HomeMy WebLinkAbout0130 SEVENTH AVENUE (HYANNIS) - Health venth. Avenue
Hyannis:: .F
A 245 .062
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TOWN OF BARNSTABLE
LOCATION SEWAGE #
YILLAGE `I 11.1 ASSESSOR'S MAP & LOT 15
INSTALLER'S NAME&PHONE NO. —I1 4: (- 1
SEPTIC TANK CAPACITY 11�, 00 C \ .:
LEACHING FACILITY: (type)- NAAZ.I� �� (size) 50�: hV�C
NO. OF BEDROOMS i l
` BUILDER O WNE O gKAU --K �7-A Y\
PERMITDATE: 14 0 COMPLIANCE DATE: 1-7 0S
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 o
on site or.within 200 feet of leaching facility) SOD Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
[A
- � L -z�
No. U "/ -5-L Fee U
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. �/
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipplitation for 33i.5pooaf Opotem Conotruction 3permit
Application for a Permit to Construct VRepair( )Upgrade( )Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel. o.
Yn
Assessor's Ma azcel _ � �
Installer's Name,
Address,and Tel.No.( �1 /U�iDn Designer's Name,Address an Ted,La V�q& -MIlk W
l N,Qi%
I,UM•�� t v'LJ��J �jj l�t�� J�v� ��7� " v
a?41
�f&n&nType of Building:
Dwelling No.of Bedrooms ize ��--�-�—sq.ft. Garbage Grinder( )
Other 'Ilype of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow o gallons per day. Cal c lated daily flow `�R / gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank -L Type of S.A.S.
Description of Soil {
Nature of Repairs or Alterations(Answer when applicable) n&s
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 E ode and not to place the system in operation until a Certifi-
cate of Compliance has been issued b this
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. aUd Date Issued U
No. Q 3 — �Cl t c; t;.�^" -.`t. fi` Fee
..
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓
Yes
Y� PUBLIC HEALTH DIVISION -TOWN OF-BARNSTABLE., MASSACHUSETTS
t
4 01pprication-lor Mi!6polal *pgtem Com5tructionAdermit
Application for a Permit to Construct�Repair( )Upgrade( )Abandon( ) Complete System El Individual Components
Location Address or Lot No. Owner's Name,Ad ss and Tel.• o.
Assessor's Maff rcel _ Le
�
Installer's Name,Address,and Tel.No.U� �x1�fY70n Designer's Name,Address and Tel N
tom--a-, FbU1(1L65
3�
Type of Building: 3`& Sys 1M
Dwelling No.of Bedrooms ize sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures G
Design Flow -5-5-0 gallons per day. Calculated daily flow ,l q r7 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil �� .�✓�
&J I/ d
Nature of Repairs or Alterations(Answer when applicable) rI �.
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 E4virotnrn tal-Gode and not to place the system in operation until a Certifi-
cate of Compliance has been issued by-thi§ d f e th. r —,U 03
Signed Date �
Application Approved by 1 Date l�`/y`r/3
Application Disapproved for the following reasons e
Permit No. 00 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired( )Upgraded( )
Abandoned( )by �- IDY1 ,Q 0
at ( ft has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No a Uv3-/st/ dated
Installer I. M .Z M1)c 1&-5 Designer , l
The issuance o this permit shall not be construed as a guarantee that the s ste wild;unction a de 'fined.
Date 7�b Inspector k�
No.
;�VV 3 '- U L/ ---------------------------Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
Misspool ZR. pai�r(
em Cou5truction Permit
Permission is hereby''wanted to Construct( )Upgrade( )Abandon )
System located at ✓Q
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:Cons ction must be completed within three years of the date of th} en t.
Date: It�/° Approved by \ "� ,
TOWN OF BARNSTABLE
LOCATION ~JC �� ` �►�i�. SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
245
INSTALLER'S NAME&PHONE NO. 1�1n1 �0Jz �� 'AS01
SEPTIC TANK CAPACITY I4�0 �
LEACHING FACILITY: (type) Y ZLS (size)
NO.OF BEDROOMS
BUILDER O
! PERMITDATE: �I 14'� COMPLIANCE DATE: 0S
I
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Feet
V
Private Water Supply Well and Leaching Facility (If any wells exist SOD ^ Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
i
q � t A- G
-��
Zo VtW, 3q.,
to -tom '
00
�4' �� �
A
o
COMMONWEALTH OF MASSACH
D INSPECTION
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL P
RECEIVED
OCT 8 2002
TOWN OF BARNSTABLE
HEALTH DEPT.
