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HomeMy WebLinkAbout0085 CRYSTAL RIDGE ROAD - Health 85 Crystal Ridged : . _ 7w Cotuit P A = 056 002017 *No. FEE T } Board of Health, an�T Vz!:' k$r MA. 'idAPPLICATION FOR DISPOSALSYSTEM, CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( ) Upgrade)<Abandon( j -Xcomplete System O Individual Components Location h�dht� f� _ - Owner's Name, � ht ^ _. Map/Parcel# Address7 If _ r.J .' - Lot# �� ®� Telephone# VNM t Installer's Name ` Designer's Name 4 Address a� dies \� 16, 6d . _ Telephone# i jn� Telephone* �- �.. L' � Type of Building Lot Size Dwelling-No. of Bedrooms , Garbage grinder Other-Type of Building No.of persons Showers( ),:Cafeteria( j Other Fixtures Design Flow (min.yqj iced) gpd Calculated design flow Design flow provided.. i gpd Plan: Date Number of sheets ReNrision.Date Title .,p 1%A Description of Soil(s) v�' A' Sci1 E��aluator Form No, Name of Sr,>il Evaluatora , � 'A Date of Evaluation i DESCRIPTION OFREPAIRS OR ALTERATIONS ' t The undersigned agrees to:install the above describ Individu isposal ysem in accordance with the provisions,of TITLE 5 and, further agrees to not to place the system in operady until liance has been issued by the Board of Health... Signed s9° WAL o Cift -� Inspections _ ` ass/0 ���� �c t. FEE15 r. It- 14USETTS COMMON, IA SAG ON NS ,.. Board of Flealth, Y2v1�a"C7a0LV MA. ISPOSAL SYSTEM CONSTRUCTION PERMIT APPLICATION FOP, D V; Application for a Permit to Construct( Repair( ;) Upgrade>'Abandci,i O W_(Complete System ❑Individual Components Location - "Owner's Name, ' C- �a�ra�...�.���ao� .. ��'a�3 Can d�� 1�v�+��r Map/Parcel# Address 1iC� �� A� `CtQt1� 7 �J se�' Z Lot# � Telephone# (�A_L \V , VP& CL Installer's Name y- Desi ner's'Name .- cidess 2� /2�e'dress��U� {� c� v4o� th��t i. c Telephone#,6 C✓/L -1,(0 �j_ . (+`!a s�° �5 Telephone# EilC�- `�`1!9•� ` 1 Type of Building 4'�il.��.tS `��t�'( I:ot Size iUL `-q:"ft'.' Dwelling-No. of Bedrooms ,1h � �r ' Garbage grinder �>u✓ r _ Other-Type:of,Building No.of persons Showers O,Cafeteria( ). OtlierFixLUres . ll `` b Design Flow (min.[equi4red) L-((kku "" gpd C l ullated design flfl�" ;'k` � Design flow provided_gpd Plan: Date ! +` Nutnjer of�heets_ _ Rc�nsionDate Title 7N 1�+v G�:,,'1 ! . R ' '� a yvlse;W#-% , Description of Soil.() ; ✓�" Soil>valuator'Form No: Name' of.Soil Evalu _K_- ;,�ator 'tCVQ a'' Date ofRvaluatiori DESCRIPTION OF'REPAIRS'ORALTERATIONS C.trt ! .._ �/ ntf4'�� A�►�.. i�. - The undersigned agrees to:install the above described Individual Sewage:Disp�os l ystein in accordance with the provisions of TITLE 5 and, ,r further.agrees to not to place the system in opera n until ate of C a Certifico p cemhas been issued by the Board:of Health.. Aa b�'• W' 'Signed . r ** tlN0/ss Inspections3lISJ90 b ` t _ r FEE COMMON CHUSETTS Board of Health, �1�ta V� , MA. T,. a CERTIFICATE OF COMPLIANCE. Description of Work: ❑Intdivi ual Component(s) ❑Complete System The undersi ze h reb c-'�tif that the Sew' is oral S stem; Constructed Repaired Y Y P ) O, p� Ob Upgraded ,Abandoned ( ) by at I C pod has been installed in accordance with the pUisions of 31 0 CMR 15.00 (Title 5) and the approved, ns tin design plans/as-built pla relag to application No. ��1�5 -- 1��° dated I h i# lie Approved Design Flow (gpd). Installer J�T Designers Inspeck: . Date: The issuance of this permitshall not he construed as a,guarantee,that the system will function as designed. ♦ t Y y �OMMONWELT14 Of MASSACHUSETTS Board of Health, 1� MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT ` s Permission is::hereby,granted to;^Construct( ) 'Repair( ) Upgrado(�;A), Abandon( ) an individual sewage disposal system at l ; _e C f �;r �. ��Vt as described in.the application,for Disposal System Construction Permit No. AN, -10 ;dated q A)/h Provided: Construction shall be completed within three years of the.date o tYiiS per iii '1 local.conditions insist be met:. S �,, - Form 1255 Rev.5/96 A.M.Sulkin Co.CWdown,MA Date ")/-�/ C Board of Health µ c- TOWN OF BARNSTABLE UQCATION SEWAGE# Z �S VILLAGE e.p .0 )4- ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO,� �_, co SEPTIC TANK CAPACITY e e X g - LEACHING FACILITY:(t3Pa,,(� 9�k 4�1 116Sc�Ze X.-A size)=,,NO.OF BEDROOMS OWNER TO ru �- c Z�►�d� ey o! . 1 PERMIT DATE: �� `� ?, I _ / COMPLIANCE DATE: j I Separation Distance Between the: • ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) ( Feet Edge of Wetland Wc) X ' we4lands exist within " 300 feet of I Feet i FURNISHED BY P�fYµ k F,%4 V l , 00 66 Lj-2low 27. n Town of Barnstable Regulatory Services Richard V.Scali,Interim.Director u�nrvsmeoi.ti, i 9� MA & Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 9/17/18 Sewage Permit# �Z Assessor's Map\Parcel 56/02/17 Designer: Foresight Engineering Inc Installer: AS C' e— Address: 518 County Road Address: '�'� �� t�� West Wareham,-MA 02576 �� On. _ '''l �� �)%��C��i was issued a permit to install a (date) (installer) septic system at 85 Crystal Ridge-Road -based on a design drawn by (address) Kevin Walker dated 5/5/18 (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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' Lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and,the soils were found satisfactory. T I certify th the system referenced above was rstructed in lianc with the terms the I\A proval ers(if applicable) 5 t nstalleKs Slgnat r " lWi,41,t;u i (DeM a is Signature) (Affix DesigWi"s tamp I ere) PLEASE RE TURN TO BARNSTABLE PUBLIC H19ALTH DIVISION. CERTIFICATE, OF COMTLIANC WILL NOT IIE ISSUED UNTIL BOTH THIS FORM AND AS" BUILT CARD ARE, RE,CEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Fonn Rev 8-14-13.doc Commonwealth of Massachusetts City/Town of Cotuit Form 9A - Application for Local Upgrade Approval ^M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important:When filling out forms 1. Facility Name and Address: on the computer, use only the tab John & Brenda Walantis key to move your Name cursor-do not 85 Crystal Ridge use the return Street Address key. Cotuit MA 02635 City/Town State Zip Code 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: Single Family Dwelling with inlaw apartment addition 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): 1000 gallon septic tank to 6'x6' pit Form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 1 of 4 F Commonwealth of Massachusetts City/Town of Cotuit Form 9A - Application for Local Upgrade Approval o ^M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 400 gpd Design flow of proposed upgraded system 517 gpd Design flow of facility: 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: - 1500 gallon 2 compartment septic tank with filter, 16'x38' Quick4 Plus chamber bed with inspection port and vent 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater ft Form9a.doc•rev.7/06 Application for Local Upgrade Approval, Page 2 of 4 r Commonwealth of Massachusetts City/Town of Cotuit Form 9A - Application for Local Upgrade Approval o wM DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ® Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: To allow installation of dbox and chamber bed >36" below grade. H2O components shown with a final depth below grade of 42". If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Darren Michaelis 5/4/17 Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: Due to the depth of the existing plumbing and location of proposed septic to meet all building, pool and property line setbacks. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: Not required Form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 3 of 5 Commonwealth of Massachusetts City/Town of Cotuit Form 9A - Application for Local Upgrade Approval ,M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: Not required 4. Connection to a public sewer is not feasible: Not Available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." ' 5/7/18 Facility Ownelf s Signature Date Paf-re-*n Michaelis- Rep Print Name Foresight Engineering Inc. 5/7/18 Name of Preparer Date 518 County Road (Wishbone Way) West Wareham Preparer's address City/Town MA/02576 508-245-2148 State/ZIP Code Telephone Form9a.doc•rev.7/06 Application for Local Upgrade Approval• Page 4 of 4 : ,.