Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0084 SAINT FRANCIS CIRCLE - Health
84 ST. FRANCIS CIRCLE, HYANNIS A= i I s TOWN OF BARNSTABLE' � c$'/�. LOCATION ��/ S'd J��L�'�:e�,� �I�✓3 SEWAGE # �✓�� 2 rs VILLAGE fTc� v ASSESSOR'S MAP &LOT �U.J�J INSTALLER'S NAME&PHONE`NO. SEPTIC TANK CAPACITY LEACHING FACILITY:,(type) k -J (siz,42 d ,�- NO.OFV3EDROOMS BUILDER OR OWNER PERmrr,BATE: 6-6 COMPLIANCE DATE:t/ Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility %cx Feet --Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ft- Edge of Wetland and Leaching Facility(If any wetlands exist ti within 300 feet of leaching facility) cx a `1' Feet Furnished by v. .i '`� � � >> �� �� 1 .� � _.. • � t a 1+ ' a ' '� 1 N 6� _ { � � M � �' �� �� o,/� A;. f 1 �� I � `"�- �' �.� �� ' �� � ; :. �ep� 1IaD 1 v Town of Barnstable P#, ° Department of Regulatory Services BAANB'1•AnLE. _ Public Health Division Date 'est,• .� 200 Main Street,Xlyannis MA 02601 • Z : 06 Fee Pd. d �b Date Scheduled O Time , Soil Suitability Assessment for Sewage Disposal Performed By: 1 D 1�>_1 �LCVA\� � Witnessed By: 1/b 1� 1 /�c-S Y`n�Q R.A I S i i 11!!9 L4 I r Owners Name Location Address 5 4 S A� �Rba c.x 1A�I/aQa11 t���P lc-- Address 3o7_ Engineer's Name G��S-`-A� ff%-I-r� Assessor's Map/Parcel: Telephone N O$ �y`� j NEW CONSTRUCTION x REPAIR p �� p ��� Surface Stones d Land Use I Slopes(%) "l 0 It Possible Wet Area Job ft Drinking Water Well J�ft Distances from' Open Water Body k Q ft Other ft Drainage Way U Q ft Property Line �— SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to boles) UTILt-ry a ,b ' It t be 0 6 LcrT Parent material(geologic) 41 it Depth to Bedrock 6 Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face )A1'Ytc Estimated Seasonal High Groundwater OD _4 1 l9 — allIiL � N Method Used: in Depth to soil mottles: 10 Depth Observed st ding in obs.hole: in. Groundwater Adjustment ft. II 'i' Depth to weeping from side of obs.hole: Adj.Groundwater Level Index Well N AV ti1U Reading Date: 2� Index Well level__ __ Adj.factor VI �l �ON s �II ' Observation �, Z Time at 9" Hole M - b • a Time at 6" • Depth of Pere .. --lg�— Q ;U U U p y Time(9'-6'1 Start Pre-soak Time Q ' _111RA__► . � 1� o wAY End Pre-soak G Z 2 YY-\% Rate Min./Inch _Site Failed: Additional Testing Needed(YIN) Site Suitability Assessment: Site Passed���.tA����'�A p — 1�j original: Publid Health Division Observation Hole Data To Be Completed on Back El"i "oil mill Depth from Soil-Horizon Soil Texture Soi Co or Soil ; Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistenc %Gravel Z., �.pptV�,� SA�►h �b � `� �- '�� J, I I! Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,% ravel Low 3b-`I2 e 1 00Y( AUYDlilt 7from 7�i1 I '� v 4 ,;; Si�fiUNI .i �� N �!il AX i reF•AI, �i � �ih4A'PSoil Horizon Soil Texture Soil Color Soil Other ) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency.%Gravel i . • J f I �'���14 J I rip yn �,i� �u! •�1 •.r,• A 1 1 Sod a—ME Depth from Soil Horizon Sod Texture Soil Color Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) Mottling Consistency,%Gravel) Flood Insurance Rate Map: Above 500 year.floodboundary No Yes Within 500 year boundary' No k Yes ` Within I oo year flood boundary No X Yes Depth of Natur0Y Occurrinrr Pervious Motel-ial. Does at least four feet"of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? if not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)Z havepassed the soil evaluator examination approved by the. Department o tivironmental Prot tion at a above analysis was performed by me consistent with the required tra g,exp ise and xperi n esc ibed in 310 CMR 15.017. Signature Date CO�i�10\1iE�,I.TH OF M.�,SSACHLSETTS EXECUTIVE OFFICE OF E:�'VIRON:1iEN TAI AFF.AIP.S F DEPARTMENT OF ENVIRONMENTAL PROTECTION 4a ONE XVINTER STREET. BOSTON IKA 0210c 1617, 292-550k, J-, TRL DY COL Secre:a-^% ARGEO PALL CELLUCCI DAVID B STP.-'HS Governor Corrunissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION PropertyAddress:84 St.. Francis Circle Nameofowner Dave Geder Vannis AddressofOwner: pC) Rnx 234 . Pjxhiiry �JA Date of Inspection: 4.2 6 - eJ`-d Name of Inspector: ease Prirrt)WM. E. Robinson Sr. 1 am a DEP approved system inspector rsuant to Section 15.340 of Title 5(310 CMR 15.000) cornpanyName: Wm• E . Robinson Septic Service Marling Address: PO Box 0 9. Centerville .--MA Telephone Number: '7 7 — 7 7 0 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: e Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Gv k, Date: , �,s_�--o The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (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 Department of Environmental Protection. The original should be sent to"re system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS - JUL 2 ¢� 1 2040 -• Tow;�o;.s,F�sr• de P revised 9/2/98 page Ioril l i• ^!ed on Recvclyd Pane, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) "roperty Address: 84 St'. Francis Circle , Hyannis Owner: Dave Ged.er Date of inspection: INSPECTION SUMMARY: Check 1A,/B, C, o/ D: A. SYS PASSES: 1 have not found any information which indicates that'any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SY TEM CONDITIONALLY PASSES: ne'or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon mpletion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes no, or not determined(Y. N, or ND). Describe basis of determination in all instances. If "not determined', explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipets) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Icontinued) Property Address: 84 St . Francis Circle , Hyannis Owner: Dave Geder . Date of Inspection: ��a,s-0-6 C. RTHER 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 the ublic health, safety and the environment. 1) YSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a tone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 5/2/58 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 84 St . Francis Circle , Hyannis Owner: Dave Geder Date of Inspection: D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes o Backup of sewage into facility-or system component due to an 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. 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for ,coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LAR E SYSTEM FAILS: You must dicate either "Yes" or "No" to each of the following: e following criteria apply to large systems in addition to the criteria above: T e system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public h alth and safety and the environment because one or more of the following conditions exist: Yes o 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 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of t e Department for further information. revised 9j2/98 PaRc4ofII . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART B CHECKLIST Property Address.84 St . Francis Circle , Hyannis Owrw: Dave Ged.er Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes i No Pumping information was provided by the owner,occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with NIA. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. ✓ _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. / The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (1.5.302(3)(b)] _ The facility owner (and occupants,if differeru from owner) were provided with information on the proper maintenaar."f SubSurface Disposal Systems. re— sed 9/2/98 Page SofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Irop"Address: 84 St . Francis C ircle , Hyannis Own": Dave Ged.er Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:�s a g.p.d./bedroom. Number of bedrooms(design): Number of bedrooms (actual):.3 Total DESIGN flow 1- U Number of current residents: Garbage grinder(yes or no):_,d:,.Q Laundry(separate system) (yes or no)to; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use (yes or no):A.-O Water meter readings, if available (last two year's usage(gpd): 1999 29, 250 aal. Sump Pump(yes or no):X/0 1998 12, 000 gal. Last date of occupancy: 2- COhfl ERCIAL/INDUSTRIAL: Type establishment: Design low: clod 1 Based on 15.203) Basis of esign flow Grease t p present: lyes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sani ary waste discharged to the Title 5 system: lyes or no)_ Water m ter readings, if available: Last dat of occupancy: OTHE (Describe) Last a of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no)_,d,,Q If yes, volume pumped: gallons Reason for pumping: TY"SYSTEM G/ 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed(if known) and source of information: 15�-Z;L Sewage odors detected when arriving at the site: (yes or no)/L D revised G/2/9. Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) property address: 84 S t . Francis Circle , Hyannis Owner: Dave Ged.er Date of Inspection: BUILDING SEWER: IL( atk on site plan) Depth elow grade:_ Materi of construction:_cast iron_40 PVC_other(explain) Distan a from private water supply well or suction line Diam er Com ents: (condition of joints, venting, evidence of leakage,etc.) SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: "Concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions: & k Sludge depth: 0 , Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0 Distance from top of scum to top of outlet tee or baffle: , Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: 'omments: Irecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) �� l:liter i S As i_ r GR E TRAP: (locate n site plan) Depth be] w grade:_ Material o construction:_concrete_metal_Fiberglass _Polyethylene_otherlexplain) Dimension Scum thic ness: Distance f om top of scum to top of outlet tee or baffle: Distance om bottom of scum to bottom of outlet tee or baffle: Date of I st pumping: Comme s: (recomm ndation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence f leakage,etc.) r revised 9/2/98 Page 7oril SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Icontinued) 'roperty Address: 84 St . Francis Circle , Hyannis Owner: Dave Ged,er Date of Inspection: Tl OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (looat on site plan) Depth elow grade:_ Materi of construction:_concrete_metal_Fiberglass_Polyethylene_otherlexplain) Dimensi ns: Capacit gallons Design ow: gallonslday Alarm p esent Alarm I vel: Alarm in working order: Yes_ No_ Date o previous pumping: Com ents: (condi ion of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:v J (locate