEM WAS INSTALLED IN 1983 PERMIT#83-796 Sewage odors detected when arriving at the site:(yes or no): NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22/99 BUILDING SEWER: (Locate on site plan) Depth below grade: ILE Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: nta Comments: (condition of joints,venting,evidence of leakage,etc.) nta SEPTIC TANK: X (locate on site plan) Depth below grade: Z_ Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nta If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO nia Dimensions: L 9'6"h 5'7"W 4'10" Sludge depth: 1(L' Distance from top of sludge to bottom of outlet tee or baffle: 24' Scum thickness:AE Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: n1a How dimensions were determined: MEASURED 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.) ' SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND RECOMMEND PUMPING NOW AND THEN MAINTAINED EVERY TWO YEARS., GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete metal_ Fiberglass _ Polyethylene_other(explain) nta Dimensions: n1a Scum thickness: n!a Distance from top of scum to top of outlet tee or baffle:-n1a Distance from bottom of scum to bottom of outlet tee or baffle n1a Date of last pumping: n1a 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.) n1d revised 9/2198 Page 7 of 11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22199 TIGHT OR HOLDING TANK: III (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_other(explain) WA Dimensions: n/a Capacity: n& gallons Design flow: WA gallons/day Alarm present: NO Alarm level:jVa- Alarm in working order:Yes_No NQ Date of previous pumping: Wit Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nLa , DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert:Wa Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) nLa PUMP CHAMBER: NO (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) WA revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22199 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n& Type: leaching pits,number: 1000 GALLON LEACH PIT leaching chambers,number: j3& leaching galleries,number: j3& leaching trenches,number,length: nta leaching fields,number,dimensions: nLa overflow cesspool,number: nLa Alternative system: nla Name of Technology: _nla Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS PAST THE EFFECTIVE DEPTH OF LEACHING THERE IS NO LEACHING LEFT IN THE PIT,PIT FAILS, CESSPOOLS: _ (locate on site plan) Number and configuration: nla Depth-top of liquid to inlet invert: nla Depth of solids layer: WA •r . Depth of scum layer. n& Dimensions of cesspool: nla Materials of construction: Wa Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)nla Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa PRIVY: _ (locate on site plan) '^ Materials of construction:nla Dimensions:Wit Depth of solids: n(a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,et,C.) nla revised 9/2198 Page 9 of 11 V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 145 LOT 12 Owner: GIOUANNONE " Date of Inspection:2/22/99 ` SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a ex, PA a v 0C revised 9/2/98 Page 10 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 93 NOBADEER RD.HYANNIS MAP 146 LOT 12 Owner: GIOUANNONE Date of Inspection:2/22199 NRCS Report name: n/a Soil Type: n1a Typical depth to groundwater: nla USGS Date website visited: n!a Observation Wells checked: Mil Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater, 12 Feet P Please indicate all the methods used to determine High Groundwater Elevation _ Obtained from Design Plans on record _ Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions _ Checked with local Board of health _ Checked FEMA Maps r _ Checked pumping records ' _ Checked local excavators,installers ' X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS. e . . It, c - T _i _ - 4. .. - �. .. 