HomeMy WebLinkAbout0022 PLYMOUTH AVENUE - Health 22 Plymouth Avenue
Hyannis
A= 310 435
1
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i
Town of Barnstable
Regulatory Services
Thomas F. Geller,Director
Public Health Division
Thomas McKean,Director
200 login Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer fit"Designer Certification Form
Date: Sewage Permit# _ Assessor's Map\Parcel 3 !U- —9
Designer: �r�.} .e.e�� Installer: 13 X Ce..y
Address: rL 1/y SS ec( ( Address: l�f Te c' =Arc" Cr-Y\4
(1 Z(.g*q
On--------- �'c �O�: rvas issued a permit to install a
(datd) (installer)
septic i
septic systern at Z Z Pig ~LfL. A-\-/-e C 1 �qA based on a design drawn by
(address) 7 `1—
�� dated-3
(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. s ,x>H oFMgss
PETER T. N
MCENTEE
(installer's Signature) NVIL
o a5ios
vl �
F
esigner's Signature) M (Affix Designer's Stamp Here)
PLEASE RETURN TO _11r1�1STABI.F PLInuir IiEAI,TIi AIv1SI®N. CERTIFIC:ATE OF
COMPLI&ING9 WILL NQD'1 I3E 1$SIIED UNl'IL IjQT 1 I'HIS FgM AND AS BU11;j CA11A &U
REc&,IyEID l3Y FILE BARNSTAlI.E PL'�li Ii[EALTH 12I335I0,,-1HANI£ MOM
Q:Health/Septic/Desiper Certification Form 3-26-04.doc
_ TOWN OF BARNSTABLE
LOCATION 90 PI[„r,,- 24A AvE • SEWAGE # 2064 - JG a
VILLAGE 4gann,s 'MA . ASSESSOR'S MAP&LOT
INSTALLER'S NAME&PHONE NO. .R�cr-� G�K-a.�- 43 6 (3,rX<Ay V 7 2-06S3
SEPTIC TANK CAPACITY _Z o o o�
LEACHING FACILITY: (type) =al, jr
,a4ors (size) _/3 z 11
NO.OF BEDROOMS o2
BUILDER OR OWNER —Donna •� ns mor
PERMITDATE: - 13- oG COMPLIANCE DATE:
s
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
Al- Py
A2-a7 ' O ;
.Bz-30'
.B3-37' 0
C3 ,.:
Bq - ( s• g y
�ovS�
3
Igspcali on
i r,
TOWN OF BARNSTABLE
`LOCATION all' PI-NritOUth Ave— SEWAGE #
VILLAGE lVaQ n n)S ASSESSOR'S MAP & LOT
AME&PHONE No�G r' e OfC 01717 e 1. ,-1
SEPTIC TANK CAPACITY
�0
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
B 6R OWNER FS tt� v J eOh lei �Z anrheU a P-
PERMITDATE: LIANCE DATE:
Separation Distance Between the: 'RIP
Maximum Adjusted Groundwater Table A& Mom 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
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 9
Yes.
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
3pplitatton for Mtopool *pztem Cottgtruction Permit
Application for a Permit to Construct( , )Repair( )Upgrade(/)Abandon( ) 0 Complete System ❑Individual-Components
Location Address or Lot No. 2 2 V I y M Q L)+h AV>° wner's Name Address and Tel.No.
Hyannis �onn�C��►nsf'1'�Q�r 2
Assessor's Map/Parcel o �.7 D eQd O C()VIP--0
{�Caller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
be�-r C� 1l.Fa y �+.8 Excavc�-tlon E�ne(�ros�eL�D oyes+cl.aLQ.�
14 IP__Ctbe2ey LN/_fOCe5- do( k4 A
Type of Building: Zvrr_
Dwelling No.of Bedrooms « Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 33 0 gallons per day. Calculated daily flow 22-o gallons.
Plan Date Number of sheets 2- Revision Date
Title r- O r 2 U t K A a�p— -
Size of Septic Tank Type of S.A.S. 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 the system in operation until a Certifi-
cate of Compliance has been issue_d by this Board of Health.
