HomeMy WebLinkAbout0057 GROUSE LANE - Health 57tGrouse":Lane �a� _
Hyannis
,a
A = 268 - 256
1
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TOWN OF BARNSTABLE
LOCATION S ( Gyc dose 1 Ahe SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL 2.6 8- 2 5-66
INSTALLER'S NAME&PHONE.NO. 33"h K C-%%dQ`% 508
SEPTIC TANK CAPACITY IS�G j
LEACHING FACILITY:(typ k.500 C- %` 3T" (size) 16.1 'r 2
NO.OF BEDROOMS .3
OWNER - Ce
PERMIT DATE: COMPLIANCE DATE: '
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility h 4 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
--f`acility), Feet
FURNISHED BY JD Wt �
I
:33
ay
o �
C 3 za covsy
3s. vSe- gouts
y ,
t
No.c ICI _/4 / Fee / Cit
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rpphfation for Misposal *pBtrm Construction j3prmIt
Application for a Permit to Construct( ) Repair( ) Upgrade(,I.YAbandon( ) Complete System ❑Individual Components
Location Address or Lot No.S 7 gracoSe k A w1 e Owner's Name,Address,and Tel.No.
Asses 6 67 sor's Map/Parcel �G - 25 A-4,r+-0 Sergio C W )1 e S✓A�,•e
Installer's Name,Address,and Tel.No. ',�01�ti cov+ -, Designer's Name,Address,and Tel.No. Il
30 T1A1CL-_C4.ruh no SYgM�wic1� Ll�sj✓(rtr��1� lc orICS 111 14jCrO5.3;aJA00
509, 916 9463 Soo y7-) 5 3/
Type of Building:
Dwelling No.of Bedrooms Lot Size i 2 -3 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.re uired) 3 3 d gpd Design flow provided 3 3 d gpd
Plan Date 2 S `1 Number of sheets Revision Date
Title
Size of Septic Tank 1500 Type of S.A.S. 4:�4j+;j.Is4 3ec-S
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) (mot C. S P(� C S�/S�t?N�►
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Boar Health.
Signe '— - --W--_ ® Date 5 `l
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. `7► Date Issued
T-T-
J No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01pplication for 4gposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) 'Upgrade(Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. C1 r6 u 5,e Owner's Name,Address,and Tel.No.
Ass ssor's Map/Parcel 1,6 y- 2.5 6 11 C•fA
Installer's Name,Address,and Tel.No. �'ay,"` CokAd v,% Designer's Name,Address,and Tel.No.
3G Tin�cicca r� S✓1+,�tric►� L 14S).tccr1'15 WcrICS f'L t✓ Cros��'Fs1(�/P�
' So Fl 7 ?rc 99�3 �tr �l� rG h'� S 3l
Type of Building:
Dwelling No.of Bedrooms Lot Size 7 2 73 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 d gpd Design flow provided 3 G gpd
Plan Date 3 ''L 5 Number of sheets 2 Revision Date
t
Title
Size of Septic Tank l 560 Type of S.A.S. "L S
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) re, ,� vic C SC 10- r S�1
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 Boar Health.
Signe Date / 1
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Q/Q L/ Date Issued
------------------------------------------------------------------------------------------------------------------------------------
` THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Cleftificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded
Abandoned( )by
at �? �,, J �/a 4&4 to has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No _ /b 1 dated
Installer ZI;t6 �at, c� Designer .
#bedrooms -3 Approved design ow gpd
The issuance of th' permit shall not be construed as a guarantee that the system wil tio, as designed.
Date Inspector
-.- ------------------------------------------------------------------------
No. t, `► Fee 106
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal &pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade O Abandon( )
System located at Q G616 S,em 1
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must e co/pleted within three years of the date of this pet it.
Date ���"J / Approved by
Town of Barnstable
Regulatory Services
�:( Richard \'. Scali; Interim Director
9 T .t.�.
o ",`S' /a; Public 1lcalt>z Division
pA U.S
�f a Tbornas McKean,.Director
200 A labs Street,lfyanais,MA 02601
Uf9'icc:' 50,RL8>2-4(', a
1"a : 50,S- 90-b;.tl4.
