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0094 SAINT JOHN STREET - Health
94 ST.JOHN STREET, HYANNIS A= i i i e t TOWN OF BARNSTABLE LOCATION '?q Sqe nl :O h n N(-e-f-- _SEWAGE# 26I1)- i 33 VILLAGE nY1 S_. ASSESSOR'S MAP&PARCEL a..I Q 'O INSTALLER'S-NAME&PHONE NO. i m L wd Q SEPTIC TANK CAPACITY I ,t�(TU "Ruh pY1s LEACHING FACILITY.(type) S rQ-uiS 0{- ! `ADS (size) 14.2 X Z5 � 7 �NO.OF BEDROOMS ' �1 yO X. 51 f�r SF, OWNER U+ PERMIT DATE: SI7 ZO"10 COMPLIANCE DATE: a V 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 wet ds exist within 300 feet of leachingasiL Feet }� FURNISHED BY,- t G O r" cri Fo wo ! + , ' + of 3 � L1Hs G� ii d rz 1 w Fee /y V THE COMMONWEALTH OF MASSACHUSETTS meted in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ,_ - 2ppl it-6 for Disposal 6pstem Construction 3dermit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ® Owner's Name,Address,and Tel.No. Map 291 Parcel 040 Wse§44M ,ARkn Street, Hyannis, MA Davi Couture 508-539-8704 AP Installer's Name,Address,and Tel.No. 5 0 8-5 4 0-6 7 0 6 Designer's Name,Address,and Tel.No. �6o 508-477-5313 Tim Lovell- 565 Carriage Shop Rd Pete McEntee - Engineering Works Type of Building: , MA 02644 Dwelling No.of Bedrooms f our Lot Size 1 1 -8 5 0 sq.ft. Garbage Grinder( ) Other Type of Building Residen t-is I No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 440 gpd Design flow provided 444 gpd Plan Date A /2 n /2 n 1 n Number of sheets 2- Revision Date Title Size of Septic Tank 1000 TypeofS.A.S. fij.7Q rojws of 5_AT¢ AArr- 3ur+ Units Description of Soil See s e l l page Nature of Repairs or Alterations(Answer when applicable) Use of Owner' s existing 1000 gallon Septic tank, One n-Rnx, Five rows of 5-A-DR Ar-c 36HC- Units (SAS) 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 It e Date Application Approved by Date_ Application Disapproved by Date for the following reasons Permit No. —`*1020 ` 3 3 Date Issued No " ✓ +, '+ Fee /0 0 THE COMMONWEALTH OF"MASSACHUSETTS in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS t Rppl LatioWfor -VspoSAY 6pBtem ConeitrUttibn Permit Application for a Permit to Construct(. Repair(X) Upgrade( ) Abandon( ), ❑Complete System ❑Individual Components Location Address or Lot No. Map 291 Parcel 040 Owner's Name,Address,and Tel.No. 9 e `�r'�s'Invl&p/Papccegn Street, Hyannis, MA Davi Couture 508-539-8704 Ase o 2( Installer's Name,Address,and Tel.No. 5 0 8-5 4 0-6 7 0 6 Designer's Name,Address,and Tel.No. 01 508-477-5313 Tim Lovell_ 565 Carriage Shop Rd Pete MCEntee - Engineering )forks Bast Falmouth, ry t �ss c d Rd. r iasltdat�, MA Type of Building: 02644 Dwelling No.of Bedrooms four Lot Size 11 ,8 5 0 sq.ft. Garbage Grinder( ) Other Type of Building R e i cj Q-n t-i g 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures ,,. Design Flow(min.required) 440 gpd Design flow provided 444 gpd Plan Date 4 2 0/20 1 0 Number of sheets 2 Revision Date a Title Size of Septic Tank 1 000 Type of S.A.S. f i vp. rout'- of 5-AITS Ar(- FiH(' Units Description of Soil See sol l page Nature of Repairs or Alterations(Answer when applicable) Use of Owner's P-x i S t i n 1000 as 1 1 7n ' Septic tank, one D Box, Five rows of S ADS Arc 3614C Uni tc; (.';A!,) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of J Compliance has been issued by this Board of ealth•.' a ,� ,B. Date Application Approved by Date r Application Disapproved by Date for the following reasons Permit No. _ lg�2/0 .13 3 Date Issued -51 / d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( X� Upgraded,( ) Abandoned( )by at 94 Saint John Street, Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,}/CJ -/3 3 dated 7h� Installer Timothy Lovell Designer Pete McEntee-Engineering Works #bedrooms 4 Approved design flog 444 gpd The issuance of this permt shall not be construed as a guarantee that the system wli fu n as designed. p Date �� ��p Inspector U / AP, I //�� . -- --- No. ar�D - - -- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS MispoBal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at 94 Saint John Street, Hyannis, MA 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. i Provided:Construction must a comp eted within three years of the date of this pdrmit. Date �� Approved by ~ f irr May 3, 2010 Barnstable Board of Health Department 200 Main Street Hyannis,MA 02601 RE: 94 Saint John Street Hyannis To Whom It May Concern: This letter is a statement as to the number of bedrooms in the house located at 94 Saint John Street,Hyannis. There have been four bedrooms in the house since before 1986. Since , a David J. Couture Owner of 94 Saint John Street,Hyannis I 05/12/2010 20:16 5084775313 'ENGINEERING WORKS PAGE 01 '.Town of fsarnste.0 Reg�alatbry Se�ces T>tomis F.Geiler,.Directo l Public Hea h,DIV151®n Tbovies MCKOM,Director 200 mat&5U'me4 Hy is,MA 02801 F=; 503=7904304 office:'508-M-4644 Date►: 1-;tl 1,0 gery p Permit#_ Asaewor's?