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HomeMy WebLinkAbout0011 MAYWOOD AVENUE - Health A = ' 'i A age- 130 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port '� Ma 02647 4/12/21 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 forms A. Inspector Information 5t,k 153ai on the computer, Michael DiBuono use only the tab key to move your Name of Inspector cursor-do not DiBuono Sewer And Drain use the return Company Name key. 35 Content Ln r� Company Address Cotuit Ma 02635 City/Town State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails , 4/12/21 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note:This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 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: System was installed in 2015 and is in new condition. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain.* The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 c Commonwealth of Massachusetts Title 5 official Inspection Form ' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. CitylTown State Zip Code Date of Inspection, C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N' ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 f Comm onwealth of Massachusetts UM Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 r Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every y H annis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or ❑ ® tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® , The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address I GARTHWAITE, WENDY L Owner Owners Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for an inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts 19ifTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 9 Number of bedrooms(actual): 8 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 990 Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,r 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for um in : P P 9 I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: Installed 12/10/15 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 4 feet Material of construction: ❑ cast iron ❑40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): System is vented aft the roof line i t5insp.doc•rev.726/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts � Title 5 Official Inspection Form g-vP Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 2000 H10 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 24" 3" Scum thickness Distance from top of scum to top of outlet tee or baffle 4° Distance from bottom of scum to bottom of outlet tee or baffle 30" How were dimensions determined? Tape Measure/Data On File Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is recommended every three to four years for seasonal use t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Idle 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 18 Commonwealth of Massachusetts @ Title 5 official Inspection Form PSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No ' Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert New 2015 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts 0Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No" Alarms in working order: ® Yes ❑ No" Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Chamber was at normal level. Float switches are operational *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 9 h10 Chambers 1405 SF ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page, Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No ponding no break out 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments is 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owners Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 4/7/2021 Assessing As-Built Cards TOWN OF BARNSTABLE LOCATION /� .H44"DIB e SEWAGE# oZ0` 5- 38 . VILLAGE. ASSESSOR'S MAP&PARCEL.. $ /36 INSTALLER'S NAME:&PHONE'NOj SEPTIC TANK CAPACITY " LEACIIING'.PACILITY:. CA (size} NO.OF.BEDROOMS t OWNER. Z17 w c/e. PERMITDATE: 8'oZf�7. C0MPLIANCEDATE.4,.: 0%.7.. Sepafation 0istance Between the: Mazimuip Adjusted Groundwater-Table to the Bottom of Leaching Facility Feet- Private Water.Siipply Well and Leac}ing 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 wiflin 300 feet of leaching facilifv) Feet d FUKNIMED BY;.. z� r; r 0 i r✓ :s. b - aa s. `F 0t cd' -a { z-: 30 6 it/o% r r r �cf� ►ham �M�� So =S= sr r .� 3a, ��- yi 3 / LCi1�C,'�$Z'°r�Cf/ � �.�,6. •'/� V6 ..ate.�b� d.9 x; https://town.bamstable.ma.us/Departments/Assessing/Property_Values/HMdisplay.asp?mappar-287130&seq=3 1/2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owners Name information is required for every Hyannis Port Ma 02647 4/12/21 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately f t5insp.doc•rev.7126/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ 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: 12/22/13 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data on plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 11 Maywood Ave Property Address GARTHWAITE, WENDY L Owner Owner's Name information is required for every Hyannis Port Ma 02647 4/12/21 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑ A. Inspector Information: Complete all fields in this section. ❑ B. Certification: Signed& Dated and 1, 2, 3, or 4 checked ❑ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ❑ D. System Information: r I :;t For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 r. G,m• r' "CENTFRVILLE, MAI EXISTING LEACH PIT TO BE PUMPED AND REMOVED. REMOVE ALL ASSOCIATED CONTAMINATED SOILS AND THIS IS A REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. ` COLOR PLAN Q a USE COLOR PLAN ONLY * '/ "ATge /i FOR FULL INSTALLATION LEGEND ���� GIs G/y/�� FULL VIE IS BEST � SEPTIC(COMPONENTS Is VIEWED IN -, _,, ,�L FUL!COLOR EXISTING ELEVATION IDOD GAL 44.39 ' /� SEPTIC TANK FOUNDPS � O OEXISTINGF ' T 1. 0CU6 U A P LEACH PIT/ - CESSPOOL DISTRIBUTION BOX® TEST PIT ® - \ 46 PROPOSED SOIL '� 44 43 ABSORPTION PROPOSED 42` SYSTEM PROPOSE ^'40 -SEE DETAIL / p \ A BACK ON BACK 5S\N 0 \ ._--- E�pN 46- VENT PIPE OAK C LZ \ T W gg -- i L�-.O IIq� 8 D I AREA = 20625 sf+- 44 ® 0 PLAN BOOK293 PAGE 28 ASSA MAP 147 Pa 57 49 ®� �® y t ® ` o VARIANCES REQUESTED OO MAY RF GRANTED IMMED/ATfLY BY HEALTH AGENT OR HEACTN INSPECTOR. -1% '' 310 CMR 15.221(7) - COMPONENT "M °F 42-V— ASEMEN� DEPTH TO FINISH GRADE. 36 in of E �qb f� MAX REQUIRED - VARIANCE TO s f 48 in OF COVER REQUESTED. UTIL( iTiES SOIL ABSORPTION . WATER LINE -Q- ® �z e SYSTEM TO CELLAR WALL. 20 ft MIN REQUIRED - VARIANCE TO 11 ft OAS LINE OF L1 1 �N OF Au SEPARATION REQUESTED. OAS GATE O �Kvf.,, PLAN DAVID CyG DAVIDG 10 OVERHEAD WIREIN - 40 PL'=.A D' - POLE DRAIN COUo.1093 R H COUGHANOWR ti SEWAGE SYSTEM I PLAN AL POLE � ® No.1093 No.461 SCALE: I in = 20 ft -TO SERVE EXISTING DWELLING �FGIy7E0.F� 4PPROVE� h AMANDA AND. zo 4o s / POD EVA�uP�� MARK BOARDLEY FO 2 0 / / /- •.•, .' OWNERlSI OF RECORD 80 ENSIGN ROAD PRINT ON 11 x 17 /n CENTERVILLE. MA •" THIS PLAN IS INTENDED SOLELY FOP INSTALLATION T THE OF THE SEPTIC SYSTEM I$5 Geo R der Rd 5 - .-' PAPER FOR PROPER SCALE DEPICTED T IT.FOR ANY OTHER CHANGES TO THE PROP ERTV INCLUDING IF PROPERTY ADDRESS - - PLACEMENT OF ADDITIONS.SHED$,FENCES OR SWIMMING POOLS,OWNER Chatham.MA 02633 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. DOVIdCOU®HOLmoll.COm DATE:APRIL 6. 