Installer& Desi�Tner Certification.Form
Bate: �' � c1
51 l Sewage Permit#. 2-0 0 Asses " l'IapTarcel
I}esitiner: �,z*�� n
Installer:
P
tA,ddre ss: i 2 �1L Cr- Address:
I� M Oil
-- _ ti��ts'issttccI a permit to itist(tll a
(date) (installed') T
Septic system at 57 �-✓� �T �h h,t_ based on a design.drawn by
-
(��deire5s
.:laud ��5 1 t
lclestgm�r)
v I Certi.i'y that the sepuU system reterenced above was installed substantially according; to
the design, which may Include minor approved changes such Lis lateral reloctitio.n of Tile
distribution box and/or septic tank: Strip out (if required) was inspected and the soils
`were'found satisfactory.
I certify that the septic system re orenced (.Above was installed \vlth major changes 6.e:,
greater than. 10 lateral relocat'on of the SAS or any verti...al relocation of. ant component
of the septic: s.ystern) bia in accordance with State J:. focal Roryulations. Plan revision or
t rtified as-bwlt by designer to i'o110w. Strip o.ut(Ifrequired) was inspected and the soils
%verc found satisfactory.
_ .l certify that the system referenced above was constructed in with fife tca"tis
6f(tic t%A approval,letter's (if applicable) `u sac ys
F
ns e s Signature')" CIVIL
n� , gyp.35tiQ9
.......
(Destlrier's Signatume) (4ffix Desi,ne
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TBI.S FORM AND AS-
BUILT CARD ;`RE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
3^II:ANK }iOU.
C(:5uaic';i)esi�hcr C:ert fication Form '.ev S-i 4 1;.doc
Engineers note;This certification,is limited to ar.as-built inspection of sysiem componerls as installed prior to backfill.The
enumeer did not supervise construction of die system The in, Iler BSSUmr3S Te onslbii,ty o Il:materials :workmanship,backPliirg
to specified grades with proper ccmpactioq. and eettin isers'Qovers as shown an the design Flan.
Town of Barnstable r# '� Sq fig ,.
Department of Regulatory Services
a&RNsr MZ`:' ]Public Health Division Date g
p i6;q `mot 200 Main Street,Hyannis MA 02601
rEo�,t i
�.4
Date Scheduled _ Time pee Pt _ t 6
,Soil ►Suitabdity-Assessm:ent, of S
Performed'g: &4—Pn m,&J s e � Z
Witnessed By:
LOCATION& GENERAL INFORMATION
S
Location:Address '7 G r&VS'e L—e— Owner's Name C_eA((,e,)
q'Y 4iti K t S , Address T G rr9JS 2 Lct •,-2J
Assessor's Ivtap/Parcel 26 Z s4 Engineer's Name �t^��
NNW CONSTRucnON _REPAIR_RgpAmp Telephone`# 5 C9 '4 Z-7—5-3 13.-
Land Use Slopes(,Yo) 2r ` Surface Stones P`��-'
Distances from: Open Water Body. ^)/4 ft Possible Wet Area Drinking Water We112r \ft
Drainage Way ft Property Line �6�� ft Other ft
SKETCH:($treet,name,dimensions of lot,exact locations of test holes&.perc tests;locate wetlands(n.proximity to holes)
.. .... .. ..............
V"
(\Ile
Parent material(geologic) e5)u/Za 0,5 Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: 6� Weeping from Pit Fnec
Estimated.Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: .
Depth Observed standing in obs.hole' __-_ in, Depth to soil mottles;
Def th to weeping from side of obs.hole: in aroundwater Adjasttrlent lt•
Index Well# Reading'Date: Index Well level m„� Adi,factor, r AdJ:.C7roufldwnter lemur n
PERCOLATION TESL' Date— Tame
Observation .
Hole
� 2 Time at h"
p
Depth of Perc !✓ kJ Time at 6'
Z�} C�a,llav,s
Start Pre-soak Time-@ Time(9"-6')
End Pre-soak
Rate Min:/Inch L Z
Site Suitability Assessment. Site?assed Site Failed: Additional Testing Needed(YIN)
Origiga►:: Public Health.Division Observation I1ol.e Data To Be'Completed on-Back-----------
***If percolation test'into<be conducted within 100' of wetland,you must first notify the
Barnstable Conse)ivation.Division at least one(1) week prior to beginning.
