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HomeMy WebLinkAbout0107 OAKVIEW TERRACE - Health 107 Oat- k - errace' - Hyannis A= 268 - 297 �' 1 e i TOWN OF BARNSTABLE- LUCATION /0 Z 6�OkV/4y SEWAGE # DOG- iaD . VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /OD D LEACHING FACIL=: (type) (size) �3X 2S NO.OF BEDROOMS BUILDER OR OWNER ZA0-0 �i19r/G�Ji PERMITDATE: S`25 O G COMPLIANCE DATE: Separation Distance Between the: w 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 leachi g faci 'ty) Feet Furnished by ' � r .� --�" d � Y�6� - o , ^ _ ,y� � r i ,a .� r � ;� ' W ' t _G1` _. � . i M� ® i R A� • l G. � lO � .___ 1 ' ' s 1 '. r .` .. .. _ TOWN OF BBARNSTABLE LOCATION A2 ®QhI/_C,0� / ad Q,C.A_— SEWAGE # VU-.LAGE ASSESSOR'S MAP & LOT,&�=-�— SEPTIC TANK CAPACITY v v *9 LEACHING FACILITY: (type) ��� 'L (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: �COMPLIANCE DATE: .gy 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 Town of Barnstable P# Department of Regulatory Services - J Public Health Division Date Co )6 MAA& .200 Main Street,Hyannis MA 02601 - �p MRt Date Scheduled I Time: Fee Pd. Soil Suitability Assessment for wage D�osal• --` Performed By: Witnessed By: P - LOCATION& GENERAL INFORMATION Location Address 1 Owner's Name d�1 C���Cc�Un �e,�J T�� . Address Ro l l Assessor's Map/Parcel: Z�T5 VI .' Engineer's NameC�rc � 5 NEW CONSTRUCTION REPAIR _2L- Ttlephoni# -_-5 C�D 'f Land Use JZcsf AtA-JtA ct. I Slopes(45) d Surface Stones ,"OK Distances from: Open Water Body eft Possible Wet Area dd ft Drinking Water Well �ft Drainage Way �t8d ft Property Line Zs+ ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) 0•0 • o' �ye.� 2 gd- TC'- 7-c;= Parent material(geologic) Depth to Bedrock Opp Depth to Groundwater. Standing Water in Hole: -Al/4 Standing from Pit Face �,� •� Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: / .-In.in. Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment Index Well# Reading Date: Index Well level, .m, Adj.factor-,.,r__ _ Adj.groundwater Level.., PERCOLATION TEST Data Thne..� Observation 2 Hole# Time at 9" Depth of Perc A a' Time at 6" Start Pre-soak Time @ Time 9"-6") End Pre-soak Rate Min./Inch ?" ' Site Suitability Assessment: Site Passed x Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----=------ ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTI0PERCFORM.DOC D EEP-OBSERVATION HOLE LOG Hole# n Soil Texture Soil Color Soil Other (USDA) (Mansell) Mottling (Structure,Stones,Boulders. i ten nr ravel) sL !o s/ N 2,-1Zo C M-c sco'CA 1072 4 S M.AC DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Mansell) Mottling (structure,Other re,Stones.Boulders. nsi en 46 ra A 5� �oyn3 Zr 0 - ZO C fl-C S4-,d p rL F 20 7o raw " DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Offer (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cnite G vel F DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color r Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, o A en Flood Insurance Rate Map: ./ Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No a 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? ___Y e,j_ If not,what is the depth of naturally occurring pervious material? .._.. Certification �— I I certify that on I S(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required train" expertise and experience described in 310 CMR 15.017. Signature Date--- ate r (o, 6�0 6 Q:IS,EPTIC\PERCFORM.DOC No.CS O CD ~c v Fee—f THE 0OMM0,NWEALTH OF MASSACHUSETTS Entered in computer: VS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPrication for Miquar *vkem Con5trurtion Vermtt Application for a Permit to Construct( a-�Repair( 4'CJpgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 1017 OokVlj_w 1-151^r,44[- Owner's Name,Address and Tel.No. llG/7"/� Assessor's Map/Parcelif cel Y alf!ee4 1, $- Installer's Name,Address,and Tel.No., eg—ZIgo—Y7 5F Desi er's Name,Address and Tel.,No. Type of Building: Dwelling No. of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No, of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of 4epairsprAlterations(Answer when applicable) &5r&ZZ W /7- 9,OX Date last inspected: Agreement: r"Y The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by th' and f Health. Signe Date Application Approved by Date . Application Disapproved for the following reasons Permit No. �'� Date Issued w. } No.��CD � �1 �'' ,•� Fee4i?/ THE .MI � QNWEALTH OF MASSA6USET-TS Entered in co !�Q PUBLIC HEALTH DIVISION -'TOWN OF BARNSTAB,L_t;M— SACHUSETTS application for s ozaf *p.5tem Construction Permit Application for a Permit to Construct( e-)Repair( 4-)CJpgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. /Q l LQakVi;�u/ 6!