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HomeMy WebLinkAbout0055 FRANKLIN AVENUE - Health . 5 Franklin.Avenue' Hyannis - - A= 046 %6,4 r P r TO` OF BARNSyTABLE LOCATION /` "�✓ SEWAGE VILLAGE- ASSESSOR'S MAP & TX—011 Y INSTALLER'S N &PHONE NO. SEPTIC TANK CAPACITY Z!W eC�2& LEACHING FACIUN: (type) (size) NO.OF BEDROOMS O< BUILDER OR OWNER S PERMTTDATE:. 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 7 1 . L�q, go 0 .-O �v t FEE /Q C) Board of Health, c1�-�c MA. ti APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Owner's Name Map/Parcel# - Address 55 Lot# Telephone# - Installer's Name Designer's Name Address YUOr -� t� Address 6 , h Telephone# Telephone# Q o6wo Type of Building Lot Size SOO sq.ft. Dwelling-No.of Bedrooms �W© �,c�� Garbage grinder f�l Other-Type of Building ` No.of personas—�Showers ((cafeteria (� Other Fixtures Design Flow(min.required) doZa gpd Calculated design flow Design ow provided 34S,3 gpd Plan: Date di c ' Number of sheets i tt Revision_Date i Title O V Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator ate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install ove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to t to place Vtem in operation until a Certificate of Compliance has been issued by the Board of Health. Sign Date Inspections v FEEXOW ONWEALT14 OF'MASSACHUSV� / Beard of Health, 1-1-j,C') N^AVV IIA. f t APPLICATION FOP, DISPOSAL SYSTEM[ CONSTRUCTION PERMIT Application for a Permit to Construct( Repair Upgrade( Abandon( ) XComplete System ❑Individual Components Location �jj �c,(1k��n Owner's Name �C� �C��z\e C Map/Parcel# - C) Address Lot# .� `ri�} > f Telephone# ' Installer's Name' Designer's Name 5. Address q(jiq p y1 S� Address 16 Sh Telephone# < Telephone# � � - � �(� C q • q Type ofBuilding }�—LJ\�Q(l�-\Q\ ;; Lot Size 5C)0 sq.ft. Dwelling-No.of Bedrooms \IsJQ C p2 t I rt y`� Garbage grinder Other-Type of Building IVd�Q + / r No.of persons Showers (L)-Cafeteria (1-K Other Fixtures L CsOG. A cy Qr4 1 Design Flow (min. required) �oZ D gpd Calculated design flow ` S�iDesign ow provided 3y 3,3Co gpd Plan: Date v�y �� Number of sheets_ ~ Revision Date Title Description of Soil(s) -'Soil Evaluator Form No. ) 1 Name of Soil Evaluator S 1 Date of Evaluation •:DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install ove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agr,ees to t to place stem in operation until a Certificate of Com fiance has been issued by the Board of Health. Sign Date ' Inspections No. U �'�"THOF FEECOMMON����]EA MASSACHUSETTS Board of Health, , MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) O Complete System The undersigned] e�eby certify t the Sewage Disposal System; Constructed ( ),Repaired Graded ( ),Abandoned ( ) by: RYP71w!�44 at has been installed''n a Sordance with the pr sio s o 310 CMR 15.00 (Title 5) and Lh as roved design plans/as-built plans relating to application No. ted T �� Approved Design Flow .4)z (gpd) Installer 0I / ''G IA— Designer `l Inspector: /// Date: The issuance of this permit shall not be c trued as a guarantee that the cyst function as designed. No. � FEE 100 COMMONWEALTH OF MASSAC14USETTS Board of Health, S'� DISPOSAL SYSTEM CO S RUCTION PERMI T' Permission is h�reby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at /�'/'/9Y� � � as described in the application for Disposal System Cons iuction Permit No. dated Provided: Cons[uction shall be completed wi in three years of they ate of thi n i . 1 local conditions must be met. ybe _...._ _ „, Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Heal _ - Town of Barnstable pFtHE Tph, Regulatory Services �O Thomas F. Geiler,Director • BARNSTABLE, 9�AM : ��� Public Health Division 'E1639. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 1/18/08 Designer: _Shay Environmental Services, Inc. Installer: Rodney Fisher Address: P.O. Box 627 Address: 585 Kelley Street East Falmouth, MA 02536 Harwich,MA On 1/15/08 Rodney Fisher was issued a permit to install a (date) (installer) septic system at 55 Franklin Avenue, Hyannis, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated December 15, 2007 (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or 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 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. �ZN OF A4,1 o= CARNAI N Gs E. ,r (Installer's Signature) f o SHAY No. 1181 0 GIs-TV, SANITAR�Pa esigner's Signature) J (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 i IM Town of Barnstable P# Department of.Regulatory Services �� D ffrASKB : Public Health Division Date M&as. e$ 200 Main Street,Hyannis MA 02601 • t63p. ` ov. ' D I Date Scheduled 'Time ! D Fee Pd. 2. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION & GENERAL INFORMATION Location Address'. C' _ Owner's Name "3 c�� `J Address C -� Assessor's Map/Pdreel: �"1 I 1 Engineer's Name NEW CONSTRU(�7ION REPAIR I Telephone ��' ��" Sb I Land Use � Slopes(%) Surface Stones r OU obS Distances from: Open Water Body MIA ft Possible Wee Area _ft Drinking Water Well TI A ft Drainage Way. ft. Property Line 25 � ft Other_/ A ft SKETCH:(Street-name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I • � � .z5 �51 i 'TQZ . ���1�n Awe • • � i NIA Parent material(geglogic) �� Depth to Bedrock�t I Depth to Groundwater. Standing Water in Hole: /�Oi�Q CL5. Weeping from Pit Face O� I I Estimated Seasonal 1h Groundwater >� SS V" - k`='=. '- DUTERMINATION FOR SEASONAL HIGH WATER TABU t-, Method Used: <1 g` Depth Observed standing in obs.hole: In. Depth to sell motths: in, GroundwaterAdjustment cn ft. U Depth toiweeping from side.of obs.hole: factor,,_. ` Adj.Ground watt vel, Index Well# Reading Date: Index Well level -- Adj. PERCOLATION TEST Date Time r.) i= Observation I i " C r� Hole# Time at 9 _ _. ._. c. n� Time at 6" Depth of Perc 'rime(9"-6") Start Pre-soak Time.@ - i End Pre-soak Rate MmJlnch Site Suitability Assessment Site Passed Site Failed; Additional Testing Needed(Y/N) Original: Public Heklth 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 Nnservation Division at least one(1)wedk prior to beginning. Q:\S EPTIC\PER CF6RM.DOC 'DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sail Texture Soil Cola Soil i Other Surface(in.) (USDA) (Munsell) Mottling (Struc re,Stones,Boulders. Consisten ravel 0 i o A S 1, .l0 •yQ 31 i L 3�- �� �� M-F •sY� •C��. sari. � �3a -IFs«� a.:3 CL*sZ m C 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 14 TO- /3al 01,5 Y 41 V 's l DEEP OBSERVATION BOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ;Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i Consi tenc Gravel 5 t i 'DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc rn el t� i Flood Insurantte Rate Map: Above 51x1 year flood boundary No— Yes ., Within 500 year boundary No Yes Within 100 year flood boundary No — Yes Depth of Natutally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area promised fbr the soil.absorption system? f� If not,what is the depth of naturally occurring pervious material? Certification I certify that on A (date)I have passed the soil evaluator examination approved by the Department of environmental otecdon and that the above analysis was performed by Me consistent with . the required train' ,e m a e erience described in 310 CMR 15.017. Signature I` Date Q:\.SBPTlC1PERCF.0RM.DOC t TOWN OF BARNSTABLE LOCATION -- �11r - SEWAGE it 2F-F fri, , n VILLAGE ASSESSOR'S MAP & LOT 1. CRAIG MEDEIROS 4eK.40 INSTALLER'S VME & PHONE NO. I!d ��-D260i SEPTIC TANK CAPACITY/ �- ..S Voo S og LEACHING FACILITY:(type) a l (size)-".a b od;�4 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATE BUILDER OR OWNER o w ot-A v DATE PERMIT ISSUED: /e f rIff DATE COMPLIANCE ISSUED: P//V,� VARIANCE GRANTED: Yes N A . V } n No...0 = FEB.....a.0........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEAT -13®a-wt. s w 1.....