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HomeMy WebLinkAbout0091 BLUFF POINT DRIVE - Health 91 Bluff Point - Cotuit A= 034-066 ILI 9 'I i t9- li I m Z 1 1 e'Ne -�p,�J�/f3 3s � � p iyl i r F. Town of Barnstable Barnstable Regulatory Services Department I edeac y # R`MAS�B` �a 9• Public Health Division i63 1� a 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO April 24, 2017 CERTIFIED MAIL# 7012 1010 0000 2847 9060 Mary M. Sullivan TR 202 Orange Tree Drive • Atlantis, FL 33462 The septic system located at, 91 Bluff Point Drive, Cotuit MA was last inspected on 3/30/2017 by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally passes"under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • There are two (2) system components: The Distribution-box and the septic - tank which are both under a stone driveway, and need to be replaced. . In this case, the seller must make potential buyer(s) aware of the "Conditional Pass" status, the unknown construction of the septic system component(s), and its safety concerns and, correct the issues. (See enclosed listing of options for correction.) The components must be replaced with H-20 components or the driveway shall be relocated away from these septic system components. You are ordered to correct this issue within two (2)years from the date you receive this notification. Q:\SEPTIC\Conditionally Passes Ltr\91 Bluff point cot 2017.rtf e Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDERZan, R. OARD OF HEALTH as cHO Agent of the Board of Health Enclosure: Copy of Town of Barnstable Policy, H-10 Components...No. 2012-005 Q:\SEPTIC\Conditionally Passes Ltr\91 Bluff point cot 2017.rtf gs��Tl . 'Town. of-Barnstable Barnstable •`RARNS'rAEiLE,� i �eriCaC Q� MASS. O, Board of Health o 1679• ArF0 MNt a, 200 Main Street; Hyannis MA 02601 m 2007 Office: 508-862-4644 FAX: 508-790-6304 October 2,2012 Adopted October 9;2012 Public and Environmental Health Program Policies, Procedures, and Guidelines H-10 Components Discovered Beneath Parking Areas and Driveways During Septic System Inspections Conducted Under 310 CMR 15.301, State Environmental Code,Title 5 No.2012-005 When a DEP certified inspector discovers an H-10 septic system component located beneath a parking area or driveway during a septic system.inspection, conducted under 310 CMR 15.301 State Environmental Code Title 5,the system shall be deemed as a "conditional pass." The system owner will then be ordered,by the Board of Health, to correct this problem within two (2) years and will be provided several options to rectify the issue, including by: a. replacing the septic stem component with a new component relocated into another area P g p Y P P ' of land which is not beneath any parking area or driveway, and properly abandoning the discovered H-10 component, or by b.) replacing the septic system component with an H-20 component beneath the parking area or driveway, and properly abandoning the discovered H-10 component, or by c.) relocating the parking area or driveway in such a way that no vehicle will have access or the ability to drive over the existing H-10 septic system component. If it is unknown whether or not a particular system component which is located beneath a parking area or driveway, is H-10 or H-20 (for example: a leaching pit is located beneath a paved driveway without an accessible steel cover to grade and there are no records on file indicating whether the system component is H-10 or H-20),the system shall also be deemed as a "conditional pass." In this case, the seller must make the potential buyer(s) aware of the "conditional pass" status, the unknown construction of the septic system component(s), and it's `safety concerns. Wayne Miller,M.D. Paul Canniff,D.M.D. Junichi Sawayanagi Q:\POLICIES\H I OComponentsDiscoveredBEneathDrivewaysandParkingAreas-2.doc � I Fee�+4b BOARD OF HEALTH r•+ TOWN OF BARNSTABLE t ZIppYication _for Vern Cougtructiou Permit y,7 Application is hereby made for a permit to Construct( Alter( ), or Repair( ) an individual well at: Location-Address Assessors Map and Parcel Owner A Address " i�Ll0S Lo6 �Dpj 1.�Li 3� RPt , '`�a �L _ Sri. Olzu Us ►M Installer-Driller Address ,y Type of Building / Dwelling 1!� Other-Type of Building No. of Persons Type of Well 1, w l, 1,('w Capacity ak® Cj^ 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 Certificate of C ance as been issued by the Board of Health. Signed - �3�J Date Application Approved By 3// to Application Disapproved for the following reasons: 1 Date (� n� Permit No. y�� g-o t I_ V f q Issued 1 Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(Altered( ), or Repaired( ) by 04,l a ,L� TD IC I.l..l...( N:)r4- Installer at3 � has been installed in accordance with the provisions of the Town of Barnstable Board of Heal h Private fft_?P r tection Regulation as described in the application for Well Construction Permit No. v --lJ� Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector DlN o. w«� Fee BOARD OF HEALTH I��. TOWN OF BARNSTABLE dd�� Application ifor Vern Cow5tructiou PermitID Application is hereby made for permit to Construct lr� Alter( ) or Repair( an individual well at: PP Y P ( P ( ) /} ,may Location-Address Assessors Map and Parcel - t✓',''' 99 Owner Address -i '�JrA Z)0_ 0- -..B .50. Q1ZLC—At)5 fly Installer-Driller J Address Type of Building t6� Dwelling t Other-Type 1of�Building No. of Persons Type of Well jj PV C, ij-)Iolu Capacity E-)O �--h1='Xy1 U1 Purpose of Well t k✓j 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.Certificate of Conn iance has been issued by the Board of Health. Signed //Date 1 Application Approved By � !(J�- )( r� 3//� Date �t Application Disapproved for the following reasons: 1 f r 7 Date Permit No. W y(� V ( "1 Issued `�' (J 7� Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(1,), Altered( ), or Repaired( ) by •. /�K.(tit c c� t 1- L L ( P: r - Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private /We'1 Pr tection Regulation as described in the application for Well Construction Permit No. �,,J?U/ --Ul V Dated Ip i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. h Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE � ) Vell Construction Permit (' ��� Fee Permission is hereby granted to 0'a V Installer to Construct(►-,` Alter( ), or Repair( an individual well at: No. "r Street / as shown on the applicatio for a Well Construction Permit No. W f �- U/ 1( fDated ( rr Date {C? � Approved By �/,-�'L✓ J�.�.✓ i n � f L "i f Ve— P-v-s S hC. 1 S -•� CQroS�s, 1 o jC nJAj- .