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0041 WOLLEY ROAD - Health
41 W OLLY'RD AI'ANNIS a A =270 161 e � I 0 k I TOWN OF BARNSTABLE'--'/'1Z _E LOCATION q l e�Jo��c P-D . SEWAGE# ZOZO - 380 VILLAGE +4�1 AtJ ASSESSOR'S MAP&PARCEL 2-10-4 (gyp INSTALLER'S NAME&PHONE NO. Q SOS �I7 881 SEPTIC TANK CAPACITY 60 Qa' LEACHING FACILITY:(type) *0� - C 400118 ,S(size) 39 NO.OF BEDROOMS 3 OWNER 1 PERMIT DATE: 11 ?A to COMPLIANCE DATE: 114 Z, 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 -> SJ ou'c �.. A 3 c z 37.E �s 39 z3-s 2� 36 9 i� 2. No. < FeeC/� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes appliLation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System 21ndividual Components Location Address or Lot No. 41 (,r/O U8v 'R.D H Y Owner's Name,Address,and Tel.No. ZoSG A&Lrt L Ak Assessor's Map/Parcel 14, WpL(E P.Z ffmawts Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 57613 X1 3 —03 7 7 t r--Es- P S.YA'44Dor4 4S 54 CAM0 "56M Type of Building: Dwelling No.of Bedrooms Lot Size _7, S00 � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33© gpd Design flow provided 33 F.22- gpd Plan Date ( (— (() — ;LO}C) Number of sheets f Revision Date o-�k 9 Title 4( W O G --y 900 [4Y1W&j( Size of Septic Tank 1,560 Type of S.A.S. (p L C— C N-.4a{.g � Description of Soil /U e_:0A",&7 3;1-,C/:54—Sk-, PC.A-&J Nature of Repairs or Alterations(Answer when applicable) U gL ��( ($�( _C' y (2aaZ6J SC_A$"'(C 'G itJfL "1L`� tyC"lJ D-&o X, Zo � L C -(p t t r&,4 1 f o ar 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 o ealt . Si d Date il• 'L Application Approved by Date ry / .6 �U Application Disapproved by Date n for the following reasons Permit No.;?0 Z Q , _3 80 Date Issued L- 1-6 Z0" i ,''•,r . Y '. ,�„'*_ '`^� `. my ��• `� n✓# 1-c� � -Ear'"i -• .-.. .._ f- - ...... k No. �t .4�Ll 'w. , 4 Y� . 9i w Fee &) THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ..O' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes a Zipplication for MispoBal *pstrm Construction Permit . 1 ,�' Application for a Permit to Construct(' ) •Repair( Upgrade( ) Abandon( ) ❑Complete System ®'Individual Components Location Address or Lot No. 41/ 14/0"&V 'KD Hy Owner's Name,Address,and Tel.No. :TO27®//I./ 4/ S Assessor's Map/Parcel WOL4&V P-1) Yi H 440ts Installer's Name,Address,and Tel.No. 509 471""21&1*7 Designer's Name,Address,and Tel.No. 56 IS~°AT 3 -Q 3 7 7 Type of Building: 4- Dwelling No.of Bedrooms 13 Lot Size, -f 500 sq.ft. Garbage Grinder( ) Other Type of Building (� j'C(/�(r No.of Persons Showers( ) Cafeteria( ) Other'Fixtures Design Flow(min.required) 330 gpd Design flow provided 33 S,:1.. gpd Plan Date I I to ," ;LD;k() Number of sheets E Revision Date I g."A e_N Title Size of Septic Tank �,5�?© Type of S.A.S. 1,6, L C -G UM-Pe4t-I& Description of Soil A4c- C'J.4(dS a 1A hALAj i Nature of Repairs or Alterations(Answer when applicable) U SCE I:�k(S r I A) '1*-i l�.�tr11.c? D "�GX 7 �(� L C -G Lot ra4I Fnc Z" f?C A.Crla2t f ibwbC.-;i! tt 1 5 na.) f A) c, ! ?%JN 'fir Awl r (0& R AAj Date last inspected: Agreement: "j 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 ealth. Sign'd� /!I C /' Date 12 -t 5-ao ' Application Approved by / /a:4y� -�--x� � _ Date Application Disapproved by � { � Date ! v for the following reasons Permit No. .Q -- } rj Date Issued jz�?' o 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_ C'( with the provisions of Title 5 and the for Disposal S stem Construction f �at at 4i� 4iA to U P.� «y�t�� i - has been constructed-in accordance - p p yPermit No. U J s dated Installer P%06CKT` !, 6%j Q . Q Designer �c�_ gljc-(I11m-- ��v xlj C-'#bedrooms ) Approved design flow �_j 1 gpd The issuance of this permit shall not be construed as a guarantee that the system will 'function as designed. Date `- ' -� Inspector - -- - - _------------------------------------------------------------ ------------------- No Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS i Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at / ,? ("G � {Ai-km r 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 threeyears of the date of this permit. Date Approved by sue.. Town of Barnstable Regulatory Services Richard V. Scali, Interim DirectorBARNSTM buss Public Health Division -- i°�En " Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 fr Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1-5-21 Sewage Permit# ZOZQ -3W Assessor's Map\Parcel 270/161 SG &)5 ineercn `=vnc. Installer: Robert B. Co., Inc.Our Co ,Inc (RBO Designer: 1 ) Address: Cron_�oerry lttc.�tu�ny Address: 363 Whites Path Erik wareJ�%.am . NA 6253 8 South Yarmouth,MA On a ZI RBO was issued a permit to install a (date) (installer) septic system at_41 Wolley Road ba es d on a design drawn by (address) G Cv1 o i�Cc�'1 } ThC, dated 1-5-21 (designer) X 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. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. 1 certify that the system referenced above was constructed i ' plfiance with the terms of the I1A approval letters (if applicable) ji yr �y g� JOHN L G�, CHURCHILL At (kil at re) CML •o� Awr .41 �F (D ner's Signature (Affix De ftrffl p Here) 1PL SE RETURN TO ARNSTABLE PUBLIC HEALTH D SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS= BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH-DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc a^ LL e In v Er Certified Mail FeeEr A�C $ Extra Services&Fees(check box,add fee as a�p�nopdate) 2 W ❑Return Receipt(hardcopy) $ n O ❑Return Receipt(electronic) $ ostroark Q ❑Certified Mail Restricted Delivery $ t1'F Here C3 ❑Adult Signature Required $ ~ r v ❑Adult Signature Restricted Delivery$ `� CO Postage M rq Total Postage and Fees trn $ Sent To.. C3 Jose T. Aguilar -------------------------------- r` 82 Timber Lane -------------------------------- Marstons Mills,MA 02648 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate r Electronic verification of delivery or attempted return receipt for no additional fee,present this z delivery. USPS®-postmarked