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0141 SIXTH AVENUE (HYANNIS) - Health
141 Sixth Ave Hyannis A= 244-077 I I a z. r=1 I• a • • •� ••• - • b • � r Yam;: N OF F ; tl7 Postage $ OOCI O Certltted Fee Retum Receipt Fee O. (Endorsement Required)p Restricted Delivery Feef— (Endomement Required) 0 Total Postage&Fees $ �I r9 -- - -- -- ---- rq M ram, Mr. & Mrs. Thomas Bailey PO Box 36 W. Hyannisport, MA 02672 r Certified Mail Provides: o- a Amailing receipt © A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: ' a Certified Mail may ONLY be combined with First-Class Mails or Priority Mails.. a Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail a For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSa postmark on your Certified Mail receipt is required. a For an additional,fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti' cleat the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,_detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Y Town of Barnstable Barnstable �Of THE TOh, Regulatory Services Department encaMy SBA LE,MASS. Q: public Health Division m 1639. 00 i639• �� ArfDMA+a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7011 0470 0001 4525 7147 May 31, 2012 Mr. &Mrs. Thomas Bailey P O Box 36 W. Hyannisport, MA 02672 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5. • The septic system located at, 141 Sixth Avenue,Hyannis, MA,was last inspected on 4/27/2012 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system."Fails"under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with in the deadline period will result in future F enforcement action. PER ORDER OF T E BOARD OF HEALTH T omas McKean, R.S. CHO Agent of the Board of Health • Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\141 Sixth Ave.,HY.doc I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is MA 02601 4/27/12 required for every • page. City/Town _ State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your I /v/ cursor-do not Rick Wright I use the return y key. Name of Inspector B & B Excavation,I nc. reb Company Name 14 Teaberry Lane Company Address Forestdale- MA 02644 Citylrown State Zip Code 508-477-0653 S 14595 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000). The system: ❑ Passes ❑ Conditionally Passes ® 5ils �a �4 ❑ Needs Further Evaluation by the Local Approving Authority . 4/30/12 -' Inspector's Signature - Date ue 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 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 DEP. The original should be sent to the system'owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. ' � r t5ins•11110 osal Sys em Title 5 Official Insp on F rm:Subsurface Sewage Dispt •Page 1 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every y p W. H annis ort MA 02601 4/27/12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria,not evaluated are indicated below. Comments: 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. P Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined;" please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health.. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): , t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every W. Hyannisport MA 02601 _ 4/27/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y '❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑' ND (Explain below): e 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 . r . . the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name required for is every W. Hyannis port i required for eve P MA 02601 4/27/12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: r Yes No 4 ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded" or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every y p W. H annis ort MA 02601 4/27/12 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy,is below high ground water elevation. ❑ ,Z Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑. ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section.D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply Ell ❑ the system is within 200 feet of a tributary to a surface drinking water supply v ❑ El system is located in a nitrogen sensitive area (Interim Wellhead Protection -- Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-1 Ill 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 I ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every W. Hyannisport MA 02601 4127/12 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑' Was the facility or dwelling inspected for signs of sewage back up? ' ® ❑! Was the site inspected for signs of break out? ® ❑' Were all system components, excluding the SAS, located on site? ' ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? 0- ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has " been determined based on: _ ® ❑ Existing information. For example; a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203,(for example: 110 gpd x#of bedrooms): `330 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17,. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forme Not for Voluntary Assessments 141 Sixth Ave M Property Address Tom & Diane Bailey Owner Owner's Name information is W. H annis ort MA 02601 4/27/12 required for every y p a page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd))` Detail: Sump pump? ❑ Yes ®. No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): #. Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every y p W. H annis ort MA 02601 4/27/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons , How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system Single cesspool El 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 latesf inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,••' 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every W. Hyannisport MA 02601 4/27/12 page. Cityffown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1' Depth below grade: feet Material of construction: ❑ cast iron. ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >40'feet Comments(on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order no sign of leakage or blockage. Septic Tank(locate on site plan): 5" Depth.below grade: feet Material of construction: M concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years i Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ® No . Dimensions: 52 x52 x86 1 Sludge depth: l5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 141 Sixth Ave - Property Address Tom & Diane Bailey Owner Owner's Name information is required for every W. Hyannisport MA 02601 4/27/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) r Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 35" Scum thickness 21' Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appears to be structural) sound -is present 'S , l Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: i ` •" 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 l5ms•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f • Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every yannp W. H is ort MA 02601 4/27/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons , Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every W. Hyannisport MA 02601 4/27/12 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 3„ Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection water level is backed up into d-box due to failed S.A.S. Pump Chamber,(locate on site plan): r , Pumps in working order: ❑ Yes ❑'No Alarms in working order: ❑•Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc:);- . Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: . { l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every yannp W. H is ort MA 02601 4/27/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: - ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: Z. leaching trenches number, length: 1 ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching was in hydraulic failure. Water is backed up into d-box. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): . Number.and configuration Depth—top of liquid to inlet invert ~ Depth of solids layer } Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is required for every y p W. H annis ort MA 02601 4127/12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: , 'Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Sixth Ave Property.'Address Tom &Diane Bailey Owner Owner's Name f information is W. M anniS Ort required for every Y p MA 02601 4/27/12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 * V �2m t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form ma Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 52 Mattapan Drive Property Address Nancy Bailey- Executrix Owner Owner's Name information is required for every Falmouth MA 02540 6/20/11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: feet Please indicate.all methods used to determine the high,ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: per information on file per BOH (spoke to Health agent 4/30/12) El Checked with local excavators, installers-(attach documentation) El Accessed USGS database-explain: �. You must describe how you established the high ground water elevation:' . Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins r 09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 w �. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 141 Sixth Ave Property Address Tom & Diane Bailey Owner Owner's Name information is W. H annis ort MA 02601 4/27/12 required for every y p page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file • s t f • t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION 1 y 1 S,x-iln, A uc SEWAGE# 010) - 9,7 y VILLAGE LJ. Nuan4,,s4�or i ASSESSOR'S MAP&PARCEL OqS • INSTALLER'S NAME&PHONE NO. _ �r Q EXCaya-1i�n y77. OGS3 SEPTIC TANK CAPACITY /000 9cL I LEACHING FACILITY:(type)Sbo oa 1 "o r%5 (72) (size) )3 x Z S x 2- NO.OF BEDROOMS 3 OWNER�8%X,'J�u PERMIT DATE: - • /Z COMPLIANCE DATE: 9•G •/e2 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 Al- 301 g1 - w 3 '` AZ - 3q'9 " Sz• 131 A3- gO'14 83- 2I ' T( A4. 