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0106 SEABROOK ROAD - Health
106 SEA ROOK ROAD HYANNIS 307-031 I I i TOWN OF BARNSTABLE LOCATION BUJ. Se /2 Ba SEWAGE # VILLAGE Ply ASSESSOR'S MAP & LOT.ffO 7 I3/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 01 LEACHING FACILrTY: (type) = \ size) NO. OF BEDROOMS o2 �( a►-P C BUILDER OR OWNER PERMITDATE: De�\OMPLLANCE 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 �e / TO OF BARN ABLE LOCATION/ 6 O� 0 KelSEWAGE # VILLAGE RV446ASSESSOR'S MAP&LOT INSTALLER`S NAM3E&PHONE NO. SEPTIC TANK-CAPACITY l�d� r / LEACHING FACH STY: (type) '�E (size) lto A-d L? NO.OF BEDROOMS— 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE- Separation Distance Between the: Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility tiff any wells exist on site or within 200 feet of lewh ing fhcility), Feet Edge of Wetland and Leaching Facility(If any we ds exist within 300 feetppf teaching facility) � P C � Feet Furnished by Sl�Gec✓'1 /l��Flrzrc Frw•-t a o a C-1 1 � 1 Town of Barnstable F1He ram, o Regulatory Services snxNsrnsLE Thomas F. Geiler, Director 039. h•�� Public Health Division rED MA'S Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 31, 2007 David Holt Today Real Estate 1533 Falmouth Road Centerville,MA 02632 Re: 105 Seabrook Road ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 14seabrook Road,Hyannis, MA was last inspected on May 21St, 2007,by Michael DeDeck6, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to-the following: System is in hydraulic failure You have 60 days from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALT DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health j ' Commonwealth of Massachusetts•, Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 106 Seabrook Rd Property Address ' Tom Burns - Owner Owner's Name, information is required for Hyannis .MA 02601 2-3-10 every 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 way. , A. General Information 1. Inspector. • Shawn Mcelroy Name of Inspector Upper Cape Septic Services ' Company Name 29 Atwater Dr ` Company Address E. Falmouth MA' 02536 City/Town State Zip Code 508-495-0905 S13971 Telephone Number License Number, B. Certification I certify that I have personally inspected the sewage disposal-system at this a°ddr•ess and that the information reported below_ is true, accurate and complete.as of•the time of thpµfspection:the iection was performed based on my training and experience in the proper function alit=i�aintenahae of w3 site sewage disposal systems. I am a DEP approved system inspector`pursuantAd Section-15.34a of Ca Title 5 (310 CMR 15.000).The system:, 0' Passes _ ❑ Conditionally-Passes ❑ F(ails a El Needs Further luation by the Local Approving Authority a; - M 2-4-10 Inspector's Signature Date The system inspector shall submit.a copy of this inspection 'report to the Approving Authority (Board }' of Health or DEP)within 30 days of completing this inspection.•If the system is a shared system or has a design flow,of 10,000 gpd or greater,:the inspector and the system owner shall submit the report to.the appropriate're,gional 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. f r 4 t5insp official document•03/08 , -• Title.5 Official Inspectlon Foam:Subsurface 4Dispostem•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every 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: System is in good working order with no sign of failure. 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. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. ND Explain: ❑ 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 ❑ obstruction is removed t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments wM 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name - information is required for y H annis MA 02601 2-3-10 ~ 3 '� every page. City/Town _,a State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 r ' ❑ obstruction is removed ND Explain: - C) Further,Evaluation is Required by the'Board of Health: ❑ -Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health', safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ "Cesspool or privy is within'50 feet of 6 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, safety and environment:, „ 'nAwls•❑ I. . .'The system has a septic tank and soil absorption„system (SAS) and the,SAS is within. 100 feet of:a surface'water'supplyor.aributary 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. t5insp official document„03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/ day flow ❑ ® 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. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts 1a F Title 5 Official.Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name a - information is t required for Hyannis d': MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable toAll Systems (cost.);;' Yes f 'No 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. El ® ' 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 Now ,>;❑ �. 0 `, 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 El El Area- IWPA)or a mapped-Zone II of a public water supply well If you have answered "yes"Ao.any question in Section Ethe 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,`signficant threat under Section Eor'failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.'The system owner should contact the appropriate u regional office of the Department. . t5insp official document-03/08 *. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was,the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp official document•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form,-Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name , information is required for Hyannis MA 02601 2-3-10 - every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 330 Number of current residents: _ 0 Does residence have a garbage.grinder?. r El Yes ® No Is laundry on a separate sewage system? [if yes separate inspection,required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2-years usage (gpd)):'. ;. Sump pump? ❑ Yes ® No Last date of occupancy: 2007 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis'of design flow(seats/persons/sq.ft.,-etc.): Grease trap present? �_ , . t , F ., ❑ Yes ❑ No Industrial waste holding tank present? El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp official document•03/08 - - Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal'System Form -Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owner--not pumped since new in 2007 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 inspec_ion of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of al'', components, date installed (if known) and source of information: 2007 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp official document•03/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name r information is required for Hyannis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction liner feet' Comments (on condition of joints,venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade fefe • et Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of.Compliance? (attach a copy of certificate) ❑ Yes ❑ No ------------------ -- --- - - -- = - --- - --- Dimensions: 1500 gal Sludge depth: 3,. Distance from top of sludge to bottom of outlet tee or baffle 29 Scum thickness Q Distance..from top.of scum.•to-top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" - How were dimensions determined? Tape t5insp official document•03/08 . . Title 6 Official Inspection.Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every 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.): Tank is in good condition with baffles installed and no sign of leakage. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is H annis MA 02601 2-3-10 required for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.):., *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level. r Pump:Chamber,(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No t5insp official,document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is y required for H annis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber in good condition. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1-16'x28' ❑ 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.): Leach field in good condition with no sign of back-up into d-box or surrounding stone. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 16 A '• • ; .. Commonwealth of Massachusetts _ t. W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form`-Not for Voluntary Assessments ,M 106 Seabrook Rd Property Address Tom Burns + �, Owner Owner's Name information is y required for Hyannis '' MA = 02601 2-3-10' every page. City/Town 'State Zip Code Date of Inspection D. System Information (cont:)- Cesspools (cesspool must be pumped,as part of inspection)(locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer. Depth of scum layer Dimensions of cesspool Materials of construction Indication Pf groundwater inflow, ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): , k Privy (locate on site,plan): Materials of construction: Dimensions ' n Depth of solids " 4' Comments (note condition of soil, signs of hydraulicfailure, level of ponding, condition of vegetation, etc.): _ y ninsp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. $ O0 a 0 � C'3- '3- 31` 3 C-y p-y. ?y ' y t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official. Inspection Form o Subsurface Sewage Disposal System Form -:Not for Vol untary'Assessments ^M 106 Seabrook Rd Property Address Tom Burns Owner Owner's Name information is required for Hyannis MA 02601 2-3-10 - every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar t - ❑ Shallow wells y Estimated depth to high-ground water: 1 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: Original design plans show groundwater at 12'. . e t5insp official document•03/08 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 O zz W rfl to N V W at W Z y ~ O Qtx, ac W O t 0- O ma J � __�_ �. .. n ;/"� .. �.