Certified Mail receipt to the. ■A record of delivery(Including the recipient's retail associate. tL signature)that is retained by the Postal Service- Restricted delivery service,which provides tt, for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent r-1 Important Reminders. Adult signature service,which requires the It. ■You may purchase Certified Mail service with signee to be at least 21 years of age(not J First-Class Mail®,First-Class Package Service®, available at retail). _L or Priority Mail®service.A Adult signature restricted delivery service,which e Certified Mail service is eotavaliable for requires the signee to be at least 21 years of age Intemational mail. ;;- and provides delivery to the addressee specified ■Insurance coverage is notavailabie for purchase by name,or to the addressee's authorized agent with Certified Mail servicelliowever,the purchase (not available at retail). r� of Certified Mail service doWnot change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of malling,it should bear a certain Priority Mail items. USPS postmark If you would like a postmark on:rr ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for Fw the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion i of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply r-, You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.G? electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt,•attach PS Form 3811 to your mailpiece; IMPORTANT:Save Oils receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 '��ENDEW COMPLETE THIS SECTIOkl: COMPLETE THIS SECTION ON DELIVERY ■ Comp�ms 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ,,v,/ ❑Agent so that we can return the card to you. Q Addressee ■ Attach this card to the back of the mailpiece, wed y(Pr' d Iy me) C.D e of Delivery or on the front if space permits. ( 11/1 1. Article Addressed to: D. Is delivery addres different from item 1 0 Yes --- If YES,enter delivery address below: ❑No a .Lose T. Aguilar 82'Tiinber Dane Ma>rstons Mills; MA 02648 a 3. Mail ii I�IIIII IIII III I III i II I II I I I I IIII III IIII III ❑J�dul Service gn tureeRestricted Delivery 0Regis ered Mail Restricted C�dCertified Mail( �elivery 9590 9402 2480 6306 7774 80 ❑Certified Mail Restricted Delivery- ira Retum Receipt for ❑Collect on Delivery Merchandise 2. Article.Number LTrerlsf2r frQln Servlce_lebe/l ❑Collect on Delivery Restricted Delivery O Signature CohfirmatioriTM D Insured Mail ❑Sigriature Confirmation 7 Q 15 17 3 Q ,Q Q Q.]i^�14 9 9 Q' 2{�){9 q Insured Mail Restricted Delivery Restricted Delivery (over$500) ..r* �` PS Form 3811•,July2015 PSN 753Q 02-000-9053 Domesfic Return'Receipt LISPS TR,ACKINC,#:.. I First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 9590 9402 2480 6306 7774 80 I United States •Sender:Please print your name,address,and ZIP+4®in this box* I Postal Service Public Health Division Town of Barnstable 2.00 Main Street Hyannis, MA 02601 . � .._= ....._ : ll��?�l�.f.�J1lli��f�I��ii�'17►i�'�i°� �i'1J!►lr�i�lfiri�Jiitl�l� t TOWN OF BARNSTABLE q / SEWAGE # LOCATION �// Lf�A f// -..�l'�f VILLAGE /9V 111�N%� ASSESSOR'S MAP &LOT . r INSTALLER'S NAME&PHONE NO. e ItSEPTIC TANK CAPACITY %mod LEACHING FACILITY: (type) o� � Q -� (size) A, o`�,�-- �� NO.OF BEDROOMS - -3 r - _ i BUII:DER OR OWNER PERMIT DATE: f— .a COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table,to the/BottomLeaching Facility Feet Private Water Supply Welland Leaching Fay wells exist on site or within 200 feet of leaching facFeetEdge of Wetland and Leaching Facility(If as exist within 300 feet of leaching facility) Feet Furnished by . 1 L I l f.i t Certified mail:7015 1730 0001 4990 2649 Town of Barnstable Inspectional Services + UARNSTABL£, y X"` Public Health Division �7A ibgq. ♦0 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 6,2020 Jose T. Aguilar 82 Timber Lane Marstons Mills, MA 02648 NOTICE OF VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND TOWN OF BARNSTABLE CODE � 353-9-DISCHARGE ONTO GROUND PROHIBITED. On January 6, 2020, Health Inspector David W. Stanton, R.S. investigated a complaint regarding sewage on the ground at the property owned by you located at.41 Wolley RoadHyannis, MA. The following violations of 310 CMR 15.000, the State Environmental Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and the Town of Barnstable Code were observed: 310 CMR 15.303(1)(a)(2): Septic system is in hydraulic failure. Raw sewage was observed ponding on the ground. Town of Barnstable Code&353-9: Discharge of sewage onto the ground. ' (1) You are directed to keep the on-site sewage disposal system pumped as many times as necessary (daily if needed)to keep it from overflowing onto the ground. (2) You are ordered to obtain a septic design engineer to design the repair plans for the failed septic system at said location and apply for a septic permit with the Health Division within thirty (30) days of your receipt of this letter. (3) The septic system shall be installed in strict accordance with the approved engineered plans within sixty (60) days of your receipt of this letter. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in the issuance of a non-criminal ticket citation of$100. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Th . A. KcKean,_QHO, RS Director of Public Health Q:\0rder letters\Sewage ViolationsA l Wolley Rd,Hyannis.doc ' TOWN OF BARNSTABLE ZOCATION W ,W611b 910,/ SEWAGE # 'VMLAGE_ 14124 At L S r ASSESSOR'S MAP& LOT — 1 INSTALLER'S NAME&PHONE NO. eS/�, a��'` ? 