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HomeMy WebLinkAbout0458 PITCHER'S WAY - Health 458 PITCHERS WAY, HYANNIS _ ,I C• TOWN OF BARNSTABLE LOCATION °° ��f/�'B /�� �� (itl�y SEWAGE# VILLAGE /5/yc�✓,ry%J ASSESSOR'S MAP&PARCELZ9'/—Q/6 INSTALLER'S NAME&PHONE NO.'ogVk,s. 3ra ,y Z6ic SO IJW,y":f SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �C llfr H-Ap,16 (size) 19,0X0,0 2 NO.OF BEDROOMS (rp OWNER PERMIT DATE:�S=o27-/G COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility CA ' " 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 ,,, V i � a Q 0 0- 1 (QD �'12ri ������ Y✓ No. -' rV FeeC��(f / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes::/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpf ration for Misposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Add�ess or Lot No. If Sb Pt}c Ike rc W&-y Owner's Name,Address,and Tel.No. HYw��eb �►J�re,. Assessors MapTarcel aq - Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. `Z)C, )5\cis tt " C_ �n►S��v���� W�r�tS Type of Building: Dwelling No.of Bedrooms Lot Size L4�� S 30 sq.ft. Garbage Grinder( ) Other Type of Building f eSkaw 1'i �%t' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 15 60 gpd Design flow provided (,G S , - gpd Plan Date -2G `-/G Number of sheets 12_ Revision Date Title Size of Septic Tank � g*-�.�� Type of S.A.S. '5-00 G)CA)0,0 CVXa8n rS Description of Soil Nature of Repairs or Alterations(Answer when applicable) t.rdf t-Gr i, 4 lj e yJ CD W0-k mn S-a) C ytc-,�lo-er s s k Lj y r S Vyra►,v OL-1, G I^ejw,J C-2rJ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date u< Application Disapproved by Date for the following reasons Permit No. Zo 1(0 Date Issued f / ?� No.�� "� ... Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Npl tatlon for MispoBal *pstrm Constructin Permit Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.I S$ R� hr(S Wa. Owner's Name,Address,and Tel.No. H yw��Ji S Assessor's Map/Parcel a q - R►v e«" Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �GJS`4S R 17(CJ�1JN �"NC LNe, if —5 WCI�I�S Type of Building: Dwelling No.of Bedrooms C, 1 Lot Size t4 Zit 5 30 sq.ft. Garbage Grinder( ) Other Type of Building (f'G\c�+.lhl ct No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 6&0 gpd Design flow provided �(� S, 7 gpd Plan Date S -2 G "I G Number of sheets 2_ Revision Date Title Size of Septic Tank 15 ,i, ;.4. Type of S.A.S. SUC) 5C ),-)t 3 A1ann%1p.S Description of Soil E \ t Nature of Repairs or Alterations(Answer when applicable) (k)c o-y i SEbLI y S VC)"i G ca Inrj...r;Q �t� �A lc'N ✓ I'Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on;site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ��— - Date 2 7 ! L Application Approved by Date 7 (6 Application Disapproved by Date for the following reasons Permit No. Zo (� �2— Date Issued T � --------------------------.------------------ ---------------------------------------------------------,--.----------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( pgraded( ) Abandoned( )by 1��G 5 ) f ..,rJ a N C at L S�j �t}��irr r�, }�" \ has been constructed in accordance with�he provisions of Title 5 and the for Disposal System Construction Permit No ZOI - 187-dated 5 JV7 Z0 i b T Insta er o, 1 ZC Oval N T__ nX Designer #bedrooms �', Approved design flow ��� gpd Th�ssuance_of.this permit shallnot be construed as a guarantee that the system wil fund 'in as des- I c Date �n/ /! Inspector O,v �e! I' --------------------------------------------------------------------------------------------------- No. Z,�0 t p Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS misposal bpstem olYBtrUttioll Permit Permission is hereby granted to Construct( ) Repair(1 Upgrade( ) Abandon( ) System located at �-c_h rf S N 11, Landasthe above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with wing local provisions or special conditions. ion must be completed within three years of the date of this permit.Zp („" Approved by Town of Barnstable VYRegulatory Services Richard V.Scali,tnteriiin Director y� SS .