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HomeMy WebLinkAbout0070 ARBOR WAY - Health 7.0 ARBOR WAY Hyannis A = 289_- 038 0 TOWN OF BARNSTABLE :.LOCATION r1d �.� W SEWAGE # VILLAGE ASSESSOR'S MAP & LOTa INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO IOF BEDROOMS n 1t OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: l 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 TOWN OF BARNSTABLE , LOCATION 70 A R 8O K. vE/�4�I _ SEWAGE#`� VIT LAGE ����t ASSESSOR'S MAP&PARCEL:Q ( -t- /33 INSTALLER'S NAME&PHONE NO. UC.° SEPTIC TANK CAPACITY f I LEACHING FACILITY:(type)at fl G 36 fl 71 c10 (size), NO.OF BEDROOMS OWNER Gh4n'f"� PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: ,Nei 6v+ov-cf fcr Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .Obsermc(et/dc'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 C�cZ�C(et�I�� G� PQ.G�CiJ U r Gc,.m3e. s e+ f _ I A f B r " ' PQ+G® ® O 3 A-I=d3 e 3 Q-1-33' A 8'.6 t3-zZ=40.3' A -3=a1,d, 23 3=54 A -q-=37.6 ., 8-4z6 7.3 s � n 'TOVYN OB BAR.NSTABLE . tAc��toiv: 7 �bd r I:J".a v .--SEWAGE�► .._. t .LACif's . , G/��l c ,f AS"5F3SOR'S MAP&L4T WvTALLERIS-NAME&PROME NO M?'1f:C TANK CA;PACITX /SD o' �4 ( l LEACi3t Q t;ACHM: ("o) NO:.OFUDROoidS 3: UILDMtaa f7BR1,D'-A"TE C�iPJQ�t,tP�ICE DA'�'Ei : " :.: �3epnratina t9t�Bmt�a Betv�een tbza, .,. . .. . . tM�xlmum+ ljuste�Groundwat�a Th lelb thB mtrnnofLaai;htn�E�iaility. ..:,;. Pliiva gc:VV w S 1i`lc fi'iuid Ge ttla atilt � �Ci13' ��. tY.�If esiy�veffs exist �: • . . . o eit�ac:;withi beef of te�tctuoi�faclUty) Faai Fxt�t:<�i?'Wetlat►�oupd Leaaf3lA�Fecilt4y(Lt'any:wetf�ici;t exist . ialtlalt�:3Qp facrbf leaaliit>s itit Pucyj sae ,.. ! L� . f+urNghad:by is i � 1 L1 Q a v Commonwealth of Massachusetts a89- aa� � Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments W K, 70 Arbor Way Property Address Chantal Rice Owner Owner's Na'�}� information is H annis ✓ MA 02601 7-12-19 +' required for every y 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. A. Inspector Information g41:K— i Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4: ❑ Fails 7-12-19 In c or'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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 I Commonwiealth of Massachusetts � o Title 5 Official Inspection Form - w Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12=19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) SystemlPasses: ® 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: System is in good working order with no sign of failure. 2) 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 aver 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): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 t Commonwealth of Massachusetts a Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .�_,_•.�, , 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. I ❑ 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): I ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): i i ❑ 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 El ❑N ❑ ND (Explain below): { ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 1 f 3) 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 orthe.environment: a. 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,' R safety and the environment: t5insp.doc•rev.7/26/2018; Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 1 Commonwealth of Massachusetts +� ,w Title 5 Official Inspection Form i I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is Hyannis MA 02601 7-12-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. i c. Other: 4) System Failure Criteria Applicable to All Systems: You must 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 t Commonwealth of Massachusetts ,, ( Title 5 Official. Inspection Form , l;6l ;Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 170 Arbor Way Property Address Chantal Rice Owner Owner's Name ' information is { required for every I Hyannis MA 02601 7-12-19. page. Cityrrown State Zip Code Date of Inspection 1C. Inspection Summary (cont.) `4) System Failure Criteria Applicable to All Systems: (cont.) Yes No i ❑ ® Static liquid level iri 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 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or Iobstructed pipe(s). Number of times pumped: ❑ ® . Any portion of the SAS, cesspool or privy is below high ground water elevation. i El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t Any portion of a cesspool or privy is within a Zone 1 of a public water supply ( ❑ :® well. ; • ' ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well: ❑ ' ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate-nitrogen is equal to or less than 5 ppm, ` provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form_] ❑ Z. The system is a cesspool serving a facility with a design flow of 2000 gpd- 101000 gpd. f ❑ • ,® 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 fnecessary to correct the failure. 