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HomeMy WebLinkAbout0433 SCUDDER AVENUE - Health 433`Scudder Avenue - Hyannis P A 288 139 i b I TOWN OF BARNSTABLE LOCATION SEWAGE# Zo00 - 1 O VILLAGE ASSESSOR'S MAP&PARCEL Z88. 13 q INSTALLER'S N E&PHONE NO., S 4 8 EYcag0.A1 oi% SEPTIC TANK CAPACITY LEACHING FACILITY. (type) per-' p.oc. (size) 15x 30 NO.OF BEDROOMS 3 OWNER PERMIT DATE: 4-13- ZO COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply.Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Al- 81- 3'I$ " �#`� 33 . A2. Z"G'' G',o.,� 5,�dda B2' 31,114 ~ A toy. A3' 33G' O 83, y' � O A4- ys'y pig TOWN OF BARNST/ABLE '-'LOCATION SEWAGE # � VILLAGE �i''� J � ASSESSOR'S MAP & LOT INS'ALLER'S NAME&PHONE NO. ��/'' '�oc�`!�� ®7®7 SEPTIC TANK CAPACITY �� ��� �'� "6 e,6,oX LEACHING FACILITY: (type)eX-'J'/ '!!XQ — (size) NO. OF BEDROOMS ��iy .�° BUILDER OR OWNER <� PERMIT DATE: o.�'— o-':�-;' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) / Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by � � \ �� � � � �, ;;, �'� II�� �_ v� �. � �`� � �', .i _ �� � � �, .. No., e., / FEE C0 ONW tTIJ OF MASSACHUSETTS Board.of Health, barns+o bkt , MA. APPLICATION .FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for Permit to Construct( Repair( ) Upgrade( Abandon( ❑Complete System ❑Individual Components Location 43'.s Sr-„ad« Ayt, ffionis orb Owner's Name Ppker �d ac-dS Map/Parcel# 'Zgg 139 Address 433 Swdder Lot#: (b Telephone# Installer's Name es ners Name d 3 6 �C,1tcovo••},on Inc,, Designer's' 'Fluher rUlicarv�e.n�al. Address 2,14 Root 130 Sac,dw',o, Address Q0 1 o" Hacw-o, Telephone# sog • yj-j • 0t,53 Telephone# I-jq . 9cj4• I (�(, Type of Building R t5 Lot Size 0.110 SF+! sq.ft. Dwelling-No.of Bedrooms 3 Garbage grinder.(W Other-Tvpe of Building No.of persons Showers,( ),Cafeteria:( ). Oilier Fixtures Design Flow(min.required) M6 gpd Calculated design flow Design flow provided. 33 3 gpd Plain Date LI• S• 2020 Number of sheets 2 Revision Date Title Description of Soil(s) See. plan s Soil Evaluator Form No: SE" 7.159 Name of.Soil Evaluator F 10.*%-Nuc-4 Date of Evaluation 3 21 10 l 0 DESCRIPTION OF`REPAIRS OR ALTERATIONS Qd6 new d• (box and SAS io s llo n The undersigned agrees to install the above described Individual Sewage:Disposal System in accordance with the.provisions of TITLE 5 and further agrees to not to place the,system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 10 0 I.nspections - - -- - ------------ ------------------------ No. �!� r~ FEE COMI IO Wa.7111,1 OF i ASSACHUSETTS r Board of Health, I'Jc�{ a�a r ive MA. APPLICATION FOR DISPOSAL Application for a Permit to Construct( Repair( Upgrade( Abandon( ❑Complete System Q Individual Components ^z. Owner's Name C Location �3� �cudc?4 r /�v�- �.ye,•�r,:tipc,c F Map%Parcel# 1 cl Address jc vd d o r NJ e.. Lot# '%i) Telephone# Installer's Name b t (I avc ;� (�G Designer's,Name Address ?a `( �1o0tc I"3v --^•:,ri {.r, Address PO Telephone# 5og . t191 c)(05I Telephone# '1-it( , qr_>a+ 116c, { Type of Building. �t S • Lot Size l�. Z U �� '. .sq.ft., s _ _ Dwelling-No.,ofBedrooms S Garbagegrinder.(t.�) Other-Type of Building No.of persons Showers( ),Cafeteria Other Fixtures Design Flow(min.required) nb gpd Calciilated.design flow Design flow provided 3 3 gpd Plan Date 14, tb• ?_o O Number of`sheets Revision Date Title Description of Soils) `.Qc (,)lr.n, , Soil Evaluator Form No:, SF' I Name of, oil Evaluator F 1o.'%o({ Date of Evaluation 3• Z 1- 70 7.b rn, DESCRIPTION OF''REPAIRS ORALTERATIONS A86 n t d. �bn•k rx,,4 SAS �r, ELL Lan I_ n n,,,Ito.1 ak' The.undersigned agrees to install the above described Individual Sewage Disposal System.in accordance with the provisions:of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.. Signed. 3r» Date l0 Inspections yy t •,�-,goebc;oacoorgv3c.c.cG,isoozes::v.,abo.,coor:.ncc,cuoocnooncr . .,oaccot,wcoovo.�. ....r_,��,,: o:00000cpkl -1„c,;'06QG I'll(1.•c,;. c „_•noC)".�oor� fV FEE rc� ...' /f ..(/-5 COMMONWEALTH OF MASSACHUSETTS Board of Health, MA. CERTIFICATE Of COMPLIANCE Description of Work: El Individual Component(s), O Complete System The undersigned hereby certify that the Sewage Disposal.System; Constructed O,Repaired (J),Upgraded (),Abandoned ( ) has been installed in accordance with the provi ions.of 310 CMR 1.5.00 (Title 5) and the approved design plans/as-built plans.relating to application No; 114), dated �3� . Approved Design Flow ---� 7'50 (gpd) Installer Q 4� r a,jo 'I co, `0 r . Designer: f=1 n410 t k Inspectc,.L. Date.: The issuance of this permit shall not be construed as a guarantee that the system will function on as designed. .:>•7_,5?"m*?;a'e��H..,,,.