on site plan) Depth of liquid level above outlet invert: V Comments: Incite if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc,) PUMP CHAMBER: ^� (locate on site plan) Pumps in working order: (Yes or No)-Z!9-j Alarms in working order(Yes or No) k/&-S Comments: o2.s• /� (note condition of pump chamber, condition of pumps and appurtenances,etc.) _ G'3��� y� `r V t revises 5/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continudd) 'rop"Address:84 St . Francis Circle , Hyannis Owner: Dave Ged.er Date of Inspection: SOIL ABSORPTION SYSTEM(SAS):_✓ (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits; number:_ leaching chambers, number: leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Altemative system: Name of Technology: Comments: (note condition/of soil, signs of hydraulic failur level of ponding, damp soil, conditions of vegetation, etc.) �6 Eb t A<,K- 1 Z- C- CESSPOOLS:_ (locate on site plan) Number and configuration: 1,� Depth-top of liquid to inlet inve j Depth of solids layer: )epth of scum layer: v Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Tcon f soil, signs of hydraulic failure, level-of, ponding, condition of vegetation, etc.) PRIVY:_ (local or site plan) Material of construction: Depth of solids: Dimensions: Commen s: Inote cc dition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PaRr9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Nap"Address: 84 St . Francis Circle , Hyannis Jwnef: Dave Geder Jate of Inspection: -s C7'G SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' ((LLocate where public water supply comes into house) ` c y. l _ J \j A c ' I 1 b 1 P 5• / L $L .y Y revised Page 10of11 ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) MP"Address:84 St . Francis Circle , Hyannis Owner.- Dave Ged.er Date of Inspection: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow. Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) revised 9/2/96 Page 11 of 11 i Town of Barnstable P# Department of Health,Safety,and Environmental Services I Public� % Health Division Date 367 Main Street,Hyannis MA 02601 'OTFpA1� Date Scheduled Time Fee Pd. a( Soil Suitability Assessment for°Sewage Disposal Performed By:' e _ -:5. r>C Witnessed By: 17 o rlrl pot-Y !y r e-&n t / LOCATION , GENERAL INFORMATION Location Address Owner's Name j Yfi /I,lil(�C� Address 4 sr. �✓i C r.S Assessor's Map/Parcel: Engineer's Name C r,a t 9 �iv. s mr NEW CONSTRUCTION REPAIR g Telephone# Sa Q 3 �g - 83// Land Use 12@.'S ��"+ ti g/ Slopes(%) / ! Surface Stones �� Distances from: Open Water Body o R Possible Wet Area R Drinking Water Well tt Drainage Way R Property Line R Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) sA.." : .�-2•q..JC�s 577 `? i Parent material(geologic) _C a '�% �- _ Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater /Z"A. t 'EF ASb IH E2 IET I l . V 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 R. ` Index Well# Reading Date:.__. Index Well level Adl factor Adj.Groundwater Level III I'ERCOLATIOi TEST Hate>::::.;:. rite Observation Hole# / Time at 9" j o: 7-4; /S Depth of Perc 4z 40 J-4 r r Time at 6" Start Pre-soak Time @ /��/G ca Time(9"-6") < Z ryi End Pre-soak /o: Z :ass Rate Min./Inch 2 "•7 2 4'7, -% /Sse C Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DLLP OBSERVATION;IOL LO; Holy Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,% ravel r yr1 a of r�r•. ,r brae Z`a !ZoYL ¢ t� �'rvcts of c7� /-C & e DIaEF O.B.SER�ATION HOLE LO. Hole Depth from ( Soil Horizon. Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) D) P t�BSERVATI()N IOLE L0. 1 # . .... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. n i tenc %Gravel > TI1 HOLE LCJ�G Hole _. Depth from Soil Horizon ,.Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,Boulderes. Consistency.%Gravel) Flood Insurance Rate Maw Above 500 year flood boundary No_ Yes Within 500 year boundary No— Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least`four feet'of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? /a S If not,what is the depth of naturally occurring pervious material? Certification , I certify that on cA44-r'�f(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date 3 /� CRAIG R. SHORT, P. E. 235 Great Western Road P.O. Box 1044 Telephone(508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS April 7, 2000 NOTIFICATION TO ABUTTERS OF: Applicant: David Geder Certified Mail. P. O. Box 2345 Return Receipt Requested Duxbury, MA 02331-2345 Re: Septic System Upgrade @ 84 St.Francis Circle,Hyannis Dear Abutter, Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for approval. The following variances are requested: Title 5 Regulation and Barnstable Board of Health Regulation Section 15.211 - Reserve S.A.S.New Systems shall include a Reserve S.A.S. Area— No S.A.S. Area Proposed Distance between S.A.S. &Property Line - A 5' Variance Requested Barnstable Board of Health Regulation Chapter 111, Section 31 —Requires All Septic System Components be installed 100' from Wetland. A 20' Variance required for Septic Tank&Pump Chamber The application and plans are available for review at the Barnstable Health Department, 367 Main Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A Tentative hearing date is scheduled