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HomeMy WebLinkAbout0104 LILLIAN DRIVE - Health 104 LILLIAN DR., HYANNIS 1 I "TOWN OF BARNSTABLE LOCATION f(7�C �.(C.af s�� SEWAGE V LLAGE L e k C S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ( �S ( C1 C 000 �! L LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER s' [1 SCc G PERMITDATE: COMPLIANCE DATE: I�I Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility '� FeetM' Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist . within 300 feet of leaching facility) f Feet Furnished by ___ s2 1� I �1 �, r Y .r • —�`° r .� f r, TOWN OF BARNSTABLE WCATION 1 y y G 12L 144 01-1 v - SEWAGE# a�9 D G l0 VILLAGE ASSESSOR'S MAP&PARCEL o�/���'�77 INSTALLER'S NAME&PHONE NO.Sa�"�?®'�����OSC,p�% SEPTIC TANK CAPACITY LEACHING FACILITY:(type) "S�GU L�/�I�'1� d',S (size) i NO.OF BEDROOMS 3 OWNER 194 4 G I AVM V PERMIT DATE: A o /S ; q COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet j .Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i a ® Z�3 Gi C10 M No. r r v ' Fee loo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es 01ppliLation for Misposal 6pstrm Construction 3pErmit Application for a Permit to Construct V>-Repair( C�Jpgrade( Abandon( ) Complete System ❑Individual Components Location Address or Lot No./Oy Z,2L 1' 4 Q/`(I//;.' Owner's Name,Address,and /Tel.No. .Assessor's Map/Parcel2_97—Z h /S 140111:5 Installer's Name,Address,and Tel.No.S6 —y2 O—C1738' Designer's Name,Address,and Tel.No.�7r =�j(Qd_ Jos e!-� D,e r�rw S �i�yC/^ 504Y 1A16- �� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 gpd Plan Date �'� l��i Number of sheets Revision Date 7 Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)_1A15rW11 45270 (yf 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 f Health. S' Date _ Application Approved by Date ;Z T Application Disapproved by Date for the following reasons Permit No. 2, Date Issued 2- J^1�c... : ;':..-_..•T�;1..-'�.r-�m<tx.,..•.'vAyio�....... -S"'«•'�--••�^✓4�' +'w•�,-, rt.+•-.:'ld.._.'.,:f+.eh-„'f%,,,�i..p -ice ,."e�'b'``,\: ,_.;; t -7`h�....:.M'Y.:r+.. ,vi,r"�q�3}w�...,. ,.-r,' t Cl (/ I_ No. ` 33 ,� �*�"� ;: Fee . 1) / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pptication for Zisposal *pstetn (Construction Permit Application for a Permit to Construct(,� i Repair`(�-)^"Upgrade( ) Abandon( ) Complete System El Individual Components Location Address or Lot No./0q LPL 1;44'or I Vl Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No.3`6t-y2 O 477YF 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) 330 gpd Design flow provided 3 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /ii/,.Sroll /.5©U r 57,V/ 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 :; zti Compliance has been issued by this Board of Health. Ir_Z n Signe ;+ _ r1._.� Date Application Approved byj` U , r Date 2. Application Disapproved bye Date for the following reasons. Permit No. 7 o f ( (? Date Issued z /rl( CI I r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY`,that theOn-site Sewage Disposal system Constructed(4) Repaired Upgraded( ) Abandoned( )by�/�5 z*//y�e53 �✓ /��r��'"!J 5 at IO y L/«/lyt y yr;r- has been constructed in accordance -/ with the provisions of Titlle115 and the for Disposal System Construction Permit No. C7'p dated Installer JG �,!/-�'/ !'"