Loading...
HomeMy WebLinkAbout0120 STETSON STREET - Health �.� 1 2-0 Stetson Street - -- Hyannis _ A= 306-.069 I TOWN OF BARNSTABLE LOCATION 120 —*e*SoA S-�r2t�k 1, SEWAGE# dOd 7 VILLAGE 'kA�ernn 3 ASSESSOR'S MAP&PARCEL Salo l6,2 INSTALLERS NAME&PHONE NO. M"N y �BcrzW5 ;:t*p SEPTIC TANK CAPACITY /�®0 of 4. 0 1)0 LEACHING FACILITY: (type) c Ie.SS (size) i R,-i-I X al(o , NO. OF BEDROOMS 3 OWNER —C6t-"c3 ,\u PERMIT DATE: COMPLIANCE DATE: I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Jr Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) �' 'i Feet FURNISHED BY M anon J� � a =1 � _ 4 �y � . � � � � � _ � V � � �® �c� +' U� � � �, a� _ Lam—���'�' 9-� G^ w '�, � � � — � .- l� � � ��f� � �- � � . .No. b(7-l C3 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatiou for Mi5pont *pgtem Cou0tructiou Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) .Complete System ❑Individual Components Location Address or Lot No. I C® s MT >Or 1 Z l. Owner's Name,Address,and Tel.No. H�ANN�S Iv1 QQ�c .-Tom(id'L� Assessor'sMap/Parcel 3o(. i r.�rCz�Sjlrarl Pulp Installer's Name,Address,and Tel.No. 0-0 —173l a Designer's Name,Address and Tel.No. FAUAOOVA - P-Aft 5 > 6- —+9(A0 Type of Building: 3 P ` ? Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (Ad f o Other Type of Building tq M4P- No.of Persons oZ Showers( N'Cafeteria( ✓f Other Fixtures LAOtNi 6% jG. 1rC Lq"dCX Design Flow(min.required) 33o gpd Design flow provided 3(p3 r gpd Plan Date � ' 3 Ice Number of sheets Revision Date Title ?�PG&A;N •�CGG2 Size of.Septic Tank I 5W 9CA• Type of S.A.S. Xa(P nA (WexazS S�1kd 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. Signed 6 Date 4 '27 �Dy% Application Approved by ,d' Date 2 7 2b0� Application Disapproved by: Date for the following reasons Permit No. 2 Date Issued O 171 ��p Itr,o : ,"Ga — Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,rMASSACHUSETTS Yes �- Z[ppgicatiou-for �h5po4al, �§p5tem Cow5truction permit ` Application for a Permit to Construct O Repair Upgrade( ) Abandon( )� .Complete System ❑Individual Components{ ' Location Address or Lot No. 1 a Q SET SON S t Owner's Name,Address,and Tel.No. My{-1NN\S N1A2r TGMF}I� 0 Assessor'sMap/Parcel 3o(C, Installer's Name,Address,and Tel.No. "1 "�3'� Designer's Name,Address and Tel.No. M��NY �,AR.t2.o�S *CEa2'rn�'r.1 NAY Type of Building: 3 1 Dwelling No.of Bedrooms Lot Size IQ sq.ft. Garbage Grinder 74 ` , Other Type of Building No.of Persons Showers( V)` Cafeteria(✓) Other Fixtures CL,? ` \'�C� Y'� 1 C�1•C, L. ut'�C�l"y Design Flow(min.required) C) gpd Design flow provided �� i gpd Plan Date 1 ,�f Number of sheets ( Revision Date --- Title � �.1��51)��[C(ia !ewer r \->Msct map G 1yh � CC � Size of.Septic Tank I �_ v v � Type ofS.A.S. �raZ+l X l�- Description of Soil t r It�(�.� { -Vo 0 Gn 1;H -�A "ZV-4Z\\Acc-�� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: x. Agreement: f' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in tr, accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certif sate of Compliance has been issued by X.'A'z, ' ard of Halth. Signed A"a& Date 4X-o 27 ;iD�q Application Approved by ' /.S Date / Z 7 12 Application Disapproved by: /� Date for the following reasons Permit No.?-oaej V Date Issued ( ZZ -7 -- - -- �— -�-- ------_--- _--- 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 f�1.1iV R.