Signed QA�t— '' Date y D
Application Approved by tIA4 Date 3
Application Disapproved for a following reasons
Permit No. o Date Issued /3-1-0 to
" No. pp�, f y t� Fee 1
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLES MASSACHUSETTS Yes
01ppYication for 33i6poaf bpgtem Congtruction Permit
Application for a Permit to Construct( . )Repair( )Upgrade(/Abandon( ) ❑Complete System ❑Individual Components
Location Address of Lot No. 22 h I y(1;� U Ave Owner's Name Address and Tel.No.
H\/nn -Dorni)C�. +nsmo r
Assessor's Map/Pazcel O L Z�
-G_ TCl I n ;/11 -f t"U
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
o bE e:r C--1 I LFo y t3 E u Co V C0 i c;n Inc i ne e V L I,-� I � 1_ S
i `I -reob��ey t rtir vxeSicic�l� ,�a t 5 l C1D5 �1 / tore �,icta-�
Type of Building: ;
(�✓14 �t Z4_C-
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow:' U gallons per day. Calculated daily flow ab gallons. t
Plan Date 12sS (U (0 - Number of sheets 2- Revision Date
Title--Pr a > f, _San,i r 10 r r a •1 _ 72 1 I r Lj + t-\ 4 U
Size of Septic Tank_W t1 X r Type of S.A.S.
r /
Description of Soil 2 Y1.2, 7 X.P
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 the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Health.
Signed uj- L Date
Application Approved by At / Date 3 L
Application Disapproved for he following reasons
Permit No. J 0 0 6 �� � Date Issued a b 3 0 6
------------- ————— -- --------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( ) Upgraded
Abandoned( )by R G b�C1 (=r t L r o\j 1� i � L x t n v c1at z z P I i+ +)o f.m i A f t N,l n r- t+S has been constructe in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. .� — not dated / U
Installer T olpre2 i fr I L F�L.�`! Designer n d i 1P ra
The issuance of this petm't'shall/not be construed as a guarantee that the sy, w=sign,,,,,ed.
Date �!�CG, Inspector
`� �.-- — ---.------ — ———— ————— -- —————— —
No. 2006 — (� _ 9 Fee zUi
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Digonf *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at '�. hl�l+l )(_uT +A ,10 6 C 1.15
1 '
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 be completed within three years of the date of this pm't.
Y/� 6- Approved by �Date: er '
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Ift Form h To No Used For The Repair Of FaMW
yf Otiy
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Postage $ n 90
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Certified Fee
i--
O Return Receipt Fee Postmatw"
(Endorsement Required) Here
E3 Restricted Delivery Fee G
�D (Endorsement Required) s�5'
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'-q Total Postage&Fees '6
C3 Sent To
Cify,State,ZIP+4 --'�'r"�""'"-"""'•
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COMPLZTE THIS SECTION SENDER: COMPLETE THIS SECTION DELIVERY
■ item 4 T Restricted
■ Complete items 1,2,and 3.Also complete Slgnatu - �'
Pr an that we can �every is desired. gent
Print your name and address on the reverse
ressee
rn 4he card,to you. Received b `ted Name) C. Date of Deliv ry
■ Attach this card to the back.of themailpfece, -
or ion the front if space permits.
1 Article Addressed to: - D. Is delivery address different from ftem 1? ❑Yes
` If YES,enter delivery address below: ❑No'.
Estate of Joseph Witternneyer
i �22Tlymouth Ave.
(
t annis, MA 02601 3. serves Type
P 1 �. ❑Certified Mail '❑Express Mail'
❑'Registered ❑Return Receipt.for Merchandise
❑Insured Mail ` ❑C.O:D.