�,::,,::r.�. ..- :77;.iocr 7, zip�ZWc,Tv,b'�C,,•c>o�t,.s:s�w iM,.:c7o�F,nrr?7-b•an4e ,Z,paur.,�L.-c�rT atc'F�zTra�S,_ .s�r.3�� `;4`a-cTr';�i,, ywr..r;�'+�i,�" No: 3 � f'EJ FEE l Board ofTlealtic, ��t r�sta`ale- ,MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hembygranted to; Construct( ) Repair(, ) Upgrade( ) Abandon( ) an individual sewage disposal system at 1cudk Nvc as described in.the.application for Disposal System Construction Permit Now_". dated, Z_/�19'o Provided: Construction shall;be completed within h ree years of the date of�th s ri-iiiit. All l al condiition lust be'met Form:1255'Rev.5/96 AM.Sulkin Co.ChadeSiown,MA Date/ 3 n Board of'Health, ~----- Town of Barnstable �oFSHE r Regulatory Services y�P ti� Thomas F. Geiler, Director MAASS..SS. ' Public Health Division .y . 1639. A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: y-ZO- ZO Sewage Permit# ZQop - i to Assessor's Map/Parcel Z8$- 139 Installer & Designer Certification Form Designer: _Dbye r��a�cc�lct Installer: . J3 rxe0Aj,<x4•o,r1 Address: Pa. Box Address: Iq On y- I3-20 S3 LA 6XcayoA;g*% was issued a permit to install a (date) (installer) septic system at 1433 Se.udldler- AUC based on a design drawn by. (address) �e d�nec'�u dated y-8 - ZO (design r) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if requi o& '' ected and the soils were found satisfactory. DAVID ( aC�9�tQa� FLAHERT ,jR.. ( taller's Sig�� �No. 121 l�7 GISTS s'�NI TA R\P� (Designers Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. qAoffice fonnsWesignercertification fonn.doc AgoNo. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for 30ig;p5al ettt Cou�truction Permit Application for a Permit to Construct( , )Repair( )Upgrade( Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 1<2-1-1 LPG'4WdW A 4k Owner's Name,Address and Tel.No. Assessor's Ma /Pazcel p , c' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 Re airs or Alterations(Answer when applicable) �� / � f 1 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 issue y thi Bontd of Ikalth. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued No. Fee_/Od THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION 1 TOWN OF BARNSTABLE, MASSACHUSETTS 0(pplication for ;igpool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(�/Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. sL J'IG 4.0,,0,e' __� Ake Owner's Name,Address and Tel.No. Assessor's Map/Parcel o� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 applicable) ; ,x.., ,9,4z O'y 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 issue by thi Bo d of ealth. Signed Date Application Approved by Date Application Disapproved for the following reasons ; Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded{ Abandoned( )by at S/ .1.-5 X& li/�.n.�'✓Z „�.G"� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer The issuance of this permit shall not be construed as a guarantee that the system w ll fu tion as designs Date �------ Inspector_`--- _ ----------------------.--- -----------------.------ No.Qrna_'s ao Fee/ lJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS I=igpoga[ *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(Abandon( ) System located at Sc.3. S G li/5,,/� 4—wp 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 cond ns. Provided:Constructio must b completed within three years of the ate of thi e Date:_ Approved by i al L - 131, TROY WILLIAMS SEPTIC INSPECTIONS so Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 COPY -= COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION U Property Address: 13 3 S c u d d<r Av c. Name of Owner 0o•y,,-( (Ca S c.►+ PyC.A n, s + Address of owner: 6 90 10 Date of Inspection: Y/10 /O a Name of Inspector:(Please Print) Troy Williams I am a DEP approved system inspector pursuant to Section 15.340 of Trde 5(310 CMR 15.000) Company Name: Trod Williams Sa c Inspections Mating Address: 19 Hummel Drive. So. Dennis. MA 02660 Telephone Number: (508) 385-1300 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: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspectors Signature: Date: W/o /o 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 ttre system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed.as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. revised 9/2 /98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: owner: 433 Scudder Avenue,Hyannisport,MA Date of kupection: David Kesian April 10, 2000 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I 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. 