370411 11 M 84 - .Lr c�j �r Q No. )ll f —6�� �._: Fee I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes—�� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Mispoal 6pstem Construction permit Application for a Permit to Construct( ) Repair(4/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �'�I �r y, v� Ow er's Name,Address,and Tel.No. �Q __7-7 Assessor's Map/Parcel a. 7 0 m 21 18 I L/I '51-TA14ve'_ W1#40 In ller' N e,Address,a d Tel. o. Designer's Name,Address,and Tel.No. N8 r 66Llatton 5DR-4'_r7-D663 Type of Building: Dwelling No.of Bedrooms 3 Lot Size ,1 sq.ft. . Garbage Grinder( ) Other Type of Building ' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) L gpd Design flow provided 3�9 gpd Plan Date 15127(12, Number of sheets Revision Date Title Size of Septic Tank /( Type of S.A.S. 5 jC C 5,3 P SO 0 �T�`t DA0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. Signed Date 1 y�, Application Approved by � r , � Date cz Application Disapproved by Date for the following reasons f �l -��� Permit No. � Date Issued - —— —__ -------------------------------.-- No. >a �r i a ,.' Fee v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:�/ • .Yes PUBLIC HEALTH DIVISION-- TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for'MtlAal *pstrni Construction Vermit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon(i ) ❑Complete System ❑Individual Components Location Address or Lot No. P4 1)(714,4 VC O er's Name,Address,and Tel.No. Assessor's Map/Parcel al(y -7 o nn a(, y i La 51 YTA1,*L)e Ins ller' N e,Address,a d Tel.No. Designer's Name,Address,and Tee.No. f Type of Building: Dwelling No.of Bedrooms 3 Lot Size �, sq.ft. Garbage Grinder( ) Other Type of Building 5k% .: Y FIM I ILj I oFf Pee rsons Showers(_,, ) Cafeteria( ) Other Fixtures 1� Design Flow(min.required) -'S t gpd( Design flowprovid r _ gpd Plan Date 91 Z�l -Z umber of sheets ;! 1' '• Revision Date ` t� Title ' Size of Septic Tank 14 do 0 ` , I a. . TSy' f'S,.A.S. Description of Soil TM `M J~ x � t a t k i,; ; l Naiare of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o ealth. p t 4 Signed Date 1 'y Application Approved'by (n/L-C Z t DateTa Application Disapproved by Date for the following reasons Permit No, aZ���� " �• /� Date Issued ' �f D, t.. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned(! i by �-' 6 --C.r1 ai lon at 5 I X 4 h Me, has been constructed in accordance with the provisions of Title 5 and-the or Disposal System Construction Permit No. dated Installer e(i G I D L Designer I 0YQ n (D—� n G k nt-�(e n q #bedrooms �J Approved design flow 330' gpd The issuance of this peerrnut,shall `ot be construed as a guarantee that the syster ill fu k ctr ; ,g e ned. Date ` / ! F3*. Inspectok ! . - - - - - - - - - _- - - - --- ----- No., 1 D — N- / —I - - Fee l 0(D t �. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposai :O)pstem Construction Vermit Permission is hereb granted to Construct( ) Repair 4 Upgrade.( ) Abandon( ) System located at 1 I 0 y and as described in the above Application for Disposal System Construction Permit. The applicant recognized~his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date��/ Approved by �/,J/�,�(� g FROM :down cape engineering inc FAX NO. :150836213880 Sep. 07 2012 03:55PM P1 _gill vrvll J ilr i¢I .�ck�N'ff.\ 1`1bue .as V. CeriFn.', 4°Ta .Pzli 1th Divhimn T 17tdDk4o.2iq f�a:Il fl�U]m,D:or(P&or 200 Mmin Sbrect,ilypnntq, M.,%.02601 i'a c: �09-790.6304 $anarta�dPa:n• ��:1[Ari.�.i��,p_J•R.'.rc�•tt�if�aKndace�n•1u'rra'n�a ll�r�r�te: ` _ f r,� ��rvwv�;r� f°se'�ni� ��°�' ���,r�� cr.�wa�r's �.�llulfl"�p•cel_ T`� ..._�� . a CA U214 41-� �!�lallici�ss: > 4.!�. A Iffl) c�a: ! f ��(�� ��t/7.•rL l 44 C3T1 was issued a'pc1mit to in;fill (rtsrl-e'r ,f `(i-��,Eitll.tr) -- - septic Jyst. m.at.. �7 t( X! yok Ave. uased on a &awa by ,.address,) �L (d;X'i "P-10 certify t.b.at Lhu septic ,y%,.a:.iu rckreuced aliuvc, \a7cjs jr.1,slalluti. 8nh,,ta�tially acro;Tl n, to Clii d.esI ,Ti,, Wb-ich rru�-y :rlrluc e miner gppoved chaiagE:s snali as it-.tc:ral irelocaiiuu of the, rlisi:r-ilau:Lj.(jri mi&ur 8c}tic tank. _ f ieTd y that Lht'; septic t y:-Lcau id-,xvi.ced abuvu wns zi)stdlvd itl_i .cn.ajoT. cliarlr;e.; grcatu Lhim 10, laLtrul inlocatioTT.ail'Ex, SAS o.e�7J.;r vesr(ir.�l�eiucittiul aI a:tiy arT:.i}�oun�;E of LE: but iu:�rx:ar:rdance�NiLh SIt�L�: ��; I:•ccal Itic,:�;ulatirm,�. 1�1au revision ar cerli iir.,fi as-hui'iE li°,�der;i�ier Lu ib1Eo'w. OJALA (lnrii�llrt's tii}�ri�ifu.z'e) CIVIL No.46502 } f �S!S`cNAL 7r;d_�;vi:.r'.^•, �>��IlifillTl�) (2::FC1x.1)�,r�uer' 3'Ld+•l:�`d�% �t ' 'iT�t T T9Ytii�i.B3fJ:�T llD__:4y�Th�B,1fC; HAAl;f)ff 0.11VISKON, CER'1E�_QUR'ATF•. Qli' '9�Jio:�,utifdiTt ;;Vff,:o, NOT ,.tE�+ u.4��a]�II lJral_1i:, :se6-IJFG THIS'.a.+ AU".111 A8-R'MLl. C_A10) .47U,. r. __uL_rn._:.-,.:,1...:....,.