4..Restricted Delivery?(Extra Feel ❑Yes
2 Article Number ` �OO
_ _ — _1 1160 0000 0191 1468 .�
,(Transfer/torn service late
PS FOrrn 381'1,February 2004 Domestic Return Receipt F
Town of Barnstable
•. ��FZME Tp�
o Regulatory Services
'•, snxivsrns , ; Thomas F. Geiler, Director
ME%9�A t639.. •�� Public Health Division
TED MA'S A
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
April 6, 2006
Estate of Joseph Wittenmeyer
22 Plymouth Ave.
Hyannis, MA 02601
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5
The septic system owned by you located 22 Plymouth Ave, Hyannis, MA,was last
inspected on March 13th, 2006 by, Patrick M. O'Connell, a certified septic inspector for
the State of Massachusetts.
The inspection of your septic system showed that your system has "Failed"under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: _
D=Box is deteriorated and leaking
Replace outlet baffle with a PVC tee,
You have 2 years from the date of the system failure to bring the system into compliance.
If there are any questions about this reminder, please feel free to contact the Barnstable
Health Department.
BARNSTABL H TH DEPARTMENT
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
COMMONWEALTH OF MASSACHUSETTS
d EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
w
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
A
,f
t
OW I
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 22 Plymouth Ave.
Hyannis MA 02601 /
Owner's Name: Estate of Joseph Wittenmeyer
Owner's Address: Same
Date of Inspection: March 13,2006 Job#06-55 �o
Name of Inspector: PATRICK M.O'CONNELL
Company Name: SEPTIC INSPECTION SERVICES CO.
Mailing Address: 189 CAMMETT ROAD
MARSTONS MILLS MA 02648
Telephone Number: 508-428-1779 trw
CERTIFICATION STATEMENT _
I certify that I have personally inspected the sewage disposal system at this address and that the information reported f .
below is true,accurate and complete as of the time of the inspection.The inspection was performed,-- on my
training and experience in the proper function and maintenance of on site sewage disposal systems.tam a
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system,:.
_ Passes `•��; ,j',• Gti
Conditionally Passes ATr, a cGn
Needs Further Evaluation by the Local Approving Authority
_X_ Fails ELF Co zz
Inspector's Signature: ,O Date: 3/13/06
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.
Notes and Comments: Leaching pit previously full to top of structure and in hydraulic failure.Outlet baffle
in tank is cracked and must be replaced when new leaching system is installed.
****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.
Page 2 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
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:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
Page 3 of 11
J
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
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
"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:
Page 4 of I I
OFFICIAL INSPECTION.,FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
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_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
_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 I 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 forma
_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
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.
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: .22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
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))
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): unknown Number of bedrooms(actual): 2
DESIGN flow based on 310 CMR 15.203(for example: I 10 gpd x#of bedrooms): n/a
Number of current residents: 0
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):
Seasonal use:(yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): Two years total: 69,750 gal.=95 gpd.
Sump pump(yes or no): No
Last date of occupancy: Mid October 2005
COMMERCIALANDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):—
Non-sanitary waste discharged to the Title 5 system(yes or no):—
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records: Tank had been pumped every two years.
Source of information: Owner
Was system pumped as part of the inspection(yes or no): 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)
—Tight tank _Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
1981+/-
Were sewage odors detected when arriving at the site(yes or no): No
f
Page 7 of l l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
BUILDING SEWER: XX (locate on site plan)
Depth below grade: I
Materials of construction:_cast iron _X_40 PVC_other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: XX (locate on site plan)
Depth below grade: 16"
Material of construction:_X_concrete_metal fiberglass_polyethylene
—other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of
certificate)
Dimensions:8.5'long x 5.2'wide—1000 gal.
Sludge depth: 0"
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness: 0"
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
How were dimensions determined: STICK WITH HINGE FLAP.
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Tank is structurally sound and has no evidence of leaks Replace outlet baffle with a PVC tee
GREASE TRAP: No (locate on site plan)
Depth below grade:_
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:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: .Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
TIGHT or HOLDING TANK: No (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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: XX (if present must be opened) (locate on site plan)
Depth of liquid level above outlet invert: 0"
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):
Box is deteriorated and leaking.
PUMP CHAMBER: No (locate on site plan) .