`".�`�.... OF................................ ...............................•---...............-- Appliratiou for Disposal Works Tonstrudivat fIrrutit Application is hereby made for a Permit to Construct ( ) or Repair (J,-�an Individual Sewage Disposal System at ......- 9� �.. ?........................................ ....... ... ---...--------.-- -------...._........ - - -% --- --- -- ------- Lo aatiol 49ildress ......��.�....!-` f !t f � _� ................ ••.... ..- n . d ss Installer Address UType of Building Size Lot............................Sq. feet ,. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures -----•-----•......-•-•-••-••--•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity........__..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ �-1 4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground ax water.____ ........ __... ___.__..._.. O escrptono Soil•... ---••-•.._.... .......................................................C.16 ................ - ------------------------------------------------ UNature of Repairs or Alterations—Answer when applicable.................................... ........................................................... •-------•-----•-------------•-----------------------•--------------•--------••••••••................-•••••-•••••-----•--•-----•-•-•-•----•--•-•••••-••--------------••-•-----••-••••••-•...........-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss by the boards of health. Si ....r--•-• ^V..F.W��? ••--.........-•-- �.. g Date Application Approved BY............... �... .....•..-- ----•-••� g Date Application Disapproved for the following reasons-----------------------•----------------------------•---•-----•------------------•---....._.............---•----- ............••-•••-•••----••-•••••-••••-•-••-•-••-•••-•••--••.....••-••••....-••------•-•--•-••--•-•-••••-----••-•-----•-•---••--•-•-•------ ....................................................... p Date PermitNo.......... .....•......... Issued....................................................... Date U `�✓ 'TOWN OI? BA}?NSTABLE •L6,CATION _ SEWAGE # VILLAGE ASS>aSSUF'S MAP & Loi7 �'-3 J. CRAIG. MEDEIROS INSTALLER'S NAME PHONE NO._— gT_ SEPTIC ANK CAPACITY / YANNI MA 026 a !� LEACHING FAC.ILI LY:(typc� ___ NO. OF BEDROOM,-, .` 1}t'iiF�' %�-:BUR PUBLIC WATER BUILDER OR OWNER_ % a—0-?, DA7 E PERMIT ISSUED: DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes �_No ___ Y ` • - ,, . f• � � �� / x ��`�� ��� Yr + i N\ 1 / / ` � V i �� �� �` J - .�. - `� Sv • i �I�, /.,�, •£ . J .f ;LO/ Fps.. .`�...`....... THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH 8arnstaDtt COtIM111rtiptl�fr11N1t . .� - TOWN OF OF wV" ,AVVfi tt i a ur Mit-pititti Wurkg Ta tuitrurttun Errant Application is hereby made for a Permit to Constr t ) or Repair (/ an Individual Sewage Disposal System at: ................ — --� -D--•--------- .... ..... ..• -•-- ---- Location-e\ddre a —^ or Lot No. w ••......-•-... _....................... , ------------ °--------------•---....------------........................••...... Ow cr � / r, Addre s .. G -7�f—� ��H J lZ/l� Installer Addres UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons------.....---.............. Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... . . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width..-..-.-------.- Diameter................ Depth................ x Disposal Trench—No. .................... Width............------.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet....---.......--.... Total leaching area..................sq. ft. « Z Other Distribution box ( ) Dosing tank ( ) '� Percolation Test Results Performed by.......................................................................... Date........................................ s1 ,`� Test Pit No. I................minutes per inch Depth of Test Pit...--.........----.. Depth to ground water............