Loading...
HomeMy WebLinkAbout0048 SMITH STREET - Health AS Smith Street Hyannis ,t / A= 288 - 033 -002 ;u TOWN OF BARNSTABLE OCATION SEWAGE# X0 VILLAGE \� ASSESSOR'S MAP&PARCEL �X��'D3; -U�o2 INSTALLER'S NAME&PHONE NO. SCA.-;N ''c-c- / �jy-2 7 5- ,51?`1 SEPTIC TANK CAPACITY_ �K f b�C \ej0( CTC•L h0� LEACHING FACILITY:(type) : to 'CCA (size) /0' .4 ye JbJ 1 "y NO. OF BEDROOMS �" `k w/�� - OWNER PERMIT DATE: (. ` 'Q 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 L'-aching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY S'&i& 63`CAA � � D�ox r�S— o�d syskw : 39 A +o �a v 3 o � 9 V No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in c4,. \ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphration for Misposai 6pstem Construction i3ermit Application for a Permit to Construct( ) Repair(V/ Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 4% sM`Asn-, `SN Owner's Name,Address,and Tel.No. 11r%.4 Assessor's Map/Parcel I taller(`N e,Add\ens,and Tel.No. Designer's Name,Address,and Tel.No. +K.V� ec.��scr-�o �Q. m l Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(N}9 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3�® gpd Plan Date 4;k '�_�( C)jR Number of sheets Revision Date Title Size of Septic Tank_ � r f�b V Type of S.A.S. �rz) �� �1� r C. Description of Soil Nature of Repairs or Alterations(Answer when applicable) g Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health, V Zi a Date �✓ O Application Approved by O Date Application Disapproved by Date for the following reasons Permit No. Date Issued .. s,r+n'•Flats..f^ '•I...i+'r"•4twi4'^n'w.•+y,,.''+.V+.Y^Mr• �Ku'-._. t.:Y'F-'.-. n 1!'.1-�_.�.. Yam.a v.:eryx^'v - a. r� s r V, #ell C ; No. ve ,7' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21ptlfication for Misposar 6pstem Construction Permit Application for a Permit to Construct( ) Repair 04 Upgrade( ) Abandon( )' ❑Complete System ❑Individual Components Location Address or Lot No. ,SM� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel O Installer's Name,Add eps,and Tel.No. - Designer's Name,Address,and Tel.No. rc• V` C/cMcc .,� �Q. s�►c�.'t- \'tom sz>�s 3 6 a �13� t Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(N9 i Other Type of Building 's No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) ,3 gpd Design flow provided _?U p gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. '""" (� �� f <, Description of Soil Nature of Repairs or Alterations(Answer when applicable) a a Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described.on-site sewage disposal system in. accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate'of Compliance has been issued by this Board of Health. 11 i N ed Date �S✓'�� } ey Application Approved by �1.,�/( p �f i ` Date t ti Application Disapproved by Date for the following reasons Permit No, ) Date Issued ------------------------------------------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )by ScC1 Cl `rlu 1 y_ at L � r� s� __ ,�` p p/S( has been constructed' acc n with the provisions ocf�Title 5 and the for Disposal System Construction Permit No. �• ,d[atd Installer i,Cd'C� �� 7.,n Ui. Designer ��.�`)4 :Aar, 5 '#bedrooms Approved design flow V0 gpd The issuance of this permit hall not be construed as a guarantee that the system 'I'1fi ncf on as des' e� a Date / Inspector a0 r v `� .•' 1 - � -- �-------��_i- - ------------------------- - - V' -------------------- ------------ - No. _ Y ,Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Zisposar *pstem Construction Permit Permission is hereby granted to Construct( ) Repair C ) Upgrade( ) Abandon( ) System located at ` \ M\)N, SA 4),,ram k S V6 f�r and as described to the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons c io must b e ed within three years of the date of this permit. Date Approved by Town of Barnstable OF SHE T Regulatory Services Thomas F. Geiler,Director * BARNSTABLE, 9� MASS. �,� Public Health Division A'FD tA0�A Thomas McKean, Director 200.Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# �,�w �`� Assessor's Map\Parcel 008- 163'3 c5A 2 Designer: /Jv+_v4-S Installer: 6 AC,IE 510""-- 'Pq. /A-)C Address: 1723 X-ov?Z:- 6A Address: b was issued a permit to install a (date) (installer) septic system at S &W i7>4 S"7: based on a design drawn by (address) :57zrppe,J � tfi,"s dated 8 IZ6 1.66 (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. STEPHEN �G 9. HAA.AS CIVIL (Installer's Signature) No.35461 P�f9f� {aE°�� n�L q eo (Designer's Signature) (Affix esigner'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:\Septic\Designer Certification Form Revised.doc /C CMS 15.226: Pteparation of Plans.ana Specificatiorls F on, The plans and specifications .for eve•:y on-site system shall be prepared as follows: (1) Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall mat design a. . system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the owner.,may prepare plans for the repair of a system.designed to discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided they are.reviewed by-a Massachusetts Registered Sanitarian and.approved by the.approving authority; (2) Every.plan submitted for approval must be dated and bear the stamp and signature of the designer, -(3) Every plan for a new system or plan for the upgrade or expansion of an existing system /t which requires a variance to a property line setback distance,must.also reference a plan ✓/ which bears the stamp and signature of a Massachusetts- Licensed Land Surveyor in accordance with M.b.L. c: 112, §'81 D, (4) Every plan for a system shall be of suitable scale­(one inch=40 feet or fewer for plot, plans and one inch = 20 feet or fewer for details of system components) ind shall include depiction of: (a) the legal boundaries of the facility to be served; (b) the holder and location of any easements appurtenant to or which could impact the system; (c) the location of the all dwelling(s)or building(s)existing and proposed on the facility ¢ and identification of those to be served by the system; '(d) •-the''itrcation of existing or proposed impervious areas, including driveways and parking areas; (a) Iocatiort and dimensions of the system (including reserve area); (f). •system design calculations,including design daily sewage flow,septic tank capacity (required and provided); soil absorption system capacity (required and'provided); and whether.system' is designed for garbage grinder, _ (g) North arrow and existing and proposed contours; (h) location and•log of deep•observation Bole tests including the date of test, existing grade elevations marked on each test, and the names, of the representative of the approving authority and soil evaluator,7the rep;esantative of the approving authority and soil evaluator, location and results of percolation tests including the Gate of test and the names of _ name and certification number of the Soil Evaluator of record; (k) location of every water supply,public and private, I. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells,.and 3. within 130 feet of the.proposed system location in the. case of private water supply wells; 1 location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, yelocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogeit sensitive area identified'in 310 CMR 15.215 within which portions of the proposed VVV 'stem are located. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; o) a complete profile of the system; (p) -a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought in conjunction with the plan; (q) . the location and.elevation of one benchmark.within 50 to 75 feet of the facility which is not Subject to dislocation or loss.during consuvctioh o' the facility;' (r) when dosing is-proposed, complete design and specification of the dosing system 4�/ proposed including.but not limited to dosing•_chamber capacity (required and.provided'), /V i ump curves and specifications, number of dosing cyctcs and depth per cycle; (s) when a Recirculating Sand Filter or equivalent alremative technology is required or roposed, a complete plan and spe�cadon for the system,including a hydraulic profile; t) a locus plan,to show the location of the facility including the nearest existing street, the street number and lot number, if any, of the facility; and v) the materials of cons truetion.and the specifications of the system. I 88 -033 -oo�- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - } N:1 �. 