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Home My WebLink About0389 MEGAN ROAD - Health :S 89 Meagan. Road Hyannis A=290— 131 o I I Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 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. A. General Information D 1. Inspector: lit Wb . Shawn Mcelroy SEP 1 U RECO Name of Inspector Upper Cape Septic Services g Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 508-495-0905 S13971 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 Eva lion by the Local Approving Authority 9-3-10 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to.the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp official document•03/08 , , Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page of 15.. r Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town 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: ® 1 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: System is in good working order with no sign of failure. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ 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. ND Explain: ❑ 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 ❑ obstruction is removed t5insp cfficial document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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 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 1 100 feet of a surface water supply'or tributary to a surface water•supply: ❑ I 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. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 - page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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 El ® 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 '/2 day flow. r7l _ 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. t5insp cfficial document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): y - Yes No �. ❑ ® 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 CM 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 El ❑ 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 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 1 1, " ❑ ® 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 CM 15.302(5)] t5insp official document•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts F Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 440 Number of current residents: 0 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 Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: 8-2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 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: Last date of occupancy/use: Date Other(describe): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7.of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is Hyannis MA 02601 9-2-10 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: N/A 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): Approximate age of all components, date installed (if known)and souroe of information: 2005 Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp official document•03/08 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 18 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.): Good condition. 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: 1000 gal Sludge depth: 12 Distance from,top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1 6" Distance from.top of scum to.top of outlet tee or baffle Distance from bottom of scum to.bottom of outlet tee or baffle : 15 How were dimensions determined? Tape t5insp official document 03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts U - Title 5 Official Inspection Form ao Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i4 M 'r 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town 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.): Tank is in good condition with baffles installed and no sign of leakage. ' 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 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): t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: r 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is in good condition with water at working level and no sign of back-up from leach field. Pump Chamber(locate on site plan): Pumps in working order: ❑ .Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 ` Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every �H annis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ❑ leaching pits number: ® leaching chambers number: 5-30/50's ❑ 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.): Leach chambers in good condition with no sign of back-up into d-box or surrounding stone. t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): I t5insp official document•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 -- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. C. ti 4� H 00 t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 389 Megan Rd Property Address Gary Faimain Owner Owner's Name information is required for every Hyannis MA 02601 9-2-10 page. City/Town 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: 12 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: Original design plans show no groundwater at 12'. t5insp official document-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 TOWN OF B J STABLE G OCAIION / e a"' SEWAGE # ILLAGE ✓1 t'1 t S ,ASSESSOR'S MAP& LOB' NSTALLER'S NAME& ,PHONE NO. I �EMc 'TANIC CAPACITY �o/�C� ,EACt-DTG F�,.