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HomeMy WebLinkAbout0350 STRAIGHTWAY - Health 350 STRAIGHTWAY, HYANNIS A = 269134 i f t- TOWN OF BARNSTABLE /� 7 (CATION SEWAGE'# J.LLAGE t4AAA rJ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. Se e6 SPrN CP 5p S 773577% SEPTIC TANK CAPACITY /®aa h G/l o.,r LEACHING FACILITY:(type),?X ?oSU 1:•,F,l�u eJ(size) 13x a x a NO,OF BEDROOMS n2 OWNER ike_dg e PERMIT DATE: COMPLIANCE DATE: &A;2;V0 7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 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 OPS f�,. 0%., �•T r�r �s � e• M1� �� r .o I c N TOWN OF BARNSTABLE *, ' OCATION � _ SEWAGE # -V)1AGE ASSESSOR'S MAP &L13 INSTALLER'S NAME&PHONE O. tidI SEPTIC TANK CAPACITY low LEACHING FACILITY: (type) ��� (� 1+' (size) /6yo NO.OF BEDROOMS BUILDER OR OWNER 1 1C Nei ' PERMTTDATE: COMPLIANCE DATE: I�/ 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 J- G� Qc, e � r i"it FiL - a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipphratton for Migool 6p.5tem Con.5trurtton Vermtt Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 8 6 2—2 7 7 2 350 Straightway, Hyannis Anne Kittredge Assessor'sMap/Parcel 269/134 350 Straightway, Hyannis Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089 Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq. ft. Garbage Grinder (nq Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank t 01 Type of S.A.S. Description of Soil ' Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE-2670 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date 1 ✓�G ✓!.� a Application Approved by Date _ —0 7 Application Disapproved by: Date for the following reasons Permit No. L W7-223Date Issued ��_— ,.,.. � ._ �-w yr.3� �• +� - .w ..`...L...:.rk�' rv+"`.'.+^ ..-t.. at.y"2...xW'd'.".^'^'.'.-:vw'v.>.. -.r.r.Gr'-. ".,✓-m„;y,._-i"....:.;,.w-+,,.--..-:,.... -•y;. r. , ar' No. g Qo 7 'l�7 si • �y -tea ,:� ' !� G Lli' { ' '__.. 6e}0 0 M Entered in computer: k THE,C�OMM,ONWEALTH OF MASSACHUSETTS p PUBLIC HEALTH DIVISIONTOWN OF BARNSTABLE, MASSACHUSETTS Yes application for M 4pogar br5tem Conztructiou Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No.8 6 2—2 7 7 2 350 Straightway, Hyannis Anne Kittredge Assessor's Map/Parcel 269/1 34 350 Straightway, Hyannis Installer's Name,Address,and Tel No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO .Box 1089 Centerville 43' Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq. ft. Garbage Grinder (r1o) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date t Title !! Size of Septic Tank( X! odd _ Type of S.A.S. a Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE-2670 '., Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe _ Date Application Approved by Date —� ( Application Disapproved by: Date t for the following reasons — Permit No. , a0t�7` 7 ' ——— - Date Issued � '�,� —G'7=THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Kittredge Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned((� WM E Robinson Sr Septic---- 350 S� raig tway, Hyannis at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated .-��,'U 7 Installer Designer #bedrooms Approved design flow 220 gpd The issuance of this permit s 'all not be construed as a guarantee that the system wi 1 fu ction as design Date _ Inspector /�' -------------'�---- ------ �--'v— '`�V-y-�--- -- No: ?(IrJ-7" D-2j 00.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Kittredge x1i5poal *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon System located at 350 Straightway, Hyannis . 