HomeMy WebLinkAbout0026 UNCLE AL'S WAY - Health 26 Uncle Al's Way
Hyannis
A= 292—003 - 019 ,
1
e
TOWN OF BARNSTABLE
LOCATION :26 aklCck A S 0AI'/ SEWAGE# 202-1 .223
VILLAGE �VYAWAI) J ASSESSOR'S MAP&PARCEL 2t12 -003-*
INSTALLER'S NAME&PHONE NO. S A6A K^AN b W,4?wf Lt(
r`
SEPTIC TANK CAPACITY f boo (JyIS vyr, Gt�L
LEACHING FACILITY. (type) f 1 g D (size) )J
NO. OF BEDROOMS 3
OWNER P+a Ati
PERMIT DATE: 612 y 121 COMPLIANCE DATE:
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
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No. G-G 122, Y� II FeeN
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: il
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplitatioii for Misposal 6pstrin (Construction 3permit
Application.for a Permit to Construct( ) Repair( ) Upgrade( K) Abandon( ) ZComplete System ❑Individual Components
Location Address or Lot No. 9& t.1eLLE 64L f W417 Owner's Name,Address,and Tel.No.
is� is M0a0pkc91 f 4Y WP 1 S /4Dj),N P't cW"t L_—z.
Installer's Name Addre s,and Tel.No. Designer's Name,Address,and Tel.No.
S�EaYM�►r� 6cC.*4Vt'Juvs DnN A Sft?4WI-AN
�2 S z 5SZ5
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 2U 6 jej --Sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) o gpd Design flow provided 3 3 S gpd
Plan Date .I,/21 Number of sheets 3 Revision Date
Title P(o�! ?4.AN
Size of Septic Tank •10o b Type of S.A.S.
Description of Soil ,SK-E RAN
Nature of Repairs or Alterations(Answer when applicable) Qc i 10UO !.S7 r Woo PC 'Dnk?c'-f+
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 nvironmental Code place the system in operation until a Certificate of
Compliance has`been issued by this B of Hea h.
Signed Date 2
Application Approved by 9 1 Date
Application Disapproved by Date
for the following reasons
Permit No. Zo 1 2Z 3 Date Issued t7� _�_
,;- �. ,. . „.,�.:;...:�...fi. .". ,•`?, _, ... ..q `, `.. _ .. . 3�,..eta .:a a a r -: - ...�., .�-.:.`,� �..
�•' -:w=g �:n..a 'yr-�w,,.y.,n,:h'+..,,:.r'w-^.r:.•-.:ik.!'i.,+.�:"��4.�,'.,.,y,•I�.YLorD-wAK�'.P374'�+d �«�'w�S,-.»rrti'��w-,i.,a.•...-=•Y�r .:,,.r.,..
r jjb�
No. 3 Fee
r THE'COMMONWEALTH OF MASSACHUSETTS. Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes i
Tip'pllcatlon, for Mispo8at6pstem Construction Permit '
Application for a Permit to Construct,(,) •Repair( ) Upgrade-(1)-Abandon Complete System El Individual Components
Location Ad�dd��reyyss or Lot No. �?V tjv l E ;A 5 l i`'l l" Owner's Name,Address,and Tel.No.
e 00 101 " f g�f s+;V PJ�� F f ill I^1v /`1 GAj- Tl t-l
Assessor's Map/Parcel 7 i +
Installer's Name,Address,and Tel.No. a Designer's Name,Address,and Tel.No.
)y1!u fiA .d r't iA, Kl-,4 N
5 ue Y_ 2 u7 S
Type,of Building:
Dwelling No.of Bedrooms Lot Size 20 416 —sq.ft: Garbage Grinder,
` Other T e of Building No.of Persons' Showers
� YP g � ( Cafeteria( )
Other Fixtures .
- DesigjFlow(min.required) Z5 0 gpd .Design flow provided ` ?3 5-
gpd
Plan t7 Ntainber of sheets Revision Date AJ 0
Title P 0-7
Size of Septic Tank 10 eft Type of S.A.S. bc i 1)
Description of Soil c i ✓ l
Nature:of Repairs or Alterations(Answer when applicable) `>r lr� 1U >G i i r()C�u )�C t��1•o =-r
,r S
` Date last inspected: ,
Agreement:' ./
The undersigned agrees to ensure the construction an'd`maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title` f the Environmental Code and-not t}place the system in operation until a Certificate of
Compliance has been issued by this BBaar of He'dth. l
Signed rls {" Date Cs A //Z/
w-Application Approved by "f i � " '✓ Date r._,,-9
Application Disapproved by °� f Date
_- for the following reasons
Permit No. r—o G- —,2-7- y Date Issued K 12 q 7 s
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 1�t 6±11"MA j Gk VA 2!(till
at AJ'Ct(= A l a `7 L'fel/VA/'_5 has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No?&Z I- 2Z 3dated
{. Installer :'5Mm/eAft EWAVATIM 6, Designer BAN) SPEA le-In/)da-
#bedrooms Approved design flow 33(� gpd ` -
The issuance of this permit shall not be construed as a guarantee that the system will function as designed. { f
Date o' P"' Inspector =
ki I r
No. _ 22�.� Fee
THE,COMMONWEALTHOF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS #,
Misposal 6pstem Construction VPrmit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) 1 t
System located at 2 6 fs/G C l f: ri L'_S t.U 4`7 , ?-f`l/i y?V),
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided: n i n . 1 h .
. Construction
must be completed within three years of e date of this permit.
Date T,� f2`I /7-o7 1 Approved by
Town of Barnstable
�TWHE Inspectional Services
? , public Health Division
EA
9c e 9 Thomas McKean, Director
grab �� 200 Main Street,Hyannis,MA 02601
Office: 509-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: Sewage Kermit# Di - assessor s MapTaxcel ;� C �C'� a�Co �<
C_ �, .
