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HomeMy WebLinkAbout0102 IYANNOUGH ROAD/RTE 28 - HYANNIS CONDOS 102 IYANNO�UG�H/RTE 28 —James Stephens' Hyannis• Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0(ppliLation for Zisposal *pstrm COYCBtCUCtion Vrrm.t Application for a Permit to Construct( ) Repair(,/Upgrade( ) Abandon( ) ❑Complete System []'1'ndividual Components Location Address or Lot No.10� '� A��O V!�(Z Owner's Name,Address,and Tel.No. AssessoP°E p-/Parcel) v ®® _X _t t Nov Installer's Name,Address,and Tel.No. i Designer's Name,Address,and Tel.No. z�u Type of ilding: 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) QotAc, C CA LG 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 SE 1 Application.Approved by Date Application Disapproved by Date i for the following reasons Permit No. Date Issued — O s �f -. `l^.,,.,* ,..«,.-�.hr-:.,;. ..--:_n..�"`^:..i,+'�>ruk.-."�''..�y"'ps..^.+ko;r..' .y,j,:,,.}..rfF"6,T>.,.�d,.;"S,.'r""tr`S.r..:f_ .. '...+5" ^. ..' '^Y.�' •^ -,. ^..r��C'.-;�„ d...r�p� r;�,M �.. No. 01 y r ' 1, � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC,,HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS, 2pplicatlon for -bisposaY 6pstem Construction P.Prmit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System [t ridividual Components . 4 _ LocationAddress or Lot No.!Q "1 �� V Owner's Name,Address,and Tel.No. ' Assessoi'S'YGIaap/Parlcel�� ® �;�� E1, a. -Z 1^vV Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. f%A r1k C� t7 Y4U\ - `' Type of Building: Dwelling No.of Bedrooms `" Lot Size sq.ft. Garbage Grinder( f) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p 7 Design Flow(min.required) / gpd Design flow provided /v gpd 'Plan Date Number of sheets Revision Date Title E Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) t7,P G j}} C t AO Date last inspected: ' 'Agreement: i 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. a - Compliance has been issued by this Board of Health. - ,s Signed ,,,.,, ,: _ ...Date• -11��` `t _ . . 4 - M'jApplication Approved by { / { Datey!/ ;ilu Application Disapproved by Date for the following reasons I r /- ( f t J Permit No.. �� Date Issued w 17 THE COMMONWEALTH OF MASSACHUSETTS m BARNSTABLE,MASSACHUSETTS Certificate of Compliance 4 THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired t/) Upgraded( ) Abandoned( )by SedW t­�, ",.r,,w. ha bee str d i nucted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. b�dated Installer Designer #bedrooms Approved design�iow N/ gpd The issuance of this permit shall not bdlconstrued as a guarantee that the system wt ill functio .as designed. Date Inspector Inspector • - -- N .. - -. - ---- _ • - -- - -=,-- ----------•-------------------- ------------- - - ------- ------- o g l r ' J S Fe THE COMMONWEALTH OF MASSACHUSETTS e PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MIsposal *pstem Construction Permit Permission is hereby granted to Construct( ) RepairnZv ) Upgrade( ) Abandon( � i ) System located at rl-3_ �,( ,G` V-.J(�, ^ tS 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 fallowing local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date '� Approved by_ \ IJ _� r No. p 6 ` " �� �6`I l 418- Ot/' 311 Fee /0 0 WCOMMONWEALTH OF MASSACHUSETTS Entered in computdr: ✓ S + 1 (9 �UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes T' 9ppfiLation for iB�ID aY *pBtem (Construction VErmit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) E� mplete System ❑Individual Components Location A dress or Lot No. U I Owner's Name,Address,and Tel.No. 7 7 Assessorapgaccel Installer's Name Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size (p (� sq.ft. Garbage Grinder Other Type f Building _ No.of Persons Showers( ) Cafeteria( ) Other Fixtures OW-0—//— I i.� Design Flow(min.re uired 'b 3 y gpd Design flow provided C 3 gpd Plan Date 1{ Number of sheets Revision Date Title Size of Septic Tank d 2 eK.S Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) (,;Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date Application Approved by Ou Date Application Disapproved by Date for the following reasons Permit No. 6—? — �� Date Issued s 2 C Ar No. 7 G(7 46 s l �"s l p� dcl -f 1 / Fee tl U d pP 3� 1 ,. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. ✓ r F�UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplication for -bisp6d *pstrm Construction Permit s. r Application for a Permit to Construct( ) Repair(1 Upgrade( ) Abandon( ) 0°Complete System ❑Individual Components Location Address or Lot No. UJL o+�✓7sv Owner's Name,Address,and Tel.No. Assessor's ap/Paicel 00 , Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel:No. Type of Building: Dwelling No.of Bedrooms, / "f Lot Size sq.ft. Garbage Grinder(V) Other Type of(Buildirig GQ! �n�e��' No.of Persons Showers( ) Cafeteria( ) Other Fixtures G�{�`(e///— 1� S4 AL i // 1 Design Flow(min.required) I b 3 �� gpd Design flow provided /h J 6, gpd Plan Date k1l& Number of sheets f� Revision Date '7 ?1•— /o Title j' \ / ` /` I 1,p_ Size of Septic Tank C'Uv.} 2 5 vV C V 111 Type of S.A.S.( 1 �n �, //� t y n ! / Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: �a Y - -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 A Date Application Approved by (► /(y� (//�v+ G Date Application Disapproved -t' Date for the following reasons Permit No. S% — (, Date Issued S� -//7 --------------- --- ------ - TJw i Tf %,? I1,v k J THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE,MASSACHUSETTS 4P Certificate of Compliance I THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�Upgraded( ) Abandoned( )by / N r at /o vL r, a L / �He Gr�� I has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No.10/7-"4 G dated V.)b /-2 r o Installer Designer #bedrooms 1_, Approved design flow 3 y gpd The issuance of this permit shall not be construed as a guarantee that the system will function n as'dtsigned. Date l�n cl-a 6 Inspector `� `� �.».�.•.-^^y No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) 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. Provided:Construction must be completed within three years of the date of this permit. Date Approved by r n d-� 3 / Uv . No. �d 17 Fee THE COMMONWEALT ASSACHUSETT Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Disposal 6psitpi Con truction Vertu"t Application for a Permit to Construct( ) Repair( ) Upgrade X) and n( ) ❑Complete System Individual Components Location Address or Lot No. �N�S Owner's Name,Address,and Tel.No. iOa ryANjj aU"-1 2� l-�� F PMA-7 t 9-r rRp�►R_�o vS Assessor's Map/,Parcel 3.19 W.C-- Inspiler's Name Address,and Tel.No. 6-68 Designer's N me,Address,and Tel.No. RS7a2(y XCAVA4TtP^J CsGE� L/fR2WGT i 4 ,94 s Eg�►s Rid s�3 �j Type of Building: Dwelling No.of Bedrooms I Lot Size 9�c3 sq.ft. Garbage rinder(N ' Showers( Other Type of Bu' g m "7- No.of Persons Showers( ) Cafeteria( ) 0 r Other Fixtures LA P Design Flow(min.required) V6, g d Design flow provided /63(p gpd Q1 `� N Plan Date -TtjnC- a,g o/(o Number of sheets / Revision Date�tJLo tS Z'a l 4,_ J C� Title P Roleo L" �5"•rrr- S YSr=Y1-► U0 G-66 6 L _ Size of Septic Tank a 3, 6-D0 &4. • Type of S.A.S�'/) SO 4G l�•Zo Gi4Mh/S�kS W/CA-4 'd Sn� Description of Soil /11 EOXU wt -G S $ANC I I Nature of Repairs or Alterations(Answer when applicable) ` S Y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme n not to p ace t e s m in operation until a Certificate of Compliance has been issued by this Board i Date S_ 2 4' Application Approved by Date Application Disapproved by Date for the following reasons Permit No. D-ot 7— Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C TIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(_�Upgraded( ) Abandoned( )by 1 at b CA has been constructed in accordance with the provisions o Title 5 and Zhe for Disposal S tem Construction Permit No. 20 7^(' bated 2 Installer gn r #bedrooms ~ ll� gpd The issuance of this permit shall not b construed as a guarantee that the system will function as designed. Date Inspector d �6, 3 / No. �1U ��> // ! Fee ( UU e THE COMMO,NWEALT _ASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWWOF BARNSTABLE, MASSACHUSETTS Yes 'application for DisposaY ;adt[( oPp -tO uMPApplication for a Permit to Construct( ) Repair( ) Upgrade ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. _ SoH-7 2 9-q$�S�{- /0a SYAN,0 ou(.1-1 2D N�ANl-1S �1( - M_-4 �2�NA_Co TRvs+ Assessor'sMap/Parcel jag p ( W 7ZTHr~ ABNOLl. �N ; N 1 lJU/ L Installer's Name,Address,and Tel.No/ 6'd8-(I)e-4,30o Designer's Name,Address,and Tel.No. PASrwLc; P_xc q vA�0-1u C�c� N`1R2zrovr� /I-7^' sEi3gs oas&3 Type of Building: I �t 4�v f r 51411 Dwelling No.of Bedrooms Lot Size �OS-763 sq.'.ft. Garbage drinder(N) 7/ Other Type of Tme g �, _!vT r No.of Persons Showers( ) Cafeteria( ) {r Other Fixtures ' I?' f Design Flow(min.required) 6_ gpd . Design flow provided 1636 gpd Plan Date N` Sl/NL Al 20((, Number of sheets / Revision Date J—t/LW )-$' Z•e/( ��f,�r^� Title PRO 0 a&& fl s F,o rro S Y-STm✓h U.jq (r✓a A d(. Size of Septic Tank 3, 57J o 6L Type of S.A.S.K�) So Gc /4•Zo USA m a etas +, I C K-s ti� s°'lc Description of Soil M EO2u An -G S S Arlo l Nature of Repairs or Alterations(Answer when applicable) 1 A 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-Gode-an` no�ace t e sy ytem in operation until a Certificate of Compliance has been issued by this Board o !r e S Date .5- 2 Application Approved by Date , Application Disapproved by Date for the following reasons Permit No. D o ( 7 „ Date Issued -b , I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C TIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Upgraded( ) Abandoned( )1: �^ 7,/1.2 at �, n has been constructed in accordance with the provisions o Title 5 and•the for'Dispo`sal`Sy ter.Construction Permit No. .�'G/7�" �bt�ated j Installer a ign r #,.bedrooms ��r - e sijrflnw- � �L�U gpd The issuance of this permit shall not b consfrued as a guarantee that the system will function as designed. Date ?' ' ) Inspector u �e - - ---------------------------------------- No. 01 -7 - lob - Fee / ®U - - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction permit Permission is hereby granted to Construct( ) Repair(�� 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. Provided:Coonst`"ction must be completed within three years of the date of this permit. Date J�j j Approved by Ara r d V 00 I Town of Barnstable Regulatory Services t BARNWABM 0 Richard V.Scali,Interim Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax:. 508-790-6304 Installer&Designer Certification Form i Date: Ca / Sewage Permit# API 7 - 1 G G Assessor's Map\Parcel 3 Z�O!f-0°° Designer: Installers Address: 9 g L.cz,.,e Address: �y Q..r• On ` .Z 4 . / 7 �,,,�, 64,,,,. vas issued a permit to install a (date) (installer) septic system at /4 Z Uy0-"vvfx f based on a design drawn by (address) Lei, lie dated / (designer c 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. � - o�!t" C ac: J J/ 'Z Qt.vlt r rj s-Ga 4, l Q•rp . 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. ertify t at the system referenced above was constructe iance with the terns f the approval letters(if applicable) � OF ler's afore) HtRlfUtiTOlW . Ii1.1070 �` esigne ign e) (Affix p 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. QASeptic\Desiper Certification Foam Rev 8-14-13.doc I � - 4 Page 1 of 1 Desmarais, Donald From: Glen Harrington [gharr88@hotmail.com] Sent: Friday, June 16, 2017 7:59 AM To: Desmarais, Donald Subject: 102 lyannough Road, Hyannis . Hi Don, Here are the septic tank calculations you requested. If the capacity drops one foot in the 2500 gallon septic tank then the calcs are as follows: tank overall outside dimensions: 12'-2" L x 6'-8" W x 7'-2" H with an effective depth of 5'-7" interior dimensions: 11'-2" x 5'-8" x 5'-7" = 353.4 cu ft x 7.48 gal/cu. ft = 2,643 gals One foot drop of effective depth = 11'-2" x 5'-8" x 4'-7" = 290 cu ft x 7.48 gal/cu. ft = 2,169 gals > 1,634 gpd. (24 hr design flow) Thanks for the help with this situation. Glen 6/19/2017 Desmarais, Donald From: Glen Harrington [gharr88@hotmail.com] Sent: Wednesday, June 14, 2017 3:33 PM To: Desmarais, Donald Subject: Septic tank sizing 2500 gals Hi Don, the 2500 gal tank has. Capacity per one foot of depth equal to 474 gals so the one foot reduction in the tank will be still over 2100 gals. The remaining capacity will be greater than the 24 hour storage requirement of 1560 god. Thanks. Glen Sent from my iPhone 1 I Town of Barnstable Barnstable Board of Health j�i�a�j 9`''R' `�g 200 Main Street, Hyannis MA 026 ie39. ►`� ` �� 2007 ��fD MA't (., + Office: 508-862-4644 V. C �i ) r u - aul J.Canniff,D.M.D. FAX: 508-790 6304 P , �A/ �✓./ h Junichi Sawayanagi Donald A.Guadagnoli,M.D. jis116 March 1, 2017 . Glen.Harrington, R.S. �,p�s C- 9 Leda Rose Lane T� Marstons Mills, MA 02648 At- t`er%rl- fib;c M(,%<f4%W^I All RE 102 Iyannough Road; Hyannls A..= 072-035 Dear Mr. Harrington, During the public meeting held on February 28, 2017, the Board voted to approve your design plan dated June 28, 2016 to repair the onsite sewage disposal system (without secondary treatment) at 102 lyannough Road Hyannis.. The.Board reversed their previous vote in regards to requiring revisions to the plan to include secondary treatment with nitrogen reduction technology due to an agreement made with the owner during yesterday's public hearing to ensure that there will be no more than fifteen (15) bedrooms utilized at this property. Also during the public meeting, the Board voted unanimously to again grant the variances you requested on behalf of your clients, Dmitry Zinov and Irena Zinov, to repair the. onsite sewage disposal system at 102 lyann.ough Road, Hyannis. The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu of the three feet maximum allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as the second compartment, in lieu of requiring new septic tank designed at 200 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. Q:WP/Harrington Zinov Variances 2017.docx ' These variances are granted with the following conditions: Y (1) The septic system shall be installed in strict accordance with the submitted engineered plans dated June 28, 2016. i (2) 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 plans dated June 28, 2016. (3) If there are two bedrooms in existence within the rear building, one of the two bedrooms shall be removed. (4) No more than fifteen (15) bedrooms total are authorized at this property. (Note: An office space is also allowed within the rear building.) (5) Each unit which is offered for rent shall be registered with the Health Division each year. It is the owner's responsibility to register each unit each year. The annual registration fee is $90 for the first unit and $25 for each additional unit. Inspections will occur at each unit annually. I; I` These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Sincerely yours, f I Paul J. Canniff, ► M.D. Chairman Cc: Irena Zinov i i Q:WP/Harrington Zinov Variances 2017.docx Y I 102 Iyanough Rd.1 Hyannis 02601 LOCATION SEWAGE PERd 11 0• James Stephen Motel VILLAGE A & B Cesspool Service INSTALLER'S NAME & ADDRESS 128 Bi-shops Terrace, Hyannis, MA 02601 - 775-6264 f GUILDER OR OWN ER David Ives GATE PERMIT ISSUED - 3120IL DATE C 0 M P L I A N C E ISSUED 4/16/81 UP" ZY .Wi Stone 4' X 41 X 50' Long- 2500 gallon Septic t'• • ' Tank s �11M, Town of Barnstable Barn�stabbl Wmed�a Board of Health � .� . 1 1 9s"BM 200 Main Street, Hyannis MA 02601 �s Office: 508-862-4644 FAX: 508-790-6304 Paul J.Canniff,D.M.D. Junichi Sawayanagi Donald A.Guadagnoli,M.D. March 1, 2017 Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE 102, yanno'ugh Road,.H.yannis .« .. A =,072-035 Dear Mr. Harrington, During the public meeting held on February 28, 2017, the Board voted to approve your design plan dated June 28, 2016 to repair the onsite sewage disposal system (without secondary treatment) at 102 lyannough Road Hyannis.. The Board reversed their previous vote in regards to requiring revisions to the plan to include secondary treatment with nitrogen reduction technology due to an -- .