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0032 QUAKER ROAD - Health
32 Quaker Road 11 , 11y _ y Hyannis. y A= 310 - 292 � p b �a a ` a o o q 1 Commonwealth of Massachusetts �m Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road , r V� Property Address r Charlena Santry Owner Owner's Name • information is required for every y H annis ✓ Ma 02601 6-22-2020 F 't page. City/Town State Zip Code Date of Inspection r a Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, Daniel Hawkins use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return Company Name key. 374 Route 130 c Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S114324 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined "that the system: F 1. ■❑ Passes • 2. ❑ Conditionally Passes t 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails DanHawkins ':Digitally signed by Dan Hawkins fl k ��Dale:202006.zam:02:36-oa'oa 6-22-2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note:This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of-18 Commonwealth of Massachusetts Title 5 Official Inspection Form �= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road wY L' Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: The system was in working order at the time of inspection. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section`need to be " replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced.with a complying septic tank as approved by the Board of Health. „t • „ b *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 i Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road V Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND OExplain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) 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. a. System will pass unless Board of Health determines in accordance with 310 CMR ' 15.303(1)(b)that the system is not functioning in avmanner which will'protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form �= r Subsurface Sewage Disposal System Form Not for Voluntary Assessments M `�,,., �� . �•�2 Quaker Road k' . 'I Property Address - - Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) - ❑ 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 b. 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. *;Pl 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: r **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal a;• coliform bacteria indicates absent and the presenceof 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El El clogged of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ a Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 32 Quaker Road u— Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) { Yes No ❑ El Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ❑ El Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ , 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ a Any portion of a cesspool or privy is within a Zone 1 of a p�blic water supply well. ❑ ❑ Any portion of a cesspool or privy is within 50 feet of a private,water supply well. ❑ ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ Q The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ El 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply 4> ❑ ❑ 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System'>Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Rio Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road r- v Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If.you have answered"'yes"to any question in Section C.5 the system is considered a significant ' threat, or answered "yes"to any question in Section CA above the large system has failed. T.he owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No 0 ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ 0 Were any of the system components pumped out in the previous two weeks? El ❑ Has the system received normal flows in the previous two week period? ❑ ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? El ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ E Was the facility or dwelling inspected for signs of sewage back up? - El ❑ Was the site inspected for signs of break out? El ❑ Were all system