HomeMy WebLinkAbout0019 WAGON LANE - Health 19 Wagon Lane
Hyannis k
A= 270-189
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TOWN OF BARNSTABLE
LOCATION 19 1rc/A6-0 N 14&1 E SEWAGE# -- 6
VILLAGE wo t ASSESSOR'S MAP&PARCEL
INSTALLERS NAME&PHONE NO. v
SEPTIC TANK CAPACITY �C / tij Cr /nZlb "C-•,Q�S
LEACHING FACILITY:(type) QAAm.( (size) ,c ZQ 3�C2 `
�� ,
NO.OF BEDROOMS
OWNER .. —L
PERMIT DATE: ..5"1 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) N►� Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) IV►Q Feet
FURNISHED BY 0+"l
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Cry s �
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Town of Bar�aStable P# l 3
Department of Regulatory Services
Public Health DInsion Hate l
i63y:A�� 200 Main Street Hyannis MA 02601
Datt;'.Seheduled // �� Time Fee Pd l C)Cy Ck�
l
Soil:Suitability Assessment for Se age Dzsposat `
Performed By: � £'^ '� Witnessed By:
LOCATION &!GENERAL INFORMA 'ION.
Location Address t_ Owner's Name 1
yq ndt, s
Address Iq UAL aye c h ,
1-jY� h,s �'+ Oz�a�
Assessor's Mnp/Parcel: 2-7 U / I 8;9 Engineer's Name
NEW CONSTRUCTION REPAIR Telephone.#
Land Use l u'""4'-i Slopes(3o) -Z Surface Stones
Distances from: Open Water Body Imo® ft Possible Wet Area. f ft Drinking Water Well?_�0—oft
Draihage Way ft Property Line ft Other ft
SSETCI'I:(Stree't name,dimensions of K exact locations of test holes&perc tests;locate wetlands 1a pmximity,to holes)
'Z
#44
- - - - -
H WY`
`r n
Parent material(geologic) Depth Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: A�zl Weeping from Pit Face
Estimated Seasonal High Groundwater
? l 3 Z't
DETERMINATION FOR.SEASONAL 1 HGH WATER TABLE _...:
Method Used:
Depth Observed standing in obs.hole: In, Depth to soil mOttleyl'
Depth to.weeping from side of obs.hole: in; Groundwater Adjustment ` ft
Index Well:#" Reading Date: Index Well level Adj.factora„4Ac({,'`draundw4ter=level,,,,
PERCOLATION TESL' bate_,._,,.,..,_,. Thne.,
Observation
Hole# e✓t 5 rct^ ' ria at 91,
Depth of Porc 24„�r`� t Time at 6"
Start Pre-soak 71me® �; i � �`�� Time(9"•6") ..,.._„�.� .mow__; I"
End Pre-soak 50 QR 4-t-
cU,.
Rate Min✓Inch. +
Site Suttabiflty Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N)'
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be.conducted within 1009 of wetland,you must first notify the
Barnstable Conservation Division at least one (1) week prior to beginning.
Q:\SEPT1WERCP6kM.DOC
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DEEP.OBSERVATTONRO LE LOG -. Hole# �.
Depth from Soil Horizon Sal Texture S'11. lar'.:: Soil Other
Surface(in.) (USDA) (Munsell) Mottling R(Structure,Stone ,Boulders:
:- ® �—� /� ' `�< `` (c� `thy/z ,: •
7/3
DEEP xOBSERVATION HOLE LOG Hole#
Depot.from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones Boulders;:
sr
114
Zy_ i�-c sin
4—13 Z C L
D99Y OBSERVATION HOLE LOG Hole#
Deptti:•froM Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)' (Munsell)� Mottling (Structure,Stones;:'Bouldem
• A ,
• i-
a
DEEP OBSERVATION HOLE LOG Hole#
Depth:from Soil Horizon ' Soil Texture Soil.Color } Soil Other
Surface(in:) + (USDA) (Munsell) r Mottling (Structure 1*41"Boulders.
r .