® Public Heattti Division T'homas,McKean,Director 200 tilain Street,Hyannis,NIA 02601 Office: `GS-862-4614 Fax: 50S-790-6304 Installer&Desil4ner Certification Form Date: �o l t f t' Sewage Perm" Zn I to-1 S-Z Assessor's tE opiParcel Designer: 1L%^aj'�v�eaC:n22 .U00✓1A5 61L Installer: Address: 1Z _W , CY-o : a��C�—�c� Addre65: — V�O.Ms fidr'k tAi4 a zc Ky MA b 263-z On 5- Z-7 1�j, r-t.,-*' —`-kc was issued a permit to install a (date) q (installer) septic system at.�i58 ?,4-0,tg`s ws4 based on a design drawn by ��lerEr p� (ad(tress) C 0a i �a&j �,,.c dated iP es07n as 6 -- _ I Certify that the Septic system referenced above was installed substantially according to the design, which rutty include minor approved changes such as lateral relocation of the distribution: box and/or septic tank. Strip ottt (;if required) was inspected and [lie soils were found satisfactory. _ 1 certify that the septic system referenced above. was instalied with major change (i.e .greater than 10' lateral relocation of the SAS or any vertical relocation of an component of the septic system)but in accordance with State&4 Local ReRtal.atio.ns. Plan revision or certified as-buii_t_by designer to follow. Strip out(if required)was inspected anti the soils were found satisfactory. i oertiN that the system referenced above was constructed in con pliance with tite teens of the I`A approval letters(if applicable) 4� PETER T. MCENTEE to .er's Signature) civti r")L 4 No 35'0S -TDesigrier's Sienarure) (;affix Destei Here, PLEASE RE'rURN TO BARlRSTABLE PUBLIC HEALTH DIVISION. CERT'IT'ICATF OF COMPLIANCE WILL NOT HE ISSUED 2IN7111 H011H THIS" }rOl>M ANT, AS- BUILT CARD ARE RECEIVED BY Titt: BARNSTAl LE I?UBLYC HEALTH DIVISION. THANK YOU. (}'.SerticiD@$i�iiCl':1E1'lItIC9t16a FoI'(n Reel-l4-t.i.d�c Town of Barnstable P# 9 Department of Regulatory Services seRrtsr,►ste; • Public Health Division .Date �63gA 200 Main Street,Hyannis MA 02601 � a Date Scheduled Time Iw 00' �e.l. Fee Pd, 10( r 0 t0+ r ®Soil ^Su�it�abbitio Assessment for Se ge isposal W Performed By:. V C�Oe✓ P 't `=�' "�� L�v2 Witnessed By. G"'�• �V: rig- 2I LOCATION &GENERAL INFORMATION Location Address Owner's Name ) hG/lSd J e r/'e Address �S� U"' "Le CV.". Assessor's Map/Parcel: `a9 i —o./ cc Sng;-eer's N2.— ft n ri,�t U�Gr 'LtC NEW CONSTRUCTION REPAIR Telephone# 9 —S-3C-157 Land Use Slopes(9'0) ^ Z Surface Stones Distances from: Open Water Body 3"Qr ft Possible Wet Area ft Drinking Water Well 2.��y ft Drainage Way P r// '' ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands.ln proximity to holes) �. f Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit pace Estimated Seasonal High Groundwater DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _- -_ in, Depth to soil mottles; Depth to weepingtrorn side ot'olrs.hole: _ e _„ bi; Uraundwater Atijuntnte ift' fi. Index Well# Reading Date:. Index Well level Adj.Ihetor, Adj.Groundwater Level PERCOLATION TEST Date— Time Observation �— Hole# Time at 9" Depth of Perc ' Z t �b / _ Time at 6" Start Pre-soak Time @ i 72i� _ Time(9%6") _ End Pre-soak Rate Min.dlnch. LZ_ Site Suitability Assessment: Site Passed _ Site 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:\SF_PTICkPERCFORM.DOC DEEP OBSERVATION HOLE LOG - Hole# L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consisten YA Gravol) LS LIS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenov,oo el 6 w Sc— vo-YeZANd DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling, (Structure,Stones,Boulders. o i ta' e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten 6 vet) FIood Insurance Rate Ma Above 500 year flood boundary No Within 500 year boundary No A Yes Within 10(►year flood boundary No A Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervlo material exist in all areas observed throughout the area proposed for the soil absorption system? �. If not,what is the depth of naturally occurring pervious material? Certification I certify that on tk � (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 . 