%_0VIA �' ` at O t� *� c k n,t1t'1\ -. has been constructed in accordance v with the provisions of Title 5 and the for Disposal System Construction Permit No.2 00 G(- r, k `-� dated 2 7 G'004[ Installer NI,}ri O Y6 qZR D U Designer ( Q R m c ro "AV V #bedrooms pproved design flow Ito A• 1;3) gpd. The issuance of this permit shall not be con guarantee as a that the system will unction as desi"ne d. Date Inspector )�/1 /,/l i tv It f No. 2,po c-t "G I Fee /0 d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 10igoar �&p.5tem Cow5truction Permit Permission is hereby granted to Construct ( ) Repair (� ) Upgrade ( ) Abandon ( ) System located at 1O }t'�c50c� • �"��.1�►Nr11S `1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty l to comply with Title 5 and the following local provisions or special conditions. Provided: Co structio must be completed within three years of the date of this Date / 2 7 2 O O Approved by � t �OF'(HE T f Town of Barnstable . Barnstable k �,n,t � ;',�`� Regulatory Services Department 1 : y �o\ �b Public Health Division Y pQ.' 79•� 200 Main Street, Hyannis MA 02601 200 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO March 14, 2008 Ann O'Rourke 120 Stetson Street Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 120 Stetson Street,Hyannis MA was last inspected on 1 March 4, 2008, by Robert Paolini, 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: • Split system compromised of single cesspools with no over-flows. You are ordered to upgrade or replace the septic system within Two (2) years from the date of this notification. Failure to repair/replace the septic system.within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH 1Comas cKean, R.S., CHO Agent of the Board of Health CERTIFIED MAIL#7006 2150 0002 1038 6933 Q:\SEPTIC\Letters Septic Inspection Failures\120 Stetson Street.doc J � 'Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Stetson Street Property Address L` u Ann O'Rourke, 1��3 Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of•Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return' key. Capewide Enterprises,LLC Company Name ab Y P.O.Box 763 Company Address Centerville Ma. 02632 rerun City/Town . State Zip Code (508)428-4028 S14454 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 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ .Needs Further Evaluation by the Local Approving Authority X��,Am 3/04/2008 lnspetfor's-Skg-KatTre Date r� The system ins the Approving AuthorityBadector shall submit a copY of this ins ection re orfto of Health or DEP)within 30 days of completing this inspection. If the system is a'shared system of has a design flow of 10,000 gpd or greater, the inspector and the system owner sh�ll subnr if'the report to the appropriate regional office of the DEP. The original should be sent to t e systeWowr�61, and copies sent to the buyer, if applicable, and the approving authority. '"This report only describes conditions at the time of inspection and under the conditions of use . at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 I 'Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form - Not for Voluntary Assessments 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection . B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not.found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is a spilt system.Front cesspool has no overflow.Rear system has two single cesspools with no overflows. B) System,,Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined_(Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. . *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 I • L 'Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not'for Voluntary Assessments 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 1 C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within.50 feet of a private water supply well. 120 Stetson St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form (11 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,cwM 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name I information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure.criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or p.onding 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 Y2 day flow 11 Z. 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. 