�r'bni4.r+e•ti,-„T;' ., �.7l,flct rinr. ' fY I ro to Postage $ ` 02 r=1 Certified Fee t �� ,a a7 Pbs�narlr 12 0 Return Receipt FeeHere O (Endorsement Required) Restricted'ivery Fee r` (Endorsement Required) zr / ) O Total Postage&Fees ,$ l�• 15 Mr& Mrs. Thomas Bailey 7 141 Sixth Avenue Hyannis, MA 02601 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece to A record of delivery kept by the Postal Service for two years I Important Reminders: a Certified Mail may ONLY be combined with First-Class Mailo or Priority Mail®. o Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail ■ For an additional fee,a Return Receipt may be requested to provide proof of. delivery.To obtain Return Receipt service,please complete and attach a Return, Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. I �:. { IMPORTANT:Save this receipt and present it when making an inquiry.~ PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 ' ' I s Town of Barnstable Barnstable °p SHE Tti Regulatory Services Department m;cacm I. IIA MASS.LE,): public Health Division 9 MASS. mQ Maya, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7011 0470 0001 4525 6843 May 24, 2012 Mr. &Mrs. Thomas Bailey 141 Sixth Avenue Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5. • The septic stem located at, 141 Sixth Avenue, Hyannis, MA, was last inspected on p Y Y p 4/27/2012 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with in the deadline period will result in future enforcement action. PER ORDER OF THE BO RD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health J Document2 COMMONWEALTH OF MASSACHUSETTS �S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS I-, t DEPARTMENT OF ENVIRONMENTAL PROTECT ON ONE WINTER STREET. BOSTON. NIA 02108 61 i-292-5500 GO OCT WILLIAM F.WELD O DY CO E Govemor 350 MAIN STREET T�yNpp qq ���/ SCIA . ARGEO PAUL CELLUCCI r WEST YARMOUTH, MA C �(tyD Pl )D B.SCR HS Lt.Governor 508-775-2800 C �Ais loner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM V PART A CERTIFICATION PROPERTY ADDRESS: 141-M Ave,West Hyannisport ADDRESS OF OWNER: DATE OF INSPECTION: October 23, 1997 Barbara Gill NAME OF INSPECTOR : James D.Sears I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street, West Yarmouth, MA 02673 TELEPHONE NUMBER: (508)775-2800 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 EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: October 24, 1997 The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: X X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B SYSTEM CONDITIONALLY PASSES: N/A 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 b the Board of Health, will pass. Indicate yes, no, or not determined(Y, N, or NO). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, unless the owner or operator has provided the system inspector with a copy _ of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Page 1 of 30 (revised 04/25/97) DEP on the World Wide Web:http://www.magnet.state.ma.un/d SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (CONTINUED) Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 B]SYSTEM CONDITIONALLY PASSES(continued) 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). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) 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 to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 D]SYSTEM FAILS: N/A You must indicate either"Yes" or"No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined 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 Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an over- loaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than'h day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s) Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N/A You must indicate either"Yes" or"No" as to each of the following: The following criteria apply to large systems in addition to the criteria 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 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 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, including 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 The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. X Existing information. Ex. Plan at B.O.H. X Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable)(15.302(3)(b)] (revised 04/25/97) Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 FLOW CONDITIONS RESIDENTIAL: Design flow: 220 g.p.d./bedroom for S.A.S. Number of bedrooms: 2 Number of current residents: 1 Garbage grinder(yes or no): YES Laundry connected to system es or no): NO Seasonal use(yes or no) NO Water meter readings, if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no): Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) If yes, volume pumped: gallons Reason for pumping 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. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known)and source of information: 1978 PERMIT#78-630 Sewage odors detected when arriving at the site: (yes or no) NO (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction cast iron 40 PVC other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: X (Locate on site plan) Depth below grade: 4" Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal, list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 1,000 GALLON PRE CAST Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 12" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How dimensions were determined ASBUILT&TAPE MEASURE 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.) TANK AT WORKING LEVEL, OUTLET BAFFLE COVERS 4" BELOW GRADE, NO SIGNS OF LEAKAGE. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: 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.) (revised 04/25/97) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 6th Ave,West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to, or at time, of inspection) (Locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Capacity: Design flow: gallons/day Alarm level: Alarm in working order _ Yes; _ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc,) D-BOX IS 16" X 21" 16" BELOW GRADE BOX IS CLEAN AND LEVEL ONE LINE IN, ONE LINE OUT D-BOX IS UNDER STONE DRIVE WAY. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 6th Ave, West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan, if possible, excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number: leaching galleries, number: leaching trenches, number, length: 1 leaching fields, number, dimensions: overflow cesspool, number, alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ONE TRENCH 2'X 25', PROBED ALONG TRENCH & IN STONE, PROBE DRY, TRENCH &STONE DRY. CESSPOOLS: N/A (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments:: (note condition of soil, signs of hydraulic failure, , level of ponding, condition of vegetation, etc.) PRIVY: N/A (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 141 6th Ave, West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100(locate where public water supply comes into house) w O 65ewr Y• , i 7F5� 5 ° Fo R f 5Y S T (revised 04/25/97) Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 141 6th Ave, West Hyannisport Owner: Gill, Barbara Date of Inspection: October 23, 1997 Depth to no groundwater 6 feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained fro Design Plans on record X Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) HAND DUG TEST HOLE, 4' BELOW BOTTOM OF LEACHING, NO WATER FOUND, TEST HOLE 6' BELOW GRADE, TEST HOLE NOTED ON ASBUILT PG 9 (revised 04/25/97) Page 10 of 10 I I COMPLETE •N COMPLETE THIS SECTIONON DELIVERY, I ■ Complete items 1,2,and 3.Also complete A. Signature I item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. r D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: I If YES,enter delivery address below: ❑ No I - I I Mr& Mrs Thomas Bailey R O Box 36 Y West Hyarmisport, MA 02672 4 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I I 2. Article Number (Transfer from service label) PS Form.3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS - Permit No.G-10 I li • Sender: Please print your name, address, and ZIP+4 in this box • �I ,I I `I I. I I Town of Barnstable Public Health Division II j 200 Main Streety Hyannis, MA 02601 II li I I I I� I I I; I I� r � SHE Town of Barnstable Barnstable OF Tp� P� Regulatory Services Department BARNMSABLE,� public Health Division Q D r1ASs. ibg9• �� a. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7011 0470 0001 4525 6843 May 24, 2012 Mr. & Mrs. Thomas Bailey 141 Sixth Avenue Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5. The septic system located at, 141 Sixth Avenue, Hyannis, MA,was last inspected on 4/27/2012 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with in the deadline period will result in future enforcement action. PER ORDER OF THE BO RD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health a Document2 .i OMPLETE THIS SECTION . E Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent It s Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I J ■ Attach this card to the back of the mailpiece, _ or on.the front if space permits. D. Is delivery address different from item 17 ❑Yes I 1. Article Addressed to: E. I If YES,enter delivery address below: ❑ No � I I � I Mr:& Mrs. Thomas Bailey t 141 Sixth Avenue p I Hyannis, MA 02601 3. Service Type ❑certified Mail O Express Mall ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. I \ 4. Restricted Delivery?(Extra Fee) ❑Yes r�I 2. Article Number I � 7011 0470 0001 4525 68439�,` ()ansfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 p J 111.IC.EitbttllFl,t�lgBtlll}�Ifl lit l �li1111 fEll�lti .iiltli�� Q!Q L._ n 1 w y -rs a.+ram,- rc= ::s ..�' ••. NA.CI N 3 S 01 N.N fl1 3-S ZT;J9Z `S40 rJC T 3 670 3aixim W9ZO VIN `siuueAH SS anuaAV ulX!S 1 tl� Aepe9 sewoyl -sal 'aW E+�Q9 S2S+1 T000 0?-ho ` TOZ. Z I.OZ £Z AVW SLb I.9£1000 i09Z0F�L�i`srulreig vwa. �± / �± Mb ZO ti� �e°�eca.f"gs 07L•700 $ I,09ZO dIZ +- 11 WAS Mew 00Z M. . '3'IBtlJSNtlVB / �.}1• ff I a[gejsuae;g3ou o,L S3MOS A3N11d<<3EJdlSOd,s,n � 1 i _ - Torn of ztltb�� DeparrbmetA of Regulatory services P11C D1VIlS101t Date Z Z t6lq 266'Mai Street,Hyannis MA•02601 �.. Date Scheduled Time Fee.Pd. Soil Suitability Asses merit for Se a Disposal Performed By: �7—@ !