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1431 PHINNEY'S LANE - Health
4431- hinrie"s Lane PIP/ Barnstable (HATHAWAY's POND RECREA) A = 275 - 002 v 1• D Town of Barnstable . P#— _13�3 �0 f of� De artmi nt Regulatory' $ p e Services lye Public Health Division Date 6 sb �u 200 Main Street,Hyannis MA 02601 Date Scheduled _ Time Fee Pd.'- . Soil Suitability Assessment for Se re Disposal Performed By..j&e_ Witnessed By: LOCATION& GENERAL INFORMATION D Location Address Qo Owner's Name ;,,, „� J&M6la►'6 1-(_ ly$I Q`Uln�i')� 41� Address Assessor's Map/Parcel: )15 001V Engineer's Name C,-1 (YC04? 1 6r, NEWCONSTRUCITON REPAIR _ Telephone# 50$ �3� �bOk;, Land Use ��r� Slopes(%) ®"J Surface Stones Ra f 41 Distances from: Open Water Body I off' ft Possible Wet Area 7 Ia ft Drinking Water Well !�'a ft Drainage Way -t 10 O ft Property Line Z 1" ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test hales&perc tests,locate wetlands proximity to holes) r� Parent material(geologic)(DA-W 016 Depth to Bedrock 1 Depth to Oroundwater. Standing Water in Hole: ��` Weeping from Pit Face ` ~ Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE =r , Method Used: Depth Observed standing in obs.hole: �A.� In. Depth to Sall mottles: in, ' Depth to weeping from side of o¢s.hole: v8 t ,d in, Groundwater AdJugtment ft. �. Index Well 0_442M? Reading Date: 221 11 Index Well level 11— Adl.thcto Z3 Adj.Groundwater 1.evgt.,c"I;] PERCOLATION TEST bete. Thne,._� i Observation Hole# TIP "11 `1me at 9 Depth of Percp� 56 Time at 6" AM Start Pre-soak Time @ O':2o�VY1 -_ 'time(V-61 1r+�r1 ffGL . End Pre-soak Rate MinJtnch _roiN - Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) t 1 Original:Public Health Division Observation Hole Data To Be Completed on Back------- ***If percolation test is to be,conducted within 100'of wetland,you must first notify the, " Barnstable Conservation Division at least one(1)week prior to beginning. Q:WPTICIPERCFORM.DOC . C DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) . (Munsell) Mottling (Structure,Stones;Boulders. con %Gravel) • 19,W7 C 1 � 10 44 001-L DEEP OBSERVATION HOLE LOG Hole# ' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consistengL % O'1Jm11It <ia p lb-1-1 0114rn Wik 4k(arl �S6 i0 ,,01 t�h� ales �►�—ice C ti rued. t�t12 12 �— DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C sistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color boll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. Con ' e , `. •i 4 •, Flood Insurance Rate Man: Above 500 year flood boundary No_ 'Yes�C.. Within 500 year boundary No Yes ' Within-100 year flood boundary No QL Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? la-LS _— ` If not,what is the depth of naturally occurring pervious material?, .... ....-- . t Certification �+ ' I certify that onQ'� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and perience described in 310 CMR 15.017.i� Signature Date Q.1$Ep nOPERCFORMMOC A"c� TOWN OF BARNSTABLE LOCATION Lp,,r SEWAGE# _16.1.t VILLAGE ie",O�ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PTIONT NO. �13�L�®� SEPTIC TANK CAPACITY _c9600 LEACHING FACILITY:(type) _ � (size) d D( e€O I)e— S NO.OF BEDROOMS OWNER `�erc J Z�C _a- PERMIT DATE: —// 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) N Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Q Feet FURNISHED BYS�.y VIP? --"i NIA"/ ✓'� y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS l )Yication for 18�10saY• pstrm Construction permit s- Application for a Permit to Construct( ) Repair 06 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.14 1-0 0-e_ Owner's Name,Address,and Tel.No. W1 f,i et �}W+ Assessor's Map/Parcel � 75 00 L _ � vwr �,� ab .,( C� I�iyarnrs m� ��� In St er's N e,Address,and Tel.No. Designer's Name,Address,and Tel.Nod90 "�6A 'Ys'_� a'zw /Cb AA ' AAAA?4 f —935� I +sk�Ir�+ a CC�Hp ,'�rx g'�33 � r(:3 Type of Building: � Dwelling No.of Bedrooms VA Lot Size 3549 O,e. sgeW Garbage Grinder( ) Other Type of Building f6}ls Vot*f_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) I��o gpd Design flow provided AS 0 q gpd Plan Date Number of sheets f Revision Date Title 6wa!)rj Q A, SQ�)G 610A)f 1plgh-- Size of Septic Tank Type of S.A.S. Description of Soil tAyu046 im, h!n rn4,J lum S n,-n Ci Nature of Repairs or Alterations(Answer when applicable) &Ra► 'r 3�v I e_ .FO< -ek)6'tn Nt'w S-000 h c. �.nn1z �t�l X a tbr& V%e hi .,.t A i p�5 dam,zq I,&3 FOt N 2.0 Yxl4ln!� -Ij4ayn yo be, g6r, 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 Environmentai eode__/3nd not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. .✓' S' ed ^,."''� Date Application Approve Date I hlt2 ) Application Disapproved by Date for the following reasons Permit No. Date Issued No �/ ' Fee Jrj i ' THE COMMONWEALTH OF MASSACHUSETTS Entered in cotfipu�er. Yes PUBLIC HEALTH ,DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ti ftplitation for Dispi:a pstem Construction 3dermit Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components i Location Address or Lot No.14 31 PhmM j S La r-v—, Owner's Name,Address,and Tel.No. - 4 �,tn4-1a c..(RCC) INygnnt5 MA ,�W Assessor's Map/Parcel, c�?�j o 42, ��{y� ! �o WT � Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 10 Qot-k fr A S"Z1 F--77I -7359 1�►SG W��+*1�roa '� -Sw0xicy, MA 32SL3 �s PJ J AA , A 1A.