� '. '�.�, J TOWN OF BARNSTABLE LOCATION—rr�� SEWAGE# l� /�� N71LLAGE /�!/G�.?��v�.$ ASSESSOR'S MAP&PARCEL /©L�a:/ INSTALLERS NAME&PHONE NO. �� SEPTIC TANK CAPACITY J�CI LEACHING FACILITY:(type) rl (size) k A- 9 NO.OF BEDROOMS 4 OWNER r PERMIT DATE: COMPLIANCE DATE: VI 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 leac ing facility) Feet FURNISHED BY �aTAx 1, TOWN OF BARNSTABLE ;ATION ��� J,,�lv ���I 1i, SEWAGE# L97-°',,?7,K IiLAGE J� �Y�✓®`� ASSESSOR'S MAP&PARCEL INSTALLERS NAME&.PHONE NO. f��,�w- : �o n.�•F®�� ��-�S�Ca SEPTIC TANK CAPACITY /".P elf LEACHING FACILITY:(type) �i.f�,f (size) 6�� NO.OF BEDROOMS OWNER PERMIT DATE: 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 pC 3 A ii Q/� 1l No..79.... .. Fus..... . ...QQ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .....................Towm.......OF.........Barnstahi.e................................................ Appliration for 11ispog al Workii Tonotru.rtion throb# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 106 Seabrook Rd. . Hyannis, Ma. 02601 ................_........................_------....--•---. •---------••••••-•-----•--------•--.......-•----•••----•........................................ Location-Address or Lot No. Arthux---Djavidaari..................................................... .106... sahro.Qk:..Rd.�. H ann�s_ 02601 Owner Address a A__8c__B__Cesspopl..Service __________________ _ 128 Bishops Terrace...._Hyannis.,...02601 Installer Address Type of Building Size Lot.... ......... .........Sq. feet U Dwelling—No. of Bedrooms.................3.......... .. .....Expansion Attic ( ) Garbage Grinder ( ) 14 Other—Type e of Building No. of persons. 3..--.---. Showers Cafeteria 04 YP g -------------------•-----. P ( ) ( ) 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. 3 Seepage Pit No--------------------- Diameter......--.--..--..... Depth below inlet.................... Total leaching area..................sq. ft. Z 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........................ ----•-------•........................•--••-----•---•------.................---------•-••-•-•----••-.......................................................... ODescription of Soil...............Sa d.............-............................................................................................................................... U --------------------------------------------•----•--•----•------------.................---•--......--------•----- W ----•---------------------•------•-------------------•----•--------•---•--••---•-•--------•--------•----••------•----•----•-•--------••----•---•-----------.........................------------------. U Nature of Repairs or Alterations—Answer when applicable-...In.Stallatian---af---3..1-9.000...4-ane.......... ..t l usaxld)----galloxle---atnna---packed-..1.eaoh...pii---(-o"rflow-)-- --------------••---•--.....---• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiT E 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 bye boar ea . . Sig --- .......... Date Application Approved By...... ; --.......1� ..... --- . -------- --•----•-------•-41...V.79_ Date Application Disapproved for the following reasons-----------------•--•- -••---•------------•--•-----••-•-••-•-----•.....-•-------•-•.... ................................................. •---------••-------------------•----.....-•---------•----••••--------•--•-------------------------••--------••------••-•--•------••------•---•---•--- a Date Permit No.....79.............................................. Issued---------.......4L...5.17.9................... Date r.. THE COMMONWEALTH OF MASSACHUSETTS w ,tat# BOARD OF HEALTH <. O F......... w-m...... Barnstable- .......... pfirtt#inft for Disposal Works 'Tonstrurtion eratti'# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual. Sewage.•Disposal Systiemat 4 .4 Y 106 Zto 4''6,0k .Rd H annis �r1a. 02601 ; 4 - . . --'�- --....: .............. .............................................. Edi r s «t 1 Location:Address or Lot No p i t - R Hy-�nne� }L2601 '� 1�3 ...S.e.a 2 Qt0�..__.S A., . Wr#I Owner a A ' Hya sA-ol__serviae................................ 02601 Installer Address s" d Type ouil�diii'g i° Size Lot__:,__ �} ...Sq feet aDwelling ' W of Bedrooms................_3_.____..________..___.__Expansion Attic ( ) Garbage G >rider ( ) p, Oder—TType of Building ____________________________ No. of persons.................. Showers , 'Cafeteria ( ) a d x �' t Other fixtures .--••----•--•--'_------...••--•••---__...-•-•••........-••_•-••---•• ............... 4 4a W Destgi .................: gallons per person per day. Total daily flow...._._..`_.___.... art ....gallons. WSeptic' ;nkLigmd capacity:__:._:__gallons Length................ Width................ Diameter Depth x Disposai�Tienclk N� .._.. Width____ . Total Length.................... Total leaching area s s ft. e � a g q Seepag 'hitflo : Diameter____________________ Depth below inlet.................... Total leaching area sq. ft. Z ist��Other } it on box;( .) Dosing tank Percol�ori,Test Results. Performed by________________________ __ = Date_.. r ---•-.••••-- _ Te `,YT� -it�.No 1 ...:__:minutes per inch Depth,.of Test Pit____________________ Depth to ground water .:_________._____. +`t�S SNP k ' r... - .. '.+J h.. - f� Testh't'V'o`'2 :: minutes per inch Depth of Test Pit____________________ Depth to ground water ............ •-----------------------•..._-•----•-•---•---•----•--...._----.......----•-•--••-•--•---•-............... ...................... o Descriotif Soil ._..:..:---_ }�}•-- V .._ .... t,.... 14 { V Nature" f"Repairs or Alterations—Answer when applicable.....Ing allf,tion.._II� a I. 00n 4tl ........ ...tho n '-,s.1'�_one---atnne...packe_d...3.-each...pit---(.o.verflow.) A eeirtent a r �. THE undeTsigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the proyisions�bt,TTTLE 5 of the State Sanitary Code—The undersigned rther agrees not to place the system in operatioh�until b Certificate of Compliance has been issued by t boar 1 g � t Signed.....- ......•-- ---• . ----• -------------------= to s Applica � Qpproved_By.._.. - ............ Date Apphcal 4n Disapproved.for the following reasons: ---•---_•-------------•••----------••----------•_......•_••••......•. •. . -•••••.......... 1 Date p,; ermit"fiN ti'........................................................ Issued.... -._�� j=i£.� N x Date E THE COMMONWEALTH OF MASSACHUSETTS r $ ° BOARD OF HEALTH ' 4 'd "f�1�tXg........OF.......... 3" t5� .��............................. t f�rrfif irFatle of TootpfiFatta rf T �y?ISM TO CERTIFY That,the Individual ewage Disposal System constructed ) r Re a•r by A= „ _rae spool Service. 128 ishvps Terrace, yann ma 0,2bb1 - ----------- at. 10� rok Hd , Hyannis, 026Ctaller Arthur Darn clsdb ¢' ------- ---- •--- - -- ----- ----•-- ... has beeRir�s 11-1. iti accordance with the provisions of TIT r 5 of The State Sanitary Code a s ed in the 4 r T — 47 sa apphcat;�i n for Dlsposal Works Construction Permit No..... dated ________________ THJE�ISSUANCE OF THIS,CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE'HAT THE SYSTEe1;1A11LL FUNCTION SATISFACTORY. s DATE M Inspector--------••- i ------•-•-•-•- k r J , 7 • a e. THE COMMONWEALTH OF MASSACHUSETTS wx 1 ud. w {` � r" BOARD OF HEALTH .' R �flWn . ........OF.......... .....Barnstable 00..•- ........... No � FEE .....--•- RA ��P. orko �oaio r�ir#ion rraztt � " �� ;:. A t H Cesspool Service, i8 Bishops , yannis Perrriissiton is hhereby, granted__•___ _---•-•• ......... ...............•••... .••_. ..- _••...... -•_••-• _-•••-• ; b to Constuct ' ) or`Repair (( ) an Individual Sewage Disposal System ' at No �36 � brook R I annis 02601 Arthur I3avidsont --• R...•'�---- ---------=� •-•......_•_•••_••. ... • ...-••_- ......... j4" w{ Street d as showthe:application for Disposal Works Construction Permit ated__,___ =s 4� 1` ' ____._._.... .... . �_____________________ ___ _ __. _ 1 J L Board" health Yh DATE r H _ ........................................... £ " } Y d•Ra!�` "4 T,i Tj! y FORM IijO66S & WARREN." INC.. PUBLISHERS „�+,�"� t nuFdF.w..►.. ..,w.. J V9 No. O`�i O ,� Fee �© THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF. BARNSTABLE, MASSACHUSETTS Yes Rpplication for �Diqaal 6pgtem Con0truction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 106 SPA 4 ao k �°�9 Owner's Name,Address,and Tel.No. 14 VA NJ 1.) 