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HomeMy WebLinkAbout0841 PITCHER'S WAY - Health 841 Pitcher's Way Hyannis P A = 271 163 f � o AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 9 / ]�J kJS L. C SE WAGE d 00 5 ' 01 1 VILLAGE IIyA IVAI[5 ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. L..v� •���'��-� StofL Scr�ct 77,SB77b SEPTIC TANK CAPACITY 1.060 LEACHING FACILITY:(type) c)k 3U0 2Y 4c��J (size) aYX L 3Xo� NO.OF BEDROOMS a OWNER 1, PERMIT DATE:1LoPg,a£ COMPLIANCE HATE: al,;) Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility '�� feet Private Water Supply Well 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 r within 300 feet of leaching facility). feet FURNISHED BY f o�a�5 A 1 0 p-0o0 �- http://issgl2/intranet/propdata/prebuilt.aspx?mappar=271163&seq=1 3/16/2012 TOWN<OF BARNSTABLE LOCATION Vt AKk'fS LJa SEWAGE#. d0O9 - O1 � _,,,ULLAGE � ������ASSESSOR'S MAP&PARCEL oZ71- f!o-3 INSTALLER'S NAME&PHONE NO. G.,w••c.�'���� St�h,� S'cl-C- 775_,6 SEPTIC TANK CAPACITY 1000f LEACHING FACILITY.(type) r��C s11t1. dry ilJ (size) NO.OF BEDROOMS a OWNERa L PERMIT DATE: 1-A26! COMPLIANCE DATE: odd 60 S Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 010+/- 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 j FURNISHED BY �G�t f o 4 . a'7 c no Vo (� At, '3A-- 7 No. � t i � Fee THE COMMONWEALTH OF MASSACHUSETTS_ Entered in computer: s , PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE3 MASSACHUSETTS Z(pprication for -Migooal bpetem Com9truction 'ermit Application for a Permit to Construct( . )Repair(x)Upgrade( )Abandon( ) O Complete System ❑Individual Components l`a�oddresCs�or5 0. Owner'se,Address andlTel.No.5a 'l �} Assessor's Ma /Parcel ML t Installer's Name,Address,and Tel.No. O� �s��(P Designer's Name,Address and Tel.No. � .,j 10 l— O? 091,89, CeAikr v'1 l e_ t Gr,rcle '�a� c Type of Building: Dwelling No.of Bedrooms C— Lot Size sq.ft. Garbage Grinder(09 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date. Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs,or Iteration (Answer when applicaAle) !!05kCaj_ CX_ new ( i`�'i-e-j I� s us�-� 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 Certifi- cate of Compliance has been issued by this B9prdj@f Health. Date ,.—�, Application Appro ed by Date Application Disapprov �eo wing rea Permit No. © Date Issued ' �^cx ,�.�.,y,ym'Iay_.. •3- t '�°"v� ..`sl''p'^�`�-5 ., '�''^'t.44;�,i.,'e:2.$4:i'4,j:�-r;,g'. 2ky r.Y.ry, tlyl.:.,•d.:. i`^-.,°*-m°""`.�....•.... _,. , No. `3�;�`'fie Fee J�O 5 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS. ZIppricatian4ot Migpo.5al *pgtem Con!5tructiori ermit Application for a Permit to Construct( )Repair( ) Upgrade( )Abandon( ) 0 Complete System El Individual Components Location,A d` ss or Lot No. Owner's Name,Address and Tel.No. 50� L)& 8y l i i d`\ers kXk,�3, Ht,1a-x"n 15 {Mof K Y_alf; t Assessor's Map/Parcel 07-�1 (� g(4 ' Pi{.G�,,, s n 15 - Installer's Name,Address,and Tel.No. $�-)(0 Designer's Name,Address and Tel,No. W .3409. Q S ?D Cox \0 S 9, Cenkr v, Type of Building: A! Dwelling No.of Bedrooms I— Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow --gallons. Plan Date Number of sheets Revision Date Title �. Size of Septic Tank Type of S.A.S. Description of Soil ..j ' Nature-of Repairs or Alterations Answer when applicab e) -� '�5��' '� 1 PQ GQn S y5� ICk,�nS va Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo5d o Health. Signed Date Application Appro.V4 y Date /9'3F Application Disapprove of r fhe fol owing reasons { Permit No. ` olq Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that tXe On-site Sewage Disposal System Constructed ( ) Repaired ( x)Upgraded( ) Abandoned( b Lom � t►`-U�1�SUhr 5'L �Q.