Flood Ins'hranceRate Map:., .
Above 500 yeaaz floodboundary::`No_ Yes ..,
.,
Witltln SOO year boundary. -No _
Within 100 year flood boundary No�~ Yes
Death of Naturally - ccurrtno Pervious Nlaterl�al .
Does at least four feet of naturally occurring pervious material exist in all areas observed througliQut the
area propoAt
sed for the soil absorption system? ------F--
If'not,what is the depth of naturally occurring pervious material?',
CertifleatlUit
rt date I:have: assed the soil evaluator examination approved bxy the
I certify that on ( ( ) p
Department ofnutronmental protection and that the above analysis was performed by me consistent with
the required:tra g;expertise arid'experience deset ibed in 10 CMR'F5017:
Date 5 J121
Signature
Q:�SBP'I7WERCFORM:DOC
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No. �� 16J I Fee /VD
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH�DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Yes
application for 3Bisposaf opstem Construction Permit
z
Application for a Permit to Construct( ) Repair(grade( Af don( ) ❑Complete System dividual Components
Location Address or Lot No. / VV�4 Goy! t- 4,q I� _ Owner's Name,Address,and Tel.No
AIVA's Ma %Pa�e�t�' � �7�
Installer's Name,Address,and Tel.No, e7,T7_�j(' Designer's Name.,Address,and Tel.No.
�A,t,S 1\-t6j2R/4,4fj fa� Gi_-14C-,6ie)Ate lC9
3-- JYA t. \n!'ic�--1 tw►4 . r' P i40 AQ iG41!53>A&I 5 AVA
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 0 gpd Design flow provided 3S I • f gpd
Plan Date 6i l4 y ,&2 ;kj!/. Number of sheets Z Revision Date
O
Title
Size of Septic Tank Type of S.A.S.
Description of Soil s(�i� �-pQ e 1 A /a
Nature of Repairs or Alterations(Answer when applicable) 2 //4cY6 P54i 166 ( act f Pt fi
XA//7:Ef �2 Jam` -(4- Ae--� 4-t44 AA 12 6;f S' 2 0u P D " � �'M lLIF
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed `
g Date VAM4—
Application Approved by DateIZ��1 J
Application Disapproved by Date
for the following reasons
Permit No. 01 I — Date Issued -5
Fee (J
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HB4LfA-6IVISION -TOWN OF BARNSTA. LE,MASSACHUSETTS Yes
21ppfication for disposal 6pstpm Construction Permit
Application for a Permit to Construct( ) Repair(grade(! -' -don( ) ❑Complete System [/Individual Components
Location Address or Lot No. ( 1 M
�/ Gp>-1 Owne s Name,Address,and Tel.No.
/t>/� tV I 1�/ 7La S'r 1: _
Assessor's ap ace j,�j j� ✓1 L�/_�j / ! G;!)AJ L ry
Installer's Name,Address,and Tel.No, r �v Designer's Name,Address,and Tel.No.
C--44P-11 5' An//�L/�/�1 ��'7�7-.�'.'� C tG-�M F e4�"c/"vG° V4,7/Elz:
4223-5:� ,2.. 64 E1/4At 6 Vd(,c '1
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 33� S gpd
Plan Date Q // Number of sheets Z. Revision Date
Title e/?,npA -, 7't,�.
Size of Septic Tank Type of S.A.S.
Description of Soil ���- �Q�-yQ rc,(] A q
1
Nature of Repairs or Alterations(Answer when applicable) /A.c?,e r741 /6 d L,6ACd Pi 'F
V/Zr4 2 540 G41 �( ,,r-- Aci4 G.r-44 r0 6y S' _2U240u N Df-��&7j- A c
Date last inspected:
Agreement:
"The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date yV\, >� _
Application Approved by Date ,S 2* 1(
Application Disapproved by Date
for the following reasons
Permit No. 2 O 1 1 - Date Issued 'Z I I
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 1,4 rtn
at `Q V f i4 Go 7l 44 rim. 1�T)y 0 has been constructed in accordance J
with the provisions of Title 5 and the for Disposal System Construction Permit No.6W/-/&q dated
Installer f�^yQ-�l�`S' l�•12�?1Q M Designer pAsn—C M C 6 N 'M 1E
#bedrooms Approved design flow -3 3 a gpd
The issuance of this peermit,s711
snot be construed as a guarantee that the system�williu designed.
