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0016 SUDBURY LANE - Health (2)
37 Sudbury Lane Hyannis A=271-214 TOWN OF BARNSTABLE LOCATION .37 S,,I tA1a7l SEWAGE# 7�IILLAGE H--i A-N W ASSESSOR'S MAP&PARCEL S-'?Q 1-1!) INSTALLER'S NAME&PHONE NO. G - 56'9'- -771-9391 SEPTIC TANK CAPACITY LEK( P�, 9-C 1 CtX�-9 At. LEACHING FACILITY:(type) --T1ZA::EVe- i— (size) 4. =4'3 k A NO.OF BEDROOMS OWNER PERMIT DATE: �3 -( COMPLIANCE DATE: g ` 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) IJ AV- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) '9S 5 Feet FURNISHED BY _ 1 s v a ,� . � _ � � O� -, '� 1 �''�. I 1' .. _ r_. No. .fD �� Fee U / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Bisposal *pstem Construttiun 3pErmit Application for a Permit to Construct( ) Repair Q/Upgrade( ) Abandon( ) ❑Complete System 2 Individual Components Location Address or Lot No.3 Q L/,Ln`P__ Owner's Name,Address,and Tel.No. , '?1)6 119.23 Assessor's Map/Parcel 077/ .L/9 Gf ilh/S tqn4+b no Installer's Name,Address,and Tel.No.5'L,8- Designer's Name,Address,and Tel.No. der Eolc �1bi�SlYu r�v�;�n� >�0-Y) 661 i neeri.9f��1��, �i /Llat " I'AlmI44, Type of Building: Dwelling No.of Bedrooms Lot Size /J — sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 Y/p gpd Plan Date l�(, ;tDi Number of sheets / Revision Date Title 1,��,rj" �2:j 6 la a -V 3r) str� f,- /4a or2 14ya(/I a 04 A Size of Septic Tank PXis rw ]oLo a-,Q Type of S.A.S. 075 Description of Soil soi/ k 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 a o to ace 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 for the following reasons Permit No. _2 J l 0 - Q 76 Date Issued a 't No. _ Q � 4,...: w r•. Fee THE COMMONWEALTH`OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for MispoSal 6pstent Construction Permit Application for a Permit to Construct( ) Repair VUpgrade( ) Abandon( ) El Complete System ©individual Components i~.,-.� ..�. Location Address or Lot No.v"� StJd�u d �Ct q Owner's ame,Address,and Tel.No. f' r r Assessor'sMap/Parcel a?7/ Z/9 ����{/1/1/- gn,4?.vo )cS 6pi+etr-A-v �an5g if � G�re�/�7er Installer's Name,Address,and Tel.No.t;o 5-Llr;k$- S1 0<1 Designer's Name,Address,and Tel.No. tr2>__r{'e.;-lcrtt C'at�s� ruck r'Ur�;ia�� ,i�:crai) 61 tfC G�a� f2.1 ; ,11G1YS(or�s l r 11 Q Ll rMu» r` ,d/1,' 7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size /5, — sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 Y? gpd Plan Date -I crS Number of sheets r / Revision Date Title I s t-1'e 5- (V//'(/la 1, ,r,;,„,'�. k'�t#A Size of Septic Tank Y / / yp ,?5 u 3 ,(F, •'tc(: [� ('/�; `)X t�_, 1-,�•„7t I rXX.�9ie._ T e of S.A.S. Description of Soil,5,11 Nature of Repaid 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 dispo al system,in accordance with the provisions of Title 5 of the Environmental Code and n6t to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe5l• 1 r .^'' -M-- Date -- r)-C Application Approved by III r 44s.•� Date j 6 A Application Disapproved by Date 4 for the following reasons Permit No. d p - a 26 Date Issued a tllli 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 a r r(v l c�� C_��, ry �� Q /`T 0,g l S has been constructed in accordance _ with a provisions of Tithe 5 and the for Disposal System Construction Permit No. �� dated _ t Installer s l� i, . ( s ,s?112,Y-I`llyl 1 ln� Designer / Un'��i� e �C n ,.r< I-41 C #bedrooms _S Approved design flow ,_ U" J d gP The issuance of this, a it shall not be construed as a guarantee that the system w'1 all"I n as designed. Date � � Inspector• 7 I I No. <i Fee /do v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) r ` System located at LNG {/ �1�,,•t_c� f�< IJ/71�� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with R , Title 5 and the following local provisions or special conditions. Y C Provided:Construction must be completed within three years of the date of this permit.c/ r Date 35 h G,�d g Approved by LM Town ®f Barnstable rf+e r Regulatory y Services vices Thomas F. Ceiler,Director BABNSTA13W wNAn ,eg Pulblic Health]division p¢n�naY� Thom s McKean,Director 200 Main Street,Hyannis,NU 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&IIDesigger Certification Form Date:. /0 Sewage Permit# -2OlJ- 74 Assessor's 1M[aplParcel c Designer: o�� e i � �, Installer: Address: 9 MCL'I Address: On - 1FV was issued