�' 5 Designer #bedrooms / Approved design flow f _ -CL gpd x- The issuance of this permit shalljnot be construed as a guarantee that the system IVItll fianctio as es'_ed. Date C.l Inspector `. No. )o 19 U(,��, Fee lad THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Misposal bpstem Construction Permit Permission is hereby granted to Construct( ) Repair(c.=•-) 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 1 j Approved by , Town of Barnstable Regulatory Services Richard V. Scab,Interim Director aOMA" HAM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Ok Sewage Permit# Assessor's Map\Parcel O�,qg Designer: Installer: _914r"�� Address: 6 �QX ay( Address: 7,�e V On � was issued a permit to install a (date) (installer) septic system at 10 q L! l-l..l h 10 D i2- - YA t"1�ased on a design drawn by (address) M, e \e� dated l �J (designer) , �,�e!� Sy�n.s X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters(if applicable) Est fi ( staller'sSignature) �El(ER No. 1140 3�1 �, (Designer's Signature) (Affix ere) PLEASE RETURN TO BARN ABLE PUBLIC HEALTH D ON. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc . j Town of BA nstable P# �8� °r Department of Regulatory Sevices s Public Health Division . Date 8 1. sMM Jy �eP 200 Main Stree4 Hj annis MA 02601 Date Scheduled Time l�. Fee Pd. '� P oil Suitability.Assessment for Sowage Disposal-" Performed By: 'f`re.'A l" I. �2—r i witnessed By: LOCATION &GENERAL INFORMATION Location Address'/�U 4. L, �� n I. Owneei Name u 11 t v tJ I� Address ; YN S VAk �. E., Assessor's Map/P4rcel: — �."�`7' I Engineer's Name NEW CONMIZUtON REPAIR. �'` Telephone# <'6 36 6 — 3 31 1 Land Use gf,�<a L E% NTl A-1/ Slopes(%) '� Surface Stones Distances from: Open Water Body?�� tt Possible Wet Area J U ft Drinwng Water.Wetl �� ft. 4' 1 • Drainage Way UT> ft. Ptoperty Unc ,l b ft Other ft SKETCH:(street name,dimensiodsof lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ^ 1 two, 14, s j Parent material(gedlogic) S� I Depth to Bedrock Depth to Groundwater: Standing Waterin Hole:' 1/4 1 Weepingirmm Pit Facie r Estimated.Seasonal i'"igh Groundwater Dt` TION FOR SEASONAL HIGH WATER TABLE Method Used: Depth observed standing,,in obs.hole: in. Depth to toll tngttlnt le Depth toiweeping from side of obs.hole: I in, omndwhter Ad)utlhnent.- $• Index Well# Reading Date:- - index Well level Add.taeta'— Adj.Omundwater Leval,,,,, PERGOLA ON?VEST' Date Time._ Observation '. / JAHole# 'iSMn at 9" 1`r Depth ofPerc 37`';SS`'' - „ Time at6" ..�.�...:.' Start Pre-soak Time.@ End Pre-soak I l Rate MinJlnch Site Suitability Asse0sment: Site Passed X Site Failed: "Additional Testing Needed(Y/N) Original:.Public MOM Division Observatioti Hole Data To Be Completed on Back ***If percolafii0n testis to be conducted within 100' of wetland,-you must first notify the Barnstable Noservation Division at least one(I weak pnnor to beginning. DEEP OBSERVATION HOLE LOG . Hole# T- Soil ow Depth from Soil Horizon Soil Texture Soil Color Mottling (Structure,Stones,Boulders. Surface(in.) (USDA) (munsell) g onsiste c %Grave 3� - 131 �46-0 DEEP OBSERVATION HOLE LOG Hole# /P Other Depth from Soil Horizon Soil Texture Soil Color Soil Structure,Stones,Boulders. Surface(in.) (USDA) (Mansell) Mottling onsistenc '%Gra el `4 DEEP OBSERVATION HOLE LOG Hole# Other Depth from Soil Horizon Soil ( Texture Soil Color Soil (Muusell) M ttling (Structure,Stones,Boulders. USDA) Surface(in.) Co istenc Grave I � _ DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselq Mottling. .