- - agreement made with the owner during yesterday's public hearing to ensure that there will be no more than fifteen (15) bedrooms utilized at this property. Also during the public meeting, the Board voted unanimously to again grant the variances you requested on behalf of your clients, Dmitry Zinov and Irena Zinov, to repair the. onsite sewage disposal system. at 102 lyannough Road, Hyannis. . The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu of the three feet maximum allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as the second compartment, in lieu of requiring new septic tank designed at 200 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. Q:WP/Harrington Zinov Variances 2017.docx �1 These variances are granted with the following conditions: (1) The septic system shall be installed in strict accordance with the Submitted engineered plans dated June 28, 2016. (2) 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 plans dated June 28, 2016. (3) If there are two bedrooms in existence within the rear building, one of the two bedrooms shall be removed. (4) No more than fifteen (15) bedrooms total are authorized at this property. (Note: An office space is also allowed within the rear building.) (5) Each unit which is offered for rent shall be registered with the Health Division each year. It is the owner's responsibility to register each unit each year. The annual registration fee is $90 for the first unit and $25 for each additional unit. Inspections will occur at each unit annually. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Sincerely yours, ; Paul J. Canniff, M.D. Chairman Cc: Irena Zinov Q:WP/Harrington Zinov Variances 2017.docx 1 C : �2 53 32- 9,, 1 9D . r t April 7, 2016 Kenneth (Ken) Kline 17 Kings Way Orleans, MA 02653 Cell 774-353-8807 Crocker, Sharon 0 From: Edward Stone <eas.survey@yahoo.com> Sent: Wednesday, February 22, 2017 11:53 AM To: Crocker, Sharon Subject: 102 lyanough (Rt 28) Road Hyannis Mihanaz Realty Trust Barnstable BOH c/o Sharon Crocker On 2/21/17 1 informally inspected the septic system at the above referenced site I found the effluent surcharged above the inverts at the top of structure and at the bottom of the riser which I accessed by manhole in the grass area quadrangle between the three main buildings Edward A Stone SI 2592 Sent from my iPhone 1 M s ,.D r=1 a C C U 'Postage $ O Certified Fee Q Po ark Return Receipt Fee �- J O (Endorsement Required) y are �Q Restricted Delivery Fee 4 O� i3 (Endorsement Required) Q ,-a 0 601 V O Total Postage&Fees $ (J r� n Demetry and Irene Zinov,Trustees r c 76 Thread Needle Lane r Centerville, MA 02632 I i Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the PLpstal Sege for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. n Certified Mail is hot available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811).to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. Ir. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,'please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. 4 IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Barnstable Town of Barnstable . Regulatory Services Department Q D BARNSPASM ; 9� o. Public Health Division Zoos 200 Main Street, Hyannis MA 02601 Office: 508-8624644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2848 1643 October 3, 2016 Dmetry and Irene Zinov, Trustees 76 Thread Needle Lane Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 RE: 102 Iyannough Road, Hyannis Map/Parcel 328-152-OOA through -OON The septic system located at 102 Iyannough Road,Hyannis MA was last inspected on September 27,2016,by Donna Miorandi, Health Inspector for the Town of Barnstable. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. You are ordered to pump the septic system within the next twenty-four(24) hours. It shall be pumped on a daily basis until the required repairs/replacement has been accomplished to prevent any further backup of sewage into rental units. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\102 Iyannough Rd Hy James-Stephn Sep2016.doc =x, Flynn, Judith From: McKean, Thomas Sent: Thursday, September 29, 2016 9:59 AM To: Miorandi, Donna; McKenzie, Marybeth; Flynn,Judith; O'Connell,Timothy Subject: 102 Iyanough I. Septic Repair: Urgent Glen Harrington representing Dmitry and Irena Zinov, owners — 102 lyannough Road (formerly James Stephenson Condominiums, Hyannis, Map/Parcel 328-152-OOA through -OON, 14 units, 1.51 acre parcel, septic repair needed. Glen Harrington described the current failed system to the board for the property which was formerly the James Stephen's condominiums and will become timesharing through the current owner. Upon a motion duly made and seconded, the Board determined an Innovative/Alternative (I/A) system is necessary and the Board voted to grant the variances listed on the application for the setback from the crawlspace as it is less than 10 feet and the depth of the leaching chambers require H2O will be used and will be vented. Mr. Harrington will revise the plan with an I/A system with the 2500 gallon tank for the 14 bedrooms and will supply Mr. McKean with a monitoring plan which will be in accordance with the manufacturer's instructions. This is approved and the revised plan will be reviewed by Mr. McKean to allow the system to be installed prior to the next meeting as it is in failure. (Unanimously, voted in favor.) i h Town of Barnstable Barn THE r ` "0;0 Regulatory Services Department i ` STABM �^ $ Public Health Division fD a`� P ub v 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard V. Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7008 3230 0002 5177 7875 December 16, 2016 Dmitry and Irena Zinov, Trustees 76 Threadneedle Lane Centerville, MA 02632 RE: 102 Iyannough Road, Hyannis YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, JANUARY 241h 2017 at 3:00 pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on September 27, 2016 at 102 Iyannough Road, Hyannis. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable's Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the deadline established by both the Town of Barnstable and the State of Massachusetts. Attached are copies of earlier letters sent regarding this issue (letters dated July 26, 2016 and October 3, 2016). You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\102 Iyannough Rd Hy Dec 2016.doc ti FI . Town of Barnstable . Barn Board of Health j n"a j ' B"R'', STAB M 200 Main Street,Hyannis MA 02601 I � . 9�b i63 9. ,+g 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Cannif�D.M.D. Junichi Sawayanagi July 26, 2016 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE. 102 lyannough Road, Hyannis A = 072-035 Dear Mr. Harrington, During the public meeting held on July 12, 2016, the Board voted unanimously to require you, on behalf of your clients Dmitry Zinov and Irena Zinov, to design and install a secondary treatment unit in conjunction with the repair/replacement of the onsite sewage disposal system at 102 lyannough Road Hyannis. The secondary treatment unit shall include nitrogen reduction technology. Also during the public meeting, the Board granted you variances on behalf of your clients, Dmitry Zinov and Irena Zinov,, to repair/ replace the an onsite sewage disposal system'at 102 lyannough Road, Hyannis. The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu,of the three feet maximum-allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as 'the second compartment, in lieu of requiring new septic tank designed at 200 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. These variances are granted with the following conditions: Q:WPH Harrington Zinov 102 Iyannough Road Variances 2016.docx " (1) The septic system shall be installed in strict accordance with the revised . engineered plans which incorporates a secondary treatment unit with nitrogen reduction technology. (2) The applicant shall submit a proposed monitoring plan, which shall include B.O.D., T.S.S, nitrate-nitrogen, and total nitrogen, to the Board. (3) The applicant provides an'acceptable operation and maintenance plan. (4) 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 the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. A nitrogen reduction secondary treatment unit. is required because this site is located within a Well Protection Zone and DEP identified Zone II. The existing wastewater discharge flow is estimated at one thousand eight hundred and seventy (1,870) gallons per day at this 1.51 acre parcel. This.greatly exceeds the 330 gallons. per acre per day maximum currently enforced by the Board of Health at all parcels undergoing new construction. The Board is of the opinion that the installation of a secondary treatment unit at this site would alleviate a source of pollution to the groundwater in this area. Further, this requirement meets the spirit and intent of Sections 360-36, 360-37, and 360-38 of the Town of Barnstable Code.' Si erely yours, aul i , Chairman Q;WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) i , , CERTIFIEDIMAIL. i m (Domestic Ma On y,No Insurance Coverage Provided) �V* Town of Barin ca F 7_ o.� Regulatory Services Co -Postage $ BARNSTABM 7d MASS. Certified Fee O >s6 9. Public Health Di C3 z �fp ¢ Po mark:., Return Receipt Fee } — O Endorsement Re wired are 200 Main Street,Hyannis o ( 1 ? y Restricted Delivery Fee O 3 (Endorsement Required). Q� 0 601 V S' O Total Postage A Fees Office: 508-862-4644 FAX: 508-790-6304 �4i Demetry and Irene Zinov,Trustees 76 Thread Needle Lane CERTIFIED MAIL # 7012 1010 0000 2848 1643 1 Centerville, MA 02632 October 3, 2016 Dmetry and Irene Zinov, Trustees 76 Thread Needle Lane Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 RE: 102 Iyannough Road, Hyannis Map/Parcel 328-152-OOA through-OON The septic system located at 102 Iyannough Road,Hyannis MA was last inspected on September 27,2016,by Donna Miorandi,Health Inspector for the Town of Barnstable. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. You are ordered to pump the septic system within the next twenty-four (24) hours. It shall be pumped on a daily basis until the required repairs/replacement has been accomplished to prevent any further backup of sewage into rental units. e You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. — PER ORDER OF THE BOARD OF HEALTH cKean,R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Ev1\102 Iyannough Rd Hy James-Stephn Sep2016.doc �. I u� flit,,Ju�►t McKean,Thomas pom=' Thursday, September 29, 2016 9:59 AM , seat: Miorandi, Donna; McKenzie, Marybeth; Flynn,Judith; O'Connell,Timothy To: 102Iyanough Subject: Septic Repair: Urgent Glen Harrington representing Dmitry and Irena Zinov, owners — 102 lyannough Road (formerly James Stephenson Condominiums, Hyannis, Map/Parcel 328-152-OOA through -OON, 14 units, 1.51 acre parcel, septic repair needed. Glen Harrington described the current failed system to the board for the property.which was formerly the James Stephen's condominiums and will become timesharing through the current owner. Upon a motion duly made and seconded, the Board determined an Innovative/Alternative (I/A) system is necessary and the Board voted to grant the variances listed on the application for the setback from the crawlspace as it is less than 10 feet and the depth of the leaching chambers require H2O will be used and will be vented. Mr. Harrington will revise the plan with an I/A system with the 2500 gallon tank for the 14 bedrooms and will supply Mr. McKean with a monitoring plan which will be in accordance with the manufacturer's instructions. This is-approved and the revised plan will be reviewed by Mr. McKean to allow the system to be installed prior to the next meeting as it is in failure. (Unanimously, voted in favor.) 1 Town of Barnstable Barn FTHET Board of Health j a"a j B MA�`� 200 Main Street, Hyannis MA 02601 I I. � I n 39. 2007 Office: 508-862-4644 FAX: 508-790-6304 r Paul Canniff,D.M.D. Junichi Sawayanagi July 26, 2016 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE: 102 lyannough Road, Hyannis A = 072-035 Dear Mr. Harrington, During the public meeting held on July 12, 2016, the Board voted unanimously to require you, on behalf of your clients Dmitry Zinov and Irena Zinov, to design and install a secondary treatment unit in conjunction with the repair/replacement of the onsite sewage disposal system at 102 lyannough Road Hyannis. The secondary treatment unit shall include nitrogen reduction technology. Also during the public meeting, the Board granted you variances on behalf of your clients, Dmitry Zinov and Irena Zinov, to repair/ replace the an onsite sewage disposal system at 102 lyannough Road, Hyannis. The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu of the three feet maximum.allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as the second compartment, in lieu of requiring new septic tank designed at 200 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. These variances are granted with the following conditions: Q:WPH Harrington Zinov 102 Iyannough Road Variances 2016.docx + i. Y (1) The septic system shall be installed in strict accordance with the revised engineered plans which incorporates a secondary treatment unit with nitrogen reduction technology. (2) The applicant shall submit a proposed monitoring plan, which shall include B.O.D., T.S.S, nitrate-nitrogen, and total nitrogen, to the Board. (3) The applicant provides an acceptable operation and maintenance plan. (4) 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 the proposed .plan appears to meet, the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. A nitrogen reduction secondary treatment unit is required because this site is located within a Well Protection Zone and DEP identified Zone Il. The existing wastewater discharge flow is estimated at one thousand eight hundred and seventy (1,870) gallons per day at this 1.51 acre parcel. This greatly exceeds the 330 gallons per acre per day maximum currently enforced by the Board of Health at all parcels undergoing new construction. The Board is of the opinion that the installation of a secondary treatment unit. at this site would alleviate a source of pollution to the groundwater in this area. Further, this requirement meets the spirit and intent of Sections 360-36, 360-37, and 360-38 of the Town'of Barnstable Code. Si erely yours, aul i , Chairman Q:WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx i t DATE: ?j- FEE: • BARNWABM • MAt 16 ,� REC. BY Town of Barnstable SCgED. DATE: r2 Board of Health - 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: Z '13`2- Z0/o Size of Lott: Wetlands Within 300 Ft. Yes 1" BueAame �_O 4 ®6 No Subdivision Name: APPLICANT'S NAME: re Phone Did the owner of the property authorize you to represent him or her? Yes t` No !may PROPERTY OWNER'S NAME CONTACT PERSON Name: 4,44i7'0'1-Y �-,T-AF.-V�'l 2 rYo(/ Name: 0(Z', ': Address: 7� AVOAA<¢c4� tt,, &.41tlil& Address: I ZV-4—O& 1-0, at){ys'rl ,049 Phone: 774 - c(/3 - I6 3 6 Phone: 7 7 y - Z 3 F- -/7/3 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 3 i-v tw 2/j-.4�vs-0)1k) 5,4jfiLdfa-v 96 C,r l Jae Act i 0', "'rY'd NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail aty�east ten days prior to me...t ate at applicant's expense (for Title V and/or local sewage regulation variances only)_ Full menu submitted(for grease trap variance requests only) `ad Ja j i t9 Nnr _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC J T �. �ti d.'fvY .YgIN INiT MRfN 6NT M9/N�ENS C3 r4 ` s� O 46 Hat G A'1". .. 2=�'... fe:a" ..fe"d' /{`.s•' se:p'.... /J'.i 3'.J".. ^ '.. - a cvMronN �NDRTHJ✓/NO'" R.osev .. , COA/.VON RA6R 6C>N.wBN .RPI'R t 2 ; Y "• i ,6�e• 3 E ,ram: � I \ [ - a=P• a . d 2 2 4 i COKMPN RACA - cannev NRe'q ;3AY} , o A is T ` -a:n:oartmooc: di4i c - Arc;2,-s PHIMI � f 10 R gi'SIPY([OC ti E�(i .:LV.iFII 4 HAP a EvON.0000' �g!� FOR RCGwTRY fti C r o 9 /P,9ti't' qo T'9B MR Nti IV IP 0,5 q %," ?�.�ti ��/ems. 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X 22 #180 #231 328142002 =ail ..i altr 328183 y; #0' #0 1. _...L X 1K.