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HomeMy WebLinkAbout0056 COUNTY SEAT STREET - Health O 56 COUNTY SEAT VIM, HYANNIS A = 1 i li I TOWN OF BARNSTABLE LOCATION 3(//p CU�/�J � /T SEWAGE VILLAGE' &AI s ASSESSOR'S MAP&PARCEL "-- INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 5 © � LEACHING FACILITY:(type) ' (size). /"7/ NO.OF BEDROOMS OWNER hh PERMIT DATE: COMPLIANCE DATE: 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 V �V 1 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street Property Address ` x: Richard Aurandt Owner Owner's Na information is H annis MA 02601 10/29/2019 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. Important:When A. Inspector Information filling out forms on the computer, Mathieu Rebello use only the tab key to move your Name of Inspector cursor-do not N/A use the return Company Name key. 30 Norse Rd Company Address South Dennis MA 02660 City/Town State Zip Code 774-722-0271 S1-14140 Telephone Number License Number B. Certification I certify that: I am a:DEP approved system inspector in full compliance with Section 16.346 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property 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 10129119 Inspecto s Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or D.EP)within 30 days of completing this inspection. If the system has a design flow of 101000 gpd`or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DER 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 46=18 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 1 4 x I Commonwealth of Massachusetts. 7 - Title 5 OfficialInspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street `J Property Address Richard Aurandt Owner Owner's Name information is required for every Hyannis MA 02601 10/2912019 page. Cityrown state Zip Code ; Date of Inspection C. Inspection Summary t Inspection Summary:Complete 1, 2, 3, or 5 and all of 4 and 6. ' 1) System.Passes: x F, r 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: 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 over 20 years old'or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exf+ltration 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. D. Y O N El ND (Explain below): i 1, t§insp.doc-reY,7/26/2018 Title 6 Official inspection Form:Subsurface Sewage Disposal System•Page 2 or 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 56 County Seat Street Property Address Richard Aurandt Owner Owner's Name information is required for every Hyannis MA 02601 10/29/2019 page. City/Town State Zip Code Date of Inspection G. Inspection Summary (cont ) 2) System Conditionally Passes(cone.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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)- El. distribution box is leveled or replaced ❑ Y M. N ❑ ND(Explain.below): The system required pumping more than 4 times a year due to broken or obstructed pipe(s):The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):: ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):: 3) Further Evaluation is Required by the Board of Health: 171 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health; safety or the environment. 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, safety and the environment: t5insp.Coe•rev.7/2612018 Tides Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18. Commonwealth of Massachusetts t Tithe 5 Official Inspection Form Subsurface.Sewage Disposal System Form-Not for Voluntary Assessments l"7 56 County Seat Street Property Address Richard Aurandt Owner Owners Name information is Hyannis MA 02601 10/29/2019 required for every page. City/Town - state Zip.Code Date of Inspection C. Inspection Summary (cons.) ❑ 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. 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.dac•rev.;.7Y26."2018 - Title 5 Offiae!Mspeaion Form:Subsurface Sewage Disposal System•Page 4 of 18 ' t Commonwealth of Massachusetts -, Tithe 5 official Inspection Form � Subsurface Sewage Disposal System Form-Not for Assessments, Voluntary v 56 County_Seat Street. Property Address - Richard Aurandt Owner Owner's Name information is required for every Hyannis MA 02601 10/29/2019 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems:(cont.) Yes No ❑ Z Static liquid.level in the distribution box above outlet invert due to an.overloaded or clogged SAS or cesspool 11 ® liquid depth in cesspool is less than 6" below invert or-available volume is less than %day flow ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ® Any portion of the SAS, cesspool or privy is below high.ground water elevation. ® Any portion of cesspool.or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a.public water supply well. ❑ Z Any portion of a cesspool or privy is within 50 feet of a.private water supply well. ❑ ® Any.portion of a cesspool or privy is.less than 100 feet.but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving-a facility with,a design flow,of 2000 gpd- 10,000 gpd. ❑ ® The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what_will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system.must serve a facility with a design flow of 10,000 gpd to 16"000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in;addition to the questions in Section CA Yes No the system is within 400 feet of.a surface drinking water-supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well t5insp.doc•rev.M612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System-.Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form + r' Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 56 County Seat Street Property Address Richard Aurandt Owner Owner's Name V- ------- —___ information is e Hyannis MA 02601 _ 10/29/2019 required for every. -• page. CftyrTown state Zip Code Date of Inspection C. Inspection Summary (cont.) j 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 C.4 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 31.0 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 ❑ Z Pumping information was provided by the owner, occupant, or Board of Health Q Z Were any of the system components pumped out in the previous two weeks? ® Has the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and examined?(If they were not available note as NIA) ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? Were all system components, excluding the SAS, located on site? Z ❑ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles ortees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on,the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the.site has been determined based on: Existing information. For example, a plan at the.Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] c t5insp.doc•rev.7126=18 Tide 5 Official Inspection Form Subsurface Sewage Nvosal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street _ Property Address Richard Aurandt Owner Owner's Name information is required for every Hyannis MA 02601 10/2912019 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 flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Description- 1500 gallon tank, D-box and 3-3050 infiltrator chambers Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes 0 No Does residence have a water treatment unit? ❑ Yes g No If yes,discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes J No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes: Z No Water meter readings,.if available (last 2 years usage(gpd)): Detail: 1400 gallons total used past two year Sump pump? ❑ Yes ® No. Last date of occupancy: vacant basicallysince 2008 t5inap.doe•rev.7126r2018 Title 5 Official Inspection Form:Subsurface Sawa a Dis posal spo586Syssem•Page 7 W 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street Property Address -- ---- -- ------��_� Richard Aurandt Owner Owner's Name information is Hyannis MA 02601 10/29/2019 required'for every y page. Cftyfrown State Zip Code Date of Inspection D. System Information (cost.) 2. Commerciallindustrial Flow Conditions: Type of Establishment: N/A N/A Design flow(based on 310 CMR 15.203j: Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft..,.etc.): N/A Grease trap present? ❑ Yes Z No Water treatment unit present? ❑ Yes ® No If yes, discharges to: NIA Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: NIA Last date of occupancy/use: N/A Date :Other(describe below): N/A 3. Pumping Records Source of'information: N/A Was system, pumped as part.of the inspection? ❑ Yes 0 No 1f yes, volume pumped: - -- - gallons How was quantity pumped determined? Reason for pumping: — i t5insp.doc-.rev.7/2UMS Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 4 Commonwealth of Massachusetts �. Title 5 Official Inspection Form J Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1 v 56 County Seat Street Property Address Richard Aurandt Owner Owner's Name information is required for every Hyannis MA 02601 10129;12019 page. Cityrrown 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 ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Altemative 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): Approximate age of all components, date.installed(if known)and source of information: 2008 -- Were sewage odors detected when arriving at the site? ❑ Yes Z No 5. Building Sewer(locate on site plan): Depth below grade: e'e Material.of construction: cast iron 40 PVC ❑other(explain): Distance from private water supply well or suction line; town water_ p PP Y feet _ Comments(on condition of joints, venting, evidence of leakage,eta:): joints tight roper venting, no evidence of leakage. _ t5insp.doc•rev.7/2612018 TNe 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts ;p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1 56 County Seat Street Property Address Richard Aurandt Owner Owner's Name information is required for every .Hyannis MA 02601 10/29I2019 page. City/Town State Zip code Date of Inspection D. System Information (cunt.) 6. Septic Tank(locate on site plan): Depth below grade: 1'6 feet Material of construction: Z: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 gallon precast H10 Sludge depth: Olt --- Distance from top of sludge to bottom of outlet tee or baffle NIA _ _Scum thickness 011 Distance from top of scum o top of outlet tee or baffle NIA Distance from bottom of scum to bottom of outlet tee.or baffle NIA How were dimensions determined? MIA Comments(on pumping recommendations, inlet and outlet tee-or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): pumping not needed at this time.Tee's in place in working condition, no signs of leakage or over loading. Liquid level is maybe 6"from floor of tank, house has been vacant since system was installed. Inlet and outlet lids have riser. f i f t5insp.doc•rev.7M6F2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 1S , Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form-.Not for Voluntary Assessments 56 County Seat Street Property Address Richard Aurandt Owner --- ------------- Owner's Name information is required for every Hyannis MA 02601 10/29/201.9 - page. CityJTown State :Zip Code Date;of n§pection D. System 'Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: N!A . -.feet - Material of construction: ❑ concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): N/A Dimensions: N/A. Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle NIA Date of last pumping: N/A 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.): N/A 8. Tight or'Holding Tank(tank must be pumped at time of inspection)(locate on site-plan): Depth below grade: NIA Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): N/A Dimensions: NIA Capacity: N/A gallons Design Flow: N/A gallons per day t5insp.doc•rev.7128/2018 Title 5 official inspection form:Subsurface Sewage Disposal System•Page t1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments . ., 56 County Seat Street Property.Address Richard Aurandt Owner Owner's Name .information is H annis MA 02601 10/2912019 required forevery _ _-- _---. page. City/Town state Zip Code Date of Inspection D. System Information (cunt.) 8: Tight or Holding Tank(cont.) Alarm present; ❑ Yes ❑ No Alarm level.` NIA Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A Date Comments(condition of alarm and.float switches, etc.): NlA *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 011 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.): D-box in good working condition.No evidence of leakage in or out of box. No evidence of solid carryover or over loading. One inlet and one outlet, D-box has riser. f t5insp.doc -rev.7t2812018- Titte 5.Official.Inspection Form.Subsurface Sewage.Disposal System•Page 12 of 18 e . i N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street Property Address Richard Aurandt Owner Owner's Name information is Hyannis MA 02601 10/29/2019 required for every page. City(Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site.plan): Pumps in working order: ❑ Yes ❑ NW Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A *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: N/A Type: 13 leaching pits number: ® leaching chambers number: 3-3050 infiltrators ❑ leaching galleries number: leaching,trenches number, length: - leaching fields number, dimensions: ❑ overflow cesspool number:_ ❑ innovative/alternative system Type/name of technology: t5insp.aoc•rev.7126l201 8 Title 5 Ofrrc;al inspection Form:Subsurface Sewage Disposal System•Page.13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface,Sewage Disposal_System Form-Not for Voluntary Assessments .1 56 County Seat Street Prop"Address Richard Aurandt Owner owner's Name Information is required for every, Hyannis MA 02601 10/29/2019 page. City/Town State Zip code Date of Inspection D. System Information (cont.) 1.1.. Soil Absorption System(SAS)(cont.) Comments(note condition of toil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 3-3050 infiltrators, soil found clean and dry with no level of ponding or signs of hydraulic failure. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): ;Number and configuration NIA Depth—top.of liquid.to inlet invert N/A Depth of solids layer' N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction NIA Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc:): N/A .l .i . t t5insp.doc-rev.7/28/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 t r I i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat Street Property Address Richard Aurandt _ Owner Owner's Name information is required for every �H annis MA 02601 10/29/2019 page. Cityrrown state Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids NIA Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5insp.doc-rev.7/26/2018 Title 5 Official inspection form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts 1� Title 5 Official Inspection Form M Subsurface Sewage Disposal.System Form-Not for Voluntary Assessments 56 County Seat.Street { — Property Address Richard Aurandt Owner Ownees Name information is required for every Hyannis MA 02601 10/29/2019 page. C,ity/Town State Zip Code Date of Inspection D. System Information (cont.) 1.4. 