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0501 SCUDDER AVENUE - Health
501 Scudder Aven1.ue Hyannis A = 287 - 016 . i TOWN OF BARNSTABLE LOCATION 561 C V P D e e. A ut�- SEWAGE# �-6 VILLAGE V It I.DIJI�S ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l st!b LEACHING FACILITY:(type)(-, ,Lj c4Ak ID"ts.A&size) 12l bf 3 �k33 NO.OF BEDROOMS BUILDER OR OWNER d� � W' £12 rAe or PERMIT DATE: �ko 311 COMPLIANCE DATE: 1 /it r` Separation Distance Between the: O 3 l Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland.and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished.by � � w W -4w �c ro 13,Y 1 �1 r ��' � -✓ Town of Barnstable P# (SIDS 1 - j Dypa mentFpf Health S�afety�qq nm nts Seirvf es P;ublic.�H�eal Date, 1367 Main Street,Hya:�nis Mk 266 1 RAMIRABIA sa�� • Date Scheduled Time L_0�M Fee Pal. tom" rFe ram+" _ � Soil Suatability Assessment,f®r ,5eac a Disposal �" �' �Cc Performed By � t r Witnessed By:, Q.` .�-...['".2.. f+ •:<:::>::>:::>:::::;::>::2;;:{:Ez:::<:::<:::ii::::p;>iE:::E<:E:>;:>' :;:<:: ::: .: <:: i. :# ,: .: . E<: ?isSE>:?...... Location Address O (�G. �f Q Owner's Name Address d . < w . � - Assessor's Map/Parcel: d 00 ?74 Engineer''-s Name NEW CONSTRUCTION x REPAIR - Telephone# �i� ` f Land Use +�- lopes(%) �—'�0 � Surface-Stones Distances from: ,Open Water Body GO ft Possible Wet Area G©ft Drinking Water Well +ft -- Drainage Way CGG� ft Property Line I'S ft Other ft r SKETCH:(Str et name,dim ions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) / qr Ai � J r�k W 1 6 Q ck r.- ----- _-Parent material(geologic) `Q � .. ! <......r . - Depth,to Bedro.. . . _ Z!!�0 - Depth to Groundwater: Standing Waterin Hole:�/ Weeping.from Pit Face Estimated Seasonal,High.Groundwater. lY 1k .::�::•:::::::::!�i:•:?:v:•i:dA' . .i:i�.:.:. .d������i—•i::::v:.�:.�:::n�:::•:::::L:}iiii:�i:::�:• ii:::m:::::::::::.�:::::::::::::::.:.n......................... :i:i:<:yGf;: i:i'i:�::�i:2:i'iii:.'�i i'::rii':iiiiiiJ ii'Jrii:•i:•Tisbiii:•::^}r:L:•i:::::::::::v:::.�:::::::::::::::.::.................................. Method Used: Depth.Observed standing in obs.hole: in. Depth.to-sdilGmottles: r r< in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment • Index Well# •Reading Date:--___ Index Well level :._' Adjdfactor Eevel_ :::;::;>:fii:`.`•;:;5:::::: ::;;:; 5;::4;::�:::;i:::;;::;;::;>i:;:::<; :: :::.;;:::;':i";:::>::,�::�..;•::;:.:;•<;::::::::::..::.::>.::iiii:ii:;:::Y::::::.;::`:::;;::.::'i ................:•:::.:::..:.:......................:::•:: ................................:::::.::. Observation Hole#' Time,at,9',' r °, G< Depth of PereP Time a66"` j - Start Pre-soak Time @ ` End Pre-soak Rate Min./Inch ` /�✓� . �r. N,. :e• �_ ` .ctt Site Suitability Assessment: •Site Passed '••- V r' n, ,Site Fa°led*PKt r-AdditipnalXesting•Needed(Y/N) .+w ""swat � a , Original: Public Health Division Observation HoIe�DBta To lie tLompleted on Back Copy: Applicant Q. t <.;>;:.>::.:.;:;;;:;;::.;:.;;;;:•::Si;;!:::._:: ..::... .: _:.::.::.;'_:...-- _::..>:;" >`<,,:.:.,:•.;i' i?;fii i?>:K»>::<:E:»> v' '>:::: ^:>:::>::;:;»>:<:> >: ?::::>:E:E:>E: is::E:><i;; • �. '.i'.i:.i:i.i>;i•.::i.i>ii:i:::i::i::•;;+:; :: .: < .. :::•a;;>::iS;: .:::::::::i::i:i.:y.::;'.i: :::'r'::::> :.;'...... :;:.;;;:.:;:.;::.:::::::::::::::::.::::..............:.:::::::....:................... Depth from Soil Horizon Sb1i" Ktiire IC t Ii soitlsoloc-'t fi s Soil Other Surface(in.) (,USDA)... }. (Munsell) Mottling (Structure,Stones,Boulderes. u 1 r7 HEI� / x ��� .-�, _ �1�,.�`t• ha�lt''.�c'�i;. $:,3ill,1 ,r.x i4 i� )a 1,...a,. . ...........................DEEPN. :::�B.S]ER'V.:..:..I..........::.::::::::.:::.::.::::::.:::......:::..::..:::::::::::::::::.::::......... Depth from Soil Horizon Soil Texture Soli Color Soil Other Surface ) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,°oGravel) IC � • ::tii'{:::•;:y ::: ::?:ii::.:.... ....: i%!::i::::i•:.': ii"...... :<:»:: >::>::::><>:;:;::>::>::>::;:::<:: : :::.:::::.bole.