HomeMy WebLinkAbout0037 OLANDER DRIVE - Health 37 Olarider`.°Drive
Hyannis
A='27bt213 �
r
TOWN OF BARNSTABLE
-LOCATION `/(��G;�y 1D SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. �P,A ,2jwa TRc,
SEPTIC TANK CAPACITYjc
LEACHING FACILITY: (type) I (size) I `�j •�
NO.OF BEDROOMS 3
OWNER tJ-40�� r✓
PERMIT DATE: 1oZ `1iJ - COMPLIANCE DATE:
Separation Distance Between the: wo G.0 & 1A0
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o e( f(()(3c'. Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
c.a W
a
LPI
ro
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppIitation for Nsposal *pstem Construction permit
Application for a Permit to Construct( ) Repair( o/upgrade( ) Abandon( ) ❑Complete System EiIndividual Components
Location Address or Lot No. 3 7 o16,4>e it TY Owner's Name,Address,and Tel.No.
If ��tS
Assessors Map/Parcel 1-70 - P,13 Yclr/ems to t\)
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
0m0(,s
Type of Building:
Dwelling No.of Bedrooms Lot Size I I 'c((F)Q sq.ft. Garbage Grinder( )
Other Type of Building �1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ?jam gpd Design flow provided -3 q P,`] gpd
Plan Date_Ty ) Number of sheets I�L Revision Date
Title
Size of Septic Tank ,�x/51'IIVC Type of S.A.S. oL SOO G Cc) �-10 f\CAM c
Description of Soil
Nature of Repairs or Alterations
`(Answer
�when applicable) n� `� �-(
t
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signe Date / _y r/coj
Application Approved by Date 12 —C/ /V
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
401
fNO. Fee
%'. A Entered in compute;;
THE.COMMONWEALTH OF MASSACHUSETTS
M PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
x
_" x} Application for Disposal *pstrm Construction 3permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) E]Complete System �E Individual"Components
Location Address or Lot No. :3 7 Q/G fr` �4)( Owner's Name,Address,and Tel.No. ,
�✓GnJrJ1 r� Yt!'/'1IV tofu
k Assessor's Map/Parcel 5
Installer's Name,Address,and Tel.No. Designer's Name,Address,and-Tel.No.
�... l?S�G� � 1�j(G7vJnJ �-tit �C.�`�C�'-�/�j �N ��Pl'✓ri.► V�C�/�$
Type of Building: t .
Dwelling No.of Bedrooms Lot Size 'Cl sq.ft. Garbage Grinder(. )
Other Type of Building (°G> lC 1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) �jQ gpd Design flow provided -3 "f -7 gpd
Plan Date / t{ j Number of sheets Revision Date
r
Title
'Size of Septic Tank Type of S.A.S. O1 SC?O G Ct i0�1 y1 10 C�1CN�1l
Description of Soil
v d
r f,.
Nature 1-
of Repairs or Alterations(Answer when applicable) �cs� )1 rA n�Pu) V,--1 o iAA � �
Date last inspected:
Agreement: t •°
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 I
Compliance has,been issued by this Board of Health.
-d
Signed ..-~ .-- !%d °`' Date / PJ
Application Approved by Date ? ! -
Application Disapproved by j Date
fonthe following reasons
b ' Y
Permit No. tj f 16 Ci Date Issued
--
_- - --- - - - _._ ----- ------ ----------------------- --- -- ;;
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site SSewage Disposal system Constructed( ) n Repaired( P< Upgraded( )
Abandoned( )by 3!� IG✓V �-(V C
at � "] r,(. t-t- 7Zj aIf&Nn11 S has been constructed in accordance
(4 1r
o with the provisions of Title 5 and the for Disposal System Construction Permit No. q dated
Installer, ► )-,o,1 G5 Lt al raftcJC Designer riiG rat moo'+�3 �p1 '�
#bedrooms '� _ Approved design flow . 3� gpd
The issuance of this permit shallnot be construe{d(as a guarantee that the system wil ttfuncti) ,a/s designed/. (�
Date / `�- t I,,�SRA�d .S i`i Inspector Cs/
---------------- --.-----.---�- ----- ------------ - ---------------------------
No, Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair(✓'j1� Upgrade( ) Abandon( )
System located at `,-7 C21G Hdrl- l/'�1 SUf' i 9ytwrj f�,
E �
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
3x:
Provided:Construction must be completed within three years of the date of this permit.