� 'J P 1 �- v3 33 600 Type of Building: Dwelling No.of Bedrooms td A Lot Size 39.9 A.0 Ao ft! Garbage Grinder( ) x" Other Type of Building No.of Persons o D Showers-,( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1,600 i gpd Design flow provided ��� gpd Plan Date Numberiof sheets! a I Revision Date Title �6+6wajjs Q�S40k1 G �t�a��f P1gnr. Size of Septic Tank 700 A,% it Type of S"'A.S. T1:!!!<18 Description of Soil •So,71 ,(d 114 M r �1 C� - e - E Nature of Repairs or Alterations(Answer when applicable) R.goa e�'a�t_�6lr yy) YV r 'ek)41!!! N1W �A-nln. e,, --,.p'LAILA -f Z a MPOTI�1-1 u0ie)-,1TXR (,,.t)A Date last inspected: a Agreement: ti p 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 Gode nd riot to_place the system in operation until a Certificate of Compliance has been issued by this Board f IIreal}l?` r' '•�J 1 " y �' �� Si ed Date /�- Application Approve by , G�.-� RV Date ' Application Disapproved by Date y , for the following reasons ; r�' r ti Permit No. �O/� " � r"f Date Issued G) a 7 1 1 t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�� Upgraded( ) Abandoned( )by 61bk~_(J y`1 7,1 CA^J 1 at 7j / }-j,r �, ".Q V • H o) has been constructed in accordance with the provisions of Title 5 and the for Disposal System Cons�on Permit No._ CS'// -VI/dated 7 /I Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall of be construed as a guarantee that the system will nctio des gnedo Date Inspector No. -ycOI`" Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal *pstrm Construction permit Permission is hereby granted to Construct ( ) Repair(j,,r)"" Upgrade( ) Abandon / �T ( ) System located at -i/ Ct��, „ra.in-� �... y . f4 y y✓i:1 U UZ 1� rt,-I N i 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. S�f Provided:Construction must be completed within three years of the date of this pe, t. Date /� Approved by i� r Town of Barnstable tHME r Regulatory Services ti Thoma`F.Geiler,Director ' MASS. x Public Health Division 94iAif1639. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 j Fax: 508-790-6304 Date: 5/22/2012 Sewage Permit# Assessor's Map/Parcel 275/002 Installer&Designer Certification Form Designer: Horsley Witten Group, Inc Installer: Bortolotti construction, inc. Address: 90 Route 6A Address: 45 Industry Road sandwich, MA 02563 Marstons Mills, MA 02648 On 9/az 2 A �yP i C�/1St�c i;, was issued a permit to install a (date) (installer) septic system at Hathaway's Pond based on a design drawn by (address) F.P. Lee, P.E. dated 9/15/2011 (designer) X 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. �4 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- y designer to follow. Stripout(if required)was inspected and the soils were nd sati ctory. c'r��1N 0i yl��y FAT PIU staller's Signature) CIVIL No.42824 (D signers Signature) (Affix tamp 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. gaoffice forms\designercertification fonn.doc Commonwealth&Massachusetts s Title S Official ln§pq o i; Subsurface Sewage Disposal System F -Not for Voluntary Assessmen HAWTHAWAYS POND PHINNEYS:LN � in� 5 . � Property Address TOWN OF BARNSTABLE s Owner Owners Name information is HYAN S MA 02601 4/23/2009 required for every - page: Clty/T wn State Zip Code Date of Inspection Itispection results must be submitted on this form. Inspection forms may not be altered in any b. way. Important:When A. General In€ormation filling out forms t on the computer, S� use only the tab, key to move your .1',.,,Inspector: cursor-do not. JAMES D-SEARS: use the return key. Name of Inspector BLUEWATER reb Company Name 350 MAIN.,ST Company Address. " W. YARMOUTH MA 02673 City/Town State p Zi Code 508-775-2800 ` S-1623 'Telephone Number License Number B. Certification.." I certify that f have persorially;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 functionand-maintenance of on site sew ge disposal systems.I am a DEP approved system'inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: Passes Conditionally Passes iy\``A Fal(s ssq�y��..+ `Cj G� E u, �ZZ: JAM'ES N Needs Further Evaluation by the Local Approving Authority SEARS i t 4/23/2009 spectoes Signature Date The system inspector shall submit a copy of this inspection report to the Approving*Authority(Board of Health or DEP)within 30 days of completing this'inspection. If the system 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 syste .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 ame or different conditions of use. HATHAWAYS POND.doc•:03/OB Title 5 Official Inspection Form:Subsurface Sewage.Disposal System-Page 1 of 15 Commonwealth.of Massachusetts {J -Title 5 ffi'ial lrnspectio'n Fora 1= Subsurface Sewage Disposal System Form Not for Voluntary Assessments ate;>✓ HAWTHAWAYS PQND PNINNEYS LN Property Address TOWN OF BARNSTABLE Owner Owner's Name information is HYANNIS MA 02601 '4/23/2009= - required for every page. City./Town - State. Zip Code Date of Inspection B. Certification (cost.) inspection. Check A,B,C,D or,E/always complete`all of Section D A) System Passes: ❑ I have not found any'nformation 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: B) Sys#errt Corsditionally 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+,"-plaase ex !ai.n. ❑ 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 'nof leaking and if a Certificate of Compliance indicating that the.tank is 1ess than 20 years old is available. ND Explain: ❑ Observation of