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0028 ORR'S AVENUE - Health (2)
.28.Orr's Avenue` Hyannis. A = .290 066 •i w 9 t f 9 J .0 COMPLETE • ■ Complete items 1,2,and 3.Also complete Si at e item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. p B. Receiv y(Printed Name C. a t Delivery ■ Attach this card to the back of the mail iece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes.0 1. Article Addressed to: If YES,enter delivery address below: ❑No Y David Holt C/o-Today Real Estate a _ I 1533 Falmouth Road (RT. 28) I Centerville, MA 02632 3. Service Type ❑Certified Mail ❑ Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(EXtra Fee) ❑Yes 1 2. Article Number 7;�11 (0 4,7 0 i 0 0 1; 4 5 2 5 '7 5 5 (transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES.Q,O$T .StiER1d{� tiw • Sender: Please print your name, address, and ZIP+4 in this box • I I r N `'own of Barnstable N Public Health Division 200 Main Street Hyannis, MA 02601 N `It'= �i-. 7ii!}l19�41'1�t!?1�!!!!15�1.}I!`sl��l3lr� t�i2'iEll'�t111�lldIll�lf l Town of Barnstable Barnstable P�pF fHE Tp�� y� p„ Regulatory Services Department 1 ericaC.1 IIA LE,MASS. a: Public Health Division T ASS. 0 �ArFb 39. A, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7011 0470 0001 4525 7550 August 08, 2011 David Holt C/o Today Real Estate 1533 Falmouth Road (RT. 28) Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic System located at, 28 Orr's Avenue,Hyannis,MA. was last inspected on 7/26/2011 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. According to the private septic system inspector, the system "Fails" due to the following: • Static Liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within One (1) Year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action PER ORDER OF THE BOARD OF HEALTH # C � P�v Tfromas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures\1-1 SAMPLE 60 Day Deadline.doc i � ������ sus I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: ( G` Shawn Mcelroy Name of Inspector Upper Cape Septic Service Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification f 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 fflibntenancQ�--§f on e sewage disposal systems. I am a DEP approved_ system inspector pursuant t4 Section f6.340ZQI Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authorityz4w = o`y 7-26-2011 Inspector's Signature Date The system inspector shall submit 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. ****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. CX M /I ]--. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Y re Hyannis MA 02601 7- -11 wired for ever y 26 9 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) , Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: r , B) System Conditionally Passes: El One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): , ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GqM 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No El Backup 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 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 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) _ Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any 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. ❑ ® 1 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. [Phis system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® 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. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply r 1:1 ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of apublic water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �qM 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been 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 N/A) El ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ 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, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Z ❑ 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: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (f any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: E Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•11110 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 6-2011Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments �^M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-11/10 , Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 - page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 16" feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints,venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): 8" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: 12" t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massa chusetts Title 5 Official Inspection Form Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) ' Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet 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: Date t5ins-11/10 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts _ W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): D-box had water at working level with signs of back-up as stain lines were above inlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4-Infiltrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Infiltrator