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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owners Name
information is
required for every Hyannis Ma. 02601 7/13/2011
page. Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer, �{I use only the tab 1. Inspector:
key to move your
cursor-do not Sean M. Jones
use the return key. Name of Inspector
Capewide Enterprises
Q Company Name
153 Commercial St.
Company Address
Mashpee Ma 02649
City/Town State Zip Code
508-477-8877 SI 4522
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
I
7/13/2011
Inspectors 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.
o
****This report only describes conditions at the time of inspection and unde the condpions oFuse
at that time.This inspection does not address how the system will perf kk In the future®der
the same or different conditions of use..
Co
cn
tins-09108 Title 5 Official In Form:Subsurface jraga Disposal Di �tern•Pa e 1 of 17
sa
AH tV r�
rn
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
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:
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•09M 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
°< 49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is y required for every Hyannis Ma. 02601 7/13/2011
page. Cityrrown State Zip Code Date of Inspedion
B. Certification (cont.)
B) System Conditionally Passes (cont.): "1 ,
❑ 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):
y ❑ broken pipe(s)are replaced I ❑ Y- ❑ N ❑ ND (Explain below): .
j ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
El distribution box is leveled or replaced,; ❑ Y ❑ N ❑ ND (Explain below):,'
❑ The system required pumping more th'an: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):
F .
i
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
16.303(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-09108 Title 5 Official Inspection Forth: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
y� 49 Kelley Rd.
Property Address
Linda Getlan t .
Owner Owner's Name - r
information is
required for every Hyannis ma. 02601 7/13/2011
page. CitylTown 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,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
i 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 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 forma
3. Other.
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
® Discharge or ponding of effluent to the surface of the ground or surface waters -
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
El ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
tstm-09= Title 5 official Inspection Forth:Subsurface Sewage Disposal System-Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form='Not for Voluntary Assessments
+ I
49 Kelley Rd. _
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis i Ma. 02601 7/13/2011
page. Cityr town , 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..
a' ® 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. ;
t ❑ ® 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
❑ 0 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.09/08 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
49 Kelley Rd.
Property Address
Linda Getlan
Owner owner's Name
information is required for every Hyannis iMa. 02601 7/13/2011
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?
® El Were as built plans of the system obtained and examined?(If they were not
n 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? r
® ❑ 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?,,
El 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 A_ bsorption System(SAS)o_n the site has "
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health:
® 0 Determined in the field (if anyof the failure criteria related to Part C is at issue .
approximation of distance is unacceptable) [310 CMR 15.3W(5)j
D. System Information
Residential Flow Conditions: f
Number of bedrooms(design): 3 Number of bedrooms (actual): ?
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 331.8 gpd
provided
t5ins•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
_
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: current
Date
CommerciaUlndustrial 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:
t5ins•09/08 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
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is
required for every Hyannis Ma. 02601 7/13/2011
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: 1000 gallons
gallons
How was quantity pumped determined? sizeof tank
Reason for pumping: maintenance
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•09108 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
of 49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
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:
system repaired 9/12/2006 per town records
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2
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.):
Joints ok, no leakage, vented through roof
Septic Tank(locate on site plan):
Depth below grade: 1feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1000 gallons
Sludge depth:
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
J
X Commonwealth of Massachusetts
Title 5 officia Inspection Form
Subsurface Sewage Disposal.System form-Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owners Name `
information is� Hyannis Ma. 02601 7/13/2011 required for every F '
page. Cityrrown 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 Y
Scum thickness
Distance from top of scum to top of outlet tee or baffle `
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined? Tank was cleaned at time of
inspection
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank was cleaned as part of the inspection and should be done again every 2 years as maintenance'
Water level was at bottom of outlet invert, tank was not leaking and was structurally sound. Outlet tee
intact and in good condition.
Grease Trap(locate on site plan): T
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 k
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
i
Commonwealth of Massachusetts
Title.5 Official Inspection Form
MW Subsurface Sewage Disposal System.Fong-'Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owners Name
information is Hyannis Ma. . 02601 7/13/2011
required for every -
page. City/Town J 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 pumpeii at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑.concrete " ❑metal ❑fiberglass 0 polyethylene ❑ other(explain):
Dimensions:
Capacity: `
• .,gallons
Design Flow:
+ gallons per day
Alarm present: ❑ Yes ❑ No A
Alarm level: x Alarm in working order. ❑ Yes ❑ No r
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•09/08 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
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
0"
Depth of liquid level above outlet invert
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Water level was at bottom of outlet invert, no sign of past hydraulic overloading.