` �C .e . Witnessed By: LOCATION&::GENERAL INFORMATION Loeadon:Address Owner's Name ' _ ���.1 y:,T�wt fits q N Address [AssessoP.s Map/Parcel;. G 5 —07 77 Ez,g'aeer'S,.nrie NEW CONSTRUCTION REPAIR Telephone# - .7 Land Use i��S` Ck¢ Slopes(36). 2-- Surface Stones A)/A Distances from: Open Water Body S ft Possible Wet AreaU ft Drinking Water Well Drainage Way 3c I-/— ft Property Line ZS ft .Other $► C, i3 SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proxitnity'to lioles) 21f � Z ?a e Parent material(geologic) "1 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: ;,A Weeping from Pit RAee N j_A- to e Estimated!Seasonal High Groundwater g DETERARNATION FOR;SEASONAL HIGH WATER TABLE r' Method Used: `' Depth Observed standing in obs.hole: ln,__ Depth to-sail:".'t8ttli�s?- ,,. �..---In -.. . ....-..._T_.___.._.o.- r Rcpth-to-weoping.fmms dc-of obs.hole. .(n.- t3roundwater.AdJustmeflt 1[• � Index WeA# Reeding Date: Index Well ravel Adj,factor_ Adj drvundwaser-Leven;.;- PERCOLATION TEST bate,,;,,.,,.,._. Time,,...„ Observidg a Hole# �^ Time at 91' Depth of Perin 24 2 r Start Pre-soak Time 11me(9"-61p) ..,._.3U End Pre-soak • `LJ j _ I Rate Min.6lnch' C 2 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!MPTICIPERCPORM.DOC DEEP.OBSERVATION HOSE`LOG Hole#1 77171 Depth from Soil Horizon Sod Texture .Sdil-Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stodes;Boulders. DEEPOSIJRVATION HOLE LOG "Hole#' .a Depth from Soil Horizon . Soil Texture Soil Color'. Soil Other Surface(in.) (USDA) (Munsell) , Mottling (Structure,Stones;BoulConsder+ 2v: CCZ 5 id iz J DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. WO DEEP OBSERVATION HOLE LOG 'Hole# Depth from Soil Horizon Soil,Texture Soil.Color Soll Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones'Boulders. Consistenc flood'lasurance Rate u-a -Abqv6ISW year flood lioundary No_ .Yes: " 0'ryeartioundary Yes Within-30 Within l00 year flood boundary No-' Yes Depth of Naturaft Occurring.Pervious Material . Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the: Area proposed for the soil absorption system? > If not;what is the dopthr of naturally occurring perviousmatorial? Cert fication I certify that on (dated I have passed the soil evaluator examination approved by the Delrartinent of EnYir4 mental Protection and that the above analysts was perforiried by me consistent with '. s t(ie requuedr' ng;experti`se and'experience'dscned nl0 CN1R 15017. ' Signature Date 2- I, Z:- Q.ss.g ,-,bp)a1 CPORMmoc NEW CUPOLA,VERIFY ALL DETAILS W/OWNERS W L , 2 y n a � a o EXIST. DECK A TRIM TO M _ TO MATCH EXISTING 12•-0" NEW W.C.SHINGLE SIDING 3'4' 21" 2'1" 3'-3" FRONT E L E VAT I O N TO MATCH EXISTING 1'8"WIDE EXIST. EXIST. FIXED PANEL W _ 2'0"FOLDING 1' ~ DOOR CLOS! �g 41.x6'6" NEW I REMOD. PKT.DOORBATH 2'0"x2G A AWNING BEDROOM 29'Y60OR D DH WINDOW 2,6"x 4'-l" 2K,2J 2.1 21 2K,2J T-10" 3'-1D" DH WINDOW DH WINDOW ' 2,6"x 4,_1„ 2,6"x 4,_i" NOTES: CLOS. ;F.LII IG „ 2K,2J � + I¢ D6 WINDOW 1. CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS SHE VES �+ ST I Io 2 "x4-1" &DIMENSIONS IN THE FIELD TABLE 1� 11 2Jcp 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, --- I I` 1'7" DH WINDOW TRA DETAILS,&FINISHES IN THE FIELD WITH OWNER v I TRANSOM 2's^xa-r �, ;,;X � REMOD. ABGVE 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT \.. IQ SUNROOM 2J cp FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR I Im 2'6"x SO DH WINDOW (FLATCEILING) (VAULTED CEILING) TRANSOM 2'6"x4'-1" III"' ABOVE i m 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS f " T-6 ,)w STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 rq(D � 2J I NEW 4 x 6 POST UNDER 2'6"x 1'7" DH WINDOW _ 13�-0" BEER I 5.) 110 MPH EXPOSURE B WIND ZONE REF. I REFEACH END OF BEAM TRANSOM 2'6"x4'-1" 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, REMOD. 4 ---� i ABOVE OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING I�lxq! ExIST. 2J 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD LIVING ISLAND ,6 WINDOW a 2's"x a'-1^ VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE — ---- `�J-n '- RE OD�NGEDURING FRAMING CONSTRUCTION � KITCHEN 0 2K,2J 9.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE \ - (VERIFY KITCHEN O 4 10.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY �WOR'0"x 6'8" LAYOUT W/OWNER) EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION ii Dw IO / DH WINDOW OH WINDOW INSTALLER/CONTRACTOR. —I , I II SINK II \ I I � 1'10"x 4'-1" 1'10"x 4'-1'• 11.)ALL HEADERS TO BE 3-2 x 6's UNLESS OTHERWISE NOTED -- ="" - N A NEW x41" CASEMENT A2 IECC20 RESIDENTIAL ENERGY EFFICIENCY DETAILS FIRST FLOOR P LAN ll a z , „ CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION I SKYLIGHT CEILING MOO FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAG CRAWL SPACE WALL U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE I R-VALUE 0.