9 revised 9/2/98 Page 11 of 11 THE COMMONWEALTH OF MASSACHUSETTS '` BOARD OF HEAL/TH \\J -------- ..��' n OF........ r"i1., A61.._7........................ ApplirFatiuu far Uispmi al orkii Tonstruitiou Finutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an nd`iv du S `. g Dosa' l System at: - vI l( v 'v1 g i-�.......ltl ,/6a Ia,Z_-r:...9 r Lot tom✓ ��. _..._ Ire..r.... - JJ Location-Address 7_ / o/Addre so d ..................... .4r._ ........o/_er.,s !�1 _ ..f o l� d21�..�`l ... . .... ......_ --------- - ------- Installer -••.--------•-'-•----.....•..^.•-• s Address U Type of Building Size Lot.. �yl�4K..Sq. feet Dwelling—No. of Bedrooms............... -........................Expansion Attic ( ) Garbage Grinder ( ) '_l Other—T e of Building No. of persons............................ Showers PLO YP g -----•---•---•-•------------ P ( ) — Cafeteria ( ) Other fixtures t1l --- --•------------------- W Design Flow...................• ,2.___........._..gallons per person per day. Total daily flow.__............. l�.......__:...__gallons. WSeptic Tank—Liquid capacity,/e-W.®_gallons Length......:5:1 Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.._.... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./----------- Diameter......... >141 Depth below inlet.._„f............... Total leaching area2�� sq. ft. Z Other Distribution box ( t l Dosing tank ( )` Percolation Test Results Performed by._/ r'C�� � CWlYL. l �S7. t Date...... ........... /P �JTest Pit No. 1..' _Z--____minutes per inch Depth of Test Pit------/Z.I...... Depth to ground water....t10..12�:. 44 Test Pit No. 2................minutes per inch Depth* of Test Pit.................... Depth to ground water._-_____------------_--- ---------------------------------------------------------•--------.......-•-•-•---•-•--•--•-_.._. ----•-•-•••-----••-- Description of Soil -� ' T! _...'r �.�z�xfr' •�-",``•r- ............ f W •••-••.......... . ------- - --- VNature of Repairs or Alterations—Answer when applicable..________________ __.....___........_.__..._............•......................._........ Agreement: The undersigned agrees to install the aforedescribed Indi 'dual Sewage Disposal System in accordance with the provisions of TI1PTIE 5 of the State Sanitary Code— he u dersig ed further agrees not to place t e sys em in operation until a Certificate of Compliance has be is ed y t bo of health. Signed..... . e ApplicationApproved By............................................................ ------------------------------------ •-•--• -- Date Application Disapproved for the following reasons-------------------------------------•-------------=-------------------.••••••----------•--•----•-••......------ ....-•-•------------------------------------•----...---------....--•------•--------------....