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HomeMy WebLinkAbout0069 OLD TOWN ROAD - Health 69 Old"Town Road A=267 - 060 ... i i c t Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments m .' 69 Old Town rd Property Address 4" Erin Glock r Owner Owner's Name information is required for every Hyannis ✓ Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain r� Company Name 8 Johns path Company Address B S Yarmouth Ma 02664 City/Town State Zip Code 508-364-9587 S103522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 9/16/16 In ector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. if the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 �01, Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information y mation is Hyannis Ma 02601 9/12/16 required for every page. City/Town State Zip Code Date of Inspection �x B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 1500 GI septic tank as well as a distribution box and a 12' x 25' leach field of plastic chambers. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If'not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will "pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5.Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No . ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® 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 '/z day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'w 69 Old Town rd M Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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 ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 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) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information Description: System contains a 1500 GI septic tank as well as a distribution box and a 12' x 25' leach field of plastic chambers. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d 120 Gpd 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 c Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Not provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 f ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments °M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection i D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 9/14/09 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.5feet 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.): Vented at roof Septic Tank (locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1500 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: . Sludge depth: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 24 Scum thickness 3„ Distance from top of scum to top of outlet tee or baffle 42" Distance from bottom of scum to bottom of outlet tee or baffle 1" Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No evidence of Ieaking,Tees and or baffles in place at time of inspection. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 . Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 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.): Tees are in place and levels are normal. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in,working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ,^M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No` Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 69 Old Town rd M Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number; length: ® leaching fields number, dimensions: 12'x25' ❑ 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.): Field is dry and clean Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No ponding no break out Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd M Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately V t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 69 Old Town rd Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ ft feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record. If checked, date of design plan reviewed: 9/14/09 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: n`6 You must describe how you established the high ground water elevation: Test hole data on plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 1 _ rg- :'b rf�'�`.