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HomeMy WebLinkAbout0082 WOODLAND AVENUE - Health 82 WOODLAND AVE. , H'YANNIS A = 269 064 i `f 6 1 i COMPLETE •N COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery is desired. X nt IN Print your name and address on the reverse see so that we can return the card to you. B. Received by(Printed Na ) Date of ry ■ Attach this card to the back of the mailpiece, ro or on the front if space permits. D. Is delivery address differen ftem 1? 1. Article Addressed to: If YES,enter delivery addre w: ❑ '0S f 1 1 Stephen Bobola I j 24 Saint Francis Circle; 3. ServlceType i Rifled all Feeptu,:rRM=pt Hyannis, MA 02601 Reglstered for Merchandise ❑Insured Mail O.D. a 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number •�•° (Transfer from service label) , f 1 +11 10 0 5 116 0 0 0 0 0 019 0 9 0 4'S PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Aj Town of Barnstable j � Health Division 200 Main Street Hyannis,MA 02601 1 i�lty�►le����l�,�r�i�ul,t1�i11��3i1�t��et1111�1t1�,tU1'1►�t1 Bk. 23232 P's255 ;5!5002 1 —24--2 to Q 03=55w T CD Q MASSACHUSEMQUITCLAIM DEED We, Carolyn Bobola and Stephen Bobola, of Hyannis, MA m IN CONSIDERATION OF ONE HUNDRED NINETY FOUR THOUSAND AND NO/100 DQLLARS(U.S. $194,000.00) PAID Q v GRANTTO LINDA M. LEPOERand•SCOTT F. LEPOER, as Husband and Wife, a as Tenants by the Entirety, of 352 Ball Hill Road, Paxton, MA01541 -a With Quitclaim Covenants N C The land, together with the buildings and improvements thereon, situated in the Barnstable (Hyannis), County of Barnstable and Commonwealth of Massachusetts, being LOT 1 on a plan of land entitled "Property of Edward J. Chaplin, Scale 1 inch = 40 feet, May 29, 1964, E. D. Kellogg Civil Engineer, Osterville, which plan is recorded at the Barnstable County Registry of Deeds in Plan Book 186, Page 39. Subject to and with the benefit of all reservations, restrictions,*easements, covenants, and conditions of record insofar as the same may be in force and applicable. Meaning and intending to convey the same premises conveyed to the within grantors by deed duly filed with Barnstable County Registry of Deeds in Book 22885 Page 128. Town of Barnstable F 1He r Regulatory Services Barnstable �P o Thomas F. Geiler, Director Public Health Division * BARNSTABLE, MASS. g Thomas McKean, Director 16;9. ♦� 2C3C1 t g',,rEn ra 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 26, 2009 Stephen Bobola 24 Saint Francis Circle Hyannis, MA 02601 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 82 Woodland c Avenue, Hyannis. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at NA�vw.town.barnstable.m.a.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2009 fees included. This must be completed within (14) fourteen days of your receipt of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy B. O'Connell, R.S. Health Inspector Health Division Direct #508-862-4646 TOWN OF BARNSTAB_ LE r �' LOCATION 0114— �"6� f�^�D' f;' SEWAGE #DX \.`IL LAGE ASSESSOR'S MAP & LOT G,�e INSTALLER'S NAME&PHONE NO A)t<w 4oy3' SEPTIC TANK CAPACITY I a LEACHING FACILITY: (type, 1 3o-q S(size) x ��,�6 X NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: 6 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 zb o Q o � � 6 © A No.. � 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓:� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �Diqoal i§p5tem Con.5trurttott Permit Application for a Permit to Construct( ) Repair Upgrade( Abandon( ) )—komplete System ❑Individual Components Location Address r}�of No �1 ` / Owner's Name,Address,and Tel.No. A0-- � w��v_C f �pNi✓! 3 Si�"v ��So�l4 fi'ssessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. _ 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.requi•ed) 3 gpd Design flow provided 3 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 t4is-Board of Health. i c Signed'' Date Application Approved by Date 4,f Z 1; ®b Application Disapproved by: Date for the•following reasons Permit No. Z 00 g;- f 6a Date Issued y— �rf� vivo Fee /00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS I- Yes Rp Yicatiou for Misspogar 6p5tem Construction Permit Application for a Permit to Construct( ) Repair(y� Upgrade( Abandon( E"<omplete System ❑Individual Components Location Address or JLot No. �l Owner's Name,Address,and Tel.No. r ¢ �GI,114 A's"sessor's Map/Parcel d S G; Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building Lr _S No.of Persons Showers(' ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd Design flow provided 3 , 7 gpd Plan Date r` /�� / �� Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 B-o~aarrd of Health. Signedr�/ r f r Date Application Approved by �^' Date y/2��405 Application Disapproved by: Date —� for the following reasons f Permit No. Z.00 S /6,' Date Issued �7& 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 A 6? /7 at „i / a f ie H has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �-� =`-� �%� Designer L1! 6L.✓a #bedrooms _1' Approved design flow _.j �� �' )� gpd The issuance of this permitttshall not be construed as a guarantee that the system wi 1 fln/ion as d 'seas d signed. Date f 1.l taC/ Inspector F U J No. Q fj-�/(01 Fee /a76 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS wi5poO16pgtem Con5tructiott ,ern�it Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at c 1���� �iF' Z and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. PY Provided: Construct on must be completed within three years of the date of this permi Date e2 �2� Zoo r' Approved by ("law 121 08 04: 07p P- 1 "gown of Barnstable Regulatory Services -�- Thomas F. Ceile r Director 1rn1LY,'tYt� ^ � t)C AD 6 Public Health Division Thomas IVIAQsln, Director r% 200 Main Street, Hyannis,V9,k 02601 Fax: 508-190-t)3o,t Installer & Designer Cert;fication Fox-In Assessor's �1ap1i'arce 6 7 Installer: y�✓C ` —i-- talle'r•• /'y G/� C 6 ,e/.S'T Address:' c � 1��� ��- �— Address; — --- �n -._ •�/t/fit/C.1 OU e, � �— �-�� _ was issued a permit to install a (date) �installcr) sL l:tic: system at _.