HomeMy WebLinkAbout0025 SHOREY ROAD - Health 25 Shorey Road
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Hyannis P
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No. 5 Fei 1 00 00
THE COMMONWEALTH OF MASSACHUSItTTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprtcation for Migpogar *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. —
i)�r Sborey Rd, W Hyannisport Karen DaSilva
Assessor's ap arce 267/77 25 Shorey Rd, Hyannis
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—
Wm E Robinson Sr Septic Eco-Tech
PO BOx 1089, Centerville 43 Triangle Cir, Sandwich
Type of Building:
Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(no)
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil 1
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 C F t�'1
system to plans of Eco—Tech, #ETE 1921 .
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this. oar f Health. �
S' ned Date y
Application Approved Date
Application Disapproved for the following reasons
Permit No. � 5 '—� ?� Date Issued a& -O
No. ,� ,- Fee
+THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: :+�
Yes
PUBLIC HEALTH DIVISION - TOWN .OF BARNSTABLES MASSACHUSETTS
i
01ppfication for 30i0po5ar *pztem Construction Permit
t
Application for a Perna[to Construct( )Repair`(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
771
Location Address or Lot No. ; 'y Owner's Name,Address and Tel.No. 3
80
25 Shorey Rd, W Hyannis ort Karen DaSlva
Assessor'sMap/Parcel 267 J77 + 25 Shorey Rd, Hyannis
775-877.6 -
Installer's Name,Address,and Tel,.No. � �,, } •� � Designer's Name,Address and Tel:No.
Wm E Robinson `;S{r Septic Eco—Tech
PO Bpx 1089' eent,erville ,. 43 Triangle Cir -Sandwich
is
Type bf Building: _, e ,;
'f Dwelling °No of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(no)
Other Type of Building 1 No. of Persons Showers( ) Cafeteria.( )
Other Fixtures d
+ Design Flow " gallons per day. 'Calculated daily flow gallons.
n�i R
Plan Date t Number of sheets ?' Revision Date
Title
Size of Septic Tank t j V i Type of•S.A.S.
Description of Soil
Nature of Repairs or Alterations(Agswer;when applicable) n s to 11 a new Title 5 septic {
$ygtpm Ito plans o , EcQ-Tech,; #;`ETE 11921
Date•last inspected
4t h+v�bR 4 a Vuk
Agreement o',.
The' undersigned agrees to ensure the construction and maintenance
of the afore described on-site sewage disposal system
in accordance w th,the provisions ofATitle 5 of the Environmental Code and not to place the system in operation until a C,ertifi-
cate of Compliance`has;beenjssued'by this oar f Health.
t �t�,��,a Slgned t , r Date
Ott" ,'..
PPApprovedr 4y- r
• Application �b= '" ..+-. ►. Date
Application Disapproved for the following reasons t'
�-
Q
a>'� Permit No. Date Issued `
4.
t THE:COMMONWEALTH OF MASSACHUSETTS t
BARNSTABLE, MASSACHUSETTS
s baSilva r
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired ( Y�)Upgraded
:Abandoned( )by Wm E to Di4son Sr Septic Service
25 Shorey Road W H. annisort
at p has been constructed/in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.'O�.5 G� dated �!'F! '.
Installer h'h �x� Designer fo ,r
The issuance of this' �'t,shal not be construed as a guarantee that t e syste '1 un tion as designed.
Date 1 l Inspecto e
t
FV0 0.0 0
1 DaSil ail' THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DII SION - BARNSTABLES MASSACHUSETTS
ligpo$al 645tem CCongtruction Permit
Permission is hereby ranted to Construct( )Repair(X )Upgrade( )Abandon( )
System located at Shorey Road, W.NHyannisport
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the(d'ate of this pgptnit. _
Date: ApproJed by_ L
Town of Barnstable
j"E' tia� Regulatory Services
Thomas F. Geiler,Director
» BARNSTABLE,
9 MASS. g Public Health Division
....... p i639•
sEn '� Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: �`✓
Designer: Eco-Tech Installer: Wm E Robinson Sr Septic
Service
Address: 43 Triangle Circle Address: PO Box 1089
Sandwich Centerville
On Wm E Robinson Sr Septt as issued a permit to install a
(date) (installer) S e ry i c e
septic system at 25 Shorey Rd, W Hyannisport based on a design drawn by
(address)
Eco-Tech dated 02-26-05
(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.
p� DAVID Oy
3R D.