(Structure,Stones.Boulders. t t Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No X Yes Within l00 year flood boundary.No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery us material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth•of naturally occurring p rvious material? Certification I certify that on (date)I,have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required t ' ' g expertisq an4 exp rience described in 3,10'CMR 15.017. 11 Date Signature V O:\.SEPTIC\PERCFORM.DOC via NO g COMMONWEALTH OF MASSACHUSETTS J/44 tV EXECUTIITE OFFICE OF ENVIRONMENTAL AFFDEPARTMENT OF ENM ONMENTAL PROTECONE WINTER STREET, BOSTON MA 02108 (619)292-5500 TRUIFF COX£ ii«retaay ARGEO PAUL CEL.LUCCI ;DAVID B. IT-RUHS Gcnwnos C=sjAAioaosr I3ilBBtiRFACE BEIOUISQE�1iO3AL SVBTEBA MPWTMN FORM PART A CE111114 CATDOM PooppeepAddrises- I4 Oct i,; Lt t c4 n _Dr v e, mom of Orman re.�C0�,�tc, %j o_r%n.T 5 11' y� A®drw of Owm:— .Q.t T� S+ Dow of laopeetlws: i i t t 3 N't � � e5t--'.Ue_1d_ basal of iria�eswr:111% a Platt y il.wdel V'c, �L l are a w uertt w SeatOen 15.360 of TMe 5(310 CUR 15.000i ammmy Naue: Tdooll tns Nwborr. �—y 1 `�: T{9 i�$ Aardvark Env1.o��jpg i�On� Dennl PW4 Naafi.emi I cer4-fy that I have personally Inspected^he sawage dispose!system at this address and that the Information reported below Is-true,es:eurats and complete as of the time of Inspection,. The Inspection was performed beserl on my training and experience In the proper function and mainlawnce of on-acts sewage deposal gatime. The system; k Passes e, Cocidlitlonally►mass Needs Further Evaluation By the Local Approving Authority .._ Falls 'e f� claw: The System Inspector shall submit s copy of this inspection report to the Approving Authority(Board of Health or DEP)whthin thirty(30i diuys of completing this Inspection. If the system Is a shared system or has a design flow of 10,000 opd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to t w syatwrri owner end copies sent to the buy or, If applicable, and floe approving authority. 1 NOTES AND COMMENTS i rev:.$ed 9/2/98 p4p1rx11 t�Pnnne on seMi.:i/m.. St1SSURFACE UWAGE DWOSM.SYSTEM 1111S ECTION FONM PART A CMTVWATN M lonvill " Ornaw: (,v50-, 1t Dam►of IwsyeoSo►a fMOMTIDM OU M6ARY: Cheap A. At C, or 0: A. SY91 MI PAS : I have not found any Infornmion which Indicates that any of 1M faLre conditions described In 310 CMIt 16.39 exist. Any failure arlteria not evaluated we InAl Ned below. OO11NI1@ITO: S. SYSTM COMOoWMALLY PAM$: One or more system componrtats as described in the"Conditional pass" on need to be replacedreplacement or repaired. '[he system,upon completion of the re plat pair,as approved by the Board of *halt, will peas. Indicate yes, no,or not dotwmined M 11,or ND). Describe basis of minvdon In all instance*. if "not detarmined",expWra why not, — The sspfk ten*Is mirtal,unless the owner at ate►has provided the system impactor with a copy of a (1,ordflamo at Compliance(attached)Indicating that the as Inetalled within twerrty 120)years prior to the date oil the inepsallan;or the septic tank, who Cher or not metal,Is c ked,structurally unsound, shows substantial infiltration or exilWation, or tank failure Is imminent. 'the system will lnspecdon If the exisdng septic tank Is replaced with a e approved by the Baird of Health. 