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HomeMy WebLinkAbout0040 REDWOOD LANE - Health 40 Redwood Lane!` Hyannisport A= 288-087 0 Commonwealth of Massachusetts ���� �0 ti, W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owners Name O9 information is �required for every y H annis Ma 02601 4/9/2016 page. Cltyrrown 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 51 filling out forms # on the computer, use only the tab 1. Inspector: key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection Company Name 74 Beldan Ln. Imo. I Centerville Ma 02632 City/Town State Zip Code 774-248-4850 smjonestitle5@gmail.com SI4522 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 Evaluation by the Local Approving Authority 4/9/2016 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Citylrown 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: ® 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: The dwelling located at 40 Redwood Ln Hyannis is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and 30 Quick 4 chambers. The system was found to be in proper working condition at the time of inspection. 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 ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every H annis Ma 02601 4/9/2016 y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° 40 Redwood Lane M Property Address Maureen Fitzpatrick Owner Owner's Name information is Hyannis Ma 02601 4/9/2016 required for every y 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 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less . than 1/2 day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts _ Title Official t e 5 O is al Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 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 y e at I 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. q ' Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 't 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® 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? ® El available 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 back up? ® ❑ Was the site inspected for signs of break out? E ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 gpd t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: seasonal 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is Hyannis Ma 02601 4/9/2016 required for every page. Cityrrown 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: 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): t5ins•3113 Title 5 Official Inspection Form: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 M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 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: system installed 5/23/08 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2feet 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.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: 1.5feet 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: 1500 gallons Sludge depth: 611 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown 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 3" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? opened covers, took measurements 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 does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. 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 k Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown 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 inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Distribution box was in good condition, no rot, water level was even with outlet 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 30 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): s.a.s. consists of a field of 30 Quick 4 Infiltrators in a 22x17 area. No sign of saturation, vegatation was normal. 