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HomeMy WebLinkAbout0088 ISALENE STREET - Health 88 Isalene Street Hyannis A=267 - 043 m 6 i R i I i i TOWN OF BARNSTABLE LOCATION (Cd!!'L_L��I �, SEWAGE# VILLAGE .f J- *Ae4l (� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Z.tTICG►._ (size) _Toxq. NO.OF BEDROOMS ,3 .•�GO �EL G�{ C- OWNER e 1r PERMIT DATE: �•eL� COMPLIANCE DATE: 17 ( 6 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)) ^ 14/94= Feet FURNISHEDBY A r V ( ��t �Nj/ •r i/?r "�— Q Q. �I oQ O I Commonwealth of Massachusetts Title-5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments , ;M 88 Isalend Street -< Property Address Ester Prager Owner Owner's Name information is7 required for every Hyannis V/ Ma. 02672 09/14/2017 X page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael T Bisienere use the return Name of Inspector key. Cape Septic Inspections � Company Name 624 Old Barnstable Road Company Address Mashpee Ma. 02649 Citylrown State Zip Code 508-280-3356 Si3938 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 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 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 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.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 0� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: This 3 bedroom home has a H-10 1500 gallon septic tank and a H-10 D-Box feeding a leaching trench with 12 infiltrators. At the time of the inspection the leaching was dry and there were no visible sins of past hydraulic failure. 13) 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): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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, Y 9 p 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 El ® 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 Y2 day flow t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System—Page 4 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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 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.] ❑ ® 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 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. t5ins.doc•rev.6/16 - Title 5 Official Inspection 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 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 - page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is Hyannis Ma. 02672 09/14/2017 required for every y page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 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)): Detail: In 2017 8,700 cubic feet were used and in 2016 5,300 were used Sump pump? ❑ Yes ® No Last date of occupancy: July Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: x: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. Cityrrown 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: 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): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of i7 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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: 04/30/2009 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Note there are two sewer pipe and both enter the same tank. Septic Tank(locate on site plan): Depth below grade: 12"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: Standard H-10 1500 gallon septic tank Sludge depth: T. Nt5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. City/Town 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 36" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? Sludge Judge i Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I would recommend the new owner put the tank on a maint. Ian with a local se tic pumping co.The P P P p P 9 Barnstable Health Dept. has a list of local septic pumping co. 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 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is Hyannis Ma. 02672 09/14/2017 required for every Y page. Cityrrown 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 cutlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The H-10 D-Box had no visible signs of leakage or evidence of past hydraulic failure. 