#. . ::. . :::::..:...............:.::::::.::::<.::: . ........................................ Depth from Soil Horizon Soil Texture Soil Color Soil Other , Sbriface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulderes. -- o i nc oe r el x ::::>:::. : : :. : x; ::G: :::::::.....:.....x �. ::... ::::::::::..DEEP:.:OB. E TION: +O:LE:.:.:.:.:::::::::::::::::: :.::.::.:;:.:...... . Depth from Soil Horizon Soil Texture Soil Color Soil Other 'Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. onsi encv.°o ravel) ly-Zq �S C Zq -IZO an: , t t :! t o # ;I♦to'od�ifnsurance Rafe M - ._ i, Above 500 year flood.boundary.-No•_ Yes k,•••-Within,501)year,boundary ,No X Yes '"` wtthtn'f00 year'flood':bouihdary Not�:'.:'Yes _. - be_pth of Naturally Occurring Pervious Material Ooes at least four feet of naturally occurring pervto aterial exist in all areas observed throughout the area proposed for the soil absorption system? j I.'f:not,what is the depth ofbaturally occurring pervious material? Certification I certify that on (date)I fiave passed the soil evaluator examination approved.by the -D'epart►nenY of-Edvironmental--Prtitection_and.thatthe above analysis.was:performed.by}me consistent, jt .the required training,expertise experience described in 310 CMR 15.917. Signature Date No. v Fee 50 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: — Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Applitation for Vspo8al 6pstem Construttion permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,,.T tj l Owner's�1ame,Address, d Tel.No.�/T—G-?��leP �rJc�r-mow en Assessor's Map/Parcel Ah InstalW's Name,Address,and Tel.No Desg�ner's Name,Address and Tel No✓5-� .f%©trk ui. v ! 50, Type of Building: ,J Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) el4eo gpd Design flow provided �i f��� gpd Plan Date / Number of sheets Revision Date Title ,yf— f&yeCf p���.- Size of Septic Tank 'L'id U Type of S.A.S. Description of Soil IV' Nature of Repairs or Alterations(Answer when applicable) -;Z'4,,'7041/ /a te J3'O® z w. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' e Date Application Approved by Date 3 Application Disapproved Date for the following rea ns Permit No. Date Issued rTt/7,v No: f Fee 50 /i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer; Z_ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Misposar *pstem Construction Permit Application for a Permit to Construct( ) Repair(K Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,f6! SC a Owner's Name,Address,end Tel. Assessor's Map/Parcel ?87' Install 's Name,Address,and Tel.No. .S� 7T -.?A�f� Dest ner's Name,Address,and Tel.No.LS-vP--R11- y✓ / Type of Building: Dwelling No.of Bedrooms Lot sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) y Other Fixtures Design Flow(min.required) 191y6 gpd Design flow provided ZJ-7-f gpd Plan Date J 4 Number of sheets Revision Date ti Title 77;y+ r;— s. c e�'vo- Size of Septic Tank 4-f 5, Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �z oo Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' e Date 3 6 Application Approved by Date 3� U/ Application Disapproved, Date for the following ea rt§ /r , Permit No. (Cl) _ � Date Issued - - - ----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site,Sew,age Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by / at ,j O/ S'Cri�c.