Designer: _ t � Installer; .--�� �.��`1 �.:�w °`vt� U�.
Address: l{� 1 Address:
On C :fl was issued a permit to install a
ate} (installer)
septic system at L U nr' �V<� (�)c-; based on a design drawn by
(address) \
t � wca dated
(designer)
_I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
.distribution box and/or septic tank, Strip out (if required) was inspected and the soils
were found satisfactory,
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. Ilan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed.in compliance with the to rms of
the AA approval letters(if applicable)
CA }
�d
No
Zig(Dnerss Signature] (Affix eie)
4 PLEASE RETURN T1 BARNSTABLE PUBLIC HEALTH DI N. CERTIFICATE
OF COMPLIANCE 'WILL NOT ICE ISSUED UNTIL 130TH THIS FfJFUM AND AS-
BUILT CAIZD ARE RECEIVED BY THE BARNS'ITABLE PUBLIC HEALTH DIVISION.
THANK YOU.
%on\dep1slHEALT1T%SEWER conucMUTIMesigner Certification Form Rev 8.I4-I3.DOC
26 UNCLE ALS WAY, HYANNIS, MA
E o
0 0
o L
qj m
m
Bath
Bath
B`e morn
v
Living Room
Living Room
Dining
3 BR HOUSE FLOOR SCHEMATIC
(Description Provided By Owner)
44 .I t
Commonwealth of Massachusetts
`' Title 5 Official Inspection Form
Subsurface Searage Disposal System Foim-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owners Name
information is H annis MA 02601 5-13-14
required for every y
page Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When , A. General Information
filling out forms .I.
on the computer, �� I
use only the tab 1. Inspector:
key to move your
cursor-do not David J. Burnie
use the return Name of Inspector
key.
NEIGHBORHOOD WASTE WATER SERVICES
Company Name
350 MAIN STREET _
Company Address
la��n W.YARMOUTH _ _ MA 02673
Cityrrown State Zip Code
508-775=2820 _ _ S1386
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection.The�inspection
was performed based on my training and experience in the proper function and maintenance of=on sit#
sewage disposal systems. I am a DEP approved system inspector pursuant to`S"ection 15; 4A.of;
Title 5(310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ 'Fails' r.5
.,
❑ Needs F rther Evaluation by the Local Approving Authority
5-13-14
Ins s Signature --- Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system 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.
****This report only describes conditions at the time of inspection and under the conditions of.use
at that time:This inspectim does not addii ess.how the system will perform in the-futma under
the same or different conditipns of use.
t5ins-3113 Title 5 Offtal Form:Subsurface Searage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is required for every Hyannis MA 02601 5-13-14
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® 1 have not found any information which.indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
The system was in proper working condition and showed no signs of failure.
B) System Conditionally Passes:
❑ one or more system components as described in the"Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
i" Check the box for"yes", "no"or"not determined".(Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
"A metal septic tank will pass inspection if it is structurally sound, not leaking and if.a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND(Explain below):
t5ins•3/13 Title 5 Offidal hmpecbm Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owners Name
information is Hyannis
page Citylrown MA 02601 5-13-14
required for everyState Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational.System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes(cant.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
n or obstructedpipe(s)or due to a broken, settled or uneven distribution box. System will
to broke
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the'Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): .
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public.health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CHAR
16.303(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
Title 5 OMCLW hspection Form:Subsurface Sewage Disposal System-Page 3 of 17
t5ins-3/13
Commonwealth of Massachusetts
Title 5 Officialpinspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M
26 Uncle Al's Way y ----
Property Address w
Angela Guarino _ s
Owner Owner's Name
information is Hyannis MA 02601 _ 5-13-14
required for every Cityrrowm State Zip Code Date of Inspection
page. B. Certification (cont.).
2. System will fall'unlessnthe 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*septictank: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 aseptic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**. `
Method used to determine distance:
**This system passes if the well water analysis,performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form. -
3. Other:.
Ak
`D). System Failure Criteria Applicable.to All Systems:
You must indicate"Yes"or"No"to each of the following for#11 inspections:
Yes
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool r
Discharge or ponding of effluent to the surface of the ground or surface waters
❑ ® -due to an overloaded or clogged SAS or cesspool
Static liquid level in the distribution box above outlet invert due to an overloaded
® or clogged SAS-or cesspool
❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less
than Y2 day flow
Title 5 Official h'+spection Form:Subsurface Sewage Disposal System•Page 4 of 17
t5ins•3113
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
b 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every State Zip Code Date of Inspection
page. Cltyrrown
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply. .
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ,
❑ ® Any.portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® 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
absent and the presence
laboratory,for fecal coliform bacteria indicatesP
of am 5 ammonia nitrogen and nitrate nitrogen is equal to or less than pp .m,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
a The.system is a cesspool serving a facility with a design flow of 2000gpd-
❑ ® 10,000gpd.
The system fails. I have determined that one or more of the above failure
x ❑ ® criteria exist as described in 310 CMR 15.303,therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ _ ❑ .the system is within 400 feet of a surface drinking water supply
❑ the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection
❑ ❑ Area—IWPA)or;a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed.The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CUR 15.304. The system owner should contact the appropriate
regional office of the Department.
Title 5 official hspecbon Form:Subsurtace Sewage Disposal System•Page 5 of 17
t5ins•3113
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owners Name `
information is Hyannis
MA 02601 5-13-14
required for every page City/Town
State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes :No
® ❑ 'Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
thi
s 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?
® ❑ Were all system components, excluding the SAS, located on site?
' ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition'of the baffles or tees, material of construction,
- dimensions, depth of liquid,depth of sludge and depth of scum?