------------•••••••-••••-••--------•--•-•••-••-•------•---•••---------------•----••------•--•---•-•••------ Date PermitNo......................................................... Issued_....................................................... Date •f t nr Y No......................... Fim.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF........./:. 3 r" ..S.TQ.61 ................................. Appliraa#ion for Dhip oaal 3lorko Tonstratrtion 11amit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: ................... . A.1 k, I-ei u,(lXf. .../ +rn,5?v kX� e Qt5 . Location-Address or Lot No. .....................,.1 ........?-L -! ---•--.....•.__..�Z.. .. �r �ar �� - � ? Owner Address ........... ......... ........ Installer Address Type of Building Size Lot__L� .. '¢-_`.....Sq. feet .., Dwelling—No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ................................................................................................ Design Flow___________________ ................gallons per person per da . Total daily flow................ 30.____.________.gallons. WSeptic Tank—Liquid capacity,*Wji�.gallons Length__--, I' ..Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width..., .... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------/----------- Diameter......... Depth below inlet___........... Total leaching area2�.SZsq. ft. Z Other Distribution box ( ✓' Dosing tank ( ) a Percolation Test Results Performed by._/ !'G� �_ C IY.�f'� N/ oG, Date.......✓/!5?v ........... /D _,57 Test Pit No. 1.. .—-----minutes per inch Depth of Test Pit------ _.._.___. Depth to ground water_,_i✓O -.-. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .--------•.............•-----•••----•----------••••••---•-•------••-•-----------.....--•-- ----... ... Description of Soil............ld-z ............ V ----------------- .'�=�^p• Q'r �'�Z r Aic� , C/ mot Q .'r�4?tv. _ �a.:..T®. � ,�,_Q f_! '.,�2,�? - /l.. ........... >�i-%�// V 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 TIT-TE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed....................................................................................... ................................ Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons-------------------------------------•-----------------------------------------------------------------.......... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............:.: .. ........OF.......... . �e .;.�............................. Curdifirtttr of Toutplittatrr THIS IS TO CERYWY, That tb4 Indi )dual ewage Di posal System constructed ( ) or Repaired ( ) by ..................... -- . �, • Insta Ier has been installed in accordance with the provisions of TIT i 5 of The State Sanitary Code as deri d in the application for Disposal Works Construction Permit No------ "_ n ........ dated-.---- ... . . ..THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WILL UNC ON SATISFACTORY, DATE....l y.-- `� .....-_ Inspector_.. ..._ THE.COMMONWEALTH OF MASSACHUSETTS BOARD-. OF HEALTH ......O F......... . .No.._:_� ... .t FEE..... i r at1 rk it Orrutit Permission is hereby granted----- = ...................................................... to Construe (a ) or Repair (,g,. an In vldual e, e Dis al •---•---.-•--- Street on as shown on the application for Disposal Works Construction Permit No.. `__70 ated_.__,_-___L_..!`.... , !.______.... ----------..................... ---_-•------•-----•---•---- Boar o eal . DATE................................................................