sewage backup or breakout or,high static.water level in the distribution box due to broken or obstructed pipes) or due a broken, settled or.u"neven'd'istribution`box. System will pass inspection if(with approval of.Board of Health): ❑ : broken pipe(s) are replaced obstruction is removed - HATHAWAYS POND.doc•03/08 Title 5 Official In Form:Subsurface Sewage Disposal System•Page'2 of 15 M Commonwealth of Massachusetts , _0 ne ion Form: �=�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` - HAWTHAWAYS POND PHINNEYS LN Property Address TOWN OF BARNSTABLE Owner Owner's Name information is HYANNIS MA 02601 4/23/2009 required for every.. page: CitylTown State Zip Code Date of Inspection B. Certification (cont.) B), System conditionally'Passes(cont.):' . ❑ f: distribution box is,leveled or replaced : ND Explain: 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; - 1 C) Further_Evaluation is Required by the Board of Health: El 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 wifi-puss unless Soars of Health detee;mines in.666 s1,d hce with 310 CIVIR 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: HATHAWAYS POND.doc-03108 Title 5 Official Inspection.Form;Subsurface Sewage Disposal System.-Page 3 of.:15 . �- Commonwealth of Massachusetts --.Title 5` 'Jicia! Iati® Forte mow, i I�, Subsurface Sewage�DisposaI System Form Not forVolunfary Assessments, /- HAWTHAWAYS POND.PHINNEYS..L'N . Property Address . TOWN OF BARNSTABLE Owner Owners Name information is HYANNIS. MA 02601 4/23/2009 required for every page. City/Town State Zip Code Date of Inspection B. Certification:(cont ) , C) Further Evaluation is.Required by the;Board:of Health (cont.): ❑ 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.supplywell**. Method used to.determine distance: **This system passes if the well water analysis, performed at a DER 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' 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 - a clogged SAS or cesspool Dischargefor ponding of.effluent to the surface`of the ground or surface waters due to an:over loaded 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 oravailable volume is less than'/z day flow Required pumping more than 4 times in the last year'NOT due to clogged or obstructed.pipe(s). Number of times pumped: Any portion of the SAS, cesspool or privy is below high groundwater elevation. 0 Any-portion of cesspool or privy is within 100"feet`of a surface water supply or tributary to.a surface water.supply. Tit HATHAWAYS POND.doo•03108 le'S Official Inspection Form:.Subsurface Sewage Disposal System•Page 4 of 15 . Commonwealth of Massachusetts. �R !t!e 5 Oada! ! i pec io in Fot TI 1�; Subsurface Sewage Disposal SystemForm'-Not for.Voluntary,Assessments v' HAWTHAWAYS/POND PHINNEYS LN Property Address TOWN OF BARNSTABLE Owner Owners Name information is every HYANNIS MA 02601 . A/23/2009 required for eve page. city/Town State, Zip Code Date of Inspection B. Certification (cont.) System Failure-Criteria Applicable to Systems (cont.): PER BARN.,REF D) y pp Yes No ❑ Any portion ofa cesspool or privy is within a Zone 1 of a public well.. ❑ X❑, 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 fhe 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 10,0.00gpd. . ❑ 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 shoo contact the Beard.of Health to determine what wili„bA - 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 1.5,000 9pd 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 surfsce 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: HATHAWAYS PONadoc 03108 ". Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 15 .: Commonwealth of Massachusetts`; Title 5 Offi i l I sp cfi®m F®erg lJ Subsuaace Sewage Disposal System Form - Not for,Voluntary Assessments HAWTHAWAYS POND,PHINNEYS LN Property Address TOWN OF BARNSTABLE x "" O ner w ' Owner's Name information is MA ' 02601 4/23/2009` required for every HYAN'NfS page, City/Town -, 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 0 Pumping information was provided by the.owner,.occupant, or Board of Health ' x❑ 1Nere,any of theesystem components'pumped out"in the previoustwo weeks? x❑ Has"tile 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? ❑NA Were:as built plans'of the system;obtained and examined? (If they were not available note as'N/A) ❑x< - ❑. Was the facility or dwellinginspected for signs of sewage back up? , x❑ 0 Writhe site inspected for signs of breakout? , .. x❑ ❑ ", Were all system components, excluding the SAS, located on_site ❑ Were fhe septic tank riiannoles uricovered,.opened, aria it ie rr'ferior of ttje taili . inspected for the condition of the`baffles oraees,<material of,construction, dimensions,-depth,of liquid, depth of siudge:and''deptfi'of scum? Was the facility owner(and occupants if<different from owner)`provided with:. information on the,proper:main t'en' ce of subsurface sewage disposal systems? The and location of the Soil AbsorptionrSystem (SAS)on the site has been determinedbased'on: ' ❑ . ❑x R Existing information: For example, a plan at the:Board.of Health. Determined in the field (If any of.the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR'15.302(5)] '- . ". .. .. ... -,•a is....;' ...:':. .. HATHAWAYS'POND'doc•03/08 Title 5 Official Inspection Form'.Subsurface Sewage;Disposal System•Page.6 of 15 'r v. Commonwealth o#Massachusetts IJitlIOLcI Inspection Foam ! � - Subsurface'Sewage Disposal System-Form -Not for Voluntary,Assessments HAWTHAWAYS POND PHINNEYS L"N . Property Address TOWN OF BARNSTABLE Owner Owner's,Name information is required for every HYANNIS MA 02601 4/23/2009 page. Cityfrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions. Number of bedrooms (design): Number of bedrooms(actual): DESIGN flow.based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: 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 ❑Yes El No Seasonal use? Waiter meter readings, if available(last 2 years usage (gpd)): Sump'pump? ❑Yes ❑ . No L"ast date of'occupancy` Date - Commercial/Industrial Flow Conditions: BEACH BATHHOUSE Type of Establishment.' NA - - Design flow(based on'alb CMR 15.203) Gallons'per day.