$ •.: _ ..._. .. uA . #201 328148 #210 328143 #118 32811420011-1-1 #47 .77 0, 328149 A " 202 #126 i.i Q NX 328151. Ia 328162CND #102 ke • i:',� f 343012 - 28157 328146 i:< I #151 ✓328156002 #1_8 #131 343017 328158� ,, b a #12g e w . gdjy 35.8 328159 m' 343013 #126 #64 328166001 t +, 3�8131 , #121 328155 #1�8 #8140 #116 328154CNID ' X 2t.k� _ #101 343014 328163 , #48 #89 328160343015 #116 t ,. .,a O'(l���^-•. �S Fe }!,� , r' ., -�^ r� ;_ #- n 00 73 816Y -#30 r— 3-0i #75119n 34300585A 328169 #67 w. 1 DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:328 Parcel:15200B Selected Parcel NI boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:ZINOV,DMITRY&IRENA CO TRS Total Assessed Value:$59800 Mt. 1"=100'may not meet established map accuracy standards. The parcel lines on this map - C .[ vj -E, are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner:MIHANAZ REALTY TRUST Acreage:0 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:102 IYANNOUGH ROADlRTE 28 Buffer S such as building locations. DATE: FEE: rinntvsresiE ib¢.�0$ REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862A644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: Z - 15`2- Z00 Size of Lot: 1"S .(e4 G Wetlands Within 300 Ft. Yes v'*"- Business Name: No Subdivision Name: APPLICANT'S NAME: ra ``A 0 Phone Did the owner of the property authorize you to represent him or her? Yes L,- - No (may Goys Q�' PROPERTY OWNER'S NAME CONTACT PERSON Name: "OM/iXV �Esyf/ Z (�Y�►(.� Name: G r E rri•- Z 'y� �•S� Address: -76 ?1ikcAA1<ad& Lti� 6 41ili Address: 'l je%uLitLH PP,11)t"1 ,-el11) Phone: 77q `Y/3 1'G��� Phone: 7 711 VARIANCE FROM REGULATION a tst Reg.) REASON FOR VARIANCE(May attach if more space needed) .3!-0 CM 4!us-CtA7 Vyf d7ex zfuyA-C"T, r—,*il •elev'f d�w lew 3)--u of cis-,4e�ss-1))(I.) 5Ws fi 44 016 10.-4 NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) ` \ Please submit copies in 4 separate completed sell. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Cannitf D.M.D. an C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary �►Zs� �d��� "' "Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC i yti 0 L� h yUd�Aa cxre� Heaves : } �y 2 , 2 ¢e •b �h 'e h Z , .. x 2.' 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DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:328 Parcel:15200E Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:ZINOV,DMITRY&IRENA CO TRS Total Assessed Value:$59800 1"=100'may not meet established map accuracy standards. The parcel lines on this map '. -E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:MIHANAZ REALTY TRUST Acreage:0 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:102 IYANNOUGH ROAD/RTE 28 such as building locations. Buffer li Town of Barnstable Barnstable Regulatory Services Department j�`a�j vi HARNsrABLF-MAM I I. s6;q. Public Health Division 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard V. Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7008 3230 0002 5177 7875 December 16, 2016 J Dmitry and Irena Zinov, Trustees 76 Threadneedle Lane Centerville, MA 02632 ,RE: 102 Iyannough-Road, Hyannis YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, JANUARY 24"2017 at 3:00 pm in the Town Hall,Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on September 27,2016 at 102 Iyannough Road, Hyannis. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable's Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case,the septic system has been in failure beyond the deadline established by both the Town of Barnstable and the State of Massachusetts. Attached are copies of earlier letters sent regarding this issue (letters dated July 26, 2016 and October 3,2016). You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH _(1womasMcKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\102 Iyannough Rd Hy Dec 2016.doc -4 oF r Town of Barnstable . Barnstable 'H Board of Health j�;°a j M'„ `� ' 200 Main Street,Hyannis MA 02601 I '- v ice¢ ,�$ 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Canniff;DMD. Junichi Sawayanagi July 26, 2016 Mr. Glen' Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE. 102 lyannough Road, Hyannis A = 072-035 Dear Mr. Harrington, j During the public meeting held on July 12, 2016, the Board voted unanimously to require you, on behalf of your clients Dmitry Zinov and Irena Zinov, to design and install a secondary treatment unit in conjunction with the repair/replacement of . the onsite sewage disposal system at 102 lyannough Road Hyannis. The secondary treatment unit shall include nitrogen reduction technology. Also during the public meeting, the 'Board granted you variances on behalf of your,clients, Dmitry Zinov and .Irena Zinov,, to repair/ replace the an onsite sewage disposal system at 102 lyannough Road, Hyannis. The variances granted areas follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu-of the three feet maximu.m.allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as . the second compartment, in lieu of requiring new septic tank designed at 200 percent bf the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. r These variances are granted with the following conditions: Q:WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx I �F (1) The septic system shall be installed in strict accordance with the revised . engineered plans which incorporates a secondary treatment unit with nitrogen reduction technology. (2) The applicant shall submit a proposed monitoring plan, which shall include B.O.D., T.S.S, nitrate-nitrogen, and total nitrogen, to the Board. (3) The applicant provides an acceptable operation and maintenance plan. (4) 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 the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. A nitrogen reduction secondary treatment unit is required because this site is located within a Well Protection Zone and DEP identified Zone II. The existing wastewater discharge flow is estimated at one thousand eight hundred and seventy (1,870) gallons per day at this 1.51 acre parcel. This.greatly exceeds the 330 gallons. per acre per day maximum currently enforced- by the Board of Health at all parcels undergoing new construction. The Board is of the opinion s that'the' installation of a secondary treatment unit at this site would alleviate a source of pollution to the groundwater in this area. Further, this requirement meets the spirit and intent of Sections 360-36, 360-37, and 360-38 of the Town of Barnstable Code. Si erelyyours, t aul Chairman Q;Wp//Harrington Zinov i02 Iyannough Road Variances 2016.docx CERTIFIED MAIL. RECEIPT I,Fr (Domestic • - OnIV,N*o Insurance Coverage Provided) rq :p Town of Barin Regulatory Services � Postage $ BAENSTABlIX MASS. $ Certified Fee 9 ,e. Public Health Di C N •FD gyp( ,� E3 Return Receipt Fee Pag�i`nar�r J 200 Main Street, Hyannis (Endorsement Required) S ere :. Restricted Delivery Fee C (Endorsement Required) Q rq 0 601 V- 0 Total Postage&Feest:151 Office: 508-862-4644 rq . FAX: 508-790-6304 Demetry and Irene Zinov,Trustees 76 Thread Needle Lane CERTIFIED MAIL # 70121010 0000 2848 1643 Centerville, MA 02632 October 3,2016 Dmetry and Irene Zinov, Trustees 76 Thread Needle Lane Centerville,MA 02632 ORDER TO.COWLY WITH.STATE ENVIRONMENTAL CODE,TITLE 5 FRE- 102 Iyannough Road,Hyannis Map/Parcel 328-152-OOA through-00N The septic system located at 102 Iyannough Road,Hyannis MA was last inspected on September 27,2016,by Donna Miorandi,Health Inspector for the Town of Barnstable. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. You are ordered to pump the septic system within the next twenty-four(24)hours. It shall be pumped on a daily basis until the required repairs/replacement has been accomplished to prevent any further backup of sewage into rental units. You are ordered to repair or replace the septic system within Sixty`(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. -PER ORDER OF THE BOARD OF HEALTH . cKean,RS., CHO Agent of the Board of Health Q:\SEPTIC\I.etters Septic Inspection Failures or Future Ev1\102 Iyannough Rd Hy James-Stephn Sep2016.doc - --.. S/1 LJ n. . McKean,Thomas n From Thursday, September 29, 2016 9:59 AM seer.To: Miorandi, Donna; McKenzie, Marybeth; Flynn,Judith; O'Connell,Timothy Subject: 102Iyanough I. Septic Repair: Urgent Glen Harrington representing Dmitry and Irena Zinov, owners — 102 lyannough Road (formerly James Stephenson Condominiums, Hyannis, Map/Parcel 328-152-OOA through -OON, 14 units, 1.51 acre parcel, septic repair needed. Glen Harrington.described the current failed system to the board for the property,which was formerly the James Stephen's condominiums and will become timesharing through the current owner. Upon a motion duly.made and seconded, the Board determined an Innovative/Alternative (I/A) system is necessary and the Board voted to grant the variances listed on the application for the setback from the crawlspace as it is less than 10 feet and the depth of the leaching chambers require H2O will be used and will be vented. Mr. Harrington will revise the plan with an I/A system with the 2500 gallon tank for the 14 bedrooms and will supply Mr. McKean with a monitoring plan which will be in accordance with the manufacturer's instructions. This is approved and the revised plan will be reviewed by Mr. McKean to allow the system to be installed prior to the next meeting as it is in failure. (Unanimously, voted in favor.) I i j i I 1 i Crocker, Sharon From: Crocker, Sharon Sent: Thursday, June 30, 2016 9:54 AM, To: Crocker, Sharon Subject: FW: BOH Item - 102 lyannough Rd (formerly James Stephens Condos) Right now, Glen is expecting it will not be until the August 23th meeting even though the current system is very bad. (Tim O'Connell is next in line for the plan review). From: Crocker, Sharon Sent: Thursday, June 30, 2016 9:52 AM To: Flynn, Judith; Soto, Kathryn; Sousa, Vanessa; Wadlington, Ellen Cc: Stanton, David; O'Connell, Timothy Subject: BOH Item - 102 Iyannough Rd (formerly James Stephens Condos) FYI Glen Harrington will be in to speak with Tom either this Friday(if Tom's in) or next Tues. regarding possible need for de-nite. at this location. He has alread ;paid or variance. Please let me know if you see new plans arrive for the Board. Thank you. Sharon y , R Town of Barnstable Barnstable Regulatory Services Department BARNSPABIY, • I ' �^�^ Public Health Division Ev�aim 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7008 3230 0002 5177 7875 December 16, 2016 Dmitry and Irena Zinov, Trustees 76 Threadneedle Lane Centerville, MA 02632 RE: 102 Iyannough Road, Hyannis YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, JANUARY 24"2017 at 3:00 pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed.inspection on September 27,2016 at 102 Iyannough Road, Hyannis. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable's Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case,the septic system has been in failure beyond the deadline established by both the Town of Barnstable and the State of Massachusetts. Attached are copies of earlier letters sent regarding this issue (letters dated July 26, 2016 and October 3, 2016). You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\102 Iyannough Rd Hy Dec 2016.doc LQLqAWUAL:LQ) tub►CO .. • • . D I a Postage $ `n Certified Fee d � 2016 O Return Receipt Fee Here O (Endorsement Required) Restricted Delivery Fee O (Endorsement Required) m W Total Postage&Fees $ m �, Z Sent To CO C3 -------- �-�------- C3 Street,Apt.No., �. or PO Box No. City State,ZIF+4 :rr rr. Certified Mail Provides: o Amailing receipt n A unique identifier for your maitpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. G For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT,Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 SENDER: • • • • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by h(ed amej, C. Date of Delivery ■ Attach this card to the back,of the mailpiece, or on the front if space permits. _ D. Is delivery address diffe em 1" s 1. A!t\icle�Addressed to: If YES,enter delivery ss W. 3. Service Type cew�,D ' Certified Mail® ❑Priority Mail Express- .' egistered )WXeturn Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) _ ❑Yes 2. Article Number �t 7 p 0 8 3 2 3 Cl 0 0 2 517 7 7 8 7 5 (Transfer from service label) BPS Form 3811,July 2013 Domestic Return ReceiptR /D ,-A/AJ �I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4®in this box• aolo >1��, o Town of Barnstable . Barnstable OF'WE l �3 Board of Health j edca j ' MASS. 200 Main Street,Hyannis MA 02601 �¢ I . . v� 1 .erg 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Cannif�DM.D. Junichi Sawayanagi July 26, 2016 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE;' 102 lyannough Road, Hyannis A = 072-03571 Dear Mr. Harrington, During the public meeting held on July 12, 2016, the Board voted unanimously to require you, on behalf of your clients Dmitry Zinov and Irena Zinov, to design and install a secondary treatment unit in conjunction with the repair/replacement of the onsite sewage disposal system at 102 lyannough Road Hyannis. The secondary treatment unit shall include nitrogen reduction technology. Also during the public meeting, the Board granted you variances on behalf of your clients, Dmitry Zinov and .Irena. Zinov,. to repair/ replace the an onsite sewage disposal system at 102 lyannough Road, Hyannis. The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system fivefeet below grade, in lieu-of the three feet maximum allowed. 3 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as the second compartment, in lieu of requiring new septic tank designed at 20.0 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. These variances are granted with the following conditions: Q:WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx �1 d (1) The septic system shall be installed in strict accordance with the revised . engineered plans which incorporates a secondary treatment unit with nitrogen reduction technology. (2) The applicant shall submit a proposed monitoring plan, which shall include B.O.D., T.S.S, nitrate-nitrogen, and total nitrogen, to the Board. . (3) The applicant provides an*acceptable operation and maintenance plan. (4) 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 the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. A nitrogen reduction secondary treatment unit is required because this site is located within a Well Protection Zone and DEP identified Zone II. The existing wastewater discharge,flow is estimated at one thousand eight hundred and seventy (1,870) gallons per day at this 1.51 acre parcel. This.greatly exceeds the 330 gallons. per acre per day maximum currently enforced- by the Board of Health at all parcels 'undergoing new construction. The Board is of the opinion that the' installation of a secondary treatment unit at this site would alleviate a source of pollution to the groundwater in this area. Further, this requirement meets the spirit and intent of Sections 360-36, 360-37, and 360-38 of the Town of Barnstable Code. Si erely yours, ' aul i , Chairman Q..WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx i CERTIFIED MAIL. RECEIPT rt (Domestic Mail Onfij,No ln�s—urance Coverage Provided) d ` �. o Town of Bar o 03 7T 0 F F I C I AL Regulatory Services 43 Postage $ RI y�NWAS& ; certified Fee sb �. ' Public Health Di h Return Fee 7¢ Po;marlc., ° 200 Main Street, Hyannis OM (Endorsement Required) y A Here Q Restricted Delivery Fee � O r (Endorsement Required). Q .� 02601 I-3 Total Postage&Fees $ . Office: 508-862-4644 FAX: 508-790-6304 �( Demetry and Irene Zinov,Trustees 76 Thread Needle Lane CERTIFIED MAIL # 70121010 0000 2848 1643 ` Cehterville, MA 02632 October 3,2016 Dmetry and Irene Zinov, Trustees 76 Thread Needle Lane Centerville, MA 02632 ORDER TO.COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 RE: 102 Iyannough Road, Hyannis Map/Parcel 328-152-OOA through-00N The septic system located at 102 Iyannough Road,Hyannis MA was last inspected on September 27,2016,by Donna Miorandi,Health Inspector for the Town of Barnstable. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. You are ordered to pump the septic system within the next twenty-four (24) hours. It shall be pumped on a daily basis until the required repairs/replacement has been accomplished to prevent any further backup of sewage into rental units. You are ordered to repair or replace the septic system within Sixty(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH (�Z� �cean,R.S., CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\102 Iyannough Rd Hy James-Stephn Sep2016.doc n, McKean,Thomas Foie: Thursday, September 29, 2016 9:59 AM y4?-Y Miorandi, Donna; McKenzie, Marybeth; Flynn,Judith; O'Connell,Timothy ro: 102Iyanough Subject: i, Septic Repair: Urgent Glen Harrington representing Dmitry and Irena Zinov, owners — 102 lyannough Road (formerly James Stephenson Condominiums, Hyannis, Map/Parcel 328-152-OOA through -OON, 14 units, 1.51 acre parcel, septic repair needed. Glen Harrington described the current failed system to the board for the property.which was formerly the James Stephen's condominiums and will become timesharing through the current owner. Upon a motion duly made and seconded, the Board determined an Innovative/Alternative (I/A) system is . necessary and the Board voted to grant the variances listed on the application for the setback from the crawlspace as it is less than 10 feet and the depth of the leaching chambers require H2O will be used and will be vented. Mr. Harrington will revise the plan with an I/A system with the 2500 gallon tank for the 14 bedrooms and will supply Mr. McKean with a monitoring plan which will be in accordance with the manufacturer's instructions. This is approved and the revised plan will be reviewed by Mr. McKean to allow the system to be installed prior to the next meeting as it is in failure. (Unanimously, voted in favor.) 1 1 5 1 h,J t 65 -z T � "Pat r b A4) Barnstable Town of Barnstable . B�F- Board of Health j�Ia1.1 $"`�',�`�' ' 200 Main Street,Hyannis.MA 02601 I I v i619. ��$ 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Canniff D.M.D. Junichi Sawayanagi July 26, 2016 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE- 102 lyannough Road, Hyannis A = 072-035 Dear Mr. Harrington, During the public meeting held on July 12, 2016, the Board voted unanimously to require you, on behalf of your clients Dmitry Zinov and Irena Zinov, to design and install a secondary treatment unit in conjunction with the repair/replacement of the onsite sewage disposal system at 102 lyannough Road Hyannis. The secondary,treatment unit shall include nitrogen reduction technology. Also during the public meeting, the Board granted you variances on behalf of your clients, Dmitry Zinov and Irena Zinov,, to repair/ replace the an onsite sewage disposal system at 102 lyannough Road, Hyannis. The variances granted are as follows: 310 CMR 15. 405: To install the soil absorption system five feet below grade, in lieu-of the three feet maximum.allowed. 310 CMR 15. 405: To utilize the existing 2,500 gallon septic tank to perform as the second compartment, in lieu of requiring new septic tank designed at 20.0 percent of the design flow . 310 CMR 15. 405: To install the soil absorption system to be located ten feet away from a crawl space. These variances are granted with the following conditions: Q:WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx Theseptj I c system shall be installed in strict accordance with the revised i lens which incorporates a secondary treatment unit with en meered p - xnitrogen reduction technology. d KVI L�d app licant shall submit a proposed monitoring plan, which shall include B.O.D., T.S.S, nitrate-nitrogen, and total nitrogen, to the Board. (3) The applicant provides an acceptable operation and maintenance plan. &} (4) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board ;w. of Health that the system was installed in substantial compliance with the revised plans. These variances are .granted because the proposed plan. appears to meet the i maximum feasible.design standards contained within the State Environmental Code, Title 5 and local Health Regulations. A nitrogen reduction secondary treatment "unit is. required because this site is located within a Well Protection Zone and DEP identified Zone II. The existing wastewater discharge flow is estimated at one thousand eight hundred and seventy (1,870) gallons per day at this 1.51 acre parcel. This greatly exceeds the 330 gallons per acre per day maximum currently enforced by the Board of Health at all .parcels undergoing new construction. The Board is of the opinion - that the installation of a secondary treatment unit. at this site would alleviate a source of pollution to the groundwater in this area. Further, this requirement .meets the spirit and intent of Sections 360-36, 360-37, and 360-38 of the Town'of Barnstable Code. Si erely yours, aul Chairman Q:WP//Harrington Zinov 102 Iyannough Road Variances 2016.docx I CERTIFIED rn Insurance Coverage Provided) A � :► (DomesticNo � T Town of Bar .� Regulatory, Services CD Postage $ru MA95 Certified Fee O sb��,��' Public Health Di o �m y iOJp� O Return Receipt Fee �¢ PO — 200 Main Street,Hyannis O (Endorsement Required) 2 � ere ,. Q Restricted Delivery Fee O � 0 (Endorsement Required). Q 02601 0. O Total Postage&Fees $ . Office: 508-862-4644 FAX: 508-790-6304 Demetry and Irene Zinov,Trustees 76 Thread Needle Lane CERTIFIED MAIL, #7012 1010 0000 2848 1643 � Centerville, MA 02632 October 3,2016 Dmetry and Irene Zinov, Trustees 76 Thread Needle Lane Centerville,MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 RE: 102 Iyannough Road, Hyannis Map/Parcel 328-152-OOA through-OON The septic system located at 102 Iyannough Road,Hyannis MA was last inspected on September 27,2616,by Donna Miorandi,Health Inspector for the Town of Barnstable. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. You are ordered to pump the septic system within the next twenty-four(24) hours. It shall be pumped on a daily basis until the required repairs/replacement has been accomplished to prevent any further backup of sewage into rental units. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH cKean,R.S., CHO Agent of the Board of Health (ZRQ:\SEPTIC\Letters Septic Inspection Failures or Future Evl\102 Iyannough Rd Hy James-Stephn Sep2016.doe t _ 01 McKean,Thomas Fro�*t% Thursday, September 29, 2016 9:59 AM use"t: Miorandi, Donna; McKenzie, Marybeth; Flynn,Judith; O'Connell,Timothy ro: 102Iyanough subject: I, Septic Repair: Urgent Glen Harrington representing Dmitry and Irena Zinov, owners — 102 lyannough Road (formerly James Stephenson Condominiums, Hyannis, Map/Parcel 328-152-OOA through -OON, 14 units, 1,51 acre .- parcel, septic repair needed. Glen Harrington described the current failed system to the board for the property,which was formerly the James Stephen's condominiums and will become timesharing through the current owner. Upon a motion duly.made and seconded, the Board determined an Innovative/Alternative (I/A) system is necessary and the Board voted to grant the variances listed on the application for the setback from the crawlspace as it is less than 10 feet and the depth of the leaching chambers require H2O will be used and will be vented. Mr. Harrington will revise the plan with an I/A system with the 2500 gallon tank for the 14 bedrooms and will supply Mr. McKean with a monitoring plan which will be in accordance with the manufacturer's instructions. This is approved and the revised plan will be reviewed by Mr. McKean to allow the system to be installed prior to the next meeting as it is in failure. (Unanimously, voted in favor.) 1 I r _ 1 e y - n w i. s Y � a MW J AFs lw- f4Aa I � yin /.i _ ��,.• a:�'� t•�,.. 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F r- ..�-" �' M1 } f i n 1111 f i 1 � f• P ff + ky y j r IN, P 1 i � • r u. � IV 1 4i. .. nil f t x f I x HEW NA 46 90 a c � n � � �s�, � ���.��+�� ir�" a�'��'.` • �'� Grote f A E ` O L } 5 t 3 �� . t y �.: s ;,� ,+r" i,•� I�j i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Applitation for Mispo8af *pstrm Construction 3permit II Application for a Permit to Construct( ,"pair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3S Q 4 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel/ 2 T n p Installer's Name,Address,and Tel.No. I Designer's Name,Address,and Tel.No. (4 ype of Buflding. '�774 Z? Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building a No.of Persons Showers( /-)-tafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank ;,C&D a Type of S.A.S. ` CfeP l Description of Soil - Nature of Repairs or Alterations(Answer when applicable) a 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 kof the Environmental Vde and not to place the system in operation until a Certificate of Compliance has been issued by this Bo d He t Q Signed Date Application Approved by Date Application Disapproved by _ Date for the following reasons Permit No. I b Date Issued Fee , - ,THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1,10 PUBLIC{HEALTH+.DIVISION - TOWN`OF BARNSTABLE, MASSACHUSETTS Yes' applicati for ;DisposaY *pBtPtTI Construction Permit __.,Application for a Permit to,Construct( epair( de( ) Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No.3 15 — G 6 S Owner's Name,Address,and Tel.No. { Assessor's Map/Parcel/D 2 T n o L C3' Installer's Name,Address,and Tel.No. t Designer's Name,Address,and Tel.No. , Type of Building: 7��� � 026 Lt 26 2— Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building M Q f e; No.of Persons Showers( .!�)—Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan ` Date Number of sheets Revision Date Title Size of Septic Tank 2 6eO 4R 11I Type of S.A.S. c� Description of Soil V 6 Nature of Repairs or Alteratigns(Answer when applicable) a� — gy p Q A\ 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 de and not to place the system in operation until a Certificate of Compliance has been issued by this Board He t . Signe Date � Application Approved by Date Application Disapproved by for the following reasons ; J Permit No. � I Date Issued L 131 -'__ ------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS j�v Certificate of Compliance i THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired' Upgraded( ) Abandoned(}�)by at ` IVA C7 has been constructed in accordance with the provisions of Title 5 and e for;Dgisal System Construction Permit No� b ' � dated WR )/ jp KI Installer i r — Q�C V, n S Designer #bedrooms Approved design flout i gpd The issuance of this pe it shall not be construed as a guarantee that the system w•1' 1 function as design�d. Date 6 ( Inspector � > )[l p w ------------------------------ ---------------------------------------------_-___----__------------------------------------------------ No.c 4 Fee �d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH�DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( /) 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 comp within three years of the date of this p-rmit. Date `� Approved b �'�—� Town of Barnstable r# Department of Regulatory Services H Public Health Division Date Maas, e 7 l �,, ralll 200 Main Street,Hyannis MA 02601 • lfl►M1K� p.r Date Scheduled 3 hey Time- Fee NJ IV Soil Suitability Assessment,for Sewa e .Disposal Perfo d By: WitnesP"Ised By: LOCATION&.GENERAL INFORMATION Location Address Owner's Name E ✓�✓? A d 66ssss f N©V Assessor's Map/Parcel: Engineer's Name C-Deo w ek '`t NEW CONSTRUCTION REPAIR ���6n •Q k �eJephone# Land Use p ( ) / Slo es 96 a Surface Stones Distances from: Open Water Body �6r ft Possible Wet•Arca '1 5 ft Drinking Watcr Well Dmlhage Way 444 ft Property Line o ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands•tin proximity to holes) o AS ' N � • r J_ 1 Parent material(geologic) Depth to Bedrock ? ZOp r Depth to Groundwater. Standing Water In Hole: <— l/ Weeping from Pit Faea Estimated Seasonal High Groundwater N0 DETERMINATION FOR SEASONALMIGH WATER TABLE Method Used: Depth Observed standing in obs,hole: In� Depth to soil moUias: Deilth to weeping from side of obs.hole: In, Groundwater Adjustment ft. Index Well•# Reading bate: Index Well)oval__:_ Adj hoar, _., Adj.Groundwater-Leval,,,_ PERCOLATION TEST Thus //4M Observation #' Hole# Time at 9" Start Pre soak Time @ Time(9"-V) End Pro-soak Rate Min./lach ; Z SlIc Sultablllty Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conseirvation Division at least one(1)week prior to beginning. Q:ISEPTICIPBRCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soll Horizon Soil Texture Shcl Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones(;Bouldera. Consistency,%'aravell •an C • 0 V L./ �� yrLY/Z Nu ,v- zz 3 L,s r�"r�6 q w„? 22-57 C( coa.)-,Ja"d. s.2 lyN c 2- Nl-C So ,,,.d. Z sr7/� DEEP OBSERVATION HOLE LOG Hole# 'Z— Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,Boulders. -g C co le fa,+ 36 Y 2 %t. -vv -c SaMd 7-5—Y. 7/- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sall Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Houldera.. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Sall Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Siopes;Boulders, Flood Insurance Rate Map: Above 500 year f iood 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 thrpughout the area proposed for the soil absorption system? If not,what is the depth of iiaturally occurring pervious material? �. Certification �l� I certify that on ld / (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 r a . the required tral e d exper' ce described in 10 CMR 15.017. Signature Dat6 Qc1SEP'rl(,VBRCPORM.DOC Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name rQ P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code 9508)428-4028 S14454 Telephone Number ;_ License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system:, ® Passes ❑ Conditionally Passes ❑ Fails rc*."' --t o ❑ Needs Further Evaluation by the Local Approving Authority c } o N - ) C:) ?> 8/27/2010 Inspector's Sign'16fure Date The system inspector shall submit a copy of this inspection report to the Approving Who (Board of Health or DEP)within 30 days of completing this inspection. If the system is a sh r�fd stem or has a design flow of 10,000 gpd or greater, the inspector and the system owner shalt.subrffft the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. - � D t5ins•09/08 Title 5 Official Inspection Form:Subsurface4Sewaasposal System•Page 1 of 17 i� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. 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. 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 1 ,1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis. Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water leve! 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ;M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the,analysis must.be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following.for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than'6" below invert or available volume is less than 1/2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large . system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.-You must indicate "yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of 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)] D.-System Information Residential Flow Conditions: Number of bedrooms (design): 14 Number of bedrooms (actual): 14 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 1540 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c,M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is.required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) 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): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 3' Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the building vents. Septic Tank (locate on site plan): Depth below grade: feet 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: 2500 gallon Sludge depth: 5" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 37" Scum thickness V. Distance from top of scum to top of outlet tee or baffle 7" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank yearly.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/201.0 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 I , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid.level above outlet invert No 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.): System has three boxes.Boxes are Ievel.No evidence of solids carryover.No evidence of leakage. 