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: Appx. 33' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At the time of the inspection the leaching was dry and there were no visible signs of past hydraulic failure. 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 88 Isalene Street Property Address P Y Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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.): 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts IRE W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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 f t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 TOWN OF BARNSTABLE LOCATION Ta&2 t SEWAG�EL# Loan—103 VILLAGE �)ni,f ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. �g d( nfo ^tl+°� Y�fL Soya SEPTIC TANK CAPACITY IS"UU /f/u LEACHING FACILITY:(type).(/2 /f jtq4 �ro !��T (size) 3x 60 NO.OF BEDROOMS _ OWNER & h4m C Non j iAgtl PERMITDATE: 94A-1ouS COMPLIANCEDATE: 413p'�cF� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility !va 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 FURNISHEDBY e,4fea�& ��P`t '� IL � I S q AI 17Z d+8 ti B2 �e.o 43 ys.o �tr �7,0 8Y 3 9.6 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 - 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: 10 plus feet feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I augered a hole to ten feet. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 88 Isalene Street Property Address Ester Prager Owner Owner's Name information is required for every Hyannis Ma. 02672 09/14/2017 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 0 S Pii s � a � t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 f TOWN OF BfARNSTABLE LOCATION �$ ,[ SCt(On_Q 561��T SEWAGE. �# 10`3 VILLAGE-� 'IS ASSESSOR'S MAP&PARCEL V3 INSTALLER'S NAME&PHONE NO. W,1141rl ,� �0��, ,+,� VIE yp alf_ SEPTIC TANK CAPACITY f�S-oU f/fv LEACHING FACILITY:­(type)r(/t %fjcg I od ?to �F`G� (size) 3 x 60 NO.OF BEDROOMS _ OWNER �vrl1,4rn 1VXnCq PERMIT DATE:. •COMPLIANCE DATE: y l 3®1 20n Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .moo li?' feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY C�na t"4 C M w G W Sv S, fU -0 6" 41M -� zm Fee l Vv No. 7 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Nplication for Miooar *p.5tem Cou5tructiou Permit Application for a Permit to C�jonstruct,(( ) Repair"� K) Upgrade( ) Abandon( ) ❑Complete System El Individual Components p Location Address or Lot No. ,9-�''L 5 iY�¢.e�C Owner's Name,Address,and Tel.No. Cwgz� ro�y$e L Assessor's Map/ParcelX1,43 Installer's Name,Address,and Tel.No. C d, ESL P�j ) Designer's Name,Address and Tel.No. 5 C t' 2 1 Type of Building: Dwelling No.of Bedrooms Lot Size i r o sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)33D gpd Design flow provided (o s gpd Plan Date '-1 --L 2- Zoos Number of sheets Revision Date Title Size of Septic Tank l 5'6O Type of S.A.S. 5 i?n-Jj--sS Description of Soil 65" Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 2 D o ci Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed �-- Date 2 ZO o�7 Application Approved by ` Date Application Disapproved by: Date for the following reasons Permit No. =1 0 Date Issued �� "(,� N op ! 10 O. ^�^ f i 6;f l-1*1 Fee A THE COMMONWEALTH OF MASSACHUSETTS Entered-ncomputer: Yes PUBLIC 11 HEALTH DIVISION - TOWN O:F BARNSTABLE; MASSACHUSETTS ZIpplication for Zigpogal *pgwm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. -) 5m-,Qrj Owner's'Name,Address,and Tel.No. d4,2 G)45 g„- Assessor's Map/Parcel L/ `{ S hn u fY}r(( MP Installer's Name,Address,and Tel.No. C°A F?k(9�(Y) Designer's Name,Address and Tel.No. e i Type of Building: Dwelling No.of Bedrooms Lot Size o sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 346,6,•3 gpd Plan Date t4 2 2 - -Zca00i Number of sheets Revision Date Title ! rQa•� Size of Septic.Tank S'R®�n Type o' S.A.S. fz�-e�-s5 T� c�� "S Description of Soil _ (� IZI Nature of Repairs or Alterations(Answer when applicable) Date last inspected: l aQ tt Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. I Signed c� Date p o Application Approved by c - Date Application Disapproved by: - Date for the following reasons Permit No. �� /0 3-T�— Date Issued THE COMMONWEALTH OF MASSACHUSETTS I BARNSTABLE, MASSACHUSETTS Certificate of Compliance, '} THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ,), Upgraded ( ) Abandoned( )by �An1.a:J �� P�•�?