components, excluding the SAS, located on site? El ❑ 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? ❑ 0 t 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: El ❑ Existing information. For example, a plan at the Board of Health. ❑ a Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 L Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road u� Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspe-.tion D. System Information '1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow.based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 332 Description: 1 Number of current residents: Does residence have a garbage grinder? ❑ Yes E] No Does residence have a water.treatment unit? ❑ Yes 0 No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection El Yes 0 No information in this report.) Laundry system inspected? ❑ Yes El No Seasonal use? ❑ Yes [g No Water meter readings, if available(last 2 years usage(gpd)): See below Detail: 2019- 6,732 gallons 2018- 103,972gallons ` Sump pump? ❑ Yes 0 No Last date of occupancy: Current Date r a.. 5 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 J Commonwealth of Massachusetts �n- Title 5 Official Inspectioh Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32'Quaker Road V� Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: v , NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No •,VVater treatment unit present? ❑,.Yes. ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: "Last date of occupancy/use: Date Other describe below): 3. `Pumping Records: Source of information: Owner- last pumped 1 year ago Was system pumped as part of the inspection? ❑ Yes X No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: l5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 c Commonwealth of Massachusetts �. ip Title 5 Official Inspection Form '' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road V Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: 0 Septic tank, distribution box, soil absorption system ❑ Single cesspool . ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner)and a copy of latest 'inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2007 per plans Were sewage odors detected when arriving at the site? ❑ Yes ❑o No 5. Building Sewer(locate on site plan): 2'6" Depth below grade: feet Material of construction: ❑ cast iron K 40 PVC ❑ other(explain): Town water Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 { Commonwealth of Massachusetts �dip Title 5 Official Inspection Form �= �1b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments yam/ 32Qaaker Road Property Address Cbarlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (coat.) 6.„Septic Tank(locate on site plan,): 11611 Depth below grade: feet Material of construction: ❑■ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 000gallons 411 °18ludge depth: 4 3211 Distance from top of sludge to bottom of outlet tee or baffle 211 Scum thickness 611 Distance from top of scum to top of outlet tee or baffle 1411 Distance from bottom of scum to bottom of outlet tee or baffle - ° ' - - measured ; `How were dimensions determined? 'Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural'integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was in working order at the time of inspection. The tank is not in need of pumping at this time but should be pumped every two years for maintenance. i l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 r - M 5.l Commonwealth of Massachusetts �= ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y State page. City/Town St Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): NA Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Y ; 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): i Depth below grade: ` NA Material of construction: 8 ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: , gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 0 c Commonwealth of Massachusetts Title 5 Official Inspection Form 1= >> Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ( %P 31&6ker Road h" Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8.,;Tight or Holding Tank(cont.) r Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): .x Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9.h-Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert off 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.): The d-box was in working order at the time of inspection. a yr t t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 ,t c Commonwealth of Massachusetts �e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l 32 Quaker Road u Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If.pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: 27'x11'x2'(3)units leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system F" e Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° 32.Qu4ter oad s, u� Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601' 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS was in working order at the time of inspection. Leaching was dry when viewed. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): NA Number and configuration Depth—top of liquid to inlet invert R Depthlof solids layer A - Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No R Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t t5insp.doc•rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 14 of 18 i � sx Commonwealth of Massachusetts �= Title 5 official Inspection Fora i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: NA. Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r. i •e j g 3 I I e l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 .i Commonwealth of Massachusetts �m ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road V Property Address t Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view.of the sewage disposal system,'including ties to at least two permanent reference_ . . landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑■ hand-sketch in the area below ❑ drawing attached separately �> _ TOWN OF BA;RNSTABLlu LGCATIOTIti-.ta�>;tR; li P�»Ai�_ .�v Sx q✓AGF#? _: 57 d'.i'tie VfI LAGE (j j�1�J1 `1 ASSESSOR'S MAP&tP_ARCU 3 t 0 INSTALLERS NAME,&PRONE NO,.�o+a�._:�4t� ??�4��=7 SEPTIC TANK CAP'AMI ' LEACHING FACILITY;(type) ._{£,4c, v _G�(size) _ _... NO.of BEDEioo ms. . ff OWNER:�`_606YUA, - PER1,2I'fDATF: Q-2 COMPLIAhiG£DATE _j 1 l b7 Separation Distance Between the; MaximurnAdjusted.O,roundwater Table to the Batton of U114ing V%iliry _ �_ key Private.water Supply Well:and LeachiugTa.cality(If any wells exist . on,site or within 200 feet of teaching facility) _ ' Edge of Wetland and l eaohing Facility(If anywctlands exist ' ivMin 300 tiet of leaching facility) Feet FURNISIMI)BY •-*y,.:. .a' ass L 1_ � t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 a `ie Commonwealth of Massachusetts rn Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 32 Quaker Road V Property Address Charlena Santry Owner Owner's Name ' information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ■❑ Check Slope ❑■ Surface water ' ❑■ Check cellar ❑■ Shallow wells Estimated depth to high ground water: No GW @ 138"feet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record 10-23-2007 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health.-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: A plan on file at the local Board of Health was used-to determine high groundwater. rF a 0 Before filing this Inspection Report', please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 K Y c Commonwealth of Massachusetts �M Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments C 6s 32 Quaker Road .a u Property Address Charlena Santry Owner Owner's Name information is Hyannis Ma 02601 6-22-2020 required for every y page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑0 A. Inspector Information: Complete all fields in this section. ■❑ B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ■0 C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and.6(Checklist)completed 0 D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 l r ML �._ #A..: cb THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M IC&'L DATA Town of Barnstable P# � epartment of.Regulatory Services ' - -t 2067 �,,gs ; ``� Public health Division hate - tbi9 e$XAM t 00 Main Street,Hyannis MA 02601 AAA ' . Date Scheduled of 7 �' Time Fee Pd w _ -- • yr Foil Suitability Assessment for Sewage Disposal