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Home My WebLink About0146 SAINT FRANCIS CIRCLE - Health T ST. FRANCIS CIRCLE. nis 291 - 227 ` 1 r b I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments CZ, r 146 St Francis Circle M Property Address x, Finance of America Reverse LLC ' � Owner Owner's Name -j information is . required for every Hyannis ✓ Ma 02601 5/30/2017 page. City/Town _ State Zip Code Date of Inspection c 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 filling out forms A. General Information. 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. Centerville Ma 02632 City/Town State Zip Code 774-248-4850 smjonestitle5@gmaii.com S14522 Telephone Number License Number j 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 a Local Approving Authority 5/30/2017 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 Fond:Subsurface Sewage Disposal System•Page 1 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °t 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town 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 146 Saint Francis Circle Hyannis is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box and 2 leaching 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,.' 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 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): I 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 i ❑ 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 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 ❑ ® 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/day flow l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts H Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 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? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ 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: vacant 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 f Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. Cityfrown 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: 1000 gallons How was quantity pumped determined? size of tank Reason for pumping: overdue maintenance. 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 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 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: original system installed 1-31-1989 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 6" t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M °y 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 was cleaned at time of inspection and should be done 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 Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments a'y 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid.levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of 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 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °a 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town 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 video inspected and found 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: Lt5m. /13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): leaching facility was video inspected and found dry with no signs of past hydraulic overloading. 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M a 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions 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 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. Citylrown 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 Lt5ms3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form•Not for Voluntary Assessments, "( 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 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 'FIR �c IVV � Al 81 41'6 t3 3Y 17"Y �3 N7 16 -0 t5ins•3113 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °a 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: 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 a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,. 146 St Francis Circle Property Address Finance of America Reverse LLC Owner Owner's Name information is required for every Hyannis Ma 02601 5/30/2017 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information-Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I i COMPLETESENDER: COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete S natu item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. wed by(Pri�t'��Na`me) C. Date of Delivery I ■ Attach this card to the back of the maiiplece, ^sL �� or on the front if space permits. 