HomeMy WebLinkAbout0065 STRAIGHTWAY - Health 65 StraightVANNfay
Hyannis P
267149
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sue, TOWN OF BARNSTABLE pp tf'-3D9'
LOCATION SEWAGE #
VILLAGE lLo 5 ASSESSOR'S M�A�P+ & LOT
INSTALLER'S NAME&PHONE NO. tpf
SEPTIC TANK CAPACITY ti
LEACHING FACILITY: (size) . }
U NO. OF BEDROOMS
/BUILDER OR OWNER c
I . PERMITDATE: L21 Ld COMPLIANCE DATE: ad _
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
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TOWN OF BARNSTABLE
LO(CATION Samox4,�U�A SEWAGE #
VILLAGE `' ► -f\J ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. `
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) OV NLV —4 Cg��ao1 (size) 1C �1ffi �oe�x
NO.OF BEDROOMS 3 r
BUILDER OR OWNER �co�w►v�
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DATE: �O lcia�5�[' COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the B"tiam of 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) N��. Feet
Furnished by G�C�27
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Commonwealth of Massachusetts
W Title. 5 Official Inspection Form
Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments
M
65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
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: A. General Information
When filling out
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
f� P.O.Box 763
Company.Address
Centerville Ma. 02632
City/Town State Zip Code
(508)428-4028 S 14454
Telephone Number License Number
B: Certification
I certify that I have personally inspected the sewage disposal system at this addres and tt theme
F....
information reported below is true, accurate and complete as of the time of the rns-ection. T to In ectlon.
was performed based on my training and experience in the proper function and mlintenanlce of cb,site
sewage disposal systems. I am a DEP approved system inspector pursuant ectionc1P.340bf
tp
Title 5 (310 CM.R 15.000).The system:
® Passes ❑ Conditionally Passes ❑ F -= VY
Fa
ro
❑ Needs Further Ev luation by the Local Approving Authority 01
U1
a _
f 12/13/2007
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner ,
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under,,
the same or different conditions of use.
65 straightway rd.•08i06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
• 3
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
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 in proper working order at the present time.
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
65 straightway rd.•08/b6 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis . Ma. 02601 12/13/2007
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 pipes) are replaced
❑ obstruction is removed
ND Explain:
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health,.safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is.functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
65 straightway rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
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:
Y pp Y
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 ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
El ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
65 straightway rd.•08/06 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
65 Straightway Rd.
Property Address
Anthony Collucci'
Owner Owner's Name
information is Hyannis Ma. 02601 12/13/2007
required for H Y "
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory, for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ❑ The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ❑ The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the.Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ® the system is within 400 feet of a surface drinking water supply
❑ E the system is within 200 feet of a tributary to a surface drinking water supply
i
❑ ® 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.
65 straightway rd.•08/06 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
c�M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 .12/13/2007
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done.You must indicate "yes" or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large-volumes of water been introduced to the system recently or as part Of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)'
® ❑ Was the facility or.dwelling,inspected for signs of sewage back up?
0 El Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
El ® 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)]
65 straightway rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15
r
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
° 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 0
Does residence have a garbage grinder? ❑,Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 2007:63,000'
g ( y g (gpd)): 2007:63,000
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):
65 straightway rd.•08/06 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
65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is Hyannis Ma. 02601 12/13/2007
required for Y _
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: ,,
f
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow.cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known)and source of information:
new leaching 2004
Were sewage odors detected when arriving at the site? ❑ Yes ® No
65 straightway rd.-08906 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 16
t
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)-
Building Sewer(locate on site plan):
3'
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: 3' cover 1'
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: 1000
71'
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
23"
3
Scum thickness
Distance from top of scum to top of outlet tee or baffle 8
Distance from bottom of scum to bottom of outlet tee or baffle 12
How were dimensions determined? measured
65 straightway rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007.
every page. City/Town State Zip Code Date of Inspection
� 1
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.):
Pump septic tank every 2-3.years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank
appears structurally sound.
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):
65 straightway rd.-08/06 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 65 Straightway Rd.
Property Address
Anthony Co►lucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
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 No
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.):
Box is level.Bow has two outlet laterals with equal distribution.No evidence of solids carryover.No
evidence of leakage.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
65 sdaigfitway rd. 08706 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15
i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
>� M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma.' 02601 12/13/2007
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.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type.
❑ leaching pits number:
® leaching Chambers number: 2-500LC
❑ 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,):
Sandy dry soil.No signs of hydraulic failure.Leaching Chambers were dry at time of inspection.
65 stmightway rd.-OS%06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information"(cont.)
l
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
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.):
65 straightway rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15
Map Page 1 of 2
Town of Barnstable Geographic Information System
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http://www.town.bamstable.ita.us/arcims/appgeoapp/map.aspx?propertyID=267149&ma... 12/14/2007
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 65 Straightway Rd.
Property Address
Anthony Collucci
Owner Owner's Name
information is required for Hyannis Ma. 02601 12/13/2007
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
,.} ❑ Check cellar
❑ Shallow wells
Estimated depth to ground water: Bottom of LC 15'
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:
As-Built Card
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
USED:Gaherty& Miller model 12/16/94 ground water elevations.USED:USGS observation well
data.USED:Tevhnical Bulletin 92-000-01 plate#2 annual ranges of ground water elevations.