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): - Yes No ❑ ® Any portion of a cesspool,or privy is within a Zone 1 of a public well. El ® 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.] 0 ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to,the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone Il 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. 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Stetson Street M Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? 0 ® 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? ® ElWas the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 120 Stetson St.•12107 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts r W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments e �M 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: unknown Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ® Yes ❑ No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes N No Water meter,readin s, if available last 2 ears usage d NA 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/industrial,Flow Conditions: Type of Establishment: Design flow (based-on,310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes. ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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) El Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1950 Were sewage odors detected when arriving at the site? ❑ Yes ® No 120 Stetson St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 15" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): / Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal El fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed b a Certificate of Compliance? attach a co of certificate ❑ Yes ❑ No g y -------- ----- ( copy ) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ec M 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is Hyannis Ma. 02601 3/04/2008 required for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural,integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle _ Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M a 120 Stetson Street Property Address' Ann O'Rourke Owner Owner's Name information is required for Hyannis , Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm,and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 ' Commonwealth of Massachusetts W Title 5. Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 120 Stetson Street Property Address .Ann O'Rourke Owner Owner's Name information is Hyannis Ma. 02601 3/04/2008 required for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): i 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.): - 120 Stetson St.-12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' ac ,M 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is 1 required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 3-single cesspools Depth—top of liquid.to inlet invert empty 6" Depth of solids layer Depth of scum layer 0 Dimensions of cesspool Frt.6'x8'.Rear 2-6'x8' r Materials of construction Indication of groundwater inflow ❑ Yes ® No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): . Privy(locate on site plan): Materials of construction: Dimensions Depth of solids 'Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Map Page l of 2 Town of .Barnstable Geographic Information System r Parcel Viewer ' Custom Map Abutters Map Size Zoom Out�, J In � F L b( K 7T T R. b("y �� ��^il - t2�w.�r��AL 'fir 3,��4��F.`i} s�``'�i �• 7777 I — �, yi f , 1 `` 4 I I I I , _ . o I I I I , I I I I I I t , I I I t I I I I , f . rrTo�a . Set Scale 1" _'20 " I, Aerial Photos *. rnn minhf')rN1FAM7 Tn..rn of Rorn0ohle KAA All rinhfe rac—, httd://www.town.bamstable.ma.us/atcims/appgeoapp/map.aspx?propertyID=306069&mapp... 3/6/2008 t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 120 Stetson Street Property Address Ann O'Rourke Owner Owner's Name information is required for Hyannis Ma. 02601 3/04/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ' ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of CP 8' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS.Observation Well Data.USED:Technical Bulletin 92-000-01 plate#2annual ranges of groundwater elevations. 