Date Approved by P
3
Town of Barnstable
Regulatory Services
Richard V. Scali, Interim Director
s
�-`AAa.HSTaBLE,
` ��� Public Health Division
"reo-na Thomas McKean,Director
200 Main Street,Hyannis,.MA, 02601
Office:: 508-R62-4644
Pas: 508-790-6304
qq Installer&Designer Certification )Form
Dater _J" y Sewage Permit# _o�Q�(�=,3__7�_ Assessor's �Iapi1'ar eel �Z�a,..Z 13
Designer: t ,.der-,�� 'JC,rt& lYIt� 'Installer: 70 A .'3,:�
Address: jZ. Wi /r./ Address: -Q - cx 1 fir--S--
MA G Z
Orr `Z p` '`"`n (cas issued a permit to install a
(date)
(installer) '
septic system at 3 d ` ck'^ct ✓ D, based on a design drawn by
I (address] 4�r1c rrt-eertt'2_ NCi/`�s f dated 1 E I
(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. Strip out (if required) was inspected and the soils
were,found satisfactory.
I certify that the septic system referenced above was installed with major changes Re.,
greater than 10' lateral relocation of the SAS Or any vertical relocation of any conworic.lt
the septic, system) but in accordance:with State& Local Re<ulat:ior�s. Plan revision or
certified as-built by designer to follow. Strip out(if required) vyas inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in P with the towns
of the FNA approval letters(if applicable)
F
M SEE
nsta 'er' gnature) CNtt.
qyp,35109
ti0 @
'i( �er
Dess Signature)� g ) (Affix Designs .:ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HE A_LTII DIVISION. CERTIFICA"i'E
OF COMPLIANCE 'FILL, NOT BE ISSUED UNTIL BOTH THIS ;FORM AND AS-
BUILT CARD :A.RE RECEIVED BY THE BARNSTABL'E PUBLIC HEALTH DIVISION.
THAlSI4 OCi.
ljnSciliiz l)cJ.signer certification t'orin Rev 8-i.4-1 3.d-
Engineers note::TH Scertilication'is limited to an as.bu.1t inspection of system componen,s as installed prior to backfili.The
engineer did not supervise Construction of the system.The installer assumes'respgnsioility;or all materials,workmanship,backfilling
is specified grades with proper compao6on and setting risers,'covers as shown on the design plan.
Commonwealth of Massachusetts �
Title icial 'Ina ction -Foi
Subsurface Sewage Disposal Systems Form-Not for Voluntary Assessments"
v.' 37 Qlanderdr ,
Property Address
Marilyn Haningtion
Owner Ownees Name
information is Hyannis MA 02601 11-4-06
required far y
every page. Cityrrown state Zip Code Date of Inspection w
Inspection results must be submitted on Uft form,Ikon forms may not be/altered in any
way.
A. General Information a70 =C9/�g
Y 1. Inspector: -
Shawn Mceiroy,
Name of Inspector
Shawn Mcelroy Enterprises
Company Name ,,
29 Atwater Dr. f
Company Address
E. Falmouth MA 22536'
Cityffown State Code
(508)495-0905
Telephone Number License Number _0 �771
T�3 5
l certify that 1 have personally inspected the sewage disposal'systein at fti'a ddress 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 6(310 CMR 16.000).The system:
® .Passes n `Condttronalty Passes Falls
❑ Deeds Further Evaluation by the Local Approving Authority
F•,fit. .. . , t' .,r ,. .. - .,.
/
Ao .--- 11-
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`inspbdor and the system owner.shall submit the
report to the appropriate regional office of the DER The original should be sent to the system owner
and copies sent to the buyer,if applicable;and the approving authority.
r ;r:
""""This report only describes condrtioris of the'tirne of iinspection anti 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 ease •:
iSnsP•08106 * " TGie 5 orfk:iW hmpection Forth:Subwrface Sewage Deposal System•Page 1 of 15
a•; _' 4 .