1g'sic terns lie r ® Sewage backup or brook or high static water level olam-wed In the distribution box is due to broken ter oltetructod I:ip*(s) or due to a broken,as d or uneven distribution box. The system win we inspection if(with approval of'the board.of Health). oket pipeW we replaced el►*trvadon is removod distribution box Is levelled or replaced — The cyst squired pumping more titan four times a year due to broken or obstructed plpsls)• The system,wnl pass Inspect (with approval of the Band of ffeeltlt): broken plpel*)are replaced ollstructlon Is removed { i 0 ' a revised 9/2/98 Psgraef13 SMURFACE SEWAGE OPAL SYSTEa1 NSPEcnOR FORM PART A CON I FWAY M(oandra se Ptolasrly Addraas: 1 ® 't �• ►l�.►tip h D r-J V 4t Oarner. vSC�C(C Dear eaf t, 1 3 C. FURTHER EVALUAT10f114 REGIMAD BY THE BOARD OF HEALTH: "— Conditions exist which reciulre further evaluation by the Board of Health in order determine if the system is failing to protdret the oalbk health.safety and the onvironment. '►i SYSTRA WILL PASS MEN BOARD OF HEALTH DETNWANU N,k WITH Hl 3/0 Cane 15.3M t11MI T i IAT TNIE 11"ITefbii la NOT FUNCTHOAiMIIa N A b11AMNee MICH tfllLL PROTECT THE HEALTH AND SAILTY AND THE EaMMome 11r: Cesspool or privy is irlthln 60 feet of surface Wirt* Cesspool or privy is uttNn 50 feet of a bordarin eg*tated watland or a soft marsh. 21 SYSTEai W LL FAL UNLESS THE RD OF HEALTH(AND PUBLIC WATER SUPPi.IEfe,IF AN1rf DETERbbSinsS THAT THE SyS'11EM e N A NANIIMR'ffiA PROTECTS THE PUIbX HEAL794 AND SAFETY AND THE 8Mii eOW AebT: — T'he system has a sel tank and soil absorption system(SAS)and the SAS is within 100 feet of*surface,water suppill or tributary to a surface ater supply. The system hes a s iatle tank and soil absorption system and the SAS is WhMn a Zone I of a public water supply,well, The system has• Irtle tank and soli absorption system an4 the SAS is within 60 feet of a private water sarp*Nretl„ The system has f seirtic tank and eoll absorption system amid the SAS is loss Owe 100 feet but 50 feet o►rnore frcon u private Water ply well,unless a web water analysis for coliform bacteria and voiadlo organk compounds indicatss Ihtrt the WON Is free it PI from that facility and the presence of ammonia nitrogen and nib ate than 5 ppm. used to dstannino distance nitrogen is o�lual to nor lean (approxMrrallon not vaNd1. 31 OTHER i reviised 9/2/98 Pgp3of11 WES LWACE SEWAGE DU"GAL SJISTEM BNSPECT10N FORM PART A CM I PICAIM feandrallod) Plslherty Atldreas: ) C7`� L L1t at ti owns: C_h✓S o.c lc Does so, OF 1"tfera: t l D. SYSTM FAILS; You must indleste ohher "Yes"or"No" to each of the following: I have determined that one or more of the following failure condh8onev exist as cribed in 310 CANR 15.303. Theb@aia far this determination is identifled below. The Dowd of Health should be contact. o determir»what will be necessary to cowrect ilia failure. Yet, No Backup of eowags into facility or system component •to an overloaded or clogged SAS or cesspool. Discharge or pandini of effluent to the surface the ground or surface waters due to an overloadod or dogged SAS nr cesspool. .._ Static liquid level in the distribution box eve outlet invert due to m overloaded or clogged SAS or esaspot�i. Liquid depth In cesspool is less the " below Invert L vailable volume is less than 1l2 day flow. Required pumping ncre than timoe In the last yew duo to clogged or obstructed pipels). Numbo►of times pumped _ Any portion of the Se bsorption System, cesspool or privy is below the high groundwater atovation. Any portion of a eupool or privy is within 100 feet of a shrfface water supply or tributary to a surfsee water supply. Any portion a oesispcol or privy is within