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26 Packet Landing
West Barnstable
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CERTIFICATE OF ANALYSIS
Q
Barnstable County Health Laboratory (M-MA009)
Report Prepared IF Report Dated: 512/2017
Sally Desmond
Desmond Well Drilling Order No.: G1799163
P O Box 2783
Orleans, MA 02553
Laboratory ID#: 1799163-01 Description: Water-Drinking Water
Sample#: Sample Location: 26 Packet Lending Way W. Barnstable, M Collected: 04/26/2017
Collected by: DWD well depth 90717 Received: 04/27/2017
Routine_M
ITEM RESULT'' —UNITS RL MCL LnEThaD# MY�9LT TEsIEo NOTENitrate as Nitrogen 1.7 mgtL 0.10 10 EPA 300.0 LAP 4/27/2017
Iron 0.12 'rngll- 0.10 0.3 SM 3111E LAP 5/2/2017
Manganese 0,062 mg/L 0.025 0.050 SM 3111 B LAP 5/2/2017
pH 6.2 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 4/2712017
Sodium 10 mg1L 2.5 20 SM 3111B LAP 5/2/2017
Total Coliform Absent
P/A 0 0 SM 9223 RG 4/27/2017
Conductance 120 umohs/cm 2.0 SM 2510E DCB 4/27/2017
Watersample meets the recommended limits for drinking waterof all the above tested parameters.
--...---...-.............. ... - -------
Attached please find the laboratory certified parameter list.
Approved By: _ —�.
(Lab Manager)
ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level
3195 Main Street, PO. Box 4271: Barnstable, MA 02630 Ph: 608-375-6605
No. L�O�17 Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
ZippYication _for lVell Cou5tructiou Permit
Application is hereby made for a permit to Construct(4 Alter( ), or Repair( an individual well at:
Location-Address n Assessors Map and Parcel
Q wckr&trYlox g,� cxa M 12 YY10k dk,2.'� S�, 'R<�g ipn , 02135
weer Address
Ywonc� WQ��ci�`�,ng �rc. �.0•�30� 2—1 g S 42 6'S3
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building `f No. of Persons
Type of Well Y,l S L� Ht 'P c Capacity I
Purpose of Well �oyqL�
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a Certifi llax,
mpliance has been issued by the Board of Health.
Signed
at
Application Approved B /) ?
Date
Application Disapproved for the following reasons:
� ) )) :j
Date
Permit No. 1-7 � � !-Issued - b
Date
---------------------------------------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that` VV
the individual well Constructed(✓), Altered( ), or Repaired( )
by � MS10--\\ L)i�1I\Yet 'hL
Installer
at '?O. V V ' n 4M6
has been installed in accordance with the visio of the Town of Barnstable Board of Health Private Well Pro ecti
Regulation as described in the application for Well Construction Permit No. -� 7'0 b 3 Dated L
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
Z15
No. L),'--. -7 13 Fee
_ f.
BOARD OF HEALTH
_. TOWN OF BARNSTABLE
01ppYication jor Yell Construction Permit
Application is hereby made for a permit to Construct(A Alter( ), or Repair( ) an individual well at:
A "Ern&kk_ I 1 `11 Uo3
Location-Address j r Assessors Map and Parcel
c��nlc�r sVY\c•C nc�ce� C�(AW�i�c 12 V� c\�-( �12 �' S�,
-6wner Address
��d�� W�\\ � c•�1�;���� `�� �-�"�o� 2`1g3,C1c�.R�.�,S , �.� 4Z65��
Installer-Driller Address y
Type of Building '
Dwelling J
Other-Type of Building \' No. of Persons
Type of Well 'i S(_Y\4) Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a Certifi ate of Compliance has been issued by the Board of Health.
Signed ,
ate
:Sj)���
Application Approved B f 7
Date
Application Disapproved for the following reasons:
) ) Date
Permit No. l—7 �. Issued Z4 ( � [
Date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
1
THIS IS TO CERTIFY,that the individual well Constructed(✓), Altered( ), or Repaired(
bySIY,U�<�
1 II n I ' ( (� Installer +
at �-� 7�c" 7 La v,A i \,A V V L1 v`� ''t��l(r 1
has been installed in accordance with the pr)Dvisiorf4 of the Town of Barnstab a Board of Health Private Well Pro ecti
Regulation as described in the application for Well.Construction Permit No. 1�7'c 1 3 Dated L f J
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE
Yell Construction Permit
...No. l 1� � �/ Fee Ll
Permission is hereby granted to
Installer
to Construct(v5, Alter( ), por Repair O an individual well at:
No. 2� 1,c\c Le'}' Lc,Y4 (-,Q \NaA, S�'��n�
6 Qstreet �7
as shown on the application for a Well Construction Permit No. _ C))�ated / G ( /
i'
Date L-� ) f ) Approved
y��.
r Massachusetts Department of Environmental Protection
Bureau of Resource Protection
�a
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
[New Well Street Number: Street Name:
26 PACKET LANDING WAY
Please specify well type: Building Lot#: Assessor's Map#:
Domestic
Assessor's Lot#: ZIP Code:
Number Of Wells: 02668
City/town:
Well Location BARNSTABLE
In public right-of-way: GPS
(7,Yes (7 No North: West:
41.70867 70.37008
Subdivision/Property/Description:
Mailing Address:
click here if same as well location address
Property Owner: Street Number: Street Name:
EDDIE CRAWFORD 26 PACKET LANDING WAY
City/Town: State:
Engineering Firm: BARNSTABLE MASSACHUSETTS
ZIP Code:
02668
Board of health permit obtained:
C•.Yes r Not Required
Permit Number: Date Issued:
W2017 013 04/06/2017
V
v
Massachusetts Department of Environmental Protection
L
Bureau of Resource Protection—Well Driller Program
Well Completion Reports(General)
j;
Well Driller - General Well Form
DRILLING METHOD
Overburden Bedrock
uger Choose Bedrock-
WELL LOG OVERBURDEN LITHOLOGY
From(tt) To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition
stem drill rate of fluid
C J 20 Clay Brown C Fast('Slo� f" f"
YES NO ___________�i� Loss Addition
f f r f
20 40 Claye�Brown — YES NO f Fasttr'Slow Loss Addition
40 [6:0== 1 Fine Sand i� Brown —j YES NO Fast r Slow I Loss Addition
60 r0 Medium Sand I! Light Gray !Fast(`Slow t"
I___ .._...-...� ....................... 1...__......--- ---- !YES NO Loss Addition
80 90 (Fine To Coarse S 1 Brown f Fast f Slow( .___._..^ YES NO [Loss Addition
WELL LOG BEDROCK LITHOLOGY
....... .._........._..............._.......
_.._....
_.....
.._.....__._....._...._....._.....__..__....__........_.._......._._.._..__._....__....-__.._....._._._.__�.�_ _..__......._.._.............................._......................
Loss or Extra
Drop in Extra fast or Visible Rust
From(tt) To(ft) Code Comment addition of Large
drill stem slow drill rate fluid Staining Chips
p
f". r
-
E _� Choose Code � �'Yes ��Yes
YES NO Fast Slow Loss Addition ---I ----
ADDITIONAL WELL INFORMATION
Developed I f?Yes r No Disinfected f:Yes f"No
Total Well Depth 90 Depth to Bedrock
Surface Seal Type Pe racture Enhancement Yes t:No
.. . ..
CASING �r Is Casing above ground?I
_.___..__......._._.....__._........._....—_._._-___. _...___... ..._._.._._..__....._.__....._..__._..._ _� __.____________—_ —
From To Type Thickness D�iame�erDriveshoe86 PolyvinylChlorideSchedule401Yes
SCREEN r No Screen
From To Type Slot Size Diameter
86 90 Stainless Steel Well Point 0.012 c �J
WATER-BEARING ZONES r DRY WEL
From To Yield(gpm)
PERMANENT PUMP(IF AVAILABLE)
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Well Driller Program
Well Completion Reports(General)
Wire Constant Speed
Pump Description Horsepower
!Submersible I 1/
Pump Intake Depth(ft) 84 Nominal Pump Capacity(gpm) 10
ANNULAR SEAL/FILTER PACK
From TO Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
Choose Material J Choose MaterialChoose One r
WELL TEST DATA
[Date Method Yield(gpm)
Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BGS)
04/28/2017 Constant Rate Pump 12 1:30 20 0:01 17
WATER LEVEL
Date
Static Depth BGS(ft) Flowing Rate(gpm)
Measured
04/2l3/2017 17 W � 12
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete
and accurate to the best of my knowledge.
THOMAS Monitoring[M] Supervising Driller DESMOND,
DrillerDESMOND III Registration# 299 Signature THOMAS,E
DESMOND WELL
Date Job Complete 05/10/2017
Firm DRILLING,INC. Rig Permit# 023 ��-1
NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , r 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 819110
City/Town State Zip Code gate of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. J
A. General Information
1. Inspector:
Frank Nunes III
Name of Inspector
saa
Company Name
25 Deer Ridge Rd
Company Address
Mashpee MA 02649
Citylrown State Zip Code
508.272.6433
Telephone 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 15.3�0 of
Title 5(310 CMR 15.000).The system: d o
® Passes ❑ Conditionally Passes ❑ Fails
c' o
❑ Needs Further Evaluation by the Local Approving Authority
8/9/10 in. y
Inspector s Signature Date CO
f—
The system inspector shall submit a copy of this inspection report to the Approving Authohity(®oard
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.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
Cityftown 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:
® 1 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:
Pumping suggested every 3 yrs to prolong the life of the system
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.