a permit to install a (date) Q(irnstaller) septic system at 37 Sl �D L" based on a design drawn by Q (addre ) a i 01• a,a.1". PLJ dated <3// (deft er) 1, • �I certify that the septic system referenced above was installed substantially according to the design, which may include.minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system but in accordance with State&Local Regulations. Plan revision or certified bdU�by-.esigner to follow. SN OF MgSS�cy DAr IELA. �s o OJALA (Installer's Signature) " CIVIL N No.46002 �1._►/ �F G�STER NAL . (Designer's Signature) / (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONRLL4NCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc �y q Town of Barnstable P Department of Regulatory Services C + BAMMBLE, Public Health Division Date /p y MASS. a639. �0� 200 Main Street,Hyannis MA 02601 'Oren Ma+° r� CM Date Scheduled V L Time Fee Pd. ! 00 • �U_ P ;.� r� rr Soil Suitability Assessment for Se e Disposal r Performed By. Nh'e I Gan E tieS Witnessed By: _ LOCATION & G1 EP AL EVFOR xATION . Location Address 3'7 SKA tA,� Owner's Name Sr �Y7—71 Z 1 e— �0 a>7 Address /,`` Assessor's Map/Parcel: �9 Engineer's Name � 0 KJ V�— NEW CONSTRUCTION REPAIR Telephone#`�08, 36a — Land Use L-a we7 Slopes(%) 0 —5 Surface Stones lblov e Distances from: Open Water Body >(^0J ft Possible Wet Area 7100 ft Drinking Water Well ft�"" Drainage Way 5 0C),_ft—..properly Line �r v ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) l�y3l� N o� v �ecK pwell��j _- --C1 3 S Ln sy. 5z Parent material(geologic) �(� `I Depth to Bedrock —)OL/) IA-Depth to Groundwater: Standing Water in Hole: /l/ A Weeping from Pit Face /y Estimated Seasonal High Groundwater 1 A- -D TE ATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date! / Time Observation 1 Hole# l Time at 9" Depth of Perc _ Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak / h RateMin./Inch / 2,'7 7./7 - ""` Site Suitability—Assessment: Site Passed 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:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) L 10A7/2 Z�-4o SL I NA 14A, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. �) Consistency,%Gravel C ; y_3G S L DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) , (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Mao: l Above 500 year flood boundary No Yes Within 500 year boundary No_ Yes ` Within 100 year flood boundary No V Yes Depth of Naturally Occurring 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? \/e S If not,what is the depth of naturally occurring pervious material? Certification I certify that on / Z (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,expertise and experience described in 310 CMR 15.017. Signature . Date t . Q:\SEPTIC\PERCFORM.DOC Town of Barnstable Barnstable Regulatory Services Department ;edcaC 1 BAMSTABM �$ SS 6 9 ��� Public Health Division '�Fbr►�s 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0138 February 26, 2018 SPIERTO, ANTHONY & ESTHER 37 SUDBURY LANE HYANNIS,MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 37 Sudbury Lane,Hyannis, MA was inspected on 02/13/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • The leaching pit had effluent three inches below the inlet invert and stain lines above the inlet invert. • The distribution box is starting to crumble and needs to be replaced. • The outlet baffle of the septic tank needs to be replaced. You are ordered to repair or replace the septic system component within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\.37 Sudbury Lane Hyannis.doc • �T�ram, • Town of Barnstable MAM 1AR17STA8CF s . Regulatory Services Department Public Health Division 200 Main Street,Hyannis MA-02601 0$ea: 508-8624644 Richard Sc4 Diractor FAX 508-790-6304 Thomas A-McKean,CEO Feb 6, 2007 Rev. 5111116 DEADLINES T.O'REPAIR FAILED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ An`Y marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground . o Pumping more than 4 times during the last year not due to clogged or obstructed pipe, o Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE 1 YEAR DEADLINE CRITERIA tatic liquid level in the distribution box bov utlet invert to an overloaded or clogged SAS or cesspool 1 ��,� ^/ ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA q Single'Cesspool- ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) o Leaching pit or cesspool with high liquid level,<12"below inlet(per Town Code §360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q;�SEPTICQEADLINES TO REPAIR FAILED SYSTEMS.doo r Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto ' Owner Owner's Name information is r required for every Hyannis MA 02601 2-13-18 Q.) 