(gpd) Y Basis of design flow(seats/persons/sq.ft. etc.): NA Grease.trap.present. b. 0- Yes No. Industrial waste holding tank present? ❑Yes 0 No Non--sanitary waste discharged to the Title 5 system? _❑Yes x❑ No w WELL WATER Water meter readings, if available::. ' NA Last date of occupancy/use: Date Other(describe): HATHAWAYS POND.doc:•03I08 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System Page 7 of 15` Commonwealth of Massachusetts ..... Title 5 Ofi lI Inspectl®h Form _, i, Subsurface Sewage Disposal Systems Form -Not for;Voluntary Assessments \r1;' , . HAWTHAWAYS POND PHINNEYS LN Property Address TOWN OF BARNSTABLE Owner Owner's Name information is HYANNIS MA 02601 4/23/2009° required for every - page. City/Town. State Zip Code Date.of Inspection. D. System Information (cont) General information Pumping Records: NA Source of information. Was system pumped as part of the inspection? —]Yes ❑x No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping` Type of System; M .Septic tank, distribution,box, soil.absorption system p Single cesspool Overficvr oesspooi: ' ❑ Privy Shared,system%(yes or:no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation 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:. Were sewage odors detected.whem arriving at the "site? ❑Yes El No HATHAINAYS PONO.doc 03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System:-fags 8 of 15 < Commonwealth of Massachusetts �J i i 5 0 �ici l I � cation For - i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �� /• HAWTHAWAYS POND PH INNEYS IN Property Address TOWN OF.BARNSTABL:E Owner Owner's Name information is HYANNIS MA 02601 4/23/2009 required for.every page. City/Town State Zip Code Date of Inspection D. System Information (cont:) Building Sewer(locate onsite,plan) Depth below grade: feet Material of construction: other, ORANGE BURG El cast iron ❑4o PVC (explain 85'. . Distance from private water supply well or suction line. feet Comments (on condition of joints,,venting, evidence of-leakage, @tC:) CAMERA LINE, OLD ORANGE BURG AND ROOTS IN LINE Septic'Tank(locate on site'plan): Depth below grade: °feet '� ofc construc tion., atenal M _ n��,,.. i 3-` ❑.othe'I 'ex. ;art ❑ b, eth ler e ) _ :. o .. ..- ❑.concrete,-. -:. L� r�rietai ❑fiberglas,.. - p � .� t p If tank is metal, list age: years li age cor'Ifirmed by a Certificate of Compliance? (attach a copy of certificate) ❑Yes ❑ No -- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle _ Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of.outlet tee or baffle How were dimensions-determined? HATHAWAYS POND.doc i 03/08`' Title 5 Official Inspection Form Subsurface Sewage Disposal System ;Page 9 of 15 Commonwealth of Massachusetts D acia Inspedfi F®rr �i; Subsurface Sewage Disposal System Form Not:for Voluntary Assessments.': HAWTHAWAYS POND PHINNEYS LN Property Address - TOWN OF BARNSTABLE Owner Owner's Name , information is HYANNIS MAfr 02601 4/23/2009 required for every page. City/Town State . Zip Code Date of Inspection D. System Information (cont),.. . .. Comments,(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc) 7. Grease Trap.(locate on site plan): . Depth below grade: feet Material of construction:: , El concrete'. ❑metal ❑fiberglass El Polyethylene El other(explain): r Dimensions;_, Scun1 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.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan); Depth below.-grade: Material of construction:' a El concrete ❑ metal El fiberglass _polyethylene El other(explain): HATHAWAYS POND.doc"•03/08 -Title 5-Official Inspection Farm:Subsurface Sewage Disposal System•Page 10 bf 15 r. . f Commonwealth of Massachusetts 14- J i I f Icl l Ins ec on F®r ` Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments HAWTHAWAYS POND PHINNEYS LN Property Address TOWN:OF BARNSTAB:LE Owner Owner's Name information is HYANNIS MA 02601 4/23/2009 required for every . page. 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: DYes D No Alarm level'_ Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date. Comments (condition of alarm.and float switches;etc:): t I *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 lever above outlet invert Comments{note if box is level and distribution to'outlets equal, any evidence of solids carryover;any evidence of leakage into or out of box,-etc.):. Pump Chamber(locate on site plan): Pumps in working order. ❑Yes ❑ No Alarms in working order:` DYes ❑ No HATHMAYS POND:doc'i 03108 Titles Official Inspection Form:Subsurface Sewage Disposal System-.Page 11 of 15 . Commonwealth of Massachusetts.