Answer yes, no or not determined(Y, N, ND)in the❑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 Certificate
of Compliance indicating that the tank is less than 20 years old is available.
ND Explain:
n/a
❑ 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
❑ obstruction is removed
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes(cont.):
❑ distribution box is leveled or replaced
ND Explain:
n/a
❑ 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
❑ obstruction is removed
ND Explain:
n/a
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
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.
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health(cunt):
❑ 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 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:
n/a
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
❑ ® 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 Y2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ [A Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
Cityfrown State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems(cunt.):
Yes No
❑ ® 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.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 8/9/10
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
® ❑ Pumping information was provided by the owner,occupant, or Board of Health
❑ ®i Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined?(If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® Cl Determined in the field(if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)1310 CMR 15.302(5))
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
4 M , 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 819/10
Cityfrown State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms(actual):
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 -
Number of current residents: 1
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 years usage(gpd)):
Sump pump? ® Yes ❑ No
Last date of occupancy: occupied
Date
CommercialAndustrial Flow Conditions:
Type of Establishment: n/a
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:
Last date of occupancy/use: Date
Other(describe): n/a
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , ' 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 8/9/10
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information: No recent pumping per owner
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
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no)(if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology.Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed(if known)and source of information:
Original Septic Tank and new Pump Chamber,D-Box,SAS 12/14/07 per BOH file
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'< 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 819/10
Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade: 12"feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
>10'
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: 6"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:
1000g
Sludge depth:
1"
Distance from top of sludge to bottom of outlet tee or baffle >12"
Scum thickness 1/2"
Distance from top of scum to top of outlet tee or baffle
>2"
Distance from bottom of scum to bottom of outlet tee or baffle
>2"
How were dimensions determined? measured
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 8/9/10
Cityrrown 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.):
Pumping suggested every 3 yrs to prolong the life of the system
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
n/a
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
n/a
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):
n/a
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26_Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
City town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
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.):
n/a
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert Level w/the bottom of the pipe
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.):
No adverse conditions
Pump Chamber(locate on site plan):
Pumps in working order: ® Yes ❑ No
Alarms in working order: 0 Yes ❑ No
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System form-Not for Voluntary Assessments
M 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 8/9/10
Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
n/a
Soil Absorption System(SAS)(locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
® leaching trenches number, length: 3
❑ 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.):
Mounded system top of which is approximately 4'above the natural grade. 3 rows of perf pipe per
BOH file. SAS was video inspected and is dry at this time. Piping is 1'6'below top of mound. No
indication of backup __
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposai System Form-Not for Voluntary Assessments
, 26 Packett Landing Rd
Property Address
Keary
Owner's Name
W.Barnstable MA 02668 8/9/10
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Cesspools(cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
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.):
n/a
Gam. 2.2010 3:31PM BARNSTABLE BOARD OF HEALTH N0.803 " P.4i6
:� TOWN OF BARNSTABLE a
LOCATION
SEWAM
AeAorl
VMLAGE r�
ASSESSOR'S MAP r
F.4RCEL";�,7�I
INSTALLS"NAME 8c PHONE NO. Wo —,5fL,117
SEPTIC TANK CAPACITY
LEACKM FACILITY:(typo) G �s (size)
NO,OF BEDROOMS
OWNER 1WOfi#rj
PERMIT DAM COWMANCE DAT9: ;
DAM1I'� "lt .
Separation Distance BOW=the:
Mwdm=Adjusted(houadwater Table tt3 t w Bottom of Lea&&Facility
Privets N4ratsr Supply Well and Loaching Facility(If w►y wells exist
on site,or within 200 beet of lcaching facility)
Edge of Wetland and Leaohiag Facility(If any wcdau&exist r
withiu 300 poet of 1 f ity) - Feet
FURNISHED BY
8 3STLl
-76
6 �'
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
26 Packett Landing_Rd_
Property Address
Keary
Owner's Name
W.Bamstable MA 02668 8/9/10
Cityfrown State Zip Code Date of Inspection
D. System Information (cunt.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: `12'
feet
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked,date of design plan reviewed: 2007
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:
see above
l
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
RAM sTnBL&
9NLASS. g Public Health Division
1659.
n " Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office:. 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date: `Z Zo 0 52 Sewage Permit# aM S'1.3 Assessor's Map\Parcel !? a� 3
Designer: ,, iys LW11(nstaller:
/-
Address: S I (A- - ,3,� Address: Aat o9O
On was issued a permit to install a
(dat (installer)
septic system at 2tO cv' 4A AA P`4 based on a design drawn by
(addre
dated LT,,, 6, Zvo 7
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the,
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory.
1
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
were d satisfactory.
ate �
nstaller's Signature)— " W)NSLD
I
"FOWD
//-,//
'64
(Designer's ign20 (Affix De amp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
wsepticoesigner Certification Form Rev 03-09-06.doc
TOWN OF BARNSTABLE
LOCATION 2(p SEWAGE#�?G0 -,-L. 7
;-,VILLAGE W, 3001 ASSESSOR'S MAP&PARCEL / 741 - 003
INSTALLERS NAME&PHONE NO. /I"ONS �XeZ?j1�c�WC, SG� V77 d77
SEPTIC TANK CAPACITY "
LEACHING FACILITY: (type) L�e�C�i �P/�C (size)
NO.OF BEDROOMS
OWNER ®r /^
PERMIT DATE: —Z/-4 7 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) - /wZ Feet
Edge of Wetland and Leaching Facility(If any wetlands exist _
within 300 feet of leachin ity) Feet
FURNISHED BY
l
h Qh
os �
'F i�2
9
9 9 Jh
No. s Fee
THE COMMONWEALTH ASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplicatton for 3Dt9;po2;a1 *pgtpm Con0tructton Vermtt
Application for a Permit to Construct(!,)�%�—Repair o-"Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. ( (� /`z1f� �odl ner's Name,Address,and Tel.No. �Cl f�Qrf� mr
al & 9( . aav
Assessor's Map/Parcel 3(/
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -7 7 —�s3
17,2106- 6i�1_14114_Af -41 e- Z4,1V I?Z, 1,44
Type of Building:
Dwelling No.of Bedrooms Y Lot Size 47_5 sq.ft. Garbage Grinder
n ( )
Other Type of Building /C e 5 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date /d—1 G7 Number of sheets Revision Date
Title
L
Size of Septic Tank /"a Type of S.A.S. .L cold/!
Description of Soil Gil/ QB1 ,�`�/ d�f -Y"—
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees-to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Titl f t e En 'ronmental Code and not to ce the system in operation until a Certificate of
Compliance has been issue Bo th.
Sind G' Date S G7
Application Approved by Date
Application Disapprove by: Date
for the following reasons
Permit No. UMUZ/ --c-112Date Issued
Aj
�i� ZMMONWE
eC> � T� ALTH F MSSACHUSETTS Entered in computer:
y w� Yes
PUBLIC HEALTH dl ISION - TOWN OF BARNSTABLE, MASSACHUSETTS + /
9pplication for 30igpoar 6pg;tem Congtruction Permit
Application for a Permit to Construct( ) Repair(Upg�ra`de( ) Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. �(� /Z �7 4� �AHG((l� ner's Name,Address,and Tel.No.
Assessor's Map/Parcel l
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. � — `7 7/^„js
r
j Type of Building:
Dwelling No.of Bedrooms y Lot Size
Q sq.ft. Garbage Grinder ( )
I Other Type of Building No.of Persons Showers( ) Cafeteria( )-
i _
Other Fixtures
Design Flow(min.required) LjyQ gpd Design flow provided gpd
i '
Plan Date Number of sheets /' Revision Date
Title L
Size of Septic Tank /UnU Type of S.A.S. L PSGl/ "o�%�� J�y�'Ap
R Description of Soil qV I PZ,Wd; Mud I-r— j
J
Nature of Repairs or Alterations(Answer when applicable)
� I
Date last inspected:
r
1Agreement:
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 f the Env ronmental Code agd not to ce the system in operation until a Certificate of
..��..�� �J
Compliance has been-issued thfis'73oa dh.
} G), ate $" G7 ./
Si n
Application Approved by �!r Date 7
/ v
Application Disapprove y: Date
! for the following reasons
Permit No. QlU ' Date Issued
-------,`----------- ---------
THE COMMONWEALTH OF MASSACHUSETTS -
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( V)r Upgraded ( )
Abandoned( )by Pt1,0< X?a,V 1f r�
at PxAb,e L�W_ W/tea l/ has been co s ucted' accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 1 dated
Installer %1-30§5 � Designer
#bedrooms 41 Approved design flow C3 gpd
I The issuance of this y
permit shal not be construed as a guarantee that the syste '•tl-fu• ct' a destined.
l ,*
Date Inspecto
No. Ina � t�A __ Fee
�VJ fkE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
=igpogar �&pgtem Conotruction Permit
Permission is hereby gran te to Cons ct�1�)/ Repair ( ) Upgrade_(y ) batid
System located at d�f �' 1 g
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction st�be o eted within three years of the date of this er'�ttt t.
j
Date Approved by j
`H r Barnstable
y� Town of BarnstableAFft eflgaC
ltv
BARNSTAOLF-
MASS, Board of Health
D MAC 200 Main Street,Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
October 16, 2007
Mr. Michael Aucoin
15 Sunset Drive
South Yarmouth, MA
RE: 26 Packet Landing`Road:, West Barnstable A= 179=003
Dear Mr. Aucoin:
You are granted variances, on behalf of your client, Marjorie Keary, to install an onsite
sewage disposal system at 26 Packet Landing Road;West Barnstable.