® ❑ Was the facility.owner(and occupants if different from owner)provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on:.
® ❑ Existing information. For example,a plan at the Board of Health.
❑ ® Determined in`the field(if any of the failure criteria related to Part C is at issue
approximation of distance.is unacceptable)[310 CMR 15.302(5)]
-D. System Information
Residential Flow Conditions: r
3 Number of bedrooms actual 3
` Number of bedrooms(design): (actual):
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):
396.8 gpd
Title 5(NfiaW kWec ion Form:Subsurface sewage Disposal System-Page 6 of 17
t5ins•3113
Commonwealth of Massachusetts
Title 5 Official Inspection Form.
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
r 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owners Name
information is Hyannis MA 02601 5-13-14
required for every
page. Ci yrrown State Zip Code Date of Inspection
D. System Information
Description:
The system consists of a 1000 gallon septic tank, d-box and 3-flow diffusors with 2'of stone.
0
Number of current residents:
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
12400 cu ft.
Water meter readings, if available(last 2 years usage(gpd)): 13-600 cu ft`
Detail:
r
Sump pump? ❑ Yes-®" No
Seasonaly
Last date of occupancy: Date
CommerciaUlndustrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑, No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Title 5 official Mspection Form:Subsurface Sewage Disposal system•Page 7 of 17
t5ins•3113
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form=Not for Voluntary Assessments
, 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every
page. cityrrown estate Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below): a
General Information
Pumping Records:
None per WPCF
Source of information:
Was system pumped as part of the,inspection? ❑ Yes ® No
If yes,volume pumped:. gallons
How was quantity pumped determined? -
Reason for pumping:
Type of System:
® Septic tank,distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no).(if yes, attach previous inspection records, if any)
❑ Innovative/Altemative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by,systern operator under contract
0 Tight tank.Attach a copy of,the DEP approval.
❑ Other(describe):
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal!System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information, (cons.)
Approximate age of all components, date installed (if known)and source of information:
26 years per original plan dated.12-14-88
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate.on site plan): m
13"
Depth below grade: feet
Material of construction:
❑cast iron ®40 PVC ❑x other(explain):
- 10+
Distance from private water,supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
The sewer line was in proper working condition and showed no signs of leaking or structural
problems
Septic Tank(locate on site plan):
6„
Depth below grade: feet
Material of construction:
®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
1000 Gallon
Dimensions-
2n
Sludge depth:
t5ins-3/13 Title 5 Official M Subsurface Sewage Forth:Subsurfa Sewage Disposal System•Page 9 of 17
'a
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every y
page. Cityrrown State Zip Code Date of inspection
D. System Information (cont.)
Septic Tank(cunt.)
Distance from top of sludge to bottom of outlet tee or baffle
36"
o„
Scum thickness
Distance from top of scum to top of outlet tee or baffle
lot.Distance from bottom of scum to bottom of outlet tee or baffle
X' How were dimensions determined? Tape measure
Comments(on pumping recommendations,;inlet and outlet tee or baffle,condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
The tank was in proper working condition and showed no signs of leaking or being overfull.
Grease Trap(locate on site plan):
Depth`below grade: feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain):
Dimensions:
Scum thickness'
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle —
Date of last pumping: Date
t5ins-3113 Title 5 Official kmpection Form:Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
, 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
Depth below grade:
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: - Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date.
Comments(condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3113 Title 5 Olfidal Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
,• �` 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owners Name
information is. Hyannis MA 02601 5-13-14
required for every _ '
page. cityrrown State Zip Code Date of Inspection
D. System Information (cunt:)
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert off
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
The distribution box is in proper working condition and showed no signs of solids carryover.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
4
#'a Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System(SAS)(locate on site plan, excavation not required):
if SAS not located, explain why:
The SAS consists of 3-flow diffusors with 2'of stone.
t5ims•3113 TiUe 5 Official Wwpecflon Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official .Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is H annis MA 02601 5-13-14
required for every y
page. Cityrfown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
3-flow diffusors
® leaching chambers number. with 2'of stone.
❑ 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.):
The leaching was dry and showed no signs of hydraulic failure or ponding.
Cesspools(cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-3/13 Title 5 official Inspection Forth:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is required for every Hyannis _ MA 02601 5-13-14
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
a� 26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hy
annis AAA 02601 5-13-14
required for every
page. Cityrrovm State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
hand-sketch in the area below
® drawing attached separately.
Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17
,Sins•3/13
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Dial System Form-Not for Voluntary Assessments
2.6 �nc1� is �Y
e
owner biv6es rams
PW- C ITawn see zip Code Dale of Inspection
D. System Information (cons.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet Locate
where public water supply enters the building. Check one of the boxes blow:
❑ hand-sketch in the area bek>w
❑ drawing attached.separately
Lit9' % .
13
1 �
t5ire•3H3 _ rite 6 MW hgacdW Fame&ftRffft9 3ft9P DMP-W •PW 15 Of 17
` Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is required for every Hyannis MA 02601 5-13-14
page. Cityrrown state Zip Code Date of Inspection
D. System Information (cunt.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
I, Estimated depth to high groundwater: 9'per original plan dated 12-14-88.
feet
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked, date of design plan reviewed: 12-14-88
Date
® Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with-local excavators, installers-(attach documentation)
® Accessed,USGS database-explain:
AIW-230 ZONE D 34' LEVEL-21.35 ADJUSTMENT=1.2'
You must describe how you established the high ground water elevation:
We referenced the original plan dated 12-14-88 that shows the top of leaching at Elev. 53.4 and
shows groundwater encountered at Elev. 41.0. The bottom of leaching is 2' below grade which would
be Elev. 51.4 and gives us a sepembon of 10.4'from leaching to known groundwater.