2021 508 364-0894 PG.I/Z joa. ETE-4547 SOIL TEST L OO y P -- DESIGN FLOW: BEDROOMSLC L A O 1000 GALLON SEPTIC TANK SOIL ABSORPTION SOIL EVALUATOR: DAVD D. COUGHANOWR. ASE 0461 X 110 GPD = 330 GPD EXISTING UNIT - DIMENSIONS & DETAIL SYSTEM CONSTRUCTION DETAIL WI ITNESSED BY. DAVD STANTON. HEALTH DEPT. SEPTIC TANK: 330 OPD X 2 DAYS = 660 GALLONS TANK TO BE PUMPED DRY AT TIME OF INSTALLATION USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL L NO GROUNDWATER ENCOUNTERED AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL TEST PIT I PERC AT 64 -2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN L SOUND STRUCTURAL CONDITION. IF NOT. INSTALL NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. DRYWELL 24.0 ft ELEVATION DEPTH son USDA SOIL Son COLOR soN_ OTHER NEW 1500 GALLON SEPTIC TANK. REPLACE WITH A NEW UNIT IN OHS OIt ON TEXTURE (MUNSELLI MOTTLES I500 GALLON TANK .� mw 43.901 in 0-10 AID SAPIDY LOAM 10 YR 3/3 NONE FRIABLE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. PER Q IF CRACKED. ROTTED X1-30 B. LOAMY SAND X)YR 4I6 NOW LOOSE SOIL ASSORBTION SYSTEM: OR OTHERWISE nn tiNa9 (+'! 41.23 30-128 C MEDIUM SAND 10 YR 5,4 NONE LOSE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE �r `�fT ' I..u _ COMPROMISED. 33.23 SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES ..;` a/.' `.` _ PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT.! o �`y✓� xi of NO GROUNDWATER ENCOUNTERED THE 24 ft x 12 0 Do .6 ft x 2 ft LEACHING GALLERY #/ 4 TEST PIT 2 -2 MINIINCH IN C SOILS I ELEVATIO132-129 DEPTH SOIL USDA Son SON_COLOR SOIL OTHER ! DEPICTED BELOW CAN LEACH: o NOT i9 INCHES HORIZON TEXTURE WUNSELLI MOTTLES BOTTOM AREA = <24 x 12.5> =300 sq. ft. - _ TO STONE 3.5 ft 8.5 ft 8.5 ft 3.5 ft 43.200-12 Ap SANDY LOAM 10 YR 313 NONE FRIABLE SIDEWAL AREA = ( 4+24+12.5+1 .5)x = 46 s . _ SCALE L R 2 40.5312-92 Bw LOAMY SAND b YR 4/6 NONE LOOSE I TOTAL AREA = 446 sq. ft. - \0\P- $�Q GALLON DRYWELL _rx C MEDIUM SAND X)YR 514 NONE LOOSE FLOW CAPACITY = 0.74 x 446 = 330.04 OI/du 8 - - 32.45 9 9 ff-6 In A f DIMENSIONS & DETAIL INSTALL ONE INSPECTION I INSTALL A 24 ft z 12.5 ft x 2 ft GALLERY AS CONFIGURED RISER TO WITHIN THREE - - ---- -- - - BELOW.FLOW CAPACITY=330.04 gdldoU WHICH EXCEEDS INCHES OF FINAL GRADE THE 330 gallday REQUIRED FOR A THREE BEDROOM DESIGN.I INLET OUTLET B INDICATE LOCATION COVER COVER _ fy3,. ON AS-BUILT INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. DISTRIBUTION Fc�p q N BOX USE SHOREY y �3 IN DROP FLOW LINE D 36 -ALL COMPONENTS INSTALLED SHALL MEET ®Bc3 TInt Ql91NJ T�®llC�l U®N DB-3 H2O FROM � w OOn DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL - O Q In THE MINIMUM REQUIREMENTS OF AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN BUILDING, IO in �n TO - o DOOOD :R'A MASSACHUSETTS TITLE 5 SEPTIC -BOX - DD�D,. V CODE (310 CMR 15). _ - - 1(` -INSTALLER TO VERIFY LOCATIONS OF ALL __ __ �L//p GAS - fj0 UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 12 I^ LEVEL BAFFLE .' !02/q -ECO-TECH RAPID RESPONSE RECOMMENDS y MIN _ CROSS SECTION VIEW rr= THE INSTALLATION OF LOW FLOW „ FROM ` ~ 6 )n TONE BASE If NEW INSTALL AN APPROVED GEOTEXTILf FIXTURES 8 APPLIANCES. AND PERIODIC N TANK b y TO FABRIC OVER STONE PUMPING OF THE SEPTIC TANK. C) , u w _ SAS SEPARATION BETWEEN INLET & OUTLET -SEPTIC TANK NOT DESIGNED TO WITHSTAND TEES NO LESS THAN LIQUID DEPTH usFu,r ;.... S VEHICULAR LOADING. DO NOT PARK OR P 6 I^STONE BASE CROSS SECTION VIEW r,fly( - _+ f, DRIVE VEHICLES OVER SEPTIC TANK. ?I !n rZ\\ CROSS SECTION VIEW In8 I-V2 m GR4va,i DEPTH VEo#�)-D2 u,�GeAOVEt� r .-. 46In 581n 46 In IF L . O w 11 I v O F L E 150 fn TOP OF FOUNDATION RAISE COVERS TO WITHIN ( B ALL PIPE TO 4 in BE SCH. 40 PVC rV,'ENT EL = 44.39 +- 6 in OF FINAL GRADEnPE 43-44 �q ��u// I m 4, 1N11111 iUSE D-BOX MAX RATED - USE H-20 ,__ UNITS E J�MTIN!G 40.50 EXISTING 1000 GALLON — f PRECAST SEPM fANK 39.85 39.55 DRYWELL in EXISTING REFER TO DETAIL BOX STONf SOOL ABSORPTION�nl .+. 39.72 BASE 39.50 r kI�.�,,:i - , ����IE -REFER TO EXISTING °< ^.s os�eAaE /Fti�ww 7 ft 4 ft DETAIL BOX b50 NO GROUNDWATER N BELOW NO OBSERVED _ 32.45 SEWAGE DISPOSAL SYSTEM PLAN 80 ENSIGN ROAD CENTERVILLE, MA APRIL 6. 2021 ETE-4547 PG 2/2 DiBuono Sewer And Drain 35 Content Ln Cotuit Ma,02635 Proposal Dean Stanley 791oan Rd Centerville DiBuono Sewer and Drain is pleased to provide the following proposal for the septic system at the above address. Obtain plans from engineer. Submit plans for approval. Obtain permit from Board of Health. Install new 1500 gallon septic tank. Install all leaching components per engineered plan as well as concrete distribution box. Pipe all components and hydraulic cement around all entry points. :Call for final inspection from B.O.H. and engineer. :Backfill and machine grade. Any changes made by B.O.H.to septic Plans can raise the cost of installation. DiBuono sewer and Drain is not responsible for Damage to unmarked utilities, Irrigation,or buried electric. Cost of this project is projected to be$7,800 and includes all septic components and start to finish excavation,and machine grading. No final grading or raking. A$3,900 deposit is expected at this time. With the remaining$3,900 to be paid upon obtaining Certificate of Compliance I agree to these terms and would like to move forward with this project. e .. y E C E.1 V Town of Dennis Subsurface Sewage Disposal System A - lit JUL 13 Please Type or Print Clearly ED Street Address: �o ��TT I .4 Owner's Name: AIEJ De v elc r+%cg+ Cori p• Date of Installation: , N t I 1 Permit# BA P 2015-- 0994 Installer's Name: N041%tqS+ C-o 1-1 S4-n v c4lcH Sep C%Af',4.v4}-1cN Camp. Installation of(list all components installed under this permit): -TOO c� a N_ — I�► S ed�« 7 A"14, 0t3` 3 '14-10 p 13ci. 1415 �` C A r a c t .7-N 0 t 14-n 4•�•�n S Certification of Installation As the Disposal Systems Installer, I certify that the system has been constructed in compliance with 310 CMR 15.000, the approved design plans and all local requirements and the following: Y_ N — NIA_ The septic system has been installed at the elevations shown on the approved design plan. Y_ N _._, NIA_ The septic system was installed in the location shown on _ the approved design plan. Y_ N_ NIA_ The design engineer and Health Department were notified of changes to the approved plan. Y_ N _ NIA All unsuitable material was removed and excavated five feet laterally in all directions beyond the outer perimeter of the soil absorption system to the depth of naturally occurring pervious material and replaced with clean fill. Y N NIA The building sewer has been connected to the building. Y_ N NIA_ The septic tank inlet and outlet covers, distribution box cover and leaching facility cover(s) have been brought to within 6" of finished grade. Y N NIA The pre-existing septic system was pumped, filled or collapsed. Y_Z N NIA_ Final grade over the septic system components does not exceed 3 feet. Y_ N__ NIA, All other permits obtained and inspected as required electrical, plumbing). Signed: /d`110-�4—.., Date: V?V ! 5 SEE DIAGRAM ON REVERSE SIDE Subsurface Sewage Disposal System Diagram PLEASE PRINT CLEARLY 05 • .0 o d Cr R A c D� C.n h pQ �'� 1ZGA o a Q A OLOAcL4 5 ngeef .n alcti_e sa a'-_;::;::;.:et::y,; ti.,.:, ;.,z:;:: s:a:::::.es.-.....:,4�., -:_.,:::_...,.•.........._:y In, : 'j�...n��-.�... .,�i:.-•�::.,_.-. ..m:rr..rir.-.. a;�ar_;;.y...;n...•a•rf:•• rr,.._.;.,.,...,. __..... - .xirti.�°� - - ,rk...,l{:ur.A:�..,.;..n.,.i.,..;. u.�a_y.:: ::....:.l..:....,.n �r• a m.r.� ...�::... •-m:I:4a�� Yr" 53 i WIGGIN MEANS P CO., INC$ 79 BARLOWS LANDING ROAD P.O.BOX 1507 - POCASSFT,MASSACHUSETTS 02559 Phone (408) 564.6776 • `1-800-564-6.774 - Fax(508) 564-6770 www.wigginprecast.com SEPTIC TANKS LIST PRICE W/ CAPACITY LENGTH WIDTH HEIGHT INVERT PRICE DISCOUNT 1500 Gal. H 10 10 '6" 5' 8" 5'8" 56" $1,179.00 $1,120.05 1500 Gal. HD 101611 51811 6' 0" 56" $1,579.00 $1,500.05 1500 Gal H-20 10' 8" 511011 6' 211 58" $2,573.00 $2,444.35 1500 Mono H10 10' 3" 6' 2" 517.511 54.5 $1,420.00 $1,349.00 1500 Mono HD 1013 6' 2" 5' 11.5" 54.5 $1,672.00 $1,588.40 1500 Mono H2O 1013" 61211 5' 11.5" 54.5 $2,351.00 $2,233.45 1000/506 Mono H10 10' 3 ' 612" 5'7.5" 54.5" $1,707.00 $1,621.65 1000/500 Mono H2O 10' 3" 61211 5' 11.5" 54.5" $1,707.00 $1,621.65 1000/500 H2O 101611 51811 5' 8" 58" $2,927.00 $2,780.65 1500 Mono H10 Fast 101311 61211 5'7.5" 54.5" $1,957.00 $1,859.15 1500/500 H10 121211 6' 8" 51811 56" $1,942.00 $1,844.90 1500/500 H2O 12'2" 61811 61211 58" $3,438.00 $3,266.10 1500/1000 H10 12' 2 ' 61811 . 