65 straightway rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
No. UpV vv Fee� `
THE COMMONWEALTH OF MASSACH SETTS Entered in computer: Yes
�X..,
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYtcatton for Mtgpo at *pftem Con.5trurtton Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) El Complete System
, El Individual Components
Location Address or Lot No.� ��A� Owner's Name,Address and Tel.No. '41-4y,4 O1&ZI
Assessor's Map/Parcel 1 ,�9 f' �� ~ 0�,fAw/a-,
Installer's ame,Address,and Tel.No. �, ,G j��/»iDi1l Designer's Name,Address and Tel.No. k-C.�'�'�P S3
83 zar - .S&No�vlch,�� Oas' E 111f n c�7�s
Type of Building: 1
-
Dwelling No.of Bedrooms Lot Size l �sq.ft. Garbage Grinder( )
Other 1 Type of Building S1 V-1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 33(] gallons per day. Calculated daily flow 33 gallons.
Plan Date 0 1q jcm Number of sheets o2 Revision Date
Title
Size of Septic Tank 1 SM !4611 I Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i e by t ' of Healt
Signed Date �l "
Application Approved by Date -2/ —CO Y
Application Disapproved for t e fo owing reasons
Permit No. ;t b d q- 3 d* Date Issued Je
t `
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN.OF BARNSTABLE., MASSACHUSETTS
rication for Mitpo at, pgtem Con,5tructiou Permit
Application for a Permit to Construct( . )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
i
a
t
Location Address or Lot No. Owner's Name,Address and Tel.No. /ql,4,IX /�/��i��
Assessor's Map/Parcel � 1, V / �w• r7lO f/
2 6 7 `tf �D� 191q0-
Installer's ame,Address,and Tel.No. S�,PE' �XlR/l� fi/�/ Designer's Name,Address and Tel.No. s--Dg-L11)- S31---!>
n n W,-Y ILS l
%w- 9300CQ c
Type of Building: ;
Dwelling No.of Bedrooms 3 Lot Size 10,in sq. ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
t Design Flow 33(D gallons per day. Calculated daily flow 33 gallons.
Plan Date (9119 Ion-( Number of sheets Revision Date
Title- _
Size of Septic Tank J CC) GQ 1 y(-) °, Type of S.A.S. f^ DU `� C U r C
Description of Soil
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Nature of Repairs or Alterations(Answer,when applicable)
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Date last inspected: j
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 E� nvironffLeyLtal Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss-aied by this:Braird of Healt �
Signed DateCr� �
Application Approved by �y own 2I Date
Application Disapproved for t1ie fo owing reasons
Permit No. �b U Ll-'3 4 Date Issued C b L/
f, ---- --- --------------- —---------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
- Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( ' ) Upgraded( )
Abandoned( by !
at has been constructed in accordance
with the'provisions of itle 5 an the for`Disposal System Construction Permit No. Q ua y -3'a dated � / //()o/
Installer Designer
The issuance df thi permit shall not be construed as a guarantee that the-sy willu ction as d i ned.
Date � a y l,/ Inspector
No. f)U L/ Fee J U -
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Miopo$aY *pgtem Con!6truction Permit
Permission is hereby granted to•Const� t( )Repair(�)Upgrade( )Abandon( )
System located at � Y44r- cs. �^J
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of ,h, ermit
t 1.
Date:_. / a// Approved t Lll `'✓� fi
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Town of Barnstable
�`"�' Regulatory Services
• Thomas F. Oeiler,Director
MAMMA LX
""` / Public Health Division
\�a � 'Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: __
Designer: � „�� Ch '— Installer: lit S+CJ6
Address: 1Z S P-e kd Jw► Address: ` k> O t �
r
On _ _ was issued a permit to install a
(date) (installer)
septic system at � rrA Y►4cr�o�,. i based on a design drawn by
(address) g
dated 1 ►l0� �.��
(designer)
y 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 v cal relocation of any component
of the septic system) but in accordance with State &� .;, Regulations. Plan revision or
certified as-built by designer to follow.
P
WENM
OVIL
( is_ er's Signature) �loo
esigner's Signature) (Affix Designer's Stamp here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THfIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THAINK YOU.
Q:flealth/Septic/Designer Certification Form
TOWN OF BARNSTABLE �2 po
LOCATION C'� �/L�y�� ``44 SEWAGE #
VIIrLAG �,2it,lLo 5 ASSESSOR'S MAP &LOT �a67
E �
INSTALLER'S NAME&PHONE NO. Ig 5���� Y WY/. ��oo
SEPTIC TANK CAPACITY \`'�
'" LEACHING FACILITY: (type) ' h o!� G�L�®n-g (size)
I
NO.OF BEDROOMS 3 `
BUILDER OR OWNS CoC
PERMIT DATE: Z 1 d COMPLIANCE DATE:
Separation Distance Between the:
I
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
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TRUSSCO, INC. WWW.TRUSSUS.COM e-mail: Scott@trussus.com
JOB NAME: JOB #
LOCATION: SHEET OF
SALESMAN: BY DATE
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COMMONWEALTH OF MA.SSACHUSETTS 0tl
EXECUTIVE OFFICE OF ENVIRONMENTAL R
6DEPARTMENT OF ENVIRONMENTAL PRO ON�VN 49
ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 9�
WUJ IAM F.WELD y UDY CORE
Governor Secretary
ARGEO PAUL CELLUCCI DAVID B. STRUHS
Lt. Governor CommissionerSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
M A-P PART A
�� pl CERTIFICATION
Property Address:) (i5 `J UAL J-`T 1->'- \ 1,4('wt`,N 1�:, Address of Owner:
Date of Inspection: VA P `C-,C, (If different)
Name of Inspector: 1 tt-mr�t ���1�L b �:
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: T 1 `� L. V y
Mailing Address:
Telephone Number: t1
t4
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and"
complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function.and maintenance
of on-site sewage disposal systems. The system:
VPasses
Conditionaliv Passes
Need Funhe a ati n y th Local Approving Authority
_ ils
Inspector's Signature: Date:
The System Inspector shall submit a copy of this inskction report to the Approving Authority within thirty (30) days of completing this inspection.