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: is hand-sketch in the area below ❑ :drawing attached separately ; 1nJ A 1 01- 3.. a ED Al K 61 - 31 . 6 3 y A a- a. d 6Z- 33. I d A3w Q 3- aa`g. 6 ' r t5insp.docrrev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposai System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments 56 County Seat Street . . . .._. .. . Property Address Richard Aurandt Owner Owner's Name information is Hyannis MA 02801 10/29/2019 required for every y page. City/Town state Zip Code Date of inspection D. System Information (coat.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ 'Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please.indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record 1f checked; date of design plan reviewed: Date ® Observed site.(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established.the high ground water elevation: USGS maps and town maps show groundwater at20' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7128/2018 Title 5 Official Impedion Forth:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments. 56 County Seat Street _ Property.Address Richard Aurandt --- Owner Owner's Name information is Hyannis MA 02601 . 10/29/2019 required for every - —— - — — - page. CityfTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: Z A. Inspector Information:Complete all fields in this section. ® B. Certification: Signed& Dated and 1, 2, 3, or 4 checked Z 'C..Inspection Summary: 1,2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed Z D. System information: For 8:,Tight/Holding Tank—Pumping 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 t5insp.doc rev.7126/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System Page 18 of 18 { 1 f , No. — v — q� � Fee THE COMMONWEALTH OF MASSACHUSETTS E;ptered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for Bigotal 6p5tem Construction Permit Application for a Permit to Construct( ) Repair Grade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. COU�Ty / 7— Owner's Name,Address;and Tel.No � �fy�LAirr�s Assessor's Map/Parcel s Installer's Name,Address,and Tel.No.wla1rI'�� V AC9,` Desjzn � _er's Name,Address and Tel.No. wie� �'kAj IkE /�•YTl/ s"T/-�y, �> vi!z6 0 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building !�j No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 44 gpd Design flow provided , �O gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank ; y s7 Type of S.A.S. z�l Description of Soil V Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date 0 L/) �F Application Approved b Date G Application Disapproved by: Date for the following reasons Permit No. ��^ -7'l Date Issued ——————————— o: $— y-7 y Fee f.J THE COMMONWEALTH OF MASSACHUSETT a EnUred in computer: �.�._. Yes PUBLIC HEALTH DItS`rO�V - TOWN OF BARNSTABLE, MASSACHUSETTS Ofpplication for �Oigpogal *pgtem Con0truction Permit Application for a Permit to Construct( ) Repair �grade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No.&-6 600I17->l 5/�7— Owner's Name,Address,and Tel.No. Assessor's Map/Parcel D Installer's Name,Address,and Tel.No. W1L41*'W V IA16O' Desi ner's Name,Address and Tel.No.Z_7kikvEv6A'�E�� C� Aj,VrlZc-57-/-lx,4, cl,a 6 U / O. email' 9,F/ _= ICE l' 4, Type of Building: Dwelling No.of Bedrooms , Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd r Plan Date Number of sheets Revision Date Title r' L -Size of Septic Tank _IX S% =_Y62 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) j Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. •�j Si ed �%/�'" Date Application Approved by Date Q e) Application Disapproved by: Date for the following reasons ti•- Permit No. 4c)001^ 7 7`7 Date Issued 1 a -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) �.` Abandoned( )by U11 0-A-M A)6 P at -. �'OtJOjj�/ -,�=,4- ✓ /I///,/�has been constructed in accordance `•,t with the provisions of Title 5 and for Disposal System Construction Permit No. �' ^�17 dated P ��0 JG�' InstallerGG/ ��] �g ti�f% Designer #bedrooms :3 Approved design flow 33 a gpd The issuance of this permit shall not be onstru d as a guarantee that the system(wiThftt c ' designed. Date �(�r` Inspector No. -,® ! `1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE MASSACHUSETTS lwigool 6pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( !ir Upgrade ( ) Abandon ( ) System located at C-012A2ZZ &5662/1//C and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction 1 ust be completed within three years of the datQthis t. Date 11 10 Jo 0 Approved Town of Barnstable dpVE Regulatory Services Thomas F. Geiler, Director IARNSMBEZ \9 MAS& Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form if 12 o� 1�C�Date: Sewage Permit# �� Assessor's iNIap\Parcel `— Designer: Jar-r�/\ installer: V� jyl'Arrj� DI06c(�- Address: PO Bok Address: 2(`-' �T- On b, ►&6(L was issued a permit to install a (date) (installer) septic system at S )I-i ST based on a design drawn by � M (�,, (address) v� «� '` I"`e,u dated (designer) X 1 certify that the septic system referenced above was installed substantially acco.rdin2 to the design, which may include minor approved changes such as lateral relocation ion of the distribution'box andlor septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10• lateral relocation of the SAS or am; vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan rev.ision or certified as-built by designer to follow. 