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown 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 Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown 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 ��.ueoG� ��avtC Ex7�h'��or� Ad `t e n eo of t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is Hyannis Ma 02601 4/9/2016 required for every y page. Cityrrown 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: Groundwater elevation was determined by accessing Town of Barnstable groundwater contour map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 40 Redwood Lane Property Address Maureen Fitzpatrick Owner Owner's Name information is required for every Hyannis Ma 02601 4/9/2016 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Commonwealth Cof[M assachusettso 100220158 ❑ & y AsbestosNotification orm[ANFIO Asbestos[ProJect1#❑ t l F Project[Revision❑ F Project[Cancdlation❑ A.LAsbestosLAbatement[Description❑ _ ❑ 1.[ffacl I Itymocatl on:❑ �'l MAUREENHITZPATRICK ❑ 401REDWOODI A. 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JOANSERTON ❑AS002057 Name[of[Contractor's[On[Site[Supervisor/Foreman❑ DLS[Certification C#❑ 8. ❑ N/A Namemf[Project[Monitor❑ DLS[Certification[#❑ 9. ❑ N/A Mame[of(Asbestos(Ana lyticaI[Lab❑ DLS[Certif[cation4l] 10. 5/23/2015 ❑ 5/23/2015 Project[Start[Date RIM M/DD/YYYY)❑ End(Date[(MM/DDNYYY)❑ 7AM E4PM ❑ 7AM C4PM Work[Hiours®MondayLThrough[Priday❑ Work[HioursMSaturday1&[Sunday[j 11.What[typelof1project t1this?E] F Demolition❑ F Renovation❑ F Repair❑ F OtheffWleaseSpecify:❑ Revised:C11/13/20130 Page[1[of A t Commonwealth of Massachusetts 100220158 Asbestos Notification Form ANF-001 Asbestos Project# Project Revision € Project Cancellation ,I A.[Asbestos[Abatement[Description:[(lcont.)❑ 12.[Abatement[procedures[(Icheck[al l tfhat[appl y):❑ r Glove[Sag❑ r Encapsulation[]r Enclosure❑r DisposaiDnly❑r Cleanup❑ r Full[Containment❑ r- Other UPlease[Specify:❑ SIDING[REMOVAL 13.[JobliiS[bei ng[Conducted:❑ r 1 ndoors❑ f- Outdoors❑ 14.[Total Amountlbf[eech4pe[bf[asbestos[Contai ni ngTnateri al s[(IACM)[tb[beTemoved,[enclosed,Cdr❑ encapsulated:❑ ❑ 1500 Linear[FeetgLin.[Ft.)❑ Square[ffeeti(Sq.[Ft.)❑ Boi I er,3 reachi ng,Duct,❑ Transi te[R pe❑ Tank[Surf ace[Coatings❑ Lin.[Ft. Sq.(Ft. Lin.[Ft. ❑Sq.[Ft. Ri pe[Unsulati on❑ Transi te[Shi ngl es❑ 1500 Lin.[Ft. Sq.[Ft. Lin.[Ft. ❑Sq.[Ft. Spray[On[Fi reproof ng❑ TransitellPanei s❑ Lin.[fft. ❑Sq.IN. Lin.[Ft. ❑Sq.[Ft. Cl oths,[Woven[Fabrics[] Ot her M?l ease[Speci fy:❑ Lin.[Ft. ❑Sq.[Ft. I nsul ati ng[Cement❑ Lin.[Ft. ❑Sq.[Ft. Lin.[Ft. Sq.[Ft. 15.[IDescri be[theidecontami nati on[system(s)lb[be[Used:❑ COVER[GROUND[oUTITENIFROM[FROM[HIOUSENMTH[SIXii IL[FPOLY 16.[IDescri be[theldontai neri zati on/di sposal[methods[tb[domply[Wi th[310[CM R9.15 land A53[CM R[6.14(2)(g): WET[DOWN[ASBESTOSFAND[DOUBLEEBAGLUSI NG[SIX[M I LIMARKEDFAND[LABELED[BAGS 17.[For[Emergency A sbestos[Operati ons,Cthe[M assD EP[and1ID L Slbff i ci al s[who[aval uated[the[emergency:❑ ❑ 1 NamelDf[MassDEP[Official❑ Title[OftM ass DEP[Official❑ Date(ofrAuthorization TMM/DD/YYYY)❑ Waiver[#❑ Namelof[DLS[Official❑ Title[of[DLSLOfficial❑ El Date[of[Authorization[(IMM/DD/YYYY)❑ Waiver[#❑ 18.[Do[prevailing[WageTates[as[per[M.G.L.Cd.d49,[§[26,127[or[a7A—F[apply[fbCthis❑ r Yes❑ F No❑ prof ect?❑ n Revised:[11/13/2013❑ Page12[of A Commonwealth of Massachusetts 100220158 I Asbestos Notification Form ANF-001 Asbestos Project# Project Revision Project Cancellation B.