a Zone I of a pullik well. _ Any n of a cesupool or privy Is wltNn 60 feet of a private water supply well. An ortlon of a cess,poel or privy Is less-than 100 fast but greater then i50 test from a private water supply web with;no optable water quiAty analysis. N the well has been anst-ped to be acceptable, sttach copy of well wsteir analysis I'or 01form battens, vOlstRe organic compounds,ammonia NOogsn and nitrate nitrogen. E. LARi3E IVINTM FAU: You must Indicate aither "Yes" or"No" to each of the Ing: The following criteria spply to large systems I an to the whale above: The system serves a fscgity with a desig ow of 10,000 gpd w grerrtor(Large System)and the system is a significant threat to Fume health and safety and the envkor nt @use one Or more of the following conditions exist: Yes No the system is within 0 fact of a surface drinking water supply the system Is .100 feet of a trlbutery to a surface drinking water supply the system)a I ed in a nitrogen sensitive or"(Intsrfm Wilighosd protection Area:IYifPA)or a mapped ZO111e 11 of a Fabric ter wa supply ) The owner or oporow of any h system shall upgrade the system In accordance with 310 CMR 1(i.304(2). Plesss consult tits local rational ofAos of the Department for 'or Information. revised 9/2/98 Pyr�attt 9WINSIJRFACE SEWACM DWOSAL 8 VSTEBI WSPECTION1 FORM PART 8 CHRCUAT OWFW: C '50-C k dean of w \ \ r k L ` ct Cheek If the following have born done:V ow must Indicate either"Yes" or "No" as to each of the following: Yes No V — Pumping informador, nes provided by the owner,occupant, or Board of Health. • None of the system camponente have been pumped for at Isest two weeks and the system ham been recohi g narina! Now rates during that period. Large volumes of water have not boon introduced into the system recently or as pNwt of NO; Opecdo r `•� Qn• r — As built plans hove lnen obtained and examined. Note if they are not available with NIA. _ The focdity or dwelling was Inspected for signs of$swage bock-up. _ The system does non receive non-sanitary or Industrial waste flow. .., The she was Inspected for signs of b►oakout. ® AN system eomponen-cs,excluding the SoH Absorption System,have been located on the site. w The septic tank manh-3loe were uncovered,opened,and the interior of the septic tank was Inspected far coovOtion of Wflas or less,material of construction, dimensions,depth of NgWcl, depth of sludge,depth of scum. r, )J, The sit*and location $f the Soil Absorption System on the site has been determined based on: � _ Eximing iMorrnsdon.for example.Plan at B.D.M. Determined In the fleid (if any of the failure crherio related to Part C is at issue,eppoxheodon of distant is unocceptgdbin) 116,302131(b)] The facility owner(and ocoupents,if different from owner)liver*provided with Information on the proper m4monance of Subsurface Disposal Cystems. r rev:Bed 9/2/99 sof11 ;WOi'URFACE SEWAGE ONPOOAL SYSTEM MPECTM FORM PART C SVSTW MIw+O1pMIRTM Poop ayw �� G. L tc,,,ft- OWFOr.. C.L 60— Oaft s*bmwarsm l l 1 l iCl FLOW Ca don oNa O"Ontow: J U a.p.d.�b.dro«►,. Number of bedrooms ):S f lumber of bedrooms(actual): Total CUM llew, 30_ Nunnaa of oumsrtt roaldenq: aarbap grinder(ya or nol:0 Laundry taeparate system) tyes at no).