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HomeMy WebLinkAbout0010 SYCAMORE STREET - Health FA 0 SYC"10RE ST., HYANNIS =310-050 _v i m i i o a 1 �'I E"F,- 2996CI P:919 g 91? 19-26-2 116 a '_13 m 58t:, vs . m N V • Fr co DEED RESTRICTION WHEREAS,ANTHONY PINO, of 14 Taylor Street, Waltham, MA 02453 is the owner of property located at 10 Sycamore St., Hyannis, Barnstable County, Massachusetts and being shown as Lot 9 on a plan of land entitled "Plan of Lots in Ridgewood, Hyannis, Barnstable, Mass. as laid out by Lindsey N. Oliver, Scale: 1 inch equals 32 feet— 1939, Edward A. Kellogg, C. E.", recorded with the Barnstable County Registry of Deeds in Plan Book 61, Page 145 (hereinafter referred to as "the Premises" or "Premises"). WHEREAS, ANTHONY PINO as owner of said Premises has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 3.10 CMR 15.200, State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, ANTHONY PINO does hereby place the following restriction on the above-referenced premises in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. The property located at 10 Sycamore St., Hyannis, Massachusetts may have constructed upon the lot a house containing no more than two (2) bedrooms and that ANTHONY PINO agrees that this shall be a permanent deed restriction affecting the said Lot 9 as shown on a plan of land recorded with the Barnstable County Registry of Deeds in Plan Book 61, Page 145. Property address : 10 Sycamore St., Hyannis, MA For title see deed recorded in Barnstable County registry of Deeds in Book 13552, Page 151. Witness my hand and seal this A�'G rsday of September, 2016. ANTHONY R1JI T COMMONWEALTH OF MASSSACHUSETTS Barnstable, ss. On this day of September, 2016, before me, the undersigned notary public, personally appeared the above-named ANTHONY PINO, and proved to me through satisfactory evidence of identification, which was: /is 1/ 4 ,,,E /,2e�Z.s��N��c� , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. __.... Notary Public '/ /- 57 G' My Commission Expires: y �� b; y BARNSTASLE REGISTRY OF DEEDS C14U John F. Meade, Register I r . TOWN OF BARNSTABLE LOCATION LO SVeA_nno2-6 St- SEWAGE# aLAGE W`JAM N IS ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. CU-4 S 3 Re s- Ca?,aSZ. Sag-36-?-(o 2 37 SEPTIC TANK CAPACITY So o EX�S`r,rw 6- LEACHING FACILITY:(type) of -Sao 64• Cl & (size) 9�ral 9- NO.OF BEDROOMS 12\ — Dud wsk4d S�-ow�i�uc OWNER el NO PERMIT DATE: /0 COMPLIANCE DATE: 30 .7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY � M S � �f1 i �2 No. 6 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION'— TOWN OF BARNSTABLE, MASSACHUSI Yes iYication foriso *psteut construction hermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ; nd�ividualComponents Location Address or Lot No. 1.0 S� COr''d�' Owner's Name,Address,and Tel.No. Assessor Iv10/Parc�S® ��5 h n'�.i Q h nc� I t %h o !�, Installer's Name,Address,and Tel.No. 5-�6- 3&X(oS 3? Designer's Name,Address,and Tel.No. $C& Sal (dory c al16 6rop7-4.1- conS�,- rz9-S S ulz V1 I Type of Building: p� 1 f eA . Dwelling No.of Bedrooms a �""d Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures v��� Design Flow(min.required) gpd Design flow provided C96PA gpd Plan Date D'ct l y I S. a-a) b Number of sheets 2 Revision Date Title Size of Septic Tank Type of S.A.S. $P P &oa A 2- Description of Soil SQL SQ�I La� Nature of Repairs or Alterations(Answer when applicable)_T-P--P 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. Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Date Issued Fee V. THE COMMONWEALTH "OF MASSACHUSETTS Entered*iii computei: I Yes -.PUBLIC HEALTH DIVISION=-�TO11�'�N OF BARNSTABLE, MASSACHUSETTS i `. ZIPPIication for ]Disposal Opstem Construction permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System [5 ndT ividual Components Location Address or Lot No. 10 Owner's Name,Address,and Tel.No. -71 G 3/4 -, .50 N 'ir7n, �� A h 11 i n i n e (y Cie//.- � Assessor s Map/Parcel Si IV—/ 0.2 4 Installer's Name,Address,and Tel.No. 5-L�- Designer's Name,Address,and Tel.No. S •,Sg 7 3�p e fail.5 CC rS-- 1Z 4S S U/Z Vj, r-•, Type of Building: ' �-r, Dwelling No.of Bedrooms a Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided r�y� ' gpd Plan Date " I I S a e 16o Number of sheets 2 Revision Date Title Size of Septic Tank Type of S.A.S. S P 52/�?