Q:IS E PT(CIPERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture .Soil Color" Soil Other
Surface(in:) (USDA) (Munsell) Mottling '(Structure;Stones;Boulders,
Consistencv. ravel
�l— ty o4 Sa Eaa�, to Yrz ttz
aty
I J
DEEP OBSERVATION HOLE LOG HOW# Z
Depth from Soil'Horizon Sot, exture Soil Color Soil. Other
S.urfaee(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Cons` en %,' ravel
�( - 6CL� s 2 st' �(� Cam - z -✓(
DEEP OBSERVATION HOLE LOG Hale#
Depth from Soil:Horizon Soil Texture Soil Color Soil Other
Surface(in) (USDA) (Munsell) Mottling (Structure,Stones,.Boulders.
nsis e c Gravel)
------------
t��
DEEP OBSERVATION HOLE LOG Hole#`
Depth from Soil Horizon Soil Teziurc Soil Color Soft Other
Surface(in)" (USDA)" (Munsell) Mottling (Structure,'Stoues,Boulders,
onsi en ra
Flood Insurance Rate Man:
Above 560 year.tlood'baundary No_ 'Yes - - -
Within 500 year boundary No Yes
Within 100 year flood boundary No,�� Yeses .
Depth of Naturally Occurring Pervious Material
Doeg at least four feat of naturally occurring pervi, us material exit.'sn`ail areas observed throughout
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?;r
Certification
1 cerflfy that on (date)I have passed the—soil.evaluator examination approYed by the
Departinent of Environmental.I'rotect on and that the above analysis was performed.by me consistent with
the:required traini expertise and experience.described.in 10 0M 15.017.
— -- --�� "rt
Signature Date:�- ,
QN EPTICIPRRCFORM.D.00.
ov,29 1,4 07:00p p.1
s • t'
Commonwealth of Massachusetts
Title 5. Official Inspection Form
" Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
•a
The Estate of Everett Martin
Owner Owner's Name
information is West Hyannis Port MA 02601 11-24-14
required far every �
page. CitylTown 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.
f Important: A.When A General Information
fillingng out forms ���q►�►umrrrn�
on the computer, ��� �ZY1 OFA,��s�����
use
only Ile
key to move our 1. Inspector: ,��� . .9cy,
cursor-do not James D.Sears '�� JA MES
use the return Name of Inspector —�'
�U: co
keys CapewideEnterprises,LLC `* '
c�_
Company Name %'T .RTi F�
ss V� II i
153 Commercial Street
Company Address
Mashpee MA _ 02649
Cityfrown State Zip Code
508-477-8877 S1623
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection.The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
11-24-14
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.
t5ina•3r13 Title 5 Otfidd Inspection Wbsurfaee Sewage Disposal System-Page 1 d 17
Nov.29 14 07:00p p.2
r'
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is west Hyannis Port requiredtorevery MA 02801 11-2414
page. Cityrrowm State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary:Check A,B,C,D or E I 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:
The system is two block c.pools.
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not
determined,"please explain.
The septic tank,is metal and over 20 years old or the septic tank(whether metal or not)is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
A metal septic tank will pass inspection it it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND(Explain below):
15ins•3/13
Title 5 011idal Inspection Form:SWsurface Sewago Disposal System•Page 2 of 17
Nov.29 14 07:01 p p 3
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is
required for every West Hyannis Port MA 02601 11-24-14
page. Cdyrrown
State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumpslalarms are repaired.
S) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):.
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•W3
Title 5 0rhdaf lnspediai Foam Subswface Sewage Disposal System•Page 3 or 17
Nov,29 14 07:01 p p.4
Commonwealth of Massachusetts
MENEM
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is West Hyannis Port MA 02601 11-24-14
required for every
page. CiVrown, state Zip Code Date of Inspection
B. Certification (cont.)
2. System will fall 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 weir*.
Method used to determine distance:
This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You 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
,VA ❑ ❑ 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" befow invert or avaflable volume is less
than '/Z day flow
t5ins-3l13 Title 5 Ofridel Inspection Fomt SLOsuaface Sewage Dispose!System-Page 4 of 17
Nov,29 14 07:01 p p.5
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is
required for every West Hyannis Port MA 02601 11-24-14
page. citylrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis,performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 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.j
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd_
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303,therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section 0 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
stem with 310 CMR 15.304, The system owner should contact the appropriate
regional office of the Department.