'To.i l; �.PA I G -- 7 C7' Assessor's Map/Parcel �®-� ®3 1 Installer's Name,Address,and Tel.No. 10120 dv CJ' Desi ner's Name,Address and Tel.No. vse��, '0 KAi:z_ sog-4��-.ravg Sob " G �iceer�v,ile art, f-oaes�cl�ie ozG�/y Type of Building: Dwelling No.of Bedrooms . Lot Size 7+q-)`� sq.ft. Garbage Grinder (Al) Other Type of Building koas Q No.of Persons Showers( t ) Cafeteria(�) Other Fixtures Design Flow(min.required) 3 a gpd Design flow provided 1 gpd Plan Date - L q -a"1 Number of sheets 1 Revision Date +— Title i0 .SGAIstook RaAD 14YA,✓tVII Size of Septic Tank IS010 G q ►i 4,� Type of S.A.S. fG' X e S FI&-C� Description of Soil Z,2 - 9 Z" SAKI ►A Nature of Repairs or Alterations(Answer when applicable) l 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 t lace the system in operation until a Certificate of Compliance has been issued by this Board of Health. owe(-Uzj--.0 Si ed rY-)C-. Date 9 0 Application Approved Date 02 Application Disapproved by: Date for the following reasons Permit No. c;00 77 �3 76 Date Issued To _ II /'� � �. '_1 (�} No. r!`�f �� r o`f_ - ,�» ' �. A Fee ` `rn, THE COMMONWEALTHOF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE, MASSACHUSETTS Yes � Yicatiott for Migpogar *pgtem Cottgtructioh Permit Application for a Permit to Construct O Repair( Upgrade O Abandon,( ❑.Complete System ❑Individual Components Location Address or Lot No. I8 fp S P A 4 vo k If��9 Owner's Name,Address,and Tel.No. 'IJ JA Assessor's Map/Parcel NJ 1.13d G 3 1 '�a�A k PA I GS7R 7 G Installer's Name,Address,and Tel.No. it o b L 4 3J 1C Ca". Designer's Name,Address and Tel.No. (ZvS?Ri Z rKA Ire >. .� Sob � 6�ecnrv,ile l�r., I"ogPS�lAIe oCGuy Type of Building: Dwelling No.of Bedrooms Lot Size 7,4f 7 9 sq.ft. Garbage Grinder ( n/) Other Type of Building (d0J.%Q No.of Persons Showers( t ) Cafeteria( �) Other Fixtures Design Flow(min.required)~-`_, 3 3 a gpd Design flow provided 3 1 gpd Plan Date 8 - z y -a 1 Number of sheets Revision Date ,. Title IOC SGAIK--k ROAD HyAwty iE Size of Septic Tank IXoD G A If to.) Type of S.A.S. 1G, X t 9 FI E c-h 4 Description of Soil 2 2" - 9 l" S'A.,.l x (-Am - A S11 - C, Nature of Repairs or Alterations(Answer when applicable) _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 A t to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. t t,l/(�zn C Si&rLed Date Application Approved _ Date 145�� o � `Y. Application Disapproved by: Date for the following reasons r�r,y� cQ Permit No. O � — - 747 Date Issued p ———————=——— ————————————————————————----——-- 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 o be a} &, 914 K. C.1, at 1 OG 5GA&Rzk- lta AD 9y A Nr is has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. :3 26 dated & I';q k-7 Installer �o�e�� , �� �¢ Designer ZoSPhk -DpAice #bedrooms Approved design flow �" gpd The issuance of this perm' shall pot be construed as a guarantee that the syste will funet n destne . Date (3 Inspector No. 7 Fee (/O THE COMMONWEALTH OF MASSACHUSETTS L PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS ig,ogar *pgtem Cow5truction permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( . ) Abandon System located at l o G S e ra fi r,...k ZI 4 R D hI y AN S and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with-Title Stand the following local,proyisions or special conditi?this I` Provided: Constructs �n-�musstt b completed within three years of the date o pe Date O�-� Approved by Town .of Barnstable Regulatory Services ; Thomas F. Geiler, Director snaxsrnBLE. MASS. ` Public Health Division TFn 39. A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:. 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 6.g Sewage Permit# o2bV -3 Assessor's Map\Parcel=Q f Designer: KC-3 Installer: V--6.6e__A 0ut�b L-Y->C Address: G C K.ee0J►(L I? ILLve- Address: :)__4 Gt ca_+ vW, n PCI' Fo des i-dc�l� m.A 6 Z6 q 4 y V D-..Gj 467 On 3.8 07 &F) 0Lkr--(z 4Was issued a permit to install a (da ) (installer) septic system at e_cL rwk Co based on a design drawn by (address) 0 1_n ()1 SS dated l / (designer) �i/ 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 required) was inspected and the soils were found satisfactory. 0 _ (Installer's Signature /�� oaf ROBERTA. 9yG DRAKE o CIVIL y No.41642 �l (Designer's Signature) (Affix.Desi �' 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:\Septic\Designer Certification Form Rev 03-09-06.doc UNITED STAS� �f"'' ►�?. �VWr .1;4nn R,..�ti' ftx +x �N rv.t, �• age 4%id 'c 5 ermitX70� ;2� • Sender.Please print your name, address,and ZIP+4 in this box• PUBLIC°HEALTH DEPARTMENT TOWN>OFPB','4RNSTABLE I 200 MAIN STREET HYANNIS,MA 02601 I I ® Complete items 1,2,a7slred complete item 4 if Restricted Del . ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card.to you. 7BRecelved by(Printed Name) C. Date of Delive r ® Attach this card to the back of the mailpiece, _ - or on the front if space permits. �� '1Q�''� y "� D. is delivery address different from item 11 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No N I N "-74 l ./-R� _ � - 3. Service Type �,o4L'& 7eaP ❑Certified Mail ❑Express Mail Ce*<� A-euy IW 4 04 63 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. M 4. Festricted Delivery?(Extra Fee) ❑Yes 2. Article Number N (iiansfer from service fabeq 7005 1160 0000 0191 3288 N PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 11 � CIO • , cc ru .. m . . Ir a y�Postage $ - O Certified Fee o • 6.S Poebnark p Return Receipt Fee Here (Endorsement Required) 6 Fee A (Endorse ent Rected quired) r9 Total Postage&Fees $ J.p'Z i C 5 ----aX Z/7 O ent To Street Apt No, or PO BoxNo� ------------------ o�G3 :rr „ Certified Mail Provides:o A mailing receipt (asianey)ZOOZ aunp'OD w� BE oj Sd o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. n For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available,on mail addressed to APOs and FPOs. r Town of Barnstable I "+�o Regulatory Services STAB Thomas F. Geiler, Director BARN3 9. •0� Public Health Division AjFp�.�A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 31, 2007 David Holt Today Real Estate 1533 Falmouth Road Centerville, MA 02632 Re: 105 Seabrook Road ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 104 The septic system located at W5 Seabrook Road,Hyannis, MA was last inspected on May 21", 20079 by Michael DeDecko, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic failure You have 60 days from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALT DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health x Commonwealth of Massachusetts Title 5 Official Inspection Form Q Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 106 SEABROOK RD ^ C&/ Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 5/21/07 required for State Zi Code Date of Inspection every page. City/Town p. P Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information ) y When filling out forms on the computer,use 1. Inspector: only the tab key to move your MICHAEL DEDECKO cursor-do not Name of Inspector use the return key. COMPASS REALTY DEV CORP Company Name P.O. BOX 2384 Company Address MASHPEE MA 02649 Cityrrown State Zip Code 508-221-5003 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the,inspection. The inspection was performed based on my training and experience in the proper function and,maintepgnce gf,on site sewage disposal systems. I am a DEP approved system inspector pursuant�to Section 15 340 of. Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes !ails r o ❑ Needs Further Evaluation by the Local Approving Authority o -o 5/21/07 s rn Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 26 AGAWAM LAKE SHORE DR•08f06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTAT E DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 5/21/07 required for State Zip Code Date of Inspection every page. City/Town 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: 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. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. p 9 ND Explain: ❑ 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 ❑ obstruction is removed 26 AGAWAM LAKE SHORE DR•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 5/21/07 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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. 26 AGAWAM LAKE SHORE DR•06I06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Official Inspection Form Title 5 p o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® ❑ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ❑ 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 '/z 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 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. 26 AGAWAM LAKE SHORE DR•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 5/21/07 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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. 26 AGAWAM LAKE SHORE DR-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)) 26 AGAWAM LAKE SHORE DR-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM •'" 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d N/A 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: N/A Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 26 AGAWAM LAKE SHORE DR-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: N/A 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: N/A Were sewage odors detected when arriving at the site? ❑ Yes ® No 26 AGAWAM LAKE SHORE DR•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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: Town water feet Comments (on condition of joints, venting, evidence of leakage, etc.): joints tight, yes vented, no sign of leakage. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------------------------------------------------------------------------------- Dimensions: Sludge depth: 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? 26 AGAWAM LAKE SHORE DR•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. Cityfrown 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.): 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): 26 AGAWAM LAKE SHORE DR-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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 26 AGAWAM LAKE SHORE OR•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ 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.): soil sand yes sign of hydraulic failure ponding full, yes damp soil vegetation normal. 26 AGAWAM LAKE SHORE DR•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS required for MA 02601 5/21/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 Depth—top of liquid to inlet invert equal w/outlet invert Depth of solids layer 12" Depth of scum layer 3" Dimensions of cesspool 6x6 Materials of construction concrete block Indication of groundwater inflow ® Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): soil sand/gravel,yes signs of hydraulic failure,ponding full,ve etation overgrown 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.): 26 AGAWAM LAKE SHORE DR 1-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments G M . 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. G �. 13 26 AGAWAM LAKE SHORE DR•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 106 SEABROOK RD Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 5/21/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: 10 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: 26 AGAWAM LAKE SHORE OR•08/06 Titfe 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 BMGTA13LE BOAM O rent NO-209 P.1/3 Tows of Barnstable Ps' I hr? PWWIC Bmth Dividon nee bete AsBs °r Snlio� d . LAt.ATIQK�tAL Ii�IhOBMATIt�111 - HJAMIIS.,inn w� �De Xmig So$� 0 TP • stEMeeggmRsdbRaazottea6amarastlmisa�eele�4,sar+ble�ptotheignegaLa! • 'bRi Of It W A " . rnem►et#e! TMFORSZASQNAL R='WAT&R TABI i • D�lawep�lFo..•dsaraOurwle &a Gee«�tkrlt�pp�t............_....�,.d. A*dinar....,.•...AU•O aidwserlaw!_... i I JAI 4. C Z s saaAae� s�.r� �.: ee�tomt'�rta�atrnq own*ro affamo " Obsair mB*Dm b8 CmgAwdcuBwk �, *'�geitoa teat bs to ba eoe�o�ed witbd�I00'ate 9�sD�t�natlpr.the. . Rar>mte6Le� at Ieaet���t�to begin. 7 26.2807 8:eft HW45TAILE HDMW OF HEFLTH N0.209'—p, DIMP ' e - . a,hor x LL AV . 57 , aa�ace D�x °'" VZAG"Cox son D DqS game • .. � Slo�er•Aaaldgr�, • Vd T=T � �oleo�. � • • A�a+asoos,�tbmea,adq, � Yap ' Wiabi�i6Qgaef��Y Nb.�Yec..,,._ . aM >: Pveod lie�} �tasF fiaadt utdm . . �F� br�0 mi! aua�a�ea'vatd , ox it am �� � t�I bayspat�ce�t8a aoodl evalat�tq� � 00 tbas a bovea moved by Ih° Xdm*W(ftn, tOt1mt13_Al dYm°cboadtA�i�ft6 . , 8 &lzx LOEATION SEWAGE PERMIT p0• V141AGE INS TA LLER'S NAME 8. ADDRESS 4 0 U I L D E Q OR OWNER 9d DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 c`d \ �I J � � d J" f 0 No..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................Town............OF.............Bar.ns.t.abl.e............................ ...................... ........................... Appliration for Dispnoal Works Tonstrurtion jJamit Application is hereby made for a Permit to Construct or Repair (X ) an Individual Sewage Disposal System at: 106 Seabrook Rd. nis,. MA 02601 ....................... .. .....j�.y. .. ....... .. ............................................. .......................................... Location-Address or Lot No. Arthur Davidson 106 Seabrook Rd annis, HA 026ol ...............................................:. ....................................!J...�j..........*"--------------------- 9wner Address ..A..&...B Cesspool Sery i ce 128 Bisho—s Terace,...jy�nist 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.......3..................... Showers Cafeteria <�P4 Other fixtures ...........................................0................................................. ........................ .............................* W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 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. Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. I................minutes per inch Depth of Test Pit................--.. Depth to ground water........................ 44 Test Pit No. 2................minutes per inch .Depth of Test Pit.................... Depth to ground water..................-----. ............................................................................................................................................................. 0 Description of Soil...............acmd............................................................................................................................................... U ........................................................................................................................................................................................................ W ............ ........................................................................................................................................................................................... Z U Nature of Repairs or Alterations—Answer when applicable-..irl-5t.a�ll-ati-OU..O;c.-a..1,.Q.Q.0.. stoke...Pa.Qk.Qd._1eaqb..P;U...(QKeX;aQK)1--------------------------------------------------------------------0.......................................I......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT.1.U 5 of the State Sanitary Code—The undersigne -further agrees not lace the system in operation until a Certificate of Compliance has gbSqn isWfed by the bo ealth. Signed.. .. ............................ .......... ......V VaQ.......... Dat Application Approved By__.(::2,11....�. .....*,,*......**........ .............Dy .......... Date Application Disapproved for the following reasons:.......................................................0...................................................... ----------------------------------------------------------------------------- ---------------------------------------*"-----------------------------------------*------------ Permit No._91Q................................................ Issued_...............�/.�?g/80 Date -----------0------- Date No----$9-.. Fincl.... ..00.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... -------Town............OF............Barnstable .... Apphration for Uiopoaal Works Tontrn.rtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ..106 Seabrook Rd..,...HYannisl..I?A....02C01 .... ......... ._..----•----- ... Location-Address or Lot No. Arthur Davidson ....................................... ....... 106 Seabrook ........................................ -.. . ............... ......_... ....._.._....0..26•_01.. _........... Qwner Address A & B Cesspool Service 128 Bishops Terrace, _H�!annisl-MA----02601-••-- Installer Address Type of Building Size Lot.... ......... ........Sq. feet Dwelling—No. of Bedrooms......3...................................Expansion Attic ( ) Garbage Grinder ( ) p-, Other—Type of Building ............................ No. of persons...... .._..._......__.____ Showers ( ) — Cafeteria ( ) Ga Other fixtures -------------------------------- -- W Design Flow........................L_ ...............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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••-----------•--------•-----•------•------•----•---•------•---.....•----------•---•••••••....................•-...----•...._....---------...•---•••-•------ ODescription of Soil...............SaZA............................................................................................................................................... x W ---------------------------------------------------------------------------•---------------------------------------------------------•-----------------------------•-•--------------------•--•-•_...-- U Nature of Repairs or Alterations—Answer when applicable.-mta11at on--of-a-_110Q0..ga j Oft__fix@• ..stose_.packed leach_.Pit..(oyer..low).----•-------------------------------------- - 0A. -•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11 5 of the State Sanitary Code— The undersigned further agrees not W-place the system in operation until a Certificate of Compliance has been issued by the board.of health. j r'r� f ✓ L. ..'�t!FJ�r� ._ 8 2s 8a -.. Signed --- •---- ----------------•- ----._. ..- - -•• ------.1_.__1._ .......... Application Approved By_-.-:_ r,_'_°�1....-''� --------•---•---••-•----------- .............81-m8q.......... %� Date Application Disapproved for the following reasons--------------------------------------------------------•----•-----------------------......---------•-----.....� -----------------------------•-•---•-----....•---...------•---------•-•--••--•--.._...------------------••-••••.••--------•----•------.....----•••---•-•---•-------•-----------•-•------•--•--...._.._. Date Permit No.80.................................................. Issued..............V28/80... ....................-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. own.................OF.........Barnstable dr Ountif iratr of Tautplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by A & B Cesspool_Service,.128 Bishops Terraces Hyannisr..