HomeMy WebLinkAbout0615 PITCHER'S WAY - Health (y"(K Wtc ire a
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G Hyannis
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` TOWN OF BARNSTABLE
6/LOCATION 5 / SEWAGE# 3 �
VILLAGE � ` /f<I ASSESSOR'S MAP&PARCEL
INSTALLERS NAME&PHONE NO. JJ,6-
SEPTIC TANK CAPACITY �rjD
LEACHING FACILITY: (type) h� (size)
NO. OF BEDROOMS'
OWNER /�� �J
PERMIT DATE: 711310--7 COMPLIANCE DATE: , g'f
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 ,
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Date:,Pr/ ef/020000
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: P AA . T'h1 V\Jt1 t
BUSINESS LOCATION: INVENTORY
MAILING ADDRESS: 4 TOTAL AMOUNT:
TELEPHONE NUMBER:
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: J °
INFORMATION/RECOMMENDATIONS: Fire District:
Waste Transportation: Last shipment of hazardous.waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division,
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic
or hazardous characteristics and must be registered regardless of volume.
Observed/Maximum Observed/Maximum
Antifreeze (for gasoline or coolant systems) Misc. Corrosive
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
NEW USED (insecticides, herbicides, rodenticides) .
Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways &garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Misc. Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison"'labelLL- s
&varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor&furniture strippers Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers kll-e
(including bleach)
Spot removers &cleaning fluids i
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS
NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary
signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I" FL., 367 Main Street,
Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is re uired by law.
X I Fill in please: Date:
a5 APPLICANT'S NAME:
M! YOUR HOME ADDRESS.
' r BUSINESS TELEPHONE# HOME TELELPHONE #:
�✓' C�-.
NAME OF CORPORATION: -✓
NAME OF NEW BUSINESS AA., JZ- lira TYPE OF BUSINESS
IS THIS A HOME OCCUPATI N? YE O
ADDRESS OF BUSINESS 5MAP/PARCEL NUMBER (Assessing)
When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of
Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200,Main St. (corner of Yarmouth Rd.
& Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town.
1. BUILDING COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
2. BOARD OF HEALTH
This individual h be n infor e o e p r it requir ments that pertain to this type of business.
51-
Authonze i t e**COMMENTS: MUST COMPLY WITH ALL
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual h�1 een inf rme`d�ofJthe n n quirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
No.. Fee Z( ?
-THE COMMONWEALTH OF MASSACHUSETTS T Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
Zipplication for Migozal *patent Cow5truction Permit
Application for a Permit to Construct( ) RRepcai_rX Upgrade( ) Abandon( ) ❑ Complete System,Individual Components
Location Address or Lot No. �17 S �(\C^�� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel a'+O'PS 4
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
Other Type of Building /J O r7.e No.of Persons 3 Showers(of Cafeteria( ✓5
Other Fixtures *�Lc1c5C,Ats--, � �6
Design Flow(min,required) 33� gpd Design flow provided �O gpd
Plan Date Number of sheets Revision Date
Title O
Size of Septic Tank bb is Ga\c-�Type of S.A.S. l_`D P-MS
Description of Soil a�
Nature of Repairs or Alterations(Answer when applicable) -� p p�
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 E vironmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of lth.
Sign Date 3 _
Application Approved by Date 3 O
Application Disapproved by: Date
for the�following reasons
13 Permit No. C "'�' Date Issued
--'�-'t'-'h--'�ti-r----�+-+�•v,�rr;.crb�:.-...-.z`-.�,•. ._.,.-.,-w.Y" ^r•.-- � r�iwr+vrw:.�-..-�."`-.:..w-.+...,.-.
No. ®� b Fee 100 �-
41,HE G'.{OMMONWEALTH OF MASSACHUSETTSsrI Entered in computer:
` - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for �Mpo$a'Y *p$tem Cow5trUction Permit
Application for a Permit to Construct( ) Repair Upg'Ade( ) Abandon( ) ❑ Complete System.�Individual Components
Location Address or Lot No. 5 �' ���' U Owner's Name,Address,and Tel.No.