48 Smith Street r. Property Address Scott&Valerie Garvey T, Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2010 page. Cityfrown 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. Inspector.Information 5`/.ff (339U on the computer, Sean M. Jones use only the tab key to move your Name of Inspector cursor-do not S.M.Jones Title V Septic Inspection use the return Company Name key. 74 Beldan Lane Company Address Centerville Ma 02632 Cityrrown State Zip Code 508-658-3456, 774-248-4850 SI 4522 sean@smjonestitle5.com License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 16.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the local Approving Authority 4. ❑ Fails 9/2 912 0 1 8 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of Inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposat system•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection"Form ` Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 48 Smith St Hyannis is served by a Title V septic system consisting of a 1000 gallon septic tank, distribution box, a row of 3 Flodiffusers and a row of 5 Hi Cap Infiltrators. The system was found to be in proper working condition at the time of inspection. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over20 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): 15insp.doc-rev.7128/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (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): 3) Further Evaluation Is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR iS.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5fnwaoc W.7262018 Title 5 Offdaf Inspection form:Subsurface Sewage Disposal System•Page 3 of 18 1 Commonwealth of Massachusetts - � Title 5 Official Inspection Form = - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health(and Public Water Supplier, If any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well** Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No 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 t5insp,00c•rev.7126/2018 Title 5 Ofiiaal Inspection form:Subsurface Sewage Disposal System•Page 4 of 18 c� Commonwealth of Massachusetts - -_ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityrrown State Zip Code Date of Inspection .C. Inspection Summary (cost.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 El ® 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 water supply well. ❑ Q Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ © Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking.water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.728/2018 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form r Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is Hyannis Ma 02601 9/29/2018 required for every y page. City/Town State tip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered. opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The.size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(5)] t5insp.doc•rev.7/26/2016 Title 5 Official Inspection Form-Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts 02 Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owners Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityfrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: currentDate t5insp.doc-rev.726I2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts ivTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is Hyannis Ma 02601 9/29/2018 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.UM MIS Title 5 Official tnspeG7on Form:Subsurface Sewage Disposal System•Page 8 of IS Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityrrown State Zip Code Date of inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: system repaired 9/17/2008 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 1.5 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.): Joints ok, no leaks or blockages. Vented through roof t5insp.doc•rev.7/26=18 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Pape 9 of 1S Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name Information is Hyannis Ma 02601 9/29/2018 required for every y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle 3' Scum thickness 2° Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. t5insp.doc•rev.7/2612 0 1 8 Title 5 Official Inspechon Form.Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5lnsp.doc-rev.7/26/2016 Tide 6 Official Inspection Form Subsurface Sewage Disposal System-Page i 1 or 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name Information is Hyannis Ma 02601 9/29/2018 required for every y page. City[Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.): Distribution box was level and in good condition with no rot. Water level was even with outlet invert with no signs of past backup. t5insp.doc-rev.U28/2018 Title 5 Official Inspection Form;Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is Hyannis Ma 02601 9/29/2018 required for every y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits. number: ® leaching chambers number: 3 Flodiffuser 5 Hi Cap Infiltrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: -El overflow overflow cesspool number: ❑ innovative/alternative system Type/name of technology: 15insp.doc•rev.W62018 Title 5 Official tnspection form:Subsurface Sewage Disposal System•Page 13 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS)(cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): s.a.s. consists of a row of 3 flodiffusers that were installed 1986 and a row of 5 Hi Cap Infiltrators installed 2008. Infiltrators were video inspected from d-box and were found dry with no sign of past hydraulic overloading. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26=18 Titie 5 o iciai Inspection form:Subsurface Sewage 000sal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form >5 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �. 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is Hyannis Ma 02601 9/29/2018 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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_): t5insp.doe•rev.726/2019 Title 5 Official Inspeeion Font:Subsurface Sewage Disposal System-Page 15 of is c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name Information is required for every Hyannis Ma 02601 9/29/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately 1! 'A T D I o Z AZ 3Z — 13 Z 2'0 zs 6 isinsp.doc rev.7l2612016 TiUo 5 Official Inspection form.Subsurface Sewage Disposal System•Page 16 of 16 Commonwealth of Massachusetts - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 15. Site Exam: ® Check Slope P ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ 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: pate ❑ 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: Groundwater elevation was established by accessing Town of Barnstable groundwater contour maps. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Wnsp.boc•rev.7262018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 r Commonwealth of Massachusetts uv� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 48 Smith Street Property Address Scott&Valerie Garvey Owner Owner's Name information is required for every Hyannis Ma 02601 9/29/2018 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. R B. Certification: Signed& Dated and 1, 2, 3, or 4 checked R C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed R D. System Information: For 8:Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included 15insp.doc-rev.7/2612018 Tide 5 Official Inspection Form:subsurface sewage oisposal system-Page 1e of 18 Town of Barnstable P# ,c - Department of Regulatory Services Public Health Division Date w►as -2 200 Main Street,Hyannis MA 02601 lip� l Date Scheduled- / Time G/' Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address � ���� ` � Owner's Name 3CiJ� !A-<C~r-% 9 4 A Address Assessor's Map/Parcel: o'� S a U 3-3—/0® 1 Engineer's Name NEW CONSTRUCTION REPAIR ✓ Telephone# Land Use S' T s'f t Slopes(%) L z Surface Stones NU Distances from: Open Water Body O fi ft Possible Wet Area — ft Drinking Water Well ft Drainage Way ft Property Line /o IL ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) t`1S G r =D C 3 tV 4 bill I N rrt _ SK t.