&pMarcei M ramer De�aiaQesx r^prtiflca n'F01M . Do r: Gu b 1+�c Installer: t Addrsse:': n- n1, Crer s s-�'.c.l cat Addret r 'eke �C.. ra was issued apermi#to install a. . On ' to (in er) septic system at 94 fi a:�,�-��h� Sr ���+ based on a design drawn by s) dated I cart*that the septic:system referenced above was installed sub ballY a�;,ordufg to Lbeth which may.include minor approved chanow such. as lateral rcioc i e30fla dpsbn'bution box.andlor septic tank. Stnpout (if required) was inspected and. were found satisfactory. I certify tiYat the septic: refrnnced above was in tailed.with�ejor chan$ag{i.e ccythan.1 D' lateral componeuU Mlocation of the SAS or any vertical relocaeeti f ayn MV Sieien or but eccorciari ce with State k Local Reguiab th 'e. 'st em b e )Of. � d the soils cer fic -built by designer to follow Stripout(if requirod)was weme fo tsfactory, dZN OF M,q�� Fre T. c E tEE - c q No•351a8 4 ,r—ier s�igilStlltC . CIVIL A OBARNS .. . : - - � . - . ( � Town of Barnstable r# I a$� Department of Regulatory Services A. . a t� _ Public Health Division Hate C� � �39 ��� 200 Main Street,Hyannis MA 02601 . .. :.::. � . :,� - . � : — , ,.." , -, . � - t-� I I -� . .1 I � . — , - * - � ". -: I ' �. - . � ... .I . I Date Scheduled (0 Time '.4��, 1�1.I..I :• , Fee P. t-L d i . Soil Suitability Assessment for Sewage Disposal. Performed By:- t `C `y - . Witnessed BY: - �_ (�• �j(e=.s! -f T , .. -. . . / .. LOCATION& GENERAL INFORMATION , Location Address 9L{'' ` rpv��l O wno's Name i _`w ^ C�l�c� n S" I'1 Address r L/�i (1 z:a0;l - .6A)nlS Assessor's Map/Parcel. I QL © Engineer's Name . ,. . ti ` NEW CONSTRUCTION (� REPAIR _ C Telephone# '�9$-'.�{, 7—L>3.1:3 _ II Land:Use re 5 i ce1-fA�u&�( -Slopes(96) Z Surface Stones Aj1K D:stuci es from: Open,Water Body��� ft`: Possible Wet Area�_ft Drin king:Water Well Z ft " I. I-_ Drainage Way _fE Property Line 1 S ft Other ft S11 KETCH:.(Street'na I e,dimensions of lot,exact locations of test holes&pere tests,locate wetlands i`n proximity to holes) . : I. .. F Q i jl�-` -� %1 G S �� !'C C� I. - . _ . .. ; . . .—,� - VP-1 t �._ ..,.... .. L. �-401 C/ r *".'�-,?,�,,�, �� : -, �,] I I F - f ' �- -ly pR, h �v ®z c ' . - Parent material(geologic) ©y �`S Depth to sedroek "T Depth to.,Oroundwater Standing Water in Hole. N/A Weeping from Pit Face �2& II- Estimated Seasonal High Groundwater 'J �✓ Z DETERMINATION FOR SEASONAL HIGH WATER'TABIwE I. MethodUsed Depth.,Observed standing in obs.hole: In, Depth to loll mottles: Ie, `•. Depth to weeping from aide of obs.hole : In, aroundwater Adjustment ft g Adj.factor. �dJ droundwaterLevel . ..Index Well# Readm D"ate: Index Wel!level -�, - ..; - - - PERCOTaATION TES S ' bate" xe . Observation Hole# Tlme at h" l° I. w Depth of Pero ! j �✓., ;4j-f .. I nt 6" Start Presoak Time @1 / !ti Time(4"6.. - G ZM''^ rrc End Prey-soak _ :; . . . ..I l�":I.��..�..,,:,.p.:..�:,.�..;i�I--,,...1:.,��!�:,:-,.'t..I.,-I:.--I.-�..�,%..��-,..-��.:�-I�'�.�",'--.,.;,,,,,..-,..�,.�.1.�,.-...-I1,�j-��".1�1�1..�--,:.—I�!�..-..�.���1-.,.C.:.-1-.�-..-.-..11�,,1...,.,'�.-1..I��-�.:..�1.11�,�..:1--,�;.-',.1.�.,%-..,--,..,,?,,1.,1�z�,.,..;,,1�-.,1�.;�.,.,-:I.-,1:-::�.��t i Rate Mi fift, Site Swla-ility RssessmenG.Site Passed Site Foiled Additional Testing Needed:(Y/N) On nail IPubhc Health Division Observatlo I Hole Data To Be Completed on Back - t ;� Bi E:;I I. * *Ifl erco�at><on tesit is to be conducted w>thin 100'of wetland,you must rst`noh. I the Barnta5le;Coinsel�vat><on Division at least one(1) week prior to beginning. Ia E Q 1SEPf[C1PEICFORM DOC j..''i ' I _ �` 4 t r f .. :...,. .. - - �t. 1 - _, - i✓1 :. -- I. DE ,.OBSERV..TION'HOLE LOG Hole,, ,.�_ Depth from Soil Horizon Soil Texture Sdil Colof+• Sotl Other. Surface.(in,) (USDA) .. (Mansell) Mottling (Spuctute,Stones;Boulders . . ,. , 1 i . �a . . rg.. �` r �,; . _ �- La 125� y�� �9 z . /. 2=13 z C 6"'! 4 >aD y 4L u. 26 ro,- . �sYl y DEEP OBSERVATION HOLE I,OG Tole# - Depth from Soil Horizon Soil Texture' Soil Color Sotl Other I IX Surface.(in.) „(USDA) (Mansell) Mottling . '(Structure,Stones,Boulders . ,.. ;. e B �.)Z .Jl lb — A 'L (Q ��: - /z . . 13 Z . ! ' ;se.&��s 1 v.pry /6 +� 29 ;. . z5 : / DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Ibrizoo Soil Texture Soil Color Soil Other Surface(in) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. : , ie e . : , i . ' DEEP OBSERVATION HOLE LUG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil, < .Other. S,oKace(tn) i. (USDA) (Munsell). Mottling 91 (Structure,Stones,Boulders. 3 t _ i i> FloodInsu�aiice Rate ap , Above''05 year flood boundary' No Ye ., :iWfi 5 year boundary' No , Yes, _.: �' _ _ — Wtthttt 100 yearfilood boundary No 2� Yes 7717 L ...� 1 Death of Naturally Occurr>fng P4*��� ervious Material g '::Does at least fdur feet of naturally occurrtng perviour,material extst:in all areas observed throw ho t the area proposed<for the'sotl absorptton.aystem . „ e .