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HomeMy WebLinkAbout0340 STRAIGHTWAY - Health " 340 STRAIGHTWAY,'LOT.62° -- - Hyannis A = 269'= 135 0 i Commonwealth of Massachusetts a(Q9- /$S _. :' �,� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for eve Hyannis . a every MA 02601 5/30/2019 page. Cityfrown State Zip Code Date of Inspection M Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. mp out forms When fillingout f A. Inspector Information MC2_8 on the computer, use only the tab Paul C. Martin key to move your Name of Inspector cursor-do not Cape Cod Septic Services Inc. use the return key. Company Name 350 Main St. Company Address West Yarmouth MA 02673 Cityrrown State Zip Code 508-775-2825 S15016 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority i 4. ❑ Fails 6/7/2019 nspector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is Hyannis required for every y MA 02601 5/30/2019 page. Cltyrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: System in working condition. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating,that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts - ,ilp Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if Pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: l5insp.doc•rev.7/2612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts .- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form <la Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is Hyannis required for every Y MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 NOTdue to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts -, Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Z sk Owner information is Owners Name required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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. ❑ ® 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)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form `a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 110x2= Description: 220gpd Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2017=156gpd Detail: 2018=154gpd Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date t5insp.doc-rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Strai htwa �.., 9 Y Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: No Records Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V � 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2007 Per BOH Records. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 3111 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.): Line checked with sewer camera and found to be clean, properly pitched with no sign of root intrusion. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is Hyannis required for every y MA 02601 5/30/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 18" 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: 1500Gal Sludge depth: 4-6" Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 3-5" 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? Estimated Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500Gal tank in good structural condition. PVC tees in place. Tank at normal operating level. Covers 15" below grade. Recommend service of tank. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts ,1P Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: t ❑concrete ❑ metal ❑fiberglass ❑ polyethylene y El other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 f Commonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): H-10 DB-3 with 1 line in and 2 lines out in good condition. Box is clean and level with speed levelers in place. Outlets are equal. No sign of overloading or hydraulic failure. Cover 10" below grade. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts pi Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of.Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2-500Gal ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts —(IF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is Hyannis required for every y MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 2-500Gal Chambers with stone in a 12.83'x25'x2'Trench. No standing effluent in chambers during inspection. No evident stain. No sign of overloading or hydraulic failure. Cover 29" below grade. 12. 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.): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts `R Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary�� Sb f y Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is Hyannis required for every y MA 02601 5/30/2019 page. Cltylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/2612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owners Name information is required for eve y every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: +12' 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: Hand auger did not encounter water at 12'. Max bottom of leaching is 6' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 340 Straightway Property Address Joseph Zysk Owner Owner's Name information is required for every Hyannis MA 02601 5/30/2019 page. City/Town State Zip Code Date of inspection- E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ®. C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6(Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 a�JJVJJlll�' CiA-DU11L t-drels Page 1 of 2 TOWN OF BARNSTABLE LOCATION #3 y0 iA 6 /?J SEWAGE#„700 J=DDF VILLAGE- ,�;� . ASSESSOR'S MAP&PARCEL a69" INSTALLERS NAME&PHONE NO, J.'C_ A 4. /7`y SEPTIC TANK CAPACITY _ /s 00 LEACHING FACILITY;(type)SOON c���/j{rX (size) NO.OF BEDROOMS / OWNER PERMIT DATE: COMPLIANCE DATE; Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin ili Feet FURNISHED BY y A a W a 31' a3- A /3 3 y 'V 3�, r f https://townofbarnstable.us/Departrnents/Assessing/Property_Values/HMdisi)lay.asD?maDn... 5/23/201 A TOWN OF BARNSTABLE LOCATION 3'-/0 Y-lru;�,6 Rd, SEWAGE#d007 1917ff V?I,LAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin ili Feet FURNISHED BY -'--�--1 �� -C W 5U � � � � � � � � � � a N\ w` � ,,—�-� r` No. 113 PJ)9-,-VFee � 5 THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: _ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprication for �Bi5pogal *pgtem Construction Vertu Application for a Permit to Construct�k Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3//� / C 4« Owner's Name,Address,and Tel.No. /I e14 X1 AJ /S 1"H =L A/Al C. 4 , ,C,4 R NU S Assessor's Map/Parcel M. //P 0,7 ZJ5 .5 0 S Installer's Name,Address,and Tel.No. _J , C /I j.4 ro Designer's Name,Address and Tel.No. sT P �41 -4, DOPZ ,!�7 Type of Building: Dwelling No.of Bedrooms 0/V 4 Lot Size L/ 3 E 7 sq.ft. Garbage Grinder ( ) Other Type of Building S/,C/ Ls F4)W/L Y No.of Persons /'w0 Showers( ) Cafeteria( ) Other Fixtures A./D Design Flow(min.required) gpd Design flow provided pd gpd Plan Date Number of sheets D NE Revisio ate Title Size of Septic Tank rjic,e- Type of S.A.S. C. Description of Soil ��'� w�-� Nature of Repairs or Alterations(Answer when applicable) Y1 0 �'��►'� 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 o alt . Sign Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. , � '��� Date Issued 41, h No. —7 Fee 5 0 1n' Entered in computer: i<THE'COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS k Zipplicatton for 3hoogar *pgtem Congtructton 30ermit Application for a Permit to Construct Repair( Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No d E F � 16-1 r w Owner's Name,Address,and Tel.No. /IegVAJ lt�' LA/NC 4 rARJYUk2_1 Assessor's Map/Parcel M/110 a / ,1-35 S0 S 1 0 Installer's Name,Address,and Tel.No. —7, C q`T ro Designer's Name,Address and Tel.No. av Type of Building: Dwelling No.of Bedrooms 0/V 4 Lot Size /0 3 E 7 sq. ft. Garbage Grinder ( ) Other Type of Building S/iU6-'46 6 Y No.of Persons Showers(. ) Cafeteria .t Other Fixtures Al O AJ E- x: Design Flow(min.required) gpd Design flow provided U �pc r gpd Plan Date —d 7 Number of sheets 6/VE Revisioaate