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Home My WebLink About0005 HARRINGTON WAY - Health 5 Harrington Way PF Hyannis A = 288 .092 i i a k r Commonwealth of Massachusetts ol Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 5 Harrington Way Property Address John Heam Owner Owner's Name information is H annisPort MA 02647 9-17-12 required for every Y page. CityrTown State Zip Code Dale 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 filling ut forms A. General Information of o ��` S� on the computer, `ya use only the tab �' •.�G 1. Inspector. N key to move your _�•• JAMES cursor-do not James D. Sears - SEARS—y. •v, use the return — Name of Inspector key. Capewide Enterprises, LLC. %��l'CFRTIF��O��. v I�f Company Name '�� r6 1N S VQ ��• 153 Commercial SL Company Address Mashpee MA 02649 Cityrrown State Zip Code 508-477-8877 S 1623 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. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 9-17-12 _ 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. t5ins•11MO TIGe 5 Offlde!fnspeW.-5Wb%r1f8oe Sewage Disposal System•Page 1 of 17 la i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Forth -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 page. CitylTown State Zip Code Date of Inspection. B. Certification (cont.) Inspection Summary: Check A,B,C,D or E f 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) 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 if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I t5ins.11110 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 2 of 17 vcN . i� iv.vvN - N.v Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owners Name information is required for every HyannisPort MA 02647 9-17-12 page. Cityrrown State Zip Code Date of Inspection B. Certification (oont.) B) System Conditionally Passes (cost_): ❑ 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-17/1 D Title 5 Official Inspection Forth:Subsurface Sw ap Disposal System•Page 3 of 17 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Omer Owner's Name information is rewired or every H anniSPOrt MA 02647 9-17-12 page. City/Town State Zip Code Date of Inspection B. Certification (cost.) 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. ❑ 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. 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 ❑ E 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 %day Plow t5ins•11110 We 5 Official Inspection Form:Sutxuface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owners Name information is requ ired for every HyannisPort MA 02647 9-17-12 page. Cityrrown 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 fleet 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.] ❑ ® 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 1 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 ❑ 0 the system is located in a nitrogen sensitive area(interim Wellhead Pmtectlon 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. tsns•17n0• True 5 Official Inspedron Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ' 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 Page. CdylTown 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 e� ® g 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? Z ❑ 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? Z Q 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. ❑ 0 Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CM 15.302(5)] 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 t5ins•1 tI10 Title 5 Official Inspection Fam:Subsirface Sewage Disposal System-Page 6 of 17 commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name infomration is HyannisPOrt required for every MA 02647 9-17-12 page. Citylrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal poly tank D Box and leach trench Number of current residents: 5 Does residence have a garbage grinder? ❑ Yes 0 No Is laundry on a separate sewage system?