Loading...
HomeMy WebLinkAbout0124 HARBOR HILLS ROAD - Health E22 or. Hills R®ad` W P' 001 I No. 42101/3 ORA ESSELTE 10% ® o o I TOWN 9F BARNSTABLE LOCATION akA L.1h, SEWAGE # VILLAGE o ASSESS ' MAP & LOT 21-1"d61"C01 INSTALLER'S NAME&PHONE NO. �.1/�✓ SEPTIC TANK CAPACITY !Er-N S?`(N 5t—Ned0 LEACHING FACILITY: (type) A-C,-- y#l� (size) F,/, x l �C/ NO. OF BEDROOMS BUILDER OR OWNER PERM TDATE: 3IZ9 6 3 COMPLIANCE DATE: 2 03 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 l l} -IV i ? rig No.'LGi'J3 "l ZZ ? FEE �G/ COMMONWEALTH OF MASSAC14US ETTS Board of Health, 0 SJh)2 MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair'o<Upgrade( ) Abandon( ) - ❑Complete System rkIndividual Components Location ` wner's Name Map/Parcel# SW Address DEE 'W Lot# Telephone# Installer's Name Designer's Name Address MQr1,3C7Z0 Address tic 0 S Telephone# Lod _S Telephone# S 8_0 Type of Building Lot Size O ,�sq.ft. Dwelling-No.of Bedrooms ��n���Q C'J Garbage grinder (/V/A Other-Type of Building �imey'.A 0=f_' QA? No.of persons 41 Showers (X Cafeteria (VI Other Fixtures L_A•tt*,-M e , kA 1 1 Lx"AX-t.,, Design Flow(min.required) 3�gpd Calculated design flow.33_ Design flow provided �3y•48 gpd Plan: Date b j 2,A I 0 3 Number of sheets Revision Date Title ��s Su-S�11 LJm=A u Description of Soil(s) C` Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation 3 03 DESCRIPTION OF REPAIRS OR ALTERATIONS -\Qp \ _. INSlrj,t1AL AGGpR�TEAND GERTIfT/NUPERV/S� The unde `fined agrees to ins the above described Individual Sewage Disposal System m acco�e]o�t d_Y�R�i 5 and further agr s to no to place to m ration until a Certificate of C7 'an has been issued by and o a /cT Signed Date--' .r Approve by` Inspections No. 42 Z ,w :•• - ., FEE 50 Board of Health, n S'f CVAQ MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair)<Upgrade( Abandon( - ❑Complete System lJeIndividual Components ;f4 Y r k Location Name p� � �O Map/Parcel# AP �I;C� U(v{ L[ T Ubl ' Address Lot# Telephone# Installer's Name 59sukro Designer's Name Address c -�"r tOf1 i 7 �,� TC7 Address �� C+ I mb� M et o�5I( Telephone# - ` Telephone# Z t,.{E?_p 9 Type of Building p S t A—eP (1'l; -rA Lot Size � D, ,� l�U sq.ft. Dwelling-No.of Bedrooms r,•P_e �` � Garbage grinder ('1A JK Other-Type of Building O•at"rc C_.tp No.of persons 4_Showers (y�,Cafeteria (yj i v Other Fixtures L A O•A'T(V� k 1l_r k Q,-\ 'en�, • LCn o(C` w Design Flow (min.required) h� gpd Calculated design flow ,0 Design flow provided ��41 49 gpd •r. .Plan: Date 'b-1 a r {t Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluat" . k,�At�M FrJ &A Y Date of Evaluation 3 laq I D 3 DESCRIPTION OF REPAIRS OR ALTERATIONS f r The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ag� s to not to place tem in o„gration until a Certificate of Comp'ance has been issued by the Board of Health. Signed 1 lTZ114 � Date` Inspections s. No.Z003"��2� FEE Board of Health, "OF l e — , MA. CERTIFICATE Of COMPLIANCE Description of Work: Nondividual Component(s) ❑Complete System e The undr sigfn/edd erreeby/c'errtify that the Sewage Disposal System; Constructed ( ),Repaired`(�',Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 340 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.2a�(V?r I ZZ E a ed 3 Z�l (> . Approved Design Flow (gpd) Installer ��/Il �i-- Designer: Inspector: Date: 7 1 The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. 2 r0 3-{`z Z FEE .J V Board of Health,:; im4?bfe_, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to- Construct( ) Repair( Upgrade( ) Abandon( ) an individual sewage disposal system at '.��JrJUYh1''� / a&)i,, r as described in the application for Disposal System Construction Permit No. 0o 3-122- ,dated 3( Provided: Construction shall be completed/within three years of the date of thiW11 1 Gal •o i%ons must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date J12 03 Board of Health CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. P.O.Box 627,East Falmouth,MA 02536 April 2, 2003 RE: Certification of Title V Septic System Installation: Residential Property — 124 Harbor Hills Road,Hyannisport,MA Dear Sir or Madam: On March 28, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 124 Harbor Hills Road, Hyannisport, MA, based on a design drawn by Shay Environmental Services, dated, March 24, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E. SHA Y ENVIRONMENTAL SERVICES, INC. ` OF b9'Jql r CA MEN. E. Carmen E. Shay, R.S., S. No. 1 1 President �`�oi sT eye s�firlrA�>.