Title i ,Size of Septic Tank �:rJ Type of S.A.S. �c�a� r )btQ,,r� Description of Soil IS s "« 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 sewa'e disposal system in accordance with the provisions ions of Title 5 of the Environmental Code and not to place the system in/opef tion 6ntil a Certificate of Compliance has been°issued by this Board onTealt "�, y Sig d L.Gc Date`` " 2 Application Approved b. Date �- Application Disapproved by: Date " for the following reasons Y r� Permit No.r J � �' � Ll Date Issued �i !d THE COMMONWEALTH OF MASSACHUSETTS y r BARNSTABLE, MASSACHUSETTS Certificate of Comphance THIS IS TO CERTIFY,that the On-sit Sewage Disposal System Constructed Repaired ( ) Upgraded ( ) Abandoned , at has been constructed in accordance 1 V,/with the provisio s ofII tle 5 and tge—Mlisposal System Construction Permit No.0JC ' dated ` ! 11 / r' lO' f. } M I,`_ Installer Designer C'+-, #bedrooms Approved design flow } gpd r The issuance of this permit shall 916t be oo .trued as a guarantee that the system wi a cttiioon'Jas desq ed� G Date � Inspector --------------------- ------�-------=x=-- No.goo 7 ! Fee �© THE COMMONWEALTH OF MASSACHUSETTS + PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS D gpogal *pgtem Construction 3permit Permission is hereby granted to Construct ( ) Regair ( ) Upgrade ) Abandon ( ) System located at C) �JC� d`q l: \ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must bq completed within three years of the date ofthis pe i . Date � ' Approved by., 1 Town of:Barnstable Regulatory Services Thomas F. Geiler,Director BAMSTABM Public Health Division i639• ♦0 Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: Sewage Permit# 2007- 00f Assessor's Map\Parcel C—Iq 1 Designer: Installer: �P C, ��D STEPHEN J.DOYLE AND ASSOCIATES Address: 42 CANTERBURY LANE Address: Ax- 3 3 y USETTS 02636 508/540-2534 On �j�tilL. _was issued a permit to install a (date) (installer) septic system at Pij��t1`>' based on a design drawn by (addiess) L---:- a dated Z— -3�0 —p(� (desi er) _ certify that the septic system referenced above was installed substantially,accor"i g tom the design, which may include minor approved changes such as lateral relocation of the-- distribution box and/or septic tank. Stripout (if required) was inspected:hand thesoils` were found satisfactory. cr ) I certify that the septic system referenced above was installed with major changes(i.el greater than 10' lateral relocation of the SAS or any vertical relocation of y com onen of the septic system) but in accordance with State & Local Regulations. Pl revision or� certified as-built by designer to follow. Stripo wired)was inspect& and the soils were found satisfactory. SN OF,�, �0? CHRISTINE gl'yG p�>���,�OF r,L',S.,SC�9 o FAIRNENY. ® ' ��\STcREv GJF v (Installer's Signa &) v No. 926 O t i �� ti\ QSTEPNEN Ul F`GIST �v ppYt- signer's Signature) (Affix Designer's Stamp H&63 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 HF e T.TTY nTlrrcTn7v THANK YOU. .. �.`.J iJjJ.:L.i![.Jl bii_. ..cl a-.......U.l la li♦i...l -.., U l'v 1. ---� Doc e'1 s 053 V i699 41-1O-2007 12947 . BARNSTASLE. LAND-.CQURT *EGISTRY OECD RESTRICTION WHEREAS,_ f l-4/NE of �� (owners name) G41��n/(,Z! sT 5n?n 82! .,y_._._MA s (addres is the owner of V,4 44 n.'T' /-tlr 6d2 located 3 (address) at ST /C T W r4/VjV J MA(hereinafter referred to as- 7-#j L.dT and be''ng shown on a plan entitled"Subdivision of Land in MA, Property of , et al, duly recorded in Bamstable County Registry Of Deeds in Plan Book , Page ; Or on Land Court Plan Number Z417- - 4C.1- - ,ON 1 C-P 1 J - WHEREAS, _Lg/J/w� L 64 Zyy0) as the owner of said lot has (owner's rarne) agreed with the Town of Bamstable Board of Hear to a restriction as to the number of bedrooms which can be included in any home bulk on said lot as a Pro-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Bamstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Bamstable County Registry of Deeds by recording this document, r i NOW, THEREFORE, F4,4/ �- L f4eA fte does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. ,, 4 o -0-2Ajd,977y4y e'4arez) may have constructed (a w mss) �upon the lot a house containing no more than oA 146- ( r)bedrooms. �� L 9tjLZ"i M- agrees that this shall be permanent deed (wow's nano) - restriction affecting -10A A located one '���� ,HV#49✓.ee f- I MA, and being shown on the plan recorded in Plan Book , Paged Or on Land Court Plan !