TITLE 5
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION r 4-
Property Address: 130 Seventh Avenue
Hyannisport, MA 02647
Owner's Name: Peter AmoriZgi
Owner's Address: 57 Scenery Lane
Johnston, R102919
Date of Inspection: September 14, 2002 MAP I
PARCEL '
Name of Inspector: (Please Print)James M. Ford LOT S� fl 5 1
Company Name: James M. Ford L
Mailing Address: P.O. Box 49
Osterville,MA 02655-0049
Telephone Number: (508) 862-9400
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
Passes
Conditionally Passes
Nee urther Evaluation by the Local Approving Authority
✓ Fails
Inspector's Signature: Date: September 18, 2002
The system inspector shall subm copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authority.
Notes and Comments
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
Page 2 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, AM
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass" section need to be replaced or
repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass.
Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined", please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
• Page 3 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the
system is not functioning in a manner which will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier, if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
_ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
3
Page 4 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amorizzi
Date of Inspection: September 14, 2002
D. System Failure Criteria applicable to all systems:
You must indicate either"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 '/z day flow
✓ 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
NOTE: Single cesspools jail in the Town of Barnstable.
E. Large System:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd.
You must indicate either`yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
Yes No
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(interim Wellhead Protection Area- 1WPA) or a mapped
Zone 11 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.
4
Page 5 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
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 ?
n/a 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:
Yes No
✓ 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(3)(b)].
5
r
Page 6 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amori gi
Date of Inspection: September 14, 2002
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): n/a Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 2
Does residence have a garbage grinder(yes or no): Yes
Is laundry on a separate sewage system (yes or no): n/a [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): Yes
Water meter readings, if available(last 2 years usage(gpd)): 2002-5,300 gals.; 2001 - 12,800 gals.
Sump Pump(yes or no): Yes
Last date of occupancy: Weekend use
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5 system (yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Pumped approximately 10 years aQo-per owner
Was system pumped as part of the inspection (yes or no): No
If yes, volume pumped: Qallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
Septic tank, distribution box, soil absorption system
✓ Single cesspool
✓ Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be
obtained from system owner)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components, date installed(if known)and source of information:
Unknown
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: cast iron _40 PVC _other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints, venting, evidence of leakage,etc.):
SEPTIC TANK: None (locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene
other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle:
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:
How were dimensions determined:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage, etc.):
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material of construction: _concrete_metal _fiberglass _polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of i l
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, AM
Owner: Peter AmoriQUi
Date of Inspection: September 14, 2002
TIGHT or HOLDING TANK: None (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: Qallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: None (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:
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: None (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.):
8
Page 9 of 1 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, AM
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
SOIL ABSORPTION SYSTEM(SAS): None (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits, number:
leaching chambers, number:
leaching galleries, number:
leaching trenches, number, length:
leaching fields, number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,
etc.):
CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: 2 cesspools
Depth -top of liquid to inlet invert: 5"
Depth of solids layer: 2'
Depth of scum layer: 8"
Dimensions of cesspool: 5'Wx 4'Tx 9'bottom to grade
Materials of construction: Block
Indication of groundwater inflow(yes or no): Yes
Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
Liquid in the cesspool was approximately 5"below the inlet pipe The bath and kitchen flow to this single cesspool A second
bathroom flow to another cesspool
PRIVY: None (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.):
9
Page 10 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amorizzi
Date of Inspection: September 14, 2002
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
k � 3Ac k
B '
a ga- tq
10
. Page l l of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 130 Seventh Avenue
Hyannisport, MA
Owner: Peter Amoriggi
Date of Inspection: September 14, 2002
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
✓ Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators, installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
The bottom of the cesspool to.grade was approximately 9. A sump pump in the basement was approximately 8'below grade.
This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a
warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,
either expressed, written or implied, relating to the system, the inspection andlor this report.
I1
TOP FNDN. = 17.0' SYSTEM PROFILE TEST HOLE LOGS
G(f , (NOT TO SCALE)
ACCESS COVER TO WITHIN 6" OF FIN, GRADE ACCESS COVER (WATERTIGHT) TO ARNE H. OJALA, PE
ENGINEER:
Ir
WITHIN 6" OF FIN. GRADE N
16.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM WITNESS: DAVID STANTON
15.5
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 1/2/O3
\1.3.9 f* PERC. RA7 C 2 MIN/INCH
FOR FIRST 2'
PROPOSED 1500 3' MAX. E Locus
Y q N ,
LLO SEPTIC
13.0 TE4E -
0
12.5' CLASS I SOILS P 10399 FOREst
I 1 3.25 TANK (H- 1 O ) GAS f
BA F� 11.9T 11.s Q Q n o 0 moon
MIN
11.7 1771 0o m ooC7o
( 2 '% SLOPE) �6" CRUSHED STONE OR MECHANICAL Q o o t� (� o o [� o
COMPACTION. (15.221 [21) ��, ,
DEPTH OF FLOW 4' 14 �o�0 2 0 0 0 0 [`�, CD o [5 0 ! .2 9.7' Q ELEV. oc�'N
( 7. SLOPE) ( 1 y SLOPE) O _ 14.7'
TEE SIZES: 5/4" TO 1 1/2" DOUBLE WASHED STOh.E q
INLET DEPTH _ : 10'.