[jf yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d NA ( Y 9 (9P ))= Detail: Sump pump? ❑ Yes ® ' No Last date of occupancy: Present Date CommerciaVlndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): GaYlons per day(gpd) Basis of design flow(seats/persons/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: t5ins-11r10 Title 5 Official InspecronlForrte Subsurlaoe Sewage tmsposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 5 Harrington Way Property Address John Hearn Owner Owner's Name information is annisPort MA 02647 9-17-12 required for every H Y � page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) 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 ❑ Single 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): t51ns•i inn TIUe 5 Orrldal Inspecllon Form:Subsurface Sewage Olsposal System•Page a or 17 Commonwealth of Massachusetts Title 5 official Inspection .Form ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 page. cityrrown State .Tip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known)and source of information: 2003 Permit # 20D3 - 111 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 26"feet Material of construction: ❑cast iron ER 40 PVC ❑other(explain): Distance from private water supply well or suction line: feel Comments(on condition of joints,venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40 Septic Tank(locate on site plan): 18" Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ® polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal Poly . 1 � Sludge depth: . t5ins•11110 Title 5 Of let Inspection Form,subsurrace sewage oisp=system.Pape 9 of 17 Commonwealth of Massachusetts WM Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPoft MA 02647 9-17-12 page. Cityfrown 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 29" Scum thickness 0p, n Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Plan-Tape Sludge judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Poly tank w/steel cover's, tank at working level w I in and outlet tees. Tank and covers at 18" no sign of leak or over loading 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 tD bottom of outlet tee or baffle. Date of last pumping: Date Ohs-1 r r10 Tiue 5 officW Impeau faro:Subm'OEI a Sewage oisposal System Page 10 o117 V Cf.J I I L I V.J V I.J , Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 5 Harrington Way Y Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 _ page. City/Town State Zip Code Date of Inspection D. System information (corn.) 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 15ins•11110 Title 5 Mcial I rwpec>;on Form:Subsurface Sewage Disposal System•Page 11 of 17 N" Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner owner's Name information is required for every Hy annisPort MA 02647 9-17-12 page. Cityrrmn 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 0 — Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16'x16"-2' below grade w/one line out. Box is clean and solid, No sign of over loading or solid carry over 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.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: ism-11110 Title 5 Official Inspection Forth Sulov rlace Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r` 5 Harrington Way Property Address John Hearn Owner owners Name information is required for every Hyannis Port MA 02647 9-17-12 page. City/Town State Zip Code Date of Inspection D. System information (cont.) Type: ❑ leaching pits number - ❑ leaching chambers number. Q leaching galleries number. ® leaching trenches number, length: 1 57 ❑ leaching fields number, dimensions, ❑ overflow cesspool number ❑ innovative/alternative system Typetname of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.). Leaching is one trench 57'x4'x2' camera out from d box, Line clear. No sign of over loading, solids or holding water 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 t5ins•I V10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Pape 13 d V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form .Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) 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.): !Sins-11110 Tole 5 Offidal hspeclion Form Subsurface sewage Disposal system-Rep M of 17 r• Commonwealth of Massachusetts Title 5 Official Inspection Form Subsur face Sewage Disposal System Form Not for 9 F� Y Voluntary Assessments lug! 5 Harrington Way Property Address John Hearn Owner Owner's Name information is required for every HyannisPort MA 02647 9-17-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) . 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 Cl- R� � R A 1 •-D�:W P V 93r-6 -1 = 3 L � s 3 t5ins.11110 TO S Ofncial inspection Form Subsurface Sewage Disposal System•Page 15 of 17 i i l e- i v.-rvp p . t, Commonweal of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Heam Owner Owner's Name informationis required for every Hy annlsPort MA 02647 9-17-12 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells 11+. Estimated depth to high ground water. feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3-4-03 Date ❑ Observed site(abutting propertylobservation 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: T.H. Per Plan 3-4-03 No G,W. at 11' Before filing this Inspection Report, please see Report Completeness Checklist on next page. dins• 11I10 Title 5 otfiaal Inspection Form:SMu face Sewage Disposal System•Page 16 Q1 17 c, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Harrington Way Property Address John Hearn Owner Owner's Name information is every HyannisPort required for eve MA 02647 9-17-12 page_ Cityrrown State Zip Code Date of Inspection 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 t5ins 11lt 0 Title 5 official tnspedion Form.Subsurface Sewage Disposal System•Pape 17 d 17 Cape Cod Commission: USOTS Well Data - February 2003 Pagel of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact H dy rologist Gabrielle Belfit at the Commission offices (508-362- 3828). February 2003 [JSGS Site Water Record Record Departure from Number' *I* Location Well No. Level* High* Low* Average** (links to [1SG.S Monthly Overall national water-level database) Barnstable 230 23.4 20.5 26.6 0.0 0.3 41395607016430.1. Barnstable 24W 25.7 20.5 28.6 -1.0 -1.1 414154070165001_ Brewster BMW 21 12.1 6.9 13.6 -1.7 -1.9 414518070020301 Chatham CGW 138 23.4 20.9 26.6 0.6 0.6 414100070011101 Mashpee MIW 29 7.4 5.6 10.0 1.0 1.1 413525070291904 Sandwich �I52 47.2 45.9 48.2 0.2 0.1 4144.18070241_601_ Sandwich ZIS3 52.8 45.8 55.1 -2.5 -2.7 414124070265901 Truro TSW 89 11.3 10.2 13.0 0.5 0.7 420206070045901. Wellfleet WNW 17 10.2 7.3 12.8 0.2 0.2 415353069585401 http://www.capecodcommission.org/wells.htm 33/5/2003 Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: [T "37v W Lot No, � Owner: r-PbV-,.Q -t ( ^Address: f Contractor: 7 Ln' 2 01.CDn1(1�''4rlt�J� i Address: `Xn Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. .............................................................................. .Date month/day/Year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: M1W OAppropriate index well.................................................... /p OB Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... mon h/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) determine water-level adjustment ....................................... ............................... �. STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) .................................................. .......................................................... f; Figure 13.