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HomeMy WebLinkAbout0033 THIRD AVENUE (HYANNIS) - Health 33 Third Avenue Hyannis P A = 246 106 n � 1 � I u 1 J TOWN OF BARNSTABLE ®� '^ �� r, _ L(S ATiON 33 THIRD AVENUE, WEST HYANNIS PRT SEWAGE #2 }`y V��LAGE WEST H Y A N N I S P O R T ASSESSOR'S MAP & LOT M L " 6/0106. INSTALLER'S NAME&PHONE NO. E L L I S BROTHERS SEPTIC TANK CAPACITY ZJf1 LEACHING FACILITY:-(type)6 (size)a2 -[f✓L g .�� S NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: C & 17/O S COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater Table and 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 w r No. Fee g THE COMMONWEALTH OF MASSAGHOSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 3ppricatiou for Mi000l *pgtem Con.5tructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 3 _ / /,1_, _ - Owner's Namre,Address and Tel.No. d-0 3- /L'/ 7 y>6 Assessor's Map/Parcely/7'�04 �%/ 1 T(/`e �n C �'��i�( 1' 't�S/ y/J G Installer's Name,Address,and Tel.No. (001" Ga 3 Designer's Name,Address and Tel.No. as MOT 6ri7,1vrf CC-hP C6 L if Lha"a-f sQ,f--;�Fo-9a.70 2-3 Oh Le-" N Type of Building. Dwelling No. of Bedroom Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.'of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculatgd daily flow gallons. Plan Date 0CaLo Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. G' Description of Soil $Pf Nature of Repairs or Alterations(Answer when applicable) se 7- Date last inspected: Agreement: ` The undersigned agrees to ensure the struction and maintenance of the afore described on-site sewage disposal system in accordance with the provis' of of the Env' ental Code and not to place the system in operation until a Certifi- cate of Compliance has been y thi oar d ealth. Sig b ti Date Application Approved b Date 7 Application Disapproved for the follo ng reasons Permit No. 5 — Date Issued No."}VG S ar<. Feel✓ oe a „F THE CdMMO,NWEALTH.OF MASSAdHUSETTS :_ Entered'incomputer: • � � - :, Yes PUBLIC HELTH-DIVISIOf -TOWN OF B" RNSTALES MASSACHUSETTS ZIpplica liotf for W5po.5af ip tenY ConMruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete-System ❑Individual Components ,I} i Location Address or Lot No...__- /�/, /�� ^�� Owner's Name,Address and Tel.No. �.c ". Assessor's Map/Parcel�� >I /`Phh 7 �'''' /) '-/3,3, -,( L 1/ (� +� 1 ✓ /lam i! �"�- �/ Installers Name,Address,and Tel.No. 2 611d - 'w 3 Designer's Name,Address and Tel.No. 1=1,,4, � �C Tv rI r��� S� �� t_ , .55 L�.�naf �4 ape of Building �o v Dwelling No.of Bedroom s Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design'Flo w gallons per day. Calculatgd daily flow gallons. Plan. Date .O C x Number of sheets / Revision Date Title Size of Septic Tank° Type of S.A.S. a. Description of Soil _ s Nature of Repairs or Alterations(Answer when applicable) fi r a Date last inspected: Agreement: y. The undersigned agrees to ensure theecc °struction an aintenance of the afore described on-site sewage disposal system in accordance with the provisions of T r el 5'of the Envir,661nental Code and not to place the system in operation until a Certifi- cate of Compliance has been 4t8 Board d1a �. ✓' 1 JOS S. Date Application Approved b V Date 7 Application Disapproved for the following reasons Permit No. `a crj S "`(o , - Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS = - a Certificate of Comptiouce THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by I= ( i S A,r- I r-r C at Th , /1 V C Ln -P C 1`�� n ) _vvi 1 has been constructed i rdance with the provisions of Title 5 and the for Disposal System Construction PermirNo. A;M 5-6 dated `acc?�5 Installer =/it C,"/l S r r k4 Designer The issuance of this permit shall nol be construed a-guarantee that the system W I=uas` designed. Date � Inspector cNo.�� 5�"�P �` -------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS . E =i5po5ar *pgtem Cou5tructiou Permit Permission is,hereby granted to Construct( )_Repair( , )Upgrade( )Abandon( ) System located at �„� / 6�`! h i s P,(} �.