`. Title 5 ®fficial :Inspect ®r� o . iT "t -1i Subsurface Sewage-Disposal System Form -Not for Voluntary Assessments /- HAWTHAWAYS.POND PHINNEYS LN f Property Address TOWN OF BARNSTABLE Owner Owner's Name information is HYANNIS MA 02601 4/23/200,9 required for every page. CitylTown State Zip Code ' Date of Inspection D. System Information (cont) 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, exploin'why: Type: ❑ leaching pits number: �.. leaching`c; ambers. number: Q. leaching galleries number: 0 leaching trenches number, length' p _ 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.): HATHAWAYS;POND.doc•03I08 Title'5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15..:. � Commonwealth of Massachusetts. , J Title � 0 _icial Inspec Fo r WffI� Subsurface Sewage-Disposal System Form -Not for Voluntary Assessments ry -HAWTHAWAY&POND PHINNEYS LN ` Property Address TOWN OF BARN STABLE Owner Owner's Name information is HYANNIS MA 02601 4/23/2009 required for every page. 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 DRY Depth—.top of liquid to inlet invert DRY Depth of solids layer DRY Depth of scum layer 4'-81' Dimensions of Cesspool BLOCK Materials of construction Indication of groundwater inflow Dyes No Comments (note condition of soil, signs of hydraulic failure, level.ofponding, condition of vegetation, etc. ONE 4'-8" DEEP'BLOCK POOL WITH COVER AT 4'. DRY. ONE LINE IN: Privy (locate on Materials of construction: Dimensions Depth of_solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation," etc.): Se HATHAWAYS.POND.doc•03/08 Idle 5 Official Inspection Form:Subsurfacewage Disposal System•Page 13 of 15. - Comrno�ayvaafth of.Nlas�aohusetts Title 5 off iciI Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments HAWTHAWAYS POND PHINNEYS LN ' Property Address TOWN OF BARNSTABLE Owner Owner's Name' information is MA 02601 4/23/2009 required for every . HYANNIS - City/Town - State Zip Code Date of Inspection page. D. System inforatg (cunt.) Sketch Of Sewage Disposal System Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within100 feet. Locate where public water supply enters the building: P �k r' a/ f�i�£�._ 4 4- 12 A � , C.', I �O r . Title 5 official Inspection Form:Subsurface Sewage Disposal System Page 14 of 15 HATHAWAYS POND.d6c 031OS i Commonwealth of MassaohUsetts r , - � Title Official Ira.s ec ionfor - IJ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments HAWTHAWAYS POND PHINNEYS"LN Property Address TOWN OF BARNSTABLE - Owner Owner's Name information is HYANNIS MA 02601 4/23/2009 required for every page. City/Town State Zip Code Date of Inspection D. System laaorrnati®n (cont) Site Exam: x❑ Check Slope SAME Q Surface water YES Check cellar NO . Shallow wells NO 10' - Estimated depth to high ground water: feet - Please indicate all methods used to.determine the.high ground water elevation � Obtained from system design plans on record If checked, ate of design plan reviewed: Date Observed site(abutting property/observation hole within 150 feet of SAS) f'heckeo"with'locaf+3oard`,of 11sath -exp lam' ❑ Checked with local excavators, installers-(attach documentation) 0 Accessed USGS`database-explain: You must describe how-you established the high groundwater elevation: TOOK GRADES AT POOL AND AT POND. POND LEVEL IS AT 10'BELOW GRADE LEVEL AT POOL. BOTTOM OF POOL AT 5' BELOW GRADE AND 5'ABOV.E POND LEVEL. HATHAWAYS POND.doc;•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System r Page 15 of 15 • . �, 1 11 j. i :j_ I , 1 , 4. I i,_ ! I l i I ..i i I , I I�,� I .r I k, f l �' :.... 1 - :. i. n .:.....• r� { 4 I , . ., - �� ,4Y �' �' /'' .- .t .1 1'. I r, i I _ i 7 (. +. . 1. .. YY e, yV/ (�yC i. /al N .1, � 1 I• y/ i. { i i 7 4 r... W!•' ! :.� I r_ .. { i I ±; 11 �� j } i 1 f i, f I . _ L: i i } 1 1 I e �. ! { ti�. I .. I i i I f I q l ..� _ -ry.1 .. t i. ,:p_ t -7. <.y I �. I. _..; �_.- I :�. - 1. t !. P I �. I r. -,. I I 7 I i I I; 1. .... ». , ...,,; 9 1 i-.._ °i 1 1 ,I �... .I ' D .. 1 S 1 ! t i r .i „ i i , � , 1. % �- �� — — — 11 1 I 1 /A, t F i:. , i I , i { I : 1 t 4� , 1 Y 1 _ 1. _ i ,. x- ..i l.. "J' i-' t, , 1 I , { 1 ill I:, , " e I . � � -.. ... - -�I---.-:��:,,----1 L j 1 p/3'f!M 1 tl I I, I I j I � + :. f - ` i r. I. { tµ { C r 1 I .t ( I 1 S ' j 1 .. , +.,. .' ''I t . n - y I. ,I. -i- i t ' I N - . G T 4 n q' I M _ _; .. .. 11 i -!. 7, ( .I i 1 1 I'. .. 1, .. ., f I _ _-t _. >. „ .x ,.., , I.. :. i , - i. , ,.1 ��: .. r .. I_ :-., ,: _' �., :.. �, _.I -, , I o,. i` r I rV t t- s 7 i 1 I F z"t 1,,. 71 19 ., _..._ s:. - . - - ( I -I t I . it r` - .s ., �_ , r s t 1 rf ! I k_ ,.., _._. ,f. ,- _._l ! ! I' i , t. I ; i j l { 'j ; `i E . -. _ ,... _ % I __ -� - - - d - e j.- -i. 1. o , I ! i I I i i I 1 �� i ., { 1 f i ( i 7 , '! i T- C- t 'i 1 f 1 f 1 F ,t i I _ t ' q ... I I r i , , i I . 1 r 1:. t __ -.t :.._ ...r_`_.. .-._,, ,...:... _ ... I-... ,. .._._i !... (- -.-t __},. ';'". -'„.' - p -- - -:I - y_',::_' ._i .,i -i- ..:.7 'i 9 1, ,., . 1 . .�j I , G . i F !'. .y C 1 —. t ? t i k —I t z _ _. b 11 { I - i I t. i _ w. - i - - - - f - - _... _I» I T 1 , { J� I i � ' � 1 i 1 F I i .. - _ _ ._ .- -- - . I I .F,�, i k, I �.,..-- i { t -. .. _ . i ;' I )) i :� ' I 1 1 3- 1.,._ --. ...