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0085 SEAGATE LANE - Health
85 S,eagateLane ��:��,-�s.= ��-ti = • ' Hyannis'. P A'.=.249' 19, 5 li No. �OCZS Fee �lld THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` PUBLIC HEALTH DIVISION -"TOWN OF BARNSTABLE, MASSACHUSETTS Yes I RpPlication for Mizponf *pztem Con.5truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(%4— Abandon( ) Complete System ❑Individual Components Location Address or Lot No. I D q S }c �.�w.¢ Owner's Name,Address,and Tel.No. b -5 C> 2q i Assessor's Map/Parcel 2 I j ° `� S .?r+s+c L`'� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. P v . ,ISoy_ 'tc.3 !Fjft-ILff L oZq `1 soY T39 —796L Type of Building: Dwelling No.of Bedrooms � Lot Size ( d I 1 3 y sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 O gpd Design flow provided �3 31 gpd Plan Date t'2-'L'1-Zo S— Number of sheets Revision Date Title l o-1 �"'4 V,-1-t Size of Septic Tank I So D 41 Type of S.A.S. 2 f—c S'oq l (�1�✓�•w 1) Description of Soil Nature of Repairs or Alterations(Answer when applicable) e-LV+,,L�r, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date IZ�Z-1 —2ooS Application Approved by Date 7- US Application Disapproved by: Date for the following reasons Permit No. SOU <- t{b Date Issued No. . oC U�^i- / �10 Fee /p VU Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS - i4 . t Yes PUBLIC HEALTH DIVIS '�N=TOWN OF BARNSTA"LE; MASSACHUSETTS 3 Yication fork• i° ogor gten� �or�`gtructior� Permit p P Application for a Permit to Construct O Repair O Upgrade(,A- Abandon O [� Complete System ❑Individual Components Location Address or Lot No. I D 4.I S-e va�N i r (,.a,,.v Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2�1 -! I j G `( 5 +e /� Installer's Name,Address,and Tel.No., Designer's Name,Address and Tel.No. "�1^YS, t�'1 Jlu^u..�r4✓_. n t"1 L U c1 5 75L(,•. Type of Building: Dwelling No.of Bedrooms -S Lot Size ( U 13 y sq.ft. Garbage Grinder ( ) Other Type of Building 5t No.of Persons 7-- Showers(A) Cafeteria( ) Other Fixtures Design Flow(min.required) O gpd Design flow provided 3 3 1 • O gpd Plan Date I '1-7- 2-c d Number of sheets Revision Date Title Size of Septic Tank I,�o o c�r' Type of S.A.S. 0 Description of Soil 4 Nature of Repairs or Alterations(Answer when applicable) +1 L. 5 , n �' L�'i �., �✓r. '� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date i Z - Z` — �- o Application Approved by �S Date Ion US t Application Disapproved by: { Date ' for the following reasons Permit No. �2 U U �' tj, �� Date Issued "7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (A Abandoned( )by C-4,4,il',cle E li4 f pit r S L-L C at to -( M w'r e ✓a+-� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. /.2Gd� G tl� dated Installer r p,�„i"'L f� �/' `S Designer Sh ko l� Qit1 'tv'Gr-+l�i-u 7�4 f #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will Date �a Inspector —_——————————— — ————————————— ————————————— r ,'II J No. o2UU S T� Fee /G b- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS &5po.gat i§p5tem Construction permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( Abandon ( ) System located at 1 0,( Seams wa Lc L �,p and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. n Provided: Construction must be Approved e completed within three years of the date of this it. Date — - b ( � Pl? Y �r ` 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM Jvk Y hereby certify that the engineered plan signed by me dated 2_+ concerning the property located at b L11J n�S meets. all of the followiag criteria: • M,s failed system is,connected to a residential dwelling only. There.are no.commercial or b iness.uses associated with the.dwelling. • The.soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to.conclude this fact or.may conduct deep tesi holes and percolation tests.at the site without a health agent present. • TheTe is no.increase in flow and/or change in use proposed • There are no variances requested or needed. • The.bottom of the proposed leaching facility will be located no less than five feet above the maKimum adjusted groundwater table elevation. [Adjust the groundwater table using the. Fri ptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information). B) G.W.Elevation +adjustment for high G.W. __ DIFFE RENCEBETWEEN A and B 8 SIG D : DATE: Z 2 0 NOTICE Based apon the above information; a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. M 1 W 29 gASeptic ercexer ip.doc Town of Barnstable • �F 1HE 1p� do Regulatory Services ;I BARNSTABLE, Thomas F. Geiler, Director 9�A 613S `0� Public Health Division rFD �' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 12/29/05 Designer: Shay Environmental Services, Inc. Installer: Ca ewide Enterprises Address: P.O. Box 627 East Falmouth Address: P.O. Box 763 MA 02536 Marstons Mills, MA 02632 On 12/28/05 Capewide Enterprises was issued a permit to install a (date) - (installer) septic system at 4104 Seagate Lane, Hyannis, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 