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:
t5ins.09108 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
t Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
.�" 49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
_
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number.
® leaching chambers number: 5 hi cap
infiltrators
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ 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.): r
s.a.s.was inspected with a camera run from the distribution box and was found to be dry with no
evidence of past hydraulic overloading.
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•09= Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
VVj
49 Kelley Rd.
Property Address
Linda Getlan _
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
page. City/Town . 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.): K ,
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owners Name
information is Y
required for every Hyannis Ma. 02601 7/13/2011
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
i
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
i
�C-Ae 0� MvtS�
g
i
A- ( 23 =
13-r 3%
A-Z �9
D
p-g�
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form'.'.Not for Voluntary Assessments
49 Kelley Rd.
Property Address
Linda Getlan .
Owner Owner's Name
information is Hyannis Ma. 02601 7/13/2011
required for every `
page. Cityrrown _ State Zip Code Date of Inspection
D. System Information (cont.) '
Site Exam:
1 .
Check Slope
❑ Surface'water'
❑ Check cellar
❑ Shallow wells _
1V+
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: 9/5/2006
r ,
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:
Design plan on file at Town of Barnstable Board of Health dated 9/5/2006 indicates that no water was
encountered @ 132"and system was designed to have a seperation of 5'+ between bottom of s.a.s.
and adjusted water table.
Ti
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-091138 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
49 Kelley Rd.
Property Address
Linda Getlan
Owner Owner's Name
information is required for every Hyannis Ma. 02601 7/13/2011
page. City/Town 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-OWN Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 17 of 17
12/08/2018 21 :33 FAX ®001/001
Town of Barnstable
' Regulatory Services
. 1 Thomas F.reiler,Director
Public Health Division
-Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer& Designer Cordficatioa Form
Date: 9.x2_Q6
Designer: Shay Environmental 5=iccL Inc. Installer: Robert S.O& smic-es_
Address: p.Q. ft 627 F, cnouth, Address: 5 Trenton Street�� } -
+,0��6 Yarmouth�A .
On "6/06 Robert Sgntic Service was issued a permit to install a
(date)
septic system at 49_Wlev Road,Hyannis, MA based on a design drawn by
(address)
Sha Eaimnmental Services,Inc.--- I'dated 9/05� 06
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system rcferenced above was installed with mayor changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State & Local Regulations. plan revision or
certified as-built by designer to follow.
�AtA OF sc4s
CARMEN
E.er's igna a
• SHAY N
No. 1181
IST
all
'firs De
PLEASE L,E P DIVI i IFICATE
WILL NOT H NTIL B ORM A
BUILT CAM ARE RECEIVED,uv 134F R 4 RNSTp
' IMAM 1 Y9V N
yys .Q:11�YVSe Neiirir Ccrti..a "don Pom A �..i 5• ~ .�-� , 1,
No.. ��� i ^ — �Q^ Fee t
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
01pplication for � gpo5a[ *pgtem Cott5trUCtion Permit
Application for a Permit to Construct( ) Repair( Upgrade Y Abandon( ) ❑ Complete System EXIndividual Components
Location Address or Lot No.ldl9 G Owner's Name, ddress,and Tel.No.
Ginn/ ����� ��
Assessor's Map/Parcel c9XIO(o
—p,p Q
Installer's Name,Address,and Tel.No. g I`(��a Designer's Na ddress and Tel.No.
c'L P, 1%j Ajunt)o h a , 1 4 066-X W-7 eAltn
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures `� 2
Design Flow(min.req ired) 330 gpd Design flow provided gpd
Plan Date d Number of sheets Revision Date
Title
Size of Septic Tank UIJv Type of S.A.S. �Q QiL.lk�Ll/L�
Description'of Soil
Nature of Repairs or Alteration (Answer Vhen applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of T' le 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this oard of ealth.
Signed Date — flJ
Application Approved by Date
.Application'Disapproved by: Date
'.for the following•.reasons /-
Permit No. 0� Date Issued
.; .-V.. . � - s -• . „ �'.�13r,-..,'l��N�,yy��.v 4::It't Y+' � � y-.:-wC M•w.,, �� •. --. w . ., .�. . .. �.