-_.,.... - - - .. ._ - - 9 9 ! i ., I Town of BA stab, l� r# Departhnenl:of Regulatory Services MUM - Public Health Division Hate i6tee$ 200 Main Street,I lyannis MA 02601 3 Date Scheduled � 't c j) 'Time f0 1:1 L Fee Pd. Soil Suitability Assessn'tent fol- Sewage Disposal Performed By: _Ipiw_'�.J '� Witnessed fly: 'D(r� LOCATION & GENERAL INTORMATON _ Location Address .'� S1i (S'r tz t'r� "r�, Owner's Name rS wra ,_r� ���- Q, Y QV 1" IVY d Address Assessor's Map/P4rcel: ILI I ' j Engineer's Nan,e NEW CONSTRUCTION REPAIR I Telephone li i Land Use Slopes(%) Surface Stones Distances from: Open Water Body "S ft Possible Wee Area ft Drinking Water Well ft Drainage Way ft. Property Line ft Other ft SI�TCII:(Street name,dimcnsioris'of lot,exact locations of tcist holes&perc tests,locale wetlands in proximity to holes) a l s l I :4 Parent material(geologic) U -tivao�, I Depth to 13edroek . Depth to GroundwaRer: Standing Water in Hole:' tS i Weeping from Pit Face r� Estimated Seasonal"igh Groundwater � - D.0E,RM N TION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Ctbaerved standing in obs.hole: In. Depth t0 soil 0101 le8, 1n, t -._ itl. c3rdundwater A�luatment —' Depth tolweeping from-side of obs;hote:_ A�,dpvundwnter Level,,v —~ index Well# Reading Date Index Well level�; .... Adj,factor, PERCOLATION TEST Date 14Q '1C1tttelQ�?. Observation' .' ' I' Time at 9" Hole# y6 — Depth of Pere r.' Time at 6" ... _---- yL— _ �_ I Time(9"-6") 6 Start Presoak Time.® I/ End Pre-soak C) r;^X V.V• 1 /�Vj�MN w Rate MinAnch e 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 percolafiion testis to be conducted within 1.00, of wetland,you must first notify the Barnstable C64servation Division at least one (1) wec+k prior to beginning. DEEP OBSERVATION HOLE LOG Hole# ►. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Or, ., `��. �� l_ J — ICE (' -- u - c t'J - DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) �I 0 J J DEEP OBSERVATION HOLE LOG Hole# 7 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Oravel -3 7 E6 �, IN io 1P .2 & ri Cis DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consist a I l 6 0 `fib 'r W✓ am Flood Insurance Rate Map: Above 500 year flood boundary No— Yes __— Within 500 year boundary No— Yes Within 100 year flood boundary No` Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? . Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Datc Q:\SEPTICU'ERCFORM.DOC 5/8" PERFORATIONS SPACED AT 6' VENT MANIFOLD (SEE SYSTEM 4" SCH. 40 PVC OBSERVATION PORT ELS 2.89H. PVC BUILDING SERVICE (4' SPACING LAST SECTION OF EACH VENT DETAIL) INSTALLED IN ACCORDANCE WITH 310 SYSTEM VENT MANIFOLD, SEE SITE PROVIDE WATER TIGHT FRAME PIPE) INSTALLED IN ACCORDANCE WITH CMR 15.240(13) PLAN FOR VENT LOCATION (SE AND RISER TO GRADE 310 CMR 15.251(8) TYPICAL SYSTEM VENT DETAIL) PROVIDE 24"DIA.WATER TIGHT 4"SCH 40 PVC TO EL.±48.50 FILTER FABRIC MIRAFI 140N 4" SCH. 40 PVC FRAME AND COVER TO GRADE (TYP.) DISTRIBUTION BOX �is ,l,°, ,il,�,l; gJ �� s I I I I I I§IIIIII OR APPROVED EQUAL DISTRIBUTION LATERAL, SLOPE RIM EL.t47.50-49.00 EL 42.64 t LOAM&SEED E 8.30-47.50 AT 0.5% TO DRAIN (TYP.) I". :• TOP OF D-BOX EL.43.78 - VARL_ES R - - - - _ - _ - - - VARIES SEE SITE PLAN $ --------------- TOP OF TANK EL.44.50 ___,_,.. c m,., „ . .. .. ., MAX 5.94 0 , § d FLOW „.,, , FLOW •. m�„� I „" . . ,.„,� n«-„,. „.,. „m.zM .„„n.. ,-.nw«.. , ... �.,.,, .,. __,. BACKFILL .. „.. °._.,.. MIN 5.14 ........-,,., ___ MIN. O O � I i I .. ,.... __ 11, ,I, ICI IIIl1 i I I , I 4 SCH.40 �< .• t,:, , � .°. � �� - �ma ��^�.�,„ °�, �,n°� «„-w „,ar:�,A. � _--, -��� n„ ._°9 � .�.���� .� -- _ I.0 .. EAKOUT EL 42.36 „ „ I• 4"SCH 40 PVC FROM - i PVC � '° '' '� 4"SCH 40 PVC TO LEACHING 6"LOAM&SEED 1 I � N RT IN EL a 0 MIN. 42.03 ... 19"MIN. �� � I a SEPTIC TANK EL 42.28 FIELD EL.42.11 " 3"MIN. °" t" J- i 11 i ,,, I I i e� I i° „L„ 3/4 -1-1/2 DOUBLE WASHED STONE - 6 3 4" 1-1 2" DOUBLE WASHED STONE 4"SCH.40 PVC�� i!i_ �, # l I i 1 I I OF SYSTEM EL 41.28 I / / GAS BAFFLE I I l i I l i VENT HEADERCn m � ..M._ 10"MIN: 9"OF 3/4"COMPACTED 0 � o 200%OF DESIGN FLOW 100%OF DESIGN FLOW CRUSHED STONE BASE 2 0' S.05' 2 0' UNDISTURBED EARTH SYSTEM VENT MANIFOLD-4 INCH •Cn o MIN.3,000 GAL UNDISTURBED MIN. 1,500 GAL EARTH BOT OF STONE EL.40.55 UNDISTURBED EARTH f' 6 2.0 SCH.40 PVC,MIN. -> g 1' 40 1 TYP. 90°ELBOW AT LAST T EE AT DISTRIBUTION ©aaa •�',.� �, -�- � �. °. ° � NOTES: DISTRIBUTION LATERALLATERAL TYP.T7 ® � b•, .„; r• 77 >• A 4 F, ,„ ,,, rya.#>,'# ",•t --^ ` r i ,� (TYP.) « "* " PROVIDE 9 OUTLET DISTRIBUTION BOX INSTALLED ON LEVEL STABLE BASE. TYPICAL DISTRIBUTION LINE PROFILE ESTIMATED SEASONAL HIGH WATER EL. 36.23 TYPICAL FIELD SECTION BOTTOM OF STONE EL.36.25 9 CRUSHED STONE BASE t INSTALL FIRST 2 FEET OF OUTLET PIPES LEVEL. SEVEN OUTLETS USE,2 OUTLETS FLEXIBLE COUPLING(TYP.) CAPPED TYPICAL SYSTEM VENT DETAIL m 5.000 GALLON TWO COMPARTMENT SEPTIC TANK PROPOSED 9 OUTLET H-20 DISTRIBUTION BOX DETAIL LEACHING FIELD DETAILS NOT ro SCALE Y LL NOT TO SCALE NOT TO SCALE s SHOREY PRECAST MODEL ST-LOW-5000-H-20 NOT TO SCALE v ZONING & RESOURCE PROTECTION NOTES IU 1. PARCEL ID:275/002 SITE m Lu VARIANCES O, = a 2. OWNER OF RECORD:TOWN OF BARNSTABLE(RECREATION) a y r: 3. ADDRESS: 1431 PHINNEY'S LANE:HYANNIS,NIA 0 REGULATION REQUIRED PROPOSED .: w 4. THE LOCUS IS IN LOCATED IN FLOOD ZONE C AREA OF MINIMAL d PROVIDE CURB BOX MOUNTED FLUSH 6-INCH PVC ( FLOODING(AS SHOWN ON F.LR.M.MAP 250001 0005C). I; m WITH GROUND C � COi ey � _ " •; THREADED CAP C 310 CMR 15.221(7)depth of cover over septic tank 3 feet max 4.53 feet max '"" o ' �° :«�� 5. THE SITE IS LOCATED IN THE WELLHEAD PROTECTION DISTRICT: � p C so � � W A variance of 1.5 feet is beingrequested. „ II? I 1 =III }?,.: a, I,:,<li€ ? _; iri l _ N ' 310 CMR 15.221(7)depth of cover over distribution box "i W Q O P 3 feet max 4.80 feet max "° WASTEWATER NOTES A variance of 1.8 feet is being requested. , 1' oaq ,p y a 1. ELEVATION,PROPERTY LINE AND EXISTING CONDITIONS ON THIS PLAN AREINFORMATIONeo d �O M 310 CMR 15.221(7)depth of cover over leaching field 45 BEN PROVIDED BY THE TOWN OF BARNSTABLE. - .0 N O P 9 3 feet max 5.94 feet max BASED ON < :, 2. UNLESS OTHERWISE NOTED ALL Y f s` +.. V co °° - SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH THE STATE A variance of 2.9 feet is being requested. � •','� �'��,.