- 1 t 1)/ ate, No.�t`� /3 0 t f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliration for Disposal *pstrm Construrtion 3pPrmit Application for a Permit to Construct K Repair( ) Upgrade( ) Abandon( ) %Complete System ❑Individual Components Location Address or Lot No. q1 13i off Va%h+ Q rat uc Owner's Name,Address,and Tel.No. Ca $-v O �ee_a,-re z L4,,L , 1.LC Assessor's Map/Parcel 6 3',1 ("&6 2 3 f xe cu H LIr- Drj ¢.(U ds a in 6 3 d. / Installer's Name,Address,gand�Teel,.No. Designer's Name,Address,and Tel.No.5Q$'-77/-7 TdZ Type of Building: Dwelling No.of Bedrooms $-i tie Lot Size :561(®A 3 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 556 gpd Design flow provided dry$' gpd Plan Date 6j-21•-2C:17 Number of sheets 3 Revision Date Title E'C Ptc,.-A (C4u.(9, 15 % yh � 0-Wdl�u �1�►a(C�d.�).` Se,�/,c.��is1r,r, Size of Septic Tank 2 coo gc_d(vns Type of S.A.S.(,e ;��5 6, (l Description of Soil kcf,4_r,,. cob on 5,A,,-_A C OA Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar of a Signed A Date 2 3 _ O Application Approved by IA 6 _ Date Application Disapproved by 1 Date for the following reasons Permit No. v2b( - -3°�`� Date Issued _ _ L - � 'No./ Fee 'THE � LTF MASSACH�USEVIS Entered in computer: bm ONWEA H O Yes f PUBLIC HEALTH DIVIS ON - TOWN OF BARNSTABLE, MA&SACHUSETTS application forJkip tai 6pstem Construction% Permit Application for a Permit to Construct=' Repair( ,U r.'ide,� Abandon Com lete S stem Individual Components PP PO P ( )_ Pg ( ) ( ) �I P Y ❑ P Location Address or Lot No. 91 a I J PC 1 n♦ r►vt• Owner's Name,Address,and Tel.No. 13«<c Tcice Lc.^,. , c LC Assessors Map/Parcel Dr N JcSa vi .- 0 Installer's Name,Address,and Tel.No. ;?? Designer's Name,Address,and Tel.No..5 8--7 75'40Z "'. � ,�J�j"L�C�S l.}'EiS 4� t;,�r.Tlv2...:� 217a. I✓c'X}.r r"Nye G . 7$ rRA 5+ k &V k1 S OZ4,6 Type of Building: DwellingNo.of Bedrooms P1 v e Lot Size Sd, /� (o f 3 sq.ft. Garbage Grinder(/U� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 556 gpd Design flow provided 6ci$' gpd Plan Date q-Z I-2-o n Number of sheets 3 Revision Date Title £C P 14&n lC 4.0�TSen'M«Sus 1cw, i 0++ I s l uA Gv► C4,d)�,5egkc_5 Sirrk, Aedaih_(C-IV, /> Size of Septic Tank 2,000 ga t fans Type of S.A.S. (56;-A 2� X I d,f.) Description of Soil AC Lfite An So i' /cis On 5 ti _f C 4/,4 r 4 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. Signed Date Z3 -�01� Application Approved by Date / "�0 ' . Application Disapproved by Date for the following reasons - a _e.. a c� N Permit No. o2U ' 3 a � Date Issued , 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 .4 yg_cn J (` d c _ - -� _ at �) 13 L u �- ,f'D ���i D /l.�L= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a 1 dated r Installer Designer #bedrooms Approved design flow R gpd The issuance of this perkLit shall not be construed as,a guarantee that the system will tDtdonls designed. _ Date {, ( �' Inspector 0 ( ,.{/ -------------------------------------------------------------- No. C;A-V1 I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pstetn (Construction joertnit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. ,/ 6 - Date - ��— Approved by i I i , ; Town f Barnstable: I. .F. . 'I Regina ®ry Services Q %8 �P '� Richard I' `...Scali;'InteriM Director c; '� Public Health Divs��n4 639 ♦ " RFD MIRY A , `' 3honias.lY Kean,.Director �... 4 �, .. pw.,- 200 Main Street,.Hyannis,IYIIA 0' f"D Office:. 508-862=4644 , FaY 508-79o-b304 E —1 II Installer. & Desi ner'Cert fication Forrn Date: MAY 18,`2019. 'Sewage-Permit# 2, bI -' 26 Assessor's Ma;)i. cel ,0341066 Designer n.11 &Surveying I>istaller I,I Gapewide Enterprises/R..;B dui, Co , . ,I. .Address 78 North Street Address 153 Com'6rcial'Street ;Hyannis,,MA. 02601 '' .ML.ashpee MA. Q2649 11 Qrr 9/28/20.17` Gapewide LL Enterprises!R..B4Our,Co. ,vas issued a permit to install,a (date) (installer) LIA S ,. - : - septic.system at 91 B;luff Point Road based on a design drawn by (address) .Baxter-Nye Engineering &Surveying dated .,9/21/2017 rev 7/30`/18 (designer} _f I,, .., .F I certify that the septic system referenced,above was installed sub tantiall accordm :to the deli` y g gn, v�ltch,inay_rnc.lude minor. approved changes such as lateral relocation of the ,'. ,.5tributaon box aird/oi septic"tank Str out; rf re aired •;was ins ected,and the soils , P q } p vere.founa satisfactory ' I certify that the septic "system referenced above wai I s,installed witl1 major changes (ie greater than 10' lateral relocatron,of the SAS or any vertical relocation of any component .- ."' ,. of the septic°systerrr);;but in,acco'r'clance with"S'tate & Local Regrilat ons, Plan.revrsfon;or, ,, ,, , certified as-built by,designer to follow Strip out(if'requi.red)was' `nspected ana,;the.s`ols, were found satisfactory. I certify that the system referenced above was.ronstructe ce`with the terrrrs t , of the -.1 approval letters (if applicable) /` <t"'lH „s c� O STEPHEN.9yG �s 5-,x F y O .Q. �� MA,TSON F (I taller s Sr e} : a No 46ih5 F.. �� . F is SSq o . �5` NAL 11 r 1 r.. t ature (Affix DesiA amp Here) F gn ;gn } ' 1: , PLEASE RETURN TO BARNST"- LI PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE:: WILL NOT BE 'ISSUED UNTIL BOTH THIS FORM AND AS- 11BUILT"CAR }ARIE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION, ` �.. THANK YOU. Q.\SephctDesigner Certification Form:Rev 8-14 13.doe `. .. ..., , ,5. .: .. , !. i `t`.. ........ ... ..... ,. , i' .. .. ,... ,...... .... ,, . 1. t1 .1 : 1, 11 . T'OdVN O`F�ATS'FA�I,E I OCATION I` t-i.�:t�t= Cary--t +SEWAGE# " t 1 ���. VILLAGE:. `"C}t '� ASSESSaR�S MAP&PARCEL C3 l . —16�1 - ,". -- C? I- STALLER: S NAM74 E&PAONE NO •'�c� l �!?"- 1 �' 7l`�' i "7 7 I iv .r:> "S11 EPTIC II TANK CAPACITY ' ° .. LEACHING FACILITY:1. e" ��� ( 'P ) � 0 t r=�5tk5 (size r } ��xr, t _ NO OF BEDROOMS" 8 s } OWNER` B��� � c f _ r + C_--, PERMIT DATE: -Xf, C)f '�- COMPLIANCE DATE, s ►, - .C�" Separation Dis4nce Between"the: Maximum A':djusted.Groundwater Table to the Bottom;of Leaching Facility / Feet Private Wafer`Stipp[y Well and Leaching Facility(1°f any wells"exist an site or rthin 200 et each fac�hty} 71 Feet . Edge of Wetland"and'Leaching Facility(If any wetlands,existwthm ' „ 300 feet of•leaching facility) .;Feet FURNISHED BY c �t.t3t? In • ' z99 } t k. p 1 ,F `+ a .k i, t- 1 ,. 1. x� ,.",,,, 5. < ".., 2 F'' f f s , j` A . Z" ( s ' r ADZ_ yI (i t F n 9,9 {r, i _1II.1;I 9 2, s' o t1 y/J yP . 7 `,1 F O S„ .f 3 Y Is "k S Si L�,Jt fir. 4 j.�. :'� �'p :t UU�` t+ a lIii: A $� 7 f t ! F ..