Before filing this Inspection.Report,please see Deport Completeness Checklist on next page.
t5ins-3/13 Title 5 Offidal Inspection Forth:Subsurface Sewage Dispose System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
26 Uncle Al's Way
Property Address
Angela Guarino
Owner Owner's Name
information is Hyannis MA 02601 5-13-14
required for every
page. Cityrrown State Zip Code Date of Inspedion
E. Report Completeness Checklist
® Inspection Summary: A, B; C, D, or E.checked
® Inspection Summary..D(System.Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
Tire 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17
t5ins•3113
TOWN OF BARNSTABLE (/
L,6CATION,-426 /e_Aels G_�J�4�_ SEWAGE # Is
��a-.vo3-otq
VILLAGE ASSESSOR'S MAP & LOT l4yil �
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) 3 Flow tj% _(size)��X
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER,,
DATE PERMIT ISSUED: iJ-, "
DATE COMPLIANCE ISSUED: _ 9 a
VARIANCE GRANTED: Yes No
n �O
T
J�
No....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................OF._.........A .....................................
Appliration for Eliupu,ial Works Tuaa.strurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
. a Lee Ad ss or I.0, No.
Owner Address
w1� .......................................... ...... f rwy {------•----------•---------
Installer -. •----
� Address
VType of Building Size Lot_. _k l-__-Sq. feet
�-, Dwelling—No. of Bedrooms_______________3........ Attic ( ) Garbage Grinder ( )
`4 Other—Type of Building No. of persons............................ Showers Z — Cafeteria
dOther fixtures -------------------------------•----------------•-----.--------------------------------...------------------------------......-------------••---------.
w Design Flow.................&#_..................gallons per person per day. Total dail flow_-______-_-1-��..._................_...gallons.
r
W Septic Tank Liquid capactty !'� _gallons L�ength_._/G. __._ Width...
Diameter-_.__-�'._...... Depth..... ........
x Disposal Trench—No. ......1:.......... Width...... Total Length...a7k.......... Total leaching area..-..PAY------
ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...:..............sq. ft.
Z Other Distribution box (y ) . Dosing tank ( )
'-' Y Percolation Test Results Performed b .24W.W._'_ __ ._..__. +_r aar _.= __... Date._.1 � ..........................
a
,.a Test Pit No. 1.... ------minutes per inch Depth of Test Pit___-1 ...___. De th to ground water----Y&A-_----.
Test Pit No. 2------ -----minutes per inch Depth of Test Pit----- a ------ Depth to ground water.... !0.........
O -------- ---------------------------------------------------------•-----•-------------•-•-••---------------•-----------------------------------._..._.......
Description of Soil-----•-••-----J-�:e.... 14,
? _�-------------------•..........-..................................................................................
x
w
V Nature of Repairs or Alterations—Answer when applicable----------------
.........................
-----------------------------------------------------------------------------------------------------------------------------------------------------.................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
!'1T f14..
the provisions of l T i� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the b�oa�rdd of health.
Signed.......... ........................... -- N
Date
ApplicationApproved By.................................................................................................. ------------------------...............
Date
Application Disapproved for the following reasons------------------- ---------------------------------------------------------------------------------------------
----------------------•---------------------•---•-----------.......------•-------.....•••---------•-----.---•----•--------------------------------------------------------------------------------------
p Date
Permit No.- 1---�-� -�-•----------------- Issued---•------------•-------------------------- --•--------
ilste
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..............O F....... ....:.. ... ...............................
Trrtifiratr of TompliFaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( }
bY....................................................................................................................................................................................................
Installer
at---------------------------------------•------------------------....----------•---•-----•---------......------------------------------------=----=-----=------------------------------
has been installed in accordance with the provisions of TIT'- of Tlie",S'Eie!S"Ra*ECiidf-;°s described in the
application for Disposal Works Construction Permit No...... �. 1a` ���. W,��e�l�T�iLIAED1^! �='.:...... .......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BI:�CCRST0516D ASLA'GUARANTEE THAT THE
SYSTEM WILL FUNCTIOI SATISFACTORY.
DATE............................ .................................... Inspector---------...... --------------------------------•----••---------
t
No.....~............�... t_ Fps... ?..:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
: 1<"+-.................OF...........
....
Appliratiun for Dhipoual Works Toutitrnrtion Vrrmft
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
....................... f �h ..../Jtid -- , �--•-----...----•---•-•-•.
Location No.Address or Lot o.
..................i ,.. _ !'....... ��..'s".?f:'_..__..._.............._..._._.__... fP (
sr_I qr_i_.'Y_ .___....... �t r�:J.:....._--f.':.?......._..___.•______. /
r Owner '-
W Address
/ k- -- t....... .......`! _--•------------------------------
._..._..--••-------- •-•-------•---- •.........................•-•---•--------...--------._ .......----- - °'-= �_
Installer Address ="
Type of Building Size Lot___ _ feet
�-, Dwelling—No. of Bedrooms.................. ........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a1Other fixtures ---------------------------------------------•------...-------------------•-------------
WDesign Flow..................:y_:,_..................gallons per person per day. Total daily flow.............................................gallons.
WSeptic Tank—Liquid capacity_, !`A?r2.gallons Length..__,_L...... Width........ `..... Diameter.......fL..... Depth...,Y.`._.....
x Disposal Trench—No........ ......... Width....... .......... Total Length....;........... Total leaching area----- --sq. ft.
Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by............. --=;-.w:.__....---.'. ::.1.:,- :y.:._�.-... Date...r,¢-- -%?-------l`t:_e
a
Test Pit No. L___.. ..___minutes per inch Depth of Test Pit------e U..._... Depth to ground water..___`'
(s, Test Pit No. 2......... ,.._._minutes per inch Depth of Test Pit.....It-le-4------- Depth to ground water_.__. : __.______.
a •---•-•--•-•--•---------------•--•-----...--•-------•-•-------••-----------•.........------.........................................................