�u'-.� � ��g'4s�a &•- n' �.q'� �} > �z� c R° T_�,'� � �_ L�naas+y�'��,'-��"�, �?- E wom FTgD­ P:zn f'.a,��..�c2 '�.����rk�• i, ''4, �`- ` J n.It _ ' i 4 102. ,38 to eor prop, line i Y � tepo.t TH— wore '-,0,) f i g Ye, U �� i 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 69 Old Town rd M Property Address Erin Glock Owner Owner's Name information is required for every Hyannis Ma 02601 9/12/16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARN TABLE LOCATION � od /� �� ' z SEWAGE #�obi. 3 00 VILLAGE *�!4 ''3 SSESSOR'S MAP & LOT�4 7� INSTALLER'S NAME&PHONE NO. H ��' � '� / 6"l— SEPTIC TANK CAPACITY LEACHING FACILITY: (type)�G �/ ,�•Pep, NO.OF BEDROOMS D— BUIL,DER.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 N t� o M M �7v esr v3�� 04� �I p w � � r� No. Zoo vl' 30o Fee /oo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for 13i5pont i§pgtem Cougtruction vermit Application for a Permit to Construct( ) Repair(grade(-T--Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address,and Tel.No. . 5 G/ 0gNr� Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms R Lot Size sq. ft. Garbage Grinder (Al Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re uired) _2 f7 gpd Design flow provided 3 gpd Plan Date / y Number of sheets Revision Date Title Size of Septic Tank /y— y d Type of S.A.S. !/ /��' Je `L2 /1 1- 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 Environmental Code and not to place t system in operation until a Certificate of Compliance has been issued by this Board of Healt Sign Date 6'/J Application Approved by ' S Date Q Application Disapproved by: Date for the following reasons Permit No. Zooq— _;Oo Date Issued 6.�-16 ` 01 .� .r= No. Zoo q' ,�00 (` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLI HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Appli ratio n,f'or �3iopont i§p5tem Con.5tructiott Permit Application for a Permii-to Construct( ) Repair(4--upgrade( Abandon( ) ❑ Complete System ff]Individual Components Location Addr ss or Lot No. /-/)/A S' Owner's Name,Address,and Tel.No. U� 7w ti 62 f�4N4< Assessor's 1Glap/Parcel Ic)6 '/ 06 Q Installer's Name,Address,and Tel.No. +� Designer's Name,Address and Tel.No. 7— r' /)4/2 07 t.ram /Ze G y SoY�7j r 3 �, �. S o 3cf2 2 `7 �2 2 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) t Other Fixtures Design Flow(min.re uired)/ 2 �� gpd Design flow provided 3 '�/ 7. O gpd Plan Date '? / < v T Number of sheets Revision Date Title Size of Septic Tank / D d Type of S.A.S. �/ ����s �� lA/,� /��o ) 6 Description of Soil q , Nature of Repairs or Alterations(Answer when applicable) .l ; - '3 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 He�alt ---X---, Signer%'/' l�' i Date Application Approved b�v /�'� ' .S , Date ��!� ; Application Disapproved by: Date j for the following reasons `7 f 4. Permit No.Zoo g 30o Date Issued 16 ` 01� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( V) Upgraded ( ) Abandoned( )by 4 ,,r2e °C vat 6`7 G �p u, ,✓ has been constructed in accordance q Jwith the provisions of Title 5 and the for Disposal System Construction Permit No. ,G7 dated ' Installer �� x- �l Designer i4 4 2 6,4 #bedrooms v� Oei�y Approved design flow 31'5t'7,7 D gpd The issuance of this per it shall/not be construed as a guarantee that the system.wil I function as d' signed. Date '`)/ Inspector No. Z Doq—.zae) Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 'I9;po9;aY �§p!tem CCott!gtrUctiott permit Permission is hereby granted to Construct ( ) Repair ( ) UpgradeAbandon ( ) System located at G TO cv .V 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 condi"Boris:"- ""` ` """� " ` - Provided: Construction must be completed within three years of the date of this perms . Date Approved by _ � -� Town of Barnstable Regulatory Services Thomas F. Geiler, Director • BAMSTABL8. � Public Health Division pT�► `' Thomas McKean, Director 200 Main Street,Hyannis,CIA 02601 Office: 503-362-4644 Fax: 503-790-6304 Installer & Designer Certification Form Date: 