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. Please see completeness checklist at the end of the form. A. General Information Sly a8�� 1. Inspector: Shawn"Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further E uati In by the Local Approving Authority 2-13-18 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 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. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 °J�a�S Commonwealth of Massachusetts ` :a=1 Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments p_�,!✓ 37 Sudbury Ln t J Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check'A,B,C,D or E/always complete all of Section D A) System Passes: : ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ ,Y ❑ N ❑' ND (Explain below): t5ins.doc•rev.6/16 . Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r . Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form ��. Subsurface Sewage Disposal System Form Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is Hyannis MA 02601 2-13-18 required for every ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): , ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N, ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within'50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 �. Commonwealth of Massachusetts Title 5 Official Inspection Form ICI Subsurface Sewage Disposal System Form Not for Voluntary Assessments p l!y 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name regpiratifo is Hyannis MA 02601 2-13-18 required for every y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 0 ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts as Title 5 Official Inspection Form �1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion'of a cesspool or privy is within 50 feet of a private water supply well. ❑ "E 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 ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc-rev.6/16 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 _ I Commonwealth of Massachusetts a=I Title 5 Official- Inspection -Form ' 4 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 37 Sudbury Ln t J' Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 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? ®, ❑ w 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 plari 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)] 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 Y t5ins•doc-rev.6/16 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form �If—I Subsurface.Sewage Disposal System Form -Not for,Voluntary Assessments _sW 37 Sudbury Ln t J" Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2-2018 Date ` Commercial/Industrial Flow Conditions: Type of Establishment: I _ Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts �;n f Title 5 Official Inspection Form -I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln t J Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner--pumped 6-2017 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons . How was quantity pumped determined? Reason for Maintenance pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): - t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form J�Q Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1982 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 12"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 gal Sludge depth: 12" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Form J1.1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments as' 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 611 Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with no sign of leakage. Outlet baffle needs to be replaced. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts r fZ Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , { a' 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): I Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name required for every y formation is Hyannis MA 02601 2-13-18 r page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): , Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is starting to crumble and should be replaced. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form �5., Subsurface Sewage Disposal System Form -Not for Voluntary Assessments T aF! 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 " page. City/Town State Zip Code Date of Inspection r D. System Information (cont.) Type. ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit had standing water at 3" below inlet invert with stain lines above inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments '• 37 Sudbury Ln t J' Property Address Tony Spierto Owner Owner's Name information is Hyannis MA 02601 2-13-18 required for every H y - page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) . - r. 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.): 1 ,1 q s 1 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts ,a=1 Title 5 Official Inspection Form �l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately f 40 03 � ... Or t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a� 37 Sudbury Ln J ry Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) - Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20' 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: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins,doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 ` Commonwealth of Massachusetts J r, Title 5 Official Inspection Form �f,.l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 37 Sudbury Ln Property Address Tony Spierto Owner Owner's Name information is required for every Hyannis MA 02601 2-13-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 LO CAT I N SEWAGE PERMIT NO: `- 'VI.LLAGE y INV- yLER'S N M ADDRESS r V P� SUILLDER OR OWNER o 0AT,•E PERMIT. ISS-UED DA.T.E. C0M-PLIANC-E ISSUED 2�/�2 � r � M Pic) Fizz.-� ...`........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --.-........Town...............OF.......Barnsta.�r_a..---._..._....................................... -� ,1 Iiratilan for Big niittl Works Tonilrurtinn ramit • Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .........Lot #...Z. �..... 4�. �: HYrannis MA Location-Address or Lot No. .... al r i c o rn Rea.,Y..Thus t.-•---------•-------•.......... ...7 5...Falmo 1zth...aoad,..._H.y-a n n; c Owner Address a Steve Leber,...... -. ...................•----•------•---.....---...... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....3................ _.._.Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building XaMCh............ No. of persons............................ Showers (2) — Cafeteria ( ) a Other fixtures ............................ -- -----------------------------------------------------------------.-----------------------------------.......•-------- W Design Flow...............55.......................gallons per person per day. Total daily flow..........:-...330....................gallons. W Septic Tank—Liquid capacit} .QM.gallons Length8.'......... Width.4...�Q.... Diameter---------------- Depth 5...$....... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.................... ft. Seepage Pit No....1.............. Diameter.......6.'--....... Depth below inlet.........6........ Total leaching area......2.6b...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Eldred e En ineerin 11-2 81 Percolation Test Results Performed by....... - ----g.•---•---..g-----.•----....----�-------- Date---i----------�.-----------•------.. Test Pit No. 1'�2.t_Q-----minutes per inch Depth of Test Pit....1.2...:...... Depth to ground waternone...P-naounter- f= Test Pit No. 2N/A.......minutes per inch Depth of Test Pit.K/A........... Depth to ground water.....B/A---------- e Ci a ........ -•--•••-•--•--•-----••--....•••---••------••...........................•..........--......................................................... Description of Soil......0 '..•-•--2 10am .tA SD1l x 2 t - 10'.m_edium..yel,lQw--•aard---•-----------------•------••---•--••----••••-•------•-----•--....--•----••--------- 10 - 12-_-•.med.l...wh te---fan- ...Qf-..graV.el .m...w-ater-..a:t...1.2' UNature 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 TILT y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the boa of health. O Signed. ` -� .. ............ .._..... Daia Application Approved BY----... _�- ---• --•---. -- �! ......---•--------- Date-------------- Application Disapproved for the following reasons:-•-----------------•---•--------------------------------------•-------------------•-•----••-----------........_ -----------------------------•--••-•-------------••--•-------•--•--••----....-----------•------------............--------------•-------•---....------•-••-----••-----------------...• ............ Date PermitNo......................................................... Issued-....................................................... Date A r Not.• ', • Fps. .:.. -?�..................... a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............".Town..............OF.......Barnstable.................................................. Appliraation for Disposal Works Tonstrnrtiun Vrranit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .... Lot . ......................................................... Hyannis! .MA ...... - ...-•- Location-Address or Lot No. - CaPrc ... a�. ... x'> t•----------------------------- ---765_._Ealmouth..Road.:-._i3xan.s.............-- Owner Address w Steve Leber :.. a ........................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms._-.,3.....................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _X aMCh......_-____ No. of persons............................ Showers (2) — Cafeteria ( ) Q' Other fixtures -----------••----------- :---•----•---------------------------------•-------- ----•-------•--------•---_--------••.._.._..........---- 55 w Design Flow................ ........__............gallons per person �er11day. Total daily flow................ ...__.gall 4______.___.... ons. WSeptic Tank—Liquid capacity�pQD--gallons Length�__.16......... Width.4..' Q_--_ Diameter................ Depth5.-_$....... x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage-Pit No.... .............. Diameter.._--_.6'........ Depth below inlet.........6_'...... Total leaching area......266...sq. ft. Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Results Performed by..._-_-Lldr@a.i� n 12?eerl?7._..__... Date....q'nZ5.781............. Test Pit No. 1<2r*.p.-_.minutes per inch Depth of Test Pit.... .__._____ Depth to ground waterTIOXLe...PM-Ou 1te Test Pit No. 2--I ..A__,___minutes per inch Depth of Test Pit-N/A.......... Depth to ground water.....B/A.......... e -------------•--------------------••----•-------•--...............................-•------•--•--•--.......................................................... O Description of Soil...... t_...- 2' loam & tgj?-S9: ._... x 2' 10' mediuin_..Y_-ellow••sand = W 10 3'2' med, white sand��traces af•--gravel/ng water a -U VNature 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 TITLI: 5 of the State Sanitary 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. Signed...................................................................•----•------.....-- ---- --- _.......__--•--- --�APPlication Approved BY e._fi'.... -..---�`- - - _________________ Date Application Disapproved for the following reasons------------------------•----•--------------------------------------------------•----------..._.._._.........---- ------------------------•-•--------------------------------------------.......---._......._...--------•-------------•...................-.............................................................. Date PermitNo..............................................--......... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town oF.....Barnstable .......................................................... %'-wrrtifirate of TlaanpliFanre THIS IS TO CF_R e�Y,LTelje he Individual Sewage Disposal System constructed (x) or Repaired ( ) by.....................................t-•---...........----D........._...........---........-----------------•---•--•---------..__..........._..-•---------.._.....----......-•---•--•---•--•------••- LotInstaller ...................Hyannis, P' at ---•-•-•---•----•----------------------------•----------•---.nsta er has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.--- _-.,.Z1� ...__.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. DATE...................................� �------._............. Inspector.............. .................