If the system is a shared system or has a design flow of 10.000 gpd or greater, the inspector and the system owner shall submit the report to the
appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the
buyer, if applicable, and the approving authority.
INSPECTION SUMIIIARY: Check A, B, C, or D:
A] SYSTEM PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. 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.
Indicate yes. no. or not determined (Y. N, or ND). Describe basis of determination in all instances. If"not determined", explain why not.
The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty(20) years prior to the date of the inspection.-Or the
septic tank. whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure
is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved
by the Board of Health.
(revised 04125197) P2ge I of 10
r Z SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued) .
t-, 1
Property Address: �
Owner:
Date of Inspection`:
B] SYSTEM CONDITIONALLY PASSES (continued)
_ \ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or
due to a broken. settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health).
\\�escribe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The s tem required pumping more than four tirr.es a year due to broken or obstructed pipe(s). The system will pass inspection
if(with pproval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C] FURTHER EVALUATION IS QUIRED 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 the
public health, safety and the env' onment.
1) SYSTEM WILL PASS UNLESS ARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONZ\G IN A
MANNER WIUCH WILL PROTE T THE PUBLIC HEALTH A.N'D SAFETY AND THE ENVIRONMENT:
_ Cesspool or privy is within 50 et of a surface water
Cesspool or privy is within 50 fe t of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BO OF HEALTH (AIN'D PUBLIC WATER SUPPLIER, IF APPROPRIATE)
DETER.M1N THAT THE SYSTEMIS IONL\G IN A A1ANNNER THAT PROTECTS THE PUBLIC HEALTH AND
SAFETY AND THE ENVIROIN'MEI T:
The system has a septic tank and soil absorp'on system (SAS) and the SAS is within 100 feet to a surface water supply or
tributary to a surface water supply. �
The system has a septic tank and soil absorption\system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption stem and the SAS is within 50 feet of a private water suppiv well.
The system has a septic tank and soil absorption syst m and the SAS is less than 100 fee[ but 50 feet or more from a private
water supply well, unless a well water analysis fcr co' orm bacteria and volatile organic compounds indicates that the well is
free from pollution from that facility and the presence (ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm.
Method used to determine distance (approjmation not valid).
3) OTHER
(revised 04/25197) Page 2 of 10
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:
Owner:
Date of Inspection:
D] SYSTEM FAILS:
You must indicate either " s" or "No" as to each of the following:
I have determined t at the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for
this determination is entified below. The Board of Health should be contacted to determine what will be necessary to correct the
failure.
Yes No
Backup of sewag into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or pondin of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
Static liquid level in thXdiribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspothan 6" below invert or available volume is less than 1/2 day flow.
Required pumping more than 4 tinl s in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped _.
Any portion of the Soil Absorption Syst , cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 00 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is within a ne I of a public well.
Any portion of a cesspool or privy is within 50 feet f a private water supply well.
Any portion of a cesspool or privy is less than 100 feet• ut greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been an yzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nit gen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
You must indicate either "Yes" or "No" as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater (Large Sy m) and the system is a significant threat to public
health and safety and the environment because one or more of the following condition exist:
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 -IW ) or a mapped Zone U of a public
water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groun water treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04125/97) Page 3 of 10
N
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:�� 5 ► TNT
Owner: K'Aj J w t ti
Date of Inspection: f U l� /5
Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following:
Yes No
� Pumping information was provided by the owner, occupant, or Board of Health.
None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water Gave not been introduced into the system recently or as pan of this inspection.
As built plans have been obtained and examined. Note if they are not available with N/A.
The facility or dwelling was inspected for signs of sewage back-up.
_ The system does not receive non-sanitary or industrial waste flow.
_ The site was inspected for signs of breakout.
All system components, excluding the Soil Absorption System, have been located on the site.
7C _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, natenal of construction, dimensions. depth of liq
uid. depth of sludge. depth of scum.
The size and location of the Soil Absorption System on the site has been determined based on:
The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-
Surface Disposal System.
u _ Existing information. Ex. Plan at B.O.H.
Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable)
[15.302(3)(b)J
(revised 0-4/25/97) Page 4 of 10
S •k
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Propert Address VT 1Sr(?1 0T—t- ',
Owner:w1dwlN Date of Inspection:/J/e/9 b
FLOW CONDITIONS
RESIDENTIAL:
Design flow: p.d./bedroom for S.A.S.
Number of bedrooms: 01�>
Number of current residents:
Garbage grinder (yes or no):�
Laundry connected to system es or no): Ut
Seasonal use (yes or no):T
Water meter readings, if available (last two (2) year usage (gpd): C)
Sump Pump (yes or no):�
Last date of occupancy: Sk v}
COMMERCIAL/IN MUSTRIAL:
Type of establishment: `
Design flow:_gallons/dav
Grease trap present: (yes or no)_
Industrial Waste Holding Tank present: (yes or no)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INTOR.MATION
PLTIPLNG RECORDS and souref of information:
p df 5 WynAL14
System pumped as part of inspection: (y s or no)_.LA)
If yes, volume pumped: Gallons
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)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source,of information: J� f 7Y dwr w!Z-
Sewage odors detected when arriving at the site: (yes or no) fN
(revised 04125197) Page 5 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F RM
PART C
INF
ORMATION FORMATION (continued)
Property Address:
Owner:
Date of Inspection:
BUILDING SEWER:
(Locate on site plan)
Depth below grade:
Material of construction: _cast iron_40 PVC _other (explair)
Distance from private water supply well or suction line
Diameter
Comments: (condition of joints, venting, evidence of leakage, etc.)