/3.A-9-8 5 h a For title of&AiKE L a4ovawe the following deed: Book , Page ✓ Or Land Court Certificate of Title Number Executed as a sealed instrument day of Owner's signature Ownefs signature Owner's sigpature �o / E&2- Zoe fi, R1Jrtu�lflll COMMONWEALTH OF MASSACHUSETTS 20&1 Then personally a poared the bove-named known to an to be the person o exec the foregoing Instrument and acknowledged 6the same to be frewact7nd q�bre me, Notary �00* UCO My commission expires: + (date) ;�•�. .�< - �'-PnRIGtJ�Z C 1' .;qiC' .ti Ui FI$(ZSS'vNtlf��.tt� a kRNSTABLE COUN • �yw`� fY Ca,;;;;, ,:�y��Trt eS iUiy 2,20i0 A E�UETCOPYFATf E ES7., •,,DS < "STABLE REGISTRY OF DEEDS JOH r "a. s a - 7 iy,.ti i a µ', l 1 Iry 77 443� Ir lowj 41 ��; ` •� � i4 L +�� f" [ Y �l..l rs,il�.:y'�!�� �� �� �k i � "" yet A dN i -, L6 Ie k IN a • 'It ' d + 1 Riga..SO WHEREAS,_�Lfa��� C� r�rNV f-k7 (avmees norm) is the owner of Gv"7— nT 6.Z !oCOted (address) Leg MA(hereinafter�err+ed to as. �' , and be' qng shown on a plan entAled"Subdivision of Land in _ "A/,/ MA, Property of _ _--_—_----________--._ eta► duly recorded in Semstat,Be County Registry Of Deeds in Plant Book M_ , Page-"_. Or on Lena Court Plan Number ,� 3 f'-� �� ^� WHEREAS. L. _ 'ZNY/�"r _as the owner of said lot has (aware name) + agreed with the Town of Sunstable Board of Health to a restriction as to the ntsnberof bedrooms wh1ch can be Included in any home oullt on said tot as a pro-wndidorl to obtaining a dispcaal works construction permit in compliance with 310 CMR 15.tW State Environmental Code,Title V, Minimum Requirements for the Subsurface Dssposa!of Sanitary Sewage; WHEREAS,ft Taws of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in cornpiiance with 310 CMR 15.200,State Environmental Code, Title V, Minimum r c i3eouirrrments for the Subsurfxe Diapoeisi of Sanitary Sewage, end authorizing = the issuance of a i3>ailding permit for the construction of a single family;lome on this properly,is requiling that the agreement for the restriction on the number Of CD an fife l04 be put on record with the - stru�eted p hedrooma in any house con r, somstabin County Registry of Deeds by recording this document c. ry r ry rn NOW,3; ERt=rORE, by*tdoes hereby plea a the 1 tov,r+ar®nert�) following restriction on his above-referenced land in accordance with his agreement with the Town of Bamstebfo Board of Health,uvhlch reetnctsur,shall run with the land and be binding upon all summ-ore in tit s.- (4dT'dZ) rnay_trauEzroi�4tn,cted upon the ;ot a house containing no more than 01V6" ( ()bedrooms. 4414 L A41miM agrees that this shall be permanent dead (av~'2 name) W1494�)f restriction affecting ZO6 P. located on ' kiX.4fzPei MA, and being shown on the plan recorded in Plan Book Pam Or on Land Court Plan 113A f-3 �# a. For title of&!q 1A466w the following deed: Book , Past . Or Land D)urt Certificate of Title Number_,.14 q 1�E Ekmuted as a sealed insuument day of Owner's signature Owners signature Owners ature - /� COMMONWEALTH OF MASSACHUSETTS� Then peazrafly 7a fired the be� named N� kno"to m to be the per who execow tto foregoing Instriximt arm ackn®wted d , — to be- fry 4� , _ _ ry. iiic , ;date) LIZZ _ ' q"�°:•. ;;i:es July 2,2010 Town of Barnstable P# ` 5 3 Department of Regulatory Services = amwsrAgm : Public Health Division Date //-/ 7 - Oj o`er+ 200 Main Street,Hyannis MA 02601 Date Scheduled / Time/_ Fee Pd. /�o Soil Suitability Assessment for ewage 'sposal Performed.By; _77� �t� ••( 'V�SI� Witnessed.By: Location