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0853 PITCHER'S WAY - Health
853 Pitcher's Way_, �. Hyannis F/R a , A = 272 135 a n i fi a b 8 --~ TOWN OF BARNSTABLE LOCATION �! SEWAGE # 24905�-120 VILLAGE MMLfell -__ __- ASSESSOR'S/MAP & LOT '172. l3� INSTALLER'S NAME&PHONE NO. �S D$ SEPTIC TANK CAPACITY, /000 LEACHING FACILITY: (type) S,w (size) NO.OF BEDROOMS 3 BUILDER OR OWNER uG I-V4 D&-LG 1'Z Z/ PERMIT DATE: y- =05- 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 leac 'ye, cili Feet Furnished by �tr/y , . � � - s� . . �, 6� i �; 3 ,� � i , , ` - L �� '^ � f _ �„ - -- 4 t �1 ,.r� ram' .o�' • � +�,..e ���,. +'J No. �U 0 SJ o�.t� f- = Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 3pplicatiou for Migooal bpotem Cougtruction Permit Application for a Permit to Construct( air( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,ef-I P�r ��4 GC/�y Owner's/Name,Address and Tel.No. Assessor's Map/Parcel 11y,##17l S �r/�� 4, AeL&t Z ZI l3 S'3 T� = 14 / 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 No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer whe applicable) 2"J1 _cam& 5-00 Lf e;, c,l2,r���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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this oard of ealth. Signed Date Application Approved by J Date Application Disapproved for t following reasons Permit No. a 00a Date Issued U a ' TOWN OF.BARNSTABLE LOCATION SEWAGE # ZOQJ, —fed VILLAGE ASSESSOR'S MAP & LOT 72 /3J_ INUALLE 'S NAME&PHONE NO. SEPTIC TANK CAPACITY /000 / LEACHING FACILITY: (type)'2, �`i�:�>��'i" 0 6,0 f (size) /3 X 2,S' NO.OF BEDROOMS 3 ` BUILDER OR OWNER PtRMTT DATE: y-!—05 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 leac 'ng f cili Feet Furnished by . - ..jr.,..+, ..:_��...t`,:., .- '1 , ...; �; .. .. ._ t "'H.^�.., raFL.:...1i;. ,.,..:.+:-.sn..r+-.-wr.Vt.r....,^.,:.Y:,rv.�,,,:..,,,s.++r......,..:�.w...ra.,.r;•i.+c�.�..ry.w ,-.. f. .. ,rp v^y`.i•-�A•w.,f-;.+ae v.`.r.v'+r..T'"'V' ?°r5 .!r.r"3x"ry" �1 rtl No. ��-U U�- (a Ri +3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ti Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for ;Di!5pogar *pgtem Coneuttrtion Vermit Application for a Permit to Construct(G^)`R p i( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Nwne,Address and Tel.No. - Assessor's Map/Parcel 2 72 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 No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs o lterations(Answer whe applicable) ZSrI�� `�� �= C_ �`> /- y Date last inspected: Agreement: k The unddeersigned,agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue ,by this oared off Healthi.. ; •Sig ned !I%C.' �"(.�,�2.. Date Application Approved by Date. Application Disapproved for th following reasons J / Permit No. U0S- 1 0 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that thy�On-site Sewage Disposal System Constructed ( 'Repaired ( )Upgraded( ) Abandoned( )by JG5 4 Zze at - / ��+ � l41/ has been constructed in accordance with the provisions of Title 5 and/ e for Disposal System Construction Permit No. -�-'ptt,_-''2 0 dated Installer c�DS� /� �G� �9/"Yl�$ Designer The issuance of this perrrirt sh�a not be construed as a guarantee that the system w'1 lunc•'on as designed,—. Date �f Inspector � -- . No. Fee l oo `7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 7i.5poal *pgtem Construction permit Permission is hereby granted to Construct(4')1Z'e_i' a' . ) pgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. w. Provided: Construction must be completed within three years of the date of thi!p it.` Date:_ f I ( l S Approved by ( 1 ,- t/c."; S • 5r25/QI Notice: This Form-Is-To Be Esed For the Repair OfFailed- - Septic-Systems.-0nly- _ PERCOLATION TEST-AND-SOE EVALUATION EXEMPTION FORM L I e Rae-r I' H ,hereby certify-that the--engineered plan signed by me dated. /6/01 concerning the-_property located at .S 3 doi-dam 4-ew3 am Pvw ---meets_.aD of-the followingcriteria: 6"This fasted system i�conttecte�:ta_a�esitiat. 11iag_only�-Ttene aye-no-wmmercial or . business uses associated-with-the +/ -The-sorris-ciassifted_a&CLASS Laad_the " percotattou-r.&,is-less than"or vquauto--S minutes per---bwb.