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0989 PITCHER'S WAY - Health
989 Pitcher's Way ` Hyannis A = 272 146 �t i I a I 1 Y i S 1{ j fl A TOWN OF BARNSTABLE LOCATION SEWAGE# 7,U f 6 — VILIIAGE ASSESSOR'S MAP&PARCEL D 7;-l y6 INSTALLER'S NAME&PHONE NO. CR%c SEPTIC TANK CAPACITY 2 00 G S1 14 LEACHING FACILITY:(type) (size) 11X 1, r2. NO.OF BEDROOMS ` OWNER PERMIT DATE: S COMPLIANCE DATE: S 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 75. i 1 1 ^ay IV 1 i i e i � { Y Fee 1� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphratlon for Misposai *pstrm Construrtion i3Prmit Application for a Permit to Construct( ) Repair V Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.J'W9 Ftk%,Qr5 wwy Owner's Name,Address,and Tel.No.W.Ck2>4./ Tirvs4 3SA V. Mkn 4. fi41. oZS4o Assessor's Map/Parcel iVI a7d )y(o _33 Installer's Name,Address,and Tel.No. kQiL S hE v> S Designer's Name, Name,Address,and Tel.No.QWUA £4iV ea" Ql hr}rs) on F9 i (�6)g . Type of Building: g Dwelling No.of Bedrooms Lot Size 211771 sq.ft. Garbage Grinder( ) Other Type of Building � � � No.of Persons Showers( ) Cafeteria( ) Other Fixtures q 1 Design Flow(min.required) E&b gpd Design flow provided 10a 1 gpd Plan Date qT1 S j f)3 Number of sheets 9n, Revision Date��rO Title \ Size of Septic Tank ZO(}O 74 `fix i rL-��_ i Type of S.A.S.C "ea S Description of Soil A't"C6A 1C Q Nature of Repairs or Alterations(Answer when applicable) RPAAey_ lei Date last inspected: 3 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 H Signed Date Application Approved by `--�/ �? Date Application Disapproved by Date for the following reasons Permit No. ono Date Issued �j 1 vJ ee THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: Yes UBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ; J" � r rlcatlon for Disposal i� stem Construction Permit � Application for a Permit to Construct( Repair V Upgrade( ) -Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Rkl,¢r% w K►y Owner's Name,Address,and Tel.No.W.Ckzvi� Tr%)S4 1 3Sw Main -4, fpl. otsyo Assessor's Map/Parcel M a]d ly(o _3� Installer's Name,Address,and Tel.No. Designer's Name,1Address,and Tel.No.rajw%0cX �y�,d�heCY�hq PCB P-10A-I1 h.V' rs�onS C ) 5 Type of Building: Dwelling No.of Bedrooms - \\\ Lot Size 2 1 j771 sq.ft. Garbage Grinder( ) Other Type of Building Res,�,. l;�� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Q-g(�l gpd Design flow provided 9 a gpd Plan Date 16�j Number of sheets Revisionbate Title Size of Septic Tank ZQ0Q 17A) �x �;�i�n� Type of S.A.S. gift Description of Soil �4o, C,G 1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 3)10 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 H Signed Date S-1'T Its Application Approved by � � ( Date Application Disapproved by 1� Date --for the following reasons } Permit No. cp ( — 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 E ri C- Shy at 189 I-Nc_N.Lvs Wyat,, has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No. b - �� dated f a Installer ey i c— h% Designer FAI VA uAN,\ a�,�er #bedrooms _-IT Approved design flow // + gpd The issuance of this permit shall not be construed as a guarantee that the system wil func igned Date �P )1 t// �, , Inspector (// ---------- ---- - ---------------------------- - - No. o) 0 to f(�5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 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 must be completed within three years of the date of this permit. Date �f ��� 0 Approved by Town of Barnstable ' �oF114E r Regulatory.Services Thomas F. Geiler, Director BAR NSrABSS. MAASS.LE, Public Health Division .� � �p 1639. jDrE mar" Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 - Fax: 508-790-6304 Date: 6/16/10 Sewage Permit# Za/o-/uS" Assessor's Map/Parcel c27(2-/y!d Installer& Designer Certification Form Designer: Mi6\ALk �OS-SeA k Installer: Cie C 'bmo Address: 101 tow„- \A0A " Ste_ Address: V'_y. i&oX l t 644n MM' mfy— wNars�aws r+AILLS rv►lpt . On s 1'.— 1 C� tl?t c was issued a permit to install a (date) (installer) septic system at 961 F Zc.'Ng.rn to Pic„ based on a.design drawn by (address) dated" 14 (designer); __J/ 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. Stripout (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 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. Stripout (if required) was inspected and the soils were found satisfactory. M41S o MICNAEL r z BORSELLI c CIVIL I m ( taller's Signature) A 9PNO-35054 O 90 G'isT01 Q �FSS/ONAL ( e er's Signature) (Affix Design'&Yg Stamp,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. gAoffice forms\design ercerti fi cation form.doc Apr ,.28 10 10: 48a _ p.`2 6Zo-7 d APPLICANT: (/ ADDRESS: /TGfi�/Z-1 wn-y DESIGNPLOW: p REVIEWED BY: gpd DATE: N/A . OK NO Le al boundaries denoted 3I0 Street,Lot,tax parcel number and II t number noted on 3 plan CMR 15.220 4 u) , P [ 10 Locus Provided 310 CMR 152204 t Plan proper scale?(I 1"=40'for lot p lans`1"— com vents) 310 am 15.220(4) 20 or fewer for Easements shown 310 CMR 15 . 220 ) System located totally on lot served[3I0 CMR 15.405 1 a for u des -i not Location of , a vm fiance is required 3l0 CMR 15 412(4 impervious surfaces'(driveway%parking areas etc.)310CMR15.2204 d) Location all buildings 15.220 c existing and proposed 310 CIVIR. (4) ) � . Location and dimensions of system(310 CMR 15.220(4)(e)] components and reserve areas S stem Calculations 3I0 CMR 15.220 4)(fl] daily now se tic tank capacity re uired and rovided J soil abso Lion stem(re aired and rovided) whether s stern desi � ed for ba a ' der101, North arrow 310 CMR 15.220(4)( )] Existin an d ro osed contours 310 C MR 15220(4)( )] Location and log of deep observation holes(existing grade el. on each test) 310 CMR 15.220(4 } r Names of soil evaluator and B OH-representative[310 CMR 15.220(4){h)and(i J Location and da elevati te cfPercolation tests(performed at.proper on?) [310 CMR 15.220(4)(i) Percolation test results match Ioadin rate..3I 0 CMR]5.242 Certification statement b Soil Evaluator 310 C Observed and Adjusted ger(method for a�dju�e� roundwat t4) .) given or indicated) [310 CMR I5.103(3)and 3I0.CMR 15.220(4) Location of every water supply,public and private,,[310 CMR 15.220(4 (k)] Address Sheet 1 nf7 f Apr 28 10 10: 48a p. 3 — ...--- within 400 feet of the proposed system location in the case of surface water supplies and veI packed Public water su 1 within 250 feet of the proposed system location in the case F thin I50 feet of the proposedsystem location in the case e water su 1 wells of all surface waters and wetlands located up to 10etbacks listed in 310 CMR 15211 and any catch basins ithin 50$ 310 CMR I5220 4 (1) Water lines and other subsurface utilities located [310 CMR stt, FHoles 4 m) (if water line cross see 310 CMR 15.211 1) 1 ) of system showing invert elevations of all system f ents and the bottom of the SAS. 310 CMR15220 4} o) f designer 310 CMR 15220(1) and 310 CMR 15.220 2) ✓ f Registered Land Surveyor(required if construction s within 5$,of lot line 310 CMR 15.220 3 les adequate(two in each of the primary and reserve enches as permitted in 310 CMR I5.102(2)or as d for an u de under LUA at 310 CMR 15.405(I ) Test hole adequate to demonstrate four feet of suitable material? rfP310CMR 5.103(4 1 equate to confirm adequate groundwater separation) .103(331 t�ithin 50-75,of system f310 CMR 15.220 A)( )] Materials specifications noted?[various sections of 310 CNM 15.0001 System components not>36"deep(unless Local Upgrade APproval or LUArequested) 310 CMR 15.405 l(b - Apr 28 10 10: 48a p. 4 Size OK? ' 3I0 CMR 15.223(1)] Inlet tee located ten inches below flow line 310 CMR 15227(6)] ✓ Outlet tee 14 or 14"+5"1 .227 per foot for increase ft depth [310 CMR � � Outlet tee with as baffle or a roved filter 310 CNIR 15.227 4) Note regarding installation on 15.228(1) stable compacted base[310 CMR � - Separation between inlet and outlet tees(no less than liquid de th) 310 CMR 15.227(2) / Inlet/Oudet elevations at Ieast 12"above high groundwater �it/ (except as described 310 CMR 15.227(5))orperrnitted for u des under LUA 310 CMR 15.405 1 Minimum cover 9" more ( )�) on all openings and cn the d_box) pi 0 CMR 15232 CMRthan I'S2228 have risers 3) f) {1)and 310 (/ Three access covers (inlet and outlet must be 20"or greater) - middle access at least 8" 7107) 310 CMR 15.228 2) Access to Within 6"of grade -one Port for two for stems>1000 p systems<1 OOOgRd 310 CMR � � All at-grade covers secured to unauthorized access? [310 CMR 15.228 2)) � > 10 fi from buildmi foundation 3I 0 CNIR I S.2l 1(1 ] Buo anc calculation Re uired/Done 310 CMR 15.221(8) H-20 Where a ro riate?