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Home My WebLink About0119 STETSON STREET - Health 119 Stetson Street Hyannis A= 306-062 r ` No. gb� 30 2— Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for disposal 6pstem Construction j3ermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon 4� ❑Complete System ❑Individual Components Location Address or Lot No. Spy 5 wner's N e,Address,and Tel.No.(f l)—4/� "/Z/�°a Assessor's Map/Parcel 3o C7 'a, a-U1��S 4'�P 8 rawn Sf' Installer's Name Addre s,and Tel.Noy jR-V.V- h�o Designer' N e,Address,and Tel.No. Type of Building: q Dwelling No.of Bedrooms /" Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures gg Design Flow(min.required) gpd Design flow provided /U� 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) /o Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainte ce of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the.Environmenta ode not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Z.7,9 -- 3O Z Date Issued No. /tJ/ J� Feel•ray /� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for MispoSal *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon()K ❑Complete System ❑Individual Components. Location Address or Lot No. i!ct 5$e-�-! oo r)S�-, Owner's Name,Address,and Tel.No.&Q q<�9L Assessor's Map/Parcel 301,+ 061 Installer's Name,Address,and Tel.No.,fp - � , • Gly Designer's Name,Address,and Tel.No. x4�ra Gkr�r , a r{ti t/b A Type of Building: . Dwelling No.of Bedrooms AM Lot Size sq.ft. Garbage Grinder( ) s t Other Type of Building No.of Persons Showers( ) Cafeteria( Other Fixtures tt}} Design Flow(min.required) / A' gpd Design flow provided /e'i�/� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil k. " Nature of Repairs or Alterations(Answer when applicable) Date last inspected: -- r` Agreement:: Ile 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 Via, Compliance has been issued by this Board of Health. Signed-,, ,, Date /// Application Approved by -� f ' Date ?12 a � Application Disapproved by Date for the following reasons Y Permit No. 2,e�7,.> - 30 Z,.. Date Issued Q 17'q 1 -7-0 7.r, -------------------------- ------------ -- --------------------- x, THE COMMONWEALTH OF MASSACHUSETTS r BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS INTO/C'�ERTIF/Y,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) r Abandoned(/)by 1;6 rYT��l,sf,� at IQ ;4r � ke,n � . 14km V)r) has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 020-3OZ. dated Installer �^, ;,� x- � �, ty� `' ' Q'„, Designer W 7 3- #bedrooms A)� � Approved design flow 4)A- gpd The issuance of this perml!it shall not be construed as a guarantee that the system will function as desiigeed. Date Inspector �I ii a/ '4 R 'No. 2O7-l°7U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct -( ) Repair( ') Upgrade( ) Abandon A System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to-comply with Title 5 and the following local provisions or special conditions. Provided:Construction pust be completed within three years of the date of this permit. Date Approved by ,r No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpl tation for 30isposal 6pstem COnstruttion 3permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System eindividual Components Location Address or Lot No. %O(z W"1 un 44Lt� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel f U Lj ^ Installer's Name,Address and Tel.No. 1 esigner's Name,Address and Tel.No. S G C� M�rr, � I '3 C�f c! YarM-�tY�• cti 1, 0 Type of Bu ding: 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) C `G�CQ, 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 ealth. Si9� Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No 33 c;�_ Date Issued &X")6/46 No. �t 5 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Disposal �&pstrm Construction Permit Application for a Permit to Construct( ) Repair(VUpgrade( ) Abandon;(" ) ❑Complete System Individual Components Location Address or Lot No. ��(p �' wti Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �c C..r f z\ S y(( Installer's Name,Address,and Tel.No. esigner's Name,Address,and Tel.No. Scoff} IVM ,r-c"Av, 1 t 3 C�(d %frArMdtry1� Type of Bu'ding: SAD k ;Z�\4 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 5` Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) o v r o J 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. Sig ed'""-. -- � -'" _ Dates ; Application Approved by Date Application Disapproved by Date for the following reasons Permit No. R] ) �{,? Date Issued re1--14 A, ---------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE,MASSACHUSETTS (Certificate of Compliante THIS IS TO CERTIFY;'that the On-site Sewage Disposal system Constructed(� ) Repaired((� Upgraded( ) � tr Abandoned( )by „f r c,, Cr &eel at IN, f l .%has been constructed in accordance NJ with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer r r . �Yl� Designer, " #bedroom s. rp., ', ." Approved design flow gpd The issuance of this permit shall rio be co"strued as a guarantee that the system w' funct as des' ed. ��------ Date to "��`i Inspector i No. 3 Fee ` / `> THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 1 A--(V\ A t=e I+Vr, AA 1 C and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. :. Date / C /.�L'r ,� ApproveS, y -.-� / � Commonwealth :of Massachusetts _ w Title 5 Official Inspection form - Subsurface Sewage Disposal System Form Not for Voluntary Assessments o^ 119 Stetson Street M Property Address l. Virginia & Kaith Colbath Owner Owner's Name information is .. . required for every. Hyannis MA 02601 7/8/13 page Clty/Towrr State Zip Code -: Date of Inspection - - Inspection results must be submitted on this form. Inspection forms may not be altered in any .... way. Please.see completeness.checklist at.the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab__::.1. Inspector: - - . . _._ _ ..... ... _. Key to move your cursor-do not... Wright kicky . . use the return: ' ke Name of Inspector y' B & B Excavation;l nc. Company Name 14 Teaberry Lane.. Company Address. �. .. Forestdale MA::. 02644 City/Town State Zip Codew? 508-477-0653 S14595 L � ... s Telephone Number License Number ' B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the:inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.. I am a:DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15000). Thesystem: ® Passes ❑ Conditionally Passes ❑ Fails Needs Further Evaluation by the Local Approving Authority _... _... 