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Home My WebLink About0072 PONTIAC STREET - Health 72 PONTIA C ST.,HYANNIS A=269-.89 k I� N 1 I a i t M1 TOWN OF BARNSTABLE LOCATION -Q6,,A;g C_ S-V SEWAGE# Z OIB'• 3os1 VILLAGE Nc{oLnn;5 ASSESSOR'S MAP&PARCEL ZG9- 189 INSTALLER'S NAME&PHONE NO. t4je1. OGS3 SEPTIC TANK CAPACITY 1 Opp oa 1 LEACHING FACILITY:(type) 500 g0.1 1-1 c. (z) (size) 13 yt Z$ x Z NO.OF BEDROOMS 3 OWNER S r I F,aLINACZ %t1 PERMIT DATE: COMPLIANCE DATE: �►�/� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and.Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY A j9 ' AZ' 25'3~ g2 A3..Sz y�- M- SoPF S A . O B Rco�r Tf3WN t9 BARNSTAM E LOCA'X'lON VXJ:�t:A� A,SSESSOR'S.MAP INSTALLL' t`S NAl O�c P,ilbA NO g#ilc�'�IK CAPAGI'i'Y LEACIIING 1PAMI& (type) PEftMyTf� .' 4�IpJ�1�Mt Se 1 DsstilClt3$Ot{itC$1148. Maxlunusss Ad Lit. Gran iSwatec Viable la the Bnttam 6f I.ichina POW ity meet P•1v;s8v wok Supply kil scud t.Ohlssg pas�llty'.�s�t�eifs s3xlst ott ssgta or wltlsin.2A0 feat aB lestiatsln -fats �) &�aat . lYt3 tWd we[lkutds OAS( E e u&W- said lLa�►cd�in l�acsli�y .auy fee r�lttarsl 300 Beset of loilWng I'a4ty) • w � � 3 Q O O I,' -y. No. Fee 00.po" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppYitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(✓j Upgrade'( ) Abandon( ) ❑Complete System ❑Individual Components w^5 0- Location Address or Lot No."TZ •QarA me :S j Owner's Name,Address,and Tel.No.,C �Cnc Fa ncD►f1Ci f19 gCenni5 Assessor'sMap/Parcel 7_G9 - Q$4 c� Installer's Name,Address,and Tel No. ,$ CAc Designer's Name,Address,and Tel.No` Vc_ 37q R+c. 130,56n.U%c k q-11.pr.53 P.O• 0o,c 331 i4grw,.cl^, Type of Building: �-,� Dwelling No.of Bedrooms ,i'J 1 Lot Size I O sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ZZ O gpd Design flow provided gpd Plan Date B O- 3. 18 Number of sheets Z Revision Date Title Size of Septic Tank 1000 9a, D Type of S.A.S. d Description of Soil Nature of Repairs or Alterations(Answer when applicable) ZO,p sox - 2- SOO qcx-I L pC Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 10 s• g Application Approved by Date Application Disapproved by Date "�— for the following reasons Permit No. Date Issued _ —j _., No. c Fee /P' THLCOM•MONWEALTH.OF MASSACHU,SETTS Entered in computer: i PUBLIC ,HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes l 'lication for.Disposal 6pstem Construction permit Application fora Permit to Construct( ) Repair(u�-Upgrade('F ) Abandon( ) ❑Complete System ❑Individual Components " Location Address or Lot No. •7-2 -Pots�aC 5'I Owner's Name,Address,and Tel.No.$e)ene Fa na f1C i(Nq x 1 Assessor's Map/Parcel Z►L q - 13<j Installer's Name,Address,and Tel.No. 2 4�,O CXC A V Designer's Name,Address,and Tel No.,_DuC. �c t•�y t 37y Ric- 130,,54nJuj is k yy1- ol,53 Po. OoX 331 Type of Building: s Dwelling No.o`QBedrooms Lot Size I 'O 9 sq.ft. Garbage Grinder( ) Other T of Building x_ No.of Persons Showers YP� g ( Cafeteria( ) , Other Fixturesrl Design Flow(min.required) ZZ gpd -Design flow provided 'yg gpd Plan Date 10• )$ Number of sheets �. Revision.Date. ". . IN Title 1 Size of Septi�Tank' 1000 a, I Type of S.A.S.- 500g0.) L)G �:'Z• 1 Dq cription'of Soil 3 •� , N441 Nature of Repairs or Alterations(Answer when applicable) -�LO_D BOY ' Z ' .500 9,x 14 Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordanc e ith the provisions of Title's of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. �p Signed .J'1 Date Application Approved by _ Date Application Disapproved by .- Date - for the following reasons Permit No. o�p'e�0 Date Issued --------------------------------------- .. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( sY Upgraded( ) Abandoned( )by _ B 'r—X Cct 0 at r]'Z r°T!�/1^� aC, $ has been constructed in accance / / r with the provisions of Title 5 and the for Disposal System Construction Permit No..20/3 /6 dated I Installer Designer _00.0 G �o.H er•� t #bedrooms `,3 Approved design flow 3 Q gpd The issuance of this permit shall not be c nstrued as a guarantee that the system 11 fu'nib desi ed. Date Inspector ' - ----Y=----------- - ------/- ---------- - No. nrD!