��J JL' P� Lam based on a desi.,ry drawn h� (address) dated 1 certify that thc septic system referenced above was installed substantially .iccordins to tie design, which may 'Include minor approval changes such as distribution box and/ septic tank. -•, I certify that the septic System referenced above was installed with major. chap-es (i.e. .areater than 10' lateral relocation of the SAS or any vertical relocation o; ary co mponctit Of the septic system.) but in accordance; with State & Local Regulations. ?'h;n revision or certified as-b "It by desumer to follow. OF !" DA E (I )staller's S'Iinaturc _..._(Desi`ner's Signatui°e (AFfix•Uesignc,'s Stamp Iiere) - FILE,ASE RETURN TO 3,kRNS-r ARLf, PtJRL1C IfE LTH DIVISION CFYZTIF(C,,kTE: OF t-t-LII�1PLI.: CF, WILL NOT 13E: ISSUED UNTIL BOTH THIS F011M AND nS-131111,T CARD ARE tvl y) BY THEBARNSTABLE PUttl_IC 11E.rH DIVISION. THANK YOU Q: I kakhu5cp6c,'Dv igner Certification Form 3-26-adoe Town of Barnstable �p'THE t� Regulatory Services •ARNSfASLE Thomas F. Geiler, Director MASS. A 9�A 1639: , Public Health Division >Fp tAA�[► Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 FINAL ORDER July 18, 2007 David Holt Today Real Estate 1533 Falmouth Road Centerville, MA 02655 Re: 82 Woodland Ave. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 82 Woodland Ave,Hyannis,MA was last inspected on April 3rd, 2007,by Michael DeDecko, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. System is going into hydraulic failure. You-were given 60 days from the date of the system failure April 3�a, 2007, to bring the system into compliance. Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. You may request a hearing before the Board of Health, a written petition requesting. a hearing on the matter,within seven (7) days after the day this order was served. - BARNSTABLE HEALTH DEPARTMENT � om A. McKean, R.S., C.H.O. Agent of the Board of Health a&paw � D CO .. • CEI Ir Ir OFFICIALASE rl 0 Postage $ . 3 Nis M 00 certified Fee �.c� 0 - O Return Receipt Fee / .(�D P Here Oj O (Endorsement Required) /''! MAY 1 -2007 Restricted Delivery Fee —0 (Endorsement Required) Total Postage&Fees y u-1 VSPs TO cl jNw d }z atz- Today W ea.L ziseat e (` Sfreet Apt:No..;------------------- --- - orPO Box No. /J73 AZ(-1"DLlt4 72�j4 d City,State,NO; -------- -------- ------------ C1J�C rvi<i- � IN A' d.?l. Wt Certified Mail Provides: o A mailing receipt ' (es ,a)zooz eunr'ooas wjod Sd o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: ® Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt setwce,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ® For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". * If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery,information is not available on mail `addressed to APOs and FPOs. • • COMPLETETHIS SECTIONIONDELIVERY ■ Complete items is 2,and 3.Also complete A. Sin re item 4 <) if Restricted Delivery is desired: X ❑Agent e Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Print Name) C. Date of Delivery e Attach this cans to the back of the mailpiece, or on the front if space permits. G'j-p , D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Dav7HoltTocltate 1.53 Road 3.'ServiceTypeCen .a �?2632 ❑Certified Mail ❑Express Mall I ' ❑Registered ❑Return Receipt for Merchandise I ❑Insured Mail ❑C.O.D. j- 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M 15ao UNITED STATES(060-'Q6g AA ff "02, � • Sender. Please print your name, address, a_nd ZIP+410--this box• PUBLIC HEALTH DEPARTMENT TOWN OF BARNSTABLE #; 200 MAIN STREET N HYANNIS, MA 02601 I ' I I I I Town of Barnstable s �OF.ZHE Tp�� yP o� Regulatory Services BARNSrABLE, Thomas.F. Geiler, Director MAS3 . Public Health Division TfD MA'S�` Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 30, 2007 David Holt Today Real Estate 1533 Falmouth Road Centerville,.MA 02655 Re:.82 Woodland Ave. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 82 Woodland Ave,Hyannis, MA was last inspected on April 3rd,2007,by Michael DeDecko, a certified septic inspector for the State of Massachusetts. The inspection of the septic.system showed that the system"Failed".under the guidelines of 1995 TITLE 5 (310 CMR 15.00).due to the following: Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. System is going into hydraulic failure You have 60 days from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT McKean, S., C.H.O. Agent of the.Board of Health f ' commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 4/3/07 ----"-- every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. a-7 a- Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your MICHAEL DEDECKO cursor-do not -6 use the return Name of Inspector .»., key. COMPASS REALTY DEV CORP _ Company Name 'i r8n P.O. BOX 2384 Company Address {':' MASHPEE MA -° ` 02649 r�mm CitylTown State Zip Code- 508-221-5003 r°- Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on 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: ❑ Passes ❑ Conditionally Passes 56'-Fails ❑ Needs Further Evaluation by the Local Approving Authority e 4/3/07 Inspector's Sign ture Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater;the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 4/3/07 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 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: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old' or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank 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: ❑ 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 281 OLD MEETINGHOUSE.08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments �a 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for — every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1.