� Commonwealth of Massachusetts Executive Office of Energy &Environ- mental Affairs Department of Environmental Pro ec ion One Winter Street Boston, MA 0210 ®617-292-5500 Chades D.Baker Matthew A.Beaton E�wernor Sc:;c; "ary Karyn B.Poi t. Martin Su€.berg t_le:�€�r.nt Gc�verro€ t;r,^�rrission;;r APPROVAL FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Infiltrator Water Technologies,LLC. P.O. Box 768 6 Business Park Road Old Saybrook,CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 !jigh Capacity chamber, Quick4 High Capacity HD chamber,LQuick4 Plus ig'h apacify-c i 8" inch invert Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber,'Equalizer 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP(Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert) (hereinafter the "System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,2015,modified June 12,2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental Protection hereby issues this Certification to: Infiltrator Water Technologies, LLC., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. oj,94 - June 12,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate farrnat.Call Michelle aters•Ekanern,Diversity Director,at 617-292-5751, rrY#NdassRelay Service 1.NO-439-2370 si'E P;,--ebsile..r.,-l:r.mass. ov;del, C:,-41ed on 2ecvc er1 wager • i � Infiltrator Chamber,Infiltrator Water Technologies. Page 2 of 6 Approval for General Use—June 12,2015 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP (6-inch invert) 16 x 48 x 8 62 Quick4 Equalizer 24 LP (2-inch invert) 16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 CQ'uick4 aS nda 34 x 48 x 12 8 Quick4 Plus Standard(5.3-inch invert) 34 x 48 x 12 5.3 Vuick'4'P1us_Stap (8--incl�in.rt?) 34 x 48 x 12 8 Quick4 Plus Standard LP (3.3-inch invert) 34 x 48 x 8 3.3 Quick4 Plus Standard LP (8-inch invert) 34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-20'Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Plus High Capacity(8-inch invert) 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 135 ' This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. z Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. i Infiltrator Chamber,Infiltrator Water Technologies. Page 3 of 6 Approval for General Use-June 12,2015 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 4. For new construction or upgrades, the applicant can size the System in a trench configuration,using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching Leaching Area Area SF/LF SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP (6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP (2-inch invert) 2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard(5.3-inch invert) 6.20 N/A Quick4 Plus Standard(8-inch invert) 6.96 N/A Quick4 Plus Standard LP (3.3-inch invert) 5.65 N/A Quick4 Plus Standard LP (8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20' Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A 6 Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. '. Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. 8. Effective leaching area is equal to 1.0(3 +(2x invert Height))for Systems with a width greater than 3 feet. 9. The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. I `7 Infiltrator Chamber,Infiltrator Water Technologies. Page 4 of 6 Approval for General Use—June 12,2015 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration,using the effective leaching areas presented in Table 3. Table 3: ffectiveL—eac-in Xrea for Bed or Field Configuration New �Construction and Remedial��ites Effective Model Leaching10 Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2.23 Quick4 Equalizer 24 LP (6-inch invert) 2.23 Quick4 Equalizer 24 LP (2-inch invert) 2.23 Equalizer 36 3.06 Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Quick4 Standard HD 4 n. Quick4 Plus tandard(5.3-inch invert 4.73 C--uic-kA-P•1•i S S-ta-Rd-ar-d4-8-inch-in—next) 4.73 Quick4 Plus Standard LP (3.3-inch invert) 4.73 Quick4 Plus Standard LP (8-inch invert) 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 High Capacity H-20' Chamber 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Capacity(8-inch invert) Quick4 Plus High Capacity(13-inch invert) 4.73 10.Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. II. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval,the System shall comply with the"Standard Conditions for Alternative SAS with General Use Certification andlor Approved for Remedial Use" (the I r Infiltrator Chamber,Infiltrator Water Technologies. Page 5 of 6 Approval for General Use—June 12,2015 'Standard Conditions'), except where stated otherwise in these Special Conditions. New Construction..This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow, for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section Il Design and Installation Requirements of the Standard Conditions. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades, as provided in Paragraph 7 in section 11 Design and Installation Requirements of the Standard Conditions The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration, then the system shall comply with these requirements: a) Length (each trench) 100 feet maximum(310 CMR 15.251(1)(a)); b) Width(each trench) 2 feet minimum to 3 feet maximum (310 CMR 15.251(1)(b)). - Chambers greater than 3 feet wide,when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench,whichever is greater, or where the area between trenches is designated as reserve area,three times the effective width or depth of each trench,whichever is greater(310 CMR 15.251(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per side) of side wall area for each trench(310 CMR 15.251(1)(e)); e) Trenches shall be situated, where possible,with their long dimension perpendicular to the slope of the natural soil. Where possible they shall follow the contour lines (310 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es) flowing into the lower trench(es) (310 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(310 CMR 15.251(4)) - Chambers greater than 3 feet r Infiltrator Chamber,Infiltrator Water Technologies. Page 6 of 6 Approval for General Use—June 12,2015 wide,when specifically approved, shall be separated by three times the actual width and are subject to other Special Conditions and limitations; and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (310 CMR 15.251(11)). 7. When installed in trench configuration, approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber, or where the area between trenches is designated as reserve area, three times the actual width of the chamber; and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 49 When installed in a bed or field configuration,the System may be installed without distribution piping,but must comply with the following requirements in 310 CMR 15.252: I, the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field(310 CMR 15.252(1)); the maximum length of chambers in series shall be 100 feet(310 CMR 15.252(2)(b)); 10) separation distance between adjacent beds/fields shall be ten feet(310 CMR 15.252(2)(0); and l the effective leaching area shall include only the bottom area,not the sidewalls (310 CMR 15.252(2)(i)). 9. For Systems constructed in fill and installed, the System shall be installed as specified in 310 CMR 15.255 Construction in Fill, except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 1( The System is exempt from 310 CMR 15.287, specifically items: (5)requiring written notification of alternative system prior to property transfer, (6)need for a certified operator, (9)need for an operation and maintenance contract with an operator and(10) deed notice requirement. i Date: 5/4/2018 Commonwealth of Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Darren Michaelis, CSE Witnessed By: Desmarais, RS BOH Agent Location: Iside yard Address: 185 Crystal Ridge Owner: lWalantis New Construction: Yes Repair: Office Review Published Soil Survey Available: Year Published: 1969 Drainage Class: Well Publication Scale: 1:20,000 Soil Limitations: None Soil Map Unit: Surface Geologic Report Available: Year Published: Geological Material: Outwash Landform: Terrace Publication Scale: Map Unit: Soil Map Unit: Flood Insurance Rate Map: Above 500 year flood boundary: Yes Within 500 year flood boundary: Within 100 year flood boundary: Wetland Area: National Wetland Inventory Map (Map Unit): Wetland Conservancy Program Map(map Unit): Current Water Resource Conditions (USGS) Month Ma Range: Above Normal IYes Normal Below Normal Other References Reviewed: I , On-site Review Deep Hole Number: 1 Date: 5/4/2018 Location (identify on site plan) see plan Time: 10:30 Land Use: Residential Vegetation: Lawn Weather: 65/Overcast Surface Stones: None Slope(%): 0-1 Landform: Terrace Position on landscape(sketch on the back) Distances from: Open Water Body > 100 ft Drainage Way > 25 ft Possible Wet Area > 100 ft Property Line > 10 ft Drinking Water Well > 100 ft Other DEEP OBSERVATION HOLE LOG Depth from Other(Structure, Stones, surface Soil Boulders, Consistency,% (inches) Soil Horizon Texture(USDA) Soil Color Soil Mottling Gravel) 0-9" A Sandy Loam 10YR 3/3 Massive, Friable 9-16" B Sandy Loam 10YR 5/4 Massive, Loose 16-36" C1 Loamy Sands 2.5Y 6/4 None Single Grain, Packed 36-120" C2 Med. Sands 2.5Y 6/3 Single Grain, Loose Parent Material (geologic) Outwash Depth to Bedrock >120" Depth to Groundwater: >120" Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Groundwater: 120" On-site Review Deep Hole Number: 3 Date: 5/4/2018 Location (identify on site plan) see plan Time: 10:45 Land Use: Residential Vegetation: Lawn Weather: 65/Overcast Surface Stones: None Slope(%): 0-1 Landform: Terrace Position on landscape(sketch on the back) Distances from: Open Water Body > 100 ft Drainage Way > 25 ft Possible Wet Area > 100 ft Property Line > 10 ft Drinking Water Well > 100 ft Other DEEP OBSERVATION HOLE LOG Depth from