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
37 Olander dr
Property Address
Marilyn Hamngtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. City/Town State Zip Code Date of Inspection
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
B. Certification (cost.)
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:
B) System Conditionally Passes:
❑ One or more system components as described in the°Conditional Paw 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 exfiftration 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-08/06 Title 5 Official Inspection Form:Subsurface Sewage Deposal System•Page 2 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection form
Subsurface Sewage Disposal System Form--'Not for Voluntary Assessments
37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is
required for Hyannis - MA 02601 11-4-06
every page. City/Town state Zip Code Date of Inspection ,
B. Certification (cont.)
B) System Conditionally Passes.(cont.): v .
❑'' distribution box is leveled or replaced
ND Explain:
, Lf ,,3 ,' ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will:pass inspection if(with approvalLof 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 tiealtti;safety or the environment:
:1.)Systerm 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,
., ,� r• , _
'' ❑ Cesspool or privy, is;. wrthin 50 feet of'a surfa,ce water
❑ Cesspool or.privy is within 50'fee4 of a bordering vegetated wetland or a salt marsh
NA `^'"`1' `� �' 2; System will fail unless t6'Board of Health(and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,-
'' �' s safety and environment: _
r ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water'supply.
❑ The system has aseptic tank and SAS and the SAS is within a Zone 1 of a public water
":supply ,
❑l ...The system,has a.septic tank and SAS and the SAS is within 50 feet of a private water
supply well. _
t5insp•OWN - Title 5 Official Inspechon forth:Subsurface Sewage Disposal System•Page 3 of 15'
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cunt.)
C) Further Evaluation is Required by the Board of Health(cunt.):
❑ 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:
a .
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 of clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6 below invert or available volume is less
than%day flow
❑ ® Required pumping more than 4 times in the last year NOT due to dogged 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.
t5ins o8106
p• Title 5 Official Inspection Forth:Suhsudace Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts -
Title 5 Official Inspection .Forums . : r
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , 37 Olander dr
Property Address
Marilyn Haringtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cunt.)
D) System Failure Criteria Applicable to All Systems (cunt.):_
Yes No
+` 4 ❑ 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. "" -
„ ❑ , t ® ti ; 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
r.r . r.�{ , system owner should contact the Board of Health to determine what will be
' `{ ` necessary to correct the failure.
_
E) Large Systems: To lie 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
s ❑ ❑ { the system is within,400 feet of a surface drinking water supply
the system is within 200 feet.of a tributary to a surface drinking water supply
❑ ❑ the system is looted in a nitrogen sensitive area(Interim Wellhead Protection
Area—IWPA)or a mapped Zone 11 of a public water supply well
If you have answered"yesn 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.
t5insp•OWN • Title 5 Official Irspection Form:Subsurface Sewage Disposal System•Page 5 of 15
Commonwealth of Massachusetts
Title 5 Official inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 37 Cilander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. Citylrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ® Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components,excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered,opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions,depth of liquid,depth of sludge and depth of scum?
Was the facility owner(and occupants if different from owner) p
® rovided 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 cif any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
t5insp•06J06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15
Commonwealth of Massachusetts
Title 5 Official-Inspection-Form-
Subsurface Sewage Disposal System form..-Not,for Voluntary Assessments
'< 37 Olander dr
Property Address
Marilyn Harringtion =.
Owner Owner's Name
information is required for Hyannis' MA 02601 11-4-06
every page. CRy/Towri State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions: . �•
Number of bedrooms(design): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 3
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?'f ❑ Yes ® No
Seasonaluse? ❑ Yes ® No
Water meter readings,-if available(last 2 years usage(gpd)):
Sump pump? ❑ Yes ® No
Last date of occupancy: 11-4-06
Date
Commercial/industrial Flow Conditions:
Type,ofEstablishment ,
Design flow`(based on 310 CMR 15.203):,
' ; �. Gallons per day(gpd)
Basis of design flown(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
itd-.,;Non-sanitary.waste discharxged to the Title 5 system?., r. ❑ Yes ❑ No
Water meter readings, if available:
L's+ Last date of occupancy/user Date
Other(describe):
t5insp-08/O6• Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15
Commonwealth of Massachusetts
Title 5 ®fficia0 inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
, 37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cunt)
General Information
Pumping Records:
Source of information: owner-pumped last year
Was system pumped as part of the inspection? ❑ Yes ® No
If yes,volume pumped: gallons
How was quantity pumped determined?