The variances granted are as follows:
Section 397-2: To place the soil absorption system 112 feet away from an
onsite well, in lieu of the one—hundred fifty (150) feet
minimum setback required by the local Board of Health
Regulation.
Section 397-2: o place the soil absorption system 136 feet away from an
abutter's well, in lieu of the one—hundred fifty (150)feet
minimum setback required by the local Board of Health
Regulation.
These variances are granted with the following conditions:
(1) The engineered plans shall be revised to show the soil absorption system is to
be installed a minimum of five (5) feet above the estimated high groundwater
table elevation.
(2) No more than four (4) bedrooms maximum are authorized at this property.
Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type
QAWPFILESWucoinKcary2007.doc
rooms are considered "bedrooms" according to the MA Department of
Environmental Protection.
(3) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to four (4) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
(4) The septic system shall be installed in substantial compliance with the
revised engineered plans (showing a minimum five feet vertical separation
distance to high groundwater).
(5) The professional engineer shall supervise the construction of the onsite
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the revised
engineered plans.
(6) The designing engineer shall certify to the Board that the existing septic
tank is in good condition and is not leaking (water-tight).
This variance is granted because the required revised plan would be designed to meet the
"maximum feasible compliance" standards contained in the State Environmental Code, Title
V.
Sin e ly you ,
W yne iller, M.D.
C;air n
Board f Health
Town of Barnstable
Q:\WPFILES\AucoinKeary2007.doc
DATE:
FEE:
wtxsrnste.
MASS
REC. BY
Town of Barnstable SCBSD. DATE:
Board of Health
200 Main Street,Hyannis NIA 02601
Office: 508-862-4644 Wayne A.Miller,M.D.
FAX 508-790-6304 Paul J.Canniff,D.M.D.
VARIANCE REQUEST FORM
LOCATION / }'
Property Address 6 � k � (
a
tt �
Assessor's Map and Parcel Number: 1 7 9 ` 00: Size of Lot ( to ,—] 5-a S ,
Wetlands Within 300 Ft Yes Business Name:
No 7e f� Subdivision Name:
APPLICANT'S NAME: 4 Alik � S cQ-� Phone 506 +7-7
Did the owner of the property authorize you to represent him or her? Yes _ No
PROPERTY OWNER'S NAME CONTACT PERSONf -AA
Name: TZ--�Q? it )ZeAAM Name:
Address: 7, cAw-cr us> Address: lI r
n I
Phon 5� 2 ff - j 2 Phone: Sod - I — �2-jj� 6 2 tc�1
e� %In J
YARI\ANCE I:ROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
.NATURE OF WORK: House Addition 000000 House Renovation ❑ Repair of Failed Septic System
Checklist (to be completed by office stayj-person receiving variance request application)
Please submit copies in 4 separate completed sets.
_ Four(4)copies of the completed variance request form
_ Four(4)copies of engineered plan submitted(e.g.septic syste n plans)
_ Four(4)copies of labeled dimensional floor plans submitted(e.&house plans or restaurant kitchen plans)
_ Signed letter stating that the property owned authorized you to represent him/her for this request
_ Applicant understands that the abutters must be notified by certified mail at least ten days.prior to meeting date at applicant's expense (forTide V
and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same ownedleasee i only], -a
outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems.[only if no expansion to the Building
pmposedl) s
_ Variance rFquest submitted at least 15 days prior to meeting date < E
VARIANCE APPROVED Wayne Miller,Chairman
NOT APPROVED Paull J.Camriff,D.M.D.
REASON FOR DISAPPROVAL c
C-\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C
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1
down cape engineering, inc. SIEVE SOILS ANALYSIS_ED_STONE.xIs
DATE OF REPORT: 5/14/07
.JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR ED STONE
SITE: 26 PACKET LANDING W. BARNSTABLE, MA
LOCATION: TH-1 (BETWEEN 13- - 17-)
SIEVE ANALYSIS Weight Sample(Grams): 493.4
SIZE RETAINED WT. RET. % RETAINED: % PASSED
,�wton ind.sieve) (sum) '
0.0 0.0%: 100.0%
------ - ----- - ------- ---------
3/4" 0.0 0.0 0.0%: 100.0%
1/2" 0.0 0.0 100.0%
-- ------------------- ----------- •-----------------------
----------- ------
3/8" 0.0 0.0 0.0%: 100.0%
--------------------------------- -----------------•----------------------- 1
#4 7.4 7.4 1.5%: 98.5%
#10 32.4 39.8 8.1%: 91.9%
#20 66.7 106.5 21.6%� 78.4%
.-------------r-----------------
0 87.4 193.9 39.3%' 60.7%
------------- ------------------- -----------------;-----------------------
#80 : 187.6 381.5 77.3%' 22.7%
-------------:------------------- ---------------- -----------------------
-__00_- 89.6 471.1 95.5%' 4.5%
--- - ------------ ------ -•----------------- --- - --------- -------
PAN: : 22.3 493.4 100.0%: 0.0%
SAMPLE--- ------------493.4 -----------------t-----------------------
NOTE: TEST ON PASSING#4 ONLY
RESULTS:
SOIL CLASSIFIED AS AASHTO A-3(GRANULAR,SAND)(UNCOMPACTED)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS :
#4 100% (TEST ONLY MATERIAL PASSING#4)
#5010%400%
#100 0%-20%
#200 0%-5%
REQUIREMENT FOR"FILL" IN TITLE 5.
<5%PASSING#200 SIEVE
RESULTS: PERMEABLE MATERIAL-CLASS I<5 MINJIN. MATERIAL
NONCOMPACTED
SOIL DESCRIPTION: FINE TO MEDIUM SAND
Assessors Map 179 Parcel 003
26 Packet Landing West Barnstable, MA
Description of Variances Requested
Variance to the 150' setback between the edge of the SAS and an existing well. A 112'
setback is provided A 38' variance is requested.
Barnstable Town Reg. 3 9 I Z
Variance to the 150' setback between the edge of the SAS and an abutting existing well.
A 136' setback is provided A 14' variance is requested.
Barnstable Town Reg. 'j 9 7 -Z-
Variance to the 5' seperation between the bottom of the SAS and existing high ground
water. well. A 4.1' setback is provided A 0.9' variance is requested.
Title 5 Section 310 Cmr2- Barnstable Town Reg. `5(,0
5. Installation of monitoring wells if required.
6. Property Line Stake Out
7. Retaining Wall Designs
6.0 FEES FOR SERVICES
A& M is proposing a fee of$ dollars for the services described
in sections 1.0, 2.0, 3.0 and 4.0 of this agreement and includes the '
dollar fee for the Town of Barnstable for the pert test.
Not included-is the cost for the excavator for the perc test, (the estimated
cost is which shall be paid for by the Owner.
A deposit of dollars is required. The final payment is due upon
completion of the Site and Septic Plan.
We will supply 5 copies of the Site and Septic Plan to the client. Additional
copies of plans are available upon request.
The optional services listed in section 5.0 can be performed for additional
fees at your request.
Sincerely,
A & M Land Services
XA' -�52zd��- '
Michael Aucoin Date
Agreed&Accepted on this day of 2007.
Client
- � 7Ma rjori A. Keary Dat
down cape engineering, inc. SIEVE SOILS ANALYSIS_ED_STONE.xis
DATE OF REPORT: 5114/07
.JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR ED STONE
SITE: 26 PACKET LANDING W. BARNSTABLE, MA
LOCATION: TH-1 (BETWEEN 13' - 17')
SIEVE ANALYSIS Weight Sample(Grams): 493.4
Fl :
RETAINED WT. RET. % RETAINED; % PASSED
i ton ind.sieve) (sum)------ -----------------_0.0 0.0 0.0%: 100.0%
0.0 0.0 0.0%: 100.0%
-----0.0 0.0 0.0%: 100.0%
0.0 0.a o.o°io: 1oo.o°io
-------- ---------------7.4 7.4-----------1.5%;-------------- 98.5%
----- - -- 2.4 - ------ -91.9-
10 - 32.4 39.8 --- -- 91.9%
#20 66.7 106.5 21.6%: 78.4%
•-------------r-_--__-_---------__ -----_-----------r
0 ; 87.4 193.9 39.3%; 60.7%
------------- --------------- ----------------- ----------------22.7-
#80 187.6 381.5 77.3%; 22.7%
#200 89.6 471.1 95.5%' 4.5%
------- - --95.5 ----5
PAN: 22.3 493.4 100.20 0_0%
ISAMP[T---� 493.4
NOTE: TEST ON PASSING#4 ONLY
RESULTS:
SOIL CLASSIFIED AS AASHTO A-3(GRANULAR,SAND)(UNCOMPACTED)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS :
#4 100% (TEST ONLY MATERIAL PASSING#4)
#5010%-100%
#100 0%-20%
#200 0%-5%
REQUIREMENT FOR"FILL"IN TITLE 5.
