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HomeMy WebLinkAbout0035 OAKVIEW TERRACE - Health ol 35 Oakview Terrace,Hyannis v t TOWN OF BARNSTABLE v LOCATION JS e l��/�Gc o SEWAGE#. d OO'? A Db S VILLAGE ASSESSOR'S MAP&PARCEL O?(v j- ,7(/7 INSTALLER'S NAME&PHONE NO. 5W 77rd77f= SEPTIC TANK CAPACITY /O,b v LEACHING FACILITY:(type) SDO 0fVy,,-j1S (size)a4�X NO. OF BEDROOMS 3 OWNER Vie.w[t PERMIT DATE: 3�o� A � COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwaier Table to the Bottom of Leaching Facility.: ; y feet r. 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). v feet FURNISHED BY IY rsl J e _ ` G ' t i . e. t Ql k to 7NO.0FBEDFROOMS TOWN OF BARNSTABLE 16- (.GL /):�CLD -Z]2/1.� SEWAGE # Lf�?/�0.(.© A��S``SESSO 'S MAP & LOT NAME&PHONE N00. 07'��1�-�.�K CAPACITY /UOO ��''ppACILITY: (type) (size) ��OMS BUILDER OR WNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching.Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by - - --� � � �. _ I v�e V� � � v� v� . � �� No. Fee ��• 'THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLEa MASSACHUSETTS ZippYication for 3iop0$ar 6pMem ZonOtr di n `pepnit Application for a Permit to Construct( . )Repair Upgrade( )Abandon( ) ❑Complete System ❑Individual Components ratio Address.or Lot No ner's Name,Address an del.N _ ��3 IZZ SL Assessor's Map/Parcel ��� (�^ 3�j 1 eu 3'j�(�4-C Q7 Installer's N�in Ad ss,and Tel.No. 7 7 Designer's Name;Address and TeL No. ctjk Type of Building: - Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(MO Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank jjE x�'S'Z 1000 4AL. Type of S.A.S. Description of Soil e- Natu of Repairs or Alte ations(A swer wh n applicable) ►` < a.— ,n� ( t+k s �, c� �o �,_ 31 a 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 Certifi- cate of Compliance has been issued by this oar,O,of Health. Signed ' Date Application Approved by �' Date .3 Z Application Disapproved for t following reasons Permit No. G g^ 0 S� Date Issued 2 �G n,J g.. No. U l�S '; " a. is _f Fee 0 THE COMMONWEALTH OF MASSACHUSETTS' Entered in computer: . ' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE&MASSACHUSETTS 01pprication for MiopooaY pgtem Con!aructio erntit Application for a Permit to Construct( . )Repair(� ,Upgrade( )'Abandon( ) O Complete System' 0 Individual Components Location Address or Lot No. O ner's Name,Address and Tel.No. 35 v � Tec'� o ��S {Qrc,6 -R-- rr ce, Assessor's Map/Parcel Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No. 3 y PO'�;ox 1 oioi, CPAA4eA­v Fc l — �3 1�► ��, ��i Type of Building: `F Dwelling----_No.of Bedrooms 3 Lot Size sq.ft. ) Garbage Grinder( Alp Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow - gallons per day. Calculated daily flow --gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank x;S't 1000 LEA t_ Type of S.A.S. 2 _'S-vo 44 C. Description of Soil Nature of Repairs or Alterations(Answer whe applicable) ne,,) ►+t e, S h _war 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 Certifi- cate of Compliance has been issued by this B and f Health. Signed Date Application Approved by .i S, Date Application Disapproved for th ollowing reasons Permit No. G g— d Date Issued 2-S THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance tj THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( }C)Upgraded( ) Abandoned( )by Wry\ � T(Zok rv:),� S{l— - �1 C_ ` at �S C��V 1 &0 ��C�-P�1�j Qm��5 has been,constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 66-'1-GG S dated /Z �Zoo Installer R e tail ti Se,t.t Designer — T /1 The issuance of this permit all no b nstrued as a guarantee that the sftjfunctio ascle igne .Date Inspector No. 'L 0 C,✓� " G�vs� Fee THE COMMONWEALTH OF MASSACHUSETTS PU-B4"IC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpozat *pztem Cong;truction Permit Permission is herebyP�ranted to Construct(. )Repair( Upgrade( )Abandon System located at 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: 2 Z D O G! Approved b IZ. PP Y �- ,LL- v r Town of Barnstable °�t"Ero Regulatory Services Thomas F. Geiler,Director HARNSPABM 9� HAS& Public Health Division PIED N10�° Thomas McKean,Director - 200 Main Street,Hyannis,MA 02601 I R Utfice: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Selvage Permit# ��'~��� Assessor's MaplParcel �-61,, a L-/9 Designer: Installer: Address: Tc-6-�ve Address: 0 C x D g� c5a�Lk j�C V i I 03 F Z�k SO"-,. was issued a permit to install a (date) (installer) C— t �_ R septic system at �S � � ( P�'f on a design drawn by (address) dated � (--� —d q ` (designer) certify that the septic system referenced above was installed substantially g accordin to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank- ' 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 & Loca Mons. Plan revision or. certified as-built by designer to follow- SN OF..tNg s.'. N. (Installer's Signature) (Designer's Signature) (Affix__ `Designer-s, tamp Here] PLEASE RETURN TO B_�NST_ABLE PUBLIC HEALTH DIX ISIO\. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORtiI AND AS-BUILT CARD ARE RECEIVED BY THE BAR\FSTABLE PUBLIC HEALTH DIVISIO``. TI•LANK YOU. Q: HealtluSeptic/Designer Certification Form 3-26-04,doc oF� Town of Barnstable P# Department of Regulatory Services ' Public Health Division �Y Z3/2-0 MUMS ears ' Date l MASS. 200 Main Street,Hyannis MA 02601 Date Scheduled ime Fee Pd. Soil Suitability Assessment for Sewage Disposal a Performed By:�2 AV 11) C DU G h R 1J OW IZ 4-SC Witnessed By: LOCATION& GENERAL INFORMATION Location Address � ; � / � 5 d R V I h✓ (���C� Owner's Name l` 'lli1G'C ,�./1_i � pp Y�i 1114 Address �� 1����1i'i �';i. t J Q I F-t,f, �`7�7 k7�ifly,'S 1 Assessor's Map/Parcel: Engineer's Name I ' NEW CONSTRUCTION REPAIR 3. Telephone# Land Use ES A t Slopes(%) O Surface StonesD Distances frorn: Open Water Body D t ft Possible Wet Area 166 '"f ft Drinking Water Well I DD+ ft Drainage Way ft Property Line `D + ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) ® GROUNDWATER ADJUSTMENT I EXISTING GROUNDWATER LEVEL . I BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS. INDICATED/ GW 19.00 INDEX WELL MIW-29 ZONE p READING DATE DEC. 2008 % L READING 7"8 i ADJUSTMENT 3"5 ADJUSTED GW 22"5 Parent material(geologic) G L� L �(JT w I S H Depth to Bedrock N Depth to Groundwater. Standing Water in Hole: o G Weeping from Pit Face mi C Estimated Seasonal High Groundwater CIE AT30 w. DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: see CL b o U p" Depth Observed standing in obs.hole: in. Depth to sell mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment fr. Index Well# Reading Date: Index Well level Adj,factor_ Adj.Groundwater Uvel PERCOLATION TEST bate 311G�o`t Time L6 RNl Observation -Hole# Time at 9" Depth of Pero v v (h Time at 6" Start Pre-soak Time @ ��11' 7 Time(91'•6") V\ End Pre-soak v y 7 Rate Min./Inch Z P 1 ,,Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back=---------- 1, ***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:XSEPTIC\PERCFORM.DOC C� T I DATE OF TEST: MARCH 16. 2009 `J O 1 L TEST -LOG WPTNESSEDI BY: DONNA DONNDAVIDA DMIOROANDI A HEALTH DEPT. PERC NUMBER: 12483 TEST PIT 1 NO PARENT MATERIAL: ENCOUNTERED L OUTWASH , PERC AT 66 to — 2 MIN/INCH IN C SOILS C ELEVATION DEPTH- 4 SOIL USDA SOIL - SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) . MOTTLING 42.00 0-12 FILL 12-18- ~Ap-- LOAMY SAND 10 YR 3/3 NONE FRIABLE 1B-36 s . B LOAMY SAND 10 YR 4/6 - NDNE-- - •FRIABLE 39.00 36-144 C MEDIUM SAND 10 YR 5/4 NONE LOOSE R 30.00 - - -- N�fOUNTE TEST PIT 2 �__ POARENOTUMADTERIAL EPROGLACALD OUTWASH 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 41.90 (INCHES) HORIZON TEXTURE` (MUNSELL) MOTTLING j 0-B FILL - - - - i 8-15 Ap LOAMY SAND_1. 10 YR 3/2 NONE FRIABLE 15-32 B LOAMY SAND W 10 YR 4/6 NONE FRIABLE 39.23 _ _ _ 32-132 C MEDIUM SAND 10 YR 5/6 NONE LOOSE 30.90 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c Ora vel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi en' l 4 Flood Insurance Rate'Map: Above 5.00 year flood_boundwy No Yes _ Within 500 year boundary No✓ Yes Within 100 year flood boundary Noz 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? 14 es _— If not,-what is the depth of naturally occurring pervious material? ..� L Certification (date)I have passed�•ldd I certify that on I the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent the required training,expertise and experience described in 310 CMR 15.017. mat+OF MA 9 � J. (.I� I-S -6( Date �VI�I V c 1� I G ; DAVID cy�N Signature o D. U COUGHANOWIR �0 �'CENSE0 Q 10 QAS.EPTICIPERCFORM.DOC �� EVAt UP f v RECEIVED TROY WILLIAMS - ��� EE P 1 SEPTIC INSPECTIONS frra Dr-PT 1 Certified *MA Department of Environmental Protection . v.. m. (508) 760-1819 40 Old Bass River Road South Dennis,MA 02660 Commonwealth of Massachusetts U Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Coxe C*XWM so-et" Argeo Celluccl David B.Struhs cortw iawner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 3S 6,k{t Ui Tyr✓a.� /f y«w S 0-- Address of Owner. J Gr✓ pole 01n Date of Inspection: Fs/o2°/�`j b (If different) / �G7 L�'� S4 Name of Inspecto�o yJ (�); (�:�►vti y J Company Name,Address dnd Telephone Number. Cry����� X� 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: Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inapectoes Signature. ,1::: Date: &'/a /Q 6- The System Inspector shall submit a oo y of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or,D: AI SYSTEM PASSES: _Z'I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. i i Bl SYSTEM CONDITIONALLY PASSES:,A//- i One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exflltration,.