-/^44(s Pwner's Name,Address and Tel.No. Assessor's Map/Parcel 8- 7 Installer's Name,Address,and Tel.No.5'pa—1�20_97 38; Desi er's Name,Address and Tel.No. s�$'477 s'3/3 .1o5-e_ply De, dam.e-P.5 C-N61,1,66 9 War/<.5 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( )-Cafeteria( ) Other Fixtures ' Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. , Description of Soil; Nature of Repairs/or Alterations(Answer when applicable) f&.5rd A/F_Cr/ D- &x 2-_526 6W/ - LF_f?Gd�l- �Lisar�9hF�' Gl/�7�� �i"✓?otir_' Date last inspected: j Agreement: The undersigned4 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 is ued by 2th* • and f Health. Signe Date Application Approved by V Date �'rJ Application Disapproved for the following reasons Permit No. Date Issued .. .. -.-•-------------- -----------------i---- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( e,,),Zepaired( 4-'Upgraded( ) Abandoned( )by ✓1o3r. 0-e— �5.br1^a 5- l/,FS at 1,07 k0k4ce 're-'rrooc_ has been construct d in acWrdance with the provisions of Title 5 and the for Disposal System Construction Permit No.,�X00 6 -3 dated Installer joise_gi Dz dorea S Designer FIV("s/ffl:'r I.t/ar/�s The issuance of this permit shall hot be c-onstrued as a guarantee that the system illpft�nc a n s esigned: _ Date / Inspector .�.._.. .No. Q{>------------------------Fee ©� v v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS mi.5poal bpztem Con.5truction 'permit Permission is hereby granted to Construct( [ Repair( 6,YV-pgrade( )Abandon( ) System located at /07 0Wfc1/i i:Grl 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 bi completed within three years of the da of this pe . ' . Date:__ 'a--5 b Approved IrP 7 „.. TOWN OF BARNSTABLE p; LOCATION . /Q2 Or¢e� ' SEWAGE# 2000 VILLAGE . /S ASSESSOR'S MAP &LOT ,?G$�297 1 INSTALLER'S NAME&PHONE N0. TDB-9 JoS� �oeZ�A9,0�0-r �i SEPTIC TANK CAPACITY /OD o LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER LAc/rao ��l9/1G�Ji PERMITDATE: COMPLIANCE DATE: 'I-/f-0G 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 leac f g faci 'ty) Feet Furnished by 7 _ t fnSPcTra� Pori Q� Town of Barnstable Regulatory Services Thomas F.tti tiler. Director i � Public Health Division ` Thomme McKean, Director 200 MOD Street,Hyannis,RSA 02601 Office: 308-862.4644 Fax: 5€8 79"304 l; sEaill,,D e l i oS Forn Date: � Sewage PerwitN �Z00(Q-- '� gO A%mssor's .tapkParcei 2,6 g Z0i-7 Designer: _ eerf?� /Wnn_// Installer: /t5 i'i' �'!�`" Address: S1?ea J Address: $1�Ci✓h ties i /!'1 _DZIe�N� MCL/-_S fv,�5 On 44 Z,5 16) cJa `s se�4 C 6W.s was issued a perrrtit t®install a '4ate (installer) ( septic systrrn at 167 &1(0 2tj7e Yr bard on a design,drawn by (add.ress) �— /�� dated_ Z3 ;:sic*igner) l certify that the septic systern referenced above was installed substantially according to the design, which may include minor approved changes such as lateral-relocaticn of the distribution box, and/or septic tank. __- - I certify that the septic systern re&renced above was installed with major changes (i.e, greater than 10' lateral relocation of the SAS or arty vertical relocation of any component ! of the septi+ system) but in accordance with State &. Local Regulations. Plan revision_or certified as-built by designer to follow. IS or 4f4o. �g PETER T. yu, M^EA4TEE a . erstaller sSignature.) Civil �+ ��a3S1p9 �CaSTER���y� _L -- l VAG ,rr, - e (f?esigner's' AL�ignMire) (Affix Designer's Stamp Here) Pi, ,d►S 0 Q.HealWSeptienhaigner CertifiWion Form 3-26-04.4X COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. ign ture 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. Received by(Pnn d Name) C. D �e of elivery ■ Attach this card to the back of the mailpiece, D/ V_b/ or on the front if space permits. D. Is delivery address different from item 1 ❑ es 1. Article Addressed to: If YES,enter delivery address below: ❑No M's Laura Bianchi 107 Oakview Terrace 3. Service Type Hyannis, MA 0260 1 ❑1 Certified Mail El Express Mail , Registered ❑Return Receipt fod tJl �ndige ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2.. Article Number (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 10 595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, a cE= box • I I m o p Postage $Ir � Ln Certified Fee l HYgN�i cI3 'J v Postmar Return Receipt Fee Here m (Endorsement Required) / f t a Restricted Delivery Fee p C3 (Endorsement Required) p Total Postage&Fees r- •,-p Sent To rq Street,X o.oPO fox No. cz -- -------- ------ ------- Cry,Sfate,ZA�n� � f�� do�6Ul IN �� ��� { Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece c A signature upon delivery o 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. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n 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 Certified Mail receipt is required. vV r 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". e 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,May 2000(Reverse) 102595-99-M-2087 i THE Town of Barnstable �pF 1p� o Regulatory Services * sAttxsrABLE, Thomas F. Geiler, Director 0,39. ��� Public Health Division lED MA'S� Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 12, 2006 Ms Laura Bianchi 107 Oakview Terrace Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 107 Oakview Terrace,Hyannis, MA,was last inspected on May 5th, 2006 by, Mark Poselli, a certified septic inspector for the State of Massachusetts. 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: System is in Hydraulic Failure You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENv-IRONN� T_gL= ' 'AIRS c DEPARTMENT OF ENVIRONMENTAL PROTECTION G� C� G a9 Zof S� TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Gam/ Property Address- Owner's Name:Lac.r Owner's Address: O Ox �* Date of Inspection: = Name of Inspector: ( Ieaseprint) Company Name: �vi p _ j�G i . Mailing Address: a o X 7 Telephone Numberrn ) S— 7cfc�t e 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15340 of Title 5(310 CAM 15.000). The system: Passes Con�nally Passes eeds Further Evaluation by the Local Approving Authority Fads Inspector's Signature: Date _._ -- .. C The system inspector shall sub t a copy of this inspection report to the Approving Authority(]Board of Health or DEP}within 30 days,of completing this inspection.If the system is a shared system or has a design flow'of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments- ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSIYIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 10 0e,;41 et,✓- l7 _ yl/I 6?a60 r Owner: ac Date of Inspection: !J (j Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _kI have not found any information which indicates that any of the3 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below-. m 10 C VIR Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health, lth,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic.tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or higfi static water level-in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced D explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ivy explain: T;H. G i�c�ortinn Lln,,,F/1 C/7Ml1 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: /�/ ��!/iet�/ rP✓/G �� Owner: �( Gr 0 c Date of Inspection: C. Further Evaluation is Required by the Board of Health: � (Conditions e 'exist which require further evaluation by theBoard of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: — Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. — The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. — The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. - The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria acrid volatile orgariic compounds indicates that the weIris-free from pollutroni from that facility_ and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided-that no other failure criteria are triggered.A copy of the analysis must be attached to this form 3. Other: 3 Page 4 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY_�SSESSIYIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORT PART A CERTIFICATION(continued) /7 Property Address: oa6 0> Owner Date of Inspection: Q D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No ckup of sewage into facility or system component due to 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 4 ogged SAS or cesspool _ V Static.iiquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ _ uid 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 9f times-purnped _ _/1�ny portion of the SAS,cesspool or privy is below high ground water elevation Any portion of 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. ,Arty 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. (This system passes if the well water.analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility azfd the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other,failure criteria are triggered.A copy of the analysis must be attached to this form.l (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000, gpd., You must indicate either"yes"or"no"to each of the following: ; (The following criteria apply to large systems in addition to the criteria above) yes no \Xthe 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-I'YV-PA)or a mapped one II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system mi accordance with 310 Ova .. 