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HomeMy WebLinkAbout0031 HIRAMAR ROAD - Health 31 HIRAMAR RD. HYANNIS A = 1 f I e a TOWN OF BARNSTABLE LOCATION V�� C�t�n t'^W �� SEWAGE# 177 VILLAGE %`/G MlS ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 5 Cy\-\ V cc� M�S /a ri 4 106(dti SEPTIC TANK CAPACITY (�� � d�b LEACHING FACILITY:(type) ) kj o by Ge.L (size) 24 X k Q , a NO.OF BEDROOMS c~ � ��a'0 �V?G QC�� OWNER ACC C, W n _ PERMIT DATE: \, I 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 r 300.feet of leaching(facility) c r_ �p Feet, FURNISHED BY �� `�1 ` l!• d. P .✓ O IA Commonwealth of Massachusetts 0?9a- I Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - 9 p Y rY u 31 Hirimar Road Property Address k Eric Winer F Owner Owner's Name information is , required for every Hyannis ✓ MA 02601 09-29-2020 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. Please see completeness checklist at the end of the form. Important:When A. Inspector Information filling out forms p 51-t 149' off'' on the computer, use only the tab Michael T Bisienere key to move your Name of Inspector cursor-do not Cape Septic Inspections use the return Company Name key. 52 Rivers End Road � 11 Company Address Teaticket Ma. 02536 City/Town State Zip Code 508-280-3356 S13938 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 10-04-2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 1 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 ' Commonwealth of Massachusetts p Title 5 Official Inspection Form IQ� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 31 Hirimar Road u� Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are. indicated below. Comments: 2) 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u� 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is H annis MA 02601 09-29-2020 required for every y page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts �- Title 5 Official Inspection Form 11. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ............ s 31 Hirimar Road u— Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. ❑ 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. _ ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified 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 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 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. 5) 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 CA. 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r„ L. 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. CityrTown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 i cam, Commonwealth of Massachusetts Title 5 Official Inspection Form �I; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Hirimar Road V� Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 plus GPD Description: n,. Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: n Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes E.. No.. Seasonaluse? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d town water 9 ( Y 9 (gp ))� Detail: 2/25/2019-9/3/2020 203,456 gallons were used r� Sump pump? ❑ Yes ® No Last date of occupancy: occupied-��Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form lIa Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 31 Hirimar Road 4=- Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 cam, Commonwealth of Massachusetts �- p Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2017 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 15"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: town water feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form `1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 31 Hirimar Road V� Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 6" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: H-10 1500 gallon Sludge depth: 31- Distance from top of sludge to bottom of outlet tee or baffle 33" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I recommend the new owner put the septic tank on a maint. plan with a local septic pumping co. based on the future use of the home. At the time of inspection the liquid level was at working level and the tee's were in place. t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 nLl Commonwealth of Massachusetts �- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Hirimar Road u— Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): 8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At the time of the inspection the liquid level was at working level and there were no visible signs of leakage or solids carryover. !'Y t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u— 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2-500 gal H2O ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 r Commonwealth of Massachusetts ,g Title 5 Official Inspection Form ti- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c � 31 Hirimar Road u Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At the time of the inspection no visible failure criteria was found. i 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 c� Commonwealth of Massachusetts �- ,p Title 5 Official Inspection Form �yI' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ............ �!% 31 Hirimar Road u Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 33o6 ca z air.b C3 a) f13,ao C4Z yp c 4 r t3 � �M A Co- l(a.S aco_ as q�IRS oc\ a,(1 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i c 31 Hirimar Road Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 10 plusfeet 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: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I augered a hole at a lower elevation and shot it with a transit. s Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 31 Hirimar Road V Property Address Eric Winer Owner Owner's Name information is required for every Hyannis MA 02601 09-29-2020 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 No. / — / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpiitation for Misposal *pstem Construction permit Application for a Permit to Construct( ) Repair(ij/ Upgra e( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3 1 lA%r-" MCAi- Vtj Owner's Name,Address,and Tel.No. - Assessor's Map/ParceQSS -I I �C,r-,.\\ Installer's Name,Address and Tel.No. Desi er's Name Address,and Tel.No. '� �'�1n cam, -t SS(-Go (? SWK r Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �� V gpd Design flow provided 23o • U (,l gpd Plan Date K4 ` f Number of sheets Revision Date Title Size of Septic Tank J Z© Type of S.A.S. 1@ Description of Soil ' W `N p �r Q Nature of Repairs or Alterations(Answer when applicable) � 2�Q U t- e-< R�(a� EX, W %S o 0 ft/)D Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date neh Application Disapproved by Date for the following reasons Permit No. , 2 2 Date Issued No. j/ / Fee THE COMMONWEALTH OF MASSACHUSETTS Ente ed in computer: Ye_1� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Veposal 6pstem Construction 3oermit b Application for a Permit to Construct( ) Repair,( ( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3 Mo\r VtJ Owner's Name,Address,and Tel.No. W ��- Assessor's Map/Parceljyj —I� Ar�'11 Installer's Name,Address,and Tel.No. J Designer's Name,Address,and Tel.No. S r _N 'VC(MV1. <<3 O (0 VC, l��1n � �cc��t`C ( 1 S`S'GrLo - CJ a2 S 0 1 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) � 3 gpd Design flow provided 23n . U 4 gpd Plan Dater G i Number of sheets f Revision Date Title Size of Septic Tank 0 Type of S.A.S SDO' c'Is I f u d 0 G11 cu t hPi f Description of Soil Ha n D 138X Nature of Repairs or Alterations(Answer when applicable) �C,#,kOU f_ P_ W /t/10 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 Certificate of / Compliance has been issued by this Board of Health.Signed „ Dates h ,/^—� Application Approved by Date h Application Disapproved by Date for the following reasons Permit No. G f Date Issued (p ------------------------------------------------------ -------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS>IS TO CERTIFY thaYth O site Sewage Disposal system Constructed( ) RepaireV Upgraded( ) Abandoned( )by <::I C C �A r at 3 1 Al rot,t� u.r R�( 1 Jt (S has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No.