Other(Structure, Stones, surface Soil Boulders, Consistency,% (inches) Soil Horizon Texture(USDA) Soil Color Soil Mottling Gravel) 04. A Sandy Loam 10YR 3/3 Massive, Friable 9-16" B Sandy Loam 10YR 5/4 Massive, Loose 16-36" C1 Loamy Sands 2.5Y 6/4 None Single Grain, Packed 36-120" C2 Med. Sands 2.5Y 6/3 Single Grain, Loose _T Parent Material (geologic) Outwash Depth to Bedrock >120" Depth to Groundwater: >120" Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Groundwater: 120" f On-site Review Deep Hole Number: 2 Date: 5/4/2018 Location (identify on site plan) see plan Time: 11:00 Land Use: Residential Vegetation: Mulch Weather: 65/Overcast Surface Stones: None Slope(%): 0-1 Landform: Terrace Position on landscape(sketch on the back) Distances from: Open Water Body > 100 ft Drainage Way >25 ft Possible Wet Area > 100 ft Property Line > 10 ft Drinking Water Well > 100 ft Other DEEP OBSERVATION HOLE LOG Depth from Other(Structure, Stones, surface Soil Boulders, Consistency,% (inches) Soil Horizon Texture(USDA) Soil Color Soil Mottling Gravel) 0-12" A Sandy Loam 1 OYR 3/3 Massive, Friable 12-16" B Sandy Loam 10YR 5/4 Massive, Loose 16-36" C1 Loamy Sands 2.5Y 6/4 None Single Grain, Packed 36-126" C2 Med. Sands 2.5Y 6/3 Single Grain, Loose Parent Material (geologic) Outwash Depth to Bedrock >126" Depth to Groundwater: >126" Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Groundwater: 126" On-site Review Deep Hole Number: 4 Date: 5/4/2018 Location (identify on site plan) see plan Time: 11:15 Land Use: Residential Vegetation: Mulch Weather: 65/Overcast Surface Stones: None Slope(%): 0-1 Landform: Terrace Position on landscape(sketch on the back) Distances from: Open Water Body > 100 ft Drainage Way >25 ft Possible Wet Area > 100 ft Property Line > 10 ft Drinking Water Well > 100 ft Other DEEP OBSERVATION HOLE LOG Depth from Other(Structure, Stones, surface Soil Boulders, Consistency,% (inches) Soil Horizon Texture(USDA) Soil Color Soil Mottling Gravel) 0-12" A Sandy Loam 10YR 3/3 Massive, Friable 12-16" B Sandy Loam 10YR 514 Massive, Loose 16-36" C1 Loamy Sands 2.5Y 6/4 None Single Grain, Packed 36-126" C2 Med. Sands 2.5Y 6/3 Single Grain, Loose Parent Material (geologic) Outwash Depth to Bedrock >126" Depth to Groundwater: >126" Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Groundwater: 126" r Commonwealth of Massachusetts Percolation Test Date: 5/4/2018 Time: 11:00 Observation Hole# 1 2 Depth of Perc 32-50" 36-54" Start Pre-soak 11:12 11:15 End Pre-soak 11:17 11:30 Time at 12" 11:17 11:30 Time at 9" Time at 6" 11:24 11:25 Time from 9"-6" Rate Min./Inch <2 mpi <2 mpi Site Passed: Yes ISite Failed: Performed By: Darren Michaelis, CSE Witnessed By: IlDesmarais, BOH Comments: 24 gallons poured during presoak DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: None Depth observed standing in observation hole Dinches None Depth weeping from side of observation hole Dinches None Depth to soil mottles 0 inches None Ground water adjustment Ofeet Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Ground Water level 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? IYes If not, what is the depth of the naturally occurring pervious material in the area? Certification certify that on 5/6/97 (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 Date 5/4/2018 f 'town of Barnstable 7 RECEIPTS tsa�vs-tnt . MASS Main Street� ym H aiss MA 02601 508-862-4038 16 � ,¢ �ATFO MA't a, Application for Building Permit Applicat' o: TB-18-1485 Date Recieved: 5/13/2018 Job' o!ation: 85 CRYSTAL RIDGE OAD, COTUIT Permit For: uticl++►g� - nground Contractor's Name: MCGONIGLE CONSTRUCTION INC. State Lic. No: 184888 Address: 27 NELSON SHORE RD., LAKEVILLE, MA Applicant Phone: (508) 923-0626 02347 (Home)Owner's Name: WALANTIS,JOHN H & BRENDA J Phone: (508)274-3343 (Home)Owner's Address: P O BOX 1673, COTUIT, MA 02635 Work Description: Construction of a 20'x 36' inground pool. Pool walls will be galvanized steel with vinyl liner. Total Value Of Work To Be Performed: $26,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area l hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he tiles his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Tim McGonigle 5/13/2018 (508)923-0626 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $26,500.00 i Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $175.00 5/21/2018 $125.00 XXXX-XXXX-XXXX- Credit Card 2044 Total Permit Fee Paid: $175.00 5/21/2018 $50.00 XXXX-)OM-xxXX- Credit Card 2044 THIS IS NOT A PERMIT F Doi_-1,349i �516 06-29 BARNSTABLE LAND COURT REGISTRY GRANT OF RESTRICTIVE COVENANT Whereas,Jelin K Walantis and Brenda I.Walantis,owners of the property located at 85.Crystal Ridge Road,Cotuit,_Massachusetts 02635(Parcel LD#056- 002-017))by deed recorded with Barnstable County District of the Land Court at Certificate 172867 Whereas,John H.Walantis and Brenda I:Walantis,owners of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can.be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit.in compliance with 3.10 CMR. 15.000 State Environmental Code;Title V,Minimum Requirements for the. Subsurface;Disposal of Sanitary Sewage; Whereas;Town of Barnstable Board.of Health as a pre-condition to granting a disposal works:construction permit in compliance with 310 CUR 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and authorizing the issuance of a building permit.for the construction of a single family home on this property,is requiring that the' agreement for the restriction on the number of bedrooms in any house constructed on the lot.be put on record with the Barnstable.County registry of Deeds,by recording this document, Now,Therefore,John H,Walantis and Brenda I.Walantis;do hereby place the fallowing.restriction on the above-referenced land in' accordance with the Agreement with the Town of.Barnstable Board of Health,.whichrestriction shall run with the land and be binding upon all successors in title: 1. 85 Crystal Ridge Road,Cotuit,Massachusetts 02635 may have constructed upon the Lot a house containing no more than four.(4.)bedrooms: John H Walantis and Brenda 1.Walantis agree that this shall be permanent deed restriction affecting 85 Crystal Ridge Road, Cotuit,.Massachusetts 02635 (Parcel ID#056-002-017)For title.see:deed recorded with Barnstable County District of the.Land Court at Certificate 172867 a ..._........... _ Executed as an instrument under seal as of this 26 day of June, 2018. ohn Walantis, Owner : Brenda J. %al itis, Owner COMMONWEALTH Or MASSACHUSE I'rS Plymouth, ss G June 's 2018 On this 28 . day of June,2018,before me,the undersigned notary public, personally appeared.John H. Walantis and Brenda J. Walantis,Proved to me through satisfactary,e�adenee of identification,which was Massachusetts.driver license,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that He/she signed it voluntarily for its stated purpose_ Sear rNotary P lie My Commission Expires: (/ �' � ritrt ritrgy p. ( i t���yOWfy0 0 s i NO t'tttttt.ututttt•�, 0 �nn II N K V1 AV}� K' r� N 0 h+ BARNSTABLE REGISTRY OF REEDS 1A John Bade, ......._._ _... g ter _._... I € .-F1Y�Off"Inc=_DS L¢ • jf A"£"F..''':'::k.J,..)-Yy.£fib i k Y::::l i I 1 j( w . jldAP ECOJECH PARCEL ; ®z Environmental 3 +' LOT wweco-tech.us w. - - THIS FORM IS A FACSIMILE OF THE STANDARD SEPTIC INSPECTION FORM ISSUED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION(revised 6/15/2000) TITLE 5 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSME SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM oy PART A CERTIFICATION Property Address: 85 Crystal Ridge Road Cotuit Owner's Name: John and Ann Mitro Owner's Address: P.O. Box 765 Cotuit ,MA 02635 Date of Inspection: March 24,2004 Name of Inspector: (Please Print) David D. Coughanowr,R.S. Company Name: Eco-Tech Environmental Mailing Address: 43 Triangle Circle Sandwich MA 02563 Telephone Number: (508)364-0894 CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. I am a DEP approved system inspector pursuant to section 15.340 of Title 5(310 CMR 15.000). The system: X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature �`� Date: Xvch 2S, 4- 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 system owner and copies sent to the buyer, if applicable,and the approving authority NOTES AND COMMENTS Inspector's Note—> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 r i Page 2 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 INSPECTION SUMMARY: Check A,B,C,D or E/ALWAYS complete all of section D: A] System Passes: Yes I have not found any information which indicates that any of the failure criteria described in 310 CMR 5.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B System Conditionally P] y y asses: 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,or ND). in the_for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not),is structurally unsound,exhibits substantial infiltration or exfiltration,or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or breakout or high static water level in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced. ND explain The system required pumping more than four 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 2 Page 3 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 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 and environment. 