15.304. The system owner should contact the appropriate regional office of the Department. Page 5 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property-Address: �� / �G�✓I�PiG✓ %�i'Ycr� Ott?hrS, g OaZ60 / Owner: �!C,v, Date of Inspection: j 6 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes � o PuyHping information was provided by the owner, occupant,or Board of Health _✓/Were any of the system components pumped out in the previous two weeks ? V H Have large volumes of water been the system received normal flows in the previous two week period? — g introduced to the system recently or as part of this inspection:' Were as built plans of the system obtained and examined?(If they were not available note as Iv/A) Was the facility or dwelling inspected for signs of sewage back up? v — Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? Were the septic tank manholes uncovered.op ened,and the interior of the tank inspected for the condition :yeaffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS).on the site has been determined-based on:. Yes no i — xisting information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTT_ .RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: ©e;t4,, 14,/ %-evrocec- Owner: 9(1;)h e, Date of Inspection: .6 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): DESIGN flow based on 310 CNM 15.203(for example: 110 gpd x#of bedrooms): -7-3-a Number of current residents: Does residence have a garbage grinder(yes or no):/' o Is laundry on a separate sewage system(yes r no):� [if yes separate inspection requiredi Laundry system inspected(�e or no): * Seasonal use: (yes or no): N� Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no):LO Last date of occupancy:�/n'.,4�---_ COMMERCIAL/INDUSTRIAL Type of establishment. Design flow(based on 310 CTMR 15.203): gpd Basis of design flow(seats/persons/sgft etc.): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no):_ OJ If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: ` T T F SYSTEM Septic tank, distribution box, soil absorption system Single cesspool _Overflow cesspool _Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank —Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if 3wailand source of information Were sewage odors detected when arriving at the site(yes or no):11V0 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / /� SYSTEM INFORMATION(continued) Property Address: ! 0 ( ©Gs �/�ve✓ re Vy-r- / gt�y1[; Owner: �J,Gn c(l i Date of Inspection: BtiILDING SEWER((llocate on site plan) Depth below grade: Materials of construction:—cast iron _�Q PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: locate on site plan) --( P ) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: . U Sludge depth. Distance from top of sludge to bottom of outlet tee or baffle: 0?, Scum thickness: Distance from top of scum to top of outlet tee or baffle: C Distance from bottom of scum to both f outlet tee or baffle: b �� How were dimensions determined: �o le' Qq yL_P Comments(on pumping recommendations,inlet and ou et tee or baffle condition,structural integrity,liquid levels as r�ell�ted to outlet invert,evidence of leak-age,etc.): / / L//� 01 f'7 �i✓ .P t�J Ede f 4-1 l-1 e g-- es t i oo �o GREASE TRAP:!(Iocate on site plan) - --- Depth below grade: Material of construction:_concrete_metal fiberglass_polyethylene other (explain): —' — Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert, evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESS, --N, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: / Qatl✓(/rGc,/ ✓lQ L Owner: t c�✓�c Date of Inspection: Ob TIGHT or HOLDING TANK:(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: /Vaf present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): PUMP CHAMBER: /// (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or nor Comments(note condition of pump chamber,condition ofpumps and-appurtenances; T;tlo : TYfC+.P!•*;nn �'nr.n All z�/7nnn g - Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNT_4RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: /0 �G)1✓v!ec,/ ✓r�c-� f� Ghvl if oa c 0/ Owner: /�7 t 61 H o r Date of Inspection: >� �� SOIL ABSORPTION SYSTEM(SAS): (Iocate on site plan,excavation not required) If SAS not located explain why: Type om � - leaching pits,number: ( 0 leaching chambers, number: / leaching galleries,number: l�/ ` S� 1-7o- leaching trenches,number,length: leaching fields,number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation. etc.): /1'9 0)(V1 C' 0 ve s'6' 01 CESSPOOLS:A (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs ofhydrauIic failure,IeveI ofponding,condition of vegetation,etc:): PRIVY: 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.): 411 Gzrmnn 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA • PART C SYSTEM INFORMATION(continued) Property Address: /0 G h/(//-G(✓ Tevz- ,z e-- / Od-60/ GvIN Owner: at A(n c , Date of Inspection: Q,(� SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. i A3- r.-,,, 417:i,7nnn 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLLNT__RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INNSPECTION FORNM PART C / SYSTEM INFORMATION(continued) Property Address: ! �G�✓1i1�(i✓ rC�/,lc,( Owner:_a, n V.o Date of Inspection: SITE EXAM Slope Surface water ' Check cellar Shallow wells p O Estimated depth to ground water /5"�_feet �— C©� Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: O rved site(abutting property/observation hole wi 150 feet of SAS) hecked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must desc 'be how you establisAed/the high ground water elev do : i 2oi o� 7' Tr tf- r r­--- ,., � r 41,si�nnn 11 G� • ,, C• V �� � �'S � y � V� � 1 TOWN OF BARN TABLE LOCATIO SEWAGE # v VILLAGE `2 1/a,n•"t d—PASSESSOR'S MAP LO G! INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) pr,_ (size) .3I NO. OF BEDROOMS. PRIVATE WELL PUBLIC WA'T _ BUIL R R OWNER � � -p�/L .� DATE PERMIT ISSUED: (0ve-4 C*� —� DATE COMPLIANCE ISSUED: a / ? — Jd 7 VARIANCE GRANTED: Yes No � O P� s. r 1 � ~.~^�.~���^ // �7 �n *�/� ^��/ FE THE COMMONWEALTH oFmASsAo*ussTrs 8����� U��� ���� HEALTH ����^"" "�� ��" _,�O���--------��F-----����%l�t��}l���----_-------' � �,°� 3�c~ �� �������rWtio8� ��� ]���4«��s�� Workii Tomitrurtion ranfit Application is 6ezcbv made for u Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ` Oakvienr gCerra�e , West B i I�ort Lot #52 '-'---------------------'-'-'----'---------'------ --'---------------------'-'------ - Location-Address or Lot No. I,c�i��_S_�__(�idda��d____________________ _C�r .. __-'_'-___--__--_-' Owner Address --------------'-'---'-------------'-------------- ----------------------------'---------'----------' I nstal I er Addres s Type c6Building Size Lot----- ji',.i5i3-------Sq. feet Dwelling--No. of Bodcnomu------' -------------.Expuoainn Adbo ( ) Garbage Grinder / ) Other—Type of Building ............ No. of persons............................ 56mwcza ( 2) -- Cufetcria Otherfixtures ----.-----'---..---------._------.----------_-----'---------------'----- � Design Flow..............U_Q...................... per person 330____ � 04 Septic Tank—Liquid Leoet6'' Width---4.11y'Diameter................ Deptb'5.A^- Trench--No. .................... Total Total f t. Seepage Pit No..-l-.--- Diameter-'��.............. Depth below inlet--'. ............ Total leaching area.....A!�Q....so f t. Other Distribution box ( ) Dosing tank ( ) ~~ Percolation Test Results Performed bv':��}(]{--- --------'------ D��.--'��'�'�/��'/------- Teo Pit No. l--.L.9---nniuutcsyerinch Depth of Test Pit----U........... Depth tn ground natccn-ozze... X��oonter ~~ TestPit No. 2.....Z�{}.zuinntesyor inch Depth of Teo 96L-�.l�---- Depth to or0006 water---.".-----v ed -- .-__--------'_--_-._-__-----__-------------'--'-'---------'--'-----_'---- 0 Description of So ���t-'J�i���-].-����-2'�-.-------------------_--,'--_------------------_______. O ' - 2 ' Loam andsandy sub-soil ----''------'—'----'-`---------------------`----------------------------'---------------------`------ '- Z ' � l2 ' S�o� and gravel ____________._____ _ __. _ _ . _____ . _ ___________________________________ Nature of or A�ecutin�- Aoower when applicable.......................................................... -_----.__----'__.'-_''-----'_--'---_-----___'__---'--------'_-'--_-'-_-'_-_'-'-'--_'-'--'---- Agreement: � � The undersigned agrees to install the uforedescribed Individual Sewage Disposal Systemin accordance with the provisions ofZ[TIS 5 of the State operation until a Certificate of Compliance b ri-issued by t bo of health. - Date ... T0>PLAN. � Date THE comMomvxsALTH or MAssAoHussrTs | BOARD OF HEALTH ` | ! � __g����.________����_____�B������t���]bI�__________ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed?� or Repaired Jnstaller has been install�,-d in accordance with the provisions of TITLE 5 ot,-The State Sanitary C as described in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ...---------------........-------------------------------------- LEVY, ELDREDGE & WAGNER ASSOCIATES, INC. ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS LAND SURVEYORS 889 WEST MAIN STREET CENTERVILLE,MASSACHUSETTS 02632 (617)775-2244 - i November 11, 1987 Board of Health Town Hall Hyannis, MA 02601 To Whom it May Concern: A Representative from this office visited Lot 52 Oakview Terr. West Hyannisport on October 16 , 1987. At that time we determined that the sewerage disposal system was constructed according to the specifications on the proposed sewage disposal plan prepared by this office. Sincerely, t LEVY, ELDREDGE & WAGNER ASSOCIATES Daniel O'Neill 4 DO'N/mlw cc:Mark Horan i 1 I 1 i 88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS 01701 No. ... ...... THE COMMONWEALTH OF MASSACHUJTTS BOARD OF HEALTH ......tin:.-- arnst.<<b.1e Appliratiun for Diopuottl Workii Tonotrur#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Cakv cw Torraco , lv'E:�st lil'`unnLspor'•_. Lpt #'52 ....:..........._................................................................................ --•------•---•--•--•----•---------.._.....-----•---------•--.....•-----....._._---............--•- Location-Address or Lo No. Lois 3 : 6( c�a•_ar.ci Canc lovycl> Lane, ` est Hyannisport .....................-.......................................................................... . .........................................:............................... ------•--......... Owner Address W Installer Address Type of Building Size Lot.....1 6_ ......Sq. feet Dwelling—No. of Bedrooms.............. .............._.._....__._..Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building __...�nCh No. of persons............................ Showers ( 2) — Cafeteria ( ) PaOther fixtures ......-•----•-•-------------------------------------------••-.--•-- -- W Design Flow..............1.1 .......................gallons per person per day. Total daily flow...........__.3------------------- 30 �lons. WSeptic Tank—Liquid capacityl0C�.(.gallons Length...f .'_?`�.. Width---4.'.l.0"Diameter................ Depth...'-..8...... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......I-------------- Diameter..... .`.._.._..... Depth below inlet.....f?............ Total leaching area..... ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by Levy _ 4/29/87 Date. ._ ,aj Test Pit No. 1..... .r. -_-minutes per inch Depth of Test Pit.. I. .......... Depth to ground water.1101?(: c-.ri_counter (i, Test Pit No. 2...... !.�Lniinutes per inch Depth of Test Pit..... 2.......... Depth to ground water..-_._.................. ed.. 9 ••-••-•--•------------••••--••••••-•-•••-•--•-•-........•----••••••••---•-----•-•--•--------•---•-•.......................................................... D Description of Soil....Tc s:.lit 5__1-__a nd 2.: x 0' -- 2 ' Loam and sandy sub--soil U •-•••••••--•-•-•--••---•---••••••--•-•-•-•---••-•-•-•-••-•••••. •-•-•............... . W 2 ' - 12 ' Sand zinc:, cjrt,v(,l -------------- -----------------------------•-•-----------------•---•---------------•----------------_-------------------------------------•--------------...---•---•-...............-•-•-•-----•... U Nature of Repairs or Alterations—Answer when applicable............................•.._...._.._................_.._.._.................•..........._.. -•••--------•--•-•....--•--••--•-----••••-•---•--••--••-•--•---•••-••-•-------------•-•...._......-••--••--•-•--•-•-----•------••---•---••-•---••-••----............................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TIT1.i: 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. _2/87 Signed........................................ ::� ........... ........._.... Application Approved By--••-•---• -----••••. •-�C}e �... - ..... t - f Date Application Disapproved for the f ollowin r asons:..........................................................................................................__._ -------------•-•----........--•--•----•------•••--•-•-••-•--•---••-•--•-•--••--•-•---•----...•••-•.....----•-••••......................•----•--------•-•••-•------•---••-•-•••....••-•••••-•............ Date PermitNo........o....... ------------------------ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......T.c?wn......................OF.................D.a rnstable..................................... (9rdifirate of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...............................................................................................•--•-•--•---•••.........._:..----...-------•-----•---•----------••--.........------.........-••-•-- Installer at...Lot --;,:J ic . e. r 2 ()<aiww r. ,t'lo st Hyannisport , Puss. ....... ..... .........................................._.•.....--- ._...................._..__..._ has been installed in accordance with the provisions of TI�TYP 5 of-The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. - �.................. dated_...._�:::.,Z. _.% __ ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... ESIGNING ENGINEER MUST aU.1—RVIG'_ "'T,ALLATION ,AND CERTIFY IN ` .`71:� �`� THE COMMONWEALTH OF MASSAC�H�SES�TSv�� INSTALLED IN 31f11C, " / . BOARD OF HEALT�.,H„DANCE: TO PIJkN. Totrn r�arnsta.ble✓ '� O F.................................................................................... No......................... FEE........................ Rio roo�tl orko Tono#rudion Permit Permission is hereby granted...................................... to Construct ( or Repair ( ) an Individual Sewage Disposal System at .-•C-]•�-:•�.. . Street I as shown on the application for Disposal Works Construction Permi No'._______..1.._:.____. Dated.... ..= ; ....:. ... ... �Ci'(/ DATE...................................................................................... Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON tp R -� LEGEND O al Wellesley Cr 78�-1 PROPOSED CONTOUR a Rd g z 7g PROPOSED SPOV,GRADE r, EXISTING CONTOURr' ,.. pi- d = � rn g N 0,7 1.00,411 r Rd o tlale W.'- ' 1 ® TEST PIT Rtl ° �, v b c N N r /� 5 �' a o 4 �° D $ Narth Slfeet —CL 0.0 r � 71 / --- E-- - EXISTING WATER SERVICE. a $ X 14 M �y;�,•.r5 ,�'JJ.+�'..IU , tom: 8 S ro WEST MAIN STREET 5T 5� Pate .i o _ 2 7D oY Ln = Jao°l P Y Souno go [� 5 a LOT 52 Locus CL 14,653t S.F.0.28f AC. LOCUS MAP N.T.S. g �� Map 268 ` � Parcel 297 �� I I ' GENERAL NOTES: 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 1 / BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS f OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE /` �EXISTlNG�/ N LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW X l HOUSE (#107)/ / f' -310 CMR 15.405(i)(b): TOF=109.63 �j / 1) A 1' variance to the maximum 3' depth of cover over S.A.S., f 1LU o' • f/' H- (Assumed) r / ',� ( ; for a 4' maximum cover. S.A.S. shall be vented and H_20. j 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. �co, •• =,ate 1 I ! Ben chin ark se t 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Left cor. ,bulkhead FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 9` , "'�. ��� Ei.=100.93 (Assumed) ENGINEER BEFORE CONSTRUCTION CONTINUES. `�• O �L! R 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. ' ` •' � 9 0_ x EXISTING TANK 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF TOP OF TANK EL.=98.88 THE CONTRACTOR-OR OWNER TO NOTIFY THE LOCAL BOARD OF 12'-+►I ___•-- .�• U -(, X �I' 1 0 INV.(OUT) DEL.=97.55± HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. PROP. S•A S i 7. WATER SUPPLY PROVIDED BY TOWN WATER. N O O - ' EXISTING S.A.S. S. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. CONTRACTOR SHALL PUMP 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED X 3, ,2 4 J AND FILL WITH SAND ,,• 1 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. X 9 7.7 , / , + 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING .59 TP-1 C> 93 r )' N / .� - CONSTRUCTION. i oa 9 g5 a 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). ' �� �� "'� • Of_ x 12. CONTRACTOR SHALL EVALUATE STUCTURAL INTEGRITY OF EXISTING r ����� �ASS9h SEPTIC TANK PRIOR TO CONSTRUCTION. -- ~ PETER T. G� PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE CIVIL • --30' -- No. 35109 107 OAKVIEW TERRACE, HYANNIS, MA F AEG/S1 �Q Prepared for: Laura Bianchi, P.O. Box 117, Centerville, MA 02632 IF UNSUITABLE SOILS ARE ��' Engineering by: Surveying by: SCALE DRAWN JOB. NO. 'y ENCOUNTERED, SEE NOTE 11 SS/0 Eng/n wdngXarkr Terry A. Warner PLS 1"=20' P.T.M. 178-06 12 West Crossfield Road 22 Long Road IJr ('J Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. A y # (508) 477-5313 (508) 432-8309 6/23/06 P.T.M. 1 of 2 4 'y _ PREVENT BREAKOUT, THE PROPOSED • '. y` �'SH GRADE SHALL NOT BE < L:95.2 -F. .. .2t E T.O.F FOR A DISTANCE OF 15' AROUND THE (EXISTING) )�� F.G. EL: 99.2t VENT PERIMETER OF THE S.A.S. EXISTING F.G. EL: 99.4t(EXISTING) f MAINTAIN 2% MIN SLOPE OVER S.A.S. 4" SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET TO WITHIN 3" OF FINISH INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D-BOX TO 2-500 GALLON LEACHING CHAMBER IGRADE TO SERVE AS INSPECTION PORT. TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE 1N SERIES WITH STONE ALL SIDES INSTALL RISER OVER CHAMBER Q L =15' SHOWN ON PLAN AND SET COVER j L=5' WITHIN 6" OF FINISH GRADE 4" SCH 40 PVC 4' SCH 40 PVC To' 2" LAYER OF 1/8" TO 1/2" EXISTING 14" ® S= 1% (MIN. 6 _ as ®® DOUBLE WASHED STONE ® S- aaaMaaa 1% MIN. 1000 GALLON (MIN.) aaaaaaa a SEPTIC TANK INV. ELEV.=95.10 2' EFF. DEPTH ®aa®®®a INV. ELEV.=95,27 ---- :..' (SEE NOTE 12 —SHEET 1) 3/4"-1 1/2" EXISTING ADD GAS ' D-BOX 4' 5.2 4 DOUBLE WASHED BAFFLE EFFECTIVE WIDTH = 13.2' STONE VINV.EL: 97.55t INV. ELEV.=94.70 e NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TOP CONC. ELEV.=95.7 —BREAKOUT ELEV.=95.2 PIPE INVERTS PRIOR TO CONSTRUCTION. INV. ELEV.=94.70 10 �a®®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ®®®®®®®®®®® ON A MECHANICALLY COMPACTED SIX INCH CRUSHED x BOTTOM ELEV.=92.70 2 8 5' - 17 , 4' STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 4' ",, _ 3) INSTALL INLET & OUTLET TEES AS NEEDED. 