12/27/05 (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. p -�H OF Mgss9c CARMEN tiN (I 'aller's Sign ure) i EI SHAD No. 1181 UftoSq `AN esigner's Signature) (Affix Design Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form •V tr i, v1 ea�L.v t'a�✓eiu' in'`, LOCATION ��`� Sew 4�1�e, SEWAGE P#✓ (D q& VILLAGE-, t_ ASSESSOR'S MAP-& LOT INSTALLER'S NAME&PHONE NO. cv Id-.f 5'0 SEPTIC TANK CAPACITY 1.Y'0® ///0 LEACHING FACM=: (type) (size) rZ X�Se^ + NO.OF BEDROOMS 3 . BUILDER OR.O.WNER PERMTTDATE: �� 0 COMPLIANCE DATE: IzLa Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Z Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) N`e Feet . Edge of Wetland and Leaching Facility(If any wetlands exist 410 within 300 feet of leaching facility) Feet Furnished by 9 iq3 4f°0 ' 0 A ! r + i ASSESSORS MAP NO: PARCEL N0: No................. Fmc...��..j THE COMMONWEALTH OF MASSACHUSETTS' AR® H ALT OF...... `' ... .... . Appliratiou for Dhipati al 10orki Tomilrurtinat Pruaft Apphi a 'on is her by made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at• � � ?�. / /� �f .... ...----•- -- � . =�1 ...h .:../7 • --------•-------------------------------•-----•-----------------•---•--------------. �+ a d r or Lot No. ._... /�............. ....�" _ ._ . ----�o k&d W ------------------•---•---------Address Ins^alter Address Type of Building Size Lot__/�1_'3 SQ......Sq. feet U Dwelling No. of Bedrooms........ ____g— __________ _________________Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building of persons............................ Showers Cafeteria Q' Other fixtures -------------------------------- . W Design Flow............1/0........................gallons per person per day. Total daily flow____-___X.�___._..._------------------------- W. Septic Tank—Liquid capacity&0a ..gallons . Length.-/O..... Width....✓ ._..... Diameter________________ Depth..-r......._.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching .......sq. t. 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_______.__-_____---_-__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•----•---------...._...-•-•••-----•-•._ICE 1GJ 1NG..ENGlNEER__MUST SUPERVISE. O Description of Soil......___•..........................................................................INSTRLLA.T[O.V__AIVD_CERTIFY IN __WRITING x THE SYSTEM WAS INSTALLED IN STRICT V ------------------------------------------------------------------------------------•• W ACCORDANCE TO PLAN. x •••-•-•--•------------------------••--------------------------------•-•---------------•-•-••••--•••--------•------------------••---••••-••--------•-•-•-----•--------•---------------••••-------•---••-- U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ -------------------------------•---------------------------------------------------•-•---------------------•--------------------------------...------------...------------------------..............--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI� �of t ze State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued t boar of health. Signed.. _..... _ •---••-----•-••-••--• r K t"---•• --------- e A Application Approved By.... r/ ". -- ..... ------------ •----•---................. ........ ......._ Application Disapproved for the following reasons:................................................................................................................ -----------------------------------------------------------•--------------------•••-••-----•-•••-•-•---•---•-•••---•----•-••--•-•---------------•-••••---------•--•------------•------•---••-••••-•----- Permit No.------ ... Z-------------------- Issued...........................................DatDate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH l � - ....... ...W... .....O F..........,v..... .............................. Trdifirab of To XWW3 ENGINEER UST SUMV S TH' IS O CWRTIF Th t t Individual Sewage Di A L� ',constt'�e{ed I v lF,S IN T-LLED IAf STRICT Ito Of�i7i�1�'�t TO PLAN at...... � ��' - 6....av }-w-VD 1112�3...----------• --------------------------------•---------------•--------- has been installed in accordance with the provisions of TIT ' 5 of hj,State Sanitary Cod s de i d in the application for Disposal Works Construction Permit No---- r" ?_...___ dated_-_.�. _______________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................�.'.�.- ........................... Inspector....................... ------------------------------------------- J Pi Y i k r 1 1 1 r r y 4 r ( t . - 4 J THE COMMONWEALTH OF MASSACHUSETTS ARD OF KEALTH ........... - c Appfiratilan for Mipagaf Works Tonstrn.tuan rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys .... ..... ��� �'. .� �C. �'1---------------- --------•---..............-----...---•----- -----------------------------.....------. fir' gam. ......... ✓(/G f� j/!Q `� or t o. ......................-^-^......^•-- Address W -------------------------------- Installer Address O d Type of Building Size Lot_'_.... .'SQ__.