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HomeMy WebLinkAbout0063 WALTON AVENUE - Health 63 Walton Avenue r Hyannis A a e a f E TOWN OF BARNSTABLE LOCATION (P3 LLA L^ hc;-2 SEWAGE VILLAGE 'V,4 o A y%%.'� ASSEESSOR'S MAP&PARCEL 310 A J INSTALLER'S NAME&PHONE NO. `i'T:q-f W J 1 &�A A R di S.c V277 F8 2 :Z SEPTIC TANK CAPACITY 15'00 O LEACHING FACILITY:(type) C-LY) 3G Ro (size) !(f,S X o?0 NO.OF BEDROOMS 3 OWNER Loactrik ban ro A PERMIT DATE: I COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /V, lj 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 r I� X y Rr a4.� A2 a�.2 93 3-7-7 45 yy,s- 'C. 1 / L ' No. C - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatlon for Disposal 6pstrm Coneftuttion 3permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6S LQ A4_Tz�ej A U'a Owner's Name,Address,and Tel.No. Assessor's Map/Parcel MAP HYj?AfL�s�a I L SgA1 o� ©t o C9 VjPQL Installer's Name,Address,and Tel.No. S®$ ,� g -� Designer's Name,Address,and Tel.No. S 09-973 03'17 c;�p��vcpg a��aR�rCts�S M a� t� W� r 4W Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(x) Other Type of Building R No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) M® gpd Design flow provided S,'� gpd Plan Date -'ug, 30.;Ed G/ Number of sheets Revision Date Title b3 ►a1 G4-�N) i yc- WUiJAIIS ,M-A 0,X661 Size of Septic Tank ( '�0® Type of S.A.S. dto AiZC 3(? We- Pj to b IbrFo ge—AS 1+ -.10 Description of Soil Mao 6_DAUI b Nature of Repairs or Alterations(Answer when applicable) Nag) -ht►%L D-40C SAS 1 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 Healt Signed Date Application Approved by Date - J Application Disapproved by Date for the following reasons Permit No. p'28(�- 02� Date Issued 1 e S No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . PUBLICrHEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitatlon for ;Disposal *pstrm eollBtrULtlon permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S UVA0--M 1J A V ro Owner's Name,Address,and Tel.No. Assessor's Map/Parcel H�j2AiL�IJt S LMkA0 c— d t o 0 UW�v Installer's Name,Address;and Tel.No. �+ q Designer's Name,Address,and Tel.No. TOR . 13 ., 31 /0�1 KAWPizr 425 c t Type of Buildings Dwelling No.of Bedrooms Lot Size 441 sq.ft. Garbage Grinder,(X) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ® gpd Design flow provided S 7Y5>72L gpd Plan Date 4 L10 4 34C.261 Number of sheets Revision Date Size of Septic Tank I,500 Type of S.A.S. 20 ARe ,36 j4.. B(()9)I j F:,0< Description of Soil 17,l ddOA+!S �C;bOtWN� S E L4k4 j 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 f 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. Signed Date i -- Application Approved by s Date — 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 ) Upgraded( ) Abandoned( )by Da^WIDIE: gtl t -- I WY at_(03 i.ca*QD4j AU r; I t C has been constructed in accordance 1 � a with the provisions of Title-5 and the for Disposal System Construction Permit No. a6�ft wZl dated Installer ot�Q !' , GN!rWQt%1&nr Designer � GDJGI&( �Gt„ Ayn— of #bedrooms Approved design flow gpd The issuance of this pe 1 Vonst rued as a guarantee that the system wnctio, a s neDate Inspector i, � -- --------------------------- ------------------------------ -----------------------------=- -------------------- --------- No. �� 2�� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Zisposaf 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(k) Upgrade( ) Abandon( ) x System located at (23 Atz k�/ (r, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with r: Title 5 and the following local provisions or special conditions. �. Provided:Construction must be completed within three years of the date of this permit. ! tuZ_4 y Date Approved by bS I Town of Barnstable Regulatory Services ` Thomas F.Geiler,Director B""'A''"R`A ' Public.Health Division sip r Thomas McXcan,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862.4644 Fax; 508.790-6304 Date: 8-3-il Sewage Permit#6101l' a5a Assessor's Map/Parcel 310/ 17 Installer & Designer Certification Form Designer: SC En tneecfq) TpG Installer: Coteryc(se_s, L-e-C Address: 2�,.�y CCc�nbe�-ry lli�i^wa,� Address: Co ecA S'L . wcl(e am M 02-53 (`nQS�f1(�Qe NY1�R .U2(oi-1� On C ��l��' �dQfiSeS was issued a permit to install a (date) (installer) septic system at (b3 walkon ftwklu c based on a desigh drawn by (address) �G Er�9t rt e e t t�� dated -Sulk 301 20 t l (designer) ✓ I certify that the septic system referenced above was installed substs;nt ally according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspecu;d and the soils were found satisfactory. I certify that the septic system referenced above was installed with m_ljor changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation If any component of the septic system) but in,accordance with State& Local Regulations, Plan revision or certified as-built by designer to follow. Stripout(if req 'nspc�cted and the soils e found satisfactory. f tt4OFk�tiC k+ JOHN I.