Reason for pumping: maintenance
Type of System:
® Septic tank,distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (f yes, attach previous inspection records, if any)
❑ Innovative/Altemative technology_Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components,date installed (if known)and source of information:
1980's
Were sewage odors detected when arriving at the site? ❑ Yes ® No
t5insp•06/06 Title 5 Official impaction Form_Subsurface Sewage Disposal System'Page 9 of 15
Commonwealth of Massachusetts
T-
Title 5 Official Inspectidn of
_ Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments
wM > 37 Olander dr
Property Address
Marilyn Harringtion , '
Owner Owner's Name
information is H annis' MA- 02601 11-4-06
required for y _
every page. City/Town G State Zip Code Date of Inspection
_ D. System Information (cunt.)
BFuildingSew'er(locate on site plan); "
16"
Depth below grade: 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:):
r I Septic Tank.(locate on site plan): .
'Depth below grade: 12"feet
Material of construction:
0 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
4!t
Sludge depth.
p
xt -,f3 =Distance from top:of sludge to bottom of outlet tee or baffle: 28
Scum thickness
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to bottom of outlet tee or baffle
16"
How were dimensions determined? tape
t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M r 37 Olander dr
Property Address
Marilyn Harringtion
Owner Owners Name
information is required for Hyannis MA 02601 11-4-06
every page. Cityrrown state Zip Code Date of Inspection
D. System Information (cunt.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
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•Oa/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
Commonwealth of Massachusetts _E
Title 5 Official, lnspection,form-
Subsurface.Sewage'Disposal System.Form-Not for Voluntary Assessments ..
, 37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is required for Hy 'annis' MA 02601 11-4-06
t r`; e'
every page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
Tight or Holding Tank(cunt.)
Dimensions:
Capacity: gallons
gallons per day
Alarm present: ❑ Yes ❑..No
Alarm level: Alarm in worsting 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.):
good condition.
`Pump'Chamber(locate*on site plan):
Pumps in working order. . ❑ Yes ❑ No
Alarms in working order. ❑ Yes ❑ No
t5insp 08106 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
Title 5 ® c!M Pnspection F®rm
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
37 Olander dr
Property Address
Marilyn Harringtion
Owner Owners Name
information is required for Hyannis MA 02601 11-4-06
every page. Citylrown 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. 1
❑ leaching chambers number:
❑ 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 pit in good condition with 20"of free space capacity,with no stains or signs of break-out.
t5insp-08/08 Title 5 Official'Inspection Fomr.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
37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is Hyannis MA 02601 11-4-06
required for H y '
every page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
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
t 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:,r
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp•08106 Title 5 Official inspection Forth:Subsurface Sewage Disposal System•Page 13 of 15
• J
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
37 Olander
Property Address
Marilyn Haningtion
Owner Owner's Nam
information is required for Hyannis MA 026DI 114-06
every page. Citylrown State Zip Cade Date of Inspection
D. System Information (coat_)
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.
tk2g
I
3-5
Ll
tNnsF-08/06 T6te 5 C(ticW§apeMon Fam:Subsurface Sewage Disposal System-Page 1 of 15
Commonwealth of Massachusetts
Tile 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
37 Olander dr
Property Address
Marilyn Harringtion
Owner Owner's Name
information is required for Hyannis MA 02601 11-4-06
every page. City/Town State Zip Code Date of Inspection
D. System information (cunt.)
Site Exam:
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water:
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 USES database-explain:
You must describe how you established the high ground water elevation:
Town maps show groundwater at 4W.
t5insp•08MO Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
Town of Barnstable P#
Departitnent of Regulatory Services: '
t r� Public Health Division Date ® �_
�p .639. ,a� 200 Main Street;Hyannis MA 02601 i'w'1
�D MA't A
1 �u
Date Scheduled .