� 6 //2%�i dated 51-2 Installer 5L,1J CC (*- (=C cV Y, Designer t-, r #bedrooms Approved.design owfl :^ 3-- U gpd The issuance of this permit shall not be construed as a guarantee that the system will functio n�S designed. Date � Inspector -_ I� ---------------------------------------------------------------------------------------------------------------------------=----------- No. ��� /;2 �2 Fee le THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal &- pstem Construction Permit Permission is hereby granted to Construct( ) Repair( V/ Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 Provided:Construction must be compl ed within three years of the date of this pe Date /� Approved by Town of Barnstable Regulatory Services * Richard V. Scali,Interim Director * satuvsrnsM • M^� Public Health Division _Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form Date: RUV �QoO Sewage Permit# Assessor's Map\Parcel 2-1Z/l Designer: tN D w r�� Installer: Address: 155 62N Uff h1 S00 Address: 0 4 3 3 On was issued a permit to install a (date) (installer) septic system at ,rglm r based on a design drawn by (address) J� I Cdu�6?W_ dated / (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i liance with the terms of the I\A approval letters (if applicable) �1rk of 4fq DAVID cti�s o� D. 1 (Installer's Signature) COUGH1093 ANOWR No.�Fc+sTEa�� (Design sSignature) (Affix Design tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS, OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SEPM ONTO AT c us UT§L§T§ES] LEGEND � .T WATER LINE � i SEPTIC COMPONENTS �11L WA TER METER O EXISTINGGAS LINE 10 Z\olovOVERHEAD WIR SEPTICIC TANANK � � I UTILITY ,. DRAIN 1500 GAL 0 POLE MONOLITHIC ®®- E L = 3 2: JL I SEPTIC TANK (�,� OF HYDRANT 46 OEXISTING 9 6.18 f t LEACH PIT/ THIS IS A CESSPOOL n C OLOoR DISTRIBUTION BOXCII LOT 61 PLAN GARB USE COLOR PLAN ONLY TEST PIT �- AREA = 9336 Sf+- G FOR INSTALLATION 42 m LAND COURT PLAN 17786-C FULL DETAIL IS BEST T OWED/.' WCOLOR 43 ASSA MAP 292 PCL 11 FULL , 1 44 � PROPOSED SOIL Pf P\�P REPLACE E\NG�ST�NG O ABSORPTION 4 5 00 GALLON PTIC TANK WITH \CO/V 0 .0 SYSTEM MONZ9N�NIc uNlr \�� � \�T rP� -SEE DETAIL G G G 42 ON BACK 46 MINIMAL , 11 ft\ GRADING \1 \ PROPOSED 2 r Exi�s s�p.iNG G DWELLING 17 ft Ch 4 1 \ 15 in PINE W W *rOf OF SLAB lFNDN 43 PI .., O G � o �{�.9� H � °N 46 12 in do do 44 _--_ PINE �p �0.00 ft - W A VED - - � 6 4.50 f t S/DEIygLK -- -- Q EDGE OF PA V ME N R- - --- &1A � p PLANO ) SCALE: I in = 20 ft FLOOR PLAN' To w® ���' LE GI S D 2 0 40 STORAGE ELEVATION BED TO 4 4.3 5 0 10 20 ROOMLIVING P OF DRAIN GAP PRINT ON 8-112 x 14 in Room ROOM PAPER FOR PROPER SCALE BED VARIANCES REQUESTED ROOM NOTES STORAGE 310 CMR 15.221(7) - COMPONENT Ily UPPER FLOOR DEPTH TO FINISH GRADE. 36 In MAX REQUIRED - VARIANCE TO EXISTING LEACH PIT IS TO BE 60 in OF COVER REQUESTED. PUMPED, COLLAPSED B REMOVED. BED KITCHEN BARNSTABLE LOCAL REGULATION 360-I: REMOVE ALL ASSOCIATED ROOM m m LOCATION OF COMPONENTS WITH RESPECT CONTAMINATED SOILS & REPLACE WITH CLEAN MEDIUM SAND HALLWAY TO WATER BODIES: 100 FOOT SEPARATION PER TITLE 5 (310 CUR 15.255(3)). REQUIRED. VARIANCES TO 59 FEET FOR A INSTALLER MAY MOVE VENT PIPE BoolGu DINING DISTRIBUTION BOX AND 60 FEET TO A ROOM SOIL ABSORPTION SYSTEM REQUESTED. TO A DIFFERENT LOCATION. MAIN FLOOR THIS PROPERTY IS NOT IN A WELLHEAD OR GROUNDWATER PROTECTION DISTRICT HYANNIS, MA PER BARNSTABLE GIS DEPT. RECORDS. ROUTE 26-FALMOUTH ROAD SEWAGE DISPOSAL V, al SYSTEM PLAN LOCUS p9 `�N OF ASS -TO SERVE EXISTING DWELLING ICIA DAVID CyG �P AD 1 AL R J+ o DAVID tiG C E R I C J. ROAD A 0111, D. a D. M 9 ROAD COUGHANOWR N COUGHANOWR N WINE R N No. 1093 >' •• sH No. °v QO� DwN311SHIRAMARDROAD FRA14KLIN fNO�ES pD NOT �FGISTER�� �PPROV�� R E S AVE > TO SqN s0/( EV p���// 155 Geo Ryder Rd S PROPE HYANNI S s MA { SCALE 7� Chothom. MA 02633 L 0 V S MAP DovidcouOHotmoiLcom DATE, MARCH 24. 2017 508 36470894 PG 1IZ JDe>< ETE-4125 WWWR JANUA SL,'U TEST LOG PERC* 15232 RY b, 2017 SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE *461 DESIGN CCU A LPL CCU L�A TT I O�]N� WITNESSED BY: DAVID STANTON. HEALTH DEPT. DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD NO GROUNDWATER ENCOUNTERED TEST PIT 1 - PERC AT 60 In - 3 MINIINCH IN C SOILS 330 GPD X 2 DAYS - 660 GALLONS SEPTIC TANK_ LLO S ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER INCHES TEXTURE (MUNSELL) MOTTLES INSTALL NEW 1500 GALLON MONOLITHIC SEPTIC TANK.I HORIZON 45.75 0_8 1 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 42.42 8-40 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: 40-154 C LOAMY SAND 10 YR 5/4 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 32.92 SOIL W TH A PERCOLATION RATE BELOW 5 MINUTES NO GROUNDWATER O ) S �OUNDWATEREN NOCHN SOILS ENCOUNTERED ER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. TEST PIT 2 ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER THE 24 ft x 12.5 ft x 2 ft LEACHING GALLERY INCHES HORIZON TEXTURE (MUNSELL) MOTTLES DEPICTED BELOW CAN LEACH: 45.80 710 Ap SANDY LOAM 10 YR 2/1 NONE FRIABLE BOTTOM AREA = (24 x 12.5) = 300 sq. ft. 42.63 10-38 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SIDEWALL AREA = (24+24+12.5+12.5)x2 =146 so. ft. 32.97 38-154 C LOAMY SAND 10 YR 6/4 NONE LOOSE TOTAL AREA = 446 sq. ft. FLOW CAPACITY.= 0.74 x 446 = 330.04 gal/day INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED x�J ALL 0 BELOW. FLOW CAPACITY = 330.04 gal/day WHICH EXCEEDS MO NOo L 0o T HI C SEPTIC Tf A NK THE 330 gal/dog REQUIRED FOR A THREE BEDROOM DESIGN. FJ II S�OoIL gBS�` ORrTION Cm oxim, m DRYWELL 24.0 ft p UNIT M 5 ft- 0 7 in c y u� ® ]77E v� N i co lO co STONE- 3.5 ft 8.5 ft 8.5 ft 3.5 ft tom. ID 5 500 GALLON DRYWELL DIMENSIONS & DETAIL INSTALL ONE INSPECTION INLET OUTLET ^ RISER TO WITHIN THREE COVER COVER INCHES OF FINAL GRADE 8 INDICATE LOCATION ON AS-BUILT ,3 IN DR UFLOW LINE I� 36 FROM 10In _ 14 TO oo, Q �' in BUILDING in D—BOX S'RCOq O D o�op, oQ,n �oo caL�t �000 USE 48 in GAS4*00�oai � RATED LIQUID �� LEVEL BAFFLE NITS 10 2 I n _ srorve sasE CROSS SECTION VIEW SEPARATION BETWEEN INLET & OUTLET I FABRIC OVER STONE GEOTEXT/LE TEES NO LESS THAN LIQUID DEPTH CROSS SECTION VIEW 3%4 Iri 24 in a 9/4.� TO D 1 S T fR I : U T 1 O N . O S • E )�8 hU2 M GRAVEL '® DEPTHTIVEa� I-1/2 In OAAVEL DIMENSIONS PIPES EXITINO D—BOX TO AND DETAIL •• 2 FEET BEFORE ►• 46 in 58 in 46 in 150 in 12 /n INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE c MIN STARTING WORK. -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM Lo FROM 4 S O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC N TANK b b TO CODE (310 CMR 15). 4a p ^ SAS -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND 0 T UTILITIES BEFORE EXCAVATING FOR SYSTEM. ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION 6 In STONE BASE 00 OF LOW FLOW FIXTURES 3 APPLIANCES. AND PERIODIC PUMPING OF THE SEPTIC TANK. 21 jn 2� CROSS SECTION VIEW S -SEPTIC TANK NOT DESIGNED TO WITHSTAND VEHICULAR LOADING DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC TANK. L vv ,.VENT TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO 4 In BE SCH. 40 PVC PIPE EL - 45.18 + 6 in OF FINAL GRADE AND TO PITCH AT 1/8 In/ft MI N '. 