� c c.. k at � Sett(e,. r J ee� has been constructed in accordance 1 with the provisions of Title 5 and the for Disposal System Construction Permit No. 0011 /03 dated Installer �-A�r A.J,.dL4 A,O.M W-C— Designer �,( , �_ #bedrooms Approved design flow A-3�o I gpd ' t The issuance of this permit shall not be construed as a guarantee that the system willfunctiofn a's designed. Inspector ! Date —ram �(, , / No. t" ( � i`0.3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS Tigpogal *pgtem Con5trurtton Permit , Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at 1 S n v - I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5,and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of thisetmi . Date — Approved by ./ AL'Own of !Barnstable ' Regulatory S er vices tw*l 4Tbomas F.Geller, Director Public I:Healtb Division Tbomas McKean, Director 200 Main Streat,Hyannis,MA, 02601 Office; 508.862.4644 Fax- 5Uy--,A40.6304 Iu;ttnller kDesietter r� tificatton Form Date: N 30 -o Designer: "c:. :0nc Installer: Cca �w, Address: 2-6 5y Gfonbe�-� Ni�lnwa Address: •Elk Wore?1n�w, H(k 62�3 f,S :./ fl .. ..__ _ 011 D �4 (date) 4` ='� `^ 1 was issued a pertnit to install a (installer septic system at U 15 a I en a S Fr e e �~ (address) `'— based on a de;cign drawn by (,nee_ cif , 10c:� dated F�pci i a? , 100 (des" . --- — 1 certify that the septic system referenced above was installed sub i the design, which may, include mitwr approved changes to distribution box and/or septic tank, such as lateralxehoeatior according a t ie i I certify that the septic system referenced above was installed With major changes (t.e, greater than 10' lateral relocation of the SAS or any vertical relocation of ally Component of the Septic system) but in accordance with State d'c Local Regulations. plan revision orcertified as-built by designer to follow. �yIN ON M . J<)tl 147- L~�G ( n a er's o •evil r esigner's Si (Af> est finer a amp Here) P '• + RE U U HAJIN C L B Trl 1111,11WKWECUM. C ' iJ!! C Tl; ILT`CAM EC B S A • �I IO , Q HeeltivSepNe/Desiper Certification Form T.0 •d 1_920 £tZ 809 9NIa33NIDN33r Wa bZ: S0 600Z—ZT—A4:iW Town of Barnstable P# Department of Regulatory Services Public Health Division Date . � i639. �e� 200 Main Street,Hyannis M A 02601 rf0!AA'1� Date Scheduled Time Fee Pd. Soil Suitability Assessment for Se ge isposal Performed KMI-, ae.( `fYYleYl�l t;� 1 CS C By Witnessed By: LOCATION& GENERAfi.INFOIIVIATION Location Address ((� r'1 S` Owner's Name Pl''`i`A,-2 lJ �J Address 9 Assessor's Map/Parcel: 2 (Q�IIO•(3 Engineer's Name 4-- NEW CONSTRUCTION REPAIR v Telephone# 5b9`E_-K 4 0'Z? k 5-08-2- 3-0 3 7 7 Land Use 50AC (-aoni 14 /t e!(deni1�( Slopes(%) I"Z Surface Stones Distances from: Open Water Body - ft Possible Wet Area ft Drinking Water Well ft Drainage Way _ ft Property Line '7 1 0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) See.. a t-acW d pl rn cl aAed V-Z Z_6 9 Parent material(geologic) 0�}u'a5�n Depth to Bedrock '7 132 .. o Depth to Groundwater: Standing Water in Hole: 7 t 2 Weeping from Pit Face -7 1 32 Estimated Seasonal High Groundwater 7 13 2 MURMINATION FOR SEASONAL DIGH WATER:TA�� Method Used: DkrecE Observ�zktor, Depth Observed standing in obs.hole: ?13 2- in. Depth to soil mottles: 7 t 32 In. Depth to weeping from side of obs.hole: ?_13 z in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level_ _ __ Adj.factor _.___ Adj,Groundwater level P RCI L.ATION TEST Date Observation _ Hole# l T Time at 9" Depth of Perc 3 2-50 Time at 6" .a Start Pre-soak Time @ j i, 10 A N Time(9"-6") End Pre-soak 1 i: 20 A r Rate Min./Inch LZ Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) /V Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG dole# t. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ib-1 LS IUir 3/t 1�-32 L5 1 p;'r 5/4 32-137- C MS 2,5` 11/6 V&5 e DEED'OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel -32 LS ►© Yr s/� — 32-132- G NS 2, 5 Y `/6 JGos DEEP".".OBSERVATION HOLE.LOG Role.