15.017. described in 310 CMR the required tr 'nine,expertise and experience. _ Signature Date Q:1SF'PTlC1PERCFOP'M.D0C TGWN'vr BAMSTABLE Le Q LOCATION S SEWAGE # VILLAGE A SSOR'S MAP & LOT 91 ItP INSTALLER'S NAME& ONE NO. -SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the.Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by bcx . c AA � a 907 kit Q R TOWN OF BARNSTABLE i:OCATION � � �t'CU�ErS �V�a SEWAGE # VILLAGE f Q ti ASSESSOR'S MAP 6z LOT/)I-19/ [-p)la INSTALLER'S NAME & PHONE NO. r� �? SEPTIC TANK CAPACITY 1,500 6 a 1 k o.-i LEACHING FACILITY:(type) a Ler�c�+. �; S (size) /0-00- NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERS DATE PERMIT ISSUED: ,-,) DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No C� z n S d I'r ` No----?1`:! o� FiEw._3 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Applutttion for Disposal Works Toust;7an ' n rrutit Application is hereby made for a Permit to Construct ( ) or RepairIndividual Sewage Disposal System at: .... o._.._...---• -•--... -�=` ........................ ..... - .................• - ------ •------.......---........_•----- Location-AM ....... --C� �—� ----Y r; ..----1-....................... ...................... ^...... ^. -------� \ Owner C ^ Address Installer Address Type of Building ;. Size Lot----------------------------Sq. feet U Dwelling No. of B'e`drooms............................................Ex ansion Attic Garba e Grinder p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria,( ) a' Other fixtures -------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length-------_-_--- Width................ Diameter________________ l3epth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter____________________ Depth below inlet.................... Total leaching area.,.,/..............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........-.............................. Test Pit No. 1________________minutes per inch Depth of Test Pit_____________-______ Depth to ground,,water........................ Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__.____....._______._... -- Description of Soil ••. , --------- - - - - - - V .....------•--•••-••---•--•----------------------------------••----------- .........-----------•-------------------.._..._............_-••-----•----•- ------------------------ -------------------------------------------------------------•---------------------------------- .... U Nature of Repairs or Alterations—Answer when jpplicable-___ ______ 3______.___©-- . -•----...... Sol --------------------1��b -5-� ' ----------•-- �--- Agreement: 44 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy t m in accordance with the provisions of TITLE 5 of the State Envir m ntal Code—The undersigned further agrees not to place the system in operation until a Certificate of Com li h een issued by the board of health. Signed - - .AA .....-- ----------' .Gr�" �C}..-..--.-..-.-....- ..�� --r�.� -.... �7 Application Approved B ............. - ---� . ............................... .................................................. ................Date-....---.--- Application Disapproved for the following reasons: ..................... .... -----....--.-..--.-.....-....--------------....-..-------------------------------- - ----------------------- ...-----------------------...-..--,..- ------- ---------------------------------------------------------------------------------------------------------------------- Date Permit No. Issued ----..4� f 3 —g --------------............................ Date P/2 1;0 1 NO.... /„"'� � �J l Fes . . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appftration for Dispo out Works Toustrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (i ndividual Sewage Disposal System at: p S._0...._ 1• ���s ---�..- - .. ...1..-__. ........................................... .. - Location_Address (� o Lot N'o. ......................'^^----------....------. y .... .................................................... ......... ............_..