1% OF MASV LR EN M C) 1'ER (Installer's Signature) 1140 RFG/STEM S01 TW (Designer's Si' nature) (affix Designer's Stamp Here) PLEASE RETURN TO 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: Health/Septic/Designer Certification Form 3-Z6-04:'doc I ' '.Gown of BAYnstable. P#-JAI � .� Department oLRegulatory Services • Public Realih Division Date KAAX ' ersst� • " 6 9. e$' 200 Main Street.Hyannis MA 02601 j_a Date Scheduled r � I/ ®� 0� 'Time Fee Pd. e ,Foil Suitability ASsesSMent fog- Sewage Disposal a � Performed By: Witnessed By: LOCATION & GENERAL IN'7FORIVIATION Location Address I Owner's Name � .(-S FdcC6® tPol� VV\,k 0e601 address I �\!i r1 CA 9-Z017' Assessor's Map/P4rccl: 2p1( l 1 ( Engineer's Name Q .11 �a /✓ NEW CONS IRU�TION REPAIR Telephone# �zg L1.'L Land Use �l�e Slopes(`�) �� Surface Stones ' g Distances from: Open Water Body ft ,Possible Wet Area ft Drinking Water Well it Drainage Way ft Property Line ft Other ft SKETCH:($treet name,dimcnsiods'of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) U �2, ; 1 r�a i < >. F_ M ' I i l� d ` Parent material(gedlogic) A71 Depth to Bedrock I � ) I from Pit Face 4 ---- Depth to Groundwater. Standing Water in Hole:" I Weeping p Estimated Seasonal i bgh Groundwater of A i !Dt!T!E ATION FOR SEASONAL HIGH WATE1 R TADLE i Method Used: __in. Depth to Sall mottles: tn' Depth Obperved standing'n obs.hole: I - in, Groundwater Adjustment it Depth toiweeping from side of obs.hole: 77�, _ Adj.fat tor. .._•_..- Ad,droundwaterLevel.,,,,e• Index Well# Reading Date: Index Well levdl - - I PERCOLATIOTESTDutp 1 t '1'ltur_+.. N Observation I Time at 9" Hole# tLr �I Time atV -- Depth of Pere - � — r©a3 'Circe(9"-6' Start Pre-soak Time.@6,1 �� - Y-- End Pre-soak � lidtc MinJlnch ` Site Suitability Ass0sment Site Passed Site Failed: Additional Testing Needed(YIN) Original:.Public Halth Division Observation Hole Data To Be Completed on Back--------- ed within 1 oo, of wetland,,you must first notify the ***If percolaipn testis to be conduct or to beginning- Barnstable C64servation Division at least one (1)wedk pri DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. // Consistency. Gravel 16 s 8 777 i DEEP OBSERVATION HOLE LOG Hole# Depth from.,-,r 't ,• Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) �. Mottling r,(Structure,Stones,Boulders. Consistency. Gravel) a IL/D'1 - La al cl DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. on istenc o Gravel) 1 DEEP OBSERVATION HOLE LOG Hole# ►� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Flood Insurance Rate Mai): Above 500 year flood boundary No_ Yes X Within 500 year boundary No Yes Within 100 year flood boundary No Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? le s If not,what is the depth of naturally occurring pe4vious material? 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 t ' 'ng, xpertise and experience described in 3.10 CMR 15.017. Signature ILA Date 1ti z7� QASEPTICIPERCFORM.DOC ' Commonwealth of Massachusetts Title 5 Official Inspection form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Important:When filling out A. General Information ���� •. forms on the computer,use 1. Inspector. only the tab key to move your Shawn Mcelroy .cursor-do not Name of Inspector use the return key. Shawn Mcelroy Enterprises Company Name 29 Atwater Dr 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 I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenancR of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Sectio"— 5.340:of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® F s w ❑ Needs Further Evaluation by the Local Approving Authority :: .. (In •• rX 12-28-07 Inspector'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 is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp-0&06 Title 5 Official insp ection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is Hyannis MA 02601 12-28-07 required for H y ' every page. City/Town State Zip Code Date of Inspection r ' B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B SystemConditionally y 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. Answer yes, no.or not determined (Y, N, ND)in the❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ 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 ❑ obstruction is removed t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form " Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Flame information is required for Hyannis MA 02601 12-28-07 - every page. Cityrrowm State Zip Code Date of Inspection B. Certification (cunt.) B) System Conditionally Passes (cunt.