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: C nstruetion must be completed within three years of the date of this pe it. 7 - Approved byC l � u 1 Town Of Barnstable o¢ t"E'0 �. •Regulatory Services Thomas.R Geiler,:Director. &ARvsensLXF + s Public Health-Division Thomas McKean,Director 200 Main.Street,Hymrai s MA-02601. Office: 508-8624644 Fax: 508-790-6304. Installer&Designer-Certification.Form Date: �`�-�`6 Sewage-PermW 0'7 -2J Assessor's MaplParcel 2 6 9/134. Designer: Eco-Tech Installer: Wm E Robinson Sr Septic `. .43 Triangle.- Circle 1 : _Address: g e. Circle Address: PO Box -108.9 ., ._... Sandwich . Centerville Wm E Robinson..Sr Se On l - ps issued a permit to install a � � (date) (installer). s tic's stem`at.. .350 ..Sttrai htwa eF Y g Y... -Hyannis based on a design.drawn by (address) Eco-Tech... 06-22-07. dated . (designer) ' I certify that the septic system.referenced above was.installed substantially according to the_design, which may:include mini 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 IO' lateral relocation of the SAS or any vertical relocation of any component Of the septic system)but mi accordance with-State &Local Regulations. Plan revision or certified-as-built.by designer to follow. NOF� s DAVIR 0. ,. C©iJt1HANOVItR. (ffisrafle?s Signa e) No.1893.. Q18TE SgNt TAa1PN (Designer's Signature) (Affix.Designer's Stamp Here). PLEASE :RETURN.._ TO .BARNSTABLE. PUBLIC - HEALTH DIVISION.. .. CERTIFICATE OF COMPLIANCE WELL .NOT:-BE ISSUED UNTII. BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED-BY THE BARNSTABLE PUBLIC HEALTH DIVISION..THANK YOU. Q:Health/Septic/Designer Certification Form 3-16-04A& - Town of Barnstable P# Department of Regulatory Services DAMIMASM' Public Health Division Date A (IF/ 4907 200 Main Street,Hyannis MA 02601 _^ Date Scheduled Time . Fee Pd. qr - Soil Suitability Assessment for Sewage Disposal Performed By: D u ) b �0 06�*N 0&0, Witnessed By: 0 0 M\\l A Yv\,-i DR P D ,• LOCATION,& GENERAL INFORMATION t Locations Address' Owner's Name 4 n 30 f/I/q / Address 3SV 9'flgt 4/ y �{Y�n h Assessor's Map/Parcel: .2_cq i6(34 Engineer's Name iC4 NEW CONSTRUCTION REPAIR v Telephone# Land Use 3�-7/ t Slopes 1020 Surface Stones l� � Distances from: Open Water Body (004 ft Possible Wet Area 1004 it Drinking Water Well Do+ ft Drainage Way. 1®- + ft Property Line 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) i ks) �.A \ GROUNDWATER ADJUSTMENT �Tp=2 - EXISTING GROUNDWRTER'[EVEi j ® ® I BASED ON TOWN OF BARNSTABLE �L D TP 1 GIS DEPARTMENT RECORDS. i L F INDICATED GW 20.00 INDEX WELL M1W-29 ZONE D �— READING DATE MAY. 2007 i READING 7.0 ��— ADJUSTMENT 2.2 ADJUSTED GW 22.20 Parent material(geologic) tO OTC i off Q0 05��W Depth to Bedrock 1 t®n Depth to Groundwater: Standing Water in Hole: t'1,01A l® Weeping from Pit Fnce 1� Estimated Seasonal High Groundwater spe - DETERMINATION FOR SEASONAL HIGH WATER TABLE � Method Used. SC2(_ GJ DOVP Depth Observed standing in obs.hole: v. in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: __ T..m in, Groundwater Adjustment Index Well# Reading Date:- Index Well level Adi.factor,,,,.r__s Adj.(Iroundwater Lgvel 0 - PERCOLATION TEST Datp61bk Thne 24)M Observation Hole# Time at 4" 4� - _ Depth of Perc (D _'t_'lwj Time at 6" h Statt Pre-soak Time @ _ - Time(9"•G") End Pre-soak, 4!. Rate Min./Inch Site Suitability Assessment: Site Passed—V_' _ Site-Failed: Additional Testing Needed(Y/N) V 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:\S EPTIC\PERCFORM.DOC x . I SOIL TEST LOG - - -� DATE OF TEST: JUNE 21. 