Time Fee Pd. .Q c
Sail Suitabrli Assessment ° jQ&�
2"
M r� ty fo. S I� spo 'al
Performed 13y:1?e �► LCET"L Ce s ems_ 'I 7 Witnessed By:: V"
LOCATION& GENERAL INFORMATION
Location Address CL Owner's Name
4V�tl1 t S Address (Vz �.�tVtCnl��
Assessor's Map/Parcel: Engineer's Name �ti��
NEW CONSTRUCTION REPAIR � Telephone# 5�-4,�
Land Use:� ``���' Slopes Surface Stones A
Distances fromi. Open Water Body- ft Possible Wet Areaft Drinking Water Well ft
Drainage Way ''"Ut^/e ft Property Line + _ft Other` ft
SI{ETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
s�
W
ULD Parent material(geologic) �/ � 5rock
Depth to Groundwater. Standing Water in Hole: / "t1 Weeping from Fit ftnce Y`
Etimated Seasonal High Groundwater ~Z—
DETERMINATION FOR SEASONAL HIGFI WATER TABLE
Method Used: .
Depth Observed standing in ohs:holei __--__ in, Depth to Sail mottles:
Depth to weeping from side of ons.hole: _ ......._._.in, Groundwater Adjustment .�-.:_.,o..._ , �R•
index.Well# „ Reading Date: Index Well Ievel_.— �w._. Adj:-.factor .— Adj.dI»utidwnter 171.1
Ir
PERCOLATION TEST Date Tlme
Observation
Hole# 1 ' �' Time at h"
Depth of Perc Time at 6"
Start Pre-soak Tune @ " 'rime(V-6")
End Pre=soak � �. .
Rate MinaInch
Site Suitability Assessment: Site'Passed v Site Failed: Additional Testing Needed(Y/N)
t Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
*If percolation test is to.be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTtC\PERCr-ORM.DOC
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
on ' ten ravel
A Co o`fi2 `f z
9-36
DEEP OBSERVATION HOLE LOG Hole# 2-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,% ravel
6 ` L�} &4L4,y 5q 4 ro I fX 4'/7—
. •_� � M S�tdt td`����
-- ? mtd IJ S c5"Y
DEEP OBSERVATION HOLE LOG hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(iu.) (USDA) Munsell) Mottling (Structure,Stones,'Boulders.
Consistency, Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Consi ten ra
t
I
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes rl
Widun 500 year boundary No Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious inatorial exist in all areas observed throughout the
area proposed for the soil absorption system? _ —
If not,what is the depth of naturally occurring pervious material? r_
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with .
the required trai ' g,expertise and experience described in�10 CMR 15.017.
Signature Date I
QAS,MMC�PERCFORM.DOC
i -- - - � -
' TOWN OF B,�RNSTABLE
LOCA?1ON -3 7 Q1c,,,der Or. } SEWAGE #
VILLA-iE ELV4A n i S � ASSESSOR'S MAP&LOT-!A
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 1000
LEACHING FACILITY: (type) L2aC�` �� (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: 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) 1 // Feet
Furnished by SIB 4i,/,q ,�i c C lro-� _�)e��aZ S�SQec7yr
• J
Mid
f
�I`Fn`ntt�
TN
a � a�
TOWN OF BARNSTABLE
LOCATION SEWAGE # 9D-L,;'L
VILLAGE iedf��Z��/�-5' ASSESSOR'S MAP &
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY
F
LEACHING FACILITY:(type) (size) e5aC/Q f
NO. OF BEDROOMS v'� PRIVATE WELL O PUBLIC WAT�lii
BUILDER OR OWNER �,,� /GddCJ
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 4 ! -lu --
VARIANCE GRANTED: Yes No
�� ��
1 �'
((�� r
G� _�
, ..
Gj
i
- -�
No._......... Fxs.: .. ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF..:.. .. .....................
ipLpiitlon
pp-1 ratwu fur Disposal arks C�uustrurtiun jrrmit
is h eby made for a Permit to Construct ( ) or Repair (tom an Individual Sewage Disposal.
