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HomeMy WebLinkAbout0034 TEVYAW ROAD - Health 34 Tevyaw Rd. Hyannis A=269-021 i if S 4f' TOWN OF BARNSTABLE LOCATION 7Vff Ul W4 SEWAGE# 0/7'LAG VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO.3'29- '2D��73�'Jos�hG dsr/y S' SEPTIC TANK CAPACITY LEACHING FACILITY: (type)2-,s194C�i llyl�/! !".3' (size) /3 x 25 NO.OF BEDROOMS OWNER lgW1Z PERMIT DATE: 7-//-/ COMPLIANCE DATE: 7^/7'/7 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 e ��2 vMa 00 _ M No. I T Fee I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS 01pplication for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair v:l'u grade(G<Abandon( ) 29i mplete System ❑Individual Components Location Address or Lot No. Owner's N Address,an Tel.No� Assessor's Map/Parcel j6 9~.2/' u//f �ip/��/ rev — In taller's N�me�Addrass,and Tel.No.,s OS y20^9"I 3 9 Designer's Name,gd�lress,and Tel.No.3�g Type of Building: Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 2 Design Flow(min.required) 3 7 a gpd Design flow provided _ ri gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) TA1jr411 l9 rG Pwly Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. a Signed c Date Application Approved by _ Date �f/ -- 7— Application Disapproved by Date for the following reasons Permit No. p� Date Issued ? ' No. ' 2 Fee. THE COMMONWEALTH OF MASSACHUSETTS Enteredin'computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftptication for Misposar 6pstem Construction Permit Application for a Permit to Construct( ) Repair(�"`�JOghlde(�)�Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. 3 y rl'V �� Owner's Naripe,Address,an Tel.No. Assessor's Map/Parcel Installer's Name Address,and Tel.No.f OS—y20—y7 3 0 Desi ner's N Tel.Address,and Tel.No. -5 OKIrr Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 350 gpd Design flow provided 3 rs gpd Plan RDate Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) '(Ali r4// ��O r(�T/mil/ � 1,�2i�`f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date / Application Approved by �j. S Date ! Application Disapproved by Date I . for the following reasons Permit No. ` C2 Date Issued 7` 0` 0 ------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( �� Abandoned( )by p -"":2 64r -0 at 3 t/(/�f L(/ /2�i,gl1 /�(,ll4lil!'I/s has been constructed in accordance with the provisions of T/itle�5 and the for Disposal System Construction Permit No. �2Of _21 fO dated Installer /OS��h U G lJl9f"i✓d S Designer f/�(j/:/� l sOf'1 S rNc , r #bedrooms _� Approved des` o N 3—,3 (9 gpd The issuance o this permit shall not be construed as a guarantee that the system will fund n)as designe Date (1 t Inspector ���C ------------------------------(------------------------------------------------------------------------------------------ -- /-- --------------- No. 21 (� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( !�'` Upgrade( �� Abandon( ) System located at / and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be com ed within three years of the date of this permit.": 2 Date ��f' ' Approved by 07/17/22017 0e-:59PM 177441K-�466 1Y1EVER AHD SONS PAGE 01/01 Town of Barnstable Regulatory Services rdebard V.vscau,futtrim Di reefer Public Health Division Thomas McKean,Director` M main Street,Hyaw"NU 02601 Fax: 508-790-6304 Office: 508-3624644 Ins a. FILM— Date, Sewage Pe rmit# �1.7-2 Assessar"S M20arcel— Designer•: opluAl -MS ,Installers Address: Address-. ar--4- was issuedapenuittoinsta- a, 7 (date) (histaller) f based i�s4 kon a desip drawn by septic system at address) _ dated (des it Q me)0 certify that the septic system referenced above was �ustdkd sub.stt tially accor&% to the desigj:4 which may include minor approved changes such as lateral relocation of tbe; distributiou box and/or septic tm*. Strip out (if, required) was inspected and the soils werefound satisfactory. i certify that the septic system referenced above, was Installed with major changes (i.e. greater than 10' lateral reWcation of the SAS or any vertical rej&,,,ation of any componeat of the septic system)but in accordance with State&Local Regulations. Plan revision of i 9specte certified as built by designer to follow. Strip out Of-fc�Uired)wx i. d and the soils were,found satisfactory. I certify that the system referenced above was construct with the, to of the I\A approval letters(if applicable) IWO taller's Si JJAI% esig=r's 9146a )Design Here) PLEASEIdF I URN LE P --.IBC-I LH-DIVI SIGN.