7/11/13 Inspector's Signature- .. Date The:system inspector shall submit a.copy of this inspection report to the Approving Authority(Board of Health or:DEP)within 30 days of completing this inspection. If the system is a shared system or _. has a design.flow of 10,000 gpd or greater, the inspector and the system owner shall submit the, report to the appropriate regional office of the DEP. The original l should be sent to the system owner and copies sent to.the buyer, if applicable, and the.approving authority. ... **'*.This report only describes conditions at the time.of inspection and under the conditions of use at that time.This inspection does.not address how.the systemmill perform in the future under the same or different:conditions of use. ... .... ...... t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.,Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box.for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N FIND (Explain below): s t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M10 119 Stetson Street Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail.unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 c Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 1 0,000g pd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the '+ system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts . _ Title 5- Official Inspec ion Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments ,M 119 Stetson Street 5 Property Address.. .... ...... Virginia &Kaith Colbath Owner: Owner's Name .. information is required for every Hyannis MA 02601 7/8/13 .. a e' City/Town - State Zip Code Date of Inspection R9 • C. Checklist . Check if:the following.have been done.You must indicate":yes" or"no as to each of the following: Yes: No Pumping information was provided by the owner, occupant, or Board of Health Were any of the:system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of ® this inspection? Were as built plans of the system obtained and examined?(If they:were not.: available note as N/A) ® 0 Was the,facility or dwelling inspected for signs of sewage back up? . .... .... Z ElWas the site inspected for signs of break out? ® 0 Were all system components, excluding the SAS, located on site?. . .... .... ._. _.. _ . ® 0 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 p El ® information on the proper maintenance.of subsurface sewage disposal systems? The size and.location of.the Soil.Absorption System.(SAS) on.thel site has been determined based on: ® Existing information. For example, a plan at the Board:of Health.: Determined in the field (if any of the failure criteria related to Part C is at issue 11 ® :approximation of distance is:unacceptable) [310 CMR 15.302(5)] D. System Information Residential.Flow Conditions: Number of bedrooms (design)::. 4 Number of bedrooms(actual.)-. 4 DESIGN flow based.on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms) 440 t5ins•11/10: : Title 5 Official Inspection Form:Subsurface Sewage Disposal System.-:Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 1 year ago Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest ` inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M0 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2008 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order with no sign of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ® No Dimensions: 1500 Sludge depth: no sludge t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle no sludge Scum thickness no scum Distance from top of scum to top of outlet tee or baffle no scum Distance from bottom of scum to bottom of outlet tee or baffle no scum How were dimensions determined? . scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appears to be in working condition. No sign of leakage Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping:. Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): i 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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 119 Stetson Street Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box appears to be in good working order. No sign of solids carryover or leakage Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): At time of inspection both pump and pump chamber appear to be in working oder. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 119 Stetson Street M Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching is dry and appears to be in working condition. No sign of hydraulic failure Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer - Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M e' 119 Stetson Street Property Address Virginia & Kaith Colbath Owner Owner's Name information is required for every Hyannis annis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 119 Stetson Street Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately B 161 0 i A3 , 30 A -T = -13y = 65 ` t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 119 Stetson Street Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >70 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 7/11/12 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 119 Stetson Street Property Address Virginia &Kaith Colbath Owner Owner's Name information is required for every Hyannis MA 02601 7/8/13 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 r ray W-M Ravels Real tatate I�Jd01/9fl7, .)ul -13-2013 14:59 Frem:EARNST CAI T!1 15087906 4 Tn=r1 7131 7(-,)3 P•F-fl. 1 S>i�:C.T1r+A"3lY TY-®1,tTr• TWAT)LINE FOR CONNECTION TO UNYC7YAT SEIVFR BUYER.QvD--i2v�ZG` UNDER, � (MOSINCY Xhc'�Sel ler of the prnl�r:rty invalled at _. hereby inform Lhe Buyers, (t10n9c(s} ci d� lhn Pvr{uflnt In litc'1'aw�� of Barnstftbtc,Boami of ticalth Policy: J cadlioeti for C 9nnectionrc to Public Server Stawmt's Crccir Are<I'Projcct, the on--site septic.qystrmn does nor have to be inspected Ppr complizince with the requirements oCLhe Title V of the Statc Lnvironmen l c:t�de(3'ld CMR 15.30[ e(s%)in co mectiv7t with the ti ansfer of title to this properly on 2E �•3 h°urther,pursuant(0 said i30ard Off-Tcaitb P011cy,the owlicr of said p�roopeity is required w cu nnuut the PI-QPc,jy to the public Sewer sy,5trm on or befi,ro-- Seller Date: W/ 1� 5 yf 11nu 1 of 2 IIHVE Town of Barnstable Regulatory Services lARN5fABLE. ' — 1 9c� "ASS; Thomas F. Geiler, Director UU/ ArE° `a Public Health Division I � Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 n 4� tttask DATE: . if NUM 3ER OF PAGES TO FOLLOW: I� TO: FROM: PHONE: 7 9 ` - 02� � PHONE: (508)862-4644 FAX PHONE: /� C� FAX PHONE: (509) 790-6304 ,aIle cc: �: c _ NOTES/COMMENTS: I I QAFax Form.doc I Fax Send Report APR-23-201212:19 MON Fax Number • 15087906304 Name BARNST HEALTH Name/Number 917812753096 Page 13 Start Time APR-23-2012 12:17 MON Elapsed Time 02124" Mode STD ECM Results [O.K] Town of Barnstable Barnstable Regulatory Services Department g ..ar�srA61L.' 1 Public Health Division 200 Main Street,Hyannis MA 02601 2007 office:508-8624644 Thomas F.Geiler,Di—wr FAX: 508-790-63U4 Thomas A.McKcm,CHO , April 18,2008 Louis N.Frangione Estate c/o Attny Thomas Paquin P.O.Box 1145 Barnstable,MA 02630 ORDER TO COMPLY WITH STATE ENVIRONMEN'f'AI,CODE,TITLE 5 The septic system located at 119 Stetsun Street Hyannis,MA was last inspected on April 1,2008,by Troy Williams,a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"hailed"under the guidelines of 1995 TITLE 5(310 CMR 15.00)due to the following: • Any portion of SAS,cesspool or privy is below high groundwater elevation. You are ordered to repair or replace the septic system within One(1)year from thu date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in filture enforcement action. P S—WER OFT E BOARll OF HEALTH T Xmas cKean, .5.,CHO. \\ Agent of the Board of Health CERTIVIFIJ MAIL#7006 2150 0002 1042 0248 