for April 24,2000 beginning at 10:30 AM. Please call Barnstable Health Department to confirm(508-790-6265) Sincerely, 7 Craig . Short, P.E. Cc: File Barnstable Board of Health Abutters �tNE DATE: F88: r • l/ i 1ARIVSrABI.B. s REC. BY Town of Barnstable S®. DATE: ©o Board of Health 367 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D: VARIANCE REQUEST FORM LOCATION Property Address: 84 St. Francis Circle, Hyannis Assessor's Map and Parcel Number: 2 91/3 3 Size of Lot: 23,600 S.F. + Wetlands Within 300 Ft. Yes XX Subdivision Name: No Business Name: PROPERTY OWNER'S NAME CONTACT PERSON Name: David Geder Name:—Craig R. Short, P.E. P. 0. Box 2345 P. 0. Box 1044 Address: puxhury, MA 02331-2345 Address: So. Dennis , MA 02660 Phone: 781-248-9325 Phone: 508-398-8311 VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) 15,211 Dist. SAS & P u)p. Line Only 5' . from street ROW line in order to be 100' from Wetland 15,248 Reserve SAS for"New" Cons. No Reserve provided since it would be less than 100' from SAS Barn-Ch. 111 Sec 31 A11 Septic System Components A 20' variance rpquired for Septic Tank installer] 100 tfrom Wetland an Pumn Chambe r Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/lessee only],and variances to repair failed sewage disposal system[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/wP/vARIREQ � # 1 i # 9.. 218 3 13 #114 UO Q ❑ 4 __:�.' _4�8 109 2 � 1 291 AUP 544 ', 4 - ...__ . i W211 - 4� 1 — T�4 o fN4 4 � ' 9 _ N MAP 2,91. PARCEL 3:3 W -AIL E 1.00ft buffer , S: SCALE:1"=100' *NOTE Plminedigtape�api�.aod **N m%paalGeesaeaill9 DATASOUM& 11®Tema(mmmodofedu�wrei�p�eledfmm1995aaridpholo�oplab�►16eJ�s wgelu6m was to end Nafioed of pm"baodaies.1*aye oaf hoe loaAK and IN.SaA ComW Topogn*ad weftm m inl�ofed flan 1989 paid p6eM br �P Aomww ato m is of do not iepnae =d 4*oiips io*"oWm fa m*L ,and wp' 'i wm napped to meet Ndmd Mop A=W SEadadc P=TOO'. oatbemapL atasadeafT'=100'. PlmaiGneswaede,�edfios2000TaaeaFBanna6bAse®dsta:mepe. .1gis)d1\bamWgn\rn291 p33.dgn Mar.30,2000 11:49:30 300 Ft. Abutters List - Map 291 - Parcel 33 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from November 1999 Assessor's database. Mappar Ownerl Owner2 Address City Stat Zip Country 291033 GEDER,DAVID 84 ST FRANCIS CIR HYANNIS MA 02601 USA 291228 KELLY,THOMAS& MOSCUZZA,LYNN A 18 ST FRANCIS CIRCLE HYANNIS MA 02601 USA 291229 JENNEY,JENNIFER WEBB& JENNEY,RICHARD F 114 ST FRANCIS CIR HYANNIS MA 02601 USA - 291231 GEDER,DAVID 84 ST FRANCIS CIR HYANNIS MA 02601 USA 291233 NOLLI;RICHARD A&THERESA& NOLLI,RENO A 17 WESTWOOD RD SHREWSBURY MA 01545 USA 291234 ROBINSON,FRANCES M TRS FRANCES M ROBINSON REV TR 153 MEGAN RD HYANNIS MA 02601 USA 292003010 ST GEORGE,ALBERT L JR& ST GEORGE,ANTONINETTE M 5 UNCLE AL'S WAY HYANNIS MA 02601 USA 292003011 BIGICA,MELODY 136 UNCLE WILLIES HYANNIS MA 02601 USA WAY 292249 DAVID,VALERIE J 98 ELDRIDGE AVE HYANNIS MA 02601 292281 BARKER,THOMAS E&ELAINE K 6 CHURCH STREET BRADFORD MA 01835 USA 292284 OCONNELL,WINIFRED P 137 MEGAN RD HYANNIS MA 02601 USA Thursday,March 30,2000 Page I of CRAIG R. SHORT, P. E. 235 Great Western Road P.O. Box 1044 Telephone(508)398-8311 South Dennis, MA 02660 Fax (508)398-3063 PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS April 7, 2000 NOTIFICATION TO ABUTTERS OF: Applicant: David Geder Certified Mail P. O.Box 2345 Return Receipt Requested Duxbury, MA 02331-2345 Re: Septic System Upgrade @ 84 St Francis Circle,Hyannis Dear Abutter, Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for approval. The following variances are requested: Title 5 Regulation and Barnstable Board of Health Regulation Section 15.211 - Reserve S.A.S.New Systems shall include a Reserve S.A.S. Area— No S.A.S. Area Proposed Distance between S.A.S. &Property Line - A 5' Variance Requested Barnstable Board of Health Regulation Chapter 111, Section 31 —Requires All Septic System Components be installed 100' from Wetland. A 20' Variance required for Septic Tank&Pump Chamber The application and plans are available for review at the Barnstable Health Department, 367 Main Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A Tentative hearing date is scheduled,for April 24,2000 beginning at 10:30 AM. Please call Barnstable Health Department to confirm(508-790-6265) Sincerely, CraigF. Sort, P.E. Cc: File Barnstable Board of Health Abutters i �y�pR'N 7 DATE: FEE: ! BARNErr"LE. 9 iKA88. 659.�A`0�' REC. BY AFC Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 84 S t. Francis Circle, Hyannis Assessor's Map and Parcel Number: 2 91/3 3 Size of Lot: 23,600 S.F. ± Wetlands Within 300 Ft. Yes XX Subdivision Name: No Business Name: PROPERTY OWNER'S NAME CONTACT PERSON Name: David Ceder Name: Craig R. Short, P.E. P. 0. Box 2345 P. 0. Box 1044 Address: Duxbury, MA 02331-2345 Address: So. Dennis , MA 02660 Phone: 781-248-9 32 5 Phone: 508-39 8-8311 VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) 15.211 Dist. SAS & P rop. Line Only 5' from street ROW line in order to be 100' from Wetland 15,248 Reserve SAS for"New" Cons. No Reserve provided since it would be less than 100' from SAS Barn.Ch. 111 Sec 31 All Septic System Components A 90' yarianep rP= ti Pd for Septic Tank inctallarl InO"tfrnm Wetland andl Pump