--CEKfIF1 ATE NOT BE USS-- BOT- FORM AND—A�L- BLTILT-C JER A SIOU PUBLIC UAY. R DWISION, TRAMYOU, Q'SepticDcsipa Ccrtfic*d:kffi Faiin Rov 8-14-13,do. Town of Barnstable Barnstable ��Of THE T�ti . Regulatory Services Department Wftw'caC j Public Health Division 200 Main Street;Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED.MAIL#7015 1730 0001 4990 2397 May 15, 2017 WOODWARD, BRENDA G LEWIS TR 7 KING ARTHUR DRIVE OSTERVILLE, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 34 Tevyaw Road,Hyannis,MA was inspected on 04/12/2017 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00),due to the following: • Cesspools are structurally unstable with blocked pipes. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH as McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\34 Tevyaw Road Hyannis.doc y THE X y� Town of Barnstable '6;m Regulatory Services Department '°rea met'' Public Health Division 200 Main Street, Hyannis MA'02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A McKean,CHO Feb 6, 2007 Rev. 5111116 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground . ❑Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1)YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis lion TWO 2 YEAR DEADLINE CRITERIA q ' gle Cess o0 ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) ❑ Leaching pit or cesspool with high liquid level, <12"below inlet(per Town Code §360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code_§360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINESTO REPAIR FAILED SYSTEMS.doc May 03 2017 21:58 Jim The Inspector Man 5085349919 page 1 Commonwealth of Massachusetts M Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 34 Tevyaw Road Property Address X., Brenda Woodwardt Owner Owner's Name information is required for every Hyannis ✓ MA 02601 4-12-17 p 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 ling out forms A. General Information olln the computer, ``J```��SH OF rMgs 4%'yi use only the tab 1. Inspector: �``�'' '•`�c+ key to move your ?��' y G cursor-do not James D.Sears . =�; JAMES `:n,=_ use the return Inspector ? ; key. Name of I py Na �`Enterprises •,o o Q Company Name ' 153 Commercial Street ,F Company Address Mash pee MA 02649 City/Town State Zip Code 508-477-8877 S1623 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 15.000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 4-12-17 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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. • J 15ins.doc•rev.6/16 Title 5 Official Inspect.on Form Subsurface Sewage Disposal System•Pepe 1 of 17 ,�Ted May, 03 2017 21:58 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts Title 5 Official Inspection on Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E 1 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: Failed system. The system is three old block c, pools wlorange bur a pipeing. 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. 