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town......OF........Barnstable N o. c�.• d' ��•• ............................................................... FEE... J........... r Disposal Works CLUgnstrurtion rranit Steve LobelPermissio,*s hereby granted •-------•--•----•-•-------------•-•----------------•----•---•-----------•--..._........,.-•-----•---................ to Construct( ),fr Repair ( ) an Individual Sewage Disposal System atNo-------------------•_... -riyanni S t.--MA---------------•----- Street PP P ��--'��---•_='-"�MOKY-Health --- Date------------------------------------------ J as shown on the application for Disposal Works Construction Permit No..................... Y r!`�l / r QQL DATE...........................................___[!- FORM 1255 HOB13S & WARREN, INC.. PUBLISHERS ' f � i' 23 z s , 301 I 1 �xPa+Nsion/__�' 0 0 O S .� n e N. h�/ � `�• I OOC7.Ea L F' 14 i { �f OF � 1 C { N .3 Z,,E E3 14 o,sT Ba�o� W I D�l-I i cc) ' LEGEND �PF A°o CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO � qc # G,.: ISTINO CONTOUR - /oa ALBERGoT z SvOeur L�N� ' 7 } " NISHED SPOT ELEVATION ply I✓AII-7 FINISHED CONTOUR 0No 10951-4) IN � N APPROVED j BOARD. . OF. HEALTH 9°FFSSONAL .�A�, J�Jv� �AS�,9 �1AS�►11 ' J DATE AGENT SCALES I "=30 1 DATES 4�ir/Rz A/�lCO 1 DREDGE ENGINEERING Co' 'NOCL I CERTIFY THAT THE PROPOSED r� IENT I LENG ISTERE REGISTERED J08 NO.,g BUILDING SHOWN ON THIS PLAN CIVIL' LAND CONFORMS. TO THE ONING LAWS ' INEER SURVE OR DR.:BYt .__. OF BARNSTAB ; SS. .. 712 MAIN STREET. CH.'BY; rJ.Tz':�• : y� HYANN I SI MASS. : 2. ` SHEET " .OF DATE R 0. LAND SURVEYOR t N T .P7YOTF F TAN/C OR ?D , "� /E N T 2 E M "B ACJ-// G 4P/ ARORE TH EL0J1V /0 JsT MAN �,RAOE, fa 24 'D/AMETEK C'oNC'R.�TE COVER ►E_-- SWALL BE BRDUGHT TO GRAZIE. �,-;,✓ EXTRA CONC/{CTE 4�PVC_OJP.Z' f-,rEgVY CAST /RON COV/-R 3,= ZISE17 T eLz�(/. /DD d - /F/N DR/VAFE WA Y COYERS �g'PE.Q FT. 2 'J. MiN. G"o/VCRE TE iA a GI�AOE COYER CLEAN SA No �� __ UQ[//O LEVEL •._ ,�• j . . • *LAYER do"CAST. ROK P/PE '^ �D O C7 0 a o � a►t, Min/.PlrCW G.4L o ob 1 • • . • • / • , •O• WASHFO STONE i- %v PER J'7 SEPT/C TANK B Jx �� p. P p • ! 8 • • . • • .•e i e • ••EFFECT•/VE 1 . � ` 3�4"_ / �2 e 1 • . DEPTH • • 1 ' 0 WA5XE0 STaNE 0 PRECAS T SEEPAGE INYP/tT CLE�/AT/GNS o i • • • . • . . • / OR o P/7 OR EQUN /N✓ERT AT O!J/LD/NG` `�7:,0 Fr /'NLET SEPT/C TANK 9 G. S .Fr. P(,TCA-PAC(T�( °-- '549 CAI D. FT O/Ah'J. �' C SEE TABIJLATJON> OUTLET SEPTIC TANK 66,2 FT. :,- /NLET D/STR/8!!T/ON BOX FT. SECT/ON OF GROUND: WfITER TA9LE Ot/TLETDISTR/BL/T/ON BOX :96,a FT /NL6r tEAcN/NG �iT 9s.Ca FT .SEWAGE 0ISP4SA L SYSTEM LE ACHING PIT ?ABULATION • '/4"' _ /'_D~ DIMENS/O N A -Z FT. DESIGN CR/TER/� sc.4tE . NlJMBER OF BEDROOMS' 3 D/MENSlON C ¢ FT. 6ARe,4GED/SPO.SAL 41,V/T n�oN€ SOIL LOG TOTAL E3T/JrlATEG. FLO*v 33 O• G.4t.IDAY SOIL TEST Al SOIL TEST�2 .^D/L TEST A n NUMBER OF teACNnYG PITS. 1 ^ECEY. q� /^-ELarb .DATE OF SO/,L TEST t �L 2� Ql� S/OE 4--ACHING-PER R1'r- sg PT. LAM RESULTS i�/lTNESSEp BY J h Fp,=F eD 90TTOM Lz4CN/NG PER P!T 2L_$Q, pT. 0 ! at PERCGLAT/O!v /tRTE Af/ L M/N•/JNCN TOTAL LEACH//YG .AREA Zb 6 SQ. FT. PL-NCOLNT/ON RATE A '-7/N.lINCN 3 RES.-RVELEAC'MINGAREA � �NCFM,�, C'6pFMgss90 Z-07 24 SYiABU/Zy L4nIE LBERT, do ° Z9$74�o No.10951�� ��� � �. EL DREDGE ENGINEERING CO,I NG. ST 7/Z MAIN ST. , HYANNiS, ivl.4ss, N� SURVF,I F�sSIONAI Eat ®. NG GROU/V[7 YNi4TCR G�/VCOC//VTL�R�� CL/E/VT:t nICJ D/�ITE `7% �S / UJVO YvA TE.P A T 6L EV _ F 4- JOB MO,' 5' 'o Q� SHEET OF TOWNOF BA�ti�iSTABL.E LOCA 10, :3 7 Sc,e� v SEWAGE'# VI UAGE 01 h c s `ASSESSOR'S l� c1t.LOT II�TSTP LLER'§NAME&gliON Y34 SEPTIC Z,—K CAFACTI'Y ��U 9Q 1`t0 (3FBEI3ROOM 3' EUIL0F,R OR OWrIER PIrRAI�I'F,DATE CO1vlPilie►N��DA"I'E.' Separation Distance B.etwecn Ehc MaxwciumAd�usteclGroundwaterTableto theBottocn ofLeachingFaGility lF�et Pii Water Supply Well andL eachmg 17aciltty (If.asty w elk e�ust' gtt>sitc or.gtthcn>?.Ot1 feet of leacltisrg faccy) feet. Edge of Wetland and°I.eactung#�act'lity(If any,wetlands exls wittsia 3w feet o :teaching facility) / >Feet , ' o � Li E}4 0 + /�-/` l6`l01. ALL SYTE SHALL SYSTEM PROFILE MAR ED WITHCMAGNETICTTAPE OR BE NOTES COMPARABLE MEANS FOR FUTURE LOCATION. a a o PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) 1. DATUM IS NAVD 88 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING o \ TOP