1 System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or-privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2) System will fail unless the Board of Health(and public water supplier,if any) determines that the system is functioning in a manner that protects the public health,safety,and environment The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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 by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 3 Page 4 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 D)System Failure Criteria applicable to all systems: You must indicate either"yes" or"no" to each of the following for all inspections: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. yes no X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high groundwater elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well X Any portion of a cesspool or privy is within 50 feet of a private water supply well X 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 by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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) No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore, the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E)Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes" or"no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 Check if the following have been done: You must indicate either"Yes" or"No"as to each of the following: Yes No Y _ Pumping information was provided by the owner,occupant or Board of Health. N Were any of the system components pumped out in the last two weeks? Y _ Has the system received normal flows in the previous two week period? N Have large volumes of water been introduced to the system recently or as part of this inspection? Y _ Were as built plans of the system obtained and examined?(If they were not available as N/A) Y _ Was the facility or dwelling inspected for signs of sewage back-up? Y _ Was the site inspected for signs of breakout? including Y _ Were all system components,egg the SAS. located on site? Y Were the septic tank manholes uncovered, opened,and the interior of the septic tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge and depth of scum.? Y _ Was the facility owner(and occupants,if different from owner)provided with information on the proper maintenance of subsurface disposal systems? For information on the proper maintenance of subsurface disposal systems please go to: WWW.ECO-TECH.US . The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Y _ Existing information.For example,Plan at the Board of Health. Y _ 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(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 FLOW CONDITIONS RESIDENTIAL 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 gpd Number of current residents 2 Does the residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): no :(If yes, separate inspection requiredl Laundry system inspected (yes or no): n/a Seasonal use(yes or no): no Water meter readings, if available(last two year's usage(gpd): 262 gpd Sump Pump(yes or no): no Last date of occupancy: current COMMERCIAL/INDUSTRLA L: Type of establishment: Design flow(based on 310 CMR 15.203):: gpd Basis of design flow(seats/persons/sqft/etc.): Grease trap present: (yes or no)_ Industrial waste holding tank present: (yes or no): Non-sanitary waste discharged to the Title 5 system: (yes or no). Water meter readings,if available: Last date of occupancy/use:_ OTHER: (Describe): GENERAL INFORMATION PUMPING RECORDS Source of information: System not pumped in recent past(Owner) Was system pumped as part of the inspection: (yes or no) No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM: X 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/Alternate technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe) APPROXIMATE f AGE 1 G o al components,date installed(if known)and source of information: Age: 14+years Certificate of Compliance issued 9/13/89(BOH permit#89-328) Were sewage odors detected when arriving at the site: (yes or no) no 6 Page 7 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 BUILDING SEWER_(Locate on site plan) Depth below grade: 2 ft Material of construction:_cast iron X 40 PVC other(explain) Distance from private water supply well or suction line 20+ Comments: (on condition of joints,venting,evidence of leakage,etc.) Sewer is vented through roof and appears structurally sound with no evidence of leakage or backup into dwelling SEPTIC TANK:Yes (locate on site plan) Depth below grade: 15 inches Material of construction: X concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal,list age_ Is age confirmed by Certificate of Compliance_(yes or no):_(attach a copy of certificate) Dimensions: 8.5 ft x 5 ft x 5 ft(1000 alg lon) Sludge depth: 6 in Distance from top of sludge to bottom of outlet tee or baffle: 28 in Scum thickness: 1 in Distance from top of scum to top of outlet tee or baffle: 9 in Distance from bottom of scum to bottom of outlet tee or baffle: 14 in How dimensions were determined: Probe to top of tank Comments: (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Pumping not required at this time but maintenance pumping is recommended every 2 years Liquid level at outlet invert.Tank and tees appear structurally sound and functioning as intended.No evidence of leakage in or out GREASE TRAP: none (locate on site plan) Depth below grade: 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: 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 Page 8 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 TIGHT OR HOLDING TANK: none (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/day Alarm present(yes or no):_ Alarm level: _ Alarm in working order(yes or no):_ Date of last pumping: Comments:(condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: Yes (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: at outlet invert Comments:(note if box is level and distribution to outlets is equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.) D-box appears structurally sound with no evidence of leakage in or out Effluent level at outlet invert Few solids in tank. PUMP CHAMBER: none (locate on site plan) Pumps in working order: (yes or no) Alarms in working order: (yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan;excavation not required) If SAS not located,explain why: Type: X leaching pits,number 1 _leaching chambers,number _leaching galleries,number _leaching trenches,number,length _leaching fields,number,dimensions _overflow cesspool,number —innovative/alternate system Type/name of Technology Comments: (note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) Soils above leaching pit appeared unsaturated.No evidence of surface ponding breakout,lush vegetation or other evidence of hydraulic failure was observed. Leach pit contained 6 inches of effluent. CESSPOOLS: none (cesspool must be pumped at time 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 or no): Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.): PRIVY: none (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.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 85 Crystal Ridge Road " Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 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 within 100'(Locate where public water supply enters the building) LEACH D-BOX 0 2 O PIT LOCATIONS 3 SEPTIC o A B TANK 0 1 11.5 ft 27 ft 2 23.5 Ft 34 ft 3 33 ft 29 ft A g EXISTING DWELLING #85 w Z J W W F- 3 I CRYSTAL RIDGE ROAD NOT TO SCALE 10 i Page 11 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 85 Crystal Ridge Road Cotuit Owner: John and Ann Mitro Date of Inspection: March 24,2004 SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to groundwater: 35+ feet Please indicate(check)all methods used to determine high ground water elevation: X Obtained from system design plans on record-If checked. date of design plan reviewed 8/3/89 Observed Site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of health-explain: Checked local excavators,installers-attach documentation) X Accessed USGS database You must describe how you established the high ground water elevation. Approved desigp plan on file with Board of Health shows bottom of system to be 4.9 feet above the bottom of a test pit in which no water was encountered.Barnstable GIS department records indicate that the property is over 35 feet above groundwater table. 11 � 1 ..............c _ YF} _"... ..... __.. .. ." ...__....... _ .."... ._..... .... ........