--Reproducible computation form. 15 -SeN - 20-01 13 : 52 BARNSTABLE HEALTH DEPT • 5087906304 srzs;ot NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLkTION TEST AND SOIL EVALUATION EXENIPTION FORM hereby certify that the engineered plan signed by me concernina the property located at all of the fct:owmo) • This failed system is connected to a residential dwelling only. There are no :ommerzial or business uses associated with the dwelling, Tl.e soil is ciass:;ied as CLASS l and the percolation rate is less than or equal to 71:wets per inch. The applicant may use historical data to conclude this fac: or may. _onduct tests at the site without a health agent present. • There :s no increase in flow and/or change in use proposed • There a:e no variances requested or needed, • The bottom of the proposed leaching facility will not be located less than fourteen 14) lee: aonve the maximum adjusted groundwater table elevation, fAdiust 'he nuns .gate: table using the Frimptor method when applicable) please complete the following: �. Trip of Grouno Surface: E!evation (using GIS information) (D,\X' Elrvat.or, .5— , ad;ustment for Thigh G.W. >T -T.R_cNCF %ETWEEN .A and 8 � 1 S.C,vED ___--- DATE: Na, NOTICE trz adore .r.farmacion, s rcoair perrut wil! be issued fbr .cdr^ems bedrooms are authorized to (he Future without to;tneerec :ept+: ,v;test plans. _ s : �c:un!r,:dci �ciccam� 03/26/2003 09:31 5085480796 CARMEN E SHAY ENVIRO PAGE 02 CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL.SERVICES,INC. P.O.Box 627,East Falmouth,MA 02536 March 25, 2003 RE: Certification of Title V Septic System Installation: Residential Property—5 Harrington Way, Centerville,MA Dear Sir or Madam: On March 24, 2003, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 5 Harrington Way, Centerville, MA, based on a design drawn by Shay Environmental Services, dated, March 24, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E. SHA Y ENVIRONMENTAL SERVICES,INC. OF MAT. CARMEN E. - S Y Carmen E. Shay, R.S., C. °. 116� c President Fc r 5 T cc f AsBuilt Page 1 of 1 TOWN OF BARNSTABLE 1 J L ATION 5 i t-Yy f l�v t SEWAGE# VT GE 5 iyw ASSESSOkP&LOT ?LQ J:�- INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l SOL7 �a G l- LEACHING FACILrrY: (type)�r�—��n�Y�c ('1 (size) NO.OF BEDROOMS B UELDER OR O R o PERMITDATE: 3 'LI a 3 COMPLIANCE DATE: 3 Z5 D 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 i i Cl a, ,l http://issgl2/intranet/propdata/prebuilt.aspx?mappar=288092&seq=1 8/14/2015 t � No. ""�� FEE Board of Health, AVAN 6 L--6MA. APPLICATION FOP DISPOSAL YSTFM CO NSTRUCTION N PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade 0 Abandon( - System ❑Individual Components Location (�q Owner's Name Map/Parcel# M A ,2 LMRAddress *,5 Lot# } Telephone# Installer's Name \ Designer's Name \ . Address C Addres Telephone# (0 8 -s-6N C) Telephone# -® O Type of Building 5 t & AK�CL\ Lot Size u� ��%� sq.ft. Dwelling-No.of Bedrooms a NIC S2£_ � � Garbage rinder (t�ZA Other-Type of Building t orw No.of persons CQ Showers ( afeteria Other Fixtures 2 �l Design Flow (min.required) 3'? gpd Calculated design flow esign flow provided o�-gpd Plan: Date 6 � Q r*5 Number of sheets Revision Date Title Description of Soil(s) a Q Soil Evaluator Form No. i rX Name of Soil Evaluator C Date of Evaluation �. DESCRIPTION OF REPAIRS OR ALTERATIONS DESIGNING ENGINEER MUST SUP€R11ME INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS T The un ' rd agrees to ins the above described Individual Sewage Disposal SysXeOMA" p'rSvRo��ifC a 5 and further aT'sit o t to pla e e eration until a Cert�cate o Com fiance has been issue y e oard of Health. Signed Date o e ,,.="'�1,^'h•-✓ .....-�---`•--ti--.w..r.�--.-.:.-..�� ry,....•• -..1.-......-.:�...r'..�-�.._��r�:,t'X�R`�1s�**-...n.�..,�_fwTv'`.f4'�.rµtw^^"s.-`a1""'^-''�r'+�.:-.+^+.c:r*r-�'q'L..rk"-ro,f'-'-.....-•.T;"'^{!!`.r-*±:.. FEE AASSACHUSOTS' COMMONWEALTH OF Board of Health, MA. APPLICATION FOR ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct(t) Repair( Upgrade Abandon( � om lete System ❑Individual Components 1' ti Location $�"� t1AQQt Ce a ( JAY Owner's Name r z Map/Parcel# MA Z8 1CWZC L qL a Address A w1C'TD1, t Al( C' n Lot# c Telephone# U _Installer's Name � Q Designer's Name G\ ! Address f 1 �? /'` ^ Addres lQ�'Le MA Telephone# Telephone# { 3 CO- Type of Building fi� ^KA`31 L�2:C 1 Q� Lot Size a sq.ft. S Dwelling-No.of Bedroom's 61 ��.1 ' 1 n Garbage grinder (/�/ Other-Type of Building rr IVfQ� No.of persons o4 Showers ($afeteria Other Fixtures l C]il kal L n� u Design Flow (min.required) gpd Calculated design flow `� esign flow provided S.