HomeMy WebLinkAbout0044 HINCKLEY CIRCLE - Health 44 Hinckley Circle S"
Osterville ,
/ A= 142 - 057
J
1
Town of Bamtable P 4 G R
Departirtent of Regulatory Services
t _ Public Health Dfvs7ion Date
Musa -
a639. 200 Main street,Hyannis MA 02601
Date Scheduled 0Ct �q, 7 Time t_ 1�� Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Pedbrinca•13y: U I d Cov e owr ��� t
Witnessed By: �Nts.R �f'r�DIVAIG-
LOCATION&GENERAL INFORMATION
Location Address 4� Owner's Name}{t��kl�e,��` �`r l _ ff R�y� ��l•��1 e7' j4t S
Ct v� I Adder
Assessor'sMaptparsei tg'Z lrj-7 Engineer'sNamc 'liraUid COY&lr h0wr
NEW CONSMUCnON REPAIR "� Telephone# S��. �N,'T Of5 ' r
laud Use slopes MY— Surface Stones 1 Yi e
Distances from: Open Waw Body U b i ft Possible Wel tcr We11 Arcs { R lhinktng Wa # ft
Dadhage Way ? R Property Una 10 + ft Other ft
SEETCH:(Street name,dimensions of rat,exact locations of teat holes&perc testa,locate wetlands?n proxitnity to holes)
GROUNDWATER ADJUSTMENT
EXISTING GROUNDWATER LEVEL
G. v BASED ON TOWN OF BARNSTABLE
GIS-DEPARTMENT RECORDS.
-- -r, INDICATED GW 5.00
rr INDEX WELL 111W-29
LoT .z.3
' fljeq ti �2?G2 - READING DATE OCT, 2007
READING 9.7
ADJUSTMENT 5.3
1 . V�ff ADJUSTED GW 10.3
cd �t fdl o�� s h e
'�a�t.
Parent material(gralogie) Depth to Heclr'ock u '
14
Depth to Groundwater: Standing Water in Hot t) Weeping fmm Pit Face vd
See 400
Estimated seasonal High Ciratmdwat« •
DE�AUON FOR SEASONAL MGH WATER TABLE
Method Used
Depth Observed standing in obs.hole i1Q^�. in, Depth to salt mottles: non In,
Depth to weeping from side of obs.hole: WN O v1C In. UroundwaterAdjuattuent fi
Index Well# Rcadiug Date Index Well revel r_ 44 factor -.�.Adj.Groundwater Level,,._.
IDIZ9 d 7 iI R T`t
PERCOLATION TEST Uale 'tYma,,.,_„r,
Observation ;
1
Hole# Tltne at 9" 11-
Depth-of Pexo - 6 Z i h ' '17me at 6'.
Start l'ro-§oak'lquie®: —
End Pro-soak
Rate Minitach
Site Suitability Assessment: Site Passed � Site Palled. � Additional Testing Nccetd(YIN)
Origmah Pisblic Health Division Observiftion Tole Data To Be,Compiet6d on Back�-------
*'t*If pe rcolotion test is to he conducted within 100' of wetland,you must first notify the
Barnstable. Conservation Division at least one-(I)week prior to beginning.
QM, 11F iC ERCF0RM.D0
DATE OF TEST: OCTOBER 29. 200?
APROVEDSOIL TEST L O G WITNESSED[BYVALUATOR: DONNOA OMIORANDI AHEALTH DEP7.
TEST
PERC. NUMBER: 1198?
TER
TES I P I T I PAARENTUMAATER AL PROGLAC ALD OUTWASH
PERC AT 62 in - 3 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
3305 (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING
0-10 FILL
10-11 O LOAMY SAND 10 YR 2/1 NONE FRIABLE
11-12 E LOAMY :SANG 10 YR 4/1 NONE FRIABLE
12-16. A LOAMY SAND 10 YR 3/4 NONE FRIABLE
2572 15-40 B LOAMY SAND 10 YR 4/6 NONE FRIABLE
22.05 40-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE
ENCOUNTERE
NDWATER
TEST P J. T 2 PAO ENOTUMATERIAL PROGLAC ALD OUTWASH
3 MIN/INCH IN C SOILS
ELEVATION DEPTH SOIL USDA SOIL SOIL 'COLOR SOIL OTHER
3320 (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING
0-12 FILL
12-22 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE
29.70
22-42 B LOAMY SAND 10 YR 4/6 NONE FRIABLE
22.20 42-132 1 C MEDUIM SAND 10 YR 6/4 NONE LOOSE
DEEP OBSERVATION HOLE LOG Hole#
Depth fm SoIlHo rizon SaII1extu ra Soil Color Sail Other'
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,1louldeas.