o
(In aller s Signature) CQ'JGHAi,!O,yfi q� v
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. 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 BWSTABLE
LOCATION 0l S" S ca r c;�' C� 'SEWAGE # 06
VILLAGE �A Y A A.)At) `� �'r �` ASSESSOR'S MAP &LOT20 7
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
(size)
LEACHING FACILITY: (type)
NO.OF BEDROOMS
BUILDER O^ v�i �
9 N 2 S— COMPLIANCE DATE:
' PERMTTDATE: 3 � I
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
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c� CY)
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIR
DEPARTMENT OF ENVIRONMENTAL PRO
T ON
ONE WINTER STREET. BOSTON. MA 02108 617-292-5500 � j�
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�k ar
s
WILLIAM F.WELD Thomas Ciardel ri99TRUD� XE
Governor
ARGEO PAUL CELLUCCI DAV1 RUHS
Lt.Governor SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM o issioner
PART A Z
CERTIFICATION .
Property Address:25 Shores Road , Hyannis , MA Address of Owner: 48 E . Lynwood. Ave .
Date of Inspection: .7 —4z13 -9 (If different) Paramus , NJ 07652
Name of Inspector: Wm E Robinson Sr
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: dim E Robinson Septic Service
Mailing Address: PO Box 1 089 , CPnt-c-rvi 1 it P , MA 02632
Telephone Numbers 5 0 8 7 7 5_R 7 7
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 inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-si7se%,v,,ge disposal systems. The system:
es
_ Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signature: Date:
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
INSPECTION SUMMARY: Cliecke�, B, C, or D:
AI SYSTE PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303:
Any failure criteria norevaluated are indicated below.
COMMENTS:
)BI
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. ,
I dicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not.
_ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or j
the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank
as approved by the Board of Health.'
(zevisad 04/25/97) Page 1 of 10
DEP on the World Wide Web: http:Uwww.magnet.state.ma.us/dep
`J Printed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
r .
" CERTIFICATION (continued)
\25 Shorey Road., Hyannis , MA
j�P++roperty Add s: `4
(+Owner: lomas Ciard.ella
: . ,abate of Inspection:'_, -9 7
�B) SY,STEM',CONDITIONALLY PASSES (continued)
_ .Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box•is levelled or replaced
due to broken.or obstructed pipe(s). The system will pass
The system required pumping more than four times a year
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
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 the
pu lic health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT HEALTH AND SAFETY AND THE ENVIRONMENT:
SYSTEM
IS :OT FUNCTIONING IN A MANNER
HICH WILL PROTECT THE PUBLIC
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.
ETE
SYSTEM WILL FAIL UNTHE
INBOARD
A MANONER HEALTH
THAT PROTECTS THEE PUBLC H SUPPLIER,
EALTH AND SAFOETY ANDT HERMINES THA'
THE SYSTEM IS FUNCTIONING
ENVIRONMENT:
The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply o
tributary to a surface water supply.
The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
Y from a
i less than 100 feet but 50 feet
or more
k and soil absorption system and the SAS s
n Y
The system has a sept
ic to P
Y indicates th
private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds
the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to c
less than 5 ppm. Method used to determine distance (approximation not valid).
3) OTHER
(revised 04/25/97) Page 2 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 25 Shore,y Road., Hyannis , MA
Owner: Thomas Ciard.ella
Date of Inspection: 3
D] SYSTEM FAILS:
You ust indicate ei;!,er "Yes" or "No" as to each of the following:
1 have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Yes o
Backup of sewage into facility or system component due to an 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 112 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E] LARG SYSTEM FAILS: i
You mus indicate either "Yes" or "No" as to each of the following:
he following criteria apply to large systems in addition to the criteria above:
he system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to
ublic health and safety and the environment because one or more of the following conditions exist:
Yes o
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)
The owne or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requiremen s of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04/25/97) Page 3 of 10 ,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: �5 Shore,y Road., Hyannis , MA
Owner: Thomas Ciardella
Date of Inspection:. ,;L j_q
Check if the following have been done: You must indicate either "Yes" or"No" as to each of the following:
Yes No
/ Pumping information was provided by the owner, occupant, or Board of Health.
v _ None of the system components have been pumped for at least two weeks and the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or
/ as part of this inspection.
✓ _ As built plans have been obtained and examined. Note if they are not available with N/A.
The facility or dwelling was inspected for signs of sewage back-up.
V _ The system does not receive non-sanitary or industrial waste flow.
The site was inspected for signs of breakout.
_ All system components, excluding the Soil Absorption System, have been located on the site.
_ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of
baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
/ The size and location of the Soil Absorption System on the site has been determined based on:
The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of
/ Sub-Surface Disposal System.
V _ Existing information. Ex. Plan at B.O.H.
_ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is
���✓✓✓ unacceptable) [15.302(3)(b))
3
(revised 04/25/97) page 4 of 10
f-
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
'SYSTEM INFORMATION
Property Address: ?5 Shorey Road , Hyannis , MA
Owner: Thomas Ciardella
Date of Inspection: ;L3-9
FLOW CONDITIONS
RESIDENTIAL:
Design flow: f/5/0 g.p.d./bedroom for S.A.S. .
Number of bedrooms:��/
Number of current residents:
Garbage grinder (yes or no):__AD
Laundry connected to system (yes or no)
X-9--Jr
Seasonal use (yes or no):,/- e)
Water meter readings, if available (last two (2) year usage (gpd): 1 Q 6t7 , 75n ggl .
Sump Pump (yes or no): G 1997 45, 750 gal.
Last date of occupancy:
C MMERCIALIINDUSTRIAL
Ty of establishment:
Desi n flow: gallons/day
Grea a trap present: (yes or no)_
Indus rial Waste Holding Tank present: (yes or no)_
Non-s nitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last d to of occupancy:
OT R: (Describe)
Last f occupancy:
GENERAL INFORMATION
PUMPING RECORDS a source of information:
/Q
System p ped as part of inspection: (yes or no) "z
If yes, volume pumped: ,!O allon�
Reason for pumping: A c 5 J 7
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
mgle cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any) ,
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information:Q,!� ')Z&-j
Sewage odors detected when arriving at the site: (yes or no)
(revised 04/25/97) Page 5 of 10 s
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 25 Shore,y Road., Hyannis , MA
Owner: Thomas Ciard.ella
Date of Inspection: 1 3.•�`�
NLDING SEWER:
o ate on site plan)
Dep h below grade:
Mat rial of construction: _cast iron _40 PVC_other (explain)
Dist nce from private water supply well or suction line
Dia eter
Co ments: (condition of joints, venting, evidence of leakage, etc.)
SEP IC TANK:_
(locat on site plan)
Depth elow grade:
Materia of construction: _concrete _metal _Fiberglass _PolXeneother(explain)
If tank i metal, list age _ Is age confirmed/ea, mpliance _(Yes/No)
Dimens ns:
Sludge epth:
Distan from top of sludge to bottom of outle
Scum hickness:
Distan a from top of scum to top of outlet tee
Distan from bottom of scum to bottom of ou
How di ensions were determined:
Comme ts:
(recomm ndation for pumping, conditi of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.
GREASE TRAP:
(locate o site plan)
Depth be) w grade:
Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain)
Dimension :
Scum thic ess:
Distance f om top of scum to top of outlet tee or baffle:
Distance om bottom of scum to bottom of outlet tee or baffle:
Date of I st pumping:
Com ts:
(recom endation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
(revised 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address.25 Shorey Road., Hyannis , MA
Owner: Thomas Ciardella
Date of Inspection:
TI HT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection)
No to on site plan)
Depth below grade:
Materi I of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain)
Dimensi ns
Capacity gallons
Design f w: gallons/day
Alarm le el: Alarm in working order_Yes; No
Date of revious pumping:
Comme ts:
(conditi n of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
(Locate on site plan)
Depth of liquid level above outlet invert _
Comments:
(note if level and distribution is equal, evide ne of solids carryover, evidence of leakage into or out of box, etc.)
PU P CHAMBER:
(lo a on site plan)
Pump in working order: (Yes or No)
Alarm in working order (Yes or No)
Com nts _
(note ondition of pump chamber, condition of pumps and appurtenances, etc.)
- p
(
V� 04 25 9 re lead 7 Page 7 0`of 1 ,
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 25 Shorey Road., Hyannis , MA
Owner: Thomas Ciardella
Date of Inspection: ;.—a-3"
SOIL ABSORPTION SYSTEM (SAS):v
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number: I
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
Name of Technology:
Comments:
(note conditio� of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
�a R C e esI �,� c 6
CESSPOOLS: _
(locate on site plan)
Number and configuration:'�__d'g
Depth-top of liquid to inlet invert: S�
Depth of solids layer: J_L1
Depth of scum layer:
Dimensions of cesspool:
Materials of construction: /o0 )
Indication of groundwater: /L 6
inflow (cesspool must be pumped as part of inspection)
Comments:
(note condition of soil, si ns of hydraulic failure, level of ponding, condition of vegetation, etc.)