61811 67" $2,823.00 $2,681.85 1500/1000 H2O 121211 61811 71211 69" $3,964.00 $3,765.80 2000 Gal.H10 121211 6' 8" 5' 8" 56" $1,566.00 $1,487.70 2500 Gal. H10 121211 618" 61811 67" $2,051.00 $1,948.45 CALL FOR QUOTES ON LARGER H-20 TANKS OTHER COMBINATION TANKS AVAILABLE PUMP CHAMBERS LIST PRICE W/ CAPACITY LENGTH WIDTH HEIGHT INVERT PRICE DISCOUNT 500 Gal (round) 4'10" 5' 71311 69.5" $735.00 $698.25 500 Gal LP 8' 1/2" 5' 2 1/2 39 l/2" 28.5" $735.00 $698.25 PC 1000 Gal. Mono 8' 1/2" 5' 21/2" 5' 7 1/2" 54 1/2" $1,019.00 $968.05 PC HD 1000 Mono 8' 1/2" 5' 2 1/2" 61011 54 1/2" $1,264.00 $1,200.80 PC H20 .1000 9' 5' 4" 6' 0" 57" $1,770.00 $1,681.50 PC 1000 H2O Mono 8' 1/2" 5' 2 1/2" 6' 54.5" , $1,529.00 $1.,452.55 CALL FOR QUOTES ON LARGER PUMP CHAMBERS 04/06/2020 Prices subject to change without notice WIGGIN MEANS PRECAST CO... INCI 79 6ARLOW$LANDING ROAD ,- PO. SOX 1507 • POCASSET, MASSACHUSETTS 02559 Phone (508) 564-6776 1.800-564-6774 Fax(508) 564-6770 i www:w gginprecast,com LEACHING PITS/DRYWELLS LIST PRICE W/ CAPACITY DIAMETER WIDTH HEIGHT INVERT PRICE DISCOUNT 250 Gal 6' 29" $355.00 $337.25 250 Gal H2O 6' 32' $379.00 $360.05 TOO Gal. 6' 4' 5" 43" $515.00 $489.25 600 Gal H2O 6' 4' 8" 43'1 $563.00 $534.85 1000 Gal. 6' 7' 0" 72" $682.00 $647.90 1000 Gal H2O 6' 61811 68" $730.00 $693.50 2' Shim 6f 2' $302.00 $286.90 4' Shim 61 41 $413.00 $392.35 Drywell Drain 23" 16 $62.00 $58.90 50 Gal Drywell H2O 38" 31" $165.00 $156.75 100 Gal Drywell H-20 38" 48" 37" $257.00 $244.15 Drywell's H-20 8' 41811 $991.00 $941.45 8' 6811 $1,212.00 $1,151.40 8' 81811 $1,662.00 $1,578.90 8' 101811 $1,980.00 $1,881.00 CHAMBERS LIST PRICE W/ CAPACITY LENGTH WIDTH HEIGHT INVERT PRICE DISCOUNT 500 Gal. "; 8' 6" 581' 33" 24" $459.00 $436.05 500 Gal H2O 81611 58" 371f24" $544.00 $516.80 FD Model "L" H2O 8' 4' IVI 11.5" $325.00 $308.75 FD Model "S" H2O 8' 4' 116" 11.5" $325.00 $308.75 FD Model "D" H2O 8' 4' 116 11.5" $342.00 $324.90 Infiltrators H2O 613" 3' 15" 10" $86.45 $82.13 Infiltrators End Caps $20.33 $19.31 C6 H2O 11 OG 6' 3' 1110" 12' $192.00 $182.40 'Galley Chamber H2O 4' 4' 3' 3" $310.00 $294.50 GC`4 Sided H2O 4' 4' 4' 313" $343.00 $325.85 04/06/2020 Prices subject to change without notice WIGGIN MEANS PRECAST CO., INCI 79 6ARLOWS LANDING ROAD • PO.BOX 1507 • POCASSET, MASSACHUSETTS 02559 Phone(508)564-6776 • 1-800-564-6774 , Fax(508) 564-6770 www.wigginprecast.com H10 DISTRIBUTION BOXES LIST PRICE W/ CAPACITY PRICE DISCOUNT 3 Outlet $66.00 $62.70 3 Outlet 8" Riser $30.00 $28.50 3 Outlet 15" Riser $57.00 $54.15 5 Outlet $95.00 $90.25 5 Outlet 8" Riser $33.00 $31.35 5 Outlet 15" Riser $60.00 $57.00 5 Outlet Baffle Box $122.00 $115.90 6 Outlet $104.00 $98.80 6 Outlet 8" Riser $39.00 $37.05 6 Outlet 15" Riser $65.00 $61.75 9 Outlet $13 8.00 $131.10 9 Outlet 8" Riser $78.00 $74.10 9 Outlet 15" Riser $120.00 $114.00 6" DB Plastic Riser $19.51 $18.53 6" DB Plastic Lid $19.51 $18.53 DB3 Riser Base $29.00 $27.55 DB5 Riser Base $37.00 $35.15 H2O DISTRIBUTION BOXES LIST PRICE W/ CAPACITY PRICE DISCOUNT 3 Outlet H2O $13 8.00 $131.10 3 Outlet H2O 8" Riser $63.00 $59.85 3 Outlet H2O 15" Riser $107.00 $101.65 5 Outlet H2O $185.00 $175.75 5 Outlet H2O 8" Riser $63.00 $59.85 5 Outlet H20-:15" Riser $107.00 $101.65 6 Outlet H2O $199.00 $189.05 9 Outlet H2O ' $223.00 $211.85 14 Outlet H2O $477.00 $453.15 04/06/2020 Prices subject to change without notice A ,0WIGGIN MEANS PRECAST CO, , INC$ 79 BARLOWS LANDING ROAD P.O. BOX1507 . POCASSET, MASSACMU567TS 02559 Phone(50) 564-6776 • 1.800-564.6774 Fax(508) 564-6770 R www,wigginprecast.com SEPTIC TANK RISERS 18"ID x 23" OD LIST PRICE W/ DIAMETER PRICE DISCOUNT 8" H10 $48.00 $45.60 12" H10 $52.00 $49.40 16" H10 $59.00 $56.05 24"ID x 30" OD LIST PRICE W/ DIAMETER PRICE DISCOUNT 6" H10 $49.00 $46.55 12" H10 $59.00 $56.05 24" H10 $107.00 $101.65 24" ID-x 34" OD LIST PRICE W/ DIAMETER PRICE DISCOUNT 6" H2O $51.00 $48.45 12" H2O $66.00 $62.70 24" H2O $112.00 $106.45 Grade Rings (Round or Square 6" Thick) $62.00 $58.90 30"ID x 38"OD LIST PRICE W/ DIAMETER PRICE DISCOUNT 6" H2O $90.00 $85.50 12" H2O $103.00 $97.85 24" H2O $158.00 $150.10 36" H2O $253.00 $240.35 48" H2O - $279.00 $265.05 PUMP CHAMBER RISERS PRICE W/ 24" x 36" DISCOUNT 6" H2O $71.00 $67.45 12" H2O $98.00 $93.10 36" x 36" LIST PRICE W/ DIAMETER PRICE DISCOUNT 6" H2O $83.00 $78.85 12 H2O $110.00 $104.50 04/06/2020 Prices subject to change without notice I WIGGIN MEANS PRECAST C0.,JNC. 79 BARLOWS LANDING ROAD + P.O. BOX 1507 * POCASSET, MASSACHUSETTS 02559 Phone(508) 564.6776 1.800-564-6774 ! Fax(508) 564.6770 • www.Wlgginprecast.com SEPTIC TANK COVERS LIST PRICE W/ DIAMETER PRICE DISCOUNT 18"DIAMETER $27.55 24" $37.00 $35.15 32" $50.00 $47.50 32" Special $73.00 $69.35 34" Special $90.00 $85.50 36" H-20 Special $147.00 $139.65 40" $74.00 $70.30 40" Special $89.00 $84.55 48" $89.00 $84.55 48" Special $115.00 $109.25 72" $222.00 $210.90 CAST IRON FRAMES, COVERS & GRATES LIST PRICE W/ DIAMETER PRICE DISCOUNT TX 18" FRAME & COVER(Round) $107.00 $101.65 3" x 18" FRAME&LOCKING COVER(Round) $146.00 $138.70 3" X 24" FRAME &ROUND COVER OR GRATE $140.00 $133.00 3" X 24" LOCKING FRAME & COVER (Round) $204.00 $193.80 4" X 24" H2O FRAME & ROUND COVER or ROUND GRATI $202.00 - '$191.90 4"x 24"H2O LOCKING FRAME & COVER $267.00 $253.65 4" X 24" H2O FRAME& SQUARE GRATE - 3 FLANGE $275.00 $261.25 4" X 24" H2O FRAME& SQUARE GRATE - 4 FLANGE $283.00 $268.85 6" X 24" H2O FRAME & COVER(Round) Plain, Sewer, Drain $236.00 $224.20 6" X 24"H2O FRAME&ROUND GRATE $236.00 $224.20 6" X 24" HW , FRAME & SQUARE GRATE 3 FLANGE $331.00 $314.45 6" X 24" H2O FRAME& SQUARE GRATE- 4 FLANGE $339.00 $322.05 6" X 24"H2O ' FRAME &LOCKING COVER(Round) $284.00 $269.80 6" x 30"H2O FRAME & COVER $348.00 $330.60 6" x 30" H2O LOCKING COVER $397.50 $377.62 04/06/2020 Prices subject to change without notice WIGGIN MEADS PRECAST CO, , INC* 79 BARLOWS LANDING ROAD • P.O. BOX 1507 • POCASSET, MASSACHUSETTS 02559 Phone(508) 5WWOULd-4645WO APE &p&N&W-6770 - www.wigginprecast.com LIST PRICE W/ PRICE DISCOUNT 10' LENGTH 4" PVC SOLID PIPE $22.89 $21.75 90 DEGREE BEND . .00 $8855 45 DEGREE BEND $$9.00 $ .55 22 DEGREE BEND $9.00 $8.55 60 SANITARY TEE $13.00 $12.35 COUPLINGS PVC $4.00 $3.80 GAS BAFFLE $5.00 $4.75 EQUALIZERS $5.00 $4.75 SPEED LEVELERS $5.00 $4.75 BULL RUN VALVE $116.32 $108.18 END CAPS $9.00 $8.55 ZABEL A-100 $270.00 $256.50 ZABEL A-1801 $36.00 $34.20 6" BAND-AID WRAP $58.00 $55.10 SWEET AIR FILTER $53.00 $50.35 MISCELLANEOUS ITEMS LIST PRICE W/ 6' CAR STOPS WITH PINS PRICE DISCOUNT$54.00 $51.30 5' SONOTUBES $140.00 n/a JERSEY BARRIERS 10' $361.00 n/a 2' JERSEY BARRIER $200.00 n/a BOUNDARY MARKERS 5" X 5" X 30" $24.00 $22.80 BOUNDARY MARKERS 5" X 5" X 36" $26.00 $24.70 BOUNDARY MARKERS 6" x 6" x 36" $32.00 $30.40 i r 04/06/2020 Prices subject to change without notice TOWN OF BARNSTABLE LOCATION // /V l.tJW"VC SEWAGE# 40/6= LF38 r VILLAGE &�Cc ,4kspoT ASSESSOR'S MAP&PARCEL a8�1130 INSTALLER'S NAME&PHONE NO.� �`( ��;s t � -, g0-yotfl SJ S SEPTIC TANK CAPACITY 600 G&I (+-co Q LEACHING FACILITY: (type) C96AIL*CQ) (size) NO.OF BEDROOMS _ OWNER Z17,,)e wvw le PERMIT DATE: S_RY 1� COMPLIANCE DATE:_ d0/,> ` Separation Distance Between the: II Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply-Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY rnrn � w S C ?0(cti ao 3o' TA"grAi- 'a'b"-6- 3Q 6 No. ���`7 "1 CJ Fee T�J�•�y / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_L� PUBLIC HEALTH bIVISION ,,TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippULation for Misposal *pstrm Construction Vermit Application for a Permit to Construct C4 Repair( ) Upgrade( ) Abandon( ) KComplete System ❑Individual Components Location Address or Lot No. a Owner's Name,Address,and Tel.No. Assessor's Map/Parcel _ 3 �a;� V ,rf ►a i T� In taller's Name,Add s,and Tel.No. 3-p8_Y Designer's Name,Address,and Tel.No. ©� 1b��E�,�6 f.E s1//Y D)WO CAPE` `t3`f P+�lo4 � ►�(� +-� TI pe 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) 1[l o gpd Design flow provided .