�"�L— Y� i at g ` ,1` &l (\P "S c-Xa \,5 has been constructed in accordance with the provisions of Title,5 and the for Disposal System Construction Permit No. —0/ dated Installer 4�Ehk . Designer ;� /mow^: eYO,7 A The issuance of this pe s all of be construed as a guarantee that the s Est.m will f ctio as digned. If �� e Date Inspector z v_ �` '', ks No. aj21 ' 0/ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mie;po$al *p$tem Congtruction Permit Permission is hereby granted to onstruct( )Repair( 1�Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must I comp eted within three years of the date -f this pet . ,. Date: Approved by,- Town of Barnstable �p1ME 1pw Regulatory Services P� O s * Thomas F. Geiler,Director * BARNSPABLE, MASS. Public Health Division AIFo '�'639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1_J-' 6 Designer: T)L\i l to D C 006H#AJ 0b)Z Installer: P— 1 obi✓`S(YX C Address: . ¢3 7T�4 4)aE C( 2 Address: TO 7JC , �©g S01J DWICH VK� N50 C� -u� iI� On � iSrJ� � as issued a permit to install a (date) (installer) hl P k� ors septic system at � % I.W my kly6Jhis based on a design drawn by (address) Oq y ►m v DO y►_ dated Im 23 , 2,OM (designer) ✓ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. IN OF MASS c q ✓ moo`' DAVID yGN o D. (Installer's Signature) COUGHANOWR No. 1093 G/STEREO (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Town of Barnstable P# l ofTME Department of Regulatory Services Public Health Division Date 1ct M MASS. - - t6 5 200 Main Street,Hyannis MA 02601 n/) Date Scheduled 9 A Time Fee Pd. So i Suitability Assessment for Sewage Disposal ��1, �t, Ca v�tq h o i,.r, L-SL ` 1� ,r Performed By: Witnessed By:. �J�'� i tI� LOCATION& GENERAL INFORMATION / p Location Address Owner's Name Mt/1k K7li1 t h�f &K1'1S `c5�1 y g41 (4 pq dt Address li 15 �Y�ti r f Assessor's Map/Parcel: 2? �`�� Engineer's Name 0.1 y iG( NEWCONSTRUCTION - REPAIR _L/_ Telephone# SN-1 3k' 0971. Land Use �D Slopes(30) Surface Stones Distances from: Open Water Bodyy l bo t ft Possible Wet Area t ODD ft Drinking Water Well A0f it - Drainage Way 56 -t ft Property Line �D } ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) _ r TF ® I` W GROUNDWATER ADJUSTMENT i TP-t 'EXISTING GROUNDWATER LEVEL 41 l BASED ON TOWN OF BARNSTABLE �1 f GIS DEPARTMENT RECORDS. 1 ,I INDICATED GW 31.00 INDEX WELL AIW-230 i ZONE D I READING DATE DEC. 2006 READING 24.1 ADJUSTMENT 4.6 ADJUSTED GW 35.8 Parent material(geologic) Gv�V�4 Depth to Bedrock V`®14 ef Depth to Groundwater. Standing Water in Hole: r I'� /,',� Weeping from Pit Face V"" Estimated Seasonal High Groundwater 15 e e el O U e DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: 5 ee 4 0 D U e Depth Observed standing in obs.hole: ___— _. in. Depth to soil mottles: in, Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level�,-,„�� A41,factor.....ate-®- Adj.Groundwater Uvel— PERCOLATION TEST Date i/ailo Time Observation Hole# Time at h" 11 Depth of Perc 1- ,n� Time at 6" G Q Start Pre-soak Time @ 00 Time(9"-6") ul h End Pre-soak ` Rate Min./Inch 2_ I Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) t�! Original: Public Health Division r Observation Hole Data To Be Completed on Back=---------- t ***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. t ' Q:\SEPTICIPERCFORM.DOC SOIL TEST - LOG - - DATE OF TEST: JANUARY 23. 2009 APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 I WITNESSED BY: ` DONNA MIORANDI. HEALTH DEPT. PERC NUMBER: 12459NO NCOUNTERED- _ TEST FIT- .I PAARENTUNDWATER LMAATER A EPROGLAC AL OUTWASH _ PERC AT 74 in 2 MIN/INCH IN•.C_-SOILS. . . ELEVATION ,DEPTH SOIL -USDA SOIL_. -- SOIL COLOR- SOIL _ OTHER (INCHES) HORIZON _ TEXTURE (MUNSELL) MOTTLING • 61.55 - 0-4 •0 SANDY LOAM - 10 YR 2/1 NONE FRIABLE 4-8 _ A --{ SANDY-LOAM ---= - - 10 YR 4/6 NONE - FRIABLE ' 8=36 -B LOAMY'SAND ` , 10"YR 5/6 NONE FRIABLE 5B.38 t 38-13B C MEDIUM SAND 7.5 YR 5/6 NONE LOOSE ( 50.05 TEST PIT 2 . PARENT- MAATERIAL EPROGLAC ALD OUTWASH 2' MIN/INCH IN C SOILS t ELEVATION DEPTH SOIL USDA (SOIL SOIL COLOR SOIL OTHER 61.25 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 0-6_'-_ .