2—;L "a
PR
(lo to on site plan)
Mat rials of construction: Dimensions:
Dep of solids:
Co ents:
(not condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 04/25/97) Page 8 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 25 Shorey Road., Hyannis , MA
Owner: Thomas Ciard.ella
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
<6
3 a' )
LI �
L�
(revised 04/25/97) Page 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
25 Shorey Road., Hyannis , MA
Address:
Property 'Thoa
Owner. s Ciardella '
Date of Inspection:,Z
Depth to Groundwater Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observation of Site (Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators, installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation. (Must be completed)
�t
• l
(revised 04/25/97)' Page 10 of 10
r
FLOW PROFILE ALL PPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS . VENT '
PIPE ,
S~
TOP OF FOUNDATION RAISE COVERS TO WITHIN
EL - 39.25 +- 6 in OF FINAL GRADE
ONE INSPECTION RISER FOR
LEACHING GALLERY
ZZANN
/ 3 ft 2- LAYER OF 1/8'
3- DROP MAX 10 /2 STONE
FLOW LINE
10'
7{ 14-
48' GASH PRECAST 3/4--1 1/4-
BAFFLE DRYWELL STONE
35.00 6 in BOTTOM OF
38.58 STONE LEACHING SOIL ABSORPTIO
E)USTNG BASE \,34.,38 SYSTEM
35.25 6 in STONE BASE 34.55 GALLERY
34.25 5.00 ft
1500 GALLON (END VIEW) .32.25
-35J rt SEPTIC TANK 21.6 ft o1 5 ft 12.5 ft
b) 13 ft
ESTIMATED 13.39
SEASONAL HIGH
GROUNDWATER
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SOIL. TEST LOG DATE OF TEST: FEBRUARY 23. 2005 .
SOIL EVALUATOR: DAVID D. COUGHANOWR.. RS
WITNESS REQUIREMENT WAIVED NO VARIANCES SOUGHT DESIGN CALCULATIONS-
NO
TEST PIT I PARENT MATERIAL: E ROGLACIALDOUTWASH
PERC AT 56 in : 2 MIN/INCH IN C SOILS DESIGN FLOW: 4 BEDROOMS X 110 GPD - 440 GPD
ELEVATION - 37.95
SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS
(INCHES) HORIZON TEXTU OEPTH SOIL USDA IL OIL EOLUOR MOTTLING SOIL OTHER INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
37.95 DISTRIBUTION BOX: USE 3 OUTLET D-BOX,
0-6 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE
SOIL ABSORBTION SYSTEM: A 33.5 ft 'x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH
6-43 B LOAMY SAND 10 YR 4/6. NONE LOOSE Abot - (33.5 x 12.5 ) 418.75 sf
34.37 43-144 C MEDIUM TO 10 YR 6/4 NONE LOOSE A s d w - ( 3 3.5 + 3 3.5 12.5 + 12.5 ) x 2 - 184.0 sf
COARSE SAND Atot - 602.75 sf
25.95 Vt 0.74 x 602.75 - 446.03 GPD
USE A 33.5 ft x 12.5 - ft x 2 ft GALLERY. Vt - 446.03 GPD > 440 `GPD REOUIRED
GROUNDWATER ADJUSTMENT
EXISTING GROUNDWATER LEVEL
BASED ON TOWN OF BARBSTABLE
GIS DEPARTMENT RECORDS.
LEACHING GALLERY CONSTRUCTION 500 GALLON DRYWELL
INDICATED GW 10.00 DETAIL DPENSIONS AND DETAIL
INDEX WELL MIW-29 WIGGINS CONCRETE 500 LW H!0 I.WT
ZONE C GALLON PRECAST DRYWELL
READING DATE JAN 2004 LEACHING UNIT OR ?4 i► EFF. QEPTH RIS RISER T WI INSPECTION
READING 8.6 EOUIVALENT STONE A hS OF FNALSI'VGRADE
ADJUSTMENT 3.9 Q AND IVDICATE LOCATION
ADJUSTED GW 13.9 33.5 f r ON AS-BUILT PLAN
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NO T ES
N O O O v �i o00040�4�00 N0�p�1,1
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1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN
2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 14.0
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 33.5 ft n
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED, OR REMOVED
6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE SEWAGE DISPOSAL SYSTEM PLAN
7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'F O- BEFORE PITCHING DOWN
8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES -TO SERVE EXISTING DWELLING
AND APPLIANCES, AND BIANNUAL PUMPING OF THE SEPTIC TANK K A R E N M. O'C O N N O R
9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR_LOADING. DO NOT
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM, 25 SHOREY ROAD HYANNISPORT. MA
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK.
11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH_ ENVIRONMENTAL
STABLE S INCHES BASE THAT
T CRUSHED TONE HAS BEEN MECHANICALLY
BEEN LPLACED TO MINIMIZE UNEVEN SEITT
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