QASCPTIC%Ut1—Scy,ic Lupcction FOilweAl 19 SWL,-Sbrcl.doo �THE rQ� kxftA Town of Barnstable Barnstable 'L Regulatory Services Department ' "'Nin` u.xrtsrnBM 1 I Public Health Division 200 Main Street, Hyannis MA 02601 2007 r Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO April 18, 2008 Louis N. Frangione Estate c/o Attny Thomas Paquin P.O. Box 1145 Barnstable, MA 02630 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 119 Stetson Street Hyannis,MA was last inspected on April 1, 2008,by Troy Williams, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Any portion of SAS, cesspool or privy is below high groundwater elevation. You are ordered to repair or replace the septic system within One (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. P RDER OF T E BOARD OF HEALTH T ean, ., C mas McK SHO. Agent of the Board of Health CERTIFIED MAIL# 7006 2150 0002 1042 0248 Q:\SEPTIC\Letters Septic Inspection Failures\l 19 Stetson Street.doc ROY WILLIAMS SEPTIC INSPECTIONS TO Certified by MA Department of Environmental Protection (508) 385-1500 19 Hummel Drive South Dennis, MA 02660 ,per ��Lg • OCg� -\ COMMONWEALTH OF MASSACHUSETTS EXECt1TIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT Oh' ENVIRONMENTAL PROTECTION f / V TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION PropertN Address:. 119 Stetson Street Hyannis, MA Owner's Name: Louis N.Frangione Estate c/o Attny Thomas Paquin Owner's Address. P.O. Box 1145 Barnstable,MA 02630 Date of Inspection: April 1,2008 Name of Inspector:, Troy M. Williams Company Name: . Troy Williams Septic Inspections ? ? Mailing Address: 19 Hummel Drive { ' South Dennis,MA 02660 k; Telephone Number: (508)385-1300 z 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 eased or my training and experience in the proper function and maintenance of on site sewage disposal systems. I�am a DEP D' approN ed system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system Passes Conditionall,- Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: 14- Date: OS The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth 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. MNotes and Comments Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. •"•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.` Title 5 Inspection Form 6/15/2000 pace 1 01' li Page 2 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N. Frangione Estate Date of Inspection: April 1,2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates th any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria t evaluated are indicated below. Comments: B. S stem Conditional) Passes: Y Y One or more system components as described in the"Conditional Pass".section need to be rep ced or repaired.The system, upon completion of the replacement or repair,as approve/" ot lth, will pass. Answer yes,no or not determined(Y,N,ND) in the for the following stateIf ned"please explain. The septic tank is metal and over 20 years old*or the septic tank(whet}} cturally unsound, exhibits substantial infiltration or exfiltration or tank failure is imgirnent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by th"10oard of Health. *A metal septic tank will pass inspection if it is structurally sound,novleaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observati/bab backup or break out o igh static water level in(lie distribution box due.to broken or obstructed pipe(sroken,settled or u en distribution box. System will pass inspection if(with approval of Boar broke ipe(s)are replaced ob ction is removed stribution box is leveled or replaced ND explain: The systemping more than 4 times a year due to broken or obstructed pipe(s).The system will..pass inspection ifal of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 PagB 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N.Frangione Estate Date of inspection: April 1,2008 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 envir ment: _ 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 mar ' i 2. System will fail unless the Board of Health(and Public Water pplier,if any)determines that (lie system is functioning in a manner that protects the public healt ,safety and environment: The system has a septic tank and soil absorption sy• m(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water st ly. ,The system has a septic tank and SAS an ie SAS is within a Zone I of a public water supply. The system has a septic tank and S and the SAS is within 50 feet of a private water supply well. The system has a septic tan nd SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. et hod used to determine distance **This system passes i ie well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatil rganic compounds indicates that the well is free from pollution from that facility and the presence of onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criter' are triggered.A copy of the analysis must be attached to this form. { 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 119 Stetson Street Property Address: Hyannis,MA Louis N.Frangione Estate Owner: April 1,2008 Date of Inspection: 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 purnping more than 4 tunes in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped ✓ Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DLP 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.1 'DES (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 design ow 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 ove) yes no the system is within 400 feet of a surface drinking ter supply the system is within 200 feet of a tributary t surface drinking water supply the system is located in a nitrogen se hive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 1I of a public water supply I If you have answered"yes"to any stion in Section E the system is considered a significant threat,or answered "yes"in Section D above the lar system has failed..The owner or operator of any large system considered a significant threat under Secti E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304:The system owne ould contact the appropriate regional office of the Department. 4 , Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N.Frangione Estate Date of Inspection: April 1,2008 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 _ N 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 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)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N.Frangione Estate Date of Inspection: April 1,2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): L/o Number of current residents: O Does residence have a garbage grinder(yes or no): YE S Is laundry on a separate sewage system(yes or no):^to [if yes separate inspection required] Laundry system inspected(yes or no):AL119 Seasonal use: (yes or no): Nn Water meter readings, if available(last 2 years usage(gpd)): 66 t o 7 Sump pump(yes or no): Vo Last date of occupancy:SeP� ? tl, w� oc:.�.s;sue�tuseo.><'fw• COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gyp of design flow(seats/persons/sgtt,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 syste (yes or no): Water meter readings, if available: Last date of occupancy/use.