2007 4 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. p PERC NUMBER: 11629 NO TEST PIT I PAAREN'TUNDWATEMAATERII L :ENCOUNTE PROGLACA LED OUTWASH PERC AT 64 in - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 37.00 0-10 Ap SANDY LOAM 10 YR -4/3 NONE FRIABLE _ 10-40- B LOAMY SAND 10 YR 5/6 NONE FRIABLE 33.67 + . 40-132 C MEDUIM SAND 10 YR 5/6 NONE LOOSE 26.00 - - - - NO NOWATE TEST PIT 2 PAARENITUMAATERII L: PROGLACAL OUTWASH r 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 37.00 0-10 Ap SANDY LOAM 10 YR 4/3 NONE FRIABLE 10-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE 33.83 3B-126 C'- •:' MEDUIM SAND 10 YR 6/4 NONE LOOSE 26.50 1 M g DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones;Boulders. Consistency, Flood Insurance Rate Map: {6 " Above 500 year flood boundary No_ Yes 0 Within 500 year boundary No ✓ Yes ,y — ' Within l00 year flood boundary No 1 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? Kew If not\what is the depth of naturally occurring pervious material? ,t 17, 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 w' fH OF MAS the required training, ertise and experience described in 310 CMR 15.017. 3� sq Signature 4 L� Dateluf �1 2®® ono DAVID cyGN� ° D. COUGHANOWR " �0 410ENS�� Q Q:\S.EPTICVERCFORM.DOC '4 E VA LU P:O Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection One winter Street,Boston,Ma. 02108 Jolui Gii ad D.E.P. Title V Septic Inspector P.O. Box 2119 Teaticket, MA 02536 WILLIAM F.WELD (508)564-6813 Governor 8 ARGEO PAUL CELLUCCI Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR(TNOV PART A0(� CEpRTIFICAT6ION ( �►t[Property Address: 350STRAIGHTwAYHYANNIS � 9 `ac 13�k � 1 3 lgg� Address of Owner: Date of Inspection: 9/29/98 (If different) �yName of Inspector: JOHN GRACI KENNITH MCNEIL;BOX 831 HYAN 0F_VJftABLE I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: 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: X Passes This Inspection Is based on criteria donned In Title V Conditi nall Passes code 310 CMR 16203.My findings are of how the system is performing at the time of the inspection.My inspection does — Need ur er Evaluation By the Local Approving Authority not Imply any warranty or guarantee ofthe longevtlyofthe Fells septic system and any of Its components useful life. Inspector's Signature: Date: 9130198 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. 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 04127197) One Winter Street • Boston,Massachusetts 02108 . FAX(617)556-1049 0 Telephone(617)292-5500 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of Inspection:9129198 _ Sew.aae backup or.hreakout or hiah.static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must Indicate either"Yes"or"No"as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No _ — Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the praund or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 04127ST) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of InspectiOn:9129198 D] SYSTEM FAILS(continued) 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions 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(IWPA)or a mapped Zone II 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 groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127ST) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of Inspection:9f29J98 Check if the following have been done:YOU must indicate either"Yes"or"No"as to each of the following: ,c_ — Pumping information was requested of the