Chamber Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],outside dining variance renewals(same owner/lessee only),and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ 300 Ft. Abutters List - Map 291 - Parcel 33 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from November 1999 Assessor's database. Mappar Ownerl Owner2 Address City Stat Zip Country 291033 GEDER,DAVID 84 ST FRANCIS CIR HYANNIS MA 02601 USA 291228 KELLY,THOMAS& MOSCUZZA,LYNN A 18 ST FRANCIS CIRCLE HYANNIS MA 02601 USA 291229 JENNEY,JENNIFER WEBB& JENNEY,RICHARD F 114 ST FRANCIS CIR HYANNIS MA 02601 USA 291231 GEDER,DAVID 84 ST FRANCIS CIR HYANNIS MA 62601 USA 291233 NOLLI,RICHARD A&THERESA& NOLLI,RENO A 17 WESTWOOD RD SHREWSBURY MA 01545 USA 291234 ROBINSON,FRANCES M TRS FRANCES M ROBINSON REV TR 153 MEGAN RD HYANNIS MA 02601 USA 292003010 ST GEORGE,ALBERT L JR& ST GEORGE,ANTONINETTE M 5 UNCLE AL'S WAY HYANNIS MA 02601 USA 292003011 BIGICA,MELODY 136 UNCLE WILLIES HYANNIS MA 02601 USA WAY 292249 DAVID,VALERIE J 98 ELDRIDGE AVE HYANNIS MA 02601 292281 BARKER,THOMAS E&ELAINE K 6 CHURCH STREET BRADFORD MA 01835 USA 292284 OCONNELL,WINIFRED P 137 MEGAN RD HYANNIS MA 02601 USA Thursday,March 30,2000 Page I of I �FTHET� TOWN OF BARNSTABLE re °, OFFICE OF y9AB39TIM : BOARD OF HEALTH y HAS& �0 1639. \�� 367 MAIN STREET e0 MAY J HYANNIS, MASS. 02601 May 5, 2000 Craig R. Short, P.E. P. O. Box 1044 South Dennis, MA 02660 RE: 84 St. Francis Circle, Hyannis Dear Mr. Short: You are granted variances on behalf of your client, David Geder, to construct an onsite sewage disposal system at 84 St. Francis Circle, Hyannis. The variances granted are as follows: 310 CMR 15.211: To construct a soil absorption system only 5 (five) feet away from the street property line. 310 CMR 15.248: To design a replacement sewage disposal system without providing any area for a future reserve soil absorption system. Part VIII,.SECTION 1.00: The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the submitted plans dated 3/30/2000. These variances are granted with the following conditions: (1) The septic system shall be installed in strict accordance with the submitted plans dated March 30, 2000. (2) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the submitted plans dated 3/30/2000. francis (3) The existing cesspool shall be disconnected and filled with soil. � (4) The property is restricted to three (3) bedrooms maximum. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered as `bedrooms" according to the MA Department of Environmental Protection. These variances were granted because the new replacement septic system will replace a cesspool, which is currently located close to the wetland, and is, in all probability, sitting in the groundwater table. Therefore it is believed that the new replacement septic system will alleviate a source of pollution to the wetland and the groundwater in this area. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable RAM/bcs francis SEND F,-R: COMPLETE THIS SECTION . . ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Df De live item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. i at re ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee 1. Article Addressed to: D. Is delivery address different from item 1? ElYes If YES,enter delivery address below: ❑ No All />0 grov, 2-3 Vs`- �. 3. Seryice Type Certified Mail ❑ Express Mail f � ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. II 4. Restricted Delivery?(Extra Fee) ❑Yes { 2. Article Number(Copy from service label) I ;FS.Fo,rm,3811 July 1999 Domestic Return Receipt 102595-99-M-1789 i( tji�i iH !il i:{ i ii ti iii UNITED STATES POSTAL SERVICE First-CI•ass Mail" Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • li P0116 C21A BMW Town of Bamstable I P.O.Box 534 H.Ymrdg,Massachusetts 02601 fL�,►lf�faffi,lf,E,,,,ilff,,,,f�I,,,f,,,!„f,�ff„t„i„f.�fl � P 339 578 931 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See revers o Sentto 4 _ 7-G(—Street} eN be Z3�� Post ice,State,&ZIP Code Postage �$/� Certified Fee Special Delivery Fee Restricted Delivery Fee LO rn Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is C* Postmark or Date 0 a �2/�� Stick postage stamps to article to cover First-Class postage,certified mg.il fee,srtrf charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return i^ address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO uO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. Cl) 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li 6. Save this receipt and present it if you make an inquiry. n. i oFE r°�ti Town of Barnstable vszne Department of Health, Safety, and Environmental Services 9� 1639n. ,0 Public Health Division ArFDN1°rA P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health David Geder March 2, 2000 P.O.Box 2345 Duxbury, MA 02331-2345 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 84 St. Francis Circle, Hyannis was inspected on March 1, 2000 by a Health inspector for the Town of Barnstable. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Broken septic pipe causing raw sewage to be discharged to the ground. You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis)that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within(5) five days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THOBOARD OF HEALTH Th ean, RS. ,C. . gent of the Board of Health ks q/wpfiles/order/donna I The Town of Barnstable Department of Health Safety and Environmental Service • BaBa9T � Y 3 M116R Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health September 6,2000 Mr.David Geder 27 Bryant Street Wakefield,MA 01880 Dear Mr. Geder: This is a letter about your property located at 84 St.Francis Circle,Hyannis. Once you were notified about the failed septic system you promptly notified Craig Short,a Professional Engineer,to design a septic system for you. The permit was taken out for it's repair and the new septic system was installed and inspected on April 25,2000. The first notice to you was on March 2,2000. After that you were required to come before the board of health for variances at a hearing in April. Once the variances were heard and approved you were allowed to proceed with the repair. Any further questions please call me at(508)862-4644. Thank you for your attention to this matter. Sincerely, o ° IV Donna Z. Miorandi,R Health Inspector s ---: - - TOWN OF BARNSTABLE LOCATIONlol � SEWAGE # .l I' VILLAGE ASSESSOR'S MAP &LOT . INSTALLER'S NAME&PHONE NO. 1 �i•—� p-- SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (Siz"; NO.0M- EDROOMS BUILDER OR OWNER - PERMTTDATE: 6--!;� COMPLIANCE DATE:'/''`s,' � 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist C� within 300 feet of leaching facility) Feet 1:Y Furnished by u � I � a 1 � t i' __ No. � Fee0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pplication for Mi5ponf 6pgtem Con5tructfon Permit n for a Permit to Construct Repair 1 Upgrade Abandon El Complete System El Individual Components Application ( ) P ( ) Pg ( ) ( ) P Y Lo Address or Lot No. Owner's Name,Address and Tel.No. trSt . Francis Circle , Hyannis David Ged.er Assessor'sMap/Parcel P 0 Box 2345, Duxbury , NA Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinspn Septic- Service C R Short P O Box 1089, ' Centerville P O Box 1044, S Dennis- - Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S-.A.S. Description of Soil Nature of Repairs or Alterations(Answer when a plicable)) Title-5 Septic system to the plans of C R Short , 1-863, dated. 3-30-00 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b Bo,d of Health. J Signed Date d� Application Approved by d aetA- Date- 1—.I. n n Application Disapproved for the ollo ng reasons Permit No. ;rag l 7 Date Issued No. lrnnk�0 — a— Fee 450 % THE COMMONWE'ALTH:OF MASSACHUSETTS Entered in computer: Yes a PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Zip pfication for Migool *p!gtem Con!5tructiou Permit X)Upgrade( Abandon 1 Complete System ❑Individual Components Application for a Permit to Construct( )Repair( )Upg ( )Abandon( ) ❑C p y p Loc n Address or Lot No. } - Owner's Name,Address and Tel.No. 9 St. Francis Circle , Hyannis David Geder Assessor'sMap/Parcel P 0. BOX 2345, Duxbury f A Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robins-on Septic Service C R Short P O Box 1089,� Centerville P O Box 1044, S Dennis Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i } Nature of Repairs or Alterations.(Answer when applicable) Title-5 septic System to �-- the plans of C R Short, 1-863, dated 3-30-00 . 6 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance'with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b Bo.d of Health. Signed t I ✓S7`- Date Application Approved by Date 41/1 - On �. Application Disappioved`for the ollo ng reasons S T ' Permit No. c,Jng Date Issued THE COMMONWEALTH OF MASSACHUSETTS Ged.er BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 84 -St. Franc i Q C i rn i p t u�ranniS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ) �_j] dated Installer Wm. E. Robinson S r. Designer � The issuance of this pe s all no a construed as a guarantee that the syste ;11 functio} as gne p Date Inspector- ---------------------------------------/ /J �i2 [ No. � Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Geder PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS xizpozar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( ' Upgrade( )Abandon( ) System located at 84 S t. Francis Circle . , Nara nn i s and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: 0- D4d Approved by �6 .n Eeo S oo» INKS 4 r yy` 4L` •� Ctl � O Cc 3 �'Lvb�T' B grlt•, s � h SOIL TEST BENCHMARK 4' SCHEDULE 40 PVC PIPE Y / 0 20 FT. MINIMUM MIN. PITCH 1 8` PER FT. CLEAN SAND 2' LAYER OF DATE OF SOIL TEST S�✓�/ f /0 TOP OF FOUNDATION ELEV. 10 FT. MINIWUf�i 2' PRESSURE PIPE 30 1f8 TO 1/2 SOIL TEST DONE BY r Tr r (ASSUMED) 150 PSI MINIMUM V. � � ,� 02 4 �M WASHED STONE VENT WITNESSED BY CON S a _ y Lr- . M/O/and . -�--- OBSERVATION HOLE 2 ELEv.- �"' ? t CU. FT. OF '- ' �9 - z7 -+ PERCOLATION RATE MIN/WCH AT 4 -,S 'f INCHES CONCRETE DEPTH HORIZ TEXTURE COLOR MO1T. OTHER — ' ANCHOR _ J' 4' CAST IRON PIPE _ �� 1� " (OR EQUAL, MINIMUM • . . 0 0 0 0 0- 0 0 0 0 ( o1A y io�R 3 Z ^f o PITCH 1/4 PER FT. 0 G - , o G 0 _ _ o 0 0 0 i o ' L�VEL c/9,�O • • ELEY. - >'8.�� o 0 0 - -- � ° o o �'� 6" SUMP �V, - Flow LINE o� t� '� ps .q' Z, ' 30 FNi< 7.00 10' ELEV. - i / .3 . G<<40 ELEv. DISTRIBUTION TRENCH FORMATION WEu , c p..., < L ` -TWIN. BZONE AFFLE � 3/HOLE BOX 99a SOIL ABSORPTION INDEX � , - Y�. ;� ELEV. - � �F TO BE WATER TESTED � ADJUST � �z.