Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0017 PINEWOOD AVENUE - Health
'yi1�7kPiriewoodW�nue43 ; 't�s T 4�,r 'y3 3 rt Ff 3�Hya11111s, � �!"�fy ^, + � Y* � y� Xtr\p; t� �Mi +✓�* �' ,µ $$ !,�d.:1�r �+�,..t„��x`.'�•"�`�s'EM r.(�_�t '�tt ���*����ta �, ,LL.r,t tc. H d o f B 8t S y o t TOWN OF BARNSTABLE �1 LOCATION 1' n►AQW oCCA �lM( ��`�QrIKbSSEWAGE# �3 VILLAGE 1 nh{ ASSESSOR'S MAP&PARCEL C7 I INSTALLER'S NAME&PHONE NO. S�k3(�2--���3 Ir l) j1�i � cwr SEPTIC TANK CAPACITY_/5560 Cbrrq(�i91� /�®o�Sc® LEACHING FACILITY:(type) ? (size) NO.OF BEDROOMS T OWNER e-i L4_ O tSS*-%J PERMIT DATEi �! '��� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Li6cfiii g Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200.feet of leaching facility) �` Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I- «....r nwecb.aaclJ & Co pA (3 -f- 47.7 • w `. � i — .,.' to LSD' OF1Bf%Rigs 'ABL E OCR►'LION L ,h C bvo SBWAGE i GAGC ASSF9S& iv1A.P&LOT , MULL ER' �tAi�8r l��(C�PIE Nth'; iEI�1"lC:7!'�A.Nk�4:A1?�1Cl.T�C C�SJ`/° .::�...�.. _..�....-..-.• SACgi 401�A,OII..1'I°X ($Yp�) 3 7. Sept�x�eio�t�R��i�t�u�itv�eara ttie, Maximiaml }ustctlGtputAdwacet''abte'(atlir.J3nttorr�ofLefiGhtnN��rilit�r _ iFrat I'�Iv4c. latci Supl+lylaBlci f,caahite Facility .ta�y,�iel9s exist �rcr69 as eit�s at w�t��n BOA feet o�laaaturi�fstcility) ---»--�- 1?,cl�r�:i Wet�ant9 and l:cacltt�t i+actli¢y(YF uriy wrtlaitcl5feel Ap lvltlaiiti 3�0'fca `leaa�utag:Pual � � `. ems ;: a n t � „ TOWN OF BARNSTABLE LOCATION /7 9i14c -ldwd SEWAGE# VIL,LAG ASSESSOR'S MAP&LOT `i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 5J1 57/A-,z (l essA P/L 36w LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 3 BUILDER OR OWNER aj e� C//c2vL (�UTRA PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by V a No. /"7 Fee 11__� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Nplitation for Misposal Opstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �� h e(,v@P.Pr CY U!� Ownpr's Name,Address and Tel.No. (0/7- 6�{07- (v HV „07J ler Assessor's ap/Parcel `�ii n pS e �� ,8-5 G - ad /224 Installer's Name Address, 6a Address,and Tel.No. .t�$ 3(off 6 Cj 3 Designer's Name,Address,and Tel.No. a)I vS r3lro'0 1, - C Hil+�/ 44� Ak. A-/� d t t n� ►v Type of Building: Dwelling No.of Bedrooms L(+ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 7 gpd Plan Date 1 r7 d)1 3,r�.G� Number of sheets 1 Revision Date Title Size of Septic Tank SO0 'type of S.A.S. L v 4 Ch✓q %r—�1 Description of Soil Nature of Repairs or Alterations(Answer when applicable) �-Q P sk- e2 j Z Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of. Compliance has been issued by this Board of alth. Signed �� Date -L //��I r0nn `�7—n Application Approved by Date f Application Disapproved by Date for the following reasons ✓ Permit No. 6 — oe�-- Date Issued No. 1 C7 f 4 Fee �V© " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Disposal 6pstem 'ConstrUction permit Application for a Permit to Construct( ) Repair( ) Upgra e( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '� h-e tvoCG(y Owner's Name,Address and Tel.No:;, 1j!?- G If - (>Y ti(v i tS�S �d7 ICi k,'il 7e, ee6se l 11 a J_JL Assessor a �rce n i S ✓Yt f (n, n C /S � !� Ci IV-5 0 d� / oc" Installer's Name,Address,and Tel.No. S c6 3 69 6o a 3� Designer's Name,Address,and Tel.No. I� /3SC G�Gvi® t4 n, I' tv Type of Building U Dwelling No.of Bedrooms ih Lot Size sq.ft. Garbage Grinder( ) Other. Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) #q6 gpd Design flow provided 7 gpd Plan Date Np Ei f 3.01D) INumber of sheets � Revision Date J A Title f Size of Septic Tank f's n 1typl e of S.A.S. L S C h C Description of Soil Nature of Repairs or Alterations(Answer when applicable) r , i Date last inspected: r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o H alth. Signed Date 'f Application Approved by Date F$ 1-2 Application Disapproved by Date q for the following reasons Permit No. ae z 77 —` z,�=3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at (� p j 11-r („i O C(J /)V14 14V 5 n n i S ;�)5 has been constructed in accordance J � with the provisions of Title 5 and the for Disposal System Construction Permit No.A17 / dated �/ / )i Installer 1115 3- f-C,i I-e rs Cc n S Designer 13S C .