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): i 15hs.doc•rev.13116 Title 5 Official tnipection Forth:Subsurface Sewage Disposal System•Page 2 of 17 1 May, 03 2017 21:58 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. City(Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): 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 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 f5ins.doc•re..6116 Title s omcisi Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17 May 03 2017 21:58 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts Now- Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 Page. citylrown 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 mmg indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool �A ❑ ❑ 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 %day flow 15ins.doc•rev.8116 Title 5 Official Inspection Form:Subsurface Sewage Disposal SysteT•Page 4 of 17 May 03 20,17 21:58 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments " 34 Tevyaw Road Property Address Brenda Woodward owner Owner's Name information is required for every -Hyannis MA 02601 4-12-17 page. Citylfown State Zip Code Data of Inspedion 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. ❑ ® 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 8 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 ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well i 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. t5his.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 May 03 2017 21:58 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i 34 Tevyaw Road Property Address - Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 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 NIA) ® ❑ 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 manholes uncovered, opened, and the interior inspected for the condition of the tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): NA Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 15ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal Systern•Page 6 of 17 May 03 2017 21:58 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. CityrTown State Zip Code Date of Inspection D. System Information Description: The system is three old block c pools. Wloran a burge pipein . Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA 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: t5lns.doc rev.6115 Title 5 Official Inspection Form:Subsurface Sewage Disposal Sysiem•Page 7 of 17 May, 03 2017 21:59 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 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: NA Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 600Gal. gallons How was quantity pumped determined? Pump Truck. Reason for pumping: Part of inspection. Type of System: ❑ Septic tank, distribution box, soil absorption system ® am cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): 15ins.doe•rev.6116 T@le 5 Official Inspection Form:Subsuface Sewage Disposal System•Page a of 17 May 03 2017 21:59 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. City/Town State Zip Code Date of Inspection D. System Information (cons.)' Approximate age of all components, date installed (if known)and source of information: NA Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2'tees Material of construction: ❑ cast iron ®40 PVC ®other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH -40 & Old orange burge. Orange burge house to main pool roots, Line main pool to pool#3 old orange burge Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: isins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 May 03 2Q17 21:59 Jim The Inspector Man 5085349919 page 10 C Commonwealth of Massachusetts It Title 5 official Inspection Form j Subsurface Sewage Disposal System Form - Not for Voluntary Assessments II 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. City/Tom State Zip Code Date of Inspedion D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑polyethylene ❑ other(explain): Dimensions: Scum.thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 15ins.doc-rev.8l16 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 May 03 2Q17 22:00 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ii 