�t� � Sep - 20- 01 13 : 52 BARNSTABLE HEALTH OEPT 5087906304 :NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM Cyka`>�_, hereby certify that the engineered plan sio ec by me urteCJ 0�8 D3 concerning the property located at all of the 1^t'.ow,n, �:rtteria. • This failed system is connected to a residential dwelling only. There are no _ornrner. ia! er business uses associated with the dwelling, • The soil is ciass:,:ed as CLASS l and the ?ercolacion rate is less than or equal to -nnutes per inch. The applicant may use historical data to conclude this fat: or may :onduct ?re!imx,.ary tests at the site without a health agent present • There .s no increase in flow and/or change. in use proposed • i here are no variances requested or needed. The bouor^ of the proposed leaching facility will not be located less than fourteen aonve the rnarimum adjusted groundwater table elevation. (Acliust the ;r�unc.vater table using the Frimptor method when applicable) Please complete the following: �, i Trip pl Ground Surface Elevation (using GIS information) (3.1,v 1;cvat,or, _ ad;us(nent for high G.W..,�_...q )`FTT.R.HN :F BETWEEN and B G.VE D D A77E: 03 NOTICE 3asec j,c)n tnz a�.ove information, a repair permit wil! be issued For bedr.�orr.s ,nsl bedrooms are authorized In t`�e future without °ngtneerec Arun:r,Au PCICC.tMp Permit Number: Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location: }�gz%p2 •�1�5 fl Lot No. Owner: QCkAQ_ C )('1 Address: Contractor: cSb4A`� �nUlc'en(`non�G�Address: S?J� Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. ........ .Date a-3................................................................... mon h/day year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: IQ OAppropriate index well.................................................... © Water level range zone ..................................................... C STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to •-► water level for index well "1'• mon h/Year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment ..............................................:........................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. Figure 13.--Reproducible computation form. 15 Cape Cod Commission: USGS Well Data - February 2003 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362- 3828). February 2003 I`SGS Site Water Record Record Departure from Number"'...' Location Well No. Level* High* Low* Average** (links to 1.1SGS Monthly Overall national water-level database Barnstable 230 23.4 20.5 26.6 0.0 0.3 413956070164301 Barnstable 24W 25.7 20.5 28.6 -1.0 -1.1 414154070165001 Brewster BMW 21 12.1 6.9 13.6 -1.7 -1.9 414518070020301 Chatham CGW 138 23.4 20.9 26.6 0.6 0.6 414100070011101 Mashpee MIW 29 7.4 5.6 10.0 1.0 1.1 413525070291904 Sandwich SD 2 47.2 45.9 48.2 0.2 0.1 414418070241601 Sandwich ZDW 52.8 45.8 55.1 -2.5 -2.7 414124070265901 Truro TSW 89 11.3 10.2 13.0 0.5 0.7 420206070045901 Wellfleet WNW 17 10.2 7.3 12.8 0.2 0.2 415353069585401 http://www.capecodcommission.org/wells.htm 3/5/2003 TOWN F BARNSTABLE SEWAGE # 2en LOCATION omv_ VILLAGE v ASSESS MAP & LOT!L- -v w l-C�1 INSTALLER'S NAME&PHONE NO. �!/�✓ SEPTIC TANK CAPACITY s 6,0 LEACHING FACILITY: (type) a S I:-'TfkVdY1 (size) NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 3I7-96 COMPLIANCE DATE: 2 ©� 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by OF- © 1 6./- n, I 101x ,�. all, I I i cv COMMONWEALTH OF MASSACHL'SETTS EXECUTIVE OFFICE OF E\VIRONME\TAL AF AIRS P DEPARTMENT OF ENWIRONME\TAL PRO €CTIO�� 1 (9199 ;- ONE WINTER STREET. BOSTON. NIA 0:106 P1'•.S_•�'0( �gBea. 1 WILLIAV F W'ELD �, g Y COXE Govemc• Se:retan APGEO PAUL CELLUCCI DAVID B STRL'IiS. Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A i Ifl ION Property Address: 12(A fjp1L \1S t T Address of Owner.Y Tt°tU�(g5 ��G�1�� q Al 11.1Jf11(1 Date of Inspection: q' Of different) Name of Inspector: CC eo I am a DEP approved system inspector pursuant to Section 13.340 of Title 3 010 CMR 13.000) Company Name:f}/i(Q Mailing Address: 12 o 1106 H AS644eg- H y p e C4.9' Telephone Number: _r504 2V— Zp CERTIFICATION STATEMENT I cen:tl that I have personally inspected the sewage disposal system at this address and tha-. the information reported Belo- is true, accurate and complete as of the time of mspec-o The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposa systems The system: Passes _ Cono-t-o--ali% Passes %eec> Further Ev !uat- the I Approving Authorir� F . s Inspector's Signature: Date: The Svgerr Inspector sha" subrn:; a cope of this inspection report to the Approving Authorih,within thirty (30) days of completing this inspection. If the system is a shared system o' has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the repo^ to the appropriate reg,oral office of the Department of Environmental Protection. The orig:na! should be sent to the system owner and copes sent to the buve-, if applicable, and the approving authority. INSPECTION SUMMARY: -Check A, 8, C, Or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: 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 (attachedi 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 e)cfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank w approved by the Board of Health. ls•v:e•d 0�/2S/f�) stye a at 30 DEo on the wond Woe WeD him tiwww msynet state me.usroec 0 Printed on Rege+ed Paoei t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection: B)SYSTEM CONDITIONALLY PASSES