1� D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Finance of America Reverse LLC i I C/O Reverse Mortgage Solutions INC. 144055 Walters Road STE 200 ` 3. Se ceType Houston,'TX 77014 f Certified Mail® ❑Priority Mail Express- El Registered ❑Return Receipt for Merchandise I— — �— —— — ❑Insured Mail ❑Collect on Delivery •4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (fransfei from service label) 7 015 17 3 2 2 01, 4:9 9 0 1215 PS Form 3811;July 2013 Domestic Return Receipt I I UNITED STATES POSTAL SERVICE First-Class Mail I Postage&Fees Paid LISPS Permit No.G-10 I• Sender: Please print your name, address, and ZIP+4®in this box* I M I I 'VOWn of Barnstable I Health Division I 200 Main Street Hyannis, MA 02601: .:it .t:f tt t i•.lii(( � t•t t eE•:.qi ti:t}:i::ii: •e t .i lt a• � S i Sfa3•.}tilt•3 ! I � # i is �i I 2„ �- 1� � 7 �� ..� -a y�rIKE tgyy -Town of Barnstable 8AR AS& m, Regulatory Services y MA93 . �ArfD.39. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 27, 2017 s. Finance of America Reverse LLC C/O Reverse Mortgage Solutions INC. _ 144055 Walters Road STE 200 Houston,TX 77014 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. The property owned by you located at 146 Saint Francis Circle, MA was visited on February 27, 2017 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: &54-3 (A) Outdoor Storage Multiple items are being stored outdoors on this property which are not screened from public view and are not within an enclosed structure as required by above ordinance. These items include. but are not limited to: Multiple couches, assorted furniture, appliances,toys,tools, mattress, large piles of garbage and other trash and debris. You are directed to correct the violations listed above within (15) days of your receipt of this letter by removing said items from property or storing them in an enclosed structure You may request a hearing before the Board of Health if written petition requesting game is received within 10 (10) days after the date the order is served Non-compliance will result in a fine of$100.00 per violation and or municipal liens. Each day's failure to comply with an order shall constitute a separate violation. Should you have any,question"s regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF T BOARD OF HEALTH om A. McKean, R.S. Director of Public Health Town of Barnstable P� y�WE Town of Barnstable ` H&RNnABLF,MA8.4 Regulatory Services 9 . - . �j 1639 � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 27, 2017 Finance of America Reverse LLC C/O Reverse Mortgage Solutions INC. 144055 Walters Road STE 200 Houston,TX 77014 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. The property owned by you located at 146 Saint Francis Circle, MA was visited on February 27, 2017 by Timothy B. O'Connell, R.S., Health In for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: §54-3 (A) Outdoor Storage Multiple items are being stored outdoors on this property which are not screened from public view and are not within an enclosed structure as required by above ordinance. These items include but are not limited to: Multiple couches, assorted furniture; appliances,toys,tools, mattress, large piles of garbage and other trash and debris. You are directed to correct the violations listed above within (J5) days of your receipt of this letter by removing said items. from property or storing them in an enclosed structure You may request a hearing before the Board of Health if written petition requesting same is received within 10 (10) days after the date the order is served Non-compliance will result in a fine of$100.00 per violation and or municipal liens. Each day's failure to comply with an order shall constitute"a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER,OF T BOARD OF HEALTH om A. McKean, R.S. Director of Public Health r Town of Barnstable Citizen Web Request Page I of 2 B Logged In As: Citizen Request Management Wednes day,Febn+ary222017 TQWN\oconnelt Route to Users Search Requests Create Requests Request Information Request ID: 58338 Created: 2/16/2017 9:45:18 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy r Health Office Anonymous: No Request Category: Chapter 54-5 :.Rubbish and Garbage edit Routine work: No Estimate: No edit • I Date scheduled: edit Estimated 3/2/2017 Change Estimated Feb March 2017 Air Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 L1 1 2 3 4 5 6 7 I 8 9 10 11 12 13 14115 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 Created By: Beck,Vanessa Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor Request Parcel Map: 291 j Block: 