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information Is required for every Hyannis MA 02601 4-12-17 page, Cityrror/n 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 I t5ins.doc rev.6/16 Title 5 Official Inspecb3n Fo m:Substeace Sewage Disposal System-Page 11 of 17 May 03 2Q17 22:00 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert No Box 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins.doc•rev.8118 Tills 5 Official Inspection Farm:Subsurface Sewage Disposal System-Page 12 of 17 May 03 2Q17 22:00 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name Information is required for every Hyannis MA 02601 4-12-17 page. city/town State Zip CDde Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 ❑ innovative/altemative system Type/name of technology.- Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Two over flow block c pools. #2 6'deep wf cover at grade. one inlet no tee.Top block's in bad shape. A couple block's caved in. #3 11'deep dry w/steel cover at grade Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert 3' Depth of solids layer 4" Depth of scum layer 1 Dimensions of cesspool 10'Deep Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins.doc•rev.6116 TWO 5 Official inspect-ion Form:Subsurface Sewage Disposal System-Page 13 of 17 May 03 2017 22:01 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is yyannis required for every MA 02601 4-12-17 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.): Main block pool w/steel cover at grade. Two inlets one tee. Two outlet's one tee 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 May 03 2017 22:01 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owners Name information is required for every Hyannis MA 02601 4-12-17 page. Chy/Town 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 t5ins.doc•rev,6116 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 May 03 2017 22:01 Jim The Inspector Man 5085349919 page 16 3 l �v A PAIL .1 IFiA i j�� 3{ D f�V oZS.CaNF T O ®dc+L l9 GU£R3 ,Qr C May 03 2017 22:01 Jim The Inspector Man 5085349919 page 17 Commonwealth of Massachusetts NEW Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is Hyannis required for every y MA 02601 4-12-17 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water i ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: NA 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: . pace ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Failed System. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 May, 03 Z017 22:02 Jim The Inspector Man 5085349919 page 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments IV 34 Tevyaw Road Property Address Brenda Woodward Owner Owner's Name information is required for every Hyannis MA 02601 4-12-17 page. Citylrown 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 I i I 15ins.do:-rev.6116 Title 5 Of dal I ispewon Form:Subsurface Sewage Disposed System Page 17 of 17 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS. MASS. 02601 Harold S.-Brunelle BUSINESS: 775-1300 CHIEF S.olhe Oeftftd Save oeivea � EMERGENCY: 911 FAX: 778-6448 To T� Town of Barnstable, Board of Health - T. McKean Town of Barnstable,' Conservation Commission From ; Fire Prevention Bureau, Hyannis Fire Department Subject The installation of above ground storage tanks. Date 5/26/00 Persuant to the applicable sections. of 527 CMR -. Fire Prevention Regulations, this Department has:- inspected the following location for above ground .storage In a(.q ADDRESS_ 34 Tevyacw Road Hyannis121 OWNER/OCCUPANT, Richard Lewis PHONE 775-0084 SIZE OF TANK(S) (1) 275 gal. Steel / Basement COMMODITY STORED # 2 fuel oil PORFOSE FOR STORAGE Heating THIS INSTALLATION IS : -PRE-EXISTING A REPLACEMENT; NEW This installation complies does not comply with the required installation reg tion listed below. FIRE PREVENTION OFFICE For: HAROLD S.BRUNELLE,CHIEF