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0049 SUNNY-WOOD DRIVE - Health
49 sunny-wood A= 273—233 _ a Hyannis A N n n N B u C � ,o If a ` 0 TOWN OF BARNSTABLE LOCATION +'I �1 SS)!�A►r WMK) SEWAGE# 9_0)!J-CQ VILLAGE (A )e,1i y ASSESSOR'S MAP&PARCEL I73— INSTALLER'S NAME&PHONE N07 O Gs R `(OWQ TAC SEPTIC TANK CAPACITY lf� J-)�CN% LEACHING FACILITY:(type) ` S•OO Ctc cll on C�JNg (size) 1.?,:•Q=jG 2S X'L .,NO.OF BEDROOMS � - OWNER... acc�Nl' PERMIT DATE: COMPLIANCE DATE: a -7 N i Separation Distance Between the:. r, AJON)e eNCv,)w4elC0 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. ct�IDIXC 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 r . �� � . � � . . �pA 1 ,a1 , �� -� d tl �; �' No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application for bisposal *Pstem Cont urtlon Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Loc on Addre or Lot No. " 4 5 -jeWiW y We,o V< Owner's Name,Address,and Tel.No. VtyyOA N'ss IS 17a,-j a 1x er Assess6r's Map/Parcel --1.75 _ Z 3 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 4S A N-S(o,-.j— ZNc cCO-q00-71 SS l;N ►Nr t-✓;—_5 Wo/IG 5 Type of Building: Dwelling No.of Bedrooms " Lot Size 2 2,107 sq.ft. Garbage Grinder �VCafeteria( ( ) Other Type of Building 005 Y No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) _�J �jQ gpd Design flow provided '3q61 7 gpd Plan Date 11'tj�l r f Number of sheets 2 Revision Date Title Size of Septic Tank_-X t 5} lnYr, Type of S.A.S. 6A(.M. T/S Description of Soil YhdjjA_ y10� Nature of Repairs or Alterations(Answer when applicable) �ry�i�C<I 1�•P :�J S, A S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Q -- Date Z Application Approved by M Date L Application Disapproved by Date for the following reasons Permit No. 2 Date Issued � �\�s {i ice:,Q, ,,�}t,-• a .'y� e • � r t�1�J:T-� � t 1 �] t t ' No. f — 02 �; 'C Fee . 6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Disposal 16pstem Construction i3ermit Application for a Permit to Construct( ) Repair(v"Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Loca ion Address or Lot No. 1-1 9 5 oir(A1 y Wvo V( Owner's Name,Address,and Tel.No. wz yu�NIS �aaa APr Assessbr's Map/Parcel :;L, 5 _ 7_27-13, Installer's Name,Address,and Tel.No.' Designer's Name,Address,and Tel.No. �n.�S�4S .fit �fow� ZNC. Sae-40q-71S WrAe 5 Type of Building: Dwelling No.of Bedrooms Lot Size 2 2,ICU sq.ft. Garbage Grinder( ) Other Type of Building Vloy5 X- No.of Persons Showers( ) Cafeteria( Other Fixtures Design Flow(min.required) 3 '3D gpd Design flow provided. :3!Vt3,7 gpd Plan Date 11 'sic i 4 Number of sheets 2 Revision Date Title -- { Size of Septic Tank F i 9 a in,c Type of S.A.S. NA Ao .Description of Soil yy,, " i Nature of Repairs.or.Alterations(Answer when applicable) Date last inspected: Agreement: L The undersigned agrees to ensure the construction and maintenance of the afore described on-site:sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed - �1-- Date Z 41 Application Approved by Date L Application Disapproved by Date for the following reasons Permit No. Date Issued 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 ,_0 ,, A at has been constructed in accordance with the pr�ov_isions o Title 5 and the for Disposal ystem Construction Permit No�f3/</ Go��dated Installer•�.�7 c A_a ic,,,tea N C" Designer �r �•�, 4 � )�(�S #bedrooms_ '2, Approved design flower gpd The issuance of this permit shall not a con trued as a guarantee that the s ste will fun s' ned. Date � Inspector r --- -------- - - -------- - _ - - --- ---- ----- ------ ----------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS ]Disposal bpste Construction,f)ermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at LA 4 )J N N y LJ Oo�) l�f t V P ���b/V N I C and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date � Approved by / l , Town of Barnstable P# __Z� Departinent--of:Regulatory Services . F r Public Health.Division Hate A y. 200 Main Street,Hyannis MA bate Scheduled Tim 01" e Fee Pd. Sol Suitability Assessment for Se , p - s c : Performed:B {mot/'�Mc�w�'�2 SE 4'1 S�Z- Y Witnessed By: LOCATION & GENERAL INFORMATION Location Address y4 Owner's Name' SONN y-woco J2 /-i y.4 A)tv) S Address Z7 2S r✓"Chia � ®lMe a .Fc. 3y Zz t Assessor'.s Map/Parcel: Z7 3^Z 3 3 Engineer's Namepk�A¢..&J_Q .-00£ NEW CONSTRUC77ON REPAut X-1 ' Telephone# Land Use __ �: 41<< Slopes(9'0) (". 