227 Lot: 000 Neighbors calling in Number _. _-__-_-- - __- complaining of previous owners dumping garbage in Parcel Lookup the yard once home was bank owned. Neighbors would like the property cleaned up before trash starts to smell. Email: Edit Requestor Information Track Request Progress Request Work History: Internal Note History: http://issgl2/intemalwrs/WRequest.aspx?ID=58338 2/22/2017 Health Master Detail Page 1 of 1 `Healh M � 1'+ Logged In As: TOWN\oconnelt Health Master Detail Monday, February 27 2017 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 291-227 Location: 146 SAINT FRANCIS CIRCLE, Hyannis Owner: FINANCE OF AMERICA REVERSE LLC Business name: Business phone: Rental property: ❑ Deed restricted: ❑ Number of bedrooms : Contaminant released: ❑ Fuel storage tank permit: ❑ Save Parcel Changes I Return to Lookup Parcel Info Parcel ID: 291-227 Developer lot:LOT 19 Location:146 SAINT FRANCIS CIRCLE Primary frontage: 171 Secondary road: Secondary frontage: Village:Hyannis Fire district:HYANNIS Town sewer exists at this address:No Road index: 1406 Asbuilt Septic Scan: 291227 i p: Interactive ma ,Ria__" I OT 11, A v, GP (Groundwater Protection Overlay Town zone of contribution:District) State zone of contribution:SPLIT I Owner Info owner: FINANCE OF AMERICA REVERSE LLC Co-owner:C/O REVERSE-MORTGAGE SOLUTIONS INC Streets: 14405 WALTERS RD STE 200 Street2: City:HOUSTON State:TX zip: 77014 Country: Deed date:10/20/2016 Deed reference:30.018/183 Land Info Acres: 0.51 use: Single Fam MDL-01 zoning:RB Neighborhood: 0105 Topography:Level Road:Paved Utilities:Septic,Gas,Public Water Location: Construction Info lBuildinq N ear BUililGrosS ArealLiVincl Are Bedrooms Bathrooms 1 11989 P560 11152 13 Bedroom 2 Full-0 Half Buildings value:$99,500.00 Extra features: $25,800.00 Land value: $112,000.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=291227 2/27/2017 s Fax Send Report MAY-03-2017 09:07 WED Fax Number • 915088624713 Name BARNST HEALTH Name/Number 13146786768 Page 0 Start Time MAY-03-2017 09:05 WED Elapsed Time 00,00" Mode STD G3 Results [No Answer] Citizen Web Request Page) ol'3 )iscaon� VU�ov�.�S r}�r��a r � , ..� TOW Citizen Request Management wnAn�.any.Mnyl.on TOWN'�beckv R.�u��ICE ll!.ri.:rtd,LUtjte.^�M�t<Craita Itaa i Request Information r Request To: 58.338 Created: 2/16/2017 9:45:18 AM Status: Assigned To Staff Assiyned t'o: O'Connell,Timothy Health Office Chapter 108:Hazardous Anonymous: No Request Category! Materials 9 Chapter 54.5:Rubbish and Garbage Routine work: No IEalimate: No £utll Date scheduled: S'dit Estimated 3/2/2017 Change Estimated feb March 2017 W1 Completon Completion Date: Date: Sun Mon Tue Wed Thu Fd Sal !1 2y 28 1 2 3 4 - ' 5 6 Z 9 2 19 11 12 1,3 14 1.2 16 17>A 12 2O 21 22 23 24 Z@ 24 27 28 29 30 31 1 2 3 Created By: lledt,Vanessa Priority: Medium Health Office Citation Nurnber's: Cdlt Request - Parr:al� Ma 122991--�^�Block: 227 Lot: Oq0 Neighbors calling in Number p complaining of previous owners dumping garbage in Parcel Lookup the yard once harne was foreclosed on.Property is now bank owned.Neighbors would like the property cleaned up before trash 8tart.4 to smell. Email: Edit Reeuestor Information Track Request Progress http://issgl2/internal W RS/Wl..equest.aspx'?I D=58338 5/3/2017 a f i .r J f Fax Send Report MAY-03-2017 09:03 WED Fax Number 915088624713 Name BARNST HEALTH Name/Number 913146786768 Page 3 Start Time MAY-03-2017 09:02 WED Elapsed Time 00'48" Mode STD ECM Results [O.K] I Cit.i7en Web Request, Page I of 3 TWN` I Citizen Request Management """°`°""'"''"' OK'N4xv:Yv R4�t51a ll(xra S•nnh F•.rn r.fnarn uo� Request Information Request to: 58338 Creatcd: 2/16/2017 9:45:18 AM Stut'Ust Assigned To Staff Assigned TO: 01CM.ell,Timothy Health Office Chapter 108:Hazardous Anonymous: No Request Category: Materials Chapter 54-5:Rubbish and Garbage Routine work! No Estimate: No edit - Date schoduled: P i Estimated 3/2/2017 - Change Estimated [Z6 . Mardi 2017 Completion Completion Date: Date: Mon Tue Wed Thu Fri Sat �7 28 1 2 3 L 6 7 B 9 10 13 L 1S lfi u>rs u zz za z4zs26 L u 3 A 5 6 7 8 Created By: Beck,Vanessa Priority: Medium Health Office -` Citation Numbers: edit Requestor Information Requestor ' Rrqucst Parcel Map: 91 -- --!Block: 227 -_, _ _ Lot: 000-- Neighbors calling In Number Complaining of previous owners dumping garbage in P-1 t<x,kun the yard once home was foreclosed w,.Property is now bank owned.Neighbors would like the property cleaned up before trash starts to smell. Email: Edit Requestor Information Track Request Progress 1 http://issgl2/intemal WR