CAMIStCnZQMVQ
DEEP OBSERVAnON HOLE LOG Hole#
Depth from Sail Hcdlon Soil Texture Sall Color Sall Other
Surface(ln.) (USDA) (Munseil) MQrtling (Structure,Stones:Boulders.
Flood Insurance Rate Man:
Above 500 year flood boundary No•.•_, Yes
Within500 year baundary 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 arena observed throughout the
area proposed for the soil absorptibn system?. Ke 5
If not,what is the depth of naturally occurring pervious matcrlal?
Certification
I certify that on �° tR�S (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysi\was•performed by me consistent with .
the required training,expertise and experience described in 10 CMR 15.017.
signature�p"� Batt; bcr Z�1 200 7
Q:1S12.71`10PERCPORKDOC
Town of Barnstable Barnstable
�pF THE ip�y
ic
Regulatory Services Department I iIaC'F
li+ BARWrABLE, • -
n^9. m Public Health Division
ATfD MAt 200 Main Street, Hyannis MA 02601 Zoos
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7011 0470 0001 4525 5341'
October 3, 2011
Mr. John M. O'Donnell
244 Bedford Street.
Lexington, MA 02420
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5.
The septic system located at 44 Hinckley Circle, Osterville,MA was last inspected on
2/3/09, by Shawn McElroy, a certified septic inspector for the Sate of Massachusetts.
The inspection of the septic system showed that the system "Fails"under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Backup of sewage into facility or system component due to overloaded or,
clogged SAS
• Static liquid level in the distribution box above outlet invert due to an
overloaded of clogged SAS.
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 with the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
t!f;:
omas�' c !an, S.,
Chairman
Documentl
TOWN OF BARNSTABLE
LOCATION //Z/ 11i�e k-/e U L/rG l C SEWAGE#
VILLAGE as r!'ri////nr ASSESSOR'S MAP&PARCEL / 4/�
INSTALLER'S NAME&PHONE NO. 5"03- )OS cVO4 O-e 1j��rvS
SEPTIC TANK CAPACITY /s00
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: /d .?S"-�J 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
{�9oh e�lti� Ct,^Gl�e
{
f
yo
e ,.
No. ;®I I Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0(ppliCation for Disposal *pstrm Conet rtioll i3Prmit
Application for a Permit to Construct(�' Repair V-1-Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 4/l/ ff/ 'I Ctk fE/ C'i re_16 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel AWi 3-7
Installer's N me Address,and Tel.No.$'OS--4/2g - 9 7.38 Designer's Name,Address,and Tel.No. f-96
✓os � be t3�3r`dS -nFeP rxY
rf /R
8/ orl�-U9�� `'j2� �i�rsra�s vyi.//s S�h
Type of Building:
Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided 3� gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) .� T zA flL�'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. p
Signed Date
Application Approved by Date 10-;L 5- �I
Application Disapproved by Date
for the following reasons
Permit No. tt s 563 Date Issued f4G' 5--
Anew
�o��- 363
_Lw
No. ' � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplication for MispoBal *pstem Construction Permit
Application for a Permit to Construct( - Repair(/_�-Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. \
Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel l.�� g_ S'
Installer's Name,Address,and Tel.No.SoZ- I/et Z - y;732 Designer's Name,Address,and Tel.No.-5"a2 - 5 - OZCI"/
Jos-,_-�PA lJa l3.4✓v�� L:�cJ— ti=c'fl �"r'l�/l.Rc),4 ,,,4_-4 /
Type of Building:
y, Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) U' gpd Design flow provided �� gpd
Plan Date Number of sheets Revision Date
Title u.