owner, occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x — The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. -x— — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x 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 Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is unacceptable)[15.302(3)(b)] (revlsed 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of"Inspection:9129199 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g•p•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 2 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings, if available:(last two(2)year usage(gpd): nfa Sump Pump(yes or no): No Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: nia Design flaw.0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: nra Last date of occupancy: nfa OTHER:(Describe) rva Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: SYSTEM WAS LAST PUMPED IN 1990 BY ABCO System pumped as part of inspection: (yes Or no)Yes If yes,volume pumped: 15w gallons Reason for pumping: MAINTENANCE TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions 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 information: '19T3 Sewage odors detected when arriving at the site: (yes or no) No (revised 0427)97,) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of Inspection:9129199 SEPTIC TANK: x (locate on site plan) Depth below grade: 1' Material of construction:x concreate metal FRP Polyethylene_other(explain) If tank is metal, list age n1a . Is age confirmed by Certificate of Compliance No ('Yes/No) Dimensions: Le•e••rle'7^w4'10" Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle:32" Scum thickness:a Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: rda How dimensions were determined: MEASURED Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERYTWO YEARS. GREASE TRAP:_ (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRp_Polyethylene_other(explain) Dimensions: rva Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle:rda Date of last pumpingril, Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) rda BUILDING SEWER: (Locate on site plan) Depth below grade: vv, Material of construction: x cast iron_40 PVC_other(explain) Distance from private water supply well or suction Iine:TowN Diameter: n1a Qeimments: (conditions of joints,venting,evidence of leakage, etc.) (revised 04117)97I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 Date of Inspection:9/29198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: nra Material of construction:_concrete_metai_FRP_Polyethylene—other(explain) Dimensions: We Capacity: rda gallons Design flow: nra gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nra DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nra Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) Ma PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_Ye: Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) nra (,909ed 04J271971 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 350 STRAIGHTWAY HYANNIS Owner: KENNITH MCNEIL;BOX 831 HYANNIS MA 02601 Date of Inspection:9129198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan, if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: rVa Type: leaching pits,number: 10DO GALLON LEACH PIT leaching chambers, number:Wa leaching galleries,number: ria leaching trenches, number,length: nra leaching fields,number, dimensions:Wa overflow cesspool, number:nra Alternate system: nra Name of Technology._nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY,THE PIT HAD 3'OF WATER IN RAT THE TIME OF THE INSPECTION,IT