- OTHER(describe): GENERAL,INFORMATION Pumping Records Source of information: NU A 19 YAA) Was system pumped as part of (yes or no): Alo 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 C Z 5 yst<cw S 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): A proximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no) Nb. 6 Page 7 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N.Frangione Estate Date of Inspection April 1,2008 BUILDING SEWER(locate on site plan) Depth below grade: 18"f Materials of construction: cast iron _40 PVC ✓other(explain):CS Distance from private water supply well or suction line: Nli9 Comments(on condition of joints, venting,evidence of leakage,etc.): Kos SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction: concrete_metal_fiberglass_polyeth ne - other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of pliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee o affle: Scum thickness: 1 Distance from top of SCUM to top of outlet tee r baffle: Distance from bottom of scum to bottom outlet tee or baffle: How were dimensions determined: Comments(on pumping i , omme ations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,.evil e of leakage, etc.): GREASE TRAP;_(locate on site plan) Depth below grade: ' Material of construction: concrete_metal_fiberglass_polye lene 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 baffle: i 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 lea e,etc.): } ti Y 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 119 Stetson Street Hyannis,MA Owner: LouisN.Frangione Estate Date of Inspection: April 1,2008 TIGHT or HOLDING TANK: (tank must be pumped at time of in ection)(locate on site plan) Depth below grade: Material of construction: concrete metal fibergla polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working er(yes or no): Date of last pumping: Comments(condition of alarm an oat switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locat n site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to out s equal, any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) J i Pumps in working order(yes or no): Alarms in working order(yes or.no): Comments(note condition of pump chamber,conditio pumps and appurtenances,etc): } t 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM_ PART C SYSTEM INFORMATION(continued) Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N. Frangione Estate Date of Inspection: April 1,2008 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number. leaching galleries,number: leaching trenches,number, length: leaching fields, number, dimensions: overflow cesspool,number: 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.): lf' ri!?J.Jv,..�wu�-a-✓ '✓_..."SG., � yo t i bl C 'i l� ^v.t �-li.o.r.r l " b�i� �,y ✓! /llcn v �� 6.L' r� /o CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 3 Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool yet; Materials of construction: F + (,( "k Indication of groundwater inflow o y s or no): Comments(note Jco�ndition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): rN`tiY.(. L7C�OJ i�Ali ' C..C- (r�J fl u n ' 1.t1r1 L •C.a- '�7� L7.i-- r'j'R l c—r— - ./ / h N W PRIVY: (locate on site plan) `�r�xlv►c�wK fw- �s��t/cry°�� Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydrauli ilure, level of ponding, condition of vegetation,etc.): ht 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 119 Stetson Street Property Address: Hyannis,MA Louis N.Frangione Estate Owner:, April 1,2008 Date of Inspection: 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 :.j 0 1 � i 1 A ------------------ 10 . Page 11 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 119 Stetson Street Hyannis,MA Owner: Louis N.Frangione Estate Date of Inspection: April 1,2008 SITE EXAM Slope Surface water ✓ Check cellar ✓ Shallow wells Estimated depth to ground water 1 feet f1�J. 44 w L 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: ,44;,-,,,y Z.a5a 2; 2, 4.0' You must describe how you established the high ground water elevation: 1-4 i.,..l w/w16 T c� bi )4;'—"4.-J) f)� 41'J -/p.�f��2L��)G✓�l c�a..� 3 d' S. !ew �1�-v �n.�y �n G iv✓:n.� c..i�..I--s.✓�� i .��.. /,/Y y/(fJ<�.-t' �r .it,.4 ,+✓v-�--h.i C►rJl:✓1�Yy u..1�"! . C4. (lit 11-C�v ,1 iru �.t W . v� 300 i O/' G✓�✓1<t1/ c+r L+ � .� y.o' y,o' a --a- 11 , e"Ilit Nurtlber: _— hate: ��f A-4 Complete4 fry: ��J'��;..,ti, s IIIGII Gl1()uNO:WA-If H 1-.0/4 COMMIA-r1044 Site l_ocalion'-- ----- -�-`L 5+��0�_�}, ---- — --- dot No.. Owner:----------- - ----------— --- A4<l i e s s; ------ -- — Coll tsactor. Notes: 1 S I pp 1 Measure deptll to water table to nearest 1/10 lt. .................................... ................., h �/�f �o CO:J ..................... . ate month/clay/year STEP 2 Using Water-l_evel flange Zurle arlcl Index Well Malt locate site ancJ delermine: OA Applopciate iuclex well.......................................... . .:.... IM (B—) Wale[-level range Zone ............................................. . II S P 3 Using rnontlily reporl .,Cct1"tent Water (-lesources Conditions" 4etert7iine current depth to water level Icy} index well .. )013 ( T 7 --- -- monch/year SUP I Using fable of Water-level A41usllnenls for index well (S-I FP 2A); cuiterll dehtli to wales level for index well (S1 EP 3j, and water-level zone (Sl l P 20) determine waler-levr:l adjus(nlenj ............................................................ 2,4 ... .......... S f P a �stifTtate depot to hirtll wale by suhtiactiny the water level aditlstttlent ISrff 1) l(onl iheas1.1re4 de(ith to water levelat site ISl FI' 11 ....... .............................:...................................... y- L No. FEE 0 COMMONWEALTH OF MASSAC14USETTS Board of Health, �A iZN sfiA B( � MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) - ❑Complete System Pkindividual Components Location j/9 57-1✓Tvrt/V ST E-/ A/V/U 1 S Owner's Name jERrj Co l.l347-P Map/Parcel# 3 0 (o~(o Z Address 2 3 fix vN i?P Lot# Telephone# 7 bt p ep(0 2—07 Installer's Name Designer's Name e+e,. /4c En tame- Address �- v Address .2 C ®SS •--�5' pq Telephone# Telephone# ID_-977_c731 1 / FdZlgY4 Type of Building j{?�S f�F-nJT/�4 C — y`i nJ eTLG 1W C.�f Lot Size /Zf 4.5 1 sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers( ),Cafeteria( ) Other Fixtures Design_Flow_(min.required) gpd Calculated design flow Design flow provided gpd Plan: Date -7 11 PZ Number of sheets 1 Revision Date Title PJ'10lo6 Description of Soil(s) Soil Evaluator Form No. NJ4 Name of Soil Evaluator /VIA Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS Fed m Z Cd c ATTo n1 S 05 t n"C- flab SG- yi.,wCr'- 91,seH oyd oryc A vp /�B��y 0,,7-H G9,jTL&-'T Tti% r4 6167 O AyE" 66MMO nI PJR4R F 9�7-E2>ov& 9�7'Ec7V2 f'vy,4/4 A7- fyVic,✓ /NLET, Q7-H,5; .AJ 4 ET Ta Pe SN At L 13 C PLO&G-15 D , The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further, to not to place the system in operation until a Certificate of omp tance has been issued by the Board of Health. Signed Date A IA 4 Vol ------ ---.----------=----------- -------------------------------- -� ANo. ////(JJ)� .