�rgpd t 10,10 Number of sheets Plan: Date s � Revision Date Title �t CY`3tJC�S�P`(� F► ine' ,se 1� C _ U(�.X�C"�C��a Description of Soils) t C�aR•C �'^ C�[�� Soil Evaluator Form No. #\ Q :Z Name of Soil Evaluator CAS qi ' pty Date of Evaluation U I ` 11 �• DESCRIPTION OF REPAIRS OR ALTERATIONS -AZ C..'�' r(-1r oC�� t The und'�igned agrees to inssttall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to � of to place a ssystenm_ operation until a Certificate o/f Compliance has been issued by the Board of Health. Signed, ' / I�L IttflLVA4 'l I Date f> J o �~ lt3 _Insp-6ctioris, �_ql y vsi No. FEE Board of Health,��l I1�.�,YI K _ MA. CERTIFeE OF COMPLIANCE Description of Work: ❑Individual Component(s) C Complete System The 1tnd�rsigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded�,Abandoned ( b ) at has been installed in accordance with the pr ',ions of 310 CM�R 15.00 (Tale 5) and the approved design plans/as-built plans relating to application` o. dated _ Approved Design Flow !)ot (gpd) Installer AANW, Designer: , d Inspector: Date: / �J The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. l�i/ _, FEE Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( Abandon( ) an individual sewage disposal system at (,�. j'7 �1 �,�� ,l, nl i l as described in the application for 5�Disposal System Construction Permit No. l.�J�!/lJ -- .lJ dated V r � - Provided: Construction shall be completed within tthree years of the date Mthis mi All local co ditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date+.?611 Board of Health i I ''rr TOWN OF BARNSTABLE 77 1 .� LOCATION �) 1 -C, J ,tsr`z SEWAGE t �11 VILLAGE f c^-yi.v�5 �y' ASSESSO & LOT 298-M INSTALLER'S NAME&PHONE NO. .1/ - / A—S SEPTIC TANK CAPACITY LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR O R c PERMITDATE: 3 21 63 COMPLIANCE DATE: 3 �j i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i 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 —D Y � o i Cl��U� P� -c 1,\T 2-F �1z'eLC 5T, Q i /77 ` L !0 CATION SEWAGE PERMIT 00. VILLAGE INSTA LLER'S NAIVE A ADDRESS � BUILDER OR P ER lV OR M A N gf 6&f- DATE PERMIT ISSUED y ff- to DATE COMPLIANCE ISSUED- � �� 3 s `C cli �F r� TOWN OF BARNSTABLE Lts�ATION I) 1�' J'I � SEWAGE # c�'C/�✓J �� VILLAG \A-S_SESSO & LOT I►,6TALLER'S NAME&PHONE NO. ` SEPTIC TANK CAPACITY 11 1 LEACHING FACILITY: (type) Lz] (size) ` q, XcV NO.OF BEDROOMS _ BUILDER OR OWrfR. IN PERMTTDATE: 3 21 03 COMPLIANCE DATE: 3 T703 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 1 . ��,. \ U jj.� � - - A ' �` � r � �- d e �� c�6 � . � , � � �. o.. t . � � � � � .� �l � � � � � a- \ _ � = , �Q� � � �� TOWN OF BARNSTABLE 1 1 ( CATIONILLI AGt> SEWAGE# � 22..rr LLAGE ♦ytnh, ASSESSOR'S MAP&PARCEL cgk? QqA JSTALLERS NAME&PHONE NO.-RA,44; S 1', SEPTIC TANK CAPACITY /.SdO LEACHING FACILITY:(type)L each, -rrcoali (size) J 7 NO.OF BEDROOMS OWNER PERMIT DATE: / 0.3 COMPLIANCE DATE': oI/ 03 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching.facility) Feet FURNISHED BY � .r- - - - --_ _ - --- :..�} 1. � � ��{ ___— i �� I b � �� 1 �` ,\�'j Lp' \ �- � �` � ,, ..� i �� Z \ 4 d � � .� --�. < \ 1 � � �. 5 �.', Lw` . 1 I � � � 1 'i ' _ 1. s^� _ 2 2 ; 0.s O No.......�7.1....... THE COMMONWEALTH OF MASSACHUSETTS BOARD nOFt�HEAI T ....-_...._..-.L.o�.�--/.-J......OF.-.�; t��0-/�. +lJ. ..� _--_-.----- AppfirFation for Disposal larks Tonstrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (,)o an Individual Sewage Disposal System at ... .., �Y�'7. :. l?....._ --- ---------------- -------------------------------------------- Locat n Ad ss r Lot No. Cry '11�,is�--- '- .r...._.... 1 �1� -----.....-------------------------------------------- Ow r _ �'� Address a ��__�...MaJC06 b _�...... 5- .......................................... ...................................................... 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 ( ) a, Y.................................p .........•-••••--•••........•- ••---- �te•••-•-•-•••-.......