'Surface Stones Distances from: Open Water Body 3`y ft Possible Wet Area? ft Drinking Water Wel('7t J'U ft Dralhage Way /'31 ft Property Line ;k) � ft Other ft r% STCH:(Street name,dimensions of lot,exact locations of test-holes&perc tests,locate wetlands?n proximity, to holes) �Z C'CP yr:.. i Parent material(geologic) s Depth to Bedrock Depth to Oroundwater. Standing Water in Hole: �o n-e Weeping from Pit Face Estimated Seasonal High Oroundwater DETERMINATION 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: ln, Groundwater Adjustment ft. Index.Well.# Reading Date: Index Welt level..,... Adj,factor— Adj,.diwuttdwaterLeval e PERCOLATION TEST bete Time Observation Hole# off Time at 9" .._ Depth of Pero �1 te �„37 Y ZTime at 6" Start Pre-soak Time® ; ,� . 3 K (( Time(911.6") } End Pre-soak G Z►" e L-% Rate MinJlnch. Site Suitability Assessment: Site Passed Site 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 Conseirvation Division at least one(1) week prior to beginning. Q:\.SEPTICIPERCFORM.DOC DEEP.OBSERVATION I E-LOG Hole#. Depth from Soil Horizon Soil Texture .Shcl Color Soil Other Surface(in.) (USDA) (Munsell) Mottling '(Sti:ucture;'Stones;Boulders'. ite:. g-3 54 to r?-SZ� 3fv.c32 c— I S 2-5-Y 1/161 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from, Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. CQnsistency. Ld 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. .; Consfstency Wfttyel) DEEP OBSERVATION HOLE LOG Hole# Depth-from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,.Stones;Boulders. Consistency.%JgMyel) Flood Ingurance Rate Map: Above 500-year flood'boundary No_ Yes 2L Withlo`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? ej If not,what is the depth of naturally occurring perviousmator:ial? ..� Cectit cation I certify that on t 0.``'S .(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 trai 'ng,expertise and experience described in�10 CMR 15.017. Signature Date_T__�__� Q;IS.EPT1W- ERCFORM.DOC 02/07/2014 17:27 5Oe4775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services _ = Richard V. Scab,IAterim Director MAM Public Health Division Thomas McKean, Director 200 Main Street,11yannis,MA 02601 Office: 508-962.4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# Assessor's MaplParcel 2-7 '-Z 3 3 fa l"��Kf-ce p Designer: w1��w.�.�n„Aetitn�t�.[s txc Installer- Address: • ?�3c�j,.,�.� Ir•`_.- Address: 17L W. �aSSJI a Id Rej Address: f&a's La yw* 0 2 (,V-Atr Y, 1 le MA e zip On a•A'3rd'A^r f'^ was issued a permit to install a (date) (installer) septic system at tjd� "^'^y _4,CA fir" tiyQbr'r' based on a design drawn by (adaresss) Al kle ' dated 3 is ! (designer) 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. Strip out (if required) was inspected and the soils were found satisfactory. 1 certify that the septic system referenced above was installed with major changes (i.e, greater than 1 J' lateral relocation of the SAS or any vertical relocation of any component of the septic system) bu` in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compli ith the terms of the I1A approval letters (if applicable) 14 OF -- PETER T. MCEWTEE Ztaller/'s�Si tie) CIVILTr'5 Signature} c Designer's MEASE RETURN TO BARNSTABLE PUB C HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY TEE BARNSTABLE PUBLIC HEAL DIVISION. . THANK YOU. QASeptic0esigner Cc6fication Form Rev 8'-14-13.doc Sep 30 2019 23:08 HP Fax page 9 0? OR 33 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name Information Is / required for every Centerville V MA 02632 9-26-19 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.. ��►u u n u uar ,\A OF Mgr�r��i,. Important:when A. Inspector Information �C, fining out tomes p S� //l/I/C ,� use onlon the�the tab James D.Sears l`� JAMES key to move your Name of Inspector cursor-do not Ca ewide Enterprises '�'•.r, o + use the return Company Name key. 153 Commercial Street 5 IN SP�� �`�� �+Nhm►n111� Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number Ucense 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 4. ❑ Fails 9-26-10 pector'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. I5inap.doc-rev.712&201 B Title 5 Official Inspection Form:Subsurface Sew age wage Disposal System•Page 1 or is Sep 30 2019 23:08 HP Fax page 10 Commonwealth of Massachusetts ,WWTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner owner's Name information fo is � Centerville required for every MA 02632 9-26-19 page. City/Town 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: The system is a 1000 Gal. Tank D Box. Pit and two 500 Gal Chambers. 