Date (p/�J Inspecto'r '�--�"" __
_. . -------------- -------- ------------------- ----- -1------------ ------ ------- -- ----------- -------- - w= `
1I- l6
No. � y Fee � ��
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION•.-BARNSTABLE,MASSACHUSETTS
Mlsposal 6pstem Construction j3ermit
Permission is hereby granted to Construct( ) Repair( ) Upgrade(G--r Abandon( )
System located at / C/ ��(//46-0 A_� (AA,Fc.
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this perm%y
Date 52 1 Approved by
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
'ismNAM Public Health Division
619. ` Thomas McKean,Director
200 Main Street, Hyannis,MA 02601 .
Office: 508-862-4644 Fax: 508-790-6304
Date:Z) T2,�2 LL Sewage Permit# '26ll_L.by Assessor's Map/Parcel Z7 0 -
Installer&Designer Certification Form
�eie�T rAc.•E,+•e-e 3 E. -
Designer: �h ;; n ln�o r 1 i s, 1 nc . Installer: CNAP )63 K6RP
Address: 1z W. Crb s s ;e lc,► i 4- Address: Vl,-G
T,� .i-d k t_c A�pv4- ►CA,4.1A
On M A:W,Ay% was issued a permit to install a
(date) (installer) T
septic system at S based on a design drawn by
(addres )
dated -S� ?� Z4/I
(designer)
9( 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. , Stripout (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. Plan revision or
certified as-built by designer to follow. Stripout(if required) was ' cted and the soils
were found satisfactory. I"OF 4f
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C— � lL >,LL�llJac�y� � PETER T.
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(Installer's Signatures CIVILEE C
No.35109 O
G �D �OfST ECG
(Designer's Signature) (Affix Design re)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
q:\office fonns\designercertification fon-n.doc
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VILLAGE —
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INSTA LL 'S'S_ NAME & ADDRESS
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I47-C 411 L� S
9 U I L D E R OR OWNER
DATE ' E III MIIT ISSUED
p OAT E COMPLIANCE ISSUED �/�?
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• TOWN OF BARNSTABLE
L''X",I IU I SEWAGE #
VILLAGE 1JVA.,111 A ASSESSOR'S MAP & LOT
HNSTA�ER'S NAME&PHONE NO.A,-14.14-Le ��SA k 106 -9,ed
SEPTIC TANK CAPACITY 161bo 6,g-/ %—AAle-
LEACHING FACILITY: (type) (size) /0�6
NO. OF BEDROOMS -3
BUILDER OR OWNER ROA-.--i /LA,
PERMITDATE: 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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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...•... .................................O F..._........................................---------•-••-----------•---•-----------------
ApplirFation for BiopooFal Workii Toutitrurtton Prutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
.Y_ .._....... ...__ ..... ••.................. ''-'-........... Z- 'a..�.. -'•-•----- --•---'-----•-'"--
ation- °ddress o Lot No �®
caner dd ess
Installer Address
d _Type of ding Size Lot:.`........................S q. feet
�U., Dwelling—No. of Bedrooms....._ ...............................Expansion Attic Garbage Grinder (AIJ
Other—T e of Building No. of persons............................ Showers — Cafeteria
p,. Oth r .xtures -----•------------------•-•••••. . ----------------------
g a .
Design n Flow........ .. ....`..... ...................gallons per person per day. Total daily flow__-_ gallons.
W g - g P P S" Y �( � -C�------------------------
WSeptic Tank—Liquid*capacity_jg�..gallons Length... ........... Width....... ._..... Diameter_______._-_-•__- De th. .._..........