-The-applicant-may,use historical-dam-to-eonclude-this:faaormay-conduct-- p inwytest&at-the=sim widmut-a healtlt-apat present - VThemis-no-increme-in-ftawandlou- m-use-propose& .. There are,no:variances requested or-needed _ . -The bottom of the proposed Teaching facility iq be located no less than five feet above the masMum adjusted groundwater bible ekvation_V ust*e Wgxadara table-using-the Frimptor-method-wimapplicab14. -- "Please complete the following: A Top ofGroun&Surface:EteYatioi �usiag-GI igaff at, .. 0 -B)°G-W.Elevation 3 Z +adjustment for-bigl GM. 3 FA DIFFERENCE BETWEEN A and B 2 Z f SIGl+IED 11J.4"z -DATE: 0,5 NOTICE=- Based'upon.tbe:above-iufornnation,a repair- it will be issued for -_- - mmumum- Ne=additional-bedrooms are-authorized in the fixture-v-1hout enkincere&scoc, _Sys&M ,. plans. . "q:heaiW-fotdeT:pe�e7m�p:.. _ . Town of Barnstable �FTNE Tp�• Regulatory Services Thomas F. Geiler,Director , + s BARNSTABLE, 63S. g Public Health Division AIFp '�°i Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: 04— E- Installer: To rro S Address: 9 G t-o(— AJG G F Address: 8 / 4Lw*"t f-4V /t/f o�,,,� �v-,� �1/J•'d/J i��d I�y� Gr/l�>�J/��L/J iz'I� On was issued a permit to install a (date) (installer) septic system at exj L✓A'`1� A,h.•o based on a design drawn by (address) l � .i-`ham,•, oe-.S- dated (designer) V"""'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 certified as-built by designer to follow. �`��,•cN of Mgss�c god GLEN tiG ER►C , /7s'eta'ller's ignature) 0 HAR N ti No. 10701470 0 C' TA (Designer's Sign e) (Affix Designer's tamp Here) 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. Q:Health/Septic/Designer Certification Form I No.... •---- Fnic.....1. ... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i?17 .............. O F PRfyl 4y.`�........................................................... Appliration -for Uiipoott1 Warks Towitrurtion Vamit Application is hereby'made for a Permit to Construct (►.-I or Repair ( ) an Individual Sewage Disposal System at f n-Address or Lot No. .............•------r429sr..0 4Pe•_c5.,2.- v>_'�,�2 ei$.r..!_!xr.--- ----------------------------------................................................................ Owner ddress 9.4 Installer Address d Type of Building Size Lot.... feet V Dwelling 4NO. of Bedrooms............ ............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures ...... -----•---------------------- --------------_---------------•-------- ...........:.......................................................... Desi nFlow................... . Mons er erson er da Total Bail flow.......... ~....--... Mons. W g �--------------- g P P p•c „ y ;a ,yy.. g WSeptic Tank—Liquid capacity-/W-P.gallons Length_l.:. Width--- Diameter----------------Depth.__'K—_..._. x Disposal Trench—No-__________ _______ Width.................... Total Length.................... Total leaching area-------------.......sq. ft. .Z Seepage Pit No.!- ' �Z_.V6iameter.....f.`.......... Depth below inlet.....4.......:..... Total leaching area------- ----------sq. ft. z Other Distribution box ( ) Dosing tank ( ) vj- ,�a C 1'h -- `j-.T •- -7 7 Percolation Test Results Performed by--------- --------------------------------------------------------------- Date-------------------------------------- Test Pit No. 1----------------minutes per inch Depth of "Pest Pit------------------.. Depth to ground water--------------------_-- r3:4 Test Pit No. 2....._----------minutes per inch Depth of-Test'Pit.---__--___.___--_- Depth to ground water.........__.--._-__-._ ------------------- a ; . Description f Soil h .•--- - - °`` `/'r- ,, -' -T z ` . ... U 2 i� ��' W 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 b jiued by the board of health. cx2 �/2e�S�GA��oD/3raiC17�etigm g .-- -------•--- [ ... -••--. Date Application Approved By--------- •-•-- ---- --------� �..--7---7•. � Date Application Disapproved for the following reasons--------------------------- .....................------------------------------------------•-----•-•------------ --...-•-•--•--•-••---•-•-----•-----••-----•--•---._...-•---------•----•-••......................................................•.•--------------.-.-..-.-----•---------_------------------•-----••--•- Date PermitNo......................................................... Issued--------------•-- -- ................................ Date (7) J`0 No......... �� ----- Fwic............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / > .._.............6F. A"! ..d....... - . ---- -------- --------------------- Appliration -for 1i!ipoiittl Workii Towitrurttott Vrruiff Application is hereby'made for a Permit to Construct (W1 or Repair ( , ) an Individual Sewage Disposal System at: ---------------------- ------ Location Address y or Lot No. ................................................. -------••-------•----._._.-•=-----•----------- -----•------•---•-•-•--•-----•--------•...-------- Owner Address Installer Address d Type of Building Size Lot-.-.`/(r_ "/ t---Sq. feet U Dwelling-¢"No. of Bedrooms--.--_ ..___..•................. ...Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons..-----------------------__-_ Showers ( ) — Cafeteria ( ) Other fixtures ----- -------------------------------------•---------------------•--- ------- w_ ------------ W Design Flow....................__4-----------------gallons per person per day. Total daily�flow---------------------------------------------gal l ns. �C?.@_ W Septic Tank—Liquid capacity-' gallons Length__`#____'_ _._ �1�idth...`f._.`._.._ lli meter__._.._.___-_-- Depth..--_.------ x Disposal Trench—No. _.._...__. -_-_ Width_g._.•............. Total Length--_-__-__-�__-__--- Total leaching area---------_----------sq. ft. Seepage Pit No.I'! _ iameter_____ ____________ Depth belowinle C`J .___.__. Total eaclib�g., rea..-_-__.....____-sq. ft. z Other Distribution box ( ) Dosing tank ( ) o - /✓ _ aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- Test Pit No. I....___..._.___minutes per inch Depth of Test Pit.................... Depth to ground water.............__.--.----- LL Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water--._..-.--_-_-----_.._ 1:4 ---- -• --------- ' Description of Soil SA_k?V -- ....-----G._. ' ------------------------------------------- (� �----- -------------- 1 ----- = W x ------------- ------- ---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- 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 \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b i ued by the board of health. roFtS";"trA © fStycl �gned .__;_______________________________ __1 Y � o Application Approved BY ✓- y- ' "" t 7 —` - 7 Date Application Disapproved for the following reasons:......... -----•----------------•--------------_._-.._-__----•-••---------------•-•----•--• ..................... •------------------•------------•-------•----------••---------••----------••--•-----•-•••-•._...--------------------------------•-----•----•...__...----•-•-----------. ---------------------------- Date ------ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... " :!!d.�?..................OF... <✓� f .r................................................... 01.rrtif irate of 01111mptiaurr THIS IS TO CERTIFY, That the ndivid�l Sewage Disposal System constructed (�or Repaired'( ) by �'I "' - -l� --------------------- �. �r� Installer ,tom at.---•-----••--•-•-••-----•-•--•-----•--------•-•---•---. ;{s !'I�`d x-,fie l' ' Off' ------------------------- has been installed in accordance with-the provisions of .�rti ej I of The State Sanitary Cc�1 deyr�ied in the application for Disposal Works Construction Permit No_______________ K7------------------ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...--••--,.4/) ----------f2------r f Inspector -' - '`' "�� ---------------- -- &7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y ....... .d. �..:... f� �� -�................................................. No.-•-•-7----� f FEE........................ %sVogdtj©�ork,q Clott�trurtiott Vrrntit Permission is hereb ranted............ ✓/ /7>, &M.- - -----------•--••------=----•-------------•••------- . to Construct (:") or Repair ( ) an Individual.Sewage Dis osal System Y at No............. rs--WW, - �.- --•--•-_..-.. --- - --- --- Street as shown on_ihe application for Disposal Works Construction P C / Dated-• c� (.r � '• ---------------------------- - Board of Health DATE....................................................------ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - 4 N IV re PC- x 4 Yb mx ,-t t �yq� }�i 1- /�1.5,K'} sY ire av C k;J 7x w fr a Jwy s ate' P ,.