79 7 SEPTIC TANK CAPACITY /J'd—0 LEACHING,FACILITY: (type) /_2 (size) NO. OF BEDROOMS A2 BL DER OR OWNER 42 n ICE w 11 PERMTTDATE: 7- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom Leaching,Facility Feet Private Water Supply Well and Leaching Facility any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If an etlands exist within 300 feet of leaching facility) Feet Furnished by 1 T' No. ��� K3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:- Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mi6pomt *pztem Construction permit Application for a Permit to Construct Repair X Upgrade( )Abandon( ) ❑Complete System ❑Individual Components PP ( ) P ( ) Pg P Y Po i L c tion Address or Lot No. wner's ame,Addre s and Tel.No. i Wplly Rd.. , Hyannis, MA Guy t 'arpenter Assessor'sMap/Parcel 54 Knotty Pine Lane, Centerville , MA Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service PO Box. 1089itCenterville , MA Type of Building:. Dwelling * No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title I Size of Septic Tank Type of S.A.S. + + Description of Soil S and. - k new Title-5 septic system Nature of Repairs or Alterations(Answer when applicable) including tank, D-box and. 2 leach chambers . 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 Certifi- cate of Compliance has issued by this az f Health Signed Date Application Approved by Date 17 -10— Application Disapproved for the ollowing reasons Permit No. 4 kf_3 Date Issued t THE FOLLOWING I IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IMF DATA No. �� zr rccw� Fee T JO + i THE COMMONWEALTH OF MASSACHUSETTS Entered inlcomputer: Yes t `,PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS • 3pplicatton for Mt5pozar *pgtem Congtructton Permit, Application for a Permit to Construct( )Repair O Upgrade( )Abandon( ) ❑Complete System ❑Individual Components L c do d s or Lot No. wner's Name,Address and Tel.No. y, Ra• Hyannis, MA Buy Carpenter, Assessor's Map/Parcel 54 ,Knotty Pine Lane, CenterviUe v Installer's Name,Address,and Tel.No. ,F Designer's Name,Address and Tel.No. Ism. E. Robinson Septic Sevvice ; PO Box 1089, Centerville# MA ' Type of Building: Dwelling . No.of Bedrooms f Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 49" " Design Flow gallon_s per day. Calculated daily flow gallons. . rir Plan Date Number of sheets = Revision Date Title a Size of Septic Tank Type of S.A.S. ° , Description of Soil Sa nd Nature of Repairs or Alterations(Answerwhen applicable) e i.Titla�-� cop ayet� includ.f:fz tan'k, D-boss rind 2 leach chambnra. } 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 Certifi- cate of Compliance has been issued by this oar of Health ° Signed Date r Application Approved by _- r.--, '1 �..,..�...;' - - ._ — -Date.-.; c, 19 f Application Disapproved for the following reasons Permit No. • t r _ Date Issued ' r : —————— ————————————————————— � THE COMMONWEALTH OF MASSACHUSETTS ; Carpenters BARNSTABLE, MASSACHUSETTS ,r Certificate of Compliance THIS IS TO CERTIFY that the O -site Se ge DispC s�yte 1C a nstructed( )Repaired(X )Upgraded( ) Abandoned( )by WM. R ob i3ns on s r at 41 Wally Rd.. . Hyannis. - MA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. `7 - !t'?) dated --� Installerfto E• a0binson Sr. Designer � /X n ('{C The issuance of ' 's perm t sha ,not be construed as a guarantee that the sy�te will functi�o a�s/designed %� Date Y t4 Inspector �� /t i�t� , lf/1�� V V.- - No. / �' 3 — ---------------------------Fee $50 , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS--_._...._._._._ Carpenter 1=t!5poga1-.*p$tem Con!gtructton permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 4.1 Wally Rd. , Hyannis, MA r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided_:�Construction must be completed within three years of the date of this permit: i Date i C -/ ! Approved by k t (7 -, . , t 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, William E . Robinson,S,zllereby certify that the application for disposal works construction permit signed by me dated 2y O/ , concerning the property located at 41 Welly Rd— , Hyannis , MA meets all of the. following criteria: • The failed syst m is connected to a residential dwelling only. There are no commercial or business uses associate with the dwelling. • The soil is assified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are o wetlands within 100 feet of the proposed septic system • There a no private wells within 150 feet of the proposed septic system • Ther is no increase in flow and/or change in use proposed • re are no variances requested or needed. • e bottom of the proposed leaching facility,czll not be located less than five feet above the - - —- mammum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: I A) Top of Ground Surface Elevation(using GIS information) C f B) G.W.Elevation +the MAX.High G.W. Adjustment. DIFFERENCE BETWEEN A and B J Q +` SIGNED : 4i i DATE: 67 7 [Sketch proposed plan of system on back]. q:health folder:cert S r. f F • t t l C B� CO3m,.%10_N 'ALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF EINVIRONME\TAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON DLA.0210E (617) 292-550u TRUDY COXE Secre.a-n ARGEO PAUL CELLUCCI DAVID B. STRI:HS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 41 W o l l e y Rd.. ,Hyannis, M*ame of owner Guy Carpenter ,� Address of Owner:�4 Kn n�, Pine �,c111P Date of Inspection: d'�—9 7 r Name of Inspector:(Please Print)WM. E . Robinson Sr. Centerville 1 am a DEP approved systerrl inspector rsuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Wm. E . Robinsoneptic Service Mailing Address: PO Box 0 9, Centerville , MA Telephone Number: 8 (� 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: 4 Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: ICJ d Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (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 Department of Environmental Protection. The original should be sent to tf e system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS a 99 2 0 1999 /gip 11 E y revised 9/2/98 Page Iof11 ii 'r:^ied on Recycfrd Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART A CERTIFICATION (continued) "ropertyAddress: 41 *W011ey Rd., Hyannis *)caner: Guy Carpenter Date of Inspection: Q? 7 INSPECTION SUMMARY: Check AG B. C, Or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: i B. YSTEM 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. Indicat yes, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked;structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 �r4 r . revised 9/2/98 Page 2ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Prop"Address: 41 Wolley Rd. , Hyannis Owner: Guy Carpenter ` Date of Inspection: 8,2-9 at 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 the ublic health, safety and the environment. 1) YSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 1 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 AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid). 1 OTHER revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropertyAddress:41 Wolley Rd.. , Hyannis ' owner: Guy Carpenter Date of Inspection: ti 4 D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this etermination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes o Backup of sewage into facility-or system component due to an overloaded or clogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. . Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E. LAR E SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: he following criteria apply to large systems in addition to the criteria above: he system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The ow er or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office o the Department for further information. revised 9/2/98 Pagc4ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. = PART B CHECKLIST Property Address: 41 Wolley Rd.. , Hyannis Owner: Guy Carpenter Date of Inspection: .Z>9 q Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ` _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. $/ _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: fz/ _ Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)] The facility owner land occupants,if different from owner) were provided with information on the propermaintananr4a-0f SubSurface Disposal Systems. revised 9/2/98 Page 5ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Drop"Address: 41 Wo l le y Rd.. , Hyannis Owner: Guy Carpenter Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design How: , 0 g.p.d./bedroom. Number of bedrooms(design):, Number of bedrooms (actual):, Total DESIGN flow LIT 6 Number of current residents: Garbage grinder(yes or no): .13 Laundry(separate system) (yes or no)�"; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use lyes or no):J,�6 Water meter readings, if available (last two year's usage (gpd): 1998 68, 250 gal. Sump Pump(yes or no): 1997 , 000 gal. Last date of occupancy: CIQ CO MERCIALANDUSTRIAL: Type f establishment: Design flow: qpd ( Based on 15.203) Basis f design flow Grease trap present: (yes or no)_ Indust al Waste Holding Tank present: (yes or no)_ Non-s nitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last ate of occupancy: O R:(Describe) Last d to of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no)_ If yes, volume pumped: gallons Reason for pumping: a 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed(if known) and source of information: —• Sews"odors detected when arriving at the site: Iyes or no)� C) revised 9/2/9E Page 6of11 I , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 'roperty Address: 41 Wolley Rd.. , Hyannis Owner: Guy Carpenter Date of Inspection: BUILDING SEWER: (Locate on site plan) 47 Depth below grade: — — Material of constructs n: cast iron 40 PVC other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage,-etc.) SEPTIC TANK: llocate on site plan) Depth below grade: ES Material of construction:—concrete metal—Fiberglass —Polyethylene—other(explain) If tank is metal,list age_ Is.age confirmed by Certificate of Compliance_(Yes/No) 7 Dimensions: 16✓ C Sludge depth:_ 4 + Distance from top of sludge to bottom of outlet tee or.baffle: Scum thickness: t ` . Distance from top of scum to top of outlet tee or baffle:_ 2 Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: /1i 2YC J %;: - 'omments: (recommendation for pumping, condition of inlet and outlet tees or baffles, doth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) �i�� AJ �� 1'.Ze GR E TRAP. (locate n site plan) Depth b low grade:_ Material f construction:—concrete—metal—Fiberglass —Polyethylene—other(explain) Dimensi r Scum t ckness: Distanc from top of scum to top of outlet tee or baffle: Distan a from bottom of scum to bottom of outlet tee or baffle: Date f last pumping: Com ents: (reco mendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evide ce of leakage,etc.) revised 9/2/98 Pagc7orii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM , PART C SYSTEM INFORMATION(continued) 'rop"Address: 41 Wo11ey Rd.. , Hyannis Owner: Guy Carpenter Date of Inspection: —g TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or 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 Alarm level: Alarm in working order: Yes_ No_ Date of previous pumping: Comments: . (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evid noe of solids carryover, evidence of leakage into or out of box, etc.) - � C) 96 PU P CHAMBER:_ (Iota a on site plan) Pum s in working order: (Yes or No) Alar s in working order(Yes or No) Co ments: (n to condition of pump chamber, condition of pumps and appurtenances, etc.) revised 5/2/96 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) -roperty Address: 41 Wo 11 e y R d.. , Hyann is , Owner: Guy Carpenter Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan, if possible;excavation not required, location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits;number:_ leaching chambers, number: leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) CESSPOOLS:_ (locate on site plan) L Number and configuration: Depth-top of liquid to inlet invert: (,Q Depth of solids layer: 6 Ij )epth of scum layer: �j� Dimensions of cesspool Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Co m ents: (note 0ndition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRI _ (locat on site plan) Mat rials of construction: Dimensions: De h of solids: C ments: (n to condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) revised 9/2/99 Page 