-•--•••-•---•----•-•. Percolation Test Results Performed b Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ �Tq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth-to ground water........................ 0 Description of Soil............. 1'- t �'� 4 (-•-•-------------------------------•----•-------------...---------........._.. v -------------__________----------------______--------____-------------_________________________________________________________________________________________________------------------____________ W _ = �� L�17 --• 1-�---_----U Nature of Repairs or Alterations—Answer when applicable.._________ ------------------------------------------------••••••••••-••-••••- t .... _ � -----------.•••--•---•-=•- .............. 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 issued by the boa d of health. Signed__-.... __Q 1... . �acj_ x�'1 9e-�__.. _.� _1�f__. Date ApplicationApproved BY ........................................................ ........................................ Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ ---------------------------------------------•-....---•-------•-•---•--•-•--•--------........---•-------•-•-•-•---•--------•-•••--•••--•-•••-•---•••••-•-----••------•-•••••-••••-•-•-•••••-••---•---- Date PermitNo......................................................... Issued_..... ....................... Date iP� m No. --- ...�....... Fss........... ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ........................................................... AV.pliratiou for Disposal Works C onstrurtion Vprrmit Application is hereby made for a Permit to Construct ( ) or Repair (,,k) an Individual Sewage Disposal System at: Location-Address 1 or Lot No. i J i 1<+ i t . 1ft Owner r t Address ...................................l ,' ../ / 1 . _.. . . J!. -------•---------------•......•_.....••... -•....----•--•----•-•••-...----•--•--•••.............. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P (---->--- Cafeteria ( ) 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 ( ) a Percolation Test Results Performed by.................................... •••------•--------•-•---------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.__................. Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test. Pit.................... Depth to ground water........................ P+' ------•-•---•--•-------••--•----....--•.............•••------•--....-••-••-••---••--••......•...•........................................................... O Description of Soil-------------------- - t 't ......---; -r_f t r= �+ ---------•-••--- J W U Nature of Repairs or Alterations—Answer hen applicable-r--__-_•.�..._.%. .............................................•........................._. ......................................................................... ` _. `__.._._._.__.._.___. ........................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of MITI" 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance 1as been issued by the board of health. f " Signed. / ................... -••-------•-.................... Date ApplicationApproved By.................................... ` .......................................................... Date Application Disapproved for the following reasons:=-.........>...•------------•-------------------------------------------------- ---•--_.... ............................................................................................................. ...................................----................----._.....................---- Datb PermitNo................................................... Issued.....Y••........... ............................ Date THE- COMMONWEALTH OF. MASSACHUSETTS BOARD OF HEALTH ..............? .....%...............OF......,..........:................................/:..f`.......................... %ardifiratr ,af Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ........... :. = ............................ ' .......--...