tcontin.j-d _ Sewage backup or breakout or high static water level observed in the distr' ution box is due to broken or obstructed pipets)or due to a broken, settled or uneven distribution box. The syste will pass inspection if(with approval of the Board of Health). Describe observations: 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 roken or obstructed pipe(s). The system will pass inspection ii tw•ith approval of the Board of Health): broken pipe(s;are replacec obstruction is removed C) .FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board Health in order to determine if the system is failing to protect the public health, saien•and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETE INES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER « WHICH WILL PROTECT THE PUBLIC HEALTH AND S ETY AND THE ENVIRONMENT: Cesspool or prw� is within 50 feet of a surfa a water Cesspool or pm� is within 50 feet of a bor errng vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF H LTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNE THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The systern has a septic tank and it absorption system (SAS)and the SAS is within 100 feet to a surface water supply or tributan•to a suriace water supp The systein has a septic tank a soil absorption system and the SAS is within a Zone I of a public water supri'y well. The system has a septic tank d soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tan and soil absorption system and the SAS is less char. 100 feet but 50 feet or more from a private water supply'swell, niess a well water analysis for coliform bacteria and volatile organic compounds indicates tfii the well is free from pot ion from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Met used to determine distance (approximation not valid). 3) OTHER frovised 04!25/97) !ay 2 of 10 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO% FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: D) SYSTEM FAILS: , You must indicate either "Yes" or 'No* as to each of the following - I have determined that the system violates one or more of the following failure criteria as defin in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determi a what will be necessary to correct the failure. Yes No Backyp of sewage into facility or system component due to an overloaded or clo ed SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters ue to an overloaded or clogged SAS or cesspool Sra:ic hou.d level in the distribution boa above outlet invert due to an over aded or clogged S4S or cesspool. Liquid depth in cesspool is less than 6- below invert or available volume s less than 112 day floe. Reou•red pumping more than 4 times in the last year NOT due to clo ed or obstructea pipe's. Number of times pumped_. Am pon;ori of the So!! Absorption System, cesspool or privy is bdlo •the high groundwater eievanon An., por::or• of a cesspool or privy is within, 100 feet of a surface ater supply or tributary to a surface water supple. Ant po^,ion of a cesspoo: or prn'y is w ithir a Zone I of a publi well. Any po^.o-. of a cesspool or privy is within 50 feet of a priva water supply well Any po^.or. o-*a cesspool or prvoy is less than 100 feet but neater than 50 feet from a private water suppiv well with no acceptable water quart) analysis. If the well has been an yzed to be acceptable, attach cope of well water analysis for cohiorm bacteria, vo!atile organic compounds, ammonia itrogen and nitrate nitrogen. Ej LARGE SYSTEM FAILS: You must indicate either -Yes' or **%o" as to each of the following: The io!IoA;ng criteria app;% to large systems in addition to t criteria above: The system serves a iacilm with a design flow of 10,000 or greater (large System; and the system is a significant threat to public hea!th and safety and the environment because on or more of the following conditions exist: Yes No _ the system is within 400 feet of a surface dr nking water supply the system is within 200 feet of a tributa to a surface drinking water supply the system is located in a nitrogen lens' ive area (In4r1rn Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well The owner or operator of any such system shall bring t system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please cons It the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 _ t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Proper1% Address: 1 ` naboe 0 Owner: Date of Inspection: Check if the following have been done: You must indicate either "Yes"or"No"as to each of the following: Ye 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 recentl% or as pan of this inspection X _ As bull: plans have been oo:a:ned and examined. Note if they are not available with N/A. _ The facdm or d%•ellmg was inspected for signs o'sewage back-up. X _ The wstem does not receive non-sanitary or industrial waste flow. The site %%as inspected for signs of breakout. _ All s\sterr.components, excluding the