�'llLrff (type) cl�+G��r d�P3 (size, = Mmoo P.S rO.OF BEDROOMS ili L DER OR OWNER EF ITDATE: COIa/PLIA.NCE DA'%.: eparation D7isumce Between the: laximurn Adjuswd,Groundwater Table to the Bottom of Leaching Facility - - eet rivate Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) eet ,Age of Wedand and Leaching Facility(if any ry ,lands exist within 300 feet f leaching facility) Eeet :urnished by 'a ` 1 n � 1 T� w � � < p (� Ow] w SV o v i TOWN OF B STABLE 005 Loc.%TION 3 Cc. SEWAGE # Q.LAGE �IV ASSESSOR'S MAP & OT 3° INSTALLER'S NAME&PHONE NO. I� SEPTIC TANK CAPACITY /,/) LEACHING FACILrrY:.(type) �12i� �� /5 (size)=J NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist .within 300 feet of leaching facility) Feet Furnished by G 3 „ A C3 ray= c r3 S= 33 3 C;k 3 C � No. D�1 ��•//��J/,/�///dam///'�}. V4.PwAIX ee r THE COMMONWEALTH OF MASSA US S Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS q� 01pplication for � gpogal gtem Cougtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3leg s/he Owner's Name,Address and Tel.No. Assessor's Map/Parcel U /�,�' "� 1�I/ Instal 's Name,Address,and Tel.No. y Designer's Name,Address and Tel.No. Type of Building: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildings No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank laoig Type of S.A.S. —� Description of Soil Nature of Repairs or Alterations(Answer when 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 Title 5 of the Env' nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is oard ealth. Signed o. Date e Application Approved by D Date Application Disapproved for the following reaso Permit No. Date Issued MCC .'Fee v 7 —�= THE'CO'MMONWEALT,H OF MASSACHUS S Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE,, MASSACHUSETTS Yes ZIpplication for Dio o�!5af ,6 stern Comaruction ermit �- Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �Gq /h pn�,.Q� �D Owner's Name,Address and Tel.No. �'tlssessor's Map/ParcelDU 1 J ,/v"V�,f Installer's Name,Address,and Tel.No. S� y� Designer's Name,Address and Tel.No. y vim . Type of Building: Dwelling No.of Bedrooms— r Lot Size sq.ft. Garbage Grinder( ) Other Type of Building� ��/ No. of Persons Showers( ) Cafeteria( ) Otfier Fixtures Design Flows gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date f Title t _ Size of Septic Tank �126TI 4n-Le Type of S.A.S. —sue Description of Soil 1 Nature of Repairs or Alterations(Answer when 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 Title 5 of the Env* ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is Board o Health. , Signe / o r !/i�% .� : f Date Application Approved by �%' fl _ Date 12 Application Disapproved for the following reason w J Permit No. l7 '' Date Issued 7— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comptiance THIS IS TO CERTIF that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by ' at _da.4tl has bee_n constructe4 in accordance with the.provisions�o-f�Ti le 5 and the for Disposal System Construction Permit Noc '-- ated --Installer r� �•Q�- Designer The issuance of this permit shall not be construed as a guarantee tha�t�syste w �Jnj'l o as designed. Date �� Inspe for ... - . ._� No. / L / � ----------------------Fee v THE COMMONWEALTH OF MASSACHUSETTS �qoPUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS ;Di!5po$at 6p$tem Con$truction Permit Permission is hereby gr n Ned Construct( )R pair( Upgra e( ),Aban of ) ' System located at 1�Z /Z 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-mist b completed within three years of the date of t j`�s pftmit. Date: Approved by Town of Barnstable pFTHE tp� ti Regulatory Services Thomas F. Geiler,Director r SAMWABLE, r HAM10� Public Health Division ArfD Thomas McKean,Director -200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 1 a'S Designer: Shay Environmental Services, Inc. Installer: = Address: P.O. Box 627 Address: East Falmouth, MA 02536 M A On s as-V-K- was issued a permit to install a (date) (inst ile ) septic system at M based on a design drawn by dress) Shay Environmental Services, Inc. dated a (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 referenced above was installed with majo changes i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic sy tern) but in accordance with State & Local Regulations. Plan revision or 'fled as-b t by designer to follow. % qH of lygSs � CARMEN LN I to er' S ure) E. SHAY N No. 1181 SSG/sTERa NIT R\P (Designer's Signature) (Af ix De i tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 12/05/2015 23:07 FAX 002/002 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM 1 I, hereby certify that the engineered plan signed by me dated Cl ty 1 0 concerning the property located at '5 meets ag of the, following criteria: • This failed system is connected to a residential dwelling only. There are,no.cominercial or businesa uses associated with the