-lKA 02601.....-----.2.?_5-b26? Installer at__.106 Seabrook Rd..e• HyannisI-MA- ©2601---------- -Arthur..D..a..vi..dson.. .........................................................been installed in accordance with-the provisions of TITLy 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.-_�"'_._ `,�__` ________________ dated___..____8/28/-80__._._..._.....__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. c � - DATE........ {„1:.:1v................................... Inspector....-- ,. f... j... v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable 80- Q 7 ..........................................OF..................................................................................... [ No......................... FEE........__.3..-••-00••... Rapoaal Work.5 TDonatrnrttion "frrntit Permission is hereby granted...A.. ... ... & B Cess. ool__Service------------------•-•---------?-----------------................--•--......._... .. .. ... ............. ___....._ . to Cons1bg or Rep (X l an Individual SSe ra a Disposal System e�brook > ., Hyannis, MA 0 � -- Arthur Davidson atNo... ------------- --••--... ........................................-..................................................................................... Street as shown on the application for Disposal Works Construction Permit No S��_____________ Dated... /28/80..................... ••----- rZz. , ....aY... Board oalth DATE -- .�3•-°�� ------------•--------------------•----••-••• v/ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS L0 CAT ION �/ WA G E PE RMIT NO., VILLAGE (p INS LL R'S cQN A M DRESS B U1 DER OR OWNER ' DATE PERMIT ISSUED Z(o DATE COMPLIANCE ISSUED L /� i 1 ��`� �� ��� i© i \ � .�- i �D NO........ FES.'. ................ THE COMMONWEALTH OF MASSACHUSETTS BOA RCI,..,OF BE u ��� l o-� JA� ...� _ .............OFI,_�aA,41 At ......... *............. Appliration -for M_qpoiial i0orks' Towstrurtion Vrrnift Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal -j- 1C)USt . . . - YA ........... ....... ................. . ..... 11.4--------------------------------------------------------- .04-. ....Q�...................... .. PNeation-Andre or Lot No. ............................. ................................................................................................. Ow e Address Ins ler Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____________________ ___-.--._..Expansion Attic Garbage Grinder aq Other—Type of Building ---------------------------- No. of persons._-_____-_-______._____-_-__ Showers Cafeteria PL4Other fixtures ------------------------------------------------------ ...................------- ................................---------------------------------- Design Flow............................................gallons per person per day. Total daily flow---------------------------------------_---gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width..--............ Diameter__-_._...._..... Depth.___---_---.--. Disposal Trench_No..................... Width___-___-_-___.-_--__ Total Length..--_.-...._-____--- Total leaching area--------------------sq. f t. Seepage Pit No_____________________ Diameter............___..... Depth below inlet_.__................ Total leaching area------------------sq. it. Other Distribution box ( ) Dosing tank (, ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date---_------------------------- Test Pit No. I----------------minutesperinch Depth of Test Pit.._.__.._........... Depth to ground water...__------__.__.__..... �14 Test Pit No. 2----------------minutesper inch Depth of Test Pit:................... Depth to ground water--------- -------------- ................................................................................................................................... ------------------_ ...1�.4 o,-.e V14g:;�x-e 0 Description of Soil-__--_--. ---- ----Z---------- ----------------------------:---------------------ig............................. —----- -----------------------------------------------------------------------J. .............. ----------------------------------------------------------------------------- ------ -,a 40PY-—---./ ------- --- ----- - Na re of Repairs atfbns nswer when ap ica ----------------- U h Pi. 0 ------ -- -----------------------_------P_ _ -------------------- greement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has)w6e) issueY)y the boa o�e C SignedV4_ __:?%ZU1/---------- -- --9.4-------- Date ApplicationApproved By-----------------------:................................. ................................. ........................................ Date Na re I�epairs ns p-Answer L> A L),reem t Application Disapproved for the following reasons:.... ........................................................................................................... ................. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo...................................................... Issued-----------------------------.......................... Date ----------- ` : C/ �� No Fes : '°.......... r.,-- THE COMMONWEALTH OF MASSACHUSETTS BOAR OF H A . ,t✓- .Yt. . ..............OF_ .. ............................--- Appliration -for Birivo,ia1 Forks Towitrurtiott Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair an Sewage Disposal System t or !, cation.:Al bP f or Lot No. W �[� - ...�..'r Lt na_. Address ........................................... In Iler Address UType of Building Size Lot-----------------------_---Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________--_--. No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ----------------------------------------------------------------------------- W Design Flow...........................................gallons per person per day. Total daily flow--------------------------------------------gallons. Septic T:utk—Liquid capacity-__.-...___gallons Length---------------- Width_.............. Diameter-----.---------- Depth.._.---.--.----- xDisposal Trench—No..................... Width--------------...... Total Length-------------------- Total leaching area..............------Sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area-------.----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-. Percolation Test Results Performed by Date---------------------------------------- a Test Pit No. 1----------------minutes per inch Depth of Test Pit_------------------ Depth to ground water-------.__----.-..-_... G14 Test Pit No. 2----------------minutes per incli Depth of Test Pit..-_-----_____._-_- Depth to ground water--..-.._.___--_-.-.__. ----------------- - --•---•------------ -- ------------------------------------------------------------------------------------------------------------- Description of Soil-------- fs> E= -----.--- �' f l>r.r ---- �i;_-..! -- c r --- ii.,/. U ------------------------------------ --------------- ----------------------------- W -------• . --------- N •ure of Re slrs t U p• - ations Answer when ap lica e. r 1 . —'- - .. greement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hash issued-by the boa of he Date ApplicationApproved By-------------------------------------------------------------------------------------------------- Date Application Disapproved for the following reasons:-------•------••--•-----------------•-••-------•--•-•-----------•-------•------•-----------------------••------- ---•---•---••-----•--••-•--••-•••----------------------------------•-------------....................................----------•----------------------------•.--•------------•--------------------•--- Date PermitNo......................................................... Issued........................ ............................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1%1;;T rrtif irate of 101.1lutpliattrr 02sERTIFY;'That Individual Sewage Disposal System constructed ( ) or Repaired ( ) by �' I Installer �, has been installed in accordance with the provisions of Artic,)��r hqf The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ..�Z.. .................... dated._- %_____ !....__..._..... THE ISSUANCE OF THIS CERTIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE --2--------7------------------------------------------ Inspector----- --------- r!---------------------------•-------•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .y .......... � No.. ••t}---- ------. FEE`•`C�'................. Bi vcIpal k 9 1n trur n rrmit -- Permission is hereby granted.__ �__.__.__ _ ___ _________� ___.._� to Construct. ( ) or R pair ( j�-an di idual S . ;a e isposal System Street % - as shown on the application for Disposal Works Construction Permit Nam_ Dated--/,;/ `_ r---7 ---------------------------- -- _ «--`----- Board of Hea h DATE. f 7- - 7•1-------------- f FORM 1255 /Hoses & WARREN. INC.. PUBLISHERS . . _TOP OF FOUNDATION 20" MIN. ACCESS COVER LEACHING FIELD GENERAL NOTES f (TYPICAL OF 3) INLET + OUTLET ACCESS COVER TO BE _FINISHED GRADE BROUGHT WITHIN 6" OF FINISHED GRADE _ FINISHED GRADE OVER FINISHED GRADE OVER 1.) THE PROPOSED LE/CHING FIELD SHALL CONSIST OF A MOUNDED EXISTING 4" PIPE /-- OVER TANK EL = 13.50' t DISTRIBUTION BOX ,4J 9' t SCHEDULE 40 PVCF -- - -- .�-vLEACHING FIELD = 13.87' t 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND MIN, SLOPE 0 2Y. - -) 4" DIA. OUTLET(S) - 16 X 28 LEACHING FIELD AS SHOWN ON THIS PLAN. GROUND s d 5 ` 9"Mf.., 38"I,. 