� -F—EE- COMMONWEALTH OF MASSACHUSETTS ' Board of Health, '3A 2NSrte'+ 4 LL ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair(>( Upgrade( Abandon( - ❑Complete System .individual Components Location 1)9 57-E7—Sd iv ST //11A N/U 1 S' Owner's Name 12:rAA1 (S-p L 1-3,O}T-A Map/Parcel# 3 O (o Z Address 23 foK 12uni /?P' f3E.�02-a /4 Lot# Telephone# -7 81 9 Z_ 07 7 � Installer's Name 04)G A Designer's Name �2-1 e - i; ,I�� Address�i.�/"� v Jt� S C�N r 1 I 1 �P Address/2 Telephone#lam , C�•oSSrt ,' C� ?-,j ieS ct y _ 00 Telephone# �8--Y77_ 3 t e 3 M�4 az� 14 Type of Building )C,55/DF'u71A L- Jc A) C7-LC F M►4,1-f Lot Size 121*4-79 sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided gpd Plan: Date "7 /! I Z Number of sheets / Revision Date Title f/Z6/00.5 fi,,� 9,5e(-ACFgA .v 7- Description of Soils) Soil Evaluator Form No. /U/4 Name of Soil Evaluator rtJI^ Date of Evaluation a DESCRIPTION OF REPAIRS OR ALTERATIONS /��r L64 CE ©rz�^J�,_ ,z �/pC )C,� , Z Lu c RTYS rJS 14a0 51---7 t),S,,N Cr- 9"Sc N 96 -I AJP du 7 L C-7' Ty N/4Y/�r ENE CdMMp/V P/RG E"�,1-rE2j,VG ,Ei'- G7r/2 ;PUMP LNO4-M0G-J2 AT NEB✓ 11UL t T• G7-H ET Tv Pc shod[ L 13C F4-0(.5 - t= C) , The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further lgrees to not to place the system in operation until a Certificate of omp iance has been issued by the Board of Health. Signed' ., Date e 4 A / U No. O/ FEE J�D �,� � s�� yQ �u C®�'MONWEA�.T14 Of MASSACHUSETTS CLO Urvr f U Board of Health, 0A iZ uV 5-i-A 13 t- MA. CERTIFICATE Of COMPLIANCE Description of Work: 0 Individual Component(s) ❑Complete System The u_nde�rsigned`hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: I?1�(M c j N —�1 /V r at has been install d i cc r ance with the p vis' ns of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No dated , Approved Design Flow (gpd) Installer j / } W (J � Designer: Inspector: ,Y `V u Dater The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. Gy [% l �t� '� FEE O COMMONWEALTH OF MASSAC14USETTS Board of Health, /�#+I ►V S7-►� 13 L& MA. E t� DISPOSAL SYSTEM CONSTRUCTION PERMIT b Permission is hereby granted to; Construct( ) Ap U grade( ) Abandon( ) an indix idual sewage disposal system at L �� as described in the application for r Disposal System Construction Permit No. '' ,dated / Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A:M.Sulkin Co.ChadeMown,MA Date Board of Health a ` / Town of Barnstable P# Department of Regulatory Services fl'atnrtereet� r P1ib1iC Health DiV1 i' Date S1 Q�. XASL •esq 200 Mam Street Hyannis.MA 01601 1 � l Scheduled w. T Fee PdDate tme G�•.d� , Soil Suitability Assessment fog Sewage D's Qsal: ' Performed By ems. L� t'e'e Witnessed By 'QRTO�T Location Address �1 e� s �- p•-t Sri<-f`QL 1^-. Owners Name Laos S � /� Address `/Q SH s-5c,.1 $1' f.�q 0 •� Assessor's Map/Parcel.• �2- Is me NEW CONSTRUCTION REPAIR Telephone# SQ g r �-7!3�3 Land Use Y �Tis� 1`"U' Slopes(30) - 10 Surface Stones Distances from: Open Water Body r� ft Possible Wet Area f�ft Drinking Water Well (�0 ft Drainage Way 7�PU ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) Depth to Aedrock S It ��,1 Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater !d Lt C �Jr/►'�.Ir DET� :NATION FOR SEAS.ONA1:HI'GH`WATUR.�' Method Used: �'o�� (u Lo M►�t�S,S i�-, Depth Observed standing in obs.hole: in. . Depth to Boll mottles: In, Depth to weeping from side of obs.hole —in. Groundwater Adjusuuent ft. Index Well#P p.4- Reading Date:J J !R Index Well level 7�R Adj.factor Z.�1 A4 Groundwater Level Observation t Hole# Time at 9" Depth of Perc Time at 6" Z7 4 Start Pre-soak Time @. to M Time(9"•6") End Pre-soak Rate MinJlnch 2 Site Suitability Assessment: .Site Passed Site Failed: Additional Testing Needed(Y/I�_._.... Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\,SEPTIC\PERCFORM.DOC DERP OBSERVATION MOLE LOG Vole# Depth from , Soil Horizon Soil Texture Soil Color Soil Other .'� Surface`(in.) (USDA) .. (Mansell) Mottling (Structure,Stones,Boulders. Consisten v , r : . r V IAEEF".QBERVATTQ Depth from Soil Horizon Soil Texture' So' olor Soil Other• .h. Surface(in.) (USDA) ansell) Mottling (Structure,Stones,Boulders. ns, tency.IV6 Gravel) te t� s G. DEiP•=1Si`.•i'RVATTO H'.OLE'..L-OG kdl"@.7r",- Depth from Soil Horizon Soil Texture Soil Color Soil Other:.. Surface(in.) (USDA) (Munsell) Mottling (Structure'Stones,Boulders. Consistent o GravelPir t2 I.S 16 JZy -z0$ C M S a dl •S `f 6/ DEEP-OUSERVATION MOLE:LOG. .. �Ial�#:? fi Depth from Soil Horizon .Soil Texture Soil Color Soll ; Other Surface(in.) (USDA) , (Munsell) Mottling (Structure,Stones,Boulders. Consistency, va5IR Flood Insurance Rate Mau: Above 500.year flood boundary No Yes Within 500 year boundary No_ Yes 1 � itbin 10O:year Hood boundary No Yes i f t � Depth ofNaturally__Occurrine Pervious Material _ : _ _ Does at least four feet of naturally.occurring pervious material exist in`a11 areas observed throughout the area proposed for the soil absorption system?, 7e ; If not,what.is.the depth of-naturally occurring pervious material?. Certification I certify that on if j�19S (date),I have the soil evaluator examination approved b the'> Department of Environmental Protection and that the above analysis was perftirmed.by me con stent with ` the required tr nt expertise and experience described`m 310::CMR:15.017. : : s Signature'' L Date 4. Q:SSEPTICIPERCFORM.DOC TOWN OF BARNSTABLE LOCATION _/i� J� �SBh u��; SEWAGE#. 24�WF,_Z�� VILLAGE A�/ll'AV6 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. br?Olp!/1 62,ip;' SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 64'/>4�e G::6 G (size) Z y NO.OF BEDROOMS OWNER J PERMIT DATE: j 11)1O g, COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility . feet Private Water Supply Well and Leaching Facility.(if any wells exist . on site or within 200 feet of leaching facility) feet. Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY N � � � � v flit.. TOWN OF BARNSTABLE ibCATION 5+yI-90h SEWAGE #--J— VILLAGE H:5 ASSESSOR'S MAP & LOT 306 G 2— INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) %�gL Ar (size) z",eg NO. OF BEDROOMS BUILDER OR OWNER a,t^ PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 3�4�m `Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) l D I-.— Feet Furnished by ��r,.�AG';uw„c. ( `J/1 /091 o -L W `S 1 ^ S N o v .0 No ( ✓ FEE t Board of Health, 13a,r-%S+c,b Le , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade(t, Abandon( ) - W16omplete System ❑Individual Components Location : Owner's Name r 5'� -e Of o v i s P:-rwn of ob n e /Parcel# Q�v Y� u Ma pR. 3�(v !