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh ' 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. t5insp•OWN Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 Commonwealth of Massachusetts , Tide 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: 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 ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5insp-08/06 Tdle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"non to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(if they were not ,available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example,a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp-08/06 , Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 i r Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes 0 No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: 12-07Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seatslpersons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp-08/06 Me 5 Official Insp ection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons o wa uan i ?H w s q t ty pumped determined. Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed(f known)and source of information: 1999 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp-08/06 Trde 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page- Cityfrown State Zip Code Date of Inspection D. System Information (cunt.) Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting,evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 16" 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: 1000 Gal Sludge depth: 15" Distance from top of sludge to bottom of outlet tee or baffle 17" 10" Scum thickness Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? Tape t5ins OS/os P' TtUe 5 Otfida)inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts m= u Title 5 Official Inspection Form z Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Recommend pumping of septic tank to remove solids. 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.): 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): t5insp•0=6 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . M , 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order. ❑ Yes ❑ No Date of last pumping. Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 10" 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.): Distribution box had clear signs of back-up from SAS into the riser. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp•08/06 Title 5 Official Inspec(ion Forth:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 /To State Zip Code Date of Inspection every page. COY '� P P D. System Information (coot.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 5-infiltrators ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/aftemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): SAS had clear signs of being overloaded. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owners Name information is required for Hyannis MA 02601 12-28-07 every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 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.): 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.): t5insp-08/06 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is Hyannis MA 02601 12-28-07 :required for _--.-- every page. City/Town State Zip Code Date of Inspection D. System Information (cons.) Sketch Of Sewage Disposal System: Provide a sketch 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. G t Gz (� A -c- c-27 J3--C- /g, i l A 0- L16` -D O r6r. . t 1 { t5insp-08/06 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 County Seat St Property Address First Auction Asset Management Owner Owner's Name information is required for Hyannis MA 02601 12-28-07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ❑ Check.Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps and Town maps show groundwater at 20'. L165, 08/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 ' Town of Barnstable pp 1HE 1p� y� Regulatory Services xSrnsLE ; Thomas F. Geiler,Director y MAM g 039. Public Health .Division . pTfD MAy A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report;this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. TOWN OF BARNSTABLE a LOCATION_ SEWAGE # 7227 VILLAGE A Nib 5 ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. .i S ios • L w 5 i 3��-G,a3) SEPTIC TANK CAPACITY j S i LEACHING FACILITY:(type) J 141-cAp i m F-, NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER ur 4c.. I i BUILDER OR OWNER DATE PERMIT ISSUED: i DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No " a d i Page 1 of 1 Miorandi, Donna From: PETER MCENTEE [peter.mcentee@gmail.com] Sent: Sunday, December 30, 2007 7:13 PM To: Miorandi, Donna Subject: 56 County Seat Rd Donna, A contractor wants me to put together a proposal for engineering services on a property that had a septic upgrade in 1999. Hesaid that there was nothing on file at the BOH. I thought that there should at least be a soil evaluation on file. Would you be able to check? Pete 1/2/2008 0 TOWN OF BARNSTABLE { LOCATION Co(j N-TY SG4T- f}V C SEWAGE # VILLAGE {- -�f'.A Ntt S ASSESSOR'S MAP & LQT INSTALLER'S NAME & PHONE NO. Cu-is Y3ro5 . (�cr�S1•• 3WL-6.137 SEPTIC TANK CAPACITY [ � LEACHING FACILITY:(type) - 141-cAP i n�'Ft�TV-1,4, (size)_` 3 7f�i of ��%cz NO. OF BEDROOMS NS ' PRIVATE WELL OR PUBLIC WATER u--rh C r BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: ,Yes No o C i .