[Faa I ity[mescr i pti on❑ 1.[Current[6r[Prior[Use®fIfaciIity:❑ RESIDNECE 2.Ms[the[facility[ownerCbmupied[desidential[With[4[Units[OrMBss?❑ r Yes❑ r No❑ 3.SAMEIASIABOVE ❑ SAME Facility[Owner[Name❑ Address[] SAME ❑MA ❑02601 ❑5089306362 City/Town❑ State[] Zip[Code❑ Telephone[] 4.N/A ❑ N/A Name[of[Facility[Owner's[On[Site(Manager❑ Address[] N/A 0 MA ❑02601 ❑5089306362 City/Town❑ State[] Zip[Code❑ Telephone❑ 5.N/A ❑ N/A Name[of[General[Contractor❑ Address[] N/A ❑MA ❑02601 05089306362 Note:[Temporary❑ storageLDflAsbestosO City/Town❑ State❑ Zip[Code❑ Telephone❑ containing[wasteD N/A materialGsDnlyD aII owed[at Ethe[pIaceD Contractor's Worker's[Compensation[Insurer❑ of[businessmf[aIDLS0 99999999999999999999999999999999 ❑9/9/9999 ❑ licensedFAsbestoso Policy[#❑ Expiration DategMM/DD/YYYY)❑ contractormr[a[transfer station[thatlisD 6.What Msfhe[gizeCbf[fhis[flaciIity?❑ 1500 [2 permitted[byo MassDEP[and❑ operatedOhD Square[Feet❑ #[of[Floors❑ ❑ compliRegulai th IS ionsolid C.AsbestoSffransportatlonA EDsposal❑ Waste�tegulationsD 310CCMRL19.000® 1.[Transporter[of[�&estos[tontai ni ngC/asteMnateri al fflrom[gi telof[generation:❑ [ Directly[tb[Landfill[Or❑ F ToLTemporary[storage[location/Transfer2ation❑ ASBESTOS[MAN[REMOVAL[CO ❑ 929[STATE[RD Name[of[Trans porter❑ Address[] PLYMOUTH ❑MA ❑ 02360 ❑5082245500 City/Town❑ State[I ZipLCode❑ Telephone❑ 2.E fWtiernporary[Storage[ibeation/transfer[Station[i5[Used,[hst[Name[of[transporter[oflasbestos[dontaining❑ wastefflnateri al ftom[temporary 18torage[[bcati on/t ransf erStati on[fb[h nal Cdi sposal[9i te:❑ JOB[ROLLOFF ❑ POB16037 Name10f(Transporter❑ Address❑ CHELSEA ❑MA ❑ 02150 ❑5082245500 City/Town❑ State[I Zip[Code❑ Telephone❑ ❑ Note:IContractormiustD sign[this[formtfor1DLsqRevi sad:[11/13/2013❑ Page[3lbf A Commonwealth of Massachusetts 100220158 w Asbestos Notification Form ANF-001 Asbestos Project# [ Project Revision [ E Project Cancellation i ivu i wa uui upui Nuscsuu C.[Asbestos[Transportation[&[Disposal:[pcont.)❑ 3.[Nameland[addresslof[tiamporary[Storage[Ibcation/transfer[Station[flor[the[�?sbestos[dontai ni ng[vvaste❑ material:❑ ASBESTOSIMAN[REMOVAL[CO ❑ 25[ADAMS[ST. Temporary[Storage[Location[Name❑ Address[] BRAINTREEIM ❑MA ❑ 02184 ❑5082245500 City/Town❑ State❑ Zip[Code❑ Telephone❑ 4.[NameFMddbc ati on[of I i nal[di sposal[i te[(0sbestos[L1andf i 11):❑ TURNKEY[gANDFILL ❑WASTE[MGT. Final[Disposal[Site[Name❑ Finai[Disposal[Site[OwnertName❑ 901ROCHESTER[NECKIRD ❑ Address❑ ROCHESIER ❑W ❑ 03839 ❑6033390039 City/Town❑ State[] Zip[Code❑ Telephone[] D.CCertifi cation❑ El "I[Certify[thatInave[personally❑ examined[the[floregoing land[am❑ PAUL[1LACQUA ❑ PAUL[ILACQUA ❑ familiar[With[the[ihformation❑ Name[] Authorized[Signature❑ contained In[this[document[and❑ PRESDENT 5/9/2015 all[attachments land[that,[based❑ le❑ MMDD/YYYY)❑ on[my Ghquiry Uof[those 0 5082245500 AMRICO individualslirnmediately❑ responsible[forlobtaining[the❑ Telephone❑ Representing❑ information,Ct[believelthat[the❑ 929[STATE[RD PLYMOUTH information[is[brue,[accurate,[and Address❑ City/Town❑ complete.3ra-m[awareMat[there❑ MA 02360 are significant[penalties[for❑ submitting 1alse[information,0 State❑ Zip[Code❑ including[possible[fines land❑ imprisonment.LTheCundersigned0 hereby states 1hat ELM ave[read[the Commonwealth[bf❑ Massachusetts negulations❑ govern ing[asbestos Labatement❑ (453[CMR[6.00[promulgated[by❑ the[lDepartment[bf[Labor❑ Standards[and1310LCMR9.15❑ prom ulgated[by[the lDepartment❑ of[EnvironmentaI ElProtection),❑ and[thatIlamlaware[that[ihis❑ permitFappIication[br[aotification❑ shall chi ot[bel-deemedLvalid❑ unless[payment[of[the❑ applicable See d8ir7nade."