[3l0 CMR 15.226 3) Setbacks from resources 310 CMR 15.21 I Required when other than single-family dwelling or flow>1000 d[310 CMR 15.2230)(b) First compartment 200%daily flow. Second compartment 100% dail flow 3l0 CNiR 15.224 2)and.(3) a" s pipe through or over baffle,outlet of each compartment with . as baffle or a roved filter 310 CMR 15.2244) Address Sheet 3 of 7 Apr 28 10 10: 49a p. 5 Located at least ten feet from any water line?[310 CMR 15.2222) .. Disposal piping at least 18"below waterline(when water and sewer cross,see 310 CMR 15.211(arl ) Cleanouts"re wed/ rovided? 310 CMR 15222(8)] r/ Thrust blocks specified in force mains?310 CMR 15.221(6)(c ] Slope of sewer line not less than 0.01 (1/8"/$) 0.02 preferable [310 CMR 15.222(6)) Properpitch on all runs? (.005 within gravity-distributed trenches and beds 310 CMR 15.251(9)and 310 CMR 15252(2)(c) Si hon roblem/ eachfield below pume chamber) Endc s or vent manifold ecified? Size and orientation of discharge holes specified?(not smaller than 3/8"not larger than 5/8'.)[310 CMR 15.25I(8)and 310 CMR 15.252(2) ) Materials specified (310 CMR 15.251(5)specifies various pipe es allowed a Stable compacted base[310 CMR 15.221(2)and 310 CMR 15232(2) a) Splash plate or baffle tee required on inlet/provided?(when. pressure sewer to d-box or steep pitch of gravity sewer)[310 d CMR 15.323 3) a)1 Riser if dee er than 9"f310 CMR 15.232 3 Inside minimum dimension 12" 310 CMR 15232(2)(b)] / Minimum sum 6"[3l0 CNIM15.232(3) e)) J Watertight cover if<2000gpd);waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)l J Capacity(emergency storage above working=design flow)?[310 f CMR 231(2 ] Pro er setbacks 310 CMR 15.21.1 (same as se tic tanks) Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE [310 CMR 15.231(5)] / Service components accessible(not too deep with piping, disconnects accessible) Alarm floats-alarm on circuit separate from pum s s ecif ed? Exceeds two units must have two pumps operating.in lead-lag mode. 310 CMR 15.231(6)and(8)] l Stable Compacted Base[310 CMR 15.22](2)] Buoyancy calculations needed ?provided?[310 CMR 15.221(8)] Address Sheet 4 of 7 Rpr 28 10 10: 49a p. 6 Calculations correct? 4 feet of naturally occurring material demonstrated? 15.2401 [310 CMR Re uired separation to onndwater?N10 CMR 15212 A ate specified as double washed 310 CMR 15.247(2) System Venting required/provided?(system under driveway or >36"dee ) 1310 CUR 15.241 Inspection ports specified and within 3"final grade?[310 CMR 15.24013) � Breakout requirements met?(No violation of breakout elevation Within 15-11 of SAS unless barrier) [310 CUR 15.211(1)[41 and Guidance Document] Chambers and Gal. in trench configuration supplied with inlet eve 20 R. [310 CMR l5253(6)j Each structure with one inspection manhole(if>2000 gpd must be to rade) 310 CW 15253 2 ,/ A e ate 1'minimum-4'maximum. 310 CMR 15,253 I) ) 2'sidewall credit maximum (3l 0 CMR 15,253 1 a)] In bed confi uration,inlet every 40 s ,$ 310 CMR 15.253(6)j Width 2'minimum 3'maximum [310 CMR 15251(1)(b) I00 feet-maximum len 310 CMR 15251 l) a ✓ Minimum separation 2x effective depth or w-idth whichever eater 3x if reserve between trenches 310 CMR 251 1 (d)] Situated alori contours 310 CMR 15.25I 2 ] Breakout'OK? 310 CMR 15211(1)[4 and Guidance Document] minimum 2 distribution lines 310 CMR 15252(2)(a)) Maximum se tion between Iines 6' 310 CM R15.252 Maximum separation between lines and outside of bed 4'[310 CMR 15.252 J Aggregate depth below discharge pipes 6"minimum, 12" maximum. [310 CMR 15.252(2 ( )] S aration between beds 10'minimum. [310 CMR 15.252(2)( Bottom area used in calculations onl 3I0 CMR 15 252 2 1 fl] Address QF,PPt S nr 7 Apr 28 10 10: 49a p. 7 Pressure Dosed System ? Provided pump and piping calculations as re uired 310 CMR 15220 4) r Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval 3]0 CMR l[ 15.254(2)and I/A Remedial Use A royals If used in graveness system-make sure jet is directed as not to scour soil interface Guidance Document Inspections once per year(systems<200a gpd)or quarterly >2000 ) ood to note on Plan r310 CMR 15.254(2)(d) Construction in fill -Did the plan specify that the fill shall meet the eciftcation of310 CMR ]5.255(3)? Im ervious barrier and/or r .,-,-g wall? Guidance Document Impervious barrier installation must be supervised by desi er 310 CMR IU55 2)(b) Retaining wall must be designed by Registered Professional En ineer 310 CW 15.255(2 (a) Side slo not exceed 3:1 ? 3I0 rk" 15.255(2) Breakout requirements met?[310 CMR 15.252(2)and Guidance Document At least 5 8,from impervious barrier r to edge of SAS I O R. recommended)[3a 0 CMR 15.255 (2)(e) Check DEP A royal letters for credits and desi conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Was DE P Approval Letterprovided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP A roval Conditions? Is there a note on the plan regarding the requirement for e etual maintenance agreement? An alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has a licant submitted a coy of a maintenance Are the variances listed on the plan ?[310(4)( ) CMR 15.220 RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412 4)) 6New construction or increased flow proposed- [Refer to 310 R-15.4141 Address Sheet 6 of 7 .npr 28 10 10: 50a p. 8 Is the system in a Designated Nitrogen Sensitive Area one II fo a public supply well)?[310 CMR 15214, 310 CMR 15.215 and 310 CUR I5216- also refer to Policy regarding upgrades of such existin&systems] IIs the system proposed on the same lot as served by private well? P 10 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1 ] Pum in to se tic tank? [310 CMR 15.229 Shared System 310 CMR 15.290 7=. I 4 4rltlrocc Ql '7--r 7 LOCATION J SEWAGE PERMIT 110. V6LLAGE f INSTALLER'S NAME i ADDRESS t U I L D E R OR OON ER D`ATf PERMIT ISSUED DATE COMPLIANCE. ISSUED �.. - ! ` ��� IIv Y �� 1s ca-r' �� �� /' / � � \ �� � 'a e .� '�, �/ �. e .. �n ^�' ;P �. Town of Barnstable ' P# Department of Regulatory Services MARNSUBM Public Health Division Date NAM U D ��� 200 Main Street Hyannis MA 02601 V, t ` Date Scheduled /7 7460, Time. /4:y0 Fee Pd. �D= Soil Suitability Assessment for Sewage Disposal Performed By: ZL�Vla,-9047&() 6"f�G. ,�It%/6. Witnessed By: !"719/��ST �o�a d•/� LOCATION& GENERAL INFORMATION Location Addressa�8Q �l ,46i q Owner's Name Jr Address Assessor's Map/Parcel: l Engineer's Name , NEW CONSTRUCTION REPAIR Telephone# Land Use / ��. /.�i(� Slopes(%) L/6 ryo Surface Stones e�J Distances from: Open Water Body 7/O y ft possible Wet Area Zy ft Drinking Water Well _eft Drainage Way��y ft Property Line ]/O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �iG,Oi,0v ro X� N \ n W Parent material(geologic) OtllMl�r) PL�I''-� Depth to Bedrock ,✓ Depth to Groundwater. Standing Water in Hole:/141—AA?t0�-4_ eeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: 5W J57M L0_J1C942-_1,A,t hti/L Depth Observed standing in obs.hole: — _._in, Depth to soil mottles: in, Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: ` Index Well level Adj.factor, m Adj.Groundwater Level ,a PERCOLATION VEST Dgte , Time.____ Observation Hole# �� Z Time at 9" Depth of Perc 6 3 Time at G' Start Pre-soak Time @ /ou!'D� Qie`��- 'lime(V-61 End Pre-soak Rate MinJlnch W/w- KJ Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) U 3 2 Sfwry DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil •. ' Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Csistency,%Gravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture- Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoats.Boulders. Con i ten Flood Insurance Rate Man: '/ Above 500 year flood boundary No— Yes .Y Within 500 year boundary No ✓ Yes Within 100 year flood boundary No... Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material"exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? .�. Certification I certify that on l0 4 `� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was pei-formed by me consistent with . the required trainin exper' e a xp rience cribed in 310 CMR 15.017. Signature Date,S I l 0 Q:\SEPTIGIPERCFORM.DOC II GG � No.d.... .....�...... � ± I FEB......7.....�............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OA RD OF HEALTH L ;y� _ DW./V...........OF.................. NT ........ w i'tiratiiin for Diiplas al Workii Tomo ation Prrutit Application is hereby made for a Permit to Construct (\?Q/ or Repair ( } an'Individual Sewage Disposal System at ---.... ....... .---•....../...z h..E.!e-....-----....... .............................................................................................. oca ion- d or Lot No. 1 % / 5------------------------- -------=1- 5?----66:h-el-s-----�Rq�....................... Addres._ig-6Y � 61'. ....--- 'PS'...................•-- ------. ._ ... 7.,?/ .. .M11 ... � Installer Address �/�J�J j Type of Building Size Lot___ __________ ....Sq. feet v Dwelling—No. of Bedrooms_____________ Expansion Attic ( ) Garbage Grinder (/ Other—Type e of Building No. of persons............................ Showers — a YP g -------•-•----------•-•----- P ( ) Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityPPVO.gallons ' Length................ Width................ Diameter................ Depth................ xDisposal Trench—No..................... Width-----__;.-______-- Total Length-----------J,__.__ Total leaching area..__.. ...___._._.sq. ft. Seepage Pit No....... ------ Diameter..Z.d....... Depth below inlet...6............. Total leaching area_e' _____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation 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........................ •----------------------•------.............. ----------------------------------------- -------------------- •---------------------- •------------------------ ODescription of Soil--------------------------------------------------------•--•--•-----------------------------------------------------•---------------------------•-••••-•--•-------_----- 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the sy tem operation until a Certificate of Compliance has been is d by the bo iealth. _ Signed ----•---• �_... ApplicationApproved -By.....................----------------•..........--- ............................................------•....._....................---•--•---• ........................Date-------------- Date Application Disapproved for the following reasons:................................................................................................................ ................-..............................................-......................................:...................................................................... -------- Date PermitNo.......................................................- Issued_....................................................... Date +J .S •�r ' �� No. .:..... Fu$... ....._ ............ THE COMMONWEALTH OF MASSACHUSETTS � BOARD OF HEALTH _ ----- � � .... -OF............... �d• .1�'--��-/-- �4. - , ApplirFation for Disposal Works C omtrurtiun rnmit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at 1 C ..........., - --•------------ -•---•.................................................... -----•--•--••-•-•••----•...----•-------•---•---•••-------------------------•--•--•--•-••---.... oration- d resss ... rvngr Addre rn + ._. ........... Installer Address TypeDwellinNo. of Bedrooms............... Size Lot_ .... .._..Sq. feet Building of ,. g— ...........•.•.............Expansion Attic ( ) Garbage Grinder (/ aOther—Type of Building ............................ No. of persons...._....................... Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------•-------------------••••-•-•--•-------••••----••-----••---•-••-•---------••---................................... w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter....--_-___--,, Depth................ xDisposal Trench—No. .___.•--__---•-_-• Width•.•................: Total Length.................... Total leaching area__..................sq. ft. Seepage Pit No-_------------------ Diameter.................... Depth below inlet.................... Total'leaching,area........._....._..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) f aPercolation Test Results Performed by................................................................ ........ Date_.................................... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water..................-_-_-. 4 Test Pit No. 2................minutes per inch Depth of Test Pit.............. �,\ Depth to ground water------.................. c-------------------------------•-----------------•---••----- DDescription of Soil-•----------•----------------------------------•-------•--------•--•---••-•---------------�------•---•--•-•-••-•••-I••--•------------•----••-•-•••••.............•••- x �l '. 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the s stem n operation until a Certificate of Compliance has been isA d by the b ealth. Signed _ Date ApplicationApproved tBY----------------•--•---•-•--------------.........-• ............................................. . ------- } Date Application Disapproved for the following reasons---------------------•--•----•-••------------------------------•-------------------------.........••--........._. ---.....--•---•--•...........................•---------------...----------•-----.....------•-----••-----•--•--•--------•-------------------------------------------------------------•--•-......._ " .Date L' PermitNo.................... ': -------------- Issued....................................................... y . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / t � ................OF............ /. ...-C: Yf .................... Tntifiratr of ToutpliFanrr THIS I VERTIFU at the Individual Sewage Disposal System constructed ( ) or Repaired ( ) at............... •, ....-••-----• 'F,/ r'.a'..... " -------------•-------••----------------------------....-•----------------..•..---------------. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-..._._-.-._._-_____-_-_--_..................... THE ISSUANCE OF THIS CERTIFICATE' H LL NOT BE CONSTRUE® A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT DATE..................... ................................................ . ..•-- -----._. Inspector..----'•-;= ---------------- 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF" HEALTH ..........................................OF..................................................................................... ................ I FEE........................ Disposal Works T11nstrurtion Vprrmit Permissionis hereby granted..............•.................................................................................................... to Constr t ( ) or\Repair ( an I,-di S age Disposal System at No. 6,67.. -'� � �- -. --- Str e , as shown on the appli ion for Disposal Works Construction Permits:,o.. �.._._.__. Dated.......................................... ----•••-- .............................................. 1 ---- Board of Health DATE -` • 'FORM 1255 A. M. SULKIN, INC., BOSTON � ti Town of Barnstable Barnstable dCft Regulatory Services Department 6a • BA,HNSrABLE. ASS. Public Health Division - �ArED MA'S�� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205009298 4/29/2010 Jean Clark Realty Trust 35A North Main Street Falmouth, MA 02542 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 989 Pitcher's Way, Hyannis MA was last inspected on April 1, 2010, by Joseph R. Smith, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. • Liquid depth in`cesspool is less than 6"below invert or available volume is less than '/2 day flow. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. ORDER OF T E BOARD OF HEALTH oma McKean, R.S., CHO Agent of the Board of Health Commonwealth of Massachusetts 'DP J Title 5 Official Inspection Form ��Z411 D Subsurface Sewage Disposal System Form-Not for Voluntary Assessments <� 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owners Name information is required for every Hyannis MA 02601 4-1-2010 page. Cityfrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer,• - �'I use only the tab 1. Inspector: key to move your cursor-do not Joseph R. Smith use the return key. Name of Inspector. Stevens Construction, Inc. Company Name P.O.Box 71 Company Address Marstons Mills MA 02648 City/Town State Zip Code (508)-776-9054 SI 4994 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 L; 6 sewagd,disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ce- ❑0- Conditionally Passes ® Fails -PPasses ; ❑ _ ❑ Needs Further Evaluation by the Local Approving Authority ©, rx r. cn .1 4-5-2010 nspeettifis Signature Date The system inspector'shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ***"This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will.perform in the future under the same or different conditions'of use. t5ins 09t08 Title 5 Official Inspection Form:Subsurface Sewage Di sal System/P!