0 Description of Soil------------------'-- ......... �==-=--••-----•------•-----•-------•----------------------•......-------•-------------------------------------............--
c, -----•-------•----•-•••-----•--------------••-------------•----•......-•----------..........•-•-----•----•------•------
w
U Nature of Repairs or Alterations—Answer when applicable____-•-____-___-_ _ �'. '_____ .f;.;. -_-r....................................
..------•-------------------•--------------•------------------------------------------••----------------•-------------------- -•------------•-------------------------------------------....._....--•-•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TTTLE i of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed........... " .� .... �1j �,
„. .....
Date
ApplicationApproved By..................................................................................................
Date
Application Disapproved for the following reasons:-----•-------------------------•-----------------------•------•-----------------•-------•---....----........----
........................................................................................................................................................................................................
t Date
^F • p «�,
Permit No. :; ---•--- Issued.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......` r4: '..............OF...... `�'� .. . �' :%_k K::?r: ................_..............
............
Trrfif irabr of TompliFatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by....................................................................................................................................................................................................
Installer
at................................................................................................................................ =
L Y'U' Y ICY IV1�}' --'
has been installed in accordance with the provisions of TITLE 5 of The�Stateo IbLq AND t Mwl tes �beu:in.the
application for Disposal Works Construction Permit No------- .... .i� `rXic�TEI4S IIw�STEiiI:Er. y.. ............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT ICE CONVItUtVIASfAFGUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................•-------...-----•--...---•----------...........---...----.._.__. Inspector ..............................................................
' r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF -HEALTH! ..IGP_€N1a ENGINEER MUST C?
�............. r� CIF IGN AND CERTIFY
_ „
No..----�� " •= rr;i'Evi•'WAS IbFEE°4 1 ': _
T_0 p} A,T 1 .
..�t��uuaal Turku �unu#� iun rraatif � ,
Permissionis hereby granted......... ....................................-----•-------•-------•---------------------------••-•-...........-----.......................
to Construct,(4 or Repair ( ) an Individual Sewage Disposal System
at No.------- I ........ .L.<
-----------------------
Street
as shown on the application for Disposal Works Construction _Permit No., ____.._:.,�__ Dated_____________r:.:...
. ........................
_ . . ..
-_•------------------- Board'of Health
, DATE.-------�-�-�-'.-�/.� ��,-.,--+-�-4.----....... -,
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
L..9
V
G• ,
S q -
72
V sn
C001�
Q � en
� o
r
• IL B
4 a
y�P�piTHE t TOWN OF BARNSTABLE
• ABHSTABLE, OFFICE OF
i B •YA88. BOARD OF HEALTH
9p� 1639.
0 M V 367 MAIN STREET
HYANNIS, MASS. 02601
January 25, 1989
Joseph and Angela Guarino
144 George Street
Medford, Ma 02155
Dear Mr. and Mrs. Guarino:
You are granted variances from the Board's "330" and the "Marginal Lot"
Regulations to install an onsite sewage disposal system at Lot 19 Uncle Al's
Way, Hyannis, listed as parcel 3-19 on Assessor's map 292, with the following
conditions:
1) The septic system must be installed in strict accordance to the submitted
plan.
2) -The designing engineer must supervise the installation of the onsite sewage
disposal system and certify in writing to the Board that the system was
installed in strict accordance to the submitted plan.
3) The dwelling must be connected to Town water.
4) The dwelling cannot contain more than three (3) bedrooms. Dens, study
rooms, playrooms, enclosed porches, finished cellars, sleeping lofts, and
similar type rooms are considered bedrooms according to the Department
of Environmental Quality Engineering.
5) The septic system must be pumped every three (3) years and certification
submitted to the Board from a licensed septage hauler.
6) The dwelling must 1be connected to Town sewer when the Department
of Public Works determines its availability.
7) The variance expires February 1, 1990.
The variances are granted because you submitted documents of percolation
test and test hole results witnessed by Board of Health agents on November
19, 1984, that stated the site was suitable for sub-surface sewage. The
percolation test was performed prior to the promulgation of the Board of Health
Regulations.
You also produced documents that showed you purchased this lot on December
12, 1984, after the percolation test and prior to the .promulgation of the Board
' of Health's "330 Regulation" (12-22-85) and "Marginal Lot" Regulation (2-21-85).
Y and'Angela'Guarino w
Re: Lot 19 Uncle Al's Way, Hyannis
January 25, 1989
The proposed onsite sewage disposal as designed does meet all other State
and Local Regulations.
The variances are granted because you demonstrated a hardship case and
enforcement thereof would do manifest injustice and the installation of the
proposed system designed by your professional engineer appears to provide
the same degree of environmental protection as required under the Board of
Health Regulations.
Very,gruly yo s,
Grover C. M. rrish, M.