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - I J i °. 51rE fLAN TYPICAL PROFIL E NOT TO SCALE �" SCALE /8"ST0. L T. WGT C.l. MH COVER 4"CI PIPE 4"BIT. FIBER PIPE TIGHT JOINTSAo + FL W / QIUTLET LEVEL - O--L NE _ TO FIRST JOIN OWEL LING (ol l2 10 /4 O O + ' A� " C./. TEE C.I. TEE STANDARD PRECAST 'f Q— +�' CONCRETE�GAL LON ' 60,oD ' : • SEPTIC TANK DISTRIBUTION BOX ; TO BE INSTALLED ON LEVEL STABLE BASE .F SEPTIC TANK TO BE INS TA L L ED ON LEVEL , STABLE BASE .y J r CLE,I\I�1 vuT 3v D 'A. �L55•U Ito I TO � P T H ra a c r ILL 2 - //8" TO 1/2" WASHED PEA STONE EACH/NG P/T VJ/ SU T A i5 L 1r N\qT E M AL ALL AROUND FREE OF IRONS, FINES BASE TO N LEVEL T D F'IZ IF-fA67 '��lC • `� AND DUST IN PLACE _ _ E A A 7 1 N: _ ZBRICKS �- 3/4" TO l-1/2" WASHED CRUSHED MORTAR COURES AS REOU/RED TO BRING STONE ALL AROUND FREE OF COVER TO GRADE 24"C.I. MH COVER IRONS, FINES AND DUST E PLACE AND FRAME 5 T b• P R !r G A 5't' G O!.!G � �►cp 9 -� 4" - _ -;-`� _ ^ - ` _ _ _ LEACHING PIT SECTION- INLET 8' FLOW LINE - - --- - �' PlP£ �- I. CONCRETE TO BE 4000 PSI 28 DAYS VA 2. REINFORCED WITH 6" x 6" NO. 6 GA. W.W.M. 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. i f OPENING WITH 4-//B" 4. NUMBER OF PITS REQUIRED pU� OUTER DIAMETER S NOTE EXCAVATE TO ELEVATION 5i ' O OR LOWER AS ` I 1-3/4'' INSIDE DIAMETER _ 3" REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE ,EXCAVATED MATERIAL WITH CLEAN I I' GRAVEL TO DESIGNED GRADE . • P `�`��J � o ' Z '- v" 6'- 6' IN. EFFECTIVE DIAMETER (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) + r� A, L yC 5I`i`.�C 15 L/ ! D - -.. . WATER TABL SOIL A ND FERC. DA TA - GENERAL NOTES � A o c tJ 0 2 0 A � PERC. RATE �z MIN. /IN . F I�S7 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD V,/ .4`'l � TEST BY: _��`' G� �Lp (1,JM-WAt2WIeV. , �`��oG ) PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY J o !-1 � J J A C OE51 b, �, N. J ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR EL. � ' o _ DATE : IG' " 63 MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO. I TEST PIT NO. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977, 0" O" ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE Z TUP 5��F3'S�il BOARD OF HEALTH. O+�tP4cTED SA�7D AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE �• A U D 1- IIJF ? C> BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. ti1EC�1UkA PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED Imo, 5AQ D � Lit 0 OTHERWISE. NO Ca fzoo ki D\cl.^.'E K DESIGN DA TA BEDROOMS '� DISPOSAL N y t` EST. TOTAL DAILY EFF. '- '�� GALS. L EGEND _ SEPTIC TANK ( a0o - GAL. SIDEWALL AREA z' S GAL./SQ. FT. BOTTOM AREA ( GAL./SQ. FT. Oxoo EXISTING GRADE LEACHING REQUIRED 102•�5 SQ.FT. SEWAGE DISPOSAL SYSTEM ZONE o 0o FINISHED GRADE ACTUAL LEACHING AREA ZF'I' S2 SQ.FT. FOR (2 U "5 ' y y-,•I q ©. oo Ir'V�FtT ELEVATIONDOMESTIC WATER WATER SOURCE f '`�' T _ L.Y __._. N � A a >✓ y � v A• f� — '= --»- P' Ak' RTY L i>r+1E �•�,�, ,�^M OF AFC A J "j tY (.L\/ I L.L r. o 27A. m#J 57,A - PLAN REFERENCE '-. - a ; rx. 'r� r f a,.� \ + g,„ 4 y@ SCALE AS INDICATED DATE 4uT �� AT DI� r WA #' F Yi,Neia' BENCH MA iK'.�J�TUM ' .,, WM. M. WARWICK 8 ASSOCIAT�'•S BOX 801 — NORTH FALMOUTN Y ♦ tell. 12 . • : }l�•1 ._v '1"'�.., 6^/ ti' - '.e••1.1_�6."i � mA ssAcHv s rTS .. 