Sol[ Absorption System, have been located on the site. The septic tans: rnanho;es Nere uncovered. opened. and the interior of the septic tank was inspected for condition of baffies or tees, materia; o" construction, dimensions, depth of liquid,depth of sludge, depth of scum. The size and location of the Sol' Absorption Svstem on the site has been determined based on: _ The faclhtn ovine, ,ano occupants. if different from owners were provided with information on the proper maintenance of Sub-Surface Disposal Svstem. Existing information. Ex. Plan at B.O.H. Ix _ Determined in the field :if an% of the failure criteria related to Pan C is at issue, approximation of distance is unacceatabie [15.302.31:b'? (revised 0//25/57) Page 4 of 20 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA PART C SYSTEM INFORMATION Property Addr s: lZ Cfi�� Owner: Gi19-(Tjj ljU Date of Inspection: I I6 �7 I RESIDENTIAL: FLOW CONDITIONS Design floes 751—In g o•d./bedroom. for Number of bedrooms j3,) Number o current residents a. Garbage 9-iz der (yes or no, Laundry CO-•^ected to system (yes or no! Seasonal use Ives or no•.-A�t "later meter readings, if ay Table (last two {2:vear usage tgpd): Sump Pump Ives or no) Las; date o"occupancy COMMERCIALINDUSTRIAL: Type of establfshmen: Design fio%% _ tahons•da% Grease trap present ryes or no' Indusma! %%aste Holding Tank oresent. -ves or no 'ion-sanaan v%aste d,scnarged to the T!tie 5 system iyes or no_ %later meter readings )i ayailabie Las:pate of c, OTHER: .Descr,be Last sate of occudanc. GENERAL INFORMATION PUMPING RECORDS and source of mior anon cT�1 ttyG �1`7 System pumped as par, of inspection. (ves or no.-616 If yes, volume pumped ¢allons Reason for pumping TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Shared system (yes or no, (if yes, attach previous inspection records, if any) Other VA Technology etc. Copy of up to date contract? APPROXIMATE AGE of all components, date installed (if known)and source of information: l WA Sewage odors detected when arriving at the site. (yes or no) b (rOvised 04/25/9-7) page 5 of 20 SLBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATIO% (continued) Property Address: I Owner:C7A1�)NdN� Date of Inspe lion: BUILDING SEWER: (locate on site plan) {J� Depth below grade. Material of construction: _cast iron _40 PvC_other(explain! Distance from private water supply well or suction Ir—e Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:S (locate on site pl Depth below grade material of construction. _concrete _me:a _Fiberglass _Polyethylene _othertexplain If tank is metal. Iis: age _ Is age conf.rmec b\ Ce1:fica:e of Compuance _(tes".o Dimensions Sludge depth r")_ N Distance from top o: sludge to bottom of ou!;e: tee o•ba";e � Scum thickness� ) yi Distance from top o: scum to top o`outlet tee or ba-ie ' q Distance from bottom of scut-to bor.om o, out le. tel or ba*,e_ ILr Mow dimensions were determined Comments. (recommendation for pumping condition o4 miet and ou let tees or baffles depth of liquid level in relation to outlet invert, st ctural integrity, �' ence (leakage. , .t L GREASE TRAP: (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.; (:e.leed 04/25,91) sage 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner:(46i1muNn Date of Inspection:9l�I�� TIGHT OR HOLDING TANK: 'tank must be pumped prior to,or at time,of inspections (locate on site plan, Depth below grade Material of construction _concrete _metal_Fiberglass_Polyethylene _other(explain) Dimensions: Capacity: gallons Deng^ floN gallonsoa, Alarm level Alarm in „orking orde,_ Yes._ No Date of previous pumping Comments (condition of inlet tee. condition o-a!a,r„ and float switches. etc.) DISTRIBUTION BOXAW locate on size p a^ Depth of licuid le e: a00%e oune: m%e': Comments note �'. (eve! ar)d d st+b-j;on Is ua'. evidence of sold carryover, eviden of leakage into or out of box,etc.( PUMP CHAMBER:, (locate on site plan. Pumps in working order: (Yes or No, Alarms in working order Res or No, Comments: . (note condition of pump chamber, condition of pumps and appurtenances, etc.) (sevasod 04/2S/9') Days 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORki PART C SYSTEM INFORMATION (continued) Propertl Address: Owner: G?*'\`t Date of Inspection: SOIL ABSORPTION /( l SYSTEM (SAS): � (locate on srte.plan, if possible, exca%alion not required, but may be approximated by non-intrusive methodso If not determined to be present, explain: Type: leaching pits. number. leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number,tength: leaching fields, number, di nensjon, over-'low cesspool, number_ Alternative system name of Technoiog,, Comments. inoio condition of S ii. s+gr.s of hydraulic failure, level of pond g.tcon on vegetation, e t t N CESSPOOLS: _ (locate on site plar, Number and configural.or Depth-top of liquid to inlet rover, Depth of solids lave, Depth of scum layer. Dimensions of cesspool Materials of construction Indication of groundwate- inflow icesspooi must ne pumpeC as par, of inspection:. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of Soil, srgrs of hydraulic failure, level of ponding,condition of vegetation, etc.) (revised 04/75/97) ►ays It of 20 L SLIBSURF,SCE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C }�, `C SYSTEM INFORMATIO!� (continued. Propert. Address: `"`1 `�'sv"�^t- �11'1� Owner: �„ fms Date of 1 spection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) R Z Al- &IA - 351 � y (revised 04125!5') Pape 9 of 10 0 r. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: �ZN I�e�(�•�,� • Owner: �!}I'lNUfl1 Date of Inspection: /� 9 (. 7 Depth to Groundwater _'Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained irom Design Plans on record Observation o�Site (Abutting property. obsen•at,on hole, basement sump etc.) Determine it from local conditions Cnec: with local Board o• nevv- Chec: FE.,.1A Maps Check pumping records Check local e.cavaiws installers L se :SCS Da-.a r. Describe in vcixown. %%oros no•.% �o:, es:abh5hed the High Groundwater Elevation. (Must be completed- &S,cyoloilc 0&V page 20 of 20 LO CAT IO SEWAGE PERMIT NO. VILLAGE �1) e- s t4 VNAIW S o 02i /Yl�SS INSTA LLER'S NAME i ADDRESS t U I L 0 E R OR -OWNER DATE PERMIT ISSUED 3,_„ 1 ? _ ep DAT E COMPLIANCE ISSUED --_�_ o F f)v � No.........1 it .L-- ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............OF.......*6 ... App iration for Uiipngal Workii Tautitrurtion Prrutit Application is hereby made for a Permit to Construct (X ) or Repair W an Individual Sewage Disposal System at a ( !- ad /+._.........Lo A on- dressy/ or Lot No. caner i ....--••-•------------------•--------..._...Address Instal Address d Type of Bui ingy Size Lot... 21.20---------Sq. feet U Dwelling-No. of Bedrooms....��....................................Expansion Attic ( ) Garbage Grinder (W) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------------------------- �—O WDesign Flow........:.............vr..............�.^gallons per person per day. Total daily flow----.............._.........................gallons. WSeptic Tank-Liquid capacity,�f— 7allons Length................ Width---------------- Diameter................ Depth.............. x Disposal Trench—No..................... Width.... jj............ Total Length --- Total leaching area....................sq. ft. Seepage Pit No--------1.......... Diameter--------Ili---- Depth below inlet............... Total leaching area-__Z.6_4�.sq. ft. Z Other Distribution box ( ) Dosing,t��rk ( ) �`�yy ~' Percolation Test Results Performed b d_ ___- `....... ........... :__. _._.��-....... Date... .............. aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water_--__----_--_------_---. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O . Description of Soil----- -- o � --------- --- x � -------------- ' - = ;v ' W •--••-------------- .......-----------------------------------------............................... ----•-•-•---------------------------•------••-------•------=--•-•--••••---••••......----•----•-•- UNature of Repairs or Alterations—Answer when applicable._--_------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------•---............---------------------------------------------...---------- ......................................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTL y g g p y of the State Sanitary Code— The undersigned further agrees riot to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signe ..................... •-••••................. ........ Date Application Approved By..... --..._ ............. Date Application Disapproved for the following reasons---------------------------------------------------------..................................----t e-------------- -•-•.........•-•-•-••------•--•--•--------------••-•----••-•••-•------•----•----•••-•-•---•-•-•-••••-•-•..._....--•••-•••••-•----••••-----•••----•--••--••• ---••---------------•- ..................... Date PermitNo......................................................... Issued----- - U Date No.........IAA ...... ` FEB...�. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ......OF..... --•--•------------------------------- Appliration for Diopooal Works Ton, t.rnrtion ramit e Application is hereby made for a Permit to Construct (X or Repair ) an Individual Sewage Disposal System at: ----•-- - ------- Lo on A dress - ---•--or Lot No. .......... . --��:......... ► c+ .kvla...------. .- ---------------------------------- w,er - Address a Wj .................eing.,e, Q�j`------.. ... ------ 1` :._, .................................................... ............................................ Instal Address Type of Bui � Size Lot-_�!1. .__..._..Sq. feet Dwelling-A No. of Bedrooms...._�....................................Expansion Attic ( ) Garbage Grinder k90) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures s ::: -------•--•-••---•----•--------•--- w Design Flow................__.5....__.