__._Sq. feet V Dwelling—No. of Bedrooms_._... Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers Cafeteria al Other fixtures ----------------------------------------- ----------------------------------------------------------••----------------•------------------------ w Design Flow...........!/0.........................gallons per person per day. Total daily flow........ ........................gallons. Gd Septic Tank—Liquid capacit#'r! __..gallons Length./O...... Width... .......... Diameter................ Depths__-._--__- Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------------------- p .._.......... Total leaching area..................sq. ft. z Other Distribution box ( � Diameter.--Dosing tanD Depth belowin.et__.._.. s � e '4e'e �' Percolation Test Results Performed bY......................................................•.................... Date----------------------------------------- aTest Pit No. I................minutes per inch Depth of Test Pit................... Depth to ground water........................ Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water_:....................... a --•••..................•-••-••--••••••---••-•••......•----••................: ---------------------------•........... ----------- 0 Description of Soil........................................................................................................................................................................ w UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•-----------------------•-------------------•---------------------•-•-----•---....----------------------------------------•-------........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE: ; of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ssued y boa of health. Signed. {/./.:,. ! Application Approved By--- ..._PP PP .............. ............. --•- � 0 ate Application Disapproved for the following reasons:------•---------------•-------------------------------------------------------------------•-•--------••--•----- ..----•----------•-•-•-----•••-•--•--••....-•--•--•-•-•-••-••-•-••--•---•••---•-••••------ G�'' ("S Date PermitNo----- .........Z--------------------- Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD� OF H ALTH° ! t/. ..0F................ .......I.. .......................... �rdifiratr of Tompfianrr THIS IS TO TO CERTIFY, Zt e Individual Sewage Disposal System constructed ) or Repaired ( } bY-----..OA-/�•f-----CP� _ .................................................. has been installed in accordance with the provisions of 'n '11Z of fTh. State Sanitary Co as described in the application for Disposal Works Construction Permit No.__ _ _"". ...__.. dated__. _ p�� IE-le--••_------------_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS OAR OF HEALTH r, r ...-� �� �... ......0F..:. ... .n..... /v` � 1 ................... f� AT \ FEE .......... it 1 r (tons t i 'n rrnti Permission t ereby granted - /..l r •---------------°-..._..--------•--....------.......--•--......----- to Constr ct ) r Rair an Indivi u Swage Disposal System atl.To. , `-E ('�_ 1' :..- t ------------------------------------------------------------ ------ - ----•• - -- Street pp as shown on the application for Disposal Works Construction mit N�2�__. Aa Dated.... __�✓�- (y --------•--1 --- --------- J( Bolth DATE _ v y k : FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS No. c �� ®� 3 ell Fee , Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: polo r r Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppricatton for Migaar 6potem Construction Perron Application for a Permit to Construct( )Repair( /)Upgrade( )Abandon( ) ❑Complete System Lo'(Individual Components Location Address or Lot No. Owner's Name,Address and Tgl. �� Assessor's M� 1 Installer's Name,Address,and Tel. o. Designer's Name,Address and Tel.No. 6911A OD,w* 0�✓e 714 361,2 -,el W Type of Building: J Dwelling No.of Bedrooms Lot Size��J� sq.ft. Garbage Grinder Other Type of Building i No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3y(� gallons. Plan Date Number of she Revision Date Title W ets A1 /$4 L5 Size of Septic Tank /D©D 9�� �iXl� %�9 Type of S.A.S. Z Description of Soil !l�'�f���S /OX3D�Z f 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 not to place the system in operation until a Certifi- cate of Compliance has been issued b is Bo of ealth. Si ned Date Application Approved by Date Application Disapproved for the following reasons Permit No. QL00 S Date Issued I 115 105 �txn.Y'•..'��+F..a•ik w. 7..w.. .; 4.� .. : .. .1.� , r-• q . ^+. �1 . -0 �F _. .� c� �� o No. o� S 3 3 '*, i '. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 1 { 01pplicatiou for Migpogal *pgtem Cougtructiou Permit Y Application for a Permit to Constnict-(r )Repair( /)Upgrade( )Abandon( ) ❑Complete System E�I Individual Components Location Address or Lot No. d �' DQ�/yo �� Owner's Name,�c Address� 1.No. / Assessor's G f�117 D/T✓ c�'S/C V / r 7 T Installer's Name,A dress,and Tel.Mo. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms . 3 Lot Size �130 sq.ft. „ Garbage Grinder(�� Other Type of Building Pal("No.of Persons ''' Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow _ . --3,0 gallons. Plan Date O5— Number of sheets / Revision Date Title 5 111- l.%4 977 Size of Septic Tank ������� C ;rk'/ Type of S.A.S. Description of Soil 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 not to place the system in operation until a Certifi- cate of Compliance has been issued b , 's Boar of ealth Si�ned Date Application Approved by"`--- Date G5 Application Disapproved for the following reasons ', r Permit No. �-C 5 '� 3 Date Issued �. I 'A 105 THE COMMONWEALTH OF MASSACHUSETTS b BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On- ite Sewage Disposal System Constructed ( )Repaired ( Upgraded( ) Abandoned(r )by �� at s J '��� /0'• 7� ��f-� has been constructed 'n cbor ante with the provisions of Title 5 and the for Disposal System Construction Permit No —33 dated 1 1 Installer k2_1r1e_+-0 i fv;y i Designer C_ck ox P The issuance of this per�cmit shall not be construed as a guarantee that the sy toL&` �unction as design ed.Date It�105 Inspector 1 f No. �--G3�=------------,-------------Fee l�° THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogal *p5tem Cow6truction Permit Permission is hereby granted o Construct( )Repair( 2 Upgrade( )Abandon( ) System located at $� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:C nstruction must be completed within three years of the d t`�e of this p Date: 5 Approved by TOWN OF BARNSTABLE LOCATION SEWAGE #.• �en VILLAGE 14, -ASSESSOR'S MAP &LOT - INSTALLER'S NAME&PHONE NO, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 32 6411 lIe . (size) Xg NO.OF BEDROOM -3 BUILDER O OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility lr Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by ii IV, j Y3 . Town of Barnstable Regulatory Services Thomas F. Geiler,Director • '"M `�'g Public Health Division Ea Na+' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 50.8-790-6304 Installer& Designer Certification Form Date: f .2-' ID5 Sewage Permit# Z©©-S=0 5_3Assessor's Map\Parcel a.+q 1-tJ Designer: Installer:_ -�30 P'c ' �— Address: 3 -C F— Address: Li On was issued a permit to install a (date) (installer) septic system at based on a design drawn by ddress) dated t (de gner) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ZH OF A'Ig8S9C' ARNE H. yes (Ins is Signature) OJALA CIVIL No. 30792 �0� C/STE9.1O���� y �SS/O NAt ENG (Designer's Signature) (Affix TIRWs Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc INC -TOWN OF BARNSTABLEr OFFICE OF ssaMAI& BOARD OF HEALTH 1639 m 367 MAIN STREET HYANNIS, MASS. 02601 January 20, 1988 Mr. Jack and Frances Morast 65 Fox Hill Drive Bridgewater, MA 02324 Dear Mr. Morast: You granted a variance from the Board of Health Interim Groundwater Protection Regulation limiting sewage flows to 330 gallons per acre in certain Zones of Contribution to.public water supply wells. This variance will allow you to install an onsite sewage disposal system at Lot 7, Seagate Lane, Hyannis, Ma., with the following conditions: (1) The septic system must be installed in strict accordance to the submitted . plan. 2 The. designing en gineer n sneer must be onsite and supervise construction of the onsite sewage disposal system and must certify in writing to the Board of Health that his design has been strictly adhered to prior to the issuance of a Certificate of Compliance. (3) The dwelling cannot have more than three (3). bedrooms. Sewing rooms; dens; lofts, mudrooms, enclosed porches, finished cellars and similar type rooms are considered bedrooms according to the Department of Environmental Quality Engineering. (4) It shall be recorded on the deed that onsite sewage disposal system shall be pumped every three (3) years and written certification submitted to the Board by a licensed septage hauler. (5) The dwelling must be connected to public'water. (6) The dwelling must connect to town sewer. when the Board determines its availability. (7) Variance expires January 31, 1989. The variance is granted because the applicant has owned the property for many years and intends to reside there. In addition, there are very few lots vacant in the area. The addition of one on-site sewage disposal system will not significantly effect the quality of the groundwater in this area. Very truly yours, Gr ver C. M. Parrish Chairman BOARD OF HEALTH TOWN OF .BARNSTABLE M/bs COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP < 24 PARCEL, LOT TITLE 5 OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY.ASSESSMENTS. SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: AJ �- Owner's Name. Owner's Address: RF Date of Inspection: ��� Name of Inspect (pie a rint) f �" -g �, oCr1 Company Nam C%r�XI/, iV/�L` TOWJ7� Mailing Address: NF�pa, Ol-1 dc�Ce� V �Ty Telephone Number: CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below-is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site,sewage disposal systems. I am a DEP approved system inspector pursuant.to Section 15.340 of Title 5(310 CMR 15.000). The system: V Passes Conditionally Passes Needs further Evaluation by the Local Approving Authority Jails Tnspector's Signature: _ Date: /'6/l d ji 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. Notes and Comments ��2��/ 0.