Address LOCATION& GENERAL INFORMATION 3 ZIO S T P A 1 6'H T W,1�1 Owner's Name Y/g,uN .V vIlvt Address Yo S'�Assessor's Map/Parcel: Engineer's Name •�' _ =�L�— �s NEW CONSTRUCTION REPAIR / Telephone# 01 7-7 Land Use Slopes(96) L `/i Surface Stones O Distances from: Open Water Body l�0 _() possible Wet Area �� 1 Drinking Water Well Drainage Way _ft Property Line �'--ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands�n proximity to holes) '9 Y3 ► L '�' re L? V Parent material(geologic) —d Depth t0 Bedrock - � � � �X Depth to Groundwater. Standing Water in Hole: Weeping from Pit Race Estimated Seasonal High Groundwater I r r� Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE :z -y Depth Obsery riding in obs.hole: In, Depth to still mottles: Depth to Weeping from side of obs.hole: Index Well# in. Groundwater Adjustment , rz Reading Date: Index Well level Adj.factor,,,,,,,,,F- Adj.Groundwater vel, a M. PERCOLATION TEST Hate Iz t 't'Itna t ,— Ffte-soak . 1 � Time at 91, -�11 Time at 6" �A& t9`.1 S p II `Z` L� L-t swc 5 Rate MinJlnch L Z L,:Z � . Site Suitability Assessment: Site Passed Sitg-Failed: Additional Testing Needed(YIN) Original:' Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:4SEPT(CIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil. Cher Surface(in:) (USDA) , (Munsell) Mottling (Structure,Stones;Boulders. Congistcricy. p—j3 it AL Ali, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon . Soil Texture Soil Color Soil lZ7Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiltency-!& {fir lo' 'f 6 << �}V--�'�U !✓ IL DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C ' to Gravel) D �1 P.— SL to — 40 L .s ro z DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil then Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. Consit ` 6 51 v1� Ste. lc y rZ "f say Flood Insurance Rate Maa: Above 500 year flood boundary No— 'Yes 44/ Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervi material? Certification I certify that on date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,exp rtise and experience described in 3 10 CMR 15.017. ' Signature Date i Q:\SBPTICVERCPORM.DOC - e n I P I= Ilfl I , P IIIIII I i I I I ,1 II , I it l Ir S I f' j� a I• s i i { f 8!Ai { n , II 0 cr - • � as -s � �<<y a�e � � - � � _ V : 000 VT I � I rcz O �� TY"":"CUrY:.:LClY..U_.. '....I. `♦.. � �� O v. 7 S : 1 - I a n ..._-mot-•.i)"--.._.--._ . 3 8 - o ......-: . �,.,�,. ---- FOill-limn EJ AM ED _ R i .�•�a a .L ri 1 "�'L" -''(z�- JJ - I;11 - .3 ` 'y' � 1 214� 12:1" �'Q G:,.. 2 4 J N•�k...� . I_ 1 —fir 31 � 11V .._ .•. � O _ ' ,I 3 ry } ._..—.._..------ _.._..___ .-..._.. /_...__... __.._.._ ..._........—.. 6 __--._—___. i -�D2�C�:755�.p�1��Li fa:'C:•-r�cxl'_��e�drdLL C•.o:• p€ ...:.0=.�`•':.T_-cliN'GC:CS C:r�u?:i PG:u...-' ...:.':.. f�� 8- 3t1p"SterIf keulAy' ,. . . :.-- ..__r.:.-.-,.•-:-,-•••— .r.� �.) �Y -ems �•r /....['' i Tap of Foundation El. 35.5' � � � Finish Grade S7 33't Finish Grade El f 7: 6„ 6" 1/8" to 1/0" 1111 d Stone O 3" Thick ,INV EL " Finish Grade El 39-Y Max. 30.4' `I3ia. RISER' ®"lTia. Ri,SER 6 '''I 11I I 12.83' --►� 7 34" 44 0 0 : 24" llll illllll ll lllllll l llllll//lilllll l llll 11111 lIl1116" Ill/lllllll l lllllll llll/ll llllIll/Ill/Il l 4a 58 48 rJ' --�+ rRUEIR 30.O' dlin. B" ©C�C� t=J L�C� sU�p INI� EL to" alias. 14" n INV EL Number of Trenches - 1 INV EL a' a ___ � 4 o a e o El 27:17' IN IT EL --� �- INV EL 29.55 ti"..tone 29 35' Number of Chambers - 2 29.17 48" s ¢ g" 29.90' Below Flow Line <r 29.65' / " - 1 I/2" IYashed Stone Liquid Level 48" 4 HOLE DISTRIBUNON BOX PROPOSED LEACH TRENCH - END VIEW N. T.S. 25 Install Two 500 Gallon Units with Four Feet of Stone at Sides and Ends zO ^' 1500 GALLON SEPTIC TANK N25'09'35"E 75.00 32 IP FND. PROPOSED LEACH TRENCH k606 IP FIND. -- 32 c- J LOT 32 �° 11�Za .Bottom of Deep Observation Hole El 21.5' PRECAST REINFORCED CONCRETE DISTRIBUTION BOX 31 19, 11,357±s.f. Install on a level base \ Minimum wall thickness = 2" \ \ / SHED High Ground Water <Elev 19' (GIS Topography) Minimum inside dimension = 12" \35' 3 14% L E G N c> Outlet inverts shall be equal to each other and at \ /Q9 EXISTING CONTOUR \ SAS RESERVE t00 o 2 minimum below inlet invert. 