120 Stetson St.•12/07 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 F THE Town of Barnstable OF Tp� Regulatory Services BM1N9rABM : Thomas F. Geiler,Director v$ atass 0 9. . � ATE Public Health .Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by.receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. Town of Barnstable �FTHE 1ph, Regulatory Services Thomas F. Geiler, Director BARNSTABLE, 9� MASS. Public Health Division ArE�Ma�A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 2/02/09 Designer: Shay Environmental Services, Inc. Installer: Manny Barrows Address: P.O. Box 627 Address: West Falmouth Hwy. East Falmouth, MA 02536 West Falmouth, MA On 1/27/09 _Manny Barrows was issued a permit to install a (date) (installer) septic system at 120 STETSON STREET, HYANNIS, MA based on a design drawn by (address) _ Shay Environmental Services, Inc. dated 1/13/09 (designer) XX_ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. 'Y , : y .,A (Installer's Signature) E. C11no esigner's Signature (Affi* 9�An mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form Property Location:120 STETSON STREET MAP ID:306/069/// Bldg Name: State Use:1010 Vision ID•24226 Account# Bldg#: 1 of-1 Sec#: 1 of 1 Card 1 of 1 Print Date:07/22/2009 10:17 OMAIOLO,MARK 1, 1 Level JPublic Water It JPqved Descriptioh. Code Appraised Value Assessed Value RESIDNTL 1010 145,000 145,000 801 30 BURNCOAT STREET Gas RES LAND 1010 107,700 1079700�2010 BARNSTABLE,A eptic VORCESTER,MA 01606 ,,.. `,SUPPLEMENTAL Df1TA Additional Owners: ther ID: Plan Ref. 215/31 Split Zoning Land Ct# Per.Prop. UP FY10-ADD PP.N5C#SR Res ExptApp Life Estate ♦ ISION DL 1 LOTS IA Notes: DL2 GIS ID: 24226 ASSOC PID# Totali 252,7001 252,700 �. PREYIOUSASSESSMEIVTS HISTORY , ;_, j;RECQRD O.F_O;WNER.SHIP,t: BKV,OL/PAGE,_SALE DATE..: /u ,v/..t: OMAIOLO,MARK L 23082/323 08/04/2008 U I 215,000 111 Yr. Codel Assessed Value Yr. 'Code Assessed Value Yr. Code Assessed Value ROURKE,ANN M,ESTATE OF 23082/320 08/04/2008 U I 0 111 2009 1010 136,000 008 1010 160,800 Z008 1010 160,800 ROURKE,ANN M 4895/307 01/15/1986 Q 1 140,000 2000 1010 173,500 008 1010 189,800 2008 1010 189,800 ROWDER,DALE S TRS 4738/320 10/15/1985 Q 1 105,000 EGERMAN,SAMUEL&MAE 1378/280 09/18/1967 U 0 Total: 309,500 Total: 350,600, Total: 350,600 ,; _, „EXEMPTIONS r.r`„ r a;•r ,,.a .F: OTHER ASSESSIVIENTSt ` This signature acknowledges a visit by.a Data Collector or Assessor Year T m e escri lion Amount Code Vescription Number Amount Conan.Lit. APPRAISED VALUE SUMM R Appraised Bldg.Value(Card) 142,600 „ ASSESSINGNEIGHBORHDOD r Appraised XF(B)Value(Bldg) 2,400 NBHD/SUB NBHD NAME I STREET INDEX NAME TRACING BATCH Appraised OB(L)Value(Bldg) 0 0107/A Appraised Land Value(Bldg) 107,700 a '-. Special r.,.•.:> .. _. :,,_.NOTES.,, ,. n s.. Land Value • 0 -BEDROOM HOUSE,ONE USED AS OFFICE Total Appraised Parcel Value 252,700 Valuation Method:. C J Adjustment: 0 et Total Appraised Parcel Value 252,700 t "t` :°B UILp ING PEhMIT t2E CORD: = JISLT%CHf1 NGE,HISTORY,,. T :�. .- Permit ID Issue Date T e Description Amount Insp.Date %Con: . Date m Co . Comments Date T� e IS ID Cd. Pur ose/Result 3/1/2002 PT 00 fleas/Listed-Interior Am LAND LINE VALU4 IOTN..SECT,ION v. ,..,a , ..._. Jl B Use Use Unit 7. Acre C. ST. # Code Description Zone D Fronta e Depth. Units Price Factor S.A. Disc Factor Idx Ad', Notes-Ad" S ecial Pricing d'. Unnrt Price Land Value 1 1010 Single Fam AIDL-01 RB 4 0.42 AC 124,000.00 2.07 5 1.0000 1.00 0107 1.00 107,700 i Total Card Land Units: 0.42JACI Parcel Total Land Area: .42 AC Total Land Value: 107,700 Prop-er(rLarrrtion: IN STETSON STII.EXT AMP ID-.