�/l(1 ****This'report only,describes conditions at.the time of inspection and undler 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. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM PART A CERTIFICATION (continued) Property Address: .67 t v.; d. Owner: Date of Inspection: (]�a Inspection Summary: Check A,B;C;D or E/ALWAYS complete all of Section D A.7tem Passes: have not found any information which indicates that any of the failure criteria described in 3 10 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,�Ajll 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 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: 2 Page 3 of 11 OFFICIAL nNSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE.DISPOSAL.SYSTEM INSPECTION FORM PART A CER�TIIFICATION(continued) Property Address:. / Y A Owner: Date of Inspection: � OC3_ 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)deter-mines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic,tank and soil absorption system(SAS)and the SAS is within 100 feet of a. surface water,supply or tributary to a surface water supply: The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is.within 50 feet of a private water supply well- The system has a septic tank and SAS and the SAS is less than 100.feet.but 50 feet or more from.a. private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified.laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia'nitrogen and nitrate nitrogen'is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACESEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 1 Property Address: 4 Owner Date of Inspection: ��Qa 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 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. J.Any portion of a cesspool or privy is within a Zone 1 of a:public well. Any portion of a cesspool or privv is within 50 feet of a.private water supply well. Any portion of a cesspool or privv 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen isequal 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.] (Yes/No)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 Aesign flow of 10,000 gpd to 15,000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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—I WPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any questibn 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. 4 Page 5 of 1.1 OFFICIAL]INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSUIUACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART B CHECKLIST Property A dress: Owner• - . Date.of Inspection: U� 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) V'_ 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 v1_ 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: Yes . no v Existing information. For example,a plan.at the Board of Health. v _ 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(3)(b)] 5 Page 6 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: ^� &;L�� Owner: Date of Inspection: (/ v FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 3 10,,C R 15.203 (for example: l 10 gpd x;#of bedrooms): Number of current residents: Does residence.have a garbage grinder yes or n ):,— - Is laundry:on a separate sewage system yes or no [if yes separate inspection required] Laundry system inspected(yes or no),: Seasonal use: (yes or n ® lS� �ZJ Water meter readings, if vailable(last 2 years usage(gpd)): D0''" /� Sump pump(yes or�. Last date of occupancy: COMMERCIALIINDUSTRI�J/ ' Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no). Non-sanitary waste discharged to the Title 5 system (yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records2AI. e, �,, AA Source of information: Was system pumped as part of the inspection(yes or 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 copyof the DEP approval Other(describe): roximate aae of all compone ts, daty ms .led(if known�nd source of information: Were sewage odors detected when arriving at the site(yes or�no.-- 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM 'NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL; SYSTEM INSPECTION FORM -PART C SYSTEM.INFORMATION(continued) Property Address: Owner: Date of lnspection: 00C-) BUILDING SEWER(locate on site pl n) Depth below.-grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments (on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:Izoocate on site plan) N Depth below grade: Material of construction: idconcrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance (yes or no):_(attach a copy of certificate) 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 gr baffle: How were dimensions determined• Comments.