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0018 STERLING ROAD - Health
18 STERLING RD., HYANNIS G I a TOWN OF BARNSTABLE LOCATION/$ ,S'1�r.-�n.r /2 'J SEWAGE#Aep 370 VILLAGE ASSESSOR'S MAP&PARCELA 7'�/63 INSTALLER'S NAME&PHONE NO. /,�,4/+V CoaJ),�k✓ SEPTIC TANK CAPACITY 4QOQ Co G CMG LEACHING FACILITY:(type)4-- JG CAzojr�,,/ l d`) (size) 3Q /Sr`x Y-y NO.OF BEDROOMS " OWNER PERMIT DATE: //- /9 O y COMPLIANCE DATE: J 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)r Feet FURNISHED BY �w✓ � 1- w � a f .. O a Y 1 f r ! No. Fee 006 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS !Ye ftphration for Misposar 6pstem Construction Vermit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System MIndividual Components Lj§V Ador ssss or Lot No � f� Owner's ame,Address,and Tel.No. Asse`sssoor's ddMap/Parcel h, ' (b Installer's Name,Address,and Tel.No. ,GGa,� Designer's Name,Address,and Tel.No. Bar 7 �l� avwvC� Type of Building: Dwelling No.of Bedrooms Lot Size /Z sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3,M gpd Design flow provided gpd Plan Date / Number of sheets Revision Date Title Size of Septic Tank c 7`,� Type of S.A.S. Z `Ap 41S Description of Soil Q !.� (� Q/,l�G� -7� �yC/�O/✓� Nature of Repairs or Alterations(Answer when applicable) i�` Date last inspected: .K f 7; Agreement: l' 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 ith. Signe Date 1� , Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued T.y,..r": `+..,-waA,s.,o4„�F•..it,..: ►..,:..yy..os.»�sr-r�ras.-r,�aw+"°w�'w,.,.....�.... ,...,,+y,,; ...-.,..s,,�c(,....,«--nr,.M�,-..•.,,,:�-r�..�... No. Fee `© THE;COMMONWEALTH OF MASSACHUSETTS Entered in computer:VYe PUBLIC HEAL-H DI ISION -TOWN OF BARNSTABLE,`-MASSACHUSETTS 2ppflcatiolY for Misposal Opstem Cons'truttion permit Application for a Permit to Construct( ) Repair W�Upgrade( ) Abandon( ) ❑Complete Sysiem Individual Components Lein Address or Lot No. /g ! '�`�� r Owner's ame,Address,and Tel.No. Assessor's Map/Parcel ' Installer' Name,Address,and Tel.No. /s` Designer's Name,Address,and Tel.No. s Bar �O/obi1�oW,q Type of Building: Dwelling No.of Bedrooms _ _Lot Size /Z/O sq.ft. Garbage Grinder( ) Other Type of Building Rif No.of Persons Showers( ) Cafeteria( ) Other Fixtures z Design Flow(min.required) Lj�� gpd Design flow provided 3 3 gpd Plan Date // Number of sheets Revision Date Title Size of Septic Tank �� ,�7` ,(� Type of S.A.S. 2— Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and no to place the system in operation until a Certificate of, Compliance has been issued by this Board of alth. Signe Date ll Application Approved by Date -v-�— i Application Disapproved by Date for the following reasons r, Permit No. �. l ;3 Date Issued t t p THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage isposal system Constructed( ) Repaired(1// Upgraded( ) Abandoned ���f at !9 S has been constructed in accordance with the provisions of Title 5 and)!the r Disposal System Construction Permit No. dated t )09 Installer C`r' GCS Designer_ � r\ . #bedrooms Approved design flow` 330 1 gpd The issuance off permit shall not be construed as a guarantee that the system will n)ctii nn1as designed. yy Date //a Inspector�,/�(/�A#, ,/O e F •--- No.d --�-'- '�- - ------ ----- -•---__--___�_�.--------------------------------•---_- --=-=Fee=-=�=--- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction i9ermit Permission is hereby granted to Construct( ,)/� Repair( Upgrade( ) Abandon( ) System located at d2tfO and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5:and the following local provisions or special conditions. Provided:Construction must b completed within three years of the date of his permit. Date ) Approved by FROM :down cape engineering inc FAX NO. :15083629880 May. 24 2010 01:29PN P2 74 (.cilev,Director 4 $ �[AWi;STAZLIS, ^� MAE& kas �Ifl� lleaith l ivisiol-11. � aaMu� 1'RatDina:as 10 .efa:aaur>I,Director -- 2�D0 I 1 iim ;dn Lei,11yaumis.,.M A 02601 of icu: 508-862 464A Fa7: SM1-790-6304 :lrm.