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
f
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
SOIL ABSORPTION SYSTEM XX(SAS): (locate on site plan,excavation not required)
If SAS not located explain why:
Type
_X_leaching pits,number: One 6x6 pit. '
leaching chambers,number:
leaching galleries,number:
_leaching trenches,number, length:
leaching fields,number,dimensions:
_overflow cesspool,number:
_innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,
etc.): Pit had Previously been full to top of structure
CESSPOOLS: No (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 or no):
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
PRIVY: No (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.):
Page 10 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Wittenmeyer
Date of Inspection: March 13,2006
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.
PI mouth Ave
Water
Service
3
2
37 36
32
3
Page I l of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 22 Plymouth Ave,Hyannis
Owner: Estate of Joseph Witten meyer
Date of Inspection: March 13,2006
SITE EXAM
Slope None
Surface water None
Check
cellar Dr
y
Shallow wells None
Estimated depth to ground water
Please indicate(check)all methods used to determine the g
high round water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
_Checked with local Board of Health-explain:
_Checked with local excavators, installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
A perc test will be performed prior to repair to determine groundwater elevation.
TOWN OF BARNSTABLE"
LOCATION 1 0 Off n,,04A AVE
SEWAGE # ,�ObG - /G a
VILLAGE '/Ic/ann-,s !�A . ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. V77-OGS3
SEPTIC TANK CAPACITY 0 0 0 a 0-1
LEACHING FACILITY: (type) =Ar, irajors (size) -.f3'x pL'
NO.OF BEDROOMS o2
BUILDER OR OWNER �, onncL
PERMIT DATE: - t 3- 0 L 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
i
Furnished by
i
Al-,Py '
,� Bt '�s.
AZ a7 '
2
B3-37' 0
c3-zy'
8y - �s• 9 d
Ga�0. c
tlovsc
rl
ZRS�[C�ION. .
as ,
?b 3
LOZAT, 1014 SEWAGE PEJIMIT p0.
VILLAGE
-- ICISTA LEWS NAME & ADDRESS
BUILDER 00 00C3ED `
�1 H 1 rTe/y tj yE R
DAB YES P EDCIT I S S U E D (( �`
DATE COMPLIANCE ISSUED
:! I
q/ H
it
600'
P
Nib.......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARDCOF HEALTH
.......
q7, . .......A) ....OF.......... ............. 7-r"_46Z.�..............................
Appliration for Dhipasal Workii Tomitrurtion ramit
Application eby made for a Permit to Construct (k-ror Repair an Individual Sewage Disposal
Sys tep at:
............................... .............
...... .. . .....
Location-Address r 't NO.
ap, 0
... ....... .... ........ ........................... .-V................. ....L/
ZAJ Elbr--------- - ...........0 %-.V/ ....!
0, Address
....................... ......... .......
..10
-------------------- ---------------- ...... ........................................................... .............
ler Instal 5 Address
Type o uilding Size Lot---
U Ann-�, _ feet
r
Dwelling—No. of Bedrooms..........!�.......................Expansion Attic Garbage rinder
4 e
PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria
P4 Other fixtures
5_�----------------------------*--------------*----------*------------------------------- --------------------*-------------*--------
Design Flow.......................6.715------------gallons per person ?r day. Total daily jjo
w---"I'll, 'C30, ---............gallonsX,
1:4 Septic Tank—Liquid capacity.,/j".gallons Length Width. Diameter._...._.. Depth.
Disposal Trench—No..................... Width ............. Total Length.... ...Total leaching area....................sq. f t.
Seepage Pit No.......I----------J)iemeter........v.......... Depth below inlet...'.6............ Total leaching area.V.7. 10.0....sq. f t.
Z Other Distribution box (4_�, 1 Dosing to
Percolation Test Results Performed by..............&) Date... .. ... . . . ..........
Test Pit No. I................minutes per inch Depth of T .... .............. Depth to ground .........P.
Test --- -- --
44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water..__................___.
04 ............................. .........................................................................................................
0 Description of Soil.... .........................................................................................................
UW 544A-11yo .............................................................
..................................................... ............................................................................
.........................................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable........................................................... ..................................