(on pumping recommend tions, ' let and outlet tee or baffle condition,structural integrity, liquid levels s related to outlet invert, e i ence of leakage, tc.): GREASE TR,�� cate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass,polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of'scum to bottom of outlet tee or baffle: . Date of last pumping:_ Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7 Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Pe5 Owner: CIA AAA2Z2 Date of Inspection:Un 0 o 6) TIGHT or HOLDING TANK��(tank must be pumped at time of inspection)(locate on,site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene—other explain): Dimensions:* Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order;yes or no): .Date of last pumping: Comments(condition of alarm and float switches, etc.): 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 akac,e into or out of box, etc.): PUMP CHAMBElocate on site plan) Pumps in working order(yes or no): Alarms in working order(:yes or no): , Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL ]INSPECTION FORM—NOT FOR VOLUN'TARYASSESSMENTS SUBSURFACE SEWAGE'DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: �(j SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type aching pits,pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: . innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, U.tc�). o, P779 �� r 7i1 CESSPOOL��(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth'—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: indication of.groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding condition of vegetation,-etc.,) PRIVY: locate on site plan) Materials.of construction:. Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner• Date of Inspection• r�dCja 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. 1 �� 1 1 10 Page ]1 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ' Owner: Date of Inspection: , a SITE EXAM Slope Surface water Check cellar Shallow wells ,r Estimated.depth to ground water l feet Please indicate(check).all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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: q 11 . Nu Dare: , COnole. by: Site Location �`, LC; iV:.a. ^ _�_fGress Con r-ac'or: 6 ��i'e�j✓�" gddrE;s:_ 7 c G7 �l J`7 V/Y�f- dotes:: -r'C1'���-Qi��: -b • 1 1 , IVlcc;�..4, v=•J;�i:,.0 W"ciEt-c iB _ • ..0'..1. IrJ':..t..._.._................... -•----•-•--....---__................ 2 Usinc.U:J.;;Lei-LE.�Ei, a�oe %one ane locate lc c.--}a�i.?I•CEnG?-=.O r.:;� _.......... Sa - `{sing noF,-ch .-spar : _ •�-T=i-.mine rur r aint'CE'DTCI'iO waif-,: TOr•indax Well ��� ! // �� '• ................... I_ - � -1Dilil/Y 82f I. I , a�i@.oa !-az rjsmal Ad. for index"Oell (Si c= 2.LI,.cwrr=nt c6ath ' - :o waterIewel-,"oi.i•ncex weiJ (STEEP s)., and•va,ater-ie.vel gone lJ1P 26) I If OErErrllF•i18'WatE-;-level diustii.1eR- .............................. :......................................-:.:__•.._ s.l'ap VYatEi by scb. ,.gc�i:-,g =_water- II level ecj6t;=nent_fS.i.c, L,.-) '{• = . i,,- C Ea;L++.,,--�.CEQirI Z'O-V•Jcei �i���i'I`v j�r—:��'Ji:v�i..�✓i�lv vvili�i::�ElUi� irk 61 e. .. t 8 i ... ..........I 'M 20 ,FT. IN.TOP :OF : FOUND. TEST 10 EL FT M IN. IDATE OF SOIL TEST� WITNESSED, , BY ',7 7 A 4 SCH,-- PYC PIPE,- CLEAN SAND PERCOLATION RATE—'COVERS MIMI INCH MIN,. PITCH 1/8 PER FT, 'OBSERVATION ROL E I :OBSERVATION HOLE Z TE CONCRt 12 . COVERS, 2" LAYER OF��'__ ELEV x 7 CAST,I RQN',PIPE —1/2 WA SHED 0 AOR EQUALJ T'MIN.PITCH, /4 PER FT STONE 0 S.157 TTFLOW . E LIN Z'EL= MIN. EL. LEVEL,�IEL,= EC= EL.TTEL�D'IST, � ELT�-= 41 7 -EL.=1 uj .WATER,:AT WATER AT�3/441 I'I/2 I000 W. 00-STON-W HED 00 `DESfG E d LL o 0 'CULATIONS 'GALLON , U- N T' CAL w IT'SEPTIC ANK C --BEDROOMS PRECAST ' LEA HING NUMBER :�IOF 84G" GAR -UNIT-BASIN OR �EQUIV., DIAM. LOW 70TAL� ESTIMATED 'F BR.GAL'J 8 R, DAY x 3 3 �O GAL;`SEWA6E' .:DISPOSAL , 'SYSTEM%T. - PROFILE C ANK , APACITY�REQUIRED SEPtl'TO SCA LE NOT 'Z ,TANK 'GALr'AC UAL TSI E OF,-SEP IC-0 �'L k N REA REQUIREMENTS' ,?!"OF TEST H[OLE A usGs '�,PkOBABLE WATER TABLt /EL EAb I G 4 SIDEWALL I�AREA. bAL.I . � OBSERVED 'WATER TABLE 'EL." p,,.,'BOTTOM AREA TLEACHING 'CAPACITY (.BOTTOM+ SIDEWALU S T �CAP CITY'LEGEND �,RE Al SERVE �il_EA A TTCHING Exisirm'G SPO-f tLtV' A ION G OUR' TEXIS IN TIF NAL SPOT,; LEVATION 0 FfNALZ_'ONT U NOTES T -SHA It: COt TTOF RULES A 0-SOICTESt LOCATIOW�,�'_ ALL W09KMA�SkiP�-,A�6 �)�;�f'tOiA�Ls TI' LE,�' 'AND "THE 'TOW N REGULATIONS',FOR POS, -".'-OF,IMAGE UTILITY, 'POLE T "SO88URFAct DIS AL TOWN T'OF�,FINISHED`GRADE.'CATCH "6AS IN�- ',�:�, .��( -, "' ,, 'TO IOVERS O- SANITARY 'UNITS,�SHALL'�'BE..`SROUGMT., ALL -C WITHIN Tlk E fWMI) FINAL GRAD S,;SHALL�R MAIN ESSENTIALL IE kIST 4, 'ALL�' MPONEI CID TE SHIALL,BE IITHEYAmt '' NUt'UNL S'OF WI Pfti ANUINU H O' E.OADIN6 E'Se 'Oh" `LO WITHIN 10 FT �OF' DRIV PARKING AREAS. f I 5 -AN TO G I-,SETI `BRI NG OV RS I ��Y 4�SONA 'DRIVES OR'MIN. 