9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Noperty Address: 41 Wo l l e y Rd.. , Hyannis )wrw: Guy 8 q 4er Jate of Inspemon: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) r 1 1 l 6 � b (41 I revised 9/2/98 Page 10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM • PART C SYSTEM INFORMATION(continued) rop"Address: 41 Wolley Rd. , Hyannis Owner: Guy Carpenter Hate of Inspection: `q NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater)9—Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data 1 Describe how you established the High Groundwater Elevation. (Must be completed) revised 9/2/98 Page II of II i Hazardous.Materials Inventory Sheet Checklist 1166 ate hysical Street Address-Check database to ensure it exists orking Phone Number Actual Amounts-(ie.gas being used to fuel machines,thinner to Jean brushes all count as hazardous materials) r/ Storage Information-location of storage,how long Is storage for? If none,note.that. _5� sposal information-where and who?If none,note that. Applicant Signature-understand what is listed and noted 6taff Initial-any questions,know who to ask —=Vehicle Washing/Rinsing? -provide a vehicle washing policy and f explain it-note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures Ip they are doing. Notes need to be left to explain what you discussers with thnm Date: 4 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS N-SITE INVENTORY NAME OF BUSINESS: r R1,au Lj(v) " OW- BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAVAMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHOVF NUMBER: QW0 W- �0 IISDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATI NS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum __ Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW USED Cesspool cleaners 0 Automatic transmission fluid ® Disinfectants Engine and radiator flushes O Road Salts (Halite) Hydraulic fluid (including brake fluid) ® Refrigerants 'C Motor Oils Pesticides 10 NEW USED- k4?Z f cN, -rmay d ® (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas 0P110,, C�v� BYO Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil lLWdq NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal toPrinting ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine 10 Battery acid (electrolyte)/Batteries Q Lye or caustic soda Rustproofers rr Misc. Combustible o Car wash detergents v Leather dyes 0 Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's 0 Paints, varnishes, stains, dyes 0 Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED O Any other products with "poison" labels Paint &varnish removers_,deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor & furniture strippers IL Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers & cleaning fluids O� Q (dry cleaners) Other cleaning solvents QI Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS YDU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to,operate.) Business Certificates are available at the Town Clerk's Office,.1"FL.,367 Main Street,Hyannis, MA 02601 (Town Hall) DATE: Fill in please: APPLICANT'S YOUR NAME: �J-S BUSINESS YQVR HOME ADDRESS: 44/ fl i ' TELEPHONE # Home Telephone.Number r— '^ U1 NAME OF NEW BUSINES I° `('S t. o �./� t' i N��. TYp�OF.BUSINESS. 0� IS THIS HOME cCuPATJON;�� YES NO A Haye you been given approval from th build �givision? -YES NO rt_ ADDRESS OF OUSINESS �.I 's��, f- MAP/RAROE�:NtJM0EA ` a'o - ( 1 When starting a new business.there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.--.(corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SID ER'S pd C This individu ha n infor y permit requirements that pertain to this type of business. MUST COMPLY WITH HOME.00CUPATION RULES AND REGULATIONS. FAILURE TO Au old d igtk4ure �� COMPLY MAY RESULT IN FINES, COMMENT 2. BOARD OF HEALTH This individual has bee 'nformed of the Pmit r q i�ements that pertain to this type of business. MUST COMPLY WITH ALL Authorized Signatu HAZARDOUS MATERIALS REGULATIONS COMMENTS: IS. CONSUMER AFFAIRS(LICENSING AUTHORITY) r This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 1W YOU WISH TO OPEN A BUSINESS? J For Your Information: 'Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR AME in town (which you must do by M.G.L. -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is . required by law. DATE: k Fill in please: i ""a ti'"Iql r APPLICANT'S YOUR NAME/S: BL1S E YOUR HOME ADDRESS: I �n10 a, `L� TELEPHONE #. Home Telephone Number 0 ........... NAME OF CORPORATION: r NAME OF NEW BUSINESS 46 dPXsf S O t TYPE_OF BUSINESS IS THIS A HOME OCCUPATION? YES NO (�� , ADDRESS OF BUSINESS W©tTO - C vt i- M-K MAP/PARCEL NUMBER .[Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'SFOFE This individ Ili s- _ipfUyp mitre requi ements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO 'Au'' COMPLY MAY RESULT IN FINES. OM ENT A 124r)-torj A IF 2. BOARD OF HEALTH This individual has been m d of the permit requirements that pertain to this type of business. MUST r,OMPLY WITH ALL "f HAZARDOUS MATERIALS REGULATIONIS Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICE ING H RITY] This individual has been f rm t 1' ensi requirements that pertain to this type of business. Authorized Signature COMMENTS: TOWN OF BARNSTABLE Date: / TOXIC AND HAZARDOUS M TERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: o CONTACT PERSON: J EMERGENCY CONTACT TELEPHONE NU k ER: 30$ �r �11 �,� MSDS ONSITE? TYPE OF BUSINESS: �S INFORMATION / RECOMMENDATION : Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) � Miscellaneous Corrosive ❑ NEW ❑ USED QD Cesspool cleaners 39 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Q Photochemicals (Fixers) 0 Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED © Degreasers for engines and metal Printing ink 10 Degreasers for driveways&garages 0 Wood preservatives (creosote) (3 Caulk/Grout (0 Swimming pool chlorine v Battery acid (electrolyte)/Batteries Lye or caustic soda Q Rustproofers Miscellaneous Combustible Q Car wash detergents © Leather dyes Car waxes and polishes Fertilizers r3 Asphalt& roofing tar © PCB's 0 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, O Lacquer thinners (including carbon tetrachloride) ❑ NEW -❑ USED- - Any other products with "poison" labels -(including chloroform;formaldehyde,- Paint&varnish removers, deglossers Q hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Q Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers (, Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant Signature Staff's Initials TOWN OF BARNSTABLE LC)CAT;ON IV'4I14. SEWAGE VILLAGE tt&4 A^ ASSESSOR'S MAP & LOT _ it INSTALLER'S NAME & PHONE NO. G`a (0) -s SEPTIC TANK CAPACITY LEACHING FACILITY:(type),57d.