/--; Description of Soil S e P Sc d L cA. Nature of Repairs or Alterations(Answer when applicable) T-P ;S'o,, 1-, e' U Ow,> .el Date last inspected: Agreement: s 'w w The undersigned agredoo ensure the construction and maintenance of the afore described on-site sewage disposal system in R: f 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. , - Sign ` ( 1 Date. 7 4 pp ication Approved by. Date Appli4tion Disapproved by Date for the.:following reasons Permit No. G /�O — �'+ 5 Date Issued /L ---------------------------------------------------------------------------------------------------------------------------------------- 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 (z�(I;S 63 ro Ir"/-5 CCn at 1 G S�l C�I n1 Cr Sty•-1 11 9/1�1j5-has been constructed in accordance r J With the provisions of Title 5 and the for Disposal System Construction Permit No�O/6 - 1 dated Installer nc Designer _I` /-S S U 2 V Pg2l, , n C #bedrooms �-- — f (� " d. Approved design flow C, gpd The issuance of t 's pepnit shall not be construed as a guarantee that the system will nctio as designed. Date i '7 Inspector / �✓ �� ------ ---------------------------------- ---------- -- --------- ------------------------- ------------------- No. c/ -- - _ )S Fee XZ510 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS , Misposal *pstem Construction j3ermit Permission is hereby granted to Construct( ) Repair(1 ) Upgrade( ) Abandon( ) System located at 0 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. c k' Provided:Construction must be completed/within three years of the date of this perrIm . i Date Approved by i Town of Barnstable Regulatory Services Richard V. Scali,Interim Director • enarrsrasr�. ��39 ' Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: [­ O-I01� Sewage Permit# U/ 6— 3` J Assessor's Map\Parcel 310 - ova Designer: CA 5 At gw y T L Installer: If I h� Coh_P �Address: � 7Z9 Address: -'t 3 On �>_PNZX was issued a permit to install a (date) (installer) septic system at I f�"v` ` h° �X t�Adk/S based on a design drawn by (address) T 19� -k dated � �JC �° _ P { 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. r 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 as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. 1 I certify that the system referenced above was constructed in com liance with the terms of the IAA approval letters (if applicable) IN OF ass oy q DAVID h CL _.. D. FLAHERTY, JR. N Ptaller's Signature) No. 1211 9 0 NITARI esigner's Signature (Affix Desi eF7.S"tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc i Town of Barnstable P l5'10-6 ' Department of Regulatory Services eN+r+arAel�0. Public Health Division Date C- MAM �A 079. �d� 200 Main Street,Hyannis MA 02601 Z • rfll � Date Scheduled Time Fee Pd._1 dU 0 0 ✓ _ ' Soil Suitability Assessment for Sew e Dzspos^a Performed By: Witnessed By: 71, 1 LOCATION&.GENERAL INFORMATION Location Address t r> . Ca.-.it_S JVe Q Owner's Name Art}cy ,N 17w0 L-ALel e h c S 6tA4_ 02�oI Y Address Assessor's Ma /Parcel: 3 t v- .o So p Engineer's Name NEW CONSTRUCTION REPAIR X Telephbne# '7Jt3 -5Z.-I -36 00 Lund Use' �S Z?'Q ��2 M t�� -at-5• S.x V�/ �y L W• GcrY►1 / Slopes(96) Surface Stones U O xr 0447 Distances from: Open Water Body N`� ft Possible Wet Arcn / _ /OV �- {t t�lel�inon�„t w u W&TZF'2 R Drainage Way ft Property LineZb 3� ft Othor&41/�L /7 {t CH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) Z.t32 TZ L3 6 ,o C z U 1L o'rl /S Parent material(geologic) /CY,' 2 V, Depth to Redrook '✓ e Depth to Groundwater. Standing Water in Hole:- >°. Weeping from Pit Fnea Estimated Seasonal High Groundwater 1 2 DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: L ST- Depth Observed standing in obs.hole: N In, Depth to soll mottles. In,' Death.to..JJ��''ecping from side of ob .hole: �h In, Groundwater Ad ustment l 2 Index Well-0�Reading Date:_l-� Index Well lovol .Y Adj,3hetor Adj.Groundwater.Love PERCOLATION TEST Dille 7--/-iZ Time /? Observation Hole# �, / / Time at 9" � Depth of Pero y 7✓ � ' Time at 6" Start Pro-soak Time 0 / -6 �w'� Timo(9" ") /.3 - 'n End Pro-soak 2- Rate MIh./Inch Site Suitability Assessment: Site Passed Sitp Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back--- - ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIWBRCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole#� Z, Dcpth from Soil Horizon Sail Texture Shcl Color Soil. Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. rslstency.