❑ Rev sed:111/13/2013❑ PageArof A No. C-11)c t .a /0 0 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for 0i.5poal *p6tem Cow5trUCtion Vermtt Application for a Permit to Construct(`)- Repair(y�Upgrade( ) Abandon( ) 0 C plete System ❑Individual Components Location Address or Lot No. �e{O 1<�%elWeD 1`9"7'6 Owner's Name,Ad ress,pd Tel.No. f,�y�hn�S ,parr c%G1n �Ylarc � O Assessor's Map/Parcel _97 D, dox G 9" MAW 5 A014 S4Lli�� Installer's Name,Address,and Tel.No. tOS-280-7-P 2 Designer's Name,Address and Tel.No.j-oS-4`77-5-YI, Type of Building: Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ire X& / -ao /,,/ `PZ-Ze rywk d,a, 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. Sig Date Application Approved b Date " Application Disapproved by: Date for the following reasons - Permit No. Date Issued cam" 0 J� 4 No l p o . eyy*,,,k+" Fee. THE_.GIOMMONWEALTH OF MASSACHUSETTS Entered in computer: - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zpplicatton for �Digo$al *p5tem CottgtrUction 3permit Application for a Permit to Construct yam• Repair(4-1'Upgrade( ) Abandon( ) 0'Complete System ❑Individual Components Location Address or Lot No.-/{O 4,9"y e Owner's Name,Ad#ess,jand Tel.No. Parr Assessor's Map/Parcel _ 97 /`Q de x 6 frp IW r 5 roos ✓"i Installer's Name,Address,and TeNNo..ra- Designer's Name,Address and Tel.No. S'77-''3/3 Jas�P� v- /3�rra.s "" EHyl��trlHq wor/c R/�"' ��, �r� r�rS' O`!S ���3' /°,� G!/,. Gv'a�s Fi e/��a!Fvr/,s r�/ ,H✓rs�, Type of Building: Dwelling No.of Bedrooms Y Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) a Other Fixtures Design Flow(min.required) god Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) jo.Sro�� a V oc* J- a u i.. W17/ Date last inspected: l 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. Sig,ed'm� a.. �'< ul�_ Date i Application Approved b _ Date Application Disapproved by: , 'Date for the following reasons Permit No. ' ate' Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (L ) Repaired (� Upgraded ( ) Abandoned( )by ,/05e10`i at �_�cr/po�A Lr��! f�y,�yy/y.'s l�yJ j� has been constructed.in accordance f Z with the provisions of Title 5 and the for Disposal System Construction Permit No. � � dated .Installer V,05-e4 Z24 /..�ikteea s- Designer 4;y,916v-0 ee,/A� 461al-l<-s #bedrooms Approve.d_de,,ign flow �;�^,7/7 0 gpd The issuance of this permit shall not be construed a{sya guarantee that the sy em will f\otiLas'des3ired. Date c �j ®CS I fspecfor 1 _ - --5------------ Fee ----- No. / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS ig o!gaY *pgtent COngtrUcti01l permit Permission is hereby granted to Construct (I-- Repair (A—)- Upgrade ( ) Abandon ( ) System located at 'i/0 Zkrh� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions'. Provided: Construction must be completed within three years of the date flfflp Date s- / I9 l0 e Approved b I � � Town of Barnstable Regulatory Services Thomas F. Geiler,Director s Public Health Division ►'� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 t Office: 508-862-4644 Fax: 508-790-6304 Date: 2Z Q Sewage Permit# 2 00,?r,?o/ Assessor's Map/Parcel Installer&Designer Certification Form f c+•�r-T' M c.