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): 15insp.doc-rev.712612016 Title 5 Official Inspection Form:SuDsuAace Sewage Disposal System-Page 2 of 18 Sep 30 2019 23:08 HP Fax page 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments vP 49 Sunn ywood Drive Property Address — Joe Scott Owner Owner's Name information is required for every Centerville MA 02632 9-26-19 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 ❑ NO (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (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 ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (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: Mnsp.dac•rev.7/2512018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Sep 30 2019 23:09 HP Fax page 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is j required for every Centerville MA 02632 9-26-19 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 fall 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 Crlterla 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 151nsp.doc•rev.7128I2018 T1110 5 Of lal Inspecdw Form:Subsurface Sewage 015posal Syslem-Page 4 of 18 Sep 30 2019 23:09 HP Fax page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form p Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information ruire n Non is required for every Centerville MA 02632 9-26-19 page. Cityfrown 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 affimMud is less than 6" below invert or available volume is less than YZ day flow AMC5*N,C ❑ ® 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 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 collform 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 falls. 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 C.4. 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 ll of a public water supply well t5insp.doc rev.7/26/2018 Title 5 Official Inspection Forth:SuSswace Sewage Disposal System-Pape 5 of 18 Sep 30 2019 23:09 HP Fax page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v�r 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is required for every Centerville MA 02632 9-26-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.j 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 C.4 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 ail 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 NIA) ® ❑ 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)) 1 15insp.doc-rev.7/26/2018 Title 5 Of.dal Inspection Form:Subsurface Sewage Disposal System•page 6 of 18 Sep 30 2019 23:09 HP Fax page 15 �L\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 49 Sunnywood Drive Property Address Joe Scott Owner Owners Name required fo Is � Centerville required forev MA 02632 9-26-19 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 16.203(for example: 110 gpd x#of bedrooms): 330 Description: 1000 Gal.Tank D Box- Pit and two chambers. Number of current residents: 4 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 Yes [D No information in this report.) El Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings,.if available ( usage last 2 ears 2017-136,000Gal Y g (gpd))' 2018-148,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date I5in3p.doc-rev.7126(2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 i Sep 30 2019 23:09 HP Fax page 16 Commonwealth of Massachusetts 9Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Sunnywood Drive Vzl Property Address Joe Scott Owner Owner's Name Information is required for every Centerville MA 02632 9-26-19 page. City/Town State' Zip Code Date of Inspection D. System Information (cont.) 2. Commerclal/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: pate Other(describe below): f 3. Pumping Records: Source of information: NA Was system pumped as part of the Inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? l Reason for pumping: l5insp.doc•rev.7126/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 1 f Sep 30 2019 23:09 HP Fax page 17 Commonwealth of Massachusetts � Title 5 Official Inspection Form ry Is Subsurface Sewage Disposal System Form -Not for Voluntary Assessments F� 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is Centerville required for every MA 02632 9-26-19 Page. CltylTown State Zip Code Date of insp ection 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: 2014 New Leaching Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 40"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.): Pipeing is 4" PVC SCH-40. tNnsp.dac•rev.7/2 012 01 8 Title 5 official Inspection Form:Subsurface Sewage Disposal system•Page 9 of to Sep 30 2019 23:09 HP Fax page 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments � 49 Sunnywood Drive Property Address