-,o <,i1C NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ...4cf Cic DATE PERMIT ISSUED: , DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Lf ___ r� �r / �� � i�� ,. i �I -�G� ��' \. ti I � � . �� .f � 0 No.. ............. ... Fps. 30.00........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE App iration for Diipnaal Workii Tomitrurtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ...• ....... - ------------------- ............................................... Location-Address or Lot No. ....41 Wolley Rd Hyannis........................ --- .ey _........... ---•.................•----.._..._..---.......----..........-•-•-•-•---.........._•---•---........_ Qwne Address W W.E. Robinson Septic %ervice P.O. Box 1089 Centerville ,-I -----•--- ........- Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......3....................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ..._._ No. of ersons____________________________ Showers � YP g ------------------•-- P ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------------------•---------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity__._._.__._gallons Length................ Width--................ Diameter---------------- Depth................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ---------------------------------------------------•------------------•-•----------.._.._------••---......................................................... 0 Description of Soil--------sand------------------------------------------------------------=--------------------------------------------------------------------------------------- W V ._....-•-----------------------•------._....._._..----------------------•-------------....._...---._...-----------------------------------------...----------•---•--•--••------------------------------- W x ------- ------------------------------------------------------------------------------•-------------------------------------------------------------------------------------------------------•-------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ stonepacked overflow ----------------------------•--------------••-------------------------------------------•-•--•-•--------------•------------------------------------------------------------------------•-------•---•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The up4ersigned furthe agrees not to place the system in operation until a Certificate of Compliance has been issue the oard of he t . Signed ............................ / ............................ Dace Application Approved By ................. / J.. �e +e., .-..........-------...-..........-..------------------------------------- f�.�.�a---.��:c),. Dace Application Disapproved for the following reasons- ------------------------_ -- ------------------............----------------..................--........-- ---................. .......... ......................... . .. .......................... ...... .. ........ .................. .. . ...................................... .................. .......... ...................................... y Date PermitNo- ........... 1� ------------_-- Issued .................................. Daw o � � r 630 4 00 No.-—="= _....... Fps........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD i OF HEALTH TOWN OF,BARNSTABLE _. Appliration for Diupuuttl Works Tonotrnr#iun ramit Application is hereby made for a Permit to Construct ( ) or Repair (X)' an Individual Sewage Disposal System at: --- t.Ce ar............ .. .......••.............•••....... Location-Address or Lot No. 41 WolleX Rd Hvannis .----•------._................... ................................ ..---...............--------•-------•-•----.......•-----...--•--••••--.........................••. Owner Address a W.E. Robinson Septic Service P.O. Box 1089 Q�nterville Installer Address UType of Building Size Lot............................Sq. feet I—. Dwelling—No. of Bedrooms...... .....................................Expansion Attic ( ) Garbage Grinder ( ) a� Other—T e of Building g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -•---•-••-•---------------•----•----•-------------•--------...••----......------....•-------••-.........-------••-------........--------•----••-•............ 0 Description of Soil.........sand -----------------------------------------•--------------------------------------------------------....-----------------••--•-•------••-•--•--------- x w UNature of Repairs or Alterations—Answer when applicable............................................................................................... stonepacked overflow ..-----•---.......-=.................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The u ersigned furthee7ygrees not to place the 4 system in operation until a Certificate of Compliance has bee issue e Ycoard of h ltll. Signed .-vl _:.. /..... Date Application Approved B Date Application Disapproved for the following reasons- ............................................................-------.................................................................. ----------------..............................------------------------ ----- ------------- ----------------- -----------------................................................... --------------------------------------- PermitNo. ........... ..