-0 .__ SANDY LOAM _ _ 10 YR 2/1 NONE FRIABLE 6-10 ; A E SANDY LOAM 10 YR 5/6 NONE FRIABLE 10-36 B _ LOAMYr SAND- _10 YR 5/6 NONE FRIABLE 58.25 36-132 ?C MEDIUM SAND - 7.5 YR 5/6 NONE LOOSE 50.25- -^--- ----•�Juuacc pu-/ - �o�u�►/ -- -pviuuscu/� IOGYl11s�`\OYYY'IYf�JVUY'Jj IJVYN4ilJ:�•'•-,: �f C n i to c 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 I Flood Insurance Rate Mau: -Above 500 year flood-boundary No=- Yes . Within 500 year boundary No / Yes Within 100 year flood boundary No 1! Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �e 5 If not,what is the depth of naturally occurring pervious material? ..� Certification Nov i�R S I certify that on 1`� (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 dtntraining expertise and experience described in 310 CMR 15.017. yZH OF M,40. �J �` �,r L�C Tie t' Date 2q yl 23/ o�°� DADVID Signature " EOUGHANOWR .00 4/cENSs� Q:\SBPTICVERCFORM.DOC E V A L U P OO - �J W n W (IVLai N `I Mi N a � � W_ �1 N W � Y \ W Lim Q .h Z l S #A V 3 N Z W W O O W ca W Q do4 J � ...a W W No..--- /......... FRiz............................ ,�. q THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 0W _.-..OF....A-!!!S/o�•-P.......................... Applirativrt -for Uispviiat Worka C omitrurtioll Vrrnfit Application is hereby'made for a Permit to Construct (__�or Repair ( ) an Individual Sewage Disposal System at ` .............. Location•-Address or Lot No. 0� Ower n Installer Address d Type of Building Size Lot_--- ---Sq. feet U Dwelling—No. of Bedrooms-------_ ..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures _______________________________ __ w Design Flow-------------��.:____..._.-.-_.-_.-.__gallons per person per day. Total daily flow..........----�------_------------------gallons. WSeptic Tank—Liquid capactty`GDvgallons Length___.._._..._. Width_.Y..._...._.. Diameter................ Deptll...�l.. x Disposal Trench—No--------------------- Width.................... Total Length.__-__--_---.-----_ Total leaching area------------.-------sq. ft. Seepage Pit Nol-YWP.... Diameter...... Depth below inlet.... -------------- Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) •-' Percolation Test Results Performed by------ -----------------------------------•-----------------•-•._........ Date---••--------------------------•------- a a 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--.-..---_-.___----__.. 9 ............... - xDescription of Soil B✓ - 7- / -----•-------••-----•-•-----------•-•-•------------------------------ ----------------- w UNature of Repairs or Alterations—Answer when applicable..._....................................: -------------------------------•----•-•--------------------------------------------•-------•----------------••---•--------------••----------•---------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b is ed by the board of health. u Tb/� L?Sj"C t�'U AOOCigned....-• ---- ------•-----•--•-- .............................P/YLit+etS^ i� Date ApplicationApproved By---•----••..............•----------•-••------------------------------•-----------•--------•-•-- ---------------------------------------- Date Application Disapproved for.the following reasons:................................................................................................................. .._......--•--•------••---••------------------------------------•---••------•--=---••-••-•------.............. .