-Otit #bedrooms Approved design flow Q gpd The issuance of this permit shall `ot be construed as a guarantee that the system will f funcT '"tioh es ed. Date Inspector \ �" -----------------------------------------------------------------------------------=---------------------------------------------------- No Fee f d� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction jhrmit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 7 p� 11 Y!v o C-a n V-4 n u--I L c V-1 i 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. Provided:Construction mu t be corn leted within three years of the date of this permit. Date 7 717 Approved by V I t Town of,'Barnstable ,- °� ' .� Regulatory Services ; Richard V. Scali,Interim Director ,. • anaxsenatY. M'9'i639. Public Health Division M �� ' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 ' Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form r Date: 4/30/201.7 Sewage Permit# S 0 1 w ssessor's Map\Parcel 288/71 Designer: BSC Group, Inc Installer: Ellis Brothers Address: 349 Route 28, Unit D Address: 0,3 r:n kr%/Jo2e amok , West Yarmouth, MA 02673 y` n; r1�ir� ► ,po/0� �� j j On �"1 I j 7 rz 1��15 &077-06 C-'V�w as issued a permit.to install a (date) (installer) septic system at 17 Pinewood Avenue based on a design drawn by (address) 't BSC Group, Inc dated (designer) �- -------- ,• ,-- -- - � ,,..�.__,,..._�__.. _ ..--� - ___= . '�: x I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils ' were found satisfactory. , I certify that the septic system referenced above was installed with major changes (i.e. ` greater than 10',lateral relocation of the SAS or any verticalXrelocation of any component ' of the septic system) but in accordance with State & 1 ocdl Regulations. Plan revision or certified as-built by designer to follow._;Strip out(if,rTequired)was inspected and the soils were found satisfactory �lr I certify that the system referenced above was constructed, liance with the terms of the IAA approval letters (if applicable) ors' Mqs s9cy �0 BRAN G. G� i YERGATIAN ' # Installer's Signature clvlL No 46206 t 90 9FG� TFP�O x '',� _ S eslgn gn re) (Affix De si —S amp Here) r PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. ' 'I Q:\Septic\D6kgner Certification Form Rev 8-14-13.doc ;_ ,, ------ ————————— ------- -- I I I N I I I --------� ' �Z I I irnl I ————— —JL--- -per — ---- a � I i I mn I ------ -------------aoo -- I Iv =v N x D I C(�lj I I = I I I I I I I I 10' I I I I I 14-11^ I a I� al in A, I I I b xZ I NA I N xn I I I .4 I = I I ;Z I O I I Ie I I 1= ^ U3 i 1 3'-2" I I � —► I I I rn Z O I I I I I m 1 ^ = O I 1 W 3 DF-1 I v I I < TTl I 3 I I m ?a I x s i , Town of Barnstable P 1 C S3 08 " Departi:nent of Regulatory Services awwsri►ziA Public Health Division Date 313 �a39 200 Main Street,Hyannis MA 02601 • rFn next" i Date Scheduled Z t' Time MM Fee Pd. ' Soil Suitability Assessment,for.Sewage Disposal_ /�// Performed-By:_� 0�/ �/ G� li Witnessed By: I LOCATION&.GENERAL INFORMATION Location Address y � Vl� Owner's Name /)0 Address Assessor's Map/Parecl:` / C// 7/ 7 1 Engineer's Name NEW CONSTRUMIIO+N/ REPAIR Tele hone# Land Use' h J �/117 i A� Slopes(96) (2 Surfhco Stones I Distances ftom: Opon Water Body ft Possible Wot•Arca ft Drinking Water Well ft Drnlhaga Way ft Property Line --�- --R Other L91KE•TCHe(Street name,dimensions of lot,exact locations of test holes&parc test s,locate wetlands•I'n proximity, to holes) �I Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: �'V • _ Weeping tt'am Pit Fnoa I ' Estimated Seasonal High Groundwater �!'O G Cj-- Z O I , D +TERMINATION FOR SEAS ONAL'HIGH WATER TABLIM � Method Used: d) 'j ew