33 33 w-- PROPOSED WATER LINE -----1----- The distribution lines from the distribution box shall all have LO 64' PROPOSED SAS� 4 � EXISTING ELEC/POLE CHAMBER TRENCH � p z equal inverts as determined by flooding the distribution box to cv \ � I the height of the distribution line invert after all lines have h rn� 2 25.00 i Note.'eq been sealed in place. \ 1 Invert adjustments shall be made by filling withl durable and r \ l a i Remove all unsuitable material 5' around SAS > -10 FAWCETTS I 110' down to the "C" layer and replace with ��, � � x POND nondeformable material permanently fastened to the line or , �' p reconstructing the lines until all .inverts are of equal elevation. 34 / `, D/B .�_ ' clean granular sand per 310 CUR 15.255 (3) G�Po �FST LOCUS N PROPOSED 1500/GAL d 21.7' L �� ova 'y1iN IEW ST TANK �' I 34 a TOERR. SAUNA A 10 I � l� RD ) _1L 1500 GALLON REINFORCED CONCRETE SEPTIC TANK 19, To (� Minimum Construction Materials Per 310CMR 15.226(2) 1 \ proposed wN BENS Tees shall be constructed of Schedule 40 PVC and shall extend a Deck I off POND minimum of 6" above the flow line of the septic tank and be on \ � �' 0 20 a the centerline of the septic tank located directly under the 35 21' SIMMONS clean-out manhole. \ _ C4 ? POND _.--- Tlie: ire -jet pipe elevation shall be no less than 2' nor n;.orc than 3" \' - R .POSED p,WEL�S�o ,� ' � 1 p i q above the invert elevation of the outlet pipe. \ p-t� F. EL. 35 ® <:::7 T_TfE� JVTA� Septic tank shall be installed level and true to grade on a level, stable base that has been mechanically compacted and on which 6" of crushed stone has been placed to ensure stability and " 3g•p0 12' BRB FND to prevent settling. ' � - Septic tank shall have a minimum cover of 9". SHED Two 20" manholes with readily removable impermeable covers 35 GRAPHIC SCALE of durable material shall be rovided with access ports.P P �' � ,�i \ 33• I / 20 o io 20 ao ao The outlet tee shall be equipped with gas baffle. 36 0 34 Design Da ta: LLJa °% \ i' ( IN FEET ) One Bedroom = 1 X 110 gpd = 110 gpd Required Flow LO 1 inch _ N 20 ft. No Garbage Disposal Allowed o ';\ �g k•� PJE� REFERENCE PLAN LC 11328B Use: Chamber Trench 25 T.•'L x 12.83'W x 2' Eff/Depth % % Sa �G Q REFERENCE CER 14915 PROPOSED LOT COVER BY STRUCTURES = ii% [25 + 25 + 12 83 + 12.83] x 2.0 = 151 ASSESSORS DATA: 25' x 12.83 = 320 d 35 ''' i 36 R�`1N� MAP 269 PARCEL 135 ZONING DISTRICT RE 471 x 0. 74 = 348 GPD Total Design Flow /36 BRB °� FEMA DATA: ZONE 'C"" OVERLAY DISTRICT WP A one bedroom deed restriction is required. \ ' / PANEL 250001 0008 D LOCUS ADDRESS- * U0 MAP REV JULY 2, 1992 340 STRAIGHTWAY, HYANNIS-BARNSTABLE GENERAL CONSTRUCTION NOTES /� ��6�. Oh cO' 1. All the workmanship and materials shall conform to R E.P Title 5 °F SITE AND SEPTIC PLAN and the Town of Barnstable rules and regulations for the subsurface 36 EoG �' .Prepared For- disposal of sewage.2. At least one access port over tank tees shall be accessible P# 11553 � '`� STRAIG.H�7-r W.A Y within 6" of finish grade, with any remaining access ports brought to within 6" of finish grade. Health Agent: Mr Desmairis RS ►►►►'►'"o�� In 3. All components of the sanitary system shall be capable of Test Date: 12-27-06 P>.�P��H TERssgo �i withstanding H-10 loading unless they are under or within 10 ft Soil Evaluator.- S. Doyle vo�"a �G`sTeRFo Hyamis-&1" stable, Massachusetts of drives or parking. H-20 loading shall be used under or within High Ground Water <Elev. 19' (GIS Topography) a QSTEPHENJ. �N ; 10 ft of drives or parking unless noted. Plastic equals may be DOYLE IP. Scale• I" = 20' Date.• December 30, 2006 used in lieu of all precast units. 