__... Owner �/ Address ^ .C)..................................... .1Y .'.... l ----- S .. Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms________________________________ _Expansion Attic '( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a'I Other fixtures -------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width------------_-- Diameter................ Depth................ x Disposal Trench—No_____________________ Width.........:.......... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...........:.........__, 14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•------••-----•------------•----•----•-----------------------------------------------•-•=-•----••......................................... •--------------- 0 Description of Soil.......................... �: �- -•......................--------------------------------------•----•-------------•-----------------------•------ Cxj -------------------------- W •-•- . -----------•-•--------------------------------------•--------------•------•----- UNature of Repairs or Alterations—Answer when applicable____ _____________ � -�`� .......... _!_ ......... ------------ Agreement: '� tsrYID The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys em in accordance with the provisions of TITLE 5 of the State Envirynme�ntal Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp\lia�nFe has been issued by the board of health. _ Signed ..\ -........-- � ? ------------------- . -- 9 .... ./ _� ,,��^ �•-Date fit, Application Approved B ................. .•r�x ..lt' 7.. 7- - +'✓.."`�- .. .'// Pl? Pp Y .z Date Application Disapproved for the following reasons- ...................................../........................................-----------------........-_---- ------ ----------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------•----------------- ------ .............................. Date Permit No. Issued ....... ...... 3 _g r ------------------------------------------------------- Date a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certiftrate of C antylinure T >V_T TO CERT FY, That the Individual Sew a e Disposal System constructed ( ) or Repaired (1� by `.....G1.,`r `' - 2...,r....�......... �—.'r..... p � Installer --------- -............................................................... .. ... ---- has been installed in accordance with the provisions of TITLE 5 of Th State Environmental Code as described in the application for Disposal Works Construction Permit No. ....�..... �...-.. ..�''' ...... dated ..... �...' �' 'T.�-°� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 84E EONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 4 iL� DATE.... ..'r .-�---�......................................... Inspector .. ..-............. .....-----••.-•--_. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH GG No.... TOWN OF BARNSTABLE FEE..!.. ''- � 34.�.c�.......... �ts�us >work �uns#rttr#ilan �rrmi#. r- <Cc Permission is hereby granted...... �....... ...................___..._......�_ ....._`r.`.....:. to Construct ( ) or Repair (1/rn Individual Sewage Disposal System atNo....................... ........-----.`._:±n:7 :. ................................ •'�-----'..---......_........--•--......-•-----._...._......----... Street as shown on the application for Disposal Vl orks Construction Permit .:o., 1�f Dated_._......................................_S r _ _ `v r - id of Health DATE---- .... .. ........................................ FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS y COMMONWEALTH OF MASACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Govemor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A . CERTIFICATION Property Address: 468 PITCHERS WAY HYANNIS,,MA 02601 Name of Owner BABARA COLLINS Address of Owner: 2168 N.TENAYA APT.1111 LAS VEGAS NEVADA 89128 Date of Inspection: 8/19100 Name of Inspector: JOHN GRACI . I am a DEP approved system inspector pursuant to Section 15.340 of TMe 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02636 Telephone Number: 608-664-6813 FAX 608-564-7270 CERTIFICATION STATEMENT I certify that I have personally Inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes _ Conditionally Passes _ Needs Further Evalu ion By the Local Approving Authority Fails Inspector's Signature: h� Date:8/19/00 The System Inspector shall su mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If t e system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not imply any warranty:or guarantee of the longevity of the septic system and any of its component's useful life." THE SYSTEM PASSES TITLE V INPECTION:RECOMMEND PUMPING THE EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. is <9000 revised 9098 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8119/00 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved,by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all Instances.If"not determined",explain why not. n(a The septic tank is.metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. nta Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _broken pipe(s)are replaced _obstruction is removed _distribution box is levelled or replaced n& The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if (with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed revised 9/2/98° Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 tt,�il C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. ='r. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15,303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has.a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. J The system has a septictank and soil absorption system and the SAS is within 50 feet of a private water supply well, I 1 I_ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance n1a(approximation not valid). 3) OTHER n/a y 4N revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 468 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 D. SYSTEM FAILS: 6 You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No - X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. - X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. - X Liquid depth in cesspool is less than 6"below invert or available volume Is less than 1/2 day flow, - X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Il. - X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. - X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. - X Any portion of a cesspool or privy is within a Zone I of a public well. - X Any portion of a cesspool or privy is within 50 feet of a private water supply well, - X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or.more of the following conditions exist: Yes No - X the system is within 400 feet of a'surface drinking water supply - X the system is within 200 feet of a"tributary to a surface drinking water supply X the system is located in a nitrogen area Interim Wellhead Protection Area-IWPA or a mapped Zone II of a ublic water supply well - Y 9 ( ) PP P, PP Y ) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. q :t. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner: BABARA COLLINS Date of Inspection: 8/19100 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X _ None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined.Note if they are not available with N/A. X _ The facility or dwelling was inspected for signs of sewage back-up. X _ The system does not receive non-sanitary or industrial waste flow. X _ The site was inspected for signs of breakout. X _ All system components,excluding the Soil Absorption System,have been located on the site. X _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X _ Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)] X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 ;.SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 458 PITCHERS WAY HYANNIS,MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 6 Number of bedrooms(actual): Total DESIGN flow: 660 gpd Number of current residents:4 Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): NO Water meter