-VALUE R-VAWE LEGEND: 0.92 0Ao 49 20 90 15,19 10(2 FT.DEEP) MS NOTES: 0 EXISTING WALLS 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. CONSTRUCTION TO BE REMOVED 2.15119 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR �__� OF THE HOME OR R=I5 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENTWALL ® NEW CONSTRUCTION 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS SHALL BE N071FIED IF COTUITBAYDESIGN, LLC NEW REMODELING FOR: THE DESIGNER.THEBILDINGONTRAV SCALE . DRAWINGNO. . ERRORS OR OMISSIONS ARE FOUND ON CON THESE DRAWINGS PR10R TO START OF 43 BREWSTER ROAD IILL MTHERESPONSISIF.CONTHEUCTION 1/4" = 1'-0" IN THESE DRAWINGS IF.CONSTRUCTION MASHPEE MA. 02649 COMMENCES WTHOUT ANY THE M E L E RESIDENCE DESIGNER OF ANY ERRORS OR DATE : PH. (508)) 274-1166 THESE DRA ER NOTEDSAR SOLELTHER THE USE FAX(508) 539-9402 OFT ONMER NOTED.ANY OTHERUSEOF 141 SIXTH AVENUE WEST HYANNISPORT, MA THESITECTUNGSREORIRESTHETECTION 5/3o/2o1s - Al CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. j r NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ROOF FRAMING: NEW CUPOLA,VERIFY BLOCKING TO RAFTER(TOE NAILED) 2-1 1 2-1Od EACH END ALL DETAILS WI OWNERS RIM BOARD TO RAFTER(END NAILED) 2-16 d I.tEd EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS STUD TO STUD(FACE NAILED) 2-16 d 2.18d 24"o.c. HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES FLOOR FRAMING: 12 JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4.8d 4-1 Od PER JOIST BLOCKING TO JOISTS(TOE WAILED) 2-8d 2-1 Od EACH END EXIST. BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-i6d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-Ed 4-Ed EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-10d PER JOIST BAND JOISTTO JOIST(END NAILED) 3-16d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3-16d PER FOOT ROOF SHEATHING: AL LS WOOD RAFTERS RTU SSESS ACED OVER 16 RAFTERS ORTRUSSES SPACED UP TO IT o.c. 8d IDd 8"EDGE/6"FIELD RAFTERS OR TRUSSES SPACED OVER 18°o.c. 8tl 10d 4'EDOE/4"FIELD NEW W.0 SHINGLE SIDING GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d i0d S"EDGE/B"FIELD TO MATCH EXISTING ® ® ® ® ® GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 8"EDGE/6"FIELD / W/STRUCTURAL OUTLOOKERS GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS Bd 10d 4"EDGE/4"FIELD NEW AZEK WINDOW TRIM TO MATC H EXISTING CEILING SHEATHING: GYPSUM WALLBOARD 5tl COOLERS — 7"EDGE/10"FIELD NEW AZEK 1 x 4 TRIM WALL SHEATHING: W/2"SILL 5 P STUDS SPACED UP TO FIBERBOARD PANELS ed 70d 3"EDGE/12"FIELD 1/2"&25/32"FIBERBOARD PANELS � Btl — 9"EDGEIB"FIELD 1PY'GYPSUM WALLBOARD 5d COOLERS --- T'EDGE/10"FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) V OR LESS THICKNESS ad 10d 6"EDGE/12"FIELD GREATER THAN I"THICKNESS 10d IOd 8"EDGE/6"FIELD 17-0" RIGHT ELEVATION- ' TYP. ROOF CONST. A -2 x 12 ROOF RAFTERS @ 16"D.C. -5/8"CDX PLYWOOD ROOF SHEATHING CONT.SOFFIT VENTS -ASPHALT ROOF SHINGLES -1SLB.FELT PAPER -11"HI-R BATT INSULATION @ SLOPED CEILINGS(R=38) 2-1 3/4"x l l 7/8"LVL _11"BATT INSULATION OR(1)1 3/4"x 14"LVL @ FLAT CEILINGS(R=38) RIDGEBEAM I 2K,2J -2 x 12 RIDGE HOARD NEW 4 x 6 POST FROM -SIMPSON H 2.5 HURRICANE CLIPS RIDGE DOWN TO HEADER AT ALL RAFTER ENDS 2 x 6's @ 16"o.c. -ICE/WATER SHIELD AT BOTTOM 3'0"OF ROOF -PROP-A VENT BETWEEN RAFTERS m I 112"GYP.BOARD 12 -WIND WASH BARRIERS w 2J ON 1 x 3 STRAPPING EXIST. CL—(.R) 4 x 6 POST FROM p @ 16"o.c. EXIST.2 It 6 RAFTERS W/ m I DOWN TO HEADER = 2-1 3!4"x 9 1/2"LVL HDR. SPRAY FOAM INSULATION (R38)FOR 500 S.F.OR v 21 TOP OF PLATE ® LESS AREA '' 1v ) x 11 7/8"LVL RIDGEBEAM 1II() 3/4"x l V LVL RIDGEBEAM ® ® ® ® ® EXIST.2 x 4 WALLS A Z L EXIST.2 x 6 RAFTERS 2J SPRAY FOAM INSULATION _ (R20) TO REMAIN 3 w y z w 21 FIRST FLOOR REMODELED S U N ROOM SUBFLOOR EXIST.2 x 8's @ 16"D.C. 2K 2J. EXIST.6x 8 GIRT EXIST.CONCRETE BLOCK FOUND. W/20"WIDE x 6"DEEP CONC.FTGS. TO REMAIN $ TYP.WALL CONST. A A SECTION @ MASTER SUITE 1.2 x 6 STUDS @ 16"o.c. A2 I I 2.1/2"PLYWOOD SHEATHING A2 3.6"(R=20)BATT INSULATION 4.1/2"GYPSUM BOARD 5.W.C.SHINGLE SIDING ROOF FRAMING PLAN REAR E L E VAT I O N 6.TYVEK VAPOR BARRIER 7.6 MIL POLY VAPOR BARRIER ERRORS RO SHALL OMISSIONS RE IFIEDFOUND IF ANY SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW REMODELING FOR: ERRORS OROMISSKBUILDIGECONTN THESE DRAWINGS PRIOR TO START OF WILL BE RESPONSIBLE FORITHE COWENTTOR 1/41I _ 11_OII 43 BREWSTER ROAD IN THESE DRAWINGS IF CONSTRUCTION MASHPEE ,MA. 02649 COMB ENCE54MTHOUT NOTIFYING THE �`�+ M E L E RESIDENCE OF THE R ER NY ERRORS O OMISSIONS. DATE PH. (SOS 274-11 VV HESE DRAWINGS ARE SOLELY FOR THE USE FAX 508 539-9402 CONSENT TOFE EDESIG E OTHER TEOF 141 SIXTH AVENUE WEST HYANNISPORT, MA THE6ITECTURALCOPYR REQUIRES THE TECTIOMITTEN 5/30/2016 CONSENT OF THE DESIGNER UNDER THE A2 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1BBD. ALL TEM SYSTEM PROFILE ARKEDS WTHCMAGNETICTTAPE O BE PROVIDE MIN. 20" DIAM WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES 0 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD TOP FOUND. EL. 15.4' FILTER FABRIC OVER STONE r0 ey \ 2. MUNICIPAL WATER IS EXISTING _D MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1 8" PER FOOT. Cr0igv#1e Beach Rd. PRECAST H-10 BLOCKS OR RISERS (TYP.) PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST 2'0 4"saSCH40 PVC cn - 3.59 PROP. TEE MORTAR ALL H-20 UNITS TO BE AASHO H-29 PIPES LEVEL 1ST 2' 4• COMPONENTS 4, a ENDS (NP') SIDES 12.0' 5. PIPE JOINTS TO BE MADE WATERTIGHT. c 10" EXISTING 14• ➢oo�o�o�° a TEE SEPTIC TANK** TEE ° ° ° ° ®®®® n ®®® ®®®®- ®®® >0000000011 ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 12.19 f * o00000000000 6" MIN. SUMP ;�o�o�o�o ®®®®®®�®®�� ®®®®®®®®®®® ;�o�o�o�o WITH 310 CMR 15.000 (TITLE 5.) 