dwelling. • The.soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant use historical data to conclude this fact or may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no.increAse in flow and/or change in use proposed • There are no variances reqt ested or needed. • The.bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundivater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +adjustment for high G.W.,3,,(o s , DIFFERENCE ENAandB I �- SIGNED ; DATE: O NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum.. No additional bedr om&are authorized in the future without engineered septic system Plans. kLZ c Lew q:\Sepdc�p=ex=3p.doc - --- - -I 7TWri,(— L4-�g Y �, , CATION SEWAGE PERMIT Ii0. I N S T A E ' Eri'S N A 0 E A A00AESS 0 A T € r E € IM I T I S S U U j�®� DAT E COMPL 'sANCE SSUED L Q I 4-4 H l Z "`l dr No... -- F� .. ......... THE COMMONWEALTH OF MASSACHUSETTS (� * BOARD E HEALTH Y ppliraffou for UhipnaFal Workii Tnnarnrtion rrmff f f-2_ D Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal /-3/ ystem at: ��. . �j Location-Address or Lot No. '`�" G. s:...... .c� .�o.< --------------------------- ------ 1 !.t ................ Ow Address a -------------- ne1,� 1` ��'a----------�aA.!el................................ ----------- , - ! i, .......................... Installer Address UType of Building Size Lot___________________________S q. feet �. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) PL, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................... . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width...........:.... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,_l Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a ---------------•------•-------••--•-----------------------.........----------------•----...----............................................................. ODescription of Soil........................................................................................................................................................................ x V ....•-•------•----------------------------•---------....----------------------------...........-----------•--•----•-•-••-•••----•-•-•---••----------•.................................................. W x ---•-----•--------------•-------------------•------•------------------------------------•-••----------------••------.._.....---- ------•------•-------------•--•------•-•----•----•----•--------------- U Nature of Repairs or Alterations—Answer when applicable._____________�.�__,[��.�e�...............Z.ri�f�........... ,�'�.I-�---X........................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi U 5 of the State Sanitary-Code—Th undersign d further agrees not to place the system in operation until a Certificate of Compliance has been iss d the h eq1th. Signed......... :.. --- - ... �� i Date Application Approved By --•--- • =. � 3 t® e� Date Application Disapproved for the following reasons:................................................................................................................ .............................-•------------•------•••--•----------------------••---•---------.._......._._......---•--......--••--••----•-•............................................................ Date PermitNo.....`..... 1_ -•----------- Issued....................................................... Date No.. ... FE ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 131 .fit 0ratvan for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (K) an Individual Sewage Disposal System at ..!t....l`?. .!)!` .... •....... ....................................c> �•---------•-----------.------------------ ......-•-------- Location-Address or Lot No. -G.1yFt�.w..3...... crZ DoM f� Y/? r S - ---•.................••.... ------------------ Owner Address Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a Other—Type g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures -----------•-----------------------------------------.....-----------------------------..........-•--•-•-••--•-•••••--•- .....•-•--- w Design Flow.............................................gallons per person per day. Total daily flow----.------_................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--•-----•--•--••---••-•-•--••--••-•••-•-•••-•-••-........................ Date........•............................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------................ 9 ..................................................-................................-....................................-..........................0......... 0 Description of Soil.....................-......................................-------.............................................................................................. x U w U Nature of Repairs or Alterations—Answer when applicable------------if _l'--- =...............�'_ l� f__ ---.... '----------------------------------------•----------------•--•-••-------•-------•--------------------------------------------------------••---•-•--•••.... ..------•••....-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d �theea d f he th. 1 Signed....... t - .. 