<5% PASSING#200 SIEVE
RESULTS: PERMEABLE MATERIAL-CLASS I<5 MINAN. MATERIAL
NONCOMPACTED
SOIL DESCRIPTION: FINE TO MEDIUM SAND
Town of Barnstable PAP
Department of Regulatory Services
IMNSTASM Public Health Division DateAtAKIL
< 1639. �� 200 Main Street,Hyannis MA 02601
- Date Scheduled �/ 7 L � Time � � . Fee Pd.
Soil Suitabilitv Assessment fog' Sewage Disposal -
, , //� p 2A y h
Performed By: J Witnessed By: V/9��IOV r7 Alt 1
LOCATION& GENERAL INFORMATION
Location Address 7- Z6 T`"�,QSI�//f/ �,Q� Owner's Name /f��R/J������ +�
Address �Y)rkV-V,4�;2�f
/ Ve- �#9&JO�NL c ���oZreGSs
Assessor's Map/Parcel: /�f�� ��� LO �) Engineer's Name F?,5 �t/VveIz /C-
G / GZSz
NEW CONSTRUCTION REPAIR Telephone# 36
1 ZF3XWTaW
Land Use. t�4'�`�zl Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands�n proximity to holes)
r �cfi' L A.v4 .t/4 W14 Y
a
e
Parent material(geologic) 4t/j �y Depth t0 Bedrock _
c
Depth to Groundwater. Standing Water in Hole: ArZ eepmg from Pit Face
@ dG,,/)z, L f x��o �i 1
Estimated Seasonal High Groundwater _
DETE ATION FOR SEASONAL HIGH WATER TABLE F
Method Used: — O -PS .r - �G // t'Q
Depth Observed standing in obs.hole: l ' _in. Depth to soil mottle- tn.
Depth to weeping from side of ribs. rile: 3Akjin, Groundwater Adjust � 1 rft:' I "
Index Well#N�i Reading Date: Index Well level AdJ•factor. AdJ•f�rtaundwnt r Levelt�t
!�� PERCOLATION TEST Bete 3 Thrie
Observation 1cp-0 /� �`
Hole# l (S,,e Vf edu/Xl Time at 9" .-... ,.e
Depth of Perc S41 , Time at 6"
Start Pre-soak Time @ _ 'Time(9"-V)
End Pre-soak.
Rate Min.Anch
Site Suitability Assessment: Site Passed Site-Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 1001 of wetland,you must first notify the.
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole# I
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Con i tent % ravel
'-/�G z &
w7
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consisten %Gravel
o✓,�`"� �y Cr cal<vq 2
��87 � l • �
=ZZ�� Z Self oaf lUy2 -Z,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon
Soil Texture Soil Color Soil Ot
her
Surface(in.) (USDA) (Multselq Mottling (Structure,Stones,Boulders.
Consi tent G vel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistency,
0
c � •
Flood Insurance Rate Man: ' /
Above 500 year flood boundary No_ Yes .✓
Within 500 year boundary No= Yes
Within 100 year flood boundary No Yes
Death of Naturally Occurrine Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
�. If not,what is the depth of naturally occurring pervious material?
Certification ,/date
I certify °/9 J that on ( I have passed the soil evaluator examination approved b the
P PP Y
Department of Environme tal Protection and that the above analysis was performed by me consistent with .
the required traini , x rti an p ience described in 310 CMR 15.017.
Signature 9 Date
Q:\SBPTICIPERCFORM.DOC
' down cape engineering,'inc. SIEVE SOILS ANALYSIS_ED_STONE.xls
DATE OF REPORT: 5/14/07
JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR ED STONE
SITE: 26 PACKET LANDING W. BARNSTABLE, MA
LOCATION: TH-1 (BETWEEN 13' - 17')
SIEVE ANALYSIS Weight Sample(Grams): 493.4
SIZE RETAINED WT. RET. % RETAINED; % PASSED
ind_sieve) (sum)
- ------------------
1 --------------0.0 0.0-----------0.0%i--------------_100_0%
3/4" '---------------0.0 0.0-----------0.0%i---------------100_0%
---------------
1/2" 0.0 0.0 0.0%; . 100.0%
------------- ------------------- -----------Uuy 0.0 0.0 0.0%: 100.0%
------------- ------------------- -----------------------------------------
#4 7.4 7.4 1.5%: 98.5%
------------- ------------------- -----------------•-----------------------
#10 ------------ 32.4 39.8-----______8.1%i----------------------
9%
#20 66.7 106.5 21.6%: 78.4%
#40 87.4 193.9 39.3%; 60.7%
------------- ------------------- -
#80 : 187.6 381.5---------77.3%:----------------22.7%
--------------------------------- -----------------------------------------
#200 89.6 471.1 95.5%: 4.5%
PAN: ; 22.3 493.4 100.0% 0_0%
SAMPLE: 493.4
NOTE: TEST ON PASSING#4 ONLY
RESULTS:
SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, SAND)(UNCOMPACTED)
PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS :
#4 100% (TEST ONLY MATERIAL PASSING#4)
#50 10%-100%
#100 0%-20%
#200 0%-5%
REQUIREMENT FOR"FILL" IN TITLE 5.
<5% PASSING#200 SIEVE
RESULTS: PERMEABLE MATERIAL-CLASS 1<5 MIN./IN. MATERIAL
NONCOMPACTED
SOIL DESCRIPTION: FINE TO MEDIUM SAND
a
LOT 1,2
- 1
LOT 11
RAMP -
0SEf.
DECK -_- - - �
- - -- -
-_- -o - - - '0 •
01
- - - - — - -
7 7.�__` y"
4x_
r.
\
LOT 10
RES. ZO.NL'-• "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.• "C"
Bank Use Only
TOWN: J%YESZ R_ARXMBLL'7_ — REGISTRY OWNER: MARJOI?IL: KEARY &.MARY BURNS--_
DEED REF: _.BUYER: — — -
DATE: 11 2�3 ___ __ PLAN REF: 17�3-- _ _SCALE:l"= 30 -_-FT.
I HEREBY CERTIFY TO uE �� YANKEE SURVEY
HUWNAONR THIS PLAN IISSLOCATED ONPTHE GROUNDAT THE DASGj I�r�+1t s`�r CONSULTANTS
SHOWN AND THAT ITS POSITION DOES —__— CONFORM INDUSTRY ROAD
A• `� , 40B (SUITE 1)
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE � " MI:.cs67VV "
.b •N-r. c����, n�� IND
TOWN OF ___ BLE BARNS7A ___.________-___AND THAT,,. :3 . MARIND S MILLS, MA. 02648
IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD
AREA AS SHOWN ON THE H.U.D. MAP DATED_V_VZ2__ �rv,�l in4�c' N TEL: 428—0055
Co munity-Panel ff. 25000.1 0011 D FAX: 4-20-5553
�r� THIS PLAN NOT MADE FROM AN INSTRUMENT 13090 BJS
T'AUL A. M-EI2ITH ,W PLS SURVEY NOT To BE USED FOR FENCES ETC.
.�._ ,. 95
' NCti/
i000?.1On/
/7
i
THE COMMONWEALTH OF MASSACHUSETTS
]� BOARD O^,yF� 1-_I}EAL)TH
................/.OWf-.......OF....�L�t. �S1.Q�//• ....................................
O J
Alip irFa#ion for Bispaa al Works Tonotrnrtiun Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( L}-an Individual Sewage Disposal
System at
.............. .... .... ---------- --....--- 1 Q-=-°03---- --..........------ ............
.Lo ' n-Address Lot No.
.... .Y[ ..: .... ..... �" �. .................
�.
dd
................ l.![. te&wn6�.0 JF/¢� ! 1........... i.�/L__ L�l�._ ....
Installer Address
Type of Building Size Lot......................:.....Sq. feet
U Dwelling—No. of Bedrooms.................................. .Expansion Attic ( ) Garbage Grinder (_ )
a
Other—Type of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ---------------------------------•-•--•-•-•.--
W Design Flow........................................:...gallons per person per day. Total daily flow............................................gallons.
9 . Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter—............. Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
o Description of Soil....------ �... - j
cxj -----------------------------------------
---------
•-C •` }� ��f - l�v��e � •-.... - -.._.. - -
U Nature of Repairs or.Alterations—Answer when applicable..................,, _JCL C ._ __ , (�.___.__.._......_.......-_.........
•-----------------------------------------•--------•---•--•------------------------...---......--•-----••--•---------------------------------••-----------------------•--------------------•-------••--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T LTA...- 5 of the State Sanitary Code—The undersigned further agrees not t place the system in
operation until a Certificate of Compliance has b n issued b the brd of wealth.
Application Approved BY - -d/l ►l�r --••--........ � ` �t2F..-
Date
Application Disapproved for the following reasons-----------------------•---------------------------------•-----------------------•------.._..----•-....._........
.....................•---...-----•---........------•------------•••-------•------•------••--••.
Date
PermitNo........................................---------------- Issued........................................................
Date
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
A , 111
I m / IL
DATA
Z_
C/Is
No........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD,OF HEALTH
dt0 F...... .........................
................. .. ..... ........... Z., ...................................
Appliration for UWVosal Works Tonstrurtion "rrmff
V
Application is hereby made for a Permit to Construct or Repair ( i)-an Individual Sewage Disposal
System at:
r
-------------
............... .......
. ......... -------------------------------------------------------------------------------------------------
Locati6n-Address NO._
---ML....Z..."