3MYY [ y7 •�-- •
No. Fee
` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
ZIPPYtcation for �Btq*ozal 6p9;tem Con.5tructton Permit
Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( )_ El Complete System Individual Components
Location Address or Lot No. / o�elly Owner's Name,:Address,and Tel.No.
Assessor's Map/Parc'I /Q
Installer's Name,Address,and Tel.No. 5vg- /r( -(99 U Designer's Nam ,Address and Tel.No.
Type of Building: t
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
y Design Flow(min.req ire - U gpd Design flow provided 3 /. O gpd ti
f Plan Date Number of sheets Revision Date
{ Title ii•
1
Size of Septic Tank QA f Type of S.A.S. A-AA Ia 164�d 4 e.
Description of Soil t j
Nature of Repairs or Alterations/(Answer Vhen applicable)
i
Date last inspected: v
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 , q
Compliance has been issued by thisboard of Health.
Signed J.�l,� i� Date
Application Approved by Date !�,
Application Disapproved by: Date �•.
for the following reasons
,* Permit No. Date Issued 7 c 7 G
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT Y,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (�)
Abandoned( :7 by D e �56 �-
at �7 ' te
z fY has been�constructed in accordance V71a
�d�
with the prov' ions of Title 5 and th f r Disposal system Construction Permit No, � dated
Installer J5 Designer ��'� S
#bedrooms Approved design flow .� 20 gpd
The issuance of this permit steal not be conJstrued as a guarantee that the system will funcrio n adesigned. ��—
Date ! " ;ld�/l Inspector
No. W010 7?3sc). .. _ Fee lC�
THE COMMONWEALTH OF MASSACHUSETTS
1
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
0t6pont �&pfterl Con6tructton Permit
Permission is hereby granted t onstruct ( ) Re ai ( ) Upgrade (/" ) Abandon ( )
System located at
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction
//must be completed within three years of the date of thi -pe it.
Date / Approved by CC�—
i
Town of Barnstable P#
Department of.Regulatory Services �r
: Public Health Division Hate / k
M 200 Main Street.Hyannis MA 02601
�'11 pAl��`e$
' Fee Pd.
D
Date Scheduled Time
,foil Suitability Assessment for So_waQe.D &al
i Witnessed By:.
Performed By:
LOCATION & GENERAL INFORMATION
Location Address .•�.Ql11Q Owner's Name
Address
-}A. Qt�n�S t
Engineers Name
Assessor's Map/Parcel: f
i 2
NEW CONSTRU�.` [ON REPAIR I Telephone# 5 J�—
ire a���1 SAL Slopes(9b) �a Surface Stone
Land Use
4 � Drinking Water Well ! eft
Distances from: Open Water Body•_Tft Possible Wei Area _ __—ft
brainage Way ft Property line
J`eft Other ft
SKETCH:(street name,dimensions of lot,exact locations of test holes&pert tests locate wetlands in proximity to holes)
i
i
• ,ter�r�''`'KS
NA
Depth to Bedrock
Parent material(gedidg'tc) ■
Weeping from Pit Face
Depth to GroundwaWr. Standing Water in Hole:
Estimated Seasonal i fth Groundwater
TION FOR SEASONAL HIGH WATER TABLE
DTERMIN� i N9ne-
in. Depth to soil mettl®s:
Method Used: In.
tl:
Depth dbperved standing in obs.hole: in. Groundwater Adjustment
Depth tolweeping from side of obs.hole: Adj.factor,., Adj.®roundw4ter Level
Index Well# Reading Date Index Well level
i l 'A7me e-
l o' p
PERCOLATION TEST Date �..J .L ;
Observation Time at 9" •1
Hole#
M Time at 6"
Depth of Perc
Time(91-,6°)
Start Pre-soak Time.( 1
End Pre-soak
Rate MinJInch
Site Failed: Additional Testing Needed
Site Suitability Assessment: Site Passed_-- ;
leted on Back
original: Public He$Ith Division ---
Observation Hole Data To Be Comp .
' you must first notify the j
***If percol4on test is to be conducted within 100 of wetlando'beginning• /
Barnstable C4oservation Division at least one(1)weck p
DEEP OBSERVATION HOLE LOG Hole#.,,
Depth from ,Soll Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsen) Mottling (Struc�re,Stones,Boulders.
ten rave
C s a•sy Z
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon - Soil Texture Soil Color Soil Other
Surface(in.) '(USDA) `r (Munsell) Mottling (Structure,Stones,
Boulders.-Consist Gravel)
o_q C. L
3�-12n C` MegSq4 P-5 V4 S.
