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0098 SKATING RINK ROAD - Health
99 SKATING RING( RD., RYANNIS A = e TOWN OF BARNSTABLE �. LO ;PION SEWAGE# VILLAGE 41u4AP14i ASSES SOR'S MAP&PARCEL INSTALLERS N ME&PHONE NO. 5--mg3 SEPTIC TANK CAPACITY X.'>C?006-I /OOWS _ rG90� � +�,y L • LEACHING FACILITY:(type)Y /�i 7��L� (size) NO, OF BEDROOMS / OWNER A11'4AZ_ e PERMIT DATE: COMPLIANCE DATE: vLal 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 leachin_ cility) Feet ti ..FURNISHED BY Q L -'a No.. Fee L60 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: v PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS ZippYtcation. for �hgpogat 6-poem Con5tructton permit Application for a Permit to Construct( ) Repair( Upgrade q/Abandon( ) ❑ Complete System ❑Individual Components Location Address gr Lot No.�b S -,�q/ O ner's ame,Address,and Tel.No. I hk Ihp 3leiche.� Assessor's Map/Parcel �rM same, ��—CYG?—`J7 / Installer's Name,Address,and Tel.No. �l�// , G( }��) (signer's Name,Address and T 1.No. 117P�Y%rl� WrN� R6. 60X `?`�9-, bents da(aq I fa wesa- dross .ew 10M � r Type of Building: Dwelling No.of Bedrooms J Lot Size 01 a sq.ft. Garbage Grinder ( ) Other Type of Building . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �y gpd Design flow provided �� 1 gpd Plan Date o Number of sheets Revision Date '— Title4v� Q, Size of Septic Tank 1 5Do Type of S.A.S. I 1/ , rZ Description of Soil .5G x2aQ Ll)l,Q.i g m.e_d Czars 15dA6U Nature of Repairs or Alterations(Answer when applicable) �d, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenanc of a afore described on-site sewage disposal system in accordance with the provisions oWpi Environments C-o n not o place the system in operation until a Certificate of Compliance has been issued by tal ,�.11 Signe ateApplication Approved by /� ate Application Disapproved by: Date for the following reasons Permit No. Date Issued lei Fee No. Entered in computer:r THE COMMONWEALTH OF` A,SS,CHUSETTS PUBLIC HEALTH,DIVISION TOEWN OF BARNSTABLE -ASSACHUSETTS Yes Application for TDt4po9;al *p5tent Construction Vermcit Application for a Permit to Cbnstruct( ) Repair( ) Upgrade(Abandon( ) ❑ Complete System El Individual Components _ � �Location Address or Lot No. 92 s L7h n S Imo(�k , O er's ame,Address,and Tel.No. N�jG�t���v � �� � i31-elCb'Le Assessor's Map/parcel q1-1 J� sy�C�l Installer's Name,Address,and Tel.No. PUP &7)f r,��j� De<igner's Name,Address and Tel.NO. L� )OOPen ti) WeKkK 106 80,x 90 5, E, be nk% (s O Z) (� y 1 1 a W a s4- C vv s s 4e Foresf-dalp- 1. AIA Od-(oqLJ Type of Building: ' �'��-.�Dwelling No.of Bedrooms Lot Size I d sq.ft. Garbage Grinder,( ) Other,/, Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 5SO gpd Design flow provided 5q l . q gpd Plan Date 0 2 Number of sheets 511 Revision Date Title PC 0 G S Ste^ -O AQ 0 I Size of Se tic Tank ' 5DO Type of S.A.S. I n C—1 If by 5 D scription of Soil 30,06 f1 1 0 a.al a-Zj# Ua(5. 56VICL t h.. r Nature of RepairsRor Alterations(Answer when applicable) J C1 c e el,[S h ti r- +ajik , P x.D _ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenanc of the afore described on-site sewage disposal system in accordance with the provisions of itle 5 f the nvironmental Code-and not to place the system in operation until a Certificate of Compliance has been issued by t s Bo ofj alth. Signe Date Application Approved by �; Y v I ate y. Application Disapproved by: t Date l for the following reasons Permit No. Date Issued w THE COMMONWEALTH OF MASSACHUSETTS } BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site JS..e�wag�eyD,isposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by I KW e, ►1 ! r�(i1 V YK 5 at S has een constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a ed Installer ( JZM � � ��Y(5� IC- Designer-DC1)1 P�l/1 t1. (��Y-5 #bedrooms 5 Approved design flow 1 gpd The issua c o th/is�/e guarantee shall not be construed as a that the system / un`c#i'on;as de/siied. / d ,f �/p• ,� Date (/I Inspector / /L'l'�// tiifi� No. .� �' � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -' BARNSTABLE, MASSACHUSETTS ]Bi!5po.5at ,*p!9tem ConsAruction ermit Permission is hereby granted to Construe] ( ),p Repair ( ) Upg a keft A arN ( ) System located at C1 S Iz a-h r� i\I )'1�C (� ��� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special condition Provided: Construction must a co p)rithin three years of the date oft is errnrt:� Approved A \� Date Pp b Y F 0 Oral / No. /�r Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: LIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes WZippYication for �DiOo5al *pgtem Con0truction Permit pplicationr a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System❑Individual Components Location Address or Lot No. OWner'S Name,Address,and Tel.No. 3cs-Z71-3635 N r1r,.►►s r^a- o2cool ►��'l1�p $LLIc-+}E2 Assessor's Map%Parcel a _ '2.� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. i�e.� IucEilTEt Cam) 477-5313 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 ate Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been constructed in a dda �e with th provisions of Title 5 and the for Disposal System Construction Permit No. G7 dated Install` Designer #bedr oms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector ---------No.----7," -- -------- doo THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwiooal 6raem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) 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 S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by -_..• ' ,Il^ 4r .'7.r+•rs. l.ii 7t�4' -,R., (:. n, Y �.•-�• ♦S' � ..r...,..1. a!!'S.r.i • ` $ ito . r F1.•Y ,� fir �J//j '�..v/.//////jf�r/A///'r. • n.w- K /. �+e'w� i No. . V 1 t/,%�, (// ' Y 1 aY Entered n computer: THE COMMONWE#UTWOE MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,'MASSACHUSETTS application for Th5po5al 6p5te'm Construction Permit *!pplication for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 5LE -7('3635 Assessor'sMap/Parcela N i%11Y-►pA 71J Q�L.t`�c1�E1Z (� Ny -9 AM nj WA Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Pea LC Mr-EO TEE ( 0 q'7 7- 5 313 i Type of Building: ,.,,Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) -=- - Other Type of Building No.of Persons Showers(F ) Cafeteria( ) Other Fixtures `. ,ry Design Flow(min.required) gpd Design flow provided gpd ii Plan Date Number of sheets Revision Date Title e. Size of Septic Tank Type of S.A.S. -Description of Soil j i Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: i 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 x Date r `Application Approved by � v Application Disapproved by: Date for the following reasons Permit No. ,r"f m Date Issued /0V ---------- 't — r T,-------------------' ----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS j F . Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by ( f at f has bee,constructed in accordance ,. with the provisions of Title 5 and the for Disposal System Construction Permit No. v"'n dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date �° 3� I " Inspector --- ------— --------------- ------- ------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS I _ 1=i!gpo!5al,6p!9tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) 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 S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date Approved by Town of Barnstable ' ate. Regulatory Services ' Thomas F. Geiler,Director s Public:Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 509-862-4644 QD 7_ /� J Q Fax: 508-790-6304 Date: Z �o d Sewage Permit# Assessor's Map/parcel'2 !