----........ 'v r Test Pit No. 2................minutes per inch Depth of Test Pit--.----._.--..----.- Depth to ground water........................ 0+ ... Descriptionof Soil`k.........I---------------------------------------- --------------- -------------- ----------------------------------- x r (, ------------------------------------------------------------------------------------------------------------------------ U Natureegarrs or Alterations—Answer when applicable------�1 -;►..6.... -fez. .... 1..---���`l ?..... V ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement. �.. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the t system in operation until a Certificate of Compli ce een issued by the boird of health. Signe ' e...... �..... Dare : Application Approved By ........1� .. .......... ...................................................................... ..... Application Disapproved for the following reasons: ........................................................................................................................................ ...................................................... p......................................................................................................................................................... ........................................ PermitNo. ........1. ...........y. rJ" ............ Issued ...........................................................fe...... Dare No..��?.-. �5� Fi�s.3.�..J........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Grp /_2 / 5�OWN OF BARNSTABLE Appliration for Disposal Work,i Tonstrnrtion Itprmit Application is hereby made for a Permit to Construct or Repair Individual Sewage Disposal PP Y ( ) P� (li) g P System at: lLocation•Addre s or Lot No. .__.......1I...�n... e /�.l........ / v�GJ ," 7 y / t ••-•-•......----••--•---.. ____________________•------_._...._------••__......._____......-•-......_....----.....___ Ow er Address - ....... -•••-•--•--•-•-••--•-•------------------- ......................................................rr........................................... Installer Address Type of Building Size Lot............................Sq. feet .. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacitv.____._.___.gallons Length________________ Width................ Diameter._.-_.___.___.._ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------ ------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit._.__.______________ Depth to ground water......................... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ................. •. ..... ......................................................... O Description of Soil.................. ._. _h......... ----------------------------------------------------------------------------------------------------------------•-•----- f= ........ 0 Nature,of�Repairs or Alterations=Answer when applicable_.__ _ ------ N _/ .........�...__;...... ............. ................................................. ....................................................... ----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce hasbeen issued by the board of health. j Signed .....�................... L- .............................................. ......::�:.`.��..................... ...�.L ../....3 Due Application Approved By . l Application Disapproved or the ollowan reasons:• � '� , �_ ^ .�� �.aw..�.............................................................................. Dace PPPP f following g ........................................................................................................................................ ................................................................................................................................................................................................................ ........................................ p � ' .Dare PermitNo. .........1...3........... ............ Issued .......................................................... Dace ---------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#ifirate of Tompliance THIS IS TO CERTIFY, That the Indi jidual Sewage Disposal System constructed ( ) or Repaired ( V ) by ................... 1.....'.....�-�r-.-a/._I.........��..G'.r e,I ,-)S ........................................................................................................................................... ...Insr, . has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ ...�.. .J...��... dated ............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ` � Inspector ............. \. :............................................. -----------------------------------•---------- -—--—---—---- ---—————————- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p - - TOWN OF BARNSTABLE No.__/_.�...: ............... R'spatial Works Tomstrudiort Prrn it c��r Permission is hereby granted......... -�.....m �/e)L , s _�______-- to Construct ( ) or Repair ( --I an Individual Sewage Disposal System .••---5f�� ..i tE ................................. Street G�_� ! as shown on the application for Disposal Works Construction Permit No.,.._ -_ ?.i 5._ Dated.........:)_..-J._.-.cf.• ._._.._. --------=---------------------------------------••-------- `./ DATE____________________�-)-•.. -...7. .............................. Board of Health FORM 36508 HOBBS A WARREN.INC..PUBLISHERS SECTION A -A VENT PIPE (O Least 24 inches tall)-_ all) PROFILE VIEW OF LEACHING SYSTEM �`e8 P n. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. Schedule 40 PVC w/Charcoal Odor Filter ExistingFoundation house to Ise septic tank Tt�T �� r� ` TOP OF FOUNDATION = ELEV. 100.00 Assumed Septic tank covers must be D-BOX cover must be Not t0 Scale ,. �� •- �• av ( within 8 In. of finished grade within to GRADE w/Steel Cover " " " f 9 3 of 1/8 - 1/2 Washed Peastone � a �' �� �: �:��` f Grade over Septic Tank - 98.25 Grade over D-Box- 98.00 de over SAS- 98.00 to 95.00 3 HOLE H-10 " " _ , rf 6t�arnsftalbls DIST. 8oX 3/4 to 1 1/2 (lashed Crushed Stone tom^ �r '/ ' '/•�F i� , s - 0.02 4" PVC (CAPPED) INSPECTION PORT TO BE � 4' �+ 't y ,, 3' Maximum Cover Top OF System- Qev. -92.75 ?' ' P + . o 10 EXIST. S-0,01 or Greater INSTALLED AND TO BE WITHIN 6" OF GRADE / _ / / P r :.- EXIST. PIPE O to 1,DDD GAL. 0 55' S- 0.01'Per foot - FRDN EXIST. FOUNDATION SEPTIC TANK o(6 1 t a" ,� -•�+`' - 1 ,- II H-10 os ad" n N 5 CONCRETE FULL FOUNDAno y II : > N of 2' EFFECTIVE DEPTH N II 0 �! - 007 Mio .ft Coip Q/200r NO41lO.ariafor7r la A"as.lnOC SYSTEM PROFILE 5 in.of 3/4•-1 1/2• n N 4• 4' 24 EffeCt2ve - ' 9 compacted stone d -0 0) Sidewall Nat to Scale - _ 12, GENERAL NOTES Effective Width II J 3 Units @ 7' = 7.5- a 1. Contractor is responsible for Digsafe notification, Verification of Utilities NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE B In.of 3/4"-1 1/2" o -a 5, 1' and protection of all underground utilities and pipes. compacted stone Q2. The septic tank and distribution box shall be set 0 Effective Length level on 6" of 3/4"-1 1/2" stone. C3 co3. Backfill should be clean sand or gravel with no 22 w Bottom of Test Hole 1 Elev.- 84.00 (TP-2) 6' stones over 3" in size. PERCOLATION TEST 4. This system is subject to inspection during installation Groundwater Observed - NONE OBSERVED S❑IL ABS❑RPTI❑N SYSTEM (SAS) by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance ALL OUTLET PIPES FROM THE CULTEC 3050 INFILTRATOR CHAMBER H-20 (OR EQUIVALENT) with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: NOVEMBER 27, 2007 DISTRIBUTION Box SHALL BE 12• pP Test Performed By. CARMEN E. SHAY, R.S., C.S.E. SET LEVEL FOR AT LEAST 2 Fr CONCRETE COVER and Local Regulations. Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) f ' NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30 /EFFECTIVE HEIGHT IS 24 3-s•ouTLEr 4 .«•5 .,.