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA )) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color SoilOther Surface(in.) (USDA) (Mansell) Mottling (Structure,Blanes,Boulders. Consistency, Gravel) Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? tl S If not,what is the depth of naturally occurring pervious material? Certification I certify that on l U-27-9 t (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise a experience described in 310 CMR 15.017. Signature L Date Y'2 3-o Q:\SEPTIC\PERCFORM.DOC I TOWN OF BARNSTABLE LOCATION _I -Tsl4Lone -5-M 157' SEWAGE # ?G//-AG© VILLAGE ASSESSOR'S MAP & LOT ' �y2 INSTALLER'S NAME&PHONE NO.� 4gf' SEPTIC TANK CAPACITY /SO4 Q Wl LEACHING FACILITY: (type) 3'/2Gu�S a�FS �cls size) 32 X c�.5 0 NO. OF BEDROOMS 3 / BUILDER OR OWNER DOV/d 15 AS 1�L l PERMITDATE:.5'—2'/- // COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or,witWn 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachhii g facility) Feet Furnished by w G O O Q 1 �Sr Q tG 1 KV O I_ 3 c ` y TOP OF FOUNDATION = 35.8'+- INISH GRADE OVER D-Box= 34.5'+. PROPOSED VENT WITH CHARCOAL GENERAL NOTE S PROVIDE CONC. RISER WITH 4"SCHEDULE 40 PVC MIN. SLOPE I % FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFUSSERS= 34.5- - 35.0' COVER OVER INLET&OUTLET FINISH GRADE OVER TANK EL.= REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER TO WITHIN 6"OF FINISHED GRADE INSPECTION PORT WITH METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 34.7'+ THIN CODE AND ANY APPLICABLE LOCAL RULES. 3-OF F.G. (ONE PER ROW) FINISHED GRADE TO WITHIN 6"OF F.G. 34.6'+ 5-DIA. OUTLET(S) ACCESS BOX TO WI 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS --------- -------- COVER(3 TYP.) 36"MAX. DESIGN ENGINEER. 9"MIN. 9" MIN. EXIST. SEWER PIPE 36"MAX. 9"MIN. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 36"MAX. TOP OF SAS B.O. = 32.18' SYSTEM UNLESS OTHERWISE NOTED. 2" DROP MIN PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN MIN.SLOPES 1% 6" 3' ' 3" 9" @1% rh6'0" 3"DROP MAX. tJ JOINTS(TYP.) ELEVATION =32.18' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A PROP. PVC 101, 4"PVC IN FROM 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF SEWER SEPTIC,TANK • 4"PVC OUT TO PIPE 4- \-32.50' 1.33' 16" TYP THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. tA 1 10.7 n�; LEACHING FACILITY (TYP-) n P 0 07W 12 PE /*3 3.0'± 32.75' 0.901 1 PE IV 10.75" TYP 5. SLOPE 1=nD A r_'A�OMAf_'�=; -_-6.�THIS SYSTEMTS-NOT DESIGNED FOR A GARBAGE DISPOSAL. OUTLET TEE 32.27 32.10' OR TO BACK 48" 31 .761 \-30.85 (LAID FLAT) 4875' (34.5"). -7-_-I-GGAI�: F HEALTH AND DESIGN �-22"ZABEL FILTER MODEL 6"CRUSHED STONE 5.0' (TYP.) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS #Al 801-4x22(GAS OVER MECHANICALLY (TYP.) NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.0'TO FND BAFFLE ON BOTTOM) 3 COMPACTED BASE 5' MIN. AND DESIGN ENGINEER. 6"CRUSHED STONE OUTLET DISTRIBUTION BOX 60.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 34.82' ESTABLISHED OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE ON CORNER OF BULKHEAD AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 23.50' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10' 6' WIDTH 5' 8" DEPTH 68" (Dimensions per Wiggin CROSS SECTION VIEW BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES ANK PROFILE Precast Corp., Pocasset, MA) DISTRIBUTION BOX DETAIL 12 ARC 36HC (#3616BD) BIODIFFUSERS SEPTIC T TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY ELEVATION NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM PERC NO. 12532 APPROPRIATE AUTHORITY. ISALENE STREET INSPECTOR: Donna Z. Miorandi, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS (40'LAYOUT) a • ZONE 11 EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • THEY SHALL WITHSTAND H-20 LOADING. C.S.E. APPROVAL DATE: Oct. 