HYANNIS FIRE DEPARTMENT �� I Town of Mmstable. P# Department of Regulatory Services • Date Public Healfh Division iesKAS&y. tee$ 200Main.Street;�Jjy#nnis MA 02601 %�p / Fee Pd: Date Scheduled !Time A J oil Suitability Assessment or Se a:'Disposal Performed By ( ( Witnessed By: i LOCATION& GENERAL INFORMATION Location Address Owner's Name o Address 7 '7 K-t N6 A-XT 11f, OR Assessor's Map/Parcel: ( Engineer's Name.M 1 J'44-, 02 NEW CONSTRU(�nON REPAIR - { _ Telephone# qrlb a., 3 31 Land Use :Slopes cm --It Surface Stones Distances from: Open Water Body > ft`''Possible Wet-Area ft. 'Drinking Water Well�ft Drainage Way 7 O ft. Property Line �ft Other ft i SKETCH:(Street name,dimensions%f lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Lt 7 P Ia ► ! l I { A/A I I Parent material(geologic) S Depth to Bedrock ' Depth to Groundwater. Standing Water in Hole' N Q I Weeping from Pit Face I Estimated Seasonal i fth Groundwater i DERIVIIN TION FOR SEASONAL HIGH WATER TADLE Method Used: Depth dbparved standingO obs.hole: lo. Depth!0 sell lnOttles: ln. Depth toiweeping from side of obs.hole I in, t ii+oundwater Adjustment ft. Index Well#�_ Reading Date'.--- Index Well level_. .e,,...._.. Ar� factor,,,,_.�- Adj.GroundwaterLevel,,.p, PERCOLA ON TEST- . Date Tlnt Observation /I Time at 91, N Hole# i l • Depth of Perc '' - Time at 6" ......_...._., Start Pre-soak Time 'I imo(���•G') • End Pre-soak I Rate Minilnch Site Suitability Assessment: Site Passed Site Failed: AdditionalTesGng Needed(YIN) Original,Public Health Division Observation Hole Data":To Be Completed on Back-- I ***If percolajion test is to be conducted within 100' of wetland,you must first notify the Barnstable Cdl�servation Division at least one(1)we&prior to beginning. /n DEEP OBSERVATION HOLE LOG Hole#_ L_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. A Consistency.%Gravel) LIK (,00L#Vt•Li DEEP OBSERVATION HOLE LOG Hole# • Y Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell] Mottling (Structure,Stones,Boulders. C Consistencv.%Gravel) Aft ,�R*� 2..5 6 DEEP OBSERVATION HOLE LOG Hole# N A Depth from Soil Horizon Soil Texture Soil Color Soul Other . Surface(in.) (USDA) (Munselq, Mottling (Structure,Stones',Boulders. Consi to c %Gravel DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.)' (USDA) (Munsell Mottling (Structure,Stones,Boulders. Fistenycl) i Flood Insurance Rate Map: 1< Above 500 year flood boundary No_ Yes, __ Within 500 year boundary No/` Yes Within 100 year flood boundary No Y Yes Depth of Natural) r6&urrin Per. ious Material Does at leastfour feet':of naturally o Burring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? _\1419A _ If not,what is the depth of naturally ccurring pe vious material? Certification I certify that on (da e)I have passed the soil evaluator examination approved by the Department of Enviro imental Protec ion and that the above analysis was performed by me consistent with the required t ' ' zpertise nd a perience described in 310 CMR 15.017. Signature Date Q:\.SEFTICVERCFORM.DOC LEGEND H.YANNIS - --�-1 PROPOSED CONTOUR ® PROPOSED SPOT GRADE Q —— 98 —— EXISTING CONTOUR l + 96.52 EXISTING SPOT GRADE J O W— EXISTING WATER SERVICE O 0_ PARCEL ID ; TEST PIT ST Z Q 269/20 SCALE: 1"=20' LOCUS TBM= Q� BLKHD=50.00 ,'• 122.12' DEED PARCEL ID 49. FC 1 �► 269/21 H Y TP_ I s 4$ 7 PARCEL 'ID G LOCUS MAP AREA=.22 ACRES OLL 269/176 W W LOCUS INFORMATION I Z \ SHED PLAN REF: SEE NOTE f•-- TITLE REF: 14051/311 0' TP_2 PARCEL ID: MAP 269 PAR. 21. -� o l #34 � ZONING: "RB" D O o; j 'o FLOOD ZONE: X. TOF=50.00 ^� COMMUNITY PANEL: 2500lCo564J DATED:07/16/14 rn lo' 23 o SEPTIC SYSTEM o W REPAIR PLAN O PATIO ��" ; ,��'� o LOCATED AT: D PROP. 50OG CO SEPTIC TANK 34 TEVYAW ROAD -----------;49.3 H Y A N N I S, MA. OHw 49.3 PREPARED. FOR O� PARCEL ID. DRIVEWAY .� 269/175 GARAGE LEWIS FAMILY TRUST ------------------—----- --------___ � � JULY 10, -2017 122.12' DEED FC � 48.8 ��( OF ss9�ti DkMRtE�IM.