DEEP OBSERVATION HOLE LOG Hole#
Depth from- Soil Horizon - '. Soil Texture Soil Color - Soil Other
Surface(in.) (USDA) (Munsell) •Mottling
(Structure;Son ,Boulders.
a it Gravel)
e'DEEP OBSERVATION HOLE LOG Hole#
Depth from ;Soil Horizon Sail Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
CongislIncy, Qrnyel)
. u
Flood Insurance Rate Map: ' '' Or
Above SAO year flood boundary No_•. Yes
Within$00 year boundary No v Yes,
Within 100 year flood boundary No t/ Yes r
z
De th of Natutally Occurrin Pervious Material-
Does at least fo feet of naturally occurring parviou�material exist in all areas observed throughout the
area proposed r the soil absorption system? S ;
If not,what-is the depth of naturally occurring pervious material?
Certification °
I certify that on• (date)I have passed•the-soil evaluator examination approved by the
Department of fnvi n ecti rid that.the abov0 analysis was performed by rile consistent with .
'the required train' g, erns' n e pe nce described in 310 CMIt 15.017. `
Signature r , Date • I 1�� -
Q:1SEMC1pERCf QRM.DOC
NO.A' /l 067
- -.......
APPROVED FEB................... .....
B nst le Conserva . Depa a THE COMMONWEALTH OF MASSACHUSETTS
Y 9 BOARD OF HEALTH
igned Date TOWN OF BARNSTABLE
Appliration for Di-n-poottl Works Tatuitrnrtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair (M an Individual Sewage Disposal
System at:
.. .. .... �....................•---�..... •--..._.•---• / ......
�-•I-,-o----------.......................................
f Locati�n.A....s /-_G`� ��f QQ ✓19!/L.•�1)`F t No. /G ..............................
O cner Address
,wj _.� -----•--- i�.t-�i?-------�--�f-�--�----••---- G.a4.1�QH----�rz-�---•-•-•---`�/1--'--"�I/!-i/2`�-:_.......-•----
Installer Address
UType of Building Size Lot............................Sq. feet
.-t Dwelling—No, of Bedrooms------------------ -------------
----Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures --------------------------------------------------------------------------------------------------------------------•----------------------••-••---•-
w Design Flow................... .................gallons per person per day. Total daily flow.............
---.................gallons.
WSeptic Tank—Liquid capacity./1M---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........................
(mot Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ...----•............................•--------------------•--.._..------------------.....-•••........................................................... --
0 Description of Soil.........................................................................................................................................................................
x
U •--•--...------•....--•-•-......•-•--...••---•-----•----------•-•-•---•--•-----------•-••-••--------. •-•--•--------•-•-•--••-•------------•--•-•--------•-••-•-----------•••-•----....-••--....._---•--
w
----------------- ----------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable.__1 -1___._.__lf!U.Q �S£O�r?
�d y............4---------� ••--- i �-zryLs w av�:.............r
-•-------••-•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance s b n iss ed y th d of health.
Signed ...... ,. .... �
Date
ApplicationApproved By ........ . .................................... ... . ...... ......... ......... .............................................. ................Dcrte..................
Application Disapproved for the following reasons: ........................................................................ ......................................... ..................
: ...
................ ........................ f ........................................
Permit No. ............................... Issued ...( .....................Date......
Dare
No..... ._._....... Fps. ............. {
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Allp iration for Biti-•poi3ttl Workri Tonlitrnrtion Prrutit
Application is hereby made for a Permit to Coristruct ( ) or.Repair an Individual Sewage Disposal
System at
............. ...:.." ....---..._._..... .....-----------.... ................... -----,.........................
. Location- \ddrrss
� J �ll�1f1 — � �11( t • o._�e'LV.......... l�lT� / ,_4 --- _.... .....