Depth Observed standing in obs.hole: In, Depth to soil tnattleat ln, . Dolith to weeping from side of obs.holy — In, Groundwater Adjuatmont ! it. Index Well-# Reading Date: Index Well level Adj hetor, A�.0r6utidwater1evol,,_ ]PERCOLATION TEST Data Time 1 Observation 2 Hole# Time at 9" Depth of Pow Time at 6" _ Start Pro-soak Time @ TWO(9"•6") End Pro-soak Rate Mln./Inoh , '• � ' I Site Suitability Assessment: Slto Passed Sup Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Sack ***If percolation test is to be conducted within 100' of wetland,you must fiMet notify the Barnstable Conselrvation Division at least one M week prior to beginning. Q:1SEPTICIPERCFORM.DOC DEEP•OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. • tilstency.%'Oravoll • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. DEEP OBSERVATION HOLE LOG 11010# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) ' Mottling (Structure,.Stones,Boulders, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Hodzon Soil Texture Soil.Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,SSopel;Boulders, Flood Insurance Rate Man: / Above 500 ear�ood boundary No_, Yes Y , Within 500 year boundary No.r Yes Within 100 year flood boundary No. Yes ti Denth of Naturally Occurrina Pervious Material Does at least four feet of naturally occurring pervious aterial exist in all areas observed thrpughout the area proposed for the soil absorptibn system? If not,what Is the depth of haturally occurring pervious material? Ceftl.fication I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envi onmental Protecdon and that the above analysis was performed by ma consistent with the required training,ex ordse and exper n d ribed in 410 CMR 15.017. Signature , l Datls v • Q:WHPT1CWR11CHORM.DOC - " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 01 ( Application Health Division Date Issued Conservation Division " " pfi on Fee Planning Dept. C�� Permit Fee Date Definitive Plan Approved TPlan 'ngdHistoric - OKH Hyannis Project Street Address t O V& Village rrti 1 Owner �Z^1��� Address `� �� . �Af"� A) l� Telephone " b 42 644G ®l Permit Request (2JESM C?-G e-Vf1f `U GLf 1Jett.VZ,0lei Bi►v�Ts rU ; CCG�D✓ r wu Square feet: 1 st floor: existing proposed 2nd floor: existing propose Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Z MOO' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑ Other- Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ` Name 1��Zl\` Gd (O bS K) Telephone Number T G l C`'l2 G Address 1\ 1 License # Moc�e,�V ` ' 4 ©L2LDHome Improvement Contractor# Email %r W oJa �w U �1 CS Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V�l(J GftS—LE 2, 5 F1E,; V, St7A-tk t) a� t I SIGNATURE DATE V/HIV J `2— 2t � 3 1 � s J J � J � N � � << SO lose a STW tO C, � -� ( J u O-W CA A I f cy — _ Q J � s J Ir cc ss 3c ► � �L l� J A-co �Co COftmA ` u J I ' I t 1 ' 1 1 -�' r �2 • (V at `� N 5 k ap 4T3`= •6t �{'ry''z-;t+... ''f .», :. ^�. r •y f �s e r .N --�. i-+,. ,E'`" `ja•'a a aa ,; y, ate# , ,o a v i r �: f w (t��ij ot.9"a� �'or,•a g` _. ._ z.,.,_.�s��.•r .�.-rx ��, ,-:��` 3 #!i AR AIM • d r .4 az.•ya sl��..�s,--. �?t '3 t_ �� s� mot¢ $ ;a >t �Fr l� fir• ` ,ii� §-{:s FLk $ 4gg � �-..i � �t.:� ,t� z% F� _�� ��,��9 4y� � ,�•.j k '1'3�i�a�f�{F§7' _ i <� - � � � � � ,� :ram i S � f I Wl ,� '�' - � �p'c. taKa 't�SuJ•^" -�..h; �;t13�+L�� ������ { ! s s ,.b-a,., ,a•�-.-..�- «"+f`a b �i rY R.j c.o CD �t. cD y oo O sa k i s=: o i v f �,C {*t.. ONY§ - -C♦ '9 C�k�` ��s� '�'4 y'Y`; •' .z?'�'t,a k•" xN. ,ASa OW` w e x" waY �n t-1'•=-r wt� TS .? �+N s n3 � �a:t�%t8 � '3 Y :'#' te�,fa' s t{' k` k. .s.i• ✓�`,� s r,As s a-.�� .•"..�' � �t�� : ..w�%���crs Y�9'r� F � s F n �' � L i n k t a r C i» c.+:" y S { "a.`r''� i y� yr •'° ` x ;�•',�'r .� ;�� �x.b �". S� >�: 1aei�-,y•s .��1 - � `� 3re"a ,y "�'�'s ���*"`�',5- a.y'' ` Sk"'"-� °e�" ;t aj _x'g• '' Tx< Y�i �e �+;ast ,"x a .F,t �-"-r., r ��,;�,'�,yha� ;,�� S.a a �. "+!"*s,.•_x,.�r��t*�g.h...'