............................................................................................................................................... ......................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual. Sewage Disposal System in accordance with
I 'L the provisions of'ITIZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has #n*issued b the board f health.
Signed--( . ........ ..................... ..........................
Date
Application Approved By.....7A'. 9
LZ/ Date
Application Disapproved for the following reasons:...............................................................................................................
........................................................................................................................................................................................................
Date
.....
Permit No......................................................... IssuedL... qY
Date...............................
r e
No................ ....... FEis ................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® F HEALTH
1�w.......:..........OF........... i l ..............................
Apphration for Dispiial Works Tomitrnrtion 11amit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
Syst at:
...... T....�_`1--...... -4..;,1_ ...� :....A�-:•• � �!v ,� . ....................... ... .......--.
Location.Address or t No.
c
7 L2U. 2.1t X...••••.......... ...................................... � -r ...... :... ..........
Owner Address
Installer Address // /
U Type o Building Size Lot...,lc _. Sq. feet
Dwelling—No. of Bedrooms.___.__.,_..........................Expansion Attic C v+� Garbage rinder (4-b
`4 Other—Type of Building No. of persons............................ Showers — Cafeteria
G 1 Other fixtures -- ----• -
W Design Flow........................55...........gallons per person Dgr day. Total da ly,flow...........YJ0. ..................pallons.,
WSeptic Tank—Liquid capacity../C_-Ogallons Length _:_&.. Width.'Y-/O... Diameter......... Depth.. /.'_6._.
x Disposal Trench—No................. ... Width ....... Total Length....__..._..____ Total leaching area....................sq. ft.
Seepage Pit No.......1...___-_-- meter......F....... Depth below inl et_.._. Total leaching area.��..__sq. ft.
z Other Distribution box ( Dosing toAX,
).
a 'Percolation Test Resultjl //
't.Performed by---------- .�..�..�_.�-••�-- ----�ala!'V_�� Date--l�-•-��--- - ..........
/
,.� Test Pit No. I................minutes per inch Depth of Test Pit----�....__....... Depth to ground at -___...._....._.._._!-.Z.
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O /�
Descriptionof Soil....��"�-� ----�� --= �----------------------------------------------------------------------------------------•---•---•
U -------------------•------------------
UW -----------------------------------•-----•---•---------•-•--------------•-------•----•----•----•--------------•------•--------------••-••----•--•----•---•--•---••....----......._..........------•_....
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 TIT I�l"• 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has en issued y the board health.
Signed. f
........ ...71.
Application Approved By___ ..... :� `7"/S'Da d
�'� Date
Application Disapproved for the following reasons:.............. ......................................................................----- ............._
--------------------•------...-•---------••-•---•--•----------------------•-----•----•-•------------...--••------•---------------------•---•---•---------•--------••---•-----------------...--•--•-•----
Date
Permit No..................................................-
.--..... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F' HEA H
7�444
...............O F....... ......... ..................................
Trrfifiratr of Tomplinnrr
THIS IS TO CERTIFY, That Individual Se , e Dis al System constructed l ) or Repaired ( )
by......... .... ......... ..............----- --•-...
Insta r . �..
at.._..... .Q1.te:_... __ • . _. . - ---• - - •---,f- ` --- -- - --- - .............................................
' ---._..:---•--•------ ---•----- --- -----------------•-
has en installed in accordance w' the provisions of I r r of, he State Sanitary ode.as de_sc 'b m the
application for Disposal Works Construction Permit N --- __- --- ................ dated_.-�2_... '�_ _
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE/'
SYSTEM WILL FUNCTION SATISFACTORY. �
DATE /- , t .._
Inspector.... _.>..... -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9f HEALTH
l.... FEE........................
Mops 1 NO 11 tDnn11 1111t Vamit
Permission is hereby granted---- ......-•------- e ................................................... .
to Const t ( "o R it (. n Indiv'du =age Disp system ,
�.
at No.'
s et )� - v
as shown on the application for Disposal Works Construction P No. //1- ated../
G T ..... ..�r.. t" ......................_
6 .