HAS NOT HAD MORE THAN 3'OF WATER. CESSPOOLS:_ (locate on site plan) Number and configuration: We Depth-top of liquid to inlet invert: Wa Depth of solids layer: We Depth of scum layer: r9a Dimensions of cesspool: Wa Materials of construction: We Indication of groundwater: We inflow(cesspool must be pumped as part of inspection) nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nra PRIVY:_ (locate on site plan) Materials of construction: Wa Dimensions: Wa Depth of solids: Wa Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Wa (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 350 STRAIGHTWAY HYANNIS KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 9129198 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) A Dtc k- 6 u AA A3i�S� Qc �� (revisedOU27197) Pape 9 of x0 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 350 STRAIGHTWAY HYANNIS KENNITH MCNEIL;BOX 831 HYANNIS MA.02601 9129108 Depth of groundwater 12 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 x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS MAPS AND CHARTS (revleed04127197) ?age 10 at 10 ALL PIPE SPECIFIED ARE INVERT ATIONS E L O W P R O E I L E EXPRESSEDLINV DECIMAL FEET NOT FEET AND INCHES.TIONS RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE TOP OF FOUNDATION RAISE ONE INSPECTION RISER FOR LEACHING GALLERY EL = 37.66+- TO WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT AND INDICATE LOCATION ON AS BUILT. 37.75 ALL PIPE D—BOX MAX SCHEDULE T 08 VC 3" DROP AND TO PITCH AT FLOW LINE I i i 34.75 1/8 in/Ft MIN. 10.. = 14. 48" GASH PRECAST BAFFLE DRYWELL 33.80+- 6 in LEACHING NG F EXISTING STONE33.56 LEACHING GALLERY EXISTING EXISTING BASE GALLERY 33.75 EXISTING 1000 GALLON 33.50 (END VIEW) 31.5 55.00 FL + SEPTIC TANK SEE DETAIL ON REVERSE C z EXISTING 1 Ft e) 7 f t b) 8.5 f t ADJUSTED SEASONAL 22.20 HIGH GROUNDWATER N y MIN J— w�ndd its N� M� �c (n / / o ji n ' / r rn rnr- rn r. �l rn _�— 7// rn Iz° m co O -4 (A) N) �— a Zn N Nwcn � n 6/ p / P m W . y N N rn NWLrI m m N / ti m rni� : � � m �� / K m arn � n no mcn � � m '� O / �/ / / zX r rnrn rn-i / o \ / / q a Zoe- � ' I o O yn rq DQD Zo O 1 � - - - 00 _0 �� o -• 3 N (ln D ) OM �o �uzz � ' � ��j i 0 °z I o v, o B�TIiVG Kb.rTl yfn cr) m Flj ' o m z0' r r OD 0 / I / �� tx ti par'- �aanrTl °m---i o°�Qcxn 7� � m -0 � ' rn m �, ova �aQm� M O Z o �� �mm �rn�Zn =�0rnp= p 01 �W W O z (I1 G� ~ zrr 01yQ� rmnm� m OD O-1 � m z = z r (� Ulan Q3� O3 G� �� Q m z=� ryQ �z o a m w F)a �o ® cr) Cxl _ 0 � CD < Rl a<cn o�=mz —I ci) =z m co o a m zm a3FTI Pmm;um I >m ccco il -1 Ul O 0 < ate= 3a�o r mom. � � O�j � m m O rn ya-< CJ �oozuzi> N CD CD 3 cn rn z rnrr ornnrn �mcj) O r\) �� 0 o om m � �rnz Coa.:� cn 0 0 n z rTI <C aomro c-''m 3f j-0 3U7z�Z p r a -0 p cn C�MMoy Q c'n= oz a a a o F rn cnmy O � y ('-)conm02 m m m rn Z cn z.��'�,0 G) a i C�lm,l� L p p co rn ,) (� � w �xoa O cn m n--)H O C C 2 -i y Z rn C D m mz==3 ,1 Z p �cf) < p -m y cf) y.p� w0 023 �m N -0x mN)< �OMT- N a O �� n 3 m S��� ark mOC n~ ~�� 0co N Z N �) 0 X O Sll� rn� R0�7 C N rn �l �7 U7 N 3 rn o0o O y Rl m Z Z O m z u)�o UOI� (�0 U) O � N m m ddb � y r O m STRAIGHTWAY �3-00A m N CO'-' Z r - 5 coM�oN m �( 3 ® �m ZO �' / 0 mocmcna 0 �� G UI ,� ) °\ o �Fy� � Zo �O �Z 0 r o moo rn= �J 0 (j 'v m ° G� o s 0 o R1 Z _ (� I a� Y° CO y >O i +] t� > m = > o Z �� m� O cf) D n `� 0 .� ? C� m y Z p ma � 00 0 0 � � m p a . c -n R1 cn 3 (� a c a a r cn N r 3 m r N z o rn O ti ti �70 w ) sa mmor--<-� I - � ° rn R N� mrnzo rn Sl Om �O3m z y SOIL. TEST LOG DESIGN CALCULATIONS DATE OF TEST: JUNE 21. 