5) Large Systems:To be considered a large system the system must serve a facility with a design t 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 e questions in Section CA.. Yes No r ❑ ❑ the system is within 400 feet of a surface drinking water supply E ❑ the system is within 200 feet of a tributary to a surface drinking water supply 0 • ❑ El system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well y t t5insp doc•rev.7/26/2018 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 r Commonwealth of Massachusetts rvi Title 5 Official Inspection Form lar' 01 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe 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)] i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 i i � ' . Commonwealth of Massachusetts z� Title 5 Official. Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ; r ji ti.r_•T, , 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No, Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: i i t Sump pump? ❑ Yes ® No Last date of occupancy: 7-2019 Date t5insp.doc•rev.7/2 6120 1 8' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i-1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No i If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts , a R. ; Title 5 Official Inspection Form � i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way J• S Property Address Chantal Rice Owner }Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection ',D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool I ❑ Privy t ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) I ! ❑ 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): s Approximate age of all components, date installed (if known) and source of information: 2012 i Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): , E 36" Depth below grade: � feet jMaterial of construction: ® cast iron 3 ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. •' t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form ' r�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 30"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: 1500 gal Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pap 10 of 18 Commonwealth of Massachusetts rot Title 5 Official Inspection Form hl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form r�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is H annis MA 02601 7-12-19 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): Good condition with water at working level and no sign of back-up from field. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts a r Title 5 Official. Inspection Form ► 1 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection ' D. System Information (cont.) , 10. Pump Chamber(locate on site plan): i Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): i * If pumps or alarms are not in working order, system is a conditional pass. ,11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: f t Type: , r - � { ❑ leaching pits number: I ® leaching chambers number: 20-Infiltrators ❑ leaching galleries number: I I f ❑ leaching trenches number, length: 11 ❑ - leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7t26/2018. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 0 Commonwealth of Massachusetts } RTitle 5 Official Inspection Form wa �I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .r 70 Arbor Way r Property Address Chantal Rice Owner Owner's Name information is H annis MA 02601 7-12-19 required for every y page. CitylTown State Zip Code Date of Inspection D. System Information (coat.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Infiltrator field in good working order and empty at inspection with no sign of-back-up. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5insp.doc-rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ICI Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments 70 Arbor Way .1 Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) , 13. 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.): i r t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ai Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 41 70 Arbor Way 'J Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 k GK c ..._ .0 � a I �rp e. A,3 6Y s •y- 576 " (�-�l• 57,x. o i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c�.e'"" Commonwealth of Massachusetts , { Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every I Hyannis MA 62601 7-12-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.)�.. t. = 15. Site Exam: t ❑ Check Slope ❑ Surface water ❑ Check cellar I ❑ Shallow wells 12' Estimated depth to high ground water:, feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record I ' If checked, date of design plan reviewed: Date ` ® Observed site (abutting property/observation hole within 150 feet of SAS) I 1 ® Checked with local Board of Health - explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: t t You must describe how you established the high ground water elevation: I Orignal design plans show no groundwater at 12'. . t , t - Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 t i Commonwealth of Massachusetts Title 5 Official Inspection Form it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � tM 70 Arbor Way Property Address Chantal Rice Owner Owner's Name information is required for every Hyannis MA 02601 7-12-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure.Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pt:mping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 i Town of Barnstable P#_ Z 73-5 Department of Regulatory Services .wartarners a ]Public Health Division >tv+as Date ,14p a� 200 Main Street,Hyannis MA 02601 Date Scheduled I li )a Time — Fee Pd. p `oil Suitability Assessme . nt fog- �'e e Disposal Performed-By: HIC16-4 601e.114 E T,7 GSE Witnessed By: LOCATION& GENERAL INFORMATION Location Address `7 O At 4 5,(2- .,,4,1 Owner's Name �Y�vL✓\s`� Address Z0 / � 7 Assessor's Map/Parcel: '�g�./ 3� Engineer's Name J NEW CONSTRUCTION 'REPAIR Telephone# S c�£s t4-7 7 _7-�. 508-273-03.-7 7 Land Use: 51(*C- Famli dWeli r jo, Slopes(96) Zr Surface Stones — Distances from: Open Water Body — ft Possible Wet Area — ft Drinking Water Well ft I Drainage Way ft Property Une 7 10 ft Other ft �' N SI�JE7CCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity�to Boles) C:) .:Z Se_— a+FncW. v r� Parent material(geologic) OLAWCLSV) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: _ Weeping from Plt Face — Estimated Seasonal Fllgh Groundwater 7 k 2(0.. lz�S DETERMINATION FOR SEASONAL HIGH WATER-TABLE Method Used: wcezl ObsetOc k(ei,n Depth Observed standing in obs.hole: 7(24� In, 'Depth to loll mottles; An, Depth to weeping from side of obs.hole: in, Groundwater Adjustment — f. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater level -- -.. _ Observation PERCOLATION TEST bate -(3-12xh1e 105,4# —'—'—' Hole# �_ — ? Tima at 4" Depth of Peccc36" 5 y <�; ��;•TlmentG" Start Pre-soak Tlme @ W I S A11 Time(9"-6") - - End Pr"oak j(-2( A r( Rate Min./Inch L 2- - Site Suitability Assessment: Site Passed yes Site Failed: Additional Testing Needed(YIN) N Original: Public Health Division Observation Hole Data To Be Completed on Back----=---- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EPTIC\PERCPORM.D OC r DEEP-OBSERVATION HOLE LOG Hole# 1 2. Depth from Soil Horizon Soil Texture .Shcl Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. ronsistenc:v,%'Qravel) 21-26 L5 l0 it S/G 36"126 G -05 2.5I /0 Gac.eA DEEP OBSERVATION HOLE LOG Hole,# Depth from Soil Horizon Soil Texture ' Soil Color Soil Other Surface(in.) ' (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C09315tency.go G e i DEEP OBSERVATION HOLE LOG Hole#. Depthftom Soil Horizon Sol[Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling . (Structure,Stones,Boulders. Consistency, l DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Coslt y Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No✓ Yes ' Within 100 year flood boundary No. . ' Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterial exist in all areas observed throughout the area proposed for the soil absorption system? y e�S If not,what is the depth of naturally occ--fining pervious matarial'1 Certification I certify that on (date)I have passed the soil evaluator examination approved-by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise a experi a described in�10 CMR 15.017. Signature Date 9"13l2 Q:1SMICIPERCPORM.'DOC ✓"fit / No. l/\. �q Fee C THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yication for is oral stem Construction r \ �� � � p s �e utit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) []Complete System ❑Individual Components Location Address or Lot No. r7o AR9oP u-#4`t !4Y.