17 In, Sewage Permit# D .7007 Assessor's Map\Parcel Designer: Installer: �� �� �a m✓S� Address: Po -yy)x 1�I Address: S �pcSr ,�VJ lfi�} � �1 � � ,�';ti► s DZS On A was issued a permit to install a (date) /I (installer) septic system at l0� OLp -'ow based on a design drawn by (address) l alA ' " l M(�Fdated (designer) 14, 1 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 andior septic tank. 1 certify that the septic system referenced above was installed with major cHanges (i.e. greater than I lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. ,ygss9cy AME&N (Installer's Sign• r � No: 1140 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTAB 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 3-Z64doc i "town of BArns-ta.ble r# L Department of ReLtilatory Services • Public Heald;Division Date 0 i AB. • t'r M�eP 20o Main stree4 Hyannis MA 02601 FO µ►'I Date Scheduled r U `Time Fee Pd. . i ,Foil ,Suitability Assessment for Sewage Disposal Performed By: ! Witnessed By: LOCATION & GENERAL INTORMATION A Location Address /, Q(�{� '@v{/IJ - Owner's Name W lL�-(F[ vi ` 7S OlV/S(Dii P-0- AYAW N15 AA Address W.6 rteh wl tt 4 1 Assessor's Map/Parcel: 2(o���t0 0 I Engineer's NameDAi_*_QT. Mel� NEW CONS1RU00N REPAIR Telephone# Land Use P/j f�e,A-f a, � Slopes(96) I L_S `�: Surface Stones NO I, ' �'�0 ft Drinking Water Well >� ft Distances from: Open Water Body ft Possible Wet Area I a s Drainage Way ?/ 0-0ft Property Line l d ft Other SKETCH:(Street name,dimensions of lot.exact locations of test holes&Pere tests,locate wetlands in proximity to holes) I . I 1 i 0 I / 1 gym•--1� /^� \ I_ \, p•+� 7h_q';� (SEE"D \ I� \ 0 1 j Parent material(geologic) 'l-/Q ���' I Depth to Bedrock .� Depth to Groundwaidr. Standing Water in Hole: i.! I Weeping from Pit Face Estimated Seasonal3jigh Groundwater N � DtT-,ryA11NA TION FOR SEASONAL IiIGH'WATER T'Ar3LE Method Used: In. Depth to soli mottles: in. Depth .4erved standing;in ohs.hole: it• i ill, ©roundwwr Adjuettttent Depth toiweeping from side of ohs.hole I _ A ,laetor,,.,.�.� Adj.Gtwundwtlter Level Index Well# Reading Date: index Well IeVil — PERCOLATIbN TEST . Date Observation ,� I Time at V - Hole# (] t t Time at 6" •-•— Depth of Puc —�— - o Z Time(91*.600) - Start Pre-soak Time.( .'36 1 End Pre-soak Rate MinJlnch Site Failedt Site Suitability Ass0sment: Site Passed Additional Testing Needed'(Y/N) — Original:.Public He$Ith Division Observation Hole Data To Be Compl k eted on Bac ' Y ou must first notify the ***If percola#6n test is to be conducted within 100 of wetland,b r+A,4eprvation Division at least one(1)wedlc prior to beginning• DEEP OBSERVATION HOLE LOG Hole# Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling (Structure,Stones,Boulders- Surface(in.) (USDA) ( ns' ra e �4 Sa,1444, 3�1) 39'' Sa nd 14 o 3q'! 1�1 q't C AW- a►�d z. �/� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) (USDA) (Munsell) t Mottling (Structure,Stones,Boulders. " Consistency., d•°�- Z `r �° I N A 32 3$" d o I o R 31''_ 1 q and 2-SY 7j DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gve DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Flood Insurance Rate May: Above 500 year flood boundary No_ Yes X X Within 500 year boundary No_ Yes Within 100 year flood boundary No X Yes Denth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist,in all areas observed throughout the area for the soil absorption system? proposed rP Y If not,what is the depth of naturally occurring pee io�al? Certification ��� I certify that on _lsd_ (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 f ini pertise an experience described in 3,1 CMR 15.017. Signature 4 Dat4L4LPn Q%EP IOPERCFORM.DOC Poo LOCATION SEWAGE PERMIT 1--y-- /,'// e, A-ae- / ei, nf:- VILII.AGE f / Opel /4/. // �'�` INSTA LLER'S NAME & ADDRESS I CRAIG MCDEIROS Trucking e TulldoKing 12to of HXgAnti, Moss. 775-0828 BUILDER OR OWNER 440/ i,'r- DATE PERMIT ISSUED � -7 DATE COMPLIANCE ISSUED -� 7� 1 Al No.._......�%L1.. _ .� Fps....::....;„................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O ........ ......OF.....,,1.....'c?