__ gallons per person per.day. Total daily flow..... ,"_.........____.........__gallons. WSeptic Tank Liquid capacity,f_-_:-:gallons Length................ Width................ Diameter__.--_ - -__ Depth................ x Disposal Trench—No..................... Width. ------------ Total Length........ _ Total leaching area.................sq. ft. Seepage Pit' No.___..__ ------_......Diameter........�f.✓___. Depth below inlet....... __.._..: Total leaching area...A41..sq. ft. Z Other Distribution box ( ) Dosing�/.� k ( ) Percolation Test Results Performed b .f7. W..... .:��• aY ••--• Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water.._-_-__________...____- (� Test Pit No. 2................minutes per inch Depth of Test Pit................. Depth to ground water........................ - Description of Soil..... f a .?� �� G7rt x ,,l k U .. ,fib , w UNature of Repairs or Alterations—Answer when applicable.--___________________________•-_-:.________----.._____________-_---•----•---__--•--•------..._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 'IT '1 T ��-• the provisions of': tr1: ,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe rr.1� ....................•• - Dat�,,�i Application Approved BY--- • -•----• •- Date Application Disapproved for the following reasons-.................................................--..........-................................................... ................_..-•------------------------ -------------------•------------------....................... Date Permit No......................................................... Issued------r`----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF' EALTH Q•it ...........OF.............. .... ....... . ... ........."......... rrtifiratr of font Iianrr T I9stalled *accordance Y, the Individual Sewage Disposal System constructed ( r Repaired ( ) by = . ... .......... ....--- ................................ ///yr Installer - ._4U -• 333,,,000ddd"'kkf))) at..... • has been th'the provisions of TI`" 5 of/T e State Sanitary Code as described in the application for Disposal Works Construction Permit No.." _______(__. i _- dated-__.�".17_ �............... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.. DATE........ .......... 1... .................................. Inspector....... _-•----. ---......---•--....---............-- THE COMMONWEALTH OF MASSACHUSETTS BOARD Pf HEALT Pi , y LF ......OF......- No.--.......,�........--- FEE.. d.... .... `��io�roo f o o � o#rnrti�an rrntit Permission is eby granted••• = g to Construc Re ar ( ) an Indlvldu S g Di o al Street as shown on the application for Disposal Works Construction Pe I No___ _._..... ated....3-__:�..��.-� ............ �/� Boar of Health - - ......................... v ,k Sn DATE.... --- -••-r•- ••---•----•-••-••••••. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Nt 177 S OR 7 -V-/<,; 07 -71C -q 0 0. V K &-4 N X7.RA ro 4mA Z�l, r4 Ilk - / y too ',,;4-v�,4 VY'CA 5 7 coeR Aqs A"E;v FT �owkv,, y- , ­J IV.-—------------------------ COAICe47 Co C ZFA/V -FA/V.0 7-7 5A CA-,A= L 4 CA S 7 LAYER IRON )-/Pz / 000 1> a 3 o MIA . PIT4Y OAL. • fi• • • • 0 SEPTIC rAV < DIST • • WA5HEO 5 01E BOX A WASHED STONE k7 PRECA 5 r SEEPAGE .1AIMCA-r --4Ek1A7-1,0,v5 EL C) Sol INXERT AT Fr S FT INLET 74"K 'E7C1AM (SEE,7, -A T)0N� ji3O U 744=7- SEP 7*1 C TANKFTw(z,-rV-157-R1.5Z17-1OtV Box �0 o=7 GR04JIVO WoATEsAr TABLE SECT/ON OF 7 1* 0V7LE7-AV157-,4?1,8&-r1aN BOX�FT r LEACHING 7- S EWA OH DISPOSAL. SYSTEM k TABULATIDN I-EA CAV/IV 6 AV 7' a. -SCA L- 01MFIVS1 0 A/ A AT DAF-516N CH17-ENIA 10 NUMBER A/. 50/Z- Z-O&N/r =57- AL 6ST1,oFvjA-r_-L> A-v 33D TOTAL 7' S011- S011- 7"L NUA18EA" 0, 0 =r 7- ,DATE0,= 501,L T`R5 SID-=LEACHING WITNESSED BY/z ^?jAo/ltVCH A-tco L.A 7-1,ov RA7-- 4&2 MIN.11vCHTO7AI4e4CHiYC AREA sp =7 lol- < q 03FRTj "-0 IV. jol, A X ..A UNiIK -'r'I S' 4. tic.2?162,0 ClV,-jlvC.r S, �� - floe r 712 MAIN�S7 3i � NO MAlIV5T OVA AZW At rARVc"To /vo, Ir,& OG// Y , C7;v o IVD -,4 NO �e, 0 E7 n5 A Vt P4 t;T v.' 311 r ass ti� �r f`k .. ,. � y.:,.-•".,-_'r• _ - -. - Y '. d' A .c�"^ '�, `,�. b i4 `�, �y��'S�4 t _• / Y "� / - c:J�J LZ-A C#'//N`s. / A P N q Z t b a r O/"Sj -f � y I .�J � �= y\`r, N ,;�C� c`"q'L. � v z• 'j'. t, QQ' ` TAry C h; ;t o ry n/ fn It4 J gr, .� J i. ..V, O 31 31 ih ..6 C x_h1 208ERTi i' �r r't•z Y 4 Y '` O r .. r ek A��' P. V EUNIKIS j ! �O FG ST ONAL LEGENDi CERTIFIED PL T PLANT EXISTING: SPOT ELEVATION ; Ox0 p : EXt3TIN4` CONTOUR - - _ p - �0 �t ;FINI SHED' . SPOT ELEVATION �0_0� `' FINI:3HED'-,C;ONTOUR - 0 - Ce�f} l C v.jL LE x A a . . ._, . - I - rr } F A , APPROVED j, BOARD OF 'HEALTH All A S rAS 9« ;dAS5e - # DAT..E A_G..EN.T . SCALE .30� DATE I �O 3r VIL L,OREDGE ENGINEERING CO. lNG':I Mic.KuN� s CLIENT .. ..... a w .,� � - - ! � CERTIFY- THAT THE . EGISTERE[ =' rREGISTERED� JOB NO. 8000 BUILDING SHOWN ON THIS PLAN t. ENGINEERS ,SURVEYOR DR. BY . ./; A-f _-. OLAND �NBARNSTFORMS TB THE E MASS. LAWS; MAIN ST. 712 MAIN ST CH. BY .1 •_T'=i3'_ �.SO x YARMOU�H, MASS.' HYANNIS,, MASS :_ •. S'HEE.T r_ OF Z_. VDZT E REG. LAND SURiIEYOR _s ... ,:n -�s.: ,c rr- ^.FeLG:. :'"„" a''_1L's`tY^Y;..a •, ':^ r.c.H y ..i Ism-+s. Er. 1 -rc "�' •'-may.. p+c.:n ^'rrt+`.3�.:•q>,s „r �:"_':"".'l'�"= ""A"..v�>*a"^.,�. _ d r; '`f N07 E /F`E/Ti'✓E�? 