-- If not,What i�the depth of naturally occurring pervious material'?;,:,._ '. Certification ""�' �! .I Alt date I have-pas`sed the soil evaluator exariunation approved by the r certify that bn 1. De arftnent of Environmental.Protection and that the above analysis 15. . ormed by me conststt;nt with:. the r 'hired trai ,.expergse and experience described m 10 CMII ;! I Date_` _�._ 1 Slgnaur,�,�-j%,,i e 4 _ , i nR. C , w d Q�SBtiIC�PBkCFORM DOC ' °:l?:i. of� Town of Barnstable P#_ a$� ' Departinent of Regulatory Services Public Health.Division Date d MASS. A 16 3h�d' 200 Main Street,Hyannis MA 02601 Date Scheduled -7 Time —�— Fee Pd._ Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By:-04 Ind�� S l . LOCATION& GENERAL INFORMATION va Location Address 91 O % T�� S Owner's Name � �� �. S, i q vt wT�f Address � � S a 1 6nn 10,4,n.t S �A Q aCtl Assessor's Map/Parcel: "-011 - qQ i o Engineer's Name NEW CONSTRUCTION _ REPAIR _� Telephone# ,rZ7 3�3 Land Use 5 i t JLc�l4 d�� Slopes(%) z" N �— Surface Stones 14 Distances from: Open Water Body_ C) ft Possible Wet Area ft Drinking Water Well ft Drainage Way I'j ft Property Line Z�ft Other` ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) 4- ��nG�S C�fact - v1 Na 00- r Z Parent material(geologic) y Depth to Bedrock A)/4- Depth to Groundwater. Standing Water in Hole: NIA Weeping from Pit Face G�L� Estimated Seasonal High Groundwater / Z DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor 4a,m- Adj.Groundwater Level,,m PERCOLATION TEST Dute Thne,�.,�, Observation Hole# / Time at h" _ �Ze.eor'U _ Depth"of Pere pe'C Time at 6" Start Pre-soak Time® P / 'rime(911•611) --- 2 End Pre-soak Rate MinJlnch 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:\SEPTICIPERCFORM.DOC 4 DEEP.OBSERVATION HOLE LOG' Hole# Depth from Soil Horizon Soil Texture SoiPColor. Soil Other Surface(in:} (USDA) (Munsell) Mottling y (Structure,Stones;Boulders: " 66 iGravel) y- Ig A 5 to tl2 yl 5 �' z 6 k-- 10 Y.LZI� Z-�3Z cY4SIb Zak ��"� DEEP OBSERVATION HOLE LOG Bole# o Depth from Soii-Horizon Soil Texture . Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.' Consistency. ld Y+' 1Z DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure„Stones,Boulders. %%GraYel , it DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Mottling (Structure,.Stones,Boulders. Surface(in.) (USDA) (Munsell) Flood-Insurance.Rate Man: `- Above SOo year flood boundary No— Within'500 year boundary No--a( Yes Within IOO year flood boundary No Yes Death of Naturally 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 depth.of naturally occurring pervious material? Certification I certify that on C I (date)I have passed the.soil evaluator examination approved by the Department of;Environmental Protection and that the above analysis was performed by me consistent with' the required Arai ;expertise and experience described i- �10 CMR 15- 7. Date Signature ` g Q:\SBPTIC03RCFORM:DOC 94 St.John St. Hyannis,MA 02601 David Stanton Hyannis Board of Health 200 Main St. Hyannis, MA 02601 Dear David Stanton: Subject:Property at 94 St.John St. Dear Mr.Stanton, My wife and I are in the process of getting a new leach field. Our engineer Pete Mcentee has informed us that our house is listed as a three bedroom residence. When we purchased our home almost 10 years ago is was listed by our real estate agent Sandy Thell from Today Real Estate as a four bedroom residence. I am sending along with this letter a copy of the Real estate sheet and a copy of a sewage inspection sheet from 2000.Also we have been paying taxes on a four bedroom property- since we bought it. If you have any questions don't hesitate to call me at 508-776-3324 or email dcooch1(51yahoo.com. Thank you for your time. F Sincerely, t Dav' C7tu Jar net C .wD q'")" 9 C 01- Jt� t{' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John Street, Hyannis,MA` Owner: Frank Smith Date of Inspection: May 11, 2000 BUILDING SEWER: _ (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: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓concrete _metal Fiberglass _Polyethylene _other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions: 1000 gal. t Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 29" Scum thickness: 2" Distance from top of scum to top of outlet tee or'baffle: 10" Distance from bottom of scum to bottom of outlet tee or.baffle: '12" How dimensions were determined: Measuring stick 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 battles were present. The liquid level was even with the outlet invert. There were no signs of leakage. GREASE TRAP: None (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 9/2/98 Page 7ofII TOWN OF BARNSTABLE E LOCATION `� S�/✓t! �0�� 5T, SEWAGE # Sol- A4 VILLAGE ffil AALS ASSESSOR'S MAP & LOTaq 1 Z0q0 INSTALLER'S NAME&PHONE NO. /oi al SEPTIC TANK CAPACITY. I ' LEACHING FACILITY: (type) tT (size) NO.OF BEDROOMS BUILDER OR OWNER 7�k S M PERMITDATE: COMPLIANCE DATE 5.