-------4..3_0---- ---------- Issued -- ---------------------..............................Date- - Date THE COMMONWEALTH OF MASSACHUSETTS ; BOARD OF HEALTH TOWN OF BARNSTABLE GPr#tft.eate of C�untlatia tre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (I X ) by....W.E.....Rob nson Septic. ----------------------------------------------_--------: - - ------------ --------------------------------------------------------------- ----------------- 41 Wolley Rd Hyannis Installer ------------------------------------------ has been installed in accordance with the provisions of TITLE 5 o The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......- ---1.3.o....... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - ........ ... ------..1..----................----------- Inspector .................. -------- ............. ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH qq TOWN OF BARN TABLE No....l.. .-0� �� Fss..$30.00....... Disposal Works C�unu �ttr iun Fermi Permission is hereby granted.... 1�E....Rgblrls��..S nt ,c `'Q�'-y,c' ............................................................... to Construct ( ) or Repair ( X) an Individual Sewage Disposal System y at No. .........b.tn.1+.. . ...................... ¢ .. --- --- -------------•------------•.............. .......... . ... Street- -----• as shown on the application for Disposal Works Construction Permit No./07......-........�-3K.. Dated........................................... ^ •----------••-------------•---•.. ....................................................... of 2 Board of Health DATE.......... -�------------•----------•-------------------•--•------•----• FORM 36508 HOBBS&WARREN.INC..PUBLISHERS FINISH GRADE OVER D-BOX= 49.0'± FINISH GRADE OVER CHAMBERS = 49.0' - 49.2 3/4"TO 1-1/2" DOUBLE WASHED G C N F R A I__ t V OTC f T.O F. EL.= 50.T± o STONE TO CROWN OF PIPE- PROVIDE EXTENSION RISER r-REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2!o MIN. OVER SYSTEM 1_ UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLE f & RISER TO WITHIN 6"OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL OUTLET TO WITHIN 6"OF F.G. 4" SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORTwICOVER 2'OF 118"TO 1/2" DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. FINISH GRADE , TO GRADE(SEE NOTE#21) STONE OR GEOTEXTILE FILTER FABRIC ' F.G. OVER TANK EL. =49.5 f 5" DIA. OUTLET(S) @ END. EL.= 49.8 ± r _ 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE I - I PLACE RISERS ON DESIGN ENGINEER. PROPOSED 4" 9"MIN. I 9" MIN- TOP OF SAS= 46.73' ALL PIPED INLET 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL - EXISTING 4" ► ( 36" MAX. } 45.90' 36" MAX + CHAMBERS TO9 SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE / SE R Pt,C i j , I , ` -- ! I BREAKOUT EL = 46.40 - r + + WITHIN 6"OF_f� �-� / SEWER PIPE ! J I } i I o o� FINISHED GRADE ! 4 TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN ' --�-- - 3" DROP MAX t �_$�j'± �_�__.� ELEVATION =46.40' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS UNLESS A 6 3 2" DROP MIN 3 % + PROVIDE WATERTIGHT 0o i tiyirr.s�orE r� r�-JOINTS (TYP.) � I � i 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.AS AND THE TOP OF i I 13"1 { l ^� \ 4" PVC IN FROM i �� L o 00 I L= C oo THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION �._.I I 14"j \ -*47.3' SEPTIC TANK i 4" PVC OUT TO Q!! CONTRACTOR TO PROVIDE - - 0 LEACHING FACILITY �- oo U �i t o 0 cl:D1 I 0 5. SLOPE ALL SOUR PIPE AT 1.0°fo MINIMUM. SPECIFIED DROP BETWEEN 1 00 CC 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET CONTRACTOR I CONTRACTOR SHALL ' 12 a o 0 C) 00 OUTLET TEE 46.27 MIN. 46.10 �- o 0 0 0 0 0 0 0 0 00 0 0 o a o 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48" VERIFY CONDITION OF \ 1' �000 0 00 0 0 0 oa ao 0 00 0 00 0 0 0 0 00CICD D o oa f oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE + o0 00 o0 0o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY 1.5' � (TYP.) 1.5' y� AND DESIGN ENGINEER. TANK NECESSARY COMPACTED BASE � 6.0' 2.0' (TYP.) 2.0' 3.0' 8. ELEVATIONS BASED ON APPROXIMATE M S.L. DATUM. BENCHMARK ELEVATION OF 50 00' 5 OUTLET DISTRIBUTION BOX + 39 0 i ESTABLISHED ON A NAIL SET IN UTILITY POLE AS SHOWN ON PLAN. I TO BE INSTALLED ON R LEVEL STABLE 43.90' GROUND WATER ELEV.= 37.50 L ? -i 7.0 -� 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION (- BASE FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. 5' MIN. --J THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES EXISTING 1 ,500 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW LC-6 CHAMBERS TO THE DESIGN ENGINEER. TYPICAL CHAMBER PROFILt CHAMBER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ELEVATION i`' i- �v VERIFY EXISTING ���.,�'.��_' -�_� � � ����� DISTRI � .DTI °�' DETAIL � t✓HAMSER DETAILS ONTr �,� � LJ 1 � N PRIOR TO ANY WORK& NOT TO SCALE NOT TO SCALE -� _ _-�_ _ NOT TO SCALE ,V ___ _ 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTIFY ENGINEER IF DIFFERENT -.__... __-.-.-- -__ __.. -._____ __ ______.__-- -_._..____-.-_.-_L..__-_- ____..__.-_.___.,-�-.--____ _ I REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM '''' '�if�.,jr -� -'�' ;'-. .??• • L-, r`"''°� '' -y "' • -: EST P I � �TA APPROPRIATE AUTHORITY. •;;' tM► "" PERC NO. TPT-20-229 • " ,t �_ r , , ; �,;', ) • 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED •� '• i � , INSPECTOR Donald Desmarais(B_OH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT. DRIVES.. OR '= '�. 1 �T q • �.; " t TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING- t zO N EVALUATOR Michael Pimentei, EIT, CSE 4 ,/ f ��t r r' C.S.E. APPROVAL DATE, Oct 27; 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE.OF ALL DIRT, DUST AND FINES. ' <3.r DATE. October 30, 2020 CONTRACTOR SHALL REMOVE ALL LOAM. SUBSOIL AND UNSUITABLE -- 114. WHERE REQUIRED, CON C J r r ,t; •t rA ,,; - MATERIAL IN AREA BENEATH AND FOR 5 FT ON ALL SIDES OF LEACHING FACILITY. 