� r PARCEL ID I \ �� ,N 1140 269/22 V si � �E6/SiE� S4NITAR\i'� r • w t MEYER & SONS, INC. t P.O. BOX 981 GRAPHIC SCALE NOTE: 20 0 10 20 140 s0 EAST SANDWICH, MA. 02537 LOT LINES DEPICTED ON THIS PLAN PH: (508)360-3311 WERE DERIVED FROM ASSESSORS MAP 269, DEED 14051/311 AND ABUTTING FAX: (774)413-9468 PLANS. AN INSTRUMENT SURVEY SUITABLE ( IN FEET: meyerandsonsinc@gmail.com FOR RECORDING A PLAN AT THE REGISTRY OF DEEDS IS RECOMMENDED. i inch = 20 ft. SHEET 1 OF 2 J 1941 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH TOF SEPTIC TANK I GRADE SHALL NOT BE < EL:46.0 FOR A DISTANCE. GENERAL NOTES: INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX 15' AROUND THE PERIMETER OF THE S.A.S. EL.=50.Of OUTLET AND SET TO 6". OF FINISH GRADE PROPOSED S.A.S. INSTALL RISER & COVER 1. ALL CHANGES To THIS PLAN MUST BE APPROVED BY THE LOCAL INSTALL LOCKING COVERS IF AT FINISH GRADE SET TO 6" OF GRADE INSTALL A RISER OVER ONE CHAMBER (MIIN) BOARD OF HEALTH AND THE DESIGN ENGINEER. AND SET TO 3" OF F.G. IMMMW F.G. EL.=49.3t 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS F.G. EL.=49.2t F.G. EL: 49.1 t OF THE STATE ENVIRONMENTAL.CODE, TITLE V. AND ANY APPLICABLE F.G. EL: 49.0(MAX.) LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 9" MIN COVER/ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 36" MAX COVER `' L = 10' L = 20'(MAX) DESIGN ENGINEER. ® S=1% (MIN.) EL=47.0t 0 S=1% (MIN.) 0 S=1% (MIN.) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2" OF 3/8" DOUBLE WASHED _ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN STONE OR FILTER FABRIC 3/4" 1-1/2" ENGINEER BEFORE CONSTRUCTION CONTINUES. DOUBLE WASHED STONE I'LLilo'l 14" 6 / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. INV.=46.0 - 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 48"UOUID INV.=45.75 ®®®Ea. 0 ®®®® THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ,) lf�LGAS BAFFLE ' M SED ®®®®®®®®®®® 7. DWELLING IS SERVICED BY MUNICIPAL WATER. D-BoINV.=45.30 ®®®®®®®®®®® INV.=45.50 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. �PROPOSED 1.509ALLON SEPTIC DANK om AM Q) 4� 2 X 8.5' 4' 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. EXIST. SEWER OUTLETS EFFECTIVE LENGTH = 25.0' 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. A INV.=47.92 REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. B INV.=47.92 INV. ELEV.= 45.0 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BREAKOUT 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PIPE INVERTS PRIOR TO CONSTRUCTION NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TOP CONC. ELEV.= 46.0 EL. 46.0 13. NO KNOWN PRIVATE WELLS WITHIN 100 Fr. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPEC. ) 2) TANK AND D-BOX SHALL BE SET LEVEL AND INV. ELEV.= 45.00 aaa 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW TRUE TO GRADE ON A MECHANICALLY COMPACTED ° aaaaaaa aat36666 FOR THE USE OF A GARBAGE GRINDER. SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM EL.= 43.00 6aaaaalB 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 310 CMR 15.221(2) 4' 5 FT. 4' 17. PROPERTY IS LOCATED IN A GROUNDWATER PROTECTION DISTRICT. 3) INSTALL INLET & OUTLET TEES W/ EFFECTIVE WIDTH = 13' GAS BAFFLE AS REQUIRED SEPARATION 5.10 FT 4) BASEMENT PLUMBING TO BE TIED INTO 'i SOIL ABSORPTION SYSTEM (SECTION) SEPTIC SYSTEM PROFILE eorroM OF TESTHOLE EL: 37.90r INJECTOR PUMP (PLUMB. PERMIT REQ'0) V (500 GALLON LEACH CHAMBER) BATHROOM ONLY, NO BEDROOMS PRESENT 1 N.T.S. SOIL LOGS P#:15398 DESIGN CRITERIA **NO PROPOSED INCREASE IN FLOW** NUMBER OF BEDROOMS: 3 BEDROOM DESIGN GATE: JUNE 27, 2017 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DESIGN PERC RATE: <2 MIN/IN SOIL EVALUATOR: DARREN M. MEYER, IRS, CSE ,WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D.. X 3 BR . DESIGN FLOW: 330 G.P.D.. GARBAGE GRINDER: NO (not designed for garbage grinder) Elegy. TP-1 Depth TP-2 Depth � SEPTIC TANK: 330 gpd x 200% = 660 gpd USE, PROP. 1,50OG SEPTIC TANK 48.90 0" 48.9.90 0"A LOAMY SAND A LOAMY SAND ( )/LEACHING AREA REQUIRED: 330 0.74 = 445.94 S.F. ' 48.23 B 101R 3/2 8" 48.23 a 101R 3/2 8" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS d; LOAMY SAND LOAMY SAND 10YR 6/6 10YR 6/6 W/ 4, STONE ON ENDS AND 4, ON SIDES: 25, L x 13, _W x 2, D 46.98 23" 44.82 25" t C SANDY LOAM C SANDY LOAM BOTTOM AREA: 25 x 13 = 325 SF 45.15 'OYR 7/3 45" 45.23 ' 7/3 44" SIDE AREA: (25 + 13) X 2 X 2 = 152 SF MEDIUM MEDIUM SAND PERC TEST SAND TOTAL SQUARE FEET PROVIDED 477 vs. 445.94 REQ'D 0 43.72 2.5Y 6/4 2.5Y 6/4 DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352.98 G.P.D. vs. 330 G.P.D. req'd 37.90 132" 37.90 132" 0Fss9�y PROPOSED SEPTIC SYSTEM UPGRADE PLAN PERC RATE <2 MIN/IN. (-Cl- HORIZON) r^ 0 oA . EN�Mn s 34 TEVYAW ROAD, HYANNIS, MA NO GROUNDWATER OBSERVED 140 "' Prepared for: Lewis amil Trust A ro System Design and Topography Plan by: SCALE DRAWN DATE • I, Darren M. Meyer, R.S.. CSE, hereby certify that 1 am currently approved by MADEP pursuant to 310 CMR 15.017 ST MEYER&SONS,INC. N.T.S. DMM 07/10/17 to conduct soil evaluations and that the above analysis has been performed by me consistent with the NITAR�a� FOBOX981 requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. EAST S4NDKICH,HL902537 REV. DATE CHECKED SHEET NO. \6 1 508-3s2 2922 DMM 2 of 2 V 4 LEGEND HYANNIS PROPOSED CONTOUR ® PROPOSED SPOT GRADE Q p EXISTING CONTOUR 0 I + 96.52 EXISTING SPOT GRADE t W— EXISTING WATER SERVICE /V O O PARCEL ID '269/20 TEST PIT ST Z Q SCALE: 1"=20' LOCUS TBM= BLKHD=50.00 qs 122.12' DEED GQ-P PARCEL ID 49.1 269/21 TP- 1 48.7 PARCEL ID ARE A=.22 ACRES HOLLY\ 269/176 LOCUS MAP --I W W LOCUS INFORMATION FT­I �—2 l SHED PLAN REF: SEE NOTE C TITLE REF: 14051/311 o TP-2 PARCEL ID: MAP 269 PAR. 21 00 #3 4 0 1O;' o ZONING: "RB" D O ; 'p j FLOOD ZONE: "X" o TOF=50.00 COMMUNITY PANEL: 25001CO564J DATED:07/16/14 ' ' 23 10 P o � p SETI C M S Y T S E v W REPAIR PLAN 0 PATIO �0" ; �'� o LOCATED AT: D _ ' . PROP. 50OG CO 34 TEVYAW ROAD SEPTIC TANK 49.3 ��-: HYANNIS, MA. 49.3 w O�P� PARCEL ID PREPARED FOR DRIVEWAY , 269/175 GARAGE C� LEWIS -FAMILY TRUST � � , ----------------------- ^ � JULY 10, 2017 FC 122.12' DEED 48.48 P��,� OF i 8 ° M YER'l PARCEL ID 4 0. 1140 269/22 sl SNIiAR\P� 1 MEYER & SONS, INC. P.-O. BOX 981 NOTE: 20 GRAPHIC SCALE EAST ' SANDWICH, MA. 02537 LOT LINES DEPICTED ON THIS PLAN �� 20 PH: (508)360-3311 WERE DERIVED FROM ASSESSORS MAP FAX: .(774)413-9468 269, DEED 14051/311 AND ABUTTING PLANS. AN INSTRUMENT SURVEY SUITABLE ( IN FEET ) meyerandsonsinc©gmail.com FOR RECORDING A PLAN AT THE REGISTRY OF DEEDS IS RECOMMENDED. 1 inch = 20- !ft. SHEET 1 OF 2 J 1941 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH TOF SEPTIC -TANK , GRADE SHALL NOT BE < EL:46.0 FOR A DISTANCE GENERAL NOTES: INSTALL RISERS` & COVERS OVER INLET & PROPOSED D-BOX r 15' AROUND THE PERIMETER OF THE S.A.S. EL=50.Of OUTLET AND SET TO 6' OF FINISH GRADE PROPOSED S.A.S. INSTALL RISER & COVER 1. ALL CHANGES To THIS PLAN MUST BE APPROVED BY THE LOCAL INSTALL LOCKING COVERS IF AT FINISH GRADE " INSTALL A RISER OVER ONE CHAMBER (MIIN) BOARD OF HEALTH AND THE DESIGN ENGINEER. SET TO 6 OF GRADE AND SET TO 3" OF F.G. F.G. EL.=49.2t F.G. EL: 49.1 ,I. " F.G. EL.=49.3t 1 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS t OF THE STATE ENVIRONMENTAL.CODE, TITLE V. AND-ANY APPLICABLE IF.G. EL: 49.0(MAX.) LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 9" MIN X COVE COVER/ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 36" MAR L = 10' L = 40'(MAX) DESIGN ENGINEER. ® S=1% (MIN.) ; EL.=47.Ot 4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVC ' 2" OF 3/8" DOUBLE WASHED _ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN STONE OR FILTER FABRIC p 3/4" 1-1/2" ENGINEER BEFORE CONSTRUCTION CONTINUES. DOUBLE WASHED STONE t0' 6 / t 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. INV.