� I � . . 6 -• � �, � _ � � ' �� .,+ n� Q� No. F f 7 5j 7 Fee JT y `•.-/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Mi-4pozar *rae It Cow5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or t No. Owner's Name,Address and Tel.N,o�. J Assessor's Map/Parcel ZG7 — //0 vos "S d,4,4 "14i9 $41 A Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(//V1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ,"457> / g-5. Type of S.A.S. .���9C Description of Soil Nature of Repairs or Alterations(Answer when applicable),_�/s 71,,-' f',5-z— &6 �' �v� �/�iA%�Y.�•sw ��'%�P� �' .�T.vv �,c�s� � ram'' G��/a� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Till of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued is d ealt aG Signed � � /'`!� Date `7 J Application Approved by L Date Application Disapproved for the owin?reasons Permit No. ?Y' 7 V "7 Date Issued .f,,..+w. �-4' 'tf4-r7�sT.n..�.7.,.y - .r.�s,� ��4 �....n `Y.. h ....L,. ... n ...sf•ru.y..F ... w .fl. v 1 •r i 5, . .. n. r .T.. . r No. 1 f- 7 V 7, Fee J — �/ 1, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ` ,0pprication for &.gpogar *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. -cF Assessor's Ma /Parcel l p 29/— //� ` ' 2vS Gd� sr�c, �2 : A1,4A.W14,t( lM A Installer's Name,Address,and Tel.No. Designer's Name; ddress and Tel.No. 84,05'.. WNA+ Type of Building: Dwelling No.of Bedrooms_ -3 — Lot Size sq.ft. Garbage Grinder(/VP Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow It0 -A3 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ",5_00 c5 Type of S.A.S. v we Description of Soil �r Nature of Repairs or Alterations(Answer when applicable) ,°ems 74,11 S TO j_ 49 � 2vfV'G.f�AnY��tivo //'iCA/✓� ?� f�v✓G �,i/`f � /4/"" GN Date last inspected: Agreement: The undersigned agrees to enstire-the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Titl of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued is d eal Signed CL %�l� Date '7 Application Approved by Date Application Disapproved for the f owing reasons Permit No. �✓� 7 'e -7 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(k ) Abandoned( y at S� �v / f/it//,i//� 15'19/444A04 A has been constructed in accordance with the provisions of Title 5 and the for Disposal S stem Construction Permit No. /0?- 7 V 7 dated Installer �Z' �srs �.�s�. Designer The issuance of this perm sh 1 /t b /c'onstrued as a guarantee that the syste willjfunctio asesig�n/yd� �(� Date �,. "1 Inspector 1.� L :a .�ll (�/ /Y1/l.�1. t t I /I-1 - - - -- No. Gj 7- Fee ✓ — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miqozar *p! tem Construction Permit - Permission is hereby granted to Cons�j ct( ep )Upgrade( )Aba ,,noon( ) System located at L "l�li a t— /;w-, .64 S � } and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. 'Provided:Construction must be completed within three years of the date of this permit. r Date: //' � Approved by , 0 1/6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH :AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERltiIIT (WITHOUT DESIGNED PLAYS) I, hereby certify that the application for disposal works construction permit signed by me dated concernins the property located at meets all of the following criteria: • The failed.system is cone:ed to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is Iess than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the crocosed septic system • T'nere are no private wells within 1:0 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when apolicablel • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14) feet above the ma dmum adjusted Groundwater table elevation. Please complete the followin;: A) Too of Ground Surface Elevaton(using GIS intormauon) B) G.W. Elevation = the.A,�-t. ;-ugh G.W. Adjustment . D>F r-REvCE BETWEEN a.an SIGi+ DA Tr-., (Sketch pr000sed p of s szem an bac:<]. q:hcalch Colder.cat t �j rat c, I LEGEND ( PROPOSED CONTOUR J ® PROPOSED SPOT GRADE y ( I ;: ,aEln � 98 __ EXISTING CONTOUR Pao { uP tJ�ar slice Ln a^+ eld-- -:,;^''a 7 e:. 1RSV: + 96.52 EXISTING SPOT GRADE ,' ' y0_ m�'a � cis�' '�.. ; �,eafq`p �w` n cne BENCH MARK Existing Leaching w 34— W— EXISTING WATER SERVICE i4 �� +'_ey9 � ` � r, /k�•���o TOP OF CONC BOUND \\\, TEST PIT See Note 10 ELEVATION = 39. 81 BARNSTABLE GIS DATUM \ 38—i.!-- -" �O �`'•\ Y � Skatartgg' `,1'.r a.� � ;,a ,i ��i .