111 TEST PIT #: ✓ '° • / a - - REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, •* ` /`;��:+ ELEV TOP= 48.80' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). / • + ' I� ELEV WATER= < 37.80' 115, CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN MAP 27O + • • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. i` ,� d PERC RATE _ < 2 min./inch LOT 95 MAP 270 4 !+ 16. PROPOSED PROJECT IS LOCATED WITHIN: F LOT 162 / I __._ DEPTH OF PERC = 32" - 50" i r...,. ASSESSOR'S MAP 270 LOT 161 TEXTURAL CLASS: 1 _ OWNER OF RECORD. JOSE T. AGUILAR a N7g 130'00 EXISTING 1,500 GALLOi °�~ r • • " -- - �_.--- -------- - 6'QO^w SEPTIC TANK TO BE USL: „ ` • ' - IP SHED 1' IN THIS DESIGN. PLUG 4t • • .`' f LOCO C� �^ 0„ 48.80' ADDRESS: 41 WOLLEY ROAD EXISTING OUTLET ' ..�...R �7 Fili _ HYANNIS, MA 02601 g rBenchmark / I -- a ....r_ Nil in U P.#3 12" _e.-- -+ 47.80' g a Set FEMA FLOOD ZONE X 49x3' Elev. =50.00' • `• , yt � � =i, I �. �t auttet Loam Sand ""+•�...�,. * • � B Y COMMUNITY PANEL# 25001C0564J Approx. MSL 1 • `PpUEU DRIVE_ f + • �.. '� `. _ 17. DEED REFERENCE: BOOK 18918, PAGE 233 PROP. SIX (6) LC 6 A tt -� s • �$ ty&Ti 32" - 46.13' CHAMBERS WITH G 49x2' N W 2 �. $, i'• 18. PLAN REFERENCE: PLAN BOOK 226, PAGE 151 AGGREGATE " O Oj j 1 ,y,�nN{ - U.P.#3 .'. •' , ;`� `" Perc 49x3 - ��1/v� � - zr � • 2 H '`, A RESTORED TO ORIGINAL CONDITION. ( Oj / /, �. 5Cr I �4.63 19. ALL DISTURBED AREAS SHALL BE S 4.8 f a ``, _ "A � 20 PROPERTY LINE INFORMATION IS ONLY APPROXIMATE THIS PLAN IS TO BE USED ONLY PROPOSED � ``� % ,'- p, 30" �. -� � � ' ONC. SLAB "-� """�- .; •t" . ,, ' x : �:---' ! FOR SEPTIC SYSTEM UPGRADE JC ENGINEERING WILL NOT ASSUME ANY LIABILITY DISTRIBUTION BOX � '._ ;. 0 o TOF=50.T+ tU FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ``' 'y('I•`,. . , �X': Med. to Coarse Sand ' 21 A 4" PERFORATED SCH 40 PVC PIPE SHALL BE PLACED IN A VERTICAL 49x4 / W l x ` !: ' '' +� C 2.5Y 6!6 I R L POSITION TO A r w _ EXISTING SEPTIC " • . •. ` '� ` "'� ;.� DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A f3 l COVER • , REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. oo a`� ' 22. OWNER /APPLICANT/ CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL C�� ; / �. _,�\ EXISTING SAS TO BE N REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. MAP 270 r.;�N O #a1 , ABANDONED (LOCATION LOCUS PLAN LOT 96 fJ. ` �} 48,PER AS-BUILT CARD) 23. IN ACCORDANCE WITH 310 CMR 15.401 - 15.405,THE FOLLOWING LOCAL UPGRADE EXISTING co o ) APPROVALS ARE REQUESTED FROM 310 CMR 15.211: 3-BEDROOM SCALE 1" = 1000' 132" 37.80' (1.) A 9.4'WAIVER (20.0' - 10.6') FOR THE SETBACK FROM THE SAS TO HOUSE FOUNDATION. M DWELLING (3) 20" 49x8' / ---EXISTING SEPTIC COVER No Mottling, Standing or Weeping Observed 7p (TO BE PUMPED, FILLED wr/ ------ - ----- - ---- 6' s' / ( - z_ �`� f SAND ABANDONED) DESIGN DATA TEST PIT nA.TA LEGEND �l TREE Q ,gApR r/ m ` PERC NO TPT 20-229 PROPOSED T INSPECTION PORT �'X HOC I / NUMBER OF BEDROOMS 3 INSPECTOR: Donald Desmarais BOH 50xO' EXISTING SPOT GRADE / Cl)/ EVALUATOR. Michael Pimentei, EIT, CSE O MAP 270 2" 0) / DESIGN FLOW 110 GAUDAY/BEDROOM - - - 50 - - EXISTING CONTOUR (4 LOT 161 / C.S-E. APPROVAL DATE: Oct. 27, 1999 G� ,.0, C-2 7,500±S.F. J TOTAL DESIGN FLOW 330 GAUDAY October 30. 2020 50 PROPOSED CONTOUR DATE: SHED � � _ / �� �ti i EXISTING HOUSE ROOF DESIGN FLOW x 200 % = 660 GAUDAY TEST PIT#: 2 50 PROPOSED SPOT GRADE I / o (3) \` �'�'"~� 9x3' // +` DW �i RUN-OFF DRYWELL TO BE USE EXISTING 1,500 GALLON SEPTIC TANK GAS EXISTING GAS LINE // REMOVED(APPROX. LOCATION) ELEV TOP= 48.50' _ ELEV WATER = < 3i 50' J GAS -1 GAS ------- - -�- --- 0/H/W EXISTING OVERHEAD UTILITIES GAS--�-- GAS GAS / PERC RATE _ EXISTING GAS LINT S? \ ------- --- LOCATION PER 6 36`00,E / '�, EXISTING LEACHING INSTALL 6 LC-6 LEACHING CHAMBERS DEPTH OF PERC = W wY EXISTING WATER LINE DIGSAFE FLAGS a00.00' 49 r `yam' CATCH-BASIN --- TP 1 0 0 '�\ ' w/ AGGREGATE TEXTURAL CLASS: 1 TEST PIT LOCATION MAP 270 TP 2 ` MAP 270 �����--•�,1� 4�� ti ��' '� Cl) � � SIDEWALL CAPACITY - - - o EXISTING 1,500 GALLON SEPTIC TANK LOT 2 LOT 160 48x5 \ t- (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S F.) - GAUDAY co 9-' (39.0' + 7.0') (2) ( 2' ) ( 0.74 GPD/S.F.) = 136.2 GAUDAY 0" 48.50' J Fill PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE ! > 12" 47.50' BOTTOM CAPACITY Loam Sand 0 PROPOSED DISTRIBUTION BOX -_! 4 (LENGTH x WIDTH) (0.74 GPD/S.F ) = GAUDAY B 1 10Yy 5/6 --1 I ! PROPOSED LC-6 CONCRETE LEACHING CHAMBER Oa (39.0' x 7.0') (0.74 GPD/S F ) - 202 0 GAUDAY � 32" 45.83' -- - -----� } 1 1 12-9-20 MCP JLC Relocate new SAS to rear of lot&change to LC-8 chambers TOTALS: F REV. I DATE BY APP'D DESCRIPTION TOTAL NUMBER OF CHAMBERS 6 + I PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING AREA 457.0 SQ.FT. NOTES: TOTAL LEACHING CAPACITY 338.2 GALJDAY PREPARED FOR: Med. to Coarse Sand ROBERT B. OUR CO., INC. 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE C 2.5Y 6/6 TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. LOCATED AT 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE 41 WOLLEY ROAD LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN HYANNIS, MA 02601 SWING-TIES REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS I --------- __ j SCALE: 11NCH = 10 FT DATE: NOVEMBER 10. 2020 DESCRIPTION HC-1 1 NC-2 ARE NOT CONSISTENT WITH TEST PIT DATA. I 132" 37.50' i p ti 10 20 40 FEET 3.) PROPERTY IS LOCATED WITHIN THE WELLHEAD No Mottling, Standing or Weeping Observed pa�' °f "'9Ss,h - CORNER OF STONE (1) 22.9' 43.8' PROTECTION OVERLAY DISTRICT. - i r° JOHN L. yes PREPARED BY: CORNER OF STONE (2) 16.T 40.3' RESERVED FOR BOARD OF HEALTH USE o CH CHILL JR. JC ENGINEERING INC. 4 ) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS N CIVIL 2854 CRANBERRY HIGHWAY CORNER OF STONE (3) 49.8' 18.1' A COURTESY FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING ' !s EAST WAREHAM, MA 02538 SITE PLAN THE SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF I CORNER OF STONE (4) 52.2' 25.0' - - -- _ MEASUREMENTS APPEAR TO BE INCORRECT. 508.273.03 SCALE: 1"= 10' YDesigned Drawn B MCP By MCP Checked By:JLC JOB No.5376