C Performed By:°J R� COt�G J�tJbV 1� 4 6.I. Witnessed By: � LOCATION & GENERAL INFORMATION Location Address �va 1`e f P. &.74 Owner's Name a Address �TiY r i1 � ,40. c Assessor's Map/P4rcel: �R Z Engineer's Name (/I 8 `1'rB' f- NEW CONSTRR�T[ON REPAIR V c Telephone# Land Use E5 i D�'° IT t r - w Slopes(�o) Surface Stones 6" - ii /) I� ttt Distances from: Open Water Body 1. v fi ft Possible Wet Area CD® + ft Drinking Water Well i R ft :3: V, - -��- - V } Other f ft s Drainage Way r ft Property Lin ft e — i rri SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to les) 150.79 c � I I � lGROUNDWATER ADJUSTMENT jI N EXISTING GROUNDWATER LEVEL m .BASED ON TOWN OF BARNSTABLE m I r®1 ® I GIS DEPARTMENT RECORDS. INDICATED GW 26.00 INDEX WELL A1W-230 ZONE D READING DATE SEPT. 2007 READING 25.6 O -- -- -- -- t ADJUSTMENT 6.6 152.42 F-t ADJUSTED GW 32.6 Parent material(gedlogic) Depth to Bedrock d Depth to Groundwater. Standing Water in Hole: r n weeping from Pit Face Estimated Seasonal High Groundwater See �b©de �' • DUTER1�IN ANION FOR SEASONAL HIGH WATER TABLE Method Used: C in, Depth C1bperved standing in obs.hole: in. Depth to Soil mottles: p in. Groundwater Adjustment II. Depth toweeping from side of obs.hole: p�,t�rcuntlWater Level,. Index Well# Reading Date Index Well level Adl.factor PERCOLATION TEST Date I?u � � . Observation Time at 9" y Hole# Depth of Per - Time at G" t. J 4 S� 'I iwe(9"-6") Start Pre-soak Time.@ - End Pre-soak P13 Rate Min./Inch ���1 y, Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Iy Original: Public He4lth Division Observation Hole Data To Be Completed on Back=---- ***If percola#on test is to be conducted within 100'of wetland,you must first notify the Barnstable C4#servation Division at least one(1)week prior to beginning. Q:ISEPTIC\PERCF( RM.DOC . SOIL TEST LOG DATE OF TEST: OCTOBER 22. 2007 APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 ' WITNESSED BY: DONNA DESMA_RAIS. _HEALTH DEPT. PERC NUMBER: 12006 TEST PIT "1 NO GROUNDWATER ENCOUNTERED _T PARENT. MATERIAL: PROGLACIAL OUTWASH { PERC AT 62 In - 2 MIN/INCH IN C SOILS ELEVATION DEPTH ' SOIL USDA SOIL SOIL, COLOR SOIL OTHER i 46.05 (INCHES) HORIZON - TEXTURE (MUNSELL)- -MOTTLING , 0-6 _ FILL -LOAMY SAND 10 YR 3/2 NONE - FRIABLE 42.72 10-40 "B, LOAMY SAND 10 YR 3/6 NONE FRIABLE E 40-120 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 36.05 NO GROUNDWATER ENCOUNTERED I TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH - MIN/INCH IN C SOILS '- •- - — - ELEVATION DEPTH SOIL USDA SOIL--- SOIL' COLOR SOIL- - OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 45.95 04 O LOAM 10 YR 2/2 NONE FRIABLE 4-B - A- LOAMY SAND " ' 10 YR 3/2 NONE FRIABLE B-36 B LOAMY SAND r_ 10 YR 5/5 NONE FRIABLE 42.95 36-13B C MEDUIM SAND -;—` - -,:-,10 YR- 5/4 NONE LOOSE 34.45 uepm-trom sort nonzon—sott-rexture-- �oii-coior---------Sotr-- tither - Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi tenc Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc ra el t Flood Insurance Rate Man: / Above 500 year flood boundary No_ Yes . 1 Within 500 year boundary Noy Yes r Within 100 year flood boundary No 1! Yes l=a Depth of Naftn"atly occurrine Pervious Material, Does at least fo r feet of naturally occurring pervious material exist in all areas'observed throughout the area proposed fbr the soil absorption system? S - If not,what is the depth of naturally occurring pervious material? Certification I certify that on.� Nq (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 training,expertise and experience described in 310 CMR 15.017. a� zN of Mq Signature dc1' ^ �� # 4-0 Date 00 2.2, 2 Q 0 7 �o DAVID s o D. U COUGHANOWR 014 Q Q:\.SEPTICIPERCFORM.DOC /� L Vq PLO i TOWN OF BARNSTABLE LOCATION 3Z QUALe— &AID SEWAGE# PO67 'y%O VILLAGE 4F}hfrNl�� ASSESSOR'S MAP&PARCEL 3)C— ;tQ ;L INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 1 , ogn LEACHING FACILITY:(type) 3 kA&7cE GArg 4,\ (size); o27 Xk NO.OF BEDROOMS 3 OWNER C�AkkayA S 3ALN- m PERMIT DATE: /O kt a O COMPLIANCE DATE: f ( b 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 J 09 oIA 4 r No. z- r Fe* i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS Y 0 3pplicatton for �Diopooal *p$tem Construction Permit Application for a Permit to Construct( ) Repair 94 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components cation Address or Lot N � Owner's Name Address,and Tel.No. a QLnYQ,, -1 . �ojNn, S Cam' �eX�e sh y Assessor's Map/Parcel 13"10 1 a0,a 3 a QJ(1 n;s ,�..3 kA_0SC14 installer's ss;and l _ _ r G D�sign�er�s Name,Address d Tel.No. v� �0%1q cy��`�' t% I le— . ice G�- ��t 6N. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder n® Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) f\5 l a., oe-L J�1 v" lawns ©-�; ET C' -79 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 de and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sign d i p+ Date U Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued ..`..:.,,-....P�. ..�..Y �' .yld�4 R ,✓...fir E.«'.yj,,;.vy'" e,��l.._i'.r+.r.5+ .,. `a"�-. ryr`Vw..^.f'.�.,..e�'°"'' 1 No. �a y, Fee / computer: in com THE COMMONWEALTH OF MASSACHUSETTS Enteredp Yes OO PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 3pphration for ;igpogal *pgtem Congtruction Vernitt Application for a Permit to Construct( ) Repair 9() Upgrade( Abandon( ) E] Complete System ❑Individual Components Location Address or Lot N Owner's Name,Address,and Tel.No.5®8'-77)-94 rsa Assessor's Map/Parcel Instalrle\r's V_ame,Adqes§, T 1 -N A4 G Ee Cne(ra's Name,_Q Address and Tel.No. c> 6W \pV9 4 cey-) U I 1_e_ L1. 1@ C i C.Q-,, Type of Building: Dwelling .,- No.of Bedrooms Lot Size sq.ft. Garbage Grinder n� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ;.r'/ = , A gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title , Siie_of Septic Tank l —Type of S,A:S. Description of Soil J Nature of Repairs or Alterations(Answer when applicable) moST`a-�` o ,, OeLo 1 L r9_79Y 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 ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. i Sig Itar Date Application Approved byf/I/. tT�3 Date y / Application Disapproved by: � r y � Date � for the following reasons '7 (� Permit No. y � Date Issued -———— —— —— —————I=————————— —�, — —L————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS SOL,fN-�rL1. Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (x ) Upgraded ( ) Abandoned( )by �M ��p�J1 n�>CNl 'S(— S ,L, at oZ ( 0.Yl Y-, has been co truet d'n accordance i with the provisie s of Title 5 and the for isposal stem Construction Permit No '� dated Installer / � Designer #bedrooms r Approved des gn�flow I q to gpd The issuance of t:is pegm � It all not be construed as a guarantee that the system ill functiondesigned. /J . Date Inspector � % 1' _r ------------------------`— Cf 407 , >�ee I�,, r ilk THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1 a 90, -j-N 4-� Dtoogat *pgtem Congtructtort i3ermit Permission is hereb.granted to Construct ( ) Repair (k ) Upgrade ( ) Abandon ( ) System located at ,) UCtt ear 7�,G(10 , V�&A ax)0 j 'c"j, 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 st e comps. ted within three years of the date of th pe Date ��j Approved by . /r -� � / �i Town-o Barnstable WE } � R6tWltoryServices Thomas R.Geff Direct€�r. : BARNWAWP- -. Public[ealth Division: rEv ea�� Thomas McKeau,.Diredor - IGO Main Street;.Wan iis,MA 026101. 0ffiCe:.568-862=4644 - - Fax:: 508 790 6304_ Installer&Designer Certification Farm Date /--'� Sewage Permit# :. a od 7-Y.90 Assessor's IVIaptParcel -- _ 1 - Desiguer: Instal er: M � � V1`n�N� i.` Address: Address Sf�. -was_issued a permit to install a (date) 4. (installer) L septic system at J JCS : ( 'n :based on a des�gu:drawn-by .- (address). dated (designer) .. .I certify that the septic system referenced above was installed substantially according to the.design, which may_include mjnor:apgroved chazigesauch:as-Iaterat:relocation of the:: distribution.box:aridfor septic I=c that_the s tic ern_referenced. above vas iustalled_with major chau es, i e ertify ep syst 3 g { greater,than i 0„lateral relocation of-the SAS or any vertical:relocation.of any:component .. of the septic system lint in accc rdauce vritti State&i�Ccai R giilativns:=i'lari:revisxau_oi '...certified as built:bydesignerto-follow. II- - •A���`Sti1 QF MA�C DAVIn. (Installer's.Signature). - . - COUGHRNOWR co :No. 1093:. : Ti NI TARS - (Designer &Signature) - (Affix r.s Stamp:Here) . PLEASE: RETURN _TO': BARNSTABLE ::FIt kit:-.:HEALTH DIVISi©N.. CERTMCATE:-O]E....: COMPLIANCE .WILL NOT_-BE..ISSUED_UNTIL BOIR-I`HLS.:FORtVI_AND :AS=BUILT: CARD::ARE_:: RECEIVEID BY TBE BARNSTABLE PUBLIC.HEALTH-DIVISION::-THANK-YOU. Q:Healt}iiSeptic/Designer Certification Form 3=26-o _iio� No..o i;�% ............................ TKE COMMONWEALTH OF MASSACHUSETTS BOARD ,�4 7/ .....OF......... ... .........Ll Apphration -for Bjovwial Work ,Tomitrurtion Prruift Application is hereby made for a Permit to Construct or Repair an Individual 'Sewage Disposal System 4 ystem .. .. ... ......... ........ ... . ... No. .................................... ---------------------------------------------------------------- tio t ot or 0 ner 4/ Address ne�r --"�.XL�ddess ......................... ................................................................................................. Installer Address Type of Buildin Size.Lot P. Sq. feet U g/ 0--- _ _; _��_.._.Sq. feet of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder ( ) Other—Type of Building ------------_--_-------- No. of persons.--_..._-___-_______--__-.-- Showers Cafeteria ( ) Other fixtures . --------*............................................................................................ -- --------------------------------------- Design Flow..........................L_!�,........... .gallons per person per day. Total daily flow----------Z,0770-— .----.-..gallons. 04 Septic Tatik_¢Liquid capacity W ,�M.gallons Length________________ Width--_--_-..___ Diameter------_-------- Depth---------------- Disposal Trench—No. .................... Width Total Length___:-____-__-_____-. Total leaching area--------------- ....sq. f t. Seepage Pit No......./----------- Diameter---Width___..___._._ below inlet.................... Total leaching area------------------sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by--------_-----_1...................................................... Date---------------------------------------. al Test Pit No. I--------_-----minutesperinch Depth of Test Pit....._...___.______. Depth to ground water...-_-...__.--..--.-___. (i Test Pit No. 2----_----------minutes per inch Depth of Test Pit._______............ Depth to ground water--.-.--..-..-_-.--_--___ --------------------- ig.11----------- ............................................................ 0 Description of Soil--------------------------------------------/ ----------- ------------------------------------------------------------ U --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 Sa Code The undersigned further t place the system in o e — ier . ees to p ac operation until a Certificate of Compliance be, issued b t board ealth .... .. . ..... . S* ................ igne ............ ------ ... ..................... --------- . . . ....... ---------------- Application Approved By--------- D to ----------------------------------..................................... Application Disapproved for the following reasons:.......... -----------------X .................................................................................................-----------------------------7-------------------- ................... ate Permit No.__.J.P-.�....................................... Issued....71- 1�� ......... ------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH $f�--------OF...... ......... . --.... ...�....... Appliration -fur 4%ipoiittl Works Tontitrurtiuu Prrutit Application is hereby made for a Permit to Construct (" ) or Repair ( ) an Individual Sewage Disposal System , ( �astio es r t , or Lot No /'^ 'caner Address ................................ ....._.__.............__. Installer Address Type of Buildin Size Lot_._ .... Sq. feet Dwelling No. of Bedrooms___------------Z ""'......._.__..._______.Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) a' Other fixtures . W Design Flow__________________________�•..._....._...gallons per person per day. Total daily flow........ L:r _ '___.__._,.__gallons. WSeptic Tank Liquid capacity/,�!. -gallons ,Length................ Width---------------- Diameter---------------- Depth..