4 #37559 4. The excavator/contractor shall call dig safe and verify the location TH #1 EL. 31.5' TH #2 EL. 31.9' TH #3 EL. 32.3' TH #4 EL. 32.6' e �pFFSS\o r Prepared By.' of all site utilities prior to an excavation, and shall be responsible for PERC <2 MIN/INCH PERC <2 MIN/INCH PERC <2 MIN/INCH PERC <2 MIN/INCH 1►►� ��y�� Stephen eT Doyle and Associates P y P o„ „ suA all matters relating to electric easements ° o b 42 Canterbury Lane, ,� Falmouth, �!A 02536 5Sewer pipes shall be 4" Schedule 40 PVC laid at a min. 0.02 slope. A SL 10YR 3/2 A SL 1OYR 3/2 A SL 1OYR 3/2 A SL 10YR 3/2 Telephone: 508/540-2534 6. Any masonry units used to bring covers to grade shall be 1 8„ I _��• S.. I I �,, Xe vi s i e3 z-z .B.Z o c mortared in place. B LS 10YR 3 6 B LS 10YR 3 '6 B LS 1 OYR 3 B LS 10YR 3/6 �,5�OFA! 7. Finish grade shall have a minimum slope of 0 02 ft per foot. / r /6 q� EL. 27.5' 48" EL. 28.5' -40" EL. 28.9' 40" EL. 29.2' 40" O� �y 8. The excavator/contractor shall be responsible to check all grades $ 00srlNe N and elevations and to contact Doyle Associates of any diseepancies, 0 FAIRNENY y prior to construction. C PERC 72" C C PERC 62" C 0 o,226�o y MED. TO MED. TO MED. TO MED. TO - FINE FINE FINE FINE 9. The excavator/contractor shall be responsible to contact SAND SAND SAND SAND Doyle Associates 24 hours prior to any required inspections. 10YR 4/6 10YR 4/6 10YR 4/6 10YR 4/6 SA AittPN 120" 1 120" 1 120" 120" NO WATER ENCOUNTERED NO WATER ENCOUNTERED NO WATER ENCOUNTERED NO WATER ENCOUNTERED 61-0 1-07 V NO ©ATE ©ESCRIP77ON BY EL. 21.5' EL_ 21.9' EL. 22.3' EL. 22.6' i Top of Foundation El. 35 5' 'S_YT ' 6 T �� i0e VV IV W, �'s Finish Grade EZ 33t Finish Grade EZ 33t 6" �j" 6� 1/B" to I/2" Ifasl�ed Stone ® 3' Thick .IN� 26'Ilia. RISER G Ilia• 12.83' --►� Finish Grade El 33 t Max RISER 34" :aa o o p: 24" lllllllllll 1111111111111111111111111111111111111116 llll llllllllllllllllllllll llllllllllllll l 48' 48'-18.5' J� 7 Alin. 6" IA" Afro. 14 Afro. Sarnp NV EL n°a o 0 0 o e e e El 27.17' INV EL ^� /�- INV EL INV EL 29.35' Number of Trenches - 1 129,17' 48" A 4 a s 29.90' Bela., Flow Line 29 65' 29.55 6" stone Number of Chambers - 2 s/4" - 1 1/z" Washed Stone Liquid Level 48" 25' 4 HOLE DISTRIBUTION BOX PROPOSED LEACH TRENCH - END VIEW N. T.S. Install Two 500 Gallon Units with Four Feet of Stone at Sides and Ends 1500 GALLON SEPTIC TANK PROPOSED LEACH TRENCH Q6 N25'09'35�E 75.(lQ 32 tP FND. IP FND. - - (- ` 11�24 Bo t tom of Deep Observation Hole El. 21.5' c PRECAST REINFORCED CONCRETE DISTRIBUTION BOX 32\ 3 - 19' 11i,3357fs.f. Install on a level base SHED High Ground Water <Elev. 19' (GIS Topography) Minimum wall thickness = 2" L- Minimum inside dimension = 12" \35' 3 N o \ 25 14 - - Outlet inverts shall be equal to each other and at \\ \ 1.00�® '- -35 EXISTING CONTOUR"' � 2" minimum below inlet invert. sas RESERVE1 -- __ _____ N 33 W-� PROPOSED WATER LINE � The distribution lines from the distribution box shall all have 33 PROPOSED SAS EXISTING ELEC/POLE p equal inverts as determined by flooding the distribution box to eq �\ \ 64 / 4 CHAMBER TRENCH Z the height of the distribution line invert after all lines have ^ \ >P2 25.00 i Note. been sealed in place. 1 C� ; Remove all unsuitable material 5' around SAS �' all be made b filling with durable and \ I X> FAWCETTS Invert adjustments shall \ s' g down to the "C"" layer and replace with �, � � y POND nondeformable material permanently fastened to the line or � reconstructing the lines until all inverts are of equal elevation. 34 l // / ���---°�B _ _._._-' clean granular sand per 310 CAR 15.255 (3) LPG �FST LOCUS \ PROPOSED d c� BOG �� 'ygiN /1500/GAL 21.7' to �� � OAKVIEW ST \ TANK � I 34 O� TERR. SAUNA 10 1500 GALLON REINFORCED CONCRETE SEPTIC TANK 19' -- °' T osed r Minimum Construction Materials Per 310CMR 15226(2) \ \ pro} °�+ POND Tees shall be constructed of Schedule 40 PVC and shall extend a \ Deck minimum of 6" above the flow line of the septic tank and be on \ Ins<<.)Go t,Yl o 1,)G) SIMMONS the centerline of the septic tank located directly under the 35 21' I � = POND clean-out manhole. 