9-MIN., 36-MAX. REMOVABLE COVER 38 MAX. r « - A `'` CONSTRUCTION METHODS SHALL BE IN ACCORDANCE S. t FrdA 3 ELEVATION OVER THE LEACHING FIELD IS 13.87 AND SHALL HAVE A N 9" 4" PVC CTI NKROM -� -L4" PVC OUT FROM EACHING FACILITY 12 87' y` 4 O � WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY MAXIMUM SLOPE OF 3 (HORIZONTAL) TO 1 (VERTICAL) SLOPE. MINIMUM SLOPE o ,� � s �,a• APPLICABLE LOCAL RULES. 19" 12 �'YJ - 12•83' 2.) THE GROUND ELEV-ION AT THE LEACHING FIELD IS AT EL. = 13.87't ti ,pnst S` 12.90't 1,.0t 0000a000a000000000000o F To.4•t 12.52•f y 9 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OUTLET TEE �o.,st / THE ELEV. AT THE TOP OF THE LEACHING FIELD IS AT EL. = 12.87't ;� R � ) 4' UOUID LEVEL ZABEL FILTER J „ >, , 3 M eAve `� OF HEALTH AND THE DESIGN ENGINEER. To'-o" ------ t2.23' THE ELEV. OF THE 4 PVC SERVICE PIPES ARE AT EL. = 12.37 t � � ,� AID„ �, MINIMUM ,Y -- 12.37' BOTTOM OF TRENCH TO 7� v 1Y r i TO BE RESET ON A LEVEL STABLE THE ELEV. AT THE BOTTOM OF THE LEACHING FIELD IS AT EL.= 12.23 f Adsc,Wy - �r c,` a SLAB FOUNDATION - »• BASE. FIRST TWO FEET OF OUTLET PIPES BE LEVEL EL. = 12.23' » ✓ 11.• TO BE LAID LEVEL. _ 5' SEPARATION HIGH GROUNDWATER ELEVATION = 7.23'f, FORA 5' SEPARATION - sywanOV 5��� �, 3.) 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL SEPTIC TANK v v� ( ` q Woadba+Y Aver LEVEL BASE 7.23' ADJ. GW �yd Y R 7'WPBreaksCa YCc fsf H Ldnit 9� A:4r"'"as BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. CROSS SECTION VIEW PUMP CHAMBER �. 6" CRUSHED STONE , 4mrer C » OVER MECHANICALLY c 6 c 4.) 4 SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED CROSS SECTION VIEW COMPACTED BASE kull Sn INSIDE LEACHING TRENCHES OR LEACHING FIELDS. SEPTIC SYSTEM PROFILE � >w.>t�,WY r � y � 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. N.T.S. .} aL d FL,. ti 0r 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. "°K,;ssa �� � ,, J 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED u zek w>n,, Eracke,Ur��. % i PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND INLET + OUTLET ACCESS COVER TO BE kudleyRU a P py, \ BROUGHT WITHIN 6" OF FINISHED GRADE FINISHED GRADE OVER INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRING Nob fill Rd ? �� READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED DISTRIBUTION BOX = 14.19' t WITH WATER TIGHT JOINTS. WIRE HIGH WATER ALARM -- --- PROVIDE WATERTIGHT CONCRETE RISER a� tnw�w 'z a WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH -'- - FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON � WITH SECOND COVER TO GRADE � 9 MIN., 36"MAX. `\ ; - CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. '°°°n y.nmrx m�-we, mo AND DESIGN ENGINEER. - " 1 REMOVABLE COVER 5" DIA. OUTLET(S) NEMA 4 JUNCTION BOX CORRISION RESISTENT HOISTING CABLES 7x19 STAINLESS STEEL 1/8" DIA. & LIQUID TIGHT. CABLE CONNECTORS SUPPORTED 1 9~ 24" DIA. MANHOLE 1,750 LBS. STRENGTH -� BY 1-1/4" PVC CONDUIT. JOINTS To 8.) ELEVATIONS BASED ON BENCH MARK: CB FND 12.08 DATUM GIS> covERs BE MADE WATER TIGHT. LOCUS MAP AS SHOWN ON PLAN. 3" 3"� 19. PROVIDE WATERTIGHT I a,� aao - -_ JUINTS(TYP.) t. 2" BALL VALVE W/ UNIONS SCH 80 PVC 0 I I 4' PVC IN FROM / GEORGE FISHER CO. MODEL NO. 560 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO io 4' LIQUID LEVEL Yip '^'n SEPTIC TANK 4" PVC OUT FROM LEACHING 4" PVC FROM TANK ✓�._ ) OUTLET TEE FACILITY. MINIMUM SLOPE 0 1% 2" SCH 40 DISCHARGE 70 D-BOX CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR I� ` {�t2» INV. EL = 10.4't TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY 1 2.69't J ` l MINA 12.52 t 2" SCH 40 TEE W/CLEANOUT TEST PIT DATA OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO 6' CRUSHED STONE OVER MECHANICALLY AueM N L9.64' THE DESIGN ENGINEER. - - PROVIDE 1,/4" WEEP HOLE IN DISCHARGE LEVEL BASE PLAN VIE - COMPACTED BASE �126 CRUSHED STONE PIPE FOR SELF DRAINING. CROSS SECTION VIEW '- OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX (H-10) PUMA �N EL. aCOMPACTED BASE INV. EL = 6.15't PUMP OFF EL 7.32' 2" BALL CHECK VALVE SCH 80 PVC PERC. PERMIT NO.: 11851 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES TO E. RESET ON A LEVEL STABLE ,4« 100 PSI. FLOWMATIC MODEL NO. 2085 ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE BASE. FIRST TWO FEET OF OUTLET PIPES `� PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK (H-10) TO BE LAID LEVEL. PROVIDE 2 WIDE ANGLE FLOATS 2" SCH 40 DISCHARGE PIPE WITNESSED BY: DAVID STANTON, R.S. WATER TIGHT SEALS. LENGTH 10:50'-WIDTH 5.87T DEPTH 5.33- FLOAT NO. 1: PUMP ON/OFF EL = 5.9't BARNES SE411 PUMP .4HP 115V CROSS SECTION VIEW PUMP N0. 2: PUMP ALARM ACTIVATION 2" DISCHARGE PASSING 2" SOLIDS PERFORMED BY: DAVID MASON, C.S.E. 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 1,000 GALLON PUMP CHAMBER AVAILABLE AS A UNIT THROUGH OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH WIGGEN PRECAST CORP., BOURNE, MA (800) 564-6774 DATE: JULY 19, 2007 DETERMINATION FROM APPROPRIATE AUTHORITY. N.T.S. N.T.S. PUMP & ACESS THROUGH WILLIAMSON ELECTRIC (781) 444-6800 GROUND ELEV.: 12.4' f 12.) ALL SEPTIC SYSTEM COMPONENTS ARE BEING INSTALLED TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR ELEV. WATER: 7.23'f TRAVEL WAYS WHEREIN H-20 LOADING SHALL APPLY. PUMP CHAMBER PERC. IRATE: < 2 MIN./IN. 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, BOTTOM OF CHAMBER EL. = 5.90' DUST AND FINES. ADJ. HIGH GROUNDWATER EL. = 7.23' PERC DEPTH: @ 51" BUPYANCY FORCE PER FOOT OF DEPTH: 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL MAXIMUM DISPLACEMENT Ibs/cu.ft. = 2, ' Ibs/ft AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON ALL '-----_ MAXIMUM DISPLACEMENT = 1.33' RIM EL. MAX. UPLIFT PRESSURE: 1.33'x2,562 Ibs/ff = 3,408 Ibs TP #1 TP #2 SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WEIGHT OF EMPTY CHAMBER = 8,240 Ibs » » > WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER 11 .06 NO BALAST REQUIRED: 8,240 Ibs > 3,308 Ibs. 00 -------- 12.40 t 00 - 12.40 t UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ' DOSING & STORAGE REQUIREMENTS FILL FILL 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES DAILY FLOW: 330 GPD DOSING REQUIRED: 1 CYCLE/DAY 22" A; SAN6Y L 10.57'f 22" SARDY-L�Al�-1 10.57'f FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO _10 YR 3 �3 10 YR 3/3 9 73>t CONTINUATION OF WORK. DISTANCE BETWEEN PUMP ON OFF FLOATS: 32" -i 9.73'f 32" - - ,86 330 GAL/CYCLE/250 GAL/FT = 1.32 FT/CYCLE B: LOAMY SAND B: LOAMY SAND i 16.) PROPOSED PROJECT IS LOCATED WITHIN: STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS i ASSESSORS MAP #307- PARCEL #031 X _ STORAGE PROVIDED: 10 YR 5/8 10 YR 5/8 94- INV. (IN) EL: 10.4' - PUMP ON EL. 8.57' = 1.83 51 8.15'f 51 --� 8.15'f -� CB X STORAGE PROVIDED: 1.83'x 250 gal/ft - 458 GALLONS { 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. FND �R I M EL. 62" --- 7.23't 62" - j 7.23't KCJ ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR THE / n ��� o IdA �c, 3 USE OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. �O '-t 1 X 18. WATER SERVICE PIPE TO BE SLEEVED WHERE WITHIN 10 OF THE C1: COARSE SAND �Cl: COARSE SAND ` LEACHING FIELD AND SEWER PIPE. 69. 00 2.5YRs/6 � 2.5YR6/6 Q _ I 19.) WATER PROOFING TO BE PROVIDED FOR PORTIONS OF TANK/ PUMP Q' rPROPOSED 16'X 28' CHAMBER BELOW HIGH GROUNDWATERR ELEVATION OF 7.23' MOUNDED LEACHING FIELD (310 CMR 15.22). T3 O LOT 1� BM: CB FND /� " „ 2 ELEV. 12. 09 �' 120 2.40 120 2.40 DATUM: GIS ,� X 7 4 79-± SF HIGH ADJ. GW AT 62" HIGH ADJ. GIN AT 62" REVISIONS: ENGINEER OR HEALTH INSPECTOR TO / / - 1 1 2.9 PRESENT DURING OVER EXCAVATION I / _10•3't / DESIGN DATA: BEDROOM BEDROOM 3 BEDROOM DWELLING / DESIGN FLOW: 110 GPD PER BEDROOM . �• o - BATH TP #1 /=' KITCHEN ROOM 110 x 3.0 = 330 GPD 10 o,� E�'/ l� i PROPOSED SEPTIC SYSTEM UPGRADE D s 7/N /� _ SEPTIC TANK: = PREPARED FOR: 330 GAL X 200� 660 GALS. DESIGN CAPACITY O F' _ #7 06 USE PROPOSED 1,500 GALLON SEPTIC TANK LIVING ROOM BEDROOM TODAY REAL ESTATE REQUIRED LEACHING AREA: ------I INSTALL 40 MIL POLY LINER 12. SHED (330 GAL/DAY) / (0.74) = 446 SQ. FT. . PAVED D �' ��- FLOOR LAYOUT LOCATED AT: -'" 0) VE (NOT TO SCALE) LEACHING AREA PROVIDED. 16" (WIDTH) X 28' (LENGTH) = 448 SQ. FT. 106 SEABROOK ROAD INSTALL 40 MIL POLY LINER HYANNIS MA. +� o � 13.00 0 X 1;'6 1 4 X 0 SCALE: AS SHOWN DATE:8-24-07 PROP. D-BOX t--- - �� 1 10 0 40 FEET 4 , -- / 2 lo.o - Variance From Regulation: Reason For Variance: IWATER MAIN TO BE SLEEVED WITHIN o _ EXISTING LEACHING PIT 1. 310 CMR 15.405 1 b 10' Variance, S.A.S. to Cellar Wall, 10' Setback OF ----- 99. 00 TO BE PUMPED AND ABANDONED 1.� 310 CMR 15.405�1��b� 3.7' Variance, Septic Tank to Cellar Wall, 6.3' Setback ,�P`�N M�Ss�, PREPARED BY: O' OF SEWER PIPE + FIELD1. 310 CMR 15.405 1 b 3.1' Variance, Pump Chamber to Cellar Wall, 6.9' Setback o ROBERTA. 