7-
'SEPTIC TANK:_
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _Fiberglass _Polyethylene other(explain)
If tank is metal. list age _ Is age confirmed by Certificate of Complianc _(Yes/No)
Dimensions:
Sludge depth:
Distance from top of sludve 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 dimensions were determined:
Comments:
(recommendation for pumping. condition of inlet,and outlet tees or hhffles. depth of liquid level in relation to outlet invert, structural integrity.
evidence of leakage. etc.)
GREASE TRAP:
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _Fiberglass Polyethylene _other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee.or ba fle:
Date of last pumping:
Comments:
(recommendation for pumping, condition of inlet and out t tees or baffles,depth of liquid level in relation to outlet invert, structural integrity.
evidence of leakage, etc.)
(revised 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:
Date of Inspection:
TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection)
(locate on site plan)
Depth below grade:
Material of construction: _concrete _me 1 Fiberglass _Polyethylene other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level: Alarm in working order_ s; _ No
Date of previous pumping:
a;w
Comments:
(condition of inler tee. condition of alarm and float switches, a .)
)ISTRIBLTION BOX:
(locate on site plan) —
Depth of liquid level above outlet invert:
Comments:
(note if level and distribution is equal. evidence of solids carryover, evidence of leakage in or out of box, etc.)
PUMP CHAMBER:_
(locate on site plan)
Pumps in working order: (Yes or No) '
Alarms in working order (Yes or No)
Comments.-
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revucd 04/25197) Page 7 of 10
' 1 �
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
t,� SYSTEM INFORMATION (continued)
Property Address: &jI) vR J��"
Owner: 60-Ou t ej
Date of Inspection:10I f0+h'D
6
SOIL ABSORPTION SYSTEM (SAS):
but may be approximated b non-intrusive methods
ossible• excavanon not required, b )
(locate on site plan, if p q Y pp Y
If not determined to be present, explain:
Type:
leaching pits, number:_
leaching chambers, number:_
leaching galleries, number:
leaching trenches. number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
Name of Technology:
Comments:
condition of soil. signs f h draulic failure level of ondin , condition of ve a [ion, etc.)
(no[e y p g g
r
vac T SA t vr., &— �6 It lVL
CESSPOOLS:. tt S
(locate on site plat) `l
Number and configuration:
Depth-top of liquid to inlet invert: �"
Depth of solids layer:
Depth of scum'layer:
Dimensions of cesspool: (oX1
Materials of construction: uof(I at— or,L'
Indication of groundwater: tifl
inflow (cesspool must be pumped as part of inspection)_ VCC&S R)WtDjt✓s
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY: _M
(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.)
(revised 04/25/97) P2,4e 8 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 1l S S�11 t414.rwc,�,`
Owner: >MA—tN
Date of Inspection: l i C6l ct
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
1
f
(revised 04125/97) Page 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: (ast°���^rWc�t
�
l
Owner: go— & k'"
Date of Inspection: 6, 1 C,2
l D
Depth to Groundwater! � Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observation of Site (Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators, installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation. Must be completed)
U S cacv105tcJ 2V'j� "Ct ok 2Nw-'s-k-ic,^V1aw 4.A-- (00Z g1w 3(y
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(revised 04/25/97) P2ge 10 of 10
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TOWN OF BARNS,TABLE' BAR=W 1,'®i
r Ordinance or Regultion ' A, f Y '
a ,err J r ,,: - �,, t• _ ,
TiTARNING NOTICE'
Name` of Off.'ender/Manager, ' C�:4C., ..:• ,c,�r� t �: :t i F 4 dob
Address ° "Offender ; �_ �1 i•Z: is _��;:% �. ��zE __ .M�7%MB
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Business `Names
• Bus� ness.�,Address • �. ,,,'.. _ ,r, ���, �4� . �'h_�
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atur_.e of Enf ;ci�n;g; `Officer
a ,;-� � '�°„ • �� ., � :•
�- ' Vi-1"page%Sitate,/Ztipx � ,;l � , , ,: � t • ��1 ,,.
Location ,of 'Offense. ��1;:< �` ,_1E , ',1
{. Enforcing' ,De /Divs, on
„ . -
Off,ense; � , t
FaC'It S �, .1�I .` �C C'w ��7)K' _S E:_._L' i _`" 1 '`I( �..1' iv: 1 ,.�.<'t.f - ~
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It, is tfie, gda-t of Town agen'cges to l achieve I.1voluntary- compliance of *6-fi`
This will serve onl aslaF :warnin At this time no legal action has-been
-'
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Ordinances, Ruhesi and Regulations Education efforts and'' warning notl'icesi iare:'
aPpropriate, egal action by ith_e Town q. I I in attem ts. to !gain'' voluntar com Hance S ',b.se uent viola'tion�s wily-1 result
e WHITE OFFENDER CANARY iORD/REG PROG PINK"-ENFORCING OFFICER GOLD';ENFORCING
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TOWN OF BARNSTABLE BAR-W 3783
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager r .1
Address of Offender_! 4 MV/MB Reg.#
5
Village/State/Zip 4
Business Name ri -( ',,tam/pm; on it
20_i
Business Address 5 A
Signature of Enforcing Officer
Village/State/Zip
Location of Offense .�.: t.
Enforcing Deptl/Division
Offense.
Facts �+��.. t y, x• 'r3.. e t �t k. " a r� r. . .a
This will serve only as a warning. At thistime no legal action has been taken.