• ':r n86fe''+` } - 0, x t'� Rra ` „' r .o�A F�� 3��✓ :was 7 oc?7' >7- ... ; OF W" ,9', 1—' 7� ARNE H. ".-�P 4aJ Wso� ®G i G9C ®a I V ��A�A �t i .} u Y 7®y ��Qypy #26348 + ri�s7r 4 s+ GId16. L�V6/NEE � �xa , it 4 � " 4 ?' � '"b9Jis90ld TFr✓ .ate 5 S o -o a , 'L }a FIJI, J _J /M.8A7{I up i 1. i Cli..��I I6ROOM 0 0 MASTER - nd-- o � o BEDROOM HALL o -_ K1'-f-CNFN I �{ BATH rIAR ACHE w H ALU\,,/A`{ I l 1 T BEDROo�� 2 LIV NGROOM BEDROOM i � ,Pov, 7 1 � .. � N�,.., .,.I\N o�J.: � ►.;F-.va tNf{l4 z..,ct-t l6 ot-. I - N�.J Ejj No b �,�r\�. I IY�f'J� �15 , M� O2�o� 8.53 PI f CNE�-�,� No.. . .... . s.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HE OF....... "E ................................... Ar .�4� Appliration -for Bhiposal Works Tomittrurtion Prrinit Application is .hereby'made for a Permit to Construct (.--e or Repair an Individual Sewage Disposal Syszo .................. ----------- .................... ....... .................................. ........................ ... ......................................... Vqcatiol. or Lot No. c- ............... A • --- t...... .................. ... ---- -- .......... ................. ..... ...................... . .........Owner es ...........; ... .............. .................. ............ ............ ..... ........... ........................ . ......... ..... ........ Installer Address Type of Building Size Lot-?.-.-/--- ---_-I q. feet U -----—No. of Bedroo ms_..,oms_ ,�....................................Expansion Attic Garbage Grinder Other—Type of Building ---------------------------- No. of persons..-_____--___-__---_-.------ Showers Cafeteria Otherfixtures ---------------------------------------------------------- ......................................................................................... Design Flow---------- ..............................gallons per pet-son per day. Total daily flow............3. ------------------gallons. P4 Septic Tank—Liquid capacity/*Vg�':gallons Length................ Width_-.....__.--._. Diameter-----_-.-._--_ Depth-__.-._--_--__. x Disposal Trench—No. .................... NU T!4gLength---------------------4ola---------------------- eaching area.-----------_-----sq. ft. 04*�' - � r�tj�mqwpi�elf - . - - :1-4eftching it. Seepage Pit ------------------- BV Z Other Distribution box ( 1�PC Dosing tank A Percolation Test Results Performed by--------------------------------------------------------------------- .... Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-.-_--_--__------_-. Depth to ground water..__________.-.--------- (_, Test Pit No. 2................minutes per inch Depth of Test Pit.-_-__--__-_.__-__-_ Depth to ground water--.-..-.-__._--.-__--._. P4 --- ..............7 0 . W-----V --,/ �_ ..........Description of Soil ------- ---------------------------------------------------------------- �_.__X�. .......... ..7- ----------------- ------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------------- ------------- ------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------- --------------- ............ Agreement: The undersigned agrees to install the aforcdescribed 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 issue/dbb, the e/boaro of heaIL4. 4--------- ---------_---_-------------_ -7/S -7 gn -------A- Date ApplicationApproved By---7- ...... . .................. .......... ----- --- ........................ .......7........ ---- Application Disapproved for the following reasons. ------------------------ A --------- ---------0---------Date-e-------------- - ---- --- -- --------------------_-........................................................... .................. ro r ----------- Date PermitNo......................................................... Issued.-- --_----_---------. Date - No..---•--••..7 Y Fes$.............................. THE COMMONWEALTH OF MASSACHUSETTS ,,, BOARD OF HEALTH .�,... _, .. . jGf i�....... _OF....... ...--............................................. Appliratian -for Dig wittl Works Tutuitrurtion Prrniit Application is hereby'made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal S stem,at• f . ocation•Addre'ss t or Lot No. '- r _ __._ = +, Owner �� l�• � Address .. ..-___._._ c"" �•�f'� T..,/ �`r_,.....,� .