------...............---•-----....--.....................--•-••...... •In .t s a er ' at........... +/...1 . . . . 1+ : -t---- --------.. ......................................................../ has been installed in accordance with the provisions of T �`y of TheState Sanitary Code as describ d in the application for Disposal Works Construction Permit No.. ._____�.j__7................. da.ted.._..�`.�t�`.Co..._._......_... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST E® AS A GUARANTEE THAT THE SYSTEM WILL FYNCTION SATISFACTORY. f .•..,� DATE..................... E.............1d----•------------------•--. Inspector.-•�......------ --�-- ----.................................... F� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � 117 ..............�!......:'r...............OF.................... ...r�.......:!#.........4 .:�`..................... No......................... FEE........................ Disposal Works 01mustrurtion prrmit Permission is hereby granted...........I '� / !..i.!... �` J -----•---------r.::-:........= = to Construct: (+' ) or Repair O an Individual Sewage Disposal System J -}l r > 1 it it r j! 7, ( J .�J J r/ / r at No. /l / .. .- f / Street as shown on the application for Disposal Works Construction Pe> o.._._...__ __ Dated...___._'�`,��""_� :.... ................... ............................................ Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS _ xvl IF`�-h ouse to septic 10' min, from 'NOTE: ALL PIPES ARE TO BE 4."tank Schedule 40 PVC w/Chorcool Odor SCHEDULE 40 P.V.C. VENT PIPE (O Leost 24 inches toll) Existing Foundation p Rd I Filtcr LEACH TRENCHES CROSS-SECTION (1 TOTALS TOf ELEV 100 00 (Assumed) Septic tank covert he dl tx *RD °dwithin 6 in. of finished gradeGOde ove Sept c Tank - 99.00 Code over D-Box 9L.00 �J P�,,:an Groee -VAFES trw.EIw 9ft.50 a EIe.•97. ,, -0 023 HOLE H-,0 } °DIST. BOX 3 oo.eStarat0' NEW S+OtO S= O.otO' per toot 4` Pertoroled PYC�S 1J8-t/2` womed slon� ❑LD CRAIGVILLE BEACEx/St. PIPE I 1,500 GAL. OR GREATER 24 w..FROM fWNILtiION O, SEPTIC TANK 7O' 4• (overt Elo -94,72H-10oo 12' ' ' woshed Stone KV BoHom of Leach foci;ty Ekv.-92.72 CONCRETE FULL foUNDAT y Ur'j o ll rn Ch -56' t«no«t.e elane Rti .. .. i Note: All leach lines to De copped of ends v/PVC cops- 11 It4'pertoroted P.V.C. pipe SYSTEM PROFILE 6 n.ot 3/+ , 1/2 -�� s PROVIDED > -compocted stone d d Bottom of Test Mok 2 Eiee�t36.50 NOT TO SCALE Not to Scole -` c v -a LEACH TRENCHES - - LOCUS MAP > > C C 6 in.of 3/4'-1 1/2' NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE composted stone GENERAL NOTES 1. Contractor is responsible for Digsofe notification and protection of oil underground utilities and pipes. 2. The septic tank and distribution box sholl be set _�I level on 6" of 3/4"-1 1/2" stone. TYPICAL_ 1500 GALLON SQPTIC TANK 3. Bockfiil should be clean sand or gravel with no stones over 3" in size. NOT TO SCALE 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. 3-z+ aAu. AccEss MANHOLES 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plon and Local Regulations. 6, if, during installation the contractor encounters any soil conditions or site conditions that ore different from those shown on the soil log or in our design installation must halt & immediate notification be INLEJ �� / `� / OUT ET --`-'- - made to Carmen E. Shay - Environmental Services, Inc. INLET THE ACCESS COVERS FOR THE SEPTIC TANK, '� - ___- - - ` 7. No vehicle or heavy machinery shall drive over the ` DISTRIBUTION BOX AND LEACHING COMPONENT ti I' \ SHALL BE RAISED TO WITHIN 6" OF �'/ T r j'�-D� ,:7 A f T 7� 7� T T r� Septic system unless noted as H-20 septic components. FINISHED GRADE. 8. Install Tuf-Tite gas baffles or equals on oil outlet tee ends. STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS !!PLAN VIEW ON ALL OUTLET TEE ENDS (Varloble Width -------- 9. All Distribution Lines shall be 4 diameter Schedule 40 NSF PVC pipes. 