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.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: i t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 102 lyannough Rd. Property Address Eugene Piazza Owner . Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2/60'x2'x2' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.Trenches were dry at time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 t f , Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f C ' •t'Nt,ft: A"� :aS .:' M"" tvh�., t^f `� F ^.x-- w_ .. 34 i F` t t "Sy v..t rr-�-i`�'+r etti+� 'xK w.��� ta.� •t� s r�'iy i ��zip � a��'� r°����� : '� F,s+�'`�'" d "� ra ��rs J to ,m k y n� k J yI 4( yet f'fY� b S mg 5 mi k ff E;• � @ p�' sa f Acy �Y} a c at rFs� { i A "i § ✓r7 W1, md e 4s i4r't'Y X, tk- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of sas 11' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1981 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. I Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 102 lyannough Rd. Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 " every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 r. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 102.1yannough Rd.(Pool House) Property Address . Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see.completeness checklist at the end of the form. Important: A. General Information When filling out IC � forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name !� P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the 11, information reported below is true, accurate and complete as of the time of the inspection. The inspection fl was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails Q o ❑ Needs Further Evaluation by the Local Approving Authority zo 4 N 'n O to i 8/27/2010 -a } InKerfor's,igilgriature Date - t The system inspector shall submit a copy of this inspection report to the Approving A to horitE(Board of Health or DEP)within 30 days of completing this inspection. If.the system is a sham syi4m or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. II t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sew •e Disposal System•Page 1 of 17 Commonwealth of Massachusetts N W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 s Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by,the Board of Health in order to determine if the system-is failing to protect public health, safety or the.environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the,analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a 'design flow of 10,000 gpd to.15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as.to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of 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)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 330 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): i t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes [A No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 years usage d NA Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Pool House Design flow (based on 310 CMR 15.203): 330 Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Office, Pool House Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No - Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: NA t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)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. El Other(describe): t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. 10+ feet Comments (on condition of joints,venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the building vents. Septic Tank(locate on site plan): ' Depth below grade: 1 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: 1000 gl. Sludge depth: 3" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage.Disposal System•Page 10 of 17 I Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: . ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 102 lyannough Rd.(Pool House) PropertyAddress .. 4 Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 flowdiffusors ❑ leaching galleries number: ❑ Jeaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.Leaching was dry at.time of inspection. Cesspools (cesspool must be pumped.as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is Hyannis Ma. 02601 8/27/2010 required for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions M i Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters "lap Size 4x Zoom Out J J J J J J In ( is R I I rII�. Ir t ___� tf t^ Ss"` '&'r r , -ri#����� h,��t��. �tx i'i^U�"l'�xa-�.: ,�, �-i• I I � v� a Su ��'�,;"t4�} ax �riy"�':r�',�'15„s°•,.,�:sk',s.��4 t�.�,a�C''�" ��`�'.�,� '" �I i �� x�'..f w< n .� i,�, '' ,ue..v +trr t:+.ad.✓4'`a" ".. .l t� yr ,�,'+ yn+'°"lyj"y; I ,'•,{{�"� > t�t 6s "."y�� ��>�k;w�r'�* 'n�`-.bye.. tk 'f`� ��z �x,-s�e.,3.rt '�"^.gw , 1 v J R`'�. ' x '"` ''. s{k r.it-$st•*. X a� ,�s s7.x I I �t,y «R l +, #•' �xR.r"p t, Y r t,'"ik .` vat :.•".t �✓ .. i t - ��. �.kq',ay.' ;�'� � �, .tt 7x +q£ "�-R .•r��i3� c� 3�y e ', f '•i``"r'2r�i: f S.f '�,^ f^"k n ;huW,;�i�"y. �5, tr'p '`•,i,w,VN: ,3r- r , X pc- r ? .H. .� TL x?M1�eT: K S '"�n.7r + iF tx x a'" { ;• I -•i i—~`_� I m '' sty M ,i- '^—�=at+�„fi`,•;gGfew ! a'a n, yr•'S'� g as �f { t?I - I ga „ t� 51 Jr 0-1 s ��_ �,i'i �,�.,,�, .� x�. 7`r�,� a .�`� ft �§�•�' ��'��4j„iaY.'r�u'�'{�x"� t� �"�k� --f'tx-�.�c".t�*..�'�t�'+�" 7 . i $# c . �3r rufiz a^d,nu!! h'�1 , � 1. �r �} .41 Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER Tom,—of Rometohle AAA 411 rinhtc rocorv, 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is required for Hyannis Ma. 02601 8/27/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of S.A.S. 6' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 102 lyannough Rd.(Pool House) Property Address Eugene Piazza Owner Owner's Name information is for Hyannis Ma. 02601 8/27/2010 required every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No. �Wl0 �01� � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppfitation for bisposal 6pstem Construction permit Application for a Permit to Construct( ) Repair VO/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./�®,7 �n a� y� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel g_ —do Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: �. Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �tC Y.� �a No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) �— gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) G ��„�ag Pam,s„�,; o l���✓� 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. Si e Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ;Z 0 jG a��� Date Issued �'/'Z _ r V +.yr• ...a. -.ni%,s:+P'.r.tiY..-�.i +.n � r ..,..�,. .+.J., .•.,'.r„t''M � °-.'r,, 11-010 -off3 ;L5 No. Fee tZ/ k a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS a ,. 2PPYication for Bisposai bpstem Construction Permit t Application for a Permit to Construct( ) Repair grade( ) Abandon( ) El Complete System ❑Individual Components J. Location Address or Lot No.,/o� Owner's Name,Address,and Tel.No. w Assessor's Map/Parcel g_ / — v0�- J s e— "�oS Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. f/o e- ror 3S o ---/-,,, , s T' , Type of Building: Dwelling No.of Bedrooms /V r 1 Lot Size sq.ft. Garbage Grinder( ) Other T e of Buildin �f��, '-%�U ` No.of Persons YP g i Showers( ) Cafeteria( )/ Other Fixtures ,. . Design Flow(min.required) . 4 gpd Design flow provided --IV gpd `- Plan Date Number of sheets Revision Date Title j 3. Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) 7e 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 Application Disapproved by Date for the following reasons Permit No. o? U 16 9 Zj Date Issued / ' r V THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by at ,e r, 2, / « ti S O has been constructed in accordance i with the provisions of Title 5 and the for Disposal System Construction Permit No.a 0/Q 'A7 3 dated V—/ — /y Installer�/p F ynt Designer #bedrooms — / /�' Approved design flow ^/V 1 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date U I, / !�� Inspector / �y7,, -- ----- ----- ------: ----- --- - ------------------- --- No. �O �U Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(/,,< 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. Provided`Construction must b ccompleted within three years of the date of this permit.�-- ---� Date (� [ I V (((��L��� Approved by r f� !/ v _ OMMONWEALTH OF MASSACHUSETTd TOWN OF BARNSTABLE p� SWMB41NG POOL INSPECTION REPORT C ��� TYPE OF POOL: PUBLIC ICJ` SEMI-PUBLIC ❑ SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL ADDRESS I ID OWNER ADDRESS IV Re Lion 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. Oy Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. _�04wage disposalcation,structural stability,finish V06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnoversres Suitable automatic equipment for disinfection of pool water. / CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 08 ets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. 08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc...At least one anti-vortex drain provided 08 Each system outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly a/ located and plumbed. ✓_ 08 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose or can be removed w/o tools until repairs are made. `\ -' 08�pedal purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. _—'� 09 ss-connections.Potable water supplied through air gap. VVV III nime kimming Facilities.50%of recirculation drawn from surface of pool. with floats separates non-swimmer area from deeper water. 1 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. 13 Ikways&Decks 4 ft.wide.Safe condition. 4 Ladders,steps-one per 75 feet.Not less than 2 ladders. �� 1155 Diving equipment in safe condition. �►� 177PP of supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. 21 ermit issued.Adequate maintenance and testing records.Records initialed by person making tests. 2222 Health Regs.Signs posted Warning signs for special purpose pools. 23 Lifeguard Aual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhom provided.Qual.Swimmer:CPR trained, V,-,BOH approved.Limit bather load to 19 ❑Red'or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire _ 24Saffety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard. _q L15*7 t aid equipment provided.First aid kit complete. 2V 5 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the ,'Public.Operating instructions and emergency numbers posted. t/ 2 Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 Chemical Standards. Frequency of Testing: �X POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Q Free chlorine 1.0-3.0 e CyanuricAcid 30-50,max 100 Comb.chlorine 0.0-0.2 Water to p. 78-84,spa<104 pH 7.2-7.8 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips :V31 &32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. s pecial purpose pool drained&cleaned every 14 days minimum 33 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. _ 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435,31.If the pool is closed by_a Health Inspector or other agent of.the R.O.H., -- —"the pool shall remain closed until the"Health Inspeectos re-opens pool in writing. COMMENTS: rLZa A) lyv i 15n A hiAla.) i SIGNED: �� SIGNE DATE: OPERATOR Board of Health/Health Dept. Representative 08 04/2008 21:36 FAX Q 0001/0001 E V1R('7'ECHLAB®RAT TRIES, INC. MA CERT. ENO.:M AM 063 8 Jan Sebastian Drive Unit 12 Sandwich,NIA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Chien?;apnw James Stephen Resort Village Location Hyannis, MA Addre.fs c/o Charles Belliveau Stoughton MA 02072 Sample Date 08/04/08 Col'lect>edATV Client Sample Time NA S"ampic il'yii e Swimming Water' Date Received 08/04/08 1.Ealo Or d'i'r Njamber PS-80710 s ,E. 'E�aa 'raarce Dale Collected:, hni Collected C'oatttne►ats 1 81 /.2008 NA Ir4door�0 9 M e e Retwesied Units Recommended Limits Analysis Result eAnafyzedj Analyzed Lv i,.jt Rl Coliform /100 ml 2 0 9222 B 814/2008 RS Plabe Count /1 ml 200 NT 9215 B 8/4/2008 RS ......... _. _-....._ ..._.. ........... .. . -. . _._.. ,as Aeruginosa /100 ml 1 NT 9213 E 8/4/2008 RS �/' �:m 6;�' t ad'dial dale fapr��rlantatlrsg 0®r�aeatte�Per tested .. _.. __ Date ®� Ronald J.Saari Le.horatory Director P0001 011 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Fee: Board of Health $75.00 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the Massachusetts Deparment of Public Health( 105 CMR 435.00)permit is hereby issued to JAMES STEPHEN RESORT VILLAGE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or.Special Purpose Pool) at 102 IYANNOUGH ROAD HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed 19 bathers. QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. _ This permit is valid until December 31, 2008 Wayne Miller, M.D.,Chairman Board Paul J. Canniff, D.M.D. of 8/5/2008 Junichi Sawayanagi Health POST CONSPICUOUSLY By ccC�n Thomas A. McKean, RS, CHO, Health Agent - THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE y Board of Health Fee: $75.00 • Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 111,Section 127A of the General Laws, and Regulations established by the Massachusetts Deparment of Public Health ( 105 CMR 435.00) permit is hereby issued to JAMES STEPHEN RESORT VILLAGE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 102 IYANNOUGH ROAD HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed 19 bathers. QUALIFIED_SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. — - ... This pernut is valid until ` Wayne Miller, M.D., Chairman Board Paul J. Canniff, D.M.D. of August 5, 2008 Junichi Sawayanagi Health POST CONSPICUOUSLY By , C Thomas A. McKean, RS, CHO, Health Agent J l � S cs C)4- CP2 C 2 r card, .,ems C q 7 ct J: C--O� 0i f C d n S[ .Q-� .,.. r� I certify that the below listed.qualified pool supervisors pass the swimming test administered by me. I further certify that the pool supervisor is familiar with lifesaving equipment and knowledgeable in first aid procedures including resuscitation. The pool supervisor is/or was at pool site supervising the pool during the hours listed below: DATE TIME IN NAME OF QUALIFIED TIME MANAGER'S POOL SUPERVISOR OUT SIGNATURE a a Q:\POOLS\QUAL1RSWIMMER LETTERS\PooI Mod ifi Cape Winds Rcsort w SwimTest 200£.doc No.. Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ile PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,.MASSACHUSETTS Yes ZIpprication for Mt5po5al *pgtem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System [An ividual Components Location Address or Lot No... l 0 � —F— h Al o W( Y AD Owner's Name,Address,and Tel.No. Assessor's Map/Parcel -3 dL /5t'), !/ / Z � -or Ale a 9,L/ )p Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil P ( applicable) C �( Nature of airs or A terations Answer when a licable 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 th' Board of Health. c� igned Date P!` -/ 7— agj" i Application Approved Date Z!��! Application Disapproved by: Date for the following reasons ,L Permit No��O rj �— Date Issued �' - No. Fee D THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer. '- PUBLIC:HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Zfgpazat'gpgtem �Cougtruction permit `Application for a Permit to Construct O Repair(400Up9rade�)= Abandon''O ❑ Complete System I"ndividual Components Location Address of Lot No. / �"Q(449 `Owner's Name,Address,andTTel.No. (1iFAo,0_5 jr Assessor's Map/parcel J*0-S I jo� Installer's Name,Address,and Tel.No. J - ' `'� Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) r gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. " Description of Soil t Nature of Pepairs or A erations(Answer when applicable) ) //P �/ ' 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. igned _ Date 7" O Application Approved _ Date 3 (0 Application Disapproved by: Date for the following reasons Permit No. L �c� - _ Date Issued /,3 f ----------------------------------- ---------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) Abandoned( )by a ' 6 0,4/� f� V. i4,lAe .77- 44.