-�1 '7 2 installer&Designer Certification Form Designer: IJc1 t.e r;n •Wk S Installer: � e a. Address: L2 VJ . CrQ Address: ` 3 ie'1ig- oZ� L19 Q Mm-kerru £� co_V' c is t �a-�r s was ued a permit to install a ( ) (installer) septic system at Af g 544tiP�n3/Zit (t / 4 fy 4 based on a design drawn.by (address) lCyr 1�GI<K-�et dated S /�/ o (designer) — 7 f 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 re f any component of the septic system) but in accordance with State&Local 0tio revision or certified as-built by designer to follow. Stripout(if rL were found satisfactory. y d the soils 1 o PETER T. G✓ McENTEE .� CIVIL No. 35109 staller's Signature) Ay��9�Gis1E °�� �IONAI L� J//Z�1pF (Designer's Signature) (Affix Designer's Stamp Here) PLEASE.REZ'iJRN TO STABLE PUBLIC HEALTH DIVISION. CERrWTWW CATE ' OF COMPLIANCE WILL NOT BE LSSUED UNTIL BOTH THIS FORM AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. = YOU. q:bffiw forms\designercertificatioa formdoc COMMONWEALTH OF MASSACHUSETT9— EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION r TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION a29l— /7,5P— Property Address: 98 Skating Rink Road Hyannis Owner's Name: Phillip Bleicher Owner's Address: Date of Inspection: 11/22/2006 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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,offTitle.5(310 CMR 15.000). The System: ;.� Passes Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: //�y� Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Ifealth or. DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow R 10,00t) gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional o of then DEP. The original should be sent to the system owner and copies sent to the buyer,if applicabie;land the-4pprovng authority. Ua Notes and CommentsC)� co�•• W rn ****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. Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D AZI Passes: e 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 P ss"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as proved by the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the 1dY1 0 wing statements.If"not determined"please explain. I r' 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 tankfailure 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 availa]ile. ND explain: Observation of sewage backup or break out qr 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: i 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 thy'Board of Health): _broken pipe(s)are replaced f obstruction is removed i ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property,Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher _ Date of Inspection; 11/22/2006 C. Further Evaluation is Requi/he e Board Health: Conditions exist which reqer ev ation by the Board of Health in order to determine if the system is failing to protect public health, he vironment. 1. System will pass unless Bealth determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioningner which will protect public health,safety and the environment: Cesspool or privy is wet of a surface water Cesspool or privy is vyeet 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 systemfiSAS)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 Sj . is within a Zone 1 of a public water supply. _The system has a septic tank and SAS and th#SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS an 'the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used t�etermine distance "This system passes if the well water*alysis,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 niyate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of�He analysis must be attached to this form. r /r 3. Other: ,✓ Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Z 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped �[ Any portion of the 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. -Z Any portion of a cesspool or privy is within a Zone 1 of a public well. _ _Z Any portion of a cesspool or privy is 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 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.] (Yes/No)The system fails. I have determined that one or more of the above 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the riteria above) j yes no _the system is within 400 feet of a surface drinking water supply — _the system is within 200 feet of a tributary to, surface drinking water supply f the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone H of a public water supply well / r" If you have answered"yes"to any question in S ction E the system is considered a significant threat,or answered "yes"in Section D above the large system has ailed. The owner or operator of any large system considered a significant threat under Section E or failed u der 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. i i Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 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 ? AZ _ Was the facility owner(and occupants if different than 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 _ 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(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 FLOW CONDITIONS RESIDENTIAL 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): 3 �Z Number of current residents: !4_ Does residence have a garbage grinder(yes or no):L Is laundry on a separate sewage system (yes or no)::�J[if yes separate inspection required] Laundry system inspected(yes or no):— Seasonal use: (yes or no):Q<Z G,,p,>, . Water meter readings,if available(last 2 years usage(gpd)): DES cw v P Q. Sump Pump(yes or no):.&2k> Last date of occupancy: c COMMERCIAL/INDUSTRIAL Type of establishment: / Design flow(based on 310 CMR 15. 3): gpd Basis of design flow(seats/persorq.ft.etc.): ,� Grease trap present(yes or no): Industrial waste holding tan resent(yes or no):_ Non-sanitary waste discha ed to the Title 5 system (yes or no):— Water meter readings, i vailable: Last date of occupanc use: OTHER(describ : GENERAL INFORMATION Pumping Records 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: 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)an source of information: 12 Were sewage odors detected when arriving at the site(yes or no):tip Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 BUILDING SEWER(locate on site plan) Depth below grade: Q rc" Materials of construction: cast iron_40 PVC other(ex lain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leak ge,etc.): SEPTIC TANK: locate on site plan) Depth below grade: 1 S:ri Material of construction:_Zconcrete_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: 7? x [j. Sludge depth: 3 " Distance from the top of sludge to bottom of outlet tee or baffle: 31 Scum thickness: C"' ',v kk T 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:`,Q:r. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): =1 MCS "t"Vz'4-- 4v\ WCG655 Ctx -T" 4a a�Gr' i+�.C�_s� Uc�l�t V Ct Vvv�c�l`.T�.ro GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal fibergl _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,{ee or baffle: Date of last pumping: Comments(on pumping recommendations,in and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of le aka ,etc.): i' o Page 8 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 TIGHT or HOLDING TANK: (tank st be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete metal_fiberglass_polyethylene_other(explain): Dimensions: Capacity: allons Design Flow: allons/day Alarm present(yes or no): Alarm level: Ala in working order(yes or no): Date of last pumping: Comments(condition o alarm and float switches, etc.): DISTRIBUTION BOX:—4z,(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: CQtl Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of boy Pte V, PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamb. r,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: __%Cleaching galleries,number: +� I:,. .�r�..�c�- .,,��s rr✓j' � (( x' 3 3 r K 9 leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): n J _�_�e�� L..cs G'..,..t L"e.Q ..au.�• .��A•�y<-ram tsc.X� -4..�/ :A,. ...�w y -�.q'�-J v n i`)'�{;.��'� t A.� �a�-'C`\ta�� O i. �.