15ins•3113 Title 5 Olflofal Inspection Form:Subsurface Sewage Disposal System.Page 5 d
Nov 29 14 07:01 p p.6
commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
inforrnation is
required for every West Hyannis Port MA 02601 11-24-14
page_ Cityrrown 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 aimmoma manholes uncovered, opened, and the interior AMMMIM
inspected for the condition of the Mignmtees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
❑ Was the facility owner(and occupants if different from owner)provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
® ❑ Existing information. For example,a plan at the Board of Health.
Determined in the field(if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): NA Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330
t5ins 3/13 Title 5 Offidel Uupection Form;&jbstnfaw Selvage DlSposal System•Page 6 of 17
Nov 29 14 07:02p p.7
Commonwealth of Massachusetts
Title 5 Official Inspection Form
' - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information Is required for every West Hyannis Port MA 02601 11-24-14
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
The system is two Block C.Pools.
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available(last 2 years usage (gpd)): 2012-72,000GaIs2013-54,000Gal's
Detail
Sump pump? ❑ Yes ® No
NA
Last date of occupancy: Date
Commercialfindustrial 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:
15ine-3113 Us 5 Official Inspaction Fame Subsurface Sewage Disposal System-Page 7 of 17
Nov 29 1407:02p p•8
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is required for every west Hyannis Port MA 02601 11-24-14
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cons)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: NA
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
❑. Septic tank, distribution box, soil absorption system
® cesspool
® Overflow cesspool
❑ Privy
❑ Shared system(yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
151ns•3f13 Title 6 Official Inspection Form:Subsurface Sewage Disposal system•Page 8 of 17
Nov 291407:02p p•9
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Ili Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is West Hyannis Port MA 02601 11-24-14
required for every
page. Cityrrown state Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components,date installed (if known)and source of information:
NA
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grader 26"
Material of construction:
❑ cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints,venting, evidence of leakage, etc.):
Pipeing is 4"PVC SCH 40 Pipeing is new 11-2014.
Septic Tank(locate on site plan):
Depth below grader feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
Sludge depth:
t5ra-3113 Title 5 Official hispedion Fomt Subsurface Sewage Disposal System-Pepe 9 of 17
Nov 2914 07:03p p.10
commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is
regliired for every West Hyannis Port MA 02601 11-24-14
page_ C1tyrTown state Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert,evidence of leakage, etc.):
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑metal ❑ fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:
Date
15ins•3113 Title 5 Official Inspection Farr:Subsurface Sewage Disposal System•Page 10 of 17
Nov 29 14 07:03p p.11
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is required for every West Hyannis Port MA 02601 11-24-14
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑concrete ❑metal ❑ fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins-3l13 TWO 5 Offidel Inspection Form Stbsurtew Sewage Disposal System•Page 11 d 17
Nov 29 1407:04p p•12
Commonwealth of Massachusetts
Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is required for every West Hyannis Port MA 02601 11-24-14
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No'
Alarms in working order: ❑ Yes ❑ No'
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
' If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3113 Trtle 5 Official Inspection Form:Subsurface Sewage Disposal System•Pape 12 of 17
Nov 29 14 07:04p p.13
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
Information is required for every West Hyannis Port MA 02601 11-24-14
page. City/Town State Zip Code Date of inspection
D. System Information (cont.)
Type:
❑ leaching pits number.
❑ leaching chambers number.
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
® overflow cesspool number 1
❑ innovative/alternative system
Typeiname of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of
vegetation, etc.):
Over flow is a 7'deep. Block pool at 2' below grade w/18"cement cover at grade. Pool
is dry w/clean walls. No sign of over loading or high stain line.ln let tee.
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration 1
Depth—top of liquid to inlet invert 5
Depth of solids layer
2m
Depth of scum layer 0
Dimensions of cesspool 7' Deep
Materials of construction Block
Indication of groundwater inflow ❑ Yes ® No
t9ns•3113 Title 5 Officiai Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Nov 29 14 07:04p p.14
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is required for every West Hyannis Port MA 02601 11-24-14
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Main pool is 7'deep block. Pool at 10" below grade w/18"cement cover at grade. One inlet wt
tee. One outlet w/tee. V-6"water in pool.