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a Conforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 2 CERTIFICATION (continued) ✓ Property Address: S V k i't,cJ r.J Owner. Date of Inspection: 8 B] SYSTEM CONDITIONALLY PASSES (continued) A1/19 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 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 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 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 a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER. IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system hag a septic tank and soil absorption system and is Was 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. 3) OTHER (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: i S d u k U I t"i Owner. Date of Inspection: C6 6 DI SYSTEM FAILS:Al 1�9 I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 16.303. 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. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 tunes in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds,ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: N 119 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: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 3 5 ­72✓. Owner. �aL o t. r— Date of Inspection: Check if the following have been done: 1� Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. - /As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. , The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. jjL All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. ✓The size and location of the Soil Absorption System on the site has been determined based on existing information or /approximated by non-intrusive methods. V The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C II SYSTEM INFORMATION kProperty Address: 3 S U u, .1� l 2e-. Owner. Date of Inapeotion: / FLOW CONDITIONS RESIDENTIAL Design flow: 33 a gallons Number of bedrooms: 3 Number of current residents: 07 Garbage grinder(yes or no):.&o v Laundry connected to system(yes or no):7 G S Seasonal use(yes or no):,A/d Water meter readings, if available: r 13 S' O O O Lest date of occupancy: !, G G- %j/0 COMMERCIAL/INDUSTRIAL:- Type of establishment: Design flow:_—gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER (Describe) Last date of occupancy: GENERAL INFORMATION PUMPINLG RECORDS and source of information: / System pumped as part of inspection: (yes or no)A//o , If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM —" Septic tank/dietribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed(if known)and source of informatio�. ''1/,23Ige Sewage odors detected when arriving at the site: (yes or no) Ala (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C f SYSTEM INFORMATION(continued) Property Address: 3 5 v G �'t— v% w ti✓. Owner. F'a 0 Date of Inspection: r6//2- / G SEPTIQ TANK: (locate on site plan) Depth below grade: I Material of construction: ncrete_metal_FRP_other(esplain) Dimensions: X ,/ X - ,S00 4o oL o&%. Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: . 5 6 �� Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle:_/3 S Comments: (recommendation for pumping, condition of inlet and ou et tees or baffles,depth of li d level in relation to outlet invert,structural integrity, evidence oflea�, etc.��S r o�t r. to S 9 h S O rC c/ , .n 4- . GREASE TRAP:_A/ .g (locate on site plan) Depth below grade: Material of construction:_concrete_metal_FRP—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: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage, etc.) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 95 Q 0- Owner. / O Date of Inapeetion: TIGHT OR HOLDING TANK:_,&/�/9 (locate on site plan) Depth below grade: Material of construction:_concrete_metal_F"—other(explain) Dimensions: Capacity:_ rallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee,condition of alarm and float switches, etc.) DISTRIBUTION BOXsZ (locate on site plan) Depth of liquid level above outlet invert:_L4:2__a Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) WAS PUMP CHAMBER�C//1I (locate on site plan) Pumps in working orden(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYST EM INSPECTION FORM PART C /' SYSTEM INFORMATION(continued) Property Address: 35 a 4 V �J/ �= - �1tr{—. Owner. Date of Inspection: / SOIL ABSORPTION SYSTEM (SAS)._✓ (locate an sits plan, if possable;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: leaching pit&, number: 6 Y• �• ,xG , �`` 1�� f hJ 0-2 leaching chambers,number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Commen (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) o f' c a s ,�•_,J� L� t ' O CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer. Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: N�� (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.) (revised 11/03/95) 8 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 3 s V a K U Gam/ Owner. 1! o H Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: indude ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Q �k a ag , 3 ► 3s 3 r t, it's h DEPTH TO GROUNDWATER Depth to groundwater: — feet adjusted high groundwater level method of determination or ap roximation: u o, � A �/ ' �,G.�o K/ AC-1 9 BORTOLOTTI CONSTRUCTION, INC. 45 INDUSTRY ROAD, MARSTONS MILLS, MA 02648 508-771-9399 508428-8926 FAV 508-428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO t �� PART A CERTIFICATION Property Address: -C1lfr K V Date Ot Inspection '2&P Z00 Ins ector's Name: Ow-ner's Name and Address: ,, E '` f CERTIFICATION STATEMENT: I Certify that I have personally Inspected the Sewage Disposal System at this address and that the informa- tion reported below is true,accurate and complete as of the time of Inspection. The Inspection was perform- ed based on my Training and Experience in the Proper Function and Maintenance of On-Site Sewage Dis- posal Systems.'I'h ystem: Passes Conditiona►ly .asses Needs Fur Ev In n By.the Local Approving Authority Failure Inspector's Signature Date: �� 7 The System Inspector shall submz a copy of this Inspection Report to the Approving Authority with Thirty (30)Days of completing this Inspection. If the System is a Shared System or has a Design Flow of 10,000 gpd or greater, the Inspector and the System Owner shall submit the Report to the appropriate Regional Office of the Department of Environmental.Protection. The Original should be sent to the System Owner and copies sent to the Buyer,if applicable and the Approving Authority. INSPECTION SUMMARY: A) SYS PASSES: I have not found any Information which indicates that the System violates any of the fail- ure criteria as defined in 310 CMR 15.303. Any Failure Criteria not evaivated are indi- cated below. B) SYSTEM CONDITIONALLY PASSES: One or more System Components need to be Replaced or Repaired. The:.System, upon completion of the Replacement or Repair,Passes Inspection. Indicate yes,nor,or not determined (Y,N,OR ND). Describe bases of determination in all instances. if"not determined",explain why not. The Septic Tank is Metal,Cracked,Structurally Unsound,shows Substantial Infiltration or extil- tration,or Tank Failure is imminent. The System will Pass Inspection if Existing Septic Tank is Replaced with a conforming Septic Tank as Approved by the Board Of.Health. 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 Svstem will pass Inspection if(With Approval of the Board Of Health): -1 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is leveled or replaced 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. C)FIJRTH.ER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board Of Health in order to determine it' the System is failing to protect the Public Health,Safety and the Environment.. 1)SYSTEM WILL PASS UNLESS BOARD OF HELATH'DETERMINES 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 a Surface Water Cesspool or Privy is within 50 Feet of a bordering Vegetated Wetland or a Salt Marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a Septic Tank and Soil Absorption System and is within 100 Feet to a Surface Water Supply or Tributary to a Surface Water Supply. The System has a Septic Tank and Soil Absorption System and is with a Zone 1 of a Public Water Supply.Well. The.System has a Septic Tank and Soil.Absorption System and is within 50 Feet of a Private Water Supply Well. The System has a Septic Tank and Soil Absorption System and is.less than 100 Feet but 50 Feet or more from a Private Water Supply Well, unless a Well Water Analysis for coliform bacteria and volatile organic compounds indicates that the Well is from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the System violates one or more of the following Failure Criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted.to determine what will be necessary to correct.the failure. Backup of sewage into facility or system component due to,an overload or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the.ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid.level in the distribution box above outlet invert.due to an overloaded or clog- ged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped - 2 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a Public Well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well.. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis..If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The.design flow of a system is 10,000 ggd 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: 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. The owner or operator of any such system shall bring the system and facility into full.compliance with the groundwater treatment program requirements of 315 CMR 5.00 and 6.00. Please.consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the llowing have been done: umping information was requested of-the owner,occupant,and Board of Health. None of the system components have been pumped for atleast 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. i� As-built plans have been obtained and examined. Note if they are not available with N/A.. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _V_The site was inspected for signs of breakout. t0 All system components,excluding the Soil Absorption System,have been located on site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition of baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge,depth of stun. The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. - 3 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) V The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: Design Flow:i�gallons Number of Bedrooms:Number of Current Residents: Garbage Grinder: Laundry Connected To System: Seasonal Use: Water Meter Readings,if ailable: Last Date of Occupancy: COMMERCIAL/INDUSTRIAL: Type of Establishment: Design Flow: gallons/day Grease Trap.Present: (yes or no) Industrial Waste Holding.Tank Present- Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER: (Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS any source of information: System Pumped as part of inspection: If yes,volume pun ped: gallons Reason for Pumping: TYPF,6`F SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records,if any) Other(explain): APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage Wors detected when arriving at the site: -4- SUBSURFACE SEWAGE DISPOSAL. SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued). SEP'1'lC TANK i_ / Depth below grade: %Material of Construction: k concrete metal FRP Other (explain) Dimensions: 5`�(�` y� '_Sludge Depth: Scum Thickness: 'r Distance from top of sludge to.bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle.: �r Comments: (recommendation for pumping,conditioin of inlet and outlet tees or baffles,depth of liquid level in relation to out t invert,structural integrity,evi nee of leakage,et . ' If GREASE"TRAP: Depth Below Grade:. Material of Construction: concrete metal FRP Other (explain): Dimensions: Scum Thickness: Distance from top of scum to top•of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and on tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) TIGHT OR HOLDING TANK:�� Depth Below Grade: 'Material of Construction: concrete metal FRP Other (explain): Dimensions: Capacity: gallons Design Flow: Alarm Level: gallons/flay Comments: (condition of inlet tee,condition of alarm.and float switches,etc.) DISTRIBUTION BOX: �Ofsolids Depth ofliquid level.above outlet invert:Comments: (not ' 'level and distribution„e uai evide carryover,evidence f leaka a into or 0 of box,etc. PUMP CHAMBER:_, Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc..) - 5 - I _ J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEMINFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): k-/ (Locate on site plan,if possible; excavation not required,but may be approximately by non-intrusive methods) if not determined to be present,explain: Type: Leaching pits,number: 1 Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number: mments. (note conidtion of soil,signs of hydraulic ailure leve of ponding,condition of ve etation,etc.)_ 12 �i f i iZ4-1L CESSPOOLS:,G0 Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments; (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) PRIVY: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hyddraulic failure,level of ponding,condition of vegetation, etc.) G _ i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or.benchmarks. Locate all wells within 100 Feet. 4ew 9 66 DEPTH. `I.0 GROUNDWATER: _ Depth to groundwater: ,5 Feet—. Method of Determination or Ap roxi ation: �� `1`/? /?} 7Z 7— - 7 - TOWN OF BARNSTABLE ss LOCATION ,� �iZrd. SEWAGE# VILLAGE r ' 4 h + S ASSESSOR'S MAP &LOT 1118TALLER'S NAME&PHONE NO. A -7LV SEPTIC TANK CAPACITY 45 0 LEACHING FACILITY: (type) 0e, t (size) to NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE'DATE: 1r 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 le Ching facility) Feet Furnished bye w. .M 1`` l �.7� 1 tl� �. � ...`tn �� .� ice• Y \�f VV y , r w 'i V � �_� h�'�� J, ,� V�\ V ._-. , - a 3 1j6- /2 7 LOCATION ��Jrview �i- -G,ceS [ WAGE HERMIT NO. VILLACE !� INSTALLERS H A M, E ADDRESS B U I L D E R OR OWN ER �� o 5'/S s, A441`h RaIdeh �1-fSI DATE PERMIT ISSUES D A T E CIi4MFLIANCE ISSUED _ a - - r _ �� !o � � _�� _�� e�� �� � \ � �� o � �_ � �.� . / '�/ .,� , � � � � ,�� r `- f' No..... 7 Fim........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........,� OF....... •d✓rl.. �r :...................... .. lir ail n fnr Dhip al Work.6 (fungtrur#iun ranfit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System _ ...... ... -- -- - U/�Gl� i�C� ..----- �.C.4 V2,405,/ ve�ez,_,_-,ee.ZS. .......... o ation- ddress U ................� .._.F .. is �.mil.".----•------------ . ... . ...... .. ._.....•-=-•-_... ....._•----- ... W S — — Address n �! v er �� ��/U(/TJ�` ss/�?,V5�`0i I-A S Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic (NJ Garbage Grinder (N 4 Other—Type of Building ..__._ �'U ..._ o. of persons____________________________ Showers (/ ) — Cafeteria ( ) 9B.Other fi u s . 1.. 1 ----1268�-----------------------------------------------------•-•-- ------------- low Design F _........T. .. ...................gallons per person per day. Total daily flow.._.........3-�.O..................gallons. WSeptic Tank—Liquid cap cijy/ U a Ions ,Length................ Width__r._._..__.._ Diameter................ Depth................ x Disposal Trench—No. .../=.tP Xy-.�dt Total Length...,/P_............. Total leaching area_ _ ..... ft. Seepage Pit No...._/------------- Diameter.__- . ._.. ....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( lam/ `"' Percolation Test Results Performed by....... L.._T�....._..`.!`.P ............. Date..../-/ !l�_'� Test Pit No. 1..... ...minutes per inch Depth of Test Pit____- Depth to ground water.:...................... Test Pit No. 2.......Gz___...minutes per inch Depth of Test Pit.....f Depth to ground water------------------------ 0 Description of Soil............... ........................................................ U ------------------------------ ••-----------..---•------•---------------------- ...-------------- -------------------- ..__.._...------------------------------- ---•-------------------------------------------------- ------------------------------------------------------- ----- • --•--------•--,-c U Nature of Repairs or lte.ations—Answer when applicable_...... ... _.�1/ __!._--___ .._-_ __ -•----...--- . ...................�-------�� G4•' r �/` y--Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste in accordance with the provisions of L ITI U 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation u C fi e of Compliance has been issu d the board of he . Signed --------- --- -- ........- - D to Application Approved By-- ............. ....... ..... -----• . ....... ate Application Disapproved for the following reasons-.............................................---------------•--•-------------------------------•-•---•--•-•••- .....................................•--......_...---------.....-•-------••--•-------•--•----..._..----••..----.....-----•-----------------------...------------•----------------------------•--...--•-•- Date Permit No......� .---./�-•-`---•----....._... Issued.................. ..Date Date No...... (� .j F�s. � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF....... '!"...�Cc _.1�' ........................ .� lirtt iaan for Dhip al Warkii Towitrurtuan rrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at, �p o-tion ddre ss Wrv. dd ess,. - 7 Xweroif �rlrli S`�"" ssJ?�i!„ i5/ �✓�" C U Type of Building Size Lot...... Sq. feet Dwelling—No. of Bedrooms..............:.............................Expansion Attic M Garbage Grinder (N T PL4 Other—Type of Building _-__- of persons............................ Showers ( /) — Cafeteria ( ) p'' Other fi ud® d ................................... ................. Desi n Flow......... V ......--::_..._gallons per person per-day. Total daily flow............. .............................. W, g -- •----- �g P P P Y• Y gallons. P q pj t� Wd ions ,Length ...:..........g idtl�._.f._..__..... Diameter _. t�h/ q W Septic Tank—Liquid ca ci (p ` x Disposal Trench—No.._. ...._..Xt L Cotal Len th.................... Total leachingarea __..----7._..s . ft. ____-- Diameter. . Depth below inlet.................... Total leaching area..._........ q. t. � Seepage Pit No.___--�-- _-- _--.--_-- Z Other Distribution box ( ) Dosing tank ( --•--s f Percolation Test Results Performed b .......•.!.../`• t �` f Y -•-------- --------�`' r �`---------­------ TestD40 ate 1.. r Pit No. 1...... .......minutes per inch Depth of Test Pit..._./ �: ._... Depth to ground water.._._:.................. LL, Test Pit No. 2........ ..::..minutes per inch Depth of Test Pit..........'.. Depth to ground water........................ D Description of Soil............... . l / -� c -------- -------- -------- --------- -------- -------- -- - , -- V --------------- ----------------------••--•-----------------------------------•-•-------•---•-------•-------------------------------------------------------------------W ----------- - - ------------------ --- - ---- ----------- - ------ --....... ------•------- q VNature of Repairs or to arions—Answer when applicable _1Y F .. .?,rr.?t�' .0 ... _,:__ ,.• ;?�.t.!. � .-p T` ..._.. �.'-fir:'-...----- t " l_�,�.1,J ~ Agreem ent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste in accordance with the provisions of TITI.i, 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation ulltllea Ceytifica e of Compliance has been issu the board of h9X. Signed � , - - D Application Approved BY - ... / . ..._.. Application Disapproved for the following reasons-------------•-------......_..-------•-----------••--•--------••-----------------•--------------------•-••....._ ........................•----•---•----------••--••---------...-------•-••--•----•-------.....................;✓_..._....-•-----•---------•-----...-----------------...--------•------ --••--••-••-•--- Permit No...... .._",..':_ __. --•--------••--• Issued--•--------------D -------•-•-----...Dau .•... ate i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :.,tz.:�.✓...........OF......... Trrtif irtttt of Toutplitturr THIS IS TO ERTIFY, hat tl}e Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -- ... ...Z .......................................... -------------------------- ------....---------............. ------ `' Installer,.r^' �[ ✓ r has been installed in accordance with the provisions of TIT E , 5 off h State Sanitary e de ib in the application for Disposal Works Construction Permit No.... ......:....... ..2 . ........ dated..-. .l� Sa__._.._...._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTU9q SATISFACTORY. DATE.................................... a 3 -------•---••-------• Inspector_:...,.LA/K..------.......----................----.....---------.....----..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALlee No....' . ....- FEE........................ Dispott ur o Taanstrurt n Prrutit - Permission is ereby granted... ..---=��''"'''--------.----/ °..... ....... to Construct ( . or Re air ( anfividual age Disposal Sy em ---- V./ - ---------------------------••--• ... .......-•-••-••-- at Street as,shown on the application for Disposal Works Construction Permit No. C,- .�._ . . •..._._•.11.� Dated.--- • 1 �j Board of Health DATE - t,................................... FORM 1255 A. M. SULKIN, IN( .:4,BOSTON pfTNEtp TOWN OF BARNSTABLE OFFICE OF i HAHHBTSHLE, :MA68. BOARD OF HEALTH 9°o i639•D MAY 367 MAIN STREET ,Ek" HYANNIS, MASS. 02601 January 22, 1986 Mr. Kerry O. Hunt Mrs. Jane C. Hunt 7 Castine Street Worcester, MA. 01606 Re: Lot 34, Oakview Terrace, Hyannis Dear Mr. and Mrs. Hunt: You are granted a variance from the Board of Health Interim Regulation, limiting sewage flows to 330 gallons, per acre, in designated zones of contribution, to construct an on-site sewage disposal system on Lot 34, Oakview Terrace, Hyannis, with the following conditions: (1) The on-site sewage disposal system must be constructed in strict accordance with the submitted plan. (2) The dwelling is restricted to three bedrooms and a daily sewage flow of 330 gallons. (3) No garbage grinder is authorized. (4) You must connect to public water. (5) The designing engineer must be present on site and supervise construction of the septic system and certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance.- This variance expires February.1, 1987. This variance is granted because the proposed dwelling is located in a highly developed area and is the only lot available on the street. It was the opinion of the Board that the granting of this variance would not contribute significantly to the existing ground water,problems. er truly your • o ert . Childs Chairman BOARD OF HEALTH TOWN OF BARNSTABLE JMK/mm cc: Ellen N. Morin 1 . r . I b l t r rr, . — i .__, ... , -p} I 1 J ! _... + 11 i } „r i. t i r- -# t - _ � _ �. J:,. ____.,.,a .., . w. _. l� "I _, . > _. -- �l I _14 -- i i;l? , , 1J/a l��:tone rpt /r.5 4yld !At/� ��} ._ }. { d �72 Q'*p �.{, ��. (''�`Y,�O t }lp .. i -I i.I �' Y'" '�� + �'" F 29{4+ T • i :u .� .. l f ,_ ,_: : A ro ?9R 1 . `� 4 4 0 r.r_.,i � , CCCC.. I a .32a I, ; ., f MOJ� ._ µ L 7 } { l0 rs . , _ rI . � 3 i 1 !S 1 .4 - 3�.T — _ ..._�11 e , , . 6 F 74.�b �' ' '�,i I. S. f 1 + . . i � Y. b� A �. .- : 1. , . i _-_, I k ..i ♦ 1 l� K. d ak (��raem_ �etltuce ; il, --- - --.-_-_...__ _. i. iC j...}-. 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The septic system was installed according to plan. �P\�)i OF ✓qss" All Cape Engineering 90� 49 H arbor Road WILLIAiUI y Hyannis, MA. 02601 F. D 1/ 8995 O John H. Milne, R.L.S. "-j"IONAL�a GARBAGE GRINDER CONTOURS WES7•M,y,N SS Er rRE IS NOT ALLOWED } EXISTING - - - - - - - 50 WITH THIS DESIGN. MINIMAL GRADING PROPOSED N �hnp�y N w o > o ��` �ocuS < i 0=W / ~ BUJ m p f > m > HQJ N l �QD � 0`00 � n � > m J m N �� �£ HYANNIS. MA m 24 f t x 12.5 f t x 2 Ff, g ,2-o ui LEACHING GALLERY U� di cus MAP mw< < � NOT TO SCALE z� \ 4 o m u Z ? < ?< 0 w o ► \ W J a ';;;;;;; m cwn w 3DEL \:r:,...: o \ LEGEND - :,:,:. a. a 0 o W zz / o \ '4'IIiE / 1 oz JzOm F-J z w °o list o. \ cW� �' ` ) EXISTING 0 J U z(D (A J 1—+ 3 ff �f �s / ��// 1000 GALLON >- <�<� W c3 \��N U 3 I W > o _ �w/ / \\ SEPTIC TANK II ' �/ ( 1 Jaw �� U J O J Lq p�? mm/ TP- O V p <cn m �x �� Z cv <z o00 O / �\ EXISTING LEACH m � 0 PIT/CESSPOOL O e� C7 z m m F W < W o �/ dQ�,2-0 � //,^, � _ \�-p / z v vl O � I / Lu W w cn / O r W= p Q :;•.;;.;,, w UTILITY POLE W U Q i Ln :r:: w O m .,•'�.