1 G m N 1 / The inlet pipe elevation shall be no less than 2 nor-more than 3 PR OWELLIN v above the invert elevation of the outlet pipe. \ level and true to grade on a level, m I T® � �'S �lAP� Septic tank shall be installed � \ Cn stable base that has been mechanically compacted and on which I 6" of crushed stone has been placed to ensure stability and 38.00�- 12' QRB FND. to prevent settling. - - Septic tank shall have a minimum cover of 9" SHED \ , 35 GRAPHIC SCALE Two 20" manholes with readily removable impermeable covers of durable material shall be provided with access ports 33' ,,,,� / zo o ,o zo 40 80 � / \ The outlet tee shall be equipped with gas baffle. 36 �o- 34 Design Da ta: LU INFEET One Bedroom = 1 X 110 gpd = 110 gpd Required Flow %,� °� \ ! ,� � \o��P�� 1 inch ) 20 Ft. Na Garbage Disposal Allowed o � g k• 5 o REFERENCE PLAN, LC 11328B 5, d PROPOSED LOT COVER Use: Chamber Trench 251 x 12 83'W x 2' EfflDepth � % / E����\�G REFERENCE CERT 14915 BY STRUCTURES = 119' 25' + 25' + 110.83 + 12I x 2.0 = 151 83 � ASSESSORS DATA.- 25' x 12.83 = 320 BRB F D 35 °% 36 /�� MAP 269 PARCEL 135 ZONING DISTRICT RE 4 71 x 0. 74 = 348 GPD Total Design Flo w /36 ,. ,� 0 VERLAY DISTRICT WP FEMA DATA: ZONE C A one bedroom deed restriction is required. c3\ t PANEL 250001 0008 D LOCUS ADDRESS- MAP REV- JULY 2, 1992 340 STRAIGHTWAY, HYANNIS-BARNSTABLE GENERAL CONSTRUCTION NOTES 0 1. All the workmanshipand materials shall conform to R E.P Title 5 F SITE AND SEPTIC PLAN and the Town of Barnstable rules and regulations for the subsurface 36 EOG� �` Prepared Fax~ disposal of sewage. �7-► �r 2 At least one access port over tank tees shall be accessible e:? l RAIGHI A within 6" of finish grade, with any remaining access ports P# 11553 In brought to within 6" of finish grade Health Agent. Mr Desmairis RS 'h►�.�,►,►q�� 3. All components of the sanitary system shall be capable of Test Date: 12-27-06 ,)�P�tNOFMgSS9p�1 tor.• S. ASTER ti . Hyannis-Barnstableassaehusetts withstanding H-10 loading unless they are under or within 10 ft Soil Evalua Doyle v°o��aQ�G Fo oU, v Af of drives or parking. H-20 loading shall be used under or within High Ground Water <Elev. 19' (GIS Topography) .1 g� STEPHEN 10 ft of drives or parking unless noted. Plastic equals may be DonE N scale: 1" = ,20' Date: December 30, ,2006 used in lieu of all precast units e #3� 9 P �' 4. The excavator/contractor shall call dig safe and verify the location TH #1 EL. 31.5' TH #2 EL. 31.9' TH #3 EL. 32.3' TH #4 EL. 32.6' e �OF� S�O� 4 Prepaid By.- of all site utilities prior to any excavation, and shall be responsible for PERC <2 MIN/INCH PERC <2 MIN/INCH PERC <2 MIN/INCH PERC <2 MIN/INCH � � SUF��'yo • stephen � Doyle and Associates all matters relating to electric easements o" ° 06. � 42 Canterbury Lane, � Falmouth, AM 02536 5. Sewer pipes shall be 4" Schedule 40 PVC lard at a min. 0.02 slope. A SL 10YR 3/2 A SL 10YR 3/2 A SL 10YR 3/2 A SL 10YR 3/2 Teleplron� 508/540-2534 R 6. Any masonry units used to bring covers to grade shall be 8, ��• .. �,� (6 P� Vi s i o-z-2 -F3_z o C -k` mortared in place. tit14OFM 7. Finish grade shall have a minimum slope of 0 02 ft per foot. B LS 10YR 3/6 B LS 10YR 3/6 B LS 10YR 3/6 B LS 10YR 3/6 8. The excavator/contractor shall be responsible to check all grades EL. 27.5' 48" EL. 28.5' 40" EL. 28.9' 40" EL. 29.2' 40" O CiiRlS>1WE G and elevations and to contact Doyle C Associates of any discepancies, C MED. TO C MED. TO C MED. TO • FAtaNENX prior to construction. MED. TO PERC 72" PERC 62" No.2,26 40 CA FINE FINE FINE FINE F �3T�Q`� 9. The excavator/contractor shall be responsible to contact SAND SAND SAND SAND . Doyle Associates 24 hours prior to any required inspections. tOYR 4/6 10YR 4/6 10YR 4/6 10YR 4/6 SA AR�a 120" 120" 120" 120" NO WATER ENCOUNTERED NO WATER ENCOUNTERED NO WATER ENCOUNTERED NO WATER ENCOUNTERED d 1-0 I-07 V NO. DATE DESCRIPTION BY EL. 21.5' EL. 21.9' EL. 22.3' EL. 22.6'