� q L) gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil` F_ PL Nature of Repairs or Alterations(Answer when applicable)y y�.Ff7V 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 H lth. Signed Date Application Approve/hs Date /Z�1 fl/ZvrS Application Disappro Date for the following reas Permit No.210 1 15— 1{3�6 Date Issued i z 1 toI zc 1 �,Ycf Jr.S� -Y..r. ��" ..y.�'...A�!'S].. �' �tK � M'YM1� V �•wrFr`�,.y —� 4.N .- 9`aI , crV• .v��.9'1 �. .- ' ♦ , kT �♦A Yh._. l No. o — 4 ;.i 4 ,i y Fee / A �TliE`':COMMONWEALTHH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIXI:SION�,TOWWQF BARWSTABLE, MASSACHUSETTS Yes ZtpplicatiOTCjoi,MIspOsal 6pstem,,Construrtion Permit 7 Application for a Permit to Construct(1) Repair( ) Upgrade( ) Abandon( ) 0 Complete System ❑Individual Components A Location Address or Lot No. Owner's Name,Address,and Tel.No. !t M6 MOD Avg .�` Assessor's Map/Parcel nj _ 130 6 ' WA(ITC Installer's Name,Address,and Tel.No. Ja©Sy- Designer's Name,Address,and Tel.No. 0� 1'01F�`)�nr S7�o .1 Y/yam DDtr O CA(li,' x Type of Building: , j. Dwelling No.of Bedrooms Lot Size sq ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 4 Design Flow(min.required) O gpd Design flow provided )I)q o gpd t 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) n � t r Date last inspected: f 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 -alth. r� Signed Date 63_�Y-f / Application Approved by Date jZ�jU�f�j1� Application Disapprovedsb�y Date for the following reas6ns PermitNo.7-0'5 — Date Issued 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( MAY10M Ait HAA)N IS has been constructed in accordance ° - r with the provisions of Title 5 and the for Disposal System Construction Permit No A 5-'4 3b dated ��II b J�15- Installer (`IrCC hG 15 t Designerp��t...��"aik #bedrooms q Approved design flow gpd The issuance of this permit shall notbe/construed as a guarantee that the system ill son Le rignell. Date /l ifG //i° Inspector Fee Af �JP/1 flo THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf 6pstem �Dn�trUCtiOn PrYttit Permission.is hereby granted to Construct K Repair( ) Upgrade( ) Abandon( ) System located at !f M" wWO Na b�4h NIV115 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 Z�i 0 p 0 Approved by Town of Barnstable �,MEr o Regulatory Services } Thomas F.Geiler,Director MMSTAOM nrnss. �" Public Health Division 1639.'°pFn39�° 'Thomas McKean,Director I 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 f Installer&Designer Certification Form Date: l0 2W I I Sewage Permit# q3A Assessor's Map\Parcel m 30 Designer: DONN.(3V C[N . [6�1r� Installer: ��vcP. Address: R�q Mfk[NST��Ol1TE &A Address: 8 Z �ow4 (I / ..y�-a.n�oyr�+ PM MA Oz�73 �6(��, e On 8—&Y-[ /c was issued a permit to install a (date) (installer) septic system at e, , based on a design drawn by (addr 9s) Van iej A, O E. � j `3, dated .e_d, 2/1-L 1e— ZC{'3�3 P(,-S l (des' er) 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. 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. OFOtt, y O DANIELA. er's nature) o oMIL E No.46502 ONAI (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTTEL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU Q:Healtb/Septic/Designer Certification Form 3-26-04.doc /3 - 2 Towne of Barnstable ' Departimeut of Regulatory.Services Public Health Division Date iN3 l�u_ 200 Main Street,Hyannis MA 02601 Date Scheduled / O iT1ma It{ee Pdl. r . Soil Suitabilio Assessmentfor Se S Performed-By: Witnessed By: ' y / LOCATION& GENERAL INFORMATION Location Address Owner's Name . a�woU� 1�-tie Y(,lj�fi r . Address Assessor's Map/Parcel: C�$7/130 Engineer's Name , OWY1_ 0 e NEW CONSTRUCTION REPAIR Telephone / S `r Land Use 5l — opcs(96)_p 0 70 Surface 5toaes ON 4— Distance's from: Open Wa[er Body Zyy R Possible Wet Area fk Drinking Water Well f[ Drainage Way "'� ft Property P rty Line L57� ft Other ft SI�'I'C]EI:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands I.proximity to holes) � A E c? y ' C) • —,ram - Parent material(geologic). Ol/'tWF)S�� Depthto$odroelt Depth to Groundwater. Standing Water in Hole: _ . g Weeping from Fit Fnac Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: _ Depth Observed standing in obs.hole:=--IV 14," Depth to soli mottles., ~� Depth to weeping from side of obs.hole: _ --In. Groundwater Adjustment Ft. Index Well# Reading Date: Index Well Icval Adj.&ctor - _ Adj.Groundwater Level PERCOLATION T +'ST Dale III Una__( Observation Hole# Tlmo at 9" Depth of Perc 7 Time at G" " S la,rt Pre-soak Time @ Time(9"-0) End Pre-soak Rate Min./lach Site Sul lability Assessment: Site Passed Slip Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EPTIC\PER CFORM.D O C DEEP.OBSERVATION HOLE LOG Hole#-j ` Depth from Soil Horizon Soil Texture .SdII Color Soil• Othcr Surface(in.) (USDA) (Mansell) Mottling (Structure, Stones;Boulders. ' o i to �y,�6'(iravel) l�yAI'/Z DEEP OBSERVATION HOLE LOG Tole#�_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsel]) Mottling (structure,Stones,Boulders. - _Q01321struicy,%Gravel) DEEP OBSERVATION HOLE LOG Hole Dcpthfrom Soil Horizon Soil Texture Sol]Color Soil Other' Surface(in.) (USDA) (Muuscll) Mottling (Structure,Stones,Boulders. Co i to c p c DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders, Co si ton Flood•Insvrance Rate Map: Above 500 year flood boundary No— Yes , "Within 500 year boundary No Yes Within 100 year flood boundary No._ Yas Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas obstrved throughout the area proposed for the soil absorption system? ` '"' If not,what is the depth of naturally occurring pervious material? Certirication q I certify that on tL (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 requited training,expertise and perience described in�10 CUR 15.017. 01 Signature Dad Q:15E"IaPEIICF0RM.D0C Town of Barnstable Barnstable Board of Health 01 BARNSTABM Mass. 200 Main Street,Hyannis MA 02601 bs9• �0 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi April 2, 2014 Mr. Daniel Ojala, P.E. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 :r ,RE: 11 Maywood,-Avenue, Hyannis A- 287-130 Dear Mr. Ojala, You are granted variances, on behalf of your clients, Deborah Wheeler, to construct a replacement onsite sewage disposal system at 11 Maywood Avenue, Hyannis, Massachusetts. The variances granted are as follows: Section 360-1, Town of Barnstable Code: To construct a soil absorption system 42 feet away from the edge of a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: To install a pump chamber seven (7) feet away from the edge of a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: To install a septic tank one (1) foot away j from the edge of a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: . To install a pump chamber 68 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: To install a septic tank 91 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. Q:\WPFILES\OjalaWheelerMaywoodAvenue2Ol4.doc 310 CMR 15.405 (1) (b): To place more than 36 inches of soil cover over the top.of the pump chamber. The variances are granted with the following conditions: (1) ✓,lNo more than nine (9) bedrooms maximum are authorized at this property. Dens,. study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA. Department of Environmental