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 � 1/f _Z¢
�" Percolation Test Results Performed by................. ........� tG -::_._.___--__-.___.._.-._._. Date.................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-_______________-_----_.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
. ..........................................:..............................................................................................................
O Description of Soil........ ........... { l
V ........--•------••--••-•••••-•---------------------------------------------------------•----•---------------------••---------•------•--
--------------------------- ----------------------------------------------------------------------------•------------------------------•-------------------------------------------------------•'.......
U Nature of Repairs or Alterations—Answer when applicable.__.............................................................................................
..-•------------------•-----------------------------------...-----------------------................-------.....---------------------------------------------•-------------- ..........................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i1'1 5 of the State Sanitary Code— The undersigned further agrees not to place the syste in
operation until a Certificate of Complianc as bee issued by the board of health.
g A�'�.
Date
Application Approved;By -_---�- _ --- .....................---- -----?�--�._._. s•--��_--Date
Application Disapprovr the following reasons--------------------------------------------------------------------------------•----------...................
----•---------•-------------------------•-------•-••------------------------------------•'••------------'--•---•-----------•------•-•------•----•-•-------•----•---------•---------•----••----•---_-----
Date
Permit No......................................................... Issued.......................................................
^
----•--..__....--- ......_....
Date
ti
Y= -go...
Nti.o.--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................. ..... . ...-----.......OF...............
.....
Appliratiou for M-4pnoul Works Tomtrnrtinn Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
- ation- $ ess 0 Lot No
/ �C. ......._.. .......
10
... ................ ............ ......
W ne d ess
Installer Address
UType of in Size Lot............................Sq. feet
Dwelling—No. of Bedrooms_.___......................................Expansion Attic •( ---}� Garbage Grinder
Other—T e of Building
a —Type g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Other.fixtures ......................................................--------------------------------------------
Design Flow.........1... ..........................gallons per person er day. Total da.ily flow_____ 6..................._..__ Ions.
W 1
WSeptic Tank—Liquid capacity..I/eN.gallons Length... .......... Width..__._.4...... Diameter................ De
W 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................ ._. _6.r_- � -_.._._______....___.._____ Date_._.._`�_ __R.6j
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---------______--_-_-_-.
(rq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
----------------------------------------------•------------.....----••........----•••.......•---........................................................
O Description of Soil_-....... .. _ �? .......
U ....--•---•-•••--•-••-•••••-•-•••------- - '-...V.............................................................................................................................................
W
---------------------- --------------•--------------------------------------.....------------------------------------------------------------------------------------------------------------..........
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------•----------•--••----------------------------------------.....---------•--.......-------------------------------•--------------------------------------------•----•-•------•.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi i
the provisions of T ITT.- 5 of the State Sanitary Code— The undersigned further agrees not to'place the yste in
operation until a Certificate of Complianc as been 'ssued by the b and of health.
•, .....-- + a
�- - ,
Application Approved B __: - d-� + �
Date
Application Disapprove for/he following.reasons:................................................................................................................
--.....-•....................••--•---...----•-----•----------.....-------••-----------......--------......_.....--•-----••-----------•.•---------•---••-•-------------•--------•---......----•--••-------
Date
PermitNo.......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................I................OF.........................................................:.:.........................
CUrrfifiratr of Toutpitinrr
TH IS 0 E TIFY hat the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by......... _-- -'-------------------------------------•--• ----•--•----••-•••-•••-•----•---•---•••-----•---•-••-•-•........_.._........••-----•-._....._..
..... . _. _
Installer
at. } t
has been installed in accordance with he provisions of TIT `" of, T tate Sanitary Code a es 'bed 'n the
t
application for Disposal Works Construction Permit No------ ``" .__._. da.ted__......... .....
THE ISSU NCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® A GUARANTEE THAT THE
SYSTEM W F CTION SATISFACTORY.