��u�. u P s� 1 SYSTEM (SAS) �¢ 1= CHECK WASHED STONE L� a r o c- TE.J ;- LIQUID OUTLET (TO BE PLACED ON FIRM BASE) „ VALVE USGS PROBABLE WATER TALLE ELEV. -DF-Plh TEE `� 'M cJ JJ 1 — "1Cabdics 4 F�T 14 INCHES 1500 GALLON °8 � WATER BOTTOM(OF TEST HOLE ELEV. - Y3.. N 5 FEJ T 19 INCHES PUMP �� WATER ENCOUNTERED AT ! ELEV. 2 0' 66' FEET 29 INCHES SEPTIC TANK CHAMBER PUMP CHAMBER CALCULATIONS 8 FEET 34 INCHES r o Lj C „f,r-a/e 7-1 ,a r- ELEV. AT INVERT INLET ? "� REQUIRED FLOW PER CYCLE .25 X v a = GAL./CYCLE ELEV. AT ALARM ON 4 VOLUME PER CYCLE e S GAL/CYCLE f 7.48_, AL/CU. FT. CU. FT./CYCLE ELEV. AT PUMP ON oo VOLUME OF WATER IN PIPE 3.14 X 0.00694 X `'� FT. �? CU. FT. DESIGN CALCULATIONS ELEV. AT PUMP OFF TOTAL MINIMUM VOLUME PER CYCLE // 7' CU. FT. NUMBER OF BEDROOMS .3 SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF INSIDE PUMP CHAMBER DISCHARGE //.7-r CU. FT. / 34.67 CU. Fr./FT, - - "4 FT. (1000 G.S.T.) GARBAGE DISPOSAL UNIT ^,/C) TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF OUTSIDE PUMP CHAMBER / � ST AGE CAPACITY ,3.;?�-� GAL/DAY / 7.4E GAL/Cu. FT. / 34.67 CU. FT./FT. - f-'j FT. i BUOYANCY CALCULATIONS: �i,� .�� REou`� PRO" �' REQUIRED TANK CAPACITYR") �, v GALGAL LEGEND: ,soa EXISTING SPOT ELEVATION 00:0 ACTUAL SIZE OF SEPTIC TANK /`a n GAL 15M GALLON SEPTIC TANK 1000 GALLON PUMP CHAMBER WEIGHT OF WATER DISPLACED Yh]GNT OF WATER DISPLACED EXISTING CONTOUR ----00---- SOIL CLASSIFICATION � L8S LBS FINAL SPOT ELEVATION DESIGN PERCOLATION RATE < - MIN./IN. WEIGHT OF TANK PER MANUFACTURER WEIGHT OF TANK PER MANUFACTURER FINAL CONTOUR LEACHING EFFLUENT ARELOAA RATE �� GAL./DAY/S.F. WpGt•iT of WETpiT OF \ _ SOIL TEST LOCATION � LEACHING AREA �, ' x �-' - ��•� S ��`r SQ. FT. UTILITY POLE -0- TOWN WEIGHT TO OFFSET FLOTATION EXCESS WEIGHT TO OFFSET FLOTATION ?', �='; ,� ' TOWN WATER �W S LEACHING CAPACITY AREA X RA�) GAL/DAY CATCH BASIN �■ -J7, . 7 GAS LINE G RESERVE LEACHING CAPACITY GAL/DAY � L � NOTES: \ 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 11TU S AND THE TOWN OF : "ztis rA.3= r RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 1 O ` , WITHIN 6' OF FINISHED GRADE \ /�UM D • /a ' 3. ALL COMPONENTS OF TWE SANITARY SYSTEM SHALL BE CAPABLE OF W1THS'TANDWG H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN \ C HA M I3 E T� \ ��,- 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHAM BE USED UNDER OR WITHIN 10 F7. OF DRIVES OR PARKING AREAS. 71 - f \ 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHAM C7 � `EGTiG 1` O r, - \ " BE MORTARED IN PLACE. 'ITTLE 5 & TOWN B.O.H. REGULATION V`ARI�ANCE REQUUtE-D , a� TF,.v C' / aa2 .4 S. NO DETERMINATION HAS BEEN MADE AS TO COMPUAN(7F WITH SECTION 15.211 DISTANCE BETWE]:ti S.A S. 8c PRUYf ttTY' LINJ / �+ `c� \ �� -- DEEDED OR �ONiNt. kECULAiC,NS. rrVtvi.ii /• APFLI MT ,S TG A ,S ' VARIANCE REQUESTF� v /// I v to 1` �. ' _ _ -/ OBTAtN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. �i ' -sc r /,/O Tc ; 3, 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR !( ` (� �_; IS TO CALL 'DIG-SAFE' AT 1-E00-322-4844 AT LEAST 72 HOURS SECTION 15 248 RESERVE S A.S 1 �' PRIOR TO COMMENCING WORK ON SITE. NEW SYSTEMS SfIALI_ INCLUDE A RESERVE S A.S. ARL:; V� 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS NO S.A.S. AREA PROPOSED �0 ,l r,�/. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. S atl / .• ` 8. PARCEL IS IN FOOD ZONE ,c;>'H iC ti r f/�i f+ T E'R / // ..�C C T`r � "fir �• — �-- - -� I , G \ z,,� • f CULTS. �._. 9. LOT IS SHOWN ON ASSESSORS MAP - S PARCEL 3 . PUMP AND ALARM ARE TO BE ON SEPERATE CIR 11. ALARM IS TO BE BOTH AUDIO AND VISUAL /2 E'Q v � 6-r�Ti ► � i' 2 , .�' �'� 10 W r� / c SEPTIC TANK PUMP CHAMBER 12 SEP C AND ER ARE TO BE ASPHALT COAT 40 0" 009zo awE�c/�G, i 5n AeE o AND HAVE 6 ML POLY ATTACHED. C72 �',ax .6 y s AA 7--r9 13. ALL UNSUITABLE MATERIAL SHALL 8E REMOVED FROM UNDER AND FOR 3 € a A MINIMUM OF 5' AROUND LEACHING FACILITY AND BE REPLACED WITH _A MATERIAL AS SPECIFIED IN 310 CUR 15.255:(3). J F.'a w ---e 9v r2�©r `/ .w.� ��•vC.re` h"�'.. \ 14 F .ST r CG - 1Eti C.�s-.9-Z> y3 �T3 ✓�- TF0 .� OF :. C C/A�► � .�,� \ \ I -�`�y,a, '-� 1 .:. , �Ic X tz o ��� i o ' �,..,.✓. r la<3 4 r s_,�.2/vc w��"S ! CRAIG �., 1 S /.s T t�.! G L ,c: : /Q O u L ( f'c U D w T[ A +,C: r) i R A y I SHORT y;i FI�L'.t-�i�< ,clj w�-sA.�1C. W/ --1 k/T o 19E.� ToaZ_:i 40 4 y DT « �' \ I �A I Q No. 74483 APPROVED: BOARD OF HEALTH 1 C1STE� DATE AGENT .z \ �'--�� PROPOSED SEPTIC DESIGN .s �i� FOR 4,e q 1 '� `�8•� / PROJECT LOCATION 84 37 R G R. SHORT / / q PROFESSIONAL ENGINEER P.O. BOX 1044 3u 39�-1/ 1 oc✓S -- SOUTH DENNIS, WASS � 8311 026�D * CATC r+ =)EA^ICIS a�I.s,,✓ W \ DATE 3/3d�oG SCALE I � - FiE111SED Joe No. LOCATION MAP R "tD SHEET OF / 01996 C.R. SNORT, P.E. BENCHMARK 4' SCHEDULE 40 PVC PIPE SOIL TEST 20 FT. MINIMUM RAIN. PITCH 1 8" PER FT. CrLAN SAND j/ia'/o c TOP Of FOUNDATION 2" LAYER OF DATE OF 5011. TEST ELEV, - o0 10 FT. MINIMUM FI - . o ye o r•r 2 PRESSURE PIPE (('''' �9.•30 �/�� ��E DONE BY ,� w7kEs= Ely ID (ASSUMED) 150 PSI MINIMUM V� \ < /=�2. VENT CONCRETE COVERS .- , Z' L OBSERVATION HOLE c 2 ELEV.