�=1 21 ut TRANSMITTAL BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors 78 North Street,3'Floor,Hyannis,MA 02601 Tel:(508)771-7502 Fax:(508)771-7622 Date: May 21,2019 To: Town of Barnstable Total No.Pages: Board of Health BN Job No.: 2014-052 Subject: 91 Bluff Point Road Cotuit,MA cc: File We are sending you ❑Attached ❑Under Separate Cover ❑Via Fax(No. of pages including Transmittal Sheet) ❑First Class Mail/Registered#: ;❑Overnight ❑Pick up ®Hand Delivery The following documents: ❑Prints/Plans ❑ Specifications ❑Estimates/Proposal ❑ Change Order❑ Shop Drawings ®Reports/Calculations ❑Other DATE COPIES NO. PAGES DESCRIPTION 05-13-19 1 2 Installer&Designer Certification Form&Septic As Built These items are transmitted as checked below: ® For Your Use ❑As Requested ❑Returned For Corrections ❑ For Review And Comment ❑For Approval ❑For Distribution Remarks: Stephen D. Matson, P.E. Senior Engineer SDM/spk 0:\2014\2014-052\ADPAIN\TRANSMITTALS\2014-052-BOH-Installer&Designer cent Form.docx /File Note: This transmittal contains privileged information.Please contact the sender immediately if this transmittal is illegible, incomplete or not intended for your use.Thank you. y ToWn of Barnstable P.4 Of1HE Department of Regulatory Services 1 aABNSTABLB, B Public Health Division Date lz D y MAN. cb 26J9, 200 Main Street,Hyannis MA 02601 3> Date Scheduled Time Fee Pd. (� d -�-- - - P Soil Suitability Assessment for Sewage-Disposal Performed By: S�Mm W%k y cM i Witnessed By: J)"ua d/G,.rM a Y G 1 N G LOCATION& GENERAL INFORMATION. .y ` Location Address.. /�. OI V /n ��/ Co IJ/.'3� Owner's Name j� rI /�..S eJ��i U,�H/ /r3 Address Zo2 Q/'+e nj.0 7--4jr D.-IV= Assessor's Map/Parcel;^ _a . OY/PG� d�O6 Engineer's /3G�fvr a/�/�� - NEW CONSTRUCTION REPAIR Telephone#..r>O8'^7-7/-750Z_ LnndUse I g IGQ z✓' 4-7A I Slopes Surface Stones Distances from: Open Wnter Body 3 e) it Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other tt SKETCH: (Street name,dimensionLss of lot,exact locations of test holes&pert tests,locate wetlands In proximity to holes) ii Parent material(geologic) Depth to Bedrock. Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used:. Depth Observed standing in obs.hole: In. Depth to soil mottles'. In. Depth to weeping front side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST' pate 3 1 Time Observation Hole# 2 3 Time at9 /6`2 Depth of Pero S�1 it 10 fl Time at 6" /6',2 2 6 r S Z. Start Pre-soul:Time a /0.%6 /0 End Presoak Rate Min./Inch Svn_�a/rich Vv�oSlx. J-e � � Site Suitability Assessment: Slte Passed Site Failed:., Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- • 'If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:I-lE'ALTH/WP/PERCFORM. 201q o se:03 f 1. DEEP OBSERVATION HOLE LOG Hole# ! _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% e yr2 '3. .ILi — Iqif Late C hlzQ• S�n�Q ld �'iZ `��6 CZ , 5a-tj la 4�f2 ..DEEP OBSERVATION-HOLE LOG Hole# 2 Depth From Soil Horizon Soil Texture Soil Color Soil Other, Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ons ste c °a G e lG ,�^yg4 Cl ` 5 y/y _ Ile =13856 ICA 16 \q e (-/3 -- itla 0b5 , DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other- Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. �... Consistency.° lAh i..mawi� �u�t.cQ �0 y� 4�2 Loam [, IMI�.d yz` 02 t� G Sind I a Y IQ /y _ NJ. ohs. DEEP OBSERVATION HOLE.LOG Hole#�_ Depth from Soil Horizon .Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% e Q- -/1 AP 5� 10 YR 21Z y„- /2" �. ,�� Suµ to -/C7 a Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No L--4 Yes Witliln 100 year flood boundary No ✓ Yes . Denth 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? yG�S If not,what is the depth of naturally occurring pervious material? Certification I certify that on 1�l� (date)I have passed the soil evaluator examination approved by the Department-of Environmental Protection and that the above analysis was performed by the consistent with the required training,expertise and experience described in 310 CMR 15.01T. Signature Date Q:HEALTH/W P/PERCFORM __ I GAS LINE LOCATIONS 'J X FROM, DIG-SAFE 77, ° MARKINGS N/F D RG OUND AT R LINE LOCA11 FRO M RKAN f- ��_ BENCHMARK SPIKE SET ELEV=34.55 (NAVD88) --- -- ``�AIBEI� UN 1 / -- IN _ CA-0 /1`ROM b 'MARKINGS PPROXIMi4jE • ' a XISTING-- x 3.2 n� I ' EPTIC 33.8 GOP / P 6 P x32.9 31.331fill o G,'`�v ,' . • _�� ,, ,goo . CB/DH FNyy -52 / CB/DH FND cv / ', it �)/ , ) i�/.•''! i'���,//,�JJ///i,�// Health Master Detail Page 1 of 1 Logged In As: Wednesday, February 6 TOWN\fiynnj Health Master Detail 2019 Application Center Parcel Lookup Selection Items Reports Parcel Septic f Perc Well Fuel Tank Parcel: 034-066 Location: 91 BLUFF POINT-DRIVE,Cotuit Owner: BEECH TREE LANE LLC ........ Septic 1,9/28/2017 New Septic... _ . ..._ Permit number: 2017325 Permit type: NewConstnuct n Complete system: p Issue date : 9/28/2017 Complete date Septic tank size: 2000(2cp) Type/Size of SAS: ( 500 gallon chambers with 4 stone all around Installer: Capen,Richard M.,Capewide Enterprises;LLC r Card on file: El I/A service type: select service v Innovative/Alternative Technologytype: - Select IA type Variance date : Abandon complete date : Abandon permit number: _ . Repair deadline date : 412a/2319 Repair notification date.: 4/24/2017 ` Keyword: _.._ Comments: •******5BR***TM wrote on the inside of street file that property is good foigf Delete Septic 1 .. ....... Inspection 3/30/2017 New Inspection.. Number Inspection Date Inspector Result 12233 3/30I2017 Sears James D. �', CP(Conditional pass) Received Date Comments-' �� ..� _ �- ^J �_w. 4/14/2017 _ H2O Septic Tank and DBbx to be installed vlDelete Inspection t ........__ ...... ........ -._-------------------- .....---...... .. .._ _....__.....- -— -.. -....: �, '�Save�S pUc Changeg� � ��Retu to Lookup���: http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=034066 2/6/2019 s, r Commonwealth of Massachusetts Title 5 Official Inspection Form - ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name,/ information is Cotuit ✓ MA 02635 3-30-17 required for ever y r'a page. City/Town State Zlp Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important,when filling out forms A. General Information j# /�� \vugtmnggHp�� on the computer, ``�10 ASK OF Mq use only the tab :yi� q�,'1., keyto move your 1• Inspector: y cursor-do n =��= JAMES use the return James D.Sears a ; _ key. Name of Inspector Ca ewide Enterprises * ' Q Company Name 4�F •.,, •EG \``�. 163 Commercial Street ��igrrrrSrilN SPi„`���.� Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of an site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 51310 CMR 16.000). The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4-4-17 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 has a design flow cf 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 t„ the same or different conditions of use. Y' 15ins.doc•rev.6116 Tits 5 Official hepectlon Form:Subsurface Sewage Disposal System•Page 1 of 17 (/.S I• a6ed 6 666VE580g uew jolcadsuI ayl wlr L 60Z 50 jdV Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. CityrTown 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: Conn Pass,-H-10 Tank-Broken D Box- Broken line, The system is a 1500 Gal. Tank D Box and pit. B) System Conditionally Passes: ® One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass, Check the box for"yes", "no"or'not determined"(Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal ar,d over 20 years old' or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t$in&dm•rer.W 6 Title 5 Official Inspection Form'Subsurface Sewage Disposal System•Page 2 of 17 2 a6ed �" 6 666bE920S ueW uon3adsui aLtL wlr V2:Z l• L 60Z SO ud'd Commonwealth of Massachusetts Title 5 Official Inspection Fora UVSubsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotult MA 02635 3-30-17 page. City/Town State Zip Code Dane of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ® Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health); ® broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below); ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ® distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): Need to replace Tank w/ H-20 Tank. Need to replace D Box H-20. Need to replace line Tank to Box. ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ine.doc•rev.6116 Title 6 Official Inspection Form:Subsurface Sewage DlsPosal System•Page 3 of 17 E a6ed 61,15W9909 ueW joloadsuI ayl wir bZ:Z l, L l,0Z 50 udy Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form- Not for voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner owner's Name information is required for every Cotuit MA 02635 3-30-17 page. city/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private'water supply well"*. Method used to determine distance; This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for afl inspections: Yes No a ® 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 1MMM is less than 6" below invert or available volume is less than Y2 day flow Pir t5ins.doc'%,.611E Title 5 Official Inspecticn Form Subsurface Sewage Disposal System•Page d of 17 b a6ed 6 666t7£5805 ueW uoj3adsui aqL wlr VZ:Z I• L 60Z So udtl f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name Informations requited for every Cotuit MA 02635 3-30-17 page. City/Tom State Zip Code Date of Inspection B. Certificatlon (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a.private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 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. 15ins.doc-rev.6116 Title 5 Dficial Inspectior form:Subsurface Sewage Disposal System•Pape 5 of 17 5 a52d 6 666bE920S ueW uoloadsuI. ayl wlr t,2:2l, L l,0Z 50 udV Commonwealth of Massachusetts e:Z Title 5 official Inspection Form rMM Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following, Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ 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 El ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ®. ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)1 D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 15ins,doc•rev.6116 Title 5 Official Inspection Form-SubsuAace Sewage Disposal System•Page 6 of 17 9 abed, 6 666t,69905 ueW uoloadsuI ayl Or'VZZ l L 1,2 50 jd1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information a Cotuit MA 02635 3-30-17 required for every page. City/rown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and pit. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2015-130,000Ga g ( y g (gp )) 2016-21,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment Design flow(based on 310 C M R 15.203): Gallons perday(gpd) Basis of design flow(seatslpersonslsq.ft., etc,): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.dac-rev.el16 Tills 5 Official Inspection Form:Subsurface Sewage Oisposai System-Page 7 of 17 L a5ed 6 666tE580S uew uaq:)adsuI ayl wlr 2:2 6 L 60Z SO udV Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. Cityfrown State Zip Code Date of Inspection D. System Information (cons.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 2014 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): t5ins.doc•rev.6l16 Title 5 Official Inspection Form:Subsurface Sewage Olsposal Syslem•Page 8 of 17 9 a5ed 66 W9909 uew uoloadsui ayl wlr SZ:Z 6 L l,0Z 50 udd Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1979 Permit #79-686 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 8 feet Material of construction: ❑cast iron ®40 PVC ® other(explain):. Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH -40& SCH -20. Septic Tank (locate on site plan): Depth below grade: 7-2' 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: 1500 Gal. Precast H-10 Sludge depth: Zrt t5ins.doc-rev.E116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 6 a5ed 6 666VE5805 ueW uoj�edsui aq1 wlr R Z I. L 60Z 90 udV Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments i 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 17 How were dimensions determined? Asbuilt-Tape Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank and outlet cover at T-2"below grade wlinlet cover at 1'. In and outlet tee's. Note: Tank in stone drive way at T-2" below grade and is H-10 not H-20. Need to replace Tank.' r Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc rev.6/'6 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslem-Paae 10 of 17 5 '. abed ue jo oadsu a wl 0 6 6166b£5805 W I �J f 9Z Z 6 L 60Z 'S0 A/ n t4 i ;• - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name Informrequired is Cotuit MA 02635 3-30-17 required for every page. Cityfrown state Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): r *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.E115 Title 5 Officlel Inspection roam:Subsurface sewage Disposal System-Pape 11 of 17 l,6 abed 6 666t E580S ueW ionoadsul a4.L wir 9Z:E l• L 60Z 50 jdV Commonwealth of Massachusetts . Title 5 official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name Information is required for every Cotuit MA 02635. 