DATE.... , a� .................................................. Inspector.......... ....•
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
b ` s1 ...........................................OF....................................I...................
...-._....
No................. ..... FEE...l-...._.............
�� n rani#
Permission is hereby granted - �''�''k '
to Constru ( ) or R - it ( ) Individual Sewage Disposal�System
atNo .....--• . •-••--•................................................•••. --••-
Street �y� "/!' w
as shown on he appli tion f Disposal Works Construction Permit N .. ............... Dated___.__.. _5 .......
•----------------•-•------•.........•----•-•-- .
Board of Health
DATE ••.-•----......-•••••......----_•...
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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Nam. ��R.gAGE G O P v ,
l �jEPT%C. TP►JK = 330K15' % =A
uSE' loon
015 OSA1- P1T
BOTTOM. AREA s �F•
S o S F x ►• o 4,0 G.P o�' ; 99 I
-TdTA1- OSSIC.N . ,g.,25 &.PR LoT L+t3
-ToTA%- DA 1 uY Fl-C> ! = 330�•P� .
99
PE2G0l.-A'T10N RATES I"IN
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Tuts PLQN I�i Nam' 4A5�p O►d AN ,
I. u EN,' 5ucZv�Y -THE oF�-'SETS suouo ��ztSA7L SSQG, i
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �L�'
Map Parcel /O Permit# 7 ;76`
Health Division Z ( Date Issued
Conservation Division �3�a�' 1 '-f 7-/ ® Application Fey
Tax Collector Permit Feev`�s�•
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address_ /`7 Wk6-DA) LAl
Village N tt S
Owner 2f)- Q C OHAIQ Address
Telephone — ,5
Permit Request (�4M6E_ 8L, 77 70 —gt) 4
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 2`_ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Cl Yes ❑No
Basement Type: E(Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) va `� Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing J° new
Total Room Count(not including-baths): existing new First Floor Room Count
Heat Type and Fuel:. ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name M ae-/ ly /1L e-1Z Telephone Number f 7 f,3 /L
Address P O J�C) Y_ L5� License
S� P n n i S O e-We Home Improvement Contractor# /n xxy/
Worker's Compensation# z
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �� DATE 3 0o 6
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Y
ra d t4
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Q
RECEIVED
JUL 3 12002
TITLE 5 TOWN OF BARTISTA ALE
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSE S V DEPT.
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION T
Property Address: 19 Wagon Lane Hyannis
Owner's Name: Robert Palli
Owner's Address: Same
Date of Inspection: 7/23/02
SAP
Name of Inspector.Timothy Lovell -
Company Name:Accurate Inspections PARCEL. ' 1 %
Mailing Address: 550 Willow Street LOT
W.Yarmouth,MA.
Telephone Number:508-771-3700
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
_x_Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date: 7/23/02
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.
Notes and Comments
""This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
_X I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
N/A One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer es,no or not determined ,N,ND in the for the following statements. If"not determined" lease
Y � ) g P
explain.
N/A 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 infiltration 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.
ND explain:
N/A Observation of sewage backup or break out or high static water level in the distribution box due to
broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if
(with approval of Board of Health):
Broken pipe(s)are replaced
Obstruction is removed
Distribution box is leveled or replaced
ND explain:
N/A_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
Obstruction is removed
ND explain:
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner. Robert Palli
Date of Inspection: 7/23/02
C. Further Evaluation is Required by the Board of Health:
_N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the
system is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
system is not functioning in a manner which will protect public health,safety and the environment:
_N/A_Cesspool or privy is within 50 feet of surface water
N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_n/a The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
_n/a The system has aseptic tank and SAS and the SAS is within a Zone 1 of a public water supply.
_n/a_ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
_n/a_ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well**.Method used to determine distance
**This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
System Failure Criteria applicable to all systems:
You must indicate``yes"or"no"to each of the following for all inspections:
Yes No
_x _Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_x_Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_x_Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
n/a _Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow
_ —x Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped
x_Any portion of the SAS,cesspool or privy is below high ground water elevation.