........—-----
................................ ............ Z....
...................
/'� ,�ddress
L Z.2
;/I
W I / Z-""/o �'.......................................zw...... ............................................................
Installer Address
M
t4 Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms.............................................Expansion Attic Garbage Grinder ( )
Other—Type of Building ............................ No. of persons........................___. Showers Cafeteria ( )
Otherfixtures ......................................................................................................................................................
Design Flow....:.......................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid, capacity............gallons Length................ Width....._.._._..... Diameter-_._____.._..... Depth...._........._.
Disposal Trench—No. ............ .... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.... --------------- Diameter.............._..... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.__..._..............__.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.__................._.__
--------------------------*............... ------------------ -------------- ..........................................................
0 Description of Soil.................................................r�iVr �' 11 V........................................................ 10 f.,f. C,.....................................................................;
.......................................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable---------_---------L!"Y'
...........................................................
........................................................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not toplace the system in
operation until a Certificate of Compliance has been issued by the board of 1jealth.
. .........
...... .. .......
ApplicationApproved By........... ............................... ......................................
Date
Application Disapproved for the following reasons:..............................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo.......................................................... Issued...................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH A
or
..........................................OF.................. ......... ....
Tntifiratr of Tomptitturr
THIS ISTO CERTIFV, That the Individual Sewage Disposal System constructed or Repaired
2 ..................................................................................by............t'.... ....................�7"A
n, Installer
at ...................................................................... E�21 ................................ .................!L'
has been installed in accordance with the provisions of TITLE f-)'�ff jhe State Sanitary Code as described in the
application for Disposal Works Construction Permit No._,V.Z...............:q......... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
L ✓. '-)
DATE........................................................... W�6....... Inspector..................................
..................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD-, OF HEALTH
? 6"r ..OF.......... ........................
No..... FEE........................
Disposal Workv. Tonstrudion Verutit
Permission is hereby granted........ .................7........................... ................................
... ........
to Construct ),ior Repair,,( 4) an Individual Sewage Disposal-,,System
Z
at No.----...... ....:.. ---- ......................... .....
........ ............... Z.1../. ... . .............. ..............
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
.170....................................
DATE.........................&67M��A�............................... Boar ea
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
Yfeuarat= of elans.anti JPecincanul» n U-1 • I r
Tnd plans and specifications for every on-site system shall be prepared.as follows:
(1) Every system shall be designed by a Massachusetts Registered Professional Engineer
or a'Massach-usetu Registered Sanitarian provided that such Sanitarian shall not design a.
• system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203.
Any other agent of the oK,ner.may prepare'plans for the repair of a system.designed to
disehargc not more.than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided
they are roviewrd by.'a Massachusetts Registered Sanitarian and approved by the approving
authority
(2). .Every plan submitted far approval must.be dated and bear the Stamp and signature of
the designer,
(3J every plan for a new system or plan for the upgrade or expansion of an eisririg'system
which requires a variance to a property line setback: distance;'must also reference"a plan P ; ® i
which bears the stamp and signature of a Massachusetts. Licensed Land Surveyor in ,B I
accordance with M.b.L. c:,112, OI D: 1I9 �I66P
Shall be of suitable stall,7(one inch=40 feet or fewer for plot
(4) Every plan for a system sh /' .
plans and one inch=ZO feet or fewer for derails of system components), end.shall include.
'depiction of: l�
(a) the legal bonndares of the facility to be served; '
(b) the hdldcr and location of any easements appurtenant to or which Could impact the
system; . _ .__.•.
(c) the locatorrof rate all dwdlling(s)or buildings)existing and proposed on the fatz7tty
and idendfieatiari of those to be served by the system;
^(d) •=tha-lacarion of existing of proposed imperxioss-areas, incluaing:drivoulays and
parking areas; -•
(e) location and dimensions of•th'e sgstcm (including reserve area);
(f), spst>m design calculations,iriclnding design daily sewage flow, septic tank capacity
(required and provided); soil absorption system capacity (required and provided); and
whether systerri is designed for garbage grinder;
(g) North arrow and existing and proposed contours;
(h) location and"lag of deep'observation Bole. tests including the date of test, existing
grado elevations marked on each test, and the natrres of the zeprescntarivc of the
approving authority and soil evaluator,
(i) location and results f percolation"tests including the Gate-of test and tho names of
the.representative of the approving authority and soil zvaluatpr, .
()} name and certification number of the Sorl Evaluator of record;
(k) location ofevery'water supply,public and'private,
1. v7ithirt 400 feet of thb proposed system location in the case of surface avatar
supplies and gravel packs d public wager supply wells,
2. within 250 feet of the proposed system location in the case;of tubular public
water supply wells, and
osed
3. within 150 feet•of the,prop system location iti lure case of private water
supply wells; v =..
1) location of~any'surface waters of the Cammo�nwealthr*rivers, bordering..vegetated
wetlands, salt tnarshcs, inland or coastal banks. regulatory floodway, velocity zone,
surface water supplies, tributaries to surface wares supplies,certified vtrnal pools,private '
water supplies or-suctintt lines, gravel packed-or tubular public water supply wells,
sttbsuriace drains, leaching catch basins, or dry wells; and She location of any nitrogen
sensitive area identified in 310 CNLR 15.215 within which potions of the proposed.
system are located.
(m) location of water lines and-other subsurface utilities on the facility;
(n) observed and adjusted ground-water elevation in the vicinity of the system;
o) a complete profile of the system;
(p) a Holt on the plan listing all varianccs to the provisions of 310 CUR 15.000 sought
in conjunction with the plan;
(� . the location and,elevation of one benchmark.within 50 to 75 feet of the facility
which is not subject to A.Slocation or loss.d�g consumcdon�on the facility;
1
(r) when-dosing is'progQsed, complete design an �F1ecauon of the.dosing system
propossed including.but not limited to dosing chamber capacity (required and:provided),'
pump curves and specifications, number of desinp" cycles and depth per cycle;
(s) when a kecirculati�g Sand Filter or equivalent alternative technology is required or
_proposed, a cotrrplere p Ian and Speer.-icadon for the system,including a hydraglic protic;
o show the location of the:Facility including the nearest existing street;
a locusplin,ompl
(u) the materials•of construction a drthe spec fi itionsc f the system.
No.....O.Sl__..... Fizz.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA T
....-- .OF...... .. --................
Xp:p ira ion -fur 43itipmaf Workii Touii4rurtiun Vami#
Application is hereby made for a Permit to Construct rg�_or Repair ) an Individual .ewage Disposal
Syja 7
Location•Addr or Lot No.
. . ................. c
Owner Addre
W
,-1 ---- ---------------- -- -- -• . -- ----•--- ....... ••-
Installer Address
QType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms-------------------------------- -Expansion Attic ( ) Garbage Grinder ( )
/--1 ___._____._
aOther—Type of Building .............•.-------_-____ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ----------------------------------
.
Total daily flow per da person per gallons n Flow _._g
Desig ............................................g p p py. -_-_______--_-------_------_---_--.----_
W a onti.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter-----........... Depth....-_-_---.-_.
x Disposal Trench—No. .................... Width.................... Total Length_._-_____--_____--_ Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area._---..----.--_.-.sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------- ---------------•--------------•---•--••----•-----............... Date........................................
aTest Pit No. I................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water....-_.----_---.-_.-----
(i, Test Pit No. 2................minutes per inch Depth of Test Pit_ .... .__�____. Depth to grou d ater._. _..__.__
----------
fy —
------------------------------ ..............
Descriptionof Soil------------------------------------------—--•--- ---- - ---- ------ ----- --- ----"
x
U --------------------------------------------------------------------------f ---------------------•----- --- ------------...
W -------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------.------------------
------------------------------------------ .---------------------------- -- ----- ------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the syste in
operation until a Certificate of Compliance has been'7ssu by boar health.
igned. p ----- - - ---- --- ----•--•-----•-•------ ......-----
_ J at
Application Approved By.--- _______ ______v_ _._. . �..... ,
Date
Application Disapproved for the following reasons:----••------------••----•----------- ----- ----..._-•----------
-----------------------------------------•---•----....----•-•-•-••--•--------•-----------------------.--_..
Date
PermitNo......................................................... Issued...................... .................................
Date
I
Proposed
D-Box STANDARD NOTES
Plan View
TOP ❑F Plv
F❑UNDATI❑N Rise rlCover Install alarm & control HorZ 1) THIS PLAN IS FOR THE I / REPAIR OF A SEPTIC SYSTEM.
34.8 within 6 box inside of Bldg° Tee �2) ALL INSTALLATION PROCEDURES AND MATERIALS SHALL CONFORM TO 310 CUR 15.000, THE STATE ENVIRONMENTAL CODE,
EL of Grade Quick 2 DB 5
I
Hand Valve ( Vent TITLE 5, AND THE TOWN OF Barnstable ----- SUBSURFACE DISPOSAL REGULATIONS.
• EXISTING GROUND SURFACE EL _`34_'2 - Disconnect F.M. 4 4" obs port Min 40 Mil
EXIST 2' w/screw cap to grade ;3) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS
24" Dia MH �-
37.25 10" perf & 10" solid & 4" couple 38.0 POlyliner
0. ® grade Expander Plug TOP EL Total 24" Length w/screw cap TOP ELI� OR ZONING REGULATIONS.