02,1V b r qr �- S/TE PL A N T YPICAL PROFIL E SCALE — I - ��'' �� �� , 4-4 NOT TO SCALE 18"S TO. LT WG T C.1. MH COVER 4"C-I PIPE __ _ 4"BI T FIBER P/PE TIGHT JOIN TS _ __ OUTLET LEVEL FLOW L/NE TO FIRST ✓O/N O -v DWEL LING -- l01, l2 ! 10 14'AO C.I. TEE C./. TEE (00•t7 v STANDARD PRECAST T4'r---- —� CONCRETE I 1 L'✓ GALLON 60.Op SEPTIC TANK ' „ DISTRIBUTION BOX B TO BE INS TA L EL) ON -� LEVEL , STABLE BASE SEPTIC TANK r TO BE INS TA L L EC ON LEVEL , STABLE BASE , CLI=AQ ouT 3v D ,A►. ' L55.0 _�- - H TO Io' PE PTA fi P!, ACV-PILL 2"- l/B TO 1/2" WASHED PEAS`ONF LEACHING PIT W/ Su i T A I5!. E NAA T E P� ! AL ALL AROUND FREE OF IRONS, FINES BASE TO BE L EVFL h T D. P12 Cold.. AND_DUS T IN PLACE _ __ L EA G al_6 A 5 ►�..r : h __- Z BRICK B MORTAR COURES 3/4" TO I-1/2" WA SHED CRUSHED As RECUI RED TD BRI.N G STONE ALL AROUND FREE OF COVER TO GRACE 24"C. I. MH COVER IRONS, FINES AND DUST IN PLACE A NO FRA ME 5r b. PR t-c A4.T GO WC Z few — (c S E P T t L T nti,l iC ZO O - _-� - _ S (9 - ` _ _ _ _ _ L EA CHING PI T SEC_T/ON— A� �Of- � \ L � � ✓IN'LET -- — '8 FLOW LINE T _- --- - h 0 + I PIPE T I. CONCRETE TO BE 4000 PSI 28 DAYS 'k I T„ 2. REINFORCED WITH 6" x 6" NO 6 GA W.W M. �` �v, \ �•` __L� 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER �� f DEPTH REQUIREMENTS. OPENING WITH 4-1/8" 4. NUMBER OF PITS REQUIRED © OUTER DIAMETER 8 5I • p NOTE. EXCAVATE TO ELEVATION _OR LOWER AS 1-3/4 INSIDE DIAMETER 3„ REQUIRED TO REMOVE ALL LOAM AND CI AY BENEATH PIT. REPLACE .EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE . 4 0 Z ' 6 6 I i MIN. ' ---- ' EFFECTiVE DIAMETER (NOT TO EXCEED 3 TIMES EFFECT'VE DEPTH)) t \A_, A L K � 5 �^T• � 15 ' "4I � L - -.�� WATER TABL -- -- - �; cjv�{i•P7 ` SOIL A ND I-ESC. DA TA GENERA L NO TES e ,2 O A (D PERC. RATE L MIN. /IN . F 7 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM 50 1� A'"( I TEST gY : _P�Rvc-� N•�- . . (WM-WA9z UIeV, cc. SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD PRECAST REINFORCED CONCRETE UNITS WITNESSED BY: J o l-t d A G a p 1 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR EL.: � ' DATE IC' 3 MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO. I TEST PIT NO. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. 0" - 0" ANY CHANGES TO THIS PLAN MUST BE APPROVES BY THE TUP L BOARD OF HEALTH. �oMPACTEp �jAll� AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE �. ANJD 4�- 10F1:�2 �. i D F-5 60ARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. ti'ICDIUkA PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED 5AQ D wl r-;-, o OTHERWISE IZ` DESIGN DA TA BEDROOMS — '� DISPOSAL tij EST TOTAL DAILY EFF -_GALS. LEGEND — SEPTIC TANK GAL. SIDEWALL AREA Z 5 GAL./SO. FT F. 90TT AREA I o -GAL./SO. FT SEWAGE DISPOSAL SYSTEM o x 00 EXISTING GRADE LEACHIHI NG REQUIRED I `�'�'''�� SQ.FT r_ ( oo FINISHED GRADE ACTUAL LEACHING AREA Z�I` ��2 ZONE L so.F T. FOR / �"� _ f2 U G: T INVERT ELEVATION DOMESTIC WATER SOURCE: T y =" - o 00; L � 'l � ��!'� I_ a r PROPERTY LINE LMp L_�_ �• �' FAq C� v I r~ 2-5, t2 0 hT /1. /N e e 1� PLAN REFERENCE /�. - - - MEAN .HrGH WATER SCALE' AS INDICATED DATE : '� I�_ 83 BENCH MARK DATUM _ Y :� �' �'_ jt �_ .� MARSH _ �, �� , WM. M. WARWICK 8 ASSOCIATES ' BOX 80I - NORTH FAL MOUTH ., MASSACHUSET TS 02" 5, 6 C; Y .- .. __ ... .. .. _ - ., �.a..tt.-w .�a ._..:_Y`wA .Ki�'.C...�.9�'A�i'.�.' 4Thl �� }. -... 