-System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 281 OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE -- Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 _ Owner Owner's Name information is required for HYANNIS MA 02601 4/3/07 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System stem Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ �/ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less L� than '/z day flow ElNJlk Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ [�/ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or u tributary to a surface water supply. 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address _C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 _ Owner Owner's Name information is required for HYANNIS MA 02601 4/3/07 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ LJ' 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- / 10,000gpd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 281 OLD MEETINGHOUSE-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 82 WOODLAND.AVE -- Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for State Zip Code Date of Inspection every page. City/Town C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ Z Pumping information was provided by the owner, occupant, or Board of Health ❑ Rr"" Were any of the system components pumped out in the previous two weeks? ❑ Has the system received normal flows in the previous two week period? ❑ 2/ Have large volumes of water been introduced to the system recently or as part of this inspection? ❑/ ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) E� ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? ❑ Were all system components, excluding the SAS, located on site? ❑ ` [[� Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Lid 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: 2/ El 'Existing information. For example, a plan at the Board of Health. 2' ❑ Determined in the field (if any of the failure criteria related to Part C is at issue I approximation of distance is unacceptable) [310 CMR 15.302(5)] 2810LD MEETINGHOUSE-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 r ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):- Number of current residents:, Does residence have a garbage grinder? ❑ Yes E�<o Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes M--"No Laundry system inspected? ❑ Yes Cg<o Seasonal use? ❑ Yes No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ��No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑. Yes ❑ No Water meter readings, if available: -- Last date of occupancy/use: Date Other(describe): 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 82 WOODLAND AVE --- Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/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: Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 281OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for -- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: --- --- feet Material of construction: cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle - 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 --- How were dimensions determined? — 281 OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for - every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: ---- Scum thickness Distance from top of scum to top of outlet tee or baffle ----- --- ------- Distance from bottom of scum to bottom of outlet tee or baffle ----- Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: ---- Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 f commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 _4/3/07 required for — — -------- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: - -� Capacity: gallons Design Flow: gallons per day .Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert — Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 281 OLD MEETINGHOUSE-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form -_ - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 4/3/07 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: — ❑ leaching chambers number: — - ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: -- -- ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 I ` Commonwealth of Massachusetts Title 5 Official Inspection Form �.. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVIL_LE M_A_0_2.6.32 Owner Owner's Name information is required for __HYANNIS MA 02601 4/3/07 . ---- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 26�0y`J - 6� Depth -top of liquid to inlet invert Depth of solids layer / --- Depth of scum layer — Dimensions of cesspool > Materials of construction Indication of groundwater inflow ❑ Yes No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 'c _ i Se, ll,\<i i �t G. i�Z.,�1_�t?;rt ",• a 4 :1/st.0 - — Privy (locate on site plan): Materials of construction: Dimensions - - Depth of solids — Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 261 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 N ' Commonwealth of Massachusetts s� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address --� — — -- C/O_DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name ----- information is required for HYANNIS MA 02601 4/3/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. y� t�l I '-7 2810LD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 v •� r� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 82 WOODLAND AVE Property Address -- C/O DAVID HOLT TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 4/3/07 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: L`J Check Slope ,V/sSurface water Check cellar ❑ Shallow wells Estimated depth to ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate --- ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I