Protection.. (2) ✓ The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to nine (9) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) /The engineering plan shall be revised to show the correct dimension in regards to the amount of stone to be placed on the ends of the leaching facility. (4) The designing engineer 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 physical constraints at the site severely restrict the location of the soil absorption system due to its close proximity to wetlands. sincer ly yours, lid" ayne M.D. Chairmliller, Q:\WPFILES\OjalaWheelerMaywoodAvenue2Ol4.doc I tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down rape en'tineev®ng inc structural design Civil engineers &land surveyors Daniel A.Ojala,P.E.,P.L.S. February 20, 2014 Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court Andrew R.Garulay,R.L.A. Surveys Barnstable Board of Health 200 Main Street site planning Hyannis, MA 02601 Re: 11 Maywood Avenue, Hyannisport sewage system designs Dear Board Members: V I The enclosed represents a variance filing for the upgrading of a failed septic system (2 inspections cesspools). The system is designed utilizing a 2000 gallon septic tank, 2000 gallon pump chamber and a leaching facility consisting of 500 gallon chambers. No increase permits in habitable space or bedrooms is proposed. The system is designed based on the existing 9 bedrooms (8 bedrooms + 1 office which could be considered a bedroom under the Title 5 definition). The following variances are requested under Maximum landscape Feasible Compliance 15.405: architecture I and Town of Barnstable Regulations: increase in maximum allowable depth of pump chamber(> 3' but< 6') If. Reduction in setback, septic tank to coastal bank(25' to 1'); pump chamber to coastal bank (25' to 7') and leaching facility to coastal bank(50' to 42') Variances requested under Barnstable Board of Health Regulations: Art I: Section 360-1: reduction in system components to wetland resource area (coastal bank): 100' to 42' (SAS); 100' to 7' (PC); 100' to 1' (ST) l Reduction in system components to wetland resource area(Bordering Vegetated Wetland): 100' to 68' (PC) and 100' to 91' (ST) Due to severe site restrictions to include the presence of a vegetated wetland and a coastal bank at the southerly portion of the property and lack of useable upland area, setback variances are requested in order to maintain the greatest distance possible to the wetland areas (coastal bank being the most landward resource area). The leaching facility is 103' to the Bordering Vegetated Wetland. Groundwater was not . encountered during the test hole procedure; the base of the leaching facility is 5.0' above the bottom of the test hole and estimated to be 10' above tidally influenced groundwater. The upgrade of the system received approval from the Conservation Commission. i i We feel that by granting these variances, the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 and Town of Barnstable Regulations. Very truly yours, Daniel A. Ojala, PE, 9 S Down Cape Engineering, Inc. cc: Deborah Wheeler I I Ii AbutterReport Page 1 of 1 Board of Health Abutter List for Map & Parcel(s): 1287130' Direct abutters (no set distance) and the properties located across the street. Total Count: 8 Close Map&Parcel Ownerl Owner2 Addressl. Address 2 Mailing Country Deed CityStateZip 287112 TUTEN,JOHN C& 128 ASHWOOD RD VILLANOVA, PA 17605/40 MARGARET E 19085 DEHECHAVARRIA, LUIS 8229.SHADE TREE JACKSONVILLE, 287118 LUIS&JOAN TRS DEHECHAVARRIA HYANNIS A Q P R T ROAD FL 32256 C193562 LEONARD,VIRGINIA HYANNIS AVENUE; DOVER MA 287119 R TR REALTY TRUST P O BOX 214 02030 23308/304 287125 SHAY,TIMOTHY D& 214 GREEN ST NORTHBORO, MA 21541/61 JENNIFER A 01532 287127 BYE,WILLIS E& 8 NEWTON AVE HYANNISPORT, C168001 ANGELA H MA 02647 287130 MAYWOOD LLC 5425 GALENA PL WASHINGTON, 21755/203 DC 20016 HYANNIS ROTARY, TEWKSBURY MA 287131 LLC 500 CLARK ROAD 01876 C199037 GRAFF, KATHLEEN KATHLEEN ANTHONY 2905 N STREET, WASHINGTON, 287156 . ANTHONY HORNE,. HORNE GRAFF TRUST .NW DC 20007 C185880 TRS ET AL This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 2/20/2014. , I http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 2/20/2014 TRANSMITTAL DATE: 02/24/2014 Down Cape Engineering 939 Main Street Yarmouth Port, MA Town of Barn table Board of Health: Re: 13-242 Wheeler 11 Maywood Avenue M H annis ort ethod of Deliver - Delivered Enclosed- Board of Health Request Form Board Members Letter Permission to Represent Letter Abutters List Abutters Letter 4 copies of Title 5 Site Plan dated 12/22/13 4 copies Floor Plans 7 Page Checklist Perc Sheet Cc: File FEE-21-14 11 : 14 AM WHEELER 202 362 7829 P. 01 IdC45r, _� en9ineer�ir� ir_ FFa;, PrC. Icilc_:' =ca:C1 �f_'. �1 -D4 1�� P i February 20,2014 : i3arnstable Boan9 uf.'-Iea?r!� 200 Menu sire t . Hysnnis,MA 02601 Dean'Board Memberc I heroby give D(m;Crape Enorleering,Inc. crmissior.to-cps aer�r,me m the upcoll"ng puhl'a ;Irnring"AUding work at 1 Marmwod Avenue In HYat�nisprnt. I 1 Ll �Vptopvrssmttadve fi � ) e 31 .$ a f ' _ A Ili . I 1 Town of Barnstable Geographic Information System February 20,2014 287109 287110 287123 287122001 287122002 920 #8 #80 #19 #35 j1L 287109002 - 287124 287121 8 1 #16 #70�#91 Y 287126 , 1 #P 20 EDGER/LLRD ........;...•....• ... ... ::.....•.,., .. . . 0 m 51 28 120 �287113 287127 7 #51 :-.::::�:.•r::::;:.•...:::;::..'::.:'. '�'::•i:•::':: .. :•t:'i;.:_::.:.�:•::::: �.i,i.:`i•:::itii'; :;�:.:�.:.;.::'..:•..:i�:{::i`:,' �. •=:.ii#.8::i.i;`.i.`;`.:•:- 287i1 T WIN _ 77. C-J ®T#33 Z y, Q A3 28710 0 . 41 J. 287114 It 34 287098 ? _ 287156_;:. - #31 287118 #15:. ... .....:::.:::::: 287097 k # 5 2 287116 3 287115 • - ? #18 c y 287.117 # A 287131 287096 0 :i•:#10{..:.:i'.t+:.'i•?j::''::'' a AVE m WASHlN "70N - J Q 287085 287132 469 #40 287084 Feet - DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:287 Parcel:130 Board of Health - - Q boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's lax parcels. They are not true property across the street. - Abutters - W E boundaries and do not represent accurate relationships to physical features on the map such as building locations. Buffer "','`, +' -Y tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engtineeting, /#7C structural design civil engineers&land surveyors Daniel A.ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court February 20, 2014 Andrew R.Garulay,R.L.A. surveys ary site planning Dear Abutter: sewage system A public hearing has been scheduled for the Barnstable Board of Health to take action designs on a request for variances from Title 5 Regulations under CMR 15.000 and Town of Barnstable Regulations for the subsurface disposal of sewage for a proposed septic system upgrade at 11 Maywood Avenue, Hyannisport. The proposed Title 5 system inspections will replace 2 cesspools. The variances requested are as follows: lb and Town of Barnstable Regulations: increase in maximum allowable depth of permits pump chamber(> 3' but< 6') landscape lf: Reduction in setback, septic tank to coastal bank(25'. to 1'); pump chamber to architecture coastal bank(25' to 7') and leaching facility to coastal bank (50' to 42') Variances requested under Barnstable Board of Health Regulations: I Art I: Section 360-1: reduction in system components to wetland resource area (coastal bank): 100' to 42' (SAS); 100' to 7' (PC); 100' to 1' (ST) Reduction in system components to wetland resource area(Bordering Vegetated Wetland): 100' to 68' (PC) and 10.0' to 91' (ST) Said hearing will be held in the Hearin;Room, Room 300, South Street Hyannis March 11, 2014 at 3:00 pm. Please check with the Health Department to confirm date and time if you are interested in attending. Sincerely, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health barnboh TRANS. NO.: APPLICANT: 24.