Owner - r. Address
a i--`--• r�: �v�S?.- �7 -- ' - 1�--•------`//! ./1/I ��2'-.�-------••-•-
- --•• Address
-
Installer Address
UType of Building Size Lot____________________..........................Sq. feet
.. Dwelling—No. of, Bedrooms_____ ______________________ --:_-__Expansion Attic ( ) Garbage Grinder ( )
Wa ••-•••••••-••--- _._ No. of e ------ Showers -
Other—Type of Building _ persons ____ __ ( ) Cafeteria ( )
d Other fixtures ..-_..... -•-•-- ----•----••--•-••-•--------•--•--------•-
W Design Flow______ ______ _______________gallons per person per day. Total daily flow......_____.... ..........................gallons.
WSeptic Tank—Liquid:capacity.�29KIQ-_gallons length_----------------- Width-_-_.___�____- Diameter________________ Depth................
x Disposal Trench—No. .......Z--------- 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 ( )
aPercolation Test Results Performed by-------------------------------------------- --- Date........................................
Test Pit No. f`_______________minutes per inch. Depth of Test Pit.................... Depth to ground water-------------:_______-_.
Gzt Test Pit No. 2................minutes per inch Depth of Test Pit__'._,................ Depth to ground water........................
...............................-•-•-• ................................................
--------------------------------------------------------------------
ODescription of-Soil......................................................................................................-------••-•••-•-- -------------------------------......--•------
W
W _______________________________________________________________________________________________________________Y________-___________________-_______________________________-_________________________-_
U .
x Nature of Repairs or Alterations=Answer when applicable ✓ - s r _� -:.____-/uU(�.�'�y,1;.%�T).:• �`/� r`!k f
--• � lam__:_ U ; --•-•-.. i i-e i/f�i�7iy!_S C �`0,0)
r -------------•---• •-•••---------- ------ ..................................................
- r
Agreement:
The,undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has ben iss ed/by the--board of health.
Signed `.,l r/ �vz ........ -- .....................•
J Date
Application Approved By ........ ------------------------------ V-,.--
-;j...-✓ Date.
Application Disapproved for the following reasons: .... .. _..... . ......_.................... . .. .........--...... ........ --..... ......
_ - / �; ....................................................... .
Dare
-----------------------------
Permit No. --.--. - Issued !..::..
Dare .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C ertiftrate of C'Tomplinure
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( / )
by.............................................................. ' Lo 7 C�_l�s GW �� -
-- - - - -- --
at - ---- ----- -- -// ..... �'���-L;'�... ....C.i0---- X'1..�-AJAJ!S ,-
pp p Works Construction Permit No. .,� r dated Code as described in .has been installed in accordance with the provisions of TITLE 5)f he State En_-,ironm mental
- _s _-.
the application for Disposal /
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. J.
DATE .-- Inspect�ir - _.... ;X � -- -----
1------------------ ------------------------ ------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i TOWN OF BARNSTABLE__
No�... ..........�._. FEE----•-•••...__..........
�io�oottl �rk� �oa�o�r�.r#i�n �rrntit •
�d>' `oc aira>J
Permission is hereby granted................ -------•--••...._._..••-----••--_` ----------•--------------------------------•-••-----...._._....
to al Sewage Disposal.System
at No.Construct (-• ) or Repair (�) an Individual - r - -' ��.
L�l� !�B = --------- _-- . .............
Street
pp p Construction P'rmli�t, N0--.- :_--- 1 Dated________-__-_____f%___.as shown on the application for Disposal Works CoC-�t r'� ' 1
/�/`glq� ✓ Board of Health
DATE.......�«rJll"`��'..........:..•1----------------------_...--------
FORM 36508 HOBBS&WARREN-INC.,PUBLISHERS
fYi - h •t L132 T
*NOTE. ALL PIPES ARE TO BE a SCHEDULE 40 P.V.C.
10' min.
from SECTION A A -
Existing Foundation I house to septic tank Septcover m� be PROFILE VIEW OF ADDITION TO LEACHING SYSTEM
TOP OF FOUNDATION = ELEV. 100.00 (Assumed) k t°"k °°"°" must be within fo GRADE w/5teel Cover
2e
within 6 in. of finlehed
' �� dude ore►septic Tonk-91L00 dads over o-Box-96 ao err SAS- MOD 3" of 1/8' - 1/2" Washed Peaatan
3 HOLE H-20�-
DIST BOX// 3/4" to 1 1/2 ' Washed Cniehed St
s = 0.02 C PVC(CAPPED)INSPECTION parr To BE
NmrMsen INSTALLED AND To BE WYNN Ir OF GRADE �_ f � �t9i , ,Cow
o t2 EXIST. s-o.m or nearer -
Top OF System- E1sc-as7s �� ti '• NcTrrs ..