7"NE4S.GPT/C''TA/V 4,4 K R` 20 FT M/N D _ , ,� --�-' ," '., _Efl C,r-!/iVG:::P/T A/�E' J�?ORE ,.'T'N i9.�`✓ /2,.EElO/�t/ > /O Fr. M/N. Coy i'TE COVER • � .;- � � � ..: �� ,,_ ..�. f �, MIXI - •`sJ"l.4LL� B� 9ROuGHT ,TD G/3'AOE. .�-i/✓ EXTR/i. CONCReTE- 'MIN. ?ITCH. .. NE'4VY CAST-/?O/Y COl/ER SfHALL a uSE.U' to COVERS - =. I , " 2 • MIN CD/VC;RL"TE -� G AOE CU pER CLEAN SANG r I d e TT�T-T.-r-r-.--r .--rr-r-•-rr - R� L - 2"LAYER 1 �a 41, CAS71 I 0 a o 3�B' IRON P/PE I / flO O GAL. a M/N. P/TGN Ir ° 1 o i1 • • • • • • 1 p v .r / ,D/ST. 4 WA5HF0 57Y7NE Y�+ DER vr. �. SEPTIC TANKi o �, - 1 • • . . . . • . , �-u 4 BOX ,4 I+ _ ' � ...I zd•'' o p C 1 1 •EFFECT/VE 1 p� • d '3 I`•. "I� a-� G,I o ° � r 1 . vEPTI-•1 • 0 / ��e o I !4/.45HE0 STONE —�_,'j,� �IL'/.'•er_:_^...:,5.1'r a..�;.:' .:>:P.' .' _..l a - ri 1 1 •: • • e • • 1 I i3 4. �+ 1 • • . e . • • • • v — PiPEC,45 T SEEPAGE /N KVeT ELEVAT/DN.S 7L �� 6> ° e•�a t r � ■i • • • • • 1 / e�p P/7 OR EQU/V- �7 p • G FT v/,4M. o i /NXERT AT BUILDING _ FT- /NLET SEAT/C TANK �:S F7- D_ _FT._O/Al►'!: C(•5EE TULATJON> t� .OUTLET SEPT/C TaaNK FT _ ----� I ,. 1/NLET G/57R/44177/ON BOX_ 0 FT- /O/V OF GROONa WATER TABLE SECT 'O UTLET D/ST)?/BUT/ON BOX FT- ® � yNLtT• LEACHING F'/T ?a.SfTr SEWAGE 0/SR06A4 SYSTEM' T✓gBULAT/DN (✓ k { LEACH/NG PIT ER/A srAL_E DIMENSION A 3 ATDES/GN'CK/T D//ylE/VS/ON $�—FT yr1(61)118ER OF BEDROOMS C 'T af+ROAGEO/SPOSAI- UN/T_ _ SOIL LOG ' TOTAL EST/MATEp fiJl�(/_3 3 G,4L,�pq y SO/L TEST �*•/ SOIL TEST�#2,' SOIL TEST ; UMBER OF T� ,,ACHilva A,/ _. / +0 f^EGEV. 9 N 7 r`-E Y LE •_ OAT, OF 5OIL' TEST S/Of,BLEACH/NG PEf{ P/T l$.p8 SQ, FT.., - j ,. , RESULTS h//TNESSED BY -,P _IN 1V sc i S 6UT ',o/yf LEACH/NG PER P/T_ZlL_S4. 004A7-/0" RATE. / �— TOTA511 ff L LEACHING AREA 6 ,$(� FT. 4 PERCOLAT/ON RATE}k2 `' Mj v.1/_NCH RESERVE LEACHI/VG AREA-�6 6 SQ. .FT, `' SlaryS cv�trzsEVA/�5 4. D�i� .` 5l Ss��✓�� L l7T 3 /Cf/t1�(3021LL.:S0. RO3cRT! P. _s A ,� V O�L(/ > r 1�. x' BUN1K1 -. ,.. h/tf TG a y. S M1 .O X tit! ) 4 'y # 1 � � +Y .• ' NI NO 221°2 'z EL�!TE NG CO. //VC. " L = , x Sao = , y y j `' D6E ENGINEE €s? x rn9 F T 1. . Y':"' fu}t Y' - 1.�J S/+.� t..-N,'J� "'• ONA =.N4G• Ol!%V' �`.b' ERE/VCO viVTEsE'O `; 'H !••LNN�3�'-/'Ms7S5»,� paSO-` A RML�UTHeZ­ �.MAS.3 l w T -JOB QQVf/ � �y T �.r.. ,.✓� ..<.'. >.�ie�4 4 "+. .}. a.Y. �`'�^ ls�_' :,r n..#' :" g" ,�: ^^„3�t t �'; ^'Wr'r.' $'x,'•�.': A,s+.;,..a J .�� �" �.'©+Q 'wSHE —�.L:•.•C!�' #`n,- st. r. ....,,r>� 'F` r->t�" r. ;,,� .a ;:3.r: a s ,x ,'� ..._i-•.,Y ..`K r`x .F`. `'>° ..'..- - r •n,r 1. .'�:�,.. ...a'."-', v .,.,r.-. ,.... R .., ..�... :.A. Z..'� a"_c, y. - 1•s.'r' ,.s „'a l .+^ „-4`' ��,w�x ,. >'.,saa'•' }, , ._ :.:..y .:a*J... r� R� ..>., S. '+F A"a .'a, -S.a.? :'•t�t•,•r. ''S!_'t. +•' ,,t,. �n` ,i:.^ «y� •3,r.- w..� - :z.�•« i..Yd'-...P...slr. La..:u..�.u...:u.'l.•s..�:i.d1..,e;a.. ..w.- .l. y�.et..L.i. i._''+C.i�'P Li l .9a� r '�. A�a Rls�.d �4�`��,'+-..a.�<3'?G.�`k � �a,.;."v:g•'`�y3•.�'�'"!"ta tiy,•"_ F.�`r�,,,�r�"� "�+,� �> � ��:,� d 1•x fib:% ,r� ,s�,�6 +`>'^ :�"-.,' � •��,S,�.'� SECTION A -A V = 2000' 10 min. from • VENT PiPE O Leost 24 inches tolQ ALL OUTLE7 PIPES FROu 1HE i SITE house to septic tonk NOTE. ALL PIPES ARE BE 4 SCHEDULE 44 P.V.C. Schedule 40 PVC w/Chorcool odor Filter PROFILE VIEW-OF ADDITION TO :LEACHING SYSTEM DISTRIBUTION BOX SHALL BE Existing FOttndOtiOn P SET LEVEL FOR AT LEAST 2 FT. t4 CONCRETE COVER t Septic tank covers mutt be .. - within 6 in. of finished grode 3 of ij3 1W washed Peoston Erode over Septic Tonle 98.00 Grade over O-Box- g8.00 -Qode over SAS -98-00 3/4" to i t/2 Washed Cruzhed Stone '.x� " i3wOCK0u74nET HARBOR HILLSRD :.i2" INLET J N CL 5 0-b2 3 HOLE H-10 r t\ OUTLET 0 1 DIST. BOX 3' Max mum Cover Top of SAS - Eiev. .94.00 is ~/ 6" 1 dad Op0 v t- 12' EXIST. 5.0-01 0< Greater O � EXIST. PIPE N tf) 1.000 GAL. r ,.• W Ff2DN EXIST. FOUNDATION x r. 10' S� o.Ot" per loot '�"'_ Effective Depth ,5.5 4" - SCH..40 Te -t75' w ,n SEPTIC TANK p "-10 a..60" 8 5 units e 6' _ ao' PLAN SECTION CROSS-SECTION CONCRETE FULL FOUNDA w W ; ^ 1.. 3 3' e e n SYSTEM PROFILE 6 in.of 3/4"-1 1/2" i rn o�' 36' 3 HOLE H-10 DISTRIBUTION BC'X w compacted stone i a 11 p Effective Length NOT TO SCALE 0 Not to Scole - _ LOCUS M A P i y 4' 4 i 6 in.ol 3/4`-1 t/2` c 14 SOIL AfiSORPTIDN SYSTEM (SAS) GENERAL NOTES compocted stone Effective Width o CULTEC MODEL 125 (H•-10 LOADING)/ SHOREY PRECASTE m 1. Contractor is responsible for Digsofe notification @4Ltttrt_9!TtEaL!±aIs_!_Eltti- -------- (OR EQUIVALENT) Not to Scale a'id protection of all underground utilities and pipes. NOTE: OVERALL HEIGHT OF INFILT3ATOR IS 18" /EFFECTIVE HEIGHT IS 12" 2. The septic tank and distribution box shall be set level art 6" of 3/4"-1 1/2' stone. 