(7 ,3D�" t Fee *0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ,L Upgrade( ) Abandon( ) System located at ')Z 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 com let d within three years of the date of this permit. ! c Date C)^ I n Approved by L Town of Barnstable P�O,.THE r Regulatory.Service5 Thomas F. Geiler, Director MASS&. Public Health Division s Thomas McKean Director ArfO MA'S 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790.6304 Date: /O -I Z- 1$ Sewage Permit# Zo 1$•.30 Assessor's.Map/Parcel ZG9 - 184 Installer &Designer Certification Form Designer: vl"C'Hw Erju;ro mr-MC A Installer: B 4e B 9Xe0.yOa a Address: -P O. BOX '331 Address: l q 'i'e.a,_S e.r rH t_Q 1-��arw�cl. f�A Forestda.lC_ On /O -9- I8 4 3 Exec o-1 i o n was issued a permit to install a (date). (installer): septic system at :7Z •QOna;O-r 54 based on a design drawn by I (address). ... ..�cc�ye F1v�.11et-�c.4 dated /0-3-1$ (designer) _ 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 distri4ution 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. nM . DAVID D. staller's Sign, re HERTY,JR No. 1211 t (Designer' Signatu ) (Affix:Desig p 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 formsWesignercertification fonn.doc f ■ Complete Items 1,2,and 3. a Signature ■ Print your name and address on the reverse .,So that we can return the card to you, x ❑Agent'+, ° ■ Attach this card to the back of the mailpiece, O Addressee' or on the front if space permits. B. Received b ted Na e 1 C..Datekof Delivery Is delivery 1 renf from-item 1? EI Yes CHRISTIANA TRUST, TR If YES,enter eiivery.address below. ❑No T = C/O SELENE FINANCE LP 9990 RICHMOND AVE STE 400S HOUSTON, TX 77042 -3-Service Type II OIII�I I'I�III I II I II II II'II�II III I III III fif ❑Adult SSignature Restricted Delivery ❑Registered Mail ,,,,mss® 9590 9402 4116 8092 9363 57 Cert(fied Mail® ry ❑Delivery Mall Restricted' Certified Mail Restricted DeliveryDelivery ❑Collect on Delivery Return�Merchandise far 2..Article Number?ransfer fmm servicA/aheU ❑Collect on Delivery Restricted Delivery Signature ConfirmationTm 7 15 '730. 0001 4987 5301 Wi ❑Signature Confirmation all Restricted Delivery Restricted Delivery PS`Form 3811,JUIy 2015 PSN 7530-02-000 9053' ) F. - - -- - -. Domestic Return Receipt p . o � •• • ' u7 r` iFN , 111AL, I ea Certified Mail Fee <*; - Extra Services&Fees(check box,add fee as appropnatd� k s r. I]Return Receipt(hardcopy) ❑Return Receipt(electronic) $ 1 ' OO ❑Certified Mail Restricted Delivery $ ', Cn Postmark' []Adult Signature Required $ r 01 Here• []Adult Signature Restricted Delivery - E3 Postage Im ir.A $ e� a Total Postage a CHRISTIANA TRUST, TR � $ C/O SELENE FINANCE LP Sent To M1 o sieeiandApt.J 9990 RICHMOND AVE STE 400S HOUSTON TX 77042 City State,ZlP , F �r� Town of Barnstable Barnstable rr Regulatory Services Department AWWWcap RY HARNSTA11M "'A . Public Health Division tb i639 `q m pjFDtAA'tp 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 5301 July 30, 2018 CHRISTIANA TRUST, TR C/O SELENE FINANCE LP 9990 RICHMOND AVE STE 400S HOUSTON, TX 77042 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 72 Pontiac Street, Hyannis, MA was inspected on 07/18/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH L r T as McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\72 Pontiac Street Hyannis.doc Town of Barnstable + BARN3fAHLE, 94, 03 ,�� Regulatory Services Department ptfD MA't a Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts �w Title 5 Official Inspection Form icI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r_. 72 Pontiac St t'4j Property Address !y y Bank Owned (Contact David Holt Today Real Estate 1-800-966-2448) Owner Owner's Name 4x information is Hyannis MA 02601 7-18-18 ` required for every H y �a page. City/Town • State Zip Code Date of Inspection CTI Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification • I certify that I have personally inspected the'sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the,inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am.a DEP approved system inspector pursuant to Section 15.340 of Title 5'(310 CMR 15.000). The system: ❑ Passes - ❑ Conditionally Passes ® Fails - ❑ Needs Further Ev by the Local Approving Authority _ t 7-18-18 r'. Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth ofWassachusetts ' Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real:Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18,18 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E/always complete all of Section D A) System-Passes: 4 .� ❑ 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: • aF 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(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ON ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 ` 'e i Commonwealth of Massachusetts Title ' f t e 5 Official Inspection- Form %I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r �/ 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real.Estate 1-800-966-2448) i Owner Owner's Name information is Hyannis - MA 02601 7-18-18 required for every ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation-of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ` ❑ broken pipes) are replaced ❑ Y ❑N ❑ ND (Explain below): r I ❑ obstruction is removed' ❑ Y ❑N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ' r ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ON ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): C)-Further Evaluation is Required by the Board of Health:.a ❑ 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. ' t 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:' - t ❑ Cesspool or privy is within 50 feet of a surface water 3 ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form i i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 72 Pontiac St Property Address Bank Owned (Contact David'Holt @ Today'Real Estate 1-800-966-2448) Owner Owner's Name information is required for every H annis MA 02601 7-18-18 Y page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water su 'PP Y I well. I ❑ The system has a septic tank and SAS and the SAS is less,than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following'for all inspections: Yes" No ® ❑ Backup of sewage.into facility or system component due to overloaded or 'clogged SAS or cesspool El '® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged'SAS or cesspool ® ElStatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less r' ❑ '`® than %day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts fw Title 5 Official Inspection Form: ri Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to'a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ , ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ` ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section;D. - Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection E] ❑ Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts 'y� Title 5 Official, Inspection Form h Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate.1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner; occupant, or Board of Health ® Were any of the system components pumped out in the previous two weeks? • ❑ . + .® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection?' ® ❑ Were as built plans of the system obtained and examined? (If they were not r available note as N/A) ® - ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the'septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? s + M ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3, Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins.doc-rev.6/16 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 I :. ' 72 Pontiac St Property Address p Y Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18' page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? rz ❑ Yes ® No Seasonal use? Yes ® No Water meter readings, if available (last 2 years usage (gpd)): , Detail: Sump pump? +_. ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: r" Type of Establishment: Design flow(based on;310 CMR,15.203): Gallons per day(gpd) r Basis of design flow(seats/persons/sq.ft., etc.)- Grease trap present? v .I ❑ 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.doc•rev.8/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts _ ,w. Title 5 Official Inspection Form ! bl' Subsurface Sewage Disposal System Form -' Not for Voluntary Assessments r W 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448)• Owner Owner's Name information is required for every Hyannis' " ' MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information . Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: galons - How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ► ❑ Single cesspool ❑ Overflow cesspool - r ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I f Commonwealth of Massachusetts 3 Title 5 Official Inspection Form ,Y,i l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Tank 1970's with new field in 1997 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1811 feet Material of construction: ® cast iron ` -® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: f, 12" feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 12" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts ^ Title 5 Official Inspection .Form p i� w-' illi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle .20" 211 Scum thickness Distance from top of scum to top of outlet tee or baffle 6" 15" Distance from bottom of scum to bottom of outlet tee or baffle - - How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Tank had signs of overflow above outlet invert. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection- Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments _ 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18. - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of i nspecti on)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: - Capacity: gallons ' Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form �a,i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) ' Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) i' Distribution Box (if present must be operied)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box had clear evidence of back-up with sludge and material above above inlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑, Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form vo } �1i�) Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 72 Pontiac St F Property Address Bank Owned (Contact David Holt @ Today.Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) �. Type. I ❑ leaching pits number: ® leaching chambers number: 3-Infiltrators ,L ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields r number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Infiltrator field had clear evidence of failure with black sludge accumulated in the stone surrounding the infiltrators. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i-ll Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Hyannis MA 02601 7-18-18 required for every H y '^ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) . Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions p Depth of solids Comments,(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f Commonwealth of Massachusetts :a f Title 5 Official Inspection Form hf Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ., r aE 72 Pontiac St Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis _ MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Ad A� 40'' p.: W. . a t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts r� y Title 5 Official Inspection Form i.,. i'l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments <V f¢' 72 Pontiac St Property Address Bank Owned (Contact David Holt@ Today Real Estate.1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) ; Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells - Estimated depth to high ground water: 12' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 III Commonwealth of Massachusetts w Title 5 Official Inspection Form M Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Pontiac St Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 7-18-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I, rev.6/1 t6ins.doc 6 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i Town of Barnstable P# 1-5 qq 14-3)G Department of Regulatory Services 1��°) Public Health Division Date �� taass M M� -200 Malin Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. C5 Soil Suitability Assessment fop Sqwage Disposal {�,,� , /t PerformedB : F/R�/trp I'ri f (,[ . Y, �_. WitnessedBy:. 