- Construction
Board of Health
DATE......._ �._..'..--•-••-.................................-.........
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -
per«tom- T'AITA,
�o GArac. C-:•rcl�.1oFSG 99,0 \ 'o T�,6,, y8,I Lam` PL-oW S Ito -4 3 + 33o G.p b o
mac_/ -�-_ -
aSF-1-1 I TAti1C = ssov ISO % • 4_g5 PD. ►`� ��,4, ��.
USA- r°aop �i
Pit -Til•
pro-WALL Ar.;�G.A _ (So s.>r.
tX 2 .
( � SP" 1c .��
F.�TTOtiI AeA 5T ' J
TOTAL TEE=SIG►J = 4SS G.P.D. Z/t � r� �y�G•
TOTQ t- t>A1 ulf Fc_ow v 3W 6.F D, j c •
PV-2coLe.T►OQ PATE : j"iQ ILAtiLj'o2l�SS.
ok
RAXTER
00
tf,
4( pip&
LOAM ,��� twvc•Q'7.o
{ flpLr I Oo0 U,N ':A
i �,/ �uv 1f to
S �:• .
TnNK
loon Q�'•° �Nv
&4y t4rv.
S r^sAL. qG,4,
/ QG L�H �.Z 'A
UAVp,r f
t �QN� sToNE•. j 9o.n .
Ao
Tp
INoD ' CEtZTtl=t►.:-tD PLoT'
��� /Z ---^`�. LOCATIO" yANsJt�
Q0 (,VAr rz--
7-tac p O!?ar.)
� tl�t<l I l= •{ ''I..�/�,T ?'�{{� St.lowtJ "' PtAIJ R�r=cR�t.lc�.t� .. .
TW �j1 UE.Ll►-sip I0 Q
��1.J D C 7 l'�n C.'.l, C:L Q U 1 E:.tr i s +•1�'S. (� T N t~: L T
t
1 ''aw U O T3ATz.4iirA/3t.
--- _ _
r�,�•rC 12_L 8o t�
RCG(S It:irD t.AOJG SUw�.Yo G '
T141 :, VLA" t• LiOT t��a;t��7 ��N AW 05 'cE wit. .G c� .'IXAS{i.
ANr>I_.l C_&"
tJc r 13it: U`>Go 'ic, i�C:!`�.•s?titIe�L: LOT LIw�5. � Lod lrTcct N��41a�' i
r LEGEND &s oy
EXIST/NG P1 PROPOSED CONTOUR ROUTE 28
TO BE PUMPED &
FILLED WITH SAND se PROPOSED SPOT GRADE
__ .. „8 _._... EXISTING CONTOUR
EXIST/NC SEPTIC TANK
j � %� .9�87 EXISTING SPOT GRADE ,g
BENCHMARK s ;, TOP OF TANK EL: 98.41 TEST PIT
at OUTSIDE BULKHEAD CORNER S'j �� W EXISTING WATER SERVICE S m „? LOCUS
n �� `oc p
ELEV.=100.Q0 (ASSUMED) Plymouth Ave 9S,$:,¢D„
it
f l pd Op E WHV#-- EXISTING OVERHEAD WIRE drtdse vin Ord A,e
i
Al G EXISTING GAS SERVICE � a� a`F �e
NO
a
EXISTING TREE v
LOCUS MAP N.T.S.
— BENCHMARK
r
I '�! A.,
pa' l w
i
11. ;)eck t ! �' 4 GENERAL NOTES:
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
-Allj /' i / BOARD OF HEALTH AND THE DESIGN ENGINEER,
;^ d / %/_ % 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
' >E - / LOCAL RULES AND REGULATIONS.
TINE /1A � i
EX'S // �/ _ 1 lk' + 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
3 16WELLING / i / j TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
HOUSE(#22) ;'/ r� ` DESIGN ENGINEER.
// // I Ij - Og ti 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING,'� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
ENGINEER BEFORE CONSTRUCTION CONTINUES.