- 1 Cu. FT. OF 7 -+ PERCOLATION RATE MIN./NCH AT s-" INCHES CONCRETE ANCHOR DEPTH HORIZ TEXTURE COLOR MOTT. OTHER • _ y , w p .7 .0 c�i, /O yJo- O .. �f L 3 4" CAST IRON PIPE 0 0 0 0 ?' O . O(OR EQUAL, MINIMUM 0 = _ � �_-- -- PITCH 1/4 PER FT. �{ � 9, :. ••• I . •✓ • ELEV. - b = ° 0° G n 0° ° 0 00 ° o 6' SUMP ELEV. - 7 FLOW NE Sr�V0ARM rA.OW.'c rX,7-0,CJ 1 -q' .�G t L yB.S E'Eli of R s 7.o o t 0" ELEV- - l / x 3 7 r-o ti d¢ •N •� Z V ev� ELEV. y 0 DISTRIBUTION L 9 TRENCH FORMATION 2 WELL -4 6 � r --jr �/c•�CG S.SA R y a 3/8' DRILL ZONE e dy �,, c.C=-vsrD GAS a� HOLE BOX SOIL ABSORPTION INDEX Y _ a F TO BE WATER TESTED pG v^� L7L%2 ELEV. ELEV B _So ADJUST M �.�'�-� Z PX 3/4" TO 1 1/2' SYSTEM (SAS) G CHECK WASHED STONE t o r- c� 7`�y, T �,Q�� _ J ----- -- UQUID OUTLET (TO BE PLACED ON FIRM BASE) ��„ VALVE USGS PROBABLE WATER TABLE ELEV. -QFPnj cJ 1, 1F—l 4 T —TEE14 INCHES 1500 GALLON OBSERVED WATER BOTTT TABLE (OF TEST HOLE ELEV. - �� ~ PUMP ^io WATER ENCOUNTERED AT !=G ELEV. SEPTIC TANK PUMP CHAMBER CALCULATIONS 7 FEET 29 INCHES CHAMBER 8 FEET 34 INCHES T' o C7 6t wF+T-.e ,c 7-1 r- ELEV. AT INVERT INLET y� z REQUIRED FLOW PER YC.I 25 X �� y� GAL/CYCLE ELEV. AT ALARM ON 9 - VOLUME PER CYCLE i� '`� GAL./CYCLE / 7.48_ AL/CU. FT. - �-� CU. FT./CYCLE ELEV. AT PUMP ON 00 VOLUME OF WATER IN PIPE 3.14 X 0.00694 X �'� FT. - �= CU. FT. DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE ELEV. AT PUMP � OFF Z TOTAL MINIMUM VOLUME FIER CYCLE 7-1- CU. FT. NUMBER OF BEDROOMS BOTTOM OF INSIDE PUMP CHAMBER ?•�' DISCHARGE L �_ CU. FT. / 34.67 CU. FT./FT. - �`* FT. (1000 G.S.T.) GARBAGE DISPOSAL UNIT NOT TO SCALE BOTTOM OF OUTSIDE PUMP CHAMBER � STORAGE CAPACITY 3 '`= GAL/DAY / 7.48 GAL/CU. FT. / 34.67 CU. FT./FT. - i � FT. TOTAL ESTIMATED FLOW BUOYANCY CALCULATIONS: % � v LEGEND 2 REQUIRED —�- PROVIDED ( //0 GAL/BR./DAY X BR.) 33 QD GAL/DAY : REQUIRED SEPTIC TANK CAPACITY , 't'C]� GAL -- EXISTING SPOT ELEVATION 0010 ACTUAL SIZE OF SEPTIC TANK GAL 15M GALLON SEPTIC TANK 1000 GALLON PUMP CHAMBER -----__ OUGHT Of WATER DISPLACED WEIGHT OF WATER DISPL _^` - -ACED E3pST1NG CONTOUR ----00---- SOIL CLASSIFICATION -- l8S - - -- FINAL SPOT ELEVATION jj? DESIGN PERCOLATION RATE < MIN./)N. FINAL CONTOUR EFFLUENT LOADING RATE `f GAL/DAY/SF. WEIGHT OF TANK PER MANUFACTURER WEIGHT OF TANK PER MANUFACTURER SOIL TEST LOCATION LEACHING AREA J I 'X 37• `)6'aj • r '-f-1` SQ. FT. WEIGHT OF OUGHT OFF � uTtuTY POLE -0- EXCESS WEIGHT TO OFFSET FLOTATION EXCESS WEIGHT TO OFFSET FLOTATION p / _ TOWN WATER -�W LEACHING CAPACITY (A REA AREA X MA1%) GAL/DAY��'�' CATCH BASIN ��� -iS.f x , 7 Q; GAS LINE Gam---- RESERVE LEACHING CAPApTY _-� GAL/DAY NOTES: - - r �• 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E-P. TITLE S AND THE TOWN OF ? .2.v_f r�1 '- �' RULES AND �� - \• REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE ` 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 1 O S �' WITHIN 6' OF FINISHED GRADE. P UM P / 3. ALL COMPONENTS OF Ty+E SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN C HA/"1!3 E re 0 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE fi 7�9 USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.EFTiC2� i4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL TITLE 5 & TOWN B.O.H. REGULATIONVARIANCE REQUWE.D TF ,r lni O V J I BE MORTARED IN PLACE. a / \ Jo21.4 5. NO DETERMINATION HAS BEc:N MADE AS TO COMPUANC£ WITH SECTION 15.211 DISTANCE BETWEEN S.AS &PROPEKTY UNE Vol nc%.ld�A IIUna. ur➢rt-n ,i ArruLAN I is IU A S ' VARIANCE REQUESTED OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6. UTIUTIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR SECTION 15.248 RESERVE S.AS. j � y IS TO CALL "DIG-SANG: AT 1-800-322-4A344 AT LEAST 72 hOURS � PRIOR TO COMMENCING WORK ON SITE. NEW SYSTEMS SMALL INCLUDE A RESERVE S A.S. AREA \ , I 1 1 G� c� '..-• 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS l K ep NO S.AS AREA PROPOSED SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. f5 8. PARCEL IS IN FLOOD ZONE � r 9. LOT IS SHOWN ON ASSESSORS MAP ' `Y / AS PARCEL , �10. PUMP AND ALARM ARE TO BE ON SEPERATE CIRCUITS Esc/� T-injG 11. ALARM IS TO BE BOTH AUDIO AND VISUAL /2 Q v ,� S .q L L s K,oTi S yLs T�.y I / , OZ j W ) 12. SEPTIC TANK AND PUMP CHAMBER ARE TO BE ASPHALT COA j/ Dw�'�L/�� AND HAVE 6 ML POLY ATTACHED. 02 r,r-x b� �•� i •�O �-�TZ ©� �/•ETlN.t/7,' X, ��3 _ w �Y� 13. ALL UNSUITABLE MATERIAL SHALL BE REIAOVED FROM UNDER AND FOR � . 'E /�/ 5 A MINIMUM OF 5' AROUND LEACHING FACILITY AND BE REPLACED WITH V Q - - I MATERIAL AS SPECIFIED IN 310 CMR 13.253;(3). 3FZ0 w 1--1 509 FA / S rl A-/ G ..✓ r, > Erc �. �� T� )3, ' — 's T _ P,-,F4 o C A 7"4'r, /;i titr C .��N / 7- .o �' /`�//4/Jr je�► \ \ I /��y�� V r2 O �/i /O ' n r..✓. Id a^'/ S_ f7. S- ���5 SHOE D 2 vE wfa �T w,c 7- I ' 'l l � .�� � cy °� � spa c•,c-�-i<< �D -�_ss�,,,� `i�i�-ice•✓'� ro o[� o v�y ` '� v ` "' ' \ I �An HAS APPROVED: BOARD OF HEALTH "" �94.1 r 3y/c�c DATE AGENT " PROPOSED SEPTIC DESIGN L �� � . S��tior�� �ATCn O FOR ;q / �'� / g•� PROJECT LOCATION �co .u� / CRAIG R. SHORT N PROFESSIONAL ENGINEER Sp$_ P.O. BOX 1044 �� f L oC✓s a 39$-8311 SOUTH DENNIS, MASS Q2kj�p 1: b CATc r/ G,tAA/C/S / 76' ��- a�Is�A/ � \ DATE 3 l3b�oG SCALE _A / REVISED F568 NO. / LOCATION MAP SED SHEET / OF 01994 C.R. SHORT, P.E.