&AN$ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ;�$g 3 g '70 A W:4`f 1-411400 s Installer's Name,Address,and Tel.No. 50g-4 77a$'R7 7 Designer's Name,Address,and Tel.No. 508-.273 -03 7 7 C 40E1vtDC ENTEX_PP1.4SE3� LAC TC EN(at r. a6wju-� l :s ct s- ltil`4SEfDt� S�F lfta:�/ E. Type of Building: DwellingNo.of Bedrooms -F ,3 Lot Size '4 s sq.ft. Garbage Grinder( ) Other Type of Building 62 GC_1 L�t'�.�t j4& --No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 SS, gpd Plan Date 9-a O P d0 l ;k- Number of sheets Revision Date Title 70 AIZSM. t<,�e44 HYAtitUQS Size of Septic Tank L :00 ot.4 Loo Type of S.A.S. 20 Ai2c, _-A(j ad_ Description of Soil i!rD 36 q S(fC pr_ Nature of Repairs or Alterations(Answer when applicable) (,5On ( {, :�S-61p�-Lc 7j4A!(4__ In N6� b-B0Z 12:� aO Aae 36 Nd, dta I!FEQ06) 10 A= P[6_3 6 <±00EIC T71)N/ 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 He i d o Date q'a4- a01x Application Approved by Date Application Disapproved by Date for the following reasons i Permit No. Date Issued -----------------------------------------------------------------------------=-- --- ---- -------------- - - r' Vs No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Iitation for Ns oBal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(x) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. r]D �RaOR W�4y.. Y �15 C 14Au'r4c. I+4'4 S Assessor's Map/Parcel $ 3$ " -_ 70 A "*f (4y,02V 1 S Installer's Name,Address,and Tel.No. ,Spy-µ779$'R7'7 Designer's Name,Address,and Tel.No.$0S-a73 -03 7`] C40E[v"1>E ENTEXP449E,57 L LC. TC.(5pi stAjaa4.N-k=- Zvr— s t2z 4 tf�`l C. v4w Type of Building: Dwelling No.of Bedrooms 3 Lot Size ( S ¢ sq.ft. Garbage Grinder( ) Other Type of Building J2 )-t_t No.of Persons Showers( ) Cafeieria ) Other Fixtures Design Flow(min.required) 3 3(2 gpd Design flow provided .3 ss, al.., gpd Plan Date 9-,-A O - ao l -L Number of sheets Revision Date Title ARBOR l,--#A%4 HY041JOIC Size of Septic Tank ( ?D O Ced u.orJ Type of S.A.S. Ro A pc _-Ar2 j4d_ &10A18FU(ta2.� Description of Soil 04 94) Th d.64Q S6 1 �)b 92 36" SEE P -4A) Nature of Repairs or Alterations(Answer when applicable) Ndk) 1:5QOf2rk SfAO►'tG Z&A4 _ .L h_B � �O �aC 3� N� L3(Q n �` lry �/�z6 'c.oxfgGi �TPJ)tI r' 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 He Ith. Date q- d-OIX Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO'CEERTIFY,that the On-site Sewage Disposal system Constructed( � ) Repaired( Upgraded( ) Abandoned( )by GitOCWI O6 E � PRISS l_L.C' at has been constructed in accordance with the provisions of Title 5.and the for Disposal System Construction Permit No. t e d Installer d°4l9k-_4­11DE Et�'Pk(.SK­� L _ Designer jC_j�:0rod Lk, LNG #bedrooms i Approved design flow gpd The issu of thij permit shall not be construed as a guar tee that the system iv� ction as de Date14r G Inspector 2 -- -•... No,�-.�J---�------- �-.-=--c-a.-=---..- Fee-_�h �I� , ---T-HE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposat 6pstem ConstrUttion Permit Permission is hereby granted to Construct( ) Repair()() Upgrade( ) Abandon( ) System located at 7() ARBag )AN Hya tm 1 5 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. 1 Provided:Co tru io mu be completed within three years of the date of this permit.