I 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
,Lr�j THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
TP-2 ^/�^ « �^ L/ � LOT 9 ° HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
`r
� 7. WATER SUPPLY PROVIDED BY TOWN WATER.
am y4
cf ' irf�i�,i APN 310—435 ° I S. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S.
`yK q / / / k
TP-1 ry f, %`��. % d 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
fY 72,D7OtS.F.fflLL` ' TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
h" y _ J, ;r Ib:�Y 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
Z—r / THE LOCATION OF ALL UNDERGROUND UTILITIES; PRIOR TO BEGINNING
CONSTRUCTION.
, -< = f 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
HE S.A.S.
!N THE AREA BENEATH.AND FOR 5 FT. ON ALL SIDES OF T
AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3).
r. � ry ,`D, G�/ 115.00' f I 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM-PURPOSES ONLY
J AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
i �G 6;580 4_ _"W_ OWNERS OF RECORD
r i
JOSEPH V & CAROL ANN WITTENMEYER
- 22 PLYMOUTH AVE.
` HYANNIS, MA
EQ' cy
/f o� PETER T. G ENTEE PROPOSED SEPTIC SYSTEM UPGRADE
C PA CIVIL
`r No. 35109 22 PLYMOUTH AVENUE, HYANNIS, MA
1 R � Prepared for: Donna Dinsmore, 20 Meadow View Dr., Falmouth, MA 02536
ECt S1
Engineering. by: SCALE _ - DRAwN JOB. N0.
Engineering Works 1~=20' P.T.M. 136-06
12 West Crossfield Road, Forestdcle, MA 02644 DATE CHECKED SHEET NO.
r
/1 7 (508) 477-5313 3/28/06 P.T.M. 1 of 2
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL.95.4
-� ELEV. TOP FORA DISTANCE OF 15' AROUND THE
FOUNDATION FINISH GRADE: 98.4t PERIMETER OF THE S.A.S.
(Existing) EXISTING F.G. EL.99.6t F.G. EL.98.5t
° MAINTAIN 2% MIN SLOPE OVER LEACHING 1ARIM36-
0 MAXIMUM COVER
a'
` INSPECTION:RISER PIPE
• L = 70' L =s>
° 6' 4" SCH 40 PVC 4" SCH 4o PVC
INV.EL=97.08t
° ( g
48" LIQUID 14 S- 1% MIN,) � S= 1% (MIN.) INVERT_ ° 6
q LEVEL - PROPOSED
GAS INV.ELEV.=95.07
BAFFLE D-BOX 4 ROWS OF 6 UNITS AT 4'/UNI7 + 2'(END CAPS)= 26,00'
INV. EL.=95.67 t INV. EL.=95.50
EXISTING 1000 GALLON SEPTIC TANK SOIL ABSORPTION SYSTEM (PROFILE)
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING
PIPE INVERTS PRIOR TO CONSTRUCTION. ESTABLISH VEGETATIVE COVER
BACKIFILL
2) D-BOX SHALL BE SET LEVEL AND TRUE TO WITH CLEAN SAND
(NATIVE OR
GRADE ON A MECHANICALLY COMPACTED SIX RC SAND)
INCH CRUSHED STONE BASE, AS SPECIFIED IN
310 CMR 15.221(2).
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BREAKOUT ELEV.=95.40
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE ! INV.ELEV.=95.07
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BOTTOM ELEV.=94.40
II EXISTING SUITABLE
0.5' 2.8' 0.5' _ MATERIAL
3-5" DIA. INLETS 5-5" DIA. OUTLETS 5' MIN. ABOVE BOTTOM OF r EFFECTIVE WIDTH=12.7'
5-OUTLETS SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W.
3. USE 4 ROWS OF 6-QUICK4 STANDARD INFILTRATOR CHAMBERS
N.T.S. HIGH G.W. EL: 88.0 WITH 6" SEPARATION BETWEEN EACH ROW & NO STONE
5-INLETS 13.5' `� i 18 1/2"
SOIL ABSORPTION SYSTEM SECTION)
N.T.S.