readings,if available(last two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: n/a COM M ERC IAL/INDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow:n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: n/a Last date of occupancy:n/a OTHER: (Describe) n/a GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system _ Single cesspool _ Overflow cesspool _ Privy _ Shared system(yes or no)(if yes.attach previous inspection records,if any) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval :t Other:n/a APPROXIMATE AGE of all components,date Installed(if known)and source of information: 1991 8@wag@ odor§d@t@et@d who arriving at th@ We:(y@§or no): NO t revised 9698 . Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8119/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 12" Material of construction: _ cast iron X 40 Pvc _ other(explain) Distance from private water supply well or suction line: n/a Diameter: n/a Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X (locate on site plan) Depth below grade: 12" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1500G L 10'6"H 6'7"W 6'8 Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. GREASE TRAP: (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: nla Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a Comments: (recommendation for pumping,condition of Inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) n/a revised 9/2/98 4. Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 458 PITCHERS.WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level:N/A Alarm in working order:NO Date of previous pumping: nla Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution Is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) THE DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(2)1000 GAL 6'X 6' leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PITS APPEARS TO BE FUNCTIONING PROPERLY.SYSTEM SHOWS NO SIGNS OF FAILURE.THE LEACH PITS HAVE NOT HAD MORE THAN I'OF WATER IN IT. CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: i (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nla revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19100 SKETCH OF SEWAGE DISPOSAL SYSTEM:'' include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) _"1SLI DI G � C O A� 34y 3y� Ab 1� m a� V A �fl 4uy revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 458 PITCHERS WAY HYANNIS, MA 02601 Name of Owner BABARA COLLINS Date of Inspection: 8/19/00 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth'to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) UGSS MAPS AND CHARTS-12+FEET revised 9/2/98 Page 11 of 11 . .... .. ..... :...":"TVY+'ik.'+rn... .,,._•r, �„T.._ -.._V..�r'..,.-...! t.., ."1s'T".}TIT� 'f T -. ..`.. `b. . .T.�r..F ... - (",:.".t`rt J ..,y.....-+ ..... TOWN OF BARNSTABLE BAR-W 5285 Ordinance or Regulation WARNING NOTICE Name of Offender/Mana er It Su 6. ,Ue10 g Address of Offender qS i4C.�ei f W6"67 MV/MB Reg.# Village/State/Zip �WG10/11 f, 0.2 6 0/ Business Name l ,z �? amp on � 7/200 � C Business Address r ` Signature of Enforcing Officer Village/State/Zip rr , Location of Offense �wl4t7;f Rrg4L, Enforcing"/Dept/Division Offense 11-'4 �,� ry ! °4 ig(+r Facts u{�,�'1� S� d Str yr f 0rU" �ehSP [ /� �' ✓ ./ Ur This will se"rve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN ;OF BARNSTABLE BAR-W 0 Ordinance or -kegulation WARNING° NOTICE R Name of Offender/Manager ' r Address of Offender MV/MB Re� :� 4 �"�` �'f g.# Village/State/Zip qi' ," `-t c Business Name ,-� am/pm, on / / 20_ "r Business Address Signature of .Enforcing Officer Village/State/Zip Location of Offense �! t >r;r ��;fyrr�. IV� '� . ' r Enforcing",Dept/Division_, Offense .L s IPv,. y r ,. fJ; Facts y { •r<.E, j'IIr�S� ( ��p,, Vie/ d� to t� - This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations: Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result /in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. F i - 98--EXISTING CONTOUR LOCUS w ! x 100.98 'EXISTING SPOT GRADE 01) G EXISTING GAS SERVICE y s W EXISTING WATER SERVICE C4% s. -$H.W--OVERHEAD WIRES e • y N � t N � TEST PIT Erin In o � r 1 0 BENCHMARK 3 LEGEND h w eqs -0 Way 1, - c=> > 'm W a a v LOCUS MAP NOT TO SCALE • 43.00 MI T CHELL ' S WA 4'- - 45.81 46,06 ' PK SET _ 7 44.32 pavement 45.05 Of 1 42.99 43.30 43.8 - dge ffP $- FENCE UP 44.76 42.76 R--825.5a GSO 42.48 CH - ' L=124.86' 41,77 4.62 + :,.. ....