OUTLET DEPTH 14" LS
LOCATION MAP NO SCALE
12., 1OYR 3/2
FOUNDATION---- 11' SEPTIC TANK 7' D' BOX 12' LEACHINI;FACILITY Bw ASSESSORS MAP 245 PARCEL 62
5' LS
10YR 5/4 _
* THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING 26" 12.5'
SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF THE SEPTIC
SYSTEM
NOTE: ALL PLUMBING MUST BE RE-ROUTED TO EXIT FRONT OF
C
DWELLING AND CONNECT TO PROPOSED SEPTIC TANK VIA NOTE: INVERT INTO LEACHING FACILITY 4.7' MS
GRAVITY IS BELOW CRAWLSPACE FLOOR PERC
ELEVATION AND IS 28' TO FULL
FOUNDATION PORTION OF DWELLING
_ 2.5Y 6/4
120" 4.7'
` NO WATER ENCOUNTERED
NOTES.
.� LG. OAK
°i SEPTIC DESIGN: APPROXIMATE MSL
1 .00' (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS
+ 4 12
5, 17 1 SHEDS DESIGN FLOW: _5 BEDROOMS ( 110 GPD) = 550 .GPD 2. MUNICI 11 t?AL WATER 15 EXISTING
6' I,ISE A 550 GPD ')ESIG..
N II n ►. �Is, : ,...
S G-I-Y'S'7 r�:� �/, n...
' „ U' LI✓ SEPTIC THNK: 550 GPD ( 4 ) = 1100 4. DESIGt1 LOADING FOR ALL PRECAST UNITS' TO BE AASHO H- 10
II II _
11 1 �'rI ISO H � 16.1 1910 5. PIPE JOINTS TO BE MADE WATERTIGHT.
7.5 USE A 15___00_ GALLON SEPTIC TANK
6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
16.1 LEACHING:
16.3 1017 ENVIRONMENTAL CODE TITLE V.
►. i I � _ 16.1 /
/ INv 16.6 OD SIDES: PERIMETER = 124.9 (2) (74) - 184 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
USED FOR LOT LINE STAKING.
11. cr TH �1 17.0 FULL AREA = 559 74) = 413 .�
;Li o C / I� o BOTTOM: --- ( 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
x �? • / '' o17 9 TOTAL: 807 597 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
CRAWLSP. S.F. GPD
6.2 + 7 + 18.$
t3.5 FLOOR EL. 14.5' EXIST. DWELL 1 •g INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
I x .5 5' + 4. F TF = 17.0' 7.2 17 USE_(5) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH.
.o c5 EQUAL) IN CONFIGURATION SHOWN (SEE DETAIL) 10, CESSPOOLS TO BE PUMPED AND FILLED WITH CLEAN SAND OR,
I ST ^ A TONE 8 REMOVE A D 5 NECESSARY.
I 16.4 quo LEGEN
BENCH MARK - TOP I 1 .9
OF BARNSTABLE ROAD I
BOUND: EL. 14.1' FLAG STONE 16'7 0 100.0 PROPOSED SPOT ELEVATION
14.1 �u�
+ 16.1 WALK Q TITLE 5 SITE PLAN
I Q 4
o LOT AREA + 16.3 100x0 EXISTING SPOT ELEVATION
I in 7,979t SO. F 16.8
13.o OF
90.00 100 0 PROPOSED CONTOUR 130 16.
SEVENTH AV E N U E
15.7
IN THE TOWN OF:
X X -x x _, 16.9 - 1 OC� EXISTING CONTOUR (WEST)
{-
INV. EXIST. INVERT (+/- LOCATION) HYAN N I S f O R I
FOREST STREET PREPARED FOR: KATHLEEN KUZIAK
ru BOARD OF HEALTH
10.83, 20 0 20 40 60 Feet
3.0' APPROVED DATE MA
3.0' in
o;w SCALE: 1" = 20, DATE: APRIL 2, 2003
0
21.3' off 508-362-4541
M fox 508 362-9880
l f l 2.5'
M
. . 4.0, o
down Cape engineering, inc, �tN of M
o CIVIL ENGINEERS ARNEH. Cyr f>� 9`yJ
CO
� IL OJA
^
LAND SURVEYORS � ;�
H.
LEACH FACILITY DETAIL No. 0792 N
-394 1 ' = 20' 939 main 5t. yarmouth, ma 02675 .o�o� q 1)
'
. OJALA, .E., P.L.S. ADAD E