`ce l Address Lot# �- 7 �,� $L �� Telephone# Installer's Name Designer's Name �e E2' Me { Address q�- . � Address p _ W.. Q� d �/�,( 4—dc, fi''ciS S�'s� . Telephone# 7 Telephone# -��_ 3l3 l�t4 OZG4LI Type of Building /Oej. i-rc, Lot Size J 2 ASq.ft. Dwelling-No.of Bedrooms L/ Garbage grinder ( Other-Type of Building All A- No.of persons Showers ( ),Cafeteria ( ) Other Fixtures All A- (� Design Flow (min.required) c/9 d gpd Calculated design flow 11 C4 0 Design flow provided / �� d Plan: Date 6 '0 Number of sheets 3 Revision Date M ,i e n Title lb £taGe of 4sie r&A aq S �—S0�'t •sue. i Description of Soil(s) Ste►n e/ So;I Co 9 �' / Z,/�Z3 f Soil Evaluator Form No. /��/ t l - Name of Soil Evaluator o�e P-& /Llc 6 kC Date of Evaluation G DESS��CRIPTION OF /REPAIRS OR ALTERATIONS /44"e �anYh:5� 4,1 /n C (✓dr stm �� f�y� �J/h n C�`lGl�1'l!2-e 1--. The undersigned agrees to install the ajxpe described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to n o pla sy a in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspec ' s � @ FEE Boards of.Health; �3a r r�S LP a ' PPLICATIO FOW Of-SPOS ]I �� 'UNSTRI CTION. PERMIT Application for a Permit to Construct ) Repair( )`.Upg1 ade(Abandon urc, System ❑Individual Components Location 1 l c/. S-f-et s,c", 5+-. N; c.A✓E t ;j . Owner's Name.. j5S-4- !-e "of O u i s rcli1 q i3O n e _ F . Map/Parcel# O Qctice � Addre ss Q�li yvt t-Cu�n Zd 2. C.f nod/n 1f" L P�• n 1 t7r• ✓ Q Z Z! 7 . Lot# 8Z /vFi-" I Telephone# Installer's Name- 0 / 1_ ._ Designers Name Address 10A6t Address Telephone# 7 !�ra._.. ' Telephone#..<5''[!d 7'1-'$^a 13 Type 4.Building 3%�CpH 4--( S'•,i�t� 1 P 'tr✓*�if1 t,r Lot Size /2/ 'L/-5g1 t sq.ft.-, Dwelling No.of Bedrooms 1 Garbage.grinder O Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures 1 if l irf. � l Design Flow (min.r, ur ed)' Y d gpd, Calculated design flow L1' Design flowprovi ed / 7�+c D Z. d Plan: Date '��'�$ Number of sheets. Revision Date r+ U . r -41 e Z ` 1 e"- �' Title /"d:Odje d SP A c Su 1^� � �/ Y �! Sd,t st ` Gl►)v1 /S e-rc ..a z Description of Soil(s). Soil Evaluator Form No. 13a s l u Name of Soil Evaluator h/ C Date of Evaluation DESCRIPTION OF REPAIRS bRALTERATIONS.. #lam oo r 'ArnrJf ' -C441i'i-1.Ca4—' 4�?�lLf"fl 11e. 7� �I d4n�:4 h{.. -�-f.o 7Z C ..Sti —4>r Ar�.w.< ;�.� ;[�rV� F::�l _��r.'T 1� � eb&iw+�e% >Y :S�4-_S The undersigned agrees to.install the abto ove described Individual Sewage Disposal System in accordance:with,the provisions of TITLE 5 and k ' further agrees to n t o Wpllac ,411 %fei n operation until a Certificate of Compliance has.been issued by-the.Board of Health Signed Date'. t, Inspectio ys lam! � 1 � I . * � a4. . �/ e.•.1, '�;.w �� I - '�;y,-/� C!"'�.� �� .. .y i No. /�/ `j FEE C®MMONWEALT14 OF MASSAC14US ETTS Board of Health, 1 �7 Fw! S� �^! MA. CERTIFIC.AH.® C®MPLIAN'l_. Description of Work: 0 Individual Components) QM"Complete System t . , The undersigned hereby c rtify that the;Sewage Disposal System; Constructed ( ),.Repaired'(d)!Upgraded ( ),Abandoned has been installe'' in acco d n e with the provisions of 310 CMR 5.00.(Title 5) and the,approved design plans/as-built plans relating to application No. , dated �`� --00$. Approved Design Fllo/wy �jNO . ' (gpd) Installer /7 Designer Inspector LfC / Date:, . O of this permit shall not be construed as.a guarantee that the system will function as designed.The issuancel ...--.a3.r, .......a w .n?. ...,... .R-..-. W '..! "" _ __—- ..'L:,-.. � —+ .... *..u�.r< vas._... .. n� n�6..-.'---•-"--l..w .."....'-1'....--.xc' No.rl!%C .' FEE✓ ! ry'�— COMMONO, 1114 OF MASSAC14USETTS Board of Health, l�G rvtrS f ��C' MA: DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to,`Construct( ) Repair(pr."Upgrade( ) Abandon( ) an individual sewage disposal system 491 at as described in the application for Disposal.System Construction Permit No.. dated Provided: Construction shall be completed Qwithin three years of the date of this permit"/All local cond�id must be met. form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date / �/ -Board of Health 7. t� I10/30/2008 08:33 5084775313 ENGINEERING WDRKS PAGE 01 ' Town of Barnstable Regulatory Services $ $ Thomas F. Geller,Director WAML Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-63M Instiler&Deshater Certification Form Date: 1 d Sewage Permit# 2 giAssessor's MaplParcef_.. Designer: Y'` ✓ Installer: d�U fit '( -'� ► Address: `�,/41Q-e�`�cam/ dress: �� j d LJ 1Z lk)4 -C '� \tW 1(� /� % on � ni�a �� was issued a permit to install a (date) (installer) septic system at SC'�'` �A�J 0%Y1-N (based on a design drawn by (addrqQ dated (designer) I certify that the septic system referenced above was installed substanbally 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 refereenced 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&Iaacal Regulations. Plan revision or cerri as-built by designer to follow. PETER T. McCNTEE 4, (Installer's Signature) CJVlL .o '9 No.35109�0 �� (Designer's Signature) (Affix Desf&n rr's Stamp Here) ELEASK RN T R T CQ 'wME WILL ,yt7l' BE MOUED yM B01Z no�-EQRM AND AS-IfUn.T rAW AM t2EC )T M TpZ BABWA= LIC HEALTH I)MSION. THANK YOU, Q:HeaWScpfidDesipr Cer ification Emm 3-26.04.doc �� 1 .T a Town of BY,77 # �- � ' Depar of Regulatofy S tment ervices , ;� : Publsic.H �lth D�yY�s><on Dace °� t9•�� 77, 2001vtarn Street,Hyannis 1tA 0260T .. { Date Sehed>tiad Tone: Fee.Pd. � r <- t ►foil Suitability Assessment for Sewage D's501 ct Performed ByWitnessed B Y 1 Location Address �1 Si�Cyo.-t G 1 wne Lzv l O Ne 0 is Name Address `!Q ,S fC!- G M y�f it. Assessor's Map/Parcel: 3 a w.� �2- Engineer's.Name ,'�C>I-Q�/"`C £K f �e NEW CONSTRUCTION REPAIR Telephone# �.. : Laud Use S I t`".� / Slopes(30) ✓�-10 Surface Stones Distances from Open Water Body I� ft Possible Wet Area ��ft Drinking Water Well �-��ft Drainage Way ��OU ft Property Line ft Other ft SKETCH:(Street'name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) 61 let it % 1 0v►-t.�xLs } (0'g (g ip ) Depth to Bedrock • p, a � �� 11 ' Depth to Groundwater: Standing Water in Hole: ` s TO'—I Weeping from Pit Face . -(q4 T-P f" ~= CD Estimated Seasonal High Groundwater ?o Q Ca'J�Jr/► t� �� !! t_"` OE-UR IINATION FOR S��5.�►�AL:lf�•GRMAT,�R:.'�A�� Method Used Depth Observed standing in obs.hole: S _In. Depth to soil mottl0e; 6ep[h to""Weeping fmin side of oTis.hole: - In. -0roundwa r:Atusttt o = _-- Index Well# � Reading Date: $ Index Well level .7 R Ate{ fgctor Z I Adj Groundw tar Level Lo G ' CI�LN:�`�ST Date-� >, ��. � Observation Hole# Time at 9" Depth of Perc �� Time at 6" Start Pre-soak Time;.@ „ Time(9.-6 ) End Pre soak Rate MinJlnch 2 Site Suitabiht Assessment ,Site Passed Y _ Site Failed: Additional Testing Needed(Y/I�. Original: 'Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP 09SERVA T—ION ROLE LOG Role* #: .. . Depth,from Soil Horizon Soil Texture Soil Color Soil Other Surface"(ia) (USDA) (Mansell) Mottling (Structure,Stones,:Boulders. ve REEF 4EVATT OTL Depth from Soil Horizon Soil Texture S ' olor : Surface(m.) Soil Other (USDA) unsell) Mottling (Structure,Stones Boulders. r - -�' r"•CiZ J � i 1 • -.- ' _ 0"-P`OUSERVAT�'ON ROLE:..—LOG Depth from . Soil Horizon SoiI Texture Soil Color Soil Other Surface (USDA) (Iviunsetlj Mottling (Structure,Stones,Boulders nsi n Gravel) x„ .. 