- Date Approved by 10/03/2012 04:44 5082730367 91536 P. 001/001 Town of Barnstable Regulatory Services �. Thomas F. Geiler,Director BAMAS& Public Health Division 'b"' `� Thomas McKean,Director lBD�0 260 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax; 508-790-6304 Date: ocfa6e r a, aou Sewage Permit# Zola--L9 Z Assessor's Map/Parcel a 89 13$ Installer&Designer Certification Form ncs"rl; Tl,)G _ Installer: Cae.,wide- Cnfereccae-S, LL-.C:. Adcl;ress: 2 6a y CI;Un%Uek(y htytnW2 / Address: 153 C owMyn-e -a-AeL coT. i 6asA wOrenA"I N R- 62SI8 fY60�s�.oe a ✓Ma_ Un 9' �-' Z'12- CC eW *e- t4tr I'S was issued a permit to install a (date) (installer) septic system at l o Arbor N ua hn iS based on a design drawn by (add ss) �( rrdlgttlee(in , TV)C", dated Se0ember a0, aUld (designer) I certify that the septic system referenced above was installed substantially according to j the design, which may include minor approved changes such as lateral relocation of the I distribution box and/or septic tank. Stripout (if'required) was inspected and the soils werc found satisfactory. _ I certify that the septic system' referenced above was installed with major changes (i.e. greater- than I W lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if re q ' .nspected and the soils I were found satisfactory. ,%400 JOHN L. CHChC '•ILL JIB• 1 CIVII. J (Ins ler'. Sign re) No atd07 I esigner's Signatur (Affix esi er s mp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q'.nl'I'ite furnis\d�signurceiliricalinn fnrn.doc i • � I TOP OF FOUNDATION = 45.1 ± FINISH GRADE OVER D-BOX= 39.V± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSI�RS= 38.7 - 39.1 G E N F RAL N OT F S PROVIDE EXTENSION RISER SLOPE @ 2% MIN. WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE 1• UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. 39.2+ ACCESS BOX TO WITHIN 3"OF - METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 39.0'± - 5" DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 36"MAX. } + ---- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 9" MIN. I I \\ DESIGN ENGINEER. PROP. PVC PROP. PVC 39"MIN. 39"MIN.AX. TOP OF SAS/B.O - 36.13' \ 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE - \ -L-1-L SEWER PIPE 1 SYSTEM UNLESS OTHERWISE NOTED. �� 2" DROP MIN. I MIN.SLOPE@1% 6" 3" 3" 9" PROVIDE WATERTIGHT 1 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3" DROP MAX. MIN.SLOPE @,% L=13'± JOINTS (TYP.) 4_H41 ELEVATION = 36.13' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A " 4" PVCIFROM 1,33' 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 4 *36.70' 1° 14' Exi, 36,25' SEPTIC Ar= 4"PVC OUT TO 0 0, (TYP.) 10.75'(TYP) 161. THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. O LEACHING FACILITY CLEAN SAND ( 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 36.50' + " 6" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" OUTLET TEE 36.00' N. 35,83' 35.70' 34.80' (laid flat) 2.875'(34.5") 50, (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6"CRUSHED STONE (TYP.) 5'MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS ' OVER MECHANICALLY 14.375' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 11.3'TO FND COMPACTED BASE REQD 20.0' AND DESIGN ENGINEER. 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON AN APPROXIMATE M.S.L. DATUM OF 40.00' OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 28.20' BIODIFFUSERS (END VIEW) ESTABLISHED ON TOP OF BOTTOM STEP AS SHOWN ON PLAN. COMPACTED BASE C, Q �,` BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 , PIPES TO BE LAID LEVEL. BIODIFFUSERS PROFILE 500 GALLON CONCRETE SEPTIC (H-10) (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10 6' WIDTH 5 8 DEPTH 5 8 (Dimensions per Wiggin CROSS SECTION VIEW (BY ADVANCED DRAINAGE SYSTEMS INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO REPLUMB INTERIOR SEWER z>LPTIC TANK PROFILE Precast Corp., Pocasset, MA) DISTRIBUTION BOX DETAIL ARC 36HC (#3616BD) BIODIFFUSERS (H-20) TO THE DESIGN ENGINEER. PIPING TO EXIT HOUSE AT THIS ELEVATION NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING T - � T � ,� REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM I PERC NO. 13735 APPROPRIATE AUTHORITY. a � INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS �-- 0 EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE I IH ¢ THEY SHALL WITHSTAND H-20 LOADING. C.S.E. APPROVAL DATE: Oct. 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DATE: September 13, 2012 k i TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV TOP= 38.70' a0530 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ELEV WATER= <28.20' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). t PERC RATE - <2 min./inch a 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN U - SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. /0 LO `' II DEPTH OF PERC = 36„ „ 16. PROPOSED PROJECT IS LOCATED WITHIN: �.. Q j . �� ` . -- TEXTURAL CLASS: 1 ASSESSOR'S MAP 289 PARCEL 38 ii OWNER OF RECORD: CHANTAL K. HAYES � i t.