System at:
........ . �2............... .... ....... ..... ........---.._... ....-- -- ------- ..........._...............................
. ______
L atio . ddre or Lot N
52 .........--•------- ... /.. `. ._•- .�. � �` ........ ...?�!��
- ..._._
Owner A re
. .. a'. .... '. ?/J .............................. %� G �'Y. ..� ....1-�� %...... s
Installer Address
Type of Building Size Lot . -�Sq. feet
U Dwelling—No. of Bedrooms....................�`'.__.................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building '
a Other—Type g ______��:�......... No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ...----•-----•...................•--------...---..........----------•--•-..........-•-•-.................:..............................------..----•
W Design Flow................. ............gallons per person per day. Total daily flow........... ...................gallons.
WSeptic Tank—Liquid*capacitye _.-d-.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No........../...... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
`" Percolation Test Results Performed by---- . ------•-•----------- Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
x ...------... ------=--------- --------------------
......--------------........:......----------------------- ......
0 Description of Soil........................................................................................................................................................................
--------------------------
-------------•---------------------------------------------------------------- -------------------------------------•--------
....-----------------------•----------------...---•-••-.....
U Nature of Repairs� Alterations—Answer when applicable_._. � >.6 �.._. �....._...7 4L:.._..
l.�P.....°`........'��TC..a------..; aid ?. ...�� �Qa� y y�.c .r��i`/
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of LI'A i; 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Com iance has been . e by the b r �health. �y
Signed... . ----- ------! .................. -•---�/��
�/ 'n e
Application Approved By-----•--•.............. .. ................•-------.................... ��/...��
Dat
Application Disapproved for the following reasons------------------------•----------------------------•--•------.......-•-...--------------- --........-------
.............•--.......---------------•-•-•--...----....-------••----•--•-----....-----•.•......--•----•.......-•----•---•••........._.............----------•••-------..............---------•••-•.....
Permit No.....
91 .E 77__... --..... Issued__....... ..............Daft.
..._.
Date
17
THE COMMONWEALTH OF MASSACHUSETTS
OF HEALTH
--------- .OF.... ... ...1.... ....
,� lirtttiun for Disposal Warks Tonstrurtiun Hermit
Application is,hereby made for a Permit to Construct ( ) or Repairk (/ an Individual Sewage Disposal
System at
..... ' Fj...22!_��................... .......... s..:
Location-Address or Lot No . ................• _�~..
--
"4
Address
Owner
L:'Gn 'T.............................. �. �.1.�.. ----.:1. ... .
Installer '
Address �
Type of Building Size Lot .046"—Sq. feet
_ Dwelling—No. of Bedrooms.................... .................Expansion Attic ( ) Garbage Grinder -
p, Other—Type of Building ......lln�......... No. of persons ................... Showers ( ) Cafeteria'(7)_ 14 .
W 'Other fixtures ..............:.:...... =
-------------•---•--.-----.--•----•-•-----•--- J..,
ign ... ..........gallons per person per day. Total daily flow.....•...... _.�..................._gallons.W Desl Flow----•---•---•�•-=��-- '� ,
WSeptic Tank—Liquid'capacity/�til.gallons Length................ Width................ Diameter......::........ Depth...............
x Disposal Trench--=No.,.................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No........../....... Diameter.....:.............. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
0-. , Percolation'.Test Results Performed by-------••••••-•••-••......••---....--••••................•........•..... Date........................................
Test Pit`i1?o. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
r: Test Pit No`,2...............-minutes per inch Depth of Test Pit.................... Depth to ground water........................
a = = -----------------------------------------------------------------•---------------•-----• ............
Descriptionof Soil..... ...Z:--•---••-•-------•--•------------------------------------•-•-----....:----•-••---•--•--------..........---•-----......•••••-
W -•----•----••---.•...................................................
--•--.-------•---••-•--••---••--••......••• -• •--••-
••--••--••••-•.................•••--•-- ••-•---•-••-••••-•--•-•-•-••-••.. ----....----•- -----.........---•--•.....