-- CIO A.DDRIESS: DESIGN FLOW: gpd REVIEWED BY: DATE: N/A OK NO ,,{{'y'1 �,��(,,:,,;.....::•::... :•:rz,�:::.�.3 T`E�;,t 3; .1� .a; .,t.,. �5.�. ,l,�}'�}[' �{.':4 '•a.T'- ..t;-,�4 J n9:Y� 1'�C3e�.i. ./., o -y ��.r.Y.l .L;. a' `i�: ..�2 �}.�VP�'e�t-'.....��. d�fT•. 'ram.. �.Ft;•< G�.pls;: :i].,'�',.n, ,..a... .,a.l.'}.*i?:7iiin: `..i...i•:9nnr sl�;•: .s f;�tJ:.:(±,i:Y :,Li':: .`.'7 ':.'Ti.c.l.^,: •a?H.,.- ..� a h� v Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 / CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) / [310 CMR 15.220(4)(d)] V Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CUR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) soil absorption system(required and provided) r whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(i)] Location and date of percolation tests (performed at proper elevation?) [310 CNa 15.220(4)(i)] Percolation test results match loading rate? [310 CNIlZ 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)(j)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 MR 15.103(3) and 310 CMR 15.220(4)(n)] Address Sheet 1 of 7 N/A ® NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location ' the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve / unless trenches as permitted in 310 CMR 15.102(2) or as ./ approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] st Sheet 2 of 7 Address N/A OK NO + a xrA a ti�+. �r..��" �� t n1y 1s�'F'`'� r4k` 5 L'.'!a r d`rv"�.r.`•., Size OK? [310 CNIR 15.223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase fl depth [310 CMR 15.227(6)]. Outlet the with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] Minunum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(1)] Three access covers (inlet and outlet must be 20" or greater)- middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] (d0� fiawlfi�,ria^' >a , rc^ t W'a:.eau t 1 {• t �.;,,. Y.e •..�ti �1� 0_ApAYi ] e$� ifi �{� OWN # :i Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] I Address Sheet 3 of 7 i N/A OK NO 5, `Y.I 7`•1';'�.s . 'J!+ Yl �a„;j NOW Located at least ten feet from any water line? [310 CMR ✓; 15.222(2)] Disposal piping at least 18"below water line (when water and sewer cross, see 310 CMM 15.211(1)[11) Cleanouts required/provided? [310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/if) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all nuns? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] EEnEdcaps on problem/ (leachfield below pump chamber) or vent manifold specified? ze and orientation of discharge holes specified? (not smaller an 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMM 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] mi FC�a�padty , ' _ r. 1 (emergency storage above working=design flow)? [310 11(2)] Prdiscormects er setbacks [310 CMM.15.211 (same as septic tanks)] 20-in minium access manhole at least 20" MUST BE E [310 CMR 15.231(5)] mponents accessible (not too deep with piping, s accessible) ats - alarm on circuit separate from pumpswo units must have two pumps operating in lead-lag. 0 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] BuoyaAcy calculations needed? Provided? [310 CMR 15.221(8)1 ����i � 1��-'�Eti-w—j�_t�-rin�c�� Svc•�3� � Address Sheet 4 of 7 N/A OK NO R. Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [31(Y CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.2411 . Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] t¢LS` 'I`I1B. 2S, 31dp�- �23OR � Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I'minimum-4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] Width 2'minimum 3'maximum [310 CMR 15251(1)(b)] 100 feet-maximum length [310 CMR 1.5.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] -DIZZOWA minimum 2 distribution lines [310 CMF, 15.252(2)(a)] Maximum separation between lines 6' 310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only[310 CMR 15252(2)(i)] Address Sheet 5 of 7 r N/A OK NO I � �^ � 7yY,�1�L'1�Fssure Dosed Sy�stein ? Provided pump and piping ulations as required [310 CMR 15.220(4)(r)] ressure dosing required on all systems>ZOOOgpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year (systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] C'olistruetion in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious banter installation must be supervised by designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. ✓ recommended) [310 CMR 15.255 (2)(e)] lizill`C�r�cale �j,�s E1t.n..dai. _ Check DEP Approval letters for credits and design conditions e If used with pressure dosing do not allow pressure discharge to scour soil interface i r' atayne77yiy�tepnd/ P�? � � epos] B Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Anr(q)] alarms involved on separate circuits e applicant submit an operation and maintenance plicant submitted a copy of a maintenance �U jr variances listed on the plan? [310 CMR 15.220 tamp necessary on plan if a component is within Eve erty line [310 CMR 15.412(4)] onstruction or increased flow proposed- [Refer to 3104] Sheet 6 of 7 Address N/A OK YY NO iT'� Is the system in a Designated Nitrogen Sensitive Area(Zone H for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15 216(1)] Pumping to septic tank ? [k 310 CNM 15.229] Shared System [310 CMR 15.290] Address Sheet 7 of 7 �1 t ` or 1^T� DEED RESTIZICTION Whereas, Wendy L. Garthwaite, 422 Dutton Mill Road, Malvern, PA 19255 is the Mi owner of real estate located at 11 Maywood Avenue, Hyannis Port,MA 02647; and r� Whereas, Wendy L. Garthwaite, as the owner of the said real esate have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on the Lots as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage;and Whereas, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for aseptic system in compliance with 310 CMR 15.200.5 State Environmental Code, Title V.Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the Lot be put;on recorded with the Barnstable County Registry of Deeds and/or the Barnstable Registry District of the Land Court, as applicable, by recording this document. Now, therefore, I, Wendy L. Garthwaite do hereby place and impose the following restriction upon the Lot in accordance with his agreement with the Town of Barnstable Board of Health, which said restriction shall run with the land and be binding upon all successors in title: The dwelling constructed upon the Lot shall contain no more than nine (9) bedrooms unless and until it is connected to the municipal sewer or the Board of Health of the Town of Barnstable permits otherwise. Property Address: 11 Maywood Avenue,Hyannis Port, MA 02647 For title, see deed recorded with Barnstable County"Registry of Deeds in Book 29208 Page 349. Executed as a sealed instrument this day of December, 2015. Zw, endy L. arew�aite STATE OF FLORIDA ss. On this g day of December, 2015, before me, the undersigned notary public, personally appeared yVe nd y L Glir�A jva.,4e ,personally known to to be the person whose name.is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. "` DAVID F.SCHNj MY CON ISSION#F EXPIRES:July 17, �J 'd G/j n,e c dC e ,Notary Public My Commission Expires: zj of S, c 'Ld (� BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register C�q THE t Vt I DATE: �OF Wyti �f "� �•e �]� �� FEE: —6 BARNSrABLE, ap 16;9. ��� 1 REC. BY J Town of Barnstable SCHED. DATE: 7 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REOUEST FORM LOCATION Property Address: -V -A—" Assessor's Map and Parcel Number: lS® Size of Lot: . Ae— Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: �4 4W kd oo/a �* ' Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: MA--(wo®r./� Name: L(j Address: 7d'S V" G'1 Place Address: G.d 1 wt . C .2 0 0/,(, 9j� I`�1H E'1��►11 Uy� Phone: Phone: Yy VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach ifmore space needed) 0Z b�� C:3 F-� r NATURE OF WORK: House Addition.