�� �-��z a� <= o M' has been constructed in accordance �,/ with the provisions of Title 5 and the forsDisposal System Construction Permit No.. dated 171 jr/-4/C Installer � 1, Designer #bedrooms Approved desig w! 1 gpd The issuance of thi pe its all not be construed as a guarantee that the system will felnctio designed r Date i 1 Inspector ------------------------------------------------------------------------------------------------------------------------------------------ No. f��� 3if Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair(A-� Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permi Date / Approved by Town ®f Barnstable "E o Regulatory Services Thomas F. Geiler,Director BARNFABLE « Public Health Division rEn 39. Thomas McKean,Director 200 Main Street,Hyannis,1dU 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 10117114 Sewage Permit# Assessor's Map\Parcel Designer: o w r C "_ /fW✓p. _ Installer: MQ,kt, Address: 39 Mo,r r, P_t7, Address: Ya.Y-Mpug On was issued a permit to install a (date) (installer) septic system at t5_0 fC ono h,.0,,_ based on a design drawn by address a 0 ola AE Pam' dated Ce V, flifl—k (designer) I certify that the septic system referenced above was installed substantially according.to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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. a OF MgSs�ti c Aso DANIEL14. o OJALA (Installer's Signature) CIVIL N No.46502 �0r�c /S T L- ^ �/ZO SS�ONAL EaG (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc TWE T� Town of Barnstable Bart-istabid Regulatory Services Department I �"a�j v ■ARNSPAUM MASS i639: �0� Public Health Division F8'" A 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO July 21, 2016 CERTIFIED MAIL# 7015 1730 0001 4989 0366 Hyannis Fire District 95 High School Road Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 501 Scudder Avenue,Hyannis, MA was inspected on 07/07/2016 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Single Cesspool. You are ordered to repair or replace the septic system within two (2)years from the date of this notification. You also have the option of tying into the current Title V System. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH homas McKean, R.S., CH0 Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\501 Scudder Avenue Hyannis.doc h Town of Barnstable • saxtvsrnsce, ,�� Regulatory Services Department Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA , ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO 2 YEAR DEADLINE CRITERIA Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching pit or cesspool with high liquid level, <12" below inlet(per Town Code §360-9.1) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER I Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc m1I 09 ,2016 08:41 Jim The Inspector Man 5085349919 page 1 ■ . -67 � Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments i 501 Scudder Ave. h Property Address Old Fire House Owner Owner's Nam information is required for every _Hyannis MA 02601 7-7-1 ' page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any 5 way. Please see completeness checklist at the end of the form. filling out g A. General Information on thecomputer, N��µ�FrMbg4ii puter, 64 1/730 use only the tab 1. Inspector: key to move your a •�m cursor-do not = '- JAMES James D.Sears use the return =in: key. Name of Inspector Capewide Enterprises, LLC Company Name *,; .5" .. V. 153 Commercial Street ���'�anr u t uP�""��� Company Address Mashpee MA 02649 G City/Town State Zip Code 19 508-477-8877 81623 Telephone Number License Number E 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: R ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-8-16 Spector's Signature Date - The system inspector shall submit a copy of this inspection report to the Approving Authority(Board IN of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. } ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Jul 09 .2016 08:41 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for voluntary Assessments •'` 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 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: Fail Barn. Reg. single unit. The system is a single c pool R 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.cloc•rev 6116 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Jul 09 .2016 08:41 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title -5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis annis MA 02601 7-7-17 ___ _ 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 ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: El 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)ib)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy Is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 - Title 5 Official Inspection Form`Subsurface Sewage Disposal System•Page 3 of 17 Jul 09 2016 08:41 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts w Title 5 official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o. 501 Scudder Ave. Property Address Old Fire House n Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page, City/Town 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: P **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 r 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: o) 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 Al�} ❑ ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 0 ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow ISins.tloc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pape 4 of 17 i Jul 09 .2016 08:41 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w A,•`J 501 Scudder Ave, Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] _ ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure _- criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc rev.6/16 Tille 5 Official inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Jul 09 2016 08:41 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts t Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form • Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 _ 7-7-17 page. Cilyrrown 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 amomIM manholes uncovered, opened, and the interior inspected for the condition of the 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): — Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pages of 17 Jul 09 2016 08:42 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts a Title 5 Official Inspection Form p Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. _ Property Address Old Fire House Owner Owner's Name information is required for every Hyannis' MA 02601 7-7-17 page. Cilly/Town State Zip Code Date of Inspection D. System Information Description: The system is a single c. pool._ Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ❑ No 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: Date Commercial/Industrial Flow Conditions: Type of Establishment: Old Fire House Design flow(based on 310 CMR 15.203): NA Gallons per day(gpd) Basis of design flow (seats/persons/sci t., etc.): NA 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: NA ISins.doc-rev.6116 Title 5 ORiciat Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17 Jul 09 2016 08:42 Jim The ,Inspector Man 5085349919 page 8 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House _ Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page. Cityl-rown State Zip Code Date of Inspection 4 D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology..Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Iispection Form:Subsurface Sewage Disposal System•Page 6 of 17 r Jul 09 2016 08:43 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address - Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7.17 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: NA 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-): Pipeing is cast iron. Septic Tank (locate on site plan): Depth below grade: r feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El 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: Sludge depth: t5ins.doc-rev.6/16 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 17 Jul 09 .2016 08:43 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 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 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 15ins.doc•rev.6/16 Title 5 official Inspecion Form:Subsurface