0 -12 LS 16 tzy .z 3 y- 10$ e M S'a,,dl 715 6 : . E O BERVAT 01� fOLRL-OG I al Depth from Soil Horizon Soil Texture Soil,Color Soil ; Other Surface(in.) (USDA) , (Mansell) Mottling (Structure,Stones,Boulders. Consistency, GMvel) i Flood Insurance Rate Mau Above SOO..year flood;boundary No Yes. Within 500 year boundary No Yes i Within 100,yearfto&bbundary_Now Yes � .a•. � Depth of,lYaturally Occurrint=F.erkious:Material -- r Doffs at least four feet of naturally occurring pervious material eeast in;all-areas observed throti6out.the area proposed for.the soil.absorption system?. YC� If riot,what-is.the.depth of-naturally occurring pervious material? , Certification I certify that on �l 1 g q S :(date):I have passed the soil evaluator examination approved the Department':of Environmental Proteckion and that the above analysis was performed by:me con"stem With r , the required'tr rli:` expertise anfl`experence�descnbed'n 310:CIVIR 15'017 Siflatmw _ C. Date -:� -Y F: Q. ERCFORIvI DOC J.; .--.: - , ——12—— EXISTING CONTOUR N 5ti MAIN ST : x 100.98 EXISTING SPOT GRADE o�`r uth St S T � 5° ETSON 12 PROPOSED CONTOUR MAIN ST a 12.40 a STRE-E-�- 12.3 PROPOSED SPOT GRADE Pie edge o,-Poem ^ i W EXISTING WATER SERVICE Jaa� N 6 ent Tara Hyannis M A G/SET i Golf Club Y • O.H.W EXISTING OVERHEAD WIRES w 7 12,8 S 8206'3p" 14�40 '. — _ h� CB/DH/FND E , s 14.91 �� TEST PIT ;; a 10,70 i� 8%l00' N j9C1. 15.28 �.I BENCHMARK S roo¢ Cemetary 0 x "pa � 15,73 13.67x � CB/TI,P/FND LEGEND Murray Wy QBrick H �J• Drive Nautical Rd v - Pa do 3 5 O 9,42 Lot 7 14.39 LOCUS Set on St 12,459f S.F. 14 09� 14,75 / Map J06 13.3 :6 14,37 LOCUS MAP as NOT TO SCALE parcel 62 EX/STING x 13,6 8 HOUSE 119 s'�# ) Garage x 17.53 TOF=14.04` °�ti v Cellor Floors moo' o EL.=7.44 ��"�� p a W (NGAD) IN E 8,43,, "� o n� O —1, .32 h o 3.69 (CONNECT TO EXISTING 4" C.I. PIPE, INV.=7.87 Q) .CONNECT TO EXISTING 4" C.I. PIPE, INV.=5.77 x 1 .8 8 She o ��e��Q � CUT & CAP THE EXISTING PIPE 8,11 �F�J'o�1, s� x 13,4 ENTERING EJECTOR PUMP CHAMBER c o 6• 12.2 w pe��9 22 `EXISTING EJECTOR PUMP CHAMBER �' I BOTTOM OF SUMP, EL.=3.65 10. PUMP ON, EL.=4.92 l 43 PUMP OFF, EL.=4.19 hlIGH WATER ALARM, EL.5.6 �- O O PROVIDE NEW INLET TO EJECTOR PUMP CHAMBER, INV.=5.61 8.01 Lamp 9 O O �F I f NOTE: ALL PROPOSED PIPING SHALL BE 4" SCH40 PVC. x 13.6 �� OF Mass S n I i I x -I- -4- 4 -4 o� PETER T. a� 9.89 Drive IS+SI I PROM E o McENTEE 7,61 x 7 1 ,31 �� CLEAN OUT ; CIVIL 91 x � �- L 1 1 J - No. 35109 / I N 82 OR. Hep9e 14,05 3O» W ssi �o ,�./• 1�x 16,18 EXISTING EFFLUENT PUMP CHAMBER -7 0 L EXISTING SEPTIC TANK PROPOSED PIPE REPLACEMENT 119 STETSON STREET, HYANNIS, MA Prepared for: Jean Colbath, 23 Fox Run Road, Bedford, MA 01730 Benchmark SPi t j Engineering by: Surveying by: SCALE DRAWN JOB, NO. Right cor cone. pad FLOOD PLAIN DATA Engineering Works WARNER SURVEYING 1"=20' P.T.M. 205-12 FIRM PANEL 250001 0016 D Rev. 7 2 92 12 West Crossfield Road 22 Long Road D.=1 1.20 (NGVD) # ( ) Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO.71112 ZONES A10(EL 11), B & C i (508) 477-5313 (508) 432-8309 / / P.T.M. 1 of 1 --12-- EXISTING CONTOUR N yti µNN x 100.98 EXISTING SPOT GRADE ® �o�`r South St STETSON � k 12 PROPOSED CONTOUR MAIN sT v(j�`l V STR�� 123 PROPOSED SPOT GRADE 12,40 ` edge Ofpovement W. EXISTING WATER SERVICECL 5°J�aTara Hyannis h MAC/SETolf Club ° 14 o 4�� 12.8 S 820630.. • 14,40 14,91 O.H.OHW. EXISTING OVERHEAD WIRES h CB/DH/FND E 41 10.70 �� 85.00' �s O r A 15,28 TEST PIT °ao' IS. BENCHMARK S roo Cemetary X / Paved 15.73 13.67X � CB/TIP/FND LEGEND Murray Wy QBrick O H A Drive , Nautical Rd V POtio 3 5 / LOUS Setson St C 9.42 Lot 7 4.09� 14.39 14.75 1, J 12,459f S.F. ap J06 13.3 X 14.3 7 = LOCUS SCALE MAP Parce/ 62 �O EX/STING-, GENERAL NOTES: L`r J X 13,68 HOUSE(#119)�, , y� Garage �° x. 17.53 TOF=14.04 "��1ti 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL f BOARD OF HEALTH AND THE DESIGN ENGINEER. W v Cellar Floor,, OVIDE EL.=7.44��!� 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Q �u (NGVD) `e��'- �o OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE CO rCL ANOUT s� LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: VO E 2 EXISTING CESSPOOLS - 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 8,430 ;) o .3 \ :"� TO BE PUMPED, FILLED w TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 3.69 .3 / DESIGN ENGINEER. SAND AND ABANDONED �� ♦ B Op ^ °� j� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING "I �w��c X 1 .88 " O X .�7.75 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN F,p � = ��.ca Deck She ENGINEER BEFORE CONSTRUCTION CONTINUES. 9.L o ov PROPOSED EJECTOR 5. ALL ELEVATIONS BASED ON NGVD. NOTE: A LAWN IRRIGATION SYSTEM X 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 13,4 EXISTS ON THE PROPERTY. 1 .2 �� 10,91 (SEE NOTE THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 12 7 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 8. INSTA L 40 MIL POLY LINER AS SHOWN 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. AND S T BETWEEN EL.=12.2 - 10.0 .8. THERE ARE NO PRIVATE WELLS WITHIN 100' OF THE PROPOSED S.A.S. 7Q. , 1 .43 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS TP 10 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 9 T -1 X 17,41 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 8,01 Lamp 0 OF Mq THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING stone 0 q�O D d X 13,67' �� SS9 CONSTRUCTION. c�Q C,y X ISTRIPOUT TO G 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 9.89 prove S. 'C� HORIZON PETER T. IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE 7,61 91 X 1 1 �� (SEE NOTE 11) McENTEE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). CIVIL `n lb 700 o 6' No. 35109 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE �DJ H INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. N 8206 3O'ed9e AF �£�/SjE�F `��Q 13. ENGINEER IS NOT RESPONSIBLE FOR POSSIBLE UNDOCUMENTED EXISTING �� W X �16.18 F / NAB SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. I �6 14. AN EJECTOR PUMP SHALL BE INSTALLED OUTSIDE THE HOUSE FOR THE PROPOSED N\ �I 4" CELLR BATHROOM AND LAUNDRY (< 25% TOTAL FLOW). PNrj - �2 PUMP CHAMBER EXISTING CESSPOOLS ��/�0 PROPOSED PROPOSED SEPTIC SYSTEM UPGRADE TO BE PUMPED, FILLED w/ do 0o SEPTIC TANK 119 STETSON STREET, HYANNIS, MA SAND AND ABANDONED o FLOOD PLAINT DATA Prepared for: Jackie Quint, 202 Lincoln St., Lexington, MA 02421 FIRM PANEL #250001 0016 D (Rev. 7/2/92) Engineering by: Surveying by: SCALE DRAWN JOB. NO. Benchmark Set ZONES A10(EL 1), B & C Engineering Works WARNER SURPEYING 1"=20' P.T.M. 184-08 Right cor conc. pad f' PLAN REVISION 12 West Crossfield Road 22 Long Road El.=11.20 (NGVD) Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. 9/18/08 - ADD EJECTOR PUMP OUTSIDE BUILDING (508) 477-5313 (508) 432-8309 6/16/08 P.T.M. 1 of 3 r 'i i {' PRopoSEp SEPTIC TANK & PUMP CHAMBER NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER P. CELLAR FLOOR SHALL BE PLACED 5' OUTSIDE THE S.A.S. AS EL=7.44t PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED D-BOX SHOWN ON PLAN AND SET BETWEEN EL.=12.2 OVER EACH ACCESS MANHOLE AND SET TO FINISH AND EL.=10.0 T.O.F.=14.04f GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE PROPOSED S.A.S. INSTALL INSPECTION PORT OVER END UNIT F.G. EL: 13.5t EXISTING j F.G. EL: 13.0(MIN.) F.G. EL.=10.9t F.G. EL.=11.5t r 36" MAX. COVER MAINTAIN 2% GRADE (MIN.) OVER S.A.S. / L = 10'(MAX.) S=1% (MIN.) INSPECTION PORT '' 4'SCH40 PVC L-60' (SEW4NO.1) RCE MF\NS(SE L - 4' O 6'S=1% (MIN.) F4"SC H44"SCH40 PVC " INV.