�U,✓1 ,f iJFin Ci ti — and as described in the above Application for Disposal System Construction Permit,The applicant recognizes his/her,duty tc?, ; t' comply with Title 5 and the following local provisions or special conditions. Provided:Construction musf'b completed within three years of the da e7ofhI ermit.Date: 1 � `7 'Approve _.._ \� q, f,. - Town of Barnstable Regulatory Services Thomas P. Geiler,Director NAM 1 Public Health Division Thomas McKean,director 200 Main Street,Hyannis,IMA 02601 Office: 508-862 4644 Y Fax; 508'90-6304 asta,Per Ce cation EQrn Date: CQ DCv Designer: Instafler: .Address: 4ZU41 V-Vi5 ��br Address: on ! /0S __ ��/! ►S_ 6 st,71­0 C C-"Vwas issued a permit to install a (elate} (installer) septic system at . (I/lnw►'� n based on a dcsigu&awn by • �ad s) dated ( igner) i' M✓/I certify that the septic system referenced above was installed substantially according to the design, which may include nor approved changes such as lateral relocation of the distribution box and/or septic tom. ���� 11, � "(° ' LL`x� �►5 Jes�►vw ,l�u,�,�v�'�e� 12'3 I/t)S t certify that the septic system referenced above was installed with mkjor changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any compe nett of the septic system)but in amrdance with State & Local Regulations. Plan rMsion or certified)as-built by desiper to follow. 19 OF 21 21 21 F/ �+ ,,Q pip ♦ .}�� i 5ts�ller's, Ygnature) =G.� - ; i Wep XV♦♦ CDesig&DVs 6i6zc (Affix Designer's Stamp lE ere1 PLEASET T4 A� T. LF PUBLIC D SIGN. �` tt AT' CIE N ' ' � EL THIS P AND Q-HW&&0dD=per Catdookm Form r Town of Barnstable Regulatory Services Thomas F.Geiier,Director Public Health Division O Thomas McKean,Director 200 Main Street,Hyannis,NU 02601 00ke: 508-842-4644 Fax: 508.'90-63 ►4 1nsta_ er er ce ati2a Form Date: C)(0 Designer: 1—i - Installer: 1 Address: tl), GZn�iS �'�.br .address. On _ (L1 a.s �� 14S_ CS C-Ilywas issued a permit to install a -- (date) (installer) septic system at_ 3� �IiuJr'7� _ based on a design drawn by (address) 1> dated—P � 2 0 5- / ( ' igne ) I certify that the septic system referenced above was installed substantially according to the design, which may include nor approved changes such as lateral relocation of the distribution box and/or septic tank. lq� a6cv* �y Wf�a L��)s— Je,4 vw'(ce —L-W 1 certify that the septic system referenced above was installed with rn;k;orr changes (i.e. greater than. 10' Weral relocation of the SAS or any vertical relocation of any component of the septic system.)but in accordance with State& Local Regulations. Flan revision or certified as-built by designer to follow. ,, ,P0{9�0 F Mgs22 s��' ••' •.yGi S tafler'sSignature) 26 ' ^r- t :!Sao. 4 ,,�IIFRfD SAN��Po��, (I?eei s lure ( esig�er s Stamp There) . 1P .lg 'E'- O BARNSTABLE PUBLIC HEALTH DIVISION. R A'i'' lie NO°T BE ""T�. 7C 'l S l t� AS: Q HW&&0dDwiper Cafificaden Form TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection wtAP (508) 585-1500 19 Hummel Drive PARCEL South Dennis, MBA 02660 LOT ; �-\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE, OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION f ,J "TITLE 5 t OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSES.`MENTA SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM x� PART Am CERTIFICATION ` Propert% Address: 33 3`d Avenue =' a West Hyannisport, MA 03 ON ner's Name: Jesse E. Hawkins&Linda Gruberski tv r Owner's Address: 69 Hadwen Road Worcester,MA 01602 Date of Inspection: May 24,2004 QName of Inspector: Troy M. Williams O Company Name. Troy Williams Septic Inspections Mailing Address: 19 Hummel Drive South Dennis,MA 02660 Telephone Number: (508)385-1300 CERTIFICATION STATEMENT I certify that 1 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system• ✓ Passes Coriditionally Passes Needs Further Lvaluation by the Local Approving Authorit) Fails Inspector's Signature: ,, �J � Date: 5'/21//o y The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth 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 Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition Of system,piping or components. This Inspection represents the conditions of the'system on the Date of Inspection noted above. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. I his 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 nape I r,F ll Page 2 of 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 3`d Avenue West Hyannisport,MA Owner: Jesse E. Hawkins&Linda Gruberski Date of Inspection: May 24,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure.criteria described in 310 CNIR 15.303 or in 310 CMR 15.3.04 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass"section need to be repl ed or repaired. The system, upon completion of the replacement or repair,as approved by the Board of H th, will pass. Answer yes. no or not determined(Y,N,ND)in the for the following statements. If of determined"please explain. -- The septic tank is metal and.over 20 years old" or the septic tank(whet metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is im nent. Svstem will pass inspection if the existing tank is replaced with a complying septic tank as approved by th oard of Health. 