# 0„ ADDRESS: 70 ARBOR WAY G� Fill 38.70' ZON E'2 ' ` , HYANNIS, MA 02601 ' Gou r' 'r✓ 24' 36.70' i? It . © ;p A Loamy Sand • ... nE r 26„ 10Yr 311 36.53' FEMA FLOOD ZONE C rn �� i « oo • } Loamy Sand COMMUNITY PANEL# 250001 0006 D colI B ; �+' 10Yr 5/6 17. DEED REFERENCE: L.C.0#197683 TSON MAP 289 ,d / 36" 35.70 18. PLAN REFERENCE: L.C. PLAN 24740-C t3 Perk PARCEL 147 f ' r 54„ 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. --, , 34.20' • � `1 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY C Med. to Coarse Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. MAP 289 t�. � ,--� _ � - �� � � 1 2%5Y 6/6el MAP 289 PARCEL 148 PARCEL38 18,451 S.F. " LOCUS PLAN ± -- S82n2'40w �I. _ 42 0y SCALE: 1"= 1000' I 126" 2820' -37 No Mottling, Standing or Weeping Observed OD ZF MAP 289 TES - PIT DATA LEGEND DESIGN DATA N . / 14"HOLLY TREE �' o "/ (4) 11 p) PARCEL 133 j PERC NO. 13735 MAP 289 m �36� TX1 ! INSPECTOR: David W. Stanton, R.S. 50x0 EXISTING SPOT GRADE PROPOSED INSPECTION PORT WITH ACCESS PARCEL 132 i ! EVALUATOR: Michael Pimentel, E.I.T. - _ - __ TP 2 BOX TO GRADE (TYP OF 2) NUMBER OF BEDROOMS (DESIGN) 3 I i - 50 - EXISTING CONTOUR C.S.E. APPROVAL DATE: Oct. 1999 39x PROP. TOTAL 20 ARC 36 HC(#3616BD) DESIGN FLOW 110 GAUDAY/BEDROOM 50 PROPOSED CONTOUR i Se tember 13, 2012 -39- - _ _ �`3) 6) BIODIFFUSERS IN A FIELD CONFIGURATION DATE: P TOTAL DESIGN FLOW 330 GAUDAY ! TEST PIT#: 2 ❑/H/W EXISTING OVERHEAD UTILITIES Benchmark (1) (2) --PROPOSED DISTRIBUTION BOX I ELEV TOP - 39.00' GAS - Benchmark DESIGN FLOW X 200 % = 660 GAUDAY � _ Top of Bottom Step PATIO 0"TRE �' ! EXISTING GAS LINE PROPOSED 1,500 GALLON SEPTIC TANK USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER-Elev. =40.00' d o - < 28.50' A rox. w ! PERC RATE _ PP M.S.L W W-- EXISTING WATER LINE -39 D L5 1 - DEPTH OF PERC- TEST PIT LOCATION He-2 H�1 i INSTALL 20 - ARC36 HC (#3616BD) BIODIFFUSERS (H-20) I I TEXTURAL CLASS: 1 #70 ; i O PROPOSED 1,500 GALLON SEPTIC TANK EXISTING f CRAWL � SLAB LICENCED PLUMBER TO REPLUMB ENTIRE HOUSE TO THIS SYSTEM CAPACITY 3-BEDROOM 1 SPACE EL = LOCATION. ELEVATION OF PIPE EXITING TO BE AS SHOWN ON PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE DWELLING' 1 1 37 5'± PROFILE. (TOTAL L.F. OF BIOS)(4.8 SF/LF) (0.�-� .)=GPD 0„ 39.00' TOF =45.V± 1 (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)- 355.2 LEACHING/DAY Fill 13 PROPOSED DISTRIBUTION BOX A 24' Loamy Sand 37.00' ` \ TOTALS: 26„ 10Yr 3/1 36.83' PROPOSED ARC 36HC (#3616BD)BIODIFFUSER (H-20) TOTAL NUMBER OF BIODIFFUSERS: 20 Loamy Sand r,: __---------'EXIST. CESSPOOL TO BE PUMPED AND TOTAL NUMBER OF COUPLINGS: 0 B 10Yr 5/6 N FILLED WITH CLEAN SAND (TYP)APPROX. TOTAL LEACHING AREA: 480.0 i\ LOCATIONS- s TOTAL LEACHING CAPACITY: 355.2 36" 36.00' REV. DATE BY APP'D. DESCRIPTION > L; \ PROPOSED SEPTIC SYSTEM UPGRADE GRAVEL > DRIVEWAY L-10 0 ± NOTE: PREPARED FOR: EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE R=600.29 - _ _ DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C Med. to Coarse Sand CAPEWIDE ENTERPRISES I "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED 10%Gravel EDGE OF PAVEMENT SWING-TIES DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED 2.5Y 6/6 LOCATED AT ARBOR WAY 'ti JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. (40'WIDE LAYOUT) \ DESCRIPTION HC1 HC2 70 ARBOR WAY �o UP 650/3 SEPTIC COVER IN (1) 22.4' 32.7' HYANNIS, MA 02601 SEPTIC COVER OUT(2) 17.1' 39.9' 126" 28.50' SCALE: 1 INCH = 20 FT. DATE: SEPTEMBER 20, 2012 NOTES: 0 10 20 40 80 FEET BIODIFFUSER CORNER 3 22.0' 48.1' 1 No Mottling, Standing or Weeping Observed ��� 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEMPREPARED BY: BIODIFFUSER CORNER(4) 41.9' 58.9' JOHN L JC ENGINEERING, INC. COMPONENT. RESERVED FOR BOARD OF HEALTH USE CHURCHILL J , 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING BIODIFFUSER CORNER(5) 43.4' 70.3' 11 NOCi �L 2854 CRANBERRY HIGHWAY SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO BIODIFFUSER CORNER(6)T 24.7' 61.6' EAST WAREHAM, MA 02538 ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. SITE PLAN Drawn B : JLC Desi ned B : L 3.0377 3.) ENTIRE LOCUS PROPERTY IS LOCATED WITHIN THE WELLHEAD PROTECTION AREA. 5os.27 SCALE: 1"=20' rv`f1 y g y J C j Checked By: JLC JOB No. 2302