Joe Scott owner Owner's Name equired don is r for every Centerville MA 02632 9-26-19 requir page. City/Town State Zip Code Date of Inspection D. System Information (cont) 6. Septic Tank(locate on site plan): Depth below grade: 30"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. Precast H-10 Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle 29" 0" Scum thickness Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Plan-Tape Sludge Judge 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 at working level.Tank at 30"below grade. Inlet cover at 8"w/outlet cover at 15". In and outlet Tee. No sign of leakage or over loading. I t5lnsp.doc•rev.7/262018 Title 5 Official Inspec0on Form:SLbsuAace Sewage Disposal System•Page 10 d 18 Sep 30 2019 23:10 HP Fax page 19 Commonwealth of Massachusetts iq Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form •Not for Voluntary Assessments v 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is required for every Centerville MA 02632 9-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cons) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglasspolyethylene g ❑ ❑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: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day i t5lnsp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Otsposal System•Page 11 of 18 i Sep 30 2019 23:10 HP Fax page 20 Commonwealth of Massachusetts Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is Centerville required for eve MA 02632 9-26-19 page. City(rown 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 El 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.): D Box is 16"06"-38"below grade w/one line out. Box is clean and solid w/no sign of over loading or solid carry over. l t5irrsp.doc•rev.7f2512018 TKIe 5 0fffdal Insp ection Form Su6surtace Sewage Disposal System•Page 12 of 18 I Sep 30 2019 23:10 HP Fax page 21 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name information is required for every Centerville MA 02632 9-26-19 • 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: I Type: ` ® leaching pits number: 1 ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovativelaltemative system Typetname of technology: t5insp.doc•rev.7/26/2018 Title 5 CMdal Inspection Form:SLbSUrface Sewage Disposal System•Page 13 of 18 i Sep 30 2019 23:11 HP Fax page 22 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Ivy 49 Sunnywood Drive Property Address Joe Scott / Owner Owner's Name information is required for every Centerville MA 02632 9-26-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soli Absorption System (SAS)(cont.) Comments (note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.): Leaching is a old pit. Newer leaching is two 500 Gal, drywell chamber's w/4'stone.Chamber's at 38"below grade.Wet bottom w/clean like new wall's Note: Old pit full 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.): 15lnsp.doc•rev.7/26/2010 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 d 18 Sep 30 2019 23:11 HP Fax page 23 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 49 Sunnywood Drive Properly Address Joe Scott Owner Owner's Name Information is required for every Centerville MA 02632 9-26-19 page. CityfTown 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.): 15lnsp.doc•rev.7/26/2018 Title 5 Of elal Inspection Forth:Subsurface Sewage Disposal System-Page 15 of 18 Sep 30 2019 23:11 HP Fax page 24 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name requin Is red fore Centerville MA '02632 9-26-19 required for every page. Q ylTown 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 0 o c 6- 9 38 A -Y : a4 9-y : yap t5insp.doc-rev.W261018 Tibe 5 Official Inspeclion Form:Subsurface Sewage Disposal System-Page 16 of 18 Sep 30 2019 23:11 HP Fax page 25 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments k 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name informarequired for is Centerville MA 02632 9-26-19 required for every per. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells 0 11' Estimated depth to igh ground water: 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 14 I I ❑ 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 t y e he high ground water elevation: T.H.on Design plan 11' no G.W.. Bottom of chamber's at 5'below grade. Bottom of chamber's at 6' above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t51nsp.doc,•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Sep 30 2019 23:11 HP Fax page 26 "N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Sunnywood Drive Property Address Joe Scott Owner Owner's Name Information Is required for every Centerville MA 02632 9-26-19 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 I 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 s ok£acNrN< G . Gw WInsp.dac•rev.712&2018 Title 5 Mist inspection Form:Subsurface Sewage Disposal System-Page 16 e118 L 0 A T �10^N ; .