-30610.6911 i Bft.Mane: itfte L'se_Iale N Visku ID:24-76 Aceonttd tli s'fdg i!: 1 of I sec.4r: 1 of i {ruYt 1 of 1 Pritrt dlate 07J21lZ4Q9 I U:77 - - - -�� ._tMATTRT: ICII;,�EY.ifL 1t:t31�33�aL�i)t � ;-� ri �femena Caf C a !e cvifrtimr T Ern e+e[ Cd. — Q _ 'hie t I atteh -" — - W Mudd ,1 � esitleaiial +ui[datiftn Ell oared Con C- i5 ,a 'rah. 9VCT2ge a- Bkdh Split Zil YEN St•,le 3izt:Adj1__ssrrior aril] l R i kuod on Slieatb nude su rot�[u! _1 et rnn e t 4 ' :xriar t;'ail 2 1fl10 rule i7am hEE3irt�I 14ft i� --`- ` FOP t Raof Structrue A 3 `[ .twf Cuecr 3 i AsyLfF���li atcri'll WPM I i$ n all+!! 8 13° r interior l@a_II 2 . Cd M�:irL$L'�� �'�i.�f�t�' eriorFli 1 12 ardssvvd rli-$as_Rate 3 96 G r U blef iorFlr 2 , 4 GAR Meat Tub 2 it 13.AS ~ Ieai'f}�e a drat Air Replace.Coe 7fi,141 +r 13MT 2 i U -i Yli i W . C f±ity l one 930�' g y [L` Twat}irarcassrs 3� Bt-drooHs ! ep Gods r W Tord lltlnrr, I - esriridd KatiuU 12 7 J I oG I I If€3aLhs ' i rea Rern[lMed r 2' - 1 foael xw.nxtrs .'T j r}P 10 '-3 aYa!Ro�rrs5 S Bomas unclioaal Obslac St 21 tC 14 Badi Stvie saerrr61 Obsinc K.it-h.-m Stale :rAt 3Yerd Factor �rpldi[tQn _ o compirte i [ -crall n.Crwid d I Apprsic Vat Ld2;fi40 -- ---------- ----- -- - -- "lt%Orf f l'hlr Cowmen, Oise Imp Gi•r .lise Imp On Conuncnl 7 tvLlrteOsa txassu c Apt m Clare t=rs r C tmrtut Y► IYJ lFiRiG'1�1xv l['i 'urf[. r escrlBf�Pu _irrb Drscrryf lints CJuit Prrae Pr- .anti -d-'a��dnr i a16w i MIA 'replace ( EtE 3,000.00 1989 1 i a j � rn l - '. No Photo on Record rn � n iZflrTt774S1I113= 41e4Si1'�1 S` Gt3C�A 4_ iLisnI nri�a _trrossArea W&Area V.9k Cast .3rlder+rk:c Pal se 0AS Firsi Floor i I,431 I,651 m 11n4r easenlenlArea 0 11651 6 PUP Opezi Parch {i 324 cv AR idttacbed Ga.ragc t1 297 ! N CV � -t lip Df-Grose frv11-vnsr Arnn:•t 1.6.i —a_9ra ----- --- 1 N c d c � p J , nY I. Town of Barnstable P# Department of Regulatory Services �oF1HVE rod Public Health Division Date ®g 200 Main Street,Hyannis MA 02601 BARNSTABM 9� i63q ,dg' (J 1°rforu. Date Scheduled (/J� Time Fee Pd. 40 Soil Sua ability Assessment for Sewage Disposal Performed By: Witnessed By: .:.�:... .. l�i�i�u:a:�:�:r�i4P:1:,.rf�::::::...:::..::....F:::...vn r�:r::r:..::��1:.::::.,::.......................:............:. v.......�....... .:....... ..: ..:.,:1....r...::,L.:.r..:..............r.:..........LI:.:......1...1..!.:.......r...r.........., L...:.:. ..r......:... ..1.r.....:.v......................i r.....:.....:....._..... .d..v.._. , r! :......._........ ..........:6:,,..:�:.::::::��.:.............rr.......a....... : ::..!., ::::.... ....................:............r......... .,........: .,:........:r. .. :r: �,. ..r I: I :r.ni L . ..... ....:..:a:r .r.... rC���:.. .. .....�1::..1..r..rr.L: ..:.... ...r ...... ..:........ .ua=':!�li�rl :rf. r. Location Address . :.:.'... r....!,::._,:.,.,.... ,:......: I,�u 1E;1 S6'r Owner's Name �n� © r 2CNELb[ Address S cly-0- Assessor's Map/Parcel: Engineer's Name QFM'o,c�, S� NEW CONSTRUCTION REPAIR Telephone# — Land Use S i 2f�t�F:C^ \ Slopes(°/.) Surface Stones 1j,14 Distances from: Open Water Body ft Possible Wet Area a57 ft Drinking Water Well AflR _ft Drainage Way 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) Lj Parent material(geologic) Depth to Bedrock r 0t)C)R- � 11 I�LQ to Depth to Groundwater:. Standing Water in Hole: i a Weeping f�ro gm Pit Face Estimated Seasonal High Groundwater .i.:.:r:.:.,r..::_::r:•.:r'.-.:.:r.....r::..:-�:,.:::.....e.r.r.,.,r.r.:...r.:_.:,.r!r.a::::_,:_.:D:.-...:.....;.-..:L;:.,...�:.vff::..r.r..:.r-..r�..r.:.:,:.:.-r.:.�rr: rr�::•r,•r:::.:�i,ri::,:::,r,:!,.I::.:' ,L-�, Ij .:.....I . PrniY.�!:.:.:I II;:l:j:hli il!