V✓• O— . . I 281 OLD MEETINGHOUSE-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 L - LOMMONWEAL`l'1I OF MASSACIIUSE'1"I'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT or, ENuZONMENTAL PRO1=CCTION ONF, WINTER.STREET, BOSTON MA 02109 (617) 292-5500� I S EP 2 6 20 41T)y COXE wmop 350 MAIN STREET P�gw �RVAfSTASLE Secretary WEST YARMOUTH, MA D&T. ARGEO PAUL CELLLICCI & DAVI.D B. STRUIi.S Governor 508-775-2800 (iommissinner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A MAP 269 PAR 046 CERTIFICATION ►21�:3 0`eT t C7'f-Z PROPERTY ADDRESS: 82 WOODLAND AVENUE, HYANNIS ADDRESS OF OWNER: DATE OF INSPECTION: AUGUST 22, 2000 STANLEY HARRINGTON NAME OF INSPECTOR : JAMES D. SEARS I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT 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: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: AUGUST 28,2000 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 the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. revised 9/2/98 1 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART A CERTIVICATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 INSPECTION SUMMARY: Check A, B, C, orD: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. 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. Indicate 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 is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming 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 pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled 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 revised 9/2/98 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH 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 1 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 and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER 6 revised 9/2/98 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22,2000 D]SYSTEM FAILS: N/A You must indicate either"Yes"or"No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 16.303. The basis for this determination is identified below. The Board of Health should be contacted to Determine what will be necessary to correct the failure. Yes No 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 over- loaded 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'%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 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) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: The 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 mapped Zone I I of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. I revised 9/2/98 4 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 Check if the following have been done:You must indicate either"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 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. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X 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: X Existing information.Ex. Plan at B.O.H. X 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)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. revised 9/2/98 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 3 Number of bedrooms(actual): 3 Total DESIGN Flow Number of current residents: 2 Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: OCTOBER 1999—A&B CANCO System pumped as part of inspection:(yes or no) N/A If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM Septic tank/distribution box/soil absorption system X Cesspool X 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: UNKNOWN Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction _ 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: N/A (Locate on site plan) Depth below grade: Material of construction concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: 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: How dimensions were determined Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) 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: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) revised 9/2/98 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22,2000 TIGHT OR HOLDING TANK: N/A (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: N/A (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) 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.) revised 9/2/98 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,if possible;excavation not required,but 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, ONE Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) ONE OVERFLOW BLOCK POOL T DEEP.COVER 16"BELOW GRADE. 1'WATER IN OVERFLOW,STAIN LINE AT 2' FROM BOTTOM. CESSPOOLS: X (locate on site plan) Number and configuration: 1 Depth-top of liquid to inlet invert: 4" Depth of solids layer: 12" Depth of scum layer: 2" Dimensions of cesspool: T DEEP Materials of construction: BLOCK Indication of groundwater: NO inflow(cesspool must be pumped as part of inspection) Comments:: (note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.) MAIN POOL BLOCK,COVER 10"BELOW GRADE.ONE INLET,NO TEE.ONE OUTLET WITH TEE.MAIN POOL AT WORKING . LEVEL. PRIVY: N/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.) revised 9/2/98 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100'(locate where public water supply comes into house) fig•' �'� i� �%� 1�.� ) �� I,. 