S/WRequest.aspx?IT)-58338 5/3/2017 Citizen Web Request Page 1 of 3 D I /V CCU U n+ �Abve,�s Pry +�P�0.'a•4Thti1__ ;.;s ,ate; �-7k- \TeD �� Logged in eckv Citizen Request Management Wednesday,May 32017 TOWN\beckv TOWN Route to Users Search ReQUestS Create Reauests Request Information Request ID: 58338 Created: 2/16/2017 9:45:18 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Chapter 108 : Hazardous Anonymous:"*-'-No Request Category: Materials Chapter 54-5 : Rubbish and Garbage edit Routine work: No Estimate: No edit Date sclieduled: edit Estimated 3/2/2017 Change Estimated Feb- March 2017 AAr Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 28 1 2 3 4 5 •6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22. 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 Created By: Beck,Vanessa Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor Request Parcel Map: 291 Block 227 Lot: 000 I Neighbors calling in Number _i ....___...,..I _ complaining of previous owners dumping garbage in Parcel Lookup the yard once home was foreclosed on. Property is now bank owned, Neighbors would like the property cleaned up before trash starts to smell. Email: Edit Requestor Information Track Request Progress http://issgl2/lntemalWRS/WRequest.aspx?ID=58338 5/3/2017 Citizen Web Request Page 2 of 3 -Request Work History: -Internal Note History: Entered on 2/27/2017 12:59:41 PM System entry on 2/16/2017 9:45:18 AM: by O'Connell,Timothy Assigned to O'Connell,Timothy Visited said property and did observe a lot of debris and garbage. Knocked on door no answer. System entry on 4/11/2017 9:06:23 AM: Bank owned.I will send bank an order letter. Related Request 58708 Entered on 3/13/2017 1:04:47 PM by Beck,Vanessa Anonymous caller requesting that property be cleaned up.The caller said that the debris is causing animals to start coming into the neighborhood.I advised the caller that we had a letter sent out to the bank to request property cleanup, upda e delete Entered on 4/11/2017 8:58:28 AM by Crocker, Sharon 4/10/17 New neighbor stopped in and said there are many(-100)rats at the site.Outsiders are now emptying their rubbish on site.Also, person said there is a gas can at the water and the water has an oil slick omit. Entered on 4/19/2017 12:20:25 PM by Soto, Kathryn Last modified on 4/19/2017 12:23:53 PM TM contacted 3 Tripp property cleanup and he quoted$5,000 to cleanup just the outside.This does not include the house or inside.The Health Dept does not have the funds to clean up this property. Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) I i 1 Spell Check Spell Check -Add document or image link: Browse... *You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 1 00 j Response time: 4.00 Time entries are in hours. Examples of time entries: 1.25,0.5,US, 1, 3.5, 0.25,0.10 *Response time: Measured from the creation date to your first actions on the request. Do not include nights,weekends,and holidays in response time for most departments. O Save changes El Check to notify town employee below to review this request. O changes and notify Health office citizen*zen* — http://issgl2/lnternalWRS/WRequest.aspx?ID=58338 5/3/2017 i Citizen Web Request Page 3 of 3 O Close request Beck,Vanessa O Close request and notify citizen* Brief message to reviewer: *notify works if email address was given Update i Spell Check Public Use: Printer Friendly Version Internal Use: Printer Friendly Version I'I http://issgl2/lnternal WRS/WRequest.aspx?ID=5 83 3 8 5/3/2017 i 362-4541 939 main street rt 6a yarmouth port ' mass 02675 down cape engineering civil engineers&land surveyors structural design November 18, 1988 I Arne H.Ojala P.E.,R.L:S. land court Richard R.Fairbank P.E. Surveys ..-Barnstable Conservation Commission Barnstable Town Hall 367 Main Street site planning Hyannis, MA 02601 sewage system Reference: SE 3-1709 / Edward Rosario designs Lot 19, St. Francis Circle, Hyannis Revised Plans inspections Dear Commission Members: permits Enclosed are two copies of the revised site and sewage plan we have prepared for Mr. Rosario (revised date: 11-18-88) . At the request of the Barnstable Conser- vation Administrator, we have shown the following on the plan: - a limit of clearing line 351 from the wetland edge - a limit of fill line (staked hay bales ) 45 ' from the wetland edge If you have any questions, please call me at 362-4541. /Sincerely, Albert H. Roberti Down Cape Engineering, Inc. cc: Department of Environmental Quality Engineering Southeast Regional Office Lakeville Hospital Lakeville, MA 02347 Edward Rosario P.O. Box 1147 Mitchells Way Hyannis, MA 02601 Barnstable Board of Health Barnstable Town Hall 367 Main Street Hyannis, MA 02601 (TOWN OF BARNSTABLE v LOCATION �.,� f, � � SEWAGE # / .