03 LOCATION&GENERAL INFORMATIQN 0-1 Location Address �Llz, PA T Owner's Nam' 'lA/Ir, Address- Assessor's Map/Parcal: Z e t? l V q Engineer's Name/ NEW CONSTRUCTION REPAIR Telephones! ;And Use Slopes(%).. _ Surface Stones Distances from: Open Water Body R Possible Wet Area ft Drinking Water Well ft Drainage Way' fl Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) Parent material(geologicA&U--i V 1 Depth.toBedrock IV Depth to groundwater:Standing Water in Hole: A! / F'I Weeping from Pit Face .Estimated Seasonal High Groundwater. N -'- DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used' 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 S Reading Date: Index Well level Adj..factor Adj.Groundwater Level_ PERCOLATION TEST Dace e —.—ll Observation Hole'# .Depth of Pere: Time td 6" Start Pre-soak Time.a@ --_--- Tom(9"-6) End Pre-soak Rate tvlin./Inch Site Suitability Assessment: Site Passed_ Site Failed:__ Additional Testing Needed(YIN) 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:)SEPTICIPERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from .soil Horizon Soil Texture Soil Color ,Soil. her Surface(in!) (USDA) (Munscll) Mottling . g (structure,Stones,Boulders. - i.enc vl - � t r p( DEEP:OBSERVATION HOLE LOG Hole# Depth from Soil Horizon- Soil Texture. Soil Color Soil Other Surface(in.) _ (USDA) (Munscll Mottling -(Structure,Stones,Boulders. . COn515 I V I S, u DEEP OBSERVATION HOLE LOG Hole.# Depth from Sod,Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency% vet) s DEEP OBSERVATION HOLE,LOG Hole# Depth from Soil Horizon Soil Texture Soil-Color Soil -Other Surface(in.), (USDA) (.Munsell) Mottling (Structure,Stones,Boulders. Consistency.a-cirasyl) 'Flood Insurance Rate May: Above 500 year flood boundary No Yes Within 500year:boundary -. No Yes. . Within 100�year flood boundary NoY 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? AM If not,what is the depth of naturally occurring ions material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Env'onm tal Protection and that the above analysis was performed by me consistent with the required trainin pertise and ex erien described in 310 CMR 15.017. Signature Date / Q:ISEPT 0PERCFORM.DOC 1 TOWN OF BARNSTABLE l LOCATION 1 d l 6 SEWAGE # / ?"'�'1 �-• VII.LAGE /7 V ASSESSOR'S MAP& LOT .INSTALLER'S NAME&PHONE NO. -- SEPTIC TANK CAPACITY /o U y :: .LEACHING FACILITY: (type) - 3 /�r2_o �/1-t"S (size) l6�-'! _e� Y� NO.OF BEDROOMS::..,.:-BUILDER OR OWNER 1?ERMTT DATE: /y< -9- COMPLIAN G� - - �� CE DATE: g Ci 1 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet >. Edge of Wedand and Leaching Facility(If any wetlands exist within 30 0 feet of leaching facility) Feet Furnished by CY TOWN OF BARNSTABLE LOCATION 72 .. JL .A C S) SEWAGE # YILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �o b i�-�� ? '7 4"— 2-2`2 'E SEPTIC TANK CAPACITY /a.7y_ 0 LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: OMPLIANCE DATE: 16OF Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by _� --, W '� �` a .a F. '�' - r ` � ��. i '� � � �� . = �- � �. p / _. . y �. _ .� �� No. !.,- 2 �,, Fee 5 0 . 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Migomt *p5tem Construction Vermtt Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 72 Pontiac S T Owner's Name,Address and Tel.No. Hyannis Edward Chipman Assessor's Map/ParcelY Sterling Rd 7 71 —0 0 5 5 Installer's Name,Address,and Tel.No. Des ig er s t4ame,Address and Tel.No. W.E. Robinson Septic Service P.O. Box 1.089 775-8776 eenterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(no) 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 san d Nature of Repairs or Alterations(Answer when applicable) install 3 stonepacked infiltrators 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 C e and not to place the system in operation until a Certifi- cate of Compliance has been issu d by 1> Boar �f•Health. G� Signed ` l Date Application Approved by Date Al— r Application Disapproved for the following reasons Permit No. 2 Date Issued 14-P'" ��., � ` ° : w Fee 50.00 No •- e" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: , Y _ es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS . _ 2ppricationt for Migozal *potem Congtruction Permit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 72 Pontiac S`I' Owner's Name,Address and Tel.No. Hyannis Edward Chipman Assessor's Map/Parcel S t r l i n g Rd 7 71 —0 0 5 5 • / ° Installer's Name,Address,and Tel.No. ;_ Designer's Name,Address and Tel.No. W.E. Robinson Septic Service ' P.O. Box 1089 775-8776 Genterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(no) Other, Type of Building No. of Persons t Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow gallons per day. Calculated daily flow gallons. ,Plan Date Number of sheets Revision Date Title "N. Size of Septic Tank Type of S.A.S. Description of Soil san d Nature of Repairs or Alterations(Answer when applicable) install 3 stonepacked infiltrators .. 