=46.0 14 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF �" Ion �INV.=45'.75 ®®®®. p EM THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF LEV><L } : PROPOSED ®®®®®®®®®®® HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. GAS BAFFLE ®®®®®®®®®®® 7. DWELLING IS SERVICED BY MUNICIPAL WATER., D-BOX INV.=45.30 ®®®®®®®®®®® INV.=45.50 DB-3 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED "i TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. PROPOSED 1.500 GALLON SEPTIC'TANK (H20) 4 d 2 X 8.5 4 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 1 LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. EXIST. SEWER OUTLETS EFFECTIVE LENGTH = 25.0' 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. A INV.=47.92 REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. B INV.=47.92 INV. ELEV.= 45.0 g' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BREAKOUT 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PIPE INVERTS PRIOR TO CONSTRUCTION NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TOP CONC. ELEV.= 46.0 EL. 46.0 13. NO KNOWN PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 0 1/a"/Fr UNLESS SPEC. I = a 2) TANK AND D BOX SHALL BE SET LEVEL AND NV. ELEV. 45.oO a aaa 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW TRUE TO GRADE ON A MECHANICALLY COMPACTED BBeaa0; FOR THE USE OF A GARBAGE GRINDER. SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM EL.= 43.00 aaaaaaa 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 310 CMR .15.221(2) ' 4' 5 FT. 4' 17. PROPERTY IS LOCATED IN A GROUNDWATER PROTECTION DISTRICT. 3) INSTALL INLET & OUTLET TEES W/ EFFECTIVE WIDTH = 13' GAS BAFFLE AS REQUIRED SEPARATION 5.10 FT.. 4) BASEMENT PLUMBING TO BE TIED INTO SOIL ABSORPTION SYSTEM (SECTION) INJECTOR PUMP (PLUMB. PERMIT REQ'D) SEPTIC SYSTEM PROFILE BorroM OF TESTHOLE EL: 37.9Q (500 GALLON LEACH CHAMBER) BATHROOM ONLY, NO BEDROOMS PRESENT N.T.S. DESIGN` CRITERIA ** SOIL LOGS P#:15398 - 't NO PROPOSED" INCREASE IN FLOW** NUMBER OF BEDROOMS: 3 BEDROOM DESIGN DATE: JUNE 27, 2017 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DESIGN PERC RATE: <2 MIN/IN SOIL EVALUATOR: DARREN M. MEYER, RS, CSE WITNESS: DON DESMARAIS, BARNSTABLE HEALTH a • : DAILY FLOW: 110 G.P.D. X 3 BR DESIGN FLOW: 330 G.P.D. 4 GARBAGE GRINDER: NO (not designed for garbage grinder) Elev. TP-1 Depth Elev. TP-2 Depth SEPTIC TANK: 330 gpd x 200% = 660 gpd USE PROP. 1,50OG SEPTIC TANK 48.90 0" 48.90 0" A A = LOAMY SAND LOAMY SAND - �' LEACHING AREA REQUIRED: (330)/0.74 - 445.94 S.F. 1 OYR 3/ 2 10YR 3/2 48.23 B 8" 48.23 B 8p USE TWO (2), 500 GALLON PRECAST -LEACH CHAMBERS LOAMY YR 6/SANo LOAMY YR 6/o W/ 4' STONE_ ON ENDS AND 4' ON SIDES: 25' L x 13'� W x 2' D 46.98 23" 44.82 25" -; C SANDY LOAM C SANDY LOAM BOTTOM AREA: 25 x 13 = 325 SF 10YR 7/3 1OYR 7/3 �. 45.t5 45" 45.23 44" A SIDE AREA: (25 + 13) X 2 X 2 = 152 SF MEDIUM - MEDIUM PERC TEST SAND SAND TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D _ • O 43.72 2.5Y 6/4 2.5Y 6/4 DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352.98 G.P.D. vs. 330 G.P:D. req'd 37.90 132" 37.90 132" OF PROPOSED SEPTIC SYSTEM UPGRADE PLAN DAR E M. y 34 TEVYAW ROAD, HYANNIS, MA PERC RATE <2 MIN/IN. (-Cl- HORIZON) M NO GROUNDWATER OBSERVED Prepared for: Lewis- Fa ' P mIl -Trust System Design and Topography Plan by: SCALE DRAWN DATE • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 '�`6/$TERM MEYER&SONS,INC. N.T.S. DM M. 07/10/17 to conduct soil evaluations and that the above analysis has been performed by me consistent with the 1 p� PO BOX981 �NITAR� SHEET NO. requirements of 310 CMR 15.017. I further certify that I have passed the Soil Eval. Exam in October, 1999. a, EAST SANDW/CN,MA 02537 REV DATE CHECKED 1 tib 1 508-3622922 DMM 2 of 2