'A metal septic tank will pass inspection if it is structurally sound, leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break o r high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled o even distribution box.System will pass inspection if(with approval of Board of Health): br en pipe(s)are replaced bstruction is removed distribution box is leveled or replaced ND.explain: The cyst required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspec ' if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 3rd Avenue West Hyannisport,MA Owner: Jesse E.Hawkins&Linda Gruberski Date of fnsPection: May 24,2004 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. I. System "ill pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) at the system is not functioning in a manner which will pro tect tect public health safer P � and the emir ment: _ 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 mars 2. System will fail unless the Board of Health(and Public Water S plier,if any)determines that the system is functioning in a manner that protects the public health afety and environment: _ The system has a septic tank and soil absorption syst (SAS)and the SAS is within 100 feet of a surface %N ater supple or tributary to a surface water su y. The system has a septic tank and SAS and e SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and S and the SAS is within 50 feet of a private water supply well. The system has a septic tank d SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. rod used to determine distance **This system passes if a well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile ganic compounds indicates that the well is free from pollution from that facility and the presence of monia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure crited a triggered.A copy of the analysis must be attached to this form. 3. Other: I 3 I Page 4 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 33 3`d Avenue Property Address: West Hyannisport,MA Jesse E.Hawkins&Linda Gruberski Owner: May 24,2004 Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 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 _ Niq Liquid depth in cesspool is less than 6"below invert or available volume is less than%:day flow �[ Required pumpingmore than 4 times in the last a t year N2T 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. Niq Any portion of a cesspool or privy is within a Zone 1 of a public well. N/.o An o y portion of a cesspool or privy is within 50 feet of a private water supply well. AL/A Any portion of a cesspool or privy is less than 100 feet but greater than SO 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 S ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a desi flow of 10,000 gpd to 15,000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteri ove) yes no the system is within 400 feet of a surface drinkin ater supply the system is within 200 feet of a tribu o a surface drinking water supply _ — the system is located in a nitroge nsitive area(Interim Wellhead Protection Area—1 WPA)or a mapped Zone 11 of a public water sup well If you have answered"yes"to a question in Section E the system is considered a significant threat,or answered "yes"in Section D above the ge system has failed.The owner or operator of any large system considered a significant threat under S ton E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system o er should contact the appropriate regional office of the Department. 4 ' Page 5 of I l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 33 P Avenue West Hyannisport,MA Owner: Jesse E.Hawkins&Linda Gruberski Date of Inspection:May 24,2004 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Ye} No ✓ _ ('.:::;��ing information was provided by the owner, occupant,or Board of I lealth Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? — Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up — Was the site inspected for signs of break out ? _ "'ere 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: Yes no _ 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 Page 6 of 1 I OFFICIAL INSPECTION.FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE A E DISPOSALYs � TEIy INSPECTION FORM PART f SYSTEM INFORMATION Property Address:33 3`d Avenue West Hyannisport,MA Owner: Jesse E. Hawkins&Linda Gruberski Date of inspectionMay 24,2004 RESIDENT IAL FLOW