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. 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 pipes) 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 2orII •' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 433 Scudder Avenue,Hyannisport,MA Owner: David Kesian Date of Inspection. April 10, 2000 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: 'V�/, Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS 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 Zone 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 9/2/98 Page 3of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 433 Scudder Avenue,Hyannisport, MA Property Address: David Kesian Owner: April 10, 2000 Date of Inspection: D. SYSTEM FAILS- It/IA 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 No Backup of sewage into facility or system component due-to an overloaded or clogged SAS or cesspool. Discharge of 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. LARGE SYSTEM FAILS: N/A You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The 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 health and safety and the environment because one or more of the following conditions exist: 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 If 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 office of the Department for further information. regional revised 9/2/98 a Page 4 of I I i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 433 Scudder Avenue, Hyannisport,MA , Owner: David Kesian Date of Inspection: April 10, 2000 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes, No Pumping information was provided by the owner, occupant, or Board of Health. C l yCCvicUGG✓�7k�+cy / _ None of the system components have been pumped•forat 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 N/A. _ 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) / 115.302(3)(b)) v - _ The facility owner(and occupants,if different from owner) were.provided with information on the. SubSurface Disposal Systems. propermaintenance�f revised 9/2/98 Page 5 or i i I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: owner: 433 Scudder Avenue,Hyannisport,MA Date of Inspection: David Kesian April 10, 2000 RESIDENTIAL: FLOW CONDITIONS Design flow: /I O 9-p-d./bedroom. Number of bedrooms(design): Number of bedrooms(actual):a2 3 Total DESIGN flow 3u — Number of current residents: 0 Garbage grinder(yes or no):L Laundry(separate system) (yes or no):L; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no): Y65 Water meter readings,if available(last two year's usage(gpd): g9 S/,l,000 5 /�,N j =Sump Pump(yes or no): `fit 3 -L4 i Last date of occupancy: ✓ywN J p ��„��. yr• COMMERCIAL/INDUSTRIAL:/11/19 Type of establishment: Design flow: apd (Based on 15.203) Basis of design flow Grease trap present:(yes or no) Industrial Waste Holding Tank present:(yes or no)— Non-sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING�R�E�CORDS and source of information: L�JZ.� 3.n G t H a.✓ i+� 7 lJ.�.— h >� T�♦ /U Wh System pumped as part of inspection. (yes or no)) * If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM �L Septic tank/distribution box/soil absorption system,PWP"P 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: l s ,�„ `� _. Xb �-u- a s_ Sewage odors detected when arriving at the site: (yes or no) Alo revised 9/2/98 . Page 6oru ,' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop"Address: Owner: 433 Scudder Avenue,Hyannisport, MA Date of Inspection: David Kesian BUILDING SEWER: April 10, 2000 (Locate on site plan) Depth below grade: r �.,� t Material of construction: cast iron_4/40 PVC_other(explain) Distance from private water supply well or suction line Al 14 Diameter ul! Comments:(condition of joints, venting, evidence of leakage,etc.) 1 N t �.!cr.a_ T•�v..� c ( G ✓ �- - SEPTIC TANK:_ (locate on site plan) Depth below grade: l Material of construction:concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ ls.age confirmed by Certificate of Compliance_(Yes/No) Dimensions: ark 9 'X 6 /O o a i a jA Sludge depth: "aAij Distance from top of sludge to bottom of outlet tee or baffle: J Scum thickness: Alave Distance from top of scum to top of outlet tee or baffle: Ale S c✓r•. Distance from bottom of scum to bottom of outlet tee or baffle:N�c �.., How dimensions were determined: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structur"tegrity, evidence of leakage,etc.) PUC— T«s �r I a,,,�( o✓ �-/t �r 1gg//0 LN �' C�1"d rW I /! 