'Y.. - .. -. •S ^w $. *NOTE: AI t PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (® Least 24 inches tall) .SECTION A -A 10' min. from - Schedule 40 PVC w/Charcoal Odor Filter _ MI OUu I PIPES FROM RiL Existing Foundation house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM DISTRIBUTION Box SHALL BE 12' - U-BOX Cover must be SET LEVEL FOR AT LEAST 2 FT CONCRETE COVER TOP OF FOUNDATION -- LLEV. 100.00 (Assumed) Septic tank covers must De within 6 m. of finished grade 3" of 1/B' - 1/2' Washed Peastone within. 6 in. of Finished grade '-r Crude over tept�c Foak 96.00 -Grade over D-Box -- 96 00 t;rude over SAS - 95.50 --3/4" to 1 1/2 Washed (_rushed Stone �� �` !I 3 - 5'OUTLET - T"''r`'':.'. 2 '••+*.. KNOCKOUTS `Fd.-., / C\` 4' PVC (CARPED) INSPECTION PORT TO BE - 5.5• S 0.02 INSTALLED AND TO BE WITHIN 6. Or GRADE , r OUTI11 ( 3 HOLE H-10 Top Load - Elev- =91.25 � 12' INLET s J•• - IST. BOX S' Maximum Cover ' --- _ _ _ Top OF Syaem- Flev. =90.50 ..� ,-� .�� _ _ � Ill 16' Exist.G - 0 01 or Greats=_ S- 0.01• per foot !- 10" Etfecfive Depth '• t.JS•� t, Exist. PIPE - `v o 1,000 GAL. ---- __ __ w - !• !S NlrpadFter l{r .� rn SF_PTiC TANK Er FROM EXIST. FOUNDATION N H-10 �` - 12 _�_ _ c 4" SCH. 40 T \` }�,,.�• f � -"•p'"� ' .i} �' 6 ese. rn .D - _ Units a b.zs 3t, PLAN SECTION_ CROSS-SECTION j f o CONCRETE FtAl FovNLIA a', _ _ n rn o I0.83' (10 inches) 3 - ---31.25' y N - I SYSTEM PROFILE 6 in.of 3/4'-1 1/2' c „. >' --- 37.25-- 3 HOLE H-10 DISTRIBUTION BOX "� I1 compacted stone y u �` ap Effective I en th NOT TO SCALE Not to Scale c o d I ` 9 c ap 6smrta6 e 4N y �-- -y l �- ------------ ' " 4' 4' ll S❑IL ABS❑RPTION SYSTEM (SAS) r ®7JC�RaMMtNitvSCroaydv30tNA:TEc s In.af 3/4'-1c1/2' 05 INEILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN I GENERAL (MOTES 0 0 compacted stone EFfective Width - - (OR EQUIVALENT) Not to Scale NOTE: ALL COMPONENTS MUST HAVE RISERS 70 WITHIN 6" BELOW GRADE o Bottom of Test Hale 1 Elev-a2i.50 n 1. Contractor is responsible for Digsafe notification No Groundwater observed O 144• NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" and protection of all underground utilities and pipes. __ _ _ __ ___ . 2. The septic tank and distribution box shall be set level on 6 of 3/4" -1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance P E P C 0 LAT I 0 N TEST with Title V of the Massachusetts state code, the approved plan - 90.00 -- } - -- - - ---- -- - - and Local Regulations, 6. If, during installation the contractor encounters any Date of Percolation Test: DEC. 9, 2004 soil conditions or site conditions that are different Test Performed By. CARMEN E. SHAY, R.S., C.S.E. _18'_ Foiled from those shown on the soil log or in our design Results Witnessed By: WAIVER(per Barnstable B.O.H.) _ Leach Pit installation must halt & immediate notification be EXCAVATOR: Shay Environmental Services, Inc. ---- --- made to Carmen E. Shay - Environmental Services, Inc. Percolation Rate: Less Than 2 MPI ® 24" �7.25 \ 7. No vehicle or heavy machinery shall drive over the f_4 =:�'-. ,�- septic system unless noted as H-20 septic components. - --- r28.5' ; �; r:;:' •_ :rs 4" PVC 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. • ti., .r,. :,;a,= t' VENT 30.5 9. All Distribution lines shall be 4" diameter Schedule 40 NSF PVC pipes. 10I Test Hole 1 -- " 1 10. All solid piping, tees & fittings shall be 4" diameter NO. 1 i 96' i 961 Schedule 40 NSF PVC pipes with water tight joints. DEPTH SOILS ELEV.' TEST HOLE 1 D-Box � 11. Municipal Water Is Connected to ALL OF The Residence and Abutting 0 95.50 ELEV.= 95.50 Properties Within 150 Feet. Loamy � 32 Sand THE PROPERTY LINES ARE APPROXIMATE AND 10 YR 3/2 EXIST. 1000 gal. O - COMPILED FROM THE SURVEY PLAN GENERATED BY 0"-4• A 95.25 Septic Tank DECK COLONIAL LAND SURVEYING CO., OF HANOVER, MA ENTITLED ��Loamy PLAN OF LAND IN CENTERVILLE, MA" PLAN # 40592-C SHEET 2 -_ -- Sand - - -_ 1 __-_ DATED DATED APRIL 30, 1982, 10 YR 5/6 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 4"-42- B' 92-00 c9 ` IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Medium --- �` \ THE SEPTIC SYSTEM INSTALLATION. Sand EXISTING 1 - 2.5 Y 7/4 I � 3 BEDROOM 1t LOT #13 EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE OR 32"-144' C, _ 63.5 1 LOT # 1 1 _-- HOUSE 11 REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE #93 I FROM THE EXISTING LEACH PIT TO BE DISPOSED I \ I OF AS PER BOARD OF HEALTH SPECIFICATIONS. kn _ _ �1 �1 NO WETLANDS ARE PRESENT WITHIN 200' Of IHL PROPERTY 1 111 i ASSESSORS MAP 250 PARCEL 145/H00 PROJECT BENCH MARK 1 I, LEGEND TOP OF FOUNDATION I Perc #1 ELEV. - 100.00 (Assumed) J Depthto Perc: 42" to 60" DENOTES PROPOSED 104X1 Perc Rate= Less Than 2 MPI f I SPOT GRADE Groundwater Not Observed No Observed ESHWT i DENOTES EXISTING ADJUSTED H2O Elev. = None o X 104.46 SPOT GRADE LOT # 12 ' ' 'm 20,769 Square Feet +/- Q ,� CIA. PL PROPERTY LINE � 96P PROPOSED CONTOUR - ------- - -- 1 -- ---- ---- --- -- / /' �Q,� ; - - - - - -97 EXISTING CONTOUR 3T / a � DEEP TEST HOLE & 2-18' NAM. ACCESS MANHOLES / ,' 7- PERCOLATION TEST LOCATION 6 FOOT STOCKADE FENCE L - / \ OUT t7 R = 591.07' P LOT P LAN / I C THE ACCESS COVERS FOR THE SEPTIC TANK, •.• _r-_ Tz-• _ '. DISTRIBUTION BOX AND LEACHING COMPONENT --.- / SET DEEPER THAN 6 INCHES BELOW FINISHED _------- - f _ o OF PROPOSED SEPTIC SYSTEM UPGRADE -..�.�:•R.''' .•..'-. - GRADE SHALL BE RAISED TO WITHIN 6. OF - STEEL'REINFORCED PRECAST CONCRETE nNISHED GRADE. PREPARED FOR PLAN VIEW INSTALL TUF-TITE GAS BAFFLES OR EQUALS 3-24' REMOVABLE COVERS J]��/�` L-_O U I A. G I 0 VA N N 0 N [- �l AT -LJ -� - #93 NOBADEER ROAD 3• min. clearance ( (40 FOOT RIGHT INLET B" min.T�Z--mh, inlet to outlet 6. m„ �T�7 i3 "L`T• OF WAY) - C E N T E R V I F L E M A 10-�mh 1 Uqufd level _--- f ------- - u 5' -Y 1 t s -�• Design Calculations -- ►z= `. E e I r 4'-0' min e V�t\Or M s\fir PREPARED BY: b� o-• Liquid depthNumber of Bedrooms:3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) I O k'I N1 G` C l u/� Y Garbage Grinder: No CA 7RM�'N �J l lIl l •�• � .+ Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) a' Septic Tank - 2 x 330 Gal./Day = 660 INSTALL EXIST 1,000 GAL. Septic Tank. � S ENVIRONMENTAL SERVICES, INC. 8'_0• 4' -10" SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch 0 20 40 50 0 1 CROSS SECTION END-SECTION Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. = 273.8 gallons �----- - I �° ?" P.O. BOX 627 Sidewall Area: 0.74 gaL/sq. ft. x 78 sq. ft. = 58 gallons eSTE� EAST FALMOUTH, MA 02536 Providing: = 331.80 gollons S�i+`aflAR\PN TYPICAL 1000 GALLON SEPTIC TANK TEL/FAX : 508-539-7966 -Use: (5) INFILTRATOR HIGH CAPACITY H20 UNITS, HAVING A 0.83' (10 INCHES) EFr-ECTIVE DEPTH, SCALE: 1 "=20' NOT TO SCALE SCALD. 1 "=20' DRAWN BY: CES DATE: DEC. 10, 2004 TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE _ ON THE ENDS. NO STONE UNDER. PROJECT#SD668 FILENAME: SD668PP.DWG SHEET 1 OF 1