N.G. 34.0 (2 `x4') •4) THIS PROPERTY IS NOT SERVICED BY TOWN WATER
Top 32 9 Zabel Filter - " TOP EL
32.5 _ D-Box 12" MIN 2 LAYER DOUBLE WASHED 37.33 �5) THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM
1/8'- 112' STONE i ( Ca 37 0 �6 ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE
LIQUID LEVEL 21 PVCsecure Chain Discharge (DB 5) 37.25 TOP EL TOP EL 37.1 Top Line p )
XX `322 8 �MERO
'to W21 of 9 31.3 I 12' T) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY
5
31. 7 INVERT EL 31. �¢
1_110 " z - COMPONENT ACCESS LOCATIONS WHICH WOULD INTERFERE WITH THE PERFORMAN CCESS INSPECTION
INVERT ELWEEP HOLE 1/4' UPON OR ABOVE THE COMPO CE, A
14 INVERT EL W oc� 12
Existing ALARM ON LEVEL - OR m r-W CHECK VALVE 37.0 4"' 1'erf PVC S = 0.005 Sob 40 6
GAS BAFFLE AT OUTLET �/ o ao EFFECTIVE PUMPING OR REPAIR.
31.9 PUMP ON LEVEL 3 ~�� 2 MERCURY FLOAT INVERT EL 0000 SIDEWALL 34.0 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION
INVERT EL L�_10 PUMP OFF LEVEL 6 a U� LEVEL CONTROLS OOOO
BOT INs io su�P Q_(4. 6' ST❑NE BASE - 36.6 NG SYSTEM, EXCEPT WHEN VENTING HAS BEEN PROVIDED
Existing - 36.83
Bot 27. DOT EL SEWAGE PUMP, GOULDS Level 3/4"- 1 1/2" DOUBLE b T❑P EL 33.0 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE
Modet 2 WD 1/3 HP
6" STONE BASE 4'xe'x16' SOLID OR EQUIVALENT) INVERT EL WASHED STONE b ��,.; �•...,�;^ TO EM,7VRE STABILITY AND PREVENT SETTLING.
3/4' TO 1-1/2' DIA, CONCRETE BLOCK 36. 75 36.1 �� �`�• 32.33
L�'XIStIn� 1,000_ Gal Proposed 1,000 Gal 2 REQ. INVERT EL PROPOSED LEACHING FACILITY o• o - „ „ IG7) OUTLET DISTRIBUTION LINES' SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. i
BOTTOM EL 8 16 I
Pump Chamber r� a, x Footing 111) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10'
10, ,Septic Tank H-10 3' Sborey Precast 30 X �0 WIDE (Pea Stone 118 - 1/2') OF DRIVEWAYS OR PARKING OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL.BE USED.
I I - I LEASH FIELD W/3 LINES I ti
I S = 0.90 I Existing Tank to be S o.07 Waterproofed 5z' 2' s = o.01 �' In terlOCking 10) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC.
tested for Waterproof (MOI10 Tank) ) 4' _ 8' Block Wall 13t) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36'" UNLESS VENTING HAS BEEN PROVIDED.
54' Total t f I Cx r1�T rt E: 31.0 141) IN THE AREAS OF EXCAVATION, EXISTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS.
EL Pea Stone Base
5' Around Stripo u t GR❑u D W ATER - 15) IF SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY FROM
EUO YANCY CALCULA TION BUOYANCY CALCULATION 40' x 30' 17 0 140� " "
See Exca va Vtion Note BOTTOM TEST HOLE €� -- 8 X12 x16 (six Block) THE DEEP OBSERVATION HOLE LOG, CONTACT A & M LAND SERVICES AND TOWN BOH BEFORE PROCEEDING.
1,000 Gallon H-10 Septic Tank Block Wall with 16i) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO CONSTRUCTION
1000 al H-10 Pump Chamber "I G 4 Ca
(5 -7.- x 4 -10 x 8 -6 ) P p
Max Grd Elev Bottom (5'-T X 4'-10" X 8'_6'� Total Hgt. 4' _ 4„ l i7) CHANGES OR REVISIONS TO SL'PTIC DESIGN REQUIRE NOTIFICATION
Water Elev Tank Htg Width Length Max Grd Elev Bottom TO A & M LAND SERVICES AN.S`TOWN BOH FOR REVIEW,AND APPROVAL.
Water Elev Tank Hig Width Length 11:9) CONTRACTOR SHALL NOTIFY TOWN AND DESIGN ENGINEER AT LEAST
31. 0 - 27. 4 = 3.6' x 6z 4 BS x 4. 83 x 8.5 9,223� LBS T LBS 24 - 48 HOURS PRIOR TO INSPECTION(S).
CU FT 31. 0 - 27, 0 4. 0 x 62 4 / x 4.83 x 8.5 9,223 f LBS T
CU. FT.
8,240 6,671 1 - 9,223 ibs T = 5,6881 Lbs 1 O. K. `Ex Soil 8,240 �, - 7,698 1 - 10,24 7 Ibs T = 5,691 Lbs 10. K.
Tank
Grnd Top HT Ex Soil Tank
34.2 - 32. 9 = 1.3' x 125 Ibs/c uft x 4.83 x 8.5 = 6,671 Lbs Grnd Tot' HT Pump Calc'S
1 34.0 - 32.5 = 1.5 x 125 Ibs1c uft x 4.83 x 8.5' = 7,698 Total Head
8.84+2.80 = 11.64 < 14.50 (chart for 1/3 HP Pump @ 40 GPM) -- ---
4 cycles @ 0.5 x 250 Gal/FtHt= 125 Gal/Cycle
125g>(11og req.+ 1og back flow) DEEP OBSERVATION DEEP OBSERVATION
Map 179 001 001 No Well within
No Well within 125 gal/cycle/40 gpm=3 min 8 sec/cycle
I 200' of SAS 200' of SAS HOLE LOG HOLE LOG
Map 179 Parcel 001 002 Storage
I
976 Main Street (Rte 6A)
Prop Interlocking Provided Min.Req. Test Hole #1 Test Hole' #2
40 Mil Liner
Block Wall Prop Min 29"/12"x 250 Gal/FtHt = 604 Gal> 440 Gal (EL = 34.0 +) (EL = 34.2 -4--)
D P h Elev Soil Soil Soil DyyP h lev Soil Soil Soil
ti O� 12519' �m� {ft) Horizon Texture Color lm ft) Horizon Texture(USDA) {Munsell
Vent (USDA) (Munsell) { )
SIe Ve SOIIS Analysis Note
33.0 P
12" A LOAMY SAND 10YR4/3 0 - 12" 332 Ap LOAMY SAND 10YR4/3
0 -
Il' ,
Obs Port 5" See Sieve Analysis dated 5114107 performed by
PROPOSED LEACHING FACILITY Shed 12" - 24" 320 B LOAMY SAND 10YR5/6 12" - z4 3z2 B LOAMY SAND foYRS/6 Down Cape Engineering, Inc. Sample taken between 13' - 17'
° -- 24" - 36" 31.0 C1 MEDIUM SAND 2.5Y6/6 24" - 48" 3o.z C1 MEDIUM SAND z.sYs/s Results Permeable Material -- Class I < 5 MIN/IN. Material
" • �::::•-. COMPACT Medium
4 PVC Perf Pipes DTH Fine to- M um Sand
Three CT
f I h 5' ::..;.: �-____l COMPACT 10YR5/2 49" - 126,: 23.7 Cd2 SILT LOAM f0YR5/2
1n Leach Field (3� a #1 3.9) in - 5 21.0 SILT LOAM
1' :, : : :• : •nr �3 Septic area 126" - 174" 1 FINE SAND 2.5Ys 6
Total Dim's 20' x 30' q.1) Pum , crush sand 36" 1 s" Cd2
10' P 156" - 204" 17 0 C3 FINE SAND 2.5Y6/6 9.7 C3 /
`�:' '' '' _ (3 fill per Title 5 174". - 228" 15.2 Cd2 10YR5/2
COMPACT
30 Proposed 3 SILT LOAM
P 3.5) J I �
.Barn D-BOX �j � - Deep Obs Hole Date: 5/09/07 Deep Obs Hole Date: 5109/07
DTH -
Pr0liJOSed �' Soil Evaluator: ED STONE'" -�^ Soil Evaluator: EuG9'UAiE
#� - Witnessed By: Donna A. Miorandi Witnessed By: Donna A. Miorandi
No..Well within 220" 1,000 Gal
O w of SAS �-- P-Chamber Perc Rate: See Sieve Soils Anat. '< 5 MIN/IN Perc Rate:
Soil Survey Description: CARVER Soil Survey Description: CARVER j
/ ( 3 0) ! g Geologic Material: GLACIAL oUTWAatl boRRAINE
( �• Geologic Material: ctaclAL ourwAsa uoRRAInIe
O Depth to Standing Water: 36" Depth to Standing Water: 48"
3'13 Depth to Weeping Water: 36" Depth to Weeping Water: 48"
( Existing P P g
or : Distinct Common 7.SYR5 6 Depth to Mottling(Color): Distinct/Common 7.5YR5/
Depth to Mottling(Col ) / � P „
L- - - - -� 1,000 Gal I P
11 Tank (� Est Seasonal High GW: 36" Est Seasonal High GW: 48
O Top Conc TBM I Date USGS ofbLastation Me Measurement: TSW 89 USGDate of Observation Well: MAY 2007
� 89
Deck - �„� I MAY 2007 I CDommen�st Measurement:
EL 34.75 Comments:
b
4
Cra wl
Map 179 Parcel 2 Sp ace Map 179 Parcel 4
(
� 1000 Main Street Rte 6A I � Bld #26 �) g '" 42 Packet Landing Road
4 Bdr
{ TCF = 34.8 Q>i I EXCAVATION NOTES
Full Cellar 1�
-L- d2
L - - I
1) EXCA VATS ALL MATERIAL ABOVE SOIL HORIZON C (SEE DEEP OBSERVATION
� HOLE LOG) AT APPROXIMATE ELEVATION 23. 7 , FOR A LATERAL DISTANCE OF 5'
(WHERE POSSIBLE) IN ALL DIRECTIONS BEYOND THE OUTEN PERIMETER OF THE LEACHING 'AREA.