- CH UK C h I"LL \'T " J R. (Installer's Signatu re) �. No <1d07 ci esigner's Signat (Affix esl6 e s �:ni Here) c PLEASE RETURN O PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS .F;)M AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC Y4.VA!.T1j DIVISION. THANK YOU. q.lullirr IimnsW�tiign�rCcrlilicaliun I'um.Jo� Town of Barnstable P 0 Department of Regulatory Services _ RAM 1 : Public Health Division Date 1639• 200 ain Street,Hyannis MA 02601 fp pNtt a Date Scheduled 44 Time_ '� , Fee Pd. 144 0 Soil Suitability Assessment for Sewposal Performed By:__VII`Jnoa el meA W I CZT G S( Witnessed By: LOCATION&GENERAL INFORMATION Location Address (0 Owner's Name Address Assessor's Map/Parcel: 3 t o l o ) Engineer's Name (,4P- W,6& ekk--PiSes i-O cm jw eec'0_5 NEW CONSTRUCTION REPAIR Telephone# y'Off—4("1'?— 9 71 -273'U 3�7 Land Use -- Smyl� �nmily CU-ft""'15 Slopes 9b 0— p ( ) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line _ 7 1 O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) Parent material(geologic) 00 kWQ5�1 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 7 13 S w 9 5 Weeping from Pit Race Estimated Seasonal High Groundwater 7 13 8 (O,g S DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Dttect 6`owuu 6o j , . Depth Observed standing in obs.hole: 7 13 In, Depth to soil mottles: in. Depth to weeping from side of obs.hole: In, Groundwater Adjustment fr. Index Well# Reading Date: — Index Well level - „ Adj,factor,-„�� Adj.drpundwaterl.evel,;,� PERCOLATION TEST bate 7-?9-11 Time it AH Observation ""—'— Hole# _ Time at 7" T Depth of Perc y '� Time at 6" Start Pre-soak Time @ 11,60 A/1 ^ 95me(9"-611) End Pre-soak 11 1 M Rate MinJInch G Z Site Suitability Assessment: Site Passed Y�LS- - Site Failed: Additional Testing Needed(YM) Al Original: public Health Division Observation Hole Data To Be Completed on Back.' --------= j ***If percolation test is to be conducted Within 100' of wetland,you must first notify the. 1 Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEROBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Sdil Color Surface(in.) Soil Other (USDA) (Munselq Mottling (Structure,Stones;Boulders. ' o isistencv 96 t3ravPn 6 i b` 3° 13 �S _ • 36-i36 C, ;\H-GS 2, 5yIA DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi en %Gravel) 6—to A- L� 60 r 3/( h'36 r�. -0 30-c3� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) MottlingOther (Structure,Stones,Boulders. —Ti7te DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). (Munsell) Mottling (Structure,Stones,Boulders. ons' ten Flood Insurance Rate May: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes ' Within 100 year flood boundary No ✓ Yes Death of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ye-5 If.not,what is the depth of naturally occurring pervious material? Certification I certify that on /0" 719 (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,expertis and ex ience described in 310 CMR 15.017. Signature c Date 7-30-I j Q:1S.EPTICVERCFORM.DOC Town of Barnstable Barnstable Regulatory Services Department y edcaC"j } BARN KrABLE, O D ,Ass. Q 'b39• Public Health Division 7 �Q' m ArfD Mai A . 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.GeilerLeach pit is only3f )undwagter,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3525 5576 July 12, 2011 Ms Lorraine O'Donnell 63 Walton Avenue Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 63 Walton Avenue, Hyannis MA. was last inspected on 6/16/2011 by Robert Paolini a certified septic inspector for the State of Massachusetts. According to the private septic system inspector, the system "Failed" due to the following: • System shows signs of hydraulic failure. Also, the house has been vacant, and the water level was three (3) feet below the invert. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health J:\63 Walton Ave,Hy..doc II M 1. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °qM0 63'Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town 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: A. General Information When filling out forms on the r computer, use 1 only the tab key . Inspector: to move your Robert Paolini ? ' cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name P.O.Box 763 Company Address Centerville Ma. 02632 reran City/Town State Zip Code (508)477-8877 S14454 Telephone Number License Number rtw• B. Certification I certify that I have personally inspected the.sewage disposal system at this address and that the information reported below;is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15:000). The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Furth r,Evaluation by the Local Approving Authority c� 6/16/2011 Inspector's Signature Date 4 The system inspector shall submit a copy of this inspection report to the Approving Authority(Boat of Health or DEP) within 30 days of completing this inspection. If the system is a shared sym or`� has a design flow of 10,000 gpd or greater,.the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the-time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under' the same or different conditions of use. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 s Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601_ 6/16/2011 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: r B) System Conditionally Passes: ❑ One or more system.components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. _ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N FIND (Explain below): t ,* t5ins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments <c�M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is.removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form ; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: i D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or. ❑ ® clogged SAS or cesspool M El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded ❑ ® or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 t. x(y sC' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. E] ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either,"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a.surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat; or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact.the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner, Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No r ® ❑ 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? t Was the facility owner(and occupants if different from owner) provided with n, ® ❑ 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 J approximation of distance is unacceptable) [310 CMR 15.302(5)] ' D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Lt"5iins 11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•',Page 7 of 17 7 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ° 63 Walton Ave. M Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool t ® 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 t ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): r t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 a Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/201.1 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: .Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑ cast iron ❑ 40 PVC ® other(explain): Orangeberg Distance from private water supply well or suction line. feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. 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: Sludge depth: ,,ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts - W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) . P Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet f Material of construction: j ' ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness f Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations., inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): = Depth below grades- Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): x H Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is Hyannis Ma. 02601 6/16/2011 required for y every page. City/Town State Zip Code Date of Inspection D. System Information.(cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(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.): a . Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 1 main and one overflow. Depth—top of liquid to inlet invert dry Depth of solids layer 4" Depth of scum layer 5" Dimensions of cesspool 6'x8' M Materials of construction Concrete block Indication of groundwater inflow ❑ Yes ®.No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Sandy soil.System shows signs of hydraulic failure.Stain lines were over inverts in both cesspools. t-- 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.): y' 8 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 z Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer P � �Custom Ma Abutters Map Size Zoom Out i i . 1In It, ICU d ,n a y 1. 