-APIf yes, separate Inspection reufuhed laundry system Impacted ( or nee) Ssatansi use(yes or no): S 0 Q G� Waata meter readings,If av able(last Savo year's usage(Spd): �� �Q`>� . '�` 7 7 Sump Pump(yes or Last data of ooeupwwy:7— l 0 Type of astabillshmentl _ D"In flow: sad (Owed on 16.72 Oasis of design flow _ Onase trap present(Yp at nsl_ fndu+rttial Waste"Wdk*To*pros rss or no) Non-sanitery wants d echargod to Title 6 system: (yes or no)_ WAMW meter roadlngs.If _ Last data of occupancy: O771F91:Maeodbell `.ant data of -- SBOML 11INK NATON NJMPM MOCOMS and source f inf nmatlo (� gO , - C-;; 0 T e 0 en j n System pumped as part of inalnecdoe:(yes or no) if yes,vokane pumpadw _ins !lesson for pumping: , TYW-OF SHOTS M Septic tank/aetribution boxlsoP absorption system Single cesspool _ Ovorfisw cesspool _.� Prfyy Shared system(yss or no) (if y",attach previous inspection records,if any) IIA Technology ste.Attech copy of up to dots operation and maintenance contract Tight Tank Copy of D till Approval Other AfPl1OXRMTE AGE of all componants, dots Installed(if known)and source of koormotion: OrmW ochre detected when arriving at the site:tyes or no)A revised 9/2/$8 9spfoeu i'.UBSWtFACE NWAAE DISPOSAL SYSTEM BUWECTWN FOf@69A PANT C OVSTM NPDI�AT(DN(oartMtrtrsdi 0ssea0, C vsO-c Ic, fuss of ba/aetlsn: flbuLSINO st�wiffa: . (loayrto on oft Plan) DWb below s^ *,-.:-J Msmiiriol of consumcdon: coat iron 40 PVC other(explain) Distsmos rivets water supply WON 13C auction line Dtaroieesr Comments:(condition of)oints,vonthV.."dome of loakepa,eta} SMIX TAM„ . (baste on a"plea! Dspth below graft:.v Motsarial of construotton:_,conerato„ natal`Ihbergless _Polya one_otheriexplaini N tams Is motel,fist age_ to op corlIrmed by CeA6flcato omMance, lyes/Nof Dimeaosiane: _ ' ftop depth: Distemeo from top of ekWp to bottom c4 or beffio: saurnr tftkrieso: Detsnoe from top of scum to mop of outi too or baffle: DIM we front baniq o4 setrw+to s of outlet ees or baffle: `low dimsrNlons wen date► Comn+sneo: (recornmendatlon for ,condition of iniat and outlet toes or baffles, depth of liquid level in mistion to outlet Invert,stauctursl kKepdt,, evidence of eakpe, ) , aftE M tleeaits on die plsnl Do di below grads:__ Material of conabuction:,eonersto_rmstai_Ilbo►gi _Poiyothylene_other(oxpein) Dknonslons: .-- sours NNoknoss: OWMI00 from top of scum to top of MA,M or baffle: Distance from bottom of scum to bottom outlet tee or baffle: Dab of lest purr4ft: Convmwrts: frecornrnendation for pumping,a on of lrilet and outlet toss or 1304ias, depth of liquid I"in ralstion to outlet invert,structural Integoity, evidsneo of looks".ate.) revised 9/2/98 fsoftl SLMURFACE$WAGE DISPOSAL S(SUM 01SPECTION FORW PART C SYSTM MMPDRit6ATMDI1t( ®esrMr: Dasof how" c TlpOfg•CM HOLiDM TANK. (Tarsi:must be pumped prior to, or at time of, ins ) (ioeets on ate pan) Depth below qrMb:- 1sWww of construeson:_conerate__mats)_Flberglaae_Pot one_othartexplain) Dirneneione: Design flow: Eallons/dey Alarm p"mt Aiorm awl: Alarm In world,zeede'YM No_ peso of previous pumping: Carvnena: (aw-Wltion of inlat tee,a of also end float switches,etc.) Dts411figt9 "BOX:— (locats on sh pan) Depth of Mould Is"show outlet in 70 Carrxreano: (no-le If level and dtatr)buti a equal.evidence of solids carryover,evidence of leakage into or out of box, etc.) PtXW CHAil1IIIIIIIII1:_ loads on she pan) Pu"W In waking order:(Yes or No) Alaros in working order(Yes a No _ Corranente: - fnoN coed def of pump .condhdon of pumps and appurtenances,etc,) revised 9/2/98 Ptof11 SIUUU11PACE SEWAGE DWOSAL SYSTEM WSPECT)ON FORM PART C MTM BNO/Or M 1OR1 towwb adl SNOW Amma/1 l O d L iO tc,A L)^L t g ONnwr: l=u,o'G(c tc�q Own sf b"m ads I k'l t t 3 l l SM ASSOIIIN M ISTVaM WAS)., (loom an eke plan,If possible:a%" kin not required,Iwation may be approximated by non-Intrusive m*thoda) if not located,sspiain: rvPv: +g ones,rwr I ail l o mrb rs, kmahli gelorlss,number New"trensinse,ewrnbor.hxryrth: lashing MO.nun*w.dbnoiWo ns: overflow anaspa-,rwwAw:_j!