� \J-�1ca T s ti�� S•�+,..�, e�T' �t��ti 4 Z'► Ji��JJ"P � �t.,�•n•p� �+c��o \��L1V� �L�L9J' J. � �] � CESSPOOLS: (cesspool must be pumped 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, s' ns of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 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. . I Uric= a� i �� ;, a,-; •�- :err �•. ,y�• i Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 98 Skating Rink Road Hyannis Owner: Phillip Bleicher Date of Inspection: 11/22/2006 SITE EXAM Slope A_kz) Surface water Check cellar �cS Shallow wells xJ Estimated depth to ground water 2 5 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: g P r . Observed site(abutting property/observation hole within 150 feet of SAS) T Checked with the local Board of Health-explain: Checked with local excavators,installers-(attach documentation) _Accessed USGS database-explain: c4� , cc> - You must describe how you established the high ground water elevation: "Tvi. .'�i.' ��1•'\`� �i"O r..�..tic .A� <2 kc>"v+�en.Q .7,�--'�e.-.�/� `<�ct Gz- a do�P a� C %4 S �� CZP�ncaJ ccSZP J � • C0:�4NIONK WEALTH OF MASSACHUSETTS . �a EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION „)'*)w;! ONE'�VZ\TER STREET, BOSTON NL9 02106 (617) 292-5500 ° TRUDY CONE Secre.ary ARGEO PAUL CELLUCCI DAI'ID B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 98 S kat ing Rink R d.. Name of Owned t eyed F i d.e le Hvannis , YA, Address of Owner: Same Date of Inspection: I-)/—R I Name of Inspector:(Please Print) Wm. E . Robinson S r 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) CompartyName: Wm. E. Robinson Septic Service Mailing Address: P 0 Rox 1089, C .nt rvi 11 - , MA Telephone Number: ��—R 7 r7 6 J CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: asses Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails e Inspector's Signature: r ' Date: I ! t The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS t ft OCT '5 TOWN OF BARNSTABLE � HEALTH DEFT. is . eQ revised 9/2/98 Page Iof11 i�� Pnn.ted on Recycled Papa SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 'top"Address. ,98 S kat ing R ink R d . , Hyannis . awne.:Steven << Fidep Date of Inspection: INSPECTION SUMMARY: Check 5AB, C, of D: AZte PASSES: not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SY M CONDITIONALLY PASSES: a On or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon com letion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or NO). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached) indicating that the tank was installed within twenty (20)years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as pproved by the Board of Health. ewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) r due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed y revised 9/2/98 Page 2of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 98 Skating Rink Rd.. , Hyannis O- ►Steven-". Fid.ele Date Hof Inspection: l Q—l/.9 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: nditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the pu lic health, safety and the environment. 1) SYS WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS N T FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC I4EALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2 SYS M WILL FAIL UNLESS THE BOARD OF HEALTH AND) ( PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUN IONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system (SAS)and-the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) THER { revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address-98 Skating Rink Rd.. , Hyannis L� Owrw: Steven Fid.ele Date of Inspection: D. SY FAILS: You must i dicate either "Yes" or "No to each of the following: h ve determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this det rmination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility-or system component due to an overloaded orc(ogged 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 1l2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE YSTEM FAILS: You must in icate either "Yes" or "No to each of the following: Th following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public heath and safety and the environment because one or more of the following conditions exist: Yes N 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) The owner r operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of th Department for further information. revised 9/2/98 Page 4of11 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 98 Skating Rink R d., Hyannis Owner: Steven Fidele Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. tt. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. V _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: V _ Existing information. For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) / 115.302(3)(b)1 The facility owner(and occupants,if different from owner) were provided with information on the proper maintanaano.of SubSurface Disposal Systems. revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION )roperty Address: 98 Skating Rink Rd.. , Hyannis Owner: Steven Fid.ele Date of Inspection: 17-f/ FLOW CONDITIONS RESIDENTIAL: Design flow: d g.p.d./bedroom. Number of bedrooms (design): Number of bedrooms (actual)• Total DESIGN flow G—� Number of current residents:A Garbage grinder(yes or no): A-0 Laundry(separate system) (yes or no):7-'� If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use (yes or no):4/d Water meter readings, if�vajlable (last two year's usage(gpd): 1999 124, 500 gal. Sump Pump(yes or not: UU 1 8 2 0 Last date of occupancy: /�` 1 99 122, 5 gal COM RCIALIINDUSTRIAL: Type of establishment: Design ow: gpd ( Based on 15.203) Basis of design flow Grease rap present: (yes or no)_ Industri 1 Waste Holding Tank present: (yes or no)_ Non-so itary waste discharged to the Title 5 system: (yes or no)_ Water eter readings, if available: Last to of occupancy: OTHE :(Describe) Last d of occupancy: i GENERAL INFORMATION PUMPING RECORDS and source of i forma ion:p / s�s K fd !s/LlOt� `r✓7 System pumped as part of inspection: (yes or no)_ If yes, volume pumped: gallons Reason for pumping: TYPE OF YSTEM 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed lif known)and source of information: Sewage odors detected when arriving at the site: (yes or no)A 6 revised 9/2/98 Page 6of11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Iroperty address: 98 Skat ing R ink R d.. Hyannis Owner: Steven Fid.ele Date of Inspection: f�4 BUILDING SEWER: (Loca on site plan) Depth elow grade:_ Materi I of construction:_cast iron_40 PVC other(explain) Dista ce from private water supply well or suction line Dia eter Co mants: (condition of joints,,venting, evidence of leakage,-etc.) SEPTIC TANK:_ (locate on site plan) Depth below grade:_ Material of construction: ncrete metal Fiberglass Polyethylene_other(explain) r 4 - 7 oAc% ET If tank is metal,list age— Is.age confirmed by Certificate of Compliance— (Yes/No) Dimensions: [s ¢ lh, t_✓ Sludge depth:' Distance from top of sludge tobottom 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 f�J How dimensions were determined: Q comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level ip relation to outlet invert, structural integrity, evidence of leakage,etc.) Lbw Q{A L ) •b d ��f-S 1 '1L AV T t� GRE SE TRAP: (Iota a on site plan) Depth below grade:_ Materi I of construction:—concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensi ns: Scum th ckness Distance from top of scum to top of outlet tee or baffle: Distance om bottom of scum to bottom of outlet tee or baffle: Date of la s pumping: Commen (recom ndation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evident of leakage,etc.) 1 revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION lcontinued) property Address: a Owner: Date of Inspection: TIG TOR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (loca on site plan) Depth elow grade:_ Materi of construction:_concrete_metal_Fiberglass_Polyethylene_otherlexplain) Dimensi r Capacity gallons Design fl w: gallons/day Alarm pr sent Alarm le el: Alarm in working order:Yes_ No_ Date of revious pumping:. Comm ts: (condi on of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence o solids carryover, evidence of leakage into or out of box, etc.) - 1r ,L - PUMP C AMBER: (locate o site plan) Pumps i working order: (Yes or No) Alarms i working order(Yes or No) Comme ts: (note c ndition of pump chamber, condition of pumps and appurtenances,etc.) revised 9/2/98 Page 8of11 f . . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contirwed) 'roperty Address: 98 S kat ing R ink R d . , Hyannis Owner: Steven Fid.ele Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan, if possible;excavation not required, location may approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number:_ leaching chambers,number-2— leaching galleries, number._ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of by aulic failure, level of ponding, damp soil, condition of vegetation, etc )� 1�cl i1— u/ ) L5 C5 CESSPOOLS:_ (locate on site plan) Number and configuration: Depth-top of liquid to inlet in rt Depth of solids layer: )epth of scum layer. Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Commen s (note co ition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) PRIVY: (locate n site plan) Materi Is of construction: Dimensions: Depth of solids: Com ents: - (not condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) f revised 9/2/98 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) "'rop"Address: 98 Skating Rink Rd.. , Hyannis )caner: Steven Fid.ele Jate of Inspection: JI SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) l 1 � A revised 9/2/98 Page 10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) rop"Address: 98 Skating R ink Rd.. , Hyannis Owner: Steven Fi/dele Q Date of Inspection: /�f`4 7 NRCS . Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater-depth: Shallow. Moderate' Deep SITE EXAM Slope Surface water Check Cellar Shallow wells ��yy Estimated Depth to Groundwater �O"Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators-installers sr Used USGS Data Describe howyou established the High Groundwater Elevation. (Must be completed)/ t L .. bf .. - , revised 9/2/98 Page ltof11 TOWN OF BARNSTABLE 4 LOCATION' 'A`t� �� ..�� ��G Rom. SEWAGE# �l.S- /��C.-.) VILLAGE ASSESSOR'S MAP&PARCEL ; 0;;� INSTALLERS NAME&PHONE SEPTIC TANK CAPACITY ®O c LEACHING FACILITY:(type)14L� �M S\j%S (size) // k 3 Q NO.OF BEDROOMS OWNER PERMIT DATE: �'� COMPLIANCE DATE: '7 6 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 5 � cQ,k R�,.�.�,�.. i-=-A G IL it q (� Lj A t� (7J- GJ =.� ^ 4` 6 ? o �. 4-1 C U TOWN OF BARNSTABLE LOCATION SEWAGE# q5 -/a VILLAGE ASSESSOR'S MAP&LOT TNSTAT LER'S NAME&PHONE NO. SEPTIC TANK CAPACITY k ao o C� LEACHING FACILITY: (type) (size) /I X 33 --2 NO.OF BEDROOMS 3 BUILDER OR OWNER Fe4 L P PERMITDATE: c6—ZI �✓� COMPLIANCE DATE:_ , Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by -17 6-' �l7 G: ' TOWN OF BARNSTABLE LOCATION 5ko I. m k RA) SEWAGE # VILLAGE JJ44#b tS ASSESSOR'S MAP & LOT T INSTALLER'S NAME Sz PHONE NO-tqft3 a nc"r `773- -kj z '/ SEPTIC TANK CAPACITY. /®ly e LEACHING FACILITY:(tppe) r� (size) G�Go J NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER IVW14t, BUILDER OR OWNER j�ica�g— DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No s 'ems cA 4J a No. J••-- -.1 .1 F.s. �:�..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Di-nVu3al Workii Towitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (P<; an Individual Sewage Disposal System at: ........91......... cs -T/ ..................................... ............................................................. n-Address No, MILA .... Owner Address a _ a�—o� ,� 7 ............. --- .1. ...... Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms------------- _____-_.___-___.__--.-.-Expansion Attic ( ) Garbage Grinder t- y A1c3 aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... . . W Design Flow............. ______.....___._gallons per person per day. Total dail flow______..___.__ _ _:...............gallons. 1:4 Septic Tank—Liquid'capacity/&O—__gallons Length__ �:5. Width------ Diameter_------------- Depth...... Disposal Trench—No. ------I............ Width---&_.......... Total Length_.-_0-3...._. 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........................ GZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil........................................................................................................................................................................ x U W ...................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable. D ......�� � C�Z � ......w_...Y. cS%7hJ / 'Jd 1 -.....-- �._.fi�.l ----•�------r-��-------�c�s r�/l. .................!:L. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been iss d b he board of health. G Signed ................................. ................. . .6/.. Date Application Approved BY � ^'�.... .�.- -_-^-� - -� . / Dare a� Application Disapproved for the following reasons: --------------------------------------------------------------------------------- Dare Permit No. ...... --- .............. Issued . . . ....................................... Dace 1 � V THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou -for Bit.-ipwial Worlai Tomitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (x—') an Individual Sewage Disposal System at: • � �S �.'J4.� _.....�!_nJ/L leG� -...................................... .......... -- ----•-•----------•-----------------•-------------••----•-.---------•---- .r - v�. r�e `S `f1....._. ................................�1 .._oD No... 1 v►� i L ss •--- •-•-----._....---•...................•••----- .._..... Owner Address W ,. .O/L_��G L_o ------------ .......... 4 .. ---- i l...`...` ----- ............ 4 Installer AddrPQ ess d Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-------------- Attic ( ) Garbage Grinder (—) /1c) a, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ----------------------------------- ems' ------------------•-----...------------------------- ---------------------------- -----------------.......------ W Design Flow.................. _____gallons per person per day. Total daily flow_.__-___-___...-...................gallons. WSeptic Tank—Liquid capacity/!1.X)I_rgallons Length-__ 's__.�_____ Width �...__._ Diameter................ Depth_......K.0 x Disposal Trench—No. ..__../.. ,... Width...&---.._____.. Total Length.._..;;�3...... Total leaching area....................sq. ft. Seepage Pit No--------...---------/Diameter._.-_.--:...._--.-- Depth below inlet..... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) aPercolation Test Results Performed, by'-'...................................................................... Date........................................ a Test Pit No. I----------------minutes per inch Depth of Test Pit___-__-_---_-_--___ Depth to ground water..................... Li, Test Pit No. 2................minutes:per inch Depth of Test Pit.................... Depth to ground water........................ t f--•-1--••-t--- D Description of Soil..........................................t..... x ...... --L' ----------------•--------------------------------------------------------------------------------•--------------- W 1 ' f/ U Nature of Repairs or Alterations—Answer/when applicable.A-0-�........r�....... r =e Z✓�-------- ...`1.f.=T Agreement: 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance/'as been iss�I d 'y e�.board of health. Signed ------- f�44 .....................�.--% c .................... .......c ;, Date Application Approved BY ....-- ... ��.._��-- ,� e ms' =g... ........ Application Disapproved for the following reasons- ------------------------------------------------------------------------ ----------------------------------- -------------------------------------------------------------------------------------- --------------------------------------------------------------------------- ........................................ Permit No. ......l.. .;----------16----� Issued Date —————`-----—i--- `—__—ifi— '�� �` � �THE � 91—17L c BOARD OF HEALTH TOWN OF BARNSTABLE (1:1Ertifirate IIf Tomplianre THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired � lnstuller� ......... `...NCc`.........�- -......".-1.---.----:.'..%--.'--------� at .. ...^'-.----_--- / 1 has been installed in accordance with the provisions of TITLE of The Slate Environmental Code as described in the application for Disposal Works Construction Permit No. -_..... .....�- dated ... ... C-" ; THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ............. ...... ...-- - -------------- -- Inspect - _ _ THE COMMONWEALTH OF MASSACHUSETTS Z f r —�72, BOARD OF HEALTH _ �� TOWN OF BARNSTABLE No.� --......... FEE.-�G. ..... Mipnittl Workii Trrnitnuton rantit Permission is hereby granted........... e Q/U -0,l.._..._.. .''--- --- ----------------------------------------------- --------------- to Construct ( ) or Repair ( s)4 an Individual Sewage Disposal System at No. �l r� `s'�� '.�1 /GC ..J}2.-----=g��-. ; ------ -------•--N...S Street q �+ /��'� --..-. as shown on the application for Disposal Works Construction Permit No1�j -/L/)Dated..........�r��.�C�.�...... �/ Board of Health DATE-----•---•-_.3... --- •-- -• ................................ FORM 36506 HOBBS&WARREN.INC..PUBLISHERS ro F hNNN, t t 'h `4. , a y CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKSYCONSTRUCTION PERMIT(WITHOUT DESIGNED PLANSI hereby certify that the application for di osal works PP P construction permit signed by me dated ,concerning the property located at meets all of the following critena: L__• There are no wetlands within 300 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system v The groundwater table is'14 feet or greater below the bottom of the leachingfacility t3' There is no increase in flow and/or change in use proposed 6 There are no variances requested or needed. SIGNED - DATE: LICENSED SEPTIC SYS M INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. - Px�" �` '�u ,..� .� a.a +="'�Y"�','t-,. v'ac� s`.rr y .�;=F z l,x ��. -, �rp;=m. �',r s,.-,,. t'wr �'�zY•.,.� c,i✓_. pan •�`., � py. r � .,Sr, '-.'fi �'t �'"`i�_+� va "�{. � �`, �„etr`� �t �r i"r�fi.y��k u�a,...'3"�, a� �,;, 'i= •;v...g yx.,".. f�_ � r�,:,�.yh ,t�..:.�.�}' ,a� .. 'kart d;,p;,,,.�h ,eo-S';. 's� '%S v^t.�as '.,,:t,.�,s "� ,t. €3�i r.y�< ��,.� ..al. �19'.,�:R `i ','4nr:"'�"'�*.., �;• *,i '� �y::.„t"" "' 7i C�a 1,a !� �5�1 J{3C T"�'^ ,.�+'-�,,,F z- '�"'b-u t.'fit f°'�+�. t A„Tr� �+r'�.5 'a„rz +}�_ ✓ 3ni<_ �,`yy''�,x.. 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Fxs..' O t. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD O/F' HEALTH ...................... ....................OF................+f� ....................................................................... Appl ration for Disposal Works Tonstrnr#iun Hermit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ......3. 5 KA T• �,G. \w�-k ?�i ................................................ .......................................... ocation-Address or Lot No. 6 1-`� env 2� Owner Address ..................•-•----............................ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...... ...................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ....._�', ______________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------- WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity........_...gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area....................sq. ft. z Other Distribution box ( ) Dosing tank ( ) •-' Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ L� + Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ai ---------•...........................................................................•--------••••-•••..... . ODescription of Soil........................................................................................................................................................................ t, --------------------------•------------•--------•--------------------------------------- W --------------- ....----------.................j..._, UNature of Repairs or Alterations—Answer when applicable.- Vic.-_-/qa-tlo R-t L?-./ -:•! ..1-, .� ..u ---•-----------------•---•--•--------------------------------------••---••-•----...-•-•--•••---------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA L 5.of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be i sue the boar of health. Signed -------- ---------------------- -�O --_-------------- Date Application Approved By........:...... ----•-• n-461 -7�?--..... Date ,.- Application Disapproved for the following reasons---------------••--.............--------------------------------•-------.._....------------------............... •-•--------------••••-----------------------------•--•--••----•.........-------••---------.....------...........:--------------------------•-----------•------------•------•----•---••-•-•--- Date Permit No........ --�•- --- Issued------- /'-- -----------•-•-•......... ate - - -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i . OF.............. . ` A_ Appliration for Disposal Works Tonotrurtion ramit Application is hereb made for a Permit to Construct or Repair an Individual Sewage Disposal System at: � Y ( ) P (�) g P Location-Address or Lot No. S—Cv � cD� � ��fl t� �w.���c. cov: Q ._.........! - --—_.-•--- = - �..- -•---•.................. .. ...................................... Owner Address ........................................................... ...............•----•--.....-----...---•----•--••-••-•--..........--•-...... Installer Address Type of Building Size Lot............................Sq. feet � Dwelling—No. of Bedrooms.......3...................................Expansion Attic ( ) rbage Grinder ( ) aOther—Type of Building ...... .............. No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) 1.4 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........................ A+' ---•--------------------------------... ••-•-------------------------- ••••-••--••-•••...... --------•------ •... .-••..................... ...--...-•............ 0 Description of Soil-------------•-------•---------------•--........---•--..............-----•-----•----------------.....---------------.......::........---................................ W U Nature of Repairs or Alterations—Answer when applicable.. NSF ... _ a__ _io+�A__ ____L __iOc�CO•__�1.}-_. .............................. .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. L Signed........� \'r� _-•_ Date Application Approved By------------- --��--� - - �.-. ?....... Date Application Disapproved for the following reasons:-----••-•-----------------------•-------•---•-•--------•--------------------•----...............-----•----....- -•------••--.....•--......-•--••-------------•--•••----------.............•••------------•---•----.....-••--•------......._.......---------------••----------•-------------•--••---------•-••-...-•----- Permit No........ ..: ._...... ._._.. Issued---.-...Z:" ..........................au — � Date THE COMMONWEALTH OF MASSACHUSETTS', c BOARD OF HEALTH .......�. ..............OF..... �t/.......................... ........................ Trrtifiratr of Tontpliatta THIS IS ���1TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..........-•-......-/-:-f• �}�- ......ae z 41e.r.--•---............--•-••-•-•----•--•------------•..................•----........-:................---:. qq Installer at.........................7- 3........ . ------- ----••---— ............................................ has been installed in accordance with the rovisions of TITLE 5 of The St e Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ,/h+ DATE............Z.Z;///C 'r l / � Inspector. �'' ........ ......z i.'... ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �iC� ...............OF...... ........-.............................................. NO S•.T~1--...... FEE ............ Disposal Works Tonotrudion rrntit Permission is hereby granted......_/4. 6___-.6_t-Gee_e------------------------------ to Construct ( ) or Repair >� an Individual Sewage Disposal System at No................. i.{ 1 ------(Q�...-- Street as shown on the application for Disposal Works Construction Permit No - D'ated.......................................... ahoar ----------------------------------------- d of Health DATE............. "L� .. , <ti. r. - e.,::A4L.,s' � .."`'f'-=f'� .. Try:,'f'r .,r. .a..';.Y "+T-'+"'.C -.._,,t�-gF3f'-c t .!'yrk`�.. 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Q o M � i 11 . . .. .. 6 ;,. a ." t y . i _ tt, �.- fi Ad j 1' I' I ^* s r 11 3" _ : , , .1 . �l . . . . � �JVA : � I . li . . __ -_ : � �: . _ , _ _, .. q ` 0 22 0 f_..7...`.-ii..�.1....".�t�:I���-�M-..�-'-,._,,���,7 1-..;'..,.��:..�p-. .r ..� t ,.. - ... .. .1"09 ,, -r .. .. . . ,. .. -. 33'-Z (ADDITION) I 29$ WINDOW SCHEDULE TYP MANUFACTURER'S UNIT ROUGH OPENING REMARKS - U A ANDERSEN TW 2446 2'-6 1/8"x 4'-9 1/4" DOUBLEHUNG - ' B AR 61 6'-0 3/8"x 1'-5 112" AWNING(FIXED) Z Q p I - C TW 2442 2'-6 1/8"x 4'-5 1/4" DOUBLEHUNG C7 Q N I D N - x2- AWNING p W fy, 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS NOTES: 1 WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS NEW B 2.ANDERSEN 400 SERIES WINDOWS WHITE EXTERIOR&SCREENS - 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS A VERIFY GRILLE TYPE W/OWNERS &DIMENSIONS IN THE FIELD co W N WORKSHOP G � W a o 9 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, o DETAILS,&FINISHES IN THE FIELD WITH OWNER '� 0.', Ln" 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT F m O QT4 FIRST FLOOR TO BE V-11"ABOVE SUBFLOOR L) 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS - } t - _ STATE BUILDING CODE,SIXTH EDITION .F 5.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS NEW ---------------------------------- PANTR u ----------------9---------------11 1 1 TO BE 3000 PSI III 1 1 'I\u/fl I I EXIST.GARAGE TO LINE S.F. BE REMOVED ' �I� ABOVEE II „ Hl UP Q NEW © REMOD. GARAGE FAMILY (a;rezrooH.DooR) ROOM ;! o PARTIAL FIRST' FLOOR PLAN II 1I 08 -, II 5 LEGEND: Ol m 0 EXISTING WALLS II L==7 CONSTRUCTION TO BE REMOVED NEW CONSTRUCTION 33-z (ADDITION) . - FIRE- I I Q SMOKE DETECTOR 106 t/d' T-1P 9S 1 T-1P 1C Q 4 RATED =Qe _______________ " Q CARBON MONOXIDE DETECTOR d --- --- ----NEW----------A -- --- - ------ � �--- 1 A A A A LINEN ~� A A NEW 7 CONIC. �m CAB. 4 SRC APRGN NEW NEW BATH 4'- Z-21 Z.r 1TL' 1'S § A ® Iq F 16-7 1s-r.. '� � b A A . .. - B - N A4 A - c A41 (ADDITION) - H NEW b ds•.r: .BEDROOM#5 " - (ADDITION) - - - C O T-9' B3 B'-2 / PULLOWN y\� IstaR I ---- ------ --- ----sv.sv-------I z F 4 L---J �1 BIFOID © 2R © CLOS. r ©• 2GXGB' ©. N ---_---.� _ � F—� L.L.. a NEW Or rz) ram, T 4o t?F W lJ bw LOFT F g `Z, NEW I w ATTIC [-•-1 x Qi . _ PULL-TOWN 4 � z 0 poa o UP R I NEW FBI U� Q IU 1 r -' OFFICE• EXIST.GARAGE TO 1 w_ BE REMOVEDco 1 6 . , C N 1 , 1 I SCALE r ,TA s I 1/4t1 - l,-fit, D ------------- ------ DATE N aFTHE 12/6/2007 ' § - A A A A ERRORSIOROGNERMIS IONSLL REFOUNDOTIFIED ANY OF DWG. N.O. ERRORSOROMISSIONS TO FOUND ON CON,. THESE DRAWINGS PRIOR DI START CONTRACTOR W LB E RESPONSIBLE ON.THE FOR HOCONTENT WILL BE RESPONSIBLE FOR THE ONENf B IN THESE DRAWINGS IF CNSTRUCTION COMMENCES WITHOUT NOTIFYING THE D FLOOR PLAN /� 70' Z S B Z-7V DESIGNER OF ANY ERRORS OR OM SSIONS THESE DRAWINGS ARE SOLELY FOR ER LISE At 1'-V ON.THE PROPERTY NOED.ANY OTHER N.OF D-1T1 3f'8 THERE DRAWINGS REGUIR_ THE WRITTEN (ADDITION) - (ADDITION) CONSENT OF THE DESIGNER.THESE DRAWINGS ARE PROTECTED UNDER THE CTUR L COPYRIGHT PROTECTION ACTT 11999D. _3 U - EXTEND CHIMNEY TO 1 "� 3'O'ABOVE NEW RIDGE z Qcy) (� Q N N C5 N LL] C,4 1 153- Q w c 12 1•B RAKE BOARDS l`117 • CONT.RIDGE VENT S. W/1 z3 DRIP BOARD, co VIW N— 00 o0 12 - X TOP OF PLATE 11 TOP OF PLATE 0 c) W ml ® ® NEW OING R . MATCH EXISTING C NEW ORNER BOARDS ST. NEW ASPHALT TO MATCH MST. M TOP OF PLATE ROOF SHINGLES 19 H U 4 TOP OF PLATE SECOND FLOOR - N AT KNEEWALL SUBFLOOR _ SECOND FLOOR - - SUBFLOOR TOP OF PLATE. NEW 1 v 8 FASCIAE TOP OF PLATE FRIEZE BOARDS _— ATTIC SUBFLOOR TOP OF PLATE - NEW 12•DEEP COVER " AT NEW DOOR 00 N ao as FIRST FLOOR _ SU_BFLOOR - - - ,. - TOP OF FOUND. TOP OF FOUND. - FRONT E L E VAT I O N - VERIFY OF OF O.H.DOOR W/OWNER �.. PRIOR TOO START START OF CONSTRUCTION r ' H O x - � Q V1 TOP OF PLATE TOP OF PLATE 12 N 11 N � � m w � SECOND FLOOR EOTOP OF PLATE _ SUBFLOOR AT KNE R_ E_ SECOND TOPOFPLATE SUBFLOOR TOP OF PLATE cc ryry•• N 4 SCALE 1/4" = l'-0 DATE TOP OF FOUND. TOP OF FOUND. 12/6/200 DWG. NO. LEFT SIDE ELEVATION A2 EXTEND CHIMNEY TO _ U 1� YW ABOVE NEW RIDGE - yj � Q¢C Lp ON 12 —�Ss NEW 1 K B RAKE BOARDS _ - W/1 x3 DRIP BOARD �"-<-"'cp CONT.RIDGE VENT [p V]Cx7N ll7 . 12 - E., Lo Wxplf� 11 _ TOP OF PLATE v TOP OF PLATE, _ I O Q I 0 NEW ASPHALT - - N ROOF SHINGLES TOP OF PLATE SECOND FLOOR TOP OF PLATE AT KNEEWALL FLOOR SECOND FLOOR - - R TOP OF PLATE SUBFLOOR _ NEW I.B FASCIAE - - TOP OF PLATE FRIEZE BOARDS _ ATTIC SUBFLOOR_ _ TOP OF PLATE a a FIRST FLOOR . FIRST TOP OF FOUND. REAR ELEVATION • r , y O x I rT V 1 O TOP OF PLATE FMI y I-Ir R - --I �A, w 1 U Lill SECOND FLOOR H 'SUBFLOOR /�J• I'� TOP OF PLATE NEW120EEPCOVER OVER NEW DOOR - r - NEW W.C.SHINGLE SIDING ' TO MATCH EXISRNG � NEW CORNER BOARDS . - TO MATCH EXIST. ccIm SCALE TOP OF FOlRJO. /AN DATE li RIGHT SIDE ELEVATION 12/6/2007 DWG. NO. A3 .......... _ _ Y ---------- SH®D m momNSANa O oz gn .�p r H °2. y =zy O a FIZ - 0 o z d gz H ® n 9° O 9 % O 9 Z . 09 �� m ; •^ ^ z DODO It ai C: \ 1N 09 \ Irm ZIII<m. �, - _cn I-n ®cf) gym s mf. m ° �° —T1� qxE \ m s °� o°a \ O y0 I 90 2a, �O m 1 0 o m Z Zx z € N cn o ® ^ D my m l J w� % 4Z JIM D 00 Z. O // w In m m 'z O / n A / O N� Z D / / ° oa nz _ 41 , TyY IBC I • a � ��zA � cm a O m mI+w cn o 8 x mN•c m Y)r-oO v (ea•stuns) cZi)Oom 00 mO�o� mZmw wmmoc:a, Zo m ==Zo moom om� ZO IT-T (ADDITION) -----� I 4 r l I I I III I wl � I ---- ' D � i . I MULTI WLBFAM ,A I 80 0m. I I � °21 m E., g"oa mo I p-° OC9 ��� 44 3C2 D $$ ' o- co of m oc -n p° 0 r= ' - 0 1 I I a" D q I I I y iZPIn 0 z I I v_y ,)Z I II H� Dm I i I a I II o°I o� II gal m g= o= I I D I I �oi o n o I. I z I I Aml q q Ov �O 11 �� z I I I " L---------------------- ---- ——— -------� I i ---------------------------------- -------- y AD _3-17 3T4r pqj • (EXISTING) � N > n NEW ADDITIONS FOR: 7 COTUIT BAY DESIGN.LLC � 0) � D 43 BREWSTER ROAD II r MASHPEE,MA. 02649 --1 z N r� BLEICHER ESIDENCE PH.-(5o8)274-1166 p O •• I_ FAX(508)539-9402 6 98 SKATING RINK ROAD HYANNIS, • MA x. N-1�U)1" n —J m mZ 17,111,50 --- �_ T — N m zonmm - S Z-4 D N 1 Z X m 7 n w L r Tf!) G) 0 0 T q NEW 9 1/7 ENGINEERED FLOOR JOISTS®16•o.c r D Z MULTI LVL BEAM 0 N • 2B'dz (ADDITION) x0 I NEW 9 1?ENGINEERED FLOOR JOISTS®1—.c H x 5 00 in N y I P I _ I 1 ) A D 1 1 3.d 37-T Oe O z oy c N r ' N 13'd (ADDITION) 37'd 3'-Cr (SHED DORMER) Z G 1 AD T qm lJ , . r I 1 r 1 I I I of ' SD I 1p • 1 r I �u I 2• _ I 8�' o N 1 s 1 i I Np tiN ' 1 O 1 1 a NEW 2 x 12 RIDGE BOARD - 0 3 rL z s 1 aD 1 3d r i ADDITION) - (SHED DORMER) (ADDITION) o N o (n COTUIT BAY DESIGN, LLC s NEW ADDITIONS F O R. Q 43 BRE WSTER ROAD -I D MASHPEE,MA. 02649 o a ,; BLEICHER ESIDENCE PH.(508)274-I Is6 �,9 SKATTNG RINK ROAD HYANNIS, MA FAX(508)539-9402 r4 LEGEND a 9v�p05Uj RD ..� SION EXISTING S.A.S. (RECORD LOCATION) PROPOSED 3 HIGD CAPACI TY EXP INFILTRATORS WITH BRISTOL RD 4 HIGH CAPACITY INFILTRATORS WITH 1' STONE BENEATH & 4' STONE AROUND y.