Loading...
HomeMy WebLinkAbout0022 SAINT JOSEPH STREET - Health t- 22 St::Jo§epi Street A'= 291 =222 , Hyannis . 'i i 1 it I �3 I I " I I i i TOWN OF BARNSTABLE r LOCATION —Z�Z S T _)0 S�� I' S'�' SEWAGE# ®/ VILLAGE �(!�I>l�d �' ASSESSOR'S MAP&PARCEL Qq "Z Z Z INSTALLER'S NAME&PHONE NO. O!Z'? 6 SEPTIC TANK CAPACITY �/O O LEACHING FACILITY:(type) Gl/VWt (size) /`Z'>V NO.OF BEDROOMS l ) OWNER t" e �E'!` —" L� OS,T l!"q PERMIT DATE: `"Z- COMPLIANCE DATE: Separation Distance Between the: d Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility %y/ Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) P 01"e Feet Edge of Wetland and Leaching Facility(If any wetlands exist within p 300 feet of leaching facility) /V >`\ Feet FURNISHED BY rre✓► Remy � Z A J e i Y Town of Barnstable P# /1-Y 7 7 7 Department of Regulatory Services BAMSTABL& _ Public Health Division Date s639. �e$, 200 Main Street,Hyannis MA 02601 rED tM't 6 40 35Z Date Scheduled ( J Time ( _ALr"" Fee Pd. ti Soil Suitability Assessment for Sewage isposal Performed By: Witnessed By: G,✓ Vti- Gn7T� �,C LOCATION & GENERAL INFORMATI J� Location Address�,�_ Owner's Name , Address wtvk, m# ASO � —, / S /Z I ( Assessor's Map/Parcel: t / .a Engineer's Name ?e oo e vex-' dk NEW CONSTRUCTION 1 REPAIR / Telephone# t— �L/— oZ I r,Z — 0 41 Z .0 1 '�o&' Land Use �t (� c r _. Slopes(%) Surface Stones Distances from: Open Water Body >(n y ft Possible Wet Area ft Drinking Water Well 7�ny ft Drainage Way 7100 ft Property Line > / O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) T 1QSGt' /oo / r 1P3 . � /00 Parent material(geologic) Depth p to Bedrock > ' Depth to Groundwater: Standing Water in Hole: (�Z'` Weeping fiuorn Pit Face -. Estimated Seasonal High Groundwater - - r _21 1 ET 1Lt1VIINATION O ll±,A8' NA-L:1 I(� • ' fit'I`ADLE'= Method Used Depth Observed standing in obs.hole: in. Depth to soil mottles, Depth to weeping from side of obs.hole: 1 i.a. Groundwater AdjuUneot ft. Index Well# Reading Date: Index Well level's`Adj,,factor _- 4 Ad,Groundwater I.Ave1 I'ERC OtATIONTM T- dltud Observation - t, Hole# Time at 9'-' Depth of Perc 6 Time at F +.z, Start Pre-soak Time @ t I -- Time(9"-6") End Pre-soak Rate Min./Inch. �e7 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100:of wetland,,you>Inust first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel Qy SAP /9'&V SA Zr5 6 2 " DEEP OBSERVATION ROLE LtOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) As (Munsell) Mottling (Structure,Stones,Boulders. } Consistency,%Gravel La go &.6 92 C� MEn SA DEEP OBSERVATION HOLE LOG Role.# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Ivtunsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel IS 6 l� Z L AMY' Avx� 0 -� � DEEP'OBSERVATI'ON HOLE LOG dole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) tit Flood Insurance Rate Man: , a Above 500 year flood boundary No_ ';Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes'—_ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed.for the soil absorption system? � If not,what is the depth of naturally occurring pervious material?. f Certification I certify that on *' (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, xpertis d experience described in 310 CMR 15.017. Signature &X6Date Q:\SEPTIC\PERCFORM.DOC I -i Commonwealth of Massachusetts �, - W Title 5 Official Inspection orm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments twr� a 22 Saint Joseph t �wt Property Address Peter Agostinelli Owner Owner's Name information is Hyannis ✓ Ma 02601 8/19/15 I# required for every H y