{\vJGM�\S
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name;Address and Tel.No.
�t a�lcle� 4k . ��oG 5\ �� ��1, �2�cS. 35
Type of Building:
Dwelling No.of Bedrooms Lot Size 'sq.ft. Garbage Grinder 41A)
Other Type of Building N o ne No.of Persons 3 Showers(✓) Cafeteria( ✓)
Other Fixtures
Design Flow.(min.required) d gpd Design flow prlovided UO gpd
Plan Date 'fit- `\ \ CDC evision Date` Number of sheets It 'R# Title tea. r4 �(�:17CUE' c1���C �J �FI�t� L_1GC1(�GC�C
Size of Septic Tank �. 1 1 bG 6 iG Type of S.A.e* li 1-\
Description of Soil 'C �:A cv,
jl
Nature of Repairs or Alterations(Answer when applicable).. i
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 E vironmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Booaard�of, alth.
Sign dam' +h.�// w Date /3 r 7
Application Approved by d Date 3 d
Y.
Application Disapproved by: Date
*' for the following reasons
Permit No:`• Date Issued Q / �>
THE COMMONWEALTH OF MASSACHUSETTS '
BARNSTABLE MASSACHUSETTS f
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( "—Upgraded ( )
Abandoned( )by, Xalh�11'1 S17
at (� ,PG ,' l has been constructed in accordance
with the provisions of Title 5 and the °rfposal System Construction Permit No. ,. C'�"" dated /7 .
Installer ��` 1 � Designer
#bedrooms Approved den-flo e � gpd
The issuance of this permit shall no be construed as a guarantee that the system will function as des�i °d.
Date � Inspector t\
- lea
i: Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
A
&.5pont 6p!gtem Con!5tructton Verna
Permission is hereby granted to Construct ( ) Repair ( v pU wa+de ( � ) Abandon
System located at
1
and as described in the above Application for Disposal'System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this'p emit.
Date �7 13 1-7 Approved by '""��
Town of Barnstable
OF 1HE tp�
do Regulatory Services
Thomas F. Geiler,Director
• BMMSfABLE.
� Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: 7/20/07
Designer: Shay Environmental Services, Inc. Installer: Rodney Fisher
Address: P.O. Box 627 Address: 585 Kelley Street
East Falmouth, MA 02536 Harwich, MA
On 7/20/07 Rodney Fisher was issued a permit to install a
(date) (installer)
septic system at 615 Pitchers Way, Hyannis, MA based on a design drawn by
(address)
Shay Environmental Services, Inc. dated 3/20/07
(designer)
XX 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.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
c ified as-bu' by designer to follow.
H o� s �
(Installer's i ature) ��s' ss
CARP, -
o E.
U SHAY
► O. 1181 �
esigner's Signature (Af to 'p Here)
SqN/TAR1 P,
PLEASE RETURN TO BARNSTABLE PUBLIC HEALT N. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
Town of Barnstable P# \�)
Department of.RegulSTABIX atory Services'
Public 11ealih Division Date
'K"a 200 Main Street.Hyannis MA 02601
1619. ,e$
Ifo 6
v ��
17ate Scheduled Time Fee Pd.
►for Suitability Assessment for rip e_Dos o
Performed By: Witnessed By:.
LOCATION& GENERAL INFORMATION
Location Address t S ' Owner's Name
Address w(>
f
Engineer's Name��M �►C
Assessor's Map/P$rco1: I a �Jh q4-N . SQ -
NEW CONSTRUCTION REPAIR ,� I Telephone#
.+
Slopes Surface Stones
�n
Land Use
Distances from: Open Water Body _ft Possible Wet Area
oj-) ft Drinking Water Well- A
y Drainage Way 4 ft• Property ling —s--ft Other
SKETCH:($tmd name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
• l �Gk
'�'�rQ-
Jco
. i
Depth to Bedrock
Parent material(gedlOgic) �
Depth to Groundwater: Standing Water in Hole: &C-K �', Weeping from Pit Pace
Estimated Seasonal r Groundwater
ATIONFOR SEASONAL HIGH WATER TABLE
DI�� J
Method Used: in, Depth td Stlil trtottles, In.