FOUND. EL. 59.0' FILTER FABRIC OVER STONE a ore MINIMUM .7 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 56.3-57.3' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 3 Q`r Route 28 o NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST a m PRECAST H-10 THICKNESS REQUIRED BLOCKS OR UNITS TO BE AASHO H-M �s RISERS (TYP.) PRECAST RISERS r 2'0 4"OSCH40 PVC MORTAR ALL H-10 6" MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. Q �ENDS 4' INV S EL. 53.5 4'12" MIN. INT. DIM. (TYP.) ,SIDES 54.33ri 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE o Locus �o� .. P a "oaf o "o a°c 10" "EXISTING 14" o°°°°° oo'000000° WITH TEE TEE , ���0 aaaa ����- - �DOo� 'o 0 SEPTIC TANK *55.7 f o 0 0 0 � � � � � � � � � � � � � o � o � � o 310 CMR 15.000 TITLE 5. o a EXISTING �o°o°o�o�o�o WATERTEST D'BOX b ,o°o ����������� ������70����� 00000000 ( ) p 0 0 0 00 0 0 0 0 0 o DDOODaDaO��a �o Daa���a�� GAS BAFFLE::: o°o° FOR LEVELNESS ci ;00000000 ;°o°o°o°o >°o°o°o°o aaoa00000�a a�oaa�ooaaa °°°o°o°o , 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 53.76' 53.6' o000 ° 000 �h 'o°o°°°o° °°°°°o° 51 .5 NOT TO BE USED FOR LOT LINE STAKING OR ANY �o> o 0 0 0 0 0 0 0 / �• O O J OTHER PURPOSE. Jco Q a 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEAOHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED �. 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X -12.83'' 9. COMPONENTS NOT TO BE BACKFILLED OR COMPACTION. (15.221 [21) b CONCEALED WITHOUT INSPECTION BY BOARD OF o Ld HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP 46.5' BOTTOM TH-2 CALLING DIGSAFE (1-888-344-7233) AND ( 4.85 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND I VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000't LEACHING WORK. FOUNDATION EXISTING SEPTIC TANK 40' D' BOX 12' FACILITY ASSESSORS MAP 271 PARCEL 219 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE LOCUS IS WITHIN FEMA FLOOD ZONE X *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC PROPOSED LEACHING FACILITY. (AREA OF MINIMAL FLOOD HAZARD) AS UTILITIES AND ALL SEWER OUTLETS AND ELEVATIONS PRIOR TO TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY 12. EXISTING LEACHING FACILITY SHALL BE PUMPED SHOWN ON COMMUNITY PANEL #25001CO566J INSTALLING ANY PORTION OF SEPTIC SYSTEM FOR RE-USE. REPLACE `WITH 1500 GALLON AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGEND SEPTIC TANK APPROPRIATE TO SITE CONDITIONS IF SAND. DATED 7/16/2014 NOT SUITABLE 99- EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. [991- PROPOSED CONTOUR [98.41 PROPOSED SPOT EL TH 1 CB W/ DH TEST HOLE FND SYSTEM DESIGN: "I.- SLOPE OF GROUND LOT 24 GARBAGE DISPOSER IS NOT ALLOWED Q� UTILITY POLE 15,787±S.F. DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD "''FIRE HYDRANT 3� N_,FLOW _... yY° USE A ._..O�-GPD. DESIGN NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING SEPTIC TANK: 330 GPD (2) = 660 0LU o **RE-USE ` - Z EXISTING 1000 GAL. SEPTIC TANK TEST HOLE LOGS °56 c,` a LEACHING: SE GONSALVES DANIEL E. , #13587 CRAVEL J SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD ENGINEER: 3 55 SHED pqv BOTTOM 25 x 12.83 (.74) = 237 GPD WITNESS: DON DESMARAIS, RS �RwEw�Y TOTAL: 472 S.F. 349 GPD DATE: 3/8/18 PERC. RATE _ < 2 MIN/INCH '� cn DECK \C USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) WOODS �z� EXISTING WITH 4' STONE ALL AROUND CLASS I SOILS P# 15611 s� TH1 �u r rti, DWELING TOFL59 0 ELEV. ELEV. TH2 STAIRS 0 oft `�Lr' 57.2' 0„ `ET 57.5' o� MA s2 BH APPROVED DATE BOARD OF HEALTH FILL FILL S' HUB & TAC TITLE 5 SITE PLAN 24" 2411 FND OF A A h m SL SL 50 Q 37 SUDBURY LANE 28„ 10YR 3/2 54 9, 30„ 10YR 3/2 55.0' BENCHMARK: 'S4'S8' �o HYANNIS, MA CORNER OF \ z co B B BULKHEAD O PREPARED FOR 48 - Z .4 NAVD88 \ � ss SL SL TONY SPIERTO/ 10YR 4/4 10YR 4/4 40" 53.9' 43" 53.9' HUB & TACK BORTOLOTTI CONSTRUCTION PERC C C DATE: MARCH 19, 2018 � t ,a . LS LSof MI �ZH of Ntq c � off 508-362-4541 fax 508-362-9880 2.5Y 6/4 2.5Y 6/4 t' �' o D�.:!!FL \ downca e.com aJA.A 4s" CIVIL '`& down cape engineefing, iac. » 46.2' „ 46:5' ��,o :.; _ •�. 2 � 132 132 - °�� R� IFS civil engineers F STE ,a ` ��, land surveyors Scale: 1 - 20 � S�r�ALNiv,�„ E� a / NO GROUNDWATER ENCOUNTERED 3-��� t� � '` � � �" ( 939 Main Street ( Rte 6A) DCE # 18-040 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 18-049 BORTO-SPIERTO,DWG