�r;atl>kru-a�i�esi.�:�Jr 2_,,,�eo�lu���Qii�cnn Jki�ann•R4� iJ�lIXC: �Y Ia '�\°Y2�� IP'k4'E�llIld�i �UD� 3b .4scsespo l,;Mau ViTillreeR rl Desippt;t': �0��, i,+1�� �Ju�s� )Ll. n•. 13 ''^ - ati/► 2[ r� I r Addrress: �. �cz I.�._ �.. Address, On�< / / /�/(l�// O C� �NWi iss�ucd a permif.to install a (date} r (iusta/ r.r.j Septic system at i! � r l.�'1 basud on a.d.e5ip drav;n by (address ,)NA i lot!4 daLed (Cles .T) i certify That the septic sysLel a rctercneed above was installcd subst-ari Tally ac.c.ording to die design, which ITlc'iy ll,elude THiTior approved c.hanges sucli as latered relf?ur ion of the distribution box tad/or sepli.c t uk.. I certify that the sti.ptic system, referenced above 4,-as installed with major c.Ilangcs (Le. W.cater thall 10, lateml TOoullion of the SAS or ally vetticg.I.relocation of a t'y'C.Oalponent of-the septic system) but is accordance with State. & P'lau revision.or cerlified as-built by desigucr to foLow. -ttj or-nags DANIELA, �s (E)75lttll.e s 5i}?;iratzzre) OJALA CIVIL O/UNA1. W (lie;; gticx's Ji. Trt3 ui't' (AfCli.x l-DUST ,'tairl)Uere) AIL1A,EGig R7F,7-tl'.RN R/ MOSTAP$B,u,, 9'lT}UC'� .HEAUa1'1111 131VDS1.0N. 4'.J_&:t'I_4. `.4Q.ATE OF ilDNIP)JtsIl`dd:'Ht, Wiub,11 fgcrc PE i8SUif,.1.D )1T1.%J'l:4.t, BOTH TIM.8 MUM AlklD Aj I$[-ff f.' CARD tAX17, RJP,(:u!;M,> _ 'i..at<,:,�s�> »��� lJa:,y�:>i-UR- IC,HFIA1,>r14DIV1111A(D.N.._ At'<fX:YQU. , ti?:1�ralYh!S �ticl.i)r,�iguc, Ce,taicanionFo.-m.1 26-04.dii r . TRANS. NO.: CITY/TOWN: 44 QH i S APPLICANT: ADDRESS: 1 Qj S° e�� J ✓�_, d� DESIGN]FLOW: bpd REVIEWED BY: DATE: �j N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways, parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) soil absorption system (required and provided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(1)] Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and.310 CMR 15.220(4)(n)] Address Sheet 1 of 7 N/A. 0K NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. / beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR f 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor (required if construction activities within 5 ft. of lot line)[310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as FAO approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] Address Sheet 2 of 7 N/A C OK NO Ct�' - �. pre�Ayw, 4{4'rYrFr6; 4y,nt''r:fs 1 1i 17 r .Z .;. i.7 JL�li 1_,1.6. IuAYlk it '4'fYi' 'd a�cii�,'{q!r:..; e CMR 1 15.223 SizK? 310 O [ ( )] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] J Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [3.10 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers / on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CNIR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - / middle access at least 8 (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systeins<1000gpd, two for systems >1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CNIR 15.211(1)] Buoyancy calculation Required/ one [310 CNIR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.2111 IM- Y'^f NNW^7A'jrrl: ,%Y.51{{'Yiix' i!W'4:XCJ � lll$IFopai teuf � a�k5 rY.� up'xi}�aa ( Y 'f r 5i ✓z Required when other than single-family dwelling or flow>1000 gpd [310 CNIR 15.223(1)(b)] First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] Address Sheet 3 of 7 N/A OIL NO Y1UYIJD� G 57C+'� JE's' IIY�'O )I3'Y+ .Pl[ J[l �ss� 3 Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line (when water and / sewer cross, see 310 CMR 15.211(1)[1]) Cleanouts required/provided? [310 CM!310 15.222(8)] Thrust blocks specified in force mains? CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphon problem/ (leachfield below pump chamber) Endcaps or vent manifold specified? Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) _.g Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] . Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpdf [310 CMR 15.232(3)(d)] Capacity(emergency storage above working--design flow)? [310 CMR 231(2)] Proper setbacks [310 CMR.15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible) rAlarmfloats - acircuit separate from pumps specified? s two Af have two pumps operating in lead-lag[310 C1(6) and(8)]aced Base [310 CMR 15.221(2)] Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] Address Sheet 4 of 7 N/A OK INTO SK00rr'BS�ITX�lUSYSE Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] . Inspection parts specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation vi�:� within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] rALE>RI�SITS; ) �J98 3,1;®��1 �253 '; � ►'�+�,�! Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I'minimum- 4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] I3ET3k0C1�' 1�5_�:... V. o Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] E� S (� 'aian , ?1dr0. e olaeld500U )_�.,. minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM RI5.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" J maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only[310 CMR 15.252(2)(i)] Address Sheet 5 of 7 N/A OK NO Pressure Posed Systein ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial'approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year (systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CNLR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet / the specification of 310 CMR 15.255(3)? pervious barrier or retaining wall ? [Guidance Document] pervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional / Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] CaraYe s '.s e.11M. w 1,?'� .e te►�s. b, e t, Check DEP Approval letters for credits and design conditions Tused with pressure dosing do not allow pressure discharge to scour soil interface MYe y yyVff pf ys spar � L� ° fie.teas Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology beuig properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Are the variances listed on the plan? [310 CMR 15.226 �(4)(q)] RLS Stamp necessary on plan if a component is within nve feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414] Sheet 6 of 7 Address N/A ®K NO NlftO �IY�EFYS1tlVEFEEZS� ,u;rv3�.P��.s Is the system in a Designated Nitrogen Sensitive Area (Zone II for / a public supply well)? [310 CNM 15.214, 310 CMR 15.215 and / 310 CMR 15.216 - also refer to Policy regarding upgrades of such ✓✓✓ existing systems] Is the system proposed on the same lot as served by private well ? 1310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15 216(1)] ��:;N',N�" k— t I�dSCBIZCIZY2®LdSy o f y.grf y 1,u �• a 1.C �e Pumping to septic tank? [ 310 CMR 15.229] Shared System [310 CMR 15.2901 Address Sheet 7 of 7 Town Of BaICI<flstaWeTHE — Departmellt of Regulatory Services S uettrrareste Public Health Division Date /D D rPryH� �� 200 Main Street,Hyanuis MA 02601 s Date Scheduled 7�G1 Time ]f+ee Pd. Foil Suitability Assessment for Smage Disposal 10 Performed Dy: V Witnessed By: ti LOC 'TION & G )NE INFORIVIIATI<ON Location Address 1 (�9 Owner's Name /?