CONDITIONS Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 11 p gpd x k of bedrooms): 3 3 o Number of current residents: I Does residence have a garbage grinder(yes or no):fu Is laundn on a separate sewage system(yes or no):ivo {if yes separate inspection required) Laundry system inspected(yes or no): ,uiq Seasonal use: (yes or no): No Water meter readings,if available(last 2 years usage(gpd)): G 3 = Z 3,v�r. e�, s o Z: /4,a Sump pump(yes or no): k/o Last date of occupancy: COMM ERCIAI../INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): _ g Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no)-_ Non-sanitary waste discharged to the Title 5 stem(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: �,,, d z ao ,✓_,_;..n.ry._e_�t►�-, i . Was system pumped as part of the inspection yes or no): �„ If yes, volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM 3/ Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool .—Privy - -Shared system(yes or no)(if yes,anach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval _Other(describe):. Approximate age of all components. date installed(if known)and source of information: ct- Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: 33 3rd Avenue West Hyannisport,MA Owner: Jesse E. Hawkins&Linda Gruberski Date of Inspection: May 24,2004 BUILDING SEWER(locate on site plan). Depth belu%% grade: I b''- Materials of construction: _V cast iron ✓ 40 PVC__other(explain): Dktance fron, pri%ate water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): j�/V J.�i•S_✓_t._�!.�•... t •'-N_A_ tit.�k c�I G f SEPTIC TANK: ✓(locate on site plan) Depth below grade: /o„ 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: _4_k /o ,�: S 'i Sor Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: 2'd 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: i y', How were dimensions determined: Pros Comments(on pumping recommendations, inlet and_outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_po ihylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffl Distance from bottom of scum to bottom of outlet a or baffle: Date of last pumping: Comments(on pumping recommendation let and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of age,etc.): 7 f Page 8 of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:33 3`d Avenue West Hyannisport,MA Owner: Jesse E.Hawkins&Linda Gruberski Date of Inspection-May 24,2004 TIGHT or MOLDING TANK: (tank must be pumped at time of inspec ' n)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass olyethylene other(explain): Dimensions: Capacity: gallons Design Flo%%: _ gallons/day Alarm present(yes or no): Alarm level:__ Alarm in working or (yes or no): Date of last pumping: Comments(condition of alarm and t switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carrygver, any evidence of leakage into or out of box,etc.): 0-13,>L w«.� X.- ,a ,,4 i �1..t./ .�✓ _�ta.t.lit.V a � �'�.n�.�. u� s CJ PUMP CHAMItER:__ (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condid of pumps and appurtenances,etc.): 8 Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 3`d Avenue West Hyannisport,MA Owner: Jesse E.Hawkins&Linda Gruberski Date of Inspection: May 24,2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why.. Type 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.): / { e �.-� 4✓t.Jt f7+✓r.c.{ G ✓•1 w i '� rh✓Av i L CESSPOOLS: (cesspool must be pumped as part of inspection)(loc on site plan) Number and configuration:_ Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions oC cesspool__ Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs ydraulic failure, level of ponding,condition of vegetation,etc.).- PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydrauli ilure, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 33 3`d Avenue Property Address: West Hyannisport,MA Jesse E. Hawkins&Linda Gruberski Owner: May 24,2004 Date of Inspection: 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. l7°,,l war f3 1 57 ' #0 Page I I of 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 3`d Avenue West Hyannisport,MA Owner: Jesse E.Hawkins&Linda Gruberski Date of Inspection: May 24,2004 SITE EXAM Slope Surface water Check cellar ✓ Shallow wells Estimated depth to ground water feet Adjusted high ground water elevation - feet Please indicate(check)all methods used to determine the high ground ssater elevation: Obtained from system des' gn plans on record - If Observed site(abutting pr perry/observati n hole within l 0afeette fof SAS)design Ian reviewed: Checked with local Board of Ilealth-explain: Checked with local excavators, installers-(attach documentation Accessed ) � essed USGS database-explain: M ,,..