13. ) OO p DRAKE KCJ ENGINEERING Civi C_-) No.41642 � �. A sF ROBERT A. DRAKE PROPOSED 1,500 GALLON 9 ST 0" SEPTIC TANK PROPOSED 1,000 GALLON f A> 66 GREENVILLE DRIVE PUMP CHAMBER �Tl( IST NG LEACHING PIT <`I FORESTDALE, MA. 02644 B PUMPED AND ABANDONED TEL. NO. 508 287 1253 FAX. NO. 508 477 5048 Drawn By. Designed By. Checked By. JOB No. 08120 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LEACHING FIELD -TOP OF FOUNDATION 20" MIN, ACCESS COVER (EL=14.90') (TYPICAL OF 3) INLET + OUTLET ACCESS COVER TO BE GENERAL NOTES EXISTING 4" PIPE FINISHED GRADE BROUGHT WITHIN 6" or FINISHED GRADE FINISHED GRADE OVER --FINISHED GRADE OVER 1.) THE PROPOSED LEACHING FIELD SHALL CONSIST OF A MOUNDED SCHEDULE 40 PVC F /-OVER TANK EL. 13.50' /-DISTRIBUTION BOX 14.19' 1 LEACHING FIELD 13.87 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND 36" 5- DIA. OUTLET(S) I it 5 MIN. SLOPE 0 2% 9"MIN.' MAX. 9 MIN_1 36-MAX. REMOVABLE COVER 16' X 28' LEACHING FIELD AS SHOWN ON THIS PLAN. GROUND f. CONSTRUCTION METHODS SHALL BE IN ACCORDANCE MAX 12.87' 12"MINIMUM ELEVATION OVER THE LEACHING FIELD IS 13.87' AND SHALL HAVE A Pond WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY 4' PVC IN FROM 4" PVC OUT FROM MAXIMUM SLOPE OF 3 (HORIZONTAL) TO 1 (VERTICAL) SLOPE. SEPTIC TANK LEACHING FACILITY. %st 9. l�, 1!HIS 1:1�l� 00% APPLICABLE LOCAL RULES. MINIMUM SLOPE 0 1% 12.83' ""VLK--'1,6"MAX, I 111.2-51*1 3 119" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0: 2.) THE GROUND ELEVTION AT THE LEACHING FIELD IS AT EL. 13.87'± 12.90'± 10.4* 12.69':* 112.52't 2.) ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 4' LIQUID LEVEL OUTLET TEE THE ELEV. AT THE TOP OF THE LEACHING FIELD IS AT EL. = 12.87'± ZABEL FILTER Md0v Ave OF HEALTH AND THE DESIGN ENGINEER. 10'-0* 12.37'-/B..91 NNEUMM. 12.23' THE ELEV. OF THE 4" PVC SERVICE PIPES ARE AT EL. = 12.37" 44der A. MINIMUM 12" BOTTOM OF TRENCH TO 3' To BE RESET ON A LEVEL STABLE THE ELEV. AT THE BOTTOM OF THE LEACHING FIELD IS AT EL.= 12.23'± Arbuft SLAB FOUNDATION 57-= BASE FIRST TWO FEET OF OUTLET PIPES BE LEVEL EL. 12.23' 1 1� 1 3.) 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 14' 11.1>� TO BE LAID LEVEL. 5' SEPARATION HIGH GROUNDWATER ELEVATION 7.23'±, FOR A 5' SEPARATION 8'-0'2 7.23' ADJ. GW) BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. ( LEVEL BASELm CROSS SECTION VIEW 6" CRUSHED STONE cz) 4L PUMP CHAMBER jo OVER MECHANICALLY - SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED CROSS SECTION VIEW COMPACTED BASE 5 Ilk INSIDE LEACHING TRENCHES OR LEACHING FIELDS. n' SEPTIC SYSTEM PROFILE = 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. N.T.S. Jr 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED i-F 1 PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND INLET + OUTLET ACCESS COVER TO BE BROUGHT WITHIN 6" OF FINISHED GRADE FINISHED GRADE OVER INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRINGNObt'lulld READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED DISTRIBUTION BOX = 14.19' t WITH WATER TIGHT JOINTS. WIRE HIGH WATER ALARM PROVIDE WATERTIGHT CONCRETE RISER .. ..... FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON WITH SECOND COVER TO GRADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH 1000ft 9"MIN., 36"MAUX. 10'-6" 1 5" DIA. OUTLET(S) CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORRISION RESISTENT Yahw:2uo/Data,,Na�wq=7 AND DESIGN ENGINEER. REMOVABLE COVER-\q. MIN. HOISTING CABLES 709 STAINLESS STEEL 1/8" DIA. LIQUID TIGHT. CABLE CONNECTORS SUPPORTED _j 24" DIA, MANHOLE 1,750 LBS. STRENGTH BY 1-1/4" PVC CONDUIT. JOINTS TO 8.) ELEVATIONS BASED ON BENCH MARK: CB FND 12.08' DATUM GIS, COVERS BE MADE WATER TIGHT. 13" 3-j PROVIDE WATERTIGHT I AS SHOWN ON PLAN. 40 JOINTS(TYP.) 2" BALL VALVE W/ UNIONS SCH 80 PVC LOCUS MAP 4" PVC IN FROM GEORGE FISHER CO. MODEL NO. 560 11"MIN-,"*36"MAX 1A FROM io SEPTIC TANK 4" PVC OUT FROM LEACHING 4" PVC FROM TANK 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO 4' LIQUID LEVEL \10 - 4 2" SCH 40 DISCHARGE TO D-BOX OUTLET TEE FACILITY. MINIMUM SLOPE 0 1 CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR INV. EL 10.4'± TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY 1 69,± 12.69'± 2 SCH 40 TEE W/CLEANOUT TEST PIT DATA 6" CRUSHED STONE OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO OVER MECHANICALLY PROVIDE 1/4" WEEP HOLE IN DISCHARGE THE DESIGN ENGINEER. LEVEL BASE PLAtLVIEW COMPACTED BASE 12 CROSS SECTION VIE 6" CRUSHED STONE PUMP ON EL 8.57 PIPE FOR SELF DRAINING. OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX (H-10) PUMP OFF EL 7.32* 2" BALL CHECK VALVE SCH 80 PVC PERC. PERMIT NO.: 11851 10.) NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES COMPACTED BASE TO BE RESET ON A LEVEL STABLE INV. EL = 6.15 100 PSI. FLOWMATIC MODEL NO. 2085 BASE. FIRST TWO FEET OF OUTLET PIPES PROVIDE 2 WIDE ANGLE FLOATS ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK (H-10) TO BE LAID LEVEL. FLOAT NO. 1: PUMP ON/OFF 2" SCH 40 DISCHARGE PIPE WITNESSED BY: DAVID STANTON, R.S. WATER TIGHT SEALS. LENGTH 10'.57-WIDTH 5.67-DEPTH 5.33�_ CROSS SECTION VIEW PUMP NO. 2: PUMP ALARM ACTIVATION EL = 5.9'± BARNES SE411 PUMP .4HP 115V 2" DISCHARGE PASSING 2" SOLIDS PERFORMED BY: DAVID MASON, C.S.E. 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED 1,000 GALLON PUMP CHAMBER AVAILABLE AS A UNIT THROUGH OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL WIGGEN PRECAST CORP., BOURNE, MA (800) 564-6774 DATE: JULY 19, 2007 DETERMINATION FROM APPROPRIATE AUTHORITY. N.T.S. N.T.S. PUMP & ACESS THROUGH WILLIAMSON ELECTRIC (781) 444-6800 GROUND ELEV.: 12.4' t 12.) ALL SEPTIC SYSTEM COMPONENTS ARE BEING INSTALLED TO ELEV. WATER. 7.23'± WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR TRAVEL WAYS WHEREIN H-20 LOADING SHALL APPLY. PUMP CHAMBER PERC. RATE: < 2 MIN./IN. 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, BOTTOM OF CHAMBER EL. = 5.90' DUST AND FINES. ADJ. HIGH GROUNDWATER EL. = 7.23' PERC DEPTH: @ 51 BUPYANCY FORCE PER FOOT OF DEPTH:4.83'x8.5'x62.4 lbs/cu.ft. = 2,562 Ibs/ft 14.) WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL MAXIMUM DISPLACEMENT = 1.33' TP #1 TP #2 AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON ALL H I M EL. MAX. UPLIFT PRESSURE: 1.33'x2,562 Ibs/ff 3,408 Ibs SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL 11 .06 WEIGHT OF EMPTY CHAMBER = 8,240 Ibs 00" 12.40'± 00 .40 ±" 12 ' WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER NO BALAST REQUIRED: 8,240 Ibs > 3,308 Ibs. UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). DOSING & STORAGE REQUIREMENTS FILL I FILL 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF :NY C]SCREPANCIES DAILY FLOW: 330 GPD __SAN_DT_LTRTVF_ 10.57'± 22" )V---S FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO DOSING REQUIRED: 1 CYCLE/DAY 22 A: 10.57'± 10 YR 3/3 10 YR 3/3 CONTINUATION OF WORK. DISTANCE BETWEEN PUMP ON FLOATS: 32" 9.73'± 32" 9.7,3'± 330 GAL/CYCLE/250 GAL/FT = 1.32 FT/CYCLE 1 16.) PROPOSED PROJECT IS LOCATED WITHIN: IB: LOAMY SAND iB: LOAMY SAND STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS I i STORAGE PROVIDED: 10 YR 5/8 ( 10 YR 5/8 ASSESSORS MAP #307 PARCEL JQ,3111 CB INV. (IN) EL: 10.4' - PUMP ON EL. 8.57' = 1.83' 51 8.15'± 51 8.15 ± 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. FND STORAGE PROVIDED: 1.83'x 250 gal/ft 458 GALLONS 62" Sz 7.23'± 62" 7.23'± KCJ ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR THE i2f RIM EL. 0111,11111111 S71- USE OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 1000 7 . 12 18.) WATER SERVICE PIPE TO BE SLEEVED WHERE WITHIN 10' OF THE 0-0 601d ) ?9 N Cl: COARSE SAND Cl: COARSE SAND ! LEACHING FIELD AND SEWER PIPE. 9. 00 2.5 YR 6/6 2.5 YR 6/6 19.) WATER PROOFING TO BE PROVIDED FOR PORTIONS OF TANK/ PUMP Q) PROPOSED 16'X 28' CHAMBER BELOW HIGH GROUNDWATERR ELEVATION OF 7.23' MOUNDED LEACHING FIELD (310 CMR 15.22). I J BM: CB FND 13 0 LOT 16 ELEV. 12.09 2. 120" 1 2.40' 120 2.40' x 7 4 79-1- SF HIGH ADJ. GW AT 62" HIGH ADJ. GW AT 62" DATUM: GIS REVISIONS: ENGINEER OR HEALTH INSPECTOR TO 12.9 PRESENT DURING OVER EXCAVATION F T4 #2 12. 8 DESIGN DATA: BEDROOM BEDROOM 3 BEDROOM DWELLING C) DESIGN FLOW: 110 GPD PER BEDROOM BATH KITCHEN ROOM 110 x 3.0 = 330 GPD S PROPOSED SEPTIC SYSTEM UPGRADE D wEL �v G J SEPTIC TANK: T 0. LAc 330 GAL X 200% = 660 GALS. DESIGN CAPACITY PREPAREDIFOR: 1170,5 USE PROPOSED 1,500 GALLON SEPTIC TANK 74, 9 � LIVING ROOM BEDROOM TODAY REAL ESTATE ----�INSTALL 40 MIL POLY LINER REQUIRED LEACHING AREA: 12. (330 GAL/DAY) / (0.74) = 446 SQ. FT. SHED FLOOR LAYOUT LOCATED AT: PA VET D VE (NOT TO SCALE) LEACHING AREA PROVIDED:- (0 16" (WIDTH) X 28' (LENGTH) = 448 SQ. FT. 106 SEABROOK ROAD -----KNSTALL 40 MIL POLY LINER HYANNIS, MA. 13.0 CS x S176 . 1 . 4 x O SCALE: AS SHOWN DATE:8-24-07 PROP. D-B( x - 1,552 Yj E --10,0 Variance From Regulation: Reason For Variance: LMM-- 10 40 FEET '0 C? Q� EXISTING LEACHING PIT 1.� 310 CMR 15.405�1��b� 10' Variance, S.A.S. to Cellar Wall, 10' Setback -\\A V WATER MAIN TO BE SLEEVED WITHIN 99. 00 0 BE PUMPED AND ABANDONED 1. 310 CMR 15.405 1 b 3.7' Variance, Septic Tank to Cellar Wall, 6.3' Setback PREPARED BY: 10' OF SEWER PIPE + FIELD ROBERT . 13. 1.) 310 CMR 15.405(l)(b) 3.1' Variance, Pump Chamber to Cellar Wall, 6.9' Setback DRAKE 11 � KCJ ENGINEERING � C!VIL C-) No.41642 PROPOSED 1,500 GALLON ROBERT A. DRAKE ]SEPTIC TANK N PROPOSED 1,000 GALLON 66 GREENVILLE DRIVE PUMP CHAMBER IF- Z9 _c EXIST NG LEACHING PIT FORESTDALE, MA. 02644 TO B PUMPED AND ABANDONED TEL. NO. 508 287 1253 FAX. NO. 508 477 5048 Drawn By. Designed By Checked By. JOB No. 08120 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LEACHING FIELD TOP OF FOUNDATION 20" MIN. ACCESS COVER (EL=t4.40') � GENERAL NOTES (TYPICAL OF 3) INLET + OUTLET ACCESS COVER TO BE J FINISHED GRADE �- BROUGHT WITHIN 6" OF FINISHED GRADE FINISHED GRADE OVER FINISHED GRADE OVER 1.) THE PROPOSED LEACHING FIELD SHALL CONSIST OF A MOUNDED EXISTING 4" PIPE / ��--OVER TANK EL. = 13.50' t �__-DISTRIBUTION BOX 14.19' t ,� �-LEACHING FIELD = 13.87' t , t 1.) UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND SCHEDULE 40 PVC -- -- --- - a - ' v ���� t-- - -� _- 16' X 28 LEACHING FIELD AS SHOWN ON THIS PLAN. GROUND MIN. SLOPE 0 2Y. REMOVABLE COVER I 5" DIA. OUTLET(S) I ,, Q� 5` CONSTRUCTION METHODS SHALL BE IN ACCORDANCE 56"MAX. � -- 36"MAx. , a R �0 A 12'MINIMUM ELEVATION OVER THE LEACHING FIELD IS 13.87 AND SHALL HAVE A 12.87' -� r '' WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY 4" TIC A FROM _ LE PVC OUT FROM � MAXIMUM SLOPE OF 3 (HORIZONTAL) TO 1 (VERTICAL) SLOPE. 