` 43.77 43.03: q 43.32 x 45.70 1'r C� �•7Cj i / ... - _ G Sx 44,20 CATCH BASIN 8417 S.4 24 3 x 44.15 45.17 CB 43.2342. 43.5i SHED 99 3.45+ xgM 41.50 . 543. 143.06 II I II I CK / \ .... 43.17...'. I W 42.95 x ,. .. ,. .. . . :.. ._, 43.54 x 43.63 ..:::... DR ( r�] IVEWAY.%,.... :.. :...._. . a3.o6 \ PA l/ED \ 6 ._. .. ... .: ..... .... . . .. .: LIGHTS G6- 43.10 r 43.4 8 N x i Bc 4 -3LIGHTS LOT T ZLIG 4l b Lk 43 ,M0 ±SF _ _BRYWEL TENNIS COURTS,.,... p, \ 42.62 \.: Z M i _ Ali 43.48 �,FLAG PiOLEEX/ST/NGC VPAR EL ID 291 -016HO SE 43,16 x `#458) O+a TP-1 TP-2x 41.37 T O.F._44.5 1 � 1 ,v .. p7 > T 44.75 o 0 0 0 0 p. x 42.67 8 i c CV \ 4 50.5 43,56 DS +44,96 I 1 N m d x a2.97 \ 50.5--�-I 1n VENT \ 40600 F NCE \\ x 44.94 40,01 '���_' S 89'03'30" E J EXISTING SEPTIC TANK --- TOP OF TANK, EL.=41.20 BENCHMAR INV.(OUT)=39.89f DRYWELL GRATE EL.=42.62 OF Mq ssq ExisnNc LEACH Plrs - PROPOSED, SEPTIC SYSTEM UPGRADE PLAN (PER RECORD AS-BUILT) o PETER T. TO BE PUMPED, FILLED 458 PITCHER'S WAY HYAN N I S, MA McENTEE W/SAND & ABANDONED ' - - ---- - o -CIVIL - --- - ---- - ---- - =.-- ___ _.___ _.__ _` -Prepared for: D.A.- Brown, Inc., P.O. ,Box 145,- Centerville, MA 02632 ' NO. 35109 Engineering by: SCALE DRAWN JOB. NO. OWNR OF RECORD 1"=30' P.T.M. 151-16 F RIVERA, ALPHONSO & DIANA Engineering Works, Inc. 7 /l 458 PITCHER'S WAY- 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. S 1 HYANNIS, MA 02601 (508) 477=5313 5/26/16 P.T.M. 1 Of 2 A 98--EXISTING CONTOUR fu LOCUS w N ?' x 100.98 EXISTING SPOT,GRADE G EXISTING GAS SERVICE f g '� W EXISTING WATER SERVICE i che, S. N $H.W. OVERHEAD WIRES Erin 1r, TEST PIT a 1 BENCHMARK H �r LEGEND v Woy � A o m v t LOCUS MAP -a NOT TO SCALE ' C) HELL ' S WAY • 43.00 MITC _ PK SET _ 45.81 46.06 44.32 Pavement 45.05 1 42.99 43.30 43.87 dqe offfP �- CB FENCE 42.48 42.76 R--825•58' UP aa.76 a+7 4 ,4z CB `.; .-4 � - /ter_- L=124.86' I A 43.77 ::43.03:' . x 45.70 F-\'y 43.32 CATCH BASIN // 3 " W 4 "` �•' i� x 44.20 GS 1 41.47 / CB s $ x 44.15 _ 45.17 D2 42, 5 46 43.23 0 / 43.52 SHED �s 12 43.45 = 99 1 41.50 rO' 4 43.08 t xBM i 43, 43,06 51 K I DEC / .. ,..,. .4 .17. {'� 42.95 LtJ 43.54 x x a GS 43,63 I Gi. GS O PAVED DRl1/EWAY 43,06 , M x .. . :'' LIGHTS GO, 9tb4 310 .,. 4 x N i T 3 &LO T LIG 4/ b 2f HTS TEENNIS COURTS'..,... 11bo, -DRYWELL 0 43,630 0 S l a . 2 '1 26 Z ,3fF � / FLAG POLE � 43.48 v- EXISTING N 1 o R EL ID 291 0 6 } PA C HOUSE 1 43.16 x 58 (#4 o+4 s. 1. x 41.37 T. TP-1 TP-2 1 I O.F•=44.5 r: 1 l •��. - 44,75 8' 0 O .� +42.32 00 1 fp x 42.67 . ••�..'.. .• . r O'. -•O�� N 1 t 44.96 Q FAA►` \ D '::+: ...� ... •: i�i 43.56 CHI' 42.97 50.5' 1 400.00' in VENT 40,01 !FENCE �� x 44.94 11 ` �� S 89'03'30" E J EXISTING SEPTIC TANK TOP OF TANK, EL.=41.20 BENCHMARK INV•(OUT)=39.89E DRYWELL GRATE EL.=42.62 O F Mq i EXISTING LEACH PITS J PROPOSED SEPTIC SYSTEM UPGRADE PLAN ��P cyG (PER RECORD AS-BUILT) Q o PETER T. TO BE PUMPED, FILLED McENT W/SAND & ABANDONED 458 PITCHER'S WAY, HYANNIS, MA g EE CIVIL "' Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 No. 35109 o RE I ZER�� �Q OWNR OF RECORD Engineering by: SCALE DRAWN JOB. NO. F E RIVERA, ALPHONSO & DIANA Engineering Works, Inc. 1 '=30 P.T.M. 151-16 458 PITCHER'S WAY 12 West Crossfield Rood, Forestdole, MA 02644 DATE CHECKED SHEET NO.. S Z•/( HYANNIS, MA 02601 (508) 477-5313 5/26/16 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE �' SEPTIC TANK SHALL NOT BE AT, OR BELOW, E'=39.0 SEPTIC LAYOUT INSTALL RISERS & COVERS OVER INLET Sc FOR A DISTANCE OF 15' FROM THE EDGE DECK OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. d SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F=44.55t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=43.Of F.G. EL.