=11.82 I 3" TO INVERT 4 ROWS OF 3-CULTEC C-4 UNITS x 8'/UNIT=24' 6.�4„ 1a„ INV.=11.65 USE C-4 HD UNITS - H-20 RATED) ALARM ON TI P'S ARE To BE �INV.=8.60 PUMP oM PROPOSED D-BOX INV.=1 1.55 4 SCH 40 PVC SOIL ABSORPTION SYSTEM (PROFILE) INV.=8.85 EFFLUENT, PUMP OFF 8 OUTLETS�(MIN.) FILTER INV.=8.53 SEWER NO.1, INV.=10.12 (ZABEL OR EQUAL) INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC ESTABLISH VEGETATIVE COVER (EXISTING LOCATION) CULTEC NO. 410 FILTER FABRIC g BOTT. EL.=4.27 g BOTT. EL.=4.20 PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BA NAFI vE 0 PERCE sAlvoj ND SEWER NO.2, INV.=12.50t OBSERVED G.W. EL.=4.2 WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (EXISTING LOCATION) ADJUSTED G.W. EL.=6.3 1? ) (See Pump Detail, Sheet 3 of 3) , EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET (min. " TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER PROPOSED PUMP CHAMBER A BREAKOUT-TOP OF UNIT-12.0 SHALL BE INSPECTED AND CLEANED ANNUALLY. INV.ELEV.=11.55- PROPOSED SEPTIC TANK BOTTOM ELEV.=11.30 - EXISTING NOTES: 48" (TYPICAL) SUITABLE 1) SEPTIC TANK, PUMP CHAMBER & D-BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF SOILS AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=16.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 2) INSTALL INLET & OUTLET TEES AS REQUIRED. I MSHGW EL: 8.30 (ADJUSTED) USE 4 ROWS OF 3-CULTEC C-4(HD) FIELD DRAIN UNITS WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D-BOX & S.A.S. SHALL BE 36". SEPTIC SYSTEM PROFILE SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION. N.T.S. N.T.S. CULTEC CONTACTOR FIELD DRAIN C-4 HD DESIGN CRITERIA SOIL LOG NUMBER OF BEDROOMS: 4 BEDROOMS MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN SMALL RIB LARGE RIB DATE: JUNE -1 2, 2008 (REF.# 12,236) DAILY FLOW: 440 G.P.D. SOIL EVALUATOR: PETER MCENTEE PE, CSE WITNESS: DONNA MIORANDI IRS, CSE DESIGN FLOW: 440 G.P.D. MODEL FD C-4 E MIDDLE/END Elev. GARBAGE GRINDER: YES - TO BE REMOVED TP- � Depth Elev. TP-2 pepth PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY SMALL RIB LARGE RIB 48" r PROPOSED PUMP CHAMBER: 1000 GALLON CAPACITY 12.1 A 0 11.8 A 0" PROPOSED D-BOX: 8 OUTLETS (MINIMUM) I-ILOAMY SANDi LOAMY SAND LEACHING AREA REQUIRED:' (440) = 594.6 S.F. ° ° ° N ° ° I 10YR 4/2 11.1 10YR 4/2 i 12" 10.8 12" .74 12' B B USE ROWS OF 3 CULTEC C-4(H D) UNITS WITH NO STONE LOAMY SANDI LOAMY SAND FOR AN SAS HAVING THE DIMENSIONS: 16.0' x 24.0'. 10YR 5/8 10YR 5/8 8.5' 9.3 C 34" 9.1 C 32" BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF) „ " 3 UNITS/ROW x 8.0'/UNIT = 24.0 FT 3 4 DIA. 8 p' 36 4 ROWS x 24.0' x 6.7 SF/LF = 643.2 SF M-C SAND PERC M-C SAND DESIGN FLOW PROVIDED: 0.74(643.2 S.F.) = 476.0 G.P.D. 8.5" 8.5" ° 2.5Y 6/4 48" 2.5Y 6/4 SMALL RIB LARGE RI 6.3 ADJ. GW _ 6.3 ADJ. GW _ PROPOSED SEPTIC SYSTEM UPGRADE 4.2 STG. GW 95" 4.2 STG. GW -_ 91" 119 STETSON STREET, HYANNIS, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT 3.1 ( 108" 2•8 108" Prepared for: Jackie Quint, 202 Lincoln St., Lexington, MA 02421 ALL CONTACTOR FIELD DRAIN C-4HO HEAVY DUTY UNITS ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER. IL RATE I;<2 MIN/IN. ("C" HORIZON) Engineering by: Surveying by: SCALE DRAWN . JOB. N0. TM INDEX WE MIW-29 - ZONE B Engineering Works WARNER SURVEYING NTS P.T.M. 184-08 CULTEC,Inc. PH: {203) 775-4416 P.O:Box 280 PH: (800) 4-CULTEC CULTEC Contactors and Recharger(g) WATER LEVEL = 7.8' - MAY 2008 12 West Crossfield Road 22 Long Road _ DATE CHECKED SHEET N0. 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers GW ADJUSTMENT = 2.1' Forestdale, MA 02644 Harwich, MA 02645 Brookfield,CT06804 USA www•cultec.com CULTEC I (568) 477-5313 (508) 432-8309 6/16/08 P.T.M. 2 of 3 it NEMA 4 JUNCTION BOX CORROSION RESISTANT' I - 8'-6 & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED SPECIFICATIONS: PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE - - - - - CONCRETE STRENGTH: 5000 PSI AT 28 DAYS WITH SECURED COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER 21" COVER 24" COVER I OR EQUAL. B (INLET) (OUTLET) B STEEL REINFORCEMENT: A-615-68, GRADE 60 o I - I DESIGN LOADING: AASHO-H-20 INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM � J / SEPTIC TANK SHOWN IS AS MANUFACTURED 1/8" DIAMETER. / 1,760 LB. STRENGTH.-,,"", FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL I I BY ACME PRECAST CO., INC., 520 THOMAS ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. I B LANDERS RD, HATCHVILLE, MA 02536 INV.(IN)=8.53 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) 2"SCH. 40 DISCHARGE TO D-BOX ALARM ON EL: 6.53 2" 90' ELBOW W/ 1/4" WEEP HOLE A PUMP ON EL: 5.70 FOR SELF-DRAINING FORCE MAIN PLAN r PUMP OFF EL: 5.20 24"14" 2" SW1NG CHECK VALVE BOTTOM OF I 2" SCH. 40 PVC DISCHARGE PIPE PUMP CHAMBER 1 8 O� O� ELEV.= 4.20 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE PROVIDE 2 FLOATS: FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP ABS PL-EF 04W PUMP .4 H.P. 115 V q FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL 48" Liquid Leve rn WITH 2" DISCHARGE- .1 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 1 L S --�--2" TAPER PUMP DETAIL SECTION B-B H-10 RATED SECTION A-A PRODUCT WT.=9000 LBS. N.T.S. 1000 GALLON MONOLITHIC PUMP CHAMBER A� 10'-10" - - - - - - - - SPECIFICATIONS: (3) 21" COVERS CONCRETE STRENGTH: 5000 PSI AT 28 DAYS B I I B STEEL REINFORCEMENT: A-615-68, GRADE 60 DESIGN LOADING: AASHO-H-20 SEPTIC TANK SHOWN IS AS MANUFACTURED t, DOSING & STORAGE REQUIREMENTS BY ACME PRECAST CO., INC., 520 THOMAS BUOYANCY CALCULATIONS DESIGN FLOW: 440 GPD - - - - - - - - J B LANDERS RD, HATCHVILLE, MA 02536 H- 10 MONOLITHIC SEPTIC TANK DOSING REQUIRED: 4 CYCLES/DAY (SAND) BOTTOM OF UNIT EL.= 4.27 440 - 4 = 110 GALLLONS/CYCLE HIGH GROUNDWATER EL.=6.3 (ADJUSTED HIGH) . DISTANCE REQUIRED BETWEEN PUMP A� BUOYANCY FORCEIPER FOOT OF DEPTH: ON AND PUMP OFF FLOATS: PLAN 10.8' x 5.7' x 1 x 62.41bs./cu.ft. = 3841.3 Ibs. 110 GAL/CYCLE 250 GAL/FT = 0.44 FT/CYCLE (SAY 6") r MAX. DISPLACEMENT = 6.3 - 4.27 = 2.03' STORAGE REQUIRED ABOVE WORKING LEVEL: 440 GALLONS _ _ 10 MAX. UPLIFT PRESSURE = 2.03' X 3841.3 Ibs/ft STORAGE PROVIDED: O = 7797.9 Ibs. INV.(IN) EL: 8.53 - PUMP ON EL: 5.70 = 2.83' - . WEIGHT OF UNIT EMPTY = 12000 Ibs. STORAGE PROVIDED = 2.83' X 250 GAL/FT = 707.5 GALLONS 12000 Ibs > 7798'Ibs O.K. rI 48" Liquid Level 00 .1 H-10 MONOLITHIC PUMP CHAMBER ul LO BOTTOM OF UNIT EL.= 4.20 PROPOSED SEPTIC SYSTEM UPGRADE HIGH BUOYANCY FORCE GROUNDWATER E FOOT (ADJUSTED HIGH) 119 STETSON STREET, HYANNIS, MA BUOYANCY FORCE PER FOOT OF DEPTH: 8.5' x 4.8' x 1' x 62.4 Ibs./cu.ft. = 2545.9 Ibs. MA 02421 --H--2" TAPER MAX. DISPLACEMENT = 6.3 - 4.2 = 2.1' Prepared for: Jackie Quint, 202 Lincoln St., Lexington, SECTION B-B H-10 RATED SECTION A-A MAX. UPLIFT PRESSURE = 2.0' X 2545.9 Ibs/ft Engineering by: 'Surveying by: SCALE DRAWN JOB. NO. PRODUCT WT.=12000 LBS. = 5346.4Ibs. Engineering Works WARNER SURVEYING NTS P.T.M. 184-08 1500 GALLON MONOLITHIC SEPTIC TANK WEIGHT OF UNIT EMPTY = 9000 Ibs. 12 West Crossfie Road 22 Long Rood I, Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. 9000 Ibs > 534611bs O.K. (508) 477-5313 (508) 432-8309 6/16/08 P.T.M. 3 of 3 _ it