3-30-17 page. CitylTown State Zip Code Date of Inspectlon D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): D Box is 16"ic21"-7'-8" below grade wJone line out. Wall's are gone on box. Note : H-10 D Box under stone drive way. Need to replace. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins.00c-rev.slie Tills 5 Official Inspection form:Subsurface sewage Disposal System-Page 12 of 17 Z I. abed 6 666b£5805 ueW uohadsuI a41 wir LZ Z 6 L l,0Z SO udV r Commonwealth of Massachusetts a Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name requir required Is Cotuit MA 02635 3-30-17 required for even page. CltyfTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a 1000 Gal. precast pit w/4' stone. Pit is clean and dry. No high stain line. Note: pit at 9'below grade w/cover at 17". Note: Pit not in drive way-may be H-10. 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 t5ins.doc-rev,6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Pape 13 of 17 6 l, abed 6 666b£S809 uew ua3cadsul aU wlf LZZ I. L 6OZ SO udV Commonwealth of Massachusetts P END 5 le Tit Official Inspection Fora G� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. City/Town State Zip Code Date of Inspedion D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction; Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 t,6 abed 61.66b£5805 ueW uoloadsul ayl wlr LZ:Z l, L 60Z 50 ud/ Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information Is required for every Cotu it MA 02635 3-30-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately I3-P Ac A A _3__ 8- 9 : a 1 a � 37 a ° ` 3 f' S/oN� l5ins.doo•rev.6/16 Title 5 Official klspection Form:Subsurface Sewage Disposal System-Page 15 of 17 g 6 abed 6 15t,69809 ueW uoloadsuI aLLL ujir LZ;Z 6 L 60Z 50 udy Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information'sreq Cotuit MA 02635 3-30-17 page. far every Citylrown Slate Zip Code Date of Inspection D. System Information (cont.) Site Exami ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells N 16'+ Estimated depth to igh ground water: 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: 10-16-79 Date ❑ Observed site(abutting propertylobservation 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: T H on Design plan 10-6-79 16'+ no G W Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins.doc•rev.W 6 Title 5 Official Inspection Form:Subsurface sewage Disposw System•Page 16 of 17 g 6 abed 6 666t,6980S ueW jolmdsuI ayl wir 82:Z l, L 60Z SO jdV Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments y' 91 Bluff Point Property Address Pat Sullivan Owner Owner's Name information is required for every Cotuit MA 02635 3-30-17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6116 Tithe 6 Official Inspection form:Subsurface Sewage Disposal System•Page 17 of 17 L 6 abed 6 666b£S80S ueW io}3adsuI ayl wl(' 92:E 6 L 602 50 udV �i- i TOWN OF BARNSTABLE Q LOCATION 1 1 t-OFF Old 6P, SEWAGE# , 32 VILLAGE <fc>7o c T' ASSESSOR'S MAP&PARCEL Q3q (� INSTALLER'S NAME&PHONE NO. CAPeW i SEPTIC TANK CAPACITY a,000 C-AtL®tj S ;—L 6,om Ax-z &t) LEACHING FACILITY: (type)6.) FG©UJ kFfUScit-s (size) y U` X 4 1 NO.OF BEDROOMS OWNER B c=Eu RCL-c U-oa LL(L c� PERMIT DATE: 9 18- aO l l COMPLIANCE DATE: 5-1 ,,0 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /V Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) e1JA Feet FURNISHED BY CgEWi 0C IR13o - Z fV n61* I`r1 Ib S'SS d £ oLb _ ,Sly -Z-V +V F A-0i OWN OF BARNSTABLE LOCATION e17'" / kfZZ' Z*f SEWAGE # �f VILLAGE C T 7- ASSESSOR'S MAP & LOT 3'/' 66 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 150® 6V LEACHING FACILrN: (type) (2 2 1-ea ` 4�k s (size) 6' l NO.OF BEDROOMS 2 n 4� DER-OR OWNER 1 V&JA PERMIT DATE: /cl 79 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet j Furnished by 1 � �JD 1 Gil SEkic:, M 32. 4 .33. NDERGROUND x ,p GAS LINE LOCATIONS � FROM DIG—SAFE ,' / / ++ i0 9<""•l, e I ° MARKINGS Q N/F ALAN J. SCHLESINGER. TRUSTEE EVERGREEN 69 REALTY TRUST A LINE \�`' CERTIFICATE 192452 �V Y �� " \ PARCEL 034-067 LOCA FR M K4N cwwoee) r J� A 'MARKINGS \ �� ' • • P�� PRO iRjE •�•/ c�p�'�0 STING GpP +�-1 �" ' �.2 � _. 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THE INTENT OF THIS PLAN IS TO DETAN. PROPOSED WORK AT 91 BLUFF "IT DRIVE 4Q LOCUS A IS COMPRISED OF:REA / � E z. wssEssoR'S REcotms: / ' ' • • ` •• ` BAXTER NYE U ELECTRIC LOCATIONS OC ENGINEERING & OWNER: BEECH TREE LANE; LLC , -'� '\ �, `_, ' �,=`� � �• ..` EL.EC;TRIC LOCATION S �� DEED BOOK: 3D419 PAGE 232 � 4 --' �yR � � � •� RECORD PLAN: BOOK 280 PAGE 58 �� �•FROM A R K I N G S- FR OM DIG-SAFE ( `� SURVEYING LAND COURT PUN 39770-E / { �11 ASSESSOR'S MAP 034 0/ PARCEL O6'6 r. R.. �6'tR R--Ab13 � 3. PROJECT 8000W, AS SHOWN ON THIS PLAN , �R �� 6 \ Registered Professional Engineers 4. ZONING INFORMATION: L� V 'j *IC \ and Land Surveyors R \ ZONING DISTRICT : RF R1� �` �1. r � , • �1.- ��, 78 North Street - 3rd Floor WK LOT ARFa 87 SF �F� �F �� x 3 R To snNc CAME Sate s on��wi Hyannis, Massachusetts 02601 AIN. LOT FROWWMN: = 150' ( ) � ' _ - FRONT YARD = 30' SIX& REAR YARD = 15' / 15' PP IRE BY THE UTILITY COMPANY FOR- -- x \ NEW DOMESTIC SERVICE TO BE TIED IN TO EXISTING Phone - (508) 771-7502 R R G G - WATER MAIN (SIZING TO BE PER PLUMBING PLANS BY Fox - (508) 771-7622 OVERLAY DISTRICTS. RPOO, DOCK, PER. r �} -- ` k' I,> o. OTHERS). MATERIALS PER BARNSTABLE WATER 0\� �R DEPARTMENT REQUIREMENTS AND SPECIFICATIONS. www.boxter-nye.com , . ..3'. 1 5. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE THERE MAY M �a / ' BE RIGHTS BY OTHM EASEI , TAOIGS, MORTGAGES RIGHT OF WAYS iI R'` /' x ' S. `�' •, s SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO BAXTE12 SFARCFI ,�> -. NOT DEPICTED. IF DETERMNED 10 BE NECESSARY, A ME ,s X .3.3.4 � � _ � • �� •4 UNDE GROUND / _ �, 1 B� & StHZVEYNVG ..-.' EXISTING WATER SERVICE TO BE CUT --_...._ GAS LI E LOCATIONS 6. �THE PROPERTY LINE MM71ON SHOWN IS BASED ON CURRENT AVAILAIN E �� CAPPED AND REMOVED ��+ y 1 FROM D -SAFE W PROPOSED GAS SERVICE - TIE IN --.