Chairman
Board of Health
Town of Barnstable
GF/bs
PROJECT BENCH MARK cr
SPINDLE ON HYDRANT #614 \ } ' 49" E y1 5 FOOT STRIPOUT- ALL AROUND
ELEV. 52.07 1V 15D 24 Note: Remove soil down to el. 43 & replace with
I 164:08 41 clean coarse sand w/perc. rate less than or
or equal to 2 min./in. before & after placement
TEST HOLE #1 TEST HOLE #2
I ELEV. 51.00 LOT #19
ELEV.= 51.00 \
"—" 20,639 Square Feet +%—
I
ga —52 EXIST. SAS-LOCATED
'Septic
1000 l.Tank ca
WHERE NEW SAS IS SITED
I MUNICIPAL WATER LINE TO: BE
55
DOUBLE SLEEVED WITH 2 EXIST. SAS TO BE REMOVED
S INSP.
nn --60
O POLYETHYLENE :TUBING;
o h: I .. s' O - WITHIN 10 FEET OF NEW SAS o w
p. ~• :� EXISTING v
o
M II O 3 BEDROOM
'n C71 O 0. HOUSE \ �cr:(�j AAasa Pry
z full foundation
#26 M
IZv of
TOF—ELEV. 55.0 DECK
0
qp
D `, .. ... . M a
H-10 x
0
ni e
— . . I YVot ►--tink -
W:
ZABEL EFFUENT ,FILTER OR- . . EXIST. 2. HIGH - _ � _ _ -
.: - NEW � _
RETAINING WALL1' 000, al. EQUIVALENT ON OUTLET :OF .TANK
NEW 2' HIGH Pump Chamber
I r
ASPHALT' ADDITIONAL
-RETAINING
DRIVEWAY - WALL _. :°,.,.. �. - '
BUILT.INSIDE;EXISTING;WALL :PERIMETER !! r
3
TO :EXTEND HEIGHT:to ELEV: 54.5 5
r �• 5
`I
36
T N 14 . 1
REV..,.. 6/1-5/21 .Per BOH GQMMEN S Q- 6/ /2
o
: •
40 MI PO
LYETHYLENE OLYETHYLENE IN
A N
L OT Pr
L ER
ALONG INSIDE OF WALL
GENERAL NOTES
•
1. Contractor is responsible- . . : . n . :
FROM ELEV. 54.5 .to 5050 '� for Digsafe notificat�o > Verification of Uttl�t�es
OF -- PROPOSED . SEPTIC SYSTEM UPGRADE
and protection of all underground utilities an pipes: -
2. The septic tank and distri ution box shalt be set PREPARED FOR
level on 6" of 3/4"-1 1:p2" stone. z
0 20 - 40 50 3: Bockfill should be clean "sand or gravel :with no
ADRIAN MONTANEZ
stones over 3" in size.
a
4. This system is subject to inspection during= installation
by Carmen E. :Shay — Environmental 1. Services, Inc.
AT
5: The contractor shall install -this system in accordance 2 6. v" " `•'LE AL S WAY
f.
SCALE: 1"=20', with Title V of the Massdchusetts state_--. code,' he approved plan ASSESSORS: ID: 292-003-019
PP
and Local Regulations.
Y N N MA
THE PROPERTY LINES ARE APPROXIMATE AND 6: Jf Burin installation he contractor encounters. any. H A I S
COMPILED FROM THE SURVEY "PLAN BY DOWN CAPE 'ENGINEERING, YARMOUTH � 9 •' t i
soil conditions or site conditions that'are different
ENTITLED: "CERTIFIEDPLOT PLAN OF LOT: 1.9 UNCLE ALAS WAY, HY HIS, MA" from those .shown: on the soil to or in our.desi n PREPARED BY
DATED JUNE. 13, 99$9 9. 9.
-installation must halt & immediate notificlation be. ,�;
AND IS NOT ;INTENDED TO BE A SURVEY PLOT PLAN made to Carmen E. Shay' Environmental Services, Inc. ' cti. •
IT ,SHOULD .BE USED FOR NO PURPOSE OTHER THAN a
C�1J?AfEyV SffA Y
7. No vehicle or .heavy machinery shall drive over the g
THE SEPTIC SYSTEM INSTALLATION. o ENVIRONMENTAL SERVICES
septic.:system,unless noted as H-20 septic components.
8. `Install.Tuf—rite gas baffles or equals on all outlet tee ends. 9 P,Q, BOX 576
9. All Distribution Lines shall be 4" diameter` Schedule 40:NSF PVC pipes_
ars:4 ��, MASHPEE, MA 02649
EXISTING SAS TO BE PUMPED OUT AND REMOVED 10. All solid piping,,tees & fittings shall be .4" diameter \*
NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE ANI?.AR TEL/FAX 508 294-7498
FROM THE EXISTING SAS TO BE DISPOSED Schedule 40 NSF PVC pipes with water, fight joints.
11, Munici al Water is .Connected to. ALL. OF The Residence and Abutting SCAL 1. �=20' DRAWN ..BY: CES DATE: JUKE 3, 2021
OF AS PER BOARD OF HEALTH SPECIFICATIONS. -P
Properties Within 150. Feet: PRO,7ECT#9. 26 UK. AL ILENAME:26 UNG AL.DWG :,SHEET 1 OF 3
I - _
*NOTE.:ALL PIPES ARE TO., BE 4" SCHEDULE 40>P.V.C. ZABEL EFFUENT FILTER OR 3'-&' on ter 4'-0 on center 4'-0" an center 3'-6 on to
EQUIVALENT ON OUTLET OF' TANK
1 n from I
se c artk" , cadge over septic rmkJPump Chambr-55 7S
P M
Min.