❑ House Renovation ❑ Repair of Failed SeptcSSystem Checklist (to be completed by office staff-person receiving variance request application) l Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form t' it 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 sanitan' le. Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) r71 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.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC 'J +1 TOWN OF BARNSTABLE LOCATION /� /1'!I'3 yLv o oa R) SEWAGE # .os VILLAGE H / �4R7" ASSESSOR'S MAP & LOTI�?7 /Z7 INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY A A l N �i p'{ R F,0,l dt F r LEACHING FACILITY'Atype) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER R /CrY%f ` W£tiffs/ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `-Y, 'i ��, .', � � � �� v� a , {^J � � M � V � V` �/f/ �, �- � ���.. -- __.._ ,. _��. 7 ;.1 No. T 5 S: S� Fee S�LffG THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: e PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zfppfication for Xkgool bp!5tem Construction Permit Application for a Permit to Construct( )Repair(k)Upgrade( )Abandon( ) El Complete System eindividual Components LocationF1dre��ss or Lot No. Owner's Name,Address and Tel.No. Y 'vve01 e-) WY '000 Ri cIMIP -W�.vice� Assessor's Map/Parcel 2 f </t6o /t /44 r wool ko Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 129 s oz 110- 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 zpplicable) -47 .4'/4' o4-'/ti 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 issuedh this Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued PIP- Y �.5 T IF r G i 0 No. - Fee t ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � e -PUBLIC HEALTH DIVISION - TOWN'OFitARNSTABLE.-MASSACHUSETTS ,prication for Mopooar_ p4tem Conotru t on Permit Application for a Permit to Construct( )Repair O Upgrade( ' )Abandon( ) 'Complete System OfIndividual Components Locationt�dress or Lot No. ' "Owner's vame,Address and Tel.No. � /P£,vch/ Assessor's Map/Parcel 10 Installer's Name,Address,and Tel.No. Desi e ' - ame,Add .,sani Tel.No. 7 Type of Building: : ' Dwelling ,. No.of Bedrooms Lot Size sq.ft. 13Wbage Grinder( ) Other 'M 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) 0? Date last inspected: a 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 this Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued ————r—————— —————— — ——— —— THE COMMONWEA LTA H OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (k)Upgraded � ( ) Abandoned( )by 4 J6 old iti C® at o T' has been constructed in accordance with the pr visions of Title 5 and the for Disposal System Construction Permit No. ated - ,6' 47 M. Installer Designer The is ce of this permit shall not be construed as a guarantee that the syste ill function as designed.. - Date - � 43 Inspector lJ .SSO --------------------------- ---- No. 5 Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mopozar *potem Conttruction Permit Permission is hereby granted to Construct( )Repair(:<)Upgrade( )Abandon( ) System located at �&.,z Pir r— and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this PP Date: je ' Approved7-- /' TOWN OF BARNSTABLE LOCATION SEWAGE # .q. VILLAGE H / PO f r ASSESSOR'S MAP LOTj?R7 /7!3 INSTALLER'S NAME Cz PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 1�'I l�J N l w{ R t A4 d o J:y LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER R l rllheb 7iP£tiC'N DATE PERMIT ISSUED: DATE. COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 7•t1� . $7 1 . ?ld321 GARTHWAITE RESIDENCE 11 MAYWOOD AVE., HYANNISPORT, MA 02647 H R D 9 b E I I I I E A C ­2 3$11 IS. 111C ............. S I r U c I v r a I E 1 9 i R.J.Farah Engineering Inc. TO GMI,p, 80`MwWCJE ME S,,te 201 S STEhn,MA a MASTER CEDAR P;61 7.54a.1407 LAUNOR BEDROOM 01 BATHROOM CLOSET02 BEDROOM 0.1 BATH N 213 2 TOI Building Remodeling A 1 211 EX�GN WALL FACE W1 STIIG FEFFAISE. TOALLM FMOR ;SS) 4 FLOE. MASTER CLOSET OFFICE --- 0- 202 ILL!C)NSTRUCTION TO'rOMPLY WI Ttv CURF ENT CODE REGULV16NS. SEDR0014 BEDROOM 04 N 'E2:23� R, �z DEC IT, HALL03 HALL 02 1 k i 220 1=6 UNEN Cil) CLOSET HALLOI 211 I IA TER HS LL -T A CEDAR STAIR 02 BATH03 CLOSET. 204 1 L�18 0' LF2S72n2 E�mT F I C 0 p V f 1 9 h I THE DRAWING AND ALL OF THE IDEAS. ARRANGEMENTS DESIGN AND PLANS INDICATED THEREON OR REPRESENT D THEREBYARIE OWNED BY AND REMAIN THE PROPERTY OF DANIEL H. RE NOLDS DESIGN COLLABORATIVE U-C.NOPART Y THEREOF SHALL BE UTILIZED BYANY PERSON,FIRM L r1/777/ OR CORPORATION FOR ANY URPOSE:EXCEPT P WITH SPECIFIC WRITTEN PERMISSION OF THE IRM S TER 0 TE DANIEL R.REYNOLDS ESIGN COLLABORATIVE LLC. BEDROOM 02 R�E_,.G ANY ERRORS OR DISCREPANCIES ON THE F214 DRAWINGS.SHOP DRAWINGS AND DETAILS ARE TO BE BROUGHT TO THE ATTENTION OF THE ARCHITECT BEFORE THE WORK HAS COMMENCED. D MENSIONS ARE TO BE USED AND NO DRAWINGS Ih ARE TO BE SCALED. COPYRIGHT"C'BY D I HR DESIGN COLLABORATIVE LLC.ALL RIGHTS RESERV D. CONSTRUCTION NOTES V D a wj g I S I,r m a tj 0-n 1C111F­­F1C­M1IECES--TE—ITIE—CIII—FIFET—­SCISM­ 2015.3 1&CC­CT0F11O8TMI­ C­­COL­SFWMOFEFCOLQ1S0LECT*I­­ __TS., 'Tr ­.—CTORE­ Z, JRX ­LF1 EJOIF 111IR11D I O­E1 I—OF.— 1.­F­F­11C­EC1SEC11­ DKR SO NO T_-S ZES N EZ E ET_S .1 ALL 1—I—SI.I.—SIALL 111 A IR-1—IT 11111­111"11—E ...T.R E _CS. I'D',,' C­FE­ E,_CET.TE ._E ­E­­0R)­TOFyWT­F ORTHE­MLEW­­E_._=__Q`EC1_= ..LCLDMCMCCTIEFWST4­OWT­TIETO 0 1.­M1ICE WTI­IM—ON a. I __S, — 1)4' C­NMCt"LEIEFCFO­GTX­CS­­ C ­ ECTCOE. CII­W­F=T0 N�C­ C.O_r _­.­ 11. ESll��MM.���F�S.ED�.DMORI�I.M�EM OF C­TEE_E SC=IE MT11E,­W.MF1WC­OFEM­M =IEWO­W _-F. NEW SE-TIE—SIL J96GCTO­Fy­O­­ES­F1R1EI­SCME­C­ONE­ESW­FOCTWmI­ C $FC7­TC1S11L1F1E­­S­.. 1­1­1SIS SEC"''E"FICATRI OF CCCIF-I'.TIE '2�­ QR­FKL­­111EW­1F18.D OF,Y111CRITAIC—I ­C—ISSEMELMS S­K SIOL—TO TIE—4—TIATTENTMN.IN—IMEDOWELY C, C I C �S SEE---.11-1 SECOND TIECMTIACTO1M­S0XO­C­SaVMSp1T1 '0 M_ ­EW-0 11.FEFE­­ETIIFCFt­C­­W1OIE­SO­F­ TO­W"ES"" �MUM�MLL��TIE�UWI�T�"�'EMRTIF S' -T""9-.C-- COC -TEE TO THE O=I=T%�T=,I� SFE"'SpM IS =ER'E F TL U.'=-1OT=.'1.S1 S.NCCE ATEDE J�WOO '33 TO JEC COST FLOOR PLAN T A 12 4 - P Boathouse 12'-6"x 24'-0" �l O v ap Workbench Boathouse Plan ' Z Deck Deck 10'-6"x 31'-0" Sunroom 10'-6"x 28'-8" 9'-10"x 17'-8" UP UP ——— Elevator El Porch I T a� I ov 0 UP i " " Ref ❑ ® O c — a) 8-4 x 8-6 Laundry W I N a, o ( Kitchen 13'-0"x Dining Room 13'-0"x 15'-2" S Hall cc u) 2 Q 7'-0" �� 19'-7"x 16'-10" d0 Living Room a I 16'-7"x 8'-10" Sunroom 23'-4"x 24'-10" •• pp pp C C (6 20'-8"x 10'-8" N 2 w O l E m E- U Z ._ Office/Mudroom i Pantry 13'-3"x 11'-6" 8'-10"x I I Foyer 13'-5"x 19'-7" I S I Butler's I ' UP Pantry i Bath i Closet W I E I 13'-4"x I 9'-7" x 9'-7"x I 8'-0" i 6-0" 6`-1" N a 11 Maywood Avenue 1 First Floor 1 1' 2- 4' _Plan e Hyannis Port, MA 02601 Ceiling Height .5-o„ Scale 1" ,; I I r !, G = M LLJC =`C) I Z t i Closet °' I o I Elevator I I 5'-3"x 8'-10" v H 7CIoset I Bedroom Be room w I Bedroom t 12'-4"x 8'-10" 0 12'-4"x 8'-11" - - Bedroom 4 12 4 x 13 8 12'-4"x 11'-7" Bedroom Bedroom I 16'-0"x 13'-8" Bedroom office 9'-1"x 12'-11 -- - ! 20'-3"x 14'-2" co -0 c i ov o m O a > rn o N N O N DN t ci ca a o t6 N N Q' Closet o ---- I I i o `° n I T-Y x - 1 Closet I Closet I r c I 6�_6,� Bath I Closet ej I ————I i � E-o.2 5'-10"x I I DN p a � a) io I — 9-2 I E -I am O 0cac Z Bedroom Bath U a'o Bath 13'-10"x 12'-2'.' 