•+.. I �'�/ \ / Qj TEST PIT ® D-BOX O ? Ir U a / K�� o,� HYDRANT Q DRAIN W W W p J X ui �c, S 4) TP-1 / LLJwo w Z O m N / �� / , DECIDUOUS CONIFEROUS e Ir m m Lo / Q WATER / &46 TREE cQo TREE 21 W W O m o 42 / / GATE Q� Q4bi2-P ti F- U Ir 0 l -NUMBER REFERS TO DIAMETER IN ]A / L( INCHES. LETTER DENOTES TYPE. aW L0 — z0= "`111 VCDCfl \ j / O-OAK M-MAPLE P-PINE C-CEDAR co Z Z W Z �,, / LOT 34 z� z W„ ��_ / W W�,� e 00 �` / AREA = 10399 sf+- S O 3 Z z_ Ll-jti p = W O Z H I m W cn Ir cn 0 3 z m c W W F c -�2.36 f t O rmi W / O e w w FIL A N I W z \1 v SCALE: 1 in = 20 ®o SEWAGE DISPOSAL SYSTEM PLAN z J Z ze a ze 40 �� ��ay -TO SERVE EXISTING DWELLING J L Z -� EST. FRANCIS & JIJLIE FAWCETT Q I— e re ze d 00 CD m OWNERS OF RECORD O Z o (n (� U �s'��jNOFMaSs9�ti ���jZHUFMgss9c � 35 OAKVIEW TERRACE o I m o DAVID G o DAVID �� 1995 �' � ; W � �� D �� . s� �® �� HYANNIS. MA � o + o COUGHANOWR N v D. RON PROPERTY ADDRESS COUGHANOWR 9 m m No. 1093 ASSESSORS MAP 269 PARCEL 247 r 43 TRIANGLE CIRCLE 3 BENCH MARK ��GISTE��° so,o/�FNsEo o� SANDWICH MA 02563 PLAN BOOK 340 PAGE 92 O z z PAINT SPOT ON CONCRETE TAR AL 506 364-0694 DATE: MARCH 17, 2009 Q N X w BULKHEAD CORNER 'j G� JOB #E T E—3112 PAGE 1 0 F 2 VERSION: w W ELEVATION = 42.41 �K� L i ��0 1 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED BARNSTABLE GIS DATUM SOLELY FOR INSTALLATION.OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. 61 S 0 I L_ TEST L 0 G DATE OF TEST: „ , MARCH 16. 2009 APPROVED SOIL EVALUATOR: DONN M RAND). HEAL DE D E S I G N CALCULATIONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. PERC NUMBER: 12483 1 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPO 1 TEST PIT NO GROTUNDDWATER ENCOUNTERED OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC AT 66 In - 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 42.00 SOIL. ABSORBTION SYSTEM: A 24 Ft- x 12.5 ft x 2 Ft LEACHING GALLERY CAN LEACH 0-12 FILL Abot. = ( 24 x 12.5 ) = 300 sf 12-18 A LOAMY SAND 10 YR 3/3 NONE FRIABLE Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf p Atot = 446 sf 1B-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE Vt 0.74 x 446 = 330.04 GPD 39.00 36-144 1 C MEDIUM SAND 10 YR 5/4 1 NONE LOOSE USE A 24 ft x 12.5 Ft- x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 30.00 NO GROUNDWATER ENCOUNTERED LEA CHING GALLERY 1000 GALLON SEPTIC TANK TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH DIMENSIONS AND DETAIL NOT TO USE SHOREY PRECAST 500 GALLON NOT TO 2 MIN/INCH IN C SOILS LEACHING DRYWELL (H-10 LOADING) SCALE USE EXISTING H-10 )NIT SCALE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SEPTIC TANK IS TO BE PUMPED DRY (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING CONSTRUCTION DETAIL AT TIME OF INSTALLATION AND IS TO 41.90 DRYWELL UNIT BE EXAMINED FOR STRUCTURAL 0-8 FILL STON INTEGRITY. INSTALL NEW PVC OUTLET 24.0 ft TEE EQUIPPED WITH A GAS BAFFLE. 8-15 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE m 1 in 15-32 B LOAMY SAND 10 YR 4/6 NONE FRIABLE � �, TAPER 39.23 32-132 C MEDIUM SAND 10 YR 5/6 NONE LOOSE LO 30.90 0 17� N �` O m N O m p m` C4_ GROUNDWATER ADJUSTMENT 3.5 ft e.s Ft e.s ft 5 ft Lo EXISTING GROUNDWATER LEVEL 24.0 f t BASED ON TOWN OF BARNSTABLE .1m GIS DEPARTMENT RECORDS. 6 INDICATED GW 19.00 500 GALLON DRYWELL INDEX WELL MIW-29 INLET OUTLET ZONE D DIMENSIONS AND DETAIL COVER COVER READING DATE DEC. 200E USE H-10 LMT READING 7.8 INSTALL ONE INSPECTION `y t' ADJUSTMENT 3.5 RISER TO WITHIN THREE _� �3 IN OROFLOW LINE '7 ADJUSTED GW 22.5 INCHES OF FINAL GRADE FROM - —� AND INDICATE LOCATION BUILDING 101n 14 TO ON AS-BUILT PLAN 1, D-BOX 46 1n LIQUID GAS LEVEL BAFFLE NOTES o0 33 00 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. a000000000o in ,,,,,,,,,;,,,,, ,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,•., ,.,,;,.,,,,.,,i 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED �00000ao CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. o00 0 �g i� 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 1021,, OF MASSACHUSETTS TITLE 5 SEPTIC CODE (3101. CMR;15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES- - BEFORE EXCAVATING FOR SYSTEM. ;.� 1,f, .N' CROSS SECTION VIEW 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. - . 2 in PEASTONE 2 to PEASTONE SEWAGE DISPOSAL SYSTEM PLAN 6) ALL STONE TO BE DOUBLE WASHED AND FREEi,OF'-IRON.-)FINES AND. DUST IN PLACE. o o -TO SERVE EXISTING DWELLING Zl ECO-TECH ENVIRONMENTAL RECOMMENDS THE . INSTALLEATION OF LOW FLOW FIXTURES 28 314inTO 24 EFFECTIVE 4u, To 26 FRANCIS & JULIE FAWCETT AND APPLIANCES. AND BIANNUAL PUMPING OF`'T-HESSEP,TIC TANK. In - �n�A� DEPTH - �G+�� in lj 6) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT35 OAKVIEW TERRACE HYANNIS. MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 46 In 58 in 46 in ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 150 in STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 82563- SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. FABRIC IN PLACE OF THE 2 In. PEASTONE LAYER SPECIFIED. ETE-3112 MARCH 17, 2009 1 1212