Size of Septic Tank j Type of S.A.S.
Description of Soil I
Nature of Repairs or Alterations(Answer when applicable) 114
T� "ram/=
2 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 17 i r Date tU- 2 S'
i
Application Approved by Date
Application Disapproved by Date
'for the following reasons '
Permit No. o�O I s 76 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( e- - Repaired(G)- Upgraded( )
Abandoned( )by „ 0,
i
at 4l Z ,al4����/��� l<;r ��/,��= has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. o Oo7 /- 3 63 dated
Installer Z)., � �.�ir C Designer
#bedrooms 11) Approved design flow �L )-0 gpd
The issuance of this permit shhajl not be construed as a guarantee that the system will/fu cnto as deli ed.
No.
Date i _ Inspector l�
- - - - -_ - _ --- ------- -
1
611_ 363 Fee /&0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( y Upgrade(/ r Abandon( )
System located at
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.
I� Provided:Construction must be completed within three years of the date of this permit. -�
r _t S
Date s Approved b
—�L1 / PP Y
I
Town of Barnstable
Regulatory Services
1 Thomas F.Geiler,Director
HAM
. enwter�a, : ,
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508.862A644 Fax: 508-790-6304
Installer& Desiener Certification Form
Date: .d:
Desi er: ��u I o C6 n. buH A-N OwIZ
!� Installer:
Address: �J 7-41 A-U6 L C e(R Address:
Af
On b (date) ss�✓,o v o .{ was issued a permit to install a
(lnstaller)
septic system at {a ddress based on a design drawn by
" .
94V 10 D. dated f U .
/ (designer)
I certify that the septic system referenced above wasinstalled substantial) a c
the design, which may include minor approved changes such as lateral relocation f 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�design!er,t •foilow.
• �,�,1N of MgSs.
DAVID 9cy�N
(lnstallei s Signature) COUGHANOWR
No. 1093
o
RG/STS 41
64�
(Designer's Signature) (Affix Designers Stamp Here
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DMSION. CERTIFICATE
OF COMPLIANCE WFLL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BWLT CARD ARE RECEIVED BY THE BARNSTABI PUBLIC HEALTH DIVISION.
THANK YOU.
F f �
f • 6,a ..M Y,. f
Er
Lr7
fU
Postage $ f
Certified Fee
0 Return Reoeipt Fee P
O (Endorsement Required) ere
p Restricted Delivery Fee C/C ~ �✓
(Endorsement Required) Cl)
C
_ V
ti W
O Total Postage&Fees s •� •� �
rl _
r-q 6
M1 Mr. & Mrs. David Cunningham r
4816 Quebec,N.W.
Washington, DC 20018 � �
Certified Mail Provides:
o A mailing receipt
o A unique identifier for your mailpiece
to A record of delivery kept by the Postal Service for two years
Important Reminders.
e Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail6.
n Certified Mail is not'available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail. y
o For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate.return receipt,a USPS®postmark on your Certified Mail receipt is
required.
o For an additional fee, delivery may be restricted to the addressee or.
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery°
o If a postmark on the Certified Mail ieceipt is desired,please present the arti-
i cleat the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
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SENDER: COMPLETE THIS S
■ Complete items 1,2,and 3.Also complete A S' nat
item 4 if Restricted Delivery is desired. X ����� ❑Agent
■ Print your name and address on the reverse _Addressee
so that we can return the card to you. Re eived by(Printed Name) o, �at�" delivery
A Attach this card to the back of the mailpiece, _ —�O\ i
or on the front if space permits.