_P oF5'F'OuNoenoN E ,4.,, _.... ovAe E c vc _.... ... OIL DATA6/26/92 IN BH GRADE AT FOU DA ON EL'G2.b- P EM x xuM a r xw[cnw cwt wt xtP ra IuiSH GRADE OVER DIST BOK EL:VT.:ST I �GTH+GCNI ' WISH vRApE OVER i K EL' nm.nssnc aLAwt EAV OUT F AN t-1 .. B"M N 4 E '�:: rpl.!) to mn.:m�x�wrw IS,PIT S0.r2..:c.F _ __ I _�.,.Ga'P:R PEe a.x., _CL I - a"VENT r n .w , L UP• EL TPER E RA 9 6" - ------ PROVIDE WATERTIGHT i .10 MS(ttP.) ,m 3 DERTH OEE PERC 3 3_ IL. [ 4'PVC N FRO I a•IO..a_ f_ . rOO �L EPTIC TANK fACG fACILrtY I GILTCR FABRC 0 ru 1 12"MIn. ,.: "SOLID PVC sCH 4 OVER CHAMBERS BREAKOUT E � P. 0 wcRn[sln¢ AB" _ A' EL=^B.J CON"R TTRrI C rrt Knn RM[ - ��iLfl . THIN 6/5 �xP ,o"""'o"[ - ER I OJICK4 CHlA1BER Bf CO'dFtCUFA nO.h N 4f.IS J'IL �e15 0_ 12' 1V. w[amxL[ I uvn rKwtgM w 3 CUR N ' „p[[pnrzn tNx,n 5 OUTLET DSTft BUION SO%W/POURED BAFFLE IEL.=9C.6% fB W%Sli L LEACHNG AREA \ _ 48, 2m5y 95.. TO BE SET ON 6'OF CRUSHED STONE WITH 0 CHAMBERS O 4' PLACED ON A COMPACTED LEVEL OAST F RST 2 OF OUTLET PPES i0 BE ////u// \\tl\\\P !� - +f t0 DE SET ON fi"OF CRUSHED STONE INS LEVEL AS PER iTLE V. MI OFFSET FROM N�0 LOADIND WATER 25Y /:• .Sr 6/ Pucfp ON A COMPACTED LEVEL BASE rourvDATDN CHAMBER PROFILE EL•R2 DRr ' FI20 LOADING SEPTIC TANK PROFILL. DISTRIBUTIOA' BOX DETAIL N.T.s. STANDARD OpfLK4 PLUS CHA1.18ER N.T.s. N.T.S. . GENERAL NOTES CONE. BOUND E`=1) THIS SEWAGE OSPOSAL SYSTEM SHALL BE CONSTRUCTED N CONFORMING wpn 1"E '''/Fs 96 CRYSTAL RIDGE PEGUUTONS OF TITLE 5 OF THE STATE ENVRONMENTM GU CODE AND THE RELATIONS OF u. THE LOCAL BOARD OF HFALTH ER STARR I) THE LOCAL BOARD OF HEALTH AND THIS FIRM ARE 70 BE NOTIFIED: { (A)PRIOR TO BEGNNNG CONSTRUCTON N THE ExUVATON FOR THE PURPOSE OF SOIL \ E TO 0 F PER EABLE ER (B)PRIOR,TO BAC COMPLETED SYSTE FOR THE PURPOSE 0 PERFORMING NATURAL FILL STONE WALL - AN A S B1 SPEC D ? (C)PR OR TO COS E SYSTE x_✓, N ER OTHER SHOWN 0 THIS �. .r!++. E.i'' <K'. ofsc - a •.'rJE ..N"I3� R'5800... L-27 7l AND ! ' S` SR. EL•VA.4:F.>' A) ALL SEPTICC SYSTEM COMPONENTS SHALL WITHSTAND n-ID OR H 2OLDAOING AS NOTED ON . ""--'- r PLAN IRON PIPE(vi'" - 5) WHERE REOV RED CONTRACTOR WILL REMOVE ALL LOAM.SUBSOIL OF OTHER UNSUITABLE T MATERIAL N THE AREA BENEATH AND FOR 5 FEET M ALL SOTS OF THE LFALH NG FAC FREE II C - - I THE CONRACTOR SHALL REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE `\\ FROM CUT FINES OR OTHER UNSUITABLE MATERIAL REPLACEMENT[MATERIAL 70 HAVE AN _v •f /o IN 6) POF LACE EEDExE 0 O BE SEO D OSLL EM UNLESS _ 01 ER SE NOTED.NO-OF- _ N. U_'JREI.NFORCED RE'%A/NIIdC WALL C ISPEN, W i" AR ML NOT 10 SCALE B CC fl1, R UE. S G (C C C. i4 0 ANY E.A A O - S S 7,1 THE OE c� R��E_ NTBACKMP 122 WHITMAR ROAD t/ \ " �{ -/� k %!, \�'�`,�'s9 •,S> I) E EFFLUENT F INsiAUE O S ROUTINE MENANLE P T 11)TIE 31DCMRMRACSTOKR IS TO DECONN SSK)N THE EXISTING SEPTIC SYSTEM IN ACCORDANCE WITH CAPEN I \ 1 � y .';�� WELL NOTE , A t 1 THERE ARE NO SURFACE WATER SUPPLIES OR GRAVEL PACKED PUBLIC WATER SUPPLIES WITHIN \�� > ADO P F OF PROPOSED SYSTEM LLSCY C 79 ` THERE ARE NO UBULAR UBLC WATER SUPPLES WITHIN 250 FT OF THE PROPOSED SYSTEM. �' ' / �i F l !3J TnER[ RE P ATE WA SUPPLES WTHN ISO R OF PROPOSED SYSTEM..IN IPAN 1Y E ET/ILi) ONES SHOWN ON PLAN Rearsos DESIGN CAPACITY REQUIRED AVE - [ �� ~ An. wn: OEscaPTroM er A BEDROOMS•AT 11O /OAT/BORN •.IO ~\ ( _ / / M SEPTIC TANK VOLUME SEE (c !2ic;_��/� GALS%TWIT FFO GALS DESIGN CAPACITY MINIMUM OF 1500 GALLON 2 C0MPMi1MEN1 TANK REOUIRED SYSTEM CAPACITY PROVIDEDOIL—CAPACITY CAPACITY REOURED=4 T / 0 GPO/SF-:.?t S.F. - 34 S F./4)3 SS/L.F. L.F. ,/ SE LEACH LD ''ROWS OF(B)K CHAMBERS r(;)2 ENDGPs/ROW �21 "._( 3Y /• % a¢ � PROPOSED LEMH FIELD 12"0 s fG'W• 9F'L LOCSF S .0 ::1 CAPACITYPROVIDED=(s5)K CW.NBEM♦(,)) 3'ENpCAPs= LF_ t•..f LETaI� Ill L 14.73 S.F/L.f.) 8 6r SF.. 0660 GPD/Sf 5,7 GPD b. PROPERTY INFORMATION "' LAN.LOURT ;.1:233' LAND COURT.2:.A. :: �,/ /�, / 9 PLAN TITLE 136 WHITMAR ROAD Y . . ASSESSORS MAP/LOT.56/02/' v ` SMITH & CHAN �� LOT AR�?A `� 5 ' 3R'3'fRl•F.D F'VR LS O.(F wrz _L /65/ 2 SEWAGE DISPOSAL SYSTEM UPGRADE DESIGN LEGEND 1.01 �f a \ G 59 • Cw1IIRERS CEIIERAL PREPARED FOR: R<,YDa BAIwNP.n -- MOO--- E%ISDNG CONTOUR ZH RO 'EF jT 12( _ �/I / �x� - 55 CRYSTAL RIDGE CUTLL•/T llA�•sOL]o —,00— PROPOSED CONTOUR FN-N'O� E>. s_P.-.. ' VARCA r EST PIT GRAPHIC SCALE LDCATED AT 85 CRYSTAL RIDCE ROAD � IRON PIPE SEPTIC TANK o QC-.,_ COTUIT, MASSACHUSETTSI GIST.BOX P�SNPM q v 0 0 wrz 6�ti\/Ia /J-Y.? etL� xrIG � WELLIRON PIPE (]N FEET\\ // FO RETT Of WETLPrvOOh 30 fL LIMENClNEE /VC. - ER LINE LOCJS ur RHEAD WIRES '� f � o/ � - f TOWN OF/BARNSTABLE LOCATION Lo+ 1-3 SEWAGE # � � " 3 Z� ►'IL:. lGE �O TJ r �' ASSESSOR'S MAP Q LOT 1 `\INSTALLER'S NAME & PHONE NO. %501( --)7 1 - `y o_ SEPTIC TANK CAPACITY � tiC_d��l ((0�15 LEACHING FACILITY:(t7pe) LIP fl G1^ B ' (size) 0 O C4 a N. NO. OF BEDROOMS PRIVATE WELL OR PUB�WATER i © BUILDER OR OWNERS tl ` d C.0,1 RATE PERMIT ISSUED: A Ja) - 1 q<44 DATE COMPLIANCE ISSUED- �� 3 VALIANCE GRANTED: Yes No r� s It 331 -z3 6 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF�H�ALTH _ �Wk..............OF.........f ......:.... � J- _..-............... Apprtration for Uiipuual Workii Tonutrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system at: . « _.. ._.._. .... ..... ___......... =Lo on...dd ss -^_•_••. - .. 1-:-.« .�..No-- ..............«....«. ..Addre ..... ................ Installer Address �'J� /�jjl Type of Building Size Lot__...+._....�...............Sq. feet Dwelling.—No. of Bedrooms.............._......._.....................Expansion Attic ( ) Garbage Grinder (.'/8) Other—Type of Building No. of persons____________________________ Showers ( ) — Cafeteria ( ) QOther fixtures .......................................J FL ..._.._.._.._........__ W Design Flow......... ..(. ....:. ,,-��_,--qq_--��..gallons per pes r qr day. Total d�ily �Pw............... ..........._..... ons� f� Septic Tank—Liquid capacit _(,r-ugallons Length_ _ __&._: Width:'�f,.J.0... Diameter:............... Depth_. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area............ .sq. ft. 3 Seepage Pit No....../............ Diameter..l_.�...... Depth below inlet_ m.S�...... Total leaching area.24—-S.......sq. ft. Z Other Distribution box Dosing tank ( ) 0-4Percolation Test Results Performed b)......�' :.._...Q.v U..._ .._. _ P� ............... Date__................,....}'.__.... ..�_.. ,.a Test Pit No. L.��minutes per inch Dept of Test Pit._l��..__ Depth to ground water.(!�.�� ....... f? Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ..........:............... .................. .......... ... 0 Description of Soil.....................•--••--•---......--•-•-•-•-•----•--..................---•-•----•----...---......-•----...._........._.....---...--------•---•-....---••-........_.. W ._....-•-•-•--•-••••------.-•---•--....-••-•-----•--•-•---•---•••••••••••••-••----•-------•-••-••-••-----••••••-----••--•••••-=•••-•.............•--••••---••---...---•-........................._...... VNature of"Repairs or Alterations—Answer when applicable............................................................................................... ...-•--•---------------•----•--...--•-----------•-•---•--•--.._._...--•-•-----...__........--•-••-•---••------.....----------•-------...----......----------•--._.._..--•-•••.._.__.....---............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy em in ac nce with the provisions of.:I':LZ 5 of the State Sanitary Code— The undersigned further agr o to pla a system in operation until a Certificate of Compliance has been issued by the board of hea th. Signed............;/s ✓........ .y... _ ...-- •- - - --- -------1 /�/, .... Application Approved By..__f..... . . - .............Date . Disapproved for the following reasons---------------•--•--•-••---.............--•---._.........--•--...-----------........--••--..._•-------......«.. ----•---.......-•----------------------------------------------------•---.............__........_.........__.:._...-•----......__....----.....---...._.........--••---•-••-•_-•-_..__._......---.......« Date Permit No...:.g.../...":.. ... Issued----- .................. Date A ��✓ THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ° Aj101ir4,tion for Diupu,ial Works Tonotrurtiun Perm- it - '..%\Application is hereby made for�a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --................--... �-...T .(. . ' s -•�� - nt .. -•••• •Location-Address or Lot No. , ................-.... ?N� l �ll . - �• �!2' e1G',-n ;! r { .O`w�nier r /J/f �t Ad�dre�jss�J _....;;_ . .. /!I/l,ilf,/1•/,�/�� r f.!/A! ...................................... .........-•---� pq ( / Installer Address / � VType of Building 2� Size Lot_______________ Sq. feet r. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (111) aOther—Type of Building U/4r _ 9A*W No.of persons____________________________ Showers ( ) — Cafeteria -� Q Other fixtures -------•------------------------------ ;L......................................................... WW Design Flow........../_L_O....................gallons per pessom per day. Total daily flow............... .�.__......_gallons. WSeptic Tank—Liquid capacity.; .gallons Length_��___-6o... Width_ ,-f ba" Diameter:............... Depth__ .-/L.... x Disposal.Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area_._._._...__r_..sq. ft. 3 'Seepage Pit No....../............ Diameter...I-�......... Depth below inlet_�a__r__.T...... Total leaching area'2:¢'C_-_____sq. ft. Z Other Distribution box Dosing tank ( ) `"' Percolation-Test Results Performed by....__-�-1:..___V0("(j_G ..../�__...._.�!................ Date-__........_...._......._ ......_..... Test Pit No. I___�z'minutes per inch Depth of Test Pit__d. _ ...__ Depth to ground water rtUr> _ .... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ •-------•..........................................................••-•-••-.............- ------------••••-•••--•--....._.._------ .....__....-. ODescription of Soil.....................................•--•---•--•-••-•-•-•-------•------••----...----------------•-----------..._.__......------•---.._._._...............--••••-........ UNature of Repairs or Alterations—Answer when applicable....................... ................................................................ ----•..................•-----------•------------....---------------•----•-----•-----•--............----------------------------------------------------•----------------------------.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in'ac��nce with the provisions of TITL Z 5 of the State Sanitary Code— The undersigned further agrees notl to plac//the system in operation until a Certificate of Compliance has been issued by the board of health. Signed _ -t 4 ...� .!`... r ..j.............. D e Application Approved BY !�.C1_.ed = .......7~;77 Date Application Disapproved for the following reasons:......................................•_------___......._..___.._._..--_...-____..._..._._......_...._._...._.. --•••••-••-•-•--••-------•---.._..••.................................•---••••----•----•-••----------.......---•--.....__....--•--._.._._......---•-•--•-----------........•----....-_._...-•••-.......... te "� '"� o l Permit No..:. ...,.. -- Issued._.._ ..._.... Date ----•---.a......... . .+ wei,.frw4+w. ...... •a.-.cre..-..,.�-.erm n.wrwwNwT a w.. ., raw..w1-MbwRa,.vw.�•w�...�.-..rr n.r....e.....,. . n.r..-wr.w- .. --..-_..—_—...a».-...«-rnw..e..�......o-....+-.-........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -TOWN........OF.............A LE5 ....... Trrtif iratr of Tompliatta THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed (A) or Repaired ( ) by...: 7 C :...__ _....... ••--••-.....•--•.......-•••_---_•-------•---•••••--••--•....-•--...-----•-•-••-•..............................•••--•._....._•---••-- Installer has been installed in accordance with the provisions of TIi'LE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._-- '�__W-0?,?$___._.. dated-_-7;'--"'- ?........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. a DATE................._.=--/ ' ' ..... ....... .....0 Inspector...----_-- •,---- - -----_- p--------------•owN•i:N---- .n----wonw.----......----.n-- r.nnw -------w----.---0-------- mn4•--------­---­ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �" " ........... /-.�� ?�1.....oF.... •--•------•..............•--........ � •�•'- N o. _... Fes.. 19ioorood- orko Tonotrudion rrrmit . Permission is hereby granted -:�..--•---------_ to Construct (, ) or Repair ( ) an ;:individual Sewage Disposal System at. No....11 2..__/Af_A �i /. / � ,! .,........ ._... d +f v Street as shown on theapplication for Disposal Works Construction Permit NQ��!'1Dated.....'%�''��'".. .. /� ................... •------------•-_-----;k_-_---of-i= '-':'r•-•----------•-•-•-•-._........... 11�if�-t'� `3 /7 Board of Health DATE... �/� �-.---•:<F_%..................................- A t Fp`MO�ZN RO �p� PEE EGA o O N a O CONC. BOUND CONC. BOUND j: 96 CRYSTAL RIDCE STARR SITE BENCH MARK: N1 �3 4? ��8 00 L-27 �� MAG NAIL IN BERM 00 =0.00 ELEV.=98.10 IRON PIPE ,P-2 ti- 0 \/ EXISTING 3 BEDROOM DWELLING I EX SHED TO BE MOVED AND USED #85 ^ I g I -96 AS POOL HOUSE \ TOF=104.15 122 WHITMAR ROAD r 15 CAPEN 0 J PROPO ED I a a o / DRIVEWtY �•i'� MULCH AREA < J � � O i i / .26' / 55 CRYSTAL RIDGE r / 1P BEDROOM VARGA ' 136 WHITMAR ROAD L 0 T AR A ADDITION - - SMITH & CHAN A' 1.01 " A/b± / 565265 g2 PROPOSED POOL FENCE �5 2;e � a^» IRON PIPE . IRON PIPE GRAPHIC SCALE 40 0 20 40 80 160 ( IN FEET ) �\ 1 inch 40 ft. V` PROPERTY INFORMATION LAND COURT: C172867 LAND COURT: 23747—B ASSESSORS MAP/LOT: 56/ 02/ 17 PLAN TITLE: LOT 13 /j PROPOSED SITE PLAN 1 PREPARED FOR: JOHN & BRENDA WALANTIS PO BOX 1673 COTUIT, MA 02635 LOCATED AT: 85 CRYSTAL RIDGE' ROAD yti C 1 Ali l 10.4107t@ COTUIT , MASSACHUSETTS DATE SCALE DESIGN ENG. P.E. REVIEW JOB N0. DWG. NO. f,. . 5191181 1 "= 40' DJM K.W. FS18-001 FS18-001ADD 0 D E S I Gx H T ENGINEERING INC. 518 COUNTY ROAD (WISHBONE WAY) 5/9/18 WEST WAREHAM, MA 02576 TEL. (508) 245-2148 ENGINEER DATE foresight—engincOyahoo.com �. �•:"ter -,- ��_.: DO NOT SCALE DRAWINGS"ALL DETAILS TO MATCH EXISTING. ALL WORK TO BE DONE IN CONFORMANCE WITH 180 GMR _ - 51.00 MASSACHUSETTS STATE BLDG CODE 9TH EDITION. - - BUILDER TO VERIFY ALL DETAILS AND DIMENSIONS. THIS PLAN 15 COPYRIGHTED BY GIATTINO DESIGN AND 15 - PROVIDED FOR A ONE TIME BUILD. - '- _ ALLIBEARING POINTS TO HAVE CONTINUOUS BLOCKING " DOWN TO FOUNDATION. - LIGHT,VENTILATION&HEATING:(R303) - window glazing in each room to be B%of floor area.(R305.1) Ventilation area for each room(uindouw openings)to be 4%of floor - - - area.(R303.1)or mechanical ventilation per section M1SOT EGRESS:(R311) 10'-0" 17-0"— - - Two means of egress located as remotely from each other as "ANDERSEN WHITE CLAD W SERIES WINDOWS AND PATIO DOORS WITH HIGH .practiam.R311.1&R311.2) - ' - PERFORMANCE LOW-E4 GLAZING,3-12"FLAT EXT"CASING,FINELITE GRILLES, - 'Emergency egress In sleeping room require a minimum area of 5.-1 sq. - ADD.4-CAR GARAGE 6-9/16"JAMBS,NICKEL FINISH HARDWARE AND SCREENS: 'ft.ordh&sh= - - ^ - WINDOW SCHEDULE - 33 sq.ft.uAth a.minimum opening OF.24"X20"In either direction. _ 8, BEDROOM SUITE NUMBER LABEL ' WIOTY RNN DESCRIPTION - - (R31o.1.1,R310.1.2&R310.1.3) • - - DECK&STEPS TO 01 ' REUSE EX.G25 2 48"X60 3/8"' DOUBLE GASEMENT VERIFY RO: - STAIRS:All stairs to be installed per section R31t 1.. _ GRADE PER CODE Minimum Clear.Headroom.6-0(R31t.7 Ol _-. _-_- 02 APW6030 3 l2"X36" FIXED GLA55 Maximum Rlser Height:8.25"(R311.7.5.1))" -I -- - - ---- "03 �.ACV42040-2- - 1 48"X48" : DOUBLE CA5EMENT-LHL/RHR :Minimum Tread wldth:9^(R311.1.5.2) - - --- — A - 04 AGW2050-2 1 48"X50" DOUBLE GA5EMENT-LHL/RHR The greatest riser height unthin any.flight of stairs shall not exceed . 4 ACW245O-L/ - ,the smallest by more than 315"(R3t1.1.5.1) ' - ,Handrails shall be provided on at least one side of the stalr-(R511.7 8) - • I I `it1 - 05 APW91050/ 1 104"X60". MULLED LH-FIXED-RH GUARDS:(R312)are required or.all open sides of u+alpng surfaces, - - - 0 1 I I - - AGW2460-R - Including stairs,.ramps,porches,balconies or floor surfaces located" DN 06 ATAD8510 1 104"X23 314" ARCH TOP FIXED - _ more than 30"above the Moor or grade below.The guard must not 10'-b12" - _ pl ROOF DECK =- ' 07 bObBL 1 12""0" EXT.SLIDER-GLASS PANEL _ be less than Win height(R312.1.2).Aguardthatservesase 1"X T-0" m- - OB 91068� 1 118^X80" - EXT.QUAD SLIDER-GLA55 PANEL ':handrail shell have a hlgnt between 34"end 38".(R312.1.2)Guards ,. I - shall not have openings that allow the passage of a 4 316"sphere,or a 09 I VELUX F5 5pb 4. ,30 1/16"X46 1/4" SKYLIGHT l I _ - !W sphere through the triengular opening at the side OF the stair formed , hPEAK r I - DOWN ONE STEP - .. - DOOR SCHEDULE - - - wN OW FALL PROTECTION:and bottom 41.(RZ12.1.3) _ NUMBER LABEL Q71' R/O DESCRIPTION 4'-0"---'� 6'-0^ LANDING NUM 3068-LH-FIREGODE- 1 5512"X821/2" EXT.HINGED - - where thetoreater tpofasilllslocatedlesslhan24 4•-0"Xq'_p" D02 2B68-RHOUT5WINGFIREGODE 1 341/2"X8212" EXT.HINGED end dA.uAnmi72abwethefinbhed and I :. operable uAndaw shallcomp(y wlln R312.2. e - . .__ _. -"_- __ ______ -: - - - _`--__ -_ __ _ FIRE PROTECTION:(RW2) above the finished floor (or surface beau)the 266b_ _ - L --—— Garage Attached garages u"4s to the house must orts mu)be rated for 20 minutes and - LINE OF LOWER GATHEDRAL'Gi G 4'_p" _ :labeled 00025) 0 Not less than one yer of 515"Type-X board for separation of garage EXISTING DECK Floor surface must teofan 17'-11"X 12'-4" approved noncombustible surface- 6 Floor assemblies not using dimension lumber or s4vdwal composite lumber equal to or greater than 2"shall be protected.(R302.13), " _____ .