--- __-'' EXISTING CONTOUR 1' STONE BENEATH & 4' STONE AROUND DIMENSIONS: 10.8' x 51.8' x 1'•92' x 98.46 EXISTING SPOT GRADE DIMENSIONS: 11' x 32' x 2' N couNrr SEAT sT SEWAGE PERMIT #95-1690 LOCUS TEST PIT cA ' SKATING RINK RD o � 98.4'L --- - '-- EXISTING WATER SVC. SKATING RINK RD 0 r N70°05 30t n o a PROPOSED D—BOX 103,1 OVERHEAD WIRES (SEE NOTE 5—SHEET 2) a` EXISTING SHED REMOVE & RESET $ -II-PROP S.A:S� BENCHMARK g9 9 �y• .tea / X t --'I I - - . ; LOCUS MAP N.T.S. 15 I 0 1 -� � GENERAL NOTES: + �" - � •� ' RESERVE AREA EXISTING DECK �; REMOVE & REPLACE 955±S.F. I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL } P W/ 16 x 19' DECK � ��n � BOARD OF HEALTH AND THE DESIGN ENGINEER. e.10� ; 743• S.F. REO'D N 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 0,O O I PROPOSED SEPTIC TANK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 1500 GALLON CAPACITY I o PROPOSED i -C�- � ��•.-- -m-----3�,° �`°' ��( I LOCAL RULES AND REGULATIONS. 1 STAIRWAY 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR �o a TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXISTING SEPTIC TANK PROPOSED GARAGE NI r DESIGN ENGINEER. ` PUMP, FILL & ABANDON, 13•2 13.67' Ef.K EXPANSION/ �' W I % °' (SLAB) o I N I d 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 2' _ y t .y aD o THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN OR REMOVE 12 j yg 70 N N FROM � / j, � i ,/ I �f�l BENCHMARK: �� � ENGINEER BEFORE CONSTRUCTION CONTINUES, y i �� No. 98• /�' /; , `/ _,!, BUUCi1EAD.CORNER 5• ALL ELEVATIONS BASED ON ASSUMED DATUM. ,I 51Y.,!��"/ ELEV. —, I00.00' 6. THE DESIGN NORR IS OWNE�TTONOT NOTIFY RESPONSIBLE FOR THE FAILURE AL BOARD OF OF f / / A `'.AG THE CONTRACTOR CONSTRUCTION. IM. FRM•� , ++ (A55UMED DATUM) HEALTH FOR PROPER INSPECTIONS DURING 'T.O.F, 100.23i ,!/,' ; ; j 1 ' 7. WATER SUPPLY PROVIDED BY TOWN WATER. (FULL CELLAR) / C),P9. THE S.A.S. ,�� - • 10.4' �F Mq 8 THERE ARE NO PRIVATE WELLS LOCATED WITHIN 15U' OF 31.75' � S Pam\ Ss10 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED � o�� RICHARD y� TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. • µ , ' 6 J. -� 1U. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY g I IT NQ -f�;- a HOOD y THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING I No. 35031 CONSTRUCTION. �-7 .,� ,,.,. �•, �'si"l`CC...)i`�t.�: f o .ao APN 291 - 1 / 2 1 :5'! OR,IVV101, ' d 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 12.423±5F � ' ca LOT 21 lANO IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. `fl - x , AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3), LOTS 19 � 21 ;' ,--��� �`'�..... �,� 1;: I t�1,-�d�07 12. SUBJECT SITE DOES NOT LIE WITHIN A ZONE II OR LOCAL ZONE LOT19 1 "` OF CONTRIBUTION. �f 13. PROPOSED SEPTIC SYSTEM EXPANSION IS SUBJECT TO THE A TITLE V N� MASs INSPECTION REPORT STATING THAT THE EXISTING S.A.S. IS FUNCTIONING I '' F/f 5�• " ���� 9CyG PROPERLY. ,t` 53.00' /' L -o 1`"' L-2.79 0= PETER T. 14. NO DETERMINATION HAS BEEN MADE TO COMPLIANCE WITH DEEDED OR ���, ,• R ¢ 175' R= 175.00' McENTEE ZONING REGULATIONS, OWNER AND/OR APPLICANT IS TO OBTAIN SUCH 579027 5'5"W 1 CIVIL No.CIVIL INFORMATION FROM APPROPRIATE AUTHORITY. / ._........................_.....� x .-.-.........._ �'�-.::�:: �..._+� ,. .� + ..... --- �fc IE�``° �� PROPOSED SEPTIC SYSTEM EXPANSION �q3, EDGE Or PAVEMENT CP' � � AI. G� y y 98 SKATING RINK ROAD, HYANNIS, MA S l 11 Prepared for: Phillip Bleicher, 98 Skating Rink Rd, Hyannis, MA 02601 TI NG RINK RD. ZONING CLASSIFICATION ZONE RB Engineering by: Surveying by: SCALE DRAWN JOB. NO. �vA SETBACKS: FRONT YARD=20' Engineering Works HOOD SURVEY GROUP 1'_20' P.T.M. 117-07 SIDE & REAR YARD=10' I 12 West Crossfield Road 18 Route 6A -. BUILDING HEIGHT=30' (MAX.) Forestdole, MA 02644 Sandwich, MA 02601 CHECKED SHEET NO. (508) 477-5313 (508) 888-1090 5/19/07 P.T.M. 1 of 2 i i W ' t NOTE: TO PREVENT BREAKOUT, THE 'PROPOSED FINISH GRADE SHALL NOT BE < EL.96.1 FOR A DISTANCE OF 15' AROUND ,THE ELEV. TOP PERIMETER OF THE S.A.S. FINISH GRADE: 99.0t FOUNDATION (Existing) EXISTING F.G. EL,99.6t + F,G. EL.100.0t 36 " MAX. COVER MAINTAIN 2% (MIN) SLOPE OVER LEACHING AREA 4" SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET THIN 3"_2' GRADE TO SERVETASWINSPECTIONF FINISH L- PORT. . S-1%(MIN.) L = 19' z' 4" SCH 40 PVC 4" SCH 40 PVC 10" 14^ ® S= 1% (MIN.) 6 0 S= 1% (MIN.) 11" 48" LIQUID 23' EFF. T12" OF STONE TANK INV.=96,75 DEPTH LEVEL INV.=96.50 INV.=96.33 12" UNDER CHAMBERS GASBAFFLE 'PROPOSED A-60X BAFFLE . (SEE NOTE 5) INV,ELEV.=95-.60t 4' 7 UNITS AT 8,25'/UNIT 43,8' 4' SEWER CONNECTION ME ME I EXISTING (4 EXISTING + 3 ADDITIONAL UNITS) INV.=97.27t INV.=97.02 INV.=97.00 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS,PRIOR TO INSTALLATION. EXISTING egOPOSED 1 WO GALLON SEPTIC, TANK 2) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A SIX INCH EFFECTIVE LENGTH = 51.8' (SEE NOTE 1) MECHANICALLY COMPACTED CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 3) INSTALL INLET & OUTLET TEES AS REQUIRED. tt USE 1 ROW OF 7 - HIGH CAPACITY INFILTRATOR CHAMBERS (H-20) IN 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. 4 SERIES SURROUNDED W/4' STUNS TO FORA 10.8' X 51.$' S.A.S. 5) IF MINIMUM PIPE SLOPES CAN BE MAINTAINED BETWEEN,,SEPTIC TANK, EXISTING D-BOX SOIL ABSORPTION SYSTEM (PSOFILE) & EXISTING S.A.S. INLET, D-BOX RELOCATION SHALL NOT BE REQUIRED. 1 2" LAYER OF SEPTIC SYSTEM PROFILE 1/8"-1/2" DOUBLE (3) 5" OIA,OUTLETS BREAKOUT ELEV.=96.1 t -�-- WASHED STONE 2,. N.T.S, 3/4"-1 1/2" DOUBLE _ WASHED STONE 11 i 3.7f 1 12. 15.5 0 6„ 5' MIN. ABOVE BOTTOM 0 6' T.P. EXCAVATION OR G.W. EFF.WIDTH=10,8' T � D-BOX 2 s SOIL ABSORPTION SYSTEM (SECTION) (IF REQUIRED) DESIGN CRITERIA SOIL LOG 1 NUMBER OF BEDROOMS: 3 EXISTING + 2 PROPOSED - 5 BR TOTAL SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <5 MIN/IN DATE: MARCH 2, 2007 (P--11,670) DAILY FLOW: 550 G:P.D. DESIGN FLOW: 550 G:P.D, SOIL EVALUATOR: PETER T. MCENTEE P.E. GARBAGE GRINDER: NO WITNESS: DONALD DESMARAIS - HEALTH AGENT PROPOSED SEPTIC TANK: 1500 CAL, CAPACITY 0 0 0 0 0 0 00 0 00 = LEACHING AREA REQUIRED: (550) 743.2 SY, 0000000 0000000 .74 00000000 0000 0000 rw n. onu Elev, TP-1 Depth Elev. TP-�'2 Depth Elev. TP-3 Depth Elev. TP-4 Depth EFC A: O.OF .4OHIGH CAPACITY �NFILTRATO UNlT5 LW/A: �-- 28" ---� 28"� __[� -e" , 0„ 9 TYSMO RE ._FOR QN S.A.DS.,HAVINDG TH55.DIsENSIONS: 10.8' x ,_10'. 99.7 0" 99.6 A..-- 0" 99.5 A 4 0" 99.4 A SANDY LOAM SIDEWALL ARE 2( FILL SANDY LOAM SANDY LOAM Closed End Plate Open End plate 99.2 6" 10YR 3/3 1OYR 3/3 10YR 3/3 T. 6 S.F. _., q 524.6 S.F. I� 10YRY4/2 M 99.1 8 6" 99.0 B 1 6•' 98.9 6" TOTAL AREA; SANDY LOAM SANDY LOAM B SANDY LOAM DESIGN FLOW PROVIDED: 0.74(524.6 S.F.) m 388.2 G.P.D. sa.9 10' 10YR s/s PROPOSED 1 ROW OF 7 HIGH CAPACITY INFILTRATOR UNITS W/4' L g 10YR 5/8 '10YR 5/8R AN-SA.S HAVING THE DIMEN51ONS: 8 SANDY LOAM 96.9 32" 96.8 32' 97.1 28" 0 0 10YR 5/8 C C ' C SIDEWALL AREA: 2(10,8'+51,8') x 1.92' = 240.4 S.F. (ADDING 3 CHAMBERS) 40" BOTTOM AREA: 10.8 x 51.8 � 559,4 S.F. ^ 16"Ffr�% 97.0 C 32' ' w TOTAL AREA: 799.8 S.F. - - ^ 36" 3' a 52 DESIGN FLOW PROVIDED: 0.74(799.8 S.F.) _ 591.9 O.P.D. 75' '- � 34" d M-C SAND M-C SAND M-C SAND 7.25" M-C SAND 48" 2.5Y 5/6 25Y 5/6 2.5Y 5/6 PROPOSED SEPTIC SYSTEM EXPANSION Side _View End View 2.5Y 5/6 TING RINK ROAD HYANNIS, MA 98 SKATING > ' tzo" Prepared for: Phillip Bleicher, 98 Skating Rink Rd, Hyannis, MA 02601 HIGH CAPACITY INFILTRATORS, H-20 LOADING 89.2 126" 89.6. 120" =69,5 120" 89.4 Engineering by: Surveying by: SCALE DRAWN JOB. NO. INFILTRATOR CHAMBERS NO GROUNDWATER OBSERVED - ALL'TEST HOLES EngineedngWork4 HOOD SURVEY GROUP N.T.S. P.T.M. 117•-07 PERC RATE <2 MIN/IN' ("C" HORIZON rp 7 & 3) 12 West Crossfield Road 18 Route 6A Forestdole• MA 02644 Sandwich, MA 02601 DATE CHECKED SHEET NO. N.T.S. Z y. (508) 477-5313 (508) 888-1090 5/19/07 P.T.M. 2 of 2 LEGEND rt PROPOSED S.A.S. EXPANSION uj BRISTOL RD gUMP05 RD EXISTING S.A.S. (RECORD LOCATION) ADD 3 HIGH CAPACITY INFILTRATORS WITH f = 4 HIGH CAPACITY INFILTRATORS WITH EXISTING CONTOUR 1' STONE BENEATH & 4' STONE AROUND .