Depth Clb$erved standing in obs.hole: Qrnundwafer Adjustment Depth to'weeping from side of obs.hole: Adj.factor--, Adj.
aroundwateriavul,.,,_ '
Index Well# Reading Date; index Well levol -
. I
PERCOLATION TEST' Dille � �e '°°
Observation' Time at 9" s .s.st —' t 1' •'
Hole#
" Time at 6"
Depth of Perc `m
0 0 Time(9"•6") M ....
Start Pre-soak Time. -- -- t
End Pre-soak
W 1
Rate MinJInch >
Site Failed.
Additional Testing Needed.(Y/N)' .
Site Suitability Asse¢sment: Site Passed -_
Observation Hole Data To Be Completed on Back-- o o.
Original: Public HeM Division r—
tTt
� on must first:no
the***If percola�i0n testis to be conducted within 100 of we ato,beginning• �.
Barnstable e4i�ser�'ation Division at least one(1)week prior
'DEEP OBSERVATION HOLE LOG Hole# _
Depth from; Soil Horizon, ' Soil Texture Soil Color Soil Other
Surface Cim) (USDA) (Mansell) Mottling (Strucpre,Stones,Boulders.
toGravel)
C9 - w f 0 YQ-5 b L -
�l b a 5Y 3 M-.CS
DEEP OBSERVATION HOLE LOG. Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
nsi en ra el
• SY +
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling,,. (Structure,Stones,Boulders.
Consist4ncy, G
r
;DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
ns
4 •
}
rj CF[lood Insurance Rate Map: _
Above 500 year flood boundary No_ Yes .-
' ---"R Within 500 year boundary No Yes
within 100 year flood boundary No—
Depth of Natufany Occurring Pervious Material
Does at least fo4r feet of naturally occurring pervi u Saterial exist in all areas observed throughout the
area proposed ter the soil absorption system?
If not,what-is the depth of naturally occurring pervious materlal'T
Ceftffication
I certify that on.. 01 (date)I have passed the soil.evaluator examination approved by the
Department of Environmental Protection an&that the above analysis was performed by n r consistent with .
`the required trai n , e ' e experience described in 310 CMR 15.017.
Signature Date
Q:WP nCWERCt?ORM.DOC
II
N4...................... Fmc/. .....................
THE COMMONWEALTH OF MASS USETTS
'3 BOARD I EAI J
-
'�. y2-:..-.OF..... , ....:.. .
Application -fur Di_qpuiittl Works T nstrnrtinn VrrV'ewage
��✓ Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Disposal
Syst 2 Get/
�L
�®
r- Locati A dress or Lot No.
i Zee
....
-------------------- ---------••-------------- -------------------------•---�- -------• -- •--•••--•--•----•
ress Own Add
............ .......I •-- __ ------------ _.
Installer Address
Q Type of Building Size Lot...f �_�d�._'��._.Sq. feet
V g --_-.Expansion Attic ( ) Garbage Grinder ( )..� Dwelling�No. of Bedrooms_______________________________________
aOther—Type of Building ____________________________ No. of persons.-._____--__________--___.__ Showers ( ) — Cafeteria ( )
Otherfixtures - ---•-----••-• ---• ------------------------------------------------------------------•-----•-•---------------•----
W Design Flow.............)�.a..............��_._��- allons per person per day. Total daily flow............ _ ��_-.___-__-....__-.-gallons.
WSeptic Tank—Liquid capacit,/---_`gallons Length................ Width................ Diameter_-.--...____-_ Depth--------__---.-.
x Disposal Trench—No..................... Wi t•_______________--_-- F Length_-_-_____-____.__--- 7otallpgching area-.--.---__-__-___-_sq. ft.