` { _ _ • _ FIRE-BLOCKING:(R302+11)G RITIGALALIGNMENT: Vertically at cellinng and floor levels at structural Intersections. In sealed wa is along the stair stringers and at the bottom and top 15KYLT OVER I ALIGN TOP OF SHEATHING WITH risers. LIVING = l -""-' - - --'"' - EXISTING ROOF SHEATHING Aopeningsaoundvems,pipes,euds,eneuAresalceningdndfloor 09 oa DINING level,with approved materials to reset the free passage of Rome and. '^ 2 f'-0"X 19'-6" — ------ - — — - - ----- --- products of combustion. n I-----J — -----------,-- ll'-10"X1l'4„ CHIMNEYS:(R1001) in 4 CATHEDRAL CEILING v EXISTING,NO CHANGES No structural framing membere shall be uAnln 2"of masomy chimney WOOD FIREPLACE- J - •I h _ -DETAIL NOT SHOWN and e f a rated metal ctdmney(R1003.1B,R1003.19) - _ PER CODEAll spaces beW+een chimp and floor and ceilln h ukrirh chimneys I._ I i 09 i '-PEAK I,_-_-_i �co r - ;mr - .. securely]fastened In piece. pb�et lacked with non-cam�bustlble material ft YYALL LONSTRUGTION:(R601 and R602) lSKYLTOVERT m 15KYLTOVER1 - _ ENTRY It I. REMOVE WINDOW - _ iVWlBracingRequirementsperseWonRW2.10(bracingmethods r'' 11'-11"X 1.2'-0" SHOWN DOTTED, 1y ::can be mixed)or Simplified wall Bracing per section R602.12. - _--J , • - iv I 09 I O la ADD DOOR f :Bmdng Requirements based on uAnd speed per Table R602.10.3(1) - SCISSOR ROOF TRUSSES @ 24"OIC PER MANUFACTURERS SPECIFICATIONS F - - Q. emctng mebOZ1 continuous sheathing(CS-WSP)for exterior u+alis. ;per Table R60210.4,Method GB for Interior wells. &CERTIFICATION TO BE DESIGNED TO SUPPORT 30 LB SNOW LOAD,140 MPH Q o _ - { in LIYI NG , Intermittent bracing per Table Rb02.103. ' WIND LOADS&ONE LAYER OF 112'BLUEBOARD&PLASTER X ' . raced Wall Panel Construction Method for unth I op - a - 1T-T'X 18'-6' W B a d1 wells rage openings R602.10.6). 70 6)R80 - , . .. ". -_._ ._ _. _ __• .._ _ ____n __.___ Girde spans r m emery land 4 Y Table RW2]((1 or RW2.5(lmust&eat requirements d R602 Imf - - ,•�. ' __ Header spans&number of lack studs required.(Table R5025(1)and F N.. I FRAME 8 SHEATHE MAIN ROOF. OVER- - ` - - - FRAME ENTRY ROOF ON TOP OF MAIN - ..a. - -` - - .. R5OR VE) - ROOF&2X12 BEARING PLATE ..- m. `' - ATTIC EXTERIOR Op(Ring) 5'-9" 2'-10" 4'-0'• (3)1-3/4 X 9-1/4 LVL.�' WALL TO EXTEND TO `' � _ � .. Opening shell be no less than 22"x 30",for spaces • ' _ - 668: HDR WlDBL JACKS - UNDERSIDE OF RAFTERS ROD ENTILATION:(RW1)greater than S05Fufth n unobstructed cadroem of 30".( -) O FF I GE _ - --_----- --- One sgoa a foot of dear Ventilation Is required for every 150 square, - _ _ __________ ___ _ feet of atticarea. t l o 11'01•X 10'-81• - _ REMOVE WINDOW. EAerlor Mind f FLAT CEILING f BATH ,in W/D 08 'I HOWNDOTTED. _ - WashBmrterishetopetorlins�kdwherethe _ oil cv 8'-3"X 5.2 n 5'-3" 6-9 5 4 rafters and calling joists meet top extedarusll pinta. 1�� COVERED Or .� • .ENERGY EFFICIENCY:Chapter 1 o, "'. r - Building must meet or exceed the requirements of the 2015 MCC. 3/2X10 EMI,CASED<th r - ENTRY _ DETECTOR .� EXISTING WALLS .50.,SMOKE DE - _ o ,r'L r : SHOWN HATCHED -l,_2„X 11'jl" _ 2b69 KT - •; EXISTING,NO GHANG£5 -PHOTOELEGTRIG TYPE SMOKE DETECTORS LISTED - __ _ _ '� - - - - -' - -= DETAIL NOT SHOWN IN ACCORDANCE WITH UL217 OR UL26B LOCATED --_I OBL 2xa WAL CLOSET 11'-8"X T-9" �. PER 780 GMR R314,OR PER LOCAL OFFICIAL - - . --- - __ D WI BATTERY 17-3 3/4" DECK&STEPS TO -- -- - : -ALL HA WIRE TH ER GRADE PER CODE _ - - - AND E EACH I P WH SLEEPING ROOM > ry i FLAT CEILING IN THE IMMEDIATE VICINITY OF BEDROOMS WITHIN 3'OF A DOOR TO BATH CONTAINING A 5HR OR TUB g i 1 - _ -r- -- --- - :NEAR ALL STAIRS - > , 12 -ON EACH ADDITIONAL STORY(B5MT,HABITABLE A7T!G5) X O FOR EACH 1000 5F OF AREA OR PARTTHEREDF fn `^ I PEAK LINEN1 5'-b" - I CO.CARBON MONOXIDE DETECTOR. j = I I CAB I TILE SHR n I - — - — - f ' M. � �ONE ON EACH STORY INSTALLED&MAINTAINED-- I q BEDROOM 60"VANITY V-0"X 4'-0" i - _ ---" BY OWNER PER 180 GMR R315,527 GMR 31.00, 02 I n 15'-0"X 14'A" I GLASS ENCLOSURE D 24b GMR,&NFPA T20 OR PER LOCAL OFFICIAL, CATHEDRAL CEILING l - !HO HEAT DETECTORS m i FALSE FRAME ! n l I -BATH � _ -ONE PER ATTACHED GARAGE PER - GABLED GLG O a 7bO GMR R314"5,OR PER LOCAL OFFICIAL b'-T'X l'-10" r I LIB FLAT CEILING j (3)2X5 HDR BETWEEN WINDOWS j_ _ � _ 03 0 ID D JOHN YVALANTIS ®®� G1A�TTINO D�51GN 85 GRYSTALR GE ROAD TRIM A5 SINGLE UNIT -- COTUIT,MA hicopee Row,Groton,M ResiCdential Design Services'418-448.254E Z ENTRY LEVEL PLAN 0" 1/24118 3/29/18 A/26/18 rir 8'- 8'-0" 5'-9" b'3" • - 3/30 'I /18 PAGE NO-. - 130 2 OF 16-0 12-0 17-0" 1/4" '-0" _. r 3/15/115 /1b 4/18/1b 1 c�`.• cb - —— — 1..1 1 x ; _ ------ I - - -. -.`._ rp - - -- - 01 T 17 4' _ gg ; Z' F,. F,N., i I � e r k 1 y ---- � - - -. _ y{ — fir. ;c._ta - rr r 0i 1 ! trl � ' •1 ' I �d 1 6 'caj z'i I i ` — -- :r�t,r i ►t; , (O 3 6LA 8) u^ Is e 21 cP ! /j; 6t4.1!2��:...._. Y PO,41� .III �� ' ������.� �'���' x��i �} -x 1 -�F'I•r�.,a p _ _ i sYq { \ N , 1V �s �• I I Y tm � � r I J w, C 4�ti0d , oil �— — 1 � �I:'� o� as s ,� �'•�'' ---------------- ��},_�•. .,T.. 2..�.'_ oJ.,,. Ij �a �-..,�,y � ya x �,� �� _r' �T:,r._l'"l���U I'''_z�.F_. ./1''✓S��`�., VZ a hs .f�' er � aye aid a ,� +�{x' � r'��{�r./,F.t•W P,.1'r i" :.fi_l f l v'P "!;:,`% 0�- (1 ----- - _ I i I i (Z.7 ."I 13It( Cv P�Q`'A N I:L:)• =F t 4 } dr) =r-= .f..-j -'-i -7 rLE 4,T ev �-1 OO rS lr•4i p �+i� 6�'..- � i _` � ,t --- 5 i < � i Fn 'T � `-rt•+otd- , ♦e tII L c•t' '•.�+_aGK �..fZ.tal L.. r a r.. e , 00 t �.t . 1 t t I I = I VIN`�L i .+U X C -;h i v C 1 (f) )1 tT) F. .� .'sL;z,T�_ I. t , U V I G oATto ' � I' O .N /our>\ vnet.t _I i i i I !n : : 'UAK -p "?tid.t 1 (r �• ,y., 'To d'i J-, '• 15 7 0 1j2.r?L -•} � "`} i 3,_p -�" S�S r a; SL!G�.T',a��-'J-:.., _ C� I �} � � . tr -- - --- =L I fit' 71r? _ b 1'c, • s _ mi^ I I;� I 1 1 ' SCALE: rJ;,�," I I APPROVED BY: I DRAWN BY. G,'�- - DATE: •c_C.,.y ),.•�-"1.1=• �, _ V`-, / 1 _ _ _ , • R DRAWING NUMBE v I 's NN 1 n „ L i 204-_GC-Z T' r 0o fl I ti ry S rL a, m, 19 F7 �VI v+ � U r tit opE.u_To F7o�(Ctt) -p�pLd_or.i� l O ,I viv�� �\ I S vY'v��c� l. I Ftl = , rr 1_ �Ih1 �LI — s � `� • I 8 i -- . g�C7 rok. T-T, FL.(:uCk- C N -[ I�ILLE 1L0INCH Ga It".t SCALE:Y 2"'=1` APPROVED BY:I i DRAWN BY: DATE: REVISED y - DRAWING NUMBER r•,�� �� aF "1 c i CONC. BOUND 96 CRYSTAL RIDGE STARR ------------- �g 4I R�5.00 R=30'00 IRON PIPE SITE BENCHMARK: MAG NAIL IN BERM ELEV=98.1 122 WHITMAR ROAD RFsF gym., .l CAPEN NSP. PORT �-4 VNT LEACH FIELDZ fp j^ ����� 16 x38 C 69 8 EXISTING / Opp SP PORT 4 3 BEDROOM a'� 'w � 3 DWELLING D `\ #85 f� TOF=104.15 < "i 2 �O Z TOF=103.77 4>r y0 GAR.=95.7 1500 GALLON 50• o (t ",..-"'3� 2 COMPARTMENT w of SEPT TANK 2) z� a INGROUND POOL 136 WHITMAR ROAD SMITH & CHAN LOT AREA 1. 01 A cf 56526592 55 CRYSTAL RIDGE VAR GA IRON PIPE f IRON PIPE i; SYSTEM ELEVATIONS DISTANCE TO COMPONENTS E PLAN FIELD A-1 14.0 B-1 26.5 TOP OF FOUNDATION 104.15 EXISTING A-2 15.7 B-2 21 .6 TOP OF FOUNDATION 104.15 103.77 A-3 41 .6 B-3 17.8 FOUNDATION OUTLET(1 ) 100.65 100.35 C-4 44.4 B-4 34.3 FOUNDATION OUTLET(2) 101 .2 101 .1 C-5 59.9 B-5 55.9 FOUNDATION OUTLET(3) 101 .2 100.65 SEPTIC TANK INLET 100.0 100.02 SEPTIC TANK OUTLET 99.75 99.70 DIST. BOX INLET 99.05 98.81 SYSTEM CAPACITY PROVIDED DIST.BOX OUTLET 98.88 98.63 QUICK4 INLET 98.67 98 47 182 L.F.(4.73 S.F./L.F.)= 861 S.F. 861 S.F. x 0.60 GPD/S.F. = 517 GPD BASE OF SYSTEM 98.0 97.8 GROUNDWATER TABLE 92 DRY 5' SEPARATION ASSESSORS MAP/LOT: 56 / 02/ 17 ALL TANK COVERS ARE SECURABLE, WATERTIGHT & AT SEWAGE DISPOSAL SYSTEM AS - BUILT GRADE. AN EFFLUENT FILTER HAS BEEN INSTALLED IN THE SEPTIC TANK OUTLET TEE & REQUIRES ROUTINE QUICK4 CHAMBERS GENERAL USE APPROVAL MAINTENANCE. PREPARED FOR: I CERTIFY THAT THE SEWAGE SYSTEM JOHN & BRENDA WALANTIS AS-BUILT CONFORMS TO THE PO BOX 1673 PROPOSED PLAN AND THE COTUIT, MA 02635 BARNSTABLE HEALTH DEPT. RULES AND REGULATIONS OF THE BOARD OF HEALTH AND THE STATE SANITARY LOCATED AT: 8 5 CRYSTAL RIDGE ROAD CODE (.TITTLE- V). COTUIT , MASSACHUSETTS � r 1 n ok DATE SCALE DESIGN ENG. P.E. REVIEW JOB N0. DWG. N0. r WA 7126118 1 "= 40' DJM K.W. FS18-001 FS18-001 SAB M d' 0' .41G3i FOR" ESIGHT '�^•;'d 4FV C'�fF ' ENGINEERING I_zvc. 5 f 8 COUNTY ROAD (WISHBONE WAY) .s7 WEST WAREHAM, MA 02576 M,; `t 9/1 7/1 8 )I TEL. (508) 245-2148 ENGINEER DATE foresight-enginc®yahoo.coin. CONC. BOUND 96 CRYSTAL RIDGE STARR N�3 15"E 4 8 00 L=27.71, 1a�11 00 R=30.00 IRON PIPE SITE BENCHMARK: MAGNAIL IN BERM ELE ELEV=98.1 122 WHITMAR ROAD CAPEN NSP. PORT O VNTO LEACH FIELD 610, 16'x38' C Z Q� 9 EXISTINGt00 SP. PORT 4 3 BEDROOM 3 DWELLING �,f C J� D \` 85 TOF=104.15 5 .. , .,"CIVIL •� _.'.•; ` i TOF=103.77 N GAR.=95.7 N ; 1500 GALLON g0, (;%` ._.._..._.,,. 2 COMPARTMENT rn NI3) SEPT TANK 2) _..,..,, F` INGROUND POOL 136 WHITMAR ROAD LOT AREA SMITH & CHAN 5 1. 01 A cf Sb'5 92 55 CRYSTAL RIDGE VARGA IRON PIPE J c� IRON PIPE • r SYSTEM ELEVATIONS DISTANCE TO COMPONENTS PLAN FIELD rTl A-1 14.0 B-1 26.5 I�r'; rj TOP OF FOUNDATION 104.15 EXISTING A-2 15.7 B-2 21 .6 TOP OF FOUNDATION 104.15 103.77 A-3 41 .6 B-3 17.8 u,w I�= FOUNDATION OUTLET(1) 100.65 100.35 C-4 44.4 B-4 34.3 ro FOUNDATION OUTLET(2) 101 .2 101 .1 C-5 59.9 B-5 55.9 FOUNDATION OUTLET(3) 101 .2 100.65 SEPTIC TANK INLET 100.0 100.02 SEPTIC TANK OUTLET 99.75 99.70 DIST. BOX INLET, 99.05 98•81 SYSTEM CAPACITY PROVIDED DIST.BOX OUTLET 98.88 98.63 QUICK4 INLET 98.67 98.47 182 L.F.(4.73 S.F./L.F.)= 861 S.F. 861 S.F. x 0.60 GPD/S.F. = 517 GPD BASE OF SYSTEM 98.0 . 97.8 GROUNDWATER TABLE 92 DRY 5' SEPARATION ASSESSORS MAP/LOT: 56 / 02/ 17 ALL TANK COVERS ARE SECURABLE, WATERTIGHT& AT SEWAGE DISPOSAL SYSTEM AS - BUILT GRADE. AN EFFLUENT FILTER HAS BEEN INSTALLED IN THE SEPTIC TANK OUTLET TEE & REQUIRES ROUTINE QUICK4 CHAMBERS GENERAL USE APPROVAL MAINTENANCE. PREPARED FOR: I CERTIFY THAT THE SEWAGE SYSTEM JOHN & BRENDA WALANTIS AS-BUILT CONFORMS TO THE PO BOX 1673 PROPOSED PLAN AND THE COTUIT, MA 02635 BARNSTABLE HEALTH DEPT. RULES AND REGULATIONS OF THE BOARD OF HEALTH AND THE STATE SANITARY LOCATED AT: 05 CRYSTAL RIDGE' ROAD CODE (TITLE V). C OTU T , MAS SAC H U S ETTS r DATE SCALE DESIGN ENG. P.E. REVIEW JOB NO. DWG. N0. „- � 7126118 1 - 40 DJM K.W. FS18-001 FS18-001 SAB pA FO RES IC-1 it9T'3 �� HT { r - u ENGINEERING 518 COUNTY ROAD (WISHBONE WAY) WEST WAREHAM, MA 02576 "`^..Y, ^' -w9/17/18 TEL. (508) 245-2148 ENGINEER '''" '"'''' 4'' DATE foresight-enginc®yahoo.coin r _ _ t .. I. PaTu Nr;t�s5���'b.