--'`���� V STONE BENEATH & 4' STONE AROUND DIMENSIONS: 10.8' x 51.8' x 1,92' x 98 4g EXISTING SPOT GRADE DIMENSIONS: 11' x 32' x 2' couNTv SEAT sr �% _ SEWAGE PERMIT #95 1690 TEST PIT LOCUS SKATING RINK RD � O 9g.42 EXISTING WATER SVC. SKATING RINK RD y N7�o 3(yE h _- ' Q o PROPOSED D-BOX 1' p�,_ -Ci{t`t OVERHEAD WIRES to (SEE NOTE 5-SHEET 2) 0�1 /'' O3• o _ J D EXISTING SHED �6u BENCHMARK �rPROP• S•A�S� REMOVE & RESET .. ,..m � ,;fig. a „'y , I I - � i �-1 LOCUS MAP N.T.S.15' GENERAL NOTES: EXIST ING DECK I 10 f RESERVE AREA ; REMOVE & REPLACE 955tS.F. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL W/ 16' x 19' DECK P10' 743 S.F. REQ'D BOARD OF HEALTH AND THE DESIGN ENGINEER. `� O ,OHO n i I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PROPOSED SEPTIC TANK I ' OF THE STATE ENVIRONMENTAL CODE; TITLE V, AND ANY APPLICABLE 1500 GALLON CAPACITY j o PROPOSED i - LOCAL RULES AND REGULATIONS. cv 1 �'' 2' I I X 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR I STAIRWAY �� c,� I r Cl1 } ( TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXISTING SEPTIC TANK 13 13.67' 3 EC PROPOSED PANSION EXPANSION/ (Nu" ^j DESIGN ENGINEER. PUMP, FILL & ABANDON, 2 �' jm� `�� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING OR REMOVE 12''' ? „ `� �, y (SLAB�0, o NI y o FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 99 � x . ..Ln "� ENGINEER BEFORE CONSTRUCTION CONTINUES. g9. �;',%, ;• ,, ri BENCHMARK: ��a , I c, �. ALL ELEVATIONS BASED ON ASSUMED DATUM. . i No. 98�' ,/ /, / i //� ' _. , ; BULKHEAD CORNER 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF I STM;�/ i % i ELEV. 100•C THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF CY, C '.A , _ / 17777 , I ASSUMED DATUM) HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. � � ; '� ww F � % � /T.O.F; I6o.23' -'/ / �;' i - 1' 7. WATER SUPPLY PROVIDED BY TOWN WATER. j (FULL CELLAR) �r/if, C?.19._ -' 10.4't ,. �� OF Mqs 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. 31.75' s9� 9. ALL AREAS DISTURBED DURING. CONSTRUCTION SHALL BE RESTORED RICHARD yes TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. o,`b� �- -�� - o HOJ. OD -" 10. IT SHALL BE THE RESPONSIBILITY OF THE• CONTRACTOR TO VERIFY II { ` � "� - No. 35031 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING f. ITCONC:, I qE � >� CONSTRUCTION. APN 291 - 17Z .- ORI�,I�` ly + k s� /S1E g0`� 11. WHERE- REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ��� I LOT 21 IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. I2.423±5Ff' �_ O ANU REPLACE WITH CLEAN FILL AS SPECIFIED IN .310 CMR 255(3), LOTS 19 +� 21 f' ,-•--�-�`� `•,.,, �,. ,. ' ) I' I �� 12. SUBJECT SITE DOES NOT LIE WITHIN A ZONE II OR LOCAL ZONE / "'�• I` OF CONTRIBUTION. LOT 13, PROPOSED SEPTIC SYSTEM EXPANSION 1S SUBJECT TO THE A TITLE V I -•, I �� OF �ggss INSPECTION REPORT STATING THAT THE EXISTING S_A.S. IS FUNCTIONING off '� a tj0. ��"r nc� i �`��� q�yG PROPERLY. f- j f 53.00' /' ��`� L 175• 0 �' L=2.79 o PETER T. rJ1, 14. NO DETERMINATION HAS BEEN MADE TO COMPLIANCE WITH DEEDED OR --_-�579�27�55�N (� a f R= 1'75,00' McENTEE ZONING REGULATIONS. OWNER AND/OR APPLICANT IS TO OBTAIN SUCH q' o CIVIL "' INFORMATION FROM APPROPRIATE AUTHORITY. No. 35109 — f ............4............_ Y,..._... ... �... ' '' EDGE OrPAVEMENT AV EN T— -- ` � ss RFCISZE�``���� PROPOSED SEPTIC SYSTEM EXPANSION �� ' E I a7 98 SKATING RINK ROAD, HYANNIS, MA Prepared for: Phillip Bleicher, 98 Skating Rink Rd, Hyannis, MA 02601 5KATING RINK RD• BONING CLASSIFICATION: ZONE RB Engineering by: Surveying by: SCALE DRAWN JOB. NO. SETBACKS: FRONT YARD=20' EngineeringWorb HOOD SURVEY GROUP 1"=20' P.T.M. 117-07 SIDE & REAR YARD=1 0' 12 West Crossfield Rood 18 Route 6A SHEET NO. BUILDING HEIGHT=30' (MAX.) Forestdale, MA 02644 Sandwich, MA 02601 CHECKED (508) 477-5313 (508) 888-1090 5/19/07 P.T.M. 1 of 2 L. NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.96.1 FOR A DISTANCE OF 15' AROUND THE ELEV. TOP PERIMETER OF THE S.A.S. FINISH GRADE: 99.0t FOUNDATION (Existing) EXISTING F.G. EL,99.6t F.G. EL.100,Ot 36 " MAX. COVER MAINTAIN 2% (MIN) SLOPE OVER LEACHING AREA r I TH SCREW CAP PVC 40 PERFORATED TOR WITHIN 3"POF FINISH =2, GRADE TO SERVE AS INSPECTION PORT, L , S=1%(MIN.) L = 19' L =3' 0 4" SCH 40 PVC 4' SCH 40 PVC --� 10" 14' 0 S= 1% (MIN,) 6' I 0 S= 1% (MIN.) 48" LIQUID 23" EFF. 11 a. TANK T. LEVEL INV.=96.75 INV.=96.50 INV.=96.33 DEPTH 12" 12" OF STONE UNDER CHAMBERS cns : PROPOSED D-BOX SAFFL.E (SEE NOTE 5) INV.ELEV.=95.60t 4' 7 UNITS AT 6.25'/UNIT = 43.8' 4' SEWER CONNECTION I EXISTING (4 EXISTING + 3 ADDITIONAL UNITS) INV.=97.27t INV.=97.02 INV.=97.00 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS�PRIOR TO INSTALLATION. _ EXISTING PROPOSED 1500 GALLON SEPTIC 1ANK TRUE TO GRADE ON A SIX INCH EFFECTIVE LENGTH = 51.8' (SEE NOTE 1) MECHANICALLY COMPACTED CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 3) NSTAILL INLETC TANK A&DOUTBEOTXTEESLASBREQUIREpVEL AND TR USE 1 ROW OF 7 - HIGH CAPACITY INFILTRATOR CHAMBERS (H-20) IN 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. SERIES SURROUNDED W/4' STONE TO FORA 10.8' X 51.$' S,A:S. 5) IF MINIMUM PIPE SLOPES CAN BE MAINTAINED BETWEEN: SEPTIC TANK, EXISTING D-BOX SOIL ABSORPTIOU SYSTEM (PROFILE) & EXISTING S.A.S. INLET, A-BOX RELOCATION SHALL NOT BE REQUIRED. t 2" LAYER OF SEPTIC SYSTEM PROFILE 1/8"-,/2" DOUBLE (3) 5" DIA,oUTLETS BREAKOUT ELEV.=96.1 t --- WASHED STONE 1�---5-_5--y- -----*-{ 2 N.T.S, 3/4"-1 1/2- DOUBLE a WASHED STONE 1l ! BOTTOM ELEV.=93.7t O 1 12" 15.5" 8" 5' MIN. ABOVE BOTTOM OF 6" } T.P. EXCAVATION OR G.W. EFF.WIDTH=10,8' .t. : . .. .. .. D-BOX 2 IL ABSORPTION SYSTEM SECTION) (IF REQUIRED) N.T.S. DESIGN CRITERIA SOIL LOG { NUMBER OF BEDROOMS: 3 EXISTING + 2 PROPOSED 5 8R TOTAL SOIL TEXTURAL CLASS: CLASS I 1 DESIGN PERCOLATION RATE; <5 MIN/IN DATE:, MARCH 2, 2007 (P-11,670) DAILY FLOW: 550 G:P.D, DESIGN FLOW: 550 G:P.D, SOIL EVALUATOR: PETER T, MCENTEE P.E. GARBAGE GRINDER: NO PROPOSED SEPTIC TANK: 1500 CAL: CAPACITY 0 0 0 0 0 0 0 0 0 o WITNESS: DONALD DESMARAIS - HEALTH AGENT LEACHING AREA REQUIRED: (550) = 743.2 S.F. 0000000 o600000 1 .74 00000000 00000000 XI 0 OF CAPACITY-- 0 I v. TP 3 Depth Elev. TP-4 Depth F SITNG 1 R W 4- HIGH CA A TY IMENSIOT R UNITS W3. - Elev. TP-•1 De th Elev. TP�2 pepth Ee Dom, _ P 29„ I• 28„ _ OF STONE FOR AN SAS LAVING THE DIMENSIONS: 10 8 x g9•7 0" 99.6 q11 A SANDY LOAM SANDY LOAM SIDEWALL AREA: 2(10;8'+33,0') x 1.92' - 168.2 S.F, FILL SANDY LOAM S, 10YR 3/3 BOTTOM AREA: 10.$' x 33.0' 356.4 S.F. Closed End Plate Open End Plate 99.2 A 6" 10YR 3/3 10YR 3/3 524.6 S.F. SANDY LOAM 99.1 B 6" 99.0• B I 6' 98.9 B 6 DESIGNAFLOW PROVIDED: 0.74(524.6 S.F.) 388.2 G.P.D. h, 10YR 4/2 SANDY LOAM SANDY LOAM SANDY LOAM k 98.9 10" 10YR 5/8 +10YR 5/8 10YR 5/8 PROPOSED• 1 ROld OF 7 HIG CAPACITY, �FILTRATOR UNITS W/4' e STONE FOR AN SAS HAVING THE DIMENSIONS:- OF10 8 x 51 8' SANDY LOAM 96.9 32" 96.8 C t 32" 97.1 C 28" - 2 C SIDEWALL AREA: 2(10,8'+5L$') x 1.92' = 240.4 S.F. (ADDING 3 CHAMBERS) 10YR 5/8 16" 97.0 32" ' 40" BOTTOM AREA: 10.8' x 51.8' = 799$ F. 36" C c, TOTAL AREA: __ a 52' DESIGN FLOW PROVIDED: 0.74(799.8 S.F.) m 591.9 G.P.D. .��------ JS"- --"'i 34 M-C SAND M-C SAND M-C SAND 1:25" M-C SAND 48 2.5Y 5/6 12 5Y 5/6 2.5Y 5/6 PROPOSED SEPTIC SYSTEM EXPANSION Side View End View 2,5Y 5/6 . 98 SKATING RINK ROAD, HYANNIS, MA Prepared for: Phillip Bleicher, 98 Skating Rink Rd, Hyannis, MA 02601 HIGH CAPACITY INFILTRATORS, H-20 LOADING 89.2 126" 89.6 120" 89.5 120" 89.4 120' Engineering by: Surveying by: SCALE DRAWN L2of INFILTRATOR CHAMBERS NO GROUNDWATER OBSERVED - ALL TEST HOLES EngineeringWorks HOOD SURVEY GROUP N.T.S. P.T.M. 7 PERC RATE <2 MIN/IN. ("C" HORIZON - TP 1 & 3) 12 West Crossfield Road 18 Route 6A DATE CHECKED 0. N.T.S. Forestdole, MA 02644 Sandwich, MA 02601 (508) 477-5313 (508) 888-1090 5/19/07 P.T.M. 2