2) FILL MATERIAL SHALL CONSIST OF CLEAN GRANULAR SAND, FREE FROM ORGANIC
(32 5} I MATTER AND OTHER DELETERIOUS SUBSTANCES, WHICH MEETS THE TEXTURAL
(32 5} I CRITERIA PUT FORTH IN SECTION 15.255(3) OF TITLE 5.
3) SCARIFY THE BOTTOM SURFACE OF THE EXCAVATION PR10R TO PLACEMENT
LO t 11 OF FILL INTO THE RETAINING STRUCTURE.
) 4) PLACE FILL ONLY WHEN BOTTOM SURFACE IS DRY.
16, 75O f Sq. Ft. Existing
I I Existing Well
Well
- - - - - - - - 125.00' MAXIMUM FEASIBLE COMPLIANCES
o_
1.) VARIANCE TO THE 150' SEPERA TION BETWEEN THE EDGE OF THE SAS
AND AN EXISTING WELL. A 112' SEPERA TI N IS PRO VIDEO. A -.38 _ VARIANCE IS REQUESTED.
' OF THE SAS ASSESSORS MAP 179 LOT 003
PACKET LANDING ROAD (Cra vel Way) 2) VARIANCE TO THE 150 SEPERA TION BETWEEN THE EDGE
AND AN EXISTING WELL. A 136' SEPERA TION IS PROVIDED A _14'__ VARIANCE IS REQUESTED
40 Public Way)
. I
Sep tie Upgra de
flepair Plan
- - - - - - - - - - - - - - - - - - - - - Prepared For:
Applicant/Owner
No Well within I
200' of SAS
Existing DESIGN DATA. .Marjo.rie Keary
Lo At
Well
ca ted
Map 176 Parcel 22
1022 Main Street (Route 6A)
Number of Bedrooms: 4 26 .Pa Cke t Larl dlrlg Road
--I Garbage Grinder: NO W Barnstable, MA 02668
Map 179 Parcel 15 Design Flow. 440
L- Floor Plan (110 Gal/BR/Day x Number of BR) „
Art
Studio N.T.S. Septic Tank: (To Remain) 1,000 �.�A a M�• � �='` " dss PREPARED BY
(Minimum = Design Flow x 200%') Gar �`'� °yam �� saw �� A & M Land Services
4�. 3 Leaching Area: (Min aao Gals) c wlNsLow �, 616 Route 28 Unit 3
g M. sooao West Yarmouth MA 02673
Locus
��4 Sidewall: s a� y
a a - ` p°.��Fc► ►�a (508) 771-LAND (5063)
a� o Bth
2 Sidewalls x _____Ft x _____Ft) +
a Bdr Bdr H 9 on,u.
eb KI t (2 Endwalls x -----FT x ---Ft) Ji,
BiIT Blom: 20 ' ,
SCALE. 1 =20 DATE. June 6, 2007
-_--_-Ft x ---Ft) 600 SF GRAPHIC SCALE
Fam Long Term .Acceptance Rate (LIAR): x 0. 74
6' Bdr 20 0 10 20 40 ao B/1/07 Revise Wall & Location SAS
Bdr Ll v Leaching Area Design Capacity: 444 GPD REV. /�/ 4c: prof
10 1 07 Raise SAS Eley Waterproof 'Tank r
max'
4tiZ / (Sidewall Area + Bottom Area) x LTAR -
( IN FEET ) DWG. NO. 4009 SHEET 1 OF 1
444 GPD Provided - 440 GPD Required = .__`�_ Reserve i inch = 20 ' ft.
Locus Map
N.T.S.
I
I
Proposed
D-Box STANDARD NOTES
TOP OF Plan View
FOUNDATION T Riser Co ver Horz C(D.
.1) THIS PLAN IS FOR THE I / REPAIR OF A SEPTIC SYSTEM
Install alarm & control within 6" box inside of bldg Tee L.1) ALL INSTALLATION PROCEDURES AND MATERIALS SHALL CONFORM TO 310 CUR 15.000, THE STATE ENVIRONMENTAL CODEEL 34.8 of GradeQuick Hand valve 2" 5) vent (� TITLE 5 AND THE TOWN OF ___ Barnstable _____ SUBSURFACE DISPOSAL REGULATIONS.
EXISTING GROUND SURFACE EL 34.2 Disconnect FM ¢ 4' obs port Min 40 Mil
Exist ------ 2' w/screw cap to grade � ) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS
24" Dia MH �-11 37.25
® grade Plug TOP EL TO
pert 10" solid & 4" couple 38.0 TOP ELI Polyliner OR ZONING REGULATIONS.
g Ex an Total 24" Length w/screw cap
Top 32.9 - N.G. 34.0 r �2x 4') TOP EL 4) THIS PROPERTY IS NOT SERVICED BY TO WN WATER
Zabel Filter MIN 2' LAYER DOUBLE WASHED 37.33 `ti) THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM
32.5 D-BOX 12" 1/8'- 112' STONE 11
LIQUID LEVEL 2' PVC (DR 5) 37.1 Top Line cap 37.0 6') ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE
32.8 Secure Chain Discharge 37.25 TOP EL TOP EL 7,) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY
o .au a 12"
10 31. 7 INVERT EL 31.5 29" Boa 31.3
INVERT EL 14' EMERG z WEEP HOLE va• 6 12" - UPON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE ACCESS, INSPECTION
Existing INVERT EL w o_ 37.0 4"' Perf PVC S = 0.005 Sch 40
g ALARM ❑N LEVEL STOR w L_ CHECK VALVE
� PUMPING OR REPAIR.
GAS BAFFLE AT OUTLET o 20 EFFECTIVE ti
31.9 PUMP ON LEVEL 3" �� INVERT EL 8) NO DRIVEWAY, PARKING OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE' LOCATED ABOVE A SOIL ABSORPTION
2 MERCURY FLOAT O�OO SIDEWALL 3 34.0
INVERT EL PUMP OFF LEVEL 6 a c��� LEVEL CONTROLS 0000
Existing H-10 BUT INS _ 1 10• sunp a- 0.6 6' STONE BASE - 36.6 NG SYSTEM, EXCEPT WHEN VENTING HAS BEEN PROVIDED.
Bot 27.. BOT EL SEWAGE PUMP, GOULDS 36.83 Level :'./4'- 1 112' DOUBLE Z, b T❑P EL 33.0 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE
Model 2 WD 1/3 HP INVERT EL
6' STONE BASE a•x8'x16' SOLID OR EQUIVALENT) WASHED STONE b •�; k-.t, TO ENSURE STABILITY AND PREVENT SETTLING.
3/a' T❑ 1-1/2' DIA. CONCRETE BLOCK 36. 75 36.1 .t.;_`<: 32.33
1 000 Proposed' O 1 000 Gal 2 REQ. INVERT E L PROPOSED LE'A C1�IING FACILITY o� o - I0) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH I
Existing _ Gal. ' BOTTOM EL 8" x 16" Footing 11f) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10'
Septic Tank H-10 Pump Chamber 30' x 20' WIDE 0. (Pea Stone 1/8" - 1�2') OF DRIVEWAYS OR PARKING OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED.
lo' � 3' � Shorey Precast LEA CH FIELD W/3 LINES ti
`Q "� Interlocking 12) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4' AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC.
S = 0.90 Existing Tank to be S = 0.07 1 Waterproofed 52' + 2' I S - 0.01 g 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED.
tested for Waterproof (Mono Tank) =8' Block Wall
54' Total 1�lCx cctvltt��r� Pea Stone Base
31 0 14) IN THE AREAS OF EXCAVATION, EXISTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTOURS.
5' Around Stripout GR000WATER - EL - 15) IF SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY FROM
BUOYANCY CALCULATION 40' x 30' 17.0 140'f
BUOYANCY CALCULATION BOTTOM TEST HOLE €� 8 'x12'x16' (Six Block) THE DEEP OBSERVATION HOLE LOG, CONTACT A & M LAND SERVICES AND TOWN BOH BEFORE PROCEEDING.
1,000 Gallon H-10 Septic Tank See Exca va vtion Note 16, CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO CONSTRUCTION
(5'- 7 x 4'-10" x 8'-6') 1,000 Gal H-10 Pump Chamber 4" Ca pWall with l
(5'- 7- x 4'-10" x 8'-6') Total Hgt. 4 - 4" 171) CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION
Max Grd Elev Bottom
Water Elev Tank Htg Width Length Max Grd Elev Bottom ,O A & M LAND SERVICES AND TOWN BOH FOR REVIEW AND APPROVAL.