_ Akernstive system: Name of Toohnologl': Coseaetornto: Snots condition of ar,None of hydraulic failu lre,llevvell/Qf nA, amp*oil,vp%dition of va station, eta.J1 Vic, .4 -� � CSSWOOLN Number and eandgY►aaloe: 1: � T�y�l 4%p -tap of Now to blot Mom`:—i� eptA of some Iftw: ee 04"N of*own Ivor. L Dknwwons of aaapam-. Mat "MIS of*anslruetien: /r Wodiculon of oroundwater: j"��L iMbw(eesept�gl must be eemPoid as pert of inspact m ��3 s y (,U ! N i7 r5 �`- c-r� (ems c21 . r� ' /' -------- Comments: (note condition of aer,signs of h�osreurc fend .Oevoi of ndino.�oo,�dkEon of v on.etc.) r! �r �c'yT 1- ulmT_ a7 /' 0o IT o, dloca0a en aka plan) Mateswe of aratwction: Dimsnsionr Depth of soode: _ Cwnnm . (note condlAon of*a, hyd►surc'I'sNutO,IOWW of pondirnq, oondhlon of +nngsttmere,ota.l revised 9/2/98 ra.l'oru SLMSUWACE SMAOE 018POSAIL SVSTM IMPECTION FOAM PART C SYSTM WFOAMATKNI karMlralea OMmv Ad* , !o�/ ; !(r ta (ke Owttn: C-L,5ac f- slonOt OF ORWAOS ONlOSAI SVSI134: kWA40 on to at bast two prmw nt rabtwwo landmarks or bw*Nmarks lasato aN waft within 100'lLoeata whwa p b0c watw supply oomts Alto house? f i b [J r t r 5'n'l. ~� � revised 9/2/98 pap 18of11 :I MURFACE SEWAGE DISPOSAL SYSTM*1sFICTION FORM PART C — s1PSTM INNOMINATIQN4, N 0 Ampfity k CA O7rrrr:s Sa-c 011110 MACS Report name__ serf Ty►*_ TvOod depth to grewrdwatsr-- uses. Dsse webeits visited Oboanodon Wells checked eroundwster depth: Shallow__ ModWOO SrM EXAM flop* Surface water Check Caller Shallow weft istimmod Depth to Groundwater (9 Pe't Please indicate oll the methods used to determine Nigh Groundwater Elevation: Obtained Nom Design Plans on rot ord Observed Sato(Abutting property,-sbservation hol*.be"meret sump otc.) Dotarmirred from local conditions Chocked with kraal soa►d of haofth Checked PIMA Maps Checked pumping records Cim Rim local excavators.lnetalions Used uses Date OasvAb* hbw you estbbiishad the H'to Ciroundwet*r Elevatlon. ( be computed) f reviL.sed 9/2/98 POP it of it ` i �s • LEGEND •HYANNIS PROPOSED CONTOURST M ® PROPOSED SPOT GRADE T EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE cn PROP. 1,50OG W— EXISTING WATER SERVICE LOCUS �p SEPTIC TANK TEST PIT 1 Gam— + 51.48 51 P o TPA---2T0 -- % �ft � = c� O� T OS . 10 ft O O 0 9 N LOCUS MAP o i - '\ LOCUS INFORMATION \ i \ TITLE REF: 12753/073 \ 'EXISTING PARCEL ID: MAP 248 PAR. 277 ' \ DWELLING \\ a FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE � TOP OF FNDN SEPTIC SYSTEM of EL = 51 .61 — REPAIR PLAN LOCATED AT: 104 LILLIAN DRIVE SOT 1 . 0 HYANNIS, MA AREA = 10000 sf+- ,� p PLAN BOOK 165 PAGE 41 + PREPARED FOR ASSR MAP248 PCL 277 ,� W D I AN N E V. GAR VEY j FEBRUARY 13, 2019 51---- --�____- --- 10 --- - OWATER 1 GATE � '`� OF �Ss9�yG o D RFE�N EDGE OF PAVEMENT 0. 1`140' IAN DRIVE PLAN A N MEYER & SONS, INC. r BENCH MARK �SCALE: 1 in 20 ft TOP OF FOUNDATION P.O. BOX 981 0 20 40 51 .61 EAST SANDWICH, MA. 02537 BARNSTABLE GIS DATUJI 10 20 40 PH: (508)360-3311 0 F FAX: (774)413-9468 Meyerandsonstitle5®gmail.com t P - SHEET 1 OF 2 J 1894 ELEV. TOP DROP END. NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS r (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (51.0) = 51.61 � F.G.EL: 51.0 F.G.EL: 51.20 F.G. EL: 51.20 r :a MAINTAIN 2% MIN SLOPE OVER LEACHING AREA a X F.G.EL: 50.05 2" OWMW F 3/8" DOUBLE WASHED 3/4" - 1-1/2" .