�rH•te ��. � Designer: ;�� e.e r;n e, W yr k I Installer: �j `S -�, C Address: 12 VJ • Cro s s�•.e LC U" Address: S\ �Z4 On S'/f-o S �,0 J C �L was issued a permit to install a (date) (installer) septic system at wccok La � apt Yk rbbased on a design drawn by (address) ``nn 1"ILK 4fe f? dated 3) :Z (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 distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. s; 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 re f any component of the septic system)but in accordance with State&Local 0tio revision or certified as-built by designer to follow. Stripout(if requ' d the soils were found satisfactory. y� o PETER T. ' :z McENTEE CIVIL No. 35109 stab er's Signature) A90FF S10NA (Designer's Signature) (Affix Designer's 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 formsWesignercertification form.doc t ` LEGEND ' Jrllillnon5 m Harrin9tan gg PROPOSED CONTOUR Pond ul Wy 98 PROPOSED SPOT GRADE LOCUS D Redwood Ln a , ---- - EXISTING CONTOUR -c x 96.52 EXISTING SPOT GRADE Craigole 6 Smith Street V%1--- EXISTING WATER SERVICE �OOh e � $( ,H.W. OVERHEAD WIRES °oa aae�P, o� Z TEST PIT 5 9 1$1, BENCHMARK 0 �$ _ Sal 5.00, o LOCUS MAP N.T.S. TP O -E16 s_'_ gC)11 '� I EXISTING CESSPOOLS GENERAL NOTES: 0 L W 9g: x� p �T�j t TO BE REMOVED 1 ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL TP-1 I-�L 1_j `! j E (See Note 11) BOARD OF HEALTH AND THE DESIGN ENGINEER. r N �r� " L �i t t 1,1. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ^, �"� t { 1 �oI 1r�it 1� t a j �� �0 -` �j ,r' tal IQ1�t I, ,j OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE tI o (p ` !'70 t ! f t N ! LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 1 tiltt, T, N -310 CMR 15.405 1 b BENCHMARK: 1F ` - r�1—T '—T 1 c x >: i 1 1) A 7' variance, S.A.S. to cellar wall, for a 13' setback. RIGHT CORNER OF 5TEP 1� x 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ELEVATION = 100.00' ,� �"'-1 Q' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE (ASSUMED DATUM) ` _ , J DESIGN ENGINEER. O O O 1z j 11 4, THERE ARE NO WELLS LOCATED WITHIN 150' OF THE PROPOSED S.A.S. gg 49 M w y w �� o 5. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING f- _ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 99.30 ENGINEER BEFORECONSTRUCTION CONTINUES. 6. ALL ELEVATIONS BASED ON ASSUMED DATUM. 7. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. _..w . ..w. .. 8. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 7a _ 9. ALL AREAS .DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. i1 N t�lP SEWER OUTLET , 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE t S •� INV.=97.49 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING •C� -4' CONSTRUCTION. _ _ 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS APN 288-8 / fi IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. 7,402±5F AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 12. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED BURIED �'^yam 6� 9yh2 SEPTIC SYSTEM COMPONENTS THAT MAY EXIST ON THE PROPERTY. 13. SUBJECT SITE DOES NOT LIE WITHIN A STATE REGULATED ZONE II. � . OWNER OF RECORD FLOOD PLAIN DESIGNATION D�0 q61.� J Lena Machado Community-Panel No. 250001 0006 D ~ ©F OAS' 40 Redwood Lane Map Revised: July 2, 1992 OD P~�� sy Hyannisport, MA Zone "C" „ �� o PETER T. �-�.. � McENTEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN F S cn CIVIL No. 40 REDWOOD LANE, HYANNISPORT, MA ° 661- �� Prepared for: John Machado, P.O. Box 680, Marstons Mills, MA 02648 3 S / NAB ' Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works HOOD SURVEY GROUP 1"=20' P.T.M. 11 4-07 6� 12 West Crossfield Road 18 Route 6A SHEET NO. Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED 1 (508) 477-5313 (503) 888-1090 3/8/07 P.T.M. 1 Of 2 ya S _}D "gOX NOTE: TO PREVENT BREAKOUT, THE PROPOSED INSTALL RISER WITH COVER AND SET FINISH GRADE SHALL NOT BE < EL:95.6 PROPOSED TANK TOWITHIN•6" OF FINISH GRADE FOR A DISTANCE OF 1 5' AROUND THE TOP OF INSTALL RISERS WITH COVERS OVER INLET PERIMETER OF THE S.A.S. & OUTLET TO WITHIN 6" OF FINISH GRADE FOUNDATION EL.99.5t F.G. EL: 99.5t F.G. EL.: 99.6t (EXISTING) 36 MAX. COVER OVER S.A.S. MAINTAIN 2% MIN SLOPE OVER LEACHING AREA p. ,. b �. L 12 L = 9'(MAX) INSPECTION RISER PIPE " 4" SCH 40 PVC SCH 40 PVC 4" SCH 4o PVC VI7NV.=97.:25 10" 14" ® S= 1% (MIN.) 6 ® S= 1% (MIN.) $" TO 48" LIQUID INVERT _ LEVEL INV.=97.00 PROPOSED = GAS INV.=96.27BAFFLE 1?—BOX 5 ROWS OF 5 UNITS AT 4'/UNIT + 2'(END CAPS)= 22.00' MODIFIED PLUMBIN INV.=96.57 INV.=96.40 TIE IN TO EXISTING 4" SPEED LEVELERS) SOIL ABSORPTION SYSTEM (PROFILE C.I. SEWER OUTLET PROPOSED 1500 GALLON SEPTIC TANK(H-10) j; ESTABLISH VEGETATIVE COVER N.rs. INV.=97.49 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING 1, BACKFILL WITH CLEAN SAND PIPE INVERTS PRIOR TO CONSTRUCTION. r (NATIVE OR PERC SAND) 2) SEPTIC TANK AND D—BOX SHALL BE SET LEVEL -' AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN TOP OF CHAMBER EL.=96.6 310 CMR 15.221(2). 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 9 ' INV.ELEV,=96.27 —� BREAKOUT EL.=95.6 4) GAS BAFFLE TO BE INSTALLED ON OUTLET-TEE I _ BOTTOM ELEV.=95.60 AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. I I II IIIII�IIIII�II� EXISTING SUITABLE _ F 2.8' � MATERIAL 5' MIN. ABOVE BOTTOM OF 6-4 POLYSEAL OUTLETS r EFFECTIVE WIDTH=16.8' 21 SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W. 1-4" POLYSEAL INLETS USE 6 ROWS OF 5—QUICK4 STANDARD INFILTRATOR CHAMBERS 2" 2° BOTTOM OF TP, EL.=88.1 WITH NO SEPARATION BETWEEN EACH ROW & NO STONE ' N.T.S. ti TYPICAL SECTION N O O to oj LO DESIGN CRITERIA 06 i, 4 BEDROOMS I .NUMBER Of BEDROOMS: N To View / ,� SOIL LOG SOIL TEXTURAL CLASS: CLASS I P Section , D—BOX % / DATE: I FEBRUARY 27, 2007 (P-11638) DESIGN PERCOLATION RATE: <5 MIN/IN No. 40 i�/I� I/2 STY. // SOIL EVALUATOR: PETER T. MCENTEE P.E. DAILY FLOW: 440 G.P.D. 16" , WITNESS: ,: DON DESMARAIS—HEALTH AGENT DESIGN FLOW: 440 G.P.D. i VD. FRM. /� TP ,- I Depth Elev. TP—2 De th GARBAGE GRINDER: NO 0 p p TO.F: 1�.18' / Elev. �_ —� PROPOSED SEPTIC TANK: 1500 GAL. CAPACITY 99.6 A LOAMY SAND U" 99'6 A LOAMY SAND O SIDE VIE LEACHING AREA REQUIRED: (440) = 594.6 S.F. W "°E/� 10YR 3/3 10YR 3/3 99.1 e 6" 99.1 e 6„ .74 INSPECTION PO N7 30,E M SANDY LOAM SANDY LOAM USE 6 ROWS •OF 5—QUICK4 STANDARD CHAMBER UNITS WITH NO 52" ;' �� 10YR 5/4 10YR 5/4 STONE FOR AN S.A.S. HAVING THE DIMENSIONS: 19S x 22.0'. TOP vl �A, t BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR) 8" INVERT O'/ 32" 96.6 36" 4$" END CAP �/\\ �\ Cn C 5 UNITS + 2 END CAPS PER ROW.= 22.0 FT EFFECTIVE LENGTH) P/N: 04STDE � ,Q \ \ - �! 6 ROWS x 22.0' x 4.72 SF/LF = 623.04 SF / \ �\ ® ® END VIEW /\ y \ \ /\ 52" � � DESIGN FLOW .PROVIDED: 0.74 623.04 S.F.. = 461.05 G.P.D. \ /. \ ( ) i \S MULTIPORT END CAP � �' , C , \. • PERC y \ \VM\ E Y/\'9�¢ /\O Y� SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS ` \\j\ \�\Y 1 64" SIZE (W x L x H)........ ::....34"x48"x 12" \� �� \\/ •� M-C:SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN _ 00 EFFECTIVE LEACHING AREA a C \ \ / \� iv \ y 2.5Yi6/4 2.5Y 6/4 BED.. ..,. ..... PER CODE \/ TRENCH .... PER CODE 10%GRAVEL 10% GRAVEL 40 REDWOOD LANE HYANN ISPORT MA 34 INVERT ELEVATION....... .............8" Prepared for: John Machado, P.O. Box 6$0,, Marstons Mills, MA 02648 FRONT VIEW STORAGE CAPACITY PER UNIT..........___44.4 GAL Engineering by: Surveying by: SCALE DRAWN JOB. NO. QUICK 4 STANDARD INFILTRATOR CHAMBER 88.188.1 138" EngineeringWorks HOOD SURVEY GROUP N.T.S. P.T.M. 114-07 /� NO GROUNDWATER OBSERVED 12 West Crossfield Rood 18 Route 6A INFILTRATOR CHAMBERS S.A.S. LAYOUT PERC RATE <2 MIN/IN.