3. Bockfill should be clean sand or gravel with no stones over 3" in size. 90 g6 4. This system is subject to inspection during installation 9�a\ `� by Carmen E. Shay - Environmental Services, Inc. ` 5, The contractor shall install this system in accordance .PERCOLATION TEST �__-__: _ ~________________ _ _ _ with Title V of the Massachusetts state code, the approved plan ____ --- Date - � --- __ and Local Regulations. _ -------------------- -`` of Percolation Test: MARCH 24, 2003 94 - - - _ ----_- ` 88 6. 1f, during installation the contractor encounters any Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 96 --------- N 27d 36' 00$1 E soil conditions or site conditions that ore different Results Witnessed By. WAIVER ( per Barnstable B.O.H.) __ ---_ "� - --___ �90 from those shown on the soil log or in our design �'�t�.-7f6i-` ` Excavator: Roberts Septic Services VENT PIPE - - - _ Y `� - - r91 installation must halt & immediate notification be Percolation Rote: Less Than 2 MPI 1 �\ made to Carmen E. Shay - Environmental Services, inc. 7. No vehicle ,or heavy machinery shall drive over the septic system unless noted as H-20 septic components. Test Hole O �, ir;w 'I7S' HOLE #1 \\ `\ 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. a r98t -_____-_ ,,� :,. • s ' 36 FLE✓.- 97.00 \ \ NO. 1 O - »� T. L f, \ \ 9. All Distribution Lines shall be 4 diameter Schedule 40 NSF PVC pipes. 11 DEPTH SOILS ELEV, w r�/I D-Box a'1rr .w� �''?'' `-�� \� \ 10. All solid piping, tees & fittings shall be 4" diameter 0 99.00 l �� ".` �. � :%,• �� 1 Schedule 40 NSF PVC pipes with water tight joints. Loamy 1\ `' ,rI-•� i,,,. �\_J,f t` Cp \\\ 11. Municipal Water is Connected to The Residence and Abutting Sand \\ EXIST. too0 got. aa:� Failed ; \\ Properties Within 150 Feet. to vR 3/2 \ f V. Leach Pit 0"-6` Aa 98.50 \\ Septic Tonle xt.r f U , , THE PROPERTY LINES ARE APPROXIMATE AND \ p r ,' 1 COMPILED FROM THE SURVEY PLAN GENERATED BY LSandO4"'y \ 1 ELDRIDGE ENGINEERING, OF YARMOUTH, MA 10 YR 5/6 `96'. \`\ i (get PROJECT BENCH MARK ENTITLED " CERTIFIED PLOT PLAN OF LOT #3 HARBOR HILLS ROAD, 6"- 30" B. 96.00 LOT #2 �� DECK I )`li TOP OF FOUNDATION HYANNISPORT, MA "DATED APRIL 16, 1980, Medium \ 23.5'� / ELEV. = 100.00 (Assumed) AND iS NOT INTENDED TO BE A SURVEY PLOT PLAN Sand GARAGE 198t fI IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 2.s Y 7/+ 94 ``ice ` THE SEPTIC SYSTEM INSTALLATION. 30"- 168 C 5.00 I i `_ ` �i I � EXISTING ' ,-l� EXISTING LEACH PIT TO BE PUMPED & FILLED IN PLACE. 3 BEDROOM ,� '94 1 ' LOT #4 HOUSE ��� NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE DECK 124 FROM THE EXISTING LEACH PIT TO BE DISPOSED 92 --- -�- i OF AS PER BOARD OF HEALTH SPECIFICATIONS. �\I Perc #1 1 O Depth to Perc: 36" to 54" cz I ASPHALT I', `- _ Perc Rate Less Tho 2 MPI iDRIVEWAYI LEGEND Groundwater Not Observed I 1 No Observed ESHWT I i - LOT~#3 ADJUSTED H2O Elev. = None i- \'�• � p4x DENOTES PROPOSED _ 12,700 Square Feet +/- -92 SPOT GRADE S 40d 30' 0p» I \�� --_________-- __- x 104.4E DENOTES EXISTING 88 ----�-'' I 77.67-" SPOT GRADE - �- - PL PROPERTY LINE ------ -- �-- O' -_A ��. '__ __ 88 96n1 PROPOSED CONTOUR - - - - - -97 EXISTING CONTOUR 2-18 DIAAA. AccEss MANHOLEs (40 FOOT RIGHT OF PA ® DEEP TEST HOLE & 8' WAY) PERCOLATION TEST LOCATION -y-- 6 FOOT STOCKADE FENCE .'. / / THE ACCESS COVERS FOR THE SEPTIC TANK - / l DISTRIBUTION BOX AND LEACHING COMPONENT OUTI ET SET DEEPER THAN 6 INCHES BELOW FINISHED �- GRADE SHALL BE RAISED TO WITHIN 6` OF T LAN FINISHED GRADE. INSTALL TUF-TITS GAS BAFFLES OR EOUALS OF PROPOSED SEPTIC SYSTEM UPGRADE STEEL REINFORCED PRECAST CONCRETE PLAN VIEW \ PREPARED FOR 3-24" REMOVABLE COVERS-� M R . J A C K i E CONFER J R . AT 3 min. clearance 4 H ! L S R 0 A D - t3' INLET"r, !1 T 8" min T t2" min. inlet to outlet OUTLET W. H YA N I S P 0 R T 1 MA �- 4quid level 10 -r ---- CM --- 5' -� Desian Calculations - _ 4'-0" min. � Liquid depth s PREPARED BY: o Number of Bedrooms: 3 Equivalent to 330 Gal./Doy (330 Gol./Day Min, per Title V) T �� S Garbage Grinder: No CA u * Leaching Capacity Proposed: 330 Gal./Doy Minimum (Min, Per Title V) I [=: 1' CA . All .�11Septic Tank '. - 3 x 330 Gal./Day _ 660 USE 1,500 GAL. Septic Tank. ^i Y 4' -,o" SOIL ABSORPTION AREA: Using percolation rote of <2 min./inch 0 20 40 50 I 11 �' ENVIRONMENTAL' SERVICES, INC. t��. O1 � Bottom Area: 0.74 al s ft, x 360 s ft. = 266.4 gallons �? CROSS SECTION END-SECTION g / a• q• g ��;� P.O. BOX 627 Sidewoll Area: 0.74 gol./sq. ft. x 92 sq. ft. = 68.08 gallons STF Providing: = 334,48 gallons t .M1S�P>iITAt'Ip' ;" EAST FALMOUTH, MA 0253E USE EXISTING 1000 GALLON H�- 1 0 SEPTIC TANK Use: (5 CULTEC MODEL 135 UNITS, HAVING A'1' EFFECTIVE DEPTH. "- y��4�v�"� TEL FAX 508-548-0796 SCALE: 1 -20 j TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE SCALE: 1"=20" DRAWN BY: CES DATE: MARCH 28, 2003 NOT TO SCALE ON THE ENDS. No STONE UNDER. PROJECT#SD405 FILENAME:- SD405PP.DWG SHEET 1 OF 1