�of 17 i Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 4-1-2010 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/a/ways 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. 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(whother 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-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 i Commonwealth of Massachusetts ovum Titre 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y` 989 Pitchers Way u Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 4-1-2010 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken.or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): obstruction is removed ❑ Y ❑ N ❑. ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system-required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): a ❑ 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 requireffurtlier 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 is-303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 t t Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 4-1-2010 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100feet of a surface water supply or tributary to a surface,water supply. J ❑ 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: J **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 11 ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool a Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS.or cesspool ® 0 Liquid depth in cesspool is less than.6" below invert or available volume is less than Y2 day flow t5ins-09108 Title 5 Official inspection Forth:Subsurface Sewage Disposal.System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 4-1-2010 page_. Cityfrown State Zip Code Date of Inspection B. Certification (coot.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: T❑ ® 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.ammoniia:nitrogen:and nitrate;nitr.ogen;is-,equalto-.or-less than 5 ppm provided that.no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is:a;cesspool,serving-a facility-with a-design ftow-of-2000gpd 10,000gpd. ® ❑ The system fails.I have determined that one--or more of the-above failure criteria exist as described in 310 CMR 15.303,,therefore the system-fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large-Systems:-To-be:considered a large•system the system:peest serve a facia wait design flow of 10,000-gpd to 15,000 gpd.. For large e�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,it;mWthin�400.feet of a surface.dnhk ng-water"supply ❑ ❑ the system is within200-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 ll of a.public water supply well f.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 upgradeahe system in accordance with 310 CMR 15.304. The system ownecshould;contact the appropriate: regional"office of the Department t5ins•09108 Ti11e 6 i*1icia 1nspec ion-F*m:Subsurface Sewage Uispo I S*em-Page:5'of 17 Commonwealth of Massachusetts; Title 5 Official- Inspection Forte Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy< �989 Pitchers Way Property Address Jean.Clark Realty-Trust Owner Owners Flame information is required for every Hyannis MA 6260-1 4-1-2010 page. CityfTown 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 Cl Were any of the system components pumped out in the previous two weeks? J ® ❑ 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 facility or dwelling inspected for signs.of sewage backup? Z ❑ Was the site inspected for signs of break out? ;� ❑ Were_all.system;components, excluding the.SAS; located.on site? 0 ❑ 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 occupantsJf 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.atthe Board of Health... Determined'in the field(if any of the failure criteria related to:Paf t•C'is at,issue;;. approxi'mation=of distance is,unaccept lee)[396 eMR;15:302(5:)] ResidentlaiLFlow.Conditions.. ti idumber;ofbedrooms-(design): 8 J Number of bedrooms(actual): "$ DESIGN flow based on 310.CMR 15.263'(for example: 1`10 gpd'x#of'bedrooms): J t5ins 09108 Title'5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 17 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System form Not for Voluntary Assessments ' 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Flame information is required for every Hyannis MA 02601 4-1=2010 page. Cityrrown State Zip Code Date of Inspection D. :System Information Description: Septic system that is serving this property consists of a 2,000 gallon septic tank,d-box, and 2. leaching pits.. Number of current residents: 9 Does residence.have a garbage grinder? ❑ Yes ®y No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter.readin s, if available last 2 ears usage d See Below 9 ( Y g (gP ))� Detail: 2008-255,067.9 gallons(34,100 cubic feet) ; 2009-21,542.4(28,800 cubic feet) Sump pump? ❑ Yes ® No Last date of occupancy: Currently in use Date. Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present?. ❑.Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09108 Title 5 Official Inspection Fort:Subsurface Sewage Disposal System-Page 7 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection: Form_. Subsurface Sewage Disposal System Form'-Not for Voluntary Assessments °y 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 41-2010 page. Citylrown State Zip Code Date of Inspection D. System Information (coot.) Last date of occupancy/use; Date Other(describe below): General Information 'Pumping.Records: Source of information: Town Of Barnstable B.O.H f Was system pumped as part of the inspection? ❑ Yes ® No If yes; volume-pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of,the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the,DEP approval. ❑ Other(describe): J t5ins-09108 Title 5 Offidal Inspection Forth:Subsurface Sewage Disposal-System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 989 Pitchers Way Property Address Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 4-1-2010 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont) Approximate age of all components, date installed(if known)and source of information: 1984-Town of Barnstable B.O.H, septic permit on file Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: 2.5' feet Material of construction: E cast iron ®40 PVC ❑other(explain): Distance from-private water supply well or suction line: feet Comments(on"condition of joints, venting, evidence of leakage, etc.):, Joints and venting appeared to be in working condition, no evidence of leakage found�while: inspecting the building sewer line. Septic Tank(locate on site plan): Q:epth below grade:- 2.0' feet Material of construction: 0 concrete El metal D fiberglass ❑ polyethylene ❑other(explain). 2,000 gallon septic tank with risers installed to final grade If tank is metal, list•age years Is age confirmed by a Certificate of Compliance?(attach:a copy of eer6ficate): Q Yes [-] No Dimensions: 12' L x 66"W x 6' H Sludge depth: 41' t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Officia-l: Inspection. Form: -Subsurface Sewage Disposal System Form Not for Voluntary Assessments �f 989 Pitchers Way Property Address- Jean Clark Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 41-201.0 page. City/Town State Zip Code Date of Inspection D._System Information (cont) Septic Tank(cons:) Distance from top:of s.Judge to bottom of outlet tee or baffle. 