---•••----------•---•----------------------------•----•-----------------•-----.----- Date PermitNo. ---------------------------------------- Issued........................................................ Date fi. i r . '7 :. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH a't. � �ir�ti,att -for �i� ���1 �ar�� Cn�tt�tx�rti�tt rrutit Applikat©n is hereby'made for a Permit to Construct (1''S or Repair ( ) an Individual Sewage Disposal System at.. ^of- ........................... ... -b--- s. ®7�-- ' /_ ._ �a. .............. Location,Address rt�-s�1.l�rc� � ,. or Lot No. a 9 oW/7! � -•- •----•--- � �.��` f+ '�✓v;��` S�aar�T!..�wr'vt� �.n* --------- Installer 5 Address Q Type of Building' ,=`. Size Lot... ---Sq. feet U Dwelling—No. of Bedrooms-------- ' ----.Expansion Attic ( ) Garbage Grinder ( ) p4 Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow.............. V--_____--..__----__.gallons per person per day. Total daily flow---_......�.vp_._._....._...._..gallons. 1:4 Septic "1':.nk—Liquid capacity/ gallons Length_ r A`J___ Width_. .'--........ Diameter..... .......... Deptli___`--1-.----- x Disposal Trench—No�.................... ���icltli_o_..__._____._____ Total Length__-_.�_-_.....___. Total leaching area--------------------sq. ft. Seepage Pit Nol.-.----: g._.. Diameter------1__---------- Depth below inlet__-'................. Total leaching area--.-_.____---__--sq. ft. z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed b -............................................................ Date---------------------------------------- a p :li. : Test Pit No. inch De No. 1________________mtnutes t•.-of Test Pit____________________ Depth to ground water------------------- G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to-gi.auhd water-----------.------------ 1. ��,�•�,. Description of Soil--- -----------4 �`� ., U --------------------------------------------------------------------------t4__n..----j - r'f---'-• ----- -----_-- ..........------------------------------ W U Nature of Repairs or Alterations—Answer when applicable-----------------------_-.----__------.-._-._-__---.__-_-.--.-.-_-._-.-----...-_-____-..-____.-. -------------------------------------------------------------------------------------------------------------------------------------=------------------------- ---------------- ----------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance=hag..b` "i ; 'ed by the board of health. e rltSigned...... . __r------------------------- Date ......•. -•--- --- ----------------------- fNC ApplicationApproved By...................... ----------•--------------------------------------------------------------- Date Application Disapproved for the following reasons:--•-••------------•------•------••---------------•---------•---------------------•-_-----------•---------------- -•-----••-•-•---••-•......................•-•-•-••....---•-•--------------•-••------•---•-•-••--•----.--••-----•-----.----••----•.--•-----•-------------••--•--------------------------------------•--- Date PermitNo...... - ....................................... Issued-------------------- ................................ �,:• Dattee THE COMMONWEALTH OF MASSACHUSETTS BOARD, .OF HEALTH ....`.....d..o:w.h.............OF..... t r;I'E9.1Tev r/et.............................. j . Grdif irate of-Toutplialta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (011 or Repaired ( `) r��--- Installer r at. ........... lam. - . --t��. . ---- a-• ---------- --------------------- ------...•--- . has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------A__7......................... dated...._.. _nth. 7-7-*_--_-_.._..._.__. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1/ , -`t" = --------------------------•----•----•- DATL__1�1Af�� &AK.