_x_Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
_x Any portion of a cesspool or privy is within a Zone 1 of a public well.
x_Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_x_Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no 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: N/A
To be considered a large system the system must serve a facility with a design 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 criteria above)
Yes No
The system is within 400 feet of a surface drinking water supply
_The system is within 200 feet of a tributary to a surface drinking water supply
_The system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
_x _Pumping information was provided by the owner,occupant,or Board of Health
_x Were any of the system components pumped out in the previous two weeks?
_x _Has the system received normal flows in the previous two-week period?
_x Have large volumes of water been introduced to the system recently or as part of this inspection?
_x —Were as built plans of the system obtained and examined?(If they were not available note as N/A)
_x_ Was the facility or dwelling inspected for signs of sewage back up?
_x _Was the site inspected for signs of break out?
x _Were all system components,excluding the SAS,located on site?
x_ _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?
_x_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
_x _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))
Page 6 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):_3_Number of bedrooms(actual):_3_
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):_330
Number of current residents:_2
Does residence have a garbage grinder(yes or no):_no_
Is laundry on a separate sewage system(yes or no):_no_ [if yes separate inspection required]
Laundry system inspected(yes or no):
Seasonal use: (yes or no):_
Water meter readings,if available(last 2 years usage(gpd)):_
Sump pump(yes or no):_no_
Last date of occupancy:_Current
COMMERCIALANDUSTRIAL n/a
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):T
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: 1999 pumped every 3 yrs
Was system pumped as part of the inspection(yes or no):_no_
If yes,volume pumped: gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
_x Septic tank,distribution box,soil absorption system
_Single cesspool
_Overflow cesspool
Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight tank _Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
5/26/83
Were sewage odors detected when arriving at the site(yes or no):_no_
Page 7 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
BUILDING SEWER(locate on site plan)
Depth below grade: 19"
Materials of construction:_cast iron _x_40 PVC_other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
Piping looks to be in good shape no evidence of leakage,venting ok
SEPTIC TANK:_x (locate on site plan)
Depth below grade:_10"
Material of construction:_x_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: 1000 Gallon.Tank
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness:_2"
Distance from top of scum to top of outlet tee or baffle:_8"
Distance from bottom of scum to bottom of outlet tee or baffle:_16"
How were dimensions determined: in the field tape measurements_
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Baffles in place liquid level at invert out,no evidence of leakage,tank structurally sound
GREASE TRAP:_n/a (locate on site plan)
Depth below grade:
Material of construction:_concrete_metal_fiberglass_polyethylene_other
(Explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
TIGHT or HOLDING TANK:_n/a (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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX:_i (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:_0"_'
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):
Liquid levels at invert out,cover is 2'deep no evidence of solid carryover,no evidence of leakage
PUMP CHAMBER:_n/a (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Page 9 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner: Robert Palli
Date of Inspection: 7/23/02
SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required)
If SAS not located explain why:
Type
_x_Leaching pits,number:—I—
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.):
6x10 leaching pit no evidence of hydraulic failure liquid level 2'below invert in no scum line to show its been
My higher,no ponding or damp soil,vegetation normal,
CESSPOOLS:_n/a_(cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration:
Depth—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY:_u/a (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
Page 10 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
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.