0. GREASE TRAP: ,y (locate on she plan) Depth below grade:_ 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: Comments: (recommendation 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.) revised 9/2/98 P age 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: 433 Scudder Avenue,Hyannisport, MA Date of inspection: David Kesian April 10, 2000 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or 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/day Alarm present Alarm level: Alarm in working order:Yes No Date of previous pumping: — Comments: (condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: le o 41 ( Comments: (no e•if level and distribution is equal,evidence.of solids carryover, evidence of leakage into or out of box;etc.) —!3o w. v✓••,>_ J r c/t PUMP CHAMBER: v/ (locate on site plan) Pumps in working order:(Yes or No) S Alarms in working order(Yes or NO) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) /�y,16 ✓ o�.►—r a.. a�w✓a+, r U �A revised 9/2/98 Page 9ofII f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: 433 Scudder Avenue,Hyannisport, MA Date of Inspection: David Kesian April 10, 2000 SOIL ABSORPTION SYSTEM(SAS):-V-/ (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: y i r /�r-o,fp,.S ,d� -.7, S At,,, . leaching galleries,number:_ leaching trenches,number,length: leaching fields, number, dimensions: overflow cesspool,number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of ydraulic failure, level of ponding damp soil, condition of vegetation, etc.) ` a CESSPOOLS: (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) PRIVY: N//i . (locate on site plan) . Materials of construction:/ Depth of solids: Dimensions: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) revised 9/2/98 page 9orII a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(corrtimmd) Property Address: Owner: 433 Scudder Avenue, Hyannisport,MA Data ofPectiorr: David Kesian April 10, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) 2� 4 ,�-v►�i �-�v-'�'�r S revised 9%2/98 Page looril • , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop"Address: 433 Scudder Avenue,Hyannisport,MA Date of kmpec,&m: David Kesian April 10, 2000 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited M w Z-ti Observation Wells checked Groundwater depth: Shallow_ ( Moderate Deep 1 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 JAbutting 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) ("/0.h � 0.✓5�-rt� 7 �+ �r�..�.� ++o.-1-s.i cti�.s.� Ma�.,A.c• cL r.a! l✓a 1 �'I O f �a c-w c� revised 9/2/98 Page 11 or 11 Permit Number: Date: /G v Completed by: fnJ,, ( l:�.... HIGH GROUNDWATER LEVEL COMPUTATION Site Location: — y.3 3 -5� -•c� .--- Lot No. Owner:---- -- ----- ---- ---- Address: -- --- ------ Contractor:_ — Address: ----_--- ---- -- ------- Notes: STEP 1 Measure depth to water table to nearest 1/10 It. .............................................................................. Date 4///o /uo �•J month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: O Appropriate index well......................................, j1,'.wt� OB Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to 6 water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) 4 determine water-level adjustment ...................... /. .................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water u level at site (STEP 11 ........................................................................ / TOWN OF BARNSTABLE .L. LOCATION !�/,3,3 SEWAGE # VILLAGE ASSESSOR'S MAP & LOTo C—Cf'1-3 INSTALLER'S NAME & PHONE SEPTIC TANK CAPACITY/ODD LEACHING FACILITYAtype) /��!`�b `d��1`/ (size) NO. OF BEDROOMS PRIVATE WELL PPUB&C WATE BUILDER R OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 4 7 VARIANCE GRANTED: Yes No 0 �� O No.. _ _ . Fss.................. ....._ .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bhripooul Works Tonotrur#inn Permit Application is hereby made for a P it to Cons uct or Repair ( ) an Individual Sewage Disposal 2 6 �L)j / System at 1 .... 5�. ... .�v...e%.......� .. ..........................................0 .--.........................._...-...... i - ............. L ation Address or Lot No. ...... . ..........� ......... .................................................................................................. Uwn�.r�/I y� Address ........... � 11-/-• '�!_t. .:.!:"..::�........... ............................. ..........................:................