-------------- x Disposal Trench—No. .................... Width_..._______ _ _. Total Length-------------------- Total leaching area-.------------------sq. ft. Seepage Pit No.-____ Diameter../� Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------------------------------------------------------------------------- Date-------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit--------------------- Depth to ground water_.__-______-__-__-_._.._ G14 Test Pit No. 2________________minutes per inch :; Depth of Test Pit.................... Depth to ground water__.____.____________._.. -------------------- ..................A ...---• -------- ,0 Description of Soil-------------------•----._..._._ „� __.'. � V ......................•••-•------ -----------------------------•---------------------------------------•-------------W UNature of Repairs or Alterations—Answer when applicable................_......_________________________________________________________________________ -----------------•------------------------- ---•- •-.-- - - Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees nat to place the system in operation until a Certificate of Compliance ha been issued by the board;of health.' Si ne 4 g 4 ,t -`----• •----•-- i Date - � Application Approved B �.� -�- --�---- � ���=�"�--��" =----------------- _. �._�1.... _ .. . PP PP Y------�'��--- D to Application Disapproved for the following reasons------------ -------•------ --=----= _.. -----................................................. ....................................•-----•f------------------...........••--------------------------------------------------------------------------------- -- - ------ -- •---------- ---- to - Permit No-------A -3........................................ Issued---- ----- --- ---- --- --------- D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Errtif iratr of Tompliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b '..�'. .. r. , sr ------------------------------------ Installer/ - -- --------------------------------•....................... lias 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.___=?........... _ __._.:. dated'........................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CORDS D AS A UARAPITEE THAT THE SYSTEM 77U.. TIOPI S S CTORY. DATE------ -•--- ............................ Inspector---- ------------------------------------- ................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i - �.f„Ji.4..''.. .......,..j,,.... f,ice... ......................................... .. ............. ,A......... .OF :. - Er Na ................... FEE........................ �i��u,�ttl urk� �uu�tr�trtiu$t �rrutit Permission is hereby granted------ ''' T f.Z=='-�-- ------- ------------------------------------------------------------------------- to Construct O or Repair ( ) an Individual Sewage Disposal System Street as shown on the applicat' n for Disposa Works Construction Permit o:___ _ ted__ . ._____ °' ----- ------------ Board of Health DATE.. ---- /& WARRE, �Nl -- ------- - �� ` FORM 1255 HOB INC.. PUBL ERS - ALL SPECIED ARE ATIONS -FLOW PROFILE EXPRES ED IN DECIMAL DECIMAL FEET NOT FEET ANDT INCHES.TIONS FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE TOP OF EL = INSTALL ONE INSPECTION PORT TO WITHIN 3 INCHES 46. OF FINAL GRADE AND INDICATE LOCATION ON AS BUILT. 46.00 ALL PIPE TO BE PV 3" DROP D—BOX MAX ANDETDO LPITCOH ATC FLOW LINE 43.04 1/8 in/ft. MIN. ' 10--j 8 = II 14' 48" GAS--k BAFFLE 43.87'+- 6 i n EXISTING STON 42.53 BOTTOM NGF EXISTING BASE LEACHING GALLERY EXISTING 42•70 GALLERY EXISTING 1000 GALLON 42.50 (END VIEW) 40.50 5.00 f t + SEPTIC TANK SEE DETAIL ON REVERSE EXISTING 15 Ft 5 FL 11 FL ADJUSTED SEASONAL Y 32.8 HIGH GROUNDWATER c3 dog rnr0 O D D J. 1N3w�n dd do 3oa3 _ m lop m m m cn 2 I z m < rn n m � o I awN -- oZl T I I� a Zp � I ' I I Z O 2 N .c�n .c�nrnmD =n � w mNNwM� N m m D0 -C T II a r u x m yo > aw a r m m U I I > rn Coo rn I ors o 1 -+ 51'8f� = 1� m z m I I NONE �0 d01 i Z o n SNI1 SIX 1 Im � Cot►I,� ' Z c S o o c7 s rt b cb QQ1, a a -.voc o Q to o O \ f� > mCD z I o 0 m z < r z \ C1 o coMMo� i� ego o 0 � m m o n d Rl m\� 2 r zz O o� = _ rn < m = oy On O u n0 I 7451 II O � N o o � cn �, oz3 m 1 V N