I't ,.is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts. to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY=ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
0 .7y
� V 4
M
---- ...........
o u1, ,41 THE COMMQNWEA1_TH OF MASSACHUSETTS
of BOAR® OF HEALTH
11� F
Appliratiun for Uiipuual Works Tunitrnrtiun jIumit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
.....S'.�p�-4t41,�. .".��19-?--'.....-..�_ '�/9�t.��.t '.�- ------------------------------------4.0..F------Zd............................
atio -Addre s or Lo No.
..: i � �z, ...... .. �°......---•----------------- ----•- _.. .. f! ...........................
� Address
14
14 Installer Address
d Type of Building Size Lot.//O..Aa------Sq. feet
U Dwelling No. of Bedrooms .............................Ex Expansion Attic a g— p ( ) Garbage Grinder (Md
aOther—Type of Building ............................ No. of persons.....................--.---. Showers ( ) — Cafeteria ( )
Otherd fixtures ----------------•-•--------••---•----•••--.•••. . . • .. ----------••------•--•----••••------••----------•---•....------------------
.,.Design Flow........ /�.......................gallons er r�day. Total daily flow.........3. 0....................gallons.
WSeptic Tank—Liquid capacity./0 gallons Length _.__.r_ Width.'Y_MCP._... Diameter................ Depth. __�..-�
x Disposal Trench—No..................... Width.......!............ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.......�......... 'ameter..-e-7............ Depth below inlet..,5............... Total leaching area..4Z ..sq. ft.
Z Other Distribution box ( Dosing tank ( )
a Percolation Test Results Performed ...G.1,605VA.h... �_se Date-AP,244..._...3__/1-:?9'
,.a Test Pit No. 1../.�4--.-.minutes per inch Depth of Test Pit....L!.......... Depth to ground water---&,aAj.G:_.....
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ---•----------------------------------------------••---..--•---------------------------- -------
------
.......
--------
.............
...............4 ...
If
V ...........--•-------•--------•---•--•••.....-`� cr` c......_.cevv&.!S e•----•.....alPh!_Z�. .......................................................
W
--------------------------------------------------------------------------------------------•----------------------------------- --------...---------------•-•---....----------•-•-----•-----••--..-•--
U Nature of Repairs or Alterations—Answer when applicable................................................................................._......._......
----------------------------•---------------•-------------...-----•--••••----.._.._..........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITIl 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance had been issued by the board of health.
Signd.- ---------- •--•••-----------------.........................:.................. ................................
�o D to
Application Approved By........
�% ._.._ . . .
Application Disapproved for the following reasons: ---------------------------------------------------------------•-•----•--•-----Dat....................
--•-•-•---•----------------------------------------•--------------------...•...------------------•----------•-•--•-••------••--------•--•--•-•-•-••-----•---------••-••-••------•-•••••-•-•---•...------
Date
PermitNp......................................................... Issued.......----•-: Z--�----•------------
Date
1
Ofa
No............S .
F>s............._..........:..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
[ ... oF.............
3. ....................
Appliratiun for Diipuual Works Tuntrurtion rrmi#
Application is hereby made for a.,Permit to Construct ( ) .or Repair ( ) an Individual Sewage Disposal
System at:
---------------------------------•-- --
{{ ation-Address or Lot No ••-
1.
Owner Address
Installer -
U/ :Type of Building Size rLot_1_�_(.4___Z�____Sq. feet
Dwelling—No. of Bedrooms........._:_:_____________________________Expansion Attic ( ) Garbage Grinder (ive)
Other—Type e of Building ersons____________________� YP g ----_---•----•-----------___ No. of p •-_-_--- Showers ( ) — Cafeteria ( )
Other fixtures ___________________________
I �at;ehpt: ,.::
Flow
. Total daily
Design
Tank-LiquidpacityaDgalloo ss p Length''. �yWidthrfl�Diamete .__. lle th_ 'r
W P
x Disposal Trench—No_ ___________________ Width.................... Total Length.__:_,. ___..___.___ Total leaching area_-___...............sq. ft.
Seepage Pit No._.__._r!' ____.:___ :iameter___42...K.__...__ Depth below inlet...".:....._. Total leaching area..___ .-sq. ft.
Z, Other Distribution box ( Dosia tank ( )
Percolation Test Results Performed by- 0^jAc,b___A n.... 1A**K0.__A0.2G_. Date._/P AA 4....._.
Test Pit No. 1__.:_24:____minutes per inch Depth of Test Pit____ _ __ ______ Depth to ground water___Vvitt_trr.__.
fA Test Pit No. 2................minutes per inch Depth of Test Pit___ ...... Depth to ground water........................
............................................----•----•------.-----.....--••---•.....................
D Description of Soil...........0.r V_'`___.___ .lJ_ +'
' '! ............•-------------------------------- .......
{
x .............................................................. -
U Nature of Repairs or Alterations—Answer When applicable................................................................................................
-------------------- ---•--•----•-• --•---._
= ------------------•-----------
v
Agreement: µ '
The undersigned agrees to instl 'tie aforedescribed individual Sewage Disposal System in accordance with
f'1T �--�
the provisions of LI,�•1 1 .,. 5 of the State.S nitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sign d 0A,
I
-- --------••- -----••--•----- •-------
;h Application Approved B (.�`�` t��----..._.._.
PP PP Y ;: ............... .._.
4ti "`r Application Disapproved for the following reasons. .__`.... '_.................................._........................_.................................