►f-- ,� fir ti�a n 3�t tt ,ark Cy 7) an k.utit Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal Systemat:................--I......................................... ..................................... ......-•----------�-��-�.......................................... B G Y ---•-•..l.w.._.....-•- Loc ion-A ss . � l �t No. .�� ........... / . -... •--_A4 � .. ..._....-- -.._....S_.--�-------..- / ✓ Owner Address ,. .. .__ .. ►'� Installer Address Type of Building q. Size Lot----------------------------S feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No, of persons____________________________ Showers — Cafeteria Other fixtures --------------• -•---••----•-•--•--_. - WDesign 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. 3 Seepage Pit No--------------------- Diameter.................... Depth b`elovv 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 ODescription of Soil....................................................................................................................................................-................... V --•---------•---------------------------•---------•----------------------- •------------------------------------------------------------------------------------- ---------------------------- •-••---••--•-----•---------••-------------•-•--••-•---•-••-----••------.._._.._..-------••------•------•---• .............................................. ..---- UNature Repairs or Alterations—Answer whe plicable._.._ _ _ .1O.-!:______`_ - -e�_.o----- ----`?•........... . ..-------- - -- ----------------------------------------•---------••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI LE 5 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-~....... 61.... .... ... -- �to Date ApplicationApproved By...................................................... ...................................... . - ------•-•--••-- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------•_._... •--•--------------------------------•--------•----------------------•---•- • Date PermitNo........................................................ Issued......................................................... Date - J No. ... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH o Appliration for %VviiFal Works Tonstrurtiun Vvermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .... ..........................................................-------- ----------- ----------- ------------- ------------------- Lotion- ss� N l .r* PIaot No, ra+ J ................................... --.-•--- -•--•---------- -- ..................... Owne `f Address r 1 f ,., ................I......... __...---�---•-•••,er...•••. . =........................... ----•••••--- �..------ es.s..................... . - ---------------- Installer Address dType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid'capacity....__......gallons Length................ Width---------------- Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z OtVer Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per 'inch Depth of Test Pit-__--_-__--__.••___. Depth to ground water•-___________-__-----._. Gi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ra ....................................-------------•-•-----....................._............_......----=-•-•----------•--......•••..............-------•-...... ODescription of Soil......................................................................................................................................................................... W --•-•--•---------------------•----••---•••-••-••••-------...--••-•---•--•---•-------•--.....-----•- VNature Repairs or Alterations A saver whe plicable _ �+�: 1 ! `' '�'�''_..