� S' W A G'E PERMIT, WILL AG^E.. -,j= 5c v 41 y IN,STA L.; 'S NAM ND D RES S . r e UIIDER OR OWNER DATE PERMIT ISSYE � DATE. COMPLIANCE ISSUE _ � ��� \� " SO . � n �, .. ��.> �� -� �' , � �.� :� -��� r' .V J'`I (`/VA\J _ Y. . o(� �� � i i 3 No...................... Fimz ............... THE COMMONWEALTH OF MASSACHUSETTS BOA-,R,D OF HEALTH F......BARNSTAB-LE.................................................... dTOWN 0' ........................................... Ur pr Appliration for Disposal Works Tonstr tion r M it pplicationjs hereby made for a Permit to Construct (X ) or Repair an Individual Sewage Disposal System at: Lot kcl Tdie u ..No. 4 4 ....... ........................................................................... . ........... . .........�apricorn Re5tyAst S �jyEoodr Lane................ R ....... ner Address ..... ................................. ................ Hyannis , MA ......... .................................................................................. Installer Address Type of Building Size Lot.....22,2D.7......Sq. feet Dwelling—No. of Bedrooms............ 3 ........Expansion Attic Garbage Grinder (ng PL4 Other—Type of Building ............................ .No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............5 5 ...........gallons per person per dy. Total daily flow.................._.3.3.Q................gallons. Septic Tank—Liquid""''""''*'" .. capacity 1.0.0 Ogallons Length._P..'.—.E V. Width.. .—10 biarneter---------------- Depth.5.'.—A.I.I Disposal Trench—No. .................... Width..._............._.. Total Length.....................Total leaching area............ ......sq. f t. 1 1 ............ Diameter._�.2. Seepage Pit No...._.... ............. Depth below inlet__._.1!.jE.... Total leaching 4rea..25.1.......sq. f t. Z Other Distribution box Dosing tank ( 0-4 EldteLp�_g)q er n Percolation Test Results Performed by...... ............ _qine j .......... 1.q.......... Date... Test Pit No. I................minutes per inch Depth of Test Pit.....la......... Depth to ground water. fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit........___...._.... Depth to,ground wat .....I.......... STEPHEN ................... 0 Description of Soil.. A'L"L"Y'N'* sn ................................................................. .....W11:S0T W clay; 36"-7TV0_A-e6a3:...Eraam...and----:5tibisc��_ w. M 11 um sand and . 72"-144" ...............................................................I...........................U...................................... medium sand. ..................................................................................................................../----------- ........ ............. U Nature of epajrs gr Alterations Answer when applicable-----6..ki.........!!N................................ . ............... . Agreetn27: . ......... . ........ ...... 0. . ..................... The undersigned agrees to stall the aforedescribed Individual Sewage Disposal System in accordancewit I the provisions of U 5/t Sta Sanit r Code—The undersigned further agrees not to place the system in operation until a CIeTrtifi49 0 mpli ce has e I e b oard of health. Signed........... .... ........ ................................Pres . 11-29-84 .................. ............................... &Date ...... .... _�O� Application Approved y................ ....... ...... ....... .... ------ Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued....................................................... Date No................JI...... Fxs......J(.b..._........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ......... .......................O F......BARNS.T.ABLE..----------.......--......-••--....-••--.......... ApplirFation for Disposal Works Tonotrnrtion thrmit Application is'hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at Lot No. 44 ................_..«....«...........................................•--•--••----............... .......__...:..........................................--•----•--•--•-••-••--...................-- Cap` corn Rdt' �yA ', St cl L No. ..... ................... .......... -•--•-•........ .......................... Sunny �Ioo ane „ AAddress a .................................. .... .................................... .......----V:.. nn a.r...M::.......................---------...........---........ Installe Address Type of Building . Size Lot.....2 2_¢2.07.._....Sq. feet U Dwelling—No. of Bedrooms................3.................___..._..Expansion Attic ( ) Garbage Grinder ( ng 'k Other—T e of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures ............................ W Design Flow.............5.....5 ........................... per person per da�. Total daily flow.....................a3.0................gallons. WSeptic Tank—Liquid capacity.l00Ogallons Length._8..._ 6_.. Width... -'-:1915iameter................ Depth..5'.r'A" x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No........ Diameter...12............ Depth below inlet..... Total leaching area..251.......sq. ft. Z Other Distribution box ( _} I Dosing tank '-' Percolation Test Results 2 Performed'by......_Eldred Qe..�A ineer nq.......... Date...l®/- $f Test Pit No. I................minutes per inch Depth of Test Pit------12......... Depth to ground water � Ap (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wat STEPHEN s ......ALL-YN---- O Des ript�ion of §Soil•• --B�3fi01 -Loam. fid- U)3S0-' ............................................................... � 'VWtsOI�T x c�ay 36 '-72" , 1Qtedfu:'t sand an roc k---72--•-144.••.,.•-••----••............•....._..••••-- qua-rs• y -- medium sand. UNature of Repairs or Alterations—Answer when applicable....................................................................... - t -------------------•-•----.....----------------------------._.....----------------.................---••----------------------------------.............................. Agreement: civic The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acccrdan ewith the provisions of TITLE 5 of the State San• ode— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hae is s b ed` " board of health. �-- S� -------.-----------------------------ire s-�----- 11-�.9A.4...... / ��iJt✓J'dfDyte ApplicationApproved By---••••-•-•--•-•••••-••..........................•. . ••..............••----.............•-•-- Date Application Disapproved for the following reasons:.........................................................................:;=_._..._....._..........._...._...« .........-•--•.-•••-•-•..............••--•--•-•-••--••••-••........•--•-••----••-••-•........-•-•----•-•••-•--•••-•-------•------••--•--•--•----•--•-••--•-••-------••••••---•••------••-•-••----------- Date PermitNo......................................................... Issued_........................................:............. Date ti THE COMMONWEALTH OF MASSACHUSETTS ~' BOARD OF HEALTH .............EO.Wn................OF....Barnstabla................................................ =. . (Irrtif irtt#r of TompliFattrr 0TIFY, Tha _ e,Individual g isp,sal System constructed (X ) or Repaired A,( ) by... 1------------------------------------------------------ - ----------- ....................................................... . Installer at..Lot # 4 ,.._Sunny .Mood Lane,_..Hyannis -----------------------•--------------•---•---•--•••............------------- has been installed in accordance with the provisions of T f+c / fc IT.. State Sanitary Code as described in the application for Disposal Works Construction Permit No..........................._...._......_.. dated--- .. ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. DATE ...... ..��� ........ Inspector.. : THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH own Barnstable 1, N ........ 1 1.�.................. OF...................•--............................--•--••---••--••-...---............ FEE U-S (911 U to r mi# Permission is hereby grant e ....----•-----•-•--•---•--•••---1.........--.--••••-•••--•-•••-. to Construct (X ) or Repair ( ) an Individual Sewage Disposal System -- at No.----Lot s.._Sunny ky'QQ... a,n1e,...Exami,s....................................................................................... Street as shown on the application for Disposal Works Construction Per No _--__-_----------• Dated............................�t............ -------- - ------I _ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS .j Y .. •- , "LOCATION e)7` 4 �caw�V _.' VILLAGE ___...._ CE NTE KL c._�. DATE(jct'" !S. APPLICANT r<RANGyE.I�L �57".gTE FEE y ADDRESS 7 GS �gLlyiU�iTN hl w,�r S " TELEPHONE N0' .G. (Non-ref undable ENGINEER ,An D 9E'D<EN 1p., /live TELEP DATE SCHEDULED (A icant' s signature . . . . . . . . . . . . . . . . . . . . .`. . . . . . . . . . . . . . . ..•. . . .. . . . . . .. . . . . . . . . . . . . . . . C . . . . . . . . . . . . . . . :SOIL. LOC... SUB-DIVISION NAME _J'/ntGT EE V,Lt.A E • `DATE_ _ 4_~ . �c-r- /F( �S�l TIME 10 EXPANSION AREA: YES 1NO —ENGINEER TOWN TOWN WATER ✓ PRIVATE WELL 1'.on. '� 1FFy�D BOARD OF HEALTH S• LEBEL EXCAVATOR SKETCII: (Street name,etc. ,dimensions of lot, ' exact location of test holes and ' percolation tests locate- wetlands in proximity to test holes) bjaR 14 to NOTES • sue.. � 1!of, v,. ��� �••� ��,N-r r j K 0% N tr o� �i� .• 4_ T' 43 L.U7 ltw i3a..6 St 4 Av w®O �lZ PERCOLATION RATE: ::� 2- Maw /1n.0 TEST .HOLE NO: 7 . ELEVATION: TEST HOLE "NO: . ELEVATION.: " 1 2 p'",� Lea qr�.� '�utiSoe�. • -- Gl.A y 2 3 3 8 � � -- 12� 8 9 M r q 541''n .9 10 _ 10 it 11 � . 12 �� 12 13 13 14 A-lo 4772_` � 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD' LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUS'p ',MOW NUMBER ASST(�NED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN EN:,.: : :3)C P P . E. Tk' L ..;,,,TURNED TO BOARD OF HEAL'".H."_,; ., �f1pv• qrm? ?TXTFTI Rv APIs: --EXISTING CONTOUR N x 100.98 EXISTING SPOT GRADE tt 97 PROPOSED CONTOUR LY ✓O'"e W EXISTING WATER SERVICE --+JGW-UNDERGROUND WIRES Q TEST PIT E1i� Gov BENCHMARK TRAwB Rego LEGEND s 1 ° LCP 3p849 B �� � 6 LOCUS OLD o p po NOrc O„ c 3 A � S Jcc I 25•24 10- W LOCUS MAP I 114.05, NOT TO SCALE f I _ I I I� LOT 44 I M B L 273-233 I 22,207 t SF I I 1 I I \ EXISTING SEPTIC TANK TOP OF TANK, EL.=99.20 IN (OUT)=102.33t I I BENCHMARK SET I I OUTSIDE COR./STOOP I ' EL.=10223 103.6 TP-1� x x 101.36 101.24 x W // x 101.45 o / TP-2 + 101.06 46 SPIKE 49' _=�_ N x 7- 0 //101. PI20 ED.S.A.S; x 1 00 ort Ln Ln I \ 101.3 x 101.08 I` 1111 101.07 101.27 N x 101.25 I q; x N 101.37 II EXIS77NG LEACH PIT / 101.33 SUN �l I O PA I (PER RECORD AS-BUILT) / 100.99 101.26 PORCH 101.16 I I TO BE PUMPED, FILLED I W/SAND & ABANDONED / I J ' � I GARAGE h EXISTING x l00,90 I HOUSE&49) III �/ T O.F.=102.2f - 1oi.2 II :ioi.o9.. II V I (I .° . IBIS;;:•..; �JQf, x 101.33 101.01 DR%VEINAY. Tx 101.57 x 10h4 $ 101,E WALK i 161.07 \x x 101.18 -_ 100.85 �G 100.96 I 100.260 vGw I Box 38 S 12.5 20 W x 99.90 - 130 $g0 X 99,8q-, Go_ I 99.09 99.64 99.72 / 100.03 SUNNY- WOOD DRIVE i° °° PK SET M4ss9��G ►. o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE CIVIL N 49 SUNNY-WOOD DRIVE, HYANNIS, MA No. 35109 G/ST �p Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 A REER �. �F E OWNR OF RECORD Engineering by: SCALE DRAWN JOB. NO. DANAHER, ELAINE F Engineering Works, Inc. 1"=20' P.T.M. 105-14 2725 TERRACEIA BAY RD 9 9 ( �36I 114 BLVD#306 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. PALMETTO, FL 34221 (508) 477-5313 1/30/14 P.T.M. 1 Of 2 y NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL•98.0 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F.=102.2t SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS F.G. EL.=101.4t F.G. EL.=101.3t F.G. EL.=101.0t F.G. EL.=101.3(mox.) 3'(mox.) L = 14' _ ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2- LAYER OF 1/8" TO 1/2" s DOUBLE WASHED STONE 6 as $ as (OR APPROVED FILTER FABRIC) 14" aEM aaa B---EMU EXISTING 48" LIQUID aaaaaaa ---3/4" TO 1-1/2" DOUBLE ADD INV. 1 PROPOSED 4' 4.8' 4' WASHED STONE GAS BAFFLE =97.72 D BOX INV.=97.55 • INV.=97.87t EFFECTIVE WIDTH = 12.8' EXISTING 3 OUTLETS INV=97.50 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED TOP CONC. ELEV.=98.3t NOTES: BREAKOUT ELEV.=98.00 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=97.50 aEaa aaaB INVERTS, PRIOR TO INSTALLATION. aEaaa I OEM ease 11 asses 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=95.50 GRADE ON A MECHANICALLY COMPACTED SIX 4' 1 2 X 8.5'=17.0' 4' INCH CRUSHED STONE BASE, AS SPECIFIED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' IN 310 CMR 15.221(2). PERVIOUS MATERIAL 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL.=90.3 = AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. (NO GROUNDWATER) SEPTIC SYSTEM PROFILE SOIL LOG DATE: JANUARY 28, 2014 (REF#14,274) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT ELEy. TP-1 DEPTH ELEv. TP-2 DEPTH I- 25' 102.0 A 0" 101.3 A 01. ------ SANDY LOAM SANDY LOAM PROPOSED iv 101.3 B 10YR 4/2 B 8 1OYR 4/2 100.5 $ S.A.S. �00 SANDY LOAM SANDY LOAM 10YR 5/8 10YR 5/8 _ 1 99.0 36' 97.5 45" .3, ,�� MED. SAND MED. SAND O Li'j 2.5Y 6/6 2.5Y 6/6 SUN ROOM PAT10 91.0 132" 90.3 132" PERC RATE <2 MIN/IN. (ON FILE P-3742, 10/18/84) "C" HORIZON SAND IS CONSISTANT WITH PERC NO GROUNDWATER ENCOUNTERED EX/STING GARAGE GENERAL NOTES: HOUSE(#49) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. T.O.F.