�,+.c. �n sPcct►on S ►� �o� 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 VO s � J, G, �,J, 1Y, 4j. - a O � ` 0 C-A T 10N SEWAGE PERMIT NO. •VII �AGE ' INSTALLER'S NAME b ADDRESS HfIliffALI 7T3 _tIA► A3 57- 5- Aptout4 BUILDER- OR OWNER IS I C. IC u lAk I D&TE PERMIT ISSUED 4 � � DATE COMPLIANCE ISSUED I 6 i 0 T z � 0 N J .............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........44�....................O F......-�;11 ..........-"-"-------..................................... ApplirFatiou for Bbipogaal Works C>zaytu axr#iou Vamit Application is hereby made for a Permit to Construct or Repair ( ) ,an Individual Sewage Disposal System at: AZ .............................. � Location Address #4 or Lot No. ------------ ........ --•-------. .................... Owner - Address ----------•----••----------------•---•---- a Installer Address Type of Building Size Lot............................Sq. feet 3 U Dwelling—No. of Bedrooms................... __-_-Expansion Attic ( ) Garbage Grinder ( ) a Other—Type g ..C* . ........ No. of persons__----___- ( /) Cafeteria ( ) Other—T e of Building ............. Showers — Q' Other fixtures ------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow......... d....................gallons. WSeptic Tank—Liquid capacitv,1 ..gallons Length....hf...... Width..... Diameter................ Depth... .......... x Disposal Trench—No..................... Wi ................. Total Length......_............. Total leaching area..__....___._...____sq. ft. Seepage Pit No........../-_-___--- Diameter. ......... Depth below inlet.......�gi....... Total leaching area.&..& _..sq. ft. Z Other Distribution box ( ) Dosing to k ( ) ��0i' `" Percolation Test Results Performed by.. � '"+�' ��.....r d� !.r...................... Date.......`� �. "L.__.. Test Pit No. 1................minutes per inch Depth of Test Pit.......!!..... Depth to ground wate ?' Oft .._.. (i, Test Pit No. 2�w.....minutes per inch Depth of Test Pit--------/__7 ..... Depth to ground water-_.. .'�-._... P-' O Description of Soil........... .................c — __Tc�..... r r = x w ••-•••••--------------------•----••-••-••-----•••-----------------------._._.....------•-----------•-----------------------------•••--------------------------••----------- x /y.f/Fuse k �� V Nature of Repairs or Alterations—Answer when applicable______________________!/ __-__-___-___--________ A---...... ... i.-=- Vie•. ....7�s_ . ._:_. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by board bf health. Signe ............. � Date ApplicationApproved By..............�¢ elC..^.................................................................... Date Application Disapproved for the following reasons----------------------------------•------------------------------------------------------------------------••••- -----------------•------•......_.....----•-------------------------------------•--------------•---•------------------••-•-•••••••-•--•--•••-----•••••-•••••••---•••-••••----•••---------•---••-•--•----- Date Permit No.._7A..--•-------yY._ ............................ Issued....................................................... Date • . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : ...... OF......... ----------------------------------------------------- Apptir�atiou for Uhipoii al o �rl Tonotrnrtiun Prrutit i Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys at - .._ . .... .- ,y ... ......... Location-Address • � ..... � ....... •---•--------------------------- . -...._ ' if' ............�..._.... Owner Address ................... .. a'' �:_ .W_�----•----...------•--•...••-----.....---•---................_..--- Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms__ _---••----- -•-•••-.-•-•.----- Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ...Ci '?.._._.__ No. of persons....... ✓_............. Showers (/) — Cafeteria ( ) dOther fixtures ------------------------•------•----------------•----..--•--------------------------------------------e--�-............................................ W Design Flow............................................gallons per person per day. Total daily flow........t�.1-0......................gallons. WSeptic Tank—Liquid capacity_d4_04.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__4A ...sq. ft. Z Other Distribution box ( ) Dosing to Percolation Test Resul s Performed by..__._ � 4. ,/ Date...... -. Test Pit No. 1_ke.(V___minutes per inch Depth of Test Pit.__._./_ , _ Depth to ground water__n�t ____-. fs, Test Pit No. 2 _____________minutes per inch Depth of Test Pit.........E__`_�1►.... Depth to ground water_. _ _____._�- D Description of Soil...... -----••••-----•••..... �� /-a�,-'Y---r ------------------------------------- "° $- - - --------=-------------------------------"--------------------------------._....