U Nature of Repairs 9.T Alterations—Answer when applicable.....,*_N /11 ..... '5....` ............1-1 ......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of lI.1Z 5 of the State Sanitary Code The undersigned further agrees not to'place the system in
operatiorr,until a Certificate of Compliance has been is e by the board-of health.
r
Signed-.. . . E. ! - -• ',r.�•l
Dat
Application Approved By..... .............••• .....---•-•• ....... (., t ZDiat/
l/ Ni'U........
,Application Disapproved for the following reasons------------------------------------------•-------.--•------- 1-_N d........................
.....^ ..................................................... .... ......f...• ......-----•----
1
Permit No.....f -�-2 ............................__ Issued ...... y ..... .......Date..._..
THE COMMONWEALTH OF MASSACHUSETTS f
BOARD OF HEALTH
-
OF ................................. .. ,
Trrtif iratr of faumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired,(aC )
by................................. .------. �Dyths?. 1 :------....--------------------------....-----..........------------
Installer
at-••-••••••-•-•--••.............••---.S.�.F9: !Go&v ��-------- ................. 4�
has been installed in accordance with.the provisions of TITLE j o`f�The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.�Q__-l'7?�•.........� dated... •...........................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS AGUARANTEE THAT THE
SYSTEM TWILL FUNCTION>SATISFACTORY.
DATE... ... .v r1:7:..:......... =......- ........... Inspector.... ��� ................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Og HEALTH
No.it /!�y -sC .........'OF... .......................... s
Disposal Varks Tunstrurtiaan WIrrmit -
Permission is hereby granted.---....... ................................................
to Construct ( ) or Repair (�) an Individual'Sewage Dis S stem
at No.: .. ..���� ......... . ..... ..... JJ�✓/�5.-----•.....................
... _
Street
G
as shown on the application for Disposal Works Construction Permit No.h -'.�.r.'��Dated.....�....l R.............
............................... /. ii.t `._ _: (....may--...........
DATE...Z --` -•--- O....................... lloard of H Itf
-•
M�
f4
j
LEGEND
Route 28 %® LOCUS
— 98 -- EXISTING CONTOUR Ra
x 100.98 EXISTING SPOT GRADE f glueber C 5
—W EXISTING WATER SERVICE
0 .28
U D OC
--6.N.�- EXISTING OVERHEAD WIRES
IS TEST PIT a west o o HI H a
poi
BENCHMARK n Street S OOL
LOCUS MAP
NOT TO SCALE
106,
�GP
N 35'17'50" E
I � 80.00'
LOT 39
11/980±SA r +
98.15
97.59
I �
/ 0 --+
98, E
I 0
I s �
I 8.31
I x �
SHED , 12'
EXISTING LEACH PIT , +
TO BE PUMPED, FILLED I i _ ,04 O.
WITH SAND & ABANDONED
98,71
Z I I 98.27 .98
01 CT x TP-1 O �
Ln
TP 2 O 8.12
00
0' O \ N O
\ x 98.63 m
99.57 99.03 x
I x \ BH 98.13
I x —1 SXISTING SEPTIC TANK
BM/RED DOT (TO REMAIN)
BENCHMARK 100.69 TOP OF TANK, EL.=98.06f
RED PAINT/STOOP I EXISTING INV.(OUT)=96.70E
EL.=100.69 98,75
I HOUSE(#37) x
v T.0.F.=100.3E
99.86
I
99,80
DRl1/EWAY
99.81
99-81
——-�a LOT 39
ioo.o9 : 11,980±S.F.
100.19
x 3�
'0
CB 79.89' / ,5k
100.92 N 35'17'60" E 1
101,05 100.61 EDGE OF ROAD
99.76 99.30
OLANDER DRI VE
% OF Mgss9�yG
ETER T. s PARCEL ID: 270-213
Mc IVIL �, PROPOSED SEPTIC SYSTEM UPGRADE PLAN
CIVIL "'
No. 35109 37 OLANDER DRIVE, HYANNIS, MA .
EGI ER�� Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
E
OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO.