moo° ZE� �a�� o m > o N R CD C CD K 11 1 3 m Icn m O cn--I j to-ch. z x I \ 3�1�0 nrz�0>_0 3r D o r OO � 0m z z -Ti z � CTl =czi ® co m ® I _-_ rm�.i r- Z coI — 0 Yl rn�. fil �j �rcl co ` --- O >ozm � x 3 i Z0'8d i C �o Z )>n -el �n R1 N 0 , >z r-o wrn cn>>z O =�oz ' ' U) � z m 0Ul >o,z m m o m °� m n o x (nm cf cn o = O Co m o-� O O A p� N ,Zmj rrl o Z Z -I O -I C f�l (n m Rl f ll -,nyrn3 �I ti = r < 0 z23 Con cWncmno-uz O a �c m M rn (n �m Cop y \� �m� X �oM�� N CD y p n Z m -6 3rA C �� �C)� mm 0cn M z W � O X O rn� ,9, z � c �? ��C Z 31m 0op� �Z ��Z Z O 2 �5� Z -I cn z o o •D 0 uj Z O U) dQb C '� O (n y f O cn 5 m oc)mcoD (a7 A �� 0U) 3 rnz (� T�z I p > FREES o m > O O N Cl 3 O U) ~C:k ~ O O O= I � OUAKER R� > 3 0 or--nu) al r >O Z m I j m umi3 m '� c� Raio 0 coQU)z N O -� r 3 n �m �O X Z O r 3 _ <�ccnm �1 Z o m� N C O rn mmo iz N Z r A z (n ❑ ® o o> ox�3o Z z 0 SOIL TEST LOG DESIGN CALCQLATIONS THIS PROPERTY IS NOT INCTIONDSTRIC OR GROUNDWATER PROTECTION DISTRICT PER BARNSTABLE GIS DEPT. RECORDS. DATE OF TEST: OCTOBER 22. 2007 DESIGN FLOW: 3 BEDROOMS X HO GPD = 330 GPD APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS WITNESSED BY: DON% DESMARAt. HEALTH DEPT. PERC NUMBER: 12006 USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT 1 NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 62 to - 2 MIN/INCH IN C SOILS SOIL ABSORBTION SYSTEM: A 27 Ft x 11 Ft x 2 Ft LEACHING GALLERY CAN LEACH ELEVATION Abot = ( 27 x 11 ) = 297 sF DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Asdw = ( 27 + 27 + 11 + 11 ) x 2 = 152 sF 46.05 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Atot = 449 sF 0-6 FILL Vt 0.74 x 449 = 332.26 GPD 6-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE USE A 27 Ft x 11 Ft x 2 Ft GALLERY. Vt = 332.26 GPD > 330 GPD REQUIRED 10-40 B LOAMY SAND 10 YR 3/6 NONE FRIABLE 42.72 40-120 C MEDUIM SAND 10 YR 5/4 NONE LOOSE 36.05 e TEST PIT 2 NO GROUNDWATER ENCOUNTERED LEA CHI NG GA L L ER Y No 1000 GALLON SEPTIC TAW PARENT MATERIAL: PROGLACIAL OUTWASH DIMENSIONS AND DETAIL NOT TO MIN/INCH IN C SOILS CONSTRUCTION DETAIL USE EXISTING H-10 WIT SCALE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER USE CULTEC RECHARGER 330 CHAMBERS (H-10 LOADING) 45.95 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SEPTIC TANK IS TO BE PUMPED DRY c AT TIME OF INSTALLATION AND IS TO 04 O LOAM 10 YR 2/2 NONE FRIABLE m BE EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL NEW PVC OUTLET 4-6 A LOAMY SAND 10 YR 3/2 NONE FRIABLE TEE EOUIPPED WITH A GAS BAFFLE. END CENTER END 4 4295 B-36 B LOAMY SAND 10 YR 5/6 NONE FRIABLE UNIT UNIT UNIT N m 1 In 36-13B C MEDUIM SAND 10 YR 5/4 NONE LOOSE TAPER 34A5 d I � �I C GROUNDWATER ADJUSTMENT 3.5 Ft 28 Ft 3.5 Ft 0 O o EXISTING GROUNDWATER LEVEL 27.e ft. 4- BASED ON TOWN OF BARNSTABLELn GIS DEPARTMENT RECORDS. INDICATED GW 26.00 CROSS SECTION VIEW 6 in A INDEX WELL A1W-230 6 Ft- ZONE D READING DATE SEPT. 2007 2 in 4 2 in PEASTONE READING 25.6 0 COVERINLET OUTLET COVER ADJUSTMENT 6.B 24 1n 3/4 in TO ADJUSTED GW 32.8 26 In EFFECTIVE DEPTH 1-1/2 In GRAVEL 3 IN DROP —� /l FLOW LINE FROM 140 in 52 1n 40 in BUILDING ,; 10 in = 1n DTOBOX 48 In N132 1 n LIQUID GAS"' O T E S LEVEL BAFFLE INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE FABRIC IN PLACE OF THE PEASTONE LAYER SPECIFIED 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 2) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 3) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. - � SEWAGE DISPOSAL SYSTEM PLAN ".. r % 4) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. 5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES;AND DUST INS PLACE. -TO SERVE EXISTING DWELLING b 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF� LOW.FLOW 'FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK.. , CHARLENA S. SANTRY 7) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 32 OUAKER ROAD HYANNIS, MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. B) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND` TRUE TO GRADE ON A' LEVEL ECO-TECH ENVIRONMENTAL -STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 ,SIX INCHES OF CRUSHED STONE HAS BEEN PLACED .TO MINIMIZE UNEVEN SETTLING. ' ETE-27941 OCTOBER 23. 2007 2/2