� Ls -2�A„_ You must describe how you established the high ground water elevation: w. a, This report has been prepared and the system Inspected as of the date of inspection. This report is not a warranty or guarantee that the system will function properly In the future. There have been no warranties or guarantees,either expressed,written or Implied, relating to the system,the Inspection and/or this report. ll - ��. K= TOWN OF BARNSTABLE ' LtjCATION SEWAGE # s %.VILLAGE� nnASSESSOR'S MAP & LOT :.. d- . INSTALLER'S NAME&PHONE N0. ® _ 'SEPTIC TANK CAPACITY '..LEACHING FACILITY: (type) t'+�6�C�+{pLI (size) NO.OF BEDROOMS ' ; BUILDER OR OWNER PERMIT DATE: . '�'7 e COMPLIANCE DATE: r'�-�� 7 7 . � Separation Distance Between the: Maximum Adjusted,Groundwater Table and 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 ' •T ui 1 'llNo. r � Fee-? THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Mf!gVO, at *p5tem Cougtruction Permit Application for a Permit to Construct( )Repair( pgrade( )Abandon( ) ❑Complete System >Individual Components Location Address or Lot No..3 Z'T vN,wG Nv-v— Owner's Name,Address and Tel.No._ Assessor's Map/Parcel —)—, l f ( (� PtrJ `o\,\i\i-Se— Installer's Name,Addres and Tel. Designer's Name,Address and Tel.No. E% `0 WIV Type of Bu ding: Dwelling No.of Bedrooms �QL Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 VA gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank %SUb P0_11NZ%At- K Type of S.A.S. Description of Soil tv'e-0— .7-N,_Q -CA-0 Nature of Repairs or Alterations(Answer when applicable) (�—60 �t Ccc Gl`{ l L�r�'tth2S �- �` SiZN�_Ow 5tY}e� 14�t u�gw � 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 a Environmental Cod not to place the system in operation until a Certifi- cate of Compliance has been issue hard ned L Date Application Approved by Date Application Disapproved for the following reasons Permit No. 2 Date Issued .-7 -. . 0 No. 'L fi Fee a THE COMMONWEALTH OF MASSACHUSETTS - Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0(pplication for Mi$VT of *p5tem Con!5truction Permit Application for a Permit to Construct( )Repair( pgrade( )Abandon( ) ❑Complete System>Individual Components Location Address or Lot No.3 3—r V ,, ,Q Ar\,V_ Owner's Name,Address and Tel.No. ,..,� Assessor's Map/Parcel �'/ -3o�hJ-Se Yf Installer's Name,Addres and Tel.ry,o. Designer's Name,Address and Tel.No. �F Self'i t��Zo��.�.S -0 6k zK Type of Bu ding: Dwelling No.of Bedrooms a Lot Size sq.ft. Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 cl�A gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Wo-t Type of S.A.S. ��VCa4Le_1) 'jt-41�-TV"ZT02� Description of Soil M e-Q-� V� 54"`-ib I f w, Nature of Repairs or Alterations(Answer when applicable) TN-�49`` �'S�5?A, Can.+ CQC i`(' i L%vs,`<u2S 5T'U (Ax- 5%r�,j 114 t` �Qpw�fG1 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 a Environmental Co" not to place the system in operation until a Certifi- cate of Compliance has been issue '� r v gned Date Application Approved by Date Application Disapproved for the following reasons r.l i Permit No. 7 ) Date Issued �y 4 >` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Se age Disposal System Constructed( )Repaired ( )Upgraded( Abandoned( )by ax �- o —IM t ` , S(�P T L C_. at 31 ­ h iAug- o has been constructed in accccordance with the provisions of Title 5 and the for ispos System Construction Permit No. "� dated Z-/�` / 7 Installer . Designer The issuance of this permit shall not be construed as a guarantee that the'syst 1 fun signed. Date Z Z /0 !it/ -7 Inspector No. i � — ((..�'�PY!c.� -------------------------Fee J ` THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS f G -1u5pbmt *pztem Construction Permit Permission is hereby granted to Construct( )Repair(✓)Upgrade( )Abandon( ) System located at 3 3 t`r K1`►2, ( a-in y�t`S e vl and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Con structio must be completed within three years of the date of this permit. Date: Z �� Approved by 10/9/97 k i NOTICE: This Form Is To Be Used For the Repair Of Failed. Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT t ENGINEERED PLANS) x hereby certify that the application for disposal works . i construction permit signed by me dated '`' , concerning the 3 t� property located at 3 ��.