-0 —.s�A at '7 'K4W-0 Q / (` has been constructed in accordance with the pro isions of Title 5 and the for Dispo I System Construction Permit No, (o '� 5 f%p dated o�33 Installer . Designer #bedroom Approved design-flow gpd t The issuance of this permit shall not be/construed as a guarantee that the system will function as designed. ,J Date Inspector ———————————/———————————————————————————— /—�,———— -- _ No.-- o 6 5�(o Fee /a y THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS- ---- - 1=i.5po$al ,p.5tem Cow6truction Permit Permission is hereby granted to Construct. ( ) Repair ( �. � rpgrade ( } Abun din i. System located at J 40 `l 4E No V , 7' �P 3 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special condi�'ca' . Provided: ConstructtioL10 nm Z be completed within three years of the date of this pet Sit. Date �C Approved by \ No. �y 1 G 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Migont *p!5tem Con0truction Permit Application for a Permit to Construct(.41/Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. '�Z A NN®CZ." Ito Owner's Name,Address,and Tel.No. e Assessor's Map/Parcel 3 Z /SZ 0 j 1 Installer's Name,Address,and Tel.No. � NAti44 Sr kD Q4e*' Designer's Name,Address and Tel.No. q7g-4 23,71 76 Sul �03eeS 13ge Awl c A 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs _or Alterations(Answer when applicable) 1 t-L. �► N �G:S'( c �. "o �- ^ F—���� �;.yrLO ING. '�!fi:w �, A►n t��'t e o.L. 2 £.4 V-o of-0 -,Co 5 6- 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 S of the Envir ental Code and not to place the system in operation until a Certificate of Compliance has been issued by t is B and of H , ' Sign - Date Y d Application Approved by G d Date Application Disapproved Date for the following reasons Permit No. S oo q '� ®� Date Issued V Z Odd No. C, 2(2!1' —6-, 3 Fee /0(?...�'� THE COMMONWEAL'R-H`OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH RDIVISION --TOWN OF BARNSTABL-E, MASSACHUSETTS Yes 2pplicatiou for �Digonl i�p.5tem'CCon5truction Permit Application4or aT'ermit to Construct(Repair Upgrade( ) Abandon( ) ❑ Complete System~�Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3 2 �`S� Installer's Name,Address,and Tel.No. 135-0 w c•o S4- Designer's Name,Address and Tel.No. �. Cf7f;-a 2?,7`67a r /1 ©gees 00,eU-X 454"(I N JA 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) s gpd Design flow provided gpd Plan Date Number of sheets ` Revision Date a Title - Size of Septic Tank Type of S.A.S. Description of Soil' 1 Nature of Repairs or Alterations(Answer when applicable) �Q► �y�� T7V L'(� 1 U./,� 6 w8.� 1 .< i�T ��i��' ,�-�A'.lam. '20 c) 1 Date last inspected: i 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 DtIc 5 of the E�th�;. mental Code and not to place the system in operation until a Certificate of ~ Compliance has been issued by t is B and off He J Signed J i �-- Date U / 7/OQ Application Approved by- /� G.�L Date �� A t ' Application Disapproved b, p (Z Date for the following reasons Permit No. 2©o G't. a Gi Date Issued 2 v - THE COMMONWEALTH OF MASSACHUSETTS 1.� !� r))� BARNSTABLE, MASSACHUSETTS ►�`CZ pa Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (�) Repaired ( ) Upgraded ( ) Abandoned( )by�c,o ZoGe�S T11��,.�� 1-e/ I&— 2� tag/_� �. `-6"0r at A"tA-,8 0(,,kA 4 A-1A r+✓ti 1 S has been constructed in accordance t 1Z 1 with the provisions of Title 5 and the for Disposal System Construction Permit No.2-cx 1"0,q7, dated Installer`T 0091;Q< 860 71X.l Designer &, 1A, #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the systern wil l,fuu nation as designed. Date Qb ? ' Inspector .. \ ,aR A, �. No. 2o(j , ! oq 3 Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Th5poar *potem Coulfrurtton Permit Permission is hereby granted to Construct (,/) Repair ) Upgrade ( ) Abandon ( ) System located at p 2, ,. A " �A yUGK VX) and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. , Date �LiG / 2 O Approved by � �,_ No. ac)o 0-35 S© Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Zigool 6potem Cow5tructiou Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No. kv\v\,0,q� ao�A Owner's Name,Address and Tel.No. 1 E�rl\e_-a' Assessor's Map/Parcel J Installer's Name,Address,and Tel.No. -� 7 Z S©a Designer's Name,Address and Tel.No. �5'o rc�.ta..ram S'�•n�.�-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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance h nissued b s of Health. S Date o Application Approve Date Application Disapproved for the following reasons Permit No. c-=,<4 0- Date Issued '' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Zlpprication for Migozal *pkem Con.5truction Permit Application fora Permit to Construct( )Repair(>6 Upgrade( )Abandon( ) ❑Complete System '5irIndividual Components Location Address or Lot No Q a. y�w\a uJ\,-, ao a Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. w e sr y A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building - No:of Peasons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations Answer when applicable) -Q-- ���� c �n�, Q X 1 G - S e RvA a S + Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- ' "cate of Compliance has-been issued b 'this/bard' of Health. Signed'-A, .��.��. Date -5-t Zr o�-p • Application Approved-by Date -5 Application Disapproved for the following reasons Permit No. r a.<v Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS \ Certificate of Compliance ' THISTIS TO CERaaa a, +aa..+the..,.,-sit:;Sewage Disposal SysLsn'i-w++ouul.tGu i �Repaired�><f TT VPgraLLed\ �f Abandoned( )by P 2-CCN^&C. p at as been constructed in accordan e with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer _ The issuance of thi pe t4salI not be construed as a guarantee that th(e sys��mfn as designed., Date /O Inspectors i t Lj 5✓0 _ . - No., - Fee ....�-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mig;pogar *pg;tem � ns�truction Permit �. Permission is hereby granted to Construct( )Repair( Upgra e( Abandon( ) System located at 1 y A��ouq ®c, `1 A ��S and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio lm�ustt be completed within three years of the date of Date:_ / IQ Approved by r8a ' TOWN"O- F BANSTABLE LOCATION A f — SEWAGE VILLAGE ASSESSOR'S MAP Cz LOT32 INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY /0 a 6 d L LEACHING FACILITY:(type) 3 1' a/Z r` (size) NO. OF BEDROOMS 0 PRIVATE WELL OR PUBLIC WATER tsw - BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:T AL VARIANCE GRANTED: Yes No y � 1 b �3 5 �P !v J ASSESSORS MAP N0: �-- " PARCEL NO: ! �— .... .7 �}Fps.. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -..1,own.....................OF...&r 3 IM_.._.....-.--------..-..._.._..----...................._-- Appliraiiou for Eliipnna1 Worhi Tomilrnrfinrt ranfit Application is hereby made for a Permit to Construct ( ) or Repair ()4) an Individual Sewage Disposal System at: ��dsr, N.....-•-------------------- ------------------------------------------------------------------------------------------------•- ocatio - ' I of o. 4ht¢S._ K�so --------------------•---•------- .......2.1y_QJAQ!ti.. QA►�C QRt2�6.S.---------..................... �.. Owner Addrys � ....................... ............................................. ..�so..01�7h. ........._.k.. ar. G ............----------- Installer AddreV d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e 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................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-___-_________--.---_. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ----•----------•-----•------•-•----••--••-------------------•------------------•-----------•----------..---.-------------•----------•-•--•---•--•----•--•-•. 0 Description of Soil........................................................................................................................................................................ "W U ------------- ••--------------------------- •-------------------------------------- -.-•-•-•----------•-•-----•------------------------_---------•--•-••-----------------•----•---•-•------..---- W N t of Repairs or Alterations—Answer when a licable..__n�_ .-. 1 aoo._ a"� .3f�- x 1 --- ,.P.. .. _�! -43--- ---- ---------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ii'ILE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed---- ,�94 A�� -••---•-•-••--•-•--- Date Application Approved By....... -.. ---••-•. Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------------•--•-•---- --•-•----•.....••••-••••-----••••--••--------•••-••----•-•••------•---------------•--•--••-•-••-----••-•-...--••--••-•----•---•------- ------------------------------------------------------------------ ¢¢ Date PermitNo......... --------------------- Issued-....................................................... Date No.._.�"" / FuB..........:............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 OtAZt 1 OF. �"r f:1.r..*Q�f] ri Appliration for Disposal Works Tonstrurtinn trntijt Application is hereby made for a Permit to Construct ( ) or Repair (g ) an Individual Sewage Disposal System at: f .............................rn, .l............................. .................................................................................................. ' ' Location•Address + or Lot,No. r,,0 aPE'�Y?!�: Miu^ er� 1G2 'rue,,Y4Gtt/'7& C'.4" �-.-Ir7'n/_1 ....................... ---•------•---•---•-----•----•- .................- --........ .....,..........._...... .._..... ._......... Owner Address' ......................•-•--------•-•---•---•----......----.........•-------........... .................. -•-----•--...-•----.....--..--------•------------.......................•-- Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons.................--..--.--.. Showers ( ) — Cafeteria ( ) Pa Other fixtures .----••......•-••-•-••••------ . . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.....--.....gallons Length................ Width................ Diameter------------_- Depth................ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit..............---... Depth to ground water----..---..-------.-_--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----...-...----..-.---- a -•----••--•--------•••-••----•...............••---•-----•--•---.....--•-.._.............------....--................................------------------ 0 Description of Soil.....................••-------....--•----------•-•-.....----•-----------------------------------••------•-------•--•-----------------•--•--...........•-••...-••....•••- x W ----••--------- -----------•----••--••••••-•••••-••----•--•--•-----...------.....-••••--•-••-......•--•----------•------ ---••--••••••-•-••............-•••-••-•-----.....-••-••............-----•-- UNature of Repairs or Alterations—Answer when applicable.---n� --...�t'oo-Grearl--;.-,v�c.(c...r..___.," e..--•- 4- I�«1ta.�QrS-.U'1._ Cit�B. Ct4 •-k&G.ttttr�. . ....... .... -- ... ................................................... . Agreement: 0 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T i Ti. p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. t / n Signed--------- = �,kia�__t��^??o"J" ..__... -t:f�_9`1 C. I Date Application Approved By.............. ` - ------- -------.---•------------- Date Application Disapproved for the following reasons-.............................................-.................................................................. .........................................................................................................'--•--••-----------••-•••-•••-•------------------------••-•-•--•-•--•••••---------••---......... Date PermitNo........ 7= '�.r------•-------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS S e� BOARD OF HEALTH r, Trrtifiratr of Tomptianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------------•---_--A-=-6 x........ ...............---.....---------------------....--------•-------•---.....--------------................----•-----------•- Installer at................ ...... ..... . ---•- -- •-•_ . -----------••-•-••••••-•------•---•--••---------•-------•--•••--••-•••••-•-----•••••......•--- has been installed in accordance with tie provisions of TTT `>of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ 7__'.. ?_ -. .._... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. DATE...................Yn--- .. .'... ........................ Inspector............... ----•-•----•--------------•--•--------------------- t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........�.�.5'a.'.� .........OF.�...�"`.LrCs1;•;a�G�ltf.................................................... ..._ .......... ..... No......................... FEE..:.................... Disposal Works 0alInstr ion rrntit Permissionis hereby granted......... i. ......�._-�.' `P�....-----•--------------- ----------------------•--••-------•--.........---............. to Construct ( ) or Repair ( �f an Individual ilelff Disposal System Street as shown on the application for Disposal Works Construction Permit No. Dated -------------------------------- Board of Health DATE.................. .�_.�1'... ...Z FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r 1 FIc z.............................. THE GPMMONWEALTH OF MASSACHUSETTS EOAeR® OF HEALTH GGv ....................OF...VA0C;W- -.zr ............................. - Appliration for Disposal Works Tonstrudinn Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Se wa a Disposal System at 1 --------6..9. ..-. l.. ., �. . ....... - L ion-Address W to Address a . J ................... Installer Type of Buildings r� Size ze L _..ot___ '_c.?...............Sq. feet a Dwelling—No. of Bedrooms......:..... . . ..... ..........Expansion Attic ( ) Garbage Grinder (� Other—Type e of Buildin }�^I s o. of persons._...02...9 Q, YP g --!'-'�- ---�� .__.._...... Showers (1,4 — Cafeteria a' Other tures ---------------------------•------------------------------: .--•--------•---------------..-....... W Design Flow.....5 ..............................gallons per person peer daft. Total dail oow___...�..�.4.Q......... .._...gallonj. R; Septic Tank—Liquid capacityAW.gallons Length...`::1. Width.6.'. ..... Diameter................ De th.7-..V_.. Disposal Trench—No. g' ._.......... Width_.:a... �._._.... Total Length...1 >......Total leaching area...... (:LO---sq. ft. Seepage Pit No..................... ' meter.................... Depth below inlet-................. Total leaching area..................sq. ft. Z Other Distribution box ( Dosin tank ) '-' Percolation Test Res2t� Performed by. -- LL�d Y Date...42.1v�-b------------ -/ Test Pit No. 1................minutes per inch Depth Test Pit---- Depth to ground water. Y_��'. 44 Test Pit No. 2................minutes per inch Depth of Test Pit........ .�.... Depth to ground water.....!___.__...r_... •---•------.....-• 1------•-•t------•- --••-•- ... Description of Soil.---•....- =........ .....I t ...... '®-•--------- U .......................-•-••-•••-=...................................................................................................................................................................... U Nature of Repairs or Alter ions—Answer when applicable............................. . ,.ery Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposa System in accordance with the provisions of TL I THE 5 of the State Sanitary Code—The and ned rther t to place the s stem in operation until a Certificate of Compliance has b en issued by he boa It Signed ...........................;r............................-------••---------•--- ..... .--- ........ Date Application Approved By----- /,� .... .. %%% ------------------------------ Date Application Disapproved for the following reasons:•--------------•----------------------------------------------...--------------....---•-•--•-•••••.....-•----•-- ..................•••--••-•-•-'---••••....•••---....-••---....---•-••---•-••---••---•-----•---•-•-•-•-•---•--•-•---•••--•••-----•--•-•-••---•-•--•----•••--•-------•--•----------------••--•-•••-----•- Date PermitNo---................................................