75 C revised 9/2/98 10 �.a� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner:. HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Ground water depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to no groundwater 11'6" Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record X Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(Must be completed) NOTE: HAND DUG TEST HOLE, TEST HOLE NOTED ON PAGE TEN. TEST HOLE 3' BELOW BOTTOM OF SYSTEM II PIT. ' revised 9/2/98 11 COMMON WEA1;1.')I OIL MASSACHUSET'I'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVI-RONMENTAL PRO'FECTION ONE WINTER.STREET, BOSTON MA 02.108 (617) 292-5500 TRI.TDY COXE 350 MAIN STREET Secretary ARGEO PAUL CELLUCCI WEST YARMOUTH, MA DAVID R. STRUMS Governor (, 508-775-2800 Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A MAP 269 PAR 046 CERTIFICATION 12�h0 2T 2_ PROPERTY ADDRESS: 82 WOODLAND AVENUE, HYANNIS ADDRESS OF OWNER: DATE OF INSPECTION: AUGUST 22, 2000 STANLEY HARRINGTON NAME OF INSPECTOR : JAMES D. SEARS I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 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: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: AUGUST 28,2000 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 the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. revised 9/2/98 1 II + it SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIVICATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 INSPECTION SUMMARY: Check A, B, C, orD: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. 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. Indicate 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 is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming 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 pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled 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 III revised 9/2/98 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22,2000 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH 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 1 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 and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 D]SYSTEM FAILS: N/A You must indicate either"Yes"or"No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to Determine what will be necessary to correct the failure. Yes No 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 over- loaded 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'%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 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) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: The 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 Check if the following have been done:You must indicate either"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 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. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X 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: X Existing information. Ex.Plan at B.O.H. X 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)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. revised 9/2/98 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 3 Number of bedrooms(actual): 3 Total DESIGN flow Number of current residents: 2 Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) 'NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COM MERCIAL/INDUSTRIAL: Type of establishment: Design flow: Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system X 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: AGE OF CESSPOOL UNKNOWN, PIT INSTALLED 1974 PERMIT#214 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 6 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON,STANLEY Date of Inspection: AUGUST 22,2000 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction _ 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: N/A (Locate on site plan) Depth below grade: Material of construction concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: 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: How dimensions were determined Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) 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: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) revised 9/2/98 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22,2000 TIGHT OR HOLDING TANK: N/A (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: N/A (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) 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.) revised 9/2/98 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not located, explain. Type: Leaching pits,number: 1 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.) ONE(1)1,000 GALLON PRE CAST PIT.PIT AND COVER 30"BELOW GRADE. PIT DRY,WALLS CLEAN. CESSPOOLS: X (locate on site plan) Number and configuration: 1 Depth-top of liquid to inlet invert: 32" Depth of solids layer: 161, Depth of scum layer: 1" Dimensions of cesspool: 6'DEEP Materials of construction: BLOCK Indication of groundwater: NO inflow(cesspool must be pumped as part of inspection) Comments:: (note condition of soil,signs of hydraulic failure, ,level of ponding,condition of vegetation,etc.) BLOCK CESSPOOL,COVER 10"BELOW GRADE,ONE INLET-NO TEE,ONE OUTLET WITH TEE. PRIVY: N/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.) revised 9/2/98 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: ..-....._. include ties to at least two permanent references landmarks or benchmarks 4 locate all wells within 100'(locate where public water supply comes into house) �� c `PMG- - \ II f Epee,- revised 9/2/98 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 82 WOODLAND AVENUE, HYANNIS Owner: HARRINGTON, STANLEY Date of Inspection: AUGUST 22, 2000 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Ground water depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to no groundwater 11'6" Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record X Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(Must be completed) NOTE: HAND DUG TEST HOLE. TEST HOLE NOTED ON PAGE 10. TEST HOLE T BELOW BOTTOM OF PIT. revised 9/2/98 11 No. 'em Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Miopo9;a1,*pgtem Conotruction Permit Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) O Complete System 9 Individual Components Location Address or Lot No.