�,. � RECORD INFORMATION COMM OF PUNS AND DEEDS. THE BMW FEATURES SHOWN / MARKING. To EXISTING GAS OR AS OTHERWISE HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERfORKD BY / J f I DIRECTED BY THE UTILITY COMPANY i BAXTER NYE ENGINEERING & SURVEYING ON JANUARY 5, & 13, 2017. RELOCATED EXISTING CABLE SERVICE _ C F ALAI J. SCHLE ER, \ TRUST EALTY TRUST STAMP A M P 7. COMMUNITY PANEL, NUIN3ER: 250001 0756 J. EFFECTIVE JULY 16, 2014 . ' RGREEN THE FLOOD INSEIRANCE RATE MAP DEFINES THIS AREA AS ZONE VE(EL.14) & U N D E R G R O U N D �W�--- \ �. C CA AR C452 ,�� m ZONE X (UN-SHADED). WATER LINE � � o STEPHEN ALLYN �G LOCATIONS FROM,, ! OSED ELECTRIC VICE - TIE IN To W k.S ON 8. D19- M ,Rk('N E)fls G ELECTRIC OR A THBEN ERWISE No.30216 PER MASS GIS OILIER AS OF 01/27/2017: ✓ �,_, _ DI REC BY.THE UTILITY C PONY ., 3 Of�� • SITE DOES NOT APPEAR TO BE WITHINAN A C.EC. (AREA OF CRITKAt. FaAAROAMIENTAL CON( 1). `✓1 SPIKE X ELEv=34:55 7 17 • SITE DOES NOT APPEAR TO BE Il1'THNN AN AREA OF E5TMIATED HAWUT OF RARE WILDLIFE AS J 1.6 MAPPED ON MASS GIS OLM7i PER NFESP •ESTIMATED HABITATS OF RARE WLDLM:E' FOR USE WITH UNDER ' ND THE MA WETLANDS FRO]ECt10N ACT REGUU=IS (310 CMR 10)., �- C I N � (` r SITE DOES NOT APPEAR TO CONTAIN A (ER'TIM VERNAL. POOL AS MAPPED ON MASS GIS OLNER 1 _ R O N S U L T A N T CA r0 �, FROM �,�- �_ � 4 0P �``�. ABANDON. REMOVE AND PROPERLY DISPOSE OF OFF 'SITE EXISTING SEPTIC PER NFESF' 'tRi1F1ED VERNAL. POOLS.' MARK!hl a S E` SAS, SEPTIC TANK, D-BOX AND PIPES ( P P R O X I M A TE OBTAIN PROPER PERMIT(S) FROM TOWN OF BARNSTAELE HEALTH • SITE DOES NOT APPEAR TO BE WITHIN A PRIORITY HABITAT AS MAPPED ON MASS GIS OUVER PER \ I I N G N DEPARTMENT FOR SEPTIC SYSTEM ABANDONMENT NFESP 'PRIORITY HABITATS OF RARE SPECIES' FOR SPECIES UNDER THE MASSACHU.SETTS R \ ` EN11ANGERED SPECIES ACT, RMATIONS (321 CMR 10). R ` / I E • SITE DOES NOT APPEAR TO BE WITHIN A STATE APPROVED ZONE I GROUNDWATER RECHWIGE r PROTECTION AREA • SITE APPEARS TO BE WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY ( TABLE CON $,ULTANT/ B:O.H. REG. 360-45). p . � 9. � `, � � • • cn- Pia • THE CONTRACTOR SUL CONTACT DIG SAFE (AT 1-SE-DIG-SAFE) AND UTILITY COMPANIES TO LOCALE I ' 1 � 6 X 2 THE LOCATION OF ALL DOWG UILITN:S, AT LE9AS'T 72 HOURS PRIOR TO THE START OF ARE %M __- _, R O r� x� CIO ; IN AN A ONLY MON OEM � BE LIMW 1O THOSE SHOWN R� �BEN BASED ON THE AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES 70 BE RELY RESPONSKE FOR ANY AND,ALL MAW WINCH MIGHT BE OCCASIONED BY THE PREP °. RED FOR : CONTRACTORS FAILURE TO LOCATE SAD INFRASTRUCTURE AND UTLM EXACTLY. E FIELD CONDITIONS 1 X s DIM FROM PLAN NN:ORAIATION THE UOIVIRACTOR SHALL. NOTIFY THE MMIEDMATELY FOR Beech Tree Lane_ � �R� � �, -, � �.� 1 / � o � t LLC POSSIME REDM JR �� cR / i �, ;6� X 23 Executive Drive • SOURCE WORMATION FROM PLANS HAS BEEN OOAM9WED WTH OBSERVED EVIDENCE OF UTILITES TO DEVELOP A VIEW OF THOSE UNOFRGRO(MD U1111i1ES. HOWEVER, LACKING EXCAAIATLOIr TEN: EXACT • �,, , ' /,� �'� Hudson, NH. 03051 LOCATION OF UNDERGROUND FEATURES CMINOT BE ACCURATELY, COMPL.ET11Y AND RE11jAB1.Y DEPICTED. - - , ,(� .• / i / *IE'RE ADDITIONAL OR MORE DETAILED LIWQRMATION 6 REQUIRED, THE CLIENT 6 ADVISED THAT �N �,; � � �• EXCAVATION MAY BE NECESSARY. • APPROXIMATE EXISTING SEPTIC SYSTEM NiIFORMATTON OBTAINED FROM SEPTIC SYSTEM PERANT d � � ✓r DATED 1979 ON FILE AT BOARD OF HEALTH. ' - �' O 29.0 . ' • APPROXMNTE GAS SERVICE SHOWN ON PLAN PER NATIONAL. GRID MAPPING AND FED LOCATED L) x�$° • , • • ' ' ' • �'f � -' � r GAS METER. IR > / •. � y/ / , // ;� / _'J �' PROJECT TITLE 10 MEAN HIGH WATER ESTABLISHED BY TDAL FLOOD PROFILES - NEW SUM COASTLINE R, •I` J f PREPARED BY HYD►tAULICS & MUTTER QLWITY SECTION NEW ENGLAND DIVISION, US. ARMY }F� 5 91 Bluff Point Drive �\ x / i , k Cotuit MA CORPS OF ENGNN:ERS, PLATES C-22, C-23, SEPTEM�R 1988. 3� 1 r . o . • ''• c �G ! ;' e�y1, �'� Q,� ,y , D.E.P. File ME 3.5501 CCU • 41 / �`� . / � � \ .� ( J L-1 '•� Order of Conditions Expires AUGUST 22, 2020 e8%D , x .• f ( / �' g � \/ OU 1. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. 2. LIMIT OF WORK SHOW. CONSIST OF HAYBALES AND SILT FENCING 4.9 / } TO BE MAINTAINED IN GOOD REPAIR UNTIL COMPLETION OF PROJECT. 9 .7. 3. A COPY OF THE AS-LMIILT FOUNLaATLON PLAN SFIALL BE DELIVERED TO THE , ""�� •�••.� r `. X 4. CONSERVATION COMMISSION. 4. ALL ROOF LEADERS SHALL DISCHARGE TO DRY WELLS OR DRIP TRENCHES. f ' INVASIVE PLANT �-'.1 � ',r• `t�� REMOVAL. AREA 5. ALL MATERIALS FROM HOUSE DEMOLITION AND REMODELING SHALL BE HAULED OFF SITE AND DISPOSED OF IN ACCORDANCE WITH APPLICABLE REGULATIONS. _' \fi „� ~ }< l t 6 6. POOL DISINFECTION SHALL BE BY ANON-CHLORINE MEIiOD. 9 7. AS-BUILT LOCATION OF POOL DRAW DOWN LEACH PIT SHALL BE FORWARDED TO THE CONSERVATION COMMISSION, BY THE POOL CONTRACTOR. ¢' .(jJ R 034-_066 NOIBY I DATE DESCRIPTION �� 4' ; `X) I QT;• F3EA UFL.AND= SHEET TITLE N a � '..- 'R X%-A � A WETLAND F��A TOTAL=r. Septic system and N o Utility Plan CS FND 3 •;X:,3,7 SHEET NO Ln X aN � C4w0P TE 4 _ ,y D A T E : SEPTEMBER 21, 2017 DETAIL 20 0 20 40 SCALE: 1"=20' = M SCALE IN FEET oN SCALE : 1"=20' " � DRAWN BY: DF CHECKED BY: SAW 0 a J O B N O: 2014-052 F I L E: 2014-052 SP.dwa o c CONSTRUCTION S UCTION NOTES. 15 AX T nm -- K N Y jb IN TYPICAL SYSTEM PROFILE AC COLLRDSN�ICOMPONENTS Ti•f�n?�L.E�OF THE STATE SANSHALL BE ITARY CODE DATED � ° �� �d � � � � '' U R F Y N C3 APRIL 21, 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN. 1�10T �"N'E do ANY LOCAL RULES do REGULATIONS APPLICABLE. 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY B/'V\TER NYE THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED SET MAN1W FRAMES WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. 0%0S TO W" 8' OF FINISH GRADE.TOP OF FBI FLOOR = 35.75' I At oo SHALL TIE WA7>R7WHI 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING. EN G I N EER I N G & TOP OF CURB = 35.50 FINISH GRADE - 34.2t SET COVER TO 8' BELOW FINISH GRADE NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR S U R VE YI N G FrN�Ep GRADE = 34't RISER & COVER SHN.L 8E WATEatIg1T RIM WITM Go INSPECTION. lOP OF WALL. = 34.29' WNW,- OF FI GWRADE�. RISER COVER 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO 4' SCHED 40 �-•FMILSH GRADE » 34.1t Stall BE WATERTIGt'iT ENSM PROM ME PVC. UNLESS OTHERWISE NOTED HEREIN. 70P OF SCH PVC '• 3• CONNEGT10N 801011114 5. IF NEEDED, EXCAVATE UNSUITABLE MATERIAL TO THE •C Registered Professional Engineers 4• SCH P� w• (4' VENT HORIZON', FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE and Land Surveyors 'T ARiDE iotER MOM GAtIEI�- SCFI 40 �) LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR �4' SCH. 40 PC TOP OF D-BOX 32.11 FIRST 2' 4' OF M =%`WASHED PE49MNE g- O Cover 15.255 TO THE TOP ELEVATION OF THE SAS. NrV IN- 30.75 MIN. _ rFj .