�i' .e�� �y ,,a � A o c o d n Nm ru =- • r� CE3 Postage $ H ru Certified Fee ' �.► p r/// ,� Postl�ar', p Return Receipt Fee t C� N Here N p (Endorsement Required) ttn tp p Restricted Delivery Fee N t� (Endorsement Required) �� O C" L� p Total Postage&Fees �g r--I Sent To bafica �II�FceNlGl+ ru rq Street,Apt No.; ��� p o,POBoxNo. -----`----'---'-=---- ,� ����Beams VW a3y�a�- Certified Mail Provides: a A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a. 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. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a 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. 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". a 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 f ` r �t►+e r Town of Barnstable Barnstable .� Regulatory Services Department A IAENBTABUM- "39. ,�� Public Health Division FD " 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2847 8742 August 26, 2016 Loancare/FNF Servicing, Inc. 3637 Sentara Way Virginia Beach, VA 23452 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 17 Pinewood Avenue, Hyannis, MA was inspected on 08/11/2016 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Cesspools show signs of overflow and decay. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future___- enforcement action. PER ORDER OF BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\17 Pinewood Ave Hyannis.doc c i �Ti1F Tp� , Town of Barnstable 16J96 ,.� Regulatory Services Department i°rfa Nuet� Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year.not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1)YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching pit or cesspool with high liquid level, <12"below inlet(per Town Code §360-9.1) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Q SS 0v f Ina r yt o uer-InO W 6A de-CA Repair deadline: ea J' r Q:\SEPTIC\DEADLINES TO REPAIR F ILED SYSTEMSAOC ` Commonwealth of Massachusetts =1 Title 5 Official Inspection Form :-I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing r Owner Owner's Name Qi information is required for every Hyannis MA 02601 8-11-16,- page. City/Town State Zip Code Date of Inspection N - IV 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: Shawn Mcelroy i Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification 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 15.340 of Title'S (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes Fails. ❑ Needs Further Evaluatio by the Local Approving Authority 8-11-16 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 p y p under � the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 L and VS T T Commonwealth of Massachusetts ` ,+ f Title 5 Official Inspection Form �N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .. 17 Pinewood Ave Property Address FNF Loancare Servicing Owner .<;C. Owner's Name information.is required for every Hyannis MA 02601 8-11-16 ' page. y.', City/Town 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: t ❑ 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: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of,the replacement or repair, as approved by 11 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form:=Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 ' page. City/Town State Zip Code Date of Inspection , B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): ❑ 1 obstruction is removed } ❑,_Y -❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ 1( ❑ 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. 9. '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: . :{ {'_+..dq� •♦ by . !fl • 1.� ' - ., , I 1 ❑ 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 • , Commonwealth of Massachusetts ' :a Title 5 Official Inspection Form ` R' 'i�l Subsurface Sewage Disposal System Form Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is Hyannis MA 02601 8-11-16 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 1 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' ® r ❑ Backup of.sewage into facility or system component due to overloaded or clogged SAS or cesspool s 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 ® El than depth in cesspool is less than 6" below invert or available volume is less than 'h day flow • ` t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 r Commonwealth of Massachusetts ill Title 5 Official Inspection Form q Subsurface Sewage-Disposal System Form Not for Voluntary Assessments r 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town 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. -❑ ® 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. [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 A. and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- t. 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 ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection ` ❑ `"f Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113" . Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts _ al Title 5 Official Inspection Form wASubsurface Sewage Disposal System Form -Not for Voluntary Assessments e% 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is Hyannis MA 02601 8-11-16 required for every „ 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 I ❑ ® 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) ® ❑ , Was the facilityor dwelling inspected for signs of sewage back u ? 9 p 9 9 P ® ❑ 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? ® ❑ 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 (if 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: - 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 4 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form -N Subsurface Sewage Disposal System Form Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis - MA 02601 8-11-16 page. City/Town 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? (Include laundry system inspection ❑ Yes ® No information in this report.) 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: Unknown Date Commercial/Industrial Flow Conditions: ' Type of Establishment: Design flow (based on 310 CMR 15.203):' Gallons per day(gpd) Basis of design flow 2(seats/persons/sq.ft., etc.):' Grease trap present? i r. < . ❑ 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r. � al ,_�;;!✓ 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 . 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) EJ Innovative/Alternative technology.Attach a co of the current operation and 9Y copy p 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 I Commonwealth of Massachusetts .� hr f; Title 5 Official Inspection.Form �yU " Subsurface Sewage Disposal System Form -Not for Voluntary Assessments + 17 Pinewood Ave F Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) f Approximate age of all components, date installed (if known) and source of information: 1960's Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): . Depth below grade: 36"feet Material of construction: ® cast iron ® 40 PVC. • ® other(explain): Orangeburg Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good working order. Septic Tank (locate on site plan): Depth below grade: See Cesspools Pg 13 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: Sludge depth-% t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 , Commonwealth of Massachusetts . Ial Title 5 Official Inspection Form Subsurface Sewage,Disposal System-Form -Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town 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 Scum thickness _. • , I Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet toe or baffle How were dimensions determined? • Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet h 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 r Commonwealth of Massachusetts a Title 5 Official Inspection Form �.� ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments* 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) I . ' 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form -N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a� p_s;!✓ 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town 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 N/A 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 ® No* Alarms in working order: ❑ Yes ® No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Plastic pump chamber was found and inspected. No alarm or alarm box was found. Electric was turned off and nothing was tested. * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form .N Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is H annis MA 02601 8-11-16 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) A f Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2-1000 gal ❑ 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.): Two overflow cesspools were empty at inspection with stain lines above inlet inverts and blocks showing signs of decay. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 3-Total Depth—top of liquid to inlet invert N/A Empty Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool 6x8 Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 , Commonwealth of Massachusetts rr Title 5 Official Inspection Form r�4 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis - MA 02601 8-11-16 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.): All three cesspools show signs of overflow and blocks showing signs of decay. 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.): r t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts - :a=1 Title 5 Official Inspection Form ' 'i� Subsurface Sewage Disposal System Form Not for Voluntary Assessments • 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is Hyannis MA 02601 8-11-16 required for every y page. City/Town 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 A� A J. Ifs d Of t dJ r n ` t5ins•3/13 t Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts al Title 5 Official Inspection Form p ICI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments !, 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) "Site Exam: ❑ Check Slope ❑ Surface water A ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12' 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: USGS and town maps show groundwater at greater than 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts ill Title 5 Official Inspection Form II Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17 Pinewood Ave Property Address FNF Loancare Servicing Owner Owner's Name information is required for every Hyannis MA 02601 8-11-16 page. City/Town 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 WEST SOIL TEST PIT DATA LEACHING TRENCH DETAIL LOCUS INFORMATION wP�Ns� END ROTARY M � NOT TO SCALE NOT To SCALE " CURRENT OWNER: KIRILL & IRINA JACOBSON N m _ TEST PIT TP-2 36 MAX .COVER n Z qZD. EL 2 PIT 4.9 GRD. EL 2 O N S I TE SOIL EVALUATION FINISHED g2ADE TITLE REFERENCE: DEED BOOK 30210. PAGE 319 v FENw000 AVE. O LOAM & SEED DISTURBED AREAS f- N rn v SI�GW EI- - SHOW �' - N/A-- PLAN REFERENCE: PLAN BOOK 38/91 & 110/29 1 DATE- MARCH 22, 2017 < pINE 0D A o CAP ENDS TEST BY. BSC GROUP, INC. w . ._. . �. .-ss4'Mff SON PMX O.(E� 4 PVC - •-�-• ,• � ASSESSORS MAP: 288 !n g A WITNESSED BY DAVE STANTON, R.S., o 0 0 0 0 0 os�,e god o e o qo etpe�� e o e e e o PARCEL 71' SANDY LOAM FILL LICENSED SOIL EVALUATOR: KIERAN J. HEALY, PLS '16'° ` 4 " "'ov ' " r WEMO a n+ IOYR 2/2 e e e o e e e e o e e e e e e o e e e EL 24.0 10" EL 22.6 A 30" PERCOLATION RATE: < 2 MINS./INCH ZONING DISTRICT: R-B LOCUS y s SANDY LOAM SOIL CLASS: CLASS 1 LEVEL BOTTOM SETBACKS: FRONT 30 Z LOAMY SAND EL 22.3 10YR 2/2 LT.A.R.: 0.74 GPD/S.F. 50 SIDE 10' co 1 oYR 3/6 B REAR 10' EL z3.6 ,5" My PROFILE LOCUS MAP L10YR 3 6 D OVERLAY DISTRICT: AP Z EL 21.9 38" LE LEGEND N D 36" MAX. - 12" MIN. COVER NITROGEN SENSITIVE NOT TO