$`�. p/O62) .4/✓-b A✓ Owner's Name,Address and Tel.No. Assessor's Map/Parcel �6 � / ( C�JPr S Go?_op'_ �O SP Installer's Name,Address,and Tel.No. 7 7S_�poo Designer's Name,Address and Tel.No. V-,g C eNG0 3 So sT w-Yule Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ��us£ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S YS Tip _ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed by this Board of Hea Signed Date Application Approved by Date" Application Disapproved for the following reasons Permit No. Date Issued �/ No. !A�� fe. a w Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21pplication for �Di000al 6potem Construction Permit Application fora Permit to Construct( )Repair(x)Upgrade( )'abandon( ) ❑Complete System k Individual Components Location Address or Lot No. O We, d l"3 A✓ Owner's Name,Address and Tel.No. Assessor's Map/Parcel :'Cr/°1` ; �� Installer's Name,Address,and Tel.No. 7s G2 7 G C' Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size _sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures e s Design,Flow gallons per day. Calculated daily flow gallons. -,Plan Date Number of sheets Revision Date 'Title Size of Septic Tank Type of$.A.S. Description of Soil r Nature of Repairs or Alterations(Answer when applicable) £ C�fI N{ �• a a C 7o G-v F�t°'FL �w s Ys 7 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`is P ed by this Board.of Heqlth. ;. Signed j" Date Application Approved by - Date Application Disappoved for the following reasons Permit No. Date Issued ---------------------------------------- ti THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance ` THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X)Upgraded( ) Abandoned( )by l` 19 cd/l/co 3.S a T 44.,- /e at Y 0, !.✓o a 17 L/)n,3 A v N _ has been constructed in accordance with the provisions of Title 5 and the or Disposal System Construction Per2AWdated 13R' Installer Designer i ,�/� 'C) , The issuance of this permi-h ll not be c nstrue.d as a guarantee that the system will function as designed. Date C[�� i (`�(�l Inspector r�7/�� No. -------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS liopozat 6potem Con0tructton Permit Permission is hereby ranted to Construct( )Repair( -I'/)Upgrade( )Abandon( ) System located at Y 4V 00 2) and as described in she 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 oft ermit. r Date: a "' �� Approved lSy. , ✓' J/0 5.220: Ncparauon of Plans.ana specifications "r, o 5S The plans and specifications for every on-site system shall be prepared as follows: (1) -Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a system designed to discharge,more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the otvner,.may prepare'plans for the repair of a system.designed to discharge not more than than•2,000 gallons per day pursuant to 310 CMR 15.203 provided / they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving y authority: /(2) Every plan submitted for approval must-be dated and bear the stamp and signature of f/ .the designer, -(3) Every,plan for a new system or plan for the upgrade or expansion of an.existing system which requires a variance to a property line setback distance,must.also reference a plan S/ which Bears the stamp and signature of a Massachusetts. Licensed Land Surveyor in accordance with MAL. c: 112, § 81D; (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot / plans and one inch =20 feet or fewer for details of system components) and shall include depiction of: _ (a) the legal boundaries of the facility to be served; (b) the holder and location of arty easements appurtenant to or which could impact the ✓� system; (c) the location of the all dwelling(s)or building(s)existing and proposed an the facility and identification of those to be served by the system; '(d) •-the'lncation of existing or proposed impervious areas, including driveways and parking areas; (e) location and dimensions of the system (including reserve area); (f) •system design calculations,including design daily sewage flow,septic rank capacity ''(required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder, (g) North arrow and existing and proposed contours; j:(h) location and•log of deep*observation hole tests including the date of test, existing r grade elevations marked on each test, and the names of the representative of the V--approving authority and soil evaluator, (i). location and results of percolation tests including the Gate of test and the names of the.representative of the approving authority and soil evaluator, tf G) name and certification number of the Sort Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells, and 3. within 150 feet of the,proposed system location in the case of private water l/ supply wells; location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, f,subsurface drains, leaching catch basins, or dry wells;.and the location of any nitrogen sensitive area identified in 310 CMR 15.215 within which portions of the proposed system are located. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; / o a complete profile of the system; -a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought in conjunction with the plan; (q) . the location and elevation of one benchmark within 50 to 75 feet of the facility which is not siibjrct to d;slocadon or loss during construction on the facility, (r) when dosing is*proposed,'complete design and specification of the dosing system proposed including but not limited to dosing chamber capacity (required and'provided), pump curves and specifications,number of dosing cycles and depth per cycle; (s) when a Recirculating Sand Filter or equivalent alternative technology is required or V proposed, a complete plan and specification for the system,including a hydraulic profile; t) a locus plain to show the location of the facility including the nearest existing street, (u) the street number and lot number,if any, of the facility; and (v) the materials of conitruction.and the specifications of the system. 