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. EDGE OF PAVEMENT(TYP) • D DATE: April 9, 2009 TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ELEV TOP 34.50' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ELEV WATER <23.50' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 0 lose 0 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 0 0 W N* PERC RATE <2 min./inch AM Z==J■ - SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 100.00, W a DEPTH OF PERC= 32"-50" 16. PROPOSED PROJECT IS LOCATED WITHIN: 0. • ASSESSOR'S MAP 2Z6V ci • TEXTURAL CLASS: 1 `7 PARCEL 43 \ _ "• • *•+ • •"" • _ OWNER OF RECORD: William & Nancy Prager Gail &Thomas Glaser 0 0 ADDRESS: 3 James Road 806 Heath Street :C g 0 Sharon, MA 02067 Chestnut Hill, MA 02467 • 0" 34.50'Fill 0- LAI 16" 33.17* BIT. DRIVE A Loamy 1 OYr Sand FEMA FLOOD ZONE C 3/1 18" - 33.00' COMMUNITY PANEL# 2500010008 D MAP 267 MAP 267 VVALK 0 B Loamy Sand 17. DEED REFERENCE: DEED BOOK 23070, PAGE 80 1 OYr 5/6 1 LOT 44 LOT43 • 32" ;jj.tj3- 1 18. PLAN REFERENCE: PLAN BOOK 139, PAGE 11 10,000 S.F.± Perc 19, ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. r .0 0. ; 5 30.33' MAP 267 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY < FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY LD LOT42 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. Medium Sand C 2.5Y 6/6 (Loose) #88 LOCUS PLAN 0 EXISTING < L9 0 b CARPORT 3-BEDROOM SCALE: 1" 1000' 60 q 132"1 1 23.50' C) 0 0 0 (FULL BASEMENT)TOF = 35.8'± z cn i�: No Mottling, Standing or Weeping Observed 0 CO o TEST PIT DATA0DESIGN DATA LEGEND 0 iiNVERT-33.9'± INVERT--33.1'± PERC NO. 12532 co INSPECTOR: Donna Z. Miorandi, R.S. 50xO EXISTING SPOT GRADE HC-2 NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel, E.I.T. 50 - - - EXISTING CONTOUR ON SLAB GA Benchmark DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 Comer of Bulkhead PROPOSED CONTOUR C/o Elev. =34.82' TOTAL DESIGN FLOW 330 GAUDAY DATE: April 9, 2009 HCA Approx. M.S.L. DESIGN FLOW X 200 % = 660 GAUDAY TEST PIT#: 2 D/H/W EXISTING OVER HEAD UTILITIES 34x7 USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV TOP 34.50' W-W 35 EXISTING WATER LINE PROPOSED 1500 GALLON 80 SEPTIC TANK ELEV WATER <23.50' K GAS EXISTING GAS LINE PERC RATE = 34x8 04 C/o EXISTING CESSPOOL TO BE PUMPED, 34x6 CID INSTALL 12 - ARC 36HC (#3616BD) BIODIFFUSERS TEST PIT LOCATION FILLED WITH CLEAN COARSE SAND DEPTH OF PERC EDGE CID TP1 AND ABANDONED (TYP OF 2) TEXTURAL CLASS: 1 EXISTING CESSPOOL OF LANDSCAPIN SYSTEM CAPACITY COP 34.5' PROPOSED DISTRIBUTION BOX (4 0.01 (TOTAL L.F.OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD O O O PROPOSED 1,500 GALLON SEPTIC TANK 15.0' 0 (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING DAY 0. 34.50' Fill PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE "1 6 33.17' cy TP2 3) TOTALS: A Loamy Sand 13 PROPOSED DISTRIBUTION BOX 35-_ 34.5' 1 OYr 3/1 35x2 TOTAL NUMBER OF BIODIFFUSERS: 12 B 18" Loamy Sand 33.00' PROPOSED .ARC 36HC (#3616BD)BIODIFFUSER N86051'50"W TOTAL NUMBER OF COUPLINGS: 0 1 OYr 5/6 1 1 ou.VU 350- f TOTAL LEACHING AREA: 468.0 SQ.FT. 32" 31.83' REV. DATE BY APP'D,. .---DE-SC,RIPTIO-N----------------- PROPOSED INSPECTION PORT TOTAL LEACHING CAPACITY: 346.3 GAL./DAY ...... WITH ACCESS BOX TO GRADE PROPOSED TOTAL 12 ARC MAP 267 PROPOSED SEPTIC SYSTEM UPGRADE (TYP OF 2) 36HC BIODIFFUSERS LOT45 PREPARED FOR: PROPOSED PVC VENT PIPE NOTE: CAPEWIDE ENTERPRISES EXACT LOCATION PER OWNER MAP 267 MAP 267 EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE LOT46 Medium Sand LOT 153 DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C 2.5Y 616 LOCATED AT "MODIFIED CERTIFICATION FOR GENERAL USE'" ISSUED TO ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST (Loose) 88 ISALENE STREET MODIFIED JULY 23,2008). TRANSMITTAL NUMBER=W000052. HYANNIS, MA NOTE: 1 SCALE: 1 INCH 10 F7. DATE: APRIL 22, 2009 SWING TIE MEASUREMENTS 0 5 10 20 40 FEET 132" 23.50' 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE No Mottling, Standing or Weeping Observed DESCRIPTION HC1 HC2 .................. TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. 0 HN L. PREPARED BY: RESERVED FOR BOARD OF HEALTH USE _V G CiH,ILL SEPTIC COVER IN (1) 47.8' 19.4' JR. JC ENGINEERING, INC. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE CML 7 2854 CRANBERRY HIGHWAY LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE SEPTIC COVER OUT(2) 49.1' 25.8' 41 EAST WAREHAM MA 02538 CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. START BIODIFFUSER(3) 572 30.0' , REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS SITE PLAN- END BIODIFFUSER(4) 20.0' 72.4' 508.273.0377 ARE NOT CONSISTENT WITH TEST PIT DATA. SCALE: 1"= 10' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1590