• -NiV OUf .50 INV OUT-30.95 u PVC TEE .f BE �) �. (moo) C~ 78 North Street - 3rd Floor OR FILTER FABRIC 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN UaND °` _ 4' SCH• 40 PVC tom=) Gmam now WFUM TOP OF CIfAMlERS 30.17 LESS THAN 3' OF COVER. Hyannis, Massachusetts 02601 • L #.. _-GAS eAFFLF 2 ' • is ;• _�- 4' DIA y GRINDER DISPOSALS. TOP OF SLAB = 25.19 4-3 GAS ' NrN IN = 30.1 ' . W OUT = 29.93 T o ei o o 0 7. 1HE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE Phone - 508 771-7502 MIN! CONCRETE cONc,RETE BAFFLE eNFFLE • -.- - - Fax - /508, 771-7622 FOOTING I F SME BASE r••' ,.•FZ •� W. W - ".0 "'';. :;:•'' :�' , • "�:_- • .• & ! THE CONTRACTOR SHALL CONTACT DIG SAFE (AT l •' '• : ~� l• 12� ,`- �� •�:; '� " "' -88$-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL www.baxter-nye.com ;�.;,r �; �.' s <. •;4• a ::•• :r.;";. 1, `... EXISTING UTILITIES, AT• •• LEAST 72 HOURS BEFORE THE START OF 6" CRUSHED STONE UNSUffM9tE SONS• 11111'01 THE PEMONE ELEV ( �•- Igo EL 27.63 CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE 17.1E EXACT BASE OF SAS). SWL BE MIGM TO 7W -C NORMOW W i N SRw LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING - SEE CONSM=1ON NOTE #7 tERE0N. SEE NOTE: #2-1" UTiU71ES BEFORE THE START OF ANY WORK. THE LOCATION OF IMUMIAMBOX NO GROUNDW►10 OBSERVED = EL 22.8 EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE SHOO -H20 OR - WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND iO BE INSTALLED ON A LEVEL STABLE BASE SHOREY DB-9 H-20 OR WJAL HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS SEPTIC TANK TO BE WSPECTED CIE4M ANNLWLY TO BE INSTALLED ON A LEVEL STABLE BASE wR M gMNM ft=MTU9M REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY 0-20 RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS, UQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC. GAS, 4 FEET 14 INCHES TELEPHONE do DATA/COMM AND RELOCATE IF CONFLICTING WITH STAMP 5 FEET 19 INCHES PRCPOSED INVERTS PER THE ENGINEERS DIRECTION. THE ©F+M1�gss 8 FEET 24 INCHES CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UMU71ES AS 7 FEET 29 IN ES REQUIRED. q�� STEPHEN qC�G 8 FEET 34 INCHES 9. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE a WALLYN 6L8oN SCHEMATIC. FiNAL LAYOUT SHALL BE AS DETERMINED BY THE APPROPRIATE UTILITY COMPANY. -o <f vie 16 SEPTIC SYSTEM NOTES: SrONALti 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. 7 AN)ST WAR TO CONSULTANT • r PEASIOIE OR GEGREIfiME FABRIC ,. .. •, �« r ...` � .. •• •• a •,.' -, y F 12 ••.' i-.j:• - •.•.•.'•1 .�• ':! ]• t •fit•:•'. .-: - • • . -. %'- Igo WISHED STONE . - DGrlfl .. '♦'• .• fJ'fW/IIG '•• • .4 7 •: t' ' •r••' ;: .:'; :� .•: :� . . .°, •:, - aa':.: _ :• - •, ::••• CONSULTANT 1r.. . . . . . .. . . . .. . . . . . 4' 48' 4. a CONCRETE FLOI► DIFFUSOR DJ (N-20 1.0011+0) No s LEACIiING SYSTEM P my VIV&a N 1 No SME LEACHING AREA REQUIREMENTS PREPARED FOR : NITROGEN LOADING LIMITATION: BOH; SECTION 360-45, Beech Tree Lane, LLC INTERIM REGULATION FOR THE PROTECTION OF 23 Executive Drive SALTWATER ESTUARIES. RESIDENTIAL: 5 BEDROOMS 50,613 S.F. X 440 GPD = 556 GPD Hudson, NH. 03051 x 110 2pf6E=M 40,000 S.F. (5 BEDROOMS) TOTAL DESIGN FLOW = 550 GPD GARBAGE GRINDER (NOT INCLUDED) = N/A PERC RATE _ <5 MIN. / INCH (CLASS 1) SOL L DQ9 P DA7E:0112WV LTAR = 0.74 GPD/S.F. SOIL EVALUATOR: BARNSTABLE AKIN. LEACHING AREA OF S.A.S. REQUIRED: STEVE' WILSON, P.E. BOARD OF HEALTH AGENT DON DESMARAIS, R�S PROJECT TITLE 550 GPD/ 0.74 GPD/S.F. = 744 S.F. MIN. TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 PROPOSED SYSTEM: 6 FLOW DIFFUSORS; 1' OF STONE BENEATH CHAMBERS do 4' OF STONE ON ALL SIDES " G.S.E. = 34.01 " G.S.E. = 34.1 f " G.S.E. = 33.9f " G.S.E. = 34.2f 91 Bluff Point Drive SIDEWALL AREA (12' + 56')x 2'(2) = 272 S.F. AID; LOAMY SAND Ap; LOAMY SAND Ap; LOAMY SAND Ap; LOAMY SAND Cotult, MA BOTTOM AREA: (12' x 56') = 67,E S.F. 3 10 YR 2/1 4` 10 YR 2/2 3` 10 YR 3/2 4` 10 YR 2/2 TOTAL EFFECTIVE LEACHING AREA: 944 S.F. SYSTEM DESIGN CAPACITY = 944 SF x 0.74 GPD/SF = 698 GPD B. 10YR 5/6 ; LOAMY SAND B; 1 OYR 5/8 ; LOAMY SAND B. i OYR 5/6 ; LOAMY SAND B; 1 OYR 5/8 ; LOAMY SAND SEPTIC TANK SIZING: 550 GPD x 20OX = 1,100 GAL: USE 2,000 GALLON TWO COMPARTMENT SEPTIC TANK 14` 160 15" 12" C1; IOYR 4/6 ; MED. SAND CI; IOYR 4/4 ; MED. SAND C 1; 1OYR 5/8 ; MED. SAND C1; 1OYR 4/6 , MED. SAND 42` 48" 420 48` C2; 1OYR 6/4 ; MED. SAND C 2; 1OYR 6/3 ; MED. SAND C 2; 1OYR 6/4 ; MED. SAND C 2; 1OYR 6/6 ; MED. SAND 132" (PERC 0 541 138" 132" (PERC 0 601 138" DESIGN SCHEDULE ELEVA11 N NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED FINISH FLOOR 35.0 EL 23.1 EL 22.6 EL 22.9 EL 22.7 SEWER INVERT AT DWELLING 30.95 SEWER INVERT INTO 2,000 GALLON SEPTIC TANK 30.75 SEWER INVERT OUT OF 2,000 GALLON SEPTIC TANK 30.50 SEWER INVERT INTO DISTRIBUTION BOX 30.10 SEWER INVERT OUT OF DIVRIBUTION BOX 29.9 SEWER INVERT INTO LEACHING CHAMBER 29.63 1 CERTIFY THAT IN APRIL 1995, 1 PASSED THE SOIL EVALUATOR EXAMINATION APPROVED BOTTOM OF SAS. 27•83 BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE AND NOBY DATE DESCRIPTION n NO GROUNDWATER OBSERVED 22.6EXPERIENCE DESCRIBED IN 310 CMR 15.017. SHEET TITLE L SIGNATURE ' DATE ?JZ Septic System Design t (5E-262 Profile & Details n SHEET NO C4nl V 7 t .. 7 a DATE SEPTEMBER 21, 2017 La - o SCALE : NOT TO SCALE N co t � ra DRAWN BY: DF CHECKED BY: SAW - � c O JOB NO: 2014-052 F I L E: 2014-052 SP.dwq c 0 BA,& TER NY rwo _ e i �, } +�_ i- f � �, f x� � , Jr ,0/ U11UTY EASEMENT (TYP.) 4 DEED BK. 2040 PG. 184 APPROXIMATE ♦ UNDERGROUND UNDERGROUND ` €, f� GAS LINE ♦ GAS LINE LOC AT10Ns t k �kr BAXTER NYE LOCATIONS HBENCHMARK FROM YDRANT BONNET BOLT MAPPING FROM DIG--SAFE f �: ENGINEERING & MARKINGS � � _ { �,� �,.��� �"=�� .�{�`��5 r ELEV=10.58 (NAVD8$) i t S U R VE YI N G TfOL if !r1PO'�� ' %fl ....�.. _..� „� _ ' w... +..r,.� 1E vw .., w'�w $'� ., j� % / r- d r 1 Cr} C17 f r 11 , I '"�""'.`�„� s _ �'+� ` a s F ' "" ,, j / / » - -�- Registered E ee d t Ji� ' CV Opp a Is edn in rs S Ogg 21 , an Land Surveyors 78 North Street - 3rd Floor /gyp � �. � , / , � r �"'- ..... i �.,:..,,., �!•;:i� .vF..��„r,�^ 1,.a ��,�w / / / ., ....�� _ L t ? �k�'�+ ��k ��s 7`' era✓"+� 7 z �" rw'e'�ja a hrr� r A -5.79 _. ... �r Ar �,, ,'� /' ,� �' ''�s1'�'�' -R1 RK,�iT OF WAY '' " Hyannis, Massachusetts 02601 ' GENERAL NOTES Phone - (508) 771-7502 - r N/F/JEAN E, S NEE D0 i4 PB 280 PG 513 ` / N/E' SUIilV MCKEiGU ,' , • h1E SULUVi�N FAMILY CO IT REALTY 196,2 Cr Pi r' DEED' BOOKc/10610 P ,22" y - , r �, 1. TIC M11ENT OF THIS PLAN IS TO DETAIL D(IST91G SIZE AT 91 BLUFF POINT DRNE lOCi1S AREA IS Fax - (508) 771-7622 i PAL gF'p1-- 7 , .6 yfui c� ��\�GEC. ^ ✓ COMPRISED OF 'b" U r' www.boxter-nye.com / ' PROXIM/:4'fE CC7T"' \ 2. PER CURIM ASSESSOR'S RECORDS: cN�dw 1 / : ,' , AMA ,,' rr j UNDERGRO N fr �. G� �/' 7,1 S.F. F,., / GAS UjdE c �t%�i = ' ._5. 