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 C e and not to place the system in operation until a Certifi- cate of Compliance has been issu d by oar f Health. Q . Signed< I. Date ` d Application Approved byC:e�pw ` Date 'd Application Disapproved for the following reasons aq Permit No. Date Issued Aa THE COMMONWEALTH OF MASSACHUSETTS Chipman BARNSTABLE,`MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( x)Upgraded( ) Abandoned( )by W.E. Robinson Septic at 72 Pontiac St Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. M- dated "; Installer Designer The issuance of this permit shall not t be construed as a guarantee that the system will function as designed. Date 10 v Inspector C� --Q------r�--------------------------------- No. ! 7"s-�/ R Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS Chipman PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS J Mi.5pogar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( x)Upgrade( )Abandon System located at 72 Pontiac St Hyannis . fiand 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. Piovided:Construction must be completed within three years of the date of this e it. Date: /12 Approved � � �� NOTICE: This form is to be used for the repair of failed septic systems only CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I,William E. Robinson, Sr ,hereby certify that the application for disposal works construction permit signed by me dated /D--9'5 --7 , concerning the property located at 72 Pontiac ST Hyannis MA meets all of the following criteria: * ere are no wetlands within 300 feet of the proposed septic system. ere are no private wells within 150 feet of the proposed septic system. 77�ere e obseved groundwater table is 14 feet or greater below the bottom of the leaching facility. is no increase in flow and/or change in use proposed. * There are no variances requested or needed. SIGNED:Cc/ z DATE_�U 7 —Q 7 LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer proposes a certification plot plan,this plan should be submitted). Gl i I/ 9k 1 10-0 T �� i COVERS TO BE WATERTIGHT AND SEPTIC SYSTEMIC Flaherty Environmental Services - TOP OF FOUNDATION BROUGHT TO WITHIN 6"OF FINAL GRADE PROFILE Y EL. 60.0' EL. 58.0' (not to scale) INSP. PORT W I 3" OF GRADE CLEAN SAND P.O. BOX 331 2" of e" to DOUBLE.WASHED EL. 58.0' - Harwich, MA 02645 4"CAST IRON or EQUIVALENT -• PEAsTON5-OR GEOTEXTILE _ MIN. PITCH 1/4":PER FOOT FILTER FABRIC 774.994. 1166 4"SCHEDULE 40 PVC PIPE 4° SCHEDULE 40 PVC PIPE + FLOW LINE ' VENT IF REQUIRED fArst 2'to be levell %• L.57.3' 14" ? o .• ..: •, Oo0000oOc EL.55.5' o 0 0 0 0 0 0 0 0 0 0 EL.55.25' o°o°o°o°o° o o .'®� � °o°o°o°o° 0 0 0 0 0 0 0 0 0 o c 0 00 0000 0000 P* EL.54.73' o 00000 p 000oc 0'MIN.(2.5%L-- EL.54, ' ° o°0°0°0°0°0° o°o°o0000 2_0' 0 0 0 0 0 0 0 o p o 0 0 0 " GAS BAFFLE EL.54.T o0°01000 °0°0°0 [�,• ® 00o0ooc 000 00000 0 0 0 00000 o c 000000000 O°O°O° �4 •.d •� 0°0°O°O°C 0 0 0 o EL.52.T • `!+ 6"CRUSHED STONE O(H-20 D-BOX) SOIL ABSORPTION SYSTEM 1000 GALLON SEPTIC TANK MECHANICALLY COMPACTED (2) 500 GALLON H-20 CHAMBERS 5.2' DATUM: ASSUMED) EXISTING # WITH 4'STONE AROUND IN A —" to 1," DOUBLE WASHED STONE 12.83'X 25'X 2' CONFIGURATION BOTTOM OF TEST HOLE EL. 47.5' EL. 47.5' USGS ADJUSTMENT: N/A LOCATlONMAP GROUNDWATER ELEV: N/A 58 N TH � 10' 148-86Oil ' a 4 OCUS K ® L❑T 7 r.. ;. i Maln St. I :.; O 15.4 W. 11,097 SF± DECK h: O MAP 869 LOT 189 35,8' I EXISTING O O T -1 NTS I (� BR EXIST, S.T, 01 { TH-2 O 1�`��jHOF4tq r^ o DWELLING N o�' DAV D v, SUN y ROOM 1 58 F H R. N EXIST. LEACH AREA 1 1 m - - -- GISTER m BENCHMARK: SHED `N SgN1TAR+PN DRIVEWAY I TOP OF FNDN EL. 60.0' DATE. 101&201B REVISED., 147,05' 1 S9 SZTE AND SEWAGE PLAN FOR B & B EXCAVATION, ZNC./ CHRZSTZANA TRUST 72 PONTZAC STREET 59 i BARNSTABLE SCALE : 1n — 2 0 �rrYANNIs), MA REF.PS2W PG 145 PAGE 1 OF2