�/ VILLAGE 'zy n-'o,"!6 ASSL-SSOR'S MAP & I,OT9?/'�a?-� INSTALLER'S NAME & PHONE NO. 1,iO4gl'.P SEPTIC TANK CAPACITY /( LEACHING FACILITY:(type) A-2ac 'i(stze) /��Q-7 / NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER l� BUILDER OR OWNER ?All N `� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ! No ✓F _ l/ �1 ' � 4 � �• �� ^_� ').k .,per _+ �� _ �,� �� -_ �� ,�s _� i� - / f � �� R�F .y. . /l� / a � �' • \ � � Y L — �— Fina....7`................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .-l��✓..-.......OF....1&4.910. 64..�.hQ. ........................ � 1 —Z27 Th lirativa� fur Dhipastal urki Tomitrurtiura amit plicatiereby made for a Permit to Construct or Repair ( ) an Indivfdual Sewage Disposal • ystem at: /Location-Address or Lot No. .............................. -------------------------------•--------- Owner Address ........ °_.O.:. .:.fir ..2 �: Q Installer Address Q Type of Building Size Lot..J ,0'Xv.._.__Sq. feet U Dwelling—No. of Bedrooms............ . .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. W Design Flow.............../ ..................gallons per person per day. Total daily flow.............. ..............gallons. 1:4 Septic Tank—Liquid capacity/4P DAgallons Length__�'�_6_��Vidth____ %�Diameter__---___--_--- Depth.S',f-- Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (/) Dosing tank ( ) ~' Percolation Test Results Performed by............ ;__.,/."i0,!_.r_, A,' .............. Date....4_-...�F_'_ -___•__-- ,aa Test Pit No. 1.......C�.. inutes per inch Depth of Test Pit-----e"O........ Depth to ground water------------------------ i (i Test Pit No. 2........4-...*hiinutes per inch Depth of Test Pit....Q.x_..._____.. Depth to ground water--------7............. ...... --------- O Description of Soil-fit/-••••. 24....... G' .?a.l 1' `�------ x --•- --`-��----L'-a-- ��-------rL:--1_�,62------�'��.._G_ti __/�.Qr�.ta_.5-----�-�---�-=��--C��_u�� w _�2ed A...,17-.45-Ar .h__... A ---C-+P--4Z? e:__Al.O-A...s a-.yp_-�✓,lo cc U Nhure of Repairs or Alterations—Answer when applicable___________________________________________________•-------.---.----,�. ...af'�rv� - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T�x^ the provisions of r^tl i i:..E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha�en iss d by the he ''ofhehealth. Signed— ` �� ----- - Dar R Application Approved BY r.. . ..------. J Date Application Disapproved for the following reasons-............................................------------•------•-----------------••-••......-••-•-......------ ----•---------•-•--------•---••-•..............•-----••-•-•--......-•-•-•--------...........••-----•...•-••-----------------••••--•-•••-•---•-•-......••-•---•--•-•-•--• ............................... Date PermitNo........[ '_. ��--------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH ......� .............OF...l �s,.� ?S 1. L.�................................... Tntifiratr of Toutplitattrr THIS IS T0,CERTIFY, That she I pd :vidual Sewage Disposal System constructed ()() or Repaired ( ) Installer �` 2=+ ors+ ^-1 AT N^rtri �h_ An1��` OJT has been installed in accordance with the provisions of TIT i E 5 of The State Sanitary Code as described application for Disposal Works Construction Permit No..__.._. �f- �...... dated.... ..................... 1. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................................................••---------.....----_. , Inspector.................................................................................... Ir✓ No.-- ---- . �U Fps............................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .........................OF............................................. Appliration for Uhip ra al Works Ton,stratrtiun rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....................................................................................•--••--•..... .....-•-•-•-----------•-•----•----....--•------•...---......------..........-•----••-•._......---- Location-Address or Lot No. ......................—.......................................................................... --••..._....._..---........._.............------..............._..•--•--...............__......... Owner Address W Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( )Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------•---- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------•----------------........