7J ,�-^� t Date Application Approved By -- ...0 -'e-(..... ....F"....................................--......... -----"3-- ---- .................... Date Application Disapproved for the following reasons:----•--------------------------------------------------------------------------------------------------------- --------------------•------...-----......----------•-----•--•---••---•-••-•------•------------...._--------•------------------------------------------------------------------------------------------- Date Permit No._._ _._`..t- ------•----•--_ Issued-------------------- = te..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........." n n Tatif irtttr of ( ompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by '1/ ............................. ........... ---------------------------------------------------------------- ------------.---.------------ Ins ..at -•--- •-- ------------------------•................................................................ has been installed in accordance with the provisions of TITILr 5 of The tate Sanitary Code as described in the application for Disposal Works Construction Permit No................................. '-...._ dated___.__.-- --_ - __ ---�............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .......................................... Inspector------. �---------------•------------------------•------------------•--•---. THE COMMONWEALTH OF MASSACHUSETTS w BOARD, OF HEALTH a.6 �"� f .I N CSC..........�( .................. ........... . ...0 F....:.:.....�.1� No....�s. .. FEE........................ �i��.n��l nrkn ��ann�rnnr�uan rrnti� Permission is hereby granted........ ............... .......................................... •-•••••••••...................................0.................... to Construct ( ) or Repair r-.....aii tv An_t'dual Sewag Disposal System at No........ =� .,..-------- ` "° Street as shown on the application for Disposal Works Construction Permit No. k-I"'y. Dated...... t0-406 ........................... ....................•............................................--•-------....---------.......-- DATE`�. Board of Health -a FORM 5 A. M. SULKIN, INC., BOSTON V e No...-. ....-'-'----- Flms.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HE LTH r'L -v ------.OF........ .. j®ll�i Appliration for Riipoottl Works (ion.6trnrtion Vamit Application is hereby made for a it to Cons u ( or Repair ( ) an Individual Sewage Disposal #A9 System t: ��,, —, jwJ� q do -Address (/��/// or Lot No. ....... ............... 7......... .............................................................................................. ------------ -- W ` o Address ,4 ------ - --------------------- ------------------------------------------........................................................ Installer Address - Type of Building Size Lot--_9U)-------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Buildin a YP g -•--•--••------------••-•--- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------•----------------------•-•---................................................................................... W Design Flow......:.....................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter-----.---------- Depth-----_______-___ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------____.-_-___sq. ft. Seepage Pit No---------------_--- Diameter.................... Depth below inlet.................... Total leaching area____-_-__--______sq. ft. Z Other Distribution box ( ) Dosing nk ( ) Percolation Test Results Performed by------ - : ......................... Date___.__._..__________._..._.._._._______. a 7 � Test Pit No. 1... ......minutes per inch Depth of Test Pit:____ ------- Depth to ground water________________________ f� Test Pit No. 2................minutes pet inch Depth of Test Pit-------------------- Depth to ground water-_--_________-___--_-_-. ----------- . O '- Description of Soil------------------_---.. -- ------------------ ----------------------- U -----•----------••-------------•---------------•-----------•-----•------------------......-•-•---•--•-----•----------------•---•----------•------------•------------••--------------......-------------- W UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health, Signed ----•••- --------------------- ----------------------------------- i�� -�� e b Da Application Approved By......... ----- .1 7— ate Application Disapproved for the following reasons:..--•-----------•-•----- --•-•----------•-•-•......................•---------••------------.....--------'- ----------------...----------•-----------•--•------------• - --------------- -----••--•---------------- - Date Permit No......................................................... Issued----- �Fate ...._.. No. W_ .. Fimic . ::.......... ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for 43ispasa1 Works Tutw#rurtion Vrrtuft Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal System at tp � I i o t1 6:t-Address or Lot No. ----------------------••---•--------•-------........------------•----------------7......... --•---------....------------------------................