("C" HORIZON) Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. N.T.S. ) (508) 477-5313 (508) 888-1090 3/8/07 P.T.M. 2 of 2 LEGEND SImmon5 m Narsin9ton gg PROPOSED CONTOUR ul wy Pond '^ 98 PROPOSED SPOT GRADE LOCUS EXISTING CONTOUR Redwood Ln x 96.52 EXISTING SPOT GRADE Craigville 6 Smith Street W-- EXISTING WATER SERVICE °Oh ( e H.W. OVERHEAD WIRES �o°o � aae�p° wo° z TEST PIT J z 40 MIL POLY LINER BENCHMARK O _ SET BETWEEN EL. 97. AND 95.0 g6 2$r :., Q Z f �° 85;`00"—�.^'" ' LOCUS MAP N.T.S. O W i`f r- TP-2 GENERAL NOTES: EXISTING CESSPOOLS Q r€ f W 9g;�6` ca �T � !TO t TO BE REMOVED 1. �C� + ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL (V } y -- TP 1I�+7L 1 1tJ" (See Note 11) BOARD OF HEALTH AND THE DESIGN ENGINEER. N m -'�. g �-�pl_j�� !� 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE. REQUIREMENTS u�1! �� vayt r� ! ICL� 'Q►�! 1. t OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE t aop � J N �? k' LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: x_ Y 2 9q I ! ! T !_T ! ! -310 CMR 15.405(1)(b): BENCHMARK: r_ __ gg2 1 ;1-I ! f 1 1) A 7' variance, S.A.S. to cellar wall, for o 13' setback. RIGHT CORNER OF STEP j -' x 3_ THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ELEVATION = I OO.00' r 1 �`10' i TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE (ASSUMED DATUM) i f DESIGN ENGINEER. OO I / 1t 4. THERE ARE NO WELLS LOCATED WITHIN 150' OF THE PROPOSED S.A.S. �2' 5. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING " W 98 49�x >, � _O ! 1 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN •p ,.. ! ENGINEER BEFORE CONSTRUCTION CONTINUES. - .�._., N Q i 99.30 Q1 6. ALL ELEVATIONS BASED ON ASSUMED DATUM. 0 is 0 CD o �� "` •..,, - gay ,`,J �� # 7. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ` C� N THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF --►U � � -�--•. _ p l HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 8. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SEWER OUTLET O 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 1 Ns •� INV.=97.49 ' THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ^� (� CONSTRUCTION. ' . 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS APN 288-8 / y.* IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. �coCo 7,402t5F AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3)_ 12. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED BURIED SEPTIC SYSTEM COMPONENTS THAT MAY EXIST ON THE PROPERTY. -9_.._ 13. SUBJECT SITE DOES NOT LIE WITHIN A STATE REGULATED ZONE II. " \ � `y OF Mgss9r OWNER OF RECORD FLOOD PLAIN DESIGNATION �o O � c PETER T. yG� Lena Machado Cornrrr 40 Redwood Lane Ma Revised: Julunity-Panel No. 250001 0006 D 2, 1992 O g McENTEE n Y D � - CIVIL "' Hyannisport, MA Zone "C" r,� ' '' .FcS1,% � PROPOSED SEPTIC SYSTEM UPGRADE PLAN ash F AI. ` 40 REDWOOD LANE, HYANNISPORT, MA Prepared for: John Machado, P.O. Box 680, Marstons Mills, MA 02648 Engineering by: Surveying by: SCALE, DRAWN,, JOB. NO., Engineering Worb HOOD SURVEY GROUP 1"-20' P.T.M. 11 4-07 PLAN REVISION - 5/19/08 0 12 West Crossfie Road 18 Route 6A DATE CHECKED SHEET NO. Forestdale, MA 2644 Sandwich, MA 02563 1.(ADD POLY LINER (508) 477-5313 (508) 888-1090 3/8/07 P.T.M. 1 of 2 } . � NOTE: TO PREVENT BREAKOUT, THE PROPOSED PROPOSED TANK INSTALL RISER WITH COVER AND SET FINISH GRADE SHALL NOT BE < EL:95.6 INSTALL RISERS WITH COVERS OVER INLET TO WITHIN 6" OF FINISH GRADE FOR A DISTANCE OF 15' AROUND THE TOP OF PERIMETER OF THE S.A.S. & OUTLET TO WITHIN 6" OF FINISH GRADE FOUNDATION EL.99.5t F.G. EL: 99.5t ' F.G. EL.: 99.6t (EXISTING) a % 36 MAX. COVER OVER S.A.S. MAINTAIN 2% MIN SLOPE OVER LEACHING AREA a s. t L — 12 INSPECTION RISER PIPE ,. L = 7' i L 9' MAX 4 SCH 40 PVC 4" SCH 40 PVC 4" SCH 40 PVC ;o. ® S= 2% (MIN.) 10" j4I ® S= 1% MIN.) 8" TO ® 10 � - 14" ® S= 1% (MIN.) ' 48" LIQUID INVERT LEVEL INV.