4 PVC(CAPPED)IKSPEC110N' PORT Tt)� a/4•_t .wed stone M
Existing Foundation Provide Risers if necessary Provide:Riser to bring INSTALLED AND in BE ttI1MW 3!.aP GRADE
TOP OF FOUNDATION = ELEV. 55.00 to bring.SeppttiIc tank covers Pump Ch6mbeY cover. BOX cover must must have riser and be
within 6 of finished de. rithin 8 in. of tiniahed,grade 15'
9ro to finiehed grade over SAS-8s.82
Grade:over 0 -5582: INSPECTION PORT - d P.V.C. pipe
4'PVT:(CAPPED)INSPECTION PORT 7O BE
SGh 40 4 perforate
INSTALLED AND WITHIN OF
DIST'BOX _ "Sm.005 TOP of Leach Field s 55.07 CROSS-SECTION
so0.01 4" Perforated P.V.C. 3"-1/8 -t/2" washed Stone LE ACH :FIELD CROSS SEC ON
s+0.oi or Greater
.Q= P� 8 Greater
FRtra`ExTsr.Fou+Darr�r a.��Z'' EXIST. Im n 7. T2" ` Invsrt:Elev.= 54:57
.GAL _NEW fO ` v 3/4.-1 " :Washed Stone
1 N. - ,n 1000 GAL N m h o each Facility Elev.=54.07
CONCRETE FUu u� N .. SEPTICto PUMP 'n
TANK u D
CHAMB to
LEAC H FI ELD s :P DwDED
H-10 ZABEL FlLTER
� n D H-.20
z campoctad'etone 6 in:af 3/4'-1 1/2"- > ---
- oompaetsd.atone
6 In:of 3/4'-I t/Y' � ADJUSTED ESHWT - ELEV. 49.07 :
- compacted stone Bottom of Test Hole = Elev.-39.00
SYSTEM PROFILE
Not to Scale _
14�1�10 Ulm ACCESS UPAROMS
s' PERCOLATION TEST BOX SHALL
.,:.;.. .. ._...:,,. .,..., .. ,.._... :. .: .: _. 4. NEL FOR ATLEAST�2-FT. _
. t SE TSTR TION
Effective. L dive.
T LE
Date of Percolation Test: MAY 27, 2021 ° '✓ 3_ g- r. -r K••i:.- a GnEtE
" _
oa�ER.
�`- Test Performed.B`y. CARMEN-::SHAY IQ10 UTs_
. _ Results Witnessed.BY..DAVID STANTON—BARNSTABLE BOH �. is, .
EXCAVATOR: SHAY ENVIRONMENTAL SERVICES,JNC. r °U
Y Percolation:.Rate:: Less Than 2 MP1 ®'96
p
THE ACCESS COVERS FOR THE SEPTIC:TANK, 4"
DISTRIBUTION sox allo LEACHING COMPONENT. Test Hole
Test Hole
:
SET DEEPER THAN.6 INCHES BELOW FINISHED
PLAN SECTION CROSS SECTION'
GRADE SHALL BE'RAiSED''TO'WTHIN 8'OF:
FINISHED GRADE DEPTH SOILS ELEV,.
STEEL REINFORCED PRECAST CONCRETE DEPTH SOILS ELEV
INSTALL:TUF-TITE:GAS BAFFLES OR EQUAiS 0 51.00 0 51:00'
3 HOLE H,-.10 :DISTRIBUTION BOX.
:PLAN,. VIEW::: . ,
Sand Sandy
r - 3-24'.REMOVABLE COVERS .. ..-:.. _ Loom :_ ._ Loam - - -
{
v.
REV.; -1.6 15 21 .Fer BOH COMMENTS 0.N 6 14 21
10 YR,3/2 f0 YR 3/2
" - -
Q" 8" 50:50 0" 6' 50:50
3 m1n.'clearance
_ ta': Hoer FILL FILL :.
8"mMT- 2 min_inlet to outlet
-_L�-. OUTLET :` INCLUDING
INCLUDING
_ Wu�Td.level- " .:.:
t0-min. .
rt WOOD 6t 51tlNP ]HOOD;do STUMP,
5 _r:
6'- 96" '.: :0E8RI5 6"- 96, DEBRIS'.
.46
OFF PROPOSED SEPTIC SYSTEM UPGRADE
E_ r ♦-O" min
& 43.00 43.00
s'f aQ,eeir. - Wind depth Med:-Coarse Med.-Coors
4�
.. sand ,..:
Sand ADRIAN MONTANEZ
25 Y 6/2 6/2
2 Y
9.0fl:� 144" 39.00
AT
CROS& SECTION NOT TO SCALE END-SECTION 2 6 UNCLE AL'S WAY
TYPICAL 1000 GALLON ' SEPTIC TANK
ASSESSORS ID: 292-003-019
HYAN N I S MA .
Number of Bedrooms: 3 Equivalent to 330 Gol. a :. 330`s er TITLE `. ', "" PREPARED •BY;
.Design Calculafions /Q,y (. a?, ,..� .
Garbage Grinder: No.`
_ Leochtng Capacity Proposed::' 330 Got./Day ^���.•.' �';�..��
Tank : - 2 x 330 Gai./Oay 660 USE EXIST. 1000 GAL. Septic Tank Perc #1
' ENVIRONMENTAL SERVICES
. Depth to Perc: 96° to 114" ��• # . Yr ,
SOIL ABSORPTION AREA: i Perc'Rate 2 MPI Assumed j.
E Usng percolation..rote of CL:min. inch . :.
/. . ._•. P:O.. BOX 1576
Groundwater Observed ® 58<
Proposed Leaching Field Dimensions: 1 ® 1'5' Wide by 30' Lang: ,, '. �
Observed ESHWT._— 58 or ELEV. 46.17 MASHPEE, MA 02649
Bottom Area: 0.14 gal/sq: ft. x 450 :sq. ft. = 333:gallons • _ '
AtW230 Zone D -INDEX WELL:=2268
..
4�
SidewalF Area: NOT USED - . . 3 {. T
Providing: .= 333 gallons
ADJUSTED:H2O Elev. _ 2:9 23.2 or Elev: -49.07 yA •:� EL/FAX 508=294-7498
SCALE: %A SHEET 2 1 DRAWN BY: CES 'DATE: JUNE 31 2021.