�- 1:� 4- r . J i Method 19C o Depth Observed standing in obs.hole: �,l¢ in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: �;jLq ` in. Groundwater Adjustment ft. Index Well#Miw Reading Date: R' Index Well level _(o Adj.factor Adj.Groundwater Level D ..................... :.:!m!a!r!,u!L��!;!!;���!:!!r:!•:::;�L�!:::::�I!:�r:�:;:ivt;::��aitt;Ln;rya:n��:��;:!;:;a::�a�!a:�:::�::r;a:n�::;:;;:::;•;::::,:,:,::::::-�:::::�::,::::r::r:-::�:::-:::::�::::::-:::-:::-::::::.:!:::�:�_::-:-.,::::;::::::;.:;...,���!�:!::::!:r;;:;:::::.:::::;:�:::�::,:�:-:::::::::-::::::��:.:::.....:::�:::::::::::•:::::.:::�::::::r:,::.:: rr... r .::...:...:::.:....:........:..._._..r....:._...................c:...p.....,::en:::..:�...,._...r.r....!.......�:::.:.,.!.: :: _. re:_ .:. ....... .. ::.....I:::..r:.L:.r•r �.Ir....r.:.�_: '�i.l.r..:I:• I.L. ...................... .. ir..............:..:::.:l r...:r..:.....:..r.:.i...::r:r..:.,..:.:.:.....:,I....:...:r.I ....M.........:r..._.::..............._..............................1..................... .!0.I.!... ..4,,tf .:. ........ ...rc:r...L...........r..._.....:i..............r:..m.....r.r..r....:..._......r....:...r.r:. ....r_..._._.,......r.......:..:.1...:,r...+.....,�,.:..,...::.......:.c..r...r...crr:r:.r.:n•.::rrc. Observation i Hole# r Time at 9" O ti_ '1l Depth of Perc 34 5�1 Time at 6" p In Start Pre-soak Time @ f3:C6 P,1A Time(9%6") J ICE End Pre-soak Rate Min./Inch oZ N1P 1 ' Site Suitability Assessment: Site Passed X" Site Failed: Additional Testing Needed(Y/N) i' Original: Public Health Division Observation Hole Data To Be Completed on Back----=--- Q UEALTH/WP/PERCFORM z oa ct e :::: ... . Depth from Soil Horizon Soil Texture Soil Color ': Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consislencyw% i L 5 V ram, Cl crx.re-� >«.;:...D:.;L.:.L.::...P.....:> :BS: . H.....I...1I .I.....►.........L...:..:::.....::..:...:::.::::::::.:......... : . .::.:# : ... . Depth from I Soil Horizon Soil Texture. Sotl Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % d-(e 6L L 6x2Q-3 ��� 3fPi3� rkA sY W4 L6 ..... ........ Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistengy.o H.U:LE..L( ....::...::..... > :..:I .........:.:::....... . ...:......::.....:.................. 1. t ':::........................ Depth from Soil Horizon Soil Texture Soil Color Soil Other. her Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boul-deres. Consistency, r Flood Insurance Rate Map: Above 500 year flood boundary No Yes " Within 500 year boundary No Yes Within 100 year flood boundary No v Yes Depth of Naturally Occurring Ptrvious Material Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the area proposed for the soil absorption system? QS If not,what is the depth of naturally occurring pervious material? t— I Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environritental a tion and that the above analysis was performed by me consistent with the required training x is nd ex erience described in 310 CMR 15.017. Signature Date a✓��8 1G4sr�tedlsboae+r!' $ ' I _' 3-24'DIAM. ACCESS MANHOLES 4 ' 10' -6" - *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. 10' min. from � ------ Existing Foundation [house :� •y'�tW \ --�j g to septic tank `� �, o 1+lsurlaY 17a`3r"`� D-BOX cover must be •` \r TOP OF FOUNDATION = ELEV. 100.00 Septic tank *own must bs within 6 In. of finished grade within 6 in. of finished grade 1}�L�TJ7�JGH1 Grads over Septic Tank - 9675 �crade over o-Box - 96.00 -erode over SAS - 911.00 ESTABLISHED VEGETATIVE COVER INS `�_� 1� Mj ,rr••rt•�ts1e '-- i \\ INLET ` / ``/ \ / ( ou �._-�+ -- S 0.02 6 HOLE H-10 tie...,•',;• �,• ,...,..•,. .•.. ... ....,.,•. .. ... BACKFILL WITH CLEAN SAND MPO T won ,� T �- " i Y t •'•,h a Isr. BOX I , :' DISTRIBUTION BOX AND LEACHINGECOC TNEN � S»O.Ot 3 Max mum Cow +' �'' NATI R P N •+-�r•w. ••r,-r SHALL BE RAISED TO WITHIN v� �z Ca. :�.; s.. e: VE 0 ERC SAD �. .:• �'; 6" OF �i tf N W 4'PVC(CAPPED)INSPECTION PORT TO BE ' >�' 1.. 1" :.'••1. 1.; ( ) •:rr ► , J. v .,. r.' E v i' e,.