------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable.......................l<!f`lPxcE— /�•�-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code-,The i nde``rsigned further agrees not to place the system in operation until a Certificate of Compliance has been ised by,t bo��a++rd 6if Signed:--•- = .. '..............." Date Application Approved By.....__________ '. -••.•---••-•-••---•------------------------------------- ------••- H.x - Date Application Disapproved for the following reasons:-------•----------------------------------------------------................................................... -------------------•----•---------_...__..._..-••-----•-•---_.._..•-•-•---------.._....-•---------••-••-•`--•-••••--------•---•••-•-••---•---•---...•--•---••-••-••--••••••------•----•-••------...•-•--- Date Permit No.-- t�l�• Issued Date 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •��.�r4s r-�i�t c .................trLc ,z ...........OF...............-.-.........................._....................................... Trrfifiratr of Tnntlrlittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--•--•....-•- .�........... .Fa">/�/ -------------•---..........._..----------------- -------"-------------..__.......----------------------------.................-------..._..._._......._ Installer at G u �- i - r. �f'pa� - )+`i �a� --------------------••-------------•------......••--• ----•-------•---------•---•----------•-•-•-•-•••-----•-•-----•-•----•-•-••--................................... has been installed in accordance,,with the provisions'`of_Z=E ;..5 of The State Sanitary Code as described in the application for Disposal Works'Construction Permit No_`.� V ev__________________ ted_ .-..._-�"./��.�'�-__-__.__.- `` TIME ISSU C OF THIS CERTIFICATE SHALL NOT BE CON lB AS GUARANTEE THAT THE SYSTEM WISIL fFU CTION SATISFACTORY. DATE:.:.. ._ll"..: ....... Inspector ------••-................................................. ,,. THE COMMONWEALTH OF MASSACHUSETTS_, f BOARD �-OF HEALTH >t..t�..rc .• %�...........................................OF................. ...._....._...-.......-.-_..-..._-...-._........_._.._..-..._.. No......--• -----••� FEE........................ Ditiposal Vorkii Tnn#rnrtion rrntit Permission is hereby granted__________________G'/V//-_......_ ��'n ---_---------- to Construct ( ,� or Repair ( ) an Individual Sewage Disposal System jr Street as shown on the app do r Disposal Works Construction Per _ __ ated_._____.....%.'........................` ` ------- __•• --••-•---- ---............................................... _ � � Board of Health DATE_ ,-.------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS FQpM yEXlS111.1E WALL 1 t 95 � ae. 1 N `pp Ae Q W „oho Q ,5 �. Q3 ° U 3 p r. M fi ,in �411, ?Q r1,,„,f 5 { ` . :EGEND CERTIFIED PLOT PLAN i '�!"rI'M I��T.`<ELEVATIO i9N 10 F�N� _0ON O.TOUR --r., : ,pri. T '11 HEQ SPOT. ELEVATION NNOV E1�t`�OARQ OF NEAL1`N F�IST�� `'' (Mtitii t A DENT SCALE r../ 'r- 3 U ' DATE 1NE�ERiN '''Cat l :Nick t CL1EM'to- f 'CERVFY THAT THE' -PROPOSED . RE.01$ En B lea.' n¢4 BUILDING SHOWN ON THIS PLAN sr D f LAK CONFORMS TO THE ZONING LAWS _ A. A ,�r:.: OV,,9ARNSTABLE,. -MASS. pip Z MI A^� I�... 'TR I~ET ' R Z. DATE. m. , LAND SURVEYOR rj m � 3 D � �n � � ;� ooygy c � t• D �j .n � �. bp C1 D r � � L � Z 0 3s oya corm TD � yy� o2 � ly n. n 'To ►ram s1 '�� - � � lr � \ �,: � � � . A � y LA tp Xj ti 0 � �� � _ � tl` 0 �� � � ' � `C:, • moo . • � °. � • ' --�� .� f1 • . n . '� a o o p ALA th n n 0 ►n ti oc y p b y � c� � � Q 1n � Dy o o a 3 0 00 0N, . yo �%'I 3 _ o 0 3 - 0 `�1 3 � N Z7y p V1 Z � Z `+ A ° v .. , . . �r • . .' - C� � y3T � � ut� a y °• oo ° 05 ' n n tw \i\AVrn rn Jj � v `�+ O `� � y •C � tit Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection / 'v One Winter Street, Boston MA 02108 (617)292-5500 p� 0 p 2000 (�T�jyST TRUDY CORE OFPT Secretary ARGEO PAUL CELLUCO DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 94 Saint John Street, Hyannis, MA Name of Owner: Frank Smith Address of Owner: 173 Ellington Rd. Date of Inspection: May 11, 2000 Longmeadow, AM 01106 Name of Inspector:(Please Print) James M.Ford I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: .lames M. Ford Mailing Address: P.O. Box 49, 0sterville,MA 02655-0049 Map.291 Telephone Number: (SM)862-9400 Parcel.040 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: ✓ Passes _ Conditionally Passes Needs Further Evaluati y the Local Approving Authority 's Inspector's Signature: Date: May 11, 2000 The System Inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)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. NOTES AND COMMENTS revised 9/2/98 Page 1of11 Printed on Recycled Paper ` 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 94 Saint John Street, Hyannis, MA Owner: Frank Smith Date of Inspection: May 11, 2000 INSPECTION SUMMARY: Check A, B, C, or D. A. SYSTEM PASSES: ✓ 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. 