___. ----- ------- ------- ------•--------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL;,. p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ued by the board of health. s Signed ---•----• Fear". Date ApplicationApproved By...................................................... ---•-•-•-•••••--•----•-•-•--•-•-•--•-- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------_ •------------------------------------------------••-----------------------•------•------•--••--------------------•-••-••••••----••-•-•------------------------------------------------------------•-•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH sa . ` ........................OF... ......................................._................ Trrtifiratr of TomphFanrr TH S I TO CERTIFY That the Individual Sewage Disposal System constructed`( ) or Repaired -- - Installe at........ .-�'.---•- -- - _/� -----a--`------`°' � �. ' ' -�-�-----`"=--------------------------------------- ------ has been installed in accordance with the provisions of T�' s� of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...............� _.�............. dated___..._P�.'.��"_�i�..._._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY DATE.,. ... z.. Inspector - >. A�M+dr�ii� 'W.Q..aM..1,f4i�Gwi.,.rga..t,...f�y..,y.,afjn,•... ... N..s THE COMMONWEALTH OF MASSACHUSETTS BOAOF HEALTH , .....................%............•F.................................................................................. . No..:....f� L..... FEE........:............... Permission is hereby granted - .. ..... .. ----- `�`---------------------••-•. to Constructo ) Reps, ( n ,[dual Sews e isposal System at No... -- ... . -••••••-- --; cn. -tr+► .... Street as shown on the application for Disposal Works Construction r it N Dated ....... ::.1 • -- -----!' . .---- Boar of Health DATE. ....................... .............................................. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS LOC&, T"ION : E N&C;E PERMIT UO. VILLAGE IWSTQLLER 5 NAE ADDRESS I3UILDER '5 I.1 &V,AE ADDRF-Ss DNTE PERNM-r ISSUED tU ATE COMPLI &KICE ISSUED : �— --- -�.. -� sr� � `' �-�._ ��� c, _ y �, � r�\ '4 � �''� i it '�> � '� i� �;� t r f INE ( LEGENDkROA TER ' ` A U E PROPOSED CONTOUR �UNPAVED ® PROPOSED SPOT GRADE ------- __ ------ EXISTING CONTOUR 3 + 96.52 EXISTING SPOT GRADE107 00 ft J 8? ftE � W---= EXISTING WATER SERVICEL T ® TEST PIT AREA = 22689 sfC f ,11 LOCUS MAP N.T.S. �— Y—�j �- � � GENERAL NOTES: ©_ 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL / ! 01 BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS / --A OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANY APPLICABLE O LOCAL RULES AND REGULATIONS. 102.38 / T�H-1 / 7 Z i to rear / Z 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED .PRIOR p�OP• /ine N ! ! TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE I I. 11 O DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10 cr ' ; FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. " ! 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. j ��0° —�1 0 ! e • ! 2 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 1 OnsP ® exisT. Bois r ! ! THE CONTRACTOR.OR OWNER TO NOTIFY THE LOCAL BOARD OF Par+ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. TH_ {see Noce oI 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 1 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO Q BEGINNING CONSTRUCTION. — — —t—— — — — — ---— — — ''— -.— — - — — — — — ------------— �\— — — — — — --- — — —=— --- —�— --------— — — — — — — , 10. EXISTING CESSPOOLS TO BE PUMPED. CRUSHED AND REMOVED. 118.90 3 3g 125 f REPLACE WITH CLEAN MEDIUM SAND. g 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 1 12. THIS PLAN IS TO BE USED FOR.SEPTIC SYSTEM PURPOSES ONLY /\ AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY OF BENCH I V i /-'�R I�j 14. NO WETLANDS WITHIN13. ,NO PRIVATE WELLS )THIN 1 150' 0P, PROPOSED OF LEACHING. PROPOSED LEACHING. NG. a DAM. PAINT SPOT ON R CONCRETE -PATIO 15. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPECIFIED) - -1140 " ELEVATION = 37. 1 6 16. PROPERTY IS WITHIN A NITROGEN SENSITIVE AREA/ZONE ii. �FGI E0 BARNSTABLE GIS DATUM MNITAVOp* PROPOSED SEPTIC SYSTEM UPGRADE PLAN 69 OLD TOWN ROAD, HYANNIS, MA °t° Prepared for: Arch Construction SURVEY REFERENCE: MAP: 267 Engineering by: Surveying by: SCALE DRAWN JOB. NO. LOT.