45-46 I I II I ® B 5' SE H-20 USE H 20 MAX RATED 4 U ' INSTALL 1.0 NITS EXISTING 1500 GALLON 6 In Mewasuffm PRECAST4065 DRYWELL a4°aa°p0o SEPTIC TANNIC 40.10 EXISTING REFER TO DETAIL BOX S ONE SOIL ABSORPTION + 40.27 BASE 40.00 e In STONE BASE -REFER TO SYSTEM o EXISTING 23 ft 5-72 ft DETAIL BOX Lo 38:00 NO GROUNDWATER T BELOW MOTTLING OBSERVED _ 32.97 iF SEWAGE DISPOSAL SYSTEM PLAN 31 HIRAMAR ROAD HYANNIS. MA 11 MARCH 24, 2017 ETE-4125 PG 2/2 �tHE rp� Barnstable Town of Barnstable kxftri A*AmedcaCft BARNSTABLF- MASS. Boad o r f Health • ��s6;q. A�O�' Fo►,�r 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. May 24, 2017 Mr. David Coughanowr, R.S. 155 George Ryder Road South Chatham, MA 02633 RE: 31 HiramarRoad�:Hyannis; MA A=292-011 Dear Mr. Coughanowr, You are granted variances, on behalf of your client, Eric J. Winer, to construct a replacement onsite sewage disposal system at 31 Hiramar Road, Hyannis. The variances granted are as follows: Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 59 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a distribution box 60 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank 41 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions (1) The engineering plan shall be revised to show the installation of a 1,500 gallon monolithic septic tank. The tank will be installed forty-one (41) feet away from the edge of a wetland. (2) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type Q:\WPFILES\Coughanowr 31 Hiramar 2017 Variances.docx f rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) A 1,500 gallon monolithic septic tank shall be installed. (5) The septic system shall be installed in strict accordance with the revised plans. (6) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. These variances are granted because physical constraints at the site severely restrict the location of the septic system components due to the small size of the lot and the location of the wetland adjacent to this property. The proposed new septic system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Rau . a&& , �S. .D. Chairman QAWPFILES\Coughanowr 31 Hiramar 2017 Variances.docx I - -� 17 tt r DATE BARNSTABt.E: RECBY: QC '! Fp MA'S � m,t ��VWy�1f �+ � '�i S� �f SCHED DATE ��I� -n X Boar ::of oil 200 Xvfattl Street,Tlyannls'NIA 02Gg1 Dfiice SOlI$G27.4Ggp,y, l?"sJul J:_C�nnJilll,ib1,> FAX SOS 790 4304 luntclit 5awayanagi �. Pau1.J Camtiff_D M:D.- ' VARTAN.CE REQUEST FORi1�I LOCATION Proparfy.Aticiiess .1�: f r�l;l t�# F�?�?`G� rvf Assessors:Mapaid P>arcelNumli:cr, Wetlarrels UV1lhiijJ Oft. Y ilies5 NrilIlt;". No.. Subdsvtslosi Natnc �o lwf -05 hier,.r ) mil) A'I'RLICANT'S'NAAIE: .'1�t(UiG`l f 12�7 Filtottc 173 the owner oftl}c property autl4rizc you to represent htm or lit rJ Ye.s ✓. .... NO P TROPERTY O�VNER'.S NAME;'; CONTACT PERSbN;:: Namc:; U I C f }n � Nainc" yi !?fl��t: f`td Gv:r� Addre s; At A - r d47 3 G r Gfr f` 9 ) t C�243 Pl'tonc Phan �L15K C U` c _ EMAIL, (j/!V C:' C G j VAItIANEE FROM REGULATION(List Rey:} REASOi�' Ft)R wAR1ANCE(�4py gstactt If ntorc spncc needed)". 310 CM'R l; 22t, C7. w5i1r �1.urt=�b";! �s, � �a(�© FPt7 1i5rit5�-4ihf-0 'LOO, I Rr NATW:!IOF WORK 4pysq,,Adduloi�:;0. Ilpuse 2estnvatlon. 0 Rt pair F. JIcd;Septic System Cliecklrst';(lo lie ionrpleti�l by.ri ce cicrff:Eye�soli: ccc�it+itt ifariulice l er�i est rrp 11 01irllJ)::;' Please OWt"copies ip 4 rejlarulJ CW lcleil sets: Four{4)copies of the completed van uuc.acquGst Corn} F,QUT{�)CgpICS of Clysln CCred I}IIJ Sllbl}JJIICd�G 5 SCI}IJL Ky)1Cii1 ✓F Eputplctctl•Scven{7)page checli}tst canfimung revie of ongirtccred acPrtc systetiJ p1all by subntittitig cnt Jnccr::or rGgislcred smiitstrian _ Four{4}cgpics of labcicd dunGnsumal Cigar plans subnnned(c b hottsc pals or resnauram i itGhcn plans) Signed len,rstattng that the propGny ossncr mthori Ed you to rcprese Olin i6r,for this nyucsJ .ppbcant anderstandsahat the abutters atiust.be nalified by cgitificd mail at!cast ten days prior to ntecrtng dafc:at apphcagl s expelise{for Title V' 7rid/or local scK agc.rcgulation v;nnasGcs arty) ' /�i cull ntcnq'subJrJltccf(Ior grease irnp varia ic4 rcq%l is Only). a V4nanu request npj}l cation'fcc;collcctcd(rto fcc fiii lI eguurd tnodllicaiion"rcltcwals grCa. trip saripncG rctic}val5,(smrn aivncr/icasGe otitstdG dmli b sanaliec rcncssa..fg Esatitc a vncr/1G Jsc i only],_aiyil variances to repair;f,�Jlcd sc%agc'clisposa)sy tcnis[onlyJ no cxpapsion ib lha' budding proposeii]) nv!� Vanancc.icgucst suUriutGtl al'Icast 15 day5}Jrtar lu Li}GCEing ,i4ci �... V;r1R1ANMA1PIk6.VLD Pattl J. Cmmiff,:Citainupir: NO,f APPRb,VED.' Iauclii Sawa Gila t Y, g OASONFORDISAi'PROVAI;., DonaldA Guhdugnoh T<1.D C ;\Users\Decol],'zk\AppData\Local\Micosott:\tazndomn;\.Tempr�zary TnC`eite FileS\Con tent .buhlook\HMQD4 an 9112\VIakikEQ Rev 72017.DOC.. " f Office: 508-8624644 Barnstable FAX: 508.790-6304 Town of Barnstable 0 Board of Health 200 Main Street, Hyannis MA 02601 2007 August 10,2010 Revised March 9,2016 Public and Environmental Health Program Policies, Procedures, and Guidelines Enforcement of 310 CMR 15.223, Septic Tanks/ Properly Sized Septic Tank and Two Compartment Tank Enforcement No 2010-007 Septic Tank Size When/if an applicant requests a local or State Code variance involving a setback distance to wetlands, high groundwater, or any other environmental type of variance to the Board of Health to be reviewed at a public meeting of the Board (not a variance request involving a setback distance to a foundation or property line), the Board of Health will require full compliance with Section 310 CMR 15.223 of the State Environmental Code, Title V. Specifically, when an environmental variance of any type is requested, a properly sized septic tank will be required by the Board. Two Compartment Tank or Two Tanks in Series When a design involves facilities other than a single family dwelling unit or whenever the calculated design flow is 1,000 gallons per day or greater, a two compartment septic tank or two tanks in series will be required. This requirement shall be enforced during the construction, repair and/or upgrade of a septic system, regardless of whether the repair or upgrade is proposed for the leaching facility only. (See back of page for clarification and examples regarding the requirement for two compartment tanks at dwelling units.) However, this policy does not apply to minor component repairs such as replacement of a distribution box, tee, piping, or component lid. Wayne Miller, M.D. Paul Canniff, DMD Junichi Sawayanagi Q:\POLICIES\Dual Compartment Tank Enforcement.doc f - Fn Two Compartment Tank or Two Tanks in Series at Dwelling Units Two Tests (1)"Self Sufficiency"AND(2)If Work is Needed or Proposed To Be Done To the Septic System Double-compartment tank installation or installation of two tanks in series are only required when there is a need or proposal to construct,upgrade, or repair the septic system or the soil absorption system(for additional bedrooms above the existing septic capacity for example)AND where there is self-sufficiency is each of the two living units(e.g. in-law apartment). The addition of a second kitchen,by itself,does not trigger an upgrade. However, if an additional kitchen is proposed along with additional bedrooms above the existing septic system capacity,then a double compartment tank shall be introduced(see example list below). Here are some examples for Test#1 only (remember there are two tests involved here) 1)Separate Pool House-NO(double compartment tank is not required) 2)Separate Pool House with private room(s)that may be considered as possible ".bedroom(s)" -NO 3)Separate Pool House with private room,bathroom and kitchen-YES(double compartment tank is required) 