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17
Nov 29 14 07:05p p,15
Commonwealth of(Massachusetts
Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information
levery
requirequiredfor is West Hyannis Port MA 02601 11-24-14
page. City/Town State Zip Code Date of Inspection
D. System Information (cons.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
hand-sketch in the area below
❑ drawing attached separately
13
9-)L = 33
C
0
t5ins.W3 'role 5 Baal Inspedion Form:Subsufaoe Sewage Disposal System•Page 15 of 17
a
Nov 29 14 07:05p p.16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information is West Hyannis Port MA 02601 11-24-14
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 1 t3eet+
t
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: pate
® 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:
Hand Auger 13"No G.W.. Bottom of pool 9' below grade. bottom of pool 4'above Auger Hole
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t51ns•3/13 Title 5 Offidal inspection Rome Subsurface Sewage Disposal System-Page 16 of 17
Nov 29 14 07:05p p.17
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
57 Grouse Lane
Property Address
The Estate of Everett Martin
Owner Owner's Name
information Is
required For every West Hyannis Port MA 02601 11-24-14
page. Citylrown State Zip Code Date of Inspedion
E. Report Completeness Checklist
® Inspection Summary:A, B, C, D, or E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
I
t5ins•3113
Title 5 OlFcial Inspection Forth:Subsulfaae Sewage Dispose!System•Page 17 of 17
4/1
No. Fee 0
,
THE COMMONWEALTH OF MASSACHUSETTS Enteredino mputer:
es
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftpYication for Disposal *pstem Construction permit
Application for a Permit to Construct( ) Repair(Al Upgrade( ) Abandon( ) ❑Complete System endividual Components
Location Address or Lot No.5'7 (ORUS e 114• H y ANN IS Owner's Name,Address,and Tel.No.
C-4Ca4!Tti G. M1%annl
Assessor's Map/Parcel a(c,t ps-(° 6-1 fos uas e W. H-Ifm w S Yw h. O LI-o f
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
CAPeu.xt-L- W4TM?fL%3c.S lit•
5 3 c,o►vw,e,�co n l SZtz t�t Im1E6"re_z NaA.i 16L(q N JA
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
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) L.1 H tv cwh,4(o c
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 Hea .
Si Date Cf (9—;�
Application Approved by Date � -/V
Application Disapproved by Date
for the following reasons
Permit No. % Date Issued 1 l /� L.�
No. Feel 6 G
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
" es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
applicatio>Y for MisposaY *pstrm Construction Permit
Application for a Permit to Construct( ) Repair()(f Upgrade( ) Abandon( ) ❑Complete System individual Components
Location Address or Lot No. T-7 (cRovs e I N- N y ANN is Owner's Name,Address,and Tel.No.
CvL-PP-tT G. mRant4
Assessor'sMap/Parcel i Ps-i' 6-1 Greo�asC- W. H'4f}n1,1s YUA • 0Z.to01
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
CAPE> Df Crilt�ct?ci�se S I lc-
1 5 3 c�a�w,c �c int Shzttr Vvfl�sliPet PAA•02to�9 N A
Type of Building:
Dwelling No.of Bedrooms �f Lot Size sq.ft. Garbage Grinder( )
Other. Type of Building 1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Li ht E CWA N C.,E
Date last inspected: r
Agreement: f
- - 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
4 Compliance has been issued by-this Board of Hea
Signed, Date (9-;-0��
Application Approved by "'v,. _ Date I h /�J-/y
Application Disapproved by U Date
for the following reasons
Permit No. 0 I L G - Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
1 l Pie �4n BARNSTABLE,MASSACHUSETTS
(. Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( )
Abandoned( )by C A k-'�C 1>C C-I-A %Z S L LC
at 51 (0 LN . N y A N rat t S has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. o f - /Y`dated y
r •
Installer C'R�'E t O E wry TL-V P r s t s LJ-C • Designer
#bedrooms t / Approved design flow 4 gpd
The issuance of this permit shall nJot�be co/n�sttrrufed�as a guarantee that the system will fdnctiowas/designed
�.�
Date �ljM/ /'l! Inspector h- ✓/Oy'L. -- rr� �/C! �'C�;'(•1t
Q i f_L ! v
No. Fee ()
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Nsposal 6pstelu Construttion Permit
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( )
System located at 5"7 Lo n oLAS E lt4. M y A m n t s
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date k // /C Approved by
I
I X
>t
LEGEND N
x 100.98 EXISTING SPOT GRADE `oA��e P°c ® LOCUS
N gI.5617 E \ -- 99 -- EXISTING CONTOUR
\\ EXISTING CESSPOOLS —W EXISTING WATER SERVICE
40.56 \ TO BE PUMPED, FILLED —G EXISTING GAS SERVICE o
\' WITH SAND & ABANDONED OVERHEAD WIRES
FIREPIT \ —�'H' — eja
x G TEST PIT o
B08 108. \\ -— ENCHMARK
+
J
O s� BENCHMARK
°°F. \\ CORNER BULKHEAD
o -
108,26 � � EL.-108.47 Y
0 LOCUS MAP
108A8 x NOT TO SCALE
+ --� 108,24 \\ �R�S�0
a'
— 107,91 x
BM ` F C) GENERAL NOTES:
o ` 108 47 �\ a,
`O 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
o ` PATIO �tp 10 8 BOARD OF HEALTH AND THE DESIGN ENGINEER.