9'-6"x Bath 8'-4" T-0" s E W Second Floar Plan Ceiling Height,= T-0" N 11 Maywood Avenue Hyannis Port, MA 02601 Scale 1"=10'-0" g _ f R 1 I i i i I LEGEND SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES �+ MARKED WITH MAGNETIC TAPE OR SYSTEM DESIGN: PROVIDE MIN. 20" DIAM. WATERTIGHT COMPARABLE MEANS FOR FUTURE LOCATION. NOT TO SCALE 99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 1. DATUM IS NGVD29 Ook� X 991 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED 2. MUNICIPAL WATER IS EXISTING FILTER FABRIC OVER STONE 18.0' PROP. TEE 3. NO PLAN OF LAND FOUND, FULL PERIMETER SURVEY Smith L/o� 99 PROPOSED CONTOUR MINIMUM .75 OF COVER OVE PRECAST 2% SLOPE REQUIRED OVER SYSTEM 19.0 RECOMMENDED, LOT LINES SHOWN PER SURROUNDING DESIGN FLOW: 9 BEDROOMS © 110 GPD = 990 GPD , PLANS AND DEEDS OF RECORD, SUBJECT TO VERIFICATION 99 PROPOSED SPOT EL. USE A 990 GPD DESIGN FLOW PRECAST H-10 BLOCKS OR BY FULL PERIMETER SURVEY. O RISERS (TYP.) PRECAST RISERS 2'e 4"0SCH40 PVC TH 1 H-10 PIPES LEVEL 1ST 2' 2. COMPONENTS 4. AESIGN LOADING FOR ALL PROPOSED PRECAST UNITS M wood TEST HOLE SEPTIC TANK: 990 GPD (2) = 1980 �NDS (TYP.) INV'S EL. 15.8' SIDES TO BE?AASHO H-1Q (EXCEPT PC WHICH = H-20) rj. _ 16.6 2% SLOPE OF GROUND 10" - D 5. PIP JOINTS TO BE MADE WATERTIGHT. ° ' 14.5 TEE 2000 GAL H-10 o 0 0 0 ** ®r== 0 17 ®®®® -®®®® >o°a°o°o° E USE A 2000 GAL. H-10 SEPTIC TANK SEPTIC TANK a ° ° ° ° ®®�®®®�®®®® ®®®�®®®®®®® ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Locus 14.25 m o o°o°o°o°o°o °e 12" MIN INT. DIM. p °ono°o°o o°o°°o°o° �Q> UTILITY POLE 4' LIQ. LEVEL Q o000000 0000 00 00 TUF-TITE EF-4 Z ° °o°o°o°o°o°o o° " f o°o°o°o° ®®®®®®®®®®® rwng ACME OR EQUAL G ° �o�o�o�o�o�o o°6 MIN. SUMP N >0000°000 000O000° USE A 2000 GAL. H-20 PUMP CHAMBER EFFLUENT FILTER >000°000° ®®®®®®®®®®® ®®®®®®®®®®® ,0000000o 310 CMR 15.000 (TITLE 5.) 16.26' 16.Oa' o000 13.8' FIRE HYDRANT (OR EQUAL) Q r o 0 0 0 0 0 ° o "• W�MOLDED IN GAS o 0 0 0 ' .,•.• ': •• ' ' `' '_•:•''+''' " �` " •«'•'�' •.• DEFLECTOR J 7. THIS PLAN IS FOR PROPOSED WORK. ONLY AND NOT TO Nantucket LEACHING: 4 BE USED FOR LOT LINE STAKING OR ANY OTHER Sound NOTE: NOT nIt SYMBOLS MAY APPEAR IN DRAWING o°o°o°o°o°o°o°o°o°o°o°oc O H-10 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. PURPOSE. SIDES: 2 (80.5 + 12.8) 2 (.74) 276 GPD o°O°o°o°o°o°o°o°o°o°o°oa 3/4"-1-1/2" DOUBLE WASHED STONE n � AROUND PRECAST STRUCTURES (9) UNITS REQUIRED BOTTOM 80.5 X 12.8 (.74) = 764 GPD 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 80.5' X 12.83' 8. PIPE=FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. *THE INSTALLER SHALL VERIFY THE TOTAL: 1405 S.F. 1040 GPD COMPACTION. (15.221 [2]) 5.0' 9. LOCATIONS OF ALL UTILITIES AND ALL ( 2 � SLOPE) W COMPONENTS NOT TO BE BOARD OF OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND � MIN. 1 ( 1 % SLOPE) PERMISSION OBTAINED FROM BOARD OF HEALTH. LOCUS MAP BUILDING SEWER OUTLETS AND USE (9) 500 GAL. H-10 LEACHING CHAMBERS (ACME OR EQUAL) ( +x SLOPE) ELEVATIONS PRIOR TO INSTALLING ANY WITH 4' STONE AT SIDES, 2' AT ENDS BOTTOM _ 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING 16' LEACHING NO'GROUNDWATERI FOUND DIGSAFE (1-888-344-7233) AND VERIFYING THE NOT TO SCALE PORTION OF SEPTIC SYSTEM 46' d�' BOX 31' LOCATION OF -ALL UNDERGROUND & OVERHEAD UTILITIES FOUNDATION ST 88' PC \ 24' FACILITY PRIOR TO COMMENCEMENT OF WORK. ASSESSORS MAP 287 PARCEL 130 *NOTE: 2 LINES OUT FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA I REMOVED 5' BENEATH AND AROUND THE PROPOSED LOCUS IS CURRENTLY WITHIN FEMA FLOOD ZONE APPROVED DATE BOARD OF HEALTH PROP. WATERTIGHT MIN. 20" [)IAMETER COVER TO GRADE LEACHING FACILITY. C AND A10 ELEV. 15 ALARM AND CONTROL PANEL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND ON COMMUNITY PANEL #250001 0006 D TO BE INSTALLED INSIDE PROVIDE QUICK DISCONNECT FOR PUMP REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. DATED 7/2/92 BUILDING. ALARM TO BE ON SEPARATE CIRCUIT FROM PUMP 13. RESOURCE AREAS SHOWN SUBJECT TO VERIFICATION BY THE.'TOWN=0F BARNSTABLE CONSERVATION 19, COMMISSION. FLAGS BY HAMLYN CONSULTING **PROPOSED SEPTIC TANK INVERT IN ELEVATION BASED ON NOTE: 9 BR DEED RESTRICTION REQUIRED ��i� i^i ii i i 14. ABUTTING' BUILDINGS FROM G.I.S. DATA, APPROXIMATE, CURRENT CLEAN OUT INVERT ELEVATION (ADJUST AS NECESSARY �''" J SHOWN FOR REFERENCE ONLY. TO PROVIDE MIN. 2% PITCH FROM DWELLING TO SEPTIC TANK) INV.. IN 13.25 15. INSTALLER TO DETERMINE SUITABILITY OF ELECTRICAL 2000 GAL. H-20 S/ " PRESSURE LINE SYSTEM FOR PUMP INSTALLATION - - �:. PC .,� RAIN BACK,TO 1040 GAL.+ SLOPE TO D . ALARM.ON NV.` OUT 13, ' FLOAT SWITCH ' RESERVE 0.25" WEEP HOLES I SETTINGS. PUMP ON CHECK VALVE 6" WORKING RANGE " I I 5 MYERS SRM 4 / 2000 6�. SUBMERSIBLE 4/10 HP, PUMP TEST HOLE LOGS SMSPKSET \ PUMP OFF 12" SYSTEM (OR EQUAL) VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: I -20 I \ o�0000 0 0 0 0 0000 ENGINEER: ARNE H. OJALA, PE, PLS 1b & TOWN OF BARNS. REGS: INCREASE IN MAX. ALLOWABLE DEPTH OF PC (> 36" BUT < 72") PUMP CHAMBER � 1f: REDUCTION IN SETBACK, ST TO COASTAL BANK (25' TO 12'),• PC TO COASTAL BANK (25' TO 7'); WITNESS: DONNA MIORANDI, IRS PROP. VENT WITH CHARCOAL FILTER - SAS TO COASTAL BANK (50' TO 42') AND BUGSCREEN (FINAL PLACEMENT BY I I \ ' - (NOT TO SCALE) z DATE: 11/21/13 CONTRACTOR WITH HOMEOWNER , I \ - ( }. UNDER TOWN OF BARNSTABLE REGULATIONS SECTION 360-1: WATERPROOF/WATERTIGHT PERC. RATE _ CONSULTATION) ' , \_ _ _ � -- -_ ,•_ � _ , 3 REDUCTION IN SYSTEM COMPONENTS C 2 MIN/INCH 0 ONENTS TO WETLAND RESOURCE AREA (COASTAL BANK): A l'WOOD \A VENU - _ _ _ Q 100' TO 42' (SAS); 100' TO 7' (PC); 100' TO 1' (ST); CLASS 1 SOILS P# 14186 40' PRIVATE WAY E - Q j REDUCTION IN SYSTEM COMPONENTS TO WETLAND RESOURCE AREA (BVW): ' _ _ - / 100' TO 68' (PC) AND 100' TO 91' (ST) _ ELEV. ELEV. BRICK W 21� _ ' \ - _ _ LL1 vp• � o„ 4 18.8' 0" � 18.8' OHE OHE o\ S81'06 47" LS LS 218.00p 1 E 1OYR 4/2 1OYR 4 2 I ` 8.00 �- E o �� 1 \ \�SMSPKSET 2001 $» 8., / BENCHMARK: USE CORNER OF RAMP , II 2 I E \\ n \ � _ - - - - B B AT ELEVATION 15.7' , I \ O' OF I GP SE �H S� \ _ ' 1 1 T TCB I ME R OHE _ \ 2 _ MCS MCS 8� \ _ O PRIVATE - _ _ 1 OYR 6/6 1 OYR 6/6 1 1 _ f I \ 20' N \GP _ -\� \ - _ �� - _ WAY 24" 16.8' 24" 16.8' 1 1 \ \ \\ I o SE \ M AR`KED-LLIN E _ 1 II a EXISTING \\ w~i _ _ _ DWELLING I \ - -22 I w _ _ - C PERC C \ ALTERNATE BENCHMARK: 2000 GAL. USE DECK ELEV. 22.4' - 1 Cif PC • I Q o/ MCS MCS _ DECK 1 a I �o � _ ED� \ � _ CID L - 2.5Y 6/5 2.5Y 6/5 �-LI IL I 16 - A�- - _ �\ B#2 � _ - U DECK \ r-_ l\ I -�' I EXISTING A1y�} I Q , o >15__ L-0� GARAGE _� - '� u � - 14 _ �`"� 1CB# � ^ _ ' I - ROP I / °I \ �� I �\7 - -N) \�\ --=- - -\\-♦"� � � !!! = -�, , x / \ \ 1 120" 8.8' 120" 8.8' / `12 - _ __ __�G� F �► �. _ ^O LObAL C.BANK / 6 \ I -� �C$ - - \ \ \ Z rn I 0 - - -PROP. WORK LIMIT LINE OF - -- - *) J �_ - - - T \ \ - NO GROUNDWATER ENCOUNTERED z q) / / 9 - - STAKED SILT FENCE o 19c1 / / / / // /\ ��\ �' P'ROP`2000 Q / '6A� N� /// I/ \ \\- ° \ \ \ \ ST � � - - - (n 0 / _ / / / / I\ \ `� � �COA�TAh �Z j ��1 -Id l / / / / / I BAAIK 1\° L TITLE 5 SITE FLAN CESSPOOLS OF l l jl ei�, \ \I - - -I - - - - -L , #11 MAYWOOD AVENUE HYANNISPORT I l I �FGF•••� X�p \ \ F\ \^ 8_ _ - �i/ -I , Q ` 1 \\ \ \ 12 1 �� I I I I s TgTFO•.. \ ��y�\ \ \ \9�y _ ` , 3 1 \ � \ PREPARED FOR I I I I WETLAND •'\�� - \ rl� z I a I ' I I I •"\ 5� W I . , I I \ \ MAYWOOD, LLC I I I 1 \ \ � \ _, \\ o f I , 20�3 I \ Q f.� " SMI5555PK_FND I I o I 6 \ DECEMBER 22, 2013 �- REV. 3/12/14 (DEED REST., STONE) 1 I I I \CONTIGUOUS UPLAND (ZONING): 36,058t. SF 0.83f AC. \ WETLAND TO MHW. 29,143t SF 0.67t AC. �. \ l�/ I 3 , a / T \ \ I \ \ TOTAL: 65,204t SF 1.50f AC. \ 3 I LLI 12 o I \Q \ Scale: 1"= 20' I I II I \ (NOT INCLUDING FEE IN WAYS) l o, Z IIli- 0 I , I ` \ \• I �• 0 10 20 30 40 50 FEET 1 � \ I 00 I I I \ \ I l l p �I I *,N OFRq \ I o ' off 508-362-4541 DANIEL �, 0 �AI� �y A 69° \ • \ \ _j I / / jo A. ( f'✓ °u & fax 508-362-9880 7 P6 \ \\ \ 1 �, I I I / OJALA k �� - ) I downcape.com NO. ooeo No. t � 6 �� 3 I / a. down cape eng�nee��ng iac. W � l�0Fsss�ONG�� / / S".,R J � f , ` land surveyors eers DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) >3-242 SEPTIC DESIGN rARMourHPORT MA 02675