leach field had clear signs of failure with signs of back-up into d-box and surrounding stone. Cesspools (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 ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. City/Town - State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, 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.): . t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 6 • C r i t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10, feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 10'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4�M 28 Orrs Ave Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-26-11 page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 © A Ln Li: Ln Q J�/ r Postage $Ln -71 t� Certified Fee j. Mp Return Receipt Fee Pystmerk i O (Endorsement Required) t(gars, Q 0 Restricted DelNery Fee (Endorsement Required)' Total Postage&Fees e 1 O n -f � / j o2tf aZf- �pQlc� 3veet Apti t Lr) Fa a- -- l3 or PO BoxNo.,, ----` —t y-�----- City State 4 MA C� 302 r - Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years i Important Reminders: to Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. a 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 o For an additional fee,a Return Receipt may be requested to provide proof of. delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. a 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". a We 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.T, PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 ' J r- OfFICIAL Ln ru Ln Postage $ r'Y y Certified Fee / -1 rl �/ Postmark O Return Receipt Fee, Here 0 (Endorsement Required) p I Q 0 Restricted Delivery Fee o (Endorsement Required) S 17� Total Postage&Fees $ O a .......--...---fig--... or PO Box No. 3� -�vrd � City Stets.--- ------------------------------------------------------------------ Certified Mail Provides: �^ ■ A mailing receipt o A unique identifier for your mailpiece 0 A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. n Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. m For an additional fee,a Return Receipt maybe 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 USPSe postmark on your Certified Mail receipt is required. a 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". c 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,August 2006(Reverse)PSN 7530-02-000-9047 .11:1 ilk,I III I H l�11111 1111111 COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S' nature item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse Addressee + so that we can return the card to you. B. Received�byit'rQ f,�tedlNa�i_e�� C. Date of Delivery I ■ Attach this card to the back of the mailpiece, t1t— or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No i Wells Fargo Bank NA 666 Walnut Street Des Moines, IA 50304 3. Se ice Type rtified Mail ❑�Express Mailf_ ❑Registered [�eturn Receipt for Merchandise ❑Insured Mail (�7j C_.O.D. 4. Restricted Delivery?_(Extra Fee) ❑Yes 2..Article Number 1 ,Transfer from service lat 7006 p810j 0000 i 3525} 6191 Ca PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M,1540' UNITED STATES 0F�M1;�^ i • Sender: Please print your name, address, and ZIP+fin th-box O\ ESIAMF ✓Gy \:� cn > Town.of Barnstable U 1 z Health Division lj ' G A 200 iV1am street S� f-(yarhis,MA 02601 S 6 p o l_ Certified Mail#7006 0810 0000 3525 6191 Town of Barnstable MASS s,�r�srnsc.8. • Regulatory Services 1659. Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 8, 2011 Wells Fargo Bank NA � 666 Walnut Street Des Moines, IA 50304 _ NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property owned by you located at 28 Orr's Avenue Hyannis, MA was inspected on June 8, 2011 by Town of Barnstable Health Inspector Timothy B O'Connell, R.S., because of a complaint. The following violation of the Town of Barnstable Board Code was observed: & 353-1 Responsibilities of Owners and Occupants: Large amount of garbage and rubbish located within back yard of said residence. You are directed to remove the garbage and rubbish from this property and dispose of it properly within seven (7) days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Failure to comply with an order will result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. �ER-O ER OF THE B ARD OF HEALTH homas McKean, CHO, RS Director of Public Health Town of Barnstable QAOrder Ietters\Refuse\28 Orr's.doc f Health Master Detail Page 1 of 1 HIpf � #, w Logged In As: TOWN\oconnelt Health Master Detail Tuesday, Ji Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 2..90-066 Location: 28 ORR'S AVENUE, HYANNIS Owner: WELLS FARGO BANK NA Business name: Business phone: Rental property: IJ Deed restricted: (J Number of bedrooms : 01 Contaminant released: ( Fuel storage tank permit: (� Save Parcel_Changes m ;� Return to Lookup ^ Parcel Info Parcel ID: 290-066 Developer lot: LOT 17 Location: 28 ORR'S AVENUE Primary frontage:75 Secondary road: Secondary frontage: Village: HYANNIS Fire district: HYANNIS Sewer acct: Road index: 1186 Asbuilt Septic Scan: 290066_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: WELLS FARGO BANK NA Co-Owner: Streetl:666 WALNUT STREET Street2: City: DES MOINES State:IA zip: 50304 Cc Deed date: 11/22/2010 Deed reference: 25019/102 Land Info Acres: 0.29 Use: Single Fam MDL-01 zoning: RB Neighborhood: Topography: Road: Utilities: Location: Construction Info Building No ear Built Gross Area Living Area Bedrooms Bathrooms 1 2001 3348 2040 13 Bedrooms2 Full + 1H Buildings value:zc236,300.00 Extra features: tt3,600.00 Land(value: x67,200.00 0 okl care� �� w� -5 T �f . V101k1f http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=290066 6/7/2011 Gitizen Web Request Page 1 of 2 •f.r�. SAY � a SAIMST4EL$f. �a 09: , Citizen Request Management - Internal Use Request ID: 34799 Created: 6/6/2011 3:47:38 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Category: Section 353-1 Garbage and Rubbish E.C. Date: 6/20/2011 Created By: Crocker, Sharon Citations: Health Office Time Worked: 0 Response Time: 0 Requestor Details: Email Request Location: Bank Owned: Wells or Wacovia 28 ORR'S AVENUE Hyannis, Ma 02601 Parcel Number: Map: 290 Block: 066 Lot: 000 Request: Tons of trash in yard, "piled up to second floor",just threw trash out windows when moving. LOTS of household trash, food, mattresses, terrible. People are picking through it for metal. Request Work History: Entered on 6/6/2011 3:48:44 PM by Crocker, Sharon Please call with status. Internal Note History: Entered on 6/6/2011 3:47:38 PM by Crocker, Sharon Son, Justin, is there much of time. His # is 508-633-3691. Called a week earlier, do not see http://issgl2/lnternalWRS/WRequestPrint.aspx?ID=34799 6/7/2011 Gitizen Web Request Page 1 of 2 BAMXST7 MkN' Citizen Request Management - Internal Use Request ID: 34719 Created: 5/25/2011 11:28:29 A Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Category: E.C. Date: 6/17/2011 Created By: Shea, Sally Citations: Building Dept Time Worked: 0 Response Time: 0 Requestor Details: Email: Request Location: 29 DOGWOOD LANE Cotuit, Ma 02635 Parcel Number: Map: 040 Block: 075 Lot: 0001 Request: AT THE ABOVE LOCATION THE CALLER REPORTS THAT THERE IS A COLLECTION OF JUNK PICKUP TRUCKS THEY ARE UNREGISTERED. THERE IS A CAR ON A FLATBED TRAILER RIGHT NOW. THE CALLER IS UNSURE IF HE IS STORING THEM FOR SOMEONE OR IF IT IS FOR HIS OWN PERSON USE.THERE IS CONSTRUCTION EQUIPMENT. THERE IS JUNK BUILD UP AROUND THE PROPERTY. THERE IS RANDOM TRASH BLOWING AROUND. THERE IS A JET SKI. Request Work History: Internal Note History: System entry on 5/25/2011 11:28:29 AM: Related Request 34718 System entry on 6/3/2011 3:09:52 PM: I http://issgl2/intemalwrs/WRequestPrint.aspx?ID=34719 6/7/2011 r r g`'ay 1 �I°r`�ti�ah� y� ��e'"1:..i LL in` yy` `.L�`�'��y,�y w•q����_rr �' '•1 � � 9 r r gee. »A Al 4 ® . ,.. C* � n f� '.r�, rw •' „. is ij Nk ..ems• �..r J �` t��i1: '-�Rv' ;� r, � ld� u _ GIN Yl et 11(WP' ry Aw m 4 i Z.. N[�, ^ �...,a• b .. ' •'• J rt s� i , a a; g n , w ;ti sir]+tE. IJ .�yq1. ,`. S s t a � ♦ * l•ty�:�^,w a' t.'� �y T'`..y�� -+a.�'�; "'�J`.+, iM �'[wt� y ,�•L- f4)�„c•,� V � � n . ♦ ,E, .�I�l ��+ •'b 1` 1C'� �;. A `„�„' �r°` r` !'*�`� � * � /�Y?•' i� � Jt�}`�''r{t}�-y� .Y r� ay.�l i Y�t � .� � •'..i. '���a� t.._iM1(i,yip.��"j, � s ' � sZ `�.�� +'r r; �} n,* `"�„f:� `�4*„ ```"'` i fix. �r y��� ,�,'`'��� +���! ."` ' •,:. 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Tf w a 4' 4' r � x • a, r. x� �► " A F � Io It '.r r + If k may. m Al ilk r i • � t s " e No. V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Disposal 6pstem Construction permit Application for a Permit to Construct( ) RepairvIl"Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7-Fj 0 L.ol-o Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2�()— rp �� �L �yC I t p Installer's Name,Addres and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size 12, f 70 sq.8. Garbage Grinder( )IV0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) J 3 d gpd Design flow provided 3 9 2 S- gpd Plan Date q�2`1�// Number of sheets 2- Revision Date Title Size of Septic Tank f 5--0 Type of S.A.S. S x 3 /• Z Description of Soil Nature of Repairs or Alterations(Answer when applicable) �f lG r CX S st) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued s Board of Health. n d Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued Fee D� No. VVV THE COMMONWEALTH OF, ASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpiitation for Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( )' Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. Z 6 o Q e S L oT/7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel A FN 2 10^ 6 6 - , )L 0w'.r �K 4 1)S F,, r,)p Installer's Name,Address and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size Z, Y70 sq.ft. Garbage Grinder( ),Al 0 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) / 33 gpd Design flow provided 3 3 Z, S gpd Plan \ Date 2J 2 7�// Number of sheets 2 Revision Date Title Size of Septic Tank �56 0 Type of S.A.S. i� Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) {��n 1(,t f L X �X 3 (-v✓1 fi4,,, h 1 r Date last inspected: 1 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued s Board of Health. d .4, llf Date Application Approved by gn v// U' Date r / 1 Application Disapproved by Date for the following reasons Permit No.- Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C RTIFY,that #thOn-ste Sewage Disposal system Constructed( ) Repaired( UpgradedAbandoned b 1/ '` Y at O has been con ". n 9r ewith the provisions of Title 5 and thefor Disposal System Construction Permit No�� ated i Installer _ Designer r #bedrooms Approved design flow gpd t 1 The issuance of this permit shall not be construed as a guarantee that the system will nc'on/as desig ed. Date 0!1 '7� Inspector alnr lam- li J - - ------ --------------------- --------------------------- - - / r� --�� Fee fRTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Misposal *pstem Construction Permit Permission is hereby gr t to Construct epa'r( Vp ade ) Abandon( ) System located at � r / and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 Provided:Cons M/ t ompleted within three years of the date of this permit. Date Approved by i �k TRANS.,,NO.; CITY/TOWN , ��s1 APPLICANT ROL h g Cm"sty- c Mom` ADDRESS:._ ZF C r C'5 P-v-e— DESIGN,FLOW. . , . 3 3 0 „gpd REVIEWED BY: MC- ��a- �' DATE: .K' 4 Le al boundaries denoted 310 CMR 15.220(4)(a)] ✓ Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220 4 u Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40'for plot plans, 1"=20' or fewer for components) 310 CMR 15.220 4 Easements shown 3.10 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways, parking areas etc.) 310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR ✓, 15.220(4)(c)] Location and dimensions of system components and reserve areas. 310 CMR 15,220(4)(e)] System Calculations 310 CMR 15.220 4 daily flow ✓ septic tank capacity(required andprovided) soil absorption system(required andprovided) whether system designed for garbage grinder North arrow 310 CMR 15.220 4 Existing and ro osed contours 310 CMR 15.220 4 Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220 4 h and i Location and date of percolation tests (performed at proper elevation?) r310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.242 Certification statement by Soil Evaluator [310 CMR 15.220(4A)] ✓ Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)]. Address 1—of 9 N/A OK Location of every water supply, public and private, [310 CMR 15.220(4)(M within 400'feet of the proposed system location in the case of surface water supplies.and grayel packed public water supply ` within 250 feet of the proposed,,system location in the case within.150 feet of the,proposed system location in the case of privafe water Wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310`CMR 15.211 and any catch basins lOP ated within 50 ft 3.104CMR 15:220 4 l watevlin6s4fidl.other subsurface utilities.located [310 CNIlZ ' ✓ 15.220 4 m' water line cross see 340 CMR 15.211 :1 1 Ptofile of system showing invert elevations of all system , com onents`and tie-button of the,SAS 310 CMR1.5.22:.(4)(0)] Sham of design' -"3 l 0 CMR 15.220 1 and'310 CMR 15.220 2 Stamp-of-Rd gistered Land Surveyor (required if construction activrtes within 5 ft: of lot hue 310.CMR-1,5.220 3 Test Holes a d reserve dequate(two in each of the primary an unless trenchesas pernvtted in 310 CMR 1.5.102(2)or as` - a. 'roved for an u ade under LUA at 310 CN1R I,- 405 1 k Test-hole adequate.to demonstrate four feet of suitable material? 310 CM R 15.1 3'4 Test Holes adequate to confirm'adequate groundwater separation? 3:10 CMR 15.103 3 Benchmark v►ntlun.50 75'<.of s:;stem,[310 CMR,15.220 4. Materials specifications'.noted?.:f,various sections of 310'CNIR 15:000 System:components not.>.36" deep (unless Local Upgrade A royal or=LUA.re ,vested ".:3.10.CN1R 15..405 t, , `Address ; Sheet 2 of 9 N/A OK NO Size OK? 310 CMR 15.223 1 Inlet tee located ten inches below flow line 310 CMR 15.227 6 Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 ✓ CMR 15.227(6)] Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] Note regarding installation on stable compacted bass [310 CMR 15.2281 ��� 1= vt Separation between inlet and outlet tees(no less than liquid depth) VX 310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as descried 310'CMR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405 1 k Minimum cover " (Tanks.buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 ✓' CMR 15.232 3 Three access coyers (inlet and outlet must be 20" or greater) middle access at least 8" 7/07 310 CMR 15.228(2)1 Access to within 6 of grade -one port for systems<1000gpd, two for sterns>1000 gpd 310 CMR 15.228 .0 at-grade covers secured to unauthorized access? [3310 CMR 15.228(2)] > 10'ft from b!ijft foundation 310 CMR 15.211 1 ✓ - Buoyancy calculation Required/Done 310 CMR 15.221(8 H-20 Where a ro riate? 310 CMR 15.226(3)] Setbacks from resources 1310 CMR 15.211 Required when gther than single-family dwelling or flow>1000 d 310 CMR 15.223 1 b First compartment 200% daily flow; Second compartment 100% daily flow 310 CMR.15..224 2 and .3 "U" pipe througlt or over baffle, outlet of each compartment with as bade or approved filter [310 CMR 15.224(4)] f Address Sheet 3,of 9 A N/A OK NO Located at least ten feet froth any water line? [3-10 CMR 15.222 2 _ Disposal piping at least 18" below water line(when water and sewer cross,:set 310 CMR 15.211 .1 1 , Cleanouts r " uired/ rovided ? 310 CMR 15.222 8 Thrust blocks sp 29 ed'in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 310 CMR 15.222.6 Proper pitchTon-all runs? (.005 within gravity-distributed trenches and beds 310 CMR 15.251 9 and 310 CMR 15.252 2 c Siphonproblem/ eachfietd below pump chamber V Endca- s or vent manifoldspecified?_ Size and orientation of discharge.holes specified?.(not smaller than 3/8 11not larger than 5/8 ) [310 CMR 15.251(8)and 310 CMR 15.252 2 Materials specified (310 CMR 15.251(5) specifies various pipe types'Allowed) Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate'or baffie tee required on inlet/provided?(when pressure sewer to d-box or-steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser, ',deeper than 9" 310:CMR 15.232(3 Inside minimum dimension 12" 310 CMR 15.232(2)(b)] Minimum su 310 CMR15.232 3 e Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] Ca aci emer p ty( ` gency-storage-above-working=design flow)? [310 MR-2 Proper:setbacks: 310 CNM 15.211 same.as septic tanks Watertight 204ty n inium access manhole at least 20"MUST BE TO GRADE 310 CMR 15.231(5)] Service components accessible(not too deep with piping, 1'rlA disconnects accessible);. Alarm floats:-alarm on circuit separate from pumpsspecified? Exceeds two units must have two pumps operating in lead-lag mode: 310 CMR 15.231(6) and 8 Stable Com —Base 310 CMR.15.221(2)] Address Sheet 4 of 9 N/A OK NO NNW Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.24 1 Required separation to oundwater? 310 CMR 15.212 Aggregate specified as double washed 310 CMR 15.247(2)] System Venting required/provided?-(system under driveway or >36 deep) 310 CMR 15.241 Inspection ports specified and within 3"final grade? [310 CMR 15.240 13 Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15:211(1)[4] and Guidance Document i - .NEW Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253 6 Each structure vyith one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate 1' minimum- 4'maximum: 310 CMR 15.253 l 2' sidewall credit maximum 310 CMR 15.253 1 a In bed configuration, inlet evea 40 N. ft. 1310 CMR 15.253 6 Width 2'minimum 3' maximum 310 CMR 15.251 1 b ] 100 feet-maximum length 310 CMR 15.251 1 a Minimum separation 2x effective depth or width whichever greater 3x if reserve between trenches - 310 CMR 251 1 d Situated along cpntours 1310 CMR 15.251 2 Breakout OK? 310 CMR 15.211 1)[41 and Guidance Document minimum 2 distribution Ines 310 CMR 15.252 2 a Maximum se azation between lines.6' 310 CM R15.252 2 d � Maximum separation between lines and outside of bed 4' [310 CMR.15:252 2 e Aggregate depth below, discharge pipes 6' minimum, 12" maximum :310 CMR 15.252 2' Se aration.between beds l 0' rmirmnum. 310 CMR 15.252 2 Bottom axes used:in calculations onl 310 CMR_15.152(2) i)] Address Sheet 6.of 9 o, rL 14 CD N G0 St x i ` - 6 5 9 A:A s Pressure Dosed System ? Provided pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing Tequired on all systems >2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and UA Remedial Use ovals If used in gravellsss-system-make sure jet is directed as not to scow soil interface Guidance Document Inspections once per year(systems<2000 gpd)or quarterly >2000 dgood to note on plan 310 CMR 15.254 2 d Construction in fill -Did the plan specify that the fill shall meet, the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall ? Guidance Document of Impervious barrier installation must be supervised by designer 310 CMR 15.25 5 2 b Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.25 5 2 Breakout retluirements met? [310 CMR 15.252(2) and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended 10 CMR 15.255 2 e 6 ag millm 11111 iii; I Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a rote on the plan regarding the requirement for N/ perpetual maintenanceagreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has _ lic2nt submitted a c2EX of a maintenance eement? Are the variances listed on the plan? [310 CMR 15.220 4 RLS Stamp.,-necessary on plan if a component is within five feet of property dine 310 CMR 15.412 4 Address Sheet,?of 9 } i i f t 50 I CL y� a ur Y. Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.21¢ - also refer to Policy regarding upgrades of such existin systems] Is the system proposed on the same lot as served by private well ? s 310 CMR 15.21 2 Are the*nitrogen loads proposed in compliance? [310 CNM 15.21.. 1 _ Pumping to septic tank ? 310 CMR 15.229 Shared System ?1-CMR 15.290 1 Address Sheet 9.of 9 1 Town of Barnstable Regulatory Services Thomas F.Geiler,Iftget r WHealth Mmion ` Thomas McKean,Director 200 Main Street, Hyannis,KA 02601 Office: 508-862-" Fax: 508-790-5304 Date: It Sewage Pemit# Assessoxe,s�i ft#Parcel Z4® -O-b Installer&Desianem Certification Form Designer. t=�,o:n Q,a,r.'.„� War 1�s, ,nt. W11--tiller: lzqs �0•+5 �tcti-� Address: W. Cm lA R4. 1Addrew. Tw7y s J-44 4$ 6Zby4j 6,%-w 1-- MA ®2`53 On 94✓tie,d�¢�,S�tl'c1C��was issngd a permilAv install a (date) (installer) septic system at ZY 6/r'�s AJ-4- A l(S based on a design dmvm by (address) IVL &t-ee if L. dated "j I Z`J ! C t (designer) I certify that the septic system referenced above was installed substofgdly according to the design,which may include minor approved changes such -as lateral relocation of the distribution box and/or septic tank. Stripout (if required) ww inspected and the soils were found satisfactory. I certify that the septic system referenced above was WIAW with major�gh-aoges (j.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any compgie;0t of the septic system)but in accordance V"vith State&Local Regulations. Plan t'-ovislon or certified as-built by designer to follow. Stripout(if required)was ' and the soils were found satisfactory. OF PATER T. o MCENTEE (Instal er s Signature) " CIVIL ,o No.35109 F (Designer's Signature) -(AM,x Design �l" e) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMF&IANCE WILL NOT BE ISSUED'UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoflim fmmsldesigwnxr"eation formAm No. THE THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH h OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components W�G� Location Owner's Name Z Flo � G A .. Llyi/� cuti s Map/Parcel# Address Lot# Telephone# �1 q yn Installer's Name Designer's Name 1 1� I t�Gi�rL2�Q c�L A-s �` (49OJ Address A dress 446 Teleph ne# Telephone# Type of Building: La— Lot Size Y gt66Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 33� gpd Calculated design flow33� gpd Design fl w provided 33�gpd Plan: Date O I Number of sheets Revision Date Title ""r: S c:;, Description of Soil(s)_ rjl Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation (t DESCRIPTION OF REPAIRS OR ALTERATIONS ice, ✓1 30 rx The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed � 0 f Date FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 Nooyow- "!3r THE COMMONWEALTH OF MASSACHUSETTS FEE,--,,,0P.00z, i 2I�1 BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereb granted to Construct ( Repair ( ) Upgrade (i -)�Abandon�(' )4 an individual sewage �. dis'o6l systyerMat'� "Cr ' JY�J..�6 as described t in the appliJa66A dr Disrosal'S�stets Construction Permit No. ;�;o A � � � pdated � f I Provided: Construction shall be completed within three years of the date of this 4perftmffiAllust be met. Date 10/0 /ell Boardofw, a K FORM 2 - DSCP DEP APPROVED FORM 5/96 { "��'"" # FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON ' T�-.. . •�, ,�,.--.r•..�� ,,1 r ;�?fY_,rrr•►a h..,:,.,`1�+�„r..r.i'.^fir`,w.7_"•+,,_ ,wry"�. -. ,. ,,�„� , '.nl , r ,�. + THE_COMMONWEALTti OF MASSACHa,JSETTS `. FEE ` • �`� BOARD �OsFI HEALTH V dF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION-PERMIT Application for a Permit to Construct/ ) Repair ( � ) Upgrade ( ) Abandon ( )-- ❑Complete System ❑Individual Components .. . ---E-4a1►.,�e c A PWo-nn• k&4-r g�c. Location " Owner's Name i Map/Parcel 7 , Address S(V-1 ' Lot# Telephone# t y/� Installer's Name t� Designer's Name -li 1 t TF��J�i R I✓ Address A dress Telephone# Telephone# Type of Building: Y75? c'fA-C-J2-,- ; Lot Size . 44 Sq.feet - Dwelling—No.of Bedrooms Garbage Grinder ( ) '•`� Other—Type of Building No.of persons Showers ( ) ( )Cafeteria Other fixtures ` t Design Flow min.required) d Calculated design flow3J d Design fl w provided "r d g ( q ) gP g gP ! gP Plan: Date .51 l�j 01 Number of sheets Revision Date Title --r cP`— Description of Soil(s)_ �k ��-k-+-f _ A. Soil Evaluator Form No. Name of Soil Evaluator L' Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS I 1, 4" 1 1 U X )U X r t _ The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and P.rther agrees not to lace the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date " 'v ..d�ns{ntiws 4 1 t - FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No.ril��f THE COMMONWEALTH OF MASSACHUSETTS FEES BOARD OF HEALTH CERTIFICATE OF COMPLIANCE -.� Description of Work: ❑ Individual Component(s) keomplete System The undersigned hereby certify-thattthe Sewage Disposal System;Constructed(Repaired( ),Upgraded( ),Abandoned( ) by: at . ` %� has been installed in accpjdance with the provisions of 310 CMR 15.00 Title:5) and the approved design plans/as-built plans relating to applicat o!' 7,0 l dated ` "' D"6t (Approved Design Flow (gpd) Installer01 1 Designer: ` ' Inspector - - Date I The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM-3 -CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 - TOWN OF BARNSTAB�JLE LOCATION SEWAGE # t , VELLAG jj ASS>ESSOR'S'MAP & LOT_ INSTALLER'S NAME&PHONE NO. / l� e: l�-�0.-/� NO-066 SEPTIC TANK CAPACITY / O o LEACHING FACILITY': (type) r1 t [ Lt/I5id/teie) D NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: S 2 I —O I 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 jq - 0 q3 13 L��; ;C - � :ZR 13 tnS 0,ec t1y 01 F0 r�'�' 'Y TOWN OF BARNSTABLE LOCATION Z IV t_ SEWAGE'# 2611- 32 VILLAGE 1hGInf1 IS ASSESSOR'S MAP&PARCEL INSTALLER'S'NAME&PHONE NO. r ��.�� +��',{�- �,vC b fZ O NS SEPTIC TANK CAPACITY' ' ! 5-0-0 v ��' ?74 9�s3 LEACHING FACILITY:(type) 13 c (size) • S� 3 1.Z L NO.OF BEDROOMS 3 OWNER 1NEZL5 f-,e-co PERMIT DATE: 16L01 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /Q Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 1V 1 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) \ A11A Feet FURNISHED BY NJ N so - o 74 TOWN OF BARNSTABLE Orl s U le_ SEWAGE # LOCATION , VILLAGE H o`t " f s ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK-CAPACTfY /,5b-O LEACHING FACILITY: (type) NO.OF'BEDROOMS BUff DER OR OWNER PERMITDATE: COMPLIANCE DATE.: Separation Distance Between the: Maximum Adjusted.Groundwater Table to the Bottom of beaching Facility Feet Private Water Supply Well and Leading 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 gf leaching facility) Feet Furnished by v `M Q \1 Qv ` �b O t TOWN OF BAJZNS i ABLE G� LOCATION l 4 a� /`lam-� A SEWAGE #... bo f -301 VILLAGE (4 LI a, 07n, 1-5 ASSESSOR'S'MAP & LOT__ INSTALLER'S NAME&PHONE NO. AA1 SEPTIC TANK CAPACITY /�S-a G LEACHING FACILITY: (type)�h r� � W�S'(a��e)�.d NO. OF BEDROOMS _ BUILDER OR OWNER t�U w PERMITDATE: `0 I - COMPLIANCE DATE: Separation Distance Between the: .Maximum Adjusted Groundwater Tab!,-to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any~welli exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leeching Facility(If any wetlandsexist within 300 feet of leaching facility) Feet Furnished by k' t` • A c'4 r LEGEND SOIL LOG (ON FILE) N —— gg —— EXISTING CONTOUR DATE: MAY 11, 2001 (REF. P#9985) ® Skating Rink Rd x 100.98 EXISTING SPOT GRADE SOIL EVALUATOR: D. A. OJALA CSE s. WITNESS: EDWARD BARRY HEALTH AGENT --O.H.Vt>— OVERHEAD WIRES TP-1 Depth TP-2 Depth a G EXISTING GAS SERVICE 33.2 0" 33.9 0" -0 the„s y LOCUS A SANDY LOAM A SANDY LOAM n o` W EXISTING WATER SERVICE 32.9 10YR 3/2 4„ 33.6 10YR 3/2 4„ rn X .n Way TEST PIT B LOAMY SAND B LOAMY SAND Oork10YR 5/8 10YR 5/8 D o h $ BENCHMARK 30.7 C 30" 30.5 C 32" { v S�ee m D PERC 48" M/F SAND M F SAND WEST MAIN STREET MAIN 2 5YR 7/4 2 5YR 7/4 Q°e aae TRACE SILT 22.2 132" 23.5 126" LOCUS MAP PERC RATE <2 MIN/IN. ('C" HORIZON) NOT TO SCALE NO GROUNDWATER ENCOUNTERED S 02*40'10" W T to sckade fence 75:22' x•33,10• pg 130/PG 43 I _ + 33.0 SHED I (LOT 17) APN 290-66 I + 33.01 12,870 ±S.F. + 33.20 o _ + 33.06 I � oCb Q �. 1 32.98 cb --• 33.33 + 33,31 I I • •••. ....+ 33.55 x 33.20 33.39 w I + o N. } oI DECK pave/ walk N to olcon :n 00 N c0 N 1 - 00 00 � I 33,65: Z /EXISTING 33.53 HOUSE (#28) I �� T.O.F.=35.5fi �.:.. '.. I ,%3 87 �..: .: p 34.24 � � BENCHMARK SET BM 3T -_ j o LIJ RT. OUTSIDE COR./BOTT. STEP 3 .59 .�_' EL.=34.59 (ASSUMED DATUM) 134,18•• paved w al 34.32 I Q- .:. ., .. EXISTING SEPTIC TANK O (TO REMAIN) TOP OF TANK, EL.=33.42 34,27' INV.(OUT)=32.09± r=-•----------- -- �.. .... . EXISTING S A.S. i O I (per os—built) I TP-2 341 --� .: TP-1 . TO BE ABANDONED --- 9' IpROP IS.AS_ 001 r 2-�It--rT WSD10 ' 11 31.2 O 34.26 x 33.80 . . .G 75.00' E 33.54 ..v I 33,29i 32.91 34.18 -54' edge of traveled way 3 3.6 4 ORR'S A VENUE SPIKE2'll 414Ss9��G PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN g McENTEE 28 ORR'S AVENUE, HYANNIS, MA o CIVIL o. 35109 Prepared for: Ranger Construction, 46 Crowell Road, East Falmouth, MA 02536 OWNER OF RECORD ApF RfCISAV������ Engineering by: SCALE DRAWN JOB. NO. WELLS FARGO BANK NA SSIO G Engineering Works, Inc. 1"=20' P.T.M. 229-11 666 WALNUT STREET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0, DES MOINES, IA 50304 O(12(( 1 (508) 477-5313 9/29/1 1 P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.=31.0 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT INSTALL 1 INSPECTION PORTS (MINIMUM) COVER SET TO 6" OF GRADE T.O.F. EXISTING F.G. EL.=34.5t F.G. EL:=34.0t F.G.=34.Ot MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L - 9' INSPECTION 0 S=1% (MIN.) - L = 20' L = 6' PORT 4"SCH40 PVC . . @ SCH%(PVC) ®'S=1% (MIN.) PVC 6" 70"1 6 14" 7.13" TO EXISTING 48' LIQUID INVERT I_ I LEVEL ADD INV GAS BAFFLE .=31.00 PROPOSED INV.=30.83 (3 ROWS OF 6 UNITS AT 5.0'/UNIT) + 1.2' (1 COUPLER) = 31.2' INV.=32.09t -BOX INV.=30.60 EXISTING SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFILL WITH CLEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS NOTES: BREAKOUT=TOP TOP ELEV.=31.03 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=30.60 INVERTS, PRIOR TO INSTALLATION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=29.70-' GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE BOTTOM OF 310 CMR 15.221(2). T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=8.5' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. EXISTING SUITABLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO G.W., EL=22.2 = MATERIAL AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. USE 3 ROWS OF 6-ADS Arc 36HC UNITS + 1 COUPLER PER SEPTIC SYSTEM PROFILE ROW WITH NO SEPARATION SECTION ROW & NO STONE N.T.S. GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 17 446" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 14" OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE --jIN�TH LOCAL RULES AND REGULATIONS. I 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 9.45" TO INSPECTION AND APPROVAL BY THE BOARD OF-HEALTH AND THE - " DESIGN ENGINEER. 16' RW137" 4_ ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 2 9 1 �F% FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10.38" DOME END ENGINEER BEFORE CONSTRUCTION CONTINUES. INVERT 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.F HEIGHT 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF POST END THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. 