PROJECT#9 26 UNC. AL ILENAME:26 UNC: AL.DW SHEET 2 1F 3
Provide Risers
PUMP SPECIFICATION CALCULATIONS 2-20•REl10VElIBLE to brinngg�-INLET Pump Chamber coves 2-ie'aw ACCESS MANHOLES
dAt(NOiE COVERS WITHII to grade and OUTLET cover to g
8.OF FINISHED GRADE finished;-rode
STA77C HEAD CA cCn A
IL�Y, RESTORE 1n FINISHED GRADE ELEV. c.
• '
.• ,
54.89' :_ Say.of D-&u in i
I
47.95' - ETevatbn of Bottom of Pump Chorrlben 11FT O111_CNNN .2 3TO.3'ADAPTER MM1
54.89' .. 47.95' 6.94' Staft Head 1NLEr:nrvEUT % y —
,i �ounr nnT iZEV.® s1 es _,.' J / Own
D)VAM7C HEAD
(FREEZE1THEACCESS COVEMTHESEPTIC rMiK,
•._..
Fifct n 2 SWING CHECK:VALVE P.VC OiSTRFBtlTION 80X AND LEACHING COMPONENT
la Head For 3 SCH 40 PVC,Pipe �• �-��-� r-r••Tr;7+ SET DEEPER iH `6.INCHES SLOW FiNISHW
GRADE SHALL 8£RAISED TO WITHIN
` �-
010 GPM 0.005 Ft/1QD Ft St• FINISHED.GRADE. `t
- STEEL REINFORCED PRECAST:CONCRETE
lw,qPu - a01 FL/1O0 FL ;;else Could Alodel 3B87(WS3887BF),Pump _
_.
230 INSTALL 7UF-n7E CAS BAFFLES OR EQUALS
010o GPM - 0.40 FL1100 Ft. vo>� 2 soa :mar„�. _ r.�o• P LAN VIEW
Toto/ Dynam/c ilead'� 7.54' 1D' 106 GPA/ OR EOUIVACEM 10- 3-24"F�MOVA9LE COVERS
.. _ :`r
FLOOR PUW CHAMBER ELEV.� 17.t)S
---
Cr of 3/4' 1 t/2•one 3 min. clearance 3• INLET
PUMP NOTES & SPECIFI CA TIONS it m�12 m�^ i^l� �ti� m� OUTLET
PUMP DETAIL. } . " uvuw,erel
f
o•�.
5' -7.
Nat to saute S•=r'
f. PUMP.514UL:BE/AtSTALLED IN SIWCT AOWWAHCf £
1i7W.AWAIWACTURERS.SPEaMOITAM. ea.esnr LiQuid depth
2. ALARM SHALL CONS6T OF AUDIBLE SIC,NAL •�: j i o
RED wARAUNc ticHr TO BE INSTALLED uv eulLaNc PUMP PERFORMANCE DA TA
AND POWERED BY.SEPARATE CIRCUIT FROM :.
aRCUHS TO PUMP.
3.'. DOSINc SCHEDULEUj
33o cALLays/4 DosEs=also ca10Ns/oosE 40
6'-0 4 -10•
CROSS SECTION END-SECTION
FLOAT LOCH 710N CALCULATIONS
TYPICAL 1.000 GALLON SEPTIC TANK
82.50 Callon 7�8 CAL ICU Fr = f 1
/ r ,00 Cua, F: 40
USED AS A PUMP CHAMBER
Area of<Bbttom of'Chamber:= B•x 50 a 40 Sq Ft- Us
Height of water for One Obse (H) _.11 Cu.'f> /.10 Sq. Ft NO
T TO SCALE
H = .275 FG'= 3.3 dvCHES
Pomp On"- 20.0' _
2 '20, -
I�tnnp_Off.= 2330. REV:: 6/15/21—Per BOH COMMENTS::=ON 6/14/21.. .
Alarm a 26.60-
w P LOT , PI-AN
0
RA E
_ OF PROPOSED SEPTf.0 SYSTEM UPG D
B u DA w c Y ' CA� CUL A Ti ONS
_ - PREPARED FOR
'
ADRIAN VONTANEZ
0 20 ` 40 60 80 100. 120` 140 AT
Weight of Water Displaced. 4,042 1 bs of H2O
CAP uarr ADHERES TO TOP /TOP OF NEW WALL-ELEV .54.50 2 UNCLE AL S WAY
A I
u n,w/vv A-Lac
NQRETE At7NES'IVE': ASSESSORS'l0: 292-003-019
OR APPROVED EQUAL �!�+•
WALL CONSTRUCTION
HYAN N1 S MA.
AIaWC-Plmdl .
Weight of Purnp Chamber 13,333 lbs.
telgh TYPICAL SECTION -
EQLuit cOAicftEl PREPARED BY
vERSA-Lac oR �� .
Weight of .Soil ;OVER PUMP Chamber. 3,333 lbs. APPRov�D ., �.. • : -
��tlel•E-AccEArr oR - � � ,
Total Weigh t Down: 16;666 lbs. --� CARO
E.
—
* 11/o Ballast Required, For TANK PUMP .CRAM -: VERS4--LW OR
APPROVED EQUAL CONCRETE. ENVIRONMENTAL SERVICES
q / CHAMBER. (see cc) s, , 9AS1E COURSE STANGTARD UNIT
. a• BOX 1576
`\ P.O.
r .•., "GAANUAR>LEVEIING`.PAD
MASHPEE, M
Ahn 8" Thick
•:�':f-:
F $ANT? —294
A 02649
6w.. 2'HIGH
TEL/FAX 508 -7498 •
coNCRE7F`REraArnvc wau. SCALE: N/A SHEET 3 DRAWN BY: CES DATE: JUNE 3, 2021
TOP OF:EXIST' WALL-ELEY 53.00
• PROJECT#9 26 UNC. AL ILENAME:26 UNC. AL., SHEET `3 OF 3
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