•, 2 6. If, during installation the contractor encounters any j KNOCKOUTS EXCAVATOR: Shay Env. Svcs. - `�, soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI ® 36" (C-1 Layer) - - as• Ili" INLET from those shown on the soil log or in our design e 011T c installation must halt & immediate notification be �, °• B Bedroom o made to Carmen E. Shay - Environmental Services, Inc. 2 CO Kitchen Y 155• 4" - SCH. 40 Te 1,75• Dining 7. No vehicle or heavy machinery shall drive over the Test Hole Test Hole septic system unless noted as H-20 septic components. No. 1 -- No. 2 PLAN SECTION CROSS-SECTION 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. DEPTH SOILS ELEV. DEPTH SOILS ELEV. -' Bedroom Living Room 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. 0 97.00 0 95.00 3 HOLE H-10 DISTRIBUTION BOX 10. All solid piping, tees & fittings shall be 4" diameter Loomy roomy Schedule 40 NSF PVC pipes with water tight joints. 10 YR 3/2'�" 10 YR 3/2 2 BR HOUSE FLOOR SCHEMATIC 11. Municipal Water is Connected to ALL OF The Residence and Abutting O"- 10" A, 96.17 O"- 10" A, 94.17 Properties Within 150 Feet. TLE (Description Provided By Owner) Sandy Sandy THE PROPERTY LINES ARE APPROXIMATE AND 10 YR 5/6___ 10 YR 5/e COMPILED FROM THE SURVEY PLAN BY WHITNEY & BASSET, ENTITLED 10"- 36" Be 94.00 10'_ 36" Be 92.00 SUBDIVISION PLAN OF LAND IN HYANNIS< MA FOR LIZZIE HIGGINS, DATEDJUNE 1941 Med. -Fine Med. -Fine Sand Sand AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN -_ 2.5 Y 6/4 2.5 Y 0/4 to to IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 36"- 72 CI 91.00 1 36"- 72 G 89.00 co THE SEPTIC SYSTEM INSTALLATION. Med. -Fine Med. -Fine I14 PA EXISTING CESSPOOL TO BE PUMPED OUT FILLED IN PLACE Sand Sand I �\ 90,oo, 2.5 Y 7/4 2.3 Y 7/4 I NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 72"- 132 as.00 72"- 132 Ca 84.00 I FROM THE CESSPOOL TO ,BE:DISPOSED \� l LOTS #46 & 47 - OF AS PER BOARD OF HEALTH SPECIFICATIONS. I 13,500 Square Feet +/- THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY 3 , 1 I I Perc #1 I ASSESSORS MAP 292, PARCEL 039 I I Depth to Perc: 40" to 58" I Vent LEGEND Perc Rate= <2 MPI I Groundwater Not Observed I Pipe No Observed ESHWT 26'_ 9' ADJUSTED H2O Elev. = None \\\ it U.I. p-Box 104X1 DENOTES PROPOSED - SPOT GRADE 3-24'DIAM. ACCESS MANHOLES \\\ �`� ' "" '4 "��.' " X 104.46 DENOTES EXISTING _ Io' -e• LOT #48 \\ \ - LOT #45 SPOT GRADE TEST HOLE #2 PL PROPERTY LINE ELEV.= 95.00 0 96n- PROPOSED CONTOUR n� I INLET IZ, OUT ET INLET r`i THE ACCESS COVERS FOR THE SEPTIC TANK, \\ �� Fish ~~ - __-__ ^-96 -97 EXISTING CONTOUR i{ DISTRIBUTION BOX AND LEACHING COMPONENT ` Pond ;.�,...r•1 ,,� -,, ,,�.T,--,� SHALL BE RAISED TO "THIN 6' OF �\ ^ a "•' ,, ' FINISHED GRADE. 5 ' TEST HOLE #1 ® DEEP TEST HOLE & STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TTTE GAS BAFFLES OR EQUALS .ash PERCOLATION TEST LOCATION PLAN VIEW ON ALL OUTLET TEE ENDS Pt LEV.= 97.00 PROJECT BENCH MARK _ NEW 6 FOOT STOCKADE FENCE � 2e REMOVABLE COVERS TOP OF FOUNDATION -` Septic a 0ic gTlnk - ELEV. = 100.00 (Assumed) 3 min.clearance •':•.. r:• 4' ^I :, IN 8 m r 2•In min. Inlet to outlet s.met. �� Fish e+uR'Y' \ Pond \\\ IN 1a'mR LIQIIT�revel OUTLET r \ P LOT P LAN 51 s� EXISTING \\O OF PROPOSED SEPTIC SYSTEM UPGRADE` E ". 4'-0'min qoa s""e • Liquid depth s • z eEnRooM PREPARED FOR "',a•-D- 51-8" HOUSE - - -------98 S U SA N FRAZ I E R CROSS SECTION END-SECTION /' #55 -- --- Failed AT TYPICAL, (H-10 LOADING) 1500 GALLON SEPTIC TANK i i i- C'sspoa #55 FRAN K LI N AVENUE NOT TO SCALE HYANNIS, MA 02601 Design Calculations a i i i a� Number of Bedrooms: 2 Bedroom EXISTING ; i ; CAR v5 of s`c^ PREPARED BY: Garbage Grinder: No I �4RHEY E SHAY Leaching Capacity Required: 220 Gal./Day (MIN. PER TITLE V) Pr i i t 90.00' F c < . Septic Tank : - 2 x 330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank. I �•. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch I I1{�.; U I ENVIRONMENTAL SERVICES, INC. Bottom Area: 0.74 gal/sq. ft. x 312 sq. ft. = 230.88 gallons I __� i.____�% �`--_ p ' T 185 ASHUMET ROAD Sidewall Area: 0.74 al. s ft. x 152 s ft. = 112.48 gallons ------------------------ ----------- -------------------- g / q q c MASHPEE, MA 02649 Providing: = 343.36 gallons �"r� Use: (3) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, rF'RA.IVKLIN A ��, 1. V LT-AOI IVITa.R�'�' TEL/FAX : 508-539-7966 (4' W x 7' L) TO BE USED WITH 4' of WASHED STONE ON THE SIDES AND (40 FOOT RIGHT OF WAY) SCALE: 1"=20' DRAWN BY: CES ATE: DECEMBER 4, 2007 2.5' OF WASHED STONE ON THE ENDS. PROJECT#SD1068 FILENAME: SD1068PP.DWG SHEET 1 OF 1 .._-... .-.. �w�trctar�"� `'^;�...•�'-.�-�-'_`�..._.`.=�---�_»�. '� � sing° SECTION A -A VENT PIPE Least 24 Inches toll ��}� -�.. `r NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. (( ) PROFILE E VIEW OF LEACHING SYSTEM e �' * Schedule 40 PVC w/Charcoal Odor Filter J - F ' 10' min. from T r23, Existing Foundation house to septic tank D-Box cover must be Not t0 Scale b• TOP OF FOUNDATION = ELEV. 100.00 (Assumed) Septic tank covers must be / within 5 In% . of finished grade within to GRADE w Steel Cover " " " f j - 9 9 of 118 - 112 Washed Peastone Grade over Septic Tank - 98.25 Grade over D-Box - 98.00 de over SAS- 98.00 to 9s.lx) 3 HOLE H-10 " _ rs Barn f P+ �x/NDist H 314 to 1 1/2 flashed Crushed StonerV. 4m S 0.02 4" PVC (CAPPED) INSPECTION PORT TO BE /sense � O 10' EXI S=•0.01 or Greater 3' Maximum Cover ,' /,,_ Top OF System- Elev. -92.75 INSTALLED AND TO BE WITHIN 6" OF GRADE { t ` h EXIST. PIPE 1�PTiC T •K 55' S. 0.01•p� foot ,4 L1...•.. -. ',.- ld�l9i_�•.�li� `j �.'-� 1 e FRDN EXIST. FDUNDATIDN - r- O .. y II p,,, rn , , lJ n co 5' j1 86 CONCRErE FULL FOUNOATIO II• H-10 Y �/A / N 1 { v -�"n t -� �- "'iii Ill/// # slice! or T�,�Onas,,no > 2' EFFECTIVE DEPTH -� 1 a E -N O "®:ZOO7S�MLo.osoR Cory 4ioo7-NY4TzQ ane/ 8 in.of 3 4•-, , 2• $ 4. 4' 24" Effective ........ - _. `�Sr SYSTEM PROFILE / / � �0 ; a, a compacted stone y a, _�Sidewall Not to Scale - ,6 � GENERAL NOTES 12' Effective Width c � � Imo, 3 Units @ 7' = 21' 1. Contractor is responsible for Digsafe notification, Verification of Utilities NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE B In.of 3/4--1 1/2- 0 3i 5 1 and protection of all underground utilities and pipes. compacted stone oL.5- 2. The septic tank an j distri ution box shall be set 9 L$ Effective Length level on 6,� of 3/4 -1 1/2 stone. 0 6, 3. Backfill should be clean sand or gravel with no Bottom of Test Hole 1 Elev.- 84.00 (TP-2) stones over 3" in size. PERCOLATION TEST � ' "-- -"-'�--"-` 4. This system is subject to inspection during installation Groundwater Observed - NONE OBSERVED S❑IL ABS❑RPTI❑N SYSTEM (SAS) by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance ALL OUTLET PIPES FROM THE CULTEC 3050 INFILTRATOR CHAMBER H-20 (OR EQUIVALENT) with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: NOVEMBER 27, 2007 DISTRieunON Box SHALL BE 12• cONCREIE covtrt Test Performed 8 CARMEN E. SHAY R.S., C.S.E. SET LEVEL.FOR AT LEAST 2 FT. and Local Regulations. Y NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24" Results Witnessed By. DONNA MOIRANDI (BARNSTABLE BOH) "''' '' ` 3_ 5• w�•�.ti •.•�, z 6. If, during installation the contractor encounters any EXCAVATOR: Shay Env. Svcs. ; xNOCI(OUTS soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI 036" (C-1 Layer) - - as• I 12• INLET from those shown on the soil log or in our design 011T'�T s installation must halt & immediate notification be ,1, Y e• a 'c• Bedroom o Y Kitchen made to Carmen E. Shay - Environmental Services, Inc. 2 m 15.5' 4• - SCH. 40 Tee- ,.7s• Dining 7. No-vehicle or heavy machinery shall drive over the Test Hole Test Hole septic system unless noted as H-20 septic components. No. 1 No. 2 PLAN SECTION: CROSS-SECTION 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. DEPTH SOILS ELEV. DEPTH SOILS ELEV. Bedroom Living Room 9, Alt-Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. 