33.75" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DIRECTED BY THE APPROVING AUTHORITIES. TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING IMS HIILLARD, OHO 430 CONSTRUCTION. 226 Arc 36HC SIDE PORT COUPLER 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ADVANCED DRAWAGE SYSTEMS.INC. UNITS MUST BE STAMPED H-20 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 60" IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 14. SUBJECT SITE DOES NOT LIE WITHIN A STATE REGULATED ZONE II. 13" 15. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING A TRENCH PERMIT FROM THE LOCAL MUNICIPALITY IN WHICH THE WORK IS BEING PERFORMED. SIDE VIEW 16. EXISTING SEPTIC SYSTEM LOCATION IS TAKEN FROM RECORD AS-BUILT. 17. IF NECESSARY, MODIFY EXISTING PLUMBING SO THAT SEWER INVERT EXITING THE HOUSE IS SET AT, OR ABOVE, INV.=7.72. 63.5" END CAP END CAP DESIGN CRITERIA FRONT VIEW SIDE VIEW END CAP 33.8" NUMBER OF BEDROOMS: 3 BEDROOMS REAR/TOP VIEW SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT all DAILY FLOW: 330 G.P.D. TO CHANGE WITHOUT NOTICE, PRODUCT DETAIL MAY TOP VIEW DESIGN FLOW: 330 G.P.D. DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO 4640 TRUEMAN BLVD LEACHING AREA REQUIRED: (330) = 445.9 S.F. m HILLIARD, OHIO 43026 Arc 36 DETAIL d 74 ADVANCED DMNAGE SYSTEMS,INC. UNITS MUST BE STAMPED H-20 EXISTTNG SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED SEPTIC SYSTEM UPGRADE PLAN PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MINIMUM) USE 3 ROWS OF 6-ADS Arc 36HC UNITS + 1 COUPLER PER 28 ORR'S AVENUE, HYANNIS, MA ROW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE Prepared for: Ranger Construction, 46 Crowell Road, East Falmouth, MA 02536 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) (Arc 36HC Units) 18 UNITS x 5.0 LF x 4.80 SF/LF = 432.0 SF Engineering by: SCALE DRAWN JOB. NO. (COUPLERS) 3 COUPLERS x 1.2' x 4.80 SF/LF = 17.3 SF Engineering Works, Inc. N.T.S. P.T.M. 229-11 TOTAL AREA = 449.3 SF 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(449.3 S.F.) = 332.5 G.P.D. (508) 477-5313 9/29/11 P.T.M. 2 Of 2 I j I I j SYSTEM PROFILE TEST HOLE LOGS TOP FNDN EL. 34.8' (NOT TO SCALE) ACCESS COVER TO WITHIN 6 OF FIN. GRADE ACCESS COVER (WATERTIGHT) TO ENGINEER; D.A. OJALA, SE WITHIN 6' OF FIN. GRADE 33.5 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 33 9' WITNESS: ED. BARRY t;BOH� MAY 11, 2001 2' DOUBLE WASHED PEASTO s RUN PIPE LEVEL i� DATE: !^ 31.8' - � FOR FIRST 2' 309' PERC. RATE _ < 2 MIN�/INCH w ' 2CjA ED 1500 SEPTIC 31, pg3 1z CLASS i SOILS P# MI CH>�LS WAX 31.06)j - 10 ) GAS 30.5' 7,c=, 3 ,4' 3.5' Q SIDES FFLE 30.67' 2.5' @ENDS MIN 6" SUMP ,2 % SLOPE) `____6' CRUSHED STONE OR MECHANICAL 2COMPACTION• (15.221 C23) 14'4' $ `'' $ 28.4' Q 33.2' 0' 33.9' DEPTH OF FLOW ( 1 % SLOPE) A A TEE SIZES: 3/4' TO 1 1/2' DOUBLE WASHED STONE INLET DEPTH 10 SL SL 14' 4 1OYR 3/2 4" 1OYR 3/2 LOCATION MAP NOT TO SCALE OUTLET DEPTH B 14' 30 LEACHING 6'2 B ASSESSORS MAP 290 PARCEL 66 FOUNDATION- 10 SEPTIC TANK D BOX FAC`LITY LS LS 30" 1OYR 5/8 30.7' �. 1OYR 5/8 ZONING DISTRICT: RB 32 31.23' YARD SETBACKS:* FRONT = 20' BOTTOM TH 1 - EL. 22.2' SIDE = 10' I p�c C C REAR = 10' M/F M/F PLAN REF. - 130/43 FLOOD ZONE: C 2.5Y 7/4 2.5Y 7/4 AP DISTRICT TRACE SILT * VERIFY WITH TOWN OFFICIALS PRIOR TO ANY CONSTRUCTION + 34 I I - 132" 22.2' 126" 23.4' 168.43' 1 --- NOTES: I 1 N X NO GROUNDWATER ENCOUNTERED k -X X 3.0 TAl,). n APPROXIMATED FROM BARNSTABLE GIS MAP �- _ n, c��c>T1r nr-rrr�� Tr'r r3 ancr�+ ram , P A nWFf ) 1, DATUM TS = 3 1`�0 �� _ 33p AVAILABLE 87•5• DESIGN FLOW: BEDROOMS <_ _ G` U> - GPD 2. MUNICIPAL WATER IS f _ r Y I. T / PER FOOT. P PITCH H ❑O MINIMUM M P ❑ E 1 8 0 F INI I I C B 33 N W U � Q I a i w� x JSE h A GPD DESIGN 2 0 _ 3 E 0 1 _ 660 4. DESIGN LADING FOR ALL PRECAST UNITS TO BE AASH❑ H-10 1 Qr I SEPTIC TANK-330 GPD ( ) PROP• 3 BR 5. PIPE JOINTS TO BE MADE WATERTIGHT. 1331.9 DWELLING °USE A GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 1 1 T•F.- 34.8' I TH2 LEACHING: ENVIRONMENTAL CODE TITLE V• 2i+ 334 ram-•--20.5' X LOT 17 + 3 .1 2(30 + 9.83) 2 (.74) = 117.9 7• THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE SIDES:3 4 USED FOR LOT LINE STAKING. ^� 01 + 33.2 12,848t SQ. FT. 30 x 9.83 (.74) = 218 BOTTOM: 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. PROP, X � TOTAL: 454 S F 336 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I ORIVEW,4y 9 USE (4) HIGH CAPACITY INFILTRATORS WITH 3.5' INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 3 z FROM BOARD OF HEALTH. 1 TH1 "-W a STONE AT SIDES, 2.5' AT ENDS AND 14" UNDER +- 32.9 � -- r . x 3 3.2 -` -- I • i -f- 32.7 33 174. X LEGEND TITLE 5 SITE PLAN 33.0 22 PROPOSED SPOT ELEVATION OF 41z� + 33.2 LOT 17 ORR ' S AVENUE BENCHMARK -- TOP OF CONC. BOUND 100x0 EXISTING SPOT ELEVATION 33.2 '� IN THE TOWN OF: EL. = 33.5' (ASSMD G.I.S.) 100 EXISTING CONTOUR ( HYANNIS) BARNSTABLE PREPARED FOR: THERESA HOLMES 20 0 20 40 60 BOARD OF HEALTH MA SCALE: 1p, = 20' DATE: MAY 21, 2001 APPROVED DATE off 508-362-4541 fox 508 362-9880 AAAA IK 0, h!q �1,H OF down cape engineering, Inc, ARNE � H. CIVIL_ ENGINEERS � OJA � z No 2 LAND SURVEYORS �^SURVEYORS �� T 939 rain st, yarrhouth, ma 02 75 AR N OJALA, .L.S. DATE