----- Issued.................. ............................... Date Date . or THE GPMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lJJlv-------------------OF..,..Ji �'`� k�L -......::.:..... ._..__..`...--..... ,z pp irutinn for Uispvii al Works Tiamitrurtiun Ptruat Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at .....fir _.- 6 ......._ ..._ ._.... - - .... VLLon.Address � . � ..... ----- ..o .o ... k... lS Owner Address a � r- --------------------------------- _ Installer + Address Type of Building Size Lot...l..'.�?. ffJSq. feet U Dwelling—No. of Bedrooms..............--.------ ----- -Expansion Attic ( ) Garbage Grinder (`'� aOther—Type of Building ._1 �G._ _-._._ 10. of persons...... Showers ( Cafeteria d = ----------------------------•---•-`----- ......... --.---•-----------•--------- Other fixtures .._... W Despi `��Flow..... q p............................. .. (.....gallons per person pep day. Total daily gow__.....i..5 .0.................gallons` WSe tiC`'.Tank—Liquid ca acit ..gallons Length___-L�AO. Width..6.-`�..._ Diameter................ De th-.'-'_�-_. x Disposal Trench—No.....�........... Width..... Total Length....'.20..... Total leaching area.._....Q...sq. ft. SeepageV,it No.•-_•................ meter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( Dosin tank ) `'~ Percolation Test Results,? Performed by... ?'�w.................. Date_--.,2..(;?4g1...... Test Pit No. ....1.......... ..m>nutes per inch Depth f Test Pit_____f Depth to ground water.°---.._......._. fs, Test Pit No. 2.....:.........minutes per inch Depth of Test Pit------ .�...... Depth to ground water....................... ' J.. f --- --• •••- -•-•--......•--•------------•--•--•---•--•......-•-••.....•••...--••- O Description of Soil-•-•---- .........................P'....../,, `�����JQ x ---------------------------------------------•---........--------•_.. U -----•••••--•....•---------••-•••---••-•--•----•---.....---•-••-------•-----------------••....-•••----•-------••......--•-----•--•.----- W •••....----•-------•..............•---•---•-•---•••------•----••--•••-•-•---•--•••••-•--••-••-••••-•-----------•......---•-••-------•••-............................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------••-------------------------------------------------•---•--••----•-----•----------------•--•-----------•-------------------------•-•-----------------------------------•-•.........----....--•• Agreement: ------'-The undersigned agrees to install the aforedescribed IndiviAl Sew, ge Dis l-5y1tem in accordance with the provisions of iITLL 5 of the State Sanitary, Code—The under furtago�pt_ yst in operation until a Certificate of Compliance has �een issued b� the ball o 1 eaa h�f -/ Signed................................................................. .--------------------- •--------------------- •......... Date fi ' Application Approved"By......_..:_. + f . . _._ ............................... j Date Application Disapproved for the-following reasons:..................................•----•-•---- ............................................................ .....................................•--......_....-------------------•---•---•-••------------------••-•-...-------------•-------------------•---•----------------------•--....•-•...---•----••--•------- Date PermitNo......................................................... Issued....................................................... Date i I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.'."..�..`.' O F..........q1111(gantlifitturt .......... ................................... TrrtafgrFatr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by.......... ••. --•••-w---a---4--'��,;-;-•--•----------------------•----•--•-------•------•---------••-------•--•----•---•----------------------------------------•-•------- Installer at....--- ------.... rA has beer(i ta�i�ed in ce w 1 t ie pr1-ns of T j I Lam, i of The State Sanitary Code as described in the application for Disposal 1Vorks Construction Permit No.. �_..___ _ _.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHAL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t ��Z'......................... Inspector...........JLA4� ......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................OF......-.. a...................--.................. No.. S.y"> sue' ""' FEE- J............... qy 1kip sal Workii T-1unitrurtuan Orrutit Permission is hereby granted.......... ---ram. • rv. ------------------------------------------------------------------•---•-•- to Construct /) or`Repair ( ) anIndividual Sewa-Disposal System atNo. r ryry -••-•-... :.. . ----••-------••••-••-•-•......•••••.............. ! �i / .t Street as shown on the application for s��ks Construction Permit N ..................... Dated.....................I..........._..._.... 92. .... - _ o ealth DATE................. ----••-------------•-•----••-•---- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS l i N GENERAL NOTES ROUTE 28 #47 IYanno 6 ugh Road I 1 . ADDRESS: #102 IYANNOUGH ROAD, HYANNIS 328-142_001 2. ASSESSOR'S NUMBER: MAP 328 PARCEL 015-200 vacant 3. DEVELOPER'S LOT: �a 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE 208.94' ri, / GROUND INSTRUMENT SURVEY. Bumps River Road SITE / I 5. TOWN WATER IS PROVIDED TO THE SITE & SURROUNDING PROPERTIES. /� Invert 6. NO WETLANDS ARE LOCATED WITHIN 150 FEET OF THE PROPOSED SAS. o L Invert , IElev.= 8.33' 1 - ____ - _�J 7. UTILII IES WERE LOCATED BY DIGSAFE. ° .c �. � Invert Elev.- 8.25 � _ � o o o Elev.=1 8. REFERENCE PL.AN:r.AN BOOK 355 PACT 79 0� C i 3 97 28� / REFERENCE PLAN: "SITE PLAN HYANNI.• MASS FOR DAVID IVES" SCALE: 1 "=20', Co - AREA 65,963 s ft. 1 / Invert o o� ,No q 1 / Elev.=97.12' DATED: 3/5/1981 REVISED 9/14/198.I & 12/14/1981 BY BAXTER & NYE, INC., a CID1 I / OSTERVILLE, MASS. 1 / 9. THE PROPERTY IS L�.'".:';gTED WITHIN A DEP ZONE II GROUNDWATER CONTRIBUTION AREA. 1 Invert 11 / / 10. THE PROPERTY IS LOCATED WITHIN A TOWN WP GROUNDWATER PROTECTION ZONE. " OSTERVILLE 198.40' 1 / 1i.vert / 3-20" DIAM. ACCESS MANHOLES LOCUS � 1 / e, . 97.73' / NO SCALE 6" Design Calculations Invert Ele _ - 1 ' - - ` - `' Number of Bedrooms: 14 Bedrooms. v. � / .1 Invert Garbage Disposal: Not Allowed with this design 11o °- 1 Elev.=97.01' °D THE ACCESS COVERS FOR THE SEPTIC TANK, REQUIRED DESIGN FLOW: 4 BEDROOMS X 110 GPD/BEDROOM=1,540 GPD. INDOOR' P I INLET - OUTLET DISTRIBUTION BOX AND LEACHING COMPONENT REQUIRED DESIGN FLOW: 1 250 SF X 75 GPD/1000 SF=94 GPD f POOL , O SHALL BE WITHIN 6" OF FINISHED GRADE. TOTAL REQUIRED DESIGN FLOW: 1,634 GPD. N~ \ INSTALL TUF-TITE GAS BAFFLES OR EQUALS � to .•. ON ALL OUTLET TEE ENDS ;.� Septic Tank Capacity Required: 1,634 GPD x 200% = 3,268 gals 1 / I Septic Tank Capacity Provided: 3,500 gallons with Existing 2,500 gal ST 00 / STEEL REINFORCED PRECAST CONCRETE I PLAN VIEW Application Rate for Class I soil, <2 min./inch = 0.74 gal/sq. ft. 0 10' \ / Leaching Capacity Required: 1,634 Gal./Day x 0.74 gal/SF = 2,208 SF EhISTING 1 // 1 \ 3-20" REMOVABLE COVERS Proposed Leaching Structure: 1-127'x13'x2' Leaching Trench �250 SF 1 o i f � P g 9 SHED O O . co OFF / I \d / Bottom Leaching Area Provided = 1,651 Sq.Ft. ICE 3 1 / nvert / _ Elev.=9 .63' -:.. . • : . ..:.... ... .• __,L \� , 3" min. clearance '' MLET'Y•••• Side Leaching Area Provided - 560 sq. ft. I - ` INLET r min. 3" min. inlet to outlet 6" :; DO T ' ;; Proposed Leaching Area Provided = 2,211 sq. ft. L \ Liquid level s S ,o rr,i „ mti Leaching Capacity Provided =2 211 s ft X 0.74 al s .ft.=1 636 d. in ert.H i y , 1,- Elev.-9 .48 3 6 5 ;: _ :Y _ Total Leaching Capacity Provlded =1,636 gpd. > 1,6,34 gpd required. E$ .e 5 0 nin. z / . co.Bank '' Liquie depth ,1• J Existing cleanou CONSTRUCTION NOTES •`� �� LLJ I 1 . Contractor is responsible for Digsafe notification / - - - - - - - - - - - Existing 4" PVC sewer pine CROSS-SECTION END-SECTION and protection of all underground utilities and pipes. / r 2. The septic��tank and distribution box shall be set TYPICAL 1500 GALLON _H-20 SETIC TANK I Proposed 4 PVC sewer line level on 6 of 3/4 -1 1/2 stone. / Proposed sleeved 4" PVC' in 6" PVC NOT To SCALE 3. Backfill should be clean sand or gravel with no stones over 3" in size. � „NORTHWI UNITS 6-- D 4. This system is subject to inspection during installation DETAIL OF SEWER LI N LS g R.S. q BEDROOMS / _ -to Glen E. Harrington, CRAWL SPACE / 5. The contractor shall install this system in accordance _ L_abl & tei• \ / 1 ALL OUTLET PIPES FROM THE with Title V of the Massachusetts Environmental Code ---�d elec., c l DISTRIBUTION BOX SHALL BE and local Board of Health Regulations. overhea / 1 0 1 SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER 6. If, during installation the contractor encounters any 949' X 1 - - - - -// ,. soil conditions or site conditions that are different 9 - 5" OUTLET . . 1 I 99 , 4" from those shown on the soil log or in our design Existin sew r KNOCKOUTS (lines, see d tail the installer shall halt installation and immediately notify for ew Iin s .:sr::::.:.:::•'ssi:: - 28'INLET Glen E. Harrington, R.S. I✓� OUTLET 7. No vehicle or heavy machinery shall drive over the • 10" L12 septic system unless noted as H 20 septic components.. 1 1 / O >` 8. Install Tuf Tite gas baffles or equal on septic tank outlet tee, if necessary. 3 1 1 4" 9. All piping shall be SCH 40 PVC. 1 1 / 10. No wells are located within 150 of proposed SAS. 1 / :` ' PLAN SECTION CROSS- SECTION 12. The Contractor shall notify the Board of Health and the Designer c o'n� ::;::' o at least 24 hours in advance to inspect and certify the system. z.- o ► i' - 13. Provide one Wi in Precast 3,500-gallon septic tank, one H-20 DB-9 distribution box �- 0 1 0 9 HOLE DISTRIBUTION BOX gg Y I"cn H; 2 / o and 14 H-20 500- allon chambers, orequal. I 3 0 wz w o•-;� N NOT TO SCALE 14. This design Ian shall be utilized for the proposed septic installation only. 00 _ CO z I ,o 0 0 9 P P P P Y o rn ' O 10' ��o c 13 15. Install observation port in SAS as shown. 4-1 c T.H. #1 / 9 66 I- ,Cr • •: � o ;:•;:•>: :•;::•:::. / <:. : (n�;p o 3 16. Sleeve all 4 sewer line crossings of the existing water line with 6 diameter Q .tl.l _ a X 1 •\ '' �'-I~;m °o Existing Condominium SCH 41 40 PVC pipe 10 feet from the water line (See detail of sewer lines). ,.; W ; " Z PAVED as DRIVEWAY PROPOSED / -Bo See O / & PARKING 9 HOLE H-20 / DIST. BOX Finished grade over system=2% slope away Existing Grade = 99.5't Note Ote #13 / AREA Existing Grade / I 1 rowde dia. observation port Three chamber covers s-hal be ' Septic tank covers must be I .; ;; CRAWL :' D-Box cover shall be „ to within " of grade a I within 6 of finished grade Septic tank covers must be A within 6 of finished grade Min. 2"-1/8"-1/2" Double-Washed Stone o 1 . ... SPACE within 6 of finished rode within b of finished gra 1. S=0.01 /FT. min. 9 or geo-textile filter cloth Z � � I "`••••• ••"•• PROPOSED 1 1 /ft. min _ To of Peastone Elev. 94.2 t U Sees wer line d •tail n r 1 Level for 2' S=0.01 ft ft gg 1 EXISTlNu - ::.�::.� f:.l": r6�Go cw; :GwJYiuii3 _�. _..._ B. M . { atc:;t ;::::;:. Invert Elev.=93.67` U txlsting • a ••• SEPTIC '.INK 2500 GAL .' , S S I :•::•:;:a• O :t:;;r 0 _ 61 ® C3 ::::•::. SEPTIC TANK � ' ........ ....... � Existm H-ZlJ Prod.-94.91 E 6, Ex.=94.28' ® ® 24" -�• ' ,I Ins?all Gas Baffle H-20 = Bottom of Leuch J9'11 or a Lai = I I . � Pro EI - Install Gas Baffle � � Facility Elev.-91.6T r•ag• O .,.;,•.• U ev.-95.16' Ex.=94.81 or equal _ 1�7 Y ,.• ... . .-. ..•. • Ex.=94.45' ' I :::•:x „ 3/4"-1'k Double-Washed Stone 5' Min. Re 'd., 4.2' Provided confirm 5' of pervious soil at time of installation ..... , 6' OF 3/4'-11/2 STONE 9 P ) 10' I I ......: ;: :•'.• 99.41 6" OF 3/4"-11/2" STONE LEACHING CHAMBER 6" OF 3/4"-11/2" STONE Hole #1 Elev.=87.45' l : o �' z'- fi IL EVALUATION 8c PERK TE�T 1 988 SYSTEM PROFILE VARIANCES I I Not to Scale I 5� Date of SOIL EVALUATION: MARCH 23, 2016 310 CMR 15.223(1 )(b) - A variance is requested to allow the existing 2500-gal septic tank ° Evaluation Performed B Glen E. Harrin ton R.S. to perform as the second compartment in lieu of the required 200% of the deign flow or a 3500-gal tank. rnh Excavator: KEN KLINE y g 310 CMR 15.405(1)(b) - A variance is requested to allow the proposed soil absorption system to be installed - 5' below grade in lieu of the required three feet. _ PoPosED SAS Witness: David W. Stanton, R.S., BOH Agent 03.78 X 14 H-0 500 GAL CHAMBERS Percolation Rate: < 2 m I assumed, 24 gals applied Burin resoak IN C1 OF T.H. 1 LU WITH 4' OF STONE ALL AROUND P 9 PP 9 P # 103.24 .88' o IN 127' X 13' X 2' LEACH TRENCH �C 102.65' S Test Hole Test Hole LEGEND: PROPOSED SEPTIC SYSTEM UPGRADE 11 e tc / Setbac N o. 1 No. 2 80 k Existing 2500 GAL. H-20 PREPARED FOR 02.36 R�2 37 62' DEPTH SOILS ELEV. DEPTH SOILS ELEV. PERK TEST 1; O septic tank M I HAN EZ REALTY TRUST 03 DEPTH: 32-50" Q 00, 0 99.45, 0 99.45' BEGIN SOAK: 00:00 _ END SOAK: 06:30MIN AT Pro osed 3500 GAL. H-2o 102 IYANNOUGH ROAD A, LS A, LS TIME: 6:30 MIN.= UNABLE TO SOAK, 0 0 O septic tank edge 1 0.03' 10" 10YR4/2 98.62' 8" 1 OYR4/2 98.78 USE G2 MPI FOR DESIGN PURPOSES 2 ofPOVe e B' LS B' LS (HYANNIS) BARNSTABLE, MA s,c nt 22 10YR6/4 97.62 24 10YR6/4 97.45 Existing post & rail fence c1 c1 OWNER: DMITRY & IRENA' ZINOV h 00,64 Per oarse son oarse son o�^--a- Approximate line location of OF g, / �Q 0 :50�� 2.5Y7/4 2.5Y7/4 g �'�Y� M c Approximate location of q PREPARED BY: SITE PLAN �' gh 57" 94.70' 55" 94.87' _soil Evaluation Certification pP water line LE Glen E. Harrington, R.S. „ �' ' 0 C2 C2 I certify that on October, 1995, I have passed the soil evaluator ( � g • - ,�/ 99 83' _ - examination approved b the DEP and that the analysis was performed b g. g � 9 Leda Rose Lane SCALE: 1 - 20 � �••/ PP Y Y P Y o0000o Existing- rock retaining wall � �' Marstons A 02648 CONTOUR INTERVAL=1 ' med. cs med. cs me consistent with the required training, expertise and experience described 0.1 70 Mills,, /(� sand sand in 310 CMR 15.017. a 2.5Y7 3 Spot tt� o shot GI, �EQ.� Tel:774-238-1813 B:M. 1 00.00' (ASSUMED) ON 144' 2.5Y7/3 7.45 144 / 7.45 X 114.12 P P AR `� No Observed Ground Water GLEN E. HARRINGTON, R.S. �P Email: gharr88®hotmail.com. CORNER OF CONCRETE WALK. - 99 Existing topo contour SCALE: 1 =20, DRAWN BY: GEH DATE: 28 JUN 201.E DATUM: ASSUMED FILE: zinov SHEET 1 OF 1 N 4 GENERAL NOTE ROUTE 28 # 328 enough Rooa I 1 . ADDRESS: #102 IYANNOUGH ROAD, HYANNIS 6�� - 142-•00, � 2. ASSESSOR'S NUMBER: MAP 328 PARCEL 015-200 �ocont . 3. DEVELOPER'S LOT: 'Ao, 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE 208.94 S" GROUND INSTRUMENT SURVEY. Bumps River Rood S ITE / i I 5. TOWN WATER IS PROVIDED TO THE SITE & SURROUNDING PROPERTIES. 6. NO WETLANDS ARE LOCATED WITHIN 150 FEET OF THE PROPOSED SAS. o v a / cz° Invi:rt .iN �1 J a L Invert E61.= 6.33 7. UTILITIES WERE LOCATED BY DIGSAFE.- t d m Elev.= %3.25 1 - _ - _ o o v Elevrt 1 8. REFERENCE PLAN:PLAN BOOK 355 PAGE 79 = °^ c I 3 97 v.= 1 / REFERENCE PLAN: "SITE PLAN HYANNIS, MASS FOR DAVID IVES" SCALE: 1 "=20', o ado AREA 65,963 sq. ft. - Invert o a , ' o ' ` 1 / Elev.=97.12 DATED: 3/5/1981 REVISED 9/14/1981 & 12/14/1981 BY BAXTER & NYE, INC., CL 1 I OSTERVILLE-, MASS. 9. THE PROPERTY IS LOCATED WITHIN A DEP ZONE II GROUNDWATER CONTRIBUTION AREA. �� �� Invert 1 / 10. THE PROPERTY IS LOCATED WITHIN A TOWN WP GROUNDWATER PROTECTION ZONE. OSTERVILLE I I Elev.= / 198.40' 1 LOCUS l Vert , / 3-20" DIAM. ACCESS MANHOLES lev.=97.73 / N O SCALE O 17 -6* Invert Design Calculations ,,. Elev.= "? 1 - - - :�;:.. ;..• :.;.... ; Number of Bedrooms: 14 Bedrooms. 98.58 0� I / // Invert o Garbage Disposal: Not Allowed with this design Elev.=97.01' THE ACCESS COVERS FOR THE SEPTIC TANK, REQUIRED DESIGN FLOW: 4 BEDROOMS X 110 GPD/BEDROOM=1,540 GPD. INDOOR P i INLET OUTLET DISTRIBUTION BOX AND LEACHING COMPONENT REQUIRED DESIGN FLOW: 1,250 SF X 75 GPD/1000 SF=94 GPD 00L I O L SHALL BE WITHIN 6 OF FINISHED GRADE. .5 INSTAL. TUF-TITE GAS BAFFLES OR EQUALS TOTAL REQUIRED DESIGN FLOW: 1,634 GPD. ON ALL, OUTLET TEE ENDS Septic Tank Capacity Required: 1,634 GPD x 200% = 3,268 gals 1 � i Septic Tank Capacity Provided: . 