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........... ...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .----•..............................•------------•----.•........------•---•-.....------........---...............-•----............-•-•-.............. Design Flow............. gallons per person per day. Total daily flow.........................._-----------------gallons. Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...............•-----••---......•-•••-....--••--.......................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-----.••---------------------------••--•-----•--...----......-----•--...................._............... Descriptionof Soil-•--•--•-----------------•---------------•--------..-.-----.----.-------•-••---------------------•--••------.----.----•----.--.----••-------•-•-------.---....---•------- .........••--•••-••........-•................••..........••••....----••---•-•---......----.......••-•-••-•--••••••-•--•-•---••••----•••••---••-•.................................................•--_.... Nature of Repairs or Alterations—Answer when applicable......... . ... ........ , . .. V --------•-•-------•---------------•------------....---•------•-•-•-----•--...-----------------•--------...--------..............•-•-•.•..t Agreement: The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in acc -dance the provisions of i1TL.i 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be i ue by and he th. Si ed. . ... . . .. Application Approved By.. - .... •------••---- ----------•- - -� ... .. .................. .... . .._... . ----. . to Application Disapproved for the following reason : ------•-•••••...•••---••••••-••------•-•••••-•-••••--•••--••-•-•••••-••-•--.......••-••.......................... .......................... _ . Date Permit safe I THE COMMONWEALTH OF�LSACHUSETTS { BOARD OF HEALTH TOWN OF •BARNSTABLE , Applirtttiou for Uhj nnul Wnrkn Cfnmtrnr#inn Permit Application is hereby made for a Permit to CLon�sttruct ( r Repair ( ) an Individual Sewage Disposal sy8t�i at: 3 ACE..1......I.�� ........................... ............................._.......... -�N.'��- e ( cr Lot No. Lo ion-Addr Cr ............................................................ ,, Address . �. - .............................................-...-•............................................... \ Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........... Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ................. o......... o.Nf persons..........:................. Showers ( ) — Cafeteria ( ) Otherfixtures .-----------•-•------------------------•---•-•--------...----------- .....----......---•----......................------.............................. Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. ---_----.-•----•-__. Width.......,............ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.............•••--•---•••--•••-•-•....••••----....--•••••................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------••••-•••-••-•--••••••---•••••••--••.......-•••-•........-•-----••...............--•••••.......--•••......-••-•....-•-•.-•••--. Descriptionof Soil......................................................................................................................................................................... Nature of Repairs or Alterations—Answer when applicable............ .. .. 716 •-------------------------------------•-----------------•----...---------------•----.......----------------......----------.......-------••--•---------------.........•- Agrec'ment: ,7U The ui.dersi ned agrees to install the aforedescribed Tndividual Sewage Disposal Sysm te in ace dance'wit) the provisions of TITU-7, 5 of the State Sanitary Code— The uncle igned further agrees not to place the system in operation until a Certificate of Compliance has bee ed t r lie Signed..... .••-_. .......... .... .. .............. ....... .... ....... .... Application Approved By....... _. a..... .. .. . . ........ 6 . . •- Application Disapproved for the following reason :_. ........................................•----....------.............................. ......... •••-•---. ... c..._......_ ..... .........Dat........ Permit No... _,5.._..11-1)5 Issued...�� ..a. r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of BARNSTABLE Trrfifiratr of Tomphaurr THIS IS T C R IF , That the Ind, 'dual Sewage Disposal System constructed or Repaired by--•-•-•--•- ........... Q� ..�-.--•........