4A CD 1 z§,f I 20 Feed' a r Set Scale 1" = 20 r I Aerial Photos I MAP DISCLAIMER - (:nnvrinhf 9MFc9r)ln Tnum of Rornefohle AAA All rinhfe roc— pp http-.//66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=310017&ma arback=3100... 6/20/2011 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 63 Walton Ave. M Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: Bottom of CP 30' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtairied from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 63 Walton Ave. Property Address Lorraine O'Donnell Owner Owner's Name information is required for Hyannis Ma. 02601 6/16/2011 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® .Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 a _ ___ _ - - _ _- ---- -_ ----- --------- --- - _TOP OF OF FOUNDATION = 49.7'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROP.VENT WITH CHARCOAL - �E 1�1 E R A 1 NOTES E j INISH GRADE OVER D-BOX= 49.5 ± FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFFUSERS= 49,50 50.01I V C r'iL_ 1 V ! PROVIDE EXTENSION RISER WITH SLOPE @ 2% MIN. CONCRETE COVER TO WITHIN 6"OF FINISH GRADE OVER TANK EL.= REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE FINISH GRADE OVER INLET&OUTLET 49.2'+ RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 49.3'± 5"DIA. OUTLET(S) 3"OF F.G. (ONE PER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS..___ 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 36"MAX. } i 9"MIN. DESIGN ENGINEER. I PROP. PVC PROP. PVC SEE NOTE 21 SEE NOTE 21 TOP OF SAS/B.O. = 44,rjQ' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE �� SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. = 2"DROP MIN. 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN EXIST SEWER PIPE MIN.sLOPEQ196 6" 3" 3"DROP MAX. 3" 9" L _ 29'+ PROVIDE WATERTIGHT -_ ,* jV MIN.SLOPEQI% JOINTS (TYP.) ELEVATION =44.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A E:R:j a 10" 4"PVC IN FROM 1.33' p 40 MILGEOMEMBRANE LINER IS PLACEAT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 14 44.85' SEPTIC TANK 4" PVC OUT TO 0 90, (NP.) 10.7 16 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. LEACHING FACILITY + 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 45.10' 12" s° I OUTLET TEE 44.50' MIN. 44,33' 44.07' 43.17' (laid flat) 2.875'(34.5")--I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" 5.0' (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK t j GAS BAFFLE 6"CRUSHED STONE (TYP,) 5'MIN. 14.375' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS 12.2'TO FND OVER MECHANICALLY REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH COMPACTED BASE 20.0' AND DESIGN ENGINEER. 6" CRUSHED STONE OUTLET DISTRIBUTION BOX (TYP.) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 51.75' ESTABLISHED OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 38.00' BIODIFFUSERS (END VIEW) ON A NAIL SET IN A 14" PINE TREE AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK H-10 PIPES TO BE LAID LEVEL. BIODIFFUSERS PROFILE 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION ( ) (BY ADVANCED DRAINAGE SYSTEMS INC.) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-6" WIDTH 5'-8" DEPTH 5'-8" (Dimensions per Wiggin 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES Precast Corp., Pocasset,MA) CROSS SECTION VIEW � TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY ELEVATION SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL H-20) ARC 36HC (##3616BD) BIODIFFUSERS (H-20) REPORT TO ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. - J y - ---- - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING 0 402 - - TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM PERC NO. 13342 APPROPRIATE AUTHORITY. �+ CI INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS 0 EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE >, *� • C.S.E.APPROVAL DATE: Oct. 1999 THEY SHALL WITHSTAND H-20 LOADING. r r 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DATE: July 29, 2011 TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ELEV TOP= 49.50' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. c REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, Sa ELEV WATER= <38.