-•-•---•-•--............._............-•-•--...................................... *------------------ ODescription of Soil....................................................................................................................................................................... x U ••---•....................................................••--•...........•-•......_-•-•..................--•----------•--•----........-----•-------••--•••----------------------•-•-------••-••--•-•-- W UNature of Repairs or Alterations—Answer when applicable................................................................•..................•........... ..............=......................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T L p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d by the board of health. Signed---... .---- ".="=•-- - -=- ................ ................................ Dat ApplicationApproved By................. ................................... -•--•---••----•--•---..... � -lace I, Application Disapproved for the following reasons:---------•--•---------------•---...---------------------------...--•------------..............•---...........--- -----------------•--•----...........-•-----•.........-•------............•••-----•---•----•-•-------•••-----------------•-----•-------•-----------------•-•...--•----•----...•------•-------••-------•-- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (9rdifirFa#r of Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) 'se.:... o ff ? =.S- ---•-•----••-•---•--------••-•----------------------•-----.....---••-•-•---....-----..........--------•---....---•-------...-- Installer at----------. `......... ........................................ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary nita y Code as described in/) JW41/!i, application for Disposal Works Construction Permit No.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE ' SYSTEM WILL FUNCTION SATISFACTORY. DATE................•----•-••--•--•--......................-•--•........_.....•--•.. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � 710 ....... � �..............OF..... .................................. NO. ............... 1fr FEE.....? r..... ---- Disposal Works V0.1unstrnrtion rrntit Permissionis hereby granted.............................................................................................................................................. to Construct ()<L or Repair ) an Individual Sewage Disposal System atNo......�'—`.��1.7 ..�. ..... ..... .... ................... i�.�................................•-•. ---------•--••--•----- / Streeter / as shown on the application for Disposal Works Construction Permit No _9�,_ . 61)ated.....�� ,1 e�...--._.... t f Board of Health DATE...............................................J. FORM 1255 HOBBS & WARREN. INC.. 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DESIGN BEDROOM HOUSfc —Jy[ ELEV ELEV O � P NO •� _--- I A K. 7 ,l r rj G2j DISPOSER SPOSER PERC RATE MIN/IN. . 1, 3t .i I F lGA OAY LOW RATE �I�(�� U ) --�� P D�Yv.IE1-I- 1tiG M ,a �- EPTI TANK REO'D SEPTIC TANK SIZE M�(E 1cb LEACH FACILITYD �� PLXD - �V " SIDE WALLi9 �• ��Z•,�t 3 J, D G/O. =l,G{lOtil CEt-.20.71� �\ q �Iy Z510I BOTTOM X r ��P� q 1,0) _� G/D. I? DIGr Q ' 9 Z3 OI 12 TOTAL'Q1L�PDi(��Z �1 F "�'- Z3•v' �r� �T � _ — - �� / USE_I. t � C�. LEACHING ;c�"1/v� '�j � A - -�. �+-+- �-�.vc>Tt-� ec Q•� ��>= l�stT7rt..s x �i.a,�ra,.=�, y�cr'F}•• ', �I� 33 %.�lCJi !.s:%'':�57 0��- 230 ,_� �` t� ALE \� �" �rJ.._►�i►Mt�.�.� ADS= NOTES: (UNLESS OTHERWISE NOTED) ; "T� - _ �� 3�.�I 1. DATUM(MSL)'TAKEN FROM _._.p;JAO RANG LE MAP - ;; I.MUNICIPAL WATER 1!e2 _.AVAILABLE _ OF • \ ) � r✓I'^y 3�3.PIPE PITCH: W"PER FOOT I ' , •.OESIGN LOADING FOR ALL PRECAST UNITS: AASHO.� S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. ,� �~ 9rS• 4 1. I/�r,,,.,J:' A 1 A�J />ia 1 N ✓J�,%,.cIJ y�� _�-/ � G.PIPE JOINTS SHALL ISE MADE WATER TIGHT ARNE H. c:,., Nff'/mil wl+Y J'i I C i'✓C/� V1•t• + 7.CONSTRUCTION DETAILS TO 8E ACCORDANCE WITH COMM.OF MASS. OJALA - STATEENVIRONMENTALCOOETITLES 1 JLr S �SQc�S CIVIL SITE PLAN � ES-:- ; LI I.IEjCl ;m i LOCUS:- % o� Fro•--�� oT 1-9^J REG.PRO e`yre�glyGINEER i NJ�pl t �7 F !•moo a4RAJE REF: ft6ll &2n I O I N vJ down cope engineering i J"� +'� = � � 5y�•� _ 'PREPARED FOR: ! i CIVIL ENGINEERS • LAND SURVEYORS --- �, ' ' - •' — a BOAAOOFHEALTH 926 fkIn Imo.. REG. *O.R .' CONTOURS (EXISTING)............. APPROVED _ 2 i = 3O 11 (PROPOSED)-'O-O'•G-"O_ DATE Y' ✓ Y�ts. W `o-'��'^t L:= ��. SCALE_ / 22 . .� i�_ I � � R+=J,, 1ll^7/ �