Sewage Disposal System-Page 10 of 17 E: Jul 09 2016 08:43 Jim The Inspector Man 5085349919 page 11 commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •�' 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis _ MA 02601 7-7-17 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 ❑ fiberglasspolyethylene 9 ❑ ❑ other(explain): a 0 Dimensions: I Capacity: gallons a Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Rl 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 pumpin9 contract(required), Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inepeclion Form:Sulcsurfa:e Sewage Disposal System•Page 11 of 17 Jul 09 ?016 08:43 Jim The Inspector Man 5085349919 page 12 = Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page. City(Town State Zip Code Date of Inspection D. System Information (cost.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert No Box 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc,): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev-6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Jul 09 2016 08:44 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form F - Subsurface Sewage Disposal System.Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: - ❑ leaching chambers number: ❑ 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.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert NA Depth of solids layer NA Depth of scum layer NA Dimensions 6'X6' sons of cesspool Materials of construction Block Indication of groundwater inflow ❑ Yes ® No 15ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page•13 of 17 Jul 09 2016 08:44 Jim The Inspector Man 5085349910 page 14 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 501 Scudder Ave. Property Address F Old Fire House Owner Owner's Name infarmation is required for every Hyannis MA 02601 7-7-17 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.): C pool is 6'x6' block w/Steel cover @4" below grade. Pool is dry . One line in,no tee. No outlet, single unit. 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.): r t 15ins.doc•rev.6/16 Title 5 Official inspection Fomr Subsurface Sewage Disposal System•Page 14 of 17 Jul 09 2016 08:44 Jim The Inspector Man 5085349919 page 15 Commonwealth of Mdssachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments F 501 Scudder Ave. _ Property Address Old Fire House Owner Owner's Name information is required for every Hyannis MA 02601 7-7-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 13 -1- 25 13 r< �u P IM e� t5ins.doc-rev,6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sys-em.Page 15 or 17 Jul 09 2016 08:44 Jim The Inspector Man 5085349919 page 16 Commonwealth of Massachusetts F Title 5 official Inspection Form - F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 501 Scudder Ave. _ Property Address Old Fire House Owner Owner's Name information is required for every Hyannis _ MA 02601 7-7-17 page. Cityfrown Stale Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells �c Estimated depth t 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: Ck area & basement 10' dry w/floor drain. • r f Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Jul 09 2016 08:45 Jim The Inspector .Man 5085349919 page 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 501 Scudder Ave. Property Address Old Fire House Owner Owner's Name information is required for every �H annis MA 02601 7-7-17 ' page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D. or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file r e ' E t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sys:em•Page 17 of 17 j 4 ARCHITECT 27'-11 1/4" _ _ LLMDesign One Past Office Square ' - - Sul.4100 I, Beaten,MA 02109 Sheet key notes 517,456.0565 Tel ` f---- ------ti-- -------- ---1 O DEMO EXISTING FLOOR I-2 STAIRS, C O 1 WALLS,DOORS,WINDOWS AND FRAMES PROJECT NAME - AS INDICATED,STRUCTURALLY SHORE UP AND FRAME AS RED. Maher I DEMO PORTION OF ROOF AND Residence E.r m I O NCHIMNEY TO BASEMENT LEVEL 5o75cvaaer Avenue a 10'-2 1/2" 15-0 3/4 I O DEMO EXISTING HEATING SYSTEM- Barnsfeble,MA 02601 I _ REPLACE WITH NEW TBD j ' ' O WITH COOROIWNER FOR FLOORREMANS POLE LEVELING/FINISHES _ GENERAL CONTRACTOR .