Seepage Pit No.... ?_G!. D J 94tl-401`1b-ehle .......--- � ching area._ _sq. ft.
z Other Distribution box ( ),i�� Dosing tank ( ) -(�,� GXt, 4
4 Percolation Test Results Performed by.......................................................................... Date_---_--_--_-------___-._----_-------....
a
Test Pit No. I................minutes per inch Depth of "Pest Pit......_............. Depth to ground water-----.__-.__._---.-._.-.
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.-.___--____-------- Depth to ground water--.--..--_---__-____-. -
OY r� ✓ Tt G.................................U � -•-
x Description of S it-1-y= - � ` ------?-��-�----- ---�------------ ---
V =^ =` l � � ��ezG'1-1 �-- .1._G.�� `Y------------------------------------------------------------------------
W
UNature of Repairs or Alterations—Answer when applicable----------------------------•----------------------------------------.. -_.___-_.____._--____-..
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by e bo d of�ealth.
. : /. �!Sign ! . =
-------------------------
�,y - J � ,
Application Approved By--------- ------ --- ...... j' / .��J'� r 7e 1 _ Date
G' Date
Application Disapproved for the following reasons:.......................-• ............. -----___--•--•-••----------------••--••----•••------•--•--------
------•---._.._..--••---••-•---•---•--••--••-•---•--••---•-----•-•--•--..._•-----
Date
PermitNo..........................................=.............. Issued....../- 7
Date
----------- -------------- ----- ----- ------------
No.-#---_. ...................
THE COMMONWEALTH OF MASSAC�HUSETTS
BOARD OF HEALTH,
w r,
-.._......... '' ..........OF...... ..- :•.................. ZF...:r.....- .........................
Appliratiun -for IM-rupo.5al orkii T- witrurtion rrutit
Application;is hereb 'made for a Permit to ConstrucRepair an Individual Sewage D'pp y ( ) ( ) � a Disposal
System-at:./
j .
. ._.......
location"Address j. / or Lot No.
�rJ
__________________________________________________ ________________________________ __________________ _
-,! •••-•--••---•-----•..
� - y Owner � �- Address .
Installer f Address �� / J
Q Type of Building Size Lot_________......__________....Sq. feet
U Dwelling --------------Expansion Attic ( ) Garbage Grinder ( )
-�-No. of Bedrooms_______________`______.__..__
pa, Other—Type of Building __________________ _ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures __. •' `"�'.�-- -- ------------------------ --------------------------------------------...._......----------------
W Design Flow............. '.. �___-____`________--gallons per person per day. Total daily flow_..__._.._._�_U_�_'_'____-_--_----------gallons.
USeptic T.uik—Liquid capacity__. __. Ions Length---------------- Width................ Diameter----------...... Depth...------------.
xDisposal Trench—No............ .._..._ Width.................... Total,Length-----__------------- rotal 196ching area-------------- -----sq. ft.
Seepage Pit No......�_�� `!�_ Diameter-�J.�' ----- Depthel;e"Iow-inlet ,ot!51` l-eaching area.' �`4- 'sq. ft.
z Other Distribution box ( .)/ Dosing tank ( ) �-O�. PC 100t I
Percolation Test Results Performed by Date
Test Pit No. 1________________minutes per inch Depth of Test Pit.------------------- Depth to ground water---._._-_--..-..-.-..
f� Test Pit No. 2................minutes per inch4Deh of 7Test Pit.--_-_-._________ - Depth to ground water-_.--------_---._.._....
•--•------------r,• -�:3-••%�-•-('-'- --- .- •-........ l-----�•-��y •-- -
D Description of S 1 `.•t/__ `+� G /�%
------------------------- -------------------------------------------------------------------------------------------------------------- --------------------------------=---------------••----------
U Nature of Repairs or Alterations—Answer when applicable..___._-_--_-----------------------------------------------------------------------------
----------------------------------------------== ------
Agreement
The undersigned agrees to install the aforedescribed Individual.Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health. J
/ ,� �� Uzi
" Sign �''= -----••--•---= --� ,� t !