�-�-- `f���� meets all of the f lowing criteria: • There are no wetlands located within 100 feet of the proposed leaching facility 3 There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed Z' There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will W be located less than fourteen(14)feet above the maximum adjusted t groundwater table elevation. Please complete the following: t A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) i B)Observed Groundwater Table Elevation(according to Health Division well map) 19 k SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert :-ISO i' ' Q © i TOWIV{OF 13 kkMSTABLE / ,S•• . CATION �r lA,v—c- SEWAGE # 9 7� �L j. VILLAGE_ t�.a✓, SDI Y'� ASSESSOR - [R'SJMAP & LOT r. INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY, DO G(size) ....:.::.LEACHING FACILITY: (type) .� OF BEDROOMS .. .BUILDER OR OWNER `.:::PERMTTDATE: 12 1-77 COMPLIANCE DATE: "/d._ 77 r -Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist . on site or within 200 feet of leaching facility) ter.Feet j is s:'..Edge of Wetland and Leaching Facility(If any wetlands exist . 4: ;:. ... Feet within 300 feet of leaching facility) E Furnished by j .-.. _ --- y 64CK j �'�II I 1 • Q CV c0 / - U O O O to C'6 N > C Q w Q O 23'-Z' - - GENERAL NOTES: 0- U) m -2 .� LO C: - � c 7.ALL WORK PERFORMED BY CONTRACTORS SHALL - O N M m CONFORM TO THE BASIC BUILDING CODE OF- +� a I:`7 MASSACHUS ETTS AND ALL P ERTINENT STATE AND LOCAL CODES AND REGULATIONS(LATEST EDITIONS) THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS, ELEVATIONS,EXISTING FIELD CONDITIONS,AND NOTIFY: _ THE ARCHITECT OF VARIATIONS FROM PLANS.THE CONTRACTOR SHALL COORDINATE AND BE '=�'•'1J+'�^•vim b' RESPONSIBLE FOR THE APPROVED SIZE AND LOCATION — Of ALL OPENINGS THROUGH ROOF,FLOORS AND - WALLS.FAILURE TO NOTIFY THE ARCH ITECT OF UNREPRESENTED CONDITIONS SHALL BE CONSTRUED AS ACCEPTANCE OF THE CONDITIONS TO PROPERLY PREFORM THE REQUIRED WORK 36"W x 6'H OPENING I '�• ' INE UP W/IXISTING TUNNEL ' I 3.THE CONTRACTOR SHALL COORDINATE ALL WORK OF DIFFERING TRADES INCLUDING ARCHITECTURAL, , O STRUCTURAL,MECHANICAL,ELECTRICAL,FIRE CHANGE EXISTING DOOR' PROPTECTION,ETC.NO CUTTING OF EXISTING j• / r STRUCTURAL MEMBERS SHALL BE PERMITTED WITHOUT RLD&NEW OVIDE FOBREAK IN T01 HR FIRERA7ED j' THE ARCHITECTS WRITTEN CONSENT. (OUNDATION 3 1/2"d STD.STL.PIPE ar.m..c OR HVAC SUPPLY / COLUMN ON 24"X 24"X UCTS 17'DEEP CONCRETE PAD 4:THE CONTRACTOR SHALL FURNISH AND BE SOLELY &RETURN D RESPONSIBLE FOR ALL TEMPORARY BRACING FOOTING(TYP) 'I REQUIRED TO MAINTAIN STABILITY OF THE STRUCTURE DURING CONSTRUCTION. EXISTING EXISTSTING / I - HOUSE FOUNDATION - 5.THE ARCHITECT SHALL NOT BE RESPONSIBLE OR �- —I EXISTING LIABLE FOR ANY CONSTRUCTION NOT DONE UNDER HIS FOUNDATION DIRECT SUPERVISION. �� •/ I / 6.HEADER SCHEDULE ROUGH OPENINGS UP TO 48"(2) •/ I 4"CONCRETE RAT SLAB I ! 2"X 10'DOUG.FIR 49"TO.72"(2)2",X 17'DOUG.FIR 7a' ( TO 96"(3)2'X 17'97"TO 114"'(2)11 7/8'MICROLAM 11 S' ```�/ ��/`\/ TO 120"(3)11 7/8-MICROLAM 121"TO 144"(3)14" /] I/y d b i�/GG ' / I MICROLAM 7.ALL SECTIONS AND DETAILS SHALL BE CONSIDERED TYPICAL AND APPLY FOR THE SAME AND SIMILAR 0 I CONDITIONS,UNLESS OTHERWISE SPECIFICALLY NOTED. /7y��u��' FISh eII 1 iii"' ' CD Y 8.THE OWNER SHALL MAKE APPLICATION AND PAY FOR ((('''��_n THE BUILDING PERMIT Architecture I 9.ALL NEW OPERABLE WINDOWS SHALL INCLUDE SCREENS. Residential/Corporate 't,^._'.�!'�'o. ;i•,,.t;+;•?";;..� �':p:•+•r.,•j;, / 10 THE CONTRACTOR SHALL DO ALL CUTTING, - ® —� t Commercial _ N PATCHING;FITTING OF WORK THAT MAYBE REQUIRED TO MAKE ALL PARTS COME TOGETHER PROPERLY AND �i FIT TO RECEIVE OR BE RECEIVED BY WORKOF ALL 440 Main Street, Suite P NEED WATER - TRADES AS SHOWN ON THE DRAWING OR AS SPECIFIED. (� DNE(S,EyE PROPOSED FOUNDATION PLAN - -'�1 Ridgefield, CT 06877 22'-1� SCALE:1/8"=1'=0"see plens for dimensions 8 structure 11.THE CONTRACTOR AND ALL OTHER TRADES SHALL ,y n I., NOT SCALE THE DRAWINGS.LOCATIONS OF ALL /( IVI Phone. (203)438-6809_ PARTITIONS,WALLS,CEILINGS,ETC,SHALL BE 1� ( - DETERMINED BY THE DRAWINGS AND FIELD VERIFIED. Fax. (203)438-031 0 i� ANY MISSING DIMENSIONS SHALL BE BROUGHT TO THE ATTENTION OF THE ARCHITECT. 12.THE CONTRACTOR SHALL PROVIDE THE NECESSARY PROTECTIVE DEVICES WHERE REQUIRED car DOOR SCHEDULE tt AND IN STRICT ACCORDANCE WITH O.S.H.A.RULES AND Lands)edel Residence 1 REGULATIONS.ALL MATERIALS SHALL BE STORED IN �j ACCORDANCE WITH MANUFACTURERS REQUIREMENTS.. 