0 97.00 0 95.00 3 HOLE H-10 DISTRIBUTION BOX 10. All solid piping, tees & fittings shall be 4" diameter Sandy SandyLoam Schedule 40 NSF PVC pipes with water tight joints. Loam10 YR 3/2 10 YR 3/2 2 BR HOUSE FLOOR SCHEMATIC 11. Municipal Water is Connected to ALL OF The Residence and Abutting o"- 10" A, 9617 0"- 10" A, 94.17 (Description Provided By Owner) Properties Within 150 Feet. Sandy Sandy THE PROPERTY LINES ARE APPROXIMATE AND 10 YR 5/6 10 YR 5/e COMPILED FROM THE SURVEY PLAN BY WHITNEY & BASSET, ENTITLED 10"- 36" B„ 94.00 10"- 36 Be 92.00 'SUBDIVISION PLAN OF LAND IN HYANNIS< MA FOR LIZZIE HIGGINS, DATEDJUNE 1941 Mad. -Fine Mad. -Fine AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Sand Sand 75 Y 6/4 2.5 Y 0/4 CO co IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 36"- 72 G 91.00 36"- 72 G 89.00 cs THE-SEPTIC SYSTEM INSTALLATION. 1 W Mad. -Fine Mad. -Fine 1 W EXISTING CESSPOOL TO BE PUMPED OUT FILLED IN PLACE Sand Sand 1 WW 90•oo, 25 Y 7/4 2.5 Y 7/4 1 W " 72"- 132 5 86.00 72"- 132 C6 84.00 1 \ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM -THE CESSPOOL TO BE DISPOSED 1 WW LOTS #46 & 47 OF AS PER BOARD OF HEALTH SPECIFICATIONS. t 1 W 13,500 Square Feet 1 \ 3 , THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY L 1 1 1 1 L Perc #1 ASSESSORS MAP 292, PARCEL 039 1 1 Depth to Perc: 40" to 58" i Vent LEGEND Perc Rate= <2 MPI L Groundwater Not Observed i Pipe26, 9' No Observed ESHWT 1 ADJUSTED H2O Elev. = None � ' MiK�\L�I!i ';;'ti D-Box 104X1 DENOTES PROPOSED i SPOT GRADE 3-24•DIAM. ACCESS MANHOLES V\ \\ I '1, . '.�• '•+j.��=�_ " X 104.46 DENOTES EXISTING ,o' -e• LOT #48 \\W �`� LOT #45 SPOT GRADE 4 At' ` W �\\ TEST HOLE #2 PL PROPERTY LINE 11 1 `\\ ELEV.= 95.00 O in \ o 96P PROPOSED CONTOUR INLET ou \V _ INLET / `/ \�,/ :1 \W ` ___- THE ACCESS COVERS FOR THE SEPTIC TANK, W O Fish ___96 - - - -97 EXISTING CONTOUR DISTRIBUTION BOX AND LEACHING COMPONENT Pond ,,,, z-�.,r;.� ,,,•�,.- �' SHALL BE RAISED TO WITHIN 6" of \\` 5 TEST HOLE #1 DEEP TEST HOLE & •"' ""' '% • ' *.' FINISHED GRADE. ' nk STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TiTE GAS BAFFLES OR EQUALS \ .Fish PERCOLATION TEST LOCATION PLAN VIEW ON ALL OUTLET TEE ENDS PZ7 LEV.= 97.00 PROJECT BENCH MARK NEW r~--. 6 FOOT STOCKADE FENCE /-3-24•REMOVABLECOVERS TOP ._OF FOUNDATION _ -� 1500Septic g 1. ELEV.'-= 100.00 (Assumed) : 3'min•dearonce INLET 8 minT 2•min. Inlet to outlet e•mh �� letT Y Fish \\ IN f0•min. l.lqufdTevel .' OUTLET r' Pond \V -7- P LOT P LAN o 4'-0'depth EXISTING \ �0° OF PROPOSED SEPTIC SYSTEM UPGRADE 2 BEDROOM PREPARED FOR •: ,: .;. •. •.t.. :.,• t HOUSE ",G'-G• 5'_e• / , . - ------- s8 S U SAN FRAZ I E R CROSS SECTION END-SECTION /' #55 Failed AT TYPICAL (H-10 LOADING) 1500 GALLON SEPTIC TANK i i --- --- C'sspoa #55 FRAN K LI N AVENUE NOT TO SCALE Z ; ; ; Q a ' :. I YA N N I S , MA 02601 I > 1 I I aZ Design Calculations • Number of Bedrooms: 2 Bedroom EXISTING D - I I I Q o ; q CA PREPARED BY: Garbage Grinder: No �o L R G� Leaching Capacity Required: 220 Gal./Day (MIN. PER TiTLE V) 90.00 I I I I0 C�1RMEN EH.A Septic Tank : - 2 x 330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank. i I I I No. 1 ENVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Z Bottom Area: 0.74 gal/sq. ft. x 312 sq. ft. = 230.88 gallons J'' __ I I .� `\,____ ____ ____ STE�� 185 ASHUMET ROAD Sidewall Area: 0.74 gal./sq. ft. x 152 sq. ft. = 112.48 gallons ------------------------ ----------- J t_-- S ANITAR\P MASHPEE, MA 02649 Providing: = 343.36 gallons Use: (3) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, FRA TTN L7 TEL/FAX : 508-539-7966 NKLIN A E (4' W x 7' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND (40 FOOT RIGHT OF WAY) SCALE: 1"=20' DRAWN BY: CES ATE: DECEMBER 4, 2007 2.5' OF WASHED STONE ON THE ENDS. PROJECT#SD1068 FILENAME: SD1068PP.DWG SHEET 1 OF 1