7LOCi.TION..r ! r 9 R: 1 /.' /,,, rJ,. ;rP , / MARY M. SULLNAN, TRUSTEE r r- SEVENIE1aN BNfCH TREE LANE TRUST t d ' c� r ,,r0 UNDERGROUND / DEED BOOK: 16871 PAGE '►.7 v , , �' 2 r r , ��� ELECTRIC LOCATIONS \ RECORD PLAN: 8001G 280 PAGE 58 ' _ FROM DIG-SAFE ♦ �D; �/r,` /y~ '�f/ r'r✓'f��r X,c�'rfi:7 m i*�...�''' r ` i'r/ f% � � MARKINGS � � LAND COURT PLAN 39770-E r' 4 l / �� !+ '` ♦ PARCELASSESS 06 MAP 034 LASEMIElI'r � \ 3. PRAECT E#ENEFMARlG AS SHOWN ON THIS PLAN X. 13 . F 4. ZONING INFORMATION: STAMP STAMP r •r f I ' 1 OA ZONING DISTRICT' : RF IV%OF CURRENT MNIMUM ZONING REQUIREMIEHM. .a �9c O STEPHEN 9G. o TQ \\ tf' G, MIN, LOT AREA = 87,120 7 (RPOD) g - 1 ALLYN _ l i1• : !f I 32, 7 � ` , r r raJ WILSON '� MIN. LOT FRONTAGE 150r � FRONr YARD = 30 SINE d REAR YARD = 15 / 15 No.30216 "' �� 1 Ui ', i N • i ,'�` �'"I i Al, ;f �• ..! 33. �tf`• tt NDERGROUND OVERLAY DISTRICTS: RPOD, SALTWATER ESTUARY ZONE OF CONTRIBUTION, DOCK, PERK CB/DH FND t GAS LINE LOCATIONS ONAL E ~t ` \ �9��y 8 ' MARKINGS � ,� � 5. A TITLE SEARCH HAS NOT BEEN THIS SITE MAY `_ ."CC ° BE RIGHTS BY OTHERS, EASE7rt W, TAKINGS, MORTGAGES, RIGHT OF WAYS << �, '� `, f N/F ALAN J. SCHLESINGER, TRUSTEE ETC. NOT DEPICTED. F M70WO 10 BE NECESSARY. A ME MARCH EVERGREEN 69 REALTY TRUST C O N S U L T A N T ND --�. SHALL BE PEEiFORMED BY OTHERS AND SUPPLIED 10 EtAX'IER NYE LINE CERTIFICATE 192452 ENGNNEETRING SURVEYING PARCEL 034-067 N/F JOHN R. do PAMELA C. EGAN, TRUSTEES r f LOCAFR N `� l 6. THE PROPERTY UNE WMATEON SHOWN IS BASED ON CURRW AVAILABLE COTUIT REALTY TRUST CB/bH ` l < < / RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. THE' Dk�'1ING FEATURES SHOWN CERTIFICATE 158654 cci •. , .__ � HEREON WERE OBTAINED FROM AN ON iFE GROUND FIELD SURVEY PERFORMItD BY PARCEL 034-064 `ti ` j. f; f' - � BAXTER NYE DIGINEEIM & SURVEi'ING ON MNUARV 5, & 13, 2017. �(J X 31. X,.3 . EtE11#44A*Owe" `'4 UTiL ��'$Oqr `i NBEf� N 7. COMMMNNNIiY PANEL N UMBER: 250001 0756 J, EFFECiK JULY 16, 2014 FROMTHE R DOD N=4NCE RATE MAP DEFINES THIS AREA AS ZONE VE(EL 14) & � PED �r ,,-- - _� , I • 'MARKINGS r OPa� ZONE X (INN-SHADED). \ ,�0� CONSULTANT .,.�cA S �. - �i �\ 1 �' ST1NG &__ POST & RAIL FENCE ? '?'! j' x 5.2 � ` ' TIC 33.B TYP.) "� _ - _-- J� \ # PER MASS GIS OLNER AS OF 0112712017: In SITE DOES NOT APPEAR TO BE WITHIN AN AC.EC. (AREA OF CRITICAL ENVIRONM TAL CBNC I). _,ZZ } � 'sy �� ,,�/.1 SITE DOES NOT APPEAR TOW WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE AS MAPPED ON MASS( � ! • �cn%0 GIS OLIM PER NFESP "ESM7ED HABITATS OF RARE N1t.DL1Fk,�' #M USE WITH THE' MA WETLANDS P YECiH N ALAN J. SCHLESINGER. TRUSTEE P tc'\ ,�f 1 \ ACT REGULATIONS (310 CNR 10).- EVERGREEN 69 REALTY TRUST \ �2 ` `r ,/ 1 J' ! !' APPEAR 70 CONTAIN A COMMVERNAL POOL AS MAPPED ON PREPARED FOR : CERTIFICATE 192452 - _-_ r �` _- ' ►� r r ' 1 1 O » MASS OLNhrt PER NM�JESP PARCEL 034-045--00, _; ,�,. s P�' Beech Tree Lane, LLC `� / G'l/ •��� ; { ; / ; �� ,' ;' • SITE DOES NOT APPEAR TO BE WOW A PRIORY HABITAT AS MAPPED ON MASS GIS OLNER PER HNESP 'PRIORITY 23 Executive Drive --' � HABITATS OF RARE SPECES» FOR SPECIES UNDER THE MIUISSAT15 ENDANGERED SPECIES ACT, REGULAIHONIS (32 10). Hudson, H. 03051 1 qWR n N CB FN _ SITE DOES NOT APPEAR M BE WITHIN A STATE APPROVED ZONE I GROtNNMiER RECFMARGE PROTEC110N AREA. �- �/�� / �x�9.0 SITE APPEARS TO BE WRt I A Z01 OF GONTREtJT10N TO A SAL1NG11ER ESTUARY BARNSTi181.E BO.H. REG. t ) "•✓�� � � � � � %...___.�^ VC r rr�,',. rrrl''�, ' �/r��� � /'' ', /. / ,�,,rr r/ 7.7 "' U .. i • ,� Lu ---.._____.._ r r ',',/ / �'�'f',., ,✓ '/ / �, / • TT aDIVIRACiOR SHALL CONTACT DIG SAFE 1-888-DiG- MSS TO LOCATE: THE ? ( �\• ✓� r • 0 _. rr // r// /G'' (AT SAFE) AND UTIX COMP LOCATION OF ALL DISTING AT LEAST 72 HOURS PRIOR 10 THE START OF CONSTRUCTION. D(IS W PROJECT TITLE •__ -- / ,p . , UNDERGROUNDINFRAS'1RI1C1URE; U1IM, CONDUITS AND LIES ARE SHOWN IN AN APPROXNATE WAY ONLY, MAY "^ 32. o ,'"`~ , ,-- RECARD5 NOTED HEREON.NOT BE IN= M THOSE �AGREES HAVE� FULLY RESPONISOLE FOR ANY AND ALL DAMAGES CB/bH IN _ 6 ---- o% -! 6 91 Bluff ornt Drive r x 7 ,- .�'` M!FNG'HI MIGHT 8E OCCASIOAED BY THE COIVIRACTOR� FAILURE 10 LOCATE SAID AND UTILITIES ff P EXACTLY. IF FIELD CONDITIONS MR FROM PLAN INFORMATION THE CONTRACTOR SI ALLNOTIY TiNEDOM r', • ,' ,_ Ate,f , �/ ,' rr IMMEDIATELY FOR POSSIBLE REDESIGN. ' Cotuit, MA 1 i rr r , r 1 �J r'"♦' % � '�'���/4.9 • VIEW OF NTHOSERUNDERGROUND FROM UND UTHLli1ES BEEN COMBINED WITH OBSERVED OF UTILITIES TO DEVELOP A . ; � SOURCE NNFORMAiION FROM PLANS HAS .,- �a� S . HOWEVER, MCKING EXCAVATKXN, THE EXACT LOCATION OF UNDERGROUND ' ACC INLAiELY, COMPLETELY AND RELIABLY DEPICTED. WHERE ADDITIONAL OR MIORE DETAILED FEATURES CANNOT BE Q ' •\\ x 4. 1 INFORMATION IS REQUIRED, THE CLEAT IS ADVISED 1HUT EXCAVATION MAY BE NECESSARY 1 t' ,'t r' ,' , � .... `� '�' • APPROXK41E DI W SEPTIC SYSTELI INFORMATION OBTAINED FROM SEPTIC S'Y5TH:M PERMIT DATED 1979 ON FILE 4 AT EiQARD OF HEALTH.I! ( '1 r ~� \�a \!• APPROXMATE GAS SOW SHOW ON PLAN PER NATIONAL GNP MAPPING AND FIELD LOCATED GAS MEYER / 10. MEAN HIGH WATER ESTABLISHED BY TIDAL FLOOD PROFILES - NEW ENG AND COASTLINE %,O 1r r • - PREPARED BY H0AUUCS & WATER QUALITY SECTION NEW ENGLAND DIVISION, U.S. Y I / 0 3 a773&.1 F. �� /' ,'' CORPS OF ENGINEERS. PLATES C-22, C-23, XPIEM BER 19K �30.613t S.F. r, IOC` ' , r , _ p� J, PLAN SHEET INDEX y /4'/ ' A°� ''• No. DRAWING TITLE NO BY DATE DESCRIPTION C 1.0 Existing Conditions Plan SHEET TITLE C 2.0 Layout and Dimension Plan - ■ ExistingConditions ' ♦ `�. C 3.0 Grading and Drainage Plan �o Q ,� C 3.1 Drainage Details and Notes Plan 0 �qw^ C 3.2 Drainage Details C 4.0 Septic System and Utility Plan C 4.1 Septic System Design Profile & Details SHEET NO T: cino J D ATE : SEPTEMEBER 21, 2017 L 30 0 30 60 5 SCALE IN FEET SCALE : 1"=30' c DRAWN BY: OF CHECKED BY: MWE J 0 B N O: 2014-052 FILE: 2014-052 ECdwQ co 7U i r 7 _----'" FF '`fit► E t r SA e-- K14c i t Cz �o t 1► N� U--p c 14 +-s- .. j -AGOO 6AL Stipf'-A D1� LA- t.' ` I + + Z�•� � ti t s, Ji -� �> t �-� �t-�E '�Ain ►L-Y ct�aC f WAX, AY f 7�Q. 1 LY �'t�r• vAj = `i 4D K 3-3U G P lr ! v�►� 1 Sc� G.f►.�...• S � T� t•..a K„ •S t L?� v�► A�.t_ A� Z G4 SF k "L r 5- = G GU G P L> 11= 4 U T--•sT'i4,L» DGZtt_N _ 8 %A. + TUT�•� �trUw � G.G�.� . � .� Ti`l . A ,L Tc'� E(2�►L'iv Tv GFA•DE G Oeorr, AN ,5A,v A,? J:�S Z7. 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