+• r� �Y' r FINISHED GRADE. U , 5�0. s• it< 0 IN ADE �r N T AN BE MATH 6'OF GR I s ALLED 0 TO h' .�: •r. .t' �.. 1 00 GAL. '•,. :w�• - 5 s• � '•s.'. NEV PIPE •1 '�•a - 0 e• e�N M r••ti" •:. INF - 1 P t STEEL RE ORCED PR N R 5' oo 'tie• 'tie ECAST CO C ETE INSTALL TUF T1TE GAS BAFFLES OR A _t ���� EQU LS - t 'R... t� :•r ti f- P F NI VA N 6.TANK TO 0 U T ELE TIO 9 50 t�AT PTIC •,�. ':• - X T FUND ION SE i' �FROM E IS 0 'i:••' 'ti,'. 1 f� h ^I Y• c� '.: a '•v'� .': ON ALL OUTLET TEE ENDS 1Q •,� 'f f �'1 •. so ,..�:: PLAN VIEW !O Y• .r: •.,. :'v" •....:r ' t' sg5 4^li•'s 3` j. N - -- i, - coNCR�wALx-our a ,o rn INV. ELEVATION 96.25 ':�. .�;; .,.;:, `•+.'' 3-24• REMOVABLE COVERS - N N • i, r. �;•�i' o>�oos:Mlo�osow<colp oo�,siw 4.' ifo as d 6 In.of 3/4'-1 1/2' o II ro 26 `k -t.' na ri•a'iiues o r W compacted stone u u BOTTOM ELEVATION - 95.50 +' " •' 'I '= 4' t u 4 ROWS OF 6 UNITS AT 4'/UNIT t 2 END CAPS 26.00' min.deoronce Z SYSTEM PROFILE - _ INLET a mh.T' 2' min. inlet to outlet ••rah ,r •eET GENERAL NOTES o OUTLET BOTTOM OF TP-1.: = 87.00 i" ` 10.mine ��' ,4• 1. Contractor is res onsible for Di safe notification, VERIFICATION Not to Scale 6 in.of 3/4'-1 1/2' 5' MIN ABOVE BOTTOM OF » P g compacted stone TEST PIT OR GROUND WATER is : and protection of all underground utilities and pipes. EXISTING SUITABLE MATERIAL +; E NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE EFF. IiIDTX 12.70' 4'-id min. 2. The septic"tank anc� distri ution box shall be set ADJ. GROUNDWATER = ELEV. 90.40 !' Lpuld depth level on 6 of 3/4 -1 1 p2 stone. w „ 3. should be clean sand or gravel with no NOTE: PLUMBING TO BE RAISED BY LICENSE PLUMBER WITH PERMIT •� Backfill BOTTOM OF TP-1.: = 87.00 SOIL ABSORPTION SYSTEM (SECTION) ^. stones over 3" in size. ^'• "'�' +• • '"' '`''� 4. This s stem is subject to ins ection durin installation NOTE: PLUMBING TO BE COMBINED TO TIE IN THREE CESSPOOL AND EXIT AS SHOWN ♦Obs. Groundwater - Test Hole 1 Elev.= 87.50 INFILTATRDR QUICK 4 <H-10 LOADING)/ GEORGE O'BRIEN 10'-0• °' -°' b y ! P g ADJ. Groundwater - Test Hole 1 Elev.= 87.50 + 2.9 = 90.40 (Adj. Per CAPE COD COMMISSION) y Carmen E. Shay - Environmental Services, Inc. v PROJECT ADJ. Groundwater = ELEV. 90.40 (OR EQUIVALENT) CROSS SECTION END-SECTION 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan REMOVE & REPLACE-5 ALL AROUND NOTE: OVERALL HEIGHT OF INFILTRATOR IS 12" and Local Regulations. Note: Remove soil down to el.95.00 & replace with TYPICAL (H-10 LOADING) 1500 GALLON SEPTIC TANK 6. If, during installation the contractor encounters any clean coarse sand w/perc. rate less than or NOT TO SCALE soil conditions or site conditions that are different i or equal to 2 min./in. before & after placement from those shown on the soil log or in our design -May Substitute with 1500 gallon H-10 Polyethylene Tank-George 0 Brien Co installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 001, Date of Percolation Test: JULY 23, 2008 9. All Distribution lines shall be 4" diameter Sch. 40 NSF PVC pipes. i Test Performed By. CARMEN E. SHAY, R S., C.S.E. \ / 10. All solid piping, tees & fittings shall be 4" diameter i Results Witnessed By. DONNA MOIRANDI-BARNSTABLE BOH ' EXCAVATOR: Shay Env. Svcs. Schedule 40 NSF PVC pipes with water tight joints. Percolation Rate: <2 MPI ® 36" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Test Hole Test Hole Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS I - _ No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. '� ��•� / p 98.00 p 98.00 TRH PROPERTY LINES ARE APPROXIMATE AND Sandy Loom Sandy Loom COMPILED FROM THE PLAN BY THOMAS E. KELLEY, RLS 10 YR 3/2 10 YR 3/2 ENTITLED "Subdivision of Land in Hyannis, MA for MAE SEGERMAN", 0"-6" A, 97.00 0"-12" A, 97.00 DATES August 11, 1967 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Loamy Sand Loamy Sand IT SHOULD BE USED FOR NO PURPOSE OTHER THAN / -' --- '� 10 YR 5/6 10 YR s/6 THE SEPTIC SYSTEM INSTALLATION. i �•/ '' '�' 9 6"- 36" B s 95.00 12"- 36" B w 95.00 --ter__-- \`� �'� �'�' Medium Medium / Sand Sand NOTE: ANY STRIPPED OUT.SOIL CONTAINING LEACHATE - 26 Y 7/4 26 Y 7/4 FROM THE EXISTING Cesspools TO BE DISPOSED _------ \`� _-_ � 3s"- 132 C, 87.00 3s"- t32 c, 87,Op OF AS PER BOARD OF HEALTH SPECIFICATIONS. ---- ---------__ EXISTING Cesspools TO BE PUMPED DRY & 9s FILLED IN PLACE. 