SCALE /2X MIN. FINISH GRADE /- 4" MIN. LOAM & SEED ZONE: NOT A ZONE II FEMA FLOOD C C177777771 ZONE DISTRICT. ZONE X. DATED JULY 16, 2014 M/COARSE SAND M/COARSE.SAND 60" UNSUITABLE 1 w " 11 PANEL #25001 CO568 J f 1Nq� 1OYR 5/6 1OYR 5/6 (TO BE REMOVED) 2 MIN. OF 1/8 TO �' cti - 24• 1/2" WASHED STONE EXISTING LOT SIZE: 22,773t S.F. c? o • OR FILTER 'FABRIC BRIAN G. g YERGATIAN N NO NO PERCOLATION ESTIMATED GROUNDWATER GROUNDWATER TEST RANGE = SEASONAL HIGH 3/4" TO 1-1/2" DOUBLE � CIVIL No.46206 C Q - GROUNDWATER �..) WASHED STONE (NO FINES) A�p��s Qis��P�G`��`� EL 17-9 ,OBSERVED 144" EL 14.9 OBSERVED 123" CROSS-SECTION sioNa� SOIL EVALUATOR CERTIFICATION GENERAL NOTES I, KIER J. HEALY, PLS R11FIED AS A 1. THIS PLAN IS INTENDED FOR THE PERMITTING AND CONSTRUCTION OF THE U SOIL ALU JUNE OF 2012 SEWAGE DISPOSAL FACILITIES. VARIANCES REQUESTED ________ ___ BRIAN G. YERGATIAN DATE ""'""'"-•-----.. 2. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO 310 CMR 15.000 PROFESSIONAL ENGINEER KIERAN J. EALY, S.E. 89 Q ... .._ �dE /-/��/A/OO� AND BARNSTABLE BOARD OF HEALTH REGULATIONS. h i/// DISTRIBUTION BOX DETAIL (H-lQl T��--- ......_. __ (40'W/DEJ 3. THERE ARE No KNOWN OR PROPOSED PRIVATE WELLS LOCATED WITHIN 150 FT. OF THE NOT TO SCALE 26----- ''! _ __ PROPOSED LEACHING FACILITY. REMOVABLE 6» MA�c. -- -- -- �-27 -- ` r-_- SEPTIC SYSTEM COVER •� ,. ._.. 4. IF AN OVERDIG IS SPECIFIED, REMOVE ALL.TOPSOIL. SUBSOIL AND OTHER UNSUITABLE CONCRETE S84 57 20"'E ' 1 0. �"".�,, •--_. ,� / � MATERIALS. BOUND FOUND DESIGN HDPE RISER 5. IF AN OVERDIG IS SPECIFIED, REPLACE ALL EXCAVATED MATERIALS WITHIN THE LIMIT OF \ / EXCAVATION WITH CLEAN GRANULAR SAND, FREE FROM ORGANIC.MATERIAL AND w CONCRETE DELETERIOUS SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF SOIL 2" WALLS 3" 21 �' �" BOUND FOUND SHALL NOT BE USED. FILL SHALL NOT CONTAIN ANY MATERIAL LARGER THAN 2 / / O T�� ' f \ INCHES. A SIEVE ANALYSIS USING A #4 SIEVE SHALL. BE PERFORMED ON Agf, �t� o L=14,400.t / / REPRESENTATIVE SAMPLE OF FILL UP TO 45R BY WEIGHT MAY BE RETAINED ON THE 7t 1 7 PINEWOOD AVE 9 1/2 (5) 5 DIA. � � � 114 SIEVE. SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL MEETS EACH OF 13" KNOCKOUTS �, I THE FOLLOWING SPECIFICATIONS: IN 00 TYP. 11-1/2" 10OX MUST PASS #4 SIEVE . g '``•, I l OX MUST PASS 050 SIEVE HYAN N I S -20X MUST 00 SIEVE 2" $ I 0-5X MUST PASS S 200 SIEVE MASSACH V SETTS BOTTOM ON LEVEL o LOT52 STABLE BASE 3�4 MINIMUMOM 1M 1/2w PLAN VIEW � EXISTING CRUSHED STONE } 3 BEDROOM I Io 6. EXISTING UTILITIES WHERE SHOWN ON THE PLANS ARE APPROXIMATE. THE ENGINEER (BARNSTABLE COUNTY) SECTION VIEW I g DWELLING GARAGE DOES NOT GUARANTEE THEIR ACCURACY OR THAT ALL SUBSURFACE STRUCTURES ARE c� INVERT SLAB 28.5 ( ,� O 5o SHOWN. CONTRACTOR SHALL VERIFY THE SIZE, LOCATION' AND ELEVATION OF INVERTS 1. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF PIPE EXCEEDS 0.08 FT./FT OR fr: V OF UTILITIES AND STRUCTURES, WITHIN THE OMIT OF WORK, PRIOR TO THE START OF IN,PUMPED SYSTEM. z4 c CONSTRUCTION. IF ANY DISCREPANCIES ARE DISCOVERED OR FIELD 4HANGES o , � REQUIRED, THE CONTRACTOR SHALL NOTIFY THE ENGINEER. IMMEDIATELY. SITE PLAN 2. FIRST TWO FEET OF PIPE OUT OF DIST. BOX TO BE LAID LEVEL. 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. tD l 1 __+ N 7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROPERLY COORDINATING THE J 11 _J I PROPOSED CONSTRUCTION ACTIVITIES WITH DIG-SAFE AND THE APPUCA13L.E UTILITY Y 4. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. CONNECT NEW P1/C PIPE rn COMPANIES, AND SHALL COMPLETE THE PROPOSED WORK WITHOUT ANY INTERRUPTIONS . CONCRETE COVER SHALL BE RAISED TO WITHIN 6 INCHES OF FINISHED GRADE. IN OLD OUTLET PIPE AND I IN SERVICE. 