00000ao,0000 °°°°°°°° ®®®0®®®®®OCR ®®��®®�®�®® ,°°°°°°°° GAS BAFFLE;' �_o�o�o 0 0_ 12" MIN. INT. DIM. �00000000 ®®®�®®�®®®� ®®®®®®®®�®� ;.00 00000 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 1 1.20' 11.03 '°°°°°°°° °°°°°°°° ,°°°°°°°° °°°°°°°° 9.0' NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. Nang tucket 3/4--1-1/2" DOUBLE WASHED STONE 4' MIN. LEACHING 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. SOund ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED 6" CRUSHED STONE OR MECHANICAL ALL 25' X 12.83' 9. COMPONENTS NOT TO BE BACKFILLED OR OVERALL DIMENSIONS TO OUTSIDE OF STON COMPACTION. (15.221 (21) o CONCEALED WITHOUT INSPECTION BY BOARD OF ,n HEALTH AND PERMISSION OBTAINED FROM BOARD ( 1 % SLOPE) ( 1 % SLOPE) OF HEALTH. EXIST. V LEACHING A888B3447233) AND 10. CONTRACTOR RESPONSIBLE OR FOUNDATION EXIST. SEPTIC TANK CALLING DIGSAFE (1 5' D' BOX 5' 4.0' BOTTOM TH-1 & 2 LOCUS MAP FACILITY VERIFYING THE LOCATION OF ALL UNDERGROUND & NO GROUNDWATER FOUND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ** *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT WORK. NOT TO SCALE UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE PRIOR TO INSTAWNG ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED CONDITIONS IF NOT SUITABLE SHALL BE REMOVED 5' BENEATH AND AROUND THE ASSESSORS MAP 245 PARCEL 77 PROPOSED LEACHING FACILITY. VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE 12. EXISTING LEACHING FACILITY SHALL BE PUMPED A ' D AND REMOVED OR PUMPED AND FILLED WITH CLEAN LEGE Iy IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR SAND. BY HEALTH INSPECTOR 99- EXISTING CONTOUR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED X 991 EXIST. SPOT ELEV. BY THE BOARD OF HEALTH REVISED DURING A PUBLIC --ems}- PROPOSED CONTOUR HEARING HELD ON AUG. 4, 2009 198.41 PROPOSED SPOT EL. 2) FAILED SYSTEMS ONLY : SEPTIC SYSTEM COMPONENT TO FOUNDATION SETBACK, IF AN IMPERVIOUS LINER IS DESIGNED TH1 TEST HOLE AND INSTALLED (10 OR GREATER ALLOWED). SYSTEM DESIGN. 27- SLOPE of GROUND GARBAGE DISPOSER IS NOT ALLOWED UTILITY POLE FOREST STREET DESIGN FLOW. 3 BEDROOMS ® 110 GPD = 330 GPD USE A 330 GPD DESIGN FLOW NO1E NOT ALL 5.58 SYMBOLS MAY APPEAR IN DRAWING - - - - Cr81- _ - 15.29'` _ - - 16.66 16. .34 - 16.1�i x I 81 44 UP � A=23.57' 15.70 SEPTIC TANK: 330 GPD (2) = 660 TEST HOLE LOGS 1,5.25 R=15.01' **RE-USE EXISTING 1000 GAL. SEPTIC TANK 14 1V g 14.81 4 28 to" HOLLY - i LEACHING: 76 ENGINEER: PETER McENTEE, PE HOLL 14. F� 1� SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD 24" OAK ®15 PROVIDE APPROX. 35' OF 40 MIL LINER AT D. DESMARAIS, RS 14.1'$01 '9 sq 5' OFF SAS IN AREA SHOWN. TOP AT BOTTOM 25 x 12.83 (.74) = 237 GPD WITNESS: 3 s �( 6�,� ELEVATION 11.8', BOTTOM AT EL. 7.8't DATE: 7/25/12 3. 7 oRi Fq Ix 14.58 TOTAL: 472 S.F. 349 GPD 13.83 �/ .62 i�� SOLID C. BASIN PERC. RATE _ < 2 MIN/INCH 41 5 13 r 14. BENCHMARK: USE C. BASIN AT USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) CLASS I SOILS P#13706 14 1.zk - ELEVATION 14.3 WITH 4' STONE ALL AROUND (H-20) / 13.7 a .63 15' ELEV. ELEV. 0 DWELLING EXISTING 3 BR 1/4.4 1�90 0) I n o owENc C' 0" 14.0' 0" V 14.0' TOP FNDN. = 15.4, o I A A A3 _ EXIS . STT 3.94 I 15 14.98 L$ LS 12.73 x 1 .67DECK W 1 1 I . MA 10YR 4/2 1 OYR 4/2 `�x APPROVED DATE BOARD OF HEALTH 10tt 10 1zT �G G11017 e B � ,o Z TITLE 5 SITE PLAN 12.52 OF LOT AREA o LS L$ 7,952±SF 30" 1 OYR 5/6 1 1.5' PERc 1 OYR 5/6 32 1 1.3 1 s.a3 ' ` CAUTION: GASLINE IN AREA OF 141 SIXTH AVENUE i 00.00 PROPOSED LEACHING FACILITY C 1 C 1 PROP. VENT WITH CHARCOAL FILT 15.46 WEST HYANNISPORT AND BUGSCREEN (FINAL PLACEMENT BY MS MS CONTRACTOR WITH HOMEOWNER PREPARED FOR CONSULTATION) WATERLINE TO BE RE-ROUTED TO BE MIN. 2.5Y 6/4 2.5Y 6/4 10' FROM SEPTIC COMPONENTS, OR B&B/BAILEY 96" 6.0' 96" 6.0' SLEEVED WHERE WITHIN 10' OF COMPONENTS % AUGUST 27, 2012 C2 C2 LS LS E N 4 o ���N n�+s1 H of MS off 508-362-4541 AS SNd� s (.- e� As�rz° - rya �c ttia � sy ✓ �� qc fax 508-362-9880 DANIEL �� o�' woo DAME'.A. G ° ti� '�DANIELA. downca e.com G.ANIEL U F 10YR 5/4 10YR 5/4 / / � A. OJAI-A OVA!A l OJ . , � C"velL �t` CIVIL a cape enaiaeering Inc. 120" 4.0' 120" 4.0' �, gp �.40980 ' 4650 No.46507 \ o. � n / t ? ©� �� civil engineers Scale: 1"= 20' �-� 'Z�JIL � !t_ FtiS ONA "/ �' QNAL �a land surveyors NO GROUNDWATER ENCOUNTERED ` . _. 9y()CURVE .`` �y v w 939 Main Street ( R to 6A) 2- > 98 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675