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. Indicate yes. no,or not determined(Y,N,or ND). 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 enfiltration,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:= ; Sewage-backup or breakoutor high statia..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 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 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 94 Saint John Street, Hyannis,MA , Owner: Frank Smith Date of Inspection: May 11, 2000 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. 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 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 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 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 is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Pap 3of11 A SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 94 Saint John Street Hyannis, MA Property Address: , Hy , Owner: Frank Smith Date of Inspection: May 11, 2000 D. SYSTEM FAILS: You must indicate either "Yes"or"No"as 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 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 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'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 a surface water supply or tributary to a surface water supply. Any portion of a cesspool or.privy is withiti 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. 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"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 T the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone Il of a public water supply well The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B - CHECKLIST Property Address: 94 Saint John Street, Hyannis,MA Owner: Frank Smith Date of Inspection: May 11, 2000 _ G Check if the following have been done: You most indicate either"Yes"or"No" as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health. ✓* 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. *house was unoccupied ✓ _ As built plans have beer.obtained and examined.—Note:if they are,not available with N/A. ✓ The facility or dwelling was inspected for signs of sewage back-up. ✓ _ The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. ✓ _ All system components,excluding the Soil Absorption System,have been located on the site. ✓ _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for conditions 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: ✓ _ Existing information. For example,Plan at B.O.H. ✓ _ 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)]. ✓ _ 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 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 94 Saint John Street, Hyannis, MA Owner: Frank Smith : Date of Inspection: May 11, 2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom. Number of bedrooms(design): n/a Number of bedrooms(actual): 4 Total DESIGN flow n/a Number of current residents: 0 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(gpd): 1999- 78,000 gals.:1998-31,500 gals. _ Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gpd(Based on 15.203) Basis of design flow 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: _ 's :', JIt OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Pumped on 4/24195 -5/23198 -per treatment plant. System pumped as part of inspection(yes or no): No If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM , ✓ Septic mnk/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 Other APPROXIMATE AGE of all components,date,installed(if known).and source of information:._6116182-.per.as built card. x Sewage odors detected when arriving at the site: (yes or no) No revised 9/2/98 Pap 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John&rret, Hyannis, MA Owner: Frank Smith Date of Inspection:, May 11, 2000 F: •• t •- > - _ _ BUILDING SEWER: _ (Locate on site plan) s 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: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓concrete _metal _Fiberglass _Polyethylene other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions: 1000 gal. Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 29" Scum thickness: 2" s:. Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How dimensions were determined: Measuring stick 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 baffles were present. The&attdd level was even with the oualet invert. There were no signs of leakage. GREASE TRAP: None (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: V (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) r + • } , revised 9/2/98 Page 7ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John Street, Hyannis,MA Owner: Frank Smith s Date of Inspection: May 11, 2000 `- •i' +: :aat,•a }' TIGHT OR HOLDING TANK: 'None (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: gallons . Design flow: gallons/day Alarm present: ' 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: ✓ f,,, : .'_ _:; (locate on site plan) Depth of liquid level above outlet invert: — - Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) The box was located, but not dui;up. There were no signs of failure in the pit. PUMP CHAMBER: None (locate on site plan) -r 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 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John Street, Hyannis,MA Owner: Frank Smith Date of Inspection: May 11, 2000 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan, if possible;excavation not required, location may be approximated by non-intrusive methods) - If not located,explain: Type: leaching pits,number: I-6'x 6' leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.) The pit had 6"of water on the bottom. The scum line was 2'up from the bottom. There were no signs of failure. The bottom to grade was approximately 8'. CESSPOOLS: None (locate on site plan) Number and configuration: ?' -51 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: None (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 9/2/98 Page 9of11 a o w SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John Street, Hyannis, MA Owner: Frank South Date of Inspection: May 11, 2000 Map.291 Parcel:040 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) c _ . 5 l de `4 Al - A tea- as Via- ati � A3" ate, 3 Ay .�'-- f3ti y revised 9/2/98 Page 10of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 94 Saint John Street, Hyannis, MA Owner: Frank Smith !, Date of Inspection: May 11, 2000 « s ;• ., r NRCS Report name Soil'type Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth:Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 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 Check local excavators, installers ✓ Used USGS Data Describe how you established the High Groundwater Elevation. Must be completed) The bottom of the pit to grade was approx. 8'.Hand augered down to 12'and no rater was observed. Using the Barnstable topographic map and the water contours map, the maps are showing approximately 20' +/- to growulawer at this site. This site is approx. 10'higher than the lot across the street. Using the Cape Cod Commission Technical Bulletin, the high groundwater adjustment for this site(AI W 230,Zone D, 3100)was 5.3'. This report has been prepared and the system inspected and passed as of the date of inspection. T1us report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. revised 9/2/98 PW11of11 .1 LEGEND � N �Ng • ... _. -- 98 -- EXISTING CONTOUR LOCUS x 100.98 EXISTING SPOT GRADE04 w 96 PROPOSED CONTOUR L ° S SAII'V;r =W EXISTING WATER SERVICEto �' G EXISTING GAS SERVICECR,gNC/ { 96.65 S �.H.1h4--OVERHEAD WIRES N� \ 95,34 edge p /T E TEST PIT cotchbosin -9Z 5 �9 9e a 96,98 ! '05 .�- d� �� of 94,10 °dVement , � BENCHMARK m Way �3�-- N 8120'45" yy 95,84, \f,Zce line D o S re t 'J 97.61 I43 94,86 \ 92,36 / c5 `,� �\ Ti LOCUS MAP • � �, � �� NOT TO SCALE 99.27 16 .56 _23 I 3,58 GENERAL NOTES: `3 I 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 98.63 EXISTING LEACH PIT BOARD OF HEALTH AND THE DESIGN ENGINEER. TO BE PUMPED & FILLED 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �Zl� `� �� W/SAND AND ABANDONED OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 98.63 98.83 `�\ �� 95.45 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: �0�\ �_ 9 ,0 �\ q,' -310 CMR 15.405(1)(b): C c 1) A 2' variance to the 3' maximum cover requirement, for 5' of max. cover. S.A.S. shall be vented and rated H-20. ,3 p 99,31 X� �1 99,80 I �! 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 99.17 \ `� v TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE E� EXISTING LEACH PIT DESIGN ENGINEER. M oV 99.6 TING l N94 AC \\� + 7.23 o`b (TO REMAIN) - 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING HOUSE(# ^ TOP OF TANK, EL.-96.43 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Go T.O.F.=100.71t ( �' ENGINEER BEFORE CONSTRUCTION CONTINUES. 99 79 W INV..(OUT)=95.10± O o� 99.7� - - y 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 99.47 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF �' n 1 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. a�• ) DECK p ' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. s1/ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. x 100,3 I 99, + 98 z 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS Benchmark AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE J �/ (LOT j21) A �j' 99,21 �,<'X�, 9720 - TOP OF CONC. AT B.H. COR. DIRECTED BY THE APPROVING AUTHORITIES. I , APN 291 0` 0 �,� �,�,�`w� � + 9 .02 EL.