-r-14 IS �( t Parent material(geologic) Depth to Bedrock rt Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater `a> " DETERMINATION FOR SEASONAL HIGH WATER TABU Method Used: US 4-5 *-a Depth Observed standing in obs.hole: _— in. Depth to soil mottles: in. Depth to weeping from side of qbs.hole: in. Groundwater AdJustnienk Index Well#NIAI Z-g Reading Date: 3 b Index Well level Adj.factor Z' Adj.Groundwater bevel"e`r Zoe�S PERCOLATION TEST Dide Thne..� Observation Hole# ( Time at 9" Depth of Perc ` Time at 6" cru Start Pre-soak Time @ _ Time(9"-6") End Pre-soak Rate MinJlnch f�Z Site Suitability Assessment: Site Passed Y, Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPCIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency.%Gravel) 6, A 13G DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color C Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) w p /8 ,4 L S DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes I/ Within 500 year boundary No Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? - - Certification I certify that on // 1 (date)I have passed the soil evaluator examination approved by the Department of Envlronmental Protection and that the above analysis was performed by me consistent with . the required trai ' peruse and experience described in 310 CMR 15.017. Signature Date 28 6P Q:\SEPTICTERCF ORM.DOC y Luc 45 -A IVS IAA E ACDRESS C1� ov,HER DATEdD PERMIT ISSUED ___ DATE . COMPLIANCE ISSUED J /916 �NoiS S N� Q 0 Gl !� xo i t� ,a-Jya mo7� o�N �rv�,tlo.rnCe ' � Aida s o00 1 i V _ - - -- PBOf TO APPF'OV-�IIS -t! 7•. No 4.� � S .. �' r "�' q� �,1 'ins .... y �E THE COMMONWEALTH OF BOAR® OF HEALTH NNN. ,. Apphration for Diopuoa1 Works Tonotrur#'ton ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....:._...r''?_Tl...._.. T................................... ...................... .....• i=--------•---------...----------..................--------..........--...........-- Location-Address or Lot No. M ' ��- {�?' h✓.................. `tmm_1 -------•---- . .................'� .5�....Y/�rZ c�C1�.N.._.._....--........-- Owner Address CA(? ( oru17 ....................... ...._....... Installer Address dType of Building Size Lot. ....Sq. feet Dwelling—No. of Bedrooms..........3..............................Expansion Attic age Grinder( ) Garb ( )U — aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) dOther fixtures -------------------------------------------------------------•-••--•--•------------------•------------.....-•----•-----------•-•••----..........•.... .Design Flow...........5 .........................gallons per person ggr day. Total daily flow---------- 3O.......................gallons. WSeptic Tank—Liquid capacitylOQO...gallons Length__ ......... Width... Diameter................ Depth---`t...&EF Disposal Trench—No..................... Width......8........_.. Total Length.._=5........ Total leaching area.gn..a. sot. 6/0 x ... Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) f Percolation Test Results Performed b .1L•. -0.6At,9 . ::G• - !.... Date.. � 8S 4 Test Pit No. 1....__.—_.__minutes per inch Depth of Test Pit.... Depth to ground water,._1.3.1............. (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------- O Description of Soil------.1.........0.-.1�z-`-�.TUp.�--�U QI L.........- '. �$. . _� t� 11V ._TO.....-- - ..5'�9 tip.................:. W UNature of Repairs or Alterations—Answer when applicable............................................................................................... • •-•---•-----------------------•--...••----........... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITAU 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Ce ificate of Compliance has b issued by the d o iealt ,r j C� / / Signed .. i L .�l�ty��......1� '' ... '��" V Date_ Application Approved By..-- -,-- .- ---- -- •--•------------•-•-•...............:.. - ........ Date Application Disapproved forthe following reasons-............................................................................................Da.t e............. -----...Date ------------- PermitNo........................................................ Issued........................................................ Date No................-....... >n$s............_... .. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. - ..----...-.OF.-.......................-..._............----.-._...._....._..._....._.._.__.____...__... Applirtttiun fur:Disposal Works Tonstrurtion Vprrmit Application is hereby made for a Permit to Construct ( ) .or Repair ( ) an Individual Sewage Disposal System at: . `ho Vy� Zq ....:...........-_.................................-..... ...,--- ..................... ..........----.................................._.._...............-........._..___....�._.. Location-Address or Lot No. ......................--......................Owner A......r._..:------......_._..--•------•..._....._ . _.......-------------•-----•--.....---.._...___dd___ress-_---------------------.................... W R Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No of Bedrooms................................... _..Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _______________________ ... No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures - ---------------------......_....----------...------------•-----------------••-----..............----•.............._ WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank-Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ . x Disposal Trench-No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit A�__________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by................ ..................................................... Date........................................ Test Pit No. L_______________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........................ P+ -•••••----••••••••--••••••-•.................................•-•....._.......---•--••----...._--•---......................................................... 0 Description of Soil.........................................................------•------.........---•-------------------••-----.........-----•----.......----...._._.I..................... U -••.........................•-••...-••------....._---••--•--...---•-•-----------:.........-•-•-••••.............._...__......•••.....•••-•....__........•-----••-_-••-- UW applicable......................................................................................�.�... rya Nature of Repairs or Alterations—Answer when PP -•---------------------------------------•-------•--------•---------------..:......-----........----...-•-•-•-----------------------•--........--------•---------•---------------...._..•-----......... Agreement: x The undersigned agrees to install the aforedescribed Individual Sewage Disposal .System.in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Ce 'hcate of Compliance has been issued by the board of health. Signe ................... -- C.r D e. .. _ .... '. ... ..................................................._ ..: . Application Approved BY -Date APPlication Disapproved for following reasons-.............-............................................................................................--- ...................................................•--•-•-•••---•- •--....• ---__..--••-•------.•-........-----•--......---._...--•-------•-••••---••-•--•-•----••••--... ......----- Date — PermitNo.. ................._.... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ............ .................OF......�� J......................`.. ......................... f�rrti�utttr laf faum�Itttnr� THISp7Tp CE IFY, That the Individual Sewage Disposal System constructed or Repaired by ... — -- ---taller --•—.............................................�_.........._..._.... ...) at '� �"`^ .. ::. ---- Vo� �.................. , ..............__---••- . . --•--•------------ has been installed in`�accordance with the provisions of TIT 5 of The State Sanitary Code as described in the , . application for Disposal Works Construction Permit No.____. _:,:__"`��' ,_ •-•- dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ( L) -�------------------------•-----•-•-•--..... Inspector..