33 Third Avenue SYM. QTY. TYPE DOOR SIZE ROUGH OPENING MFG. MFG.NV REMARKS West Hyann(sport, MA 02672 i�` 73.THE CONTRACTOR SHALL MAINTAIN A REASONABLY O1 1 GLIDING 5'- I CLEAN AND DUST FREE ENVIRONMENT FOR-THE _ 11 1/4'x 6'-712" fi'-0"x 6'-8" ANDERSEN FWG 6068R FRENCHWOOD PATIO WORKERS AND USERS OR THE BUILDING.BROOM CLEAN ATTHE END OF EACH DAY: or, T. 2O 1 GLIDING 7'-111/4"x6'-71/L' 8'-0"x 6'�8" ANDERSEN FWG.80MR FRENCHWOOD PATIO - PROPOSED FOUNDATION PLAN& WIND. &DOOR SCHED. WINDOW SCHEDULE �. A— SYM. QTY. TYPE WINDOW SIZE ROUGH OPENING MFG. MFG.NC. - REMARKS A❑. 2 AWNING 2'-11 15/16"x 3'-012" T-0 1/2"x V-P" ANDERSEN AN31� W/PLASTIC GRILLS,TINT&SCREEN B❑ 3 AWNING 743/8"x 1'-812" 2'-0 7/8"x 1'9" ANDERSEN AN25pI W/PLASTIC.GRILLS,TINT&SCREEN _ © 4 AWNING Z-11 15/16"x*-W T-0 12'x 4'-0 10 ANDERSEN AP32V .. 'W/PLASTIC GRILLS,TINT&SCREEN N. Revision/Issue Date Scale Drawing Nc. . - Date A. �.1eaa Drawn By . - FFL J NrrwxmrEiID�aLMWrtME]ooe �•"'"`—�.�. ',.gym •_ �..._ „-•,_.w- __ ..vim... ..... - ..-..,,• -,,. :.,.. O N chi CD :3 N C Q o N -0 .� O C � � c O CU '~ PROPOSED DECK(V.I.F.) R A, 16'-91•V.I.F. - 10'-11"V.I.F. 2 2'-521' 5,-112•. 5'-112" 2.�. -- DEMO EXIS ING - CLOSET ry t u EXI�STINNG BEDROOM NEW E ISTING HOUSE 2 I - BEDROOM FISheII s CArchitecture I' Residential/Corporate EXISTING GARAGE Commercial zs° 440 Main Street, Suite P Ridgefield, CT 06877 IZ 3c oCCKET oc Phone: (203)438-6809 6 P.NcoDRs z e: Fax: (203)43870310 1v NEW NE _ BATH W.I. a _ U20 Landsiedel Residence LAYOUT V.I.F. 9-zz 33 Third Avenue a West Hyannisport,MA 02672 PROPOSED FLOOR PLAN ® El El 111 SCALE:'1/8-1'-0'see plans for dimensions&structure r-r• S'-.. 6'-a^ 5--10' 2'-1• PROPOSED 22'_l2'. - FIRST FLOOR PLAN i No. Revision/Issue Date 1 Scale Drawing No: Date D-n By A 2 - 2wn m O N ti m 43) o Q a c fA a`NL'i > SHINGLES&-PITCH O Q 0 TO MATCH EXISTING . MAIN ROOF O C: 0 fn m NEW ROOF TO RE-DO GARAGE ROOF U MATCH EXISTING ROOF SHINGLES TO MATCH +,W EXISTING ROOF ISTING HOUSE — ISTING GARAG A J— eym 22'—f Z• �� PROPOSED FRONT ELEVATION I * .SCALE:1/8"=1'-0"'see plans for dimensions&structure — — — — _ _ _ _ _ _ _ _ Fishell Architecture Residential/Corporate Commercial 440 Main Street, Suite P Ridgefield, CT 06877 Phone: (203)438-6809 Fax: (203)438-0310 ISTING HOUSE. _ Landsiedel Residence 33 Third Avenue West Hyannisport,MA.02672 C C c EXISTING GARAGE 2 111 PROPOSED 10011 RUM MUM 11 RE ELEVATION PLANS I . -- — — — PROPOSED REAR ELEVATION — —.— — — — — — — — —I— SCALE:1/8"=1'-d'see plans for dimensions&structure No. Revision/Issue Date Scale Drawing No. ' 1R•I.O•' Data A.3 brawn By FFL mmwrewweiumortenaEm � � r p N co U p N o C16 o Q' Q O Q. � N -2 fN i 0 � �' C NO1TE s°WIDE>ICE i WATER TYPICAL ROOF PEAK CONSTRUCTION CL M SHIELD @ALL CONTINUOUS ALUMINUM RIDGE VENT c 30 YEAR"ARCHITECTURAL"ROOF SHINGLES _(D EAVES,VALLEYS,AND RAKES TO BE SELECTED BY OWNER Q V. •F. 15 LB.ASPHALT SATURATED FELT(UNDERLAYMENT) 1/2"CDX PLYWOOD ROOF DECK c�. 2"x 10" D.F.#1 or 2 ROOF RAFTERS 16"O.C. {Z)2"X 8".TIE SEAM.4'O.C. ��II R-30 FIBERGLAS INSULATION-(IF INSULATED) WITH PROPAVENT TYPICAL SOFFIT CONSTRUCTION CONNECT ROOF AND WALL TOGETHER"W/METAL STRAP @ 4'O.C. PROVIDE GUTTERS AND LEADERS AS REQUIRED PROVIDE CONTINUOUS ALUMINUM SOFFIT VENT . ° CONCEALED STEP FLASHING(TYP. @ ROOF/WALL INTERSECTIONS) TYPICAL EXTERIOR WALL CONSTRUCTION Fishell CEDAR SHINGLE SIDING(TO MATCH EXISTING) Architecture 50 LB BUILDING FELT Residential/Corporate 1J2"CDX PLYWOOD SHEATHING Commercial TYPICAL FIRST FLOOR 2"x 6"STUDS @ 16"O.C. CONSTRUCTION' 6" R-19 FIBERGLAS INSULATION 440 Main Street,.Suite P 'WALLBOARD Ridgefield, CT 06877 5/8"GYPSUM FINISH FLOOR Phone: (203)438-6809 ' 3/4"T&G, GLUED AND SCREWED.PLYWOOD SUBFL)OF Fax: (203)438-0310 2"X 10"FLOOR JOISTS 16"O.C.or (2)P.T. 2"X 6"SILL PLATE _Z 9 1/2"TJI 150 JOISTS @ 16"O.C. w/SILL SEALER R-19 FIBERGLAS INSULATION 1/2"DIA.X 12"ANCHOR BOLTS-12"FROM CORNERS& 33 Third edel Residence o FINISH ALL SURFACES OF GARAGE W/ 48"MAX. O.C. Third Avenue 5/8"FIRECODE GYPSUM WALLBOARD West Hyannisport, MA 02672 EXCEPT MASONRY SURFACES PROPOSED Ej TYPICAL BUILDING SECTION TYPICAL BUILDING" SECTION a MAIN HOUSE SCALE: 1/4"=V-0"see plans for dimensions&structu're i t No. Revisionft ue Date h scale Drawing No. Date A.4 Drawn By ozmwle �•�•� . N VfLGE BEA H ASSESSORS A z y b ASSESSORS MAP 246-107 MAP 246-110 c LOT 192 R s LOT 219 o yC"3 b ' 100' , 44. 0 Z o .� _ +� WEST HYANNISPORT LOT 221 o GARAGE LOT 190 LOCUS, MAP z PLAN .REF 34-23, & 109-49 2 . ASSES AfAp- 246-106 ioT �88 a ZONING: "RB" , SETB�4CIfS. 20 —10-10 DEED REF 18984 117 N MAP 246-10 ' ASSESSORS ?� V LOT 188 0 1 PLOT PLAN OF LAND 1✓`A4'v-111 _ LOCATED AT LOT 223 �a 53. 0, ��.,'3 33 . THIRD A.VENUE' �P WEST HYoo ANNLSPORT #33 Vie ,� PROPOSES? PREPARED FOR: DECK o rf,ss �� JOHN & DEBBIE LANDSIEDE'L CONC 6. 