000 - ASSESSORS MAP 306 LOT 069 135.00' -__---__ Perc #1 ZONING - RESIDENTIAL o,� / i /� 98 Depth to Perc: 36"-54" Perc Rote= Less than 2 MPI - 1 I .' Groundwater Observed ® 126" LOT #1A • � MIW29/ZONE B - INDEX, = 8.6 for 7/25/08 I ADJUSTMENT = 2.9 FEET r WETLANDS ARE LOCATED WITHIN A 200' RADIUS _- 18,347 Square Feet +/- �' OBSERVED H2O Elev. = 126" or 10.5' below Grade OF THE PROPERTY. - --- ;_ ADJUSTED H2O Elev. = 7.6 below Grade er Frim ter P p 1 N UM IN T RA SED _ ._w „__,.�_...��,. .._.._.____ �_.;,w•-•---� __ _,^. _- I I OTE. Pl_ B G 0 BE BY LICENSE.PLUMBER WITH PERMIT / I NOTE: PLUMBING_TO BE COMBINED T�'TIE IN THREE CESSPOOL AND EXIT AS SHOWN; � -'----- '' ,. ALL OUTLET PIPES FROM THE DISTRIBUTION BOX SHALL BE x / / 1 Failed Failed SET LEVEL FOR AT LEAST 2 FT. 12" CONCRETE COVER 0Cesspool Cesspool ' - OQ ` _ 6 - 5" OUTLET �; �•, 2' LEGEND ;rrr.•. a..•. KNOCKOUTS / i' i W I , O W �' •i, 12" INLET ® DENOTES PROPOSED Vt Vl 15.5" OUTLET Y ~� 8X<7 c �' s" B. SPOT GRADE S2/ i FZ2�EXISTING r•.., :,..,;,,'. 2" X DENOTES XI 104.46 E STING �A9 9 I 1 / 15.5" 2 BEDROOM W 175- SPOT GRADE PLAN-SECTION CROSS SECTION HOUSE � � ; PL PROPERTY LINE #120 w % 6 HOLE DISTRIBUTION BOX PROPOSED CONTOUR o I I f4' I i I NOT TO SCALE I I 97- - - - --97 EXISTING CONTOUR Design Calculations DEEP TEST HOLE & NEW I C.. I ; PERCOLATION TEST LOCATION 15 ti gal. I I t Number of Bedrooms: 2 Equivalent to 220 Gal./Day (330 toL/Day Min. per Title V) t I t Septic Tank I o i tt PROJECT BENCH MARK Garbage Grinder: No 1. I I f Leachin Ca acit Pro osed: 330 Gal. Da Minimum Min. Per Title V 0- --0 FENCE TOP OF FOUNDATION 9 P y P / y ( ) t TEST HOLE #1 t 0 I �;! Septic Tank 2 x 330 Gal./Day - 660 USE NEW 1,500 .GAL. Septic Tank. / I ELEV. = 100.00 (Assumed) SOIIL ABSORPTION AREA: Usin ercolation rate of <2 min. mch PRIVATE DRINKING WATER WELL ELEV.= 98.00 I I � 9 P /' 7 EXIST. ` I I Bottom Area: 0.74 gal/sq. ft. x 490.88 sq. ft. _ . 363.25 gallons ASPHALT i \\` Sidewall Area: NOT USED i. - ` Providin = 363 25 allons REVISIONS DRIVEWAY g' g / INSPECTION PORT I ,J Failed I I c - Use: 4 ROWS OF 6-OUICK4 STANDARD CHAMBER UNITS WITH 140 r / 26 IS Cesspool i I O STONE FOR AN SAS HAVING THE DIMENSIONS: 1 .7' x 26.0' N0. DATE. DEFINITION TEST HOLE #2 I I 2 `ELEV.= 98.00 I I Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATOR 6 UNITS + 2 END CAPS per ROW = 26.0 FT ;��� I I e 4 ROWS x 26.0 x 4.72 SFAF = 490.88 135.00 - _ PF DESIGN FLOW PROVIDED: 0.74(490.88 S.F.) = 363.25 GPD - c ` --- ----------------------\t1 ---' , ` L----------------------------------------- -= ----------------------------- s r � I STETSo.zv s � EET PREPARED FOR e PROPOSED (40 FOOT RIGHT OF WAY) SUBSURFACE SEWAGE DISPOSAL SYSTEM 9 OF M R MARK TOMAI LO # 120 STETSON STREET REMOVE & REPLACE-5' ALL AROUND Note: Remove soil down to el.95.00 & replace with HYAN N I S, MA clean coarse sand w/perc. rate less than or #730 BURNCOAT STREET or equal to 2 min./in. before & after placement WORCESTER, MA 0 1 006 Bedroom Bath K D Wing/ �J Oc PREPARED BY: Bath RM�'N �'. ,SH�4 Y GARAGE 0 20 40 50 L ENVIRONMENTAL SERVICES, INC. �r Living Room . c' 185 ASHUMET ROAD Bedroom Room STI �'o MASHPEE, MA 02649 SCALE: 1 "=20' `� 8 ANITaq\P"' Porch ` TEL/FAX : 508-539-7966 2 BR HOUSE FLOOR SCHEMATIC SCALE: 1 "=20' a DRAWN BY: CES DATE: JANUARY 13, 2009 (Description BY Owner) PROJECT#SD-1117 ILENAME: SD1117PP.DWG SHEET 1 OF 1