page. City/Town State Zip Code Date of Inspection 1� 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 A. General Information filling out forms on the computer, use only the tab 1. Inspector: (� key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain as Company Name 8 Johns ath Company Address enr� S Yarmouth MA 02664 City/Town State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 1 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Di i posal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owners Name information is required for every Hyannis f Ma 02601 8/19/15 page. City/Town I State Zip Code Date of Inspection B. Certification (!ont.) 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: The system contains a 1000 gallon tank as well as a block cesspool. Cesspool is still leaching and shows signs of water level to within 22 inches of invert pipe. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced wit h 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 Js available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis annis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): r- C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface.water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 3 of 17' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address . Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well ** Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: I You must indicate "I es" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® [discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded of clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the. system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 t Commonwealth of Massachusetts _ W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 :Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts F� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system contains a 1000 gallon tank as well as a block cesspool. Cesspool is still leaching and shows signs of water level to within 22 inches of invert pipe. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d 185 GPD 9 ( Y 9 (gP ))� Detail Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to.the Title,5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7.of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name regjinfurn redd on is for every Hyannis Ma 02601 8/19/15 requir pace. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: occupied Date Other(describe below): General Information Pumping Records: Source of information: Recommend pumping at this time Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): Septic tank and cesspool no dbox t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments F 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Tank is app 35 years old. cesspool could be original. Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): 18 � Depth below grade: feet Material of construction: ® cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): System is vented throught the roof. Septic Tank (locate on site plan): Depth below grade: 1 ftfeet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 gallon If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gallon Sludge depth: 3 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form c' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name requir atifo is Hyannis Ma 02601 8/19/15 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 3 Distance from top of scum to top of outlet tee or baffle 42 Distance from bottom of scum to bottom of outlet tee or baffle 1" Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): No evidence of Ieaking,Tees and or baffles in place at time of inspection. Grease Trap (locate on site plan): Depth below grade: NA feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is y required for every —Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tees are in place and levels are normal. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °7M 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Na. Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No' Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ 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.): No signs of carry over and no signs of hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is recuired for every Hyannis Ma 02601 8/19/15. page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): No signs of ponding or hydraulic failure. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): !Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Ma 22 Saint Joseph Property Address Peter Agostinelli Owner Owners Name in.ormation is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 + ft feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: 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: usgs maps show ground water in this area at app 20 ft below surface Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 . . .. ..- - .-- �- rr — ivMry Vt• 0ARNNTABLE • LOCATION SEWAGE 11 VILLAGE����j��f ASSESSOR'S MAP ti LOT INSTALLER'S NA14E & PHONE NO. SEPTIC TANK CAPACITY LEACHING HACU_ITY:(cYpe) I 'G'U (si �) Z,� NO. OF BEDROOMS 3 PRIVATE WE?LI_ OR U IC WATER e BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE I.SSIJED: VARIANCE GRANTED: Yes No ,b Commonwealth of Massachusetts _ W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 22 Saint Joseph Property Address Peter Agostinelli Owner Owner's Name information is required for every Hyannis Ma 02601 8/19/15 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information — Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director t�"`� � Public Health Division is MA5S .. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Deessillner Certification Form Date: 2 Sewage Permit#"�^�7'®'�lASsessor'S Map\Parce�l � 7,211— Designer: r("I"�.S � IUL Installer: �C� Address: To bl2- Address: On 12 .'1 'j? Tn22 f( was issued a permit to install a (date) (installer) septic system at -Z-z 5-C AGSM IA Sf L%—( based on a design drawn by (address) fSZ t� a�q°i dated (d signer) I certify that the septic system referenced above was installed substantially according to the design;which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (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. Strip out(.if required)was inspected and the soils r< were found satisfactory. A* l certify that the system referenced above was construe, r+g with the terms of the I\A approval letters(if applicable); G Installer's Signature) IL R: to . {' NO.`41294 . (Designer's Signature) (Affi, PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH � � ERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLiC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doe :M to TOWN OF BARNSTABLE LOCATION_ 6� m(�aS�� f SEWAGE # VILLAGEJlly/f/J/f ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY l n LEACHING FACILITY:(type)-4&a " L (size) t NO. OF BEDROOMS 3 PRIVATE WELL OR U 1C WATER BUILDER OR OWNER k� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 �o 'i �: �I .5 r � No.j F�l�... ... .... THE COMMONWEALTH OF MASSACHUSETTS 21 BOAR® ® HEM TH Application is hereby made for a Permit to Construct (v ) or Repair ( ) an Individual Sewage Disposal System at , or� /� - �/ �-" -------"64- .: .. n Loc Add ss / or Lot No. ' --- --- Own //. (( !Address W . Installer Address Q Type of Buildi .�. Size Lot(_____�._ _.___Sq. feet U Dwelling No. of Bedrooms-__-__ ---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _ _______________________________ ______ d - ----------------•------•-----------------•---------•------- W Design Flow__________________ __________________ __gallons per person per day. Total daily flow---------- _.._.__ -(�!_..._-__ -__gallons. WSeptic Tank T Liquid capacity -gallons Length---------------- Width________________ Diameter____.____--_..__ Depth..-.---__._._--- x Disposal Trench— o..................... Width...... _. otal 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-----_------------------------------ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__-_-_--_____________--. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___-__-_.._-__--__-_._-. 1:4 _ ------------ ODescription of Soil---- ------------ - +- '-----•-•-•------•---•-----•---------------------------------------------------------------------------------------------- x [, ------------------------ ------------------------------------ --------------------------------------------------------------------------------------------------------------------- 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 not to place the system in operation until a Certificate of Compliance has e n issued the board of health. Si e .- -/------• Date Application Approved By_ .. .' ------- - -7 . 7� Date Application Disapproved for the following reasons----------------•----• --------------------------------------------------------------------------------- ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date ................................ - ` r' THE COMMONWEALTH OF MASSACHUSETTS BOAR® Of HEA TH� �f .. . .. ..............OF...... l�'l'f✓ +4f' - ' ----------......... Appliration for Disposal orks Zongtrurtiou rautit Application is hereby made for a Permit to Construct (" ) or Repair ( ) an Individual Sewage Disposal System atY 11 'r* . f P .. 3 ...... f _:f_G'i :' .tt.T_._.r". _.._..t... ............ T __. €_ •__ __. --� _»•..C- � ......._------- ,ij r Location•Add/ss ; or Lot No W J e 1/ Owne Address �} N Installer Address Type of Buildi Size .....Sq. feet , Dwelling No. of Bedrooms......._ _---=-----------------Expansion Attic ( ) Garbage Grinder ( ) ri, Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixture -------------------------------------------------------------------------- --=° <11 W Design Flow................... ........•-}__-•_-_ _gallons per person per day. Total daily flow__-_------ -----_-__-.gallons. WSeptic Tank- --Liquid capacity/i`-__`'_:.gallons Length................ Width---------------- Diameter................ Depth_---------...... x Disposal Trench ��To. .................... Width Total Length-------------------- Total leaching area:___ ------------sq. ft. Seepage Pit No _��............. Diameter._%�!...t.... Depth below inlet.................... Total leaching area.. _9.._sq. fI. Z Other Distribution box ( I ) Dosing tank ( ) ,Percolation Test Results Performed by-------------------------------------------------------------------------- Date.................................... Test Pit No. 1................minutes per inch Depth of Test Pit_--________•-_______ Depth to ground water-..-__-________-_-__.--- r3:q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-__-_________-____-.-- •-- . •••------------•-------•--••••----•-•-••-••-••----•------------•-•--•-••--••••-----••-------------------------------------- DDescription of Soil------------------- -="' ---- ------•-------------------------------- x U --------------------------------•---------•-•--------------------------•----------------- W VNature of Repairs or Alterations,—Answer when applicable-----------------------------------------------------------------------------. -_----__--___---- -------•-----------------------------------------------------------------------------------------------------•------------------------------------------------------------------------------------­-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sired . ........................................--------.................. b e ! Date Application Approved BY -• `"� ,.�•--•-.r � 0. . 7 Date Application Disapproved for the following reasons-----------------•-- -1-----------------------------------------------------------•-•-•------------------------ --•------------------------•-------------•-----•-----------_....----------•-----.._....-----•------------------------------------------------...---------------------------•--------------------------- Date PermitNo....................-.................................... Issued-..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS 3 BOARD QF HEALTH y;.... .° ' ...............OF...... :.......... ..... ` '..::.....:,. THhS IS 'G EI T Y, Tha7tI divi ual/Sewage is osal System constructed (' or Repaired ( ) by . 1f - r ... ---••----• - ------------•-•--------•----------- f y✓ rf �A WA r r Initalle f a a , .v at .. ._. e _ rc —' � +----- 7---t-- - � - '� ..................................................... has*been installed in accordance with the ovisions of Article XI of The State Sanitary Code as des ribed in the v application for Disposal Works Construction Permit No................ '..: ........ dated-.-.- ._ ° ?. ........... THE ISSUANCE OF THIS CERTIFICATE SMALL PLOT BE CONSTRUED AS A GUARAN�EE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. i DATE............................................................................... Inspector...................................................... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH No......b ...... FEE- • Permission ,,hereby,granted--=-- --• ..•------- --------- ----- ° to.Const .ct ) o epair (. ) an Individual Sewage,.Di o al•S' stAn r at: No. zE ` � = `fir- ------------------- ------------------- as shown on the application for Disposal Works Construction Permit o,4 .... Dated.._: . ---------------•-------------- ... Board of Healy DATE................................................................................. It FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - No.(iV 0 2 " � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippliLation for Vsposal *pstem Construction permit ` ca Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System ndividual Componen' , Location Address or Lot No. s�/. ,J O S�/! �' Owner's Name Address,and Te.No. C fR f1�05f'jf✓ '`� Assessor's Map/Parcel 2�, ( 2 2 A� ! Z ST/-'e, 0 spP 0260 °?ot/e toe Installer's Name,Address,and Tel.No. '!�cv tt "?hqi _r Designer's Name,Address,and Tel.No. 06 C—IRS S Type of Building: Dwelling No.of Bedrooms Lot Size 1,21110 00 sq.ft. Garbage Grinder, Other Type of Building /j ore_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) yO gpd Design flow provided '915-. gpd Plan Date C'6 "U Y 1Number of sheets '7 Revision Date /JO! Title 20 JS E L Up('J:-12AA Size of Septic Tank kD oo Ot A k Type of S.A.S. -4/*4e y' Description of Soil C,OQ ` d Nature of Repairs or Alterations(Answer when applicable)�� - f ✓ — /�_ C Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed A-ADate 3 t7 Application Approved by Date 2— 2 r/—7 Application Disapproved by Date for the following reasons Permit No. 2d 17— 0.)-1) Date Issued 3— 2 c, 7 -..✓•a L..�r rat-w..l�."•v-_�-•-�,•ti+vs,..•.�w-�.vr)t"^�:.r. ,-u.....�-s 7s,n''^.'",3�' X'.w....tia�y...w�v:r,�+ ••�, Y•. ,i .:{ � sw y .. ... ♦ s„Y.... w.<,l.n� i,f..-•h'•kvy'ir,F•r(u. *`t� it��•:n rv^`}...+"_. {4 No. o —01 C g t;+ 'a,' Fee VOf" `2 O Entered in computer: . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ryx ZippYication for 33isposar 6pstPrn Construction 3pertnit Application for a Permit to Construct( ) Repair( ) .Upgrade y Abandon( ) ❑Complete System 011,dividual Components Location Address or Lot No . o SPp I Owner's Name,Address and Tel.NoPC Agos- jr'�e�i Assessor'sMap/Parcel 2�I 2 1��'�A lrF,i A 0*26DI -347•317: Installer's Name,Address,and Tel.No. Seo-& --rop''i 15 Y Designer's Name,Address,and Tel.No. {pS S � -roRR15Ir Qb �' s�' ,�owtci.� pa•g© s`!g lJewNt♦sAar AA r'- 'Y� Type of Building: DwellingNo.of Bedrooms Lot Size /Z a o0 � i sq.ft. Garbage Grinde d Other Type of Building iCf o 1 Q No.of Persons Showers( ) Cafeteria( ) V� Other Fixtures Design Flow(min.required) yQ gpd Design flow provided 1�Jr�.J gpd i Plan Date U y Number of sheets ' Revision Date /j r e Title A R o n JS-eSt Sco b G u p r 0,A�,e Size of Septic Tank /o0L) v,A k Type of S.A.S. eA4fa►&AS Description of Soil e - �' -Aa s:n A Nature of Repairs or Alterations(Answer when applicable) 4357 0l to el,e l . Date last inspected: . Agreement: P The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ned n A ��.�1- Date Application Approved by (� 1 p lieDate Application Disapproved by Date for the following reasons ' Permit No. 2 4 (7 N 9 Date Issued � - }� � o �-7 ---- -____ __ = ---_ - -- ---- --- •--------- ------ --_ = -THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(- ,) - Rep 4ired( ) Upgraded�(� Abandoned( )by t,7 ! r at ') 7 S ; S,I. y, t/ has been constructed in accordance - with the provisions of Title-)5 and t e for Disposal System Construction Permit No.)-o (7-0-2q dated Installer Designer #bedrooms 1" Approved design flow r. Ll C fG gpd The issuance of this permit shall not be construed as a guarantee that the system wiltl�fu cti on`ja designed. Date .Z- Inspector .. No. a 7 Fee •I o U THE COMMONWEALTH OF MASSACHUSETTS �— PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade(/)y Abandon( ) System located at J47 ]�u.d•*rlh and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 1' Provided:Construction must be completed within three years of the date of this permit. j 3 Date. -� ­­7 7 Approved by � ,r/ .;'` Yl,✓ -�r 't r N 1 N SETBACKS RB ZONE I BUILDING SETBACKS (MIN.) w Q W E _ - FRONT YARD 20; DE R YARD : 10' y s I co a - oLOCUS S 0 SEPTIC SETBACKS (MIN.) LEACHING TRENCHES 413 S8 .' '40"E PROPERTY LINES 10, _ . IN 20 _ r:, _ 120.00 :. BUILDINGS NEMARA.CIR - _ `t�lj_Dlivc :-•' - . POST - . :SEPTIC. TANKS �. . CON EX. 1,000 GALLON TANK - -' ` i � . TO BE PUMPED AND' I PROPERTY LINES 10' -PROPER INSEPCTIED LAND: ,% ' - BUI�DINGs 10 1-- CORRECT INLET D W _. Li 1 OUTLET TEES;It ALLED �`� I LL► GARDEN 5 s ,� j LOCUS MAP - W 1,, 800't w i o P TI0 3 1 WALL - GEN ERAL NOTES. o _ .. OWNER: o d" .� 1 AGNOSTINELLI, PETER J.r ! W IN O I 22 ST. JOSEPH STREET _ - EX.- NIS, MA.:02601 i I TO BE PUMPED DEED BK. 11302 PG:.321 U j PLAN BK. 164 PG. 85 - LOT 44 J i _ • }'. I I I o - WITH CLEAN SAND: 2. PROPERTY IS-SHOWN ,ON ASSESSORS: MAP 291;. 7 r _ - MAILB X - io r _ PARCEL 222, , o ;t9, DISTRICT AND AS WITHIN THE WELLEPROTEICTIONE RB (L , NH U LK _ �i ZONING:MAP HEAD _ (0 OVERLAY ,DRIVEWAY TP DISTRICT PER THE TOWN A _ _ .3. PROPERTY LINES fr, (n SHOWN WERE DERIVED FROM CONDUCTED O�, ; . LINES OF OCCUPATION, AND t q FOUND MONUMENTATION. - . 3 o ( E SURVEY TOWN FBARNSTABLEILBOARD OF HEALT RECORDS ROM BY' N84-13'40'; W 120.Op': PARCEL APPEARS 5T0 LIE WITHIN THOE X FLOOD ASTZONE . H. REVISEDPER M M AP JULY 16, -2014 AS SHOWN OFBTHE FEMA ON 5. R LINE DATABASE. - 0 PROPOSED 12.83 WIDE STORAGE : C NER:6 ONCRETE X 33:5'. LONG LEACHING. EL-4955 '6. ELEVATIONS BASED UPON .AN ASSUMED DATUM. AREA WOOD FE E NC SURVEYOR HAS MADE;N0 INVESTIGATION OR, INDEPENDENT SEARCH FOR. EASEMENTS :OF RECORD, ENCUMBRANCES, RESTRICTIVE,OR ANY OTHER FACTS OWNERSHIP TITLE E FACTS THAT µ ANS x � OFry,;s I ACCURATE CURRENT:TITLE SEARCH MAY:: `a SC E© . • o WIN M GLESS,JR ,. ExiSting Grade Inc. o . Surveyors & Civil Engineers ruQ. �1zsa . SCALE CLIENT PROPOSED SEPTIC UPGRADE PO Box.612 FOR DATE: 08/04/16 PRO JECT Dennrsport, MA 02639 .$, �,� 10' 20 ER AGOST NELLI 22 ST. JOSEPH STREET oNAL �. OSEPH .ST. SHEET No. .: PET 508-694-6501 Ph/Fax # NIS,. MA .02601 NIS, MA. 02601 1 of DATE ' :REVISIONS H YAN HYAN SOIL LOG .'TEST HOLE 01 - ELEV.=50.3' ORMU LA. . - NOTES: DEPTH FROM OTHER(STRUCTURE. 1, ALL SYSTEM COMPONENTS S9ALL BE INSTALLED IN COMPLIANCE:.WITH THE STATE:SANITARY..CODE :-DESIGN F ELEVATION TITLE V AND THE TOWN OF BARNSTABLE BOARD OF HEALTH.REQUIREMENTS. SYSTEM REQUIRED. SURFACE SOIL SOIL TEXTURE SqL COLOR SOIL MOTRJNG STONES,BOULDERS, � PROVLDED: (INCHES) (FEET) HORIZON (USDA) (MUNSELL) CONSISTENCY,X GRAVEL) 49.38' A LOAM 10 Y5 3/2,. NONE FRIABLE 2. ANY CHANGE TO THIS.PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND DESIGN.ENGINEER. _ DAILY FLOW: 11'E27*-57 2T 48.05' B LOAMY SAND 10 YR 5/6 NONE FRIABLE: I 4 BEDROOMS 0 110 GPD/BEDROOM: 440 GPD 45.55' C1 MED COURSE SAND 25 Y 6/3 NONE FRIABLE3:' HEAVY EQUIPMENT SHALL NOT TRAVEL OVER DISPOSALSYSTEM DURING OR AFTER CONSTRUCTION. 43.63' C2 MED SAND 2.5 Y 6/2; NONE FRIABLE 4. TIGHT JOINT(T.J) PIPING SHALL CONSIST OF POLYVINYL CHLORIDE (PVC) PIPE, SCHEDULE 40. SEPTIC TANKS: EXISTING 39.3' C3 MED/COURSE SAND 2.5 Y 6/3 NONE FRIABLE ALL PIPES TO BE LAID ON FIRM BASE LAND TO BE WATERTIGHT. ALL:CONNECTIONS:AND,JOINTS ; :440 0 880 GAL ,DOG GAL SHALL BE MECHANICALLY SOUND AND TIGHT. GPD:X 2OO°J TESTED FOR LEVELNESS. SOIL LOG TEST HOLE # :- ELEV.=50.3' LEACHING AREAS* E 5.. DISTRIBUTION SHALL BE WATER TE' J�� 3 CHAMBERS `0 8.5' .LONG x.4.83' WIDE . DEPTH FROM ELEVATION OTHER (STRUCTURE, :.. 6. N0,GARBAGE GRINDER IS ALLOWED. N - - 4' STONE tl 2' EFFECTIVE DEPTH 0 E SURFACE SOIL SOIL,TEXTURE SOIL COLOR SOIL MOTTLING' STONES,BOULDERS. Kr ___ --'- V` _�_ INCHES : 185.3 SF (FEET) :. HORIZON (USDA) (MUNSELL) 7.[DISTRIBUTION BOX SHALL HAVE AN,INLET_.TEE EXTENDING TO ONE INCH ABOVE THE u���l f SIDEWALL:((12.83X2)'+(33.5.Ox2'))x2 429.8 SF (INCHES) CONSISTENCY, x GRAVEL) _.__ _ I1 ; OUTLET INVERT---ELEVAT10N.1 . I I BOTTOM. (12.83 x33.5) 0"-10" 49.47' :. A LOAM : :' 10 Y5 3/2 NONE FRIABLE: . : - _: e' 6 B. SEPTIC TANK SHALL BE EMBOSSED:WITH SEAL STATING CONFORMANCE WITH ASTM C 1227-94. I . 10-30" 47.8'. B LOAMY SAND :AO.YR 5/6 NONE :.: FRIABLE TOTAL: .. ,. NONE :. FRIABLE I _. . . . rn,I� LEACHING CAPACITY. 15 1 SF 30-65 44.47 C1 - MED COURSE SAND 2:5 Y 6/3 9. ALL SEPTIC SYSTEM COMPONENTS SHALL BE:DESIGNED TO WITHSTAND H 10 LOADINGS. 65"-82" - 43.4T C2 MED SAND 2.5 Y 8/2 NONE FRIABLE.. . by' SIDEWALL: 185.3 SF x 0 74:GAL/SF 137.1 GAL 10. :SEPTIC TANKS SHALL BE PROVIDED WITH AT LEAST THREE 20"DIAMETER MANHOLES WITH READIL J� BOTTOM: 429:8. SF x 0 Z4: GALF: 318.0 GAL:. . 82"-132 38.3' C3 MED CWRSE SAND 25 Y 6/3 NONE FRIABLE T'J . . REMOVABLE IMPERMEABLE COVERS OF DURABLE MATERIAL SOIL PERC HOLE - ELEV.=49.5• � . TOTAL; 440 GAL. 4 DEPTH FROM .. OTHER (STRUCTURE.' _ . ELEVATION SOIL TEXTURE SOIL COLOR SOIL M0TILNG STONES,BOULDERS. CONTRACTOR SHALL OVER EXCAVATE LEACHING PIT BOTTOM.TO A DEPTH. SURFACE SOIL 11. BEFORE BA THE.SYSTEM THE CONTRACTOR:SHALL NOTIFY THE BOARD OF HEALTH:.TO:INSPECT.:_ OF FIVE FEET TO VERIFY THAT NO GROUNDWATER.WILL BE;ENCOUNTERED. - (INCHES) (FEET); HORIZON (USDA)' (MUNSELL) CONSISTENCY. x GRAVEL) 0"-10' 49.47' A' LOAM' 10 Y5 3/2 NONE ' FRIABLE 12 CONTRACTOR SHALL COORDINATE MATH THE OF HEALTH TO OBSERVE THE EXCAVATION OF UNSUITABLE SOILS UNDER THE AREA OF THE PROPOSED:LEACHING SYSTEM. 14: ALL UNSUITABLE.SOIL MATERIAL IN AREA OF AND BELOW PROPOSED SOIL LOAMY SAND 10 YR 5/6 NONE FRIABLE ABSORPTION SYSTEM (S.A.S.) SHALL BE REMOVED AND REPLACED WITH CLEAN, 10"-28". 47.8' B CO D WITH W RATE N 28"-66" 44.88 C MED COURSE SAND 2.5 Y 6/3 NONE. FRIABLE ARSE SAND TH A PER CATION RA OF 2 MIN/INCH. CH 15. AREA 5 FEET BEYOND LIMIT OF SOIL ABSORPTION SYSTEM (S.A.S:) SHALL BE - - VA SUIT MATERIAL R - - (NOTED:8, 10 &:13 D0 NOT APPLY FOR THIS DESIGN)- - EXCAVATED OF UNSUITABLE MATE L:TO TOP OF C1 LAYE PERCOLATION TEST BY: SCOTT McGANN FOR: EXISTING GRADE, INC. - BRING A MINIMUM OF ONE WITNESSED BY:. BARNSTABLE BOH AGENET (DIVE STANTON) COVER TO WITHIN 6" OF' FINISHED GRADE. BRING OTHER - DATE. 08/11/15 COVERS:TO WITHIN.12" OF FINISH. GRADE::.. 1: CORROSION RESISTANT GAS BAFFLE SHALL BE PERC RATE: < 2 MPI IN C LAYER PC3 DEPTH 56" ELE.=44.83 4 83'x8 5' LEACHING_ . I SEPTIC:TANK OUTLET TEE (1) :RO O TOP OF FOUNDATIONMBERS MINIMUM ONE ACCESS PORT PER CHAMBERINSTALLED ON NO GROUNDWATER ENOOUNIERED - ELEV=51,T WITH 2" OF 1/8"'-1//2-- .. F.G.=50.7t PROVIDE RDEEP R THHAANN 9F DOUBLE WASHEb: MIN. INSIDE DIMENSION 12" / PEA GRAVEL: PROVIDE WATER 71GHT COVER - :INVERT O ,4 " ". 4" PVC - q a 3/4 TO 1-1/2. BLE 2 OF 1SHE 1�E2"' o ° °� WASHED STONE SEWER�LINE TOP OF EASTONE ELAEV�N47.01'' LE 4 DOUR 48.67 PVC 0 1.JX 35. 24 oq, o p 1= �. .a ASSUMED 6" SUMP 4" PVC ® F.G.=50f 1,,E00 EXISTING 4" 4 47 87N 2X � . SEPTIC INV. OUT: PVC ® 1X 4 4'-10" (ASSUMED) 47.62 : TYPE TYP. 0. 4'-0" ~ 00000 C=C2 cm 000C= >� `0 co 0 0 0..0 0 0 0 0 .o .o .o. INV. IN: I o 0o n `o oo INV. IN o 51, . ,� 0 3 5' 46. 46. 1' __. 5' MINIMUM LEVEL STABLE 6 NV. UT SEPARATION: CRUSHED STONE BASE.t 40.5' 46.64 RBOTTOM OF S BOTTOM OF FROM 3 :MIN.. 2rO;MINI : . 12.5 (LONGEST) WASHED CRUSHED DISTANCE TR 4. ED .ENCH 4 51' TRENCH 44 51 'DOUBLE BOTTOM. OF TRENCH - GROUNDWATER ADD INLET AND OUTLET TEES LEVEL STABLE 6 LEVEL FOR. ENTIRE 6 MIN: AS REQUIRED CRUSHED STONE :BASE USH ; LENGTH2 MIN. CORROSION RESISTANT GAS BAFFLE MAINTAIN 10.0 TYPICAL LEACHING CHAMBER I BY TUFTITE OR APPROVED EQUAL Tr FROM CROSS-SECTION 14" RESERVE -10" MIN. _.MIN (NOT To SCALE) TYPICAL SEPTIC SYSTEM PROFILE � Y Of 144 �. E G �- Existing Grade Inc. H. N M o GLESS,JR. PROPOSED SEPTIC UPGRADE Surveyors & Civil Engineers CLIENT PROP PRo1fi05No: . No.4•i2sa SCALE _ . PO Box 612 �� �o - I PETER AGOSTINELLI - FOR DATE: 08/04/15 Dennisport, MA 02639 ss, a��� ` 22 ST. JOSEPH ST. 22 ST. JOSEPH STREET sHEF' No. _. 508-694-6501 Ph/Fax OVAL E N.T.S. k # DATE j REVISIONS HYANNIS, MA 02601 HYANNIS, MA 02601 2 of 2 J