Water Elev Tank Htg Width Length 181) CONTRACTOR SHALL NOTIFY TOWN AND DESIGN ENGINEER AT LEAST
31. 0 - 27. 4 = 3. 6' x 62 Bs x 4. 83 x 8. 5 9,223� LE S T LBS 9,223 24 - 48 HOURS PRIOR TO IN.SPECTION(S).
CU FT 31. 0 - 27 0 = 4. 0 x 62 4 / x 4.83 x 8. 5 f LBS I'
CU. FT.
8,240 1 - 6,671 A/ - 9,223 Ibs T = 5,688E Lbs 1 O. K. ` 8,240 ,� - 7,698 1 - 10,247 Ibs T = 5,691 Lbs 1 O. K
Ex Soil Tank
Grnd Top HT Ex Soil Tank
34.2 -- 32. 9 = 1.3' x 125 Ibs/tuft x 4.83 x 8.5 = 6,671 Lbs Grnd Top HT Pump Calc's
34. 0 - 32.5 = 1.5 x 125 Ibs/c uft x 4.83 x 8.5' = 7,698 Total Head
8.84+2.80 = 11.64 < 14.50 (chart for 1/3 HP Pump @ 40 GPM) - ---
4 cycles @ 0.5 x 250 GavFtHt= 125 GaUCycliy DEEP OBSERVATION � DEEP 0 BS E�V A T IO N
Map 179 001 001 No Well within 125g>(1 I Og req. + IOg back flow)
No Well within ., 125 gal/cycle/40 gpm= 3 min 8 sec/cycle HOLE L 0 G HOLE L O G
200' of SAS I �00' of SAS
Map 179 Parcel 001 002 Storage
Prop Interlocking Provided Min.Req. Test Hole #1 Test Hole #2
Block Wall Prop Min 976 Main Street (Rte 6A)40 Lfil Liner
29"/12"x 250 Gal/FtHt = 604 Gal> 440 Gal (EL = 34.0 _f-) (EL = 34.2 _-)
,
y'`e of D P h Elev Soil Soil Soil D�pfSh Elev Soil Sail Soil
t
- 125.19' �ln� (ft) Horizon Texture Color in (ft) Horizon Texture Color
Vent (USDA) (Munsell) (USDA) (Munsell) d
11' - - - 0 - 12" 33.0 Ap LOAMY SAND 10YR4/3 0 - 12" 33.2
AT LOAMY SAND f0YR4/3- _T Sieve Soils Analysis Note
Obs Port =-- 5' See Sieve Analysis dated 5114107 performed by
B LOAMT SAND f0YR5/6
PROPOSED LEACHING FACILITY } 1' 1:.2' - 24" 32.0 B LOAMY SAND 10YR5/6 12" - z4' 32z Down Cape Engineering, Inc. Sample taken between 13' - 17'
Shed
�36`' 31.0 C1 MEDIUM SAND 2.5Y6/6 24" - 48" 30.2 C1 1, ND 2.SY6/6 Results Permeable Material - Class 15 MIN/IN. Material
MEDIC�f SA
" f COMPICT Fine to Medium Sand
Three 4 PVC Perf Pipes DTH J COMPACT 10YR5 z 49' - 126" 237 foYRS/z
5' 36"' - 156•• 21.0 Cd2 / Cd2 SILT LDAM
in Leach Field : 3�': e #1 3.9) Existing SILT LOAM
1' �. (3 Septic Area 126" - 174" 19.7 C3 FINE SAND 2.5Y6/6
Total Dim's 20' x 30' 10, , (34.1) Pump, crash sand 156•• - 204•' 170 C3 FINE SAND 2.5Y6/6 COM ACT
fill per Title 5 174" 228" 15.2 Cd2 SILT LOAM IOYR5/2
30 Proposed 5) J
Barn DTH D-Box o (33•
i 1 Deep Obs Hole Date: 5/09/07 Deep Obs Hole Date: 5/09/07
Proposed I V 1 Soil Evaluator: ED STONE Soil Evaluator: ED STONE
jf- Witnessed By: Donna A. Mtorandi witnessed By:
Dor,,;; A. Mior,r.d4
1 000 Gal
1 � No Well within Pere Rate: See Sieve Soils Anal. < 5 MIN/IN Pere Rate:
200' of SAS P-Chamber Soil Survey Description: CARVER Soil Survey Description: CARPER
J (34,0 Geologic Material: GLACIAL OUTWASH MORRAINE Geologic Material: CLACIdL OUTWASH MORRAINE
Depth to Standing Water: 36" Depth to Standing Water: 48" I
/ (34.3 P / O Existing I Depth to Weeping Water: 36" Depth to Weeping Water: 481,
I I- 1,000 Gal I Depth to Mottling(Color): Distinct/Common 7.5YR5/6 Depth to Mottling(Color): Distinct/Common 7.5YR5/
L- S-Tank Est Seasonal High GW: 36" Est Seasonal High GW: 48"
Deck O Top Conc TBM I USGS Observation Well: TSW 89 USGS Observation Well: TSW 89
Date of Last Measurement: MAY 2007 Date of Last Measurement: MAY 2007
er
EL = 34.75 I I Comments: Comments:
Cra wl I
Map 179 Parcel 2 Space l- -
1000 Main Street (Rte 6A) � Bldg ,�26 � Map 179 Parcel 4 � 1
! 4 Bdr 42 Packet Landing Road
I TCF = 34.8 I o I EX.I',AVATIO N NOTES
Fall Cellar 2
L�_ _L� � f��` I d2
1) EXCA LATE ALL MAI TERIAL ABOVE SOIL HORIZON C (SEE DEEP OBSER VA TION
HOLE LOG) AT APPROXIMATE ELEVATION 23. 7 , FOR A LATERAL DISTANCE OF 5'
rr� (WHERE POSSIBLE) IN ALL DIRECTIONS BEYOND THE OUTER PERIMETER OF THE LEACHING AREA.
2) FILL MATERIAL SHALL CONSIST OF CLEAN GRANULAR SANDD, FREE FROM ORGANIC
FI MATTER AND OTHER DELETERIOUS SUBSTANCES, WHICH MEETS THE TEXTURAL
(32 5) I CRITERIA PUT FORTH IN SECTION 15.255(3) OF TITLE 5.
3) SCARIFY THE BOTTOM SURFACE OF THE EXCAVATION PRIOIR :TO PLACEMENT
1 Lo t 11 OF FILL INTO THE RETAINING STRUCTURE.
16, 750 f Sq. Ft. Existing ` 4) PLACE FILL ONLY WHEN BOTTOM SURFACE IS DRY.
Existing Well
-- 125.00' Well - - - - - MAXIMUM FEASIBLE COMPLIANCES
J _
1.) VARIANCE TO THE 150' SEPERA TION BETWEEN THE EDGE' OF THE SAS
AND AN EXISTING WELL. A 112' SEPERA TION IS PRO VIDED. A __�_38___ VARIANCE IS REQUESTED. ASSESSORS MAP 179 LOT 003
PACKET LANDING ROAD (Gra vel Way) 2.) VARIANCE TO THE 150' SEPERA TION BETWEEN THE EDGE OF THE SAS
AND AN EXISTING WELL. A 136' SEPERA TION IS PRO VIDED. A 14"__ VARIANCE IS REQUESTED.
(40' Public Way)
Septic Upgra d e
l�epa it Pla n
Prepared For
Applicant/Owner
No Well within
200' of SAS Marjorie Ke a r°y
Existing DESIGN DATA.
Map 176 Parcel 22 O Well Located At
1022 Main Street (Route 6A) 4
Number of Bedrooms: 26 Pa Cke t Landing Road
--) Garbage Grinder: TO W Barnstable, MA 02668
Map 179 Parcel 15 L � � Design Flow: 440
Floor Plan (110 Gal/BR/Day x Number of BR) i
Art a M` ' " �s PREPARED BY.
N.T.S. Septic Tank: (To Remain) 1,000 ��d q
Studio ;�' �� Saw �� A & M Land Services
a' Leaching(MinimumArea Sign Flow x zooa) ) Gal o w114 Mow m SPaFFORg M
4 4a (Min 660 Gal's G
o� Sidewall: Nc.2 040 ` $ 618 Route 28 Unit 3
Locus ��°o $P.9 04° 420363 t West Yarmouth, MA 02673
a
�� � Bdr Bth (2 Sidewalls x _____Ft x _____Ft) + � g� °.��Fc,� ¢.t (508) 771-LAND (5263)
�_
e� Kit Bdr
(2 Endwalls x _____FT x _____Ft) N f 9 �J�.0 Ss1�NA1.
o �.
E. 1 =20 DATE. June 6, 2007
Bth Bottom: SCALE:
d'� sfr 4a° 4 30' Ft x 20-
__Ft) 600 SF GRAPHIC SCALE
,p Ram Long Term Acceptance Rate (LTAR): x 0. 74
so 811107 Re vise Wall & Location SAS
20 0 10 20 40
LIV Bdr Leaching Area Design Capacity: 444 GPD REV. 10/1�/07 Raise SAS Elev Waterproof Tank r t
(Sidewall Area + Bottom Area) x LIAR _
( IN FEET ) DWG. NO. 4009 SHEET 1 OF 1
i _444 GPD Provided - 440 GPD Required = _4_ Reserve i inch = 20 ft. -
Locus Map
N.T.S.