�, �•- ' WYE CONNECTION y C ao O d rn ENVIRONMENTAL CODE AND THE RULES AND REGULATIONS OF THE LOCAL BOARD OF HEALTH. 3. THIS PLAN IS INTENDED TO ADEQUATELY PROVIDE THE INFORMATION NECESSARY TO LAYOUT AND CONSTRUCT THE PROPOSED SEWAGE DISPOSAL M• z h+ SYSTEM REPRESENTED ON IT AND SHOULD NOT BE USED FOR ANY OTHER PURPOSES. ' r 4. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE ENGINEER AND /OR THE LOCAL BOARD OF HEALTH(BOH)STAFF. q 5. PRIOR TO CONSTRUCTION,THE CONTRACTOR SHALL COORDINATE WITH THE PROPERTY OWNER AND ENGINEER ON THE CONSTRUCTION SITE §' `, f ACCESS AND MATERIAL STOCK PILE AREAS. 6. TRENCH SAFETY SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR INCLUDING ANY LOCAL AND/OR STATE PERMITS REQUIRED FOR THE z, TRENCHWORK. THIS WORK MAY BE REQUIRED TO TAKE PLACE OUTSIDE OF NORMAL HOURS OF OPERATION FOR THE FACILITY.THE CONTRACTOR TYPICAL CLEANOUT DETAIL SHALL PLAN ACCORDINGLY. LOCUS MAP NOT TO SCALE « 7. THE CONTRACTOR SHALL REPORT ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN ON THE PLAN TO THE DESIGN ENGINEER. (� SCALE: 1"=1000' � 8. FAILING TO PROPERLY INSPECT OR PUMP THE SEPTIC TANKS AND TREATMENT SYSTEM OR CHANGES TO EFFLUENT FLOW,GRADING,OR / LANDSCAPING,EITHER ON-SITE OR ADJACENT TO THE SITE,MAY RESULT IN IMPROPER FUNCTIONING OF THE SEPTIC AND LEACHING SYSTEM(S). 5o O 3 50' BUFFER TO POND �2 DESIGN CRITERIA 9. CALL"DIGSAFE"AT LEAST 72 HOURS PRIOR TO COMMENCING CONSTRUCTION AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES TO FIELD � r ` VERIFY LOCATIONS OF EXISTING UTILITIES. , ,3 P4 USE PUBLIC PARK 10. THIS ON-SITE WASTEWATER r BZ 50 0/ T OLI T WASTE R TREATMENT SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE GRINDER. 100' BUFFER TO POND 11. THE OWNER SHALL INSPECT AND PUMP THE:SEPTIC TANK ONCE EVERY 2 YEARS. DESIGN FLOW 5 GPD/PERSON �� - 12. PROVIDE WATERTIGHT SEALS BY USE OF NON-SHRINK GROUT AT ALL POINTS WHERE PIPES ENTER OR LEAVE ANY CONCRETE STRUCTURES. ^ ` 00 gZ 50 �00 NUMBER OF PEOPLE 300 PEOPLE LC' �O GARBAGE DISPOSAL NO 13. USE SCH.40 PVC PIPING WITH WATERTIGHT JOINTS UNLESS OTHERWISE NOTED ON PLAN: ALL PIPE SHALL BE PLACED ON A COMPACTED FIRM'BASE. � �I -, FLOW 1,500 GPD 14. ALL STONE TO BE DOUBLE-WASHED AND FRE'_OF DIRT,DUST,AND FINES. Iw� (1 W, v eZ 50 �,�oo ^ti L I� 15. THE CONTRACTOR IS RESPONSIBLE FOR PRC'J �N OPERATION AND f I �, n - �^ . M' •r HF ENC .FF.. IF A,, 50 •f .�„ _,: I ..G S MAINTENAN INFOR,.t.„ION FOR THE:SE'PT► . SYST•_„d .C,T..r _-... IPJ._,..f',�, _ �_y O SEPTIC TANK NECESSARY. i BZ 50 10„ A h rrm -TWO-COMPARTMENT SEPTIC TANK REQUIRED _ 16. THE CONTRACTOR SHALL PROVIDE A DEWATL �j U 50 BZ 50 .RING PROTOCOL PRIOR TO CONSTRUCTION IF GROUNDWATER IS ANTICIPATED DURING CONSTRUCTION. 200%DESIGN FLOW. 3,000 GAL. r. 10 AREAS UNDER THE LEACHING FIELD FOUND TO HAVE UNSUITABLE SOIL MUST BE REPLACE`b WITH TITLE 5 SAND AS SPECIFIED IN 310 CMR 15.256(3). a 02 „ GAL. ►� y 100%DESIGN FLOW.• 1,500 17 ANY AREAS THAT ARE FOUND TO HAVE UNSUITABLE MATERIAL SHALL BE REPORTED TO THE ENGINEER. 18. ALL SEPTIC COMPONENTS SHALL BE INSTALLED WITH MAGNETIC WARNING TAPE. CONNECT TO EXISTING (TYP.) � �. ���'" � g2100 �",,, ~ SOIL TEST PIT TYP. ^ '." ,"°, ,,. , ' ..� USE 5,000 GALLON TWO-COMPARTMENT SEPTIC TANK BUILDING SERVICE , 100 , _. - 19. ALL SEPTIC TANKS SHALL BE APPLIED WITH 2 COATS OF DAMP PROOFING OR BITUMINOUS MATERIAL. d L >. 82 „ LEACHING SYSTEM DESIGN 20. THE CONTRACTOR SHALL RESTORE ALL SURFACES EQUAL TO THEIR ORIGINAL CONDITION AFTER CONSTRUCTION IS COMPLETE. AREAS NOT " � S GN CRITERIA � '«"' OVERHEAD WIRES '< DISTURBED BY CONSTRUCTION SHALL BE LEFT NATURAL.THE CONTRACTOR SHALL TAKE CARE TO PREVENT DAMAGE TO SHRUBS,TREES,OTHER d ,) 0 LANDSCAPING AND/OR NATURAL FEATURES. WHEREAS THE PLANS DO NOT SHOW ALL LANDSCAPE FEATURES EXISTING CONDITIONS MUST BE f0 �� �•e° ', VERIFIED BY THE CONTRACTOR IN ADVANCE OF THE WORK. a a Z L41 SOIL ABSORPTION SYSTEM 4_1 'I / UTILITY POLE TYP. "* 21. ALL UNPAVED AREAS DISTURBED BY THE WORK SHALL HAVE A MINIMUM OF 4-INCHES OF LOAM INSTALLED AND BE SEEDED WITH GRASS SEED AS 1,p0 «, , m - �� .•: a " SHOWN ON THE PLAN AND/OR DIRECTED BY THE ENGINEER. THE CONTRACTOR SHALL BE RESPONSIBLE FOR WATERING ANY LOAM AND SEEDED i* � `, °� "' `" `• LEACHING AREAS UNTIL LAWN GROWTH IS ESTABLISHEC AND APPROVED(n 1 � '""' G SYSTEM USED: LEACHING FIELDBY THE ENGINEER AND/OR OWNER. o0 ,, I g;,, Z 1 DESIGN PERCOLATION RATE: 2 MIN./IN. 22. ALL EXISTING SEPTIC COMPONENTS SHALL BE ABANDONED IN PLACE IN ACCORDANCE WITH TITLE 5 1 C B „� 3 0 CMR 15.354(3)AS DESCRIBED BELOW: O BZ 100 � ' § �, , ° u". SOIL CLASS: 1 22.1. 