0' _`? ';y_PA17 —\`' - - ; — -- — -- - SEPTEMBER 28, 2005 20 SETBACK LINL' i ` J p iLc I LOT 228 — �o .5 7/ ` 755 J / REV- co LOT 18B �efl 255- REV o R=14. 9 REV- 100' YA11j.KE E LAND . SURVEYORS STRA T �T & CON,S'IlLTANTS A.PLE' GRAPHIC SCALE P.O. Box 2s5 20 0 ,o zo:. ao UNIT 1,. 40 INDUSTRY ROAD MARSTONS MILLS, MA 0.2648 _ — _ _ TEL.- 508 42B 0055 FAX 508 420 5553 1 inc h 20 ft. SHEET I OF I JOB #' 53969 JF l( _ Sl 2�0 4 Q r M 1 a M � 0 2ILI � 1 s EXISTING 1500 GALLON TANK DISTRIBUTION BOX HIGH CAPACITY INFILTRATORS CROSS SECTION LOCUS PLAN NOT TO SCALE EXISTING (SEE NOTES) NOT TO SCALE NOT TO SCALE NOT TO SCALE MI o 98.6 COVER TO BE WITHIN 6"OF GRADE \ T INSPECTION PORT TO BE WITHIN 6" OF GRADE a^scR.ao P.V.C. 3^MINIIviUM MIN.12"COVER r 4•SCa.40P.V.0 3" 1/8";1/2" WASHED STONE FUURT 13n 3" t-- _ -o.oi MIN. rri -,- 4,� 96.77 5 >::::.>: 0 97.02 - \ / 96.5 \ \ SECOND 4.0' 96.3 95.5 \ 0' .92' / 10. ' 93.5 3/4"=..1 1/2".1�OUBI E WAS1IEb.$141�TI 1.08' FIRST SAL ENE MIN / / IRS 10.5 ADDITIONAL SAS IS 15,5 X 8.83 p � I NOT ZONE II BOTTOM OBS 8'P.55, . I 8.8 3 SITE SPECIFIC NOTES DISTRIBUTION BOX WILL NEED TO BE ADJUSTED FLOOR PLAN DESIGN CALCULATIONS GENERAL NOTES TO EQUALIZE THE FLOW (ELEVATI❑NS ' EXISTING BEDROOMS 3 0 110 G.P.D.= ALL PIPING TO BE SCHEDULE 40 P.V.C. APPROXIMATE) NOT TO SCALE 330 G.P.D. ALL LOCATIONS OF UTILITIES SHOWN ARE AS FUTURE PLANS FOR 4/5 BEDROOMS MARKED BY DIG-SAFE AND ARE TO BE INSTALLER TO NOTIFY DESIGNER 24 HOURS VERIFIED BY INSTALLER PRIOR TO PRI❑R TO BEGINNING OF JOB TO COORDINATE EXISTING SAS 394,2 GPD CONSTRUCTION INSPECTI❑NS �J�A�` n�OG ADDITIONAL SAS 8.83 X 15.5 THERE ARE NO KNOWN WETLANDS WITHIN l,�'1G V r V 150' OF THE PROPOSED LEACHING FACILITY SIDEWALL AREA 97.3 SF UNLESS SHOWN. ♦ OOO S.F. a FIRST FLOOR BOTTOM AREA 136.9 SF THERE ARE NO KNOWN POTABLE WELLS W150' ITHO 1 , TOTAL SQUARE FEET 605.3 SF THE OF THE PROPOSED LEACHING FACILITY. THERE AfjE NO KNOWN IRRIGATION WELLS CAPACITY SIDEWALL 00.74 72 G.P.D. WITHIN 50 OF THE PROPOSED LEACHING CAPACITY BOTTOM ® 0.74 101.3 G.P.D. FACILITY Bpi CAPACITY FOR NEW SAS 173.3 G.P.D. THIS PROPERTY DOES NOT FALL WITHIN A FLOOD ZONE AS SHOWN ON FIRM MAP CAPACITY TOTAL 567.5 G.P.D. THIS DESIGN DOES NOT REQUIRE VARIANCES KITCHEN BEDROOM BEDROOM BEDROOM TO TITLE 5 (310 C.M.R. 15.00) OR BARNSTAB E -- THIS SYSTEM NOT DESIGNED TO SUPPLEMENTAL REGULATIONS. -` ACCOMODATE A GARBAGE DISPOSAL ALL CONSTRUCTION SHALL B IN SUPPLEMENTAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTA REGULATIONS. IN-LINE ELEVATIONS PROPOSED AS-BUII.T SURVEY INFORMATION LIVING ROOM INV. ® HOUSE (EXISTING) PROPERTY LINE DATA FROM INV INTO TANK 97.02 (EXISTING) YANKEE LAND SURVEYORS 9/28/05 INV OUT OF TANK 96.77 (EXISTING) EXISTING SAS TO REMAIN 4 infiltrators with 4' stone INV INTO D-BOX 96.5 (EXISTING) PLAN TO BE USED FOR INSTALLATION 10.83 x 33 = 394.2 gpd INV OUT OF D-BOX 96.3 (EXISTING) OF SEPTIC SYSTEM ONLY INV INTO INFILTRATOR 95.5 (EXISTING) BOTTOM OF 4. EXISTING NOT FOR DETERMINING PROPERTY LINES _ BOTTOM.OF TONTRATOR 93.58- (EXISTING) BENCH MAR - su,T;�M of csS .-�cx�. 7 Q CORNER OF STEP 100 (ASSUMED) O WATER TABLE NONE ENCOUNTERED DATE; OBSERVED BY: WITNESSED BY: t 98, SOIL LOGS Sept 12, 2005 LISA C. LYONS DON DESMARAIS i crawl ' SOIL EVALUATOR BOARD OF HEALTH elec r OBS. HOLE #1 OBS. HOLE space ELEV. DEPTH !ELEV. PTH r 98.5 0" 98.6 0" L FILL A LOAMY SAND 1 OYR 4/4 r GARAGE 99.o A LOAMY SAND 6" 97.7 o„ G I OYR 4/3 B LOAMY 10Y SAND h 97•2 '� B LOAMY SAND 16 96•1 30" IGYR 4/6 C MEDIUM SAND � 54" i 7 96.2 28" I 2.5Y 6/6 66" C MEDIUM SAND 64" ( 87.9 28" 1 2.5Y 6/6 I 0 GROUNDWATER ENCOUNTERE PROPOSED ADDITION TO SAS 87.5 132 1 = ADD 2 HIGH CAPACITY INFILTRATORS NO GROUNDWATER ENCOUNTERED RE VE AR TH 1.5' STONE ON ENDS AND 3. ON SIDES W I T P 2 ( PERC RATE<2 MINS./INCH I 98.6 PERC RATE<2 M NS./INCH I I - T P 1 j i 98.55 I THIRDAVENUE BENCHMARK SET CORNER OF FIRST STEP ��`���.•••"��''••,yGs�� EL=100 (Assurred) s'r.•• <, "�! PLAN SHOWING: JeG�p�� PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE FOR:` DRAWN BY: LISA C. LYONS l • •:�� JOHN &DEBBIE LANDSIEDEL DESIGNED & CHECKED BY: • O♦ �♦ LISA C. LYONS lc ••,)VEG1 i�a�'��Q�, LOCATION: REVISIONS: DESCRIPTION: DATE: *Aone ����, LOT#THIRD AVE W.HYANNISPORT CHANGE SAS; ADD RESERVE DEC 2 05 REDM246 Pio6 OCT 9,2005 SCALE 1 : 20 LISA C. ON R.S. LYONS, V �I [� c 1 CERTIFY THAT THIS PLAN CONFORMS TO LISA C. L I O I V S, I \ . S, (508) 790-9270 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS HYANNIS, MASSACHUSETTS (774) 487-1638