� 6— 1 \\ A l ( O TILE WALL AND SLOPED CEILING AS REQ. - L L I PROVIDE LOCKABLE 42'GATE AT FIREMAN'S POLE, POLE TO EXTEND TO HGT OF TRUSS-BE SIDE WALL BRACED PROVIDE WINDOW/OPENING AT LOFT LEVEL TO CUPOLA SHAFT ro _--J- o == 1 I O8 PROVIDE DRYWALL,RIGID INSULATION N — =Ji 1O O ON HAT CHANNEL AS REQUIRED VENTED OR VENTLESS DRYER TO BE DETERMINED(VENT RED TBD) _jl - — — FLUELESS GAS FIREPLACE TO BE" _ _ INSTALLED BY GAS-SAFE ENGINEER. I I COORDINATE CONNECTION, JI __—JII DIMENSIONS,ENCLOSURE AND REVISIONS O —_— --- - FINISHES(SHELL) DATE 0 I I 11 DEMO,BRACE STRUCTURE AND FRAME OUT FOR NEWE�STIINGNING M MASONRY ANDLTOOTH IN USE v II I BC PRO RIK VIDE WEATHER PROOF I I ! I HEADER,JAMBS AND SLOPE SILL FOR OFF AS REQUIRED. I I LL_J - II I O OII `--- ---- ---J floor 1 - Demolition Plan floor 2 Demolition Plan basement - existing to remain DRAWING TITLE I Demolition and ---------- pan ------ Floor Plans CGFI B I � I I 9 try I 5 I �qVl g kitchen ---------------------------- I ■uMu0u00u■ 7pOd full-tub/ II I bathroomramp-handrailsdry washisldndi uuunuto new sl p/ I I floor level bedroom I I I ' suite i I I I up dw pantry I j nnu� �uuuuuuuu I I I — entry-hall I I I I O I entry-hall below I nnu� ■nn■ coats on wall I I I I I L / Up © DRAWINGINFORMATION __ L short linen walk-in I ®dining with bathtub ■uu�n n�u■ u�uu�u�uu■ floor GFI outlet O J .closet closet I N 4 full n m "an suite-closet bath 7 O CID u�uuuu�uu � I I i fireman's pole I Y oaEm�,,.uEb,e o O _ j I as eJ(m Donz,ry bn — I bedroom i bedroom w/loft DE6C ' I living d ;,r-0- I master bedroom ; i ■u�nuuuu0Mon, y Mnuuel amape 10 no Ee.. nu.wee RAWINGNUMBER , I Iloclrable trap door acCessl --------�-- `--- -----`--------------- - J I B :with by aulic a I D L--- J „ A100 c shI,Iftde en.,GFI - 'v size of deck to z be detemnined floor 1 - Partition & Elec. Plan floor 2 - Partition & Elec. Plan loft - Partition-Truss Plan � U _ - � CppyrlpM LLMDesign,Inc. SYSTEM DESIGN: SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LEGEI D MARKED WITH MAGNETIC TAPE OR I V GARBAGE DISPOSER IS NOT ALLOWED PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT To SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 0 -- 99 - EXISTING CONTOUR PROPOSED 4 BEDROOM DWELLING 2"ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING To ey X 99.1 EXIST. SPOT ELEV. \ SLAB = 17.9 FILTER FABRIC OVER STONE = 17 0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. DESIGN FLOW: 4 BEDROOMS ® 110 GPD 440 GPD -[99]- PROPOSED CONTOUR - MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 16-17' 4. DESIGN LOADING. FOR ALL PROPOSED PRECAST UNITS USE A 440 GPD DESIGN FLOW smith NOTE: 2" MIN. WALL BLOCKS OR TO BE AASHO H-� PRECAST H-10 THICKNESS REQUIRED RISERS (TYP.) PRECAST RISERS 5. PIPE JOINTS TO BE MADE WATERTIGHT. LocuTH1 198.4_] PROPOSED SPOT EL. 4"0SCH40 PVC MORTAR ALL O SEPTIC TANK: 440 GPD (2) = 880 PIPES LEVEL' 1ST 2' COMPONENTS INV'S EL. 13.2 4' TEST HOLE ' 62"MMIN'.SNTPDIM. ENDS (NP') SIDES 14.03' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH YY USE A 1500 GAL. SEPTIC TANK *14.9t 1a. y` ' `' ' ` ;00000000 310 CMR 15.000 (TITLE u ,• 10" TEE °°°O°°°O ®�0� ®®�0 ®®® ®�� )o°o �}�� 2� SLOPE OF GROUND )00.0 (T 5.) 14.04 1500 GAL H-10 o 0 0 0 0 0 o 0 0 0 TEE SEPTIC TANK 13.79j47r' ° o 0 0 ° o�a°o°o� ao®a®®oo®®o ®�oa®oaao®o o°o°o°o° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO n LEACHING: °o°o°o°o°o° WATERTEST ID BOX O > ° ° ° ° a' LIQ. LEVEL o 0 0 ° o o >°°°°°°°° QQ®®®OO®0®0�® ®®®��®®®®®® 000000a°o BE USED FOR LOT LINE STAKING OR ANY OTHER �Q, UTILITY POLE SIDES: 2(33.5 + 12.83) 2 (.74) = 137 GPD ACME OR EQUAL GASBAFFLE _o�o�o o,o_ FOR LEVELNESS N >°°°°°°°0 >o ��®®�®®®O®® ®®®®®®®��®� ;°o°o°o°o PURPOSE. FIRE HYDRANT = 1 13.30 >°o°o°o°o ,00000000 1 1.2' o ruing lb tiyo BOTTOM 33.5 x 12.83 (.74) 318 GPD ,...;...:•; <. .. :::. .. ..:• 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. a° NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING J°o 0 o o 0 o o 0 0 0 0 0 0 0 0 0 •o 0 0 0 o°c °°°°O°°°°°°°°°O°O.., .. °O°°°O°O°°°°°°°°°°°O°° LH-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL �000000000°o„o�o,,00000000000eo�o�o„o�o�00000. 