D s delivery address different item 1? li, es
1. Ar{icle Addressed to: If YES,enter delivery add elow: �kd IN
�Mr. John M. O'Donnell
-'-244 Bedford Street
Lexington, MA 02420 3. Service Type
- �a + ❑Certified Mall ❑grass Mail
s ❑Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes J
2. Article Number 7�11 0.4�0: oval 4525 5341
(Transfer from service IabeO
PS Form 38111 February'nb4! ( H iDomesiic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
I LISPS
I Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
� a
Town of Barnstable
Public Health Division
N i 200 Main Street I
I
Hyannis, MA 02601
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THE
'Town of Barnstable Barnstable
pp Tp� ,
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Regulatory Services Department a edcaM y
BARNSCABLE,
Q MASS. ON i639• Public Health Division
-Op ��
rf0 MAt a. 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 70110470 0001 4525 5419
October 12, 2011
Mr. &Mrs. David Cunningham
4816 Quebec,N.W.
Washington, DC 20018
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 44 Hinckley Circle, Osterville,MA was'last inspected on
9/1/2011, by Ron Burlingame, a certified septic inspector for the Sate of Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
o Backup of sewage into'facility or system component due to overloaded or
clogged SAS.
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 with the deadline period will result in future
enforcement action.
1 R OF THE BOARD OF HEALTH
as cKean, R.S., CHO.
Chairman
Q:\SEPTIC\Letters Septic Inspection Failures\Town of Bamstable.doc
THISISECTION ON DELIVERY
Ills Complete items 1,2,and 3.Also complete A Sig lure a
item 4 if Restricted Delivery is desired. X 19 Agent
m Print your name and address on the reverse 1� ❑Addressee
so that we Can return the Card to you. k B. Received by(Printed Name) C. Date of Delivery
0'Attach this card'to the back of the mailpiece, .
or on the front if space permits.
D. Is delivery address different from item t?�❑Yes
1. Article Addressed to: (�re If YES,enter delivery ass below:' ❑ No v" sa N �
Laurie Hart
44 Hinckley Circle
Osterville, MA 02635 3. Service Type I
�`< ®Certed Mail ❑Express Mall
❑Registered ❑Return Receipt for Merchandise
ti ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7011 0470 000.1 4525-5273\
(fransfei from service label) ! t t I lilt
PS Form 3811,FebruaryP 2004 Domestic Return Receipt t t t f i l i 3 1 102595-02-M-1540
UNITED STATES POSTAL SERVICE
lrt,>Wla A�laalM
.di.l,�'Asq�� 0S4Ti�j O[r@8M•Ir
,n
• Sender: Please print your name,'address, and Z[044,14is box •�" "'""`"
C
i
i Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601
i..r.... fill,I'll I,fill I'll 11,11111111 fill Il III Ill 111111.1tl,11illl;�l�li . D
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Postage $
r i Certified Fee
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Postmark,
Hem
E3 Retum Receipt Fee
M (Endorsement Required)y .
Re Ied Delivery Fe�e�6 i � {
(Endorsement Required) G
O Total Postage&Fees,
' t09
N
Laurie Hart
44 Hinckley Circle
Osterville, MA 02635
Certified Mail Provides:
o A mailing receipt ~
n A unique identifier for your mailpiece
a A record of delivery kept by the Postal Service for two years
Important Reminders:"
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
c For an additional fee,a Retum Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return:
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
q For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted-Delivery".
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
r ,
�p'SHE Tp�
Town of Barnstable Barnstable
yP� Regulatory Services Department A"ma;caC 1
k
+ BARNSTABLE, '
"AS&. Public Health Division
-tj i63q.
Arta MAs a, 200 Main Street, Hyannis MA 02601 2007
s
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7011 0470 0001 4525 5273
September 20, 2011
Laurie Hart
44 Hinckley Circle
Osterville, MA 02635
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 44 Hinckley Circle,Osterville, MA was last inspected on
9/1/2011,by Ron Burlingame, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Fails under the guidelines
of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Backup of sewage into facility or system component due to overloaded or
clogged SAS.
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 will result in future
enforcement action.
j
PER ORDER OF THE BOARD OF HEALTH
omas McKean, R.S , CHO �
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures\TEMPLATEI.doc
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
fr
M s 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osterville MA 02635 9/1/2011
page. Cityrrown 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. General Information
on the computer,
use only the tab 1. Inspector: � "
key to move your U .
cursor-do not Ron Burlingame
use the return Name of Inspector
key.