• . ;q STONE OR FILTER FABRIC DOUBLE WASHED STONE " 77, 4" SCH 40 PVC :a 10"I 14 6 mama.®®®®®®® ® S= 1 MIN. a' TEE'S ARE TO BE ( , ) ®®®®®®®®®®® .Y 4" SCH 40 PVC INV. 48.45 2 EFF. DEPTH ®®®®®®®®®®® V6 INV.48.75 INV. 48.25 4' 2 X 8.5' 4' GAS PROPOSED DB-3 EFFECTIVE LENGTH = 25' INV. 49.45 40 ' BAFFLE DISTRIBUTION BOX INV. 49.0 AM cm Am AW (H20) INV. ELEV.= 47.20 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����`� OF MX_ BREAKOUT OUTLET TEE AS MANUFACTURED BY y o .DA N M RE E � ELEV.= 48.20 TUF-TITE, ZABEL, OR EQUAL '.pp ,f TOP CONC. ELEV.= 48.20 NOTES: o. 1 0 INV. ELEV. 47.213!7 ®® 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION jrE3mmm ®E30a0a G/ST ®®®®®® ' 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE NITAR�a� BOTTOM EL.= 45.20 ma® TO GRADE ON A MECHANICALLY COMPACTED SIX yn 5 FT. 3.75' INCH CRUSHED STONE BASE, AS SPECIFIED IN I 310 CMR 15.221(2) SEPARATION 5.50 FT. EFFECTIVE WIDTH = 12.5' 3) INSTALL INLET &GAS BAFFLE AS REQU IRED EDTEES W/ SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 39.70 _ SOIL ABSORPTION SYSTEM (SECTION (500 GALLON LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P# 15889 BOARD of HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JANUARY 29, 2019 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 SOIL TEXTURAL CLASS: CLASS i (0.74 GPD/sF) LOCAL RULES AND REGULATIONS. EXCEPT AS REQUESTED BELOW: WITNESS: DON DESMARAIS BARNSTABLE HEALTH DEPT. DESIGN PERCOLATION RATE: <2 MIN/IN , . - 310 CMR 15.405 (1) (B): DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 4 FT. VARIANCE FROM 310CMR15.211 To ALLOW LEACHING GARBAGE GRINDER:. NO not designed for arba a under TO BE 16 Fr (MIN) FROM DWELLING VS RM'D 20 Fr. Bev. TP-1 Depth Elev. TP-2 Depth ( g 9 9 9 ' ) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 51.20 A 0" 51.20 A 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE PROP. 1,500 GAL SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE LOAMY SAND L SAND 8" LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. DESIGN ENGINEER. 50.70 IOYR 3/2 6" 50.53 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING B B USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LOAMY �D LOAMY SAND ENGINEER BEFORE CONSTRUCTION CONTINUES. 48.12 C 37" 48.20 C 36" STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF BOTTOM AREA: 25 x 12.5= 312.5 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. PERC TEST MEDIUM MEDIUM SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. • EL 46.60 SAND SAND 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 2.5Y 6/4 2.5Y 6/4 TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. 39.78 1 1 137" 39.70 138" PROPOSED SEPTIC SYSTEM UPGRADE PLAN 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN. ("C" HORIZON) 104 LILLIAN DRIVE, HYANNIS, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Prepared for: Garvey 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) • 1• Darren M. Mayer, R.S., CSE, hereby certify that I am currently MEYER&SONS,INC. N.T.S. DMM 01/14/19 eye rrenUy approved by MADEP pursuant to 310 CMR .15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX981 REV DATE requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. EAST S4;VDW/CH,MA 02537 CHECKED SHEET NO. 508382 2s22 DMM 2 of 2