3,500 gallons with Existing 2,500 gal ST r- // STEEL REINFORCED PRECAST CONCRETE Application Rate for Class I soil, <2 min./inch = 0.74 gal/sq. ft. 0 o EX / � 1 / 10' \ / PLAN VIEW Leaching Capacity Required: 1,634 Gal./Day x 0.74 gal/SF = 2,208 SF ISTING 25p 3-20" REMOVABLE COVERS SHED E:3 � \ / � � Proposed Leaching Structure: 1-127'x13'x2' Leaching Trench: 1 / 10 � CO OF SF / ► \ / Bottom Leaching Area Provided = 1,651 Sq.Ft. r- FILE' � 1 / / ... .. .. _ _ IlEnvert ' 3" min•clearance ; 6' lev.=9 .63 :• INLET•T•... Side Leeching Area Provided 560 sq. ft. _ INLET 8 min. 3" min. inlet L .,utiet 6"Mn • e-- L \ Liquid�evl OUTu-T :: Proposed Leaching Area Provided = 2,211 sq. ft. - SHED rrs _ = 10'min• tA'min. - LeachingCapacity Provided =2,211 s ft X 0.74 al s ft.=1 ,636 d. Invert '� P Y q• 9 /_q 9P t-- Elev.=9 .48 - -- s _ I Total LeachingCapacity Provided =1,636 gpd. > 1,634 gpd required. z "� I N �v ca.Baflb '• :e Liquid ¢�., X I cleaniou , :ERE �m` �{ �_ " ' CONSTRUCTION NOTES . . �1' ' •...• ,. X. 16'-0" B'-0" 1 . Contractor is responsible for Digsafe notification - - - - - - - - - - - Existing 4" PVC sewer line CROSS-SECTION END-SECTION and protection of all underground utilities and pipes. TYPICAL 1500 GALLON H-20 SEPTIC TANK - 2. The septic tank and distribution box shall be set s / I Proposed 4" FIVC sewer line level on 6 of 3/4 -1 1/2 stone. I NOT To SCALE 3. Backfill should be clean sand or gravel with no ' I Proposed sleeved 4 PVC in 6 PVC � „NORTHWINp" stones over 3" in size. /UNITS 6_9/ I I C I 4. This system is subject to inspection during installation CRAWL SPACE 4 BEDROOMS I DETAIL OF SEWER LINES to Glen E. Harrington, R.S. _ I 5. The contractor shall install this system in accordance cabl & tel. �' / I ALL ;Y' TL:T PIPES FROM THE with Title V of the Massachusetts Environmental Code oVerh d Oec•% \ / I • DISTRIBUTION BOX SHALL BE CONCRETE COVER g and local Board of Health Regulations. J SET LEVEL FOR AT LEAST 2 FT. 6. If, during installation the contractor encounters any 1 - - - _ , . • soil conditions or site conditions that are different 9 .49 X � ..� � ,., 4„ .. 1 9 - 5" OUTLET ' : : : . 1 Existin ' sew r 99 KNOCKouTs from those shown on the soil log or in our design (lines, see d tall �. the installer shall halt instal.lation and immediately notify � for ew lie s r� :•.: .. • •. •' , _ ,... 1 281NLET Glen E. Harrington, R.S. I 1 ' O OUTLET ; 7. No vehicle or heavy machinery shall drive over the ......: 10" �;.. 12„ septic system unless noted as H-20 septic components. :::s• o ;:;:.;;> / ' o ' ''.' ' ' ' ': 8. Install Tuf-Tite as baffles or equal on septic "tank outlet tee if necessary. � 9 q P � Y a 3 I 1 i # / cri 4" 9. All piping shall be SCH 40 PVC. 1 1 .#::. o ; =#` > 10. No wells are located within 150' of proposed SAS. 1 / r j _ ...."' PLAN SECTION CROSS- SECTION / :; :.... ` 12. The Contractor shall notify the Board of Health and the Designer v ;:::` O : `yr o +, z I ;..••. ;;;;;;; at least 24 hours in advance to inspect and certify the system. _ 13. Provide one Wi in Precast 3,500-gallon septic tank, one H-20 DB-9 distribution box L 3.-� o /► 9 HOLE DISTRIBUTION BOX gg g P � �o I H. #2 / o :#3>'.? o° and 14 H-20 500- allon chambers, or equal. o i 3 o W�-o ' o�;� ' L NOT TO SCALE g z IC) N 14. This design plan shall be utilized for the proposed septic installation only. a Co' c m '•:;:::: Z I aq o rn o o I 3 15. Install observation port in SAS as shown. •1, T.H. #1 / O 99�66' ►- �� a ' 0 a o 3 16. Sleeve all 4" sewer line crossings of the existing water line with 6" diameter w 1 Z%m PAVED � Existing Condominium SCH 40 PVC pipe 10 feet from the water line (See detail of sewer lines). DRIVEWAY PROPOSED / -Bo See ::< O ::>'s / & PARKING s HOLE H-20 / No 13 DIST. BOX Finished grade over s stem=2% sloe awD = W I 1 # / AREA Existing Grade g y P Y Existin Grade 99.5'f 1 o Septic tank covers ;�st be Three chamber covers shall be rovide dig. observation port I CRAWL D-Box cover shall be to within of grade SPACE within 6" of finished` Septic tank covers must be / I ...... •:;,;•; within 6" of finished grade.;, ,� within 6 of finished grade g Min. 2"-1/8"-1/2" Double-Washed Stone J I I :#::'•' within 6 of finished grade ••••••• �'- •'" '''' S=O.01 /FT. min. lf� or geo-textile filter cloth See e PROPOSED ft. min. U s wer II e d .tail Level for 2' S=o.01 ft ft To of Peastone Elev.=94.2 t Q 10 EXITING / for rsades &rlcaaions 3500 vAL. B. M ` � I I I :r:' ?<si: `C .• 9 Invert Elev.=93.67 Existing ;:;:;;::: 0 2500 GAL. 11 S S I : ; O _ v� SEPTIC^ ,A - , 61' ® ® I= ;•::<:: J Existing : H-�J Pro - 91 SEPTIC TANK 24" :: ;•;•�;; Ex.=94.28 99. 1' I "`:' Q Install Gas Baffle H-20 = 6 ® � :.:.... or ec�aal Install Gas Baffle O .......' U Pro Elev.=95.16' r.• . ..••.. , _ or a ual , 12T Facility Elev.=91.6T Ram= 3 4"-1'k" Double-Washed Stone I " „ „ / 5' Min. Req'd., 4.2' Provided (confirm 5' of pervious soil at time of installation) :c` 6 of 3/4 -r 1/2 STONE t:; :: O 99.41 6" OF 3/4"-11/2" STONE 1 1 10 � :.: LEACHING CHAMBER l 6„ OF 3/4 -11/2yBottom of Test , STONE Hole #1 Elev.=87.45' / k I 10. I .:::. ;::> ° ::: SOIL EVALUATION & PERK TEST 1 4r 988 SYSTEM PROFILE VARIANCES � � •::::; Not to Scale • Q 5i� Date of SOIL EVALUATION: MARCH 23 2016 310 CMR 15.223(1 )(b)` A variance is requested to allow the existing 2500-gal septic tank �" �-► o , 3 Evaluation Performed By: Glen E. Harrington, R.S. to perform as the second compartment in lieu of the required 200% of the deign flow or a 3500-gal tank. Y 9 ;- 310 CMR 15.405 1 b - A variance is requested to allow the proposed soil absorption system to be installed Excavator: KEN KLINE ,.. � OO q P P P • Y PROPOSED SAS Witness: David W. Stanton, R.S., BOH Agent 5 below grade in lieu of the required three feet. 03.78 �C x 14 H-20 5ST GAL CHAMBERS Percolation Rate: < 2 mpi assumed, 24 gals applied during pi`esoak IN C1 OF T.H. #1 103.24' w WITH 4' OF STONE ALL AROUND •88, o IN 127' X 13' X 2' LEACH TRENCH �C 102.65' S� t; Test Hole Test Hole LEGEND: PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR c 02.36' q /80 3 setbock No. 1 No. 2 Existing 2500 GAL. H-20 R� 1 DEPTH SOILS ELEV. DEPTH SOILS ELEV. PERK TES Ti septic tank .62 0 99.45 0 99.45 BEGIN SOAK: DG:DD M K H A N E Z REALTY TRUST 0 , DEPTH: 32-50" AT A LS A, LS END TIME:S6AO MIN30UINABIE TO SOAK, Proposed 3500 GAL. H-20RO 102 IYANNOUGH ROAD U e ge of 1 0.03, 10" 10YR4/2 98.62' 8" 10YR4/2 98.78' USE <2 MPI FOR DESIGN PURPOSES O O O septic tank 28 Ls (HYANNIS) BARNSTABLE, MA ppV��ent 22" 10YR6/4 97.62' 24" 10YR6/4 97.45' Existing post & rail fence 00.64' Pere C1 C1 ,. ,• Approximate location of OWNER: DMITRY 8C IRENA ZINOV ghoarse son oarse sand -� as line h 5 SS PREPARED BY: ,[� � ��� / :.......�� 2.5Y7/4 2.5Y7/4 g �tQEMA SITE PLAN �� 50 57" 94.7D' 55" 94.8T `�oi:l_ Evaluation Certification Approximate location of �� water line E Glen E. Harrington R.S. » ' q a C2 C2 1 certify that on October, 1995, p O I have passed the soil evaluator - 9 Leda Rose Lane SCALE: 1 = 20 99 83' - examination approved by the DEP and that the analysis was performed by CDpo� Existing rock retaining wall med.-cs med. cs me consistent with the required training, expertise and experience described Marstons Mills MA 02648 CONTOUR INTERVAL=1 �/" sand sand q 9, P P � 7 �� in 310 CMR 15.017. ,� O Spot t0 O shot ` R� Te1:774-238-1813 � 144" 2.5Y7/3 7.45' 144" 2.5Y7/3 7.45' X 114.12' P P cSe �'� B.M. = 100.00 ASSUMED ON W q ,�. Email: gharr88®hotmail.com .(ASSUMED) NO Observed Ground Water GLEN E. HARRINGTON, R.S. �il".A'4� ' CORNER OF CONCRETE WALK. 99 Existing topo contour , SCALE: 1 =20 DRAWN BY: GEH DATE: 28 JUN 2016 DATUM: ASSUMED FILE: zinov SHEET 1 OF 1 N ---�_ GENERAL NOTES ROUTE 28 147 : 328 nnoug/� A, 1. ADDRESS: �#102 IYANNOUGH ROAD, HYANNIS - 6 1,42_001oad 2. ASSESSORS NUMBER: MAP 328 PARCEL 015 200 vacant 3. DEVELOPERS LOT: 4. TOPOGRAPHIC INFORMATION WAS COMPILED FROM AN ON THE 208.94' t GROUND INSTRUMENT SURVEY. g River Rood / 5. TOWN WATER IS PROVIDED TO THE SITE & SURROUNDING PROPERTIES. Burn S I c / �nverf: ; 6. NO WETLANDS ARE LOCATED WITHIN 150 FEET OF THE PROPOSED SAS. o. o Inirert Elev.= 33 7. UTILITIES WERE LOCATED BY DIGSAFE. o $Invert Elev.= 8:25 t We !Elev.= 8. REFERENCE PLAN:PLAN BOOK 355 PAGE 79 °^a •° 3 - 97.28° / In/� REFERENCE PLAN: "SITE PLAN HYANNIS, MASS FOR DAVID IVES" SCALE: 1"=20',. N AREA= 65,963 sq. ft. / Elev.=97.12 DATED: 3/5/1981 REVISED 9/14/1981 & 12/14/1981 BY BAXTER & NYE, INC., a t / OSTERVILLE, MASS. (o M ° 1 j / 9. THE PROPERTY IS LOCATED WITHIN A DEP ZONE 11 GROUNDWATER CONTRIBUTION AREA. $ ; ��,1 ' // 10. THE PROPERTY IS LOCATED WITHIN A TOWN WP GROUNDWATER PROTECTION ZONE. "QS TER VI LLE" $ '98.40 t / / 3-�aw. � LOCUS / I dry, ,lam'} g Desi n Calculations NO SCALE In Ymr l � r. .,. y Elev= mti �'{ s ` Number of Bedrooms: 14 Bedrooms. gid 98.58 a ; i� Invert q Garbage Disposal: ' Not Allowed with this design Elev=97.01 ^� THE ACCESS.COVERS FOR THE SEPTIC TANK, REQUIRED DESIGN FLOW: 4 BEDROOMS X 1.10 GPD/BEDROOM=1,540 GPD. $ ■air 0 ''-' .. ovneT DISTRreuTK>N BOX AND LEACHING COMPONENT REQUIRED DESIGN FLOW: 1,250 SF X 75 GPD/1000 SF=94 GPD _ IIVDQOR POOL , O t _ SHALL BE WITHIN 6" OF FINISHED GRADE TOTAL REQUIRED INSTALL TW-TI7E GAS BAfF1ES OR EQUALS Q DESIGN FLOW: 1,634 GPD. / X"' ON ALL our TEE °'� Septic Tank Capacity Required: 1,634 GPD x 200% = 3,268 gals / '�' "���"``' ", Septic Tank Capacity Provided: 3,500 gallons with Existing 2,500 gal ST as Application Rate for Class I soil, <2 min./inch = 0.74 gal/sq. ft. sTEo. p�D VIEW CAST CONCRETE o / Leaching Capacity Required: 1,634 Gat./Day x 0.74 gal/SF = 2,208 SF 10' / a-2o�rnrM cowRs ' 1250 SF r 1 / t // f + Proposed Leaching Structure: 1-127 x13 x2 Leaching Trench FF 1 _ ,., _ _ t: Bottom Leaching Area Provided = 1,651 Sq.Ft. O nvert / .•._ 6' l ev.= ► Win« „ Side Lashing Area Provided = 560 sq. #t. "'� Ir"'`T "''` k` ' °°"'"` Proposed Leaching Area.Provided = 2,211 sq. ft. $ oURET o T- , ,, '°' °� �W = Capacity Provided .=2,21 i_ sq. '.ft X 0:74 gal/Sq ft.=_1 d. -- �. In t -: g.s Leach• i E- Toai L achin Ca ocit Provided'=1 636 : -d. > `1 634 d re uired.P 3 ' - E s-u rrrrr 9 P Y . 9P 9P q- _ o- a.us. C" o " _ONSTRUCTION NOTES _. ------------ EN -sue 1. Contractor~is responsible for Digsafe notification Existing 4" PVC sewer line CROSS--SECTION D SECTION and protection of all underground utilities and pipes. � TYPICAL 3500 GALLON H-20 SEPTIC TANK 2. The septic tank and distribution box shall be set / Proposed 4.. PVC sewer line 16YG1 On 6 of 3/4 --11/2 stone. Proposed sleeved 4" PVC in 6" PVC NOT TO SCALE 3. Backfill should"be clean sand or gravel with no "NQR7 ZZ stones over 3 ,n size. $ HWINp" 4. This system is subject to inspection during installation "'NITS 6=-g/ DETAIL O F SEWER L! N E S t0 Glen E. Harrington, R.S. CRA.yyL SPA q BEDRQp�S ' 5. The contractor shall install this system in accordance _ with Title V of the Massachusetts Environmental Code ALL OUTLET PIPES FROM THE and local Board of Health Regulations. - o�eod sec., DISTRIBUTION BOX SHALL BE g �� / SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER 6. If, during installation the contractor encounters any �49' x " t. •, " soil conditions or site conditions that are different 1 t 99. KNOCKOUTS from those shown on the so',fi log or in our design Existin sew r 9 - 5 OUTLET ,• , 4 Mines, ee d tail •" - the installer shall halt installation and immediately notify ` ^ j ,for w lin s --- Glen o 2g�N�T n E. Harrington, R.S. Oar-: , T 7. No vehicle or heavy machinery shall drive over the 12" septic system unless noted os H-20 septic components. 't / a / o -• 8. Install Tuf-rite gas baffles or equal on septic tank outlet tee, if necessary. : ,, 9. All piping shall be SCH 40 PVC. : t / - o / 00 10 No wells are located within '150' of proposed SAS. C' 1 / PLAN SECTION C R 0 S S- S E C TI 0 N 12. The Contractor shotl notify the Board of Health erid the Designer : o ; Z�� o at least 24 hours in advance t0 inspect and certify the system. �° !--p0 1 O ` t 9 HOLE DISTRIBUTION BOX 13. Provide one Wiggin Precast-3,500-gallon septic tank, one H--20 DB-9 distribution box .H.'#2 / , o � a° and 14 H-20 500--gallon chambers, or equal. ►-c� NOT TC ,SCALE o' � o �z W 1 �";� Q, �+ � 14. This design plan shall: be utilized for the proposed septic installation only. o cv a o, i 3 15. Install observation port in SAS ,as shown. ?,. o ' T.H. #1 / 9 66 M $ / O t ; 0 16. Sleeve all 4" sewer line crossings of the existing water line with 6" diameter .� _ SCH 40 PVC pipe 10 feet from the water line (See detail of sewer lines). 'x $ \ ° l�Z,m ao Existing Condominium Lc! PAVED PROPOSED DRIVEWAY - / -BO , See ° / & PARKING �DIST.BOX20 Finished rode over em=2% slope away Y ' 1 / Not #13 / AREA Existin ;Grade 9 Pe aY. :-. Existin _a;lade Aga;:- CRAWL Septa tank pavers inilsf tie: Three chamber covers'shaH be / Se trc tank covers must be D-Box cover shall be w to within . ' of yr,pdg t I ! SPACE wdhin:6 of_fmrshed:grade Septic w w within 6 of finished grade 1+I&t 2"-1 " within 6 of finished: rode within 6 of finished grade /8 1/2' Double-Washed Stone $ I S=0.01 /FT..min. Jnk. or geo-text�e.f�ter Both _. �/ I ' e ai - S=0.01' ft min_ Level for 2' S=O.01 ft ft T of Peastone Eiev=94.2't _ in det 1'ROPOSEl3-: - for gr� locefions 3500 GSL" 10' E7EISTING / x I - - r B. I a xis tin - 2500 :GAL tt E t ,..;_... -.SEPTIC .TANK. .�. ..... _. . ... . - - 9 - - o. - _ � SEPTLC-.TANK H 20 s1 4. _:. InstaN Gas _.. Cf 10 IDy Q 4 Ex. 94:28 �2 aiI_Gos, e adrty;©ev.=91.67 I _ _ r' w ... .. � ::..: .: .._._ . . .., .., -.._,. -- ., . - '' •`- --:..., 3 4 -i It Double-Washed:St _ .. ,�.. . . .. 3 4".-11 2" STONE Regd.;:.4.2:Provided: s soil t S. OF.. / / {con of perv,ou at time of instaHotlai) I I ' . w w- " " ....' $ p 99.4 = 6 OF 3/4 11/2 STONE .LEC H I N G C HAM B.E:R I 10' I I 6" of 3/4 -11/2" STONE BQU=Hde ev.=8Z:45' 1 I 10. I + I SOIL EVALUATION 8c PERK TEST 149 8.8 SYSTEM PROFILE VARIANCES 9.76' Not to Scale 310 CMR 15.405 1 b -- A "variance is requested to allow ..theproposed: SAS to be / I �, Date of SOIL EVALUATION: MARCH 23, ZQ16 C )C ) q U "--- Evaluation Performed B Glen E. Harrington, R.S: installed within 10 feet of_ a crawl space.;in lieu of the required 20 feet. 3 Y 9 i mtt Excavator: KEN KUNE 310 CMR 15.405(1)(b) - A ,variance is requested :to allow. the proposed soil-absor tion system to be installed. / PROPOSED SAS Witness: David W. Stanton, R.S., BOH Agent 5 below grade ,n lieu of the required three feet: p y y 14 H--tO 500 GAL CHAMBERS r" 03.78' X Percolation Rote: < 2 mpi assumed, 24 gals applied during presoak IN C1 OF T.H. #1 - 03.24' WITH ,4 OF STONE ALL AROUND �. IN 127 X 13 X 2 LEACH TRENCH REVISED :7/15/16 BOH COMMEN75 . �C 102.65' �Q t Test Hole Test Hole LEGEND: PRO POSED SEPTIC;. SYSTEM UPGRADE .4, 'o No. 1 No. 2 PREPAREDLFOR / Existing: 2500 GAL. H-20 02.36' R� 8�3 DEPTH SOILS ELEV.. DEPTH SOILS ELEV. 1 PERK: SST�1 -� : � septic tank _ MIHANEZ REALTY TRUST r:62 0 9:45' 0 9:45' sorucoo 00 '. 00• fro sonic og ao + =: AT A. LS A. LS „M, 1:30 o- u m.sauc, Proposed 3500 GAL. H-20-. Y; : RO 1 .03' 10" 1oYR4/2 Bs2' 8" 10YR4/2 8.78' "mod ''°" ° o o septic tIk 102 IYANNOUGH ROAD y (HYANNIS)' BARNSTABLE, MA LIt9e of Pa B. LS B, LS eht 22" 1OYR6/4 7.62' 24" 10YR6/4 7.45' _ S( -� -♦---♦- Existing post & rail fence q 32 c1 t)11VNER C�MITRY :&. IRENA ZINOV 7/ � •64' parse San parse San - G . Approximate location of O 2.5Y7 4 2:5Y7 4 gas: line 9 / h A roximdt`e 1 cption of PREPARED y I'I/(7 U �L) so Soifi Evcaluati°n Certification PP Q J' 5Z" 4.70' S5" 4.8T water I ine SITE E PLAN ' t I Coti hat on;October, 1995, I have passed he soil evaluator rr GlenHal-rin' ton, R.S. 6 ' O p C2 C2 examination_ a roved b the DEP and that the anal sis was performed b 9 '-LedQ RQSe 1O rl e 1 „ 20, Q C� 000000 SCALE: - 99.83' med.-cs med.-cs p� Y Y P Y Existing rock retaining wall ; - �' the consistent ;with`the requires! training, expertise and experience described 1 CIfStC�nS Mills MA O2`648` CONTOUR INTERVAL=1 sand sang in 310 CMR 15.017. /�e 2 5Y7 3 7.45' 144" 2:5Y7/3 7.45' Spot t0 0=shot 4 eh.774 238 18?3 - B.M. = 100.00' (ASSUMED) ON '``� ' x 114.12 P P __ No Observed Ground Water E "A1NGT°"• R S. t �� +1 gtiat8o►�.com { =A CORNER OF CONCRETE WALK. ss Existing topo contour S 1"=20' DRAWN BY: GEH DATE: 28 JUN 2016 DATUM: ASSUMED FILE: zinov SHEET 1 OF 1 +: