HomeMy WebLinkAbout0454 SCUDDER AVENUE - Health Lyt
uddebr Avenue';'O
193
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information
required for.every Hyannis MA 02601 08/25/13
page. Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form.Inspection forms may not be altered in any
way.Please see completeness checklist at the end of the form.
Important:When filling out forms A. General Information
,
on the computer, ��
use only the tab 1. Inspector: /��• /,1
key to move your
cursor-do not Michael Kellett
use the return Name of Inspector
key.
Aardvark Environmental Inspections
Company Name
PO Box 896
Company Address
East Dennis MA 02641
City/Town State Zip Code
508-385-7608 SI 3742
Telephone Number license Number
B. Certification ` ' �?
wa E:R
UJ
.
I certify that I have personally inspected the sewage disposal system at this address;`and that thee'
information reported below is true,accurate and complete as of the time of the inspection.The ins'
ectiorra
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 15.340W
Title 5(310 CM 15.000).The system: -t
® Passes ❑ Conditionally Passes ❑ Fails C',, WIN
❑ Needs Further Evaluation by the Local Approving Authority
G 08/28/13
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 d'ays of completing this inspection.If the system is a shared system or
has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP.The original should be sent to the system owner
and copies sent to the buyer,if applicable,and the approving authority.
****This report only describes conditions at the time of.inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins•11/10 Title 5Official Inspection F, :S urface Sewage Disposal System•Page 1 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. CityrFown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary:Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass"section need to be
replaced or repaired.The system,upon completion of the replacement or repair,as approved by
the Board of Health,will pass.
Check the box for"yes","no"or"not determined"(Y,N, ND)for the following statements.If"not
determined,"please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND(Explain below):
t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityrrown state Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N. ❑ ND(Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
El Cesspool or privy within 50 feet of a bordering vegetated wetland or a salt marsh
Gans•11f1 u TCue 5Offcial Inspection Form'.Subswrace Sewage Dspml System•Page 3 o117
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityfrown State Zip Code Date of Inspection
B. Certification (cunt.)
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 aseptic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well*".
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes"or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less
than day flow
t5ins•11/10 Title 50rricial Inspection Form:Subsurface Sewage Deposal System•Page 4 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
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,perforated at a DEP certified
laboratory,for fecal colifornn 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 foan.]
❑ ® 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
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered"yes"in Section D above the large system has failed.The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304.The system owner should contact the appropriate
regional office of the Department.
t5ins•11/10 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
_ Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityrrown 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 (d any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) P10 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
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 1
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings,if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Current
Date
CommerciaUlndustrial 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information:
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) (f 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 VA system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
I
❑ Other(describe)_
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components,date installed(d known)and source of information:
11/08/04 per BOH
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 3.8
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.):
Septic Tank(locate on site plan):
Depth below grade: 3.0
feet
Material of construction:
®concrete ❑metal ❑fiberglass ❑ polyethylene ❑ other(explain)
I
If tank is metal,list age:
years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1,000 gal
Sludge depth:
3"
t5ins-11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityfrown 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
27"
Scum thickness 3
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to bottom of outlet tee or baffle 16"
How were dimensions determined? measured
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert,evidence of leakage,etc.):
The tank was sound and tight with tees in place and liquid at outlet invert.
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
/
❑ concrete ❑metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Citylrown 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.):
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•11/10 Title 5 Official fnspectlon Form:Subsurface Sewage Disposal System•Page 11 of 17
r
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cunt.)
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert even
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 box was level and tight with no sign of carryover.
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.):
Soil Absorption System(SAS) (locate on site plan,excavation not required):
If SAS not located,.explain why:
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
L
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-.Not for Voluntary Assessments
41M 454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 4
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number,dimensions:
❑ overflow cesspool number:
❑ innovative/aftemative system
Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of
vegetation,etc.):
This system has four infiltrators in a 10'x50'stone field.There was no sign of ponding or failure in the
stones.
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
8
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-11110 Idle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 0825/13
page. Cityrrown 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.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,
etc.):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. City/Town state Zip Code Date of Inspection
D. System Information (cunt.)
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
43 54
front
51
105
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 08/25/13
page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
Site Exam:
® Check Slope
❑ Surface water
® Check cellar
❑ Shallow wells
Estimated depth to high ground water: 20.0
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 an elevation of over 20.0 feet.
I
Before filing this Inspection Report,please see Report Completeness Checklist on next page.
t5ins•1 Ill 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
454 Scudder Ave
Property Address
Rita Bell
Owner Owner's Name
information is required for every Hyannis MA 02601 0825/13
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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
t ✓
c TOWN
OF BARNSTABLE
LOCATION �✓ .5(-U ��"'✓ � SEWAGE #
PILLAGE TESSOR'S MAP & LOT—
INSTALLER'S NAME&PHONE NO. 1
SEPTIC TANK CAPACITY " d7b US e-cQ
LEACHING FACILITY: (type) �1•C� iLT7`t (size) 6—a k 161 r
NO.OF BEDROOMS
BUILDER OR OWNER Cr��
PERMTTDATE: Sj Od COMPLIANCE DATE: (.)
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
�f 1
p
i
No. Fee
O Fee
oC Q � ..
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2pplication for MiopooY 6potem ConMrurtion Permit
Application for a Permit to Construct( . j Repair XUpgrade( )Abandon( ) ❑Complete System dividual Components
Location Address or Lot No. 454 Scjd de-r f'A)aQl_e Owner's Name,Address and Tel.No.
Assessor's Map/Parcel +
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
� a 4:�,"c
Co �Co
Type of Building:
Dwelling No.of Bedrooms Lot Size a 5 sq.ft. Garbage Grinder( Nj`
Other Type of Building 3.-X,�r Cyr,Q No.of Persons "?_ Showers(*0 Cafeteria( Y°
Other Fixtures L,6-3'a--kra,. k�t�c�i�et• l AygUe°�
Design Flow 12-2-S-0 gallons per day. Calculated daily flow .44 S t_i�) -gallons.
Plan Date 3I t)4--Number of sheets Revision Date
Title
Size of Septic Tank I, 'A . i ,tracs C% rL Type of S.A.S. tO ` X Sb`1(r-06c, _1 'Alit 14401kocs
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate.of Compliance has been i ued b this Bo ealth � �g�'
Signed Date.'
Application Approved by Date 1
Application Disapproved for the following reasons
Permit No. �® —S Date Issued I S `�
a.
1� Cl> w- No. U l �� / ^� - Fee �/
y ,. Entered in co uter";_''
THE COMMONWEALTH OF MASSACHUSETTS -� .:�,r p Yes
y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pprication for IDigpogal 6pgtem Congtruction Permit
Application for a Permit to Construct( )RepairX Upgrade( )Abandon( ) ❑Complete System,4ndividual Components
Location Address or Lot No. L}54q Se Qd C\Q` Owner's Name,Address and Tel.No.
Assessor's Map/Parcel a ab
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. j C
�,s S"<C �e,Dv\,ZX,,rV A c1 S�l�
Type of Building:
Dwelling , No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( A)lj)
Other Type of Building 1�_ err C�c No. of Persons Showers(t/) Cdfeteria( ✓f
Other Fixtures ArVgr, , LA,),J Q>Z�
Design Flow gallons per day. Calculated daily flow - O gallons.
Plan Date ? 0 Number of sheets Revision Date
Title
Size of Septic Tank q X t 1 ,boo 5j._CA� Type of S.A.S. 10 � X
Description of Soil c A� _o por-1
Natureof Repairs or Alterations(Answer when applicable) ec
4
Date last inspected:
a
Agreement: '
The undersigned agrees to.ensure t_p construct on.and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been lkssued�by this Board of e It
Signed Dat&'
Application Approved by r - Date 11,7,dolv
Application Disapproved for the following reasons
Permit No. UU L/ Date Issued t 375 L/
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY,that the O -site Sewage Disposal System Constructed ( )Repaired ( )Upgraded-�o )
Abandoned( )by G-
at _ 1-,—/ i'Q 1:1 has been constru ted in accordance
with the p rovisions of kle 5 and the fo Dis o al Sy stem Constructio Permit No.2 Uo t1�S-�O) dated
Installer 1i�0 7 Designer n
The issuance of this permit shall not be construed as a guarantee that the system ill fp coon as deI d. +
Date 1 I ���� Inspector /! J ,� ►`�,r
t
r
No. -?1 a �/— S n Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
x1i9pont *pgtem Congtruction Permit
Permission is hereby granted to C nstruct( )R.pair Upgrade(�)Abandon . )
System located at ���1 �. Hm
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: Constructi n must be completed within three years of the date o this perm' .
Date: ! ) t- Approved by . ��
l / TOWN OF BARNSTABLE
� LOCATION
7 �CU �✓ '�. SEWAGE #
VILLAGE ESSOR'S MAP& LOT
INSTALLER'S NAME&PH n ONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (t�'po) (size)
t-�.C�'SuyIl.-5` S ,C
NO.OF BEDROOMS
I
BUILDER OR OWNER �
PERMIT-DATE
( I���_� COMPLIANCE DATE: 104
Separation Distance Between thc:
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
Feet
within 300 feet of leaching facility).
Furnished by
/4--
1 II
t05 '
Town of Barnstable
FTME M Regulatory Services
"+Y Thomas F. Geiler, Director
► BARNSTABLE,
MASS. Public Health Division
1639•
A'ED A Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
.Date:
Designer: ��c'T_���. ��CS Installer: L �
Address: Address:
On \ 1p _ was issued a permit to install a
(date) (installer)
septic system at �Ec-J81&_T based on a design drawn by
(address) �—
dated 1� `(4
'designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic 'system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
7::Ler's rta ure
EN yGN .
6 A`7
No: 1181
esigner's Signature - (Affix De ��, ere)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVIS N. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
TOWN OF BARNSTABLE
LOCATION S`L/ Sv eld e e �✓ SEWAGE #
VILLAGE. ASSESSOR'S MAP & LOTAIJ '/?!T
INSTALLER'S NAME & PHONE NO. I tt cowc {
SEPTIC TANK CAPACITY I co 0
v
` LEACHING FACILITY:(type) (size) lbdd
•e
'NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER �2� �
DATE PERMIT IS SUED:
DATE COMPLIANCE ISSUED: d `
VARIANCE GRANTED: Yes No
.,-
��
�.
��
� ����/C�
Q
���
1
��
�.
.L
Y
"1
r
k TOWN OF BARNSTABLE
LOCATION q 5 q � e..r Ve1.1/F SEWAGE # Fcj `0�7
VILLAGE j+)fA� �a�— ASSESSOR'S MAP Cz LOT
INSTALLER'S NAME 6z PHONE NO. r, �A PT-_L.,4tgY) ej1 Ce
SEPTIC TANK CAPACITY ef X-G ST`I tV:S 6-rSS cdi--u 5 r�
LEACHING FACILITY:(type) (size) '640 wJ �
NO. OF BEDROOMS PRIVATE WELL OR BLIC R✓
BUILDER OR OWNER gip,gs-r( l`�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
5
sJ �N ryv
qq $ 30 .00
No....1...APPROVE� Fps..............................
B able 7Depiarnt��ntTHE COMMONWEALTH OF MASSACHUSETTS
93
BOARD OF HEALTH ���^�
'igned Date TOWN OF BARNSTABLE
Appliration for Diopwial Works Tomitrnrtion Errant
Application is hereby made for a Permit to Construct ( ) or Rcpair gX) an Individual Sewage Disposal
System at:
Scudder Ave Hyannisport ,Mass _
.... ------••-----------•------------------•--•---------------•--------.....-----•--------....------...
Location-Address or Lot No.
1----------------------•----•-••-------------•-------------------. -------------------------•---------------•-------•••-•----•------•---------------.....--•-••----•-
Owner Address
W J .P.Macomber. ........
a •--•-••-----.M
Installer Address
UType of Building Size Lot............................Sq. feet
,� Dwelling X-No. of Bedrooms-------------3-----------------------------Expansion Attic ( ) Garbage Grinder ( )
04 Other—T e of Building --------------- No. of ersons--..........---......------. Showers — Cafeteria
a YP g ------------- P ( ) ( )
a' Other fixtures ---------------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitv............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. I................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.---....................
94 -------------•--------------------------------------------------• ..................
•-----------------------------•----•--•------••--------------------------
0 Description of Soil-------------------------------------•----------------------------------------------------------...--------------------•----•-----------------•-•---••••---•--------•...
W Sand & Gravel
V ....-------•-•-•••-------•-------••-•----------------•-•------------------------------•--•••••••------------•-•-••-•-----•---------------•--•...------------••------------------.............•--•-•---•--
W
UNature of Repairs or Alterations Answer when applicable.------Omit two cesspools
dd =iD00 gallon tank to existing - pit:
-----------------------------------------•---•----
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complia e has been 'ssu by the board 9f health.
Signed --- ----- - 4/4 9 4
.. ............. .. �,��.`��� .... ..........-..._. .Date......-...........
Application Approved By -----------------. ...... ......��L/
Application Disapproved for the following reasons: ------------------------------------------------ -------------------------------- ------------------------------------------------
............. ............................. ...................................................... ........................................
PermitNo. ........7�... ----------------- Issued ......................................................... to-----
Date
—.—_—.————— — — _—_——_——.——.——---.—_—.—_——.
/' �•�- $
No........7...-1 3:J Fps 30.00..........................0
THE COMMONWEALTH OF MASSACHUSETTS /
i
BOARD OF HEALTH
'�� �YTOWN OF BARNSTABLE
ApV trtt#inn for Mirpoiittl Workii Tomitrnr#"inn rami#
Application is hereby made for a Permit to Construct ( ) or Repair KX) an Individual Sewage Disposal
System at:
Scudder Ave Hyannisport,Mass:
Location•tlddrr•ss or Lot No.
Owner Address
aJ.P..Macomber Jr...................................................... .......••------•---•-----.....-'--•-•'--•-'-----•-----•--•-------.......--'---......------'.----•-
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling x-No. of Bedrooms..............-----------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons.-..-..--..----------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ------------------------------- - -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitv------------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 ( )
0.4 Percolation Test Results Performed bY.........................................................................- Date........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 ....--•---•'-----------•.................'---------'-----................---...---•--"-'-"-'------......................................
._.......
-...
......
0 Description of Soil..............................----......•-----•---------------------------------------------•-•--•--•---------------•--'...--'-----••-••--•••......•-'•---•----•..----'
x Sand & Gravel
V -'----...----•"--"-•-•-----•-•••'--'-------'•-•-•--•--•-'-•'•--'---'--•-'•-'-----•--•-----•-••--"-•••---•----•--••------•--'-•---•-----'--•••----••-'----------•----'-----------•--•-•--'-'--'•......
---------------......... ---••-'-----------........----•---•---•----------------••--------•-------•---••-••-'-'---.......--
U Nature of Repairs or Alterations—Answer when applicable....- Omit two Cesspools
_
�d a---i�=3•D O.O---gal"T on---t-a ri k----t o---ex i s V rig----Te-... h---p"i t--------------•-------------------------
-----------------------------------
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed . /��1 .. /� 4/4�4
Application Approved BY .................. _ �.�.,^ ..... 4-/
_ ----.. .-........-..
Dale
Application Disapproved for the following reasons: ................................ . .......................................... --- ...................................
.. . ........ . ........... ...... .... .................. .......... .... .................... . . . ........................... . -- ... ........
�, : .......................
Date
Permit No. --------7.-c-/.. ....�.............. ........ Issued ------------------------
------------------------------------- -----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
u ertifirate of (VILT11jamplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX )
by J.P.Macombere Jr .
----- ------ ------------------ -------------------------------------------------------------------- ......... .......
----------
Inst"'
Scudder Ave Hyannisport,Mass.
at ..----------.....------------------------------------------------ ------------------------------ ---...---------------------------------------------------------------------------..-----------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. -------- .-�f.-.�,�''.S dated ......._......_........._................_.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
e` - _... Inspectors - �2-7..-
DATE .... `- --- ----- .
THE COMMONWEALTH OF MASSACHUSETTS
'BOARD OF HEALTH
No. a1-t!'-... FEE....
1 TOWN OF BARNSTABLE $.c30. . .00.
. 13 J ................
�t��rnsttl nrk� �nn�#r�tr#inn �rrnti#
J.P.Macomber Jr.
Permissionis hereby granted..............................................................................................................................................
to Construct ) or Repair <`(,X ) an Individual Sewage Disposal System
at No.
^udder Ave Hyannisport,Mass.
----•----------- '-----
Street q
as shown on the application for Disposal Works Construction Permit No.-/;��3`� Dated..........
..-'.
..-----•......--'-'•..........l : -- ---------------------------------------- .................
DATE................... ..... ................................ Board of Health
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
-- --- -- -SECTION A -A -- - ------- - .;.,•�, �,.,� P
O
10' min. from *NOTE- ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE Least 24 inches tall) ALL OUTLET PIPES FROM THE
Exlstlno Foandatlw house to septic tank{ Schedule 40 PVC w/Charcool Odor Filter PROFILE VIEW OF ADDITION TO LEACHING SYSTEM DismsunoN sox sHA CaRCRE'1E COVER
LL BE 12• t `
SET LEVEL FOR AT LEAST 2 FT.
TOP OF FOUNDATION ELEV. 100.00 (Assumed) Septic tank covers must be -> --
within 6 in. of finished grade '�� 3 - S• OUTLET ��•, ,a�, 2 Mt>�� ! _,3
�Grade over Septic Tank - 98.50 Grade over D-Box - 99.00 ads ow SAS - 96.00 - 96.00 3" Of 1/8" - 1/2• Washed Peastane KNOO(OUTS
3/4" to 1 1/2 ' Washed Crushed Stone vv``{' y the
1 i
•Yq I •
I - , -13.6" OUTLET ', I ^ tY INLET
S \ 4• PVC (CAPPED)INSPECTION PORT TO BE : 1
0.02 3 HOLE H-1U �� J t
DIST BOX
3' Ma>,Imum Cover Top Loud - Elw. �9S.2S - 1 •iIIw84C9��e
N to' EXIST. S�O.01 or Greater Top of SAS - Elev. �94.73 INSTALLED AND TO BE NITHIN 8" OF GRADE �.
McY1Kr
EXIST. PIPE N 0 1,000 GAL. S- 001" per foot or greater I C.
~1ss' 4' - SCH. 40 Ter +
fRaA EXIST. FOtMDAT N SEPTIC TANK 106' 0" Effective Depth 1 "
N 01 o PLAN SECTION CROSS-SECTION
to � 7 Units a 6.25' 44.00• ss,�
CONCRETE FULL FotN1DA o' II H-10 ii J*i Q, 0.83' (10 inches) M i, c
u O'
SYSTEM PROFILE u 8 In 3/4"-1 ,ir ;; u a 4'- 3 3 HOLE H-10 DISTRIBUTION BOX v '
compacted stone c rn o' NOT TO SCALE~ / y
Not to Scale - - �t
c T' 4' I 4' Effective LengthfMoiY�OCee��Ym>91sMA� \ / I
11
�-2.5 o SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES
s 6 In.of 3/4'-1 1/2" g 10'
compacted stone Effective 'raft' INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE ❑'BRIEN
m 1. Contractor is responsible for Digsafe notification
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE
(OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
Bottom-of Test Hole 1 Elev.-86.00 NOTE: OVERALL HEIGHT OF INFILTRATOR is 18" /EFFECTIVE HEIGHT IS 10" 2. The septic„tank anq distri u$ion box shall be set
------- -------------------------
♦Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED level on 6 of 3/4 -1 1/2 stone.
3. Backfill should be clean sand or gravel with no
stones over 3" in size.
4. This system is subject to inspection during installation
' by Carmen E. Shay - Environmental Services, Inc.
PERCOLATION TEST ,-�'���� 5. The contractor shall install this system in accordance
with Title V of the Massachusetts state code, the approved plan
and Local Regulations.
Date of Percolation Test: OCTOBER 22, 2004 6. If, during installation the contractor encounters any
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. soil conditions or site conditions that ore different
Results Witnessed By: WAIVER (per Barnstable B.O.H.) + 09 �,'
Excavated By. SHAY ENVIRONMENTAL SERVICES, INC. PROJECT BENCH MARK design
50 , installation must halt & immediate notification be
from those shown on the soil log or in our
Percolation Rote: Less Than <2 MPI TOP OF FOUNDATION 2�d ,' p
ELEV. = 100.00 (Assumed) N made to Carmen E. Shay - Environmental Services, Inc.
7. No vehicle or heavy machinery shall drive over the
EXIST. �'? septic system unless noted as H-20 septic components.
CARRAGE W 8. Install Tuf-Tite gas baffles or equals on al! outlet tee ends.
Test Hole 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
No. 1
10. All solid piping, tees & fittings shall be 4" diameter
DEPTH SOILS ELEV. �/9 j Schedule 40 NSF PVC pipes with water tight joints.
0 97.00 'Loamy '
' 4a 11. Municipal Water is Available to The Residence and Abutting
i� 7
Sand 3 Properties Within 150 Feet.
i
10 YR 3/2 �� \
0'-8" A/E 96.33THE
Loamy ��/ EXIST. 1000 gal. \�� COMPI PROPERTY LINES APPROXIMATE
D ROMTE SURVEYPLANAND
Son Failed Septic Tank �.``
ENTITLED - "CERTIFIED PLOT PLAN OF #454 SCUDDER AVENUE,
10 rR 5/6 _ Lea4 Pit \� HYANNIS, MA", DATED November 9, 1992, BY DOWN CAPE ENGINEERING
8"- 36" 8e 94.00 /� / O
I � � '�► PLAN BOK 491, PAGE 85, AND IS NOT INTENDED TO BE A SURVEY PLOT
Med. \ /� -- -----1 00 PLAN. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
Sand �-, % \\ h� THE SEPTIC SYSTEM INSTALLATION.
2.5 r 5/6 91.00 EXIST. ,fig
36"- 72
Med. l GARAGE \\ �� EXISTING LEACH PITS TO BE PUMPED OUT AND
SAND FILLED IN PLACE OR REMOVED TO FACILITATE INSTALLATION OF NEW SAS.
2.sr7/4
i
72"- 132 6.00 Z EXISTING "'ti NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
3 BEDROOM � FROM THE EXISTING LEACH PITS TO BE DISPOSED
I w HOUSE �\ � LOT #2 OF AS PER BOARD OF HEALTH SPECIFICATIONS.
• ' i #454 `� NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY
O t
+1 \\ ASPHALT \\ ASSESSORS MAP 288, PARCEL 193
Perc #1 Ca 1 \\ DRIVEWAY \�\
Depth to Perc: 40" to 58" �; i\ �,, ` g� LEGEND
Perc Rate- Less Than 2 MPI \ ,
Observed ESHWT® - NONE OBS.- 132" Assumed � DENOTES PROPOSED
ADJUSTED H2O Elev. NONE OBS. - 132" Assumed `� 2 �� ,' \ Z SPOT GRADE
`\\ � DENOTES EXISTING
\ 4,• x 104.46 SPOT GRADE
\
9' ' " ' 2 - `� \\cD w, PL PROPERTY LINE
' 96P PROPOSED CONTOUR
TEST HOLE #1 - - - - -
-97 EXISTING CONTOUR
q(� ELEV.= 97.00 � ry LOT #1 ` \
2-16• DIAM. ACCESS MANHOLES 1A \` \` DEEP TEST HOLE &
�yh'(, �. 12,265 Square Feet +/-\ `\ PERCOLATION TEST LOCATION
s' 94 -- yK e \
.�', ::•.;.r�.,••:. .�• } `�\ D-Box ty \\ '-, �----• 6 FOOT STOCKADE FENCE
96
•` b
y \
INLET +�5
au ET t: *}. : P LOT P LAN
THE ACCESS COVERS FOR THE SEPTIC TANK, 0 \ \
DISTRIBUTION BOX AND LEACHING COMPONENT f \ \ \\
SET DEEPER THAN 6 INCHES BELOW OF
FINISHED 6' ` O 1- PROPOSED SEPTIC SYSTEM UPGRADE
GRADE SHALT BE RAISED TO WITHIN 6" OF I \ t \
• NISHED GRADE. \
STEEL REINFORCED PRECAST CONCRETE �� 17 5' \ \ \
PLAN VIEW INSTALL TVF-TrtE GAS BAFFLES OR EQUALS \\ �\ PREPARED FOR
144.72' . AUSTIN 8c RITA BELL
3-24' REMOVABLE COVERS
I i "� S 52d 33' 30" W �� AT
.- ,. ------------ `---- 454 AVENUE
_ 3• min. ciewonce ^ TT - - T �j SCUDDER
INLET 6• min.T_12: mM. Inlet to outlet 8. mY1 OUTLET 13' INLET'Y � C UDDER -A Y �1 V L L
'' (40 FOOT RIGHT OF WA") HYANNIS , M A
•` t0��min. ' i u' '�
E �. } u Liquid depth Des gn Calculatl - oFM PREPARED BY:
' os qNumber of Bedroom 3 Eq alent to 330 Gal./Day a�P\�H ASs9
' Garbage Grinder: No =v R N cyG CAR�1�'N E. �SHA Y
_ r,: •, . ....,.s.; ,. .. - .•j Leaching Capacity Proposed: 440 Gal./Day _s
6'-0• 4' -10' Septic Tank - 2 x 440 Gal./Day = 880 USE EXIST. 1,000 GAL. Septic Tank. O 20 40 50 0 e INC.
CROSS SECTION END-SECTION SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch U �S ENVIRONMENTAL SERVICES,
Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. = 370 gallon! o. 1
Sidewall Area: 0.74 gal./sq. ft. x 99.6 sq. ft. = 73.7 gallons O P.O. BOX 627
TYPICAL 1 000 GALLON SEPTIC TANK I �Sq isT1~�� EAST FALMOUTH, MA 02536
Providing: = 443.70 gallons
NITAR\Pa TEL/FAX : 508-539-7966
NOT TO SCALE Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, FIAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1 =20'
TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE SCALE: 1 "=20' DRAWN BY: CES ATE: NOVEMBER 3, 2004
ON THE ENDS. NO STONE UNDER. PROJECT#SD656 FILENAME: SD656PP.DWG SHEET 1 OF 1