�V Company Name
58 Oak Street'
Company Address
West Barnstable MA 02668
Cityrrown State Zip Code
508-776-8544 S 14124 -
Telephone Number License Number:
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:
C _ }
❑ Passes ❑ Conditionally Passes ® .Falls
❑ Needs Further Evaluation by the Local Approving Authority - CO
3� 9/1/2011
Inspector's Signat r Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Bobrd
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****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
Commonwealth of Massachusetts
Title 5 Official- Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
44 Hinckley Circle
Property Address
Laurie Hart 3 ,
Owner Owner's Name
information is required for every Osterville MA 02635 9/1/2011
page. Cityrrown 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 ❑ ND (Explain below):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary.Assessments
M 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osteryille MA - 02635 9/1/2011
page. Cityrrown State Zip Code. Date of Inspection
B. Certification (cont.)
r
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., F] 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: k
❑ Cesspool or privy is within 50 feet of a surface water
Ej Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•11/10 Title5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , 44 Hinckley Circle "
Property Address
Laurie Hart A
Owner Owner's Name
information is required for every Osterville . MA 02635 9/1/2011
page. Cityrrown 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:
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
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
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than '/z day flow
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M .44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osterville y MA" 02635 9/1/2011
page. Cityrrown 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:
❑ 0 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
r ❑ ® 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 serviiig 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
❑ thesystem 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
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is Osterville MA' 02635 9/1/2011
required for every -
page. Cityrrown 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
❑ 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)
Z ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of breakout?
Z ❑ 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.
® El approximation
in the field (if any of the failure criteria related to Part.0 is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design):. 2 Number of bedrooms(actual): 2
- ,DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osterville MA 02635 9/1/2011
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
One 6X8 block cesspool. '5'wide, 6' deep.
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 n/a
9 ( y 9 (gPd))�
Detail:
Sump pump? , El Yes ® No
Last date of occupancy: n/a
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? 7 . ❑ 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
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
°M 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owners Name
information is required for every Osterville MA 02635 9/1/2011
page. CitylTown 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: 6 r
❑ Septic tank, distribution box, soil absorption system
® Single cesspool
❑ Overflow cesspool
❑ Privy i }
❑ 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):
t5ins•11/10 Title 5 Official Inspection Four:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
44 Hinckley Circle {
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osteryille MA 02635 9/1/2011
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:
45 yrs old. i
Were sewage odors detected when arriving at the site? ❑ Yes ® No
` Building Sewer(locate on site plan):
Depth below grade: 3
feet
Material of construction:
El cast iron ❑40 PVC Block
�other(explain):
Distance from private water supply well or suction line: n/a
feet -
Comments (on condition of joints, venting, evidence of leakage, etc.):
Poor
Septic Tank(locate on site plan)- -
,Depth below grade: - feet
Material of construction:
El 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:
15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
AON Commonwealth of Massachusetts'
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
M 'p 44 Hinckley Circle
5 i r
Property Address
Laurie Hart
Owner Owner's Name
information is z
required for every Osterville MA 02635 9/1/2011
page. City/Town State Zip Code, _ Date of Inspection
D. System Information (60nt.)
Site Exam:
❑ Check Slope
❑ Surface water' ,
❑' Check cellar -
❑ Shallow wells 4 .
Estimated depth to-high`ground water: 3
feet' .
Please indicate'all methods used to determine:thehigh groundwater elevation
❑ Obtained 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)
❑; Checkedwith local Board of Health -explain:-
El `
Checked with local excavators installers-(attach documentation)
❑ -Accessed USGS database explain. .
You must describe how you established the'high ground water-elevation ,;;
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-11/10 t Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1.6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osterville MA 02635 9/1/2011
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
' l '
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
Material of construction: t
r,
❑ 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
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 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is required for every Osterville MA 02635 9/1/2011
page. Cityrrown State Zip Code Date of Inspection
D. System Information (coat.)
Comments (on pumping recommendations, inlet and outlettee 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 grade:
Material of construction:
❑ concrete ❑ metal fiberglass ❑ polyethylene ❑ other(explain):
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 aiarm 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
_ Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is Osterville MA 02635 9/1/2011
required for every
page. Cityrrown 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.):
I
I
I
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.):
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
Title 5 Official Inspection Form .