%'arival) s iv � 7e d 6 o re�McY Q t/ o Pl/e C6 DEEP OBSERVATION HOLE LOG Hole#Y ¢Z• 8 Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,w0myell t �5A cj 7-712 o I eL-,— DEEP OBSERVATION HOLE LOG Hole# Depth from Sail Horizon Soil Texture. Sall Color Soil Other Surface(Ia.) (USDA} (Mansell) Mottling (Structure,Stones,Boulders, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture Soil Color Sall Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Sjopes;Boulders. Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No^ Yea ' Within 100 year flood boundary No.�r _ Yes pepth of Naturally Occurring Pervioras Material Does at least four feet of naturally occuzing perviou material exist in all areas observed thrpughout the area proposed for the.soil absorption syetam7 es If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9s/(date)I have passed the soil evaluator examination approved by the En Department of ronmental Protectlo and that the above analysis was performed by me consistent with . the required trai ,c erti a rience described In 10 CMR 15.017. Signature Date Q:WBPTICkPBRCPORM.DOC r " �I a �11� t7 rye �-\ COMMONWEALTH OF MASSACHUSETTS \01 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS \ DEPARTMENT OF ENVIRONMENTAL PROTECTION i TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART-A CERTIFICATION Property Address: c44 ollf 54 P�C,1144I a (v0/ Owner's Name: h Z�he 7% Ha,c✓ti-e f Owner's Address: /G' v1 C VV o S 4- Date of Inspection: /-L '.1-,000 Name of Inspector:-(Please print) Company Name:.Cl — — Mailing Address:PO a 12t Telephone Numbet 52f2v — CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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 S on 15.340 of Title.5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority (1 Falls II Inspector's Signature:' L L Date: �4 �p(� The system inspector shall sub it a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 �.gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office'of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 h OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION.(continued) Property Address: Co tl-j ore- Owner: s" - Date of Inspection: / e 0 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syst Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR i 15.30 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B,./System Conditionally Passes: /V' One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally:. unsound,exhibits substantial infiltration or exfiltration or tank fai is imminent.System will pass inspettipn_i the existing tank is replaced with a complying septic tank asaM by the Board dMeaftL •A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Camrphance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or breakout or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass.inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction issmorved distributiou box is kvsied ar7cphtced ND explain: The system required pumping more than 4 Mimes a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health):. broken pipe(s)are replaced obstruction is removed ND explain: 2 p_. Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address;/C) S CG ✓Lj ✓r _.q /� GN✓!i 7507 Owner: n C.S Date of Inspection: al Oil O C,./Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: Page 4 of 11 OFFICIAL INSPECTION FORM—.NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: �� ✓ C� ✓�� S� /- �N�I�s Owner: Gt r,,/ es Date of Inspection: ,,2 Wcry D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following fior ' 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 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ V Liquid depth in cesspool is less than 6"below invert or available volume is less than %:day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ V 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. i _ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no otbes faihu .criteria are triggered.A copy of the analysis must beatUmIudtwtM foral.[ " (Yes/No)The system fails.I have determined that one or more of the above failum 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 bazecessar3,tacomectshe faihue. E. Large Systems: To be considered a large system the systeiimust serve a facifiRy with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the ta bwiw- (The following criteria apply to large systems in addition to the=teria above) 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 I1 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: /0 Colj�a0/e_ S� vi o O� Owner: Q L�IP Date of Inspection: zzs/p 0 Q Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yew 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 L _ Has the system received normal flows in the previous two week period? ZHave large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) V _ Was the facility or dwelling inspected for signs of sewage back up LZ _ Was the site inspected for signs of break out? V 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 baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? of _ 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: Yet no 1 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(3)(b)] 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 0 e'c:,v"10 rE �- j Owner• &i pre S Date of Inspection: /oZ of oo O RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): Number of bedrooms(actual): DE"IGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: / Does residence have a garbage grinder(yes or no): /W Is laundry on a separate sewage system�e or no):1 [if yes separate inspection required] Laundry system inspected es or no): Seasonal use: (yes or no): '�� Water meter readings, if avai�ble(last 2 years usage(gpd)): Sump pump(yes or no): Last date of occupancy:-JC o ce COMMERCL41ANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): �pd Basis of design flow(seats/persons/sgR,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: A/O�` /emu�+�'� l�S ,,� ��fs _ d L�./�p,� Was system pumped as part of the inspection.(yes_or no):,AV If yes, volume pumped:_gallons--How was quantity p®ped determined? Reason for pumping: TY F 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 operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approxim;t age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:� Ca✓►7O,lC f '� 14 P1 (a62 Owner: o,r,✓ P Date of Inspection: oZ -4 0 O cv BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron L40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: / Distance from top of sludge to bottom of outlet tee or baffle: 2!9 Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom o outlet a or baffle:9 How were dimensions determined: We 7e7C_ Comments(on pumping recommendations, inlet an outlet tee or baffle condition,structural integrity, liquid levels as elated to outlet rove evidence of leak ge,etc. : l0 N I -, 5co p GREASE TRAP:46locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): i 7 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / SYSTEM INFORMATION(continued) Property Address• Owner: Of Date of Inspection: TIGHT or HOLDING TANK:' // (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: i Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) I Depth of liquid level above outlet invert: V70►^W+e- Commenu(note if box is level and distribution to outlets egual,�y evidence of solids carryover,any evidence of leakage into or out of box,etc.): en / ��� is level • L h S `11k10 o4�sf.. . o0 PUMP CHAMBER: ll/ (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber;cmdiaion vfptntpsAW apices,etc. r . Page 9 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Ad res : 0 �G Vl 0'-e S p Owner: A t S Date of Inspection: la oob SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type b � / leaching pits,number: 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.): j (./ D✓� �ti A �/�� e Gi1 +1 u 1 /LOh, 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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY:N' (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.): Page 1 u of i i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: /V ��►d"►O�C 51 l/ " 0 d 6 0/ Owner: /J Gl(-/ Date of Inspection: ,�2 O (.� SKETCH OF SEWAGE DISPOSAL'SYSTEM Provide a sketch 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. i 1 %141 14 33 6?3 10 i Page 11 of 11 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Addr s: d CCTV'Ore f /+ l�ll/Il lo® Owner:_1 t" P Date of Inspection: IoL 4D�UO G SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 fg¢et of SAS) Checked with`local Board of Health-explain: G�au.n d wa 1 Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You ust describe how you stablish dte high roun 7atevele Pion: c) 1] LO'CAgT10!�o SEWAGE PERMIT NO. LOT / sYc�re.�fdf V,I'LLAGE INSfTA LLE/R'S NAME i ADDRESS 6 UILOE R OR OWNER DATE + PERMIT ISSUED DATE COMPLIANCE ISSUED g i n �, 0 � �' ` �, h ,� � � I � � � �� o ..s� f #�•,...O1rR�`�r „� . - o'-' ram;-r�"". •+ � _;f'.` Fms..... r ate.._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .,l To�.N............OF....... R NST7 1- .......................` Appliration for 11ispos al Works Tonstrurtinn 1hrutit Application is hereby made for a Permit to Construct ( )() or Repair ( ) an Individual Sewage Disposal System at: .:... .Y._c.A MQR.la...•.S:Ti2.0�'.t:-................ ......••----.........�oT..9 --• --.... Lati Add, e s or Lot No., .................-� l p ....... Owner Address ..................... ..... -0.6 ......... ...........•••-•---•••....-••••-••••-•••-•.............._..•--•-.............-•---••-•••--•--•-•-- Installer Address Type of Building Size Lot............................Sq. feet Dwelling y No. of Bedrooms...___.2...........................:....Expansion Attic (0) Garbage Grinder (W) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures .__._....--•..................... Design Flow..........�5......'................gallons per person per day. Total daily flow.......to ...220...._.. gallons. x Septic Tank—Liquid'capacity_4-.gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench-No. .................... Width.................... Total Length.................... Total.leaching area............__......sq. ft. x �, fi Seepage Pit No...l................. Diameter...... ............ Depth below inlet..... Total leaching ar ._.7 .� .s Z Other Distribution box O Dosing tank ( ) - `"' Percolation Test Results Performed by...._�1.L.LJAM..... .... Date_.. aTest Pit No. ....minutes per inch Depth of Test Pit..... 3.......... Depth to ground water... __�!_&Tt R rZ4 Test Pit No. 2__.�_Z_...minutes per inch Depth of Test Pit......13..�.____ Depth to ground water...N�?....WAsT8�Z O Description of Soil---Sl?AL� l 3CET_�1�4y..c��.51��.-'��•-s3- l` ?1.1�1�J ?9l1?A- - --- VFL. Q....1,31 wT �� ------- �way...TPR L....-_. ue.&J x ....7)------a-R�.v.j5nL-_?S?...�3:f N del T t�..F1Sl U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------••--•-----•------•------•-----------------•-..............----...----------...---------------•------------------------------------------------.....-•-•-•-•••- Agreement: t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a CertificWi s been i sued by the board of health. . ............toA lication Approved By-•••......-••••--••--•• v .-• l'?P s--....... Date Application Disapproved for the following reasons:................................................................................•-----------------._......_._... ........._.............................................................................................................................................................................................. Date PermitNo......................................................... Issued....................................................... Date --------------------------- ------ s 4- No............: THE COMMONWEALTH OF MASSACHUSETTS ;'<'''• BOARD OF HEALTH u•., Appliratiun for Disposal Works Tonstrurtion rumit . Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: ................ C' .i1.f........ �.t : ..... .�:T ..... .. .••-- ...._ •---•--•-•- Location-Address or Lot No. .................. ! .?1.l..l� .11 ._...�=f_1.." /.1_=.r- ........... `c�'� r 'f '. 'r --••�...'_' 1 : ......_= -'•E=„ .` i •Owner Address / -� Wf ?i t .......... .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet .-I Dwelling 4 No. of Bedrooms ................................Expansion Attic (q)) Garbage Grinder `4 Other—Type of BuildingNo. of persons............................ Showers Q' � _ --------------------------------------------- ( )--- Cafeteria ( ) dOther fixtures . ---•-----------•----------------•----------------------•••-••••-• --•- W Design Flow......... , .._�!f1..............gallons,per person per day. Total daily flow....... ...Z 70._.........gallons. WSeptic Tank—Liquid*capacity%5.l..gallons Length................ Width................ Diameter................ Depth................ • x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.J------------------ Diameter.....'......... Depth below inlet....c.s.......... Total leaching area-f.7. ?_ il,: Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by..... -----�-•, -,_-,::-::._ !e ��,..•••• Date_jj<r, ....j.k ,a Test Pit No. 1..{.?.._._minutes per inch Depth of Test Pit.....L ....... Depth to ground Li. Test Pit No. 2. ..?_..._minutes per inch Depth of Test Pit.....42.. ...... Depth to ground water../.N__1........1,:\.FL: O .--•-°-�'-_`=�--_ !r....`''...�..'.._..Cs:_q..? •f.:�l5_:�`.:..l_.,,; ..::'_dz.:s-. _:•.....a'.�.::.:.3,.�:.1.� _Description of Soil. p ,.rl. + i v,i ! -C�:. C �J J •J �1�c.��I 1`+�•`s=i/Yb��f�{ �j f 9 f W ...! .-•------_r-1?.k`.._!—!.-•--�'---=--./�...,:-._..I:.xi..+----�/.r.;;._!:._,�.r-.,:.1::---=.rJvs.'-r;--•r _-s�--• -�fle•--v-f- -r�`-1--�.:�•--�•-,•-- -�•-'-•+---•-- U Nature of Repairs or Alterations—Answer when applicable............................................................ ................................. ........................•--------------------------------------------------------------------------------••......__••••• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in' operation until a Certificate Com - nc s been issued by the board of health. gne Date A cats n Approved B " T' .�����( PP PP Y = .-••••••-•••t-•..................••-••••••--•-•-•• ` Date Application Disapproved for the following reasons:---------•------------•-----•-------•-----------------------•-------------------------..._......•-•--........._. .........-............................................................................................................................................................................................... Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............../.. 4�.h//N........0F.......T.t11 s •5.�..1.�.•+-�•_ L....................... Trrtif irate of Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--- -----------•----------f�LL...\..............----•-...............-••-......• --•-•-•---•-•••-•-•-•-----..._.........•---------•-•---.........•••••-.........••--.._..._..........---- �_l Installer --------------------•-•--•------------... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary CodY;a� described in the application for Disposa Works Construction Permit No......._._`___. dated................................................ THE ISSUANC O THIS CERTIFICATE SHALL NOT BE CON RUED AS A GUARA E THA THE SYSTEM WILL FU CT � SATISFACTORY. DATE...................4...(-- _-••�......-•---........;::........- Inspector...........•• �,!�-...... --.. .... .... ...... ... ' THE COMMONWEALTH OF MASSAC SETTS 'BOARD OF HEALTH ...........................................O F!...............................-•----.................................._............ No.......... FEE........ .W> Disposal orkfi Tunotrurttion rrntit Permission is hereby granted................... - ------•----•----------------------------•------.---••-•.--------------- to Construct ( ) or Repair ( ) an Indiv ual Sewage i sposal System atNo.•-••••-••---/•--•"-�-�-•........................... ..._ :� e!.t: -a- .. .. . ------------- . Street as shown on the application for Disp Works Construction Permit No.......... .............t, ._ 1x�........ DATE_ "'?lzw.) _ Board Health "' FORM 1255 A. M. SULKIN, INC., BOSTON r AIRPORT LOCUS DATA 132 28 CURRENT OWNER ANTHONY PINO 7- 28 ��J, PLAN REFERENCE 61-145 / D L LOCUS 9� 42.1 N i DEED REFERENCE 13552-151 5,600t S.F. DECK -p SHED SYCAMORE ST. 0 ZONING DISTRICT RB - WP u FLOOD ZONE "X" 171� i7rLOCUS MAP NOT TO SCALE: ASSESSORS MAP 310 EXISTING I PARCEL 050 t i:. DRIVEWAY I 16-0122 OVERLAY DISTRICT ZONE II j I I s OF W,,Q. LOT AREA 5,600f S.F. o ! #10 GAS METER EDWARD o I EXISTING I 2 BEDROOM I STONE N ' RANCH 1 i No. . CHIMNE SITE & SEWAGE PONENT REPAIR ��\ ,� A<<� CO,M \\ 43.8 I j� #10 v 5 ,S YCAI OIFE- S'T � I I BENCHMARK: CORNER OF IN \ LAWN I CONCRETE STEP. ELEV. 44.21 `` I I H YA N N I S, MASS \ !;l I EXISTING 1,000 GALLON \ 20.7' Q �' I WALK i SEPTIC TANK TO REMAIN. DATE: JULY 15, 2016 \ I PROPOSED "D" Box 42.5 0 \\ xL - - - - - 1 i I 43.6 / OWNER/APPLICANT: 3 \ I �c� EXISTING D-BOX AND LEACHING \ ,' i ANTHONY PIN 0 I r I PIT TO BE PU,PED, CRUSHED AND 10 SYCAMORE ST. 16.0 \ '( I REMOVED FROM SITE IN 42.4 a �'" /0 I ACCORDANCE WITH TITLE 5. HYANNIS, MA 02601 0 I © I 'TH 1 — SHEET 1 OF 2 ;' �� I I PROPOSED 9'x21. S.A.S. TH#2 j 42.9,\ I I I PREPARED BY: o LAWN 10.0' X427 PLANTER EAS SURVEY, INC. 3 I r P . O. BOX 1729 7,0.00' \ SANDWICH MA 02563 UTILITY 421 X 42.1 0 10 15 20 POLE PH. (508) 888-3619 x-- - - - - - - - - - - - - J— =,- - - -- -- - - - - -- - - - -- 42.0 CELL (508) 527-3600 42.2 SYCAMORE STREET GRAPHIC SCALE: EAS.SURVEY@YAHOO.COM 1 INCH = 10 FEET TOP OF FOUNDATION RAISE COVERS TO WITHIN 6" OF FINISH GRADE ELEV. 44.68 FINISH GRADE -RAISE--To CEWTE WITHINR6RISER SYSTEM DESIGN 43.53 ELEV. 43.6 1 FINISH GRADE OF FINISH GRADE /\ /\ / \ ELEV. 43.2 ELEV. 42.8 ELEV 42.9 DESIGN FLOW p. _ ///.� ,C.� ��///�� ' �U/ `� .� //�� A ���///.� Z � 2 BEDROOMS AT 110 GPB/D 22 - GPD 1' MIN.-3' MAX. COVER 10'@s=0.19 TOP ELEV 40.0 REQUIRED SEPTIC TANK SCH 40 - - 4" PVC SCH 40 4' CADS= 0.02 O O co o O O O 4 PVC a INV.= 2 MIN-3 MAX O O O O o 220 x 2 440 GAL. 41.35 10"TEE 14INSTALL"TEE INV.= O 000 - - ---- 41.15 00 0Q OO o O Op O� i� SEPTIC TANK PROVIDED = 1500 GAL. �lk-1 + GAS BAFFLE 6" 000 . o.. 0 00000 3 OUTLET SIZE OF LEACHING FACILITY REQUIRED 4'-1" LIQUID LEVEL H-20 D83 TW� 5'-0"x8'-6"x3'-0" CHAMBERS INV.= 41.68 aOF�� INV.=39.25 INV.=39.0 p w DESIGN PERC RATE _MIN./INCH as aS., " INV.=39.08 �`L LONG TERM APPL. RATE�•74-GPD S.F. "TEE REQ. a � 37.0 / D ���• Y S.A.S. (9.0' x 21A m o r - � SIZE OF LEACHING SYSTEM PROVIDED: VARIANCES REQUESTED ��t� •,{-; --� �� EXISTING 1,000 GALLON SEPTIC 30.2 A ! 220 _ 0.74 SF GPD = 298 S.F. MIN. REQ. t TANK TO.REMAIN / ,,; ,�� . 310 CMR: NO GROUNDWATER OBSERVED 1.) TO ALLOW A TWO BEDROOM LEACHING SYSTEM TO BOTTOM OF DEEP HOLE #2 USING H-20 CONCRETE LEACHING CHAMBERS BE INSTALLED IN LIEU OF THE MINIMUM 3 BEDROOM. WITH 2' OF STONE ALL AROUND (A 2 BEDROOM DEED RESTRICTION IS TO BE RECORDED BOTTOM (9.0' x 21.0') = 189 S.F. I AT THE BARNSTABLE REGISTRY OF DEEDS.) SIDE WALL (9.0' + 21.0') 2x2 = 120 S.F JOB # 12-0119 CONSTRUCTION NOTES: 309 S.F. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 00000 `= o 00000 309 S.F.x 0.74 G/SF = 228 GPD ELEVATIONS ION AND SITE CONDITIONS PRIOR TO COMMENCING O O 00 c O O O 228 GPD PROV > 220 GPD REQ. = 8 GPD RES. SITE & SEWAGE ► 1000000/ 0 o Oo°Oo°O 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE COMPONENT' REPAIR NTH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT NO (GARBAGE DISPOSAL / GRINDER ALLOWED) IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. (--- 2.0' S.0' ---I 2.0� O 3. ENGINEER TO VERIFY REMOVAL OF UNSUITABLE SOILS PRIOR P#15100 TO INSTALLATION OF NEW SEPTIC SYSTEM. 9.0, D.T.H. #1 ib D.T.H. #2 S KC I �OQ� T 4. NO PARKING OVER SEPTIC TANK IS ALLOWED. SIDE VIEW DATE: 7/1/16 DATE: 7/1/16 A /� /. GROUND ELEV. 43.2 GROUND ELEV. 42.8 GENERAL NOTES: ' ADJ G.WATER N/A ADJ G.WATER 30.8 IN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. H YA N N I S MASS TITLE V AND THE .TOWN OF BARNSTABLE RULES AND REGULATIONS DATUM: A/E A/E FOR SUBSURFACE DISPOSAL OF SEWERAGE. VERTICAL DATUM:. LOAMY SAND LOAMY SAND 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE BARNSTABLE DATUM:. M:.GIS 10YR SA 1AM 4/3 SA DATE: JULY 15, 2016 ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING BENCH MARK USED: B 8" B 6" ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE TOP OF CONCRETE STEP AT FRONT STOOP LOAMY SAND LOAMY SAND CAPABLE OF WITHSTANDING H-10 LOADING UNLESS ELEVATION 44.21 7.SYR 5/6 7.5YR 5/6 OWNER/APPLICANT: OTHERWISE SPECIFIED. INDICATES DEEP ANTHONY PIN 0 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION DTH #1 TEST HOLE OF ALL UTILITIES PRIOR TO ANY EXCAVATION. " 10 SYCAMORE S T. 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE �� 144" INDICATES ADJ. GROUNDWATER ELEV = 40.2 36' ELEV = 40.0 34 OR WITHIN 6" OF-GRADE SHALL BE MORTARED IN PLACE. H YA N N I S, M A 02601 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER - NO OBSERVED GROUNDWATER FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF INDICATES C 66" C SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE PERC TEST THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND '' 66" COARSE SAND COARSE SAND LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. ( 2.5Y 7/6 SHEET 2 OF 2 2.5Y 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN 5% GRAVEL 10% G GRAAVV EL PREPARED BY: 2-INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT GROUNDWATER ADJUSTMENT ELEVATION OF THE OUTLET PIPE. NO G.WATER 144„ NO G.WATER 144" E A S SURVEY, INC. 9' THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES DEPTH TO BOTTOM OF HOLE 12.0' ELEV = 31.2 ELEV = 30.8 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS P. O. B 0 X 1729 11.BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC i B.O.H. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND DAVE STANTON SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE I CERTIFY THAT I AM CURRENTLY APPROVED BY THE SOIL EVALUATOR FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL ,I� DEPARTMENT OF ENVIRONMENTAL PROTECTION TO CONDUCT ED. STONE SANDWICH , MA 02563 SOIL EVALUATIONS AND THAT THE RESULTS OF MY SOIL BACKHOE OPERATOR. BE LEVEL EVALUATION ARE ACCURATE AND IN ACCORDANCE WITH 310 ELLIS BROTHERS (KEVIN) PH. (508) 888-3619 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION �I . CMR 15.10 R GH ,. ' SOIL TYPE: 1 CELL (508) 527-3600 TO EAS SURVEY AND APPROVAL. INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW - PERC RATE: <2 MIN. PER INCH 13. MAGNETIC TAPE ON ALL COMPONENTS. ' ---- LOADING RATE: 0_74 GAL/SF/MIN EAS.SURVEY©YAHOO.COM 14. THIS PLAN IS PREPARED FORTHE SEPTIC SYSTEM INSTALLATION ONLY.