107.81 �� PATIO BH \\ + 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
x 1 ,20 rinse I OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
\ Q cb/ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW:
%i \\\ ` —310 CMR 15.405(1)(b):
W
1) A 5' variance, S.A.S. to garage slab, for a 5' setback.
2' 0 }J 7 �� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
pD x 107,95 +�l .19
O \ DECK �iEXISTING TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
000 PROPS 2p• HOUSE(#57) �'. DESIGN ENGINEER.
O 107,81 STANKC\� T.O.F.=108.5t 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
o � /� - FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
\ 0 �000,0 i ENGINEER BEFORE CONSTRUCTION CONTINUES.
Z \ Q� k�i +'1 104,68 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM.
107,81 x 107"20 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
107.03 + LOT 5 10'5,87 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
/\'✓ ❑ 3cj HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
x �q 107.6011 GEN ' i' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
07,6 'y l� 1 ,532±S.F.� �. ,� 104,6E
�� 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S.
GARAGE �' �0 0� � �� � 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
/7'Gj�A i AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
j �106.97 p) �� Q�,� DIRECTED BY THE APPROVING AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
106.77 10' ;7l ;.p ^ ~..; �� 104.26 x THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
ED c >. .?i .> CONSTRUCTION.
TP-2 .. h ion �l`.,:. fr Dl,�j�E�, { 105,82',' :',V. ` GROUSE 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
:.
AY
0 •.: ' \ °.:.'°� :?: :;: `; .:•,:::. `'..':.`.. >.i�` :.•,: '. IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
0. ' LANE REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
TP 7 106,4 •a.:.;: 105,3 �'': 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
L•
_ INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
106.39 "r'_;.''•••:•:::'=:.4� x 106,69 x 106,75
�i 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
124.2a, 103.53 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY.
S 17 W °'
' PARCEL ID: 268-256
�� OF MAssqe,y
L PROPOSED S.A.S. o PER T. �, io3,o3 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
2-500 GALLON CHAMBERS Mc TEE
SURROUNDED W/4' STONE � CIVIL y 57 GROUSE LANE, HYANNIS, MA
No. 35109 Prepared for: Sergio Calle, 57 Grouse Lane, Hyannis, MA 02601
OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.
SERGIO R JR 1"=20' P.T.M. 147-19
cALLE, Engineering WoYh.S', Inc.
q t 57 GROUSE LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
(2S { 1 HYANNIS, MA 02601 (508) 477-5313 3/25/19 P.T.M. 1 Of 2
9
NOTE: TO PREVENT,. BREAKOUT, FINAL GRADE
ft` SHALL NOT BE AT, OR BELOW, EL.=106.5
FOR A DISTANCE OF 15' FROM THE EDGE
SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S.
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE
INSTALL RISER & COVER OVER ONE CHAMBER AND
T.O.F.=108.5t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=108.2t F.G. EL.=107.9t F.G. EL.=99.3t F.G. EL.=107.0t
MAINTAIN 2% SLOPE ` OVER S.A.S.