5 INSTALL CLEAN OUT AT CONNECTION. SHED C.O. I APRIL �3, 2017 PER MASS. STATUTE CHAPTER 82/ S. CONTRACTOR IS REQUIRED TO NOTIFY DIG-SAFE, . DESIGN CALCULATIONS s SECTION 40 (1-888-344-7233) A MINIMUM OF 72 HOURS PRIOR TO THE START OF o PUMP, CRUSH AND CONSTRUCTION. N m I ABANDON ALL EXISTING IGN FLOW SHED SEPTIC PITS / PUMPS IN s I ACCORDANCE WITH TITLE 5 9. THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE GRINDER. INSTALLATION SHED OR USE OF A GARBAGE GRINDER AT THIS PROPERTY IS NOT ALLOWED PER 310 CMR- d 4 BEDROOMS O 110 GPD/BEDROOM = 440 GPO Jprq ° 15.240(4). REQUIRED SEPTIC TANK 8.72 40.03' 2 CONCRETE cR 440 GPD X 200X = 880 GALLONS CONCRETE J N84 57'20-W -''" -- �'m27 BOUND FOUND 10. THE WATERLINE SHALL SE SLEEVED OR RELOCATED PRIOR TO CONSTRUCTION OF THE BOUND FOUND / r,.-- N8a' 2 . NO. DATE DESC. USE 1.500 GALLON 2 COMPARTMENT SEPTIC TANK JJ M,,_ -•-._ .-- ,98.07. RESERVE AREA .(IF NEEDED). 2'x50' LEAChM G SIZE OF REQUIRED LEACHING FACILITY TRENCH (TYP.) �-.. ° ROPOSt'.b 2 DESIGN PERC. RATE. <2 MIN/INCH � � 1 GALLON. `�- , � �- LONG TERM APPL RATE: 0.74 GPD/SF r kl r r 0. rn 2 ARTIwIENT OP OMARK SET SEPTIC T 440 GPD + 0.74 GPD/SF 595 SF � CONCRETE BOUND. ' v ' T O, O X. INVERT ELEVATION 27.71 SCHEDULE OF ELEVATIONS SIZE OF LEACHING FACILITY PROVIDED r V ' c TP,}�2 24.00 RE-PLUMB RELOCATE USE (2) LEACHING TRENCHES 50' LONG L O` `� r `� r I f O 10.0' EXISTING OUTLET TOP OF FOUNDATION MAIN DWELLING 29.44 Al i EACH TRENCH: 50'x(2'+2'+2') = 300 S.F. r r o 1Q,0� TO FRONT OF 4` INVERT AT MAIN BUILDING 26.60 B1 S BUILDING & TOP OF FOUNDATION AT COTTAGE 2= A2 b 2 TRENCHES 2 x 300 - 600 S.F. ^' SLEEVE NEW 4' INVERT AT COTTAGE 22.67 82 (RE-PLUMB FROM 24.00) EFFECTIVE LEACHING AREA a 600 S.F. EXt571NG SEWER LINE T . 4" INVERT AT 2 COMP. SEPTIC TANK (IN) 22.47 C 600 S.F. X 0.74 GPD/S.F. _ 444 GPD (INSTALLED CAPACITY) r _ ai 1 BEDROOM o L O/ 27 4" INVERT AT 2 COMP. SEPTIC TANK (OUT) 2= D N 444 GPD > 440 GPD (4 GPD RESERVE CAPACITY PROVIDED) t i 1?LNELUNG f 4" INVERT AT DIST. BOX .(IN) 21.50 E G---=---..___ 4" INVERT AT DIST. BOX (OLM 2L F � � g • PROPOSED r - T ° l�" CONFIRM EXISTING . ELEVATIONS AT LEACHING FACILITY 1 .500 GALLON 2 COMPARTMENT SEPTIC TANK (H-1 0� rOBSERVATION r N , UTILITIES OUTSIDE OF �� �� 1 ' l BUILDING PRIOR TO C INV. AT BEG. OF LEACHING TRENCH ?.= G (TOP PIPE 21.59) PREPARED FOR: NOT TO SCALE I I \ ! CONSTRUCTION 4"-INV. AT END of LEACHING TRENCH 21.00 H KIRILL JACOBSON c 1 ro 50.0 y I BOTTOM OF LEACHING TRENCH �9.00 J 11 EATON STREET NQgS; RAISE AT LEAST ONE EXISTING COVER c I ESTIMATED SEASONAL HIGH GROUNDWATER JU K To WITHIN 6" OF FINISHED GRADE c I L O T 2V WINCHESTER, MA 01890-2108 1. SEPTIC TANK SHALL BE STEEL REINFORCED CONCRETE. THE RISER SHALL BE 18" HDPE PIPE PROS N82'42'S0"W 9S. SYSTEM PROFILE 1 -s71 -s42-6446 2. SEPTIC.TANK SHALL BE CAPABLE OF WITHSTANDING H-10 8,373t S. c LOADING. CONCRETE CONSTRUCTION BOX EXISTING 24" ~� 3. ALL PIPE CONNECTIONS AND 6` MAX. CONC. COVER LOT 5 TREE TO BE SHALL BE WATERTIGHT. MAINTAINED NOT TO SCALE 4. TEES SHALL BE SCH. 40 PVC AND SHALL BE LOCATED �'"" DWELLING L 48 . PVC f WITHIN 12" OF TANK WALL AND ACCESSIBLE FROM TANK 4" SCH. 40 PVC L= 48 F? COVER. L O TOP FOUNDATION S=0.015 �f PE LENGTH BSC 5. FILL ALL UNUSED KNOCKOUTS WITH HYDRAULIC CEMENT. L= 86t FT. 4" S= 0.048 TO BEFIRST PS'ET LEVEL FINISH GRADE a' EL. VARIES COTTAGE-BEPLUM� FOR MIN. 2' 24.2-24.7 349 Route 28, Unit D • 4" SCH. 40 PVC 3 MAX COVER W. Yarmouth, Massachusetts ,D-6 LOT26 :! L= lot FT: 4" sc�-1. 40 PVC 02673 -�' CP -on s= O.o2 Qp �f�fQQ Q VLJT TOP TRENCH 21.8 O 3w _� .f '• j V MIN. w 1 . \ :::::::::::::::::::: ::. ............. H © 2017 BSC Group. Inc. sLIQUID 6 5-8 I=g i=D .................... .................. OCATE % 4'-6" INLET TEE DEPTH OUTLET TEE ° I=C I=E I=F I=G :::::::::::::::::::: :::::;:;e:::::;:; - g UNDER COVER GAs BAFFLE �t SCALE: 1" 20' 3" •:� + DISTRIBUTION 7.1' SEPARATION TRENCH LEACHING 0 10 20 40 %r 31.000 GAL 500 GAL ` SEPTIC TANK BOX A .. � . . . . .. K - _ FILE:P.*\5009100\CML\50091 SP.DWG E' IN THEREFLECTIVE OVER ALL PVC SHALL ING BE PROVIDED. ESTIMATED S.H.G.W. (BOTTOM OF TEST PIT) DWG. NO: 6436-01 PLAN VIEW CROSS-SECTION VIEW JOB. NO: 5-0091.00 SHEET 1 OF 1