Back of Home Back of
Garage
26"
Bulk Hea
23 Addi ' n o
ent
28'
34'
37'
39'
i
Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 Wagon Lane Hyannis
Owner:Robert Palli
Date of Inspection: 7/23/02
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 24'_feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators,installers-(attach documentation)
_X Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Information provided by Cape Cod Commission Well Data,Well#AIW-230 adjusted water elevation July 02
Shows water elevation at E1v.25.2 ft AWrox.bottom of leaching pit is 8'below existing jopo is approx. 60.0
I
P
Sy
LEGEND
EXISTING LEACH PIT ` ' i•
1 x 100.98 EXISTING SPOT GRADE
_ —EXISTING CONTOUR °
TO BE PUMPED, FILLED W oa 0 N
SAND AND ABANDONED
G EXISTING GAS SERVICE
W EXISTING WATER SERVICE LOCUS
EXISTING SEPTIC TANK O.H.-W.— OVERHEAD WIRES
TOP OF TANK, EL.=101.42
TEST PIT
INV.(OUT)=100.19E �. ;
(FIELD VERIFY) O� BENCHMARK
n, 101.4 9
N 23*10'07" E x x X
I 101,29 wa
VENT 3 m
X �� SMeat
I SHED _ J71
TP 1 G.-PROP. S.A.S.-*:•.'Q FLAG wEsrN �
1^OF2.28 ` ST
POLE
"1102,06 �' ' 'o �\ \� -i� 11 QG 2
102; o Pg LOCUS MAP
&o NOT TO SCALE
PA TlO 10 .58
i 102.17
�o� I GENERAL NOTES:
O x 10 2.4 6 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
102.53 Q 02.30 102.40 / BENCHMARK SET BOARD OF HEALTH AND THE DESIGN ENGINEER.
Lv X J/ OUTSIDE CORNER OF STOOP 2-ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
10 .89 EL.=f02.89 ASSUMED DATUM OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
!" LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW:
�t I o0 102.36 -310 CMR 15.405(1)(b):
1 LAMP 1) A 3' variance to the 3' maximum cover requirement, for 6' of
' Z max. cover. S.A.S. shall be H-20'and vented.
t1) `—
co EXISTING I rn 3•THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
HOUSE(#19) J :4h, TO INS 4 DESIGNPENGIINEER AND APPROVAL BY THE BOARD OF HEALTH AND THE
102:63 T.O.F.=103.96E 1 09 00 00 1 4•ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
C9 = ENGINEER BEFORE CONSTRUCTION CONTINUES.
103.07 ,' `s 5-ALL ELEVATIONS BASED ON ASSUMED DATUM.
�\v7 '� 6-THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
STONE THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
DRIVEWA Y. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
+•1,02.90 7•WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
102,40, :. .. : ... ,
edge 'of• down. + 1 2.2 8-THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
I % ..•� - i� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
3 DIRECTED BY THE APPROVING AUTHORITIES.
24B LOT
I� � 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
QQ �/
1 �7 � ' THE LOCATION OF ALL UNDERGROUND. UTILITIES, PRIOR TO BEGINNING
�i� CONSTRUCTION.APN 270
12,677 S.F.f 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
10 0, 9- - /� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
T 83 L 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
HYD
CB INN 1Q�,oo INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
, �;
s� OF Mgss 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
100.14 PK SETg 9C o PETER T.
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
100,00 99,60 edges Of 99,47 �p0 M cEN CIVILEE N 19 WAGON LANE, HYANNIS, MA
I,,, �'Q� a. No. 35109
�/�//��jO • RFr;1STER�� Prepared for: Joseph Whelan, 19 Wagon Lane, Hyannis, MA 02601
N PK SET 9917 0 a
99.22 P I FSS Engineering by: SCALE DRAWN JOB. N0.
PLAN REVISION — 6•/1/11 �E - Engineering Works, Inc. 1"=20' P.T.M. 155-11
1. DROPPED SAS DUE TO SOIL PROFILE CHANGE (e J I` (l 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
2. REQUESTED VARIANCE,CHANGED CHAMBERS TO H-20 AND VENTED (508) 477-5313 5/20/11 P.T.M. 1 Of 2
{° NOTE: TO PREVENT BREAKOUT, THE PROPOSED �"-
FINISH GRADE SHALL NOT BE < EL: 99.0
FOR A DISTANCE OF 15' AROUND THE
SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. SHED 53'6' f-----23' _
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S.
OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND
T.O.F. SET TO 3' OF F.G. TO `SERVE AS INSPECTION PORT p S.A.S. N
EXISTING F.G. EL.=102.3f F.G. EL: 101.6t F.G. EL: 102.3(MAX.) CHARCOAL
OR STANDARD �g� 65�` '--
_
- - VENT
g1•
/ L = 31' L5'
0 S=1% (MIN.) @ S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
6" DOUBLE WASHED STONE
10"I as as (OR APPROVED FILTER FABRIC) p J
14" 6 aaa�aaE3 Q P Ory
EXISTING 48" LIQUID INV=10019t Baaaaaa --3/4" TO 1-1/2" DOUBLE
. .
LEVEL 4' S 2' 4' WASHED STONE
GAS BAFFLE INV.=98.77 INV.=98.60 PROPOSED D-BO INV.=96.20 EFFECTIVE WIDTH = 13.2'
X
/ T
EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN O 1
H-20 RATED /
TOP CONC. ELEV.=97.3 S.A.S. LAYOUT
NOTES: BREAKOUT ELEV.=96.70
1) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.=96.20 aaaa
GRADE ON A MECHANICALLY COMPACTED SIX mama amass
INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=94.20
310 CMR 15.221(2). 3' 2 X 8.5'=17-O' 3'
2) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 23.0' CE3 ®® 03) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE T.P. EXCAVATION OR G.W. ®®®® ® ® ®nE3
37"
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION � w4) MAXIMUM COVER OVER SEPTIC TANK, D-BOX & S.A.S. NO GROUNDWATER, EL.=87.0 * - N > ®®®® ® ® ®
SHALL BE 36". * NOTE: Z
SEPTIC SYSTEM PROFILE WINES ED BYABLE SANDPETERLT. MCENTEE (SE#15 2) ON 6/1/11HTHERE AS
N.T.S. NO GROUNDWATER OBSERVED. 102"
SOIL LOG
DESIGN CRITERIA DATE: MAY 17, 2011 (REF. P#13,276 4" KNOCKOUT
SOIL EVALUATOR: PETER MCENTEE PE, (SE�1542) 20" DIA. COVER
NUMBER OF BEDROOMS: 2 BEDROOMS WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT
SOIL TEXTURAL CLASS: CLASS I ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT / 4" KNOCKOUT 62"
DESIGN PERCOLATION RATE: <2 MIN/IN 101.7 A 0" 101 7 A 0" 0
DAILY FLOW: 220 G.P.D. SANDY LOAM SANDY LOAM
DESIGN FLOW: 330 G.P.D. 101.0 10YR 4/2 8.. 101.0 10YR 4/2 81, 4" KNOCKOUT
GARBAGE GRINDER: NO B B
SANDY LOAM SANDY LOAM rjQQ GALLON CAPACITY, H-20 LOADING
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 10YR 5/4 10YR 5/4
LEACHING AREA REQUIRED: (330) = 445.9 S.F. 98.7 Cl 36 99.7 Cl 24" CHAMBERS
•74 M-C SAND M-C SAND N.T.S.
2.5Y 6/4 2.5Y 6/4
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 10% GRAVEL 10% GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 95.5 74" 95.5 74" 19 WAGON LANE, HYANNIS, MA
SIDEWALL AREA: 2(13.2' + 23.0') X 2 = 144.8 S.F. C2
M-C SAND C2 M-C SAND Prepared for: Joseph Whelan, 19 Wagon Lane, H annis, MA 02601
BOTTOM AREA: 13.2' x 23.0' = 303.6 S.F. P P 9 Y
2.SY 7/3 2.5Y 7/3
TOTAL AREA:..............................................................448.4 S.F. 90.7 132" 9 SCALE DRAWN JOB. NO.
0.7 132" Engineering by: NTS P.T.M. 155-11
NO GROUNDWATER (SEE NOTE' (*) UNDER ASA TYPICAL SECTION) Engineering Works, Inc.
DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D. PERC RATE: <2 MIN. IN. IN SAND ON FILE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
( ) (508) 477-5313 5/20/11 P.T.M. 2 Of 2
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