LXCMJ!ZE
n n 1.000 GAL 20' S- O ot" , -• =r/ t y `�►".- h s f a
rani EXIST. FOUNDATION rn m SEPTIC TANK o Per root Or Effective Depth ` .$ i
1 rn _ e.err
i I H 10 Sri _ t ,�^.----- i Stw,s
CONcaEIE Flal rams► o 'o > rn rn o 0.83' (10 inches) 5 Units 2 6.25' - 30' !` - i,
c o I o n 3 3 oioeM wa,e..seR'c•.w miooa'r+.vieo �n.p.00i.Iwo
SYSTEM PROFILE ; e ti•�3/4"-' 1/2" o ; o 31.25 -
edst°n° _ 37.2s
Not to scaleGENERAL NOTES
c carnpo�.K c o c 1 �
> 3.5' 3.5' 1 Effective Length
c 3-� 'o SOIL ABSORPTION SYSTEM (SAS) 1. Contractor is responsible for Digsafe notification, Verification of Utilities
6 Kof 3/4'-t 1/2" 0 10' and protection of all underground utilities and pipes.
O0"gOGted .tone a EfPecMre vldtt, INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN 2. The septic tank an j distribution box shall be set
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN G" BELOW GRADE c level on 6" of 3/4 -1 1/2" stone.
0° (OR EQUIVALENT) Not to Scale 3. Backfill should be clean sand or gravel with no
o . _
Bottom of Test Hole 1 Elev.- 87.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" stones over 3" in size.
Crourxkv tsr Observed - NONE OBSERVED 4. This system is subject to inspection during installation
PERCOLATION TEST by Carmen E. Shay - Environmental Services. Inc.
5. The contractor shall install this system in accordance
Date of Percolation Test: AUGUST 31. 2006 with Title V of the Massachusetts state code, the approved plan
Test Performed By. CARMEN E. SHAY. R.S., C.S.E. and Local Regulations.
Results Witnessed By. DON DESMARAIS (BARNSTABLE BOH) 6. If, during installation the contractor encounters any
EXCAVATOR: Shay Env. Svcs. ALL OVF ET PIPES FROM THE O 0 soil conditions or site conditions that are different
Percolation Rate: Less Than 2 MPI ® 36" DISTRIBUTION Box SHALL BE f� aovEx from those shown on the soil log or in our design
SET LFrFLFOR AT LEAST: installation must haft do immediate notification be
Test Hole Test Hole ""`' `u' 3-W ouTIFT �*- •• 75.09 made to Carmen E. Shay - Environmental Services, Inc.
NO. 1 NO. 2 O� i 7. No vehicle or heavy machinery shall drive over the
DEPTH SOILS ELEV DEPTH SOILS ELEV - ss' aunET tr IINLEr septic system unless noted as H-20 septic components.
0 9aoo 0 98.ao = er ; I 8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
Sandy Study
9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
Loam Loam 16.6' 4" - SCH. 40 T ,.rs' ��� 10. All solid Piping, tees & fittings shall be 4" diameter
w rR 3/2 10 rR 3/1 PLAN SECTION CROSS-SECTION Schedule'40 NSF PVC pipes with water tight joints.
0"-9" Ae 7.25 0"-9' A9 7.25
� -------"� SHED 11. Municipal Water is Connected to ALL OF The Residence and Abutting
Loamy Loamy / r----_- I
Sand s«td 3 HOLE H-10 DISTRIBUTION BOX I Properties Within 150 Feet.
to rR 5/6 fo rR 5/6 NOT TO SCALE THE PROPERTY LINES ARE APPROXIMATE AND
9"- M. Be 95.00 9"- W. Be 95.00 i I , COMPILED FROM THE SURVEY PLAN BY BYRON HERMAN, RLS, ENTITLED
Meal. MSand eal / PLOT PLAN OF LAND IN HYANNIS, MA
Y 7/3 Zs Sand
7/3j /�' DATED JULY 15. 1964, PLAN BOOK 189 PAGE 11
G 87.00 36"- t20 Co 8800 0 20 40 50 i / AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
3s"- 13
I j TEST HOLE #2 rf SHOULD BE USED FOR NO PURPOSE OTHER THAN
I f / ELEV.= 98.00 THE SEPTIC SYSTEM INSTALLATION.