33 -Scum thickness Distance'frointopcof"scum to top,:ofoitlet tee o�,baffle 71' Distance from bottom of scum to bottom of outlet tee or baffle Tape,Measure;Sludge' udge How Were.dimensions determined? Probe Comments(on 1pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid ieveis=as.telated to outlet:invert,:evidence of leakage, etc.): Pumping;not recommended at time.of inspection. Inlet and outlet tees,are:in working condition the: liquid level in the.septic tank as related to the outlet invert are at a:normal-operating:height.' Na. evldence:of,,leakage or.backup-encountered wWins_peefing;septrc.t nk-_ Grease.Trap(locate on site.;plan): Depth bglow;grade: -feet Material-of construction: ❑concrete. ❑metal ❑.fiberglass ❑ polyethylene ❑ other(explain): 'Dimensions: Scum thickness -. Distance from top of scum to top,of-outlet-tee or baffle Distance from bottom of scum to'bottom of outlet tee or baffle Date"of[ast`pu n;ping: Date Wii-09J08'- Idle 5 E)ffidal fnspectton Formi Subsurii m Sewage Disposal S"m Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Forte. ;Subsurface-Sewage-Disposal-System-Form-Not.for Voluntary Assessments 989-Pitch`ers 1Nay Property-Address, Jean.Clark Realty Trust Owner Owner's Name information is ' required for.every...Hyannis MA 02601 4=1-2010 page, Citylrown State Zip Code :Date of Inspection D. ,Systeminformation (cone.) Comments,:(on pumping-recomrnendations, inlet and outlet tee or baffle condltio structoralrJptegrity liquid levels as related to outlet invert,evidence of leakage;etc.): F , i Tight-or Holding Tank(tank must be`porriped'at time of inspection)(locate omsite plan): [?epth below grade: Material of construction: concrete ❑`metal' ❑fiberglass. ❑polyethylene ❑`other(explain): Dimensions: ^': Capacity: gallons ` Design Flow: gallons per day Alarm present ❑ Yes. El-No Alarm level: Alarm in-working order: ❑ Yes ❑ No Date of last purrping: Date Comments(condition of alarm and float switches,etc.): r ; *Attach copyof current-pumping-contract(required). Is copy attached? ❑ Yes -` ❑ No t5ins, .09108 Title 5 Official hspection Forth:Subsurface Sewage Disposal System-Page 11 of 17 i f � f J Commonwealth of'Massachusetts TRIe 5 Official 1n a Ito Suosurlace-Sewage Disposal System form-Not;for Voluntary Assessments 9.89 Pitchers Way Property Address: Jean Clark Realty.Trust Owner Owner's Name information is required for:every Hyannis MA 02601' 4-1=201,0 page. Cityfrown State Zip Code Date of Inspection M. System Information.(cunt.) Distribution Box,(if presentmust be opened),(locate on site.plan): Depth-,of:liquid.levelabove.outlet,invert 3"above outlet invert Com nts(:note 2f;box is ievei and d stri-bution;#o outlets equal, any evidence of olids carryover,:any evidenced leakage into or out of box,etc.): D-Bdx is level and`distnbuting flow evenly to.both leaching.pits, adequate elevation drop between d- fiox;inlet.and,outlets.Evidence-of-solids'rran-Y.0Le,In -box,gr ^1, aid�o Mius^: f!.e^ or out of d-box encountered while inspecting the.d-box. Both:ofthe•d-box::d sti ibution outlets a.,_ submerged:.under:3_'-of effluent wh�le_conducting: 1PIrplesntie�..(Cocate on site plan):' Pumps in working order: El Yes ❑ No Alarms In;working order: n` Yes F-1 No� Comments'(note condition of pump:ctirnber,condition:of pumps and appurtenances, etc:) Soil>Absorption_ ystem;(SAS}:(locate-on sRe.plan„ excavation nottrequired): If:SAS: otlocatedi,_explain':why: t5iris•09108 Tdre 5 Of Subsurface Sewage Disposal Systerti•Pape 12 of 1,7 Commonwealth--of-Massachtisetts Title 5= Official Inspectlo, Form, Subsurface Sewage Disposal-System Focm--Not for Voluntary Assessments y `989,Pitchers-Way Prope ftAddress- Jean Clark Realty Trust Owner Owners Name inbftibon is required for eve. Hyannis ]VIA 02601: 4.:1:-201.0 --- pa9e. City/town _State Zip Code Date of'Inspec Uon . Systominformation (cont) Type: 2 X leaching pits- number . ileaching chambers number: leaching galleries number: ` leaching trenches number;length: Q leaching fields number; dimensions: overflow cesspool number: 'innovative/altemative system - Type/name.of technology:- Comments(note condition-of soil;signs of hydraulic failure, level of ponding, damp soil;condition-of vegetation,;.etc): 'Soil-wasfound.to be saturated:in both leaching pd areas,;signs of hydraulic failure encountered while -excavating for the=covers.of,both<leaching.pits(encountered.effluent bubbling up out of teaching pits while:excava#ing for the covers.on both of the leaching pits:)`Ponding effluent encountered at approximately 2.5,"down from.mil grecz Soils were damp,and-sat.ate.51 Norma,vegz., leaching field:areas:.. Cesspo®ts:(cesspool must,be;pumped-,as-,partQfinspection):-(locate-on-.site plarr)-,- Nuriiber.aril cotifguratiort' Depth-tap of liquid to inlet-invert Depth of solids layer Depth-ofscum>-layer- Dimensions-of cesspooF --.- _-- Materials of-construction Indication of groundwater'inflow Yes No t5ms 09/08' T&--S Official inssodon Form Subsurface Sewage D#osai'system-PagwI of 17 Commonwealth of-Massachtisetts Title- 5 Official tnspeefiort: Form Subsurface:Sewage;Disposal System Form-Not for Voluntary Assessments -989 P.itctiers-VNay.-.s -- - Property Address Jean Clark Realty Trust. ` Owner Owner's Nameu- mforMatton is;. - required for every Hyannis .MA 02001 4 1';2010 page. Zitylrown State Zip Gode Dafe of lnspedion D.System Info.Finatlon (cone) Comments,(-p.Q.conditon-ofsoil-signs�of hydraulic failbrej ievel.otponding, condition of-vegetation;,. etc:); Privy(locate on site plan)-- j -Dimensions Depti:of solids- , Comments(note condition of soil; signs.of hydraulic failure; level of ponding, condition of vegetation,., 1 , t5ins•09108 Toe SO(oaal tnspechciri e6 ni'SutisurFatie'SeWage Disposal:System•Page 14 of 17 Commonwealth of Massachusetts = Title 5 Of i iat r� - :Subsurface Sewage Disposal=System Form-:Not for Voluntary--Assessments '< M.Pitchers V11ay Property;Address, Jean Clark Realty Trust.- Owner Omer's'Name> information is- required',for every ; yartnls_-_. MA" 0260:T 4-1-201.tT page. G4/Town`- State Zip Code Date of Inspection .9:, System information {cont.) Sketch Of.-Sewage.Disposal System�P-rovide-a vievixof:the svwag dsposa y , la ' sites .�at least two-permanent=reference landmarks or:benchmarks Locate-altweils-within 100°feet._Locale: where public water supply=enters ttf building: Check:one ofthe boxes:belay:: L' hared-sketch-in_the_area below y X, drawing attached separately � V i t5ins' 09/08. Title'5'Offidal'Inspection Form Subsurface'Sewage Disposal''System'•Page 15 of 17 Commonwealth.of Massachusetts Title 5 Official Inspection Forte Subsurface Sewage Disposal System Form--Not for Voluntary Assessments :989 Pitchers Way Property.Address;. Jean Clark Realty Trust- Owner Owners Name inforinaffon is: required foreyery Hyanrig MA t)2661 4 f- 01`0 page. Cfty/Town State Zip Code Date of Inspection D. System'Information (cont.) Site,Exam: 0 Check Slope . Surface water 0 'Check`ceQar Shallow-wells, 101+ Estimated'depth to high ground feetwater ` ey .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, a Observed site(abutting property/observation-hole within 160 feet of SAS), 0 -Checked::with local Board of;Health.--explain: Checked with local excavators;installers_-(attach:documentation A sc sed..USGS database=-explain:: Accessed:USGS,database andobtained mean:sea level datum:information You:mustidescribe•how you:established the high ground water elevation: Accessed L)SGS database-and obtained.mean sea,level;:datum>information and also referenced tho- Town of;Barnstable GIS site and the..elevation of the.,property that the title V inspection. waS'`:b�'!!lt? �nrlur<te ort andt related,JUC the.mean sew��il [ i_t itaf"t t f] 1is3 iri z v .�. S re fffirigthis,imt a t#cn'R port,� lease see Report Completeness£heckllsA.NitOWpage. t5ins' 090! Ttle:5 Official.InspectionForm:-Subsurface,Sewage,Disposal;System-+Rage,l6.of17 Commonwealth of Massachusetts: v. Title 5In b-surfao Sewage Disposat:System fe m-Notfor Voluntary Assessments e'' 989 Poachers 1N�;y ;,.;_ Property;Address— - - Jean Clark`Realty.Trust Owner Owner's-Name- rnfomiatton is` r qu tet3 icre-eery 1 Ey Ann is -- — -- - -- MA OZ607 4.146i :page. Cityrrown - State Zip Code Date ofinspedon 1 ��.�Ao-ry �1eCClIS# '. Inspection Summary. A, B;,C; D, or E checked-, ®._ Inspection.Summary'D'(Sxstem Ea t'ure Criferi Apptlbtble u-Ai% ZYW- V),GGO—' i :. : ysiern flfUfRrdtiOri-cstimated::deptfi to-high groundwater . W,du i ofi sv..j Dtspo System=eiiher raven on gage 15 oe attached►n separate ftle i - i�mS'49148.` Title=ebii ®r fnspeetior Form*E"surfiA0W Sewage Disposal System•Pa&l of:i7 Ok t v` LOCATION ° / SEWAGE PERMIT NO. VILLAGE INSTALLER'S, NAME i ADDRESS S UILD E R OR �l _ 0 NER I/V D-A T E PERMIT ISSY E D DATE COMPLIANCE ISSUED .",0;11� 77 Iti 9 pp THE Tp� Town of Barnstable Barnstable Regulatory Services Department y edcaUdy RARNSTARLE, ' 9 MASS. O O D i639. Public Health Division pAIFD MAC N. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO December 11, 2009 Mr. Thomas Geiler Director of Regulatory Services and Licensing Agent Town of Barnstable 200 Main St. Hyannis, MA 02601 Dear Mr. Geiler, On December 11, 2009 I conducted a scheduled sanitary code inspection of the following lodging houses belonging to the W. Clark Trust, Jean F. Clark Trustee, 961 Pitcher's Way, Hyannis, 975 Pitcher's Way, Hyannis and 989 Pitcher's Way, Hyannis. Lodging house license numbers are 14, 15 and 16. During these inspections I was accompanied by Hyannis Fire Department Inspector Lt. Donald Chase and property manager John Neto. 2 l 0 (o © ✓� The following observations were made at 989 Pitcher's Way there are 6 studio units numbered 1 through 6 each with approximately 170 square feet of habitable space. These units contained a bathroom with a toilet and tub shower enclosure, a compact refrigerator, microwave and a toaster oven or a hot plate. Unit number 7 was a two bedroom apartment with a full kitchen, living room, bathroom and two bedrooms. The tenants of units 1-6 do not have access to this unit as it is a separate dwelling unit. Units 1-6 had all been occupied by one person, the occupant of unit 2 having recently moved out. Unit 7 was occupied by two persons and a child. The occupants of unit 7 is the property manager John Neto and his family. The Lodging House permit posted in the dwelling states that there are six rooms and 6 lodgers maximum. At 975 Pitcher's Way there are 6 studio units numbered 1 through 6 each with approximately 170 square feet of habitable space. These units.contained a bathroom with a toilet and tub shower enclosure, a compact refrigerator, microwave and a toaster oven or a hot plate. Unit number 7 was a two bedroom apartment with a full kitchen, living room,bathroom and two bedrooms. The tenants of units 1-6 do not have access to this unit as it is a separate dwelling unit. Units 1,2,3,5 and 6 were occupied by one person unit 4 was vacant. Unit 7 was occupied by 3 persons who are tenants. The Lodging House permit posted in the dwelling states that there are six rooms and 6 lodgers maximum, there are now seven (7) lodgings where 8 persons are now residing. At 961 Pitcher's Way there are 6 studio units numbered 1 through 6 each with approximately 170 square feet of habitable space. These units contained a bathroom with a toilet and tub shower enclosure, a compact refrigerator, microwave and a toaster oven or a hot plate. Unit number 7 was a two bedroom apartment with a full kitchen, living room, bathroom and two bedrooms. The tenants of units 1-6 do not have access to a common kitchen as unit 7 is a separate dwelling unit. Units 1,2,3,4 and 5 were occupied by one person unit 6 was vacant. Unit 7 was occupied by two persons and a child who are tenants. The Lodging House permit posted in the dwelling states that there are six rooms and 6 lodgers maximum, there are now seven (7) lodgings and eight (8)persons residing in the dwelling. Please contact me if I can provide any additional information regarding this matter. RTrdime s,, Cabot Health Inspector Division of Public Health Town of Barnstable cc: Thomas Mckean, Robin Anderson I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION lb Llo eDate Time: In I�, 00 Out 1 ��1 � Owner. .� �/a.� V, e Tenant p o uJ f— Address _;6-4 N VW i tO Address �/�i 7G N,F2 S LNI nv-Clit k_/\4 ®ZS�IC� �14��.�s �. 6 ZG Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents V11 -4 u 15. Garbage and Rubbish Storage and Disposal p 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed 2— PART II 37. Placarding of Condemned Dwelling; Ff Vz t-/t %-t bra Removal of Occupants; Demolition pre �S. - d,A eoSf Number of Bedrooms 4 4 P 7 Number of Vehicles Allowed (max) Number of Persons Allowe m n I /L. Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 2 'il11 Time: In 10;00 Out Owner��r LA/1-I.c Z�2 v S j Tenant J01a o IV,�ta PA Q- Address �j.s/� 0h�� N �'(. Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities V/U t tVA�� 4. Water Supplyo�tit 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities p4 e LUG +�- 8. Ventilation 0 ct-AA N 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural ,) Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allo ed ( x) l Person(s) Interviewed Inspector If Public Building such as Store or Hotel o I specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 2 I► I O at Time: In 2: 1 Out 2' Owner Tenant J C,H w %-j Address S A N S MA it' S7 Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities / 0e 6. Heating Facilities L L-t 4- c 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use Izv O 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal �j (j w ti �►2- �Jicl� �� 16. Sewage Disposal i V47o 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed Z- PART II 37. Placarding of Condemned Dwelling; Lo ►J C, 1'Av ,:j 170 USE Removal of Occupants; Demolition Number of Bedrooms 2- Number of Vehicles Allowed (max) Number of Persons Allowed ma ) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here SENDEk.COMPLETE •k— COMPLETE THISSECTIONON DELIVERY ■ Complete items 1,2,and 3. so complete A.' ' : Item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ddressee so that we can return the card to you. B. Received by(.Printed Nam . Date of Delivery ■ A5 ttach this card to the.back of the mailpiece, I or on the front if space permits. D. Is delivery address different from item 1 T ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Service Type LAC) C) ■Certified Mail O Express Mail ' ❑Registered- W Retum Receipt for Merchandise .❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I 2: Article Number i 7,0 0 3 i 16'8 0 ;0 0 0 4 i 5 4 5 8 4951 (Transfer from semice label) i l i t ;,,, I,*.,.. 1, I t I s I . I,4 T 1 -L PS Form 3811,February 2004 Domestic Return Receipt 102595 02-Masao __ UNITED STA S� Al F�ZyIC ., -`t ���gg JUL tag¢ • Sender: Please print:your name, addressi and ZIP+4 in.this box.• I I I` ) Town of.Barnstable Health Divisi.en 200 Main Street Hyannis,MA 02601 1d5ffi .fftfliffit"fff.f��fff;t�jifEiilffilf 0111 Zf,l t:f 1A Certified Mail#7003 1680 0004 5458 4951 ,,�t Tati Town of Barnstable Regulatory Services BARWrABLE, MAS& Thomas F. Geiler,Director �fnM Public Health Division F Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 (0 Fax: 508-790-6304 July 12, 2007 Jean Clark 35A North Main Street F Falmouth, MA 02540 d NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITA Y CODE II'—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 0, � The property owned by you located at 989 Pitcher's Way Hyannis, was inspected on June 28, 2007_by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Bathroom fan not working properly; hole in tub. i The following violations of the Town of Barnstable Code were observed: 170-10—Smoke Detectors and Carbon Monoxide Alarms. Inoperable smoke detector. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by repairing or replacing smoke detector., You are directed to correct the violations listed above within thirty (30).days of your receipt of this notice by fixing bathroom fan so it works properly and by patching hole in tub. QAOrder letters\Housing violations\Rental ordinance\989 Pitcher's Way.doc You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH r, Tho as McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\989 Pitcher's Way.doc ' FORM30 C&W HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CrfY, OW DEPARTMENT ADDRtSS G,,M 5 By`BW TELEPHONE Address ��✓ ^�""�J — Occupant Floor Apartment No. No. of Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and address of owner K* —'fie /Y-Ms Remarks Reg. Vio. YARD Out Bld s.: Fences: Litt Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : ,a STRUCTURE INT. Hall,Stairway: ' Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Su ply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusin ,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen 4 A ,-.- BathroomIIU Pant I' �. Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect..- Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE ` AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT -61IGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.' e INSPECTOR �' TITLE 1 � � A.M. DATEy TIME �j A.M. THE NEXT SCHEDULED REINSPECTION " P.M. � 1 i' 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has,the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold to meet the ordinary(A) a P PP Y q Y, P P Y needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.60,1 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105,CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating,gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents,cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. i NUMBER FEE 16 THE COMMONWEALTH OF MASSACHUSETTS $50.00 TOWN OF BARNSTABLE Jean F. Clark....................................... .......d/bla ,CLARK,JEAN.F:....................................................... This is to Certify that........................ ..... 'r 989 Pitchers 7.Way , Hyanffrg'; K�f .......•............••.•.•......................•............................... � AWSi AS� All P� > ' 019- in said........................................... I iy SMA ...... .... .. ......... t a place only and expires December 31 2007 Tess so ner suspen violation f the law. of the Commonwealth respecting �:, .. a the licensing of common victuallefs. T as license <i a c rnt vv t he aut ority ,r ted to the licensing authorities by General Laws,Ch ter O;anl� in 6 rooms/6 lodgers,max. MASS, . {' In Testimony` o under ` reu1. xfi it official signatures. PIN 4 ................... .......... .... . ....... .............. Licensing Authorities ............. o. ................... j ................. .......................................... s January 1,2007 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. o = , TOWN OF BARNSTABLE o'. A,, ",z VA 4e$V0 W ARD OF HEALTH 7 � ARTICLE I1:MINIMUM STANDARDS FOR HUMAN HABITATION .'. Date Owner W, / .,4-/w ��� vr-- Tenant Address + Address Q �� Compliance Remarks or Regulation# Yes No Recommendations ' 2. Kitchen Facilities . � � . :sue , -� <�• 3. Bathroom Facilities ! •'� 1 ��� 4. Water Supply 5. Hot Water Facilities ' 6. Heating Facilities - 7. Lighting and Electrical Facilities 8. Ventilations d 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 7 !% 0 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal -. 16. Sewage Disposal 17. Temporary Housing PART II 37. Plocarding of Condemned Dwelling; Removal of Occupants; Demolition /2L / Person(s) IntervieedJ Inspect w If Public Building such as Store or Hotel/Motel specify here HoBBs&WARREN.INC. TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner s�j, Tenant Address j Address Complionce Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 9 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use ` 12. Exits 13. Installation and Maintenance of Structural 0, _t Elements 14. Insects and Rodents T—� 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Persons)Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here WED SAP 27 Z TOWN OF BARNSTABLE PARCEL JAN Z 8 2003 BOARD OF HEALTH LOT TOWNF ,,.;:vSTABLE O H ALTH DEPT. ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date 03 Owner W I I 'I A41 Diufk- Tenant Address / I 1`f Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply ,✓ 5. Hot Water FacilitiesS _ 6. Heating facilities ✓ ? CISc�� 7. Lighting and Electrical Facilities ✓ 8. Ventilation 9. Installation and Maintenance of Facilities ✓ / l� I�GS 10. Curtailment of Service (rQ,1ll✓t`t t fiVl 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements V 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal rt��i 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Or Removal of Occupants; Demolition Person(s)Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here HOBBS&WARREN.INC. PROJECT ,per LOCATION 7F ' BAPfUSTiI�!E AAPPMr CAPE c� r � 8 •o LOT 26 bi N LOT 19 < a N m 60.8 g LOCUS 60.9 PP 225 a NOT TO SCALE i` 0 6�ONCE o STOCKADE 61.5 60.5 U J �= EXISTING PAVED DRIVEWAY N07Lr 171E'WNTR.4CTOR SHALL G'GWTACT THE TOOtV OF BARNSTA&1 AND OTHER UT/L/TY COMPAN/ES TO LOC,4TE ALL UNDERGROUND UJIL/17ES PR/OR TO x 60.6 /NSTALLAT/ON OF THE PROPOSED S,EPAC SYSTFM. •6' s1.8 84.7' /F THE EWS77N49 WATER SER4I6Y/S LESS )71AN 1O')ROM THE PROPOSED LEAOV/NG SYS)ZAM THEN . LOT 27 a 61.2 � ._. 0 5 -0 THE WATER .S'E- tfar SHALL BE .SLEEkF0 OR O - O 60.3 .-4 RE-ROUTED / 1 = 61 9 F.F. E1.6.�3 , � - c rn 2 EXISTING EXIST. PJ�P°LiiOI-QO 112J LEe, 1N HOUSE D-W .�ir4S EAR K►� , �'1 ce LOT 18 #989 r x :ayLn!AMAM G`,� a GENERAL P JTES 21�779f S.F. 61.7 Q G) 62.2 4 Or=WEALL E... ND. "AW 1. HOUSE NUMBER: 989 _ O 2. ASSESSOR'S NUMBER: MAP 272, PARCEL 146 Mz Pvvp D?IV.1' -a NO m 3. ZONING DISTRICT. RCl 61.2 `f�,a RQ/012`'F�sl/NG 4. FLOOD HAZARD ZONE: C PPROX. WATER SERVICE PP #23 . 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY. N89'52'51"E 60 0 ` 060.1 59.9 j,. 196.64' 6. ELEVATIONS SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM. 7. LOT COVERAGE BY EXISTING STRUCTURES: 1,760 S.F./21,779 S.F. = 8.1% LW5')2Vl9 LWAAFS 70 R1SVNN UNOVAN610 LOT 28 5/25/10 SHIFT LEACHING AREA LOCATION 61.4 5/17/10 SHOW NEW,NA`it_R SERVICE 5/5/10 GENERAL MINOR REVISIONS. ce:3c DATE REVISION LOT 17 Hov"E G o59.5 CATCH 'LOT FLAN - LOT 18 �5 BAS!N -- PREPARED;_F.OR LINDIX CLARK 59.6 IN -HYANNIS MA PLAN DATE: APRIL 18, 2003 PLAN SCALE: 1"=20' I x 60.2 CIVIL ENGINEERING * n T T WETLANDS PERMITTING WASTEWATER DESIGN A 1V V V COASTAL ENGINUXONG .Z H OF TITLE 5 PLOT PLANS PIERS AND DOCKS MI SEEL J WEER v CIVILLLI rn LAND USE PLANNING COMMERCIAL/RESIDEN71Ai- 9 No.35054 :: r EPti Q, Sa-mg cow Cad 070,SaY awst&" Masfocowsvtts 101 TOWN HALL SQUARE - FALMOUTH, MA - 02540 - 508.495.1225 - 508.495.3229 fax PROJECT NUMBER: 03010 CAD FILE NAME: 0301OL18 DRAWN BY. L.M.,D.H.M. SHEET 1 OF 2 - f11 r FAV-W 0t,02C M4U BF 2rAbW,fA/UV O{VP ALL _WF77C S)SEW GW;aV"7S use-4'AO/PA SO WWLE 4o P;V aP CASr/ROV PIPE i 20'k0A1 aV-9.r7840r FAW E"ar STOW 70 allAf WALL SOIL TEST 100ANNAU!/A/ Date of soil test: A/AY 17, M10 ,S�"7DAGJY j Test taken by. DANO A/AR71N(SE. AMW 610fJ -_- REMOVABLE COVERS SET TO WITHIN Results witnessed by. OWAO STAN7I V " 3" OF FINISH GRADE (TOTAL OF 9) Percolation rate: G?A//N./IN. (GLY/LO NOT S4MR.4 X�R3�6'UEPTHJ Ground water ,MOT A9VGL'Wfi9PE77 3' MAX. (2.5't ACTUAL) - AVW?jrB X =5949 KET,IiF EXISTING Q4tt7,1lF _. 2'LA)£R ar 1 )17 1 TEST HOLE #1 TEST HOLE #2 2000 GA1l0iv .SE'T FIRST i 0" EL. so.s't o" L. so.8't • SEPTIC TANK 2 LEIZS= .01 a; iF pppp Os" SANDY LOAM 10YR 3 s" SANDYLOAM 10 3 2 paOp�aOaaaa00::",:LOAMY SAND:•: -:-:`-"- `-.:LOAMY SAND :??:i:: i - (1,760 GALLONS REQ {2ED, FIST. GYSL BOX24" : 24" p 2,000 GALLONS PROVIDED) a gIN D/ST. BOX �! _ 57.48 Q o; SET ON 6" W W W LA 1ErR OF h ►. ., ,� a CRUSHED a W �+a STONE INSTALL , /4" TO 1 11 �" N'A_Wzv1 QW.9v&7 S70VE ALL' S# � W W p AA/ ik 2 �i � ARIG!'/NO Ay 6E7PS AND DOINV WfUiSE SAND <•: :-:-COARSE:COARSE SAND .., � 25 Y 7/4 2 5 Y 7/4 : k, 7O )71 �77W 01- 7ziAF L:IAAfa.;? _ _ :.. K SYSIEV aw AWTAIYI S A'' 77zw ar 7FS71la PROFILE _ NOT TO SCALE 2 OUTLETS 13/4 OUTLET � � ` I INLET TYPICAL OF 5 0 INLET g" N BASIS FOR DESIGN: • s- >r -} 2 - OUTLETS CONSTRUCTION. NOTES: TOTAL 041L Y FL OX/S BASED ON 8 BEDROGII/S, NO GARBAGE DISPOSAL 19 5" �'.�.a" 1. INSTAL mom aor 7hr gmalaQm agp7lC SYsmv swa A'V AGL'awmix IMTN A11E 5 X 8 10 O i>� - PUN - ANO 7HE M4AV Or AC4Z,h/REIUAnaVS► TOTAL LEA/L Y FL fY — 1 GPD,�EDROC�<�! 8El1RAr?�� - 880 GPL� MEW sew-C BOTTGI4! AREA PRG3pOSE0 = 870.4 ,SF. 2 A �wY ar 7HE PLANS S�&Z Ar A fiAILA"av;, row Ammva r,4 r ALL mmes p T� p &MNGHE T hWrALLA77GW Or NEE JgPW S!'S'ILIV S/DE.AREA PRGDAOSED = 3744 SF.SF. DBI 5 DIS ITp RIDU 110N D0/�,�3���-� LOADING) J NO c>1"&ES rO 7yz'"i:NJQVALL A Ar4W ffflY rlr 7HEAPRAoYAL arBOnY TOTAL LEA0VINC AREA PROOaW,O = 124f 8 .SF. NOT TO SCALE FAL,vuvny EN�r��v� A��� ANo n�'B,� �'�At ny APPL/CA770N RA7F = 0 74 GP,OA z. ,t 1HE.SEPAC SYTMV IS M"rr M/N.A°ECAaV BY FALAIGV'/7H E7VQNEERWCa hVL~ ��p�T H 0,•,� AND 7HE h1244O ar HEAL YW DESIGN LEA0VING CAPAC/7Y = 921 Gr°D t1PR0NDEV > 880 GPD (RC"11REDS MIC 9�`� )WE GaV1RAC7AP "ALL NOAfY FAIa/G%11/ENQNEEXI'NCj ANG ANO ME dl'lARJ7 ar HEAL lfI 80 SE(?i 9c rO INSPECT THE.SF"PAC S,1,5 /PR/aP IV BAQYf7LL. hV SWE hVSTANGESi MOVE1HAN avE CIVIL v, NSPECT/av I/AY.RE/A227 0 THE L k WAPACIM JWALL 12W Y 84O&LL 7HE Pa4ALWS ar 7HE » N0 35054 SYs" NA m w hmv INSPECIID AND Af�l°1wmv BY FALA al w EJwmBNG Na AND 8 - 3 4, o �~ 7t/E ba iPO ar,HEAL IN. '�� CNAL EN Gl ch PVF aW7RAC7ZW ANCaWja?S ANY VAAYA77aVS AV SJX caV&;7aV4 S00V AS Z109 7W49 5W v ra°I71GiPwwy,, U£71ANOS aP OIHER L;LiV/LJYAays 77IAr&Ar REG1'/jw Rw rmaARab ar O 7HE GIE, 0V, THE aW7R4C7ZW "ALL /A/Aeal&AIFL Y Gl WrWr FAL WIN ENaA9MN12 hvL~ 5/20/10 GENERAL REVISIONS PER B.O.H. 8' gt. 5 j`17/10 UPDATE SOIL EVALUATION GENERAL NOTES. CROSS- s 10N' 5/5/10 GENERAL MINOR REVISIONS. j 1. HOUSE NUMBER: 989 8' 6" DATE REVISION ...2. .ASSESSOR'S ]NUMBER: ' MAP SEP. 272, PARCEL 146 . . - • n . . �- . • r. . ,: • TIC DETAILS 3 5" KNOCt,.