✓f ,�,+ '/'C' C.' Installer Address d Type of Building _, Size Lot.Ld---- ---- --------- feet Dwelling—No. of Bedrooms__-3----------------------------_---_Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ._.__-_---________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------__- ------------- -- ---------------- W Design Flow_........__"-�-�_--_-•-.-•--_--_--_.gallons per person per day. Total daily flow----------- _ _.d..................gallons. WSeptic T:uik—Liquid capacity/??d�gallons Length---------------- Width--------.------- Diameter_-.-_---.----_ Depth.-._-_--__-.--. x Disposal Trench—No--------------------- NVidth--------------------Total Length-------------------- ota aching area.--.-._-___-.._____sq. ft. Seepage Pit No. rltr'�m`let,................. =o Ching area--- �'sq. it. z Other Distribution box ( Dosing tank Percolation Test Results Performed by-------------•------------------•-•------------------------------------- Date------------------------------------.-.. Test Pit No. 1----------------minutes per inch Depth of 'Pest Pit..------------------ Depth to ground water____..--.-.--.--.__.- GTA Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ -------------- De�cnption of Soil U=� !!-�-� rc - `3 f - W ----------------- 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,broaarrd o�,f/hhealt�h. S]gne / `^` c�_ .!`�-_-='r'= r'== •-....... �` Dse�77 Application Approved By------- , Cd' .. 1. 1 ti1 =-------•--------•------- --------`--------------7-7------ Date Application Disapproved for the following reasons-------------------------------------•--•-------••-----------------••-----------.--•-----------------•----------- Date Permit No........................................................ Issued......"./ ��- 7�� Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH' ...... m........OF..... '.'. / ^• ..................... Tntifiratr of TOmplianrr THIS II.S-'TO CERTIFY, That th Individual Sewage Disposal System constructed or Repaired ( ) by----.••--f= �=--•- ---• •---•----•----•------- ....... ....................................-. f I s aller P. at.------ v ...... ---- -•--` ...--------•--•./�`° r�.�--� has been installed in accordance with the provisions oftiycl XI,of The St�rte Sanitary Code as described in the application for Disposal Works Construction Permit No.�_..__. ��� dated.... -.�s -�� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT RE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �� DATE--•-•---• `"_ ... Inspector-- ,':��"t-- �'ti"�? .aG ' :� -� ' THE COMMONWEALTH OF MASSACHUSETTS "J~ BOARD OF HEALT 7X .......... ..� ................. 15 No......................... FEE - Permission Is he granted ----------•--- .................................................. to Construct (. "o Repair ( ) an-Individual Sewage Disposal System ` 51. a as shown on the application for Disposal Works Construction Pkrjj'}i No..... _ -,- is ated-_.3-,/5_ 7.7 d ..................... _�_.` JG----7 ...� DATE................................................................................ Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i r} 7 o' N ' to � o' F ND -4h' V I,t,00G�6. 36PtlG. N P T -rn Kw 3O1t - Q s AIL �a 0 L � IAM .� CSZTtF1E1D PLOT OE M v t I Ov 9. 334 tOCATIot-J I `t' A N N 1 5, iya' � `ter �/" �C1>.L IIN.'34FT �ATl= ;3�It f-77 �''�`'� pt_A►.1 Ri=.F'ERE t.l GE. G 6-R T 1 P j T"AT TAG FO L)K D^T%4 NO5"OW Q WEQ E OW C_bAAPL%eS W t T{-11 THE S t v _u►-�� 1. 0T -1 ��• AWv %TIE3AC4 $?C_Q ltjZEM&WTS 6P TNC- -TO W U ov= '1�,F,R DAT1= 3 1 REGt;-regst> 9_.A."c> 6tJ2vc`f(b1ZS TNlS D'iLAN IS �IUT t3ASE� 0"-1 A'" oSTmzv%t_Ls o M/155r 1NS(Qt1ME1.1'(' StJe�/�`{ THE OFFSETS S14OWLX> APPL-I CA."-r t,bT 6E USeo To oe:TEeM114C LOT LlWaS GAPE WIPE 'REV C .0 O Z ac W a. rs '� W 3 W ) W ac d p N � (-j p Q W � y 44 N p W aC W W W Q Z H w Z C H Z Q ac ~ 71 N O 3 IL CC aC 3E Z W W O o W ac w W Q Q Q p W W W^` 4 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIrRS; r f,y �, - r a . r i r , .ttJE5 y d DEPARTMENT OF ENVIRONMENTAL PROTECTION A EP - [` 6 !', IL' 10 6Y FAILED INSPECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION role Property Address: 853 Pitcher's Way Hyannis MA 02601 11AP Owner's Name: Evelyn Delgizzi .,kR ,M 3, Owner's Address: Same Date of Inspection: December 2,2004 Job#04-390 Name of Inspector: PATRICK M. O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 , CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DF1� approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: 0� \. I 0 "I"o � i Passes •':sS �' Conditionally PassesiPAT I •?cGn� Needs Further Evaluation by the Local Approving Authority •m Fails = NEL cn Inspector's Signatur Date: 12/2/04 ��, T Fl7rIF\��'. NSPE`'������• 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. Notes and Comments: Tank and pit previously full to top. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 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: 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 the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or 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 obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Titla C Tncnartinn Rn— All 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title G 1ncnortinn Rnrm 4/1 snnnn 3 Page 4 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X Any portion of a cesspool or privy is within a Zone 1 of a public well. _ _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 forma _Yes_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well 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. Titles G Ino -,*inn PA—All cnnnn 4 Page 5 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _X_ Pumping information was provided by the owner,occupant,or Board of Health _ _X_ Were any of the system components pumped out in the previous two weeks? _ _X_ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) X 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? X _ 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: Yes no _ _X_ Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR I5.302(3)(b)] Titla G Incnartinn Fnrm(Jl Vlnnn 5 Page 6 of I i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 FLOW CONDITIONS RESIDENTIAL 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 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Two years usage: 131,250 gal.=179 gpd. Sump pump(yes or no): No Last date of occupancy: unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):— Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: None Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank,distribution box, soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of all components,date installed(if known)and source of information: 30 years+/- Were sewage odors detected when arriving at the site(yes or no): No Title+ Tnenortinn Fnrm lii�i�nnn 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 BUILDING SEWER: XX (locate on site plan) Depth below grade: V Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: 30' Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 6" Material of construction:_X_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 8.5' long x 5.2' wide— 1000 gal. Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 27" Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle: 7" Distance from bottom of scum to bottom of outlet tee or baffle: 11" How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage, etc.): Baffles intact,liquid level at bottom of outlet pipe Tank has previously been full to top. GREASE TRAP: No (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Titlo 7 f Page 8 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): ` Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: No (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: - Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): I Title S Tncnartirm Anrm All c/')nnn 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type _X_leaching pits,number: One 6x6 pit. leaching chambers,number: 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.): Liquid level 10" below inlet pipe pit has heavy staining to top of structure and around cover seam. Also observed stained soil over leaching pit. CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (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.): Titles S Tnennrtinn Rnr 4/1 vInnn 9 Page 10 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 853 Pitcher's Way,Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. Pitcher's Way Water service 26 43 48 40 T41. 