...-•------------------------••--------••--------•--••-••-•-•-•-•-••-•-•-•---•-•--••-•-••----•••---••--••--••---•------•••......-••------•-
{ -
Date
Permit No................. -• Issue :------•--•-_:.:•-••••••-•---••------•.......---•------
r' Date
THE COMMONWEALVH OF MASSACHUSETTS
11 %
? BOARD. OF HEALTH
..........-O F.....
i� ..........................................................`
`0 (9rdif iratg' of hunt rli nr�e
THIS IS TO CERTIFY, That th Iny�i ual Sewage�Aisposal S hem constructed ( ) or Repaired
. .... _ _... -• •..---_-_. -•.----_• ---.......-•-.-••..----•____...._
t Inst er
has been Installed in accordance.with the provisions of T " 5 of The State Sanitary Code as described in the '
application for Disposal Works Construction Permit.No' ......./ ---•----------. dated_"111: -. .7...7 -----•---•-----•- ,
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE l
SYSTEM WILL FUNCTION SATISFACTORY.
DATE ...........---•-..__. `...... Inspector._..__ ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALT
.
No....... FEE...:::.:................
orku
Perrriiss on is hereby granted__.____. J s!�::____........ t ....1 ............. .. -__
. ....
to Construct ( or Re air ( ) an In,
al Sew ge Dlspos�l System
r
4 , I ,
Street ,rr�
as shown on the application for Disposal Works Construction P t N Dated.... o/..'� ................
ww �•......................•-•--_...._
Board of Hea 1.,rt
DATE........................................................... ------
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
�a+, LDT 15 HOLE
iIB : tJ D 37+1 TEST HOLE
9041.
APRIL• 3 , 19 '73,
1
1 I PAUL MURRAY _ INSPECTOR
L AC N P1T ots'r,
394.5 s s ELEV. 3 5,
TANK G- w24 LOAD; AND
35t6
o - is
F ,t PfRD P TEST- a4 `-.144/`. C&AR SE
LOT i 6'
_ 38 39+6
3634
PROP £L.E V.
LOT l(o IN Q LJ A T.E.R E N CO L1 N T E f?C D
en�E+ , io 2 70W)',1: b-)ATEK A VA.IL-A 13L.,
iE
I C. Q ELEV. .- PU'a LiC D��:tN .�
. -
M/nJ/�!I G.�Z7 •
A 4 T�
. P20 F'O SED
' � L3ED1zOOMS -
SE P T/C 5 y5 TEM .COAJ5 7-2 UC T/ON
SHALL CpNF02M TO MASS . DES/GN FLDGI/ 3Q_ Ga��tj,4 y
G-n/V I eONiyENT/4L CODE. %iTLe_ Y
,eEVIS 7-/ 77f -C 24E. . . //VfA/P/ZOrOS�D /ffL
.�EQU/!['ED LE�CN
" TOP C./G<1 Ti O NS
iFov/Vo.A7--1cAf
„OF PE,4 STO/V�
j8• S /�AnJfIOLE Cor/ETz Tp ->CTEnID 7-C) /�I�El2V/DU5 CDt/E�,
WlTNiA/. /' c�F F•/^//Sf/ED `C7/GAD TO. .a2GVE/vT
� .c20M /A/F/L'T2AT/�/6
:5 70AjE
LAST.✓20.�/ _ ...,._ r
P/T�f-/ - —F�Qc✓ /L NE ,�.I/A/ -' WA, {�L(`( -
/ /FOOT /4" �14 lFOo.T 'M/Ai /�ircfi.E-L ^' %` i'2 Z)1A.
i 'Y- M1/U J /4"/Poor a kVA5 HEc7
G S �DOQ -�' - /Nv6/z r 5 G_3 C zoo � 5 ro n/E
I _ ✓E e r 6 L_4_
/NVF2T G,4.F ,4 G / TY A20Un/O
S�r-�T'i c Tit,v e 35,8
3 5 3 3 �-� EL E v. _
j 3t 2 �WATG �T/v/�T) /NVE2T
� `� C� I.
_ T (. l air"// tc
----- N0 GA;CBA6E .29 3.3
- -- -- 2o.' A j A///L4 U tiI --_ — -- }-
S / TE. ILL A A,/ /��D;�L�5�D S_E W-A E
L 4 7-/0h/ 13-A9N5T--A:0.�E H X-A NN _MAS5,
2EF�2�nl�� ILNl _l�7 /6 _-ASH _
TANK
qrV r;�'iK:R �
�OA/C2E TE S T,eE/Vv77-/ 3000
- /0 LOAD/AJG
'.� e Alt 9 v✓r1> /1�0 T• /O !�� <_A
.
S f E R T I F X T H E. 13 )t L D I N G S Ia O� T 1 N ON 'k 1S -0. O�"' ` z��.��. �/ L�?��//v 6 /� ✓:� z�.
PLAN 15 PROPOSED ON SHE G.R0Vj'V',0 A.5
514 C)L._)N A N D 1 T DC) Cl C 5 C M r,4.
7NE i U1 L D �� LOW, ay..
II`i s S s` ; ��a.K 1�.E� sa%t;7 � 1YE;r r�T:S • .
'� STD 4
14.
5 :« _UL M QR Y PA i A 4N S:P4CTOR'
CR
E.LEV• r7 s 4
Ott ..• 6. R• Y t .,?' - :\J`. . {• �f' �- F l 1`'.4J•. a
+gin. SLL SQ/L
An
)57
LOT lam✓ < , �, f
e a $ t s5 tq 1''OL f r• 3LG. ! Y- - ,� f M1
.2.5.5
< ' XR k LOT ,
34 lba ATZ.R ENCG}LtRIT�1LD.