L = 28' - -
O S=1% (MIN.) p S=1%5(MIN. L - 12 GARAGE
4"SCH40 PVC ) ® S=1% (MIN.)
6•,' 4"SCH40 PVC 4"SCH40 PVC 2- LAYER OF
DOUBLE WASHED TO 1 2"
10"I B BaBSaaa (OR APPROVED FILTER FABRIC) s
INV.= 14 2' EFF. Baaaaaa
aaaaaaa "> >
48" LIQUID DEPTH �--3/4" TO 1-1/2" DOUBLE �,�• ��
105.25 LEVEL 4' 4.8' 4' WASHED STONE
ADD INV.=103.67 PROPOSED INV.=103.50 =30.3r 17.5'
GAS BAFFLE EFFECTIVE WIDTH = 12.8'
INV.=105.00 D-BOX _-_
H-20 RATED INV.=103.00 N
PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS , ��
CONNECT TO EXISTING SUITABLE SEWER SURROUNDED WITH STONE AS SHOWN �55 6 1 .^
PIPE AT HOUSE, INV.=105.8t verif H-20 RATED 4----__- -
TOP CONC. ELEV.=104.1t
BREAKOUT ELEV.=103.50
NOTES: INV. ELEV.=103.00 Baas
BB6a6
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaaaaaaaaaa
aaaaaaaaaaa
INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=101.00 mm
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 8.5' 4' SEPTIC LAYOUT
TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING VARIES-REFER TO SKETCH
SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL
IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W.
3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL=95.5 _ J HING SYSTEM SECTION EAC
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE
®®®®®®®®®®® 37"
N.T.S. N ;PEO®®®®®®®®®®®�®®®®®®®®®
DESIGN CRITERIA SOIL LOG
102"
8.5 DATE: MARCH 22, 2019 (REF#15,928)
NUMBER OF BEDROOMS: 3 BEDROOMS �_1_2.8_'_, SOIL EVALUATOR: PETER McENTEE PE(SE#1542) 4" KNOCKOUT
3 7' WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT
L-- ELEV. TP- � DEPTH ELEV. TP-2 DEPTH
SOIL TEXTURAL CLASS: CLASS I T ,
DESIGN PERCOLATION RATE: <2 MIN IN u7 1. O,, 0„ 2 COVER
/ BOTTOM AREA a0 106.5 106.6 A ,
DAILY FLOW: 330 GPD 1 320.0 S.F. � 105.8 FILL 4" KNOCKOUT 4" KNOCKOUT 58'
'' SANDY LOAM
I A $ 1 OYR 4/2
DESIGN FLOW: 330 GPD 1
SANDY LOAM 106.1 g"
GARBAGE GRINDER: NO I�--21 3'-yI 10YR 4/2
B 4" KNOCKOUT
105.3 14^ SANDY LOAM
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PERIMETER=75.6' B 10YR 5/8
CONTRACTOR MAY SUBSTITUTE CONCRETE SAS DIMENSIONS SANDY 5 104.E 24" 500 GALLON CAPACITY, H-20 LOADING
TANK WITH AN APPROVED PLASTIC TANK /8 Cl
SKETCH 103.2 40" COARSE SAND CHAMBERS
LEACHING AREA REQUIRED: (330 GPD)=445.9 SF Cl
i. 2.5Y 6/4
.74 GPD/SF COARSE
E6SA 54,.
1o1.s ND 102.1 10% GRAVEL
5Y
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 10% GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES C2 POERC MED. SAND 57 GROUSE LANE HYANNIS MA
43"/61" 2.5Y 6/6 > >'
SIDEWALL AREA: 76.4'(PERIMETER) x 2'(EFF. DEPTH) = 151.2 SF MED. SAND Prepared for: Sergio Calle, 57 Grouse Lane, Hyannis, MA 02601
BOTTOM AREA:............................................................... = 320.0 SF 2.5Y 6/6
Engineering by: SCALE DRAWN JOB. N0.
TOTAL AREA:............................................................... .. 471.2 SF 95.5 132" 95.6 132" Engineering Works, Inc. N.T.S. P.T.M. 147-19
PERC RATE <2 MIN/IN. "C" HORIZONS 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 3/25/19 P.T.M. 2 Of 2