_.. .................................................. C\ installer at....... .............................................. has been installed in accordance wit11 the provisions of�'VI 1 5 oThe tate Sanitary Code as described in the application for Disposal Works Construction Permit No... 9024_�_ED dated...._. . �./5. ............... THE`ISSUANCE_OF THIS CERTIFICATE SHALL BE AS A GRANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. fr DATE................./. . ... .9.7.....__................._._......._. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS r7KJ BOARD OF HEALTH f T I—)t TOWN of BARNSTABLE FEE. No. Bigposal0nr n ft TomAr inn VarA Permission is hereby granted••.lEb . .... �(�E� to Construe Re ) an Individual Sewag Disposal Sys .) ......pav"c:_ ) -.---- f e .. st n at No..... kf - }t�...... f�` as shown on the application for Disposal Works Construction ermit o.. ..... . Dated...... .... . ice'............. . ._._... �.. ... ....._ llo nl of DATE.............. ... . �t ............................ TOWN OF BARNSTABLE LOCATION ��3E.-` e. SEWAGE VILLAGE ASSESSOR'S MAP LOT c-Lf -3 IN:STALLER'S NAME & PHONE NO.�&41014� O"r/ SEPTIC TANK CAPACITY O / LEACHING FACILITY:(type) �lr�D ��/ (sue) NO. OF BEDROOMS PRIVATE WELL !� PU/BLIC WAT BUILDER R OWNE�_ DATE PERMIT ISSUED:�3. �142 DATE. COMPLIANCE ISSUED: 7 - VARIANCE GRANTED: Yes No 4 �6 bk 6M 0 ct s� LOCATION SEWAGE PERMIT NO. VILLAGE V INSTA LLER'S V je N ME R ADDRESS z ' 5 3UIL0EIII OR OVINER 0A .T E P ER III IT I S S U E 0 DAT E COMPLIANCE ISSUED `d � �• � � f 3 ' r ,� -, °� � 5 , �l 1 LOCATION : 5EWAC4E PERMIT UO. VILLAGE -� - - - - - IMSTALLER•5 IJ&ME ADDRESS BUILDERS Q &MF- ADDRESS DLS,TE PER"IT ISSUED D ATE COMPLI W ICE ISSUED ; �.� ., i y� ��' � �/ �\ ,�� � i • . #, No...7.q-. y. u Fis...$.5-00............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................._Town own...........OF.......... ............=........................................ Appliration for Bi-qVoim1 Works Tonstrttrtion trnti# Application is hereby made for a�Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ?k3 ..S�udslex..Avenue 'axu�i ,..� A..42�Q ......... --•....................•....---------.....------------.....------...............................-- Location,Address or Lot No. �IAseah lley......:..._. 43_.Sc..;.dder Ave., Hyannis� MA 02601 --•-------------••---•----•------------._._.... ....... Owner Address easp491..SerYi.QQ .--•...................................... 128 Bishops Terrace, Hyannis, MA 02601 Installer Address " Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............3.............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons....•_2___.__............. 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 ( ) 7 . Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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------------------------ ------------------------------------------------------------------------------------ -------••---......................................................... 0 Description of Soil.............Sand......................... "' W Nature of Repairs or Alterations—Answer when applicable____Install.ation..of..a.__ -- Up PP� MX__Flowr_Zifussor with extra stone. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLE, "5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed... !���el�a 4.1 j• a 2 Q��9r� 9 ✓f ��r Date ApplicationApproved By.....-----•-••••---•---•--•----•---•--••••-••----•-••-•--••-•-...---•----•...............•....... -•--•-......----3-0/19/79---- Date Application Disapproved for the following reasons:-----•---------------------•---•---------------------------------------------------------------••-•---•---••---- ...••••-•-••-•--•-••-•---•-•--•-----•--...-•---••-•...--•-••.....---•-••-•..............•---•----•-----...--•--•---••------•-----•-•------•••••••---._...------•--•------•-----•--------•--••-•-----•--- Date PermitNo.......79 ............................................ Issued..........10/19/74......................... Date 'Y No...79-A ;�+ FEs.. -30.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Ti*n ..:....OF..........fi; xa£ l�l.€� Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal ' System at: °>✓h '•_;�t���' �tY3='r'-w0t tw �cv "3.Y N Q26oi....... ----- e * :+ LLB. rinr-•A�rparLoxNonyl. aca ion Address '�•-&.._ -Ce� T�O�Ary�.�5 �`" orE r ' .....�.? 1.F3J] S..T ...�A'o Address ....... ....:.................. � F-1 u'1r Address ' j • n Installer k. E Fa Type of Building ta Size Lot............................Sq feet'; t Dwelling No of Bedrooms } ........ .Expansion Attic Garba e Grinder a . p, Other—Type of Building ....:.................... No. of persons......_2__........._..____ Showers ( ) — Cafeteria ( ) Otherfixtures ---•--•.......-•---••--•--•-•••••-••-•-••••-••-•-•-------•-••-•--------.-•-••----•-•-•••-•••--••.............••••••..............._ 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 r'Daameter____________________ Depth below inlet.................... Total leaching area._................Sq. ft. z Other Distribution box ( ) ,k:; Dosing tank ( ) aPercolation Test Results Performed by---- ----------•-------•-•--••••••........----•--•••••............••--•--- Date. ................................... Test Pit No. 1........ Ininutes per inch Depth of Test Pit.................... Depth to�ground water::___-____•-------_--_. fz, Test Pit No. 2...... ri intite`s;per inch Depth of Test Pit.................... Depth to ground water. ......_------- t ........_. •. ..................................................................................................................... ..... ......... i y7`i DDescription of Soil........ ' .........................................................---------------------------------------•---'----------------------------....•--••- . ~. . ... W ------------------ ---- ------------------------------•----------------------------•------------------------------------- UNature of Repairs o Alterations Answer when applicable_____lnata1.)-ati-oil.-Of..e?--XygO-OXX.-f -E�t-difussar `S�1,h_eJC11T8._ ©17,@ a - •................................................................... -----------------•----•-••-•-t........................................ Agreement The undersigned agrees".to"install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTL 5 ofAe State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of';Compliance has been issued by the board of health. n= , Signed.... '�&Z.e ,jai- �' �� ........................... / � a.9 9 r$__1e_ Date Application Approved ,BY -g-,.> --` . --- --•-•••. . �/�W •._ Date Application Disapproved for;.,the'f 911owing reasons-----------------------------•------•-------------------•------•----------•-----•---------------•-•-••••-•..-•--- z.: -•--------•••...•••--••-••-•••---....••.. ---------........................................................... Date Permit No. 9 . .:-. Issued-----......1Q�19h9........................ Date THE COM4C_VWEALTH OF MASSACHUSETTS r BARD OF HEALTH f ..................... . '...Tcir.....oF........... Tl.a............................................... (9rdgfiratr of Tantphaurr THIS IS TO CERT FYx, That the Individual Sewage Disposa l System caonstructed ( ) or Repaired ( x) i. by-------.A.. B Cessp 1, ;f'iiicIi, 128 Bishops TerraceHyannis__•1'A' 02601...-----.77.5.-b� Installer at. 433 Scudder AYf9 r, 026d1 Joseph . Kell® -•---.......... has been installed in accordance with.the provisions of J. Tl`:1Z j of The State Sanitary Code as /described in the application for-Disposal �'Vorks Construction Permit No----79 _ 1..tTRUED ....... da.ted_....._.._._.1Q/19/?o................ THE ISSUANCE:,OF T.R CERTIFICATE SHALL NOT BE A GUARANTEE THAT THE SYSTEM WILL FUNCTION;SATISFACTORY. 1©� �/ Ins,DATE....------. ;.;- _:,.:::. pector ....-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :%ow21.........OF...................E%M*&aXe....................................... No.........?4. 7. FEE----•-••$-5.0...... A &1 Cesspool S�aerttv�i�es, 1t2i8�n rrtttPi# ;ay8t-hPermission is hereb ranted --------------•--_ - : u � j' �.. _01 to Construct ( ) or Repair ( X)'an'Indiv>dual Sewage Disposal System at No. 33 c�e3der eve..e_.. �! nnis. Q260Z......Jgs4Ph. ............................................................. Street — as shown on the application for Disposal Works Construction Per 0.79- _... Dated.:.........7 Q11909........... 10/1V79 ar of all DATE ( • FORM 1255 HOBBS '& WARREN,. INC.,. PUBLISHERS [, ' COVERS TO WWATERTIGHT AND TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE SEPTIC SYSTEM PROFILE 'Flaherty Environmental Services EL. 52.0' EL. 50.0' (not to scale) INSP. PORT W I 3" OF GRADE P. O . Box 331 GEOTEXTILE EXIST. EL,50.0' CLEAN MEDIUM SAND Harwich, MA 42645 CAST IRON or EQUIVALENT FILTER FABRIC I_Ull 11 U M11 4" 774.994. 1966 OVER ENTIRE FIELD MIN. PITCH 1 4" PER FOOT i . . 4"SCHEDULE 40 PVC PIPE 4" SCHEDULE 40 PVC PIPE •• •• � VENT IF REQUIRED FLOW LINE ffifst 14' 2.4% —�.. -i... 5' .. ... •• •• EL. 47.3' WELL- MIW-29 *NNL.EXISTING...• ZONE- Bo ,• .