WN
f � /' yx .' { 1 `• 3t r� Y / k Y t -r,Fi
4: N/
! I _c
C. Q LE-V 1;�f �.. �pVQI
ry av-
F
! t
r3 Li LD//vG -S ETL3AC eG- Cl/ � F��JT'S , S C.4:L E-
F2QiV TZQ. Si
SEX 7 5 y5 TEM :CO^/S T2 UCT/ONT "' tr ' , ik
Sf�l Aa L t. CONF02M TO. M'A SS
LnJV>2o%vy�A/r,_4 ��•Y. [DES/G/v FLO�.t/° ,5 O GAL�D,4Y
CODE- T T j r ,
. - EtE57—/ 77 /3i4RS-"A13C r �-C;4 C / s 2A �� �� '%�%I//V:
L�4C /vcti
P�ZoPo.S�D :, ESN :.ra�� �EQlJi2G-D
oOo OF. 3�.�w�.,. _ -....,. � ,;: .;.:a...:,.:.x :� _ . � p� -r✓�,:.,.�:.� •x;�..F�2O5.L-U.4��1G. ��_' ...
V . J£� �4 �6 � 1. ' � 0�. ,•.
d "F / !JPL✓2✓iOcfSo c/-2
"1
/ An/,�10L E �co,v Tv Y � D X TEn� 7-6
h.-
bvl T�AJ /d;OF �-/!�/! �[7 r G:2 4 f }Tom, ia2E✓E.vT. /�iC-S•
Sf�/' Dom' .�20
k .. f , r•. �, - - _� � - 'Coves Z%0 rveA
•4 �Sr• '° --- ` s ,+. a _,k, ��: Z./.,w��� oVC-,e -
M Q D1 �.... -
p/TG'i/ -Ftp--
/o M� /
�`j �faoT .v t /4 %4al l Fo0'7 2., :Mini r?irc.c/ r /�J- ✓Z D/A..
MiN
3 HEC7 O WAS k
/tiv r
/ '- : o20D T�,vE
- Gil L LOB/ �Z •N✓F-E7-- f F .j
/ti VF�T
=7—A
�W,A TG.2 T'GHT�_, /iV VE2T � x $t�TOM O/= r
- P/T' /
/,v v6,07-
O G,4 C>f3�iGE 'G '/niDE 2 � 3 �`
L oC /.4 _rl0/ C� _�H'y� ..w
�' _ �,,�� �Fc SEx�T/G 7 An/K /�TT�/t3CJT7ON 80X
r' F,QLE7 {u'� Cs OUTL`TS� ;4n/D' L :4C//i.V� /•T
_'t O f3E_ �F ,�E///FQ�CEZ> 'CO:UCT�ETE
_�/ \ • COn/C2ET� ST,2E.C/v7"�/ + 3000 pSi
�_/--.-_--- Y= R° _ `� F{'7STEt�'9 STEEL 20000
yG:c' _ ' C3, -. H- iO• LOA LvIAv(:!=,,
i979
A-If�. �ti�.
I LERTfFX THE, a U I L UUT4 G 5F40tjN, ON t`kt5 . rE.s/CAA/ Lo4c)/�vG '/s
A�� OF� a
., PLAN 15 PRO PQ-SE b O N T14E GRO U N A.S ��� A;rsv�, .
5 10G.il�l A! D 7'7' ' D4�S C�.M +ply U�//T c�tr;�c�
T,4' 13 lJl!�C?1 dV G S el "k 0��"G� of E ���N T.S �0
Low,JQ.
OF TUC 10WIN A R.&V 5 Ir;A; a I/ ��`01sT��w��¢ / '
' f
) 1.
LEGEND
WEST MAIN ST
sg PROPOSED CONTOUR
4 ,
p8 245 _ p I53 € gy PROPOSED SPOT GRADE
40 — EXISTING CONTOUR
• 30.23 EXISTING SPOT GRADE LOCUS
BENCHMARK: ;j TEST PIT S�gor
STAKE TACK SET W EXISTING WATER SERVIC o g 9h�O
EXISTING CESSPOOLS EL: 100.00 (ASSUMED) EXISTING TREE
`
--\\
TO BE PUMPED 4 FILLED W/ SAND �?
�-_ (��
4 Craigville Beach Rd f Smith St
5 100 44' 50 E ��
x
Fc—n
� �' WALL � 119. 10' � ► ��
- TOP EL:J9- LOCUS MAP N.T.S.
BOTT. L: 9 ±9S k CP
�G' CONC. wALLs - 1 .� r GENERAL NOTES:
AT EXIST. GRADE XL-P OP-:_S:A:S; . 'T
20, 23'� \ J / w � 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
a A �4J Q BOARD OF HEALTH AND THE DESIGN ENGINEER.
V �/ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
Q I- LOCAL RULES AND REGULATIONS.
1 In O ` DECK PORCH �` ^ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
0 o TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
o Q DESIGN ENGINEER.
x 94 EJCISTING JJ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
3 BEDROOM ENGINEER BEFORE CONSTRUCTION CONTINUES.
92•�___ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
t10U5E(#G5) 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
9__ --- _ _ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.x
Q R=25.00' 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S.
APN 267- I ✓ -=� R J 0 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
.T.w.L=30.22 (n TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
(LOT 16) ® R T W _ J 10 HE LOCATION. IT SHALL BE THE OF ALL RESPONSIBILITY
UONDERIGROUND UTILITIONTRACTOR TO VERIFY ES, PRIOR TO BEGINNING E
O, 187± SF n CONSTRUCTION.
6.3 R.T.W. f 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
44' 6" E IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S.
--�-- f AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3).
STiZAI GHTWAY
°F Mgssgh
G
MCENTEE �� PROPOSED SEPTIC SYSTEM UPGRADE
VIL
NoC135109 65 STRAIGHTWAY, HYANNIS, MA
/SZE� Prepared for: Anthony Collucci, 65 Straightway, Hyannis, MA
SS ENS' Engineering by: Surveying by: SCALE DRAWN JOB. No.
w; Engineering Works HOOD SURVEY GROUP 1„_20, P.T.M. 48-04
12 West Crossfield Road 18 Route 6A
Forestdale, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO.