----.,. �� Inspecto .� -�= - - THE COMMONWEALTH;OF MASSACHUSETTS BOARD Olk.•,,;HEALTH .............of... *Of, s/.olZe... -........_............:.. ................ r No......................... FEE i� arrtt� lark t �tttrttrti�ttrriatit Permission is hereby granted..... J 7rx "` •a;d , d�t5 i{ioC to Construct (yl� or Repair. ( ) an Individual Sewage Disposal System at No.---- p lrt►-�-,�•-----��.�v`orks A+{l#-�--$-----�V4$�"� 4 Street as shown on the application for Dis osal Construction Permit No._� Dated ._--- +-Id 3 =._.._.... PP Pc -------- - - Board of HealthFir DATE................................................................................ 1, FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS a { .wr oz •"' %N-i�'df ;/�.ik{ 0 � �4 ' f �A4rVt':, x g `��y;,�l► Er a1 fK a�'Y"S sx -Y SYyl, gio Zo 10 // './/_ -77 [ 4 c T , iy } a ® t {F ? o Xi 60, 7'".Q7- ,TNE BV/LDI�c/�r LOCA?TEa O.V THE ` SCR .ENObVid' AIOO� CAY .4•t/a THF-7T !T { 7 r 3i LpQ.VIcC 7"O Tf', ZOA.1., 6ia o,',e'gl o-lr��, U .,t \ U.' .. aF =V v X�S ol r�f�� �A^•�i!R'�/C'MOCJTHa-MASS. �aATE' � �F '� - `�"'� k�i fyqyy "c JA COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL DEPARTMENT OF ENVIRONMENTAL PROTF . O r d RECEIVE® W~ .JUN U 2 2114 C�O''N SJev` TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner's Name: TEVAULT NiAF � Q Owner's Address: 403 DOVER POINT ROAD DOVER NH 03820 Q PARCEL _ _- - Date of Inspection: 4/22/04 Name of Inspector: (please print) JOHN GRACI,INC. Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT 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: X Passes _ Conditionall P sses _ Needs Furt r valuation by the Local Approving Authority Fails Inspector's Signature: / Date: 4/22/04 The system inspector shall submit a opy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspecti . 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. Notes and Comments SYSTEM PASSED TITLE V INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. ****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. Title.5 Tncnertinn Fnrm A,/i S/,?nnn 1 Page 2 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X 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 PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a 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 _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed . ND explain: n/a Page 3 of 11 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 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 n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: n/a Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for alLinspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ X 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply _ X the system is within 200 feet of a tributary to a surface drinking water supply X 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. Page 5 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 Check if the following have been done.You must indicate "yes" or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out'? X _ Were all system components,excluding the SAS, located on site X _ 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? X _ 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: Yes no X _ Existing information. For example,a plan at the Board of Health. X _ 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(3)(b)] i I 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: n/a Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no):NO Seasonal use:(yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): rt'& D aj - 3 aO CA)_b) & K Sump pump(yes or no): NO Last date of occupancy: 4/1/04 Z " av COMMERCIALANDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X 