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). s 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PERC RATE_ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ZONE 2 +! DEPTH OF PERC= 30"-48" 16. PROPOSED PROJECT IS LOCATED WITHIN: K ' U TEXTURAL CLASS: 1 ASSESSOR'S MAP 310 PARCEL 17 N EXIST. CESSPOOL TO BE EXIST. LEACHING PIT TO BE PUMPED AND FILLED - OWNER OF RECORD: LORRAINE FRANCES O'DONNELL MAP 310 PUMPED AND FILLED wl CLEAN, I w/CLEAN, COARSE SAND &ABANDONED ADDRESS: 63 WALTON AVENUE„ Z PARCEL 293 COARSE SAND &ABANDONED 0 Loamy Sand 49.50 HYANNIS, MA 02601 vf S78"26'23-S Benchmark LOCUS g" 48.83' � 171.45, Nail in 14" Pine MAP 310 M Loamy Sand FEMA FLOOD ZONE C PROPOSED Elev. =51.75 B i PROPOSED INSPECTION PORT N � 10Yr 5/8 PVC VENT PIPE � Approx. M.S.L. PARCEL 18 0/ y COMMUNITY PANEL# 250001 0005 C WITH ACCESS BOX (TYP OF 5) 30" 47.00' N�SD Perc 17. DEED REFERENCE: LAND COURT CERTFICATE 84785 PROP. TOTAL 20 ARC 36HC 3 EDGEy0 l w �`' ► ) 45.50' 18. PLAN REFERENCES: 1. LAND COURT PLAN 17201-C (#3616BD) BIODIFFUSERS (H-20) �� � �` w - -� / 0 2.) LAND COURT PLAN 17201-J IN A FIELD CONFIGURATION 49x2' 49x2 •� / -- i piHiW 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. � CID ---'- oiHiw _ � .,� C Med.to Coarse Sand 1 °�""j 2.5Y 616 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY C? TP 1 #63 / (5-10%gravel) FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY EXISTING O 9X3 A FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. o ' O / @!T pRl�'F ,.. �+.,._ co 49x3' 49x5' O 3-BEDROOM 1 DWELLING 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE MAP 310 49x5' TOF = 49.7'± LOCUS PLAN_ APPROVALS ARE REQUESTED FROM 310 CMR 15.221 (7): TP 2 SLAB =4&T± (1.) A 2.5'WAIVER(3.0-5.5') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. PARCEL 292 PROP. D-BOX 2p 49 49x5' DECK j U SCALE: 1" = 1000' (2.) A 1.0'WAIVER(3.0-4.0')FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. ( ) I t✓�1-I✓ ad132" 38.00' MAP 310 a 49 ��`w� , No Mottling, Standing or Weeping Observed - -_. PARCEL1+ �Q9 T Q DESIGN DATA TEST PIT DATA LEGEND 17,070 S.F. _ Ric 3 O ,, PERC NO. 13342 � °' o ~ W INSPECTOR: Donald Desmarais, R.S. MAP 310 / NF o �,/ 50xO EXISTING SPOT GRADE PARCEL 291 o / NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel E.I.T. - - 50 - - EXISTING CONTOUR N78"27'01 co DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 � PROP. 1,500 GAL. SEPTIC TANK DATE: July 29,2011 50 PROPOSED SPOT GRADE 16g.98' TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 50 PROPOSED CONTOUR � DESIGN FLOW X 200 % = 660 GAUDAY ELEV TOP= 49.50' ❑/H/W EXISTING OVERHEAD UTILITIES USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER= <38.00' W --W EXISTING WATER LINE /ate PERC RATE = 0 MAP 310 DEPTH OF PERC= TEST PIT LOCATION INSTALL 20 - ARC 36HC (#3616BD) BIODIFFUSERS (H-20) SWING-TIES SCALE: 1" =20' PARCEL 16 O TEXTURAL CLASS: 1 O O PROPOSED 1,500 GALLON SEPTIC TANK DESCRIPTION HCA HC-2 SYSTEM CAPACITY (TOTAL L.F. OF BIO'S)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE p , SEPTIC COVER IN 1) 25.7' 29.4' 49.50 ( (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING DAY A Loamy Sand � PROPOSED DISTRIBUTION BOX(H-20) SEPTIC COVER OUT(2) 32.3' 23.1' 8" 10Yr 311 48.83' BIODIFFUSER CORNER(3) 46.0' 34.2' TOTALS: B Loamy Sand PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) TOTAL NUMBER OF BIODIFFUSERS: 20 10Yr 5/8 BIODIFFUSER CORNER(4) 57.3' 47.7' TOTAL NUMBER OF COUPLINGS: 0 30" 47.00' BIODIFFUSER CORNER(5) 49.1' 57.0' TOTAL LEACHING AREA: 480.0 TOTAL LEACHING CAPACITY: 355.2 REV. DATE BY APP'D. DESCRIPTION BIODIFFUSER CORNER(6) 35.4' 46.3' _-____________. _._PR..___ _-_ - -- OPOSED SEPTIC SYSTEM UPGRADE NOTE: EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE C Med.to Coarse Sand PREPARED FOR: DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 2.5Y 616 CAPEWIDE ENTERPRISES 5) HCA "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED (5-10%gravel) 6) a DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST MODIFIED JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. LOCATED AT 63 WALTON AVENUE N (1 122, #63 / HYANNIS, MA 02601 3) EXISTING SCALE: 1 INCH = 20 FT. DATE: JULY 30, 2011 2 O (4 14 4' 3-BEDROOM %� � 132" 38.00' 317 DWELLING NOTES: No Mottling, Standing or Weeping Observed TOF = 49.7'± 0 10 20 40 80 FEET - mmmffmmw ------- - -- --- ----- - -- SLAB = 46.7'± 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE - - -____. _____ _ _ _ ___ ____.- __ _ ____ __._ ___ - PREPARED BY: DECK OF EACH SEPTIC SYSTEM COMPONENT. RESERVED FOR BOARD OF HEALTH USE osa���,N of Llgssgc�GJC l ENGINEERING RAN HIGHWAY JOHN L s� 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS&GROUNDWATER IN CHURCHI,L JR. N 2854 BERRY HC-2 I THE LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE EAST WAREHAM, MA 02538 SITE PLAN CONSISTENCY WITH TEST PIT DATA AND GROUNDWATER ELEVATION 07 SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF �,po� FG TE a \, 508.273.0377 SCALE: 1"=20' HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. s Drawn By: MCP Designed By:MCP iChecked By:JLC I JOB No.2028 _L