4)Bedroom over a Garage-NO 5)Bedroom over a garage with a bathroom-NO 6) Bedroom over detached garage with bathroom and kitchen-YES 7) Bedroom over attached garage with bathroom and kitchen-YES 8)Addition for an apartment with a bathroom,kitchen and its own bedroom, regardless of whether there is an increase in flow overall or not(Le bedroom relocation)-YES A double compartment tank is required for the proposed construction of an in-law apartment which may be attached or detached from the main house and for other similar separate structures. If there is self- sufficiency,then a double compartment tank would be required. If the structure is a detached bedroom with self-contained living quarters,the applicant will be required to install a double compartment tank. However, if there is a connection in the house to the new living area,this would not necessarily be considered as a separate dwelling. If what is proposed requires someone to travel to the main house for amenities(such as traveling to the main kitchen in the house), it would not require a double compartment tank. Double-compartment tank installation is only required when there is"self-sufficiency"in each of the two dwelling units AND if there is a wish or need to construct,upgrade,and/or repair the septic system and/or the SAS itself. Q:\POLICIES\Dual Compartment Tank Enforcement.doc THIS PLAN IS INTENQED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS, SHEDS, FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SEPPTpC F® AT EC®- — - - — o�a�§E S LEGEND WATER LINE SEPTIC COMPONENTS AIL WATER METER O EXISTING � � �Q GAS LINE —�— SEPTIC TANK UTILITY���.GALP OVET'LRHEAD WIRE OH I500 GAL AIL _ 32 0 OLE $ DRAIN MONOLITHIC ®®- - F� EL SEPTIC TANK (�F OF HYDRANT OEXISTING _- 96_l8 ft LEACH PIT/ THIS IS A CESSPOOL - COLOR DISTRIBUTION BOX❑e LOT 61 PLAN 4 AR USE COLOR PLAN ONLY TEST PIT ® _AREA 9336 Sf+_ G R FULL DETAIL IS BEST FOR INSTALLATION 42 4, � 00 LAND COURT PLAN 17786—C ,I OT VIEWED IN 4` ` OWED FULL COLOR 43 0, ASSR MAP 292 PCL 11 ` to '0 1 44 F� 0 PROPOSED SOIL ePPP`� �' • SREPLACE EPTIC T XI T I H\STING C 0 ABSORPTION 45 00 GALLON \ oNTo SYSTEM 5��� \ MON-OLIZC11C UNIT \�R � \-T YPJ -SEE DETAIL G G 42 ON BACK 46 MINIMAL ll GRADING ft \ r------------ - -- ` 2 . EX. ��O�� \ PROPOSED 1 G LPL ®(�®®GM Lou ee o D /l I�EL�L INN a I7 ft \ \ M o j `ITOf OF SLAB FNDN i Q Is in PINE k 2 G j CAL, e 4c�.I& 43 o - Y Q � 0� 4 6 12 in 44 PINE G � ft - 70.00 ft (1b4.50 ft —�PA VED - j �✓ - -n EDGE ✓ OF Pq VEME �`"'--.- __ __ o D � � PLAN � O SCALE: I in = 20 ft ^FLOOR PLAN sTO /� �®G D4 0 20 40 ( � ELEVATION �i STORAGE 44.35 BED OP 0 10 20 ROOM OF DRAIN GpP PRINT ON 8-112 x 14 in LIVING PAPER FOR PROPER SCALE BED ROOM ROOM VARIANCES REQUESTED NOTESy�/�� sroRAGE 310 CMR 15.221(7) — COMPONENT /JU // /� DEPTH TO FINISH GRADE. 36 in UPPER FLOOR MAX REQUIRED — VARIANCE TO EXISTING LEACH PIT IS TO BE 60 in OF COVER REQUESTED. PUMPED, COLLAPSED & REMOVED. Z z KITCHEN BED Q Q BARNSTABLE LOCAL REGULATION 360-1: REMOVE ALL. ASSOCIATED _ RcoM co CONTAMINATED SOILS & REPLACE LOCATION OF COMPONENTS WITH RESPECT WITH CLEAN MEDIUM SAND HALLWAY TO WATER BODIES: 100 FOOT SEPARATION PER TITLE 5 (310 CMR 15.255(3)J. REQUIRED. VARIANCES TO 59 FEET FOR A LIVING INSTALLER MAY MOVE VENT PIPE � ROOM DINING DISTRIBUTION BOX AND 60 FEET TO A ROOM SOIL ABSORPTION SYSTEM REQUESTED. TO A DIFFERENT LOCATION. MAIN FLOOR THIS PROPERTY IS NOT IN A WELLHEAD OR GROUNDWATER PROTECTION DISTRICT HYANNIS, MA PER BARNSTABLE GIS DEPT. RECORDS. ROAD ROUTE 26. OUT" `vo�TF� SEWAGE DISPOSAL ppLM SYSTEM PLAN LOCUS A��H OF MASs9 ��H OF ASS -TO SERVE EXISTING DWELLING ALICIA AR o DAVID CyGs o�P DAVID 9CyG ROAD " HIRo D s _ E R I C J . COUGHANOWR y COUGHANOWR ' WINE R N No. 1093 No. 461 �� �� OWNER(Sl OF RECORD t4I40 FwESHs wo �F o �� 1?ESPOo 31 HIRAMAR ROAD F AVE NOT S 1 R sp�q P. 155 Geo R der Rd s HYANNIS, MA y PROPERTY ADDRESS SCALE Chatham, MA 02633 -- DATE: MA-RCH 24,--2-0-17 L Pe Davidcou@Hotmail.com MA 508 364-0894 P112 re# ETE-4 R - JANUA SOIL TEST LOG PE C*15232 RY 6. 2017 u SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 DESIGN 'w"A W"U L A 40O N WITNESSED BY: DAVID STANTON. HEALTH DEPT. DESIGN FLOWN 3 BEDROOMS X 110 GPD = 330 GPD TEST PIT NO GROUNDWATER ENCOUNTERED PERC AT 60 in - 3 MIN/INCH IN C SOILS SEPTIC TANK- 330 GPD X 2 DAYS = 660 GALLONS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR soa oTHER INSTALL NEW 1500 GALLON MONOLITHIC SEPTIC TANK. INCHES HORIZON TEXTURE (MUNSELU MOTTLES 45.75 0-8 Ap SANDY LOAM 10 YR 2l2 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. .42.42 8-40 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: 40-154 C LOAMY SAND 10 YR 514 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 32.92 SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES TEST PIT 2 NO GROUNDWATER ENCOUNTERED PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT.. PERC AT 60 in - 3 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA soli SOIL COLOR SOIL OTHER THE. 24 ft x 12.5 ft x 2 ft. LEACHING GALLERY INCHES HOfl1ZON TEXTURE (MUNSELU MOTTLES DEPICTED BELOW CAN LEACH: 45.80 0-10 Ap SANDY LOAM 10 YR 2I1 NONE FRIABLE 10-38 Bw LOAMY SAND 10 YR 516 NONE FRIABLE BOTTOM AREA = (24 x 12.5) = 300 sq. ft. 42.63 SIDEWALL AREA (24+24+12.5+12.5)x2 =146 so. ft. 38-154 C LOAMY SAND 10 YR 6l4 NONE LOOSE 32.97 TOTAL AREA = 446 sq. ft. FLOW CAPACITY = 0.74 x 446 = 330.04 gal/dog INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED A L L Oo N BELOW. FLOW CAPACITY = 330.04 gol/cloy WHICH EXCEEDS MOIV OL THI SEP TI 7 A NK THE 330 gal/dog REQUIRED FOR A THREE BEDROOM DESIGN. j,. � � � . SOoIL ,�1BSORrTLON do- - MT o ►: i DRYWELL 24.0 ft 0 UNIT c� 5 ft- 7 in w ® 4 (n CC) u? I N i � �w I STONE O ft 8.5 ft 8.5 ft 11 3.5 ft b { 500 GALLON DRYWELL -- — DIMENSIONS & DETAIL .INSTALL ONE INSPECTION INLET OUTLET RISER TO WITHIN THREE COVER COVER INCHES OF FINAL GRADE r - INDICATE LOCATION ON AS-BUILT 3 IN DROP -► �l FLOW LINE BUILDING lO in _ r� TO moo ,, 6 DVOt�'� nb D-BOX oo ODpsDI 48 in H 20 LIQUID GAS oo pD �� RATED LEVEL BAFFLE 5a UNITS 10,2 in 6 /n STONE BASE CROSS SECTION VIEW INSTALL AN APPROVED GEOTEXT/LE SEPARATION BETWEEN INLET & OUTLET FABRIC OVER STONE TEES NO LESS THAN LIQUID DEPTH CROSS SECTION VIEW 28 3/4 in TO ® 24 in a 3M In TO D'S T p' B U T'O N B O V USE►: • 0 in 1-1/2 In GRAVEL® DEPTH FECTIVEe� '1-1/2{ln GRAVEL'. DIMENSIONS ► :•BOX RUN LEVEL TM AND DETAIL FOR 2 FEETIBEFORE1• 46 in 58 in 46 in 150 in 1. 12 In INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE MIN STARTING WORK. F —� ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM % Lo FROM a —� REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC (N TANK b TO CODE (310 CMR 15). p; ^ SAS -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND O 4T UTILITIES BEFORE EXCAVATING FOR SYSTEM. ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION 6 In STONE BASE OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC PUMPING OF THE SEPTIC TANK. 21 ; 2� CROSS SECTION VIEW -SEPTIC TANK NOT DESIGNED TO WITHSTAND VEHICULAR LOADING' DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC TANK. : O p . G3 O VENT P TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TC) 4 in BE SCH. 40 PVC PIPE EL = 45.18 + 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 45-46 -BO 5. USE MAX RA ED USE H-20 41.0 UNITS AFM EXISTING 1500 GALLON PRECAST °o°Q o0 SEPTIC TANK 40.65 o DRYWELL o00$� . ° °a EXISTING REFER TO DETAIL BOX STONE 40.10.6 in SOL ABSORPTION 40:27. BASE 40.00 6 /n STONE BASE SYSTE VII/ -REFER TO o EXISTING 5-12 ft DETAIL BOX 38:00 NO- GROUNDWATER Ln BELOW MOTTLING OBSERVED - 32.97 SEWAGE DISPOSAL SYSTEM PLAN j 31 HIRAMAR ROAD HYANNIS, MA 1111MAACH 24, 2017 ETE-4125 PG 2/21. '\ . a �. tJ �1 ��� '. � � � �o � '� ✓? � � �� �- ., � � d ref. TOWN OF BARNSTABLE LOCATIQ SEWAGE # VILLAGE n /ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �7�?S,— a2 oo SEPTIC TANK CAPACITY 64122 LEACHING FACILITY: (type) •A ge-z? (size) KX(Z NO.OF BEDROOMS 3 BUILDER OR OWNER /19L PERMIIDATE: -.3F)2TA COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet ` Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by April 5, 2014 Barnstable Board of Heath To Whom It May Concern, I have authorized David Coughanowr of Eco-Tech Rapid Response to represent me at a Variance Request Hearing for a septic system repair at 31 Hiramar Road. Sipc.ere0y, Eric J. Winer r � Town of Barnstable P# Z 3Z ' Department of Regulatory Services s aAartarAnr�a B Public Health Division Date Dc Z� C MARI C im3y 200 Main Street,Hyannis MA 02601 M t7 • crt Date Scheduled / l • � Tine_�LA�1., Fee Pd._ ( � � a-� Soil Suitability A{sssessment for Sew 'ge Dispo7T, l Performed•By: QkVIQ CAUGHT LU�w1z Witnessed By: ✓, M n �S r - LOCATION&.GENERAL INFORMATION. , Location Address %i l�)) Z Owner's Name (y Q;!jer it rrc ttlpv j q �l Y ti H k(' f Address Assessor's Map/Parcel Z)�',Zf/ 1 Engineer's Name 1��;u I"� ��� 'Q t r tti c` ✓r NEW CONSTRUCTION REPAIR Telephone# !�oS, Land Use• Le 14eel!`I L-4' Slopes 96 1 P ( ) Surface Stones t Distancea from: Open Water Body, ft Possible Wet Area_-_4_ft Drinking Water Well l�ft Drulhage Way W ft Property Llne _ L O 4 tt Other $ SKETCH:(Street name,dimensions of lot,exact locations of test holes&Para tests,locate wetlands-in proximity to holes) 1 k �k t f P_?_ ' rr D Parent material(geologic) ro GI�' VUf 1q/ Depth to Bedrock V�©h P Depth to Groundwater. Standing Water In Hole: �' Weeping from Pit Ras VV !1�' t . Estimated Seasonal High Groundwater i el �lh n ��� 114 DETE�tMINATION FOR SEASON•ALMGH WATER TABLE Method Used: A'IO>' F t 4 p NOh� �� �S�Depth Observed standing in obs.hole: In, Depth to soli mottles, T In,. . De{Ith to weeping from side of obs,hole: _ - -In, Groundwater Adjuslment ft. Index Well-# Reading Dato: Index Well ImYol Adj,.fttctor,,,,,_.,-,,,_Adj,Clroutldwatdr.Level,,,,_, PERCOLATION TEST Data ►l v i T Lo A MM Observation Hole# Time at 9" Depth of Pere 6 i h Time at 6" Start Pre-soak Time @ yc)t o z Time(91,4") End Presoak Rate Miit./Inch , m Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Pubic Health Division Observation Hole Data To Be Completed on Back--- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one(i)week prior to beginning. Q:\SEPTIMERCFORM.DOC • I DEEP.OBSERVATION HOLE LOG Hole# 1 > Depth from Sall Horizon Soil Texture Shcl Color Solt. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders. Consistency,%'dravel) 16 S�a�l 1Q:` 2 sly tt.' r�able �-: 40- (s4- c. as DEEP OBSERVATION HOLE LOG Hole# z Depth from Soil Horizon Sall Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, 0 ��Q Loatin to le ei m V 5q0A IL) fir; a l e to YR L sC ' DEEP OBSERVATION HOLE LOG- • Hole,# ' Depth from. Soli Horizon Soil Texture Soll`Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Hotizon Sall Texture. Sall Color Mall Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, Flood Insurance Rate Man: ,/ Above 500 year flood boundary No— Yes ."___ , Within 500 year boundary No `� Yes ' ' Within 100 year flood boundary No. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ke S If not,what is the depth of naturally occurring pervious material? r Certification ��� I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the requir tralpnln exper's and experience described in�10 CMR 15.017. 4�6 1' Date Sgh G, W17 Signature , Q;\S.BPTiL1PRRCPORM.DOC Certified Mail#7012 1010 0000 2850 8241 mot► ra,� Town of Barnstable Regulatory Services * BARNgrABLE, , '"�: ,�� Public Health Division plf0 MAC A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 7, 2014 , Eric Winer 144 Barton Road Hodgdon, ME 04730 NOTICE, TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 31 Hiramar Road Hyannis, was inspected on January 7, 2014 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received at The Town of Barnstable Health Division. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Observed windows throughout home which.are not weather tight and do not exclude wind. Wall within first floor bed room had large gap in corner of room where it meets closet and is not weather tight. Wall near stove within kitchen not.finished. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing all windows,window trim, and walls so that they excludes wind and are weather tight. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per.violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above, violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R:S., CHO j Director of Public Health Town of Barnstable Cc: Morgan Brown, Occupant QAOrder IetterAHousing violations\Rental ordinance\3 Hiramar Road.docl-7-14 TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date L Time: In Out Owner Tenant a Address �L � Address M Compliance Remarks or Regulation # Yes NO Recommendations 2. Kitchen Facilities — /"'""� N 3. Bathroom Facilities s 4. Water Supply } ' 5. Hot Water Facilities 6. Heating Facilities 14 7. Lighting and Electrical Facilities 6 I'� �- 8. Ventilation 9. Installation and Maintenance of Facilities ` 10. Curtailment of Service 11. Space and Use CM 12. Exits � t 13. Installation and Maintenance of Structural (AL Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing. i 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; �! Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here r ti ALA �n w / ] CA� cocjrr.�6 IA ./YY S S PA bf,�A Ada • : Y ■'j © x"€ ■ Nam` 'H 4 6 - NNOMMIMMMM >$ m Ln ru '} F F I C I .- L ':, IIA mPostage $ y / ap Certified Fee. �� _7 apark p Retum Receipt Fee Here (Endorsement Required) i He C3Restricted Delivery Fee j (Endorsement Required) �/S P 5 CD Total Postage&Fees $ .A O Sent To o Street,Apt No.; ///�j Q�Y I�r yG�i.� r PO Box No. 7`�' �J -------------------------- .-........-•-- .......... 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Internet access to delivery information is not available on mail addressed to APOs and FPOs. I_1_LLLI UNITED { Paid SFIi!}F34�liti$€Et{.t:?-Ft14F{SF',j?}jttjlFisl?3l iti_liltf i.iSiS�}� f • Sender: Please print your name, address, and ZIP+4 in this box • I �v�j �ic ��� fi ii}}tti3f ! 3 ii i COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature l item 4 if Restricted Delivery is desired. Agent X I ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B.,ReGived by(P' N e) C. Date fOvil I ■ Attach this card to the back of the mailpiece, ; or on the front if space permits. _ D. Is deliverer`4cklress different from lterna? Yes 1. Article Addressed to: A If YES,enier.9delivery address belaF ❑No 3-1 / q'y Y, 3. Service Type . o� l f%Zertifled�Mail ❑Express IV� ®�7 c38 ❑Registered j$Rem Receipt for Merchandise ❑Insured Mail ❑C.O.D. l 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number t .,+ i t! 2- I" i ` #I. (Transfer from service/abet) 7 0 2 6 D"S 1 j 0 0 0 0 '3 5 2 5 3 4 5 9 PS Form 3811,February 2004 Domestic Return Receipt 1025e5-02-M-1540 Town of Barnstable P�oFt"E'O�o Regulatory Services ` Public Health Division * BARNSTABLE, MASS. Thomas McKean,Director 1639. iDlen na'�" . 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: .508-790-6304 Eric Winer 1/7/20.14 144 Barton Rd. Hogdon, ME. 047.30 s NOTICE OF VIOLATIONS - OF 310 CMR: 15.00 THE STATE - - ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE =---- -- SUBSURFACE DISPOSAL OF SANITARY SEWAGE The property owned by you located at 31 Hiramar Rd. Hyannis, was inspected on December 31, 2013 by Donald Desmarais RS, Health Inspector for the Town of Barnstable, because of a complaint. The following violation of 310 CMR 15.00, the State Environmental Code, Minimum Requirements for.the Subsurface Disposal of - Sanitary Sewage and 105 CMR 410.00 State Sanitary Code II -Minimum Standards of Fitness for Human Habitation: 105 CMR 410.300 AND 310 CMR 15.02 (207): 1 Septic system is in hydraulic failure. Raw sewage had been observed on ground. 