/ A h Address vJ Assessor's Map/Parcel:l !A Engineer's Name (J 1�4 C NEW CONSTRUCTION REPAIR Telephone It v Land Use _�'�Alto Slopes(oho) r� O Surface Stones --C CSC J/'�w Distance's from: Open Water Body ��� ft Possible Wet Area `"�' ft Drinking Water Well 41A ft Drainage Way '�-- ft Property Line �� ft Other ft SKETCH. (Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proxiuuty to Boles) lnr� 1 I I 1J a J c:) �-- `0 rn Z o Parent material(geologic) « `_ —" \ Depth 1p Bedrock Depth to Groundwater. Standing Water in Hole: �ly Weeping 1'1011)Pit PlIce Estimated Seasonal High Groundwater I[ ETIEFJ�VH�r �iA.TION FOR SEASONAL HIGH WATER TABLE Used: _��/r✓I/C/L— r, , Depth Observed standing in obs.bale: __- __ - In, Depth 10 5p11 M(Xtled: w r .T I1L Depth to weeping from side of obs.hole: Ill. Groulldwuter Adjustment e ti. Index Well 8 Reading Date: Index Well level Adj,factor All).Orf�lllt(1WatC1`Uvel z IP]ERCOLAT)j0 1 T)E ST -- Dnta� ZZ 'A uie /GrA'►� Observation ( Hole# [inlent9" Depth of Perc CD / Tlme at 6" >/ _ Start Pre-soak Time @ :b® �o Time(9"-6") End Pre-soak ✓G'/rod. � �� Rate Min./Inch `� G IRAy tee. Site Suitability Assessment Site Passed _ Sitr;-Failed: Additional Testing Needed(Y/N) ✓t/ Original: Public Health Division Observation Hole Data To Be Completed on Back-- - - - ***It percolation testis to be conducted within 100' of wettand,you must first uotify tile. Barnstable Conservation Division at least olle (I) week prior to beg➢ll➢ h-lIg. Q:\S EPTIC\PERCFORM.DOC DEEROBSE,RVAT'I®IV HOLE L Ur -------- Depth from Soil Horizon Soil Texture Bole # Surface(in.) :Soil Color Soil Other (USDA) (Munsell) Mottling' (Structure,Stones;Boulders, G—z Con istenc %' ravel DEEP O SERVAT'ION HOLE L 0 G Depth from Soil Horizon Sail Texture Hole#_Z Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottlin g (Structure,Stones,Boulders G^ C. Consistency,%Gravel) DEEP OBSERVATION HOLD LOG Depth from Soil Horizon Hole# Surface(in,) Soil Texture Soil Color -- (USDA) (M Soil Other (Munsell) Mottling (Structure,Stones,Boulders. Co siste c O vel DEEP OBSERVATION HOLE, LOG Hole# _ Depth from Soil Horizon Texture Soil Surface(in.) Soil Color Soil Other r (USDA) ., (Munsell) Mottlin ! (Structure,Stones;Boulders,d rs, Consi tengy, Orayd) Flood Insurance hate lbla Above 500 year flood boundary No— Yes Within 500 year boundary No Yes. Within 100year flood boundary No— yes Depth o,- ➢'1�T�aturally�ceprrine ke vious 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? S If not, what is the depth of naturally occurring pervious material?_ Cee flflcation 1 certify that on . (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in CIO CMR 15.017. Signature Date Q:\S.EPTIC\PERCFORM.DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Govemor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 18 STERLING RD. HYANNIS Name of Owner MRS.ABRAMOWITZ Address of Owner: SAME (reportediglqw Date of Inspection: 12/22/99Name of Inspector:(Please Print)JOHN GRACI1am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15,000W\1Company Name: n/a 2 8Mailing Address: n/aTelephone Number: n/a SNVi%StF CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the informa 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-site sewage disposal systems.The system: X Passes The inpection Is based on criteria defined In Title V Conditionally Passes code MO CMR 15.303.My findings are of how the system is Needs Further Evalu tion By the Local Approving Authority performing at the time of the Inspection.My Inspection does _ Fails not imply any warranty or guarantee of the longgevity of the septic system and any of Its components useful life. Inspector's Signature: Date:12/27/99 The System Inspector shal submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)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. ., NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2198 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: n1a 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. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. n1a 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 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 complying septic tank as approved by the Board of Health. nta 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). _ broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced Wa The system required pumping more than four 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 revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) A Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22199 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 public health,safety and 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 ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I 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, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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,Method used to determine distance nLa-(approximation not valid). 3) OTHER nLa fi 1z ,41�m k .te a revised 9/2198 Page 3 of 11 ." SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12122199 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described 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 No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Wa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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 ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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 owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12122/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X 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. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X 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: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [1 5.302(3)(b)) X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 FLOW CONDITIONS RESIDENTIAL: Design flow:_M g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):$ Total DESIGN flow: IU Number of current residents:) Garbage grinder(yes or no):YES Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): IV Sump Pump(yes or no): NQ Last date of occupancy: n& COMMERCIAL/INDUSTRIAL Type of establishment: nLa Design flow: DLa gpd(Based on 15.203) Basis of design flow: Wa Grease trap present:(yes or no):JO Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available:WA Last date of occupancy: n& OTHER: (Describe) nla Last date of occupancy: n& GENERAL INFORMATION PUMPING RECORDS and source of information: 1997 System pumped as part of inspection:(yes or no):NO If yes,volume pumped nL&.gallons Reason for pumping: Wit TYPE OF SYSTEM XSeptic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes_or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: n& APPROXIMATE AGE of all components,date installed(if known)and source of information: THE SYSTEM IS 20 YEARS. Sewage odors detected when arriving at the site:(yes or no) NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 BUILDING SEWER: (Locate on site plan) Depth below grade: 2'S_ Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: n/a Comments: (condition of joints,venting,evidence of leakage,etc.) n/a SEPTIC TANK: X (locate on site plan) Depth below grade: 2: Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NQ n/a Dimensions: L 8'6"H 5'7"W 4'10" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 2 Scum thickness:1 Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: HE How dimensions were determined: MEASURED Comments: (recommendation 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.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY IRAI 1 V SOUND,RECOMMEND PUMPING SYSTEM EVERY TWO YEARS, GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle:_n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: Wa Comments: (recommendation 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.) n/a revised 9/2198 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: Wa Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) nla Dimensions: n/a Capacity: Wa gallons Design flow: n1a gallons/day Alarm present: NQ Alarm level:jV& Alarm in working order:Yes_No_: NQ Date of previous pumping: Wit Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n(a DISTRIBUTION BOX: _ (locate on site plan) Depth of liquid level above outlet invert:n& Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER: NO (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NQ' Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) nla y revised 9/2198 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: nLa Type: leaching pits,number: 1000 GALLON PIT leaching chambers,number: _nLa leaching galleries,number: jiLa leaching trenches,number,length: Wa leaching fields,number,dimensions: n& overflow cesspool,number: n& Alternative system: n& Name of Technology: j3La Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT APPEARS TO BE FUNCTIONING PROPERLY,SYSTEM SHOWS NO SIGNS OF FAILURE.SOIL PROBED DRY, 0 CESSPOOLS: _ (locate on site plan) Number and configuration: nta . Depth-top of liquid to inlet invert: Wa Depth of solids layer: Wa Depth of scum layer. Wa Dimensions of cesspool: Wa Materials of construction: nLa Indication of groundwater: Wa inflow(cesspool must be pumped as part of inspection)WA Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa PRIVY: _ (locate on site plan) Materials of construction:n(a Dimensions:nLa Depth of solids: n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa revised 9/2198 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a �R ,4P Si RA a3 P� s� revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 18 STERLING RD.HYANNIS Owner: MRS.ABRAMOWITZ Date of Inspection:12/22/99 NRCSReportname: WA Soil Type: nia Typical depth to groundwater: n!a USGS Date website visited: Wa Observation Wells checked: NO Groundwater depth:Shallow Moderate _ Deep _ SITE EXAM _ Slope . _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 10 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) _ Determined from local conditions Checked with local Board of health _ Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS 10+FEET revised 9/2/98 Page 11 of 11 Ski/ TOWh1-CaE STABLE LOC;kTf(jN vki � - SEWAGE # N41LLAGE 1 ASSESSOR'S MA? L TL � L� y INSTALLER'S NAME&PHO NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i, (o -t C.,, (A � Y SYSTEM PROFILE MA SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS FOR FUTURE LOCATION. (NOT TO SCALE) 1. DATUM IS ASSUMED o r, IACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROP. VENT a� Hy° E et 2. MUNICIPAL WATER IS EXISTING lem. Sch. tr TOP FOUND. EL. 26.0' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE s 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � r{even MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRE OVER SYSTEM 25.5' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST Mitchells UNITS TO BE AASHO H-M ( o PRECAST H-10 PROP. TEE y RISERS (TYP.) 5. PIPE JOINTS TO BE MADE WATERTIGHT. g �, 2'0 23.75 f 0 PVC 2" DOUBLE WASHED PEASTONE 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE m VEL 1ST 2 Y m •' 7OR GEOTD(1iLE FABRIC , WITH Main YE � 24.7 310 CMR 15.000 (TITLE V.) Loc west Moin St. St. " EXISTINGpw IL 10 1000 GAL H-10 14" 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND et TEE SEPTIC TANK TEE 22.35f*' 0 24.3T o NOT TO BE USED FOR LOT LINE STAKING OR ANY GOdd .. (RE-USE)*• oo0o0o0o0o0o PJg. OTHER PURPOSE. 5 GAS BAFFLE . GAS BAFF +?0g2g?9090? 0.67' o2,3,7' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. v TUF-TITE 4.62' 24.45' EFFLUENT 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF(OR EQUA6" MIN SUMP Oak 000000000000000°0°0°0°0°0°000°o0o°oo 000000°`0' 3 4" TO 1 1 2" DOUBLE WASHED STONE HEALTH AND PERMISSION OBTAINED FROM BOARD °,00'00,vo�o,°,o,°,o°,o°,ovo00000o0o,°0,°,Dr°,0�0,°,0,°�Do0o00 12" MIN. INT. DIM. OF HEALTH. 