-'``�i ' COPOC� s 00 40 ` \ AREA 1 1 7a`A sf + —\ \\. LOCUS MAP N.T.S. \ . \ \ �\ GENERAL NOTES: ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS T 1 25 o o \ \\\`34 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE ' \ \ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: — 310 CMR 15.405 (1) (A): \. Q o , \ \\, 1) UP TO A.0.5 FT. VARIANCE FROM 310 CMR 15.211 TO ALLOW LEACHING TO BE UP TO 3.5 FT BELOW GRADE VS REO'D 3 FT. (H20/VENT PROVIDED) TH 2 i' � \\\�'\ \ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR I \\ \'\ �, DESIGINSPECTION ENGINEER D APPROVAL BY THE BOARD OF HEALTH AND THE t \ \, 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING •\ S '\ v= FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. \•.\ \ 0����\' �1 \ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. \ \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \.� \ Q N O / l \ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF \ �\O / I \ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. \' \ L OF OZ / 1 \ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. OP !k� A / / \ B. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED. / TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �50 ft CONSTRUCTION. 10. EXISTING LEACH TRENCH TO BE PUMPED AND REMOVED FILL WITH CLEAN MED. SAND �•.\ \ // /36 11. 48 HOUR NOTICE FOR .ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE..USED FOR SEPTIC SYSTEM PURPOSES ONLY \ / AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY �� OF �As�9�y \\ <GL /� . 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING g G —WATER 1 i 14. ALL PIPING TO BE 4' SCH 40 0 1/8"/FT (UNLESS SPECIFIED OTHERWISE) DA E�N�M{ ✓� \ �\ %� GATE 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW No. 1140 38 \ool P FOR THE USE OF A GARBAGE GRINDER 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING T CIsl 40\�^F�o OF P ✓ 17. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION. E 1 QNtTA�\ G� a �' \ v \ PROPOSED SEPTIC SYSTEM UPGRADE PLAN 56 COUNTY SEAT STREET, HYANNIS, MA Prepared for: Mike Dedecko SURVEY REFERENCE MAP. 291 Engineering by: Surveying by: SCALE DRAWN JOB. NO. LOT. 110 DARRENM.MEYER,R.S. Eco—Tech Bnvtronmentel 1"=20' DMM PLAN OF LAND BY WHITNEY & BASSETT,.SURVEYORS LCP 156852 PO BOX981 (508) 364-0894 ' - -'3 ;, ! EASTSANDMCK MA02537 DATE: CHECKED SHEET NO. DATED: JUNE 1963 508-8B229PP 1 1/07/08 DMM 1 of 2 i s T ELEV. TOP FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS vent required (Existing) INSTALL RISERS W/IN 6* OF FINISH GRADE _ \ 41.02 F.G.EL: 39.5 F.G.EL: 39.5 F.G. EL: 39.5 FINISH GRADE= 40.0 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA A � _. COVERS TO WITHIN 6 OF GRADE 7 6" INSPECTION PORT :: r L = 25 W/IN 6" OF FINISH GRADE 4" SCH 40 PVC -" L = 5' o e o 0 0 0 0• e o 0 0 0 ® S= 1 MIN. 6' (MIN.) TEE'S ARE TO BE 14" ( ) i @ S= 1% (MIN.) 4" SCH 4o PVC INV.36.57. INV.36.32 :.....,:. s o 0 0 o v o 0 0 0 INV.36.12 GAS PROPOSED DB-3 EXISTING OUTLET BAFFLE :...•. . .. .-.... . H-.10 DISTRIBUTION BOX INV. 36.82 EXISTING 1500 GALLON 'SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION f 9" MIN. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO ` " " PER TI TLE 5 OF GRADE ON A MECHANICALL COMPACTED SIX BREAKOUT EL. = 36.5 INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) INV. ELEV.=36.0 30 5" o ARR 3) REPLACE EXISTING 1,500 GALLON SEPTIC ' ME TANK WITH 1500 GALLON SEPTIC TANK oourxEJwa +tn s'ri w 24 . o. 1140 "' IF FAILED, DAMAGED, OR UNDERSIZED.- INVERT SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM EL= 34.0 I • cistER� '---48" 50" --48' SANITAR\P� l ��� 146"- SEPARATION 5.10 FT. I SOIL ABSORPTION SYSTEM (SECTION) INFILTRATOR 3050 SPECIFICATIONS BOTTOM OF TH-1 EL: 28.00 INFILTRATOR 3050 UNIT (H20 LOADING) SOIL LOGS DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOOM DATE: NOVEMBER 7, 2008 SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN . WITNESS: DONNA MIORANDI DAILY FLOW: 110 G.P.D. DESIGN FLOW: 330 G.P.O. _ HEALTH AGENT GARBAGE GRINDER: NO (not designed for garbage grinder) INLET-END Elev. TH-1 Depth t Elev. TH-2 Depth SEPTIC TANK: 330 gpd x. 2 = 660 gpd USE EXIST. 1,500 GALLON SEPTIC. TANK (OPEN) 40.20 A 0" 40.00 0" (330) = 445.94 S.F. LOAMY SAND A LOAMY SAND LEACHING AREA REQUIRED: 10YR 3/2 10YR 3/2 . .74 4.5' DlA ACCESS PORT FOR INSPECTION. 39.37 B 10" 39.17 B 10" USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE LOAMY SAND LOAMY SAND ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 10YR 5/8 10YR 5/8 BOTTOM AREA: 25 x 12.16 = 304 SF c; 37.87 28" < 37.67 C1 28" Cl SIDE AREA: (25 + 12.16) X 2 X 2 148.64 SF TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D 0 . . . a . Ca DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd PERC ®36.45 0 o e o e o o e e o e � MEDIUM MEDIUM PROPOSED SEPTIC SYSTEM UPGRADE PLAN SAND SAND 66 SKATING RINK ROAD, HYANNIS MA INFILTRATOR 3050 2.5Y 7/4 4 2.5Y 7/4 • Prepared for: Dennis Cook NOMINAL CHAMBER SPECIFICATIONS Engineering by: Surveying by: SCALE DRAWN JOB..NO. i 28.20 144" 28.0 144` DARRENM.MEYER,R.S. Eco-Tecb Ehvfronmente/ N.T.S. DMM SIZE (W x H x L) 5.1 " x 30" x 85.4" PO BOX 981 (508) 364-0894 WEIGHT 80.0 LBS. ., ,PERC, RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C",HORIZON) EASTSANDWICH,AM 02537 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508_W-2922 07/24/07 DMM