=43.4t F.G. EL.=43.0f F.G. EL.=43.0t VENT � MAINTAIN 2% SLOPE OVER S.A.S. //// �w EXIST/NG 00. HOUSE L = 60' �# ® S=1% (MIN.) p S=1%a(MIN.) 458 4"SCH40 PVC 4"SCH40 PVC i 2" LAYER OF 1/8" TO 1/2" T O.F.=44.5 6" DOUBLE WASHED STONE ,o"I a4 (OR APPROVED FILTER FABRIC) e. as $ as ta" aaa aaa ®® ease I I !L aa�BBaa EXISTING as" LIQUID -a/a" TO 1-1/2" DOUBLE I PROPOSED S.A.S. LEVEL ADD PROPOSED 4' 4.8' 4' WASHED STONE 78.0 I 1 GAS INV.=38.97 D BOX INV.'38.80 128.4' -- -��-�- INV.=39.89t EFFECTIVE WIDTH = 12.8' 3 OUTLETS (VERIFY) INV.=38.50 FENCE EXISTING SEPTIC TANK 5-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 GENERAL NOTES: NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & TOP CONC. ELEV.=39.6f 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BREAKOUT ELEV.=39.00 ease BOARD OF HEALTH AND THE DESIGN ENGINEER. INV. ELEV.=38.50 a®aaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaBaaaaaa 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS GRADE ON A MECHANICALLY COMPACTED SIX aBaaaa666aa OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE BOTTOM ELEV.=36.50T LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: INCH CRUSHED STONE BASE, AS SPECIFIED 4' 5 x 8.5' ='42.5' 4' -310 CMR 15.405(1)(b): IN 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 50.5' ) 9 P 1 A 3' variance to the 3' maximum cover requirement, for u to 3) INSTALL INLET & OUTLET TEES AS REQUIRED, PERVIOUS MATERIAL 6' of max. cover. S.A.S. shall be H-20 and vented. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' MIN. ABOVE G.W. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE BOTTOM OF TEST PIT, EL.=31.5 = t DESIGN ENGINEER. j 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ! FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. SEPTIC SYSTEM PROFILE 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF I THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. SOIL LOG 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DESIGN CRITERIA DATE: MAY 19, 2016 (REF#15,039) 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. SOIL EVALUATOR: PETER McENTEE PE(SE#1542) 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS NUMBER OF BEDROOMS: 6 WITNESS: DAVID STANTON R.S. HEALTH AGENT AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE SOIL TEXTURAL CLASS: CLASS I ELEV. TP-1 DEPTH 1 ELEy. TP-2 DEPTH DIRECTED BY THE APPROVING AUTHORITIES. DESIGN PERCOLATION RATE: <2 MIN/IN 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY (0.74 GPD/SF LOADING RATE) 43.0 A D„ 43.1 A 0„ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DAILY FLOW: 660 GPD SANDY LOAM I SANDY LOAM CONSTRUCTION. 42.3 10YR 4/2 42 4 10YR 4/2 8„ 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS DESIGN FLOW: 660 GPD 8 8 1 B IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND GARBAGE GRINDER: NO LOAMY SAND LOAMY SAND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). LEACHING AREA REQUIRED: (660 GPD) = 891.9 SF 10YR 5/8 10YR 5/8 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 39 8 74 GPD/SF 38' 39•$ 40" 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND EXISTING SEPTIC TANK: 1500 GALLON CAPACITY C �' C PERC IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS 1 32"/50" USE 5-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND 1 MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN. SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y s/s 2.5Y 6/6 SIDEWALL AREA: 2(12.8' + 50.5') X 2 = 253.2 SF <10% GRAVEL I <10% GRAVEL 458 PITCHER'S WAY, HYANNIS, MA BOTTOM AREA: 12.8' x 50.5' = 646.4 SF Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 TOTAL AREA:..............................................................899.6 SF Engineering by: SCALE DRAWN JOB. N0. 31.5 138" 31.6 138" I ineerin Works, Inc. N.T.S. P.T.M. 151-16 PERC RATE <2 MIN DESIGN FLOW PROVIDED: 0.74 GPD/SF(899.6 SF) = 665.7 GPD /N. "C" HORIZON 9 g NO GROUNDWATER'jENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 1 (508) 477-5313 5/26/16 P.T.M. 2 of 2 1