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L I L I I i I I I I I L L - I - I ______- , - .- I _____I- L I___ --� -,., .-,____- r I I I--I - - - - -r --.1- I I L I I ___-- -----,..-______----____ ___-___� , �------ , -- � -- � r,�,,__1. 11 -- I -L- - -�L I I I I - L - - - --__ -----L-''-'----'--L '-- ------� -- -I-- - -- L I- I , I I - - - �-.- j I . . I � ---� �-�- - . VENT PIPE (0 Least 24 inches tan) SECTION A -A 10' min. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 40 PVC w/Charcoal Odor Filter Au 1 FROM THE Existing Foundation house to septic tank PROFILE VIEW OF LEACHING SYSTEM SET L VM F Box SHALL BE 12• CONCRETE COVER '�Nry °•:a '"` D-BOX cover must be SET EVEt FOR AT LEAST 2 FT. TOP OF BASEMENT ENTRY = ELEV. 100.00 (Assu $$o�ptic tank covers must be within 6 in. of finished grade ww, in 6 in. of finished grade ~� Grade over Septic Tank -99.00 Grade over D-Box-99.00 over SAS- ELEV- 29.00 /� `< KNOCKOUTS A\ Z /i•r r r/s•INSPECTION LY. er saws y rp•- r/r•tr..r,.a Tee.iwv - \: , • , ' 1 Emdable IPISPECTION cover must ;gr-d. 5.5 OUTLET i"1 /2' INLET i within 6 in. of finished ; In + y S - 0.02 3 HOLE H-10 �\ -� 9• r e 1M !LE DIST. BOX 3' Moxknum Cover p of SAS-Etev.=94.75 N 10• NEW S=o.Ot or Greater S- 0.010" per foot . O 155• T EXIST. PIPE o 1,500 GAL R { 4e 0 0 0 0 0 4' - SCH. 40 T �•75•FTtON EXIST. FOUNDATION rn SEPTIC TANtKr- o 0 r3 C3 C3 o it t� 1 mUi 20 20' o o En.t>r. D.pth o 0 0 0o PLAN SECTION CROSS-SECTION a l / tl H-10 s o or2 Units Q 95 = 17' �°TTTiaO++ ►rrr���CONCRETE FULL FOUNAA n tl N 3, ' ,J �-3.5' N 4 6 in.of 3/4•-, ,/r m 25 3 HOLE H-10 DISTRIBUTION BOX r - 1 r-- SYSTEM PROFILE � lam �fPd Jt compacted stone Tu -y 12' tl Effective Length NOT TO SCALE woe f- e Effective Vldth d AIMn4Vy Not to Scale - - !�nod�� c r ?Po4 nn�i'su s�Y m SOIL ABSORPTION SYSTEM (SAS) tl In.of 3/4•-1 1/2• m 500 - C H-10 LEACHING UNITS / WIGGINS PRECAST GENERAL NOTES compacted stone g�,� 1. Contractor is responsible for Digsafe notification Bottom of Test Hole 1 Elev.- NOTE. ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE B >!M Not to Scale _ and protection of all underground utilities and pipes. vObs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED 2. The septic"tank and distribution box shall be set level on 6 of 3/4'-1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan PERCOLATION TEST _ and Local Regulations. 6. If, during installation the contractor encounters any Date of Percolation Test: DECEMBER 22, 2005 soil conditions or site conditions that are different Test Performed By. CARMEN E. SHAY, R.S., C.S.E. from those shown on the soil log or in our design Results Witnessed By. WAIVER (BARNSTABLE B.O.H.) installation must halt & immediate notification be SHAY ENVIRONMENTAL SERVICES, INC. made to Carmen E. Shay - Environmental Services, Inc. Percolation Rate: Less Than 2MPI 0 36" 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. 8. Install Tuf-Tate gas baffles or equals on all outlet tee ends. 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. 10. All solid piping, tees & fittings shall be 4" diameter Test Hole Test Hole No. 1 No. 2 Schedule 40 NSF PVC pipes with water tight joints. 11. Municipal Water is Connected to The Residence and Abutting DEPTH SOILS ELEV. DEPTH SOILS ELEV. PROJECT BENCH MARK 0 9900 0 9900 TOP OF BASEMENT WALK-OUT ENTRY Properties Within 150 Feet. Loamy Loamy ELEV. = 100.00 (Assumed) Sand Sand COMPILED PROPERTY LINES ARE APPROXIMATE AND COMPILED FROM HE SURVEY PLAN GENERATED BY 10 Y 3/2 10 Y 3/2 o"-s" A ss.25 0.-9 10 A 9s.25 MERCER ENG. CORP of YARMOUTH, MA, ENTITLED "SEAGATE SUBDIVISION IN HYANNIS, MA" Loamy sod 114•00' &A HE DEED DESCRIPTION ( BOOK BOOK 0 194 PACEA220)3 10 YR 5/b 10 YR 5/6 TEST HOLE #2 TEST HOLE IT SHOULD BE USED FOR NO PURPOSE OTHER THAN _ELEV.= 99_00 9'- 36' 9e 96.00 9"- 36" Be 96.00 ELEV__99.44-_---Falyd- --------- --1 THE SEPTIC SYSTEM INSTALLATION. Med. Med. _____ ------ Cesspool D-Box _ Sand Sand 99- �T '_ Failed 99 EXISTING CESSPOOLS TO BE PUMPED OUT AND 2.5 Y 7/4 2.5 Y 7/4 1500 GALL0 r r ':'•..'.` - i 3s"-t44 C, s7.00 O SEPTIC TAN I I , b's cHl Cesspool REMOVED TO FACILITATE NEW SEPTIC SYSTEM INSTALLATION 3s"-14a" c, 87.0o O AREA i NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE T� 4" PVC yent FROM THE EXISTING CESSPOOLS TO BE DISPOSED 25' 8 OF AS PER BOARD OF HEALTH SPECIFICATIONS. _ DECK _ _ _ ..n CSC _O ES �I ITHI an ' PROPERTY _ . 1 __ __. _ ___._ NO rJ^'�raJ�S A�.� � R�.,E..T !'!r,..,.N �..0 OF HE p ASSESSORS MAP 249 PARCEL 138 WALKOUT BASEMENT � LEGEND BASEMENT FLOOR = ELEV. 97.50 ; LOT #14 EXISTING Perc #1 6.1 3 BEDROOM! LOT #16 DENOTES Depth to Perc: 36" to 54" RAISED RwCH 104X 11 SPOT GRADEOPOSED Perc Rate= Less Than 2 MPI #404 Groundwater Not Observed DENOTES EXISTING No Observed ESHwT I I X 104.46 _ I I SPOT GRADE ADJUSTED H2O Elev. = None LOT #15 I I PL PROPERTY LINE 10,130 Square Feet +/- i ASPHALT! n-t DRtvEWA 96 PROPOSED CONTOUR - - - ---97 EXISTING CONTOUR 98---- --------------------:- ul------� -----+----------- -------98 TYPICAL 1500 GALLON SEPTIC TANK 105.00' DEEP TEST HOLE & NOT TO SCALE ,� ;®`, ' I _ PERCOLATION TEST LOCATION I 1 ----�� 6 FOOT. STOCKADE FENCE 3-24•D1AM. ACCESS MANHOLES --�- •� _ ,o -8- CATCH ----- .