-•----------......------------.....------. Owner Address --------------------------------•-----------•-----•---------•--•-------........................... ...--•-----------....--------....-----.......--------•---------------............................. Installer Address dType of Building Size Lot•_________________________•-Sq. feet V Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) alOther fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width_-_-_-._.-_---- Diameter---------------- Depth._--._---__-_- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet-------------------- Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) t a Percolation Test Results Performed by.......................................................................... Date----------- ---------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---------------------- 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-__-__-___-._.-__-__---- �' ----------•-------•-------------------------•-•------------------•-------------•---••--•---........................................................... Descriptionof Soil.....................................................•......................................................................................................----------- x U W ------------------------------ ----------=----- V Nature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------------------------------. •---------•---••--•--•----••--•-•---•--.•-•-•---•---------•-------•--------------------•------..---------------------.....----------------...•--•-•-•-•------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual'Sewage Disposal System in accordance with the provisions of Article X,flof the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate,of Compliance has been issued by the board of health. Signed.---:;...................................................-.............................. ................................ Date ApplicationApproved By------------------------------------------------------------------------------------------------- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ----------------------•-------......--•...---------...----------------------------------•----------------.-------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued------- Date ++ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trr#ifiratr Lit ToutpliFturr s THI IS,40 .CERTIFY, Tl9.t the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..= .. �°y±sr y ✓ f Installer . at " E-� f 1 A�f & vy e.' R T � '"F _ '_'3 ............ has been installed in accordance with the provisions of Articl/XI of-TM State Sanitary Code as descr'bed in the application for Disposal Works Construction Permit No................ ':'. p dated w "" THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. !' . ' DATE__ t= r �'^ Inspector r '?z�� ._:_._. r ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -.....OF... - r 4. .: ... n r ---� fir- �> i � �r�'•�t��: ps,., tr- No.----•- K..... -.. FEE . , ............ %gp0lial Works Tons$r rUnit Vamit Permis'sion reby granted <; . hiµ ---- =-- - -------------------------------•---•.; to Construct e nor Repair ( ) anndlvldual Sewage Disposal System atNo. ........................ ----- ---- -------------- '�r'':T - -4a Street .w as shown on the application for Disposal Works Construction Permit No z __--;.�'ated.,_,_ .-<_�`,��` f a BoartlrofIealth DATE-- - -K.=`t............................ ' FORM 1255 HOBBS & WARREN; INC.. PUBLISHERS Q 1 i i 1 I v *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (O Least 24 inches talQ SECTION A -A ALL OUTLET PIPES FROM THE 10' min. from Schedule 40 PVC w/Chorcooi Odor Filter Di51RBUTION BOX SHALL BE Existing Foundation [house to septic tank PROFILE VIEW OF LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 Fr. 12• CONCRETE COVER - D-BOX cover moat be Septic tank covers must be Not t0 Scale - TOP OF FOUNDATION = ELEV. 100.00 (Assumed) within 6 in. of finished grade within 6 in. of rx,iahed grade `,\ - { KNoacouTs -y s:s.,, tl q'•'"t ''�\ _ 1 I , • r"�.._,I Grade over Septic Tank - 99.00 Grade over D-Box - 99.00 over SAS - 9B.00 I 3- 5*W TLET _ 1* eJ I/d• - 1/Z' IeeAed Pea.lar /' j /4' m 1 1/2 Washed GwaAed Sear .`\ 5-5•_ OUTLET ,^�� 12' NIXT T OR S 0.02 3 HOLE H-10 4"PVC (CAPPED) INSPECTION PORT To BE �- 8•� .�, .x°t++„^ T. BOX INSTALLED AND TO BE M11F1IN B' OF GRADE - -� tea` 2. �Yzy 0 10' EXIST. S-0.01 or Greater 3• maximum Cover ` EXIST. P2PE `� ut 1,000 GAL. O - S-_=01, 11 Top.Lood - Elev. =94,90 15.5• 4' - SCH. 40 T FROM EXIST. FOUNDATI[N SEPTIC TANK S 8T Per root 1 Top of SAS-Elev:=94.40 1 PLAN SECTION CROSS-SECTION tQ, 9 H-10 or rn to'to Effective Depth 24" Effective 4: CONCRETE FtAt FOVNDA o ; - II rn Sidewa.11 �•. e 6 in.of 3/4"-1 ,/2• m > ° o - ( ( 3 HOLE H-10 DISTRIBUTION BOX - SYSTEM PROFILE compacted none m 4' 4' °i � '-i i 'J NOT ro SCALE me Not to Scale o p 4 p� LENGTHS AS SHOWN IN PLAN VIEW ®XIS i+vml lk Maty 6 C�'9rY®200."NAaTEU > d 12' e Effective Wktth GENERAL NOTES 6 In.of 3/4*-1 1/2' _ compacted'stone a " S❑IL ABS❑RPTI❑N SYSTEM (SAS) NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE 1. Contractor is responsible for Digsafe notification, Verification of Utilities m° INFILTRATOR MODEL i050 (H-20 L❑ADING)/ SUMNER & DUNBAR and protection of all underground utilities and pipes. ' w � OR EQUIVALENT) 2. The septic"tank and distribution box shall be set ( ) level on 6 of 3/4"-1 1/2" stone. NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24" 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION TEST VARIANCE REQUESTED by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: AUGUST 29, 2005 1. REQUEST A VARIANCE TO REDUCE DISTANCE FROM SAS TO A FOUNDATION and Local Regulations. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. FROM 20' To 10'. A 40 MIL RUBBER LINER HAS BEEN PROVIDED. Results Witnessed By. WAIVER (Per Barnstable B.O.H.) 6. If, during installation the contractor encounters any - - soil conditions or site conditions that are different EXCAVATOR: Shay Env. Svcs. - Percolation Rate: Less Than 2 MPI ® 40" from those shown on the soil log or in our design installation must halt & immediate notification be Test Hole Test Hole made to Carmen E. Shay - Environmental Services, Inc. No. 1 No. 1 40 POLYETHYLENE LINER FROM ELEV. 7. No vehicle or heavy machinery shall drive over the DEPTH sets ELEV. 95.00 to 92.25 AND TO `EXTEND septic system unless, noted as H-20 septic components. DEPTH SOILS ELEV.: ? 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 0 98-00 0 98.00, _ TWO SIDES AS SHOWN 9. All Distribution Lines shall be 4' diameter Schedule 40 NSF PVC pipes. Sandy Loom sandy Loom 10. All solid piping, tees & fittings shall be 4" diameter 10 YR 3/2 10 YR 3/2 Schedule 40 NSF PVC pipes with water tight joints. 0"-12" Ae 97.00 0'-9" A, 197.25', LOT #z 11, Municipal Water is Connected to ALL OF The Residence and Abutting Sandy Sandy TEST HOLE #1 Properties Within 150 Feet. Loom Loam ELEV.= 98.00 101 10 YR 5/6 10 YR 5/6 Failed THE PROPERTY LINES ARE APPROXIMATE AND 3a" Be s4.a3 9 30" Be ss.so COMPILED FROM THE SURVEY PLAN GENERATED BY Medium Medium PROJECT BENCH MARK ��\ Leach P' ' \ BARNSTABLE SURVEY CONSULTANTS OF HYANNIS, MA Sand Sand TOP OF FOUNDATION ¢ - ENTITLED "FOUNDATION LOCATION PLAN OF LOT1 MEGAN ROAD, 2.5 Y 7/4 2.5 Y 7/4 ELEV. = 100.00 (Assumed) `\ 0.- HYANNIS, MA", DATED DATED MARCH 5, 1973 EXIST. 1000 GAL. AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 32*- 144 C, 30"- 140 C, SEPTIC TANK - _ 2� IT SHOULD BE USED FOR NO PURPOSE OTHER THAN. � `J THE SEPTIC SYSTEM INSTALLATION. 6� o - � M 131 0 \\�\ -f6 00 EXISTING LEACH PIT TO BE PUMPED OUT REMOVED. 100, <\0�,,'� ��\ 6' 0' NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING LEACH PIT TO BE DISPOSED 4" PVC _ OF AS PER BOARD OF HEALTH SPECIFICATIONS. �\ \ Vent HI F THE PROPERTY THERE-ARE-NO WFTIANDS _ARE _PRESENT..WIT . N 200 0 _ _. , - EXIST. Perc #1 -- - -- » Dec EXISTING ` Depth to Perc: 40 to 58 D ASSESSORS MAP 290 PARCEL 131 Perc Rate= 2 MPI 1 EXIST- b 4 BEDROOM `\ TEST HOLE - - Groundwater Not Observed SHED HOUSE \�ELEV.= 98.75 LEGEND No Observed ESHWT ADJUSTED H2O Elev. - None \`I #389 /) 104X 1 DENOTES PROPOSED / SPOT GRADE 2-18' DIAM- ACCESS MANHOLES B' o� 111 Deck �' X 104.46 SPOT DENOTGRADE ES ISTING :f:; :'`-' '.�u•�J- -.�:� ` p 1 EXIST. -�; o GARAGE , =j PL PROPERTY LINE INLET - \ ou ET \\\\ Ao /�� LOT #1 -L -- PROPOSED CONTOUR f THE ACCESS COVERS FOR THE SEPTIC TANK, q /- -97 EXISTING CONTOUR a 11,711 Square Feet + DISTRIBUTION BOX AND LEACHING COMPONENT Catch SET DEEPER THAN 6 INCHES BELOW FINISHED -_"..-•- ^-i. .t •n_ '-`'- •^ GRADE SHALL BE RAISED TO WITHIN 6• of \\ O,Qf \ ' �y BasinFINISHED ® DEEP TEST HOLE & STEEL REINFORCED PRECAST CONCRETE GRADE PLAN VIEW INSTALL TUF-TITE GAS BAFFLES oR EQUALS �'I ) \\ �i ' \\ i � \ PERCOLATION TEST LOCATION 1`y �� / 3-24' REMOVABLE COVERS �0 \\\ \\ \ \ / 6 FOOT STOCKADE FENCE 3" min•d artcs ;: ,Y INLET• ' \\ 56.35 INLET 8' min.r 12' min. inlet to outlet 6•min. OUTLET Llpula level 5' -7' cy� P LOT P LAN E 4'-0" min. ---- ft o� a.ew. `• Llquki depth - OF PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR -10 - MR . CHARLES H . GORDON CROSS SECTION END-SECTION MI T CHELL A -y WA Y AT A 1000 GALLON SEPTIC TANK (40 FOOT RIGHT OF_'WAY). #389 M EAGAN ROAD TYPICAL J NOT TO SCALE HYANNIS , MA Desian Calculations Number of Bedrooms: 4 Bedroom EXISTING PREPARED BY: Garbage Grinder: No - s S9C //��ENE, j C u Y Leaching Capacity Required 440 Gal./Day (MIN. PER TITLE V) CC1l L1Yl�1 1 E. t ffA l ;w AR Septic Tank 2 x 440 Col./Day = 880 USE EXIST. 1,000 GAL. Septic Tonk•.'A SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch ENVIRONMENTAL SERVICES, INC. H N Bottom Area: 0.74 gal/sq. ft. x 444 sq. ft. 328.56 gallons -k P.O. BOX 627 Sidewall Area: 0.74 gal./sq. ft. x 200 sq. ft. = 148 gallons 20 40 50 �F �� Providing: _ 476.56 gallons EFL EAST FALMOUTH, MA 02536 eA syN TAR� TEL FAX ` 508-539-7966 Use: (5) 3050 H-10 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, x, / TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND S : 1 "=20' DRAWN BY: CES DATE: SEPTEBER 1, 2005 2' OF WASHED STONE ON THE ENDS. UNITS TO BE SEPARATELY PIPED AND PLACED AS SHOWN. SCALE: 1 =20 PROJECT#SD793 FILENAME. SD793PP.DWG SHEET 1 OF 1