=99.71 (Assumed datum) 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY y 11,850 S t > / �� ' , THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �'� ' �'O. 10 E CONSTRUCTION. 99.77y 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Q IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 99,88 -� `� x 99.50 3 ,�i > 5 0,77 �� '��"� 7,10 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 100. � �� '� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE I tl OF k4 INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. � �o SHED Q�� sS9r 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND S 7$27•5p„ �-�96Q 97.4 ' o� PETER T. yGs IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. McENTEE 97.30 CIVIL N PROPOSED SEPTIC SYSTEM UPGRADE PLAN '4 No. 35109 PROP. VENT-CONNECT R£cIS1E��° �� 94 SAINT JOHN STREET, HYANNIS, MA ' ALL LINES TO VENT � 9 Prepared for: David Couture, 94 Saint John St., Hyannis, MA 02601 2�1 lC� Engineering by: SCALE DRAWN JOB. NO. h �� Engineering Works, Inc. 1"=20' P.T.M. 137-10 {{ 12 West Crossfield Road. Forestdale, MA 02644 DATE CHECKED SHEET NO. 1 ' (508) 477-5313 4/20/10 P.T.M. 1 of 2 Zr NOTE: TO PREVENT BREAKOUT, THE PROPOSED \\EXISTING FINISH GRADE SHALL NOT BE < EL.93.3 FOR A DISTANCE OF 15' AROUND THE HOUSE#94) PERIMETER OF THE S.A.S. T.O.F.=100.711- SEPTIC TANK PROPOSED D—BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET &OUTLET AND SET TO 6" OF FINISH GRADE INSTALL INSPECTION PORT OVER END UNIT INSTALL RISER & WATERTIGHT T.O.F. COVER SET TO 6" OF GRADE CHARCOAL,j F.G.!"92 7.3-98.3(MAX.) VENT EXISTING F.G. EL.=98.Of F.G. EL: 97.2t DECK � oMAINTAIN % GRADE (MIN.) OVER S.A.S. I I L = 57' L = 8'(MAX) INSPECTION N ® S=1% (MIN.) ® S=1% (MIN.) PORT O �O � 4'SCH40 PVC 4"SCH40 PVC 6" i 0111 a„ 7 s" 10.38" TO EXISTING 48" LIQUID INVERT M l i LEVEL ADD INV.=94.17 PROPOSED INV.=94.00 5 ROWS OF 5 k UNITS AT 5.0'/UNIT 25.0' P PSED S.A. • GAS BAFFLE = N 1 1 INV.=95.10t D—BOX INV.=92.87 SOIL ABSORPTION SYSTEM (PROFILE) ' EXISTING E-----25'---�I EXISTING SEPTIC TANK ;� t ESTABLISH VEGETATIVE COVER S•A•S•LAYOUT BACKFILL WITH CLEAN NATIVE OR !!! PERC SAND TO TOP OF CHAMBERS 21,. a—$ POLYSEAL ouTLETs 2" 2" 1-4" POLYSEAL INLETS BREAKOUT=TOP NOTES: TOP ELEV.=93.33 INV. ELEV.=92.87 00 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE c� INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=92.00—" o "• 2) D—BOX SHALL BE SET LEVEL AND TRUE TO 5' MIN. ABOVE BOTTOM OF 2.83' 1 V..I 00 GRADE ON A MECHANICALLY COMPACTED SIX T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=14.2' INCH CRUSHED STONE BASE, AS SPECIFIED IN iv To Mew 310 CMR 15.221(2). k EXISTING SUITABLE P D—BOX Section 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL=86.2 — ! MATERIAL 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE USE 5 SEPTIC SYSTEM PROFILE SEPARATION BETWEEN EACH ROW & NO STONE S OF Dc 36HC UNITS INE TH NO AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. 63.25" N.T.S. TYPICAL SECTION SOIL LOG 34.5" t DESIGN CRITERIA DATE: APRIL 7, 2010 (REF#12,891 SOIL EVALUATOR: PETER McENTEE (SE#1542) WITNESS: DAVID STANTON R.S. TOP VIEW NUMBER OF BEDROOMS: 4 BEDROOMS HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH 60 END CAP END CAP DESIGN PERCOLATION RATE: <2 MIN/IN 97.4 FILL 0ll R97.2 FILL 0 FRONT VIEW SIDE VIEW 96 DAILY FLOW: 440 G.P.D. g" 96 loll END CAP .7 .4 REAR/TOP VIEW DESIGN FLOW: 440 G.R.D. A SANDY LOAM I A SANDY LOAM 10YR 4/2 95 9 10YR 4/2 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW 96.2 14" 16" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY GARBAGE GRINDER: NO 6 r g DIFFER SLIGHTLY FROM-ACTUAL PRODUCT APPEARANCE. \ EXISTING SEPTIC TANK: 1000 GALLON CAPACITY - SANDY LOAM SANDY LOAM 10YR 5/6 10YR 5/6 asa0 TRUE N PROPOSED DISTRIBUTION BOX: 5 OUTLETS MINIMUM 93•9 C 42" '92.7 G 54" LLLLI HILUAR , oHl 43ozs Arc 36HC DETAIL ADVANCED DRAINAGE SYSTEMS•INC.® UNITS MUST BE STAMPED H-20 LEACHING AREA REQUIRED: (440) = 594.6 S.F. .74 COARSE SAND COARSE SAND PROPOSED SEPTI EM UPGRADE P N ,GYR 5/6 to ,oYR 5/6 to 94 SAINT JOHN STREET, HYANNIS, MA USE 5 ROWS OF 5—ADS Arc 36HC UNITS WITH NO - 2.5Y 6/4 2.5Y 6/4 SEPARATION BETWEEN EACH ROW & NO STONE {. 20% GRAVEL 20% GRAVEL Prepared for: David Couture, 94 Saint John St., Hyannis, MA 02601 • BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF UNIT) Engineering by: SCALE DRAWN JOB. NO. (Arc36HC Units) 25 UNITS x 5.0 LF x 4.80 SF/LF = 600.0 SF 86.4 132" 86.2 132" Engineering Works, Inc. NITS P.T.M. 137-10 PERC RATE <2 MIN/IN.—(RECORD)'C" HORIZON DESIGN FLOW PROVIDED: 0.74(600 S.F.) = 444 G.P.D. NO GROUNDWATER ENCOUNTERED 12 West Crossfield Rood, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 4/20�10 P.T.M. 2 Of 2 r< i a