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) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 1977 PER OWNER Were sewage odors detected when arriving at the site(yes or no): NO Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 BUILDING SEWER(locate on site plan) Depth below grade: 20" - Materials of construction:_cast iron =40 PVC Xother(explain): 20 PVC Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 14" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: L 81611 H 51711 W 4' 10"" Sludge depth:2" Distance from top of sludge to bottom of outlet tee or baffle:32" Scum thickness: 0" 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: 18" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a 7 . Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a 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.): NO D-BOX,SNAKED THROUGH. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a _ R Page 9 of 11 T OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.SYSTEM SHOWS NO SIGNS OF FAILURE.PIT HAD 6" OF LIQUID IN IT AT TIME OF INSPECTION. STAIN LINES INDICATE PIT HAS NEVER BEEN MORE THAN HALF FULL.BOTTOM IS AT 8 FT. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a 4 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 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. Uv o OA In Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 841 PITCHERS WAY HYANNIS,MA 02601 Owner: TEVAULT Date of Inspection: 4/22/04 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 12 feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked, date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO . Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12 FT. I 4 HYANNIS. MA CONTOURS � _ .. .. 0 EXISTING - 50 241.52 MINIMAL GRADING PROPOSED --- — --- --- - --- _/ / _ �O \ • I I O� _ N STONE LOCUS VEW9 Y m - RO U 28 FAL MOUTH ROAD LOT 6 61 AREA 24667 _- LOCUSMAP Q *2-p j TP-2 ti O x NOT TO SCALE LEGEND EXISTING 1000 GALLON m/ .O / E SEPTIC TANK *2-P � 62 b EXISTINGGARBAGE GRINDER LEACH PIT/ IS NOT ALLOWED Q W'9l / / _0 • / I F / WITH THIS DESIGN. 24 FL x 12.5 Ft x 2 FL <JN /� UTILITY POLE $ *2-P LEACHING GALLERY \ E TEST PIT D-BOX ❑ \ \ I HYDRANT DRAIN 90 BENCH MARK fVFo DECIDUOUS CONIFEROUS TOP OF CONCRETE TREE TREE BULKHEAD CORNER* Y / o-0o U60I2-M *2-P / ELEVATION = 62.59 \ / -NUMBER REFERS TO DIAMETER IN / t l INCHES. LETTER DENOTES TYPE BARNSTABLE GIS DATUM . � O-OAK M-MAPLE P-PINE C-CEDAR v\ L__ __ __ __ __ __ __ s -- -- -- -- -- -- ---'— - -- � MASS9 ti a�yZN 223.05 ff:' . ZN OF �F MA 61 � �o DAUID n �o DAVIU cyGN oD. ``�`, o D. FLAN COUGHANOWR �' " COUGHANOWR No. 1093 ALL PIPE SPECIED AREELON PROFILE EXPRESSEDLATIONS INV DECIMAL FEET NOT FEET AND T INCHES.TIONS SCALE: 1 i n = 20 Ft- � 1I A E Pa ���� I'VA L O� RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE 20 0 20 40 TOP OF FOUNDATION ONE INSPECTION RISER FOR LEACHING GALLERY TO 3cf0VItry ZZ3, -Zevq EL = 63.48+- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 0 10 20 ,00 s1.50 1 ®� TES SEWAGE DISPOSAL SYSTEM PLAN �y -TO SERVE EXIS3 Ft TING DWELLING ALL PIPE TO BE / D-BOX MAX SCHEDULE VC' EST. MARK KALIL &� BRETT BUCKIUS 3' DROP O PITCH g FLOW LINE 58.75 1/8 to/Ft MIN. OWNERS OF RECORD lm = ii �° 841 PITCHERS WAY _T 14 48" GAS- PRECAST ��® 1995 `��` HYANNIS. MA P S BAFF E PROPERTY ADDRESS L WELL DRYW ! 1 BOTTOM OF 59.65+- sTON _ LEACHING rI GALLERY 43 TRIANGLE CIRCLE ASSESSORS MAP 2�I PARCEL I63 EXISTING 58.13 A B SE UEXISTING A W H M 82563 8 3 AND IC P AG S A P E PLAN eooK 2�1 EXISTING 58.30 GALLERY 5�e 364-�8J4 58.00 DATE: JANUARY 23. 