�tfl -1"A V-Eo r-P.oM MuV,AiUPAL LAB _(G' �.Vatt�►f�1,E - 7 ; 1q �} � '{l �{. �y_ 1�"'� 1.i► LM6 G7T EPA 1 tSE P-�OYEP /�_ \ '` -� ` } - ! i_._ ' ... 4► t? +C>t1 't tae.�!t.�ly tuL' �C1T U►.lt'i� aor*O _ ' -44-. �, -`�" ; -;�,' 5. P t +n►TS u_ Mat7E y.la-tE7t27n60 -r. ' 1 M --Tq U& aETA` p �,6-V� e L ► a� u{A Mgt L v NICT \ 1 IA 07 ANN Jv c,v 1-4�r lro4 F it { r � , r 1 I - .- --' 1 �� 1 � �� ---- --Wits•�z�,r�*-----—=5 -- I : w _r.. r ^ s r doWf7 cop,-- c-o?lanf�nocl irk-, Fit . F' t7L� riD , il u _ r ^ TOP OF FOUNDATION EL. 104. 15 PROVIDE WATERTIGHT 5" DIA. OUTLET O SOIL DATA �216 18 CHAMBER FINISH GRADE AT FOUNDATION EL. 102.5f SECURABLE COVER TO REMOVABLE COVER MINIMUM / / GRADE PER TITLE 5 FINISH GRADE OVER DIST-BOX EL. 102.5t . 1 INSPECTION PORT CUT INTO THE. THE PIPE SHALL BE CAPPED W/ A ALL TANK COVERS WITHIN 9" OF FINAL GRADE SCREW A PLASTIC CAP AND COVER AT GRADE INSPECTOR: DESMARIS, BOH AGENT CLEAN-OUT FINISH GRADE OVER TANK EL. 102.0 DATE: 5/4/18 PERFORMED BY: DARREN MICHAELIS „ MIRAFI N-SERIES NON-WOVEN RISER TO WITHIN 9 OF FILTER FABRIC RECOMMENDED ON QUICK4 STANDARD 9"MIN• TOP OF CHAMBERS AND ON TOP CHAMBER TEST PIT # : 1/3 TEST PIT # :2/4 30'®2% EX. GRADE PER TITLE 5 OF SANDS AS SHOWN. 101.0 - _ _ _ - - - _ - - 99.6 FIELD INSPECTION PORT PER 4" VENT 2%SLOPE (MIN.) EL= 102.5f 2%SLOPE (MIN.) EL. TOP = 102.6 EL. TOP = 102.6 60'@2% PROP - - - - - - - - - - - - - - - - - - - _______ - - - , - - - - - - - - - TITLE 5 EL WATER = 92.6 DRY EL. WATER = 92 DRY 6" - - 35 @2% - PROVIDE WATERTIGHT 5 ovERolc 9" - OMPACTED FILL F EE F STJN S_e- - ��I I�=�=;:1! ==1 I I-- I I-� I I� I i - TITLE 5 SANDS PERC RATE = 2 MPI PERC RATE = 2 MPI _- FinLINE JOINTS (TYP.) (SEE NOTE 5) DEPTH OF PERC = 32-50" DEPTH OF PERC = 36-54" f 0>.2 PROPOSED _ 13" FLOW LINE _ - 4" PVC IN FROM = , 3 14 _ , _ SEPTIC TANK EL= 102.5f 100.65 EXISTING - 14 4" PVC OUT TO 0» » 99.75 - SUITABLE BASE 100.0 - - - _ - LEACHING FACILITY FILTER FABRIC A A - GAS - - _ 12 MIN. 5 ROWS -14.3W SANDY LOAM SANDY LOAM BAFFLE - - - „ 6" - 4 SOLID PVC SCH. 40 OVER CHAMBERS BREAKOUT 16'(OVERALL) 48" - ZABEL 99.05 _ 2- __ - - _ 98.88 EL.=99.0 2.s7• 1 2.87' (TYPICAL) I 2.87 91) 10Y B 3 3 12» 10Y B 3 3 10' MIN.---. 1,500 GALLON CONCRETE SEPTIC TANK - - OUTLET 1' OF SAND LOAMY SANDS LOAMY SANDS CONTRACTOR IS TO - Two COMPARTMENT WITH BAFFLE WALL - - FILTER o 1' OF SAND QUICK4 CHAMBER BED CONFIGURA T70M 16" 1 oYR 6 8 18„ 10YR 6/8 VERIFY EXISTING - CAT ONISAOF 310 CMR 015.22MEE6)SPECI- _ _ 1 it2„_y NOT TO SCALE C 1 C 1 INVERTS PRIOR TO _ TO BE MADE WATER TIGHT BY EL.=98.67 16'W X 38 'L LEACHING AREA LOAMY SANDS LOAMY SANDS 95.7 CONSTRUCTION. _ MANUFACTURER _ _ 5 OUTLET DISTRIBUTION BOX W/ POURED BAFFLE WITH 9 CHAMBERS @ 4' 36' 98.0 48" 2.5Y 6/4 2.5Y 6/4 ____-_-___-_-_-_-_____-_-_-_- _- __- - - - - - - - - - _-_-_- TO B E SET 0 N 6 0 F CRUSHED STONE 5 MIN. 36 36 PLACED ON A COMPACTED LEVEL BASE -20' 38' FIRST 2' OF OUTLET PIPES TO BE 12" C2 C2 TO BE SET ON 6" OF CRUSHED STONE MIN. OFFSET FROM H2O LOADING GROUND WATER2N MED. SANDS MED. SANDS PLACED ON A COMPACTED LEVEL BASE LAID LEVEL AS PER TITLE V. FOUNDATION 2.5Y 6/3 2.5Y 6/3 H2 0 LOADING CHAMBER PROFILE EL.=92 DRY 120" 126" SEPTIC TANK PR OFILE DIS TRIB UTION BOX DE TAIL N.T.S. STANDARD QUICK4 PLUS CHAMBER NOT TO SCALE N.T.S. N.T.S. GENERAL NOTES E L.= VARIES CONC. BOUND EL.= VARIES D c T RIDGE /� Z� 1) THIS SEWAGE DISPOSAL SYSTEM SHALL BE CONSTRUCTED IN CONFORMANCE WITH THE j // // /\//\//\//\// 9 6 CRYSTAL YS `TAL 1 LID G -- REGULATIONS OF TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND THE REGULATIONS OF \/\/\i \\ \\ \\ \\ IMPERVIOUS FILL THE LOCAL BOARD OF HEALTH. 12" DEEP r7-A D D c+ 2) THE LOCAL BOARD OF HEALTH AND THIS FIRM ARE TO BE NOTIFIED: ►J 1 L�11 \ � (A) PRIOR TO BEGINNING CONSTRUCTION IN THE EXCAVATION FOR THE PURPOSE OF SOIL EXAMINATION TO INSURE CONTINUITY OF PERMEABLE MATERIAL, NATURAL FIELD STONE WALL (B) PRIOR TO BACKFILLING THE COMPLETED SYSTEM FOR THE PURPOSE OF PERFORMING 3' MAX HEIGHT 'camp - ---- AN AS-BUILT INSPECTION. DRAINAGE AGGREGATE (C) PRIOR TO CONSTRUCTING THE SYSTEM IN A MANNER OTHER THAN SHOWN ON THIS 12" THICK MIN. �-! " < u \ ! - - SITE BENCH MARK: DESIGN. • "s / _ L=2 7• - 3 CONTRACTOR TO VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG SAFE �1 J �'` SgOOQ' 1\ "` MAG NAIL IN BERM AND OTHER APPROPRIATE AGENCIES. REPORT ANY DISCREPANCIES TO THE ENGINEER. EL. VARIES_ 18 �1 J Raj�. 3�• 00 ELEV.=98. 0 4) ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 OR H-20 LOADING AS NOTED ON 00 °�` PLAN ;I ( //\....: : \//%/ IRON PIPE , ° e 5) WHERE REQUIRED CONTRACTOR WILL REMOVE ALL LOAM, SUBSOIL AND OTHER UNSUITABLE MATERIAL IN THE AREA BENEATH AND FOR 5 FEET ON ALL SIDES OF THE LEACHING FACILITY. THE CONTRACTOR SHALL REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE ilI I I-I I- / �� / • `` \ \ FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL. REPLACEMENT MATERIAL TO HAVE AN �/'GRANULAR LEVELING PAD INPLACE PERC RATE OF TWO MINUTES MIN. 6" THICK 6) 4" SCHEDULE 40 PVC PIPE WITH TIGHT JOINTS TO BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. UNREINFORCED RETAINING WALL _ 7) THIS SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE DISPOSAL OR WATER I( TP-2 CONDITIONERS. WATER CONDITIONERS SHALL DISCHARGE TO A DRYWELL NOT TO SCALE 8) CONTRACTOR IS TO VERIFY BENCH MARK, EXISTING INVERTS, AND TOP OF FOUNDATION PRIOR INSP. PORT TP-4 TO ANY EXCAVATION AND REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. I 9) CONTRACTOR IS MARK ALL ELBOWS AND INSPECTION PORT WITH MAGNETIC TAPE. (SEE DETAIL) i �T 10 ALL COVERS TO GRADE ARE TO BE WATERTIGHT AND SECURABLE. 122 ) WHI TMAR ROAD 1 1) THE EFFLUENT FILTER INSTALLED REQUIRES ROUTINE MAINTENANCE TO PREVENT BACKUP. 12) THE CONTRACTOR IS TO DECOMMISSION THE EXISTING SEPTIC SYSTEM IN ACCORDANCE WITH CAPE'N i 16 1 , ��� � ` 9 96 310CMR 15.354. - LOCAL UPGRADE REQUEST: WELL NOTE: EXISTING 1 . TO ALLOW INSTALLATION OF THE DISTRUBUTION BOX AND PROPOSED 8 r 3 BEDROOM ;1� THERE ARE NO SURFACE WATER SUPPLIES OR GRAVEL PACKED PUBLIC WATER SUPPLIES WITHIN CHAMBER BED > 36 LEACH FIELD BELOW GRADE PER 310CMR SECTION ` ( � � DWELLING `,� I 400 FT OF PROPOSED SYSTEM. 15.405(1)(b). H2O COMPONENTS ARE PROPOSED WITH A , ` 85 I o l THERE ARE NO TUBULAR PUBLIC WATER SUPPLIES WITHIN 250 FT OF THE PROPOSED SYSTEM. FINAL DEPTH BELOW GRADE OF 42 . 6 X38 1 ,'\ \ ° ` I o I , s THERE ARE NO PRIVATE WATER SUPPLIES WITHIN 150 FT OF PROPOSED SYSTEM OTHER THAN (SEE DETAILS) ° ONES SHOWN ON PLAN. \ ��� / % TOF= 104. 15 SAVE TREE ', f , REVISIONS � ��� � , � `� �� ( o� DESIGN CAPACITY REQUIRED r �� / \j `\ r � co DESCRIPTION BY * - / O / s� NO. DATE 4 BEDROOMS AT 1 10 GAL./DAY/BDRM. =440 �TO f - 0 • 1 5 z t r *SEE DEFINITION OF BEDROOM PER 310CMR 15.002 EX.LEACH PIT O . � %�rg5 SEPTIC TANK VOLUME (SEE NOTE 12) A(*��0� 440 GALS X 200% = 880 GALS. DESIGN CAPACITY MINIMUM OF 1500 GALLON 2 COMPARTMENT TANK REQUIRED EX SHED TO BE �J . iiOO SYSTEM CAPACITY PROVIDED MOVED AND USED , f Q J Y"Yns� ,, r ��� PROPOSED AS POOL HOUSE - ,. DRIVEWAY i \ QUICK4 CAPACITY = 4.73 S.F./L.F, Q f 4 CAPACITY REQUIRED= 440 GPD/. .60 GPD/SF= 734 S.F. �� t {,. MULCH d AREAe` OC 734 S.F./4.73 S.F./L.F. = 156 L.F. 156 L.F./ 5 ROWS= 31 ' = 5 ROWS OF (9 ) 4' CHAMBERS + ( 2 ).2' ENDCAPS/ROW PROPOSED BOARD OF HEALTH APPROVAL PROPOSED LEACH FIELD = 12 D x 16 W x 38 L = 608SF SEPTIC TANK CAPACITY PROVIDED= ( 45 ) 4 CHAMBERS + ( 10 ) .2 ENDCAPS= 162 L.F. (SEE DETAILS) - '1" \ �f, ! /' Ff '� 182 L.F.(4.73 S.F./L.F.)= 861 S.F. x 0.60 GPD/S.F. = 517 GPD 9.26 f/ PROPERTY INFORMATION M "� PROPOSED LAND COURT: C172867 LAND COURT: 23747-B ,/� ~\ ''+� f`'f `� BEDROOM PLAN TITLE: LOT 13 136 WHI TMAR+ ROAD o,� ADDITION LOT RESERVED FOR B.O.H. USE DATE: ASSESSORS MAP/LOT: 56/ 02/ 17 SMITH CX, t� AN AR � �''� � � • ��� , SEWAGE DISPOSAL SYSTEM UPGRADE DESIGN LEGEND 2 QUICK4 CHAMBERS GENERAL USE APPROVAL r r PREPARED FOR: JOHN & BRENDA WAz,ANTIS ^ p ` "- 100 - - EXISTING CONTOUR �N R� (SEE NOTE 12) �� PROPOSED 55 CRYSTAL RIDGE PO BOX 1673 �QQ PROPOSED CONTOUR LMw EX. SEPTIC TANK _~� ' ` /" POOL FENCE VAR COTUIT, MA 02635 �' ° ^.r F P �� `� -' R GA { TEST PIT IRON PIPE �- GRAPHIC SCALE LOCATED AT: 8 5 CR YS TAL RIDGE ROAD - � , � � � o � - r �� O O SEPTIC TANK 30 0 15 30 60 120 COTU T , MASSACHUSETTS F . , 5= r DIST. BOX DATE SCALE DESIGN ENG. P.E. REVIEW JOB NO. DWG. N0. 0 WELL <0 0 �r 5151 18 1 "= 20' DJ M K.W. FS18-001 FS18-001SITE IRON PI IN FEET ) F0 � E S I C_T' H LIMIT OF WETLAND Q 1 inch = 30 ft. 4�J _..___.w.__.. .. WATER LINE ? ENGINEERING INC. C i 518 COUNTY ROAD (WISHBONE WAY) LOCUS WEST WAREHAM, MA 02576 TEL. (508) 245-2148 ".._II} � .m__ " "L1H""__ OVERHEAD WIRES N.T.S: foresight-enginc@yahoo.com