=97.00 �:.:°.:.:.a.;...:. GAS INV.=97.25 BAFFLE INV.=96.27 6 ROWS OF 5 UNITS AT 4'/UNIT + 2'(END CAPS)= 22.00' MODIFIED PLUMBING INV.=96.57 1 INV.=96.40 TIE IN TO EXISTING 4" (USE SPEED (LEVELERS) SOIL ABSORPTION SYSTEM (PROFILE) C.I. SEWER OUTLET PROPOSED 1500 GALLON SEPTIC TANK(H-10) 4 N.T ESTABLISH VEGETATIVE COVER INV.=97.49 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING f BACKFILL WITH CLEAN SAND PIPE INVERTS PRIOR TO CONSTRUCTION. (NATIVE OR PERC SAND) 2) SEPTIC TANK AND D—BOX SHALL BE SET LEVEL;, AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN TOP OF CHAMBER EL=96.6 310 CMR 15.221(2). " 3) INSTALL INLET & OUTLET TEES AS REQUIRED. INV:ELEV.=96.27 BREAKOUT EL.=95.6 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEf BOTTOM ELEV.=95.60 AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. I I III�IIIIIf�lllll�ll�--EXISTING SUITABLE �—, MATERIAL 1 5' MIN. ABOVE BOTTOM OF 21„ 6-4" POLYSEAL OUTLETS r EFFECTIVE WIDTH=16.8' SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W. 1-4" POLYSEAL INLETS USE 6 ROWS OF 5—QUICK4 STANDARD INFILTRATOR CHAMBERS 2" 2° BOTTOM OF TP, EL.=88.1 WITH NO SEPARATION BETWEEN EACH ROW & NO STONE N.T.S. - TYPICAL SECTION N 0 0 LO o , DESIGN CRITERIA ICI I SOIL LOG NUMBER OF BEDROOMS: 4 BEDROOMS cv Top View Section SOIL TEXTURAL CLASS: CLASS I D-BOX /' / �j /f DATE: I' FEBP,UARY 27, 2007 (P-1 1 63F3) DESIGN PERCOLATION RATE: <5 MIN/IN - f� �No. 4O, � � SOIL EVALUATOR: PETER T. MCEPJTEE P.E. DAILY FLOW: 440 G.P.D.' 1 1/2 51Y. , 16" i I � ' WITNESS:,;( DON DESMARAIS-HEALTH AGENT DESIGN FLOW: 440 G.P.D. /WD. FW. ; � I TP—2 GARBAGE GRINDER: NO p p jT.O.F: =�100.1$'%� Elev. TP',. Depth Elev. Depth PROPOSED SEPTIC TANK: 1500 GAL. CAPACITY / A LOAMY SAND O' 99.6 A LOAMY SAND O o " SIDE VIEW `"I/ 10YR 3/3 10YR 3/3 LEACHING AREA REQUIRED: (440) = 594.6 S.F. + / ^ 99.1 (3 6" 99.1 B 6" .74 `3�7• M f USE 6 ROWS OF 5—QUICK4 STANDARD CHAMBER UNITS WITH NO INSPECTION PO SANDY LOAM SANDY LOAM 52.. cc v' 10YR 5/4 10YR 5/4 STONE FOR AN SAS. HAVING THE DIMENSIONS: 19.3' x 22.0'. TOP VIEW am� g > > e'wwERT p�,��\ - t, BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR) 48" E D CAP �` � 96.9 C 32" 96.6 36" 5 UNITS + 2 END CAPS PER ROW = 22.0 FT (EFFECTIVE LENGTH) P�N: Q4STDE /�^Y> ,`�y�\^\ 0) �, C 6 ROWS x 22.0' x 4.72 SF/LF = 623.04 SF N VI W (X! ^ �t MULTIPORT END CAP ���¢ �`� I; PERC DESIGN FLOW PROVIDED: 0.74(623.04 S.F.) 461.05 G.P.D. SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS v�`j � /� l 64" SIZE (11 x L x H).....:......................34"x 48" x 12" \` �� �\� Y V I., N EFFECTIVE LEACHING AREA: - may/ �� 2.Y6/4D 2,5Y 6/4D PROPOSED SEPTIC SYSTEM UPGRADE -PLAN BED.......................................................PER CODE TRENCH..............................................PER CODE 10`/o GRAVEL 10% GRAVEL 40 REDWOOD LANE HYANNISPORT MA 34 INVERT ELEVATION..................................................8 ' Prepared for: John Machado, P.O. Box 680, Morstons Mills, MA 02648 FRONT VIEW STORAGE CAPACITY PER UNIT....................44.4 GAL I Engineering by: Surveying by: SCALE DRAWN JOB. NO. QUICK 4 STANDARD INFILTRATOR CHAMBER 88.1 138" 88.1 1 1 138" EngineeringWorks HOOD SURVEY GROUP N.T.S. P.T:M. 114-07 INFILTRATOR CHAMBERS S.A.S. LAYOUT N0 GROUNDWATER OBSERVED 12 West Crossfield Rood 18 Route 6A PERC RATE <2 MIN/IN.("C" HORIZON) Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. N.T.S. _- I ._ (508) 477-5313 (508) 888-1090 3/8/07 P.T.M. 2 of 2 # ------