1 1� �}L O C_ __ X-O-N : _E EW 0,_CaE_E.R:MIT——U O. 1-1�1___ _A— —E--Rl-/�5�.���IJ•p-��1�/-lEj�.�,��//—J A�Di��y/ R-E S-S �-U_1_L-DER 5 IJ-L�.-Ivl-E—�—A D D R E-SS 4:t � � �` o �� o �3.` .,, s.� Y� �� ! - _ � � � � , (�� _- ?/y� � V Q � � � � -�.� r.... �� -� �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OE HEALTH �J-cf . .......o F.. ...... ... ApplirFat€oar for Ubi aiittl Works Tonotrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair- ) an Individual Sewage Disposal System at.: ._...-----'------------ --------------------------- Location- or Lot No.•------•------------- O �ddrcss Address Installer Address Q Type of Building Size Lot...........................•Sq. feet U Dwelling—No. of Bedrooms.__ .-••...........................Expansion Attic ( ) Garbage Grinder ( ) U per-, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q, Other fixtures ------------------------------------------------------ W Design Flow......_.....................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------ allons 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. It. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date_-______------------------------------- W Test Pit No. 1----------------minutes per inch Depth of "Pest Pit--------------------,Depth to ground water..-.-.--.:-.----_---_-- LL, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water_..---------.__._--_---- Ix ....................---............................................................................. ......................................................... 0 Description of Soil........................................................................................................................._.---------------------------------------- x V W� UNature irs o Alter ,tions—Answer when applicable.-.�'�. .. .r_.- �� G - --_.: - -- - - --••---_`--low—.....-Z-1'-' ------- s- ,1•C- 0_Z&e•• � Agreement: - , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary de— The undersigned fu 11 rther agrees not to place the system in operation until a Certificate of Compliance ha�snssued by he bo d f lth. by Signe d•• •-----d ---- ----- ------ ` 3/?-• __ Date Application Approved B Date Application Disapproved for the following reasons:................................................................................................................. . . -------------------------------------------------------------------------------------------......................................................... Date Permit No......................................................... Issued.-- tell! 4= Date ✓ n 5 ' No..-I C_ ......-- Fss .. ...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ............OF.. .. - i'......G� ................................... Apphratiun -for M_gposttl Works C omitrurtion Prrniit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal Systs' 01 4I4-� Locati8�k ddress or Lot No. --- ---- - ---- ----------W er Address p Installer � Address- ` __.._._.S feet d Type of Building � �- Size Lot____________________ q. U Dwelling No. of Bedrooms___________________________________________Expansion Attie. ; Garbage Grinder p, Other—Type of Building I____________________________ No. of persons----------------------,.____ Showers`,( ) — Cafeteria ( ) y QI Other fixtures d =.. =----••---------------------------61..---.._.._..__.. W Design Flow__________________________________.............................................gallons per person per day. Total daily flow,_.__.-._..::_.._._...._.:____.._..........---gallons. 9 Septic Tank—Liquid capacity ':'-;_gallons,:;; Length..... ..:..... Width--.__.._-..... Diameter------ ? ..... Depth---------------- W +'- 9ll 1. .r 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;( ) a Percolation Test Results Performed by=---,---- - ... -•='---------------------------= ---4 Date........................................ Test Pit No. 1----------------minutes per.irich Depth of Test Pit.- Depth to ground water---__,______-__-__-__--- (z., Test Pit No. 2................minutes per,inch . Depth of.,Pest' Pit.....................:`Depth to ground water__-__..______________--- r D Description of Soil------------ ? .,.,. c.� -------------------------------------------------------------------------------------------- ., = '------------------.--.--------------------- .. U Nature irs Alte dons Answer when applicable._-_ '�.�'`'�1 �" -------•------ ------ - ----Q; 4 �P------------ - 4 . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee -ssued b the b rd lth. Sil 4!!�01__1";?;iV_jC)-- ............... Date ApplicationApproved By-------------------------------------------------------------------------------------------------- ........................................ Date Application Disapproved for the following reasons------------------------------------------------•-----------------_5----------------------------------•-------:`_.. i PermitNo.................................................... � D---------------------------------------•---" ---------- ,.,: ate Issuedy.. --7t' -•.................. 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a .A................OF........... `1' aST. ...................................... (11rrtifiratr of Tompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed:( ) or Repaired ( ) r r h Installer at t�` ... . ----------------------------------------------------•-------------------•------•----...-:•.--------..---- 71 has been installed in accordance with the provisions.'of :Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nov;; /{ ................... dated--------- THE ISSUANCE OKitkIi1S CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SAT-ISFATO Y. /DATE r Inspector ---•-•-------------•--•----•-••-•-- YR� ` THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ........ ... a crt� . . No.-Ji -- FEE........................ bi� >a�ttlrk CuntrrtiOW "rfttit Permission is hereby granted........!9eG1-.... ---•--------•-----------------------------------------------•---------•----._..._... to Construct ( ) or Repair an Individual Sewage Disposal System at No. j Lw v 1 -9/c✓t/5 Street -y as shown on the application for Disposal Works Consttcton` Peit No.l1_f l/_.._____ Dated . Board ealth DATE........... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS `' . a i LEGEND PROPOSED CONTOUR o ER o � y BR ® PROPOSED SPOT GRADE ST p 1. 5 C� EXISTING CONTOUR o3 TESL m ITC tL. G a; ciR a y B E �, C H \/� A,P Iti + 96.52 EXISTING SPOT GRADE RD GOFRN �O` CON E LOP C!= R' CONC BOUND W— EXISTING WATER SERVICE Apo CHE ER M/jay Dc ELEVATION = 42. 1 1 TEST PIT T BARNSTABLE GIS DATUM 20 N S 6 162.23 ft � LOCUS MAP N.T.S. i I — —--------------- - — LOT W GENERAL NOTES: SHED P,P.E A. = 1 21 4 O s f + ! 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL _ BOARD OF HEALTH AND THE DESIGN ENGINEER. I O�p t I 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPUCABLE ,91,z t CONCRETE DRIVEWAY I LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1 G�O o ! ,� DESIGN ENGINEER.0 01 / t ---- ! 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN rn o 0 to ft ENGINEER BEFORE CONSTRUCTION CONTINUES. OO I I 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 42 ! E X T I N G [� I " 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF D 1 D W L LII �I �N �p ft ° �2 __\ o THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF T,S,� i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. voter service ® �� ff \� I 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. opprox. _ _ . _ . TOP OF Ff�lDf� k ` V v �� I �-- 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED � — —I E L = 43 04 O I y\ TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. qUp I 1 42 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10._ O EXISTING CESSPOOL TO BE PUMPED, CRUSHED AND FILLED i I �_ _ _ _ 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION _ t J 12 AND IS NOT TO BE CONSIDERED LINE SURVEY ONLY __-------------- - - - *- - - -42 THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES - r-- - �61.63 ft RED A PROPERTY 42 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Existing Cesspool 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. (Note 10) OF MqS 15. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) s ���� s9�y PLAN I o D R N M. Gn E E o No. 1140 SCALE: 1 in = 20 ft 20 0 20 40 -tic/ E NI TAR\p� 0 10 20 G ,Z� PROPOSED SEPTIC SYSTEM UPGRADE PLAN 82 WOODLAND AVENUE, HYANNIS, MA Prepared for: Arch Construction r, MAP. P69 Engineering by: Surveying by: SCALE DRAWN JOB. NO. SURVEY REFERENCE: DARRENM.MEYER,R.S. Eco-Tech hmvhvnmemt&1 1"=20' DMM T.LO •064 PLAN OF LAND BY ED KELLOGG PO BOX 981 1 DEED BOOK.'20693 (508) 364-0894 DATE CHECKED SHEET N0. EAsrsavowicH MAo253� DATED: MAY 29, 1964 4 DEED PAGE.•311 508-362-2922 04/24/08 DMM 1 of 2 1 � T r ELEV. TOP o FOUNDATION t (Existing) FINISH GRADE= 42.0 = 43.04� F.G .EL: 42.0 F.G.EL: 42.0 F.G. EL: 42.0 -- i MAINTAIN 2% MIN SLOPE OVER LEACHING AREA MAX. COVER OVER LEACHING = 3.0 FT. COVERS TO WITHIN 6 OF GRADE s" INSPECTION PORT W/IN 6" OF FINISH GRADE g� 4" SCH 40 PVC 4" SCH 40 PVC 0 0 0 0 0 0 0 0 0 0 O O (MIN.) 14 ® S= 1% (MIN.) 6 @ S= 1% (MIN.) ' TEEMS ARE TO BE ,F N 4" SCH 40 PVC INV.39.49 INV.39.29 INV.39.09 0 0 0 0 0 0 0 V 0 0 0 0 1 • - CA PROP. OUTLET GAS PROPOSED DB 3 0 0 0 0 0 0 0 0 0 0 0 0 BAFFLE INV. 40.54 H P 10 DISTRIBUTION BOX 25, _I INV, 39.74 ROPOSED 1 ,500 GALLON SEPTIC TANK INV. ELEV.= 39.0 FXTV?F 9„ MIN. GAS BAFFLE TO BE INSTALLED ON NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING OR z•OF J/b-DOME `"WV STONE PER TITLE 5 OUTLET TEE AS MANUFACTURED BY PIPE INVERTS PRIOR TO CONSTRUCTION TUF-TITE, ZABEL, OR EQUAL 2) D-Box SHALL BE SET LEVEL AND TRUE TO BREAKOUT EL = 39.5 GRADE ON A MECHANICALL COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN INV. ELEV.- 38.98 310 CMR 15.221(2) J/4'- 1-1/2' 24" J0 5" DOUBLE WASHED STONE 3) INSTALL INLET & OUTLET TEES AS REQUIRED INVERT 4) PLUMBING TO BE RE-LOCATED TO MEET OUTLET BOTTOM EL.= 36.98 I ' LOCATION AND ELEVATION (PERMIT REQUIRED) 8" 50" 8» ` SEPARATION 7.38 FT. I 146» SOIL LOGS SEPTIC SYSTEM PROFILE BOTTOM OF TH-2 EL: 29.60 SOIL ABSORPTION SYSTEM (SECTION) N.T.S. DESIGN CRITERIA DATE: APRIL 22, 2008 NUMBER OF BEDROOMS: 3 BEDROOOM DESIGN SOIL EVALUATOR: DARKEN MEYER, R.S., CSE WITNESS: DAVID STANTON SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 110 G.P.D. Elev. TH-1 Depth Elev. TH-2 Depth DESIGN FLOW: 330 G.P.D. 41.90 0" 41.60 0" GARBAGE GRINDER: NO (not designed for garbage grinder) A LOAMY SAND A LOAMY SAND 10YR 3/2 10YR 3/2 SEPTIC TANK: 330 gpd x 2 = 660 gpd USE NEW 1,500 GALLON SEPTIC TANK 41.57 4" 41.10 6" } B LEACHING AREA REQUIRED: (330) = 445.94 S.F. LOAMY SAND B .74 10YR 5/8 LOAMY SAND 10YR 5/8 USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE 38.98 Cl 35" f ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 3910 30" BOTTOM AREA: 25 x 12.16 = 304 SF Cl SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF perc 037.90 MEDIUM SAND TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'O 2.5Y 7/4 MEDIUM DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd OF 2.5Y7°/4 ������ Mgsf9� PROPOSED SEPTIC SYSTEM UPGRADE PLAN y D R INR 82 WOODLAND AVENUE, HYANNIS, MA 31.40 126" 29.60 144" " No. 1140 Prepared for: Arch Construction PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) p Engineering by: Surveying by: SCALE DRAWN JOB. NO. NO GROUNDWATER .OBSERVED NO GROUNDWATER OBSERVED 6�SlE DARRENM.MEYER,R.S. Eco-Tech Environmental N.T.S. DMM INITAR�p� k PO BOX 98f 508 364-0894 EASTSANDWICH,AM 02537 GATE CHECKED SHEET NO. 508-3622922 04/24/08 DMM 2 Of 2 1