2"
FILL UNUSED Top view Section DESIGN CRITERIA ��P °� �Assq�y
KNOCK ours /'; PETEMcENR E _
WITH MORTAR ,r '� Q PETER T, f,
/ / / - NUMBER OF BEDROOMS: 2 BEDROOMS o
D-BOX � -XISTING SOIL TEXTURAL CLASS: CLASS I CIVIL "
E SOIL LOG DESIGN PERCOLATION RATE. <5 MIN/IN No. 35109
10 WELLING DAILY FLOW: 220 G.P.D. ./SA�R��
16" Q HQUSE DATE: MARCH 28, 2006 DESIGN FLOW: 330 G.P.D. (MIN REQ'D) SS/ L E
SOIL EVALUATOR: PETER T. MCENTEE P.E. GARBAGE GRINDER: NO
WITNESS: NO WITNESS-CLASS 1 SOILS EXISTING SEPTIC TANK: 1000 GAL. CAPACITY �,jt�� G
SIDE VIEW LEACHING AREA REQUIRED: (330) = 445.9 S.F.
2 .6' �' Elev. TP- 1 Depth Elev. TP-2 DeD1h .74
4z- 19 9B.o A}SANDY LOAM ° 98.4 A SANDY LOAM ° USE 4 ROWS OF 6-QUICK4 STANDARD CHAMBER UNITS WITH NO
WSPECTION F'0 ! %/c�'�," ��` 10YR 3/3 1oYR 3/3 STONE •FOR AN SAS HAVING THE DIMENSIONS: 127' x 26.0'.
52" `W ;'� In ii i 4"
TOP•VIEW c 97.7 98.1 4>
� /i ii���` � � B SANUY LOAM B SANDY LOAM
`y „ „ � G� BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR)
34 // `yam, Q) �� 10YR 5/8 10YR 5/8
8" INVERT z 6 UNITS + 2 END CAPS PER ROW = 26.0 FT
48" E D QCAP r�-;�t�,"' ii i b� �� �S� 95.5 30" 95.4 36.,
EFFECTIVE LENGTH) p Q4STDE �rv3>F, O O c1f C1 4 ROWS x 26.0' x 4.72 SF/LF = 490.88 SIF
n n ��� FL M-C SAND
�y ® END vlEw 10YR 5/4 DESIGN FLOW PROVIDED: 0.74(490.88 S.F.) = 363.25 G.P.D.
MRssj�COBBLEsMULTIPORT END CAP >20 GRAVEL & OY
�' i� ii O i G 92.0 72 >20 GRAVEL&
SIDE NOMINAL CHAMBER SPECIFICATIONS C2t FINE SAND
SIZE (W x L x H)............................34- x 48" x 12" 12 1i 2.5Y 6/3 COBBLES
e EFFECTIVE LEACHING AREA, SOME COBBLES PROPOSED SEPTIC SYSTEM UPGRADE
7RAD
90.0 C3. . 96" 91.7 C2 80"
BED..0 .........................................PER CODEODE 22 PLYMOUTH AVENUE HYANNIATRENCH. . .... VER OGRE F-M SAND MED. SAND >Z34' S.A.S. L.A OUT � 2.5Y 6/6 2.5Y 5/6
INVERT ELEVATION.................................................8" SOME COBBLES SOME COBBLES Prepared for: Donna Dinsmore, 20 Meadow View Dr., Falmou , MA 02536
FRONT VIEW STORAGE CAPACITY PER UNIT.................... .4 GAL _
- -- _- 44
_ 88.0 - - -_ 12O" 8&4 120»
QUICK 4 STANDARD INFILTRATOR CHAMBER p � Engineering by: SCALE DRAWN L2o
.
(� �` NO GROUNDWATER OBSERVED Engineering Works N.T.S. P.T.M. 6
INFILTRATOR CHAMBERS PERC RATE <2 MIN/IN. ("C" HORIZONS) 12 West Crossfield Road, Forestdole, MA 02644' DATE CHECKED O.
(508) 477-5313 3/28/06 P.T.M. 2
N.T. .
1 -
O j