M t I j EXISTING SAS TO BE PUMPED OUT AND FILLED IN PLACE
SCALE: 1 =20 I I
t I NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
t
I 1
FROM THE EXISTING SAS TO BE DISPOSED
I TEST HOLE1 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
t I ELEV.= 98.00
H THERE ARE NO WERANUS ARE PRESEN 'wl i riiiv 200 OF 71E PER``-'
Perc I1 l t +-RO: ��,.
Depth to Perc: 40" to 58" j
Perc Rate= 2 MPI t } t ASSESS00S MAP 292, PARCEL 067
Groundwater Not Observed t
No Observed ESHWT }� I } t LEGEND
ADJUSTED H2O Elev. = None \
DENOTES PROPOSED
2-18'GAM. ACCESS MANHOLES � w 1, � � i ------ 104X1 i �- ' S^ � SPOT GRADE
°r DENOTES EXISTING
:E�� =.�-.�� _::_:--.s:: ='= Inn-►,^,Vt``d- i >w j I FaI(ed I r x 104.46 SPOT GRADE
-5
F D I I I I Leashing 137. o •
I o I I Trench I PL PROPERTY LINE
1 _
INLET i i I �� I 96P PROPOSED CONTOUR
-----J s•-
THE ACCESS COVERS FOR THE SEPTIC TANK. �-
ofsTtaeuTlGN Box AND LEACHING COMPONENT �` I I ----- -97 EXISTING CONTOUR
^;;-:;�y-s---t->-� - :••v�,-��_•. _ SET DEEPER THAN 6 INCHES BELOW FINISHED
•• GRADE SHALL BE RAISED TO W"HI N er OF I I
t STEEL REINFORCED
PRECAST CONCRETE F•Isen°2ADE DEEP TEST HOLE &
PLAN VIEW INSTALL TUF-T11E GAS BAFFLES OR EQUALS ,I I
PROJECT BENCH MARK i PERCOLATION TEST LOCATION
3-2`REMOVABLE CovtRS TOP OF FOUNDATION i I .-� 6 FOOT STOCKADE FENCE
+ ELEV. = 100.00 (Assumed)
I
3•ml% deorance - •., 4" EXIST!
INLET tr min-T- 2" min. km to outlet e. ,3• '�' I � 1000\ al.
LgW7..i-- OUTLET I t I DECK Septic l Tank
i P LOT PL A N
s -r Hs s-'r I i I
f b s a erw. r - UWW depth I j
I: OF PROPOSED SEPTIC SYSTEM UPGRADE
-
I� t
-, EXISTING
S•z .:, -� :, - _ =; i PREPARED FOR
�-°' SEC • 'I I z HOUSE S MR. KENNETH THERIAULT
CROSS SECTION END-SECTION #49 AT
TYPICAL 1000 GALLON SEPTIC TANK ; #49 KELLEY STREET
NOT TO SCALE H YA N N I S, MA
Design Calculations �' I LOT f8, 19 & 20
Number of Bedrooms- 2 Bedroom EXISTING ,0 I t-r I # 0 Ssq PREPARED BY:
Garbage Grinder. No I a I 18.575 S Feet +/- ��� N ��jj
Leaching Capacity Required 330 Gal./Day (MIN. PER TITLE V) I U)Cr I �� CARHEW li . SHAY
Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL Septic Tank. i a o }
SOIL ABSORPTION AREA: Using percolation rote of <2 min./inch I I A ENVIRONMENTAL SERVICES, INC.
Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. - 273.8 gallons / 75.00
Sidewall Area: 0.74 gal./sq. ft. x 78 sq. ft. = 58 gallons I +-�� I 'QFGit T�P�o P.O. BOX 627
EAST FALMOUTH MA 02536
Providing: - 331.80 gallons 0J� L\ SA NITAI\
--------------------__-__ A�
,� • ___, J_---••y----------------------------
TEL/FAX : 508-539-7966
Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS. HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH,WITH
TO BE USED 3.5' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE EY S'
KELL A TRE.�' T SCALE: 1"=20' DRAWN BY: CES DATE: SEPT. 5, 2006
ON THE ENDS. NO STONE UNDER. (40 FOOT RIGHT OF WAY) PROJECT#SD961 FILENAME: SD961 PP.DWG SHEET 1 OF 1