Date
Application Approved BY----- �:/ !i� ;ll�l� ------------------- ..'Z�---- ?7----------
Date
Application Disapproved for the following reasons------------------------- -------------_•-----------•--_____-_--_-------_•--------••---------•----------
-•__••----•-••---------•-----•--_---•-------------------------•--
Date
Permit No................. = ,;
----.._..... 77
Issued. =
' Date ..................... ------
THE COMMONWEALTH OF MASSACHUSETTS w
BOARD OF HEALTH
Apr#if irate of QrAnmll iano
THIS IS TO CERTIFY, That'the Individual Sewage Disposal System constructed (� or Repaired ( )
by ,---•-•. == ......................................................... ---------------- --
��, ll
{Inst erIV
at 7 l---•---------�----••�-•-- -.r' -i'l -------/•+ rai -- .._---•-----•/<--------jam--"rnr'fib.-------•----•--••-•---•---••--•------------
has been installed in accordance with the provisions of Ar XI of The'State Sanitary Code as described in the
application for Disposal Works Construction Permit No----------------- ...................... dated.....
THE ISSUANCE OF THIS CERTIFICATE S14ALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE - �� 7 Inspector. �' ; ---..................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
OF., ......-.....rtJ,!�./. 'r ..:.! .................................. �"✓ -
No... � � FEE.........................
Permission is hereby granted........
----------------- .......................................i
--=--••---------•....-•---------....-.--•---------•-----•--
to Construct (,�,.)o Repair ( ) an Individual Sewage Disposal System l
at No- --- �-'- , / H / - _ //�rc-E- ,�-�
- ---_____- '------
�t }✓, j' c. .- :i,:is. :..-...•�.--� �' Street
as shown on the application for Disposal Works Construction P it No . -_ Dated_____________!------ 7 7
................
t..........................
-
DATE-------------------------------------------------------------------------------- Board of HealthVVV
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ^•
r�
10
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tj�
TAQV,
CyA L i-r�AG l4 'p►T -
"" sum
v CSZTlF1ED PLOT' Pt.I�N
LOCATIOt.J
T"AT TN Ir �04� 'C��.TtQl�Straw i l Pt_A tJ R si+E1ze lli c .
NCR EzSN GcaNIPl.YS W I Tt-� YWF--- 51 D'E_Lj WE--:
M AUD SETpSACK �ZEQUllZENtc"Ts OF -r"C-
W U Of~ 2 WS't Q L 4L
IIATE
BQ�CTE�Z �. ►-AYE ING-
t2EGISCE ZED LAWD 5UVVcYOZ4S
THIS 17t,AW 1-S LJOT SASED 0i-4 AN OSTEIZVtI..L.E c� 11r<I�SS.
1*4S VUAAF-WT SUiZVm,�f j Tl-1E C�F�Si=TS SNo�� APPt_1 GA.�JT
mil" 6E U5Ei> To Dt=TEeMo4E-. LOT Ll WaS ape Wits!~
r {+ } r 1a r
NOTE ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. vENT PIPE ((•Least 24 inehw tall) f ! �
10' mkt. from Schedule 40 PVC r/Charcoal odor Filter r
Existing Foundation [h.9e to septk: tank r
TOP OF FOUNDATION = ELEV. t00.00 (Assumed) „ft in �W/Stw CowPROFILE VIEWOF ADDITION TO LEACHING SYSTEM