•080 DARRENM.MEYER,R.S. Eco—Tech Emvhvamenw 1„_20' DMM SITE AND SEWAGE PLAN. BEARSE & KELLOGG POaox t N 98 E G. DEED 800/C 9D02 (508) 364-089.4 t DATED: MARCH 1926 F DEED PAGE.•060 508-362-29 2 Ctl MAOZS37 DATE. CHECKED CH MA S1E of 2 ' a . NOTE: TO PREVENT BREAKOUT, THE PROPOSED DESIGN CRITERIA NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:32.$4 FOR A DISTANCE OF 15' AROUND THE NUMBER OF BEDROOMS: 2 BR EXIST. / 3 BEDROOM DESIGN (PROP IS IN ZONE 11) PERIMETER OF THE S.A.S. SOIL TEXTURAL CLASS: CLASS I SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. DESIGN PERCOLATION RATE: <2 MIN/IN T.O.F. EL.=38.12 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" 'DIAMETER INSPECTION PORT OVER DAILY FLOW: 110 G.P.D./BR OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. DESIGN FLOW: 330 G.P.D. F.G. EL.=36.5f F.G. EL.=36.5t F.G. EL: 36.0t F.G. EL: 35.50(MAX.) GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) PROPOSED SEPTIC TANK: USE NEW 1.500 GALLON CAPACITY LEACHING AREA REQUIRED: (330) - 445.94 S.F. L = 10(MI 9" MIN COVER/R ! L - 20' 7INV.=32.80 0'(MAX)) INSTALL TWO INSPECTION PORTS MIN.) DISTRIBUTION BOX: 5 OUTLETS (MINIMUM) .74 O S=11G (MIN.) 36" MAX COVER A S-1X (MIN.) x (MIN.) ( ) 4"SCH40 PVC 4"SCH40 PVC 40 PVC PRIMARY S.A.S. USE 4 ROWS OF 4 - 11' ADS BIODIFFUSFR H-20 UNITS-NO STONE 10" 1♦ s6.35" TO - .35" T BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF BIODUFUSER) INVE\IN = 34.0 �"LIQUID INV.=33.75 (BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.70 SF/U` = 470 SF L£VEG J' DESIGN FLOW PROVIDED: 0.74GPD/SF(470.0 SF) - 347.80 GPD > 330 GPD req'd GAS � J4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25'/ROW D-BOX ' INV.=33.0 DB-5(H-10) INV.= 32.45 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1.500 GALLON SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET j BACKFILL WITH CLEAN PERC SAND 75" -� � EL. 35.62 TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING t: ::•, PLACE FILTER FABRIC PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=32.84 OVER ALL UNITS 2) TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.= 32.45 GRADE ON A MECHANICALL COMPACTED SIX .WN BOTTOM ELEV.= 3.1.92 INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2) 2.83' MATERIAL 5' MIN. ABOVE BOTTOM OF 3) INSTALL INLET & OUTLET TEES AS REQUIRED T.P. EXCAVATION OR G.W. EFFECT. WIDTH = 4 x 2.83' = 11.32' le 76a I 7.37' PROVIDED) - 0 USE 4 ROWS OF 4 HIGH CAPACITY ( ) - 1_ PROFILE F 7 ADS BIOOIFFUSER UNITS NO STONE - BOTTOM 0 TESTHOLE EL.-23. 0 _ 1 SEPTIC SYSTEM PROFILE TYPICAL SECTION -7--- a T 11 I N.T.S.xu 6+5, o�A SOIL LOGS t 1 I-•--34"-� i Elev. TH-1 Elev. TH-2 6 Death. Depth E SECTION END CAP 35.70 0" 35.80 0" OF FILL FILL j P~ 9c 11"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT 33.54 26" 33.72 25" DAl� s A SANDY LOAM A SANDY LOAM MODEL 11". 1"' HICAP 10YR 3/2 10YR 3/2 } 32.87 34" 33.13 32" 0 1140 LENGTH ' B e EFFECTIVE LENGTH 75" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY SANDY LOAM SANDY LOAM C/sl Islip DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. SIDE WALL HEIGHT 6.35" tOYR 5/8 10YR 5/8 �NlTAA�a� OVERALL HEIGHT 11" 32.45 39" 32.64 38" C1 Ct L OVERALL WIDTH 3 4" 4640 7RUEMAN BL VD MEDIUM MEDIUM � 9.21 CF HltLlARO, OHlO 43026 SAND SAND CAPACITY • PERC ®29.87 (68.4 GAL) ADVANCED DRAINAGE SYSTEMS, INC. ' 2.5Y7/4 2.5Y7/4 � PROPOSED I PLAN ! ED SEPTIC SYSTEM/SITE a 23.70 69 OLD TOWN ROAD, HYANNIS, MA 144" 23.80 144" 1r PERC RATE <2 MIN/IN. ("Cf" HORIZON). Prepared for: Arch Const. NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN JOB. NO, DATE: SEPTEMBER 14, 2009 P 12695 • I, Darren M. M i' LTARRENM.MEYER R.S. Bco-Tech Bnv/ronmeoW NTS D.M.M. Meyer. R.S.. CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pOBQX98f (508) 364-0894 SOIL EVALUATOR: DARREN MEYER, R.S., CSE # 1614 to conduct soil evaluations and that the above onalysis.hos been performed by me consistent with the EASTSANDW/CH W 02537 DATE CHECKED SHEET NO. requlmmerem of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam In October, 1999. i WITNESS: DONALD DESMARAIS. BARNSTABLE BOH 09/1.4/09 D.M.M. 2 of 2 i i . i