�llT PREPARED . ZONING DISTRICT: RC1 FOR LINDA CLARK 4. FLOOD HAZARD ZONE: C `�-21 OIAYEIER COVER IN o ' 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY. HYANNIS MA I r KNOCKOUT 5' KNOCKOUT 6. ELEVATIONS SHOWN ARE BASED ON N;•''kTIONAL GEODETIC VERTICAL DATUM. PLAN DATE: APRIL 18, 2003 PLAN SCALE: AS SHOWN COO ; d CIVIL ENGINEERING WETLANDS PERMITTING WASTEWATER DESIGN COASTAL ENGINEERING . TITLE 5 PLOT PLANS PIERS AND DOCKS LAND C R1 LAND USE PLANNING GI NEE COMMERCIAL/RESIDENTIAL j Sd"Wg Cape Cad mol Sw&emtem A/araloahmirtts f 500 GALLON LEACHING C B_(H-10 LOADING 101 TOWN HALL SQUARE FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax SCALE: 1 — 2 PROJECT NUMBER: 03010 CAD FILE NAME: 0301OL18 DRAWN BY: L.M.,D.H.M. SHEET 2 OF 2 - I _ �r FDN TOP TYPICAL SYSTEM PROFILE ID �- AREA PLAN FINISH GRADE- - _ / NOT TO SCALE I „ � l. U' SCALE : I = _ FINISH GRADE OVER TANK- `-t ' '!' FINISH " L T-,tt i ' w!-,' r�°� _ ! , 7 GRADE OVER PIT- � �. . • � _ ��of / /�' r ' ° f J i . ; # 0.,, LIP L_ i'. }of r I L y PVC OR O O O • .�• . • • 1'0 - C I TE ES 47, 67 , TO B M T L15 .��;d FLR `y' C- . 4e • / , •NFORCED DIST. BOXzD��C f•=:: !..... _.. ONCRETE g" / ' ' • • e e • o o e f TO BE INSTALLED ON ° ' ' ' ' • • ' ' ° • 1 A LEVEL STABLE BASE • o • • ° o ° 1 ° SEPTIC TANK TO BE INSTALLED ON A f07ryk"DO ST 150 ' LEVEL STABLE BASE o • • o ° ° 2"-1/8" 1/2 "WASHED PEASTONE ALL ' ' • • ' ' s_ BRICK 8i MORTAR COURSES AS AROUND FREE OF IRONS, FINES ° 1 e • • o 0 0 ° - \\ REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE I T \t 24 "C.I . MANHOLE COVER a 3/4 " TO 1-1/2 "W ASH EDCRUSHED LEACHING PIT `''� L:i� ° Ltd t � FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN Z r PLACE f �' FOR FIN. GRADE i SCE. SYSTEM PROFILE _ SOIL AND PERCOLATION 4 DATA '• `` t tSP l►o'er° _ ry v — ' A Qfi t - - - -- --- -- -- -- -- _ PERC. RATE C MIN.�IN, � �' , 2 r�•�., L0,T Ij /4 INV. ELEV SEE INLET • ; SYSTEM PROFILE 6' TAKEN BY : C. D. SPOHR _ o y LINE o o I � _ t ,q WITNESS E D BY: o QpFNF�IGS�W/4 1/13 ,o — � °`51 8, DATE Qi 1 // ✓ �' fir! \ �' 7' ( r a - I�. OIA o �T'Vvc"� EST PIT_.GND ELEV. fu LO 2 __ N �j I ' L�,f-, Ot_ y i A I� 1_i��'r, la;T ;;o`tfi" , A R E �: 0 3 f }- a!:.} _ �_� , �' �' I ➢� • - ' ' !o - a a n:S ?tla#e 5TH o i , , _GIC'S FlaG'1Fr'•'. ,1 4 6 _ 6 -' — - - BOT. PERC. HOLE 1.4' EfF E c, tl '„ E DI A. DOWN k DTI r_ .., IR� � " � LEACHING PIT SECTION Cl R�: L). r447 ,. NO SCALE DESIGN DATA : NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM N0. OF BEDROOMS DISPOSAL LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT & ` - GALS . I . CONC TO vBE 4000 P.S.I a 28 DAYS . SEPTIC TANK L r; G AL. �" 2 RLINF W 6 " x 6 " '6 GA. W. W. M. PLAk, f� T: 3. *? AND 4 ' SECTIONS ARE AVAILABLE FOR CENTEV-L//VE' OF L 07' !-1,5'5U.1 t�"�: E1 . S0.o *%' GENERAL NOTES GREATER DEPTH REQUIREMENTS ,!�= �'yISTIE'Y O 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN DEEL1.:a; � PCOk' 271 NOTE : ACCORDANCE WITH TITLE 5OF THE STATE SANITARY CODE EXCAVATE TO ELEV. t OR LOWER AS DATED JULY 1,1977 8 ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR'D. IN MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACK FILLING, COMPACTED IN PLACE. NOTIFY THE ENGINEER AND BOARL) OF HEyLTH FOR INSPECTION. S I DE AREA = S. F-0 S. F./GAL 910 GALS - c- �--- 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. BOTTOM AREA= 1 w> S. F.@'? S. F,/GAL I c- u GALS =' 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN TOTAL AREA = 52-� S. F. TOTAL I c=' _f= GALS APPROVAL BY CHARLES D. SPOHR, LEGEND 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. O CCU I LD E k J• A REA P"L/' N: + 50.0' EXIST. GROUND ELEV. WNERS _ FINISH GROUND ELE "U DER NED" _- 50.0 V.- N LI ram. IrFe = K 3 �("cam . uFrlcf Tom � _..N1 r�-'s� Fk�0,1.�9 F�L,ca 7" f='�.AtA1 �_�®X 57 e'�i. ._r, `�' /aI:.1,, - G1F L� dU`si I,/V 1-4�''Q;VIV It�� 1t.1sr 47 50 PIPE INVERT. ELEV. R E V. D A T E D E S C R I P T ! 0 N TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM FOR � A4'�' /.SLR` N' 5U�1f Y//U o o SEPTIC TANK /` — C' LAPK FL Y111 FU I [- Dr--P ' ❑ DISTRIBUTION BOX )T - I <� P I T C I I }` r s WAY 4 " C. I . PIPE � - �....,.�....._,.,..-_.�....u_�"`�. .. ....._. ....,.w..,. HYA l [ I I S MA ttttt+tl-{- 4 BIT. FIBER PIPE ` TIGHT JOIN SPUHIt t PROPERTY LINE "r 4tl, - DESIGNED. C D SPOHR D A T E:P L�CC.se, DRAWING N0 F DRAWN SCALE:4S SHOWN ( �� MAP F P ;L LOT FHOUSE MIN. CODE DISTANCE — CHECK Eo: U. D. S . — I I TYPICAL SYSTEM PROFILE AREA PLAN - FINISH GRADE= :. NOT TO S� . i F r FDN TOP / 5I 0! FINISH 41, FINISH GRADE OVER TANK ��fC__ GRADE OVER PiT= � 1 SC A L E I f e 2 i-Veq i- : = ,LQT-� ! i �, ylv/-3 f �,n •�,,� _ _ 48.C?L3` PVC OR 47G : O 0 /x G / /0 - & .:.11".� �C I,:y T-fES 47 o�3 3` O V\111V V, ! . ;• v •e e o • • j •• oe • °• ° BSMT L.s • • a o v o a a p FLR `�,4�'" GAL. 4 ��I T �° • • u oo 70JvFL-) %-;,;' �.: - r; REINFORCED DIST. BOX • • • i • ° o o a o i CONCRETE 8 TO BE INSTALLED ON ° ' ° ' • , • ' ° ° ' I A LEVEL STABLE BASE ° ° s • I a o e e e e e a • • • i • o • • a l :_ i SEPTIC TANK 5'8" RUTO 13 D t� ST t Son TO BE INSTALLED ON A • • • • • • • ° ' e I cow �Gttz.ai_ t: LEVEL STABLE BASE , o • • • o • • • • - I � - 2"-1/8" 1/2 "WASHED PEASTONE ALL ' ' ' ' ' • • BRICK a MORTAR COURSES AS � e • • • o 0 e AROUND FREE OF IRONS, FINES • o k REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE LEACHING PIT P // r- 5 7 �t \ 24 ""C.I . MANHOLE COVER a — 3/4 "" TO I -112 ""WASHED CRUSHED L�J• ' FRAME SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL L IRONS, FINES AND DUST IN PLACE FOR FIN. GRADE SEE SYSTEM PROFILE a � SOIL AND PERCOLATION �"" DATA m ,y f `• F M1LSIY 1 i.Y.6 .- -�4/.-� / � - !V -- _ N. _t8 �- PERC RATE : � MIN./IN, 2-SSrn ! I� �. Lq "F -�o,. FOR INV. ELEV SEE - - � n 1., a�t='~ �L.•J G �`l ' INLET _ p . , SYSTEM PROFILE p TAKEN BY : C. D. SPOHR - -� L I N F 0 0 ° i= ' f t i�i �v' Jtc ,- - >r _ , t� WITNESSED BY. �- �# W4 'OPENINGS W /4-1%8 P R DIA. & 1 -3/4 0 . DATE : , / aa' # _ _ i! 7 a u � ! DIA U (T�Avo TEST PIT-GNDrELEV. •7; I tc ' M�` AL - LINEk`5� I• _ ,."t- � k_N. ►5G. / ! ~ - •. • e o rr�'o �►r�ERS o a o '•, a p ��AREA 3 t� —Sc DR vaiAT�' . r' J< ` + f o Q IC3>t rArK �: c k.e� R( ': �"� -••r..... ,�" ., /-. � .. .. ........ 9. ti.3 I I 6 6 ea DIA . A ' �` xt - T♦ 14' k•" EFFECTIVE DIA- BOT., PERC. HOLE DOWN A LEACHING PIT - SECTION�,. NO SCALE DESIGN DATA : ..� NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM N0. OF BEDROOMS DISPOSAL LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT `' GALS . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TANK t-`J , GAL. 1 " "'. INF W 6 "" x 6 �6 GA. W. W. M. F. L�'1/i4TlCi�tf L) 0 P/-/VC Al AVT E-G6� n r "AND � , � PLAhl P, F: 3, AND 4 SECTIONS ARE AVAILABLE FOR GENERAL NOTES C'FAJTET?LIAAC Or UT � �I SSUl- 4 �LJ EL. 5©.4 ��. GkEATER DEPTH REQUIREMENTS 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN DEELX5, -P4.,0.A1 1300k, 271 NOTE : ACCORDANCE WITH TITLES OF THE STATE SANITARY CODE EXCAVATE TO ELEV. �'' -� OR LOWER AS DATED JULY I?ACCORDANCE & ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR"D. IN MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFiLLING, S I DE AREA - r "$ S.F.0 S. F./GAL 910 GALS NOTIFY THE ENGINEER AND BOARL) OF HEALTH FOR I NSPECT IOfd. BOTTOM AREA= ' S.F. S. F./GAL 1 GALS 4• FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. TOTAL AREA _� 2S. F TOTAL GALS 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN l = l- i .T- s J'.t�. APPROVAL BY CHARLES D. SPOHR. LEGEND 6 FOUNDATION INSPECTION RE D. WHEN EXCAVATED. 0 �Jr � r—-P rr � 4— VVVI����S � Cis ► LD �.� S: AF�Er. `-" ` :� i�,� . + 50.0 EXIST. GROUND ELEV. e R v ATE DESCR IPT i1�Fr1r` t3ii.K, .,�Dt.1CF 50.0 FINISH GROUND ELEV:- UNDERLINED � i FF� k�tt�f:_ t., � �� • � r�s FL 11,14 " ��lf�.f��k':a 10 �'arfv v.;�� F�'rJ�3 f=7LQ 7' �L��d�' ,t3ox .� ,, t'`i .14�, V` «_ ,' D7= ��dtiar`(i' //V `f' i f �.c,� Af�4 , 47 50 PIPE INVERT. ELEV. 0N /L1•4, , C7 � - '� k �C ems' A30/4-L�r/41�5, 5c ?41�1 Q TEST PIT LOCATION SEWAGE DI SPOSAL SYSTEM SEPTIC TANK K � I F 0 R I t � �, ,, C" L / " KK 4 F�Y111 &J I I_ D'.-. i ❑ DISTRIBUTION BOX _ L — 18 P I TQ 1 �--PS WAY 4 " C. I . PIPE Charles_D ` HYAN N I �, MASS. tHttti I — 4"BIT. FIBER PIPE ' TIGHT JOINTS i� SPO1FiR jp Nr a;R v�� DESIGNED. CD SPOHR DATE:/9 UtC. �`5 - DRAWING N0 — -- — PROPERTY LINE FF . I " / i S y� STE �aV�` DRAWN' C' ` SCALE:AS SHOWN P P ;l_ L HOUSE �F MIN. CODE DISTANCE `,. VIA, SEC LOT CHECKED U. D S