10 . Page I 1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 853 Pitcher's Way, Hyannis Owner: Evelyn Delgizzi Date of Inspection: December 2,2004 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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: A perc test will be performed prior to installation of new leaching system to determine groundwater elevation. Titic G Tricncrtinn Fnrm All;i1nnn 11 SITE PLAN ; ' p SCALE: 1 "=20' Design, Calculations BENCH MARK CORNER OF CONCRETE Number of Bedrooms: 3 �' + ... BULKHEAD, ELEV.-100.00' (ASSUMED) Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN Leaching Capacity Required: 330 Gal./Day, .�� �� f , �gf ��• 7�s• Leaching Area Required: 330 Gal.AO.74 Gal./Sq.Ft.)=446 Sq.Ft. 5 f _ ° dJ; i s sea eeawxfx war . P t/'� Proposed Leaching Structure: 1-25'L X 13'W X 2'D Leaching Trench ;�,,,�a� I f Leachin Area Provided: 477 S Ft. "'' Proposed Leaching Capacity: 353 gpd > 330 gpd. req'd. ',' a( � � Y e <.s ' 98.93' .. .9;" �. "4�xplacexy..1� •naeJ.� � �'�1�� 3 � ��af GENERAL NOTES ` 9Be1, 1. ADDRESS: #853 PITCHERS WAY LOCUS 2. LOT 7 3. DEVELOPER'S LONUMBEROT —135 NO SCALE AREA = 16,510t SO.FT. 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE GROUND INSTRUMENT SURVEY. 9 % 5. TOWN WATER IS PROVIDED TO SITE do SURROUNDING PROPERTIES. TRts a�� 6. REFERENCE PLAN: PLAN BOOK 271 PAGE 83 REFERENCE PLAN: "Certified Plot Plan, Location: Hyannis, Mass, scale: 1"-30', �i. date: February 28, 1977 by Down Cape Engineering, Yarmouth, Mass. 9974• 7. NO WETLANDS ARE LOCATED WITHIN 150 FEET OF SAS. 00 4ti 96.97 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS. \nwy'J . ® toatz• P07 q Vea Olt-O 97ss' CONSTRUCTION NOTES P U / � 1. Contractor is responsible for Digsafe notification 4i and protection of all underground utilities and pipes. V O a v 2. The septic tank on j distribution box shall be set $ level on 6" of 3/4 —11/2" stone. 3. Backfill should be clean sand or gravel with no �/ ♦ stones over 3" in size. 0 /^ d ' 4. This system is subject to inspection during installation � � by Glen E. Harrington, R.S. 1-25'L X 13'W X 2.0' D 97.87 N 5. The contractor shall install this system in accordance leachingg trench using O with Title V of the Massachusetts Environmental Code 2 H-10 500 gal. chambers with and the Regulations of the Town f Barnstable. 4' of stone all around n� /�� row ry$ 6. Provide an Acme Precast H-10 hole D—Box and �'I"I' 99zs• �G / 2 H-10 500 gal. chambers or equal. ♦ o 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. T 8. Install gas baffle or equal on septic tank outlet tee end. 9. All existing inverts and site conditions shall be verified by contractor. _ _10.=-E:f1sting Is•+ch pit-to-bo-pump--.: and-sc:,C11o4. —_ e So 161.52' 6 cries 6 t-W�Aa�MAWW Lot r . 5' 841 Pitchers WaY '• 0 " O O O 34 O C O O 124" TEST HOLE LOG '� " Date of TestSMI1 RONFORM PRECASt CONCRETE Hole.: JANUARY 3, 1977 PLAN VIEVII 2 H-10 500 gal. chambers • Performed By. UNKNOWN Witnessed by. Paul Murray, Agent Barnstable BOH END—SECTION Perk Rate: <2 mpi H-10 500 GALLON CHAMBER Test Hole NOT TO SCALE No. 1 MTH SOILS a.EV USE ACME PRECAST OR EQUAL 0" wood learn �OF MAs PROPOSED SEPTIC SYSTEM UPGRADE ' e• w� LEGEND 1EN.. rREPAREo FOR e EVELYN A. DELGIZZI 0 GT N Cn EXISTING LEACHING PIT TO BE 0 , 0.1070 AT l l J 1 PUMPED do BACKFlLLEDac vow sy FGO �Pwo 853 PITCHERS WAY s sI EXISTING 1000 GAL. qN/TARP BARNSTABLE (HYANNIS), MA Existing House 10' min. from *NOTE: ALL PIPES ARE TO BE 4' DIA. SCHEDULE 40 P.V.C. o o H-10 SEPTIC TANK house to septic tank *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. tank coven must be Finished ow ryatsm-2X Mope away no groundwater encountered DENOTES EXISTING ,n e•of,knhMd grade g 5 H� X 104.46 PREPARED BY: - SPOT GRADE Fxfsn nE MST.Sox Existing Credo Etev-W* GLEN E. H AR R I N GTO N, R.S. 0-9ox aov«must be Wiln. 2'-t/a•-t/- t chamber cover must be 9s EXISTING CONTOUR 9 LEDA ROSE LANE within e•of waft doubh ed.tans wltl�ki e.e• fln_kd,.d gra = full - -96.0' APPROX. LOCATION MARSTONS MILLS, MA 02648 LOW far 7 ts' S-.ot Invert - �� EXISTING WATER LINE cellar to 1E�OnlNG 12 p SEPTIC TANK H-10 9 C O C o K'WL TEL: 508-428-3862 OAs 9 ren ev.- s' FAX: 508-428-3862 ' a rt(3'REaulam) e•OF 3/4•-tl/2•STOLC f LEACH TRENCH f s Bottom of T.H. J1 Elev.-66't SCALE: 1 =20 DRAWN BY: GEH MARCH 16, 2005 SYSTEM PROFILE e•OF ale-tt/s•STONE Y Not to Scale DATUM: ASSUMED FILE: DELGIZZI SHEET 1 OF 1