- .. ------------------------------- E COMMONWEALTH OF MASSACHUSETTS AQ.STe. kA9 IE 12 ►-t BOARD OF HEALTH ti No � �' ... .............................OF.. ----......................................_..... •+____..................._... F>�....,,a . -R',*���� 1 >o is hereby grantedI`` '' f�- _.-•-=f2c)-Q. t �". 0................................................____ s to'Construct ( ) or Repa>r ( ) an Individual Sewage`Disposal System at No....................... `_`E� t - ' ..� ��+t s.11 `' .5'1 . sfrA ............................................... Street as shown on the application for Disposal Work§ Construction Permit N .._r` s' ".. _ ted.... ..:..'� .-.--. Board of Health -- --------------••-- r. DATE.......:.__. .. �. FORM 1255 A. M. SULKIN• INC., BOSTON t 362-4541 926 main street yarmouth mass. 02675 down cope eaginee�ing civil engineers&land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning March 4, 1986 sewage system Barnstable Town Hall designs Board of Health South Street inspections Hyannis, Ma. 02601 Gentlemen: permits Please be advised that on January 24, 1986, Down Cape Engineering inspected the septic system installation at Lot A located on Smith Street, Hyannisport. We hereby certify that the installation complies with the intent of our site plan #85-019 dated October 31, 1985. Sincerely, Arne H. Ojala R.L.S., P.E. AHO/cdw 4. . 00 E ,yam ' ':. r / • CB/DH FND ,� 22. 636+ S, F. ' ito• rV EX/s7/ ! or Ott DggO LNG GggA BM,: CORNER OF CONCRETE: APRON. EL•17.65 1 i i O r SEPTIC TANK p y a W 6 l cv - f\ O i ; ; suILT►i r ..,'_L OCVS EXIStIM SAS IS > r UP IOA" 21. �'- BRICK L O CV S MA P ' rn2 r F. I p / i t % Of d p S HIGH CAPACITY A. y O INFILTRATOR CHAMBERS ►{AAS � r O ab Ir/t' STONE AROUND / s CIVIL f l v1 STONE /ARKING AREA `; L EGf S/DFwACK ' .r, 1 Ir —W— �C y �j CB/DN FND r 4 OHw— —CTV +40.4 40 0 . to 20 40 SECTION — SEWAGE —SEPTIC TANK — —"D"BOX — — LEACH T � �� � h��' J� 'Z p TOP OF FON par�I try 8 1 (MSL)M IZtM too l� U�1S.t J�TA3s�?� _"2"OF I/8TO V2" /y� -1, I V e? / 8 • �;Q WASHED STONE tN• OUT• IN• _ OUT• —G qb c�.cra_ar� W`l� SEPTIC �' I~1'�Xv ICe.B, TANK ►Ca.(ol I(e.L� ca Ca ` ).l ;�` � �►'o/h- L� ELEV. ELEV. ELEV. 1�--z4 —'—'�"'{- '- ELEV. I ': 1c0.5 1 1�.3� —�1 to ELEV. ELEV. WASHED STONE t J TEST HOLE LOG �.,-.ter-\ • a��v s-r 3 v T� I I .�� 6� .TEST BY ��• t�.)�.L� G�>•/�_pY�l .3 0. N • S t WI-TNESS � TEST DATE DESIGN gS DESIGN BEDROOM HOUSE T.H. T.H. # 2 /4o ELEV. 1 15.Tac ELEV. NO db ,1 ` �-Z MIN. DISPOSER DISPOSER PERC RATE /IN. ! C •r ^` '�J!,, �o FLOW RATE. �3�(GAL./DAv) �3 U SEPTIC TANK 33c7 (1.�= tdo0 `� REQ'D SEPTIC TANK_SIZE LEACH FACILITY /U 1—IZ 8 �17�TI v SIDE WALL.C8�2Czs7 �tce�=(Z.�) G/D. t � ZZ4 Z � Z4- a .o BOTTOM � � Z ( t. J s G/D. TOTAL = 3,`•$ ���A, C7 I� r Lou E 3 � J17,p�Jso C t �t USE: �� 1�0�'1 LEACHING )44 'to >=� L_ GTr/ k .G6- cam. A Yc=<, WATER ENCOUNTERED. NOTES (UNLESS OTHERWISE NOTED) `� , �S • C-� / I Et_ _t0.53 1.DATUM(MSL):TAKEN FROM-„______ .______._____.QUADRANGLE MAP 2.MUNICIPAL WATER —„ ___S S.__—_._.__.._AVAILABLE �A OF M I Z 3.PIPE PITCH:V•"PER FOOT OF A! �. ST 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- 44 • «YC _- �V� 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. �� �� q E H. 6:PIPE JOINTS SHALL BE MADE WATER TIGHT O A ` 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. ( SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 v OJALA "' CIVIL va 426348 No. 30792 LOCUS: tJ 4�`Q _ � 9 �0 �� YA1�17_11 S MASS - GQt._•11Te— x Lk11A REG. I,�N�i�► NEER REF: WOW/! Cape engineering PREPARED FOR: CCIVIL ENGINEERS _--_-------- BOARD OF HEALTH I LAND SURVEYORS REG.LAND SURVEYOR �3a_E= f 926 1A�in t3L CONTOURS (EXISTING)------------- MA Ni�II" SCALE DATE (PROPOSED)- 0- 0-0-0— APPROVED. DATE ) .i ,., .___. ..-f. .. m , 4 ACCESS COVERS MUST BE WITHIN INSPECTION 9" MINIMUM. FIRST 2' TO �j 6' OF FINISH GRADE `PORT 3-MAXIMUM COVER ' L V � BE LEVEL MIN, 2' OF PEASTONE OR FILTER FABRIC ` 4' 0/AN PIPE Re -`J?9 O0 0 E 314 - 1 112 D/A. . ; 16.2 l0' DOUBLE WASHED STONE 4 OAS 3 .A '0 15.3 b . BAFFLE t 6 / 1 3 ourcEr 5 HIGH CAPACITY INFILTRATOR C f CB/DH FND EXISTING D-BOX CHAMBERS W/3.5'1 STONE AROUND ` t IOOO GAL l0'r x 38'l x lD'd SEPTIC TANK 6' CRUSHED STONE OR f � J COMPACTED BASE PROF I L E NOT TO SCALE / N-V ER T ELEVATIONS : DESIGN CRITERIA GENERAL NOTES : 22. 