��;� ��-: '• -..:r.._. ':�.: BASIN , =� ,S'EA GA TE LANE P LOT P LAN INLET "` = �' `� ' `�' � OUT ET THE ACCESS COVERS FOR THE SEPTIC TANK. (40 FOOT RIGHT OF WAY) OF PROPOSED SEPTIC SYSTEM UPGRADE i DISTRIBUTION BOX AND LEACHING COMPONENT PREPARED FOR SHALL BE RAISED TO MATHIN 6" of M R. J 0 N G A. RA - ---•-•s .-.- •`+ '�--•�-' •::.� FINISHED GRADE STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EOUALS PLAN VIEW ON ALL OUTLET TEE ENDS AT # 104 SEAGATE LANE 3-24•REMOVABLE COVERS .KAAA. HYANNIS, MA� - Design Calculations �\w 0 Ss PREPARED BY: 3 minraearonw 13. eIIEr Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) CAS Ct1RM.l�N E. �H� Y NUETsr mt E12•mku inlet to outlet s.mk Garbage Grinder: NO \ INLE +o•mti �a OUTLET L'a'''�f°1°I +� Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) 4 Y 5'-r n �$ 5 -r Septic Tank - 2 x 330 Gal./Day = 660 USE NEW 1,500 GAL Septic Tank. O 20 0 50 t, SHA ENVIRONMENTAL SERVICES, INC. E m - �mod, SOIL ABSORPTION AREA: Using percolation rate of G2 min./inch 1 a y e.� P.O. BOX 627 ' 0; Bottom Area: 0.74 gal/sq. ft. x 300sq. ft. = 22200 gallons STERN EAST FALMOUTH MA 02536 Sidewall Area: 0.74 gal./sq. ft. x 148 sq. ft. = 109.50 gallons S r\ r .� •-�. :.::^- '- :'i Providing: = 331.50 gallons rr r 'INITAP0 ',o'-o• 5._�. � SCALE: 1 =20 TEL/FAX 508-539-7966 CROSS SECTION END-SECTION Use: (2) PRECAST 5' OF UNITS, HAVING A 2 EFFECTIVE DEPTH, TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND SCALE: 1~=20' DRAWN BY: CES DATE: DEC. 27, 2005 4' OF WASHED STONE ON THE ENDS. PROJECT#SD848 FILENAME: SD848PP.DWG SHEET 1 OF 1 TOP FNDN. AT EL. 42.85' SYSTEM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN y ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: JOHN JACOBI /// MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM PAUL LEVY 3 41.0 WITNESS. ,. 117 2" DOUBLE WASHED PEASTO E 7/28/84 DATE: ELEV. 40.6' RUN PIPE LEVEL �/ I SST FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH ,,�, EXISTING 1��_ N s1r GALLON SEPTIC 39 2' f* /� 38.52' CLASS I SOILS LOCUS TANK (H- 1O ) GAS V7.83' RE-USE BAFFLE 38.0' �0000 t = O 0 I� r 37.66" CRUSHED STONE OR MECHANICAL 0r wCOMPACTION. (15.221 2 �� 0 2' C3 a o a 0 ID 00� ELEV. , [ l) �� 35.69 Q o 1 DEPTH OF FLOW = 4 ( 2t % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE 41.0 g TEE SIZES: INLET DEPTH = 10 LOAM & OUTLET DEPTH 14» SUBSOIL36" 38.0' LOCATION MAP NTS FOUNDATION EXIST. SEPTIC TANK 52' D' BOX 16' LEACHING ASSESSORS MAP 249 PARCEL 149 FACILITY 9.69' *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF MED. SEPTIC SYSTEM SAND 26.0' + 40.0 REMOVE ANY CONTAMINATED SOIL WITHIN 5' OF NEW SAS -3T8 -+ 39.6 - 180" 26.0' NO WATER ENCOUNTERED NOTES: + 8 �40.1�Q + 40.8 + 40.9 1. DATUM IS ASSUMED/ 4os SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) �40.2�0 + 4 .9 - 2-. �JvivlCiP�L wr�rr:rt iJ _ E?CIS`�ING T A!, + 40.8 TH.. DESIGN-FLOW: 3 BEDROOMS '( 11C ' GPD) - 330 GPD 3. MINIMUM PIPE PITCH TO B& 1/8" PER FOOT. ii USE A 330 GPD DESIGN FLOW 10 4. DESIGN LOADING FOR ALL �PRECAST UNITS TO BE AASHO H- + 40. SEPTIC TANK: 330 GPD ( 2 ) = 660 5. PIPE JOINTS TO BE MADE; 0.2 WA'I`ERTIGHT. _ -1 USE A 10_0_0_ GALLON SEPTIC TANK (RE-USE EXISTING) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. DECK 0• LEACHING: ENVIRONMENTAL CODE TITLE V. 40.2 GRAVEL DRIVE i 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT SIDES: 2(30 + 9.83) 2 (.74) = 118 TO BE USED FOR ANY OTHER PURPOSE. I s 141.2 I BOTTOM: 30 x 9.83 (.74) _ 218 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I � 40 5 40.6I °'- TOTAL: 454 S.F. 36 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 1408� ,i.9-W I EXISTING SEPTIC TANK USE (2) 500 GAL. LEACHING CHAMBERS (ACMIf'OR FROM BOARD OF HEALTH. J (RE-USE IF MIN. 1000 I 41 40.1 GAL. AND IN SUITABLE EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' 10. PUMP & REMOVE FAILED LEACH PIT I + 40.9 CONDITION) BETAIEEN UNITS EXISTING + 41.0 I DWELLING 1.4 + 4154 4 6 40.3 TOP FNDN O BENCH MARK - CORNER OF LEGEND TITLE-r`��,. SITE PLAN = 42.85' CONC. BULKHEAD EL. = 41.8 100.0 PROPOSED SPOT ELEVATION OF 8 5 S E,A, o ATE LANE I n LOT 7 10OX0 EXISTING SPOT ELEVATION 10,350±SF I ao.7 +SHED 40.2 IN THE TOWN OF: � 100 = I x PROPOSED CONTOUR ( H YA N 4 A R N STA B L E I 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI CONSTRUCTION/CAMPO + 40.0 94.00' X-1--49.$ 20 0 20 40 60 + 40.0 + 41.1 40.6 BOARD OF HEALTH APPROVED DATE MA SCALE: 1" = 20' DATE: JANUARY 4, 2005 TH LOCATION SHOWN APPROX. ONLY off 508-362-4541 fax 508 362-9800 OF down cape engineering, inc, w� ARNEH. `y o AM%E � / OJALA ' CIVIL OJALA i CIVIL ENGINEERS No 307 No. .c LAND SURVEYORS 04-363 939 vain st, yarmouth, rya 02675 ARNE JALA, P. .L.S. DATE