' Orede ewr Septic tank-Od50 @ode owD-tios-9Q00 ow SAS-98.00
3 HOLE H-10 SECTION A A ~-- =-
asT. Erox _
t
S= 002 3' Ymterasrrcam
12 EYIST.
�001 a �e'N' -
Top OF Sptww-E1ev.=9S.7S 3' of 1/W 1/2- washed ""
1. GAL S. QOI- hed. /4" to 1 1/2 ' was Crushed
FROM EMT.FOUNDAI1Q/ rn a SEPTIC TANK o 1s• P�foot /�'0"Efte"M Depthjl
I o rn n S' 4'PVC(CAPPED)NlECIIOM PORT TO r 4 --ty Jr
CONCRETE Full Fa11O11TdF-� o H-10 a ,�j INSTALLED AM TO BE WITHIN 6'OF aeAOE
A h rn { I
c o M o 0.83 10 inches as+itiorwrW.r:«ccwr oadw�rrieo :��s.rrw:r.:{iwo.-5 ____� -
SYSTEM PROFILE a hof 3/4'-1 1/2• o ri
`°"'°°c`e° `to" GENERAL NOTES
Not t0 SCalE ; S UnItS e 625' 30'
c 'a .5' 3.5' 3' 3' 1. Contractor is responsible for Digsafe notification. Verification of Utilities
6 h.of 3/s-1 1/`I" O : 3125' and protection of all underground utilities and pipes.
carpm ed°lone ao 0' -4 37.254 2. The
level on to k3 4j distAi n pj x shall be set
NOTE: ALL COMPONENTS MUST HAVE RISERS TO wITHM 6' BELOW GRADE Effec*ty VWth Effective Length /
o '2 stone.
to 3. Backfill should be clean sand or gravel with no
6 Bottom of Test Hole 2 Me,.- MOO SOIL ABSORPTION SYSTEM (SAS) stones over 3" in size.
INFILTATR13R HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN 4. This system is subject to inspection during installation
PERCOLATION TEST GroundwaGroundwatererved
'n "'Obs - NONE OBSERVED by Carmen E. Shay - Environmental Services, Inc.
P 1 18 3 A (OR EQWALENT) Not to Scale 5. The contractor shall install this system in accordance
Date of Percolation Test: JULY 2. 2007 NOTE: OVERALL MIGHT OF INFILTRATOR IS 18' /EFFECTIVE H13GKT IS 10' with Title V of the Massachusetts state code, the approved plan
Test Performed By. CARMEN E. SHAY, R.S.. C.S.E. and Local Regulations.
Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) 6. If, during installation the contractor encounters any
EXCAVATOR: Shay Env. Svcs. soil conditions or site conditions that are different
Percolation Rate: Less Than 2 MPI ® 36" oDislrneu�iaM 9M SHALL BES FRON CE t2 CONCRETE oovot from those shown on the soil log or in our design
SET LEVEL FOR AT LEAST 2 FT installation must halt $ immediate notification be
Test Hole Test Hole "" J a�sr� "'' - s• made to Carmen E Shay - Environmental Services, Inc.
No. 1 No. 2
7. No vehicle or heavy machinery shall drive over the
DEPTH SOILS ELEV DEPTH SOILS ELEV. Dun.ET 1s seEr septic system unless noted as H-20 septic components.
0 98.ao 0 98.00 - a• 8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
San 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
dyY
1°Ort1 LO°r'r 's'• 4' - scH. 40 T ,.7s• 10. All solid fittings
solid piping, tees shall be 4" diameter
1O"r'� 'o�"� PLAN SECTION CROSS-SECTION Schedule 40 NSF PVC pipes with water tight joints.
Loamy Sandy 11. Properties Within i150 netted to ALL OF The Residence and Abutting
Mu 'n
3 HOLE' H='10 'DISTRI0UTION BOX
Pro
10 rR 5/6 10 1R 5/u
6'- 36' B, 95.00 e'- 36' Be 95.00 " THE PROPERTY LINES ARE APPROXIMATE AND
coarse COMPILED FROM BAXTER do NYE. ENTITLED
.Sand sand SUBDIVISION PLAN OF LAND IN HYANNIS, MA
ARY 1.
G/4 8&00 - 1 � C'/4 •00 AND IS NOT 1 S NOT�NTENDED TO BE A SURVEY PLOT PLAN
- 1977
IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
THE SEPTIC SYSTEM INSTALLATION.
EXISTING LEACH PIT TO BE PUMPED OUT AND REMOVED
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
FROM THE EXISTING LEACH PIT TO BE DISPOSED
OF AS PER BOARD OF HEALTH SPECIFICATIONS.