1 1) You are directed to hire a licensed septage hauler to pump the overflowing septic system within twenty-four (24) hours of receipt of this letter. 2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary(daily if need be)to keep it from overflowing onto the ground. 3) You are further directed to contact and hire a professional engineer to design a septic system, which meets local and state regulation requirements and have 60 days from the receipt of this letter to have repairs completed. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance could result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF E BOARD OF HEALTH Th .. omas A. McKean Director of Public Health Commonwealth of Massachusetts ��,% 1 ' Executive Office of Environmental Affairs Department of Environmental Protection One Winter Street, Boston MA 02108 (617)M55M 666I 100n gRUD�a a OXE �% Y �rS cretary ARGEO PAUL CELLUCCI 1—�_. . DAIb .STRUHS Governor � 1 Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 31 Hiramar Road, Hyannis, MA Name of Owner: Eric Winer Address of Owner:P.O. Box 741 Date of Inspection: October 1, 1999 South Yarmouth, MA 02664 Name of Inspector: (Please Print) James M. Ford I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville, MA 02655-0049 Map: 292 Telephone Number: (508)862-9400 Parcel. 011 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: ✓ Passes _ Conditionally Passes _ Needs Further Evaluation V Local Approving Authority F *1s Inspector's Signature: Date: October 3, 1999 The System Inspector shall submit 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 revised '9/2/98 Page 1oftl �"* Priirted on Recycled Paper W i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) a Property Address: 31 Hiramar Road, Hyannis, MA Owner. Eric Winer ;.s Date of Inspection:' ' October 1, 1999 a . INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: y : ✓ I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: 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. 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 failure is imminent. The system-will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health.- Sewage backup or breakout or higif static water level observed in the distribution box is due.to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health) broken pipe(s)are replaced _ obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2ofII i f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) ' Property Address: 31 Hiramar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 1, 1999 -F-tu C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and 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.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 systein.(SAS)and the SAS is within 100 feet to 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 is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER yrevised 9f2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 31 Hiramar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 1, 1999 D. SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: _ I have determined that one or more.of the following failure conditions exist as described in 310 CMR 15.303. The basis for this detennination is identified below. The Board of Health should be contacted to detennine 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 overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. _ Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy'is within.a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. 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: 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 abov e: _ 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 a 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 Page 4of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 31 Hiranzar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 1, 1999 : . .;. Check if the following have been done:' You must indicate either "Yes" or "No" as to each of the following: Yes No ✓ _ Pumping information was provided by the owner, occupant,or Board of Health. ✓ _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ✓ _ As built plans have'been obtained and examined. Note if they are not available with N/A. ✓ The facility or dwelling was inspected for signs of sewage back-up. ✓ _ The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. ✓ All system components,excluding the Soil Absorption System,have been located on the site. ✓ _ The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for conditions 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: ✓ _ Existing information. For example, Plan at B.O.H. _ ✓ Detennined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)]. ✓ _ The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. f r 10 revised 9/2/9.8 Page 5ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 31 Hiramar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 1, 1999 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom. Number of bedrooms(design): 3 Number of bedrooms(actual): 3 Total DESIGN flow n/a Number of current residents: 2 Garbage grinder(yes or no): No Laundry(separate system) (yes or no): No system; If yes, separate inspection required Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last two year's usage(gpd): 1998-26,250 Aals.• 1997-48,000,eals. Sump Pump(yes or no): No Last date of occupancy: Currently occupied. COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: Qpd(Based on 15.203) 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: Pumped July 14195 and June 21194-per Treatment Plant. System pumped as part of inspection(yes or no): No If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM V. Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy _ Shared system(yes or no) (if yes, attach previous inspection records,if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed(if known)and source of information: July 14195-per as built card. Sewage odors detected when arriving at the site: (yes or no) No revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 31 Hiramar Road, Hyannis, MA Owner: Eric liner Date of Inspection: October 1, 1999 BUILDING SEWER: _ (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: ✓ (locate on site plan) Depth below grade: 12" 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: 8'6"x 4'10"x S' (1000 gal.) Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle: 28" - Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 8" s Distance from bottom of scum to bottom of outlet tee or baffle: 10" How dimensions were determined: Measuring stick 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.) The tees were present. The liquid level was even with the outlet invert. Recommend pumping. GREASE TRAP: None (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: r 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.)., , _ s revised 9/2/98 Page 7ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 31 Hirarnar Road, Hyannis, MA Owner: Eric Winer r Date of Inspection: October 1, 1999 TIGHT OR HOLDING TANK: None (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 k. Alarm present: Alarm level: Alarm in working order: Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: ✓ (locate on site plan) Depth of liquid level above outlet invert: _ Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box, etc.) The box was level and there were no signs of solids or leakage PUMP CHAMBER: None (locate on site plan) Pumps in working order: (Yes or No) -. working or No Alarms inkin o g order:e (Yes ) Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 31 Hiramar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 11 1999 ; ;,.1,;, •, <:; SOIL ABSORPTION SYSTEM (SAS): ✓ (locate on site plan,if possible;excavation not required, location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number: I -4'x 6' (per as build card) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: 'V f 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.) The pit was not dug up There were no signs of failure in the D-box. CESSPOOLS: None (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection). Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: None (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 Page 9ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 31 Hirmnar Road, Hyannis, MA Owner: Eric Winer Date of Inspection: October 1, 1999 Map: 292 Parcel: 011 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into-house) 1 � — _3 o y i a A l - 3c1 Cv �3a- y3 i3 3- 3$� 13y- a(D" • revised 9/2/98 Page 10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 31 Hiramar Road, Hyannis, MA ; Owner: Eric Winer Date of Inspection: October 1, 1999 } NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 18 +/- Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc:) - Determined from local conditions ✓ Checked with local Board of Health Checked FEMA Maps Checked pumping records Check local excavators,installers ✓ Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Using the Barnstable Water Contours map and Topographic map, the maps were showing approximately 18' +/- to groundwater at this site. This report has been prepared and the stem inspected and passed as o the date o inspection. This report is not a warranty P P P �' P P f f P P or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. revised 9/.2/98 Page II of II j Fr ; f,Y TOWN OF BARNSTABLE 'JXATIO SEWAGE # Lb VILLAGE �ASSESSOR'S MAP & LOT Q INSTALLER'S NAME&PHONE NO. e_10"4_0 02ffoo SEPTIC TANK CAPACITY /c X) LEACHING FACILITY: (type) lr)A (size) KXV.7 NO. OF BEDROOMS 3 BUILDER OR OWNER 07 . PERMTTDATE: 3 -.3e) COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 01 / No..7D,0" Fizz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Allp irFatiuu for Uiripwi al Works Cnuuitrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at a�Z /T on- \dt css or Lot No. Loc Owner Address ._....---•--•------'--- a lZJ_......... :....... Installer Address d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms_____________ ___ _ ______________.--Expansion Attic ( ) Garbage Grinder ( ) pa 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------------gallons Length---------------- Width---------------- Diameter---............. Depth................ x Disposal Trench=-No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.....:............... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) r-d Percolation Test Results Performed by.......................................................................... Date........................................ ►4 Test Pit No. I................minutes per inch Depth of Test Pit---.--_-_-___---___. Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .....----•-•----------------•-•-•----•••••-•--•.......•----•----•-•---•-------------------------•---......................................................... 0 Description of Soil........................................................................................................................................................................ V •--•------••-••.............••-----•••----------------------------•----------------------•-----••-•-••-----------•---------••--•----•--••---••••----••----•------------........._..........-•--•---•-•-. -•--------------------------------------------------------------------------------------------•------------. -- ---- -- -- --------------•---. U N ture of Repa' s or Iterations—Answer hen ap lic ble.__ %5 Il......_.�.-...1 v.C1 ?....�y .... Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a pe ,,ca,.e of Compliance has been is ued by the boar health. Signed .. / ........ ✓ ............. ..............:c7. J Application Approved By � "..'.. .. .�....... ........ ...... ........ ... ... ..... ..... ateApplication Disapproved following r ons: .................................................................. . ......................................................... . —• - L Date Permit No. ----- Issued ......�..� ......�....................... No. _._._ Fa$.... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allp ration for Diri.pooul Workii Toastrurtion rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( -anIndividual Sewage Disposal System at�..._... /........... ................ l :5..•---- •.•. ^Coca ion-Add-ress .............. t"/�•�ar C l Y A/i or Lot No. — ....................•••........ Oa nez Address aA ....•---••-•.............................................. ••-•-•--•-- ---------•••--••-•-----•--•••••--•••.••--•- Installer Address Type of Building �"'� Size Lot............................Sq. feet �.� Dwelling—No. of Bedrooms------------'�------------------- -----Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 1� Other fixtures ----------------•----------------------•---•-----_-_................................................................................................. 4� Design Flow.......... ....... .................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length__............. Width................ Diameter_............. Depth................ x Disposal Trench--No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------_--._._._- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed'by.......................................................................... Date........................................ 14 Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water......................... G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-••--••------------------••--••••••••••••-•••-••••••-•••----••-•••-••-•---------.4......-------•..................................................... 0 Description of Soil........................................................................................................................................................................ x x Nature of Re ai s or Alterations—Answer when a licable._.. � _ •---•............. . ______ f U P P 7�n.........Z--- 1 ...l o_�l----..T. ....------)---._..........i ...._/ U(� ( , - �S7` ......... Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar -of health. Y P Signed ;/1- -- -� - .... ...- ,w ... .... - �,�c.<�-.,�,.,:..,....................��....�........b....� Application Approved BY --------------- ---------- 11 Application Disapproved for the following reasons: .. ... .. . ...._......_............. .......... ................ ......--- ........... _........ ......... ............ .. .. . .... ..... yl� . f /..... Dare Permit No. FT- -- Issued ..----- .-, (.�......... J....................... `�� Dare � - ---------------------------------------------------- --------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11Ertifirate d VO-Ion Haire THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired.( ✓� by -------------------------------..--.-..------------I/' 7/J .o.......................--------------------------- .-...........-......----------------------------..------------ ', // Insrtfllcr at .............. .....-...-.- /i9f1?Q.O".......--../�..... ........... may.. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..--... . .... dated _-_.................._........._......_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTROiD/AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .................._...... _..`_...-j.. ...W_�''.- -...........--.. Inspector -.... .- �'..... ._.:--------------------------------------------------- DATE qr� THE COMMONWEALTH OF MASSACHUSETTS 1 r /. BOARD OF HEALTH TOWN OF BARNSTABLE No........ .......... FEE......-�.�..�......r_____... �io�os�t1 or�o �natotr�rtion rrntit Permission is hereby granted----------------------_----- -----------•------------------------•-------•-•-----•-------------................ to Construct ( ) or Repair ( .-)'an Individual S wage Disposal System at No.-•-=_?t-------•------- ......00.......................... - --- ................................................... - - ,� as shown on the application or Disposal Works Constructio, Per it No �._._.._.._ ;. I�at�d:1. .___ .... ••..........-A -0--��1. ----- �� Bo d of Hcalth�-'` DATE............................... ..• -•� ---------------------- --------- FORM 36508 HOBBS R WARREN,IN/C..PUBLISHERS --_ - --- _ -- -- THIS PLAN 15 INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DE;ICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS, OWNER ' <s1 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. 0 SEpTIC F�MST '• UTUVES WATER LINE WATER METER O !I LEGEND IcG2ND _�vl � GAS LINE SEPTIC COMPONENTS �I(c (�,P OVERHEAD WIRE OH UTILITY„ EXISTING C �� POLE DRAIN 1000 GAL Fp EL - 32.0 SEPTIC TANK GF OF HYDRANT OEXISTING 96.18 ft LEACH PIT/ — THIS I A CESSPOOL c� 1/1Z �n DISTRIBUTION BOX❑o pp PLAN *• GARB USE OLOR PLAN ONLY TEST PIT ® �- AREA = 9 3!S-'f+- G OR INSTALLATION 42 m LAND COURT PLA 17786-C R FULL DETAIL IS BEST .6 4. CV) OT VIEWED IN ASSR MAP 2 2 PCL 11 A OWED FULL COLOR 43 I � STING — 44 cpNT Q PROPOSED SOIL \ MINIMAL��UA z ABSORPTION 45 GRADING \OPOSED SYSTEM -SEE DETAIL 42 ON BACK 46 I / ' fr 2 G EXOS 3 B 00m cv; 'a .I- 15 in °� it®p c��L�L� ��®� PINE +� k � W W [� 0 43 i �I O 1 a 4 133 46 12 in _ e -- - PINE G 7 PA VED - __ 00 f t n 64.50 ft SIDEWALK _ e EDG"- ----- - E OF PA - A oo PLAN SCALE: I In = 20 ft FLOOR PLAN TO ���� / SCALE �� OpFN'rt ® ATU,y 0 20 40 ELEVATION BED STORAGE �0 44.35 0 10 20 ROOM P OF DRAIN GAP LIVING ----- PRINT ON 8-112 x 14 in Room PAPER FOR PROPER SCALE Roots VARIANCES REQUESTED ' ' NOTES STORAGE 310 CMR 15.221(7) - COMPONENT DEPTH TO FINISH GRADE. 36 in UPPER FLOOR MAX REQUIRED VARIANCE TO i EXISTING LEACH PIT IS TO BE 60 in OF COVER REQUESTED. PUMPED. COLLAPSED & RE,M�OVED. BED KITCHEN a Q BARNSTABLE LOCAL REGULATION 360-1: REMOVE ALL D SOILS 0 III ROOM m m LOCATION OF COMPONENTS WITH RESPECT CONTAMINATED SOILS REPLACE WITH CLEAN MEDIUM AND HALLWAY TO WATER BODIES: 100 FOOT SEPARATION �' REQUIRED. VARIANCES TO 59 FEET FOR A PER TITLE 5 (310 ?P 15.255(3)).. LIVING DINING DISTRIBUTION BOX AND 60 FEET TO A INSTALLER MAY MOVE VENT PIPE Room ROOM SOIL ABSORPTION SYSTEM REQUESTED. TO A DIFFERE LOCATION. MAIN FLOOR THIS PROPERTY IS NOT IN A WELLHEAD OR GROUNDWATER PROTECTION DISTRICT HYANNIS. MAC - --_-- PER BARNSTABLE GIS DEPT. RECORDS. ( FALMpUTH B ROA ��oo i F�� SEWAGE DISPOSAL ROUTE 2 " of SYSTEM PLAN LOCUS t��� SsgC (F1 OF MgSsq -TO SERVE EXISTING DWELLING pLICIA AR p DAVID yGJ o DAVID �yoJ ROAD 9 HIR AD E R I C J . D. �, D. WINER COUGHANOWR N u COUGHANOWR N j � � N No. 1093 No. 461 �� OWNER(S) OF RECORD FRANKLIN FRESIA SES PD �FGISfE qpp VET r ESQ 31 HIRAMAR ROAD AVE v HO NOT SA 1 sO/! P� I' 155 Geo Ryder Rd S PROPERTYAADDRE6s MA SCALE Chatham, MA 02633 Davidcou@HotmaiLcom DATE. MARCH 24. 2017 I. L O C U S T MAP' 508 364-0894 Pc.1/2 'JOBa ETE-4125 rnrec� f SO TEST LOG DATE: 15232 Y 6, 2017 DIGION (CALCULATION CA CU ATIlO�N,fjfl( IJIIL� L�, PERC# 15232 (JJ�IJ �IJ�J lam] L� �l� �IJ �IJ I�V'JCJ SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DAVID STANTON, HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS NO GROUNDWATER ENCOUNTERED TEST PIT 1 PERC AT 60 in - 3 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN ELEVATION DEPTH soli USDA SOIL SOIL COLOR SOIL OTHER SOUND STRUCTURAL CONDITION. IF NOT, INSTALL INCHES HORIZON TEXTURE (MUNSELU MOTTLES - NEW 1500 GALLON SEPTIC TANK. 45.75 0-8 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. 42.42 8-40 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: 40-154 C LOAMY SAND 10 YR 5/4 NONE LOOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 32.92 SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES TEST PIT 2 NO GROUNDWATER ENCOUNTERED PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. PERC AT 60 in - 3 MIN/INCH IN C SOILS THE 24 ft x 12.5 ft x 2 ft LEACHING GALLERY ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DEPICTED BELOW CAN LEACH: INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 45.80 0-10 Ap SANDY LOAM 10 YR 2/1 NONE FRIABLE BOTTOM AREA = (24 x 12.5) = 300 sq. ft. 42.63 10-38 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SIDEWALL AREA = (24+24+12.5+12.5)x2 =146 sq. ft. 38-154 C LOAMY SAND 10 YR 6/4 NONE LOOSE TOTAL AREA = 446 sq. ft. 32.97 FLOW CAPACITY = 0.74 x 446 = 330.04 gal/day INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW. FLOW CAPACITY = 330.04 gal/day WHICH EXCEEDS 9QO QO 0 S/=,L L 0� SEP T�� TAM THE 330 goI/day REQUIRED FOR A THREE BEDROOM DESIGN. TANK TO BE PUMPED DRY AT TIME OF INSTALLATION AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL M NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. REPLACE WITH A NEW 110 Balm 98o 11 offi 0 I in 1500 GALLON TANK WE TAPER IF CRACKED. ROTTED 24.0 ft OR OTHERWISE UNIT -�� COMPROMISED. row co N O S w w O cp cow to j I L? O EU m v N NOT - TO M Lo SCALE STONE 3.5 ft 8.5 ft 8.5 ft 3.5 ft t i 8 ft_6 in A - 500 GALLON DRYWELL INLET OUTLET DIMENSIONS & DETAIL INSTALL ONE INSPECTION COVER COVER RISER TO WITHIN THREE INCHES OF FINAL GRADE 3 IN DROP & INDICATE LOCATION 1, —► A! FLOW LINE ON AS-BUILT FROM = 10 in = 14 TO ;w BUILDING = . p! 36 D-BOX opoo 48 in o0 0 000Q' _oo ❑1qp a _ OOs00 LIQUID GASooa0000 000 H 20 BAFFLE o0000000 0� c� RATED LEVEL do $ UNITS 102 in 5 b in STONE BASE /F NEW V SEPARATION BETWEEN INLET & OUTLET CROSS SECTION VIEW INSTALL AN APPROVED GEOTEXTILE TEES NO LESS THAN LIQUID DEPTH FABRIC OVER STONE l CROSS SECTION VIEW D 1 S T R 1 = U T 1 O N /� •• 28 3/4 In TO 24 In 8/4 !n TO • 1-112 in GRAVEL® EFFECTIVE®,y1-1/2 In GRAVEL • I ;• • in ® DEPTH 46 in 58 in 46 in 150 in 12 In C MIN -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE i —► � f�J STARTING WORK. FROM - S -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM N1 TANK b TO O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC p; ^ SAS CODE (310 CMR 15). O -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND T UTILITIES BEFORE EXCAVATING FOR SYSTEM. +) 6 In STONE BASE -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION n � Q OF LOW FLOW FIXTURES 8 APPLIANCES. AND PERIODIC 2 PUMPING OF THE SEPTIC TANK. R I � CROSS SECTION VIEW � 2 n S -SEPTIC TANK NOT DESIGNED TO WITHSTAND VEHICULAR LOADING DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC TANK. ED VENT TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO 4 in BE SCH. 40 PVC PIPE EL = 45.18 +- b in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 45-46 D-9 5' usE MAX AT D EXI TING USE H-20 410 uNlrs EXISTING 1000 GALLON �.;� a_ PRECAST 0 40.65 DRYWELL SEPTIC � ���11� n 6 in 40.10 EXISTING REFER TO DETAIL BOX STONE SOIL ABSORPTION 40.27,, BASE 40:00 -REFER TO EXISTING 6 !ten STONA, ASE IF NEW 23 ft 5-12 ft �YSTEM DETAIL BOX ° ------------ NO GROUNDWATER BELOW 38:00 MOTTLING OBSERVED _ 32.97 JI ScE NAGE DISPOSAL SYSTEM PLAN ' 31 HIRAMAR ROAD HYANNIS, MA MARCH 24, 2017