14 DAYS PRIOR TO DISCONTINUING USE CF THE EXISTING SYSTEM THE CONTRACTOR SHALL APPLY TO THE BOARD OF HEALTH FOR SYSTEM ,.fl ABANDONMENT. LONGTERM ACCEPTANCE RATE(LTAR): 0.74 GPD/S.F. °` w.. 4, „ 22.2. UPON APPROVAL FROM THE BOARD OF HEALTH,THE CONTRACTOR SHALL PUMP THE EXISTING LEACHING PIT OF ITS CONTENTS BY A LICENSED � c >+ ,,r °,� 0 t TOTAL AREA REQUIRED-TITLE 5: 2,028 S.F. SEPTIC HAULER. o �o <� § � CU z,' , r ,, J „• 9 OUTLET DISTRIBUTION tt°°' f° �.. ;•, , 22.3. THE BOTTOM OF THE EXISTING PIT SHALL BE OPENED OR RUPTURED TO PREVENT RETAINAGE OF WATER. o 22.4. THE EXISTING LEACHING PIT SHALL BE COMPLETELY FILLED WITH CLEAN SAND OR OTHER SUITABLE MATERIAL APPROVED BY THE BOARD OF 0 ^ Ry BOX(SEE DETAIL) s t TP=1 0 `+-+ L CLEANOUT(SEE DETAIL) '``' �,`-` TOTAL AREA PROPOSED HEALTH AND ENGINEER. u_ O 2 ` XISTING TREE AND G�vE a 3 G A(bottom):51'x 40': Z040 S.F. STUMP TO BE REMOVEDw< a \a�\NOp,O„ " WASTEWATER INSTALLATION INSPECTION NOTES a C « ", „^°" sX °°., cis I, E TOTAL AREA: Z040 S.F. � .„� ,G ,. „ 1. THE CONTRACTOR SHALL PROVIDE A MINIMUM OF 24 HOURS ADVANCE NOTICE TO THE ENGINEER AN /� g ) ,, p.G „ D LOCAL BOARD OF HEALTH FOR ANY INSPECTION. \V i °8 &o::m i,t4x.5 i�15 5, 3��1 Sp', ,wW"'„„, � , R , : ,,.„ a° o ° ' GPD m , . m• TOTAL FLOW. 1,509 °. „ .,,,, � , ,,: y, ,s� «•�; ... ���" «.,<:, «„".;` r,�,,., .,. INSPECTED Y ENGINEER OR T BOH REPRESENTATIVE PRIOR 2 . ALL WASTEWATER SYSTEMS,INCLUDING THE LEACHING SYSTEM,SHALL BE INS D B THE EN HE LOCAL PR TIVE P O : ,rye § -" USE 1-51'L X 40'W LEACHING FIELD TO BACKFILLING. AT A MINIMUM THE FOLLOWING ITEMS SHALL BE INSPECTED: ,. M � ` 45 SWEEP ELBOW , §"" „ ;` ` Tp-2` /.. r, 2.1. EXCAVATION OF LEACHING FIELD PRIOR TO PLACING SYSTEM STONE/COMPONETS ,z„ .� „ ' : RIOR TO CONSTRUCTION ADDITIONAL �« « °«� „ � " � `� 2.2. LEACHING FIELD COMPLETE INSTALLATION PRIOR TO BACKFILL ' ``� 2.3. ALL SYSTEM COMPONENTS BASE AND INSTALLATION PRIOR TO BACKFILL SOIL TEST PITS IN THE LOCATION OF THE 2.4. LEAKAGE TEST ON SEPTIC TANK(MIN.24 HR) m,n LEACHING FIELD 2. .' ELD TO VERIFY SOIL " " '«"' 5 START UP TEST OF SYSTEM WITH ALL COMPONENTS INSTALLED AND FUNCTIONING AS DESIGNED , �,. a O �" CONDITIONS SHALL BE PERFORMED ` FINAL INSPECTION OF BACKFILLED SYSTEM °, I I 26 Cv 4"SCH 40 PVCN <� .� i MEASURED DEPTH TO GROUNDWATER: 9.00 Sc cn ` -M L=28.2 S=1.0/0 11.91 4..-? 3. THE CONTRACTOR SHALL BE RESPONSIBLE TO MAIIJTAIN UP-TO-DATE AS BUILT DRAWINGS AN MONTHLY MEASURED DEPTH AT OBSERVATION WELL: 22.54 Owc D NOTES INDICATING THE HORIZONTAL AND VERTICAL LOCATION ALL SYSTEM COMPONENTS IN'°@ , ., , LED. THE DRAWINGS AND NOTES WILL B D B ENGINEER R REP ll �:.,. RECORDED MAXIMUM WATER LEVEL AT OBSERVATION WELL: 20.00 Owmax RECORD PLANS. LL ON OF � I CO NEWTS INSTALLED. SEAS-BUILT WINGS E UTILIZE Y THE E ER FOR THE PREPARATION O � O - 48.3' ,• RANGE OF WATER LEVEL AT SITE(FROM FIGURE 12): 4,20 Sr SOIL TEST PIT DATA La o . WOOD POLE (TYP.) a? RECORDED UFPER LIMIT OF ANNUAL RANGE OF WATER LEVEL AT OBSERVATION WELL: 4.80 Owr i� /, �`°°'"� `°�° �" � ••••• - ^ „°°� ,,,, � �",: ��I��`,-�'%� '� ,� �"" PERFORMED BY:J.HENDERSON,HORSLEY WITTEN GROUP,INC � O cS' _ «aa °s ' '« �t•° � '�« «�°`'max. „" 1 1°'•"°°'"° DESMARAIS,BARNSTABLE HEALTH AGENT � g DATEWITNEJULY 14, O1SSED BY: 01N > `� d N25 w. ESTIMATED DEPTH TO PROBABLE HIGH GROUNDWATER AT SITE: 6.77 Shm 4 c o a �' " ' °' „„ PERC#13341 o s~ 04 �? EXISTING LEACHING PIT AND S x S. .. ....,...��.' .. .... ... g PIP 0 TP-1 TP-2 0 0 0 o ,.,, ADJUSTMENT FACTOR: 2.23 " " ,n o0 > -0 PIPING TO BE ABANDONED ,° NH „ .' :' .. w ' 0 .0 0 43.0 '� o .<. ...S .. ak f, FILL FILL 0 3 w SEE NOTE 20 " ' ..'p.� ' << F I r- ( ) GROUND ELEVATION 43.00 can H b °� aaaw a • 4"SCH 40 PVC ¢ ESTIMATED HIGH GROUNDWATER ELEVATION 36.23 12 2.0 16 41.7 5,000 GALLON TWO COMPARTMENT o S Ab Ab Registration: O L=50.9, S=0.7/o 9 5' 1 ' 10 YR 6/1 10 YR 6/1 O SEPTIC TANK(SEE pETAIL) 2eM. `4, •3° 4,. LOAMY SAND �;. • Notes: LOAMY SAND ° " « ^ S .':�.'.'.' . ... ••��. ,�`•.,�;: . ,. ,.� �` �' - - 14" 1.8 21" 41.3 ZNOf -a rnd I Via. XISTING TREE (TYP ) Sr=5%probability-4.2 feet variability Bb Bb « t'� +r 90 SWEEP ELBOW °° ,• :,«', 10 YR 7/6 10 YR 7/6 4 40.0 �`` Owc-measurement collected 6/22/2011 during soil testing NIT PIU ^ XISTING 2" PLASTIC . % LOAMY SAND 'i I _ �.? I Sc=measurement depth to weeping on 6/30/2011 in soil test pit LOAMY SAND LEE M Q o R9 y WATER SERVICE I CML EXISTING TREE AN �°>9« « 48.3} Estimated high groundwater elevation,USGS Open File Report 80-1205 19• i 1.4 No.42824 'm C1 27 C1 40.8 STUMP TO BE REMOVED „ ' ¢§ t0 YR 8 2/ 10 YR 8/2 ` -'n Index Well Characteristics/Source:http://ma.water.usgs.gov/current cond/wyO8_wellstats.htmi LOAMY SAND ' LOAMY SAND s'S4/�yM E 38"-56" DEPTH 51'X40' LEACHING FIELD .`^m w � 47" 39.1 54" O '§°u¢LO ra , "_ °_"° Bamstable(AIW)247 <2 MIN/INCH 38.5 (SEE DETAIL) ", o GRAPHIC SCALE „« ra „„<„ , ` ° „ ° _ � < ° , ° Start year of record-1962 PERC RATE m Project Number: Sheet: 20 0 10 20 40 80 Land-surface elevation 44.52 ft,well depth 52 ft C2 C2 10 YR 7/2 10 YR 7/2 11065 1 of 1 ' = , XISTING TREES AND " Lithology-SAND MEDIUM SAND MEDIUM SAND - STUMPS TO BE REMOVED Topographic setting FLAT SYSTEM VENT SEE F E (in feet) ( :,, ' . '$ Remarks-none Sheet Number: DETAIL) - 120 1 33.0 C 1 •" ° / Period of record HIGH(OWmax)20,LOW 28 64,(OWr)4 80 " 33.0 20" 1 INCH = 20 FEET .w ,,,, e WEEPING AT 9, (EL 34.0) WEEPING AT 9' (EL 34.0)