3/4"-1 1/2" DOUBLE WASHED STONE 4' MIN. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED - TOTAL: 615 S.F. 455 GPD � " _ " (3) UNITS REQUIRED NQlltuC�LBt ALL AROUND PRECAST STRUCTURES WITHOUT INSPECTION BY BOARD OF HEALTH AND 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.50' X 12.83' PERMISSION OBTAINED FROM BOARD OF HEALTH. Sound USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) COMPACTION. (15.221 [2]) N *THE INSTALLER SHALL VERIFY THE WITH 4' STONE ALL AROUND t° 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP BUILDING SEWER OUTLETS AND PRIOR TO COMMENCEMENT OF WORK. ELEVATIONS PRIOR TO INSTALLING ANY 5.0' BOTTOM TH-1 SCALE 1"=2000't PORTION OF SEPTIC SYSTEM ( 2'S� SLOPE MIN.) ( 1 � SLOPE) ; ( 1 % SLOPE) NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED MA LEACHING LEACHING FACILITY. ASSESSORS MAP 287 PARCEL 16 APPROVED DATE BOARD OF HEALTH ' FOUNDATION- 11 ' SEPTIC TANK 32' D' BOX 12' FACILITY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND LOCUS IS WITHIN FEMA FLOOD ZONE X AS __ ----- - -- - - - - - -_ -- --- _ ---_ - __ __ --- --- - - -- ---- - - -SD-- -- ----- - -- - _ -R€iv10VE�-OR PUMPED AND FILLED WITH-CtEANAN . _---_- SHOWN ON COMMUNITY-PANEL`#2500rCd568JJ�-- DATED 7/16/2014 ZONING SUMMARY Y_A ZONING DISTRICT: RF-1 DISTRICT .�� MIN. LOT SIZE 43,560 S.F. MIN. LOT FRONTAGE 20' MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 15' MIN. REAR SETBACK 15' / MAX. BUILDING HEIGHT 30' / SITE IS LOCATED WITHIN THE AQUIFER / y PROTECTION OVERLAY DISTRICT TEST HOLE LOGS -- - / CONVERT EXISTIN CRAIG J. FERRARI, SE #13871 ,��- / �� FIR USE T ENGINEER: 94 / � EDR00 ID CE � OWNER OF RECORD WITNESS: DAVID W. STANTON RS (BARNSTABLE) / i DATE: 7-15-2016 4f i HYANNIS FIRE DISTRICT PERC. RATE _ < 2 MIN INCH l i�^� � HYANNIS, MA 02601 HIGH SCHOOL ROAD CLASS I SOILS p# 15105 // / 19 BENCHMARK: / 1S Q MAG ELEVATION =14.3 NAVD88 / % 0 4 1 ELEV. z ELEV. / . i I 1y o � . _. -.___ - ___ - �.�. . �.�_� _ _ ___T � coCoco PREFERENCES A A / I 21 l32'!�y / / �4 z DEED BOOK 588 PAGE 28 LS LS, I / \ PLAN BOOK 372 PAGE 18 10YR 3/1 10YR 3/1 / EXISTING ` 16 % PLAN BOOK 42 PAGE 29 10" 12" / I BUILDING w % PLAN BOOK 12 PAGE 19 TH1 B B / / I SLAB - 17.9 N �V % LS LS / ►� I THH2 18" 10YR 5/6 15.5' 19„ 10YR 5/6 15.4' I Z // / DRIVE PAVED ° LOT 24,878 SFf TH m 7 D O 00 9/ �� TH4 PERC G G 1- J00.0rri ' / N JOB 2�Q, / 13 CIV MS cD co MS N / II v ROXIMATE RVE>6 O Q- N I 2 I CE�SSe00L 10YR 7/4 10YR 7/4 \4 " / I AREA AWN jr L_MIIT 1 EDGE OF 144" 5' 144" 5' 1 m / / -� oo 0 1441 I 0-� / NO GROUNDWATER ENCOUNTERED � N o OP ,3 O 12 /' \ N�� ELEV. ELEV. G ' S, 17' ' � 1 1 1 /' \ / i 16.5 �� T��L 5 IT PLAN , A A ] BUSH \� i N � / \ LS LS 1 / 2 2406.,w - �� % OF 10YR 3/1 10YR 3/1 0176• / a 12" 14 % s / #501 SCUDDER AVENUE o B B f 'o. % LS LS HYANNIS, MA I 10YR 5/6 10YR 5/6 21" 15.2' 241 14.5' 1 / �!�( 9 PREPARED FOR `N �o t ANDREW MAHER C PERC DATE: AUGUST 1 , 2016 :G MS M S :���� x Scale: 1"= 20' �O 10YR 7/4 10YR 7/4 ' � � � � � 1=.0 10 20 30 40 50 FEET v•1N OF 4tgss ��C�CF M�,SS ����H OF Mgss�� off 508-362-4541 ohs o DANIELA. DANIEL << ,�o� DANIEL y��. fax 508-362-9880 DANlELA. A. 120 7 120 6.5 civil OJALA O AL N OJAL.A j OJALA downcape.com No.4 No.46502 o No.40980 No.40980 • • NO GROUNDWATER ENCOUNTERED P Own cope engineering inc. ����FG�STER�O��� c�F ISLE ���� q���SS 0�� f 0� FSS10 NAL ENy, � civil engineers - - land surveyors DATE- DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 DCE # 16- 148 'I