9" SEPTIC TANK LEACHING FACILITY. b t I MINIMUM SLOPE a 1X .r`` ��, APPLICABLE LOCAL RULES. IL _-12.83' 11.25't 3 3" 19" 1Y90.t 11,D': to4't 0 0 0 0 0 0 0 0 a o 0 0 0 0 0 0 0 0 0 0 0 0; 2.) THE GROUND ELEVTION AT THE LEACHING FIELD IS AT EL. = 13.8Tt y� r15s �F OUTLET TEE 10.15'3 12.69't tY 12.52'f THE ELEV. AT THE TOP OF THE LEACHING FIELD IS AT EL. = 12.87't x 9� ���� 2.) ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 4' UQUID LEVEL ZABEL FILTER / " >> � - Maple Ave s �`� 10'-0" --- J 12,23' THE ELEV. OF THE 4 PVC SERVICE PIPES ARE AT EL. = 12.37 t a o ql�p� r N OF HEALTH AND THE DESIGN ENGINEER. `5MINIMUM 12. - 12.37' BOTTOM OF TRENCH TO �� L �N'` wy TO BE RESET ON A LEVEL STABLE THE ELEV. AT THE BOTTOM OF THE LEACHING FIELD IS AT EL.= 12.23 f Atbatft orb to SLAB FOUNDATION fs' BASE. FIRST TWO FEET OF OUTLET PIPES BE LEVEL EL. = 12.23' ac 5�n „ , --- "- 14' TO BE LAID LEVEL. 5' SEPARATION HIGH GROUNDWATER ELEVATION = 7.23 f, FORA 5 SEPARATION 5Y'wa�U� 5�� � ' 3.} 4 SCHEDULE 4OPVC PIPE WITH WATER TIGHT JOINTS SHALL --- 2s'-o" WoodouYn°e f 5` BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. r �-- - LEVEL BASE 7.23' (ADJ. GW) sY Y „a xtsl7 verse :anteK�.n $ ti�,gr�" cos:w cRoss 5ECTION VIEW CRUSHED STONE 4 c OVER k 4.) 4" SCHEDULE 40 PVC PERFORATED PVC PIPE SHALL BE USED PUMP CHAMBER v ;y CROSS SECTION VIEW COMPACTED BASE st S,wws INSIDE LEACHING TRENCHES OR LEACHING FIELDS. SEPTIC SYSTEM PROFILE P°^d � Mus,aYWy a 5.) SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. N.T.S. a _ a DLa �' cltsoa S1 ArKh'•• �+ 4 S Rd hS Apt 6.) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. n a J P NGOdLn - - 4 Sm�hst S 'k "55t � 7.) LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED ti. �+arstWgV` S1ui`�prDs^6 v' q�F�i PRIOR TO BACKFILLING WHEN SYSTEM IS NEARLY COMPLETE AND INLET + OUTLET ACCESS COVER TO BE FINISHED GRADE OVER INSTALL 1" PVC CONDUIT TO HOUSE FOR WIRING Aab1+'uRs � READY FOR INSPECTION. SYSTEM IS NOT TO BE BACKFILLED BROUGHT WITHIN 6" OF FINISHED GRADE q t e a DISTRIBUTION BOX = 14.19' t WITH WATER TIGHT JOINTS. WIRE HIGH WATER ALARM - PROVIDE WATERTIGHT CONCRETE RISER 5;0m �,� t',0�st. WITHOUT FIRST OBTAINING APPROVAL FROM THE BOARD OF HEALTH j - _ FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON WITH SECOND COVER TO GRADE t" » 9"MIN., 36"MAx. 10._s. ^� REMOVABLE COVER 5" DIA. OUTLET(S) CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. fr r NEMA 4 JUNCTION BOX CORRISION RESfSTENT tuft -- ranoo:xorw� wvoot AND DESIGN ENGINEER. 9 MIN' HOISTING CABLES 7x19 STAINLESS STEEL 1/8" DIA. \� j & LIQUID TIGHT. CABLE CONNECTORS SUPPORTED I a" 24" DIA. MANHOLE 1,750 LBS. STRENGTH `� BY 1-1/4" PVC CONDUIT. JOINTS TO 8.) ELEVATIONS BASED ON BENCH MARK: CB FND 12.08' DATUM GIS, 3' CovERs (!D BE MADE WATER TIGHT. AS SHOWN ON PLAN. 3"' 19" _ . PROVIDE WATERTIGHT -- 2" BALL VALVE W/ UNIONS SCH 80 PVC LOCUS MAP I , a� N� JOINTS(TYP.) / I I RS I I 4" PVC N FI / GEORGE FISHER CO. MODEL NO. 560 io 4' LIQUID LEVEL SEPTIC TANK 4" PVC OUT FROM LEACHING 4" PVC FROM TANK ,_:--:- ✓✓✓: , , 9.) CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO UTLET TEE FACILITY. MINIMUM SLOPE 1Y. 2' SCH 4O DISCHARGE TO D-BOX CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR INV. EL = 10.4't TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY 2.69't12" 12.52't 2" SCH 40 TEE W/CLEANOUT TEST PIT DATA -� - 6" CRUSHED STONE OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO r,- ovER MECHANICALLY AURM oN 9.64 THE DESIGN ENGINEER. LEVEL BASE C6CSS SECTION VIEW 6" CRUSHED STONE PLAN V! COMPACTED BASE 12» PPE FOR PROVIDE 1SELF DRAINING.E IN DISCHARGE OVER MECHANICALLY 5 OUTLET DISTRIBUTION BOX (H-10) PUMP OFF EL. 7.32' 19" 2" BALL CHECK VALVE SCH 80 PVC TP 1 + 2 10. NON-SHRINK GROUT TO BE USED AT ALL POINTS WHERE PIPES COMPACTED BASE TO BE RESET ON A LEVEL STABLE INV. EL = 6.15 t 14» 100 PSI, FLOWMATIC MODEL N0. 2085 PERC. NO.: # ) BASE. FIRST TWO FEET OF OUTLET PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE PROVIDE 2 WIDE ANGLE FLOATS 2" SCH 40 DISCHARGE PIPE PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK (H-10) To BE LAID LEVEL. - I WITNESSED BY: DAVID STANTON, R.S. WA TIGHT SEALS. LENGTH 10:SA'--WIDTH 5.�8T--DEPTH 5. FLOAT NO. is PUMP ON/OFF EL = 5.9't J BARNES 5E411 PUMP .4HP 115V CROSS SECTION VIEW PUMP NO. 2: PUMP ALARM ACTIVATION 2" DISCHARGE PASSING 2" SOLIDS PERFORMED BY: DAVID MASON, C.S.E. 11.) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEED SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 1,000 GALLON PUMP CHAMBER AVAILABLE AS A UNIT THROUGH OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH WIGGEN PRECAST CORP., BOURNE, MA (800) 564-6774 DATE: JULY 19, 2007 DETERMINATION FROM APPROPRIATE AUTHORITY. N.T.S. N.T.S. PUMP & ACESS THROUGH WILLIAMSON ELECTRIC (781) 444-6800 GROUND ELEV: 12.4' t 12.) ALL SEPTIC SYSTEM COMPONENTS ARE BEING INSTALLED TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, DRIVES OR ELEV. WATER: 7.23't TRAVEL WAYS WHEREIN H-20 LOADING SHALL APPLY. PUMP CHAMBER PERC. RATE: < 2 MIN./IN. 13.) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, BOTTOM OF CHAMBER EL. = 5.90' DUST AND FINES. ADJ. HIGH GROUNDWATER EL. = 7.23' PERC DEPTH: @ 51" - BUPYANCY FORCE PER FOOT OF DEPTH: 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL 2�-" 4.83'x8.5'x62.4 Ibs/cu.ft = ,562 !bs/ft } MAXIMUM DISPLACEMENT . 2, AND UNSUITABLE MATERIAL BELOW AND FOR AN AREA 5 FT. ON ALL RIM EL. MAX. UPLIFT PRESSURE: 1.33'x2,562 Ibs/ft = 3,408 Ibs TIP 1 TP #2 SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL `�- WEIGHT OF EMPTY CHAMBER = 8,240 Ibs 00" 12.40t 00 12.40f- ' " ' WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER 11 .06 - _. - NO BALAST REQUIRED; 8,240 Ibs > 3,308 Ibs. UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). DOSING & STORAGE REQUIREMENTS ! FILL FILL I f1 15.) CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES DAILY FLOW: 330 GPD DOSING REQUIRED: 1 CYCLE/DAY 22" �A-.----SANDYTOA-V---� 10.57'f 22" `A-.- --S-A►gDY-LGAkTj 10.57'f FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. DISTANCE BETWEEN PUMP ON/OFF FLOATS: 10 YR �i 32" /3 9.73't 32" --10 YR 3/3 g 73'f QQ 330 GAL/CYCLE/250 GAL/FT = 1.32 FT/CYCLE 'B. LOAMY SAND ,B: LOAMY SAND 16.) PROPOSED PROJECT IS LOCATED WITHIN: STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS STORAGE PROVIDED: / 8 10 YR 10 YR 5/ 5 8 ASSESSORS MAP #3 07 PARCEL 031 X 1 4 CB INV. (IN) EL: 10.4' - PUMP ON EL. 8.57' = 1.83' S1" 8.15'f 51 8.15't _ �( STORAGE PROVIDED: 1.83'x 25o gal/ft - 45s GALLONS 17.) THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. FND RIM EL. - ��'� � j• 03 62" 7 23't 62" 7 23 f USE OFGTHISRPLAN IOTHER THAN INTENDED PURPOSE KCJ LL NOT AS U ITS ALIABILITY THE 12 607dA E 00 18.} WATER SERVICE PIPE TO BE SLEEVED WHERE WITHIN 10' OF THE Cl: COARSE SAND i Cl: COARSE SAND LEACHING FIELD AND SEWER PIPE. 0Q - 69. 00 2.5 YR 6/6 2.5 YR 6/6 19.) WATER PROOFING TO BE PROVIDED FOR PORTIONS OF TANK/ PUMP Q' FROPOSED 16' X 28' CHAMBER BELOW HIGH GROUNDWATERR ELEVATION OF 7.23' 0 OUNDED LEACHING FIELD (310 CMR 15.22). ` M-BM: CB FND // 13 � 2 LOT 16 _ ELEV. 12.09 120" 1 2.40' 120" 1 2.40' 7 4 79-1- SF ENGINEER OR HEALTH INSPECTOR TO - DATUM: GIS REVISIONS: 12.9 PRESENT DURING OVER EXCAVATION _i X p,3�+ / 12. 8 DESIGN DATA: BEDROOM BEDROOM 3 BEDROOM DWELLING / DESIGN FLOW: 110 GPD PER BEDROOM BATH KITCHEN ROOM 110 x 3.0 = 330 GPD E/'/S PROPOSED SEPTIC SYSTEM UPGRADE D � T//UC I� SEPTIC TANK: ��LIN PREPARED FOR: T 330 GAL X 200% = 66� GALS. DESIGN CAPACITY ` Q 111706 USE PROPOSED 1,500 GALLON SEPTIC TANK ,l, 4 - 14. 9 ., LIVING ROOM BEDROOM TODAY REAL ESTATE 40 MIL POLY LINER REQUIRED LEACHING AREA: 12. +� SHED (330 GAL/DAY) / (0.74) = 446 SQ. FT. Pq VED �' FLOOR LAYOUT LOCATED AT: - a? VE q Y (NOT TO SCALE) LEACHING AREA PROVIDED: N x ,� 16" (WIDTH) X 28' (LENGTH) = 448 SQ. FT. 106 SEABROOK ROAD M -- - -INSTALL 40 MIL.POLY LINER HYANNIS, MA. 13.00 0 o X � S 76 1 . 4 X � � SCALE: AS SHOWN DATE:8-24-07 PROP. D-BOX 7 5 ,52 >> 1 10 0 401 FEET I E -10,0 , Variance From Regulation: Reason For Variance: o EXISTING LEACHING PIT 1. 310 CMR 15.405 1 b 10' Variance, S.A.S. to Cellar Wall 10' Setback OF M WATER MAIN TO BE SLEEVED WITHIN 9 3 �� ' ```� Ass ti PREPARED BY: 9 • 0 TO BE PUMPED AND ABANDONED 1. 310 CMR 15.405 1 b 3.7 Variance, Septic Tank to Cellar Wall, 6.3 Setback ��P 10 OF SEWER PIPE + FIELD ROBERTA. <-- 13. 1.) 310 CMR 15.405(1)(b) 3.1 Variance, Pump Chamber to Cellar Wall, 6.9 Setback DRAKE KCJ ENGINEERING C3 CIVIL v Q No.41642 °',' PROPOSED 1,500 GALLON ROBERT A. DRAKE /cTE SEPTIC TANK Fs PROPOSED 1,000 GALLON w 66 GREENVILLE DRIVE PUMP CHAMBER 0 EXIST NG LEACHING PIT - , FORESTDALE, MA. 02644 TO B PUMPED AND ABANDONED TEL. NO. 508 287 1253 FAX. NO. 508 477 5048 Drawn By Designed By. Checked By. JOB No. 08120 . .