6361 S. F., INVERT OUT SEPT!C TANK: 16.6 DESIGN FLOW: o, r ro INVERT IN D/ST. BOX: 16.37 3 BEDROOMS AT 1 lO G.P.D. PER 1. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION INVERT OUT DIST. BOX; 16.2 BEDROOM EOUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. INVERT IN LEACH CHAMBER: 16. 13 NO GARBAGE GRINDER 2 ` BOTTOM OF LEACH CHAMBER: 15.3 . VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS ... - , •- .. - �,... SET. SEE SITE PLAN. y ADJUSTED GROUND WATER:: l 0.3 -: OBSERVED GROUND WATER: 7.4 SEPTIC TANK REQUIRED; y 330 G.P.D. X 200% - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND BOTTOM OF TEST HOLE #l: 7.4 r - k INDEX WELL MI W 29. ZONE B SEPTIC TANK PROVIDED: 1000 GAL, EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL } W ° CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL " JUL Y 08 READ I NG-8.6 '. ADJ-2.9' SOIL ABSORPTION SYSTEM REOUI RED.• BOARD OF HEAL TH REGULAT IONS. DESIGN PERC RATE l 5 MIN/INCH ,, w- ,-• fD,poO�THNE-£ a4RgGF, wELL�NG SOIL TEXTURAL CLASS I 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER ' EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPDISF - 446 S.F. REQUIRED THAN 4' IN DEPTH SHALL. BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 5 HIGH CAPACITY INFILTRATOR J BM. CORNER of CONCRETE CHAMBERS W/3.5't STONE AROUND. A-460 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR J APRON. EL-l7.65 �.,;•�� i � 460 S.F. x 0.74 - 340 GPD APPROVED EQUAL, � w JJ i N -7- 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SO I L TES T /P 1 T DA TAS PRECAST CONCRETE OR APPROVED POLYETHYLENE. Y N �► wq INDICATES V INDICATES BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER E�/IST/NG $ PERCOLATION - OBSERVED SEPTIC TANK o TEST - GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE TP OUTLET. � w � •l Tp e2_ r. SlMMONS 1 i . _ J a o le 7 O 7 FOND / 1 +..i_-� -i J i ry *DIG- SAFE'. TEXTURE COLOR HORIZON TEXTURE COLOR i8.7 BEFORE CONSTRUCTION CALL 'DIG SAFE-. _aitidv1LLE J PEA STON PEAS TONE ___j, th J , o 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. Fyn SM/TH_ T -}-.f-L OCC�S EXISTING SAS y J J E P TON 6. ............................. I8.2 61 ............................... 18.2 FOR LOCAT!ON OF UNDERGROUND NDERG UTIL I TIES, LOAMY Q Q AND 3/3 LOAMY IOYR SAND 3J3R S ................. ......... 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE J 6 o-BOX � - ~- _ •. --_ i 4,1 B m LOAMY IOYR Loa IOYR DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION18.i ti R SAND 4/6 SAND 416 IS .a �' 30 16.2 28' ....... 16.4 SCHEDULING OF THE SYSTEM TO ALLOW FOR CHEING OF THE MEDIWII IOYR MEDI(AV IOYR CONSTRUCTION INSPECTIONS. ✓ f SAND 6/6 TPa/ J C SAND 6/6 C l _ 9. EXISTING CESSPOOL TO BE PUMPED DRY AND BR/CA y ' BACKFILLED. TPr2 LOCUS MAP ,u > � 2 /0. ALL UNSUITABLE MATERIAL (A A B HORIZONS) 7.4 136' 7.4 Q - = ENCOUNTERED BELOW THE INVERT OF THE LEACHING DATE: AUGUST B. 2008 FACILITY TO BE REMOVED FOR A DISTANCE OF 5' r\ J / h TEST BY: STEPHEN HAAS �° ► ` 4t`t� ;Z' wLrNEssfo BY: DAvrO STANTON AROUND AND REPLACED WITH SAND IN ACCORDANCE N O S HIGH CAPACITY It SMF14EN PERC RATE: ! 2 MINJINCH WITH TITLE 5. O ti 1 NF/L TRATOR CHAMBERS J A.HAAS J o w/4' STONE AROUND I IrVIL 0 � i fit t SE- PT / C SYSTEM OES / 0/V �JJ STONE PARKING AREA c�/=~�` STREET . "AG 288 PARCE-L 000 - 00.2 J J ,0 TA 46L .r _,• r PREP,4 RED FOR , L EGEND / q � CB CONCRETE BOUND / V E WI-1 TE os3•'40-K, I -W- CBJDH FND _ I WATER L!NE AUGUST 2 8 . .2006 ,UYDRANT GAS 0?' HW-- OVERINE HEAD WIRES E J� G L_ E U R V Y I I V V . I I V -0 LIGHT POST 923 Route 6A T -E- UNDERGROUND ELECTRIC LINE Y a r mo u t h p o r t . MA . 02675 -T- UNDERGROUND TELEPHONE LINE / Ip 11��� 508 362-8 1 32 --CTV- UNDERGROUND CABL EV I S ION LINE '�`" 1�1 /,Il 1 ( 508 ) 432-5333 +40.4 SPOT ELEVATION �._40- EXISTING CONTOUR 41�1 PROPOSED CONTOUR 0 /0 20 40 JOB NO: 08-058 FIELD:CFW/EEK CAL C: SAN/CFW CHECK: CFW DRN SAH