=102.2f 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. V 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF S.A.S. LAYOUT HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DESIGN CRITERIA 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS NUMBER OF BEDROOMS: 3 BEDROOMS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY DESIGN PERCOLATION RATE: <2 MIN/IN THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. DAILY FLOW: 330 GPD 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS DESIGN FLOW: 330 GPD IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND GARBAGE GRINDER: NO-not allowed with design REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. .74 GPD/SF 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND EXISTING SEPTIC TANK: 1000 GALLON CAPACITY NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN d, USE 2-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 49 SUNNY-WOOD DRIVE, HYANNIS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 105-14 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 1/30/14 P.T.M. 2 of 2 REVISIONS: TEST PI T DA TA DATE o>� TESTING T / �� / > PERC. TEST DATA : SEPTI C TANK DETAIL : s�Z�- _ � - GAL. DIST. BOX DETAIL : LEACH FACILITY DETAIL' NO. DATE fl TEST BY �_h X— `'�rr� `� `� `c- 1 DATE OF TESTING: OC r 14 /9 F/ TANK TO CONFORM TO TITLE 5 REOUIREMENTS TO CONFORM TO TIT"E 5 REOU/REMENTS r. P1 W/rNEssEO BY '�,y c r.�",��. �C3 TEsr BY J D�cwe" ly NO. OF OUTLETS f -- 4- --- --- - - - WI TNESSED BY: 3'oIV Gy �L "Ole-p ���� _ ,. , na,. .r. ��Ti` ���T����,� �---- — `-����� "� \ \� �y REMOVEABLE COVER 12 MANHOL E BROUGH T 7'0 T ; `• ..,. ,�.. ;y u.�,.•..:..:.. • .= .• •. ,� o` FINISH GRADE. .e .... d. ,. . : ..•.• --. S SD Z� •1 ^ TONE �� - -r CLEAR 3 CLEAR -'lip 2 PEAS LOOM&FXL /2"MIN •v'. •;r-11 OUTL E T PIPES 6'"MIN. �'M/N. 6'M/N ° I AS REQUIRED n I DEPTH OF TEST: fI -M1 ---- _�- INLET ; it -�i"- D/ST. i ---- — RATE: 4',il zi �ir1__ chi �iQ _§ 'sy3 '�� (�`' 1 ..t- COONCRETE INLET TEE — �' `P, OUTLET TEE _L � � I � BOXINLET AND OUTLET 4' 0" MINIMUM OUTLET TEE DEPTH4'"C.I. /000_ GAL.TEES TO BE CAST ! L IOU/D DEPTH • /4 AT L/QU/D DEPTH OF 4' jL , 2" 6'" -� EPT/C TANK ., I .• PRECAST OR BLOCK 'MIN•IRON, SCHED. 40 � /9" " 5' SEEPAGE P/TDEPTH OF TEST 24" „ 6 � STRUCTION /O - --- ----- ---- — P V.C. OR CAST IN PLACE CONCRETE MIN. E�U RATE CONCRETE 34' -- B' BOTTOM ON LEVEL STABLEBASE - __ CONSTRUCTION (WATERT/GHT) FOUN a. ZLET TEE PROVIDED WHERE SLOPE DATION INLET PIPE EXCEEDS 0.08 /, OR --- ---------- -- �IE TANK TO BE ABLE TO W/rHSTAND , IN A PUMPED SYSTEM. 2CJ MINBOTTOM OF TANK ON LEVEL STABLE BASE H-/0 LOADING UNLESS UNDER / WASHED STONE 1 PAVEMENT OR IN DR/VE.H-20 - I/1 i L OA D/NG UNDER PAVEMENT OR 1 I D WA E NOTES PLAN VIEW INVERT ELEVATIONS I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE DISPOSAL FACILITY ONLY, SCA L E / � INV AT BUILDING 2. A L L CONSTRUCT/ON METHODS AND MA TER/AL S SHALL CONFORM r0l' INV. AT SEPTIC TANK(IN) STEpwa MASS. D.E.0.E. TITLE 5 AND THE F"4.4H,,V,57,,4B4E BOARD OF IN AT.SEPTIC TANK(CUT) _�-� _ _ Ia'�;` :x: ` ALt yN HEALTH REGULATIONS. i wn - .4,I wrlsoN � Iva. 3m�f z ` 2,369 "JiIR ',0,1 T ©NA 7"O c RJa1 iE,V 15 iy cJhi 1 c fl i3� � 7Z3 TNT s nT INV. AT DIST BOXON) _-AeL 4 /NV. AT DIST. BOX(OUT) z. s-?;,4 AT 1_EACH/NG FACIL/TY ', 1 2 — - AT BOTTOM OF-PIT= 4 BOSTON, MASS. WORCESTER, MASS. HALIFAX, MASS. NORWELL, MASS. I BEDFORD, MASS. LEXINGTON, MASS. HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.N. J--O/z, .0 -r o7 T P S o - DESI GN DATA cu DESIGN FLOW- fo X--Iza 13 f REOU/RED SEPTIC TANK: T rw`3�v-emu � � tau r x /, :. GAL -- -- - ..-- _-_. SEPTIC TANK PROVIDED = 1 �� _ GAL. CAPE COD SURVEY Z# ('r -• `�" �' CONSULTANTS REQUIRED SIZE LEACHING FACILITY t �, i..►� - - ,-__ _ --- 261 Main Strc,, t Route 6A 0 T Y$ Barnstab►e Village, Massacrusens 026,31-, ---- I (617! 362-8133 `'� — -- -- - - --- DIVISION OF i t a /T BOSTON SURVEY CONSULTANTS INC. SIZE OF LEACHING FACILITYPROVIDED: ENGINEERING • SURVEYING • PLANNING T : N TYPE OF SYSTEM TITLE — _ SEWAGE DISPOSAL SYSTEM DESIGN LOCUS PLAN' l'N yA�v.".r•� ' 5 / -—f- ell, I / V O / 6-' qC C p 1.v I p l SCALE: AS SHOWN C'0r721-c?/L EA9 C., F ryJ C' C 3 '9 ^/Q , METERS 7- A iv' .9 T 0,4 C i ,�C1/4'�i•G�Y C7/(!' T.yGr Ci�'C�CEN.L�. '+, �, � �" "- �!�{ FEET 0 2 1yl ' Ice- ,� y we DATE: 'v'n - �� p Q 6- COMP./DESIGN.- CHECK. L /V/ i i D e DRAWN: JH TU T %v` OF r4,y ^r% - FIELD: Gi, 5 , A,PL e, SET //v1S moo'' c Hclu1,AR FILE NO: �v�^. s DWG. NO: JOB NO:0 3-- 7` F74" /3 SHEET: I OF: I