5' MIN. ABOVE 'BOTTOM OF EFFECTIVE LENGTH---=-25.0' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE I T.P. EXCAVATION OR G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION NO G.W. ENCOUNTERED BOTTOM OF TP EL: 85.9 (TP-1) SEPTIC SYSTEM PROFILE (3) 5" DIA.Ol1TLETS ts2' N.T.S. 15.5" PETER T. 1s.s" iEl McENTEE6" 8" DESIGN CRITERIA CIVIL N p T T No. 35109 H-10 LOADING 2" NUMBER OF BEDROOMS: 3 BEDROOMS �FSFGISZE�N" D—BOX SOIL LOG SOIL TYPE. CLASS I A KT.S. / / TING DESIGN�',�'j' /`�/ N.T.4 DESIGN PERCOLATION RATE: 2 MIN./IN. 16(4 HOUSE (, 107�: f' / r' DATE: JUNE 16, 2006 (Ref.# P-11318) DAILY FLOW: 330 G.P.D. (�1Z� / %� SOIL EVALUATOR: PETER T. McENTEE C.S.E. DESIGN FLOW: 330 G.P.D ; INSPECTOR:,TOF=1'07.63 r� GARBAGE GRINDER: NO DONALD DES MARAIS, BARNSTABLE B.O.H. LEACHING AREA REQUIRED: (330) = 445.9 S.F. KE@ ®®®® / Elev. TP� 1 Depth Elev. TP-2 Depth _ p 74 ®®®®®®® 37" j I rJeck 97.7 9 0 98.1 O� EXISTING SEPTIC TANK: 1000 GALLON CAPACITY N ®®®®®®® � FILL A SANDY LOAM a _ 3/3 ®®®®®®® 96.4 A SANDY LOAM 16 97.4 10YR LOAM g" USE 2-500 GALLON LEACHING CHAMBERS IN SERIES � ..._- 10YR 3/3 B SANDY LOAM 96.0 20" toYR s/e SIDEWALL AREA: 2 13.2' + 25.0' X 2 = 152.8 S.F. 1OYR102" � 6'. 3� 5 B SANDY 5/8M 94.8 C1 40" ( ) 94.2 42" 42" BOTTOM AREA: 13.2' x 25.0' 330.0 S.F. 4" KNOCKOUT ---- C1 ; w TOTAL AREA: 482.8 S.F. 20' DIA. COVER I O 54" DESIGN FLOW PROVIDED: 0.74(482.8) = 357.3 G.P.D. 4" KNOCKOUT 04" KNOCKOUT 62" rN i PROP. S•A•S• ! M—C SAND •� I I M—C SAND 10YR 6/4 I —_-----' �5•� 10YR 6/4 20%GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN a" KNacKour �-----25' 20%GRAVEL 1 107 OAKVIEW TERRACE, HYANNIS, MA 500 GALLON CAPACIT H-20 LOADI Prepared for: Laura Bianchi, P.O. Box 117, Centerville, MA 02632 CHAMBERS 87.7 120' 88.1 120 Engineering by: Surveying by; SCALE DRAWN JOB. NO. Engineering Xorkr Terry A. Warner PLS NTS P.T.M. 1 78-06 N,T,g NO G.W. ENCOUNTERED 12 West Crossfield Road 22 Long Road S.A.S. LAYOUT PERC RATE < 2 MIN/IN. (24 GAL/13 MIN) Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 (508) 432-8309 6/23/06 P.T.M. 2 of 2 I 20 FT. MIN. TOP OF FOUND. SOIL TEST 6447EL. _ 'oo IO FT MIN. DATE OF SOIL TEST �( zq � I� 6� CONCRETE PERCOLATION M WITNESSED BY T. 1-4 COVERS PI SC "40 pyC PIPE GLEAN SANG RATE 5- AKIN I! NCHIN. PITCH 1/8 PER Fr. OBSERVATION HOLE I OBSERVATION HOLE 2 CONCRETE ELEV. "" LAYER OF ELEV. a = -40 4"" CAST IR N PIPE 12 COVERS 2 FOR EQUAL" MIN. 1/8"- 1/2" WASHED 4 o" STONE Lvrq i✓ PITCH I/4 PER FT. •-,t } �, �ur7T y 4`��✓ ..S4,,v &:e51<sr4 14' 24" FLOW LINE EL = qh D 10" cv MIN. ••+'••. L/ f- EL.= 't4 8C / EL = 4y Zo LEVEL EL; -�4 6D ►_- 4,b�' DIST. EL. = 44'0 BOX . a o Z WATER AT /20 EL.= 34,'0c WATER AT i2©" EL.= 33 p �V 3/4" I1/2" o •o o o �--� GALLON WASHED STONE • 0 ° ° LL o 00 SEPTIC TANK U. o EL.= 40 00 DESIGN CALCULATIONS PRECAST LEACHING NUMBER OF BEDROOMS 3 BASIN OR EQUIV. 6" DIAM. �;" GARBAGE DISPOSAL UNIT A/o V ✓� TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM PROFILE t " 33� \ ' REQUIRED SEPTIC BTANK CAPACITY BR ) t9� GAL./DAY GAL. NOT TO SCALE ACTUAL SIZE OF SEPTIC TANK i,QoQ-> GAL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL.= `v %'= LEACHING AREA REQUIREMENTS OBSERVED WATER TABLE ( / / ) EL.= SIDEWALL AREA 2, v t;AL./S.F. BOTTOM AREA !l o GAL./SF \ LEACHING CAPACITY ( BOTTOM t SIDEWALL) '4 0 GAL. LEGEND EXISTING SPOT ELEVATION ooto RESERVE LEACHING CAPACITY qq 0 GAL. �'� \ \9• EXISTING CONTOUR - -- -00- ---- (� 4� FINAL SPOT ELEVATION ® NOTES _l FINAL CONTOUR UO I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO DLE.Q.E_ SOIL TEST LOCATION TITLE S AND THE TOWN OF 'tic. u sTa�, ::- RULES AND UTILITY POLE --0- `x ��-=W W TOWN WATER REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE- y� CATCH BASIN ;® � 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO a WITHIN 12"" OF FINISHED GRADE. o 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. o _ �' 4• ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR �13 oo / WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING MIN. FRONT SETBACK 9,` SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. MIN. REAR SETBACK iO . 5. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE r MIN, SIDE SETBACK SHALL BE MORTARED IN PLACE. �. 1 `-• -. r ` 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER lf'APPL !CANT IS TO 101 - z I t OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. �° , - . .h <_: 4 a ; : ��-• APPROVED : BOARD OF HEAL:[ H 17 DATE AGENT PROJECT LOCATION, ;! _..>• , t� 0 ,A n. �� /{ �„'��• y'�"' �"��4.1 N 1'i+: W�•� } �a'f�, r;f9 t�►tJ�,, " 4 ' r a k Q r ! �O �F°p �' APPLICANT: 4v '+ z � lP� i r r w a?;`'� *° LEVY, ELOREDGE N> rip �� , f l�L�IG/VER ASSOC /11 57 40t�j ENGINEERS - LANDSCAPE ARCHITECTS F,�N - FLANNERS - LAND SURVEYORS cr 889 WES'1 MAIN STREET "t t✓ ��,I CFNERVILLE, MA 0Z632 FRS ler •% ;.L7` �t N �'`'�+ gyp` I ��0 I� ,, 'y1\..(��3, ,l�tr J�t-J �! •..� �:. F►�� "� dvi' + ✓�AL�►1 6�I'+ �f�x s�.a I \ AA' * ► q> LOCATION MAP Z �a Z SHEET r OF ; `.a x-