�.: . a. _.. c :�•_ 1. READING- 6.57' •� EL EXISTIN EL.47.4' .: .+�:•a:" 5'*s r.; ° w'at:� 'i rn:;..�••..c•• DATE- MARCH 2O20 EL.46.9' —� 0.05%SLOPE f —� ADJ.- 0.8' GAS BAFFLE EL.47.07' EL.46.6' SOIL ABSORPTION SYSTEM (o eox) (3) LATERALS OF SCH 40 PERFORATED PVC PIPE REouiREo:A REMOVAL of uNsurrABLE 6"CRUSHED STONE OR WITH 6"STONE BENERATH IN A 15.O'X 30.0' 4'0� oowN TOL BEEATH ELN45.1'THE PROPOSED SAS 1500 GALLON SEPTIC TANK MECHANICALLY COMPACTED FIELD FORMATION (SEE DETAIL PAGE 2) (DATUM: ASSUMED (EXISTING) EL. 42.6' BOTTOM OF TEST HOLE #1 EL. 40.0' .69, USGS ADJUSTMENT: 0.8' J � OBSERVED.GROUNDWATER ELEV: 41.8' LOCATIONMAP do° 50 !'- N TH J / o 'N' �0 48 as QQ 2.5' smith st. g� J O rrww / Ma^slOn'4✓e. �:J 28.11 / DRIVEWAY / 150' TO WETLAND cocus Schoolhouse NOTES / Pond EXISTING SAS \ Idr 'EXISTING 46 NTS IS IN THE '0 SAME AREA OF 13.0, 3 BR iN THE PROP. SAS DWELLING LOT B I 14,720 SFt F R. 50 MAP 288 1 LOT 139 BENCHMARK: Ar TOP OF FNDN �R1TT EL. 52.0' 48 SHED DATE.41812020 REVISED: 46 SITE & SEPTIC PLAN FOR B & B EXCAVATION INC./ PETER EDWARDS 433 SCUDDER AVENUE SCHOOLHOUSE SCALE : 1 t — 3 Q BARNSTABLE, MA POND REF:PB 289 PG 34 Page 1 of 2 ...._...... ... ..... 1 GENERAL NOTES DESIGN CALCULATIONS SAS DETAIL . Flaherty Environmental Services P. 0 Box 81 1. ALL PRECAST COMPONENTS TO BE H-10 Yarmouth Port, MA 02675 RATED. ALL COMPONENTS WITH ANY NUMBER OFACTUAL BEDROOMS 3 774.994. 1166 ANTICIPATED VEHICULAR TRAFFIC TO BE 15.0' H-20 RATED. GARBAGE DISPOSAL UNIT NO 2. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF GARBAGE TOTAL ESTIMATED FLOW GRINDER. (110 GAL/BR/DAYX 3 BR) 330 GAL./DAY 3.75 4' SCH 40 PERFORATED PVC 3. MUNICIPAL WATER IS AVAILABLE. REQUIRED SEPTIC TANK CAPACITY 660 GAL. 4. ALL CONSTRUCTION TO CONFORM WITH SET IN A BED CONFIGURATION 310 CMR 15.000 AND ALL OTHER SIZE OF SEPTIC TANK 1500 GAL. (EXISTING) 3.75' AND SPACED AS SHOWN APPLICABLE LOCAL, STATE AND FEDERAL 30,0' CODES AND REGULATIONS. SOIL CLASSIFICATION 1 3.75' 5. INSTALLER/CONTRACTOR TO REVIEW& DESIGN PERCOLATION RATE <5 MIN./INCH VERIFY ALL ELEVATIONS AND DETAILS AND - 3,75' REPORT ANY DISCREPANCIES TO EFFLUENT LOADING RATE 0.74 GAL./DAY/FTz DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL RESPONSIBILITY, LEACHINGAREA 6. INSTALLER/CONTRACTOR IS RESPONSIBLE 15'X30'LEACHINGBED FOR MAINTAINING SAFE WORK AREA, (15'x 30)x 0.74 333 GAL./DAY VERIFYING ALL UTILITIES AND NOTIFYING "DIG SAFE" (1-888-344-7233) 72 HOURS USE(3)LATERALS COMPRISED 4' SCH 40 PERFORATED PVC (STANDARD) PRIOR TO CONSTRUCTION. OF SCH 40 PERF. PVC PIPE SET ON 6' OF 3/4' TO 1 1/2' DOUBLE WASHED STONE 7. ANY CHANGES TO OR DEVIATIONS FROM WITH 6"STONE BENEATH THIS PLAN MUST BE APPROVED IN (SEE DETAIL TO RIGHT) WRITING BY FLAHERTY ENVIRONMENTAL RESERVE LEACHING CAPACITY N/A SERVICES AND LOCAL BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3'PER 310 CMR 15.000 UNLESS SHOWN PER PLAN. 9. ALL ABANDONED SEPTIC SYSTEM (NTS) COMPONENTS TO BE PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED AND REPLACED WITH CLEAN SAND. 10.ALL COMPONENTS TO BE PROVIDED WITH SOIL EVALUATION 1 ceftify that on November 12,2002,1 have passed WATERTIGHT ACCESS PORTS WITHIN 6" OF the examination approved by the Department of FINISH GRADE. TEST HOLE#1 TPT#20-52 TEST HOLE#2 TPT#20-52 Environmental Protection and that the above analysis Evaluator- David D.Flaherty Jr..,R.S. Evaluator., David D.Flaherty Jr.,R.S. has been performed by me consistent with the 11.ALL SEPTIC TANKS, DISTRIBUTION BOXES SE2755 SE2755 required training,expertise,and experience described BOH Witness: David Stanton,R.S. BON Witness: David Stanton,R.S. in 310 CMR 15.018(2)." AND PIPING TO BE INSTALLED Date: March 27,202o Date: March 27,2020 WATERTIGHT. 12.NO KNOWN WETLANDS OR WELLS WITHIN Test Hole#1 El=50.0' Test Hole#2 El.=50.0' 4 150 FEET OF PROPOSED LEACHING. 13.THIS IS NOT A CERTIFIED PLOT PLAN AND 0"-40" FILL 0"-40" FILL UNDER NO CIRCUMSTANCES IS THIS PLAN TO BE USED FOR ZONING OR BUILDING 40"-51" A LS IOYR 212 40"-51" A LS IOYR 212 PURPOSES. 14.LOT IS SHOWN AS ASSESSOR'S MAP 288 51"-59" B SL. IOYR 518 , 51"-59" B SL 10YR 518 LOT 139 • 15. LOCUS PROPERTY IS NOT LOCATED IN AN ; AQUIFER PROTECTION DICTRICT(ZONE II). ` SITE& SEPTIC PLAN FOR LUNSUITABLE LUNSUITABLE B & B EXCAVATION INC./ 59"-120" C NS 2.5Y6/6 59"-120" C t4S 2.5Y6/6 REQUIRED:A REMOVAL OFUNSUITABLE PETER EDWARDS MATERIAL BENEATH THE PROPOSED SAS DOWN TO EL.45.1' 433 SCUDDER AVENUE GROUND WATER _ '7_ _ GROUND WATER _ _Q _ BARNSTABLE, MA OBSERVED AT Elev. 41.8' - OBSERVEDAT E/ev.=41.8' — BOTTOM Elev.=40.0' BOTTOM E/ev.=40.0' Page 2of2