30' x 15' x 8" DEEP SAS D 6" CRUSHED STONE OR MECHANICAL CA CONTRACTOR SHALL RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND COMPACTION. (15.221 (21) 5.0' VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF ( 1 % SLOPE) ( 1 % SLOPE) WORK. FOUNDATION EXIST. SEPTIC TANK 2' PUMP , D' BOX 10' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED LOCUS MAP CHAMBER 8 FACILITY PROPOSED LEACHSHALL BE IED 5' BENEATH NG NG FACILITY. D AROUND THE ADJUSTED WATER AT EL. 18.7' 12. EXISTING LEACHING FACILITY SHALL BE PUMPED NOT TO SCALE *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL AND REMOVED. ** UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE 13. INSTALLER SHALL DETERMINE IF EXISTING 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE CE ELECTRICAL SYSTEM IS ADEQUATE FOR PROP. PUMP ASSESSORS MAP 289 PARCEL 163 PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE. LOCUS IS WITHIN WP DISTRICT NO CONSTRUCTION PROPOSED (UPGRADE ONLY) LEGEND ALARM AND CONTROL PANEL TO�E INSTALLED INSIDE BUILDING. ALARM TO BE ON 99- EXISTING CONTOUR SEPARATE CIRCUIT FROM PUMP PROVIDE MIN. 20" DIAM. WATERTIGHT X 99.1 EXIST. SPOT ELEV. 5' REMOVAL OF UNSUITABLE SOIL REQUIRED PROVIDE APPROX. 67' OF 40 MIL ACCESS MANHOLE TO GRADE PROPOSED CONTOUR AROUND PERIMETER OF LEACHING FACIUTY LINER AT 5' OFF SAS IN AREA 5'7 99 DOWN TO SUITABLE SOIL LAYER. REPLACE SHOWN. TOP AT ELEV. 24.7', BOTTOM SYSTEM DESIGN" fes.4 WITH CLEAN MED. SAND, TO MEET AT EL 20.7'f. ENGINEER TO INSPECT INV. IN 22.3' ] PROPOSED SPOT EL. SPECIFICATIONS OF 310 CMR 15.255(3) 1000 GAL. H-10 S 2" PRESSURE LINE TH1 500 GAL+ SLOPE TO DRAIN BACK TO PC GARBAGE DISPOSER IS NOT ALLOWED 25.4 FLOAT SWITCH ALARM ON RESERVE 0.25" WEEP HOLE TEST HOLE YYY SETTINGS: PUMP ON CHECK VALVE DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 2� SLOPE OF GROUND �� x 25.57 �'0 4" WORKING RANGE 81, MYERS SRM 4 �j USE A 330 GPD DESIGN FLOW x x 24. \ PUMP O 12" SYSTEM (OR EQUAL) PUMP FF C Q) UTILITY POLE p0' 7 110. 6 N 18.05' o� �o o �� SEPTIC TANK: 330 GPD (2) = 660 FIRE HYDRANT HEP PUMP C_Y ^ EP USE A 1500 rtGAL. SEPTIC TANK NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 28 �_� - x 27 74 21 77 (NOT To SCALE)WATERTIGHT ON 6" CRUSHED STONE OR MECHANICAL P LEACHING: PROP. VENT WITH CHARCOAL FILTER COMPACTION. (15.221 [21) LARGE OAKS AND BUGSCREEN (FINAL PLACEMENT BY SIDES: N/A " CONTRACTOR RA A pN)� HOMEOWNER TEST HOLE LOGS x 2 .37 2 x 2 .9 6 CON j BUOYANCY CALCS: BOTTOM 30 x 15 (.74) = 333 GPD N 1000 GAL. H-10 SEPTIC TANK WEIGHS 8240 LBS � G 2 � _.�''� G-- TOTAL: 450 S.F. 333 GPD ENGINEER: ARNE H. OJALA, PE, SE �19 0.65 x 8.5 x 4.83 x 62.4 = 1665 LBS UP (OK) x 25.6 O 5.69 x 1 1 DECK HERE. ELEV. = 26.0 WITNESS: DAVID W. STANTON, IRS PROP. Pc� o USE 30' x 15' FIELD OF 2 ROWS OF 6 STANDARD x 25..75 3.75 QUICK 4 INFILTRATORS WITH 3 STONE AT SIDES AND DATE: OCTOBER 27, 2009 26.0 o 25.62 x 5. ° oEGK 24c° o ENDS, 3.3' BETWEEN ROWS PERC. RATE _ < 2 MIN/INCH EXIST. ST*.,-/ 0 CLASS I SOILS P# 12737 3 . 6 x 26.59 x 25.76 EXIST. DWELLING ELEV. ELEV. TOP FNDN. = EL. 26.0' MA o" 24.0' 0" 24.0' APPROVED DATE BOARD OF HEALTH ' 0 FILL FILL 22" 22" , \ 26 / - 2 PAVED \ TITLE 5 S ITE PLAN A B A B 5.26 DRIVE of\ SL SL x 7.81 x -30 18 STERLING ROAD 24„ 10YR 2/1 2891 10YR 2/1 LOT 1C HYANNIS 12,088 Sq. Ft. E E _ � 25.58 110 FS FS z 55 25.02 x - PREPARED FOR 29" / 33„ 10YR 5/ ___x 24.84 10YR 5 1 1 p0' x-Z2r8o \ BORTOLOTTI CONSTRUCTION/ B B x° .35 x�4/ BLUE x26.56 G it 11 OA 0 NOVEMBER 4, 2009 LS LS ,r,�R`,IN _ 10YR 5/6 10YR 5/6 S 50" 19.8' 50" 19.8' GROUNDWATER ADJ. DATA: ' PERC C C WELL: MIW 29 OFM off 508-362-4541 aF tits�� P� �sS�o fax 508-362-9880 MS MSZON /� 9��I�lIEL I 100" 15.6' 100" 15.6' ADJ:E 31' `��U>, D�JF�L/s ,.'0� P downca e.com fJJAL {u JRVIL 4 120 2.5Y 6/4 14.0 120 2.5Y 6/4 14.0 t ! Na.46602 dowa cope e#7 keening, Inc. ��. {�� � �° �� ,6T �� �`�` civil engineers Scale: = 20 _SS% 0. land surveyors 9-59 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 0 -24`5 09-245.DWG(SBO) a