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
�M 5 44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name:
information is required for every Osterville MA 02635 9/1/2011
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number: ;
El leaching trenches
he s number, length:gth:
❑ 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' 1
Depth—top of liquid to inlet invert 0
Depth of solids layer
Depth of scum layer 0
Dimensions of cesspool 5x6
Materials of construction block .
Indication of groundwater inflow ❑ Yes ® No
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
4
Commonwealth of Massachusetts
u Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
44 Hinckley Circle
Property Address
Laurie Hart
Owner Owner's Name
information is Osterville MA 02635 9/1/2011
required for every
page. Cityrrown 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.):
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.):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14.of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 44 Hinckley Circle
Property Address
Laurie Hart p
Owner Owner's Name
iei is
reqquireduired f for every Osterville MA 02635 9/1/2011
o
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
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
P�2. �F �ou,•S� ° ,
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
t
OF THE p�� ['own of Barnstable Barnstable
AHm
Regulatory Services ]Department o;�al q
TIARNSTADLE,
"Ass" Public Health Division
Ar�D , 200 Main Street, Hyannis MA 02601 20017
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McI<:ean,CHO
CERTIFIED MAIL # 7011 0470 0001 4525 5273
September 20, 2011
i
Laurie Hart
44 Hinckley Circle
Osterville, MA 02635
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 44 Hinckley Circle, Osterville,MA was list inspected on
9/1/ 2011,by Icon Burlingame, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Fails"ui.-ider.the guidelines
of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Backup of sewage into facility or system component due to overloaded or
clogged SAS.
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 will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
L �"" h- mas McKean, R.S., CHO t
Agent of the Board"of Health
51
..
>� r— .
Q:\SEPTIC\Letters Septic Inspection Failures\TEMPLATEI.doc
ALL PIPE IONS SPECIFIED ARE INVERT
AT
L O W PROFILE EXPRESSED INV DECAL FEET NOT FEET AND INCHES.ELEVATIONS
TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE
EL = 38.50+— ONE INSPECTION RISER FOR LEACHING GALLERY TO
WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT.
35.25 33.25
34.75
O—BOX 3 Ft. ALL PIPE ,TO BE
SCHEDULE 40 PVC
3' DROP. H MAX AND TO PITCH AT
T -FLOW LINE ==7 TE 30.25 1/6 to/ft. MIN.
I 10" 14
o-•✓'%Lt'Y.i.
ae GAS--*r PRECAST °3 '
XN:• YY?:�ivYa
BAFFLE DRYWELL
33.80 33.25 STONEe - LEACHING
GALLERYF
BASE `29.58 LEACHING GALLERY
33.50 6 in STONE BASE' 29.75 GALLERY
1500 GALLON 29.50 (END VIEW) 27.50 5.00 ft +
SEPTIC TANK SEE DETAIL ON REVERSE
10ft ZO, ft 5FL '
ADJUSTED SEASONAL V - 10.30
HIGH GROUNDWATER
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r
r,, DATE OF TEST: v ObTOBER 29, 2007APPROVED t.