2007 ([DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD - USE 3 BEDROOM FLOW = 330 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. EPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC NUMBER: 11629 `DISTRIBUTION BOX: USE 3 OUTLET D-BOX. NO GROUNDWATER ENCOUNTERED SOIL ABSORBTION SYSTEM: THE LEACHING GALLERY DEPICTED BELOW CAN LEACH TEST PIT 1 PARENT MATERIAL: PROGLACIAL OUTWASH Abot = ( 10.83 x 25.33 ) +( 4 x 2.84 ) + 0.5 x ( 6.3 x 2.84 ) = 294.63 sf PERC AT 64 in - 2 MIN/INCH IN C SOILS Asdw = ( 2 5.3 3 + 13.67 + 4 + 6.94 + 15 + 10.83 ) x 2 = 151.54 sf i At c)L = 446.17 sf Vt 0.74 x 446A7 = 330A7 GPD ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER USE THE LEACHING GALLERY DEPICTED BELOW. Vt = 330.17 GPD > 330 GPD REQUIRED (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 37.00 0-10 Ap SANDY LOAM 10 YR 4/3 NONE FRIABLE LEACHING GALLERY 1000 GALLON SEPTIC TANK 10-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE DIMENSIONS AND DETAIL NOT TO 33.67 USE SHOREY PRECAST 500 GALLON NOT TO USE EXISTING H-10 UNIT SCALE 40-132 C MEDUIM SAND 10 YR 5/6 NONE LOOSE LEACHING DRYWELL (H-10 LOADING) SCALE 26.00 CONSTRUCTION DETAIL EXISTING SEPTIC TANK IS TO BE PUMPED STONE DRY AT THE TIME OF INSTALLATION AND NO GROUNDWATER ENCOUNTERED DRYWELL UNIT IS TO BE EXAMINED FOR STRUCTURAL TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH 6. A �t4.0 ft INTEGRITY. INSTALL A NEW PVC OUTLET 2 MIN/INCH 'I N C SOILS 15.0 Ft TEE EDUIPPED WITH A GAS BAFFLE. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER m M m 0-/// , in 6 1Lq Foll (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING a37.00 �� 11--ol TAPER�� 0-10 Ap SANDY LOAM 10 YR 4/3 NONE FRIABLE .5 f'L FL 4 f-t 4 f't es O 4 8 f.t-10-36 B LOAMY SAND 10 YR 4/6 NONE FRIABLE O 5F33.83 t4� 36-126 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 25.33 ft 26.50 500 GALLON DRYWELL DIMENSIONS AND DETAILONE 1� GROUNDWATER ADJUSTMENT USE H-ie uNlr RISERLTO WITHINPTHREEN 8 INCHES OF FINAL GRADE t-6 In A EXISTING GROUNDWATER LEVEL AND rNorcnrE LOCATION la *3 t;x ON AS-BUILT PLAN BASED ON TOWN OF BARNSTABLE # GIS DEPARTMENT RECORDS. INLET OUTLET i END END r INDICATED GW 20.00 e'` INDEX WELL MIW-29 00 33 3 'e '�' $ ZONE D SOD O in _ 3 IN DROP _ IV- t READING DATE MAY. 2007 oao�000�oao O�Q�� FROM 1n TO LINE D�-BOXI 14 . READING 7.0 000000000ao Opp BUILDING 14 ADJUSTMENT 2.2 D��OOOO 0 LC` 1n NOTE"S ADJUSTED GW 22.20 48 G)8 in 10Z Jr-7 LIOUID GAS LEVEL BAFFLE 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. CROSS SECTION VIEW INSTALLER MAY ELECT STITUTE AN 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED APPROVED GEOTEXTILE FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. FABRIC IN PLACE OF 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS LAYER 2 in. PEA EDNE CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 21n PEASTONE 2 in PEAsroNE 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. o 0 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED. ?g 3/4 n, ro EFFECTIVE 24 3/4 to ro 26 SEWAGE DISPOSAL SYSTEM PLAN 1-1/2 1n GRAVEL DEPTH 1-1/2 in GRAVEL 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 1�' -TO SERVE EXISTING DWELLING Zl EAANDTECH ENVIRONMENTAL APPLIANCES, AND BIANNUAL RECOMMENDS THE OF THE SEPTIINSTALLATION TANK.LOW FLOW FIXTURES ANNE M. KITTREDGE 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 350 STRAIGHTWAY HYANNIS, MA .PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO -WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-2670 Jl.1NE 22. 2007 2/2 I