9J -- 95 10. All solid piping, tees & fittings shall be 4" diameter 3-24' REMOVABLE COVERS Schedule 40 NSF PVC pipes with water tight joints. _ _ 11. Municipal Water Is Connected to The Residence and Abutting 3- min deo once ° TEST HOLE ( ' a -- Properties Within 200 Feet. 8" mnT_J Y min mbf to ��il4/l 3' eaET'T 9� _1 57.51' ELEV.= 97 50 r; 4�. 13 - ___ J____ 6•min. OUTLET _ ' ------ Liquid _ IET IavN _- -- - 10•min. W m:.- - w`` � 5' -7. % 97 4' �O THE PROPERTY LINES ARE APPROXIMATE AND Et 4'-o inn. ti _, •+ \` COMPILED FROM THE SURVEY PLAN GENERATED BY t-1[� ____ O, C, aa.�.. uquid depth ALL CAPE ENGINEERING. OF HYANNIS, MA ; -------$_ --_----_ �� ENTITLED " SITE PLAN OF LOT #6 HARRINGTON WAY" VENT PIPE u t - \ - -96 AND FOUNDCATION ASBUILT", DATED JULY 9, 1997, ?IV-0, -�J1 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN i Y S,-8 -i1,�7, IT SHOULD BE USED FOR NO PURPOSE OTHER THAN CROSS SECTION END-SECTION GARAGE ' I' ►� THE SEPTIC SYSTEM INSTALLATION. SLAB FOUNDATION ASPHALT 1DRIVEWAY _. -- _ _ _ ... - wiled - ' " - - - - - - _� ERE.ARE_N W _-W THI E MAY REPLACE WITF# 15C�0- G4LL N P F _ _._A sw_ ,. . ._W__ __ -_ _. _ .__Tr+ EzLANDs. f N 200__(� _.rHE_ .ROPERTY_ ._ _ . ..._. _.;4 C�L'F-E�-i�(L EN C- S C P-T I C�Afd .�- ,�--�, � T .. ----Leach Pit 56' _fit 77 (Approx.) , O :H d LEG E N D FROM GEORGE OBRIEN & COMPANY (H- 10 , Q I t f.. / t EXISTING PERCOLATION TEST r - ; 3 BEDROOM DENOTES PROPOSED „ . 104X� SPOT GRADE n 1G`al 20.25 HOUSE Date of Percolation Test: MARCH 4, `2003 f-ar:,� SCREENED Test Performed By. CARMEN E. SHAY, R.S., C.S.E. rjr-) PORCH ty5 ( O I t X DENOTES EXISTING Results Witnessed By: WAIVER( Per Barnstable B.O.H.) it (No Foundation) �` tit O r1 1 Q4.46 SPOT GRADE EXCAVATOR: Shay .Environmental Services, Inc. 1 0 Percolation Rate: Less Than 2 MPI ® 30" Below Land Surf C 11'� 1 `a t tl Q / Surface e 1 11 r /� PL PROPERTY LINE r` v f Test Hole I D-BOx O o 96P PROPOSED CONTOUR No. 1 j / Q a FULL FOUNDATION DEPTH SOILS ELEV.I, / \ _ t - _ - -97 EXISTING CONTOUR 0 97.50 EXIST. METAL f3.5' Loom �._r' Sand SEPTIC TANK NEW tsaa 9m. �\ \ 0 f ® DEEP TEST HOLE & Y ved ,o YR sJz Septic Tank ( ) (POLYETHYLENE) `` "(*To Be Rem , PERCOLATION TEST LOCATION LOT:46 6 FOOT STOCKADE FENCE Loamy , 'oSnYR S/6 9,503 Square Feel- �� 8"- 30" B. 95 OOI Medium 1 89.79' M� .Sand � I � REV.: 3/24/03 Reconfigured SAS to one trench due to Water Line 25 Y 7/4 PROJECT BENCH MARK 30"- 132 D, 86.50 TOP OF FOUNDATION PLOT PLAN ELEV. = 100.00 (Assumed) OF PROPOSED SEPTIC SYSTEM UPGRADE Perc #1 \� Depth to Perc: 30" to 48" LOT ##5 Perc:Rate= Less Tho 2 MPi ----99 PREPARED FOR Groundwater Not Observed NO Observed ESHWT . R O B E RT 8c J EA N N E N E G R ADJUSTED H2O Elev. = None AT #5 HARRINGTON WAY HYAN N IS MA D2Si9n Calculation ALL OUTLET PIPES FRO►, THE ; 1 DISTRIBUTION Box SMALL BE � 9 Number of Bedrooms: 3 Equivalent to 330 Gal./Doy - SET LEVEL FOR AT LEAST 2 FT, 12• CONCRETE COVER 50. c1 N-Ff� -.- Garboge Grinder: No �^ ,_,1 . 2 0 20 40L, PREPARED BY: 3 - S OUTLET �'. '� Leaching Capacity Required: 330 Gal./Doy Minimum per Title V. KNOCKOUTS Septic Tank 2 x 330 Gol./Doy = 660 USE 1,500 GAL. Septic Tonk -tS5 ounET ,r INLET �r �p /� I _r A.RAMY E. AJ H1-1 -Y SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch` ;; . a. B : ENVIRONMENTAL SERVICES, Proposed Leaching Trench Dimensions: 4' Wide by 56' Long by 2' Depth. <_ .* z SCALE: 1 "=20' ' II ER ICES INC 0 81 15.5" P.O. BOX 627 Bottom Area: 0.74 gal/sq. ft. x 224 sq. ft. = 165.76 gallons 4" - SCH. 40 Te ,-7s 4 'f'F O f`/ ' Sidewoll Area:,,.. 0.74 gal./sq. ft. x 240 sq. ft. = 177.66 gallons PLAN SECTION CROSS-SECTION EXISTING SEPTIC TANK & LEACH PIT TO BE PUMPED OUT & REMOVED sG'�?L e� ky„1 EAST FALMOUTH, MA 02536 Providing: = 343.36 gallons TO INSTALL NEW SEPTIC TANK AND SAS. iq� +a TEL�FAX : JQ$- rj4$-Q796 Use: 1 TRENCH - 56'L by.4'W x 2'D 3 HOLE H-10 DIHOLE -10 DI TRIBUTION BOX NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE r SCALE: 1 =20 DRAWN BY: CES DATE: MARCH 19, 20C_3 NOT TO SCALE FROM THE EXISTING LEACH :PIT/Septic Tank TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD401 FILENAME: SD401 PP.DWG SHEET 1 OF 1