WITNESSED) BY:
DONNDAVIDA DMIORANDI A HEALTH SOIL TEST LOG DEP i. M
PERCNUMBER: 11987 DESIGN CALCULATIONS
TEST PIT 1 NO GROUNDWATER ENCOUNTERED DESIGN FLOW: 2 BEDROOMS X 110 GPO = 220 GPO
PARENT MATERIAL: PROGLACIAL OUTWASH
PERC AT 62 to - 3 MIN/INCH IN C SOILS SEPTIC TANK: 220 GPO X 2 DAYS = 440 GALLONS
I
INSTALL 1500 GALLON SEPTIC TANK )MINIMUM ALLOWED)
ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
(INCHES) HORIZON TEXTURE SOIL LL) MOTTLING DISTRIBUTION BOX: USE 3 OUTLET O-BOX. (ttf ill SUMP C 'A - 12'� �++"iaherio� d�meatSlOp,
33.05 SOIL ABSORBTION SYSTEM: A 24 FL x 12.5 Ft x 2 FL LEACHING GALLERY CAN LEACH
0-10 FILL
Abot s ( 24 x 12.5 300 sF j
10-11 O LOAMY SAND 10 YR 2/1 NONE FRIABLE Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 a 145 sF
Atot = 446 sF
11-12 E LOAMY SAND 10 YR 4/1 NONE FRIABLE Vt. 0.74 x 446 = 330.04 GPO
12-16 A LOAMY SAND 10 YR 3/4 NONE FRIABLE USE A 24 FL x 12.5 Ft x 2 Ft GALLERY. Vt 330.04 GPO > 220 GPO REOUIREO
2972 16-40 B LOAMY SAND 10 YR 4/6 NONE FRIABLE
40-132 C MEDUIM SAND 10 YR 5/4 NONE LOOSE
22.05
~! LEACHING GALLERY
TEST PIT 2 NO GROUNDWATER ENCOUNTERED USE SHOREY PRECAST 500 GALLON NOT TO 1500 GALLON SEPTIC TANK
PARENT MATERIAL: PROGLACIAL OUTWASH LEACHING DRYWELL (H-10 LOADING) SCALE DIMENSIONS AND DETAIL
3 MIN/INCH IN C SOILS NOT TO
ELEVATION USE SHOREY ST-1500-H-10 SCALE
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER CONSTRUCTION' DETAIL
(INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING
33.20 ORYWELL UNIT 1 1n
0-12 FILL STON TAPER
12-22 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE 24.0 FL 7
22-42 B LOAMY SAND 10 YR 4/6 NONE FRIABLE if
m�
29.70 42-132 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 0 5 f t-
22.20 � E�JEDD
m I o 8 In
4`
GROUNDWATER ADJUSTMENT 35 t 6.5 FE 8.5 FE .5 ft I '`
F�
EXISTING GROUNDWATER LEVEL 24.0 Ft j 10
BASED ON TOWN OF BARNSTABLE
GIS DEPARTMENT RECORDS.
INDICATED GW 5.00 INLET CENTER OUTLET
INDEX WELL MIW-29 END COVER END
ZONE C 500 GALLON DRYWELL
READING DATE OCT. 2007 DIMENSIONS AND DETAIL
READING 9.7 ► DROP
ADJUSTMENT 5.3 INSTALL ONE INSPECTION /�3 IN -FLOW LOVE
O WITHIN THREE FROM
ADJUSTED G W 10.3 USE H-le LVVIT INCHESRISER OF OF FINAL GRADE BUILDING 10 In = 14 TO
AND INDICATE LOCATION O-BOX
ON AS-BUILT PLAN 48 in
LIOUID GAS
LEVEL BAFFLE
NOTES o00 3,3
1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 0000QooQ ��0�� CROSS SECTION VIEW
2) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS �� G�01 GeparQ�ioh b('F,/eeA Ihlef 4nol out-let- tees
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310. CMR�15). - =h� 102 !n VIO f e55 1-hfln 0ep"IA c(CWt'l
3) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND';-UTILITIES
BEFORE EXCAVATING FOR SYSTEM. � ._�r� � ��• - , CROSS SECTION VIEW SEWAGE DISPOSAL SYSTEM PLAN
4) EXISTING CESSPOOL TO BE ABANDONED IN PLACE. w_" 2 to PEASTONE 2 In PEA
STONE
5) ALL STONE TO BE DOUBLE WASHED AND FREE OF 'IRON. •FINES AND, DUST INy. PLACE. -TO SERVE EXISTING DWELLING
6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW ,FIXTURES fir
4in o ROBERT ALLEN ET ALS
AND APPLIANCES. AND BIANNUAL PUMPING OF' THE SEPTIC TANK.' 28 L12t �CstAV& EFgC lvE 1-112,.,cizA°JEt 26
7,) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LO'ADING.'DO NOT,- ,-�f
'n 1n 44 HINCKLEY CIRCLE OSTERVILLE. MA
• • PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. - � y� 46 1n 58 1n 46 'r' ECO-TECH ENVIRONMENTAL
8) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE, TO GRADE ON A _LEVEL 150 1n
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. FABRIC IN PLACE OF THE 2 1-. PEASTONE LAYER SPECIFIED.
ETE-2779 NOVEMBER 2. 2007 1212 �•