HARRINGTON, MARILYN Engineering Works, Inc. 1"=20' P.T.M. 266-18
62 FALMOUTH ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
I
�`� WEST NEWTON, MA 02465 (508) 477-5313 11/14/18 P.T.M. 1 Of 2
rr.r
t
NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SHALL NOT BE AT, OR BELOW, EL.=96.0
FOR A DISTANCE OF 15' FROM THE EDGE
SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S.
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE
INSTALL RISER & COVER OVER ONE CHAMBER AND
T.O.F.=100.3t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=100.0t F.G. EL.=98.2t F.G. EL.=98.2t F.G. EL.=98.2t
MAINTAIN 2% SLOPE OVER S.A.S.
@ )4"CH 0 PVC ®'SCH 0(PVC) 2" LAYER OF 1/8" TO 1/2"
s" DOUBLE WASHED STONE
ill 10"I " g ®aaSaaa (OR APPROVED FILTER FABRIC)
14" aMMaBBB
EXISTING 48' LIQUID MM0
0
0
a0 -3/4" TO 1-1/2" DOUBLE
LEVEL 4' 4.8' 4' WASHED STONE
GAS
ADDD INV.=96.27 PROPOSED INV.=96.10
INV.=96.70t D-BOX EFFECTIVE WIDTH = 12.8'
EXISTING INV.=95.50
EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
NOTES: H-10 RATED
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=96.3t
INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=96.00
50=95 ELEV. . as®®
2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. Massa
BaaMaaaaaaM
Ma GRADE ON A MECHANICALLY COMPACTED SIX M0MMMMaMM
10
INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=93.50
310 CMR 15.221(2). 4' 2 x 8.5' = 17.0' 4'
3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0'
PERVIOUS MATERIAL
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W.
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION
NO G.W., EL=87.0 -
SEPTIC SYSTEM PROFILE
N.T.S.
GENERAL NOTES:
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL EXISTING
BOARD OF HEALTH AND THE DESIGN ENGINEER. HOUSE('#.37�
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE /
LOCAL RULES AND REGULATIONS.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR BACK
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER. BH
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE 'DESIGN
ENGINEER BEFORE CONSTRUCTION CONTINUES. ��. ,��� N
5. ALL ELEVATIONS BASED 0_N AN ASSUMED_DATUM._
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. TI 266- $
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 00
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE N I P OP. S.A.S.
DIRECTED BY THE APPROVING .AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING I" 25'--I
CONSTRUCTION.
e 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SEPTIC LAYOUT
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. SOIL LOG
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. DATE: NOVEMBER 13, 2018 (REF#15,827)
14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SOIL EVALUATOR: PETER McENTEE PE(SE#1542)
SYSTEM COMPONENTS NOT SHOWN ON THE PLAN WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT
ELEV. T P- 1 DEPTH ELEv. T P-2 DEPTH
98.5 A 0 98.6 A 0"
LOAMY SAND LOAMY SAND
10YR 4/2 10YR 4/2
97.8 B 8" 97.8 B 10"
DESIGN CRITERIA LOAMY SAND LOAMY SAND
10YR 5/8 10YR 5/8
NUMBER OF BEDROOMS: 3 BEDROOMS 96.0 C 30" 95.8 C 34" _
SOIL TEXTURAL CLASS: CLASS I PERC
30"/48"
DESIGN PERCOLATION RATE: <2. MIN/IN M-C SAND
M-C SAND 2.5Y 6/6
DAILY FLOW: 330 G.P.D. 2.5Y 6/6 COBBLES
DESIGN FLOW: 330 G.P.D. COBBLES
GARBAGE GRINDER: NO-not allowed with design
LEACHING AREA REQUIRED: (330) = 445.9 S.F.
.74 87.0 1 132" 88.6 1 120"
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PERC RATE. <2 MIN/IN. "C" HORIZON
PROPOSED D-BOX: 1 INLET,- 3 OUTLETS, H-10 RATED NO GROUNDWATER ENCOUNTERED
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 37 OLANDER DRIVE, HYANNIS, MA
SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 .
BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:...... . : 471.2 S.F. N.T.S. P.T.M. 266-18
.. ...................................... Engineering WOYks, I .
12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 11/14/18 P.T.M. 2 of 2