\k `` (508) 477-5313 (508) 888-1090 6/14/04 P.T.M. 1 Of 2
Y.1 _
a
f TOP OF FOUNDATION NOTE: TO-, PREVENT BREAKOUT, THE PROPOSED
F.G. EL: 95.00(MAX) FINISH GRADE SHALL NOT BE < EL:91.45
EXISTING FOR A DISTANCE OF 15' AROUND THE
- EXISTING F.G. EL: 95.6
F.G. EL: 95.5 PERIMETER OF THE S.A.S.
MAINTAIN 2% MIN SLOPE OVER S.A.S.
INSTALL RISER OVER CHAMBER S
INSTALL RISER V /
INSTALL RISERS OVER INLET & OUTLET 0 ER 0-BOX TO
50_ 0 GALLON-LEACHING CHAMBERS
TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE IN SERIES WITH STONE' ALL SIDE SHOWN ON PLAN AND SET COVER/S
WITHIN 6' OF FINISH GRADE
4" SCH 40 PVC L -16 L 13'(MAX)
. 4" SCH 40 PVC 4" SCH 40 PVC
s „
® S= 1% (MIN.) iO 2" LAYER OF 1/8" TO 1/2"
6" :j
M ®® DOUBLE WASHED STONE
INV.EL.=92.2t a: PROPOSED 14 ® S= 1% (MIN,) '0 S= 1% (MIN.) ®®®�®®®
®a® aaa
1500 GALLON INV. ELEV.=91.25 INV. ELEV.=91.08 2' EFF. DEPTH ®®® ®aa
........ 3/4,.-1 1/2„
SEPTIC TANK 4' 5.2' 4'
DOUBLE WASHED
EFFECTIVE WIDTH = 13.2' STONE
INSTALL INLET &y OUTLET TEES
INV.EL.=91.66 GAS BAFFLE TO BE INSTALLED ON INV.EL.=91.41 INV. ELEV.=90.95
OUTLET TEE AS MANUFACTURED BY
TIE IN WITH EXISTING TUF-TITE, ZABEL, OR EQUAL D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE TOP CONC. ELEV.=92.0
4" SEWER OUTLET. —BREAKOUT ELEV.=91.45
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED INV. ELEV.=90.95 ®®®a®
CONNECT LAUNDRY FLOW TO STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). a®a®®®®®®®®
PROPOSED SEPTIC SYSTEM. ®®a®®®®®®B®
SEPTIC SYSTEM PROFILE . BOTTOM ELEV.=88.95
3' 2 x 8.5' = 17.0' 3'
5' MIN. ABOVE BOTTOM OF L EFFECTIVE LENGTH = 23.0'
N.T.S. T.P. EXCAVATION OR G.W.
NO G.W. ENCOUNTERED LEACHING SYSTEM SECTION
BOTTOM OF TP EL: 83.9
(3) .5" DIA.OUTLETS
16' ` o PETER T. ✓f
I --I 2 D McENTEE
DESIGN CRITERIA o CIVIL
1 4
No. 35109
15.5" 6" O r 8" NUMBER OF BEDROOMS: 3 BEDROOMS ��C/SlE��� `��
E' ENG
r SOIL LOG SOIL TYPE: CLASS I SSIO
H-10 LOADING 2 I~ 23- DESIGN PERCOLATION RATE: 2 MIN./IN.
D—BOX _ DATE: JUNE 10, 2004 DAILY FLOW: 330 G.P.D.
N IN LW: 330 G.P.D
PROP. 5.A.5.
- N.T.H. • ( I DESIGN FLOW:SOIL EVALUATOR: PETER T. MCENTEE PE, CSE
m
INSPECTOR. NOT REQ'D-CLASS 1 SOILS GARBAGE GRINDER: NO
— -� LEACHING AREA REQUIRED: (330) = 445.9 S.F.
26 Elev. TP- 1 Depth 74
•4
®®®® ® ®®®®. N �. 95.4 A SANDY LOAM 0 PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY
r ®®®®®®®®®®® 39" ^ 10YR 3/3
a w ®®®®®®®®®E3® Q n^ 95.1 4„
" z ERk7la®®®®®®E3® PORCH B LOAMY SAND USE 2-500 GALLON LEACHING CHAMBERS IN SERIES
_ 10 YR 5/8
102" 94.4 C 12 SIDEWALL AREA: 2(13.2' + 23.0') X 2 = 144.8 S.F.
EX15TING BOTTOM AREA: 13.2' x 23.0' = 303..6 S.F.
4' KNOCKOUT 3 BEDROOM
TOTAL AREA: 448.4 S.F.
20' DIA, COVER R
4• KNocKour O/4" KNOCKOUT fi2" fiOU5E(#65) MEDIUM DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D.
SAND
2.5Y7/4 PROPOSED SEPTIC SYSTEM UPGRADE
4" KNOCKOUT
_ 65 STRAIGHTWAY, HYANNIS, MA
500 GALLON CAPACITY, H-20 LOADING !b 83.9 138" Prepared for: Anthony .Collucci; 65 Straightway, Hyannis, MA
NO G.W. ENCOUNTERED Engineering by: Surveying by: SCALE DRAWN JOB. NO.
CHAMBERS S.A.S. LAYOUT PERC RATE: <2 MIN/IN. ("C" HORIZON) EngineedngWorks HOOD SURVEY GROUP NTS P.T.M. 48-04
N.T.S. 12 West Crossfield Road 18,Route 6A
N.T.S. Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO.
t (508) 477-5313 (508) 888-1090 6/1-4/04 P.T.M. 2 of 2
I