- EDWARD A. STONE, CERTI ED SOIL EVALUATOR �..., .- .: - 9 cs-„Y `t� ^i; �.•k.�` �'�' ��F'n� ,jr�.,5,.�F � '+.�' +: �k ?`� �� 13°'yK'x'�,7ryyE LOG .�^;. • �. .. _ r•, - "h•''s�y.:�Y Yy,t<i •nf �,, �a!n ry'+. y&� ..�.;r:�"a'' .... -'-.:, 3. '. lr�-, .3r`.'•, +..:�� ► :"'ia. :. 'fir,a 'n z f:.�,�. .�;�`:�-"7,...rR,e-� f., „r, x t,. ��';�' '.. - t � ..'- F. .,..a .,!,- ,,,yy 3 ..•N'�` r„aY.t; -!� ,..>•. ..•SvV".--.a'r> t.. 'a - -,- '" ... ,,�:. .- :• ;. , ,„ ..:. > .3;4:� -�F�p; ,a� Q -fit -_C,�t h1 t>`'/ i•i' '., '...; ..:.;., .' � ,...a i•. ....q,1'•: 1..,-.., �rRs: .. ^G ! 4-x,�S{, vw`" 'G �,"F _ � SITE PLAN .a �. _<. - ...:.. ,., i-.., '�, .«?:._„ ..,.i,,.{.c -,.... .<'«,�.•... •/a`^. x, ��" �. .wr .t+ 'Y'✓.. F -t --� ��jj l ,-.,.:r- �l ... ,"':,._. '... , y .,:. _:.: ,. .�. tl ,f .••, ,.4.-. 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SCALE • 1/4 - 1 0 -i:-. . :'•.. .__ A Y T: 4 H.�. tir.n..r,t. i Y.q , k {. \ 7 - ., ...-r ,. '....�s > ay_-b-.•(- , 3,:~fi, ,y.sr;�• -�"' rs+iar .+., ..at.y,;^r ,r :�&� •-:Sit. �' N . B . 1. ALL PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE 1. All PIPES SHALL BE SLOPED 1/4 PER FOOT EXCEPT FOR THE FIRST 2 FEET OUT OF THE D / B WHICH SHALL BE LEVEL I I 3. DESIGN FLOW ----' --- BEDROOMS AT 110 GALOAY PER BR . GAL/ DAY S SEPTIC TANK SIZE _ X = GAl �� °, ` tf .�,° ,>,) ' ' 7' ; �'c iJ<jrk� +.+x :. �KYSF� � t r �l USE ► s G Al. W/ ova GARBAGE DISPOSAL k • W� ,m LEACHINGSYSTEM: U E 1 - ` . , t " Ar r . � :F.. '"' . ,, . x• ::,' „..., ..p:r�-,.:. .:'r:' d ;�i ?H , (��'$. ,����1� }� ;, ^yam,l''#,: rig .. .... .,...,, r......-._, > �. -...... ._> .'!:•,... ..-' ..:.n,. a...,te+:-..a. .:Y, r ,._..:r,.4v. _.. ,.Y'�.M .:.M.....�,;1!!, '.rr 'A:"d ,�yJ`F �1'vk,rA«,4.. 'w,�""�.i. .- .. ..._-._.� EFFECTIVE AREA . SIDE BOTTOM Veer' � em s" lr t I — n F 1 TOTAL FLOW 43 � ��TOTAL RE O FLOW X 1, i ��` _ .._ W/_ GARBAGE DISPOSAL - _ �,► _. ... .•j,:f;r«,.':'f?'.- ..i .6...�.\ `ed._� �R �.� -..3 �:?F sr,.{. � ,a.r.. - Cr. � _. f RESERVE FLOW—,' `? _2zn -� �_k- GAL/ DAY _. ---- .'1:-, % 4 .. ksE��''n ;P�--��` ��. car �,J„ -- __. .. ,,._,. ... _......, .,._. .. -. .. . .., ,...�.-. _ -�_•:..._.,.... .,..,....._.__-......_.... - ---- 'Y , ., , -,:. r .�� • ,�. f• ::,.:�l *' .: .:.., .r.«..:. er'},�;t ::• .•.iR _. � 5•..�: t �'G�!" 1 0. k, 4k.�' - � •' t. +• !•... ...,.� ...�.:; ,. .::+ 5r,.)r ,�:..: 1 :: -_ L4,.:,_ `{fit i13�'•"T �:21 `q�.� .d''w-:Y :'4'� .{,'. { __...-._ _._ _... ..--.�. .i----_-_ •:. ..,' . ..,: .• ... .. •.�.-....: •,.... � i. ...::t;::w•_. '8, �, .-5 ,'-s�'.V- ,t kSf L,hh, �Fes_ «,�.� 'N.> ,.�, .. -S.5 ,.:f � f.3 `F, y-,.,:�„'�• ;;�`+�'�;� 2:.1' i-,� '+i�',•s �ri- y Ott r} `� • l - .-,: - .. � -•" n �<. � �.-_ -•_:`a -:« i,t -u..<�rc.: �' ,t,.� lY. : er.rjh' vs UT T1 K �. - ..�� n L.� REFERENCE - - - PAN A. _ �- 2 . Y, u?». : L \ .;rst�%"i Yti,'' `�.?:'M1�`.' ro.,,..J. - . . • ._....,._ .-_.,.. ^;'•t '.:%' c-. S', .r' ,y._ 'n.,.�;: <.,^. 1• 1.T5 / -d J , _,..._.., -' s .v+,• a.: ':..r t,•..Ye �3 ,'- a+. t�r - .i,. , l dX-� �� .',�•. .#-. .,.,...... -:'S '11'.s. x..'.. Y a. 'S ,y^-`; +,.:. T 4� �•- v �✓ + r ., ..._. ,-.,- .. ^... ,....,'t" .. ,,. v�;'+,.v .:..: -: �..�". -:: ��:� t`,�`'., t- ) f _ .-J ,.�'•1? i _,.'t.7 F- r,`a A A fi C? ..,� f.�;Ff i.��i� '�• •r _2..: w?t;"F' .,i :� ,,,,,, :k� •'v,. .rvs .h�s`' -). i.t4 _A. !e,✓ ✓. s z rd A� ,. 4�.r e �C �1��k <� ..;} ,,, 'r': ^• ;'.� .,,x. +en4lr•,•'.'� •�-�./e"��",1�i'-> .,w r���g<�"'4�� * "yq; x _ (� i JlE7_�"_._ ___�<� ')�l'. � .:-� e•." a ^. ,.� s;. �;:.#•a' i` �'x 5 •tJ i^ � sa .Ny M-1. rti . --- - APPROVED BY • � � � �> :, ; �: • - � •� ,fig BOARD OF � ;H E AlTif l i ikt _ `y Lt,r;:�s:"'"�-a-1A[t,3..fl�'^` _ wy+" •1�Y'''7 4''°w";�":,,,� g't''.�'t�`++YA'3^�� �'�,`' „ r>..,� :,. -_'�__--_ ...-�_..+E�..,,--.....--�...--�---•.....-.....-...-...+.•-•—,E•,.-.-•.......-.. .-... ,.....- •�;"^t', DATE _ , -c PROPERTY OWNER : 5 1 - TEE I D • E AN oq— --- --- ----------- ---- -------- ,;i of � �{ — ^' -- - -- - -- ----------- - - '` 2 tR' 0(Zoom Si N&3.E F W'-f C>wSLA I ItG `4k V4t '"• p __---------- -----------------__________----___ __—_ -- ;? 1 ,¢' AA'V ,;' ( c J T- #9 � f�--3 '�!��.i�"- .. ,e-','_�'tJ-:T �" —• }--''�-�f- f.�J�:t ✓;%�` r J. per . }h am DATE- :4A 2 '/+ "��� `��f 5 3#5 wiLLIANA LIFrd'EQ_r1HN -- P,F, 23 5 11metI . 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