Perc f'I 123.42' THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY
Depth to Perms 36' to 54'
Perc Rate= 2 MPI TEST HOLE 1 ��.9$ ASSESSORS MAP 270, PARCEL 234
Groundwater Not Observed 98 TEST HOLE #2 ELEV.= 98.00 VENT
No Observed ESHWT --__ LEGEND
ADJUSTED H2O Elev. - None _ ELEV.= 98.00 7.Y5' '�
DEN
ES
2-1�orAr Ace MANHOLES PROJECTBENCH MARK J� ±,�,,e e _0 •i f 104X1 SPOTOTGRAOEOPOSED
/ 4 ,
TOP OF FOUNDATION Failed 7 DENOTES EXISTING
-T --'' •= =--��= = ELEV. = 100.00 (Assumed) x 104.46
b Leach Pit SPOT GRADE
�� + SHED EXIST PL PROPERTY LINE
NLEr J \ Sep �fank 41 5, PROPOSED CONTOUR
J h� 11E AOCE9s COVERS FOR THE SEPTIC TANG
�= DrsTraauTroM BOX AM LEACFM/G COMPONENT ----- -97 EXISTING CONTOUR
- +rr��+tc---es;+•F--. •r"-+rs-z+-�� SET DEEPER THAN 6 NCIES DMON fMSH D
�! "t s '' •,• GRME SHALL BE RAISED TO 1MTHIN 8"OF
nNISHED CRAM STEEL REINFORCED PRECAST CONCRETE M-11 O ® DEEP TEST HOLE &
PLAN VIEW NSTALL TUF-TrtE cAs°APPLES al EpuALs DECK O
PERCOLATION TEST LOCATION
3-2e REMOVABLE COVERS C M
11 ------- 6 FOOT STOCKADE FENCE
w 1 t
I 1
r er r--F- z'rrwl>n arwc e. • ,s �}'.aer 3 BEDROOM ;
1V rrrkr. �"b IevN - OUTLET -}}- HOUSE
`5'-7' 1 1 PLOT PLAN
+ cs on soft ' y�Trrfe depth
31 OF PROPOSED SEPTIC SYSTEM UPGRADE
I < PREPARED FOR
°'�'• ` °� �'
CROSS SECTION END-SECTION WILLIAM CHAMBERS
LOT #10A AT
18,614 Square FQet �O is PITCHERS WAY
TYPICAL 1000 GALLON SEPTIC TANK ; ;
NOT TO SCALE m ; H YA N N I S, MA
DesignC Iculati 85.00
ns I I I
- a o
Ft
t
Number of Bedrooms. 3 Bedroom EXISTING I I ; R�\r N�(N PREPARED BY:
>----------- ---------- N N
Garbage Grinder No ��
�y ( ------------- ---- -------- -----�-� / N ARNEW E. SHA Y
Leachin CapacityR ired. 330 Gal. MIN. PER TITLE " " -'
E.
Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL Septic Tank. I
SOIL ABSORPTION AREA: Using percolation rate of Q min./Inch U SI{ IRONMENTAL SERVICES, INC.
Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. - 273.8 gallons �11 PI T CH�.Z? A7 WA Y NO' �$ o P.O. BOX 627
Sidewall Area: 0.74 gal./sq. fL x 78 9% fL = 58 gallons
'k-°r S T ERA` EAST FALMOUTH, MA 02536
Providing s 331.80 gallons (40 FOOT RIGHT OF WAY) 84 TAR\P�
TEL/FAX : 508-539-7966
Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS. HAVING A 0.83' (10 INCHES) EFFECTIVE;DEPTH. " h
TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES. AND 3.5' OF WASHED SCONE � SCALE: 1"=20' DRAWN BY: CES DATE: JULY 11, 2007
ON THE ENDS. NO STONE UNDER. PROJECT#SD1039 FILENAME: SD1039PP.DWG SHEET 1 OF 1