2009 EXISTING 56.00 5.00 Ft 1000 GALLON (END VIEWI JOB B E T E-3 D g B PAGE l OF 2 1 VERSION: R SEE DETAIL ON REVERSE EXISTING SEPTIC TANK 29 Ft of 5 ft 12.5 ft � THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM bl 13 ft DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING ADJUSTED SEASONAL-'y 35.80 PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER HIGH GROUNDWATER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST LOG DESIGN CALCULATIONS DATE OF TEST: JANUARY 23. 2009 DESIGN FLOW: 2 BEDROOMS X 110 GPD = 220 GPD APPROVED SOIL EVALUATOR:, DAVID D. COUGHANOWR. #461 SEPTIC TANK: 220 GPD X 2 DAYS = 440 GALLONS WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL PERC NUMBER: 12459 CONDITION. IF NO`T. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT 1 NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. PARENT MATERIAL: PROGLACIAL OUTWASH SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 ft. x 2 ft LEACHING GALLERY CAN LEACH PERC AT 74 in - 2 MIN/INCH IN C SOILS Abot = ( 24 x 12.5 1 = 300 sf ELEVATION Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf DEPTH SOIL USDA SOIL. SOIL COLOR SOIL OTHER At.ot. = 446 sf 61.55 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Vt 0.74 x 446 = 330.04 GPD 0-4 0 SANDY LOAM 10 YR 2/1 NONE FRIABLE USE A 24 Ft- x 12.5 Ft x 2 f E GALLERY. Vt = 330.04 GPD > 220 GPD REOUIRED 4-8 A SANDY LOAM 10 YR 4/6 NONE FRIABLE 8-38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 5 . LEA CHI NG GALLERY 50.05 05 38-138 C MEDIUM SAND 7.5 YR 5/8 NONE LOOSE 1000 GALLON SEPTIC TANK USE SHOREY PRECAST 500 GALLON NOT TO LEACHING DRYWELL (H-10 LOADING) SCALE DIMENSIONS AND DETAIL NOT TO USE EXISTING H-10 UNIT SCALE TEST PIT 2 NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL PARENT MATERIAL: PROGLACIAL OUTWASH SEPTIC TANK IS TO PUMPED DRY 2 MIN/INCH IN C SOILS DRYWELL UNIT STONE AT TIME OF INSTALLATION AND IS TO BE EXAMINED FOR STRUCTURAL ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 24.0 Ft. INTEGRITY. INSTALL NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 61.25 -0 �` 1 1n 0-6 O SANDY LOAM 10 YR 2/1 NONE FRIABLE TAPER m un 4 6-10 A SANDY LOAM 10 YR 5/6 NONE FRIABLE � N N 0 0 I 10-36 B LOAMY SAND 10 YR 5/8 NONE FRIABLE m C� m o m 0 36-132 C MEDIUM SAND 7.5 YR 5/8 NONE LOOSE I -41 50.25 3.5 f L 8.5 Ft 6.5 Ft- 5 f't o 4- 24.0 Ft. Un GROUNDWATER ADJUSTMENT lmlo EXISTING GROUNDWATER LEVEL 8 { 500 GALLON DRYWELL t- BASED ON TOWN OF BARNSTABLE 61n A :'- r tier DIMENSIONS AND DETAIL z GIS DEPARTMENT RECORDS. INLET OUTLET USE H-10 UNIT,• INDICATED GW 31.00 INSTALL ONE INSPECTION COVER COVER ir?hs3(f s;, ' !µ INDEX WELL A1W-230 RISER TO WITHIN THREE J +?h ,; ZONE D INCHES OF FINAL GRADE 3 IN DROP i °` AND INDICATE LOCATION —► /! FLOW LINE READING DATE DEC. 2008 ON AS-BUILT PLAN ?,- t� — ' _ y :,1 � . :f READING 24.1 FROM 10 � - Ia To \ /•; J_• �/ r ADJUSTMENT 4.8 BUILDING '. D ADJUSTED GW 35.8 aB,n Do-BOX ' € LIQUID GAS O 33 LEVEL BAFFLE NOTES . o000 0 0 0000 In 0000 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. ���00000000�a pp� 00 00 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED �0 CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. le2.ln 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REDUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES CROSS SECTION VIEW BEFORE EXCAVATING FOR SYSTEM. 2 to PEASTONE 2ln PEASTONE SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED OR REMOVED. 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. 024 0 TO SERVE EXISTING DWELLING 28 3/4 u TO EFFECTIVE /4 u, TO 26 Z) ECO-TECH ENVIRONMENTAL AND BIANNUAL RECOMMENDS PING OFT HE SEPTIC ONK LOW FLOW FIXTURES In - � �'^ ^ DEPTH 1- � � 1 '^ ^ n MARK KALIL & BRETT BUCKIUS 81 SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 46 In 58 In 46 In 641 PITCHERS WAY HYANNIS. MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. ECO-TECH ENVIRONMENTAL 150 in 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-30901 JANUARY 23. 2009 1 1212 '