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Home My WebLink About0082 HUMMOCK LANE - Health 82 Hummock Lane Cotuit r' A. = 053 014 r i II1 l� I 4� F� I LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS*GEOLOGISTS*ENGINEERS 1573 Main Street,Brewster, MA 02631 508-896-1706 " Fax 508-896-5106 * www.bennett-ea.com LETTER OF" TRANSMITTAL. TO: DATE: JOB NUMBER: Massachusetts Department of Environmental 72 K11394DA.S.IA.700 Protection Attention: Title 5 Program 1 Winter Street-6th Floor Boston, MA 02108 REGARDING: Marsh House LLC 82 Hummock Lane Cotuit, MA 02635 SHIPPING METHOD: Regular Mail ❑ Pick Up Priority Mail ❑ Hand Deliver ❑ Express Mail ❑ C}ther ❑ Certified Mail Green Card/RR 0 COPIES DATE DESCRIPTION 1 C1EP Appproved lnspe.etion and'O&M:Form for Title.5 I/A Treatment and Disposal Systems ((November 2021) 1 Routine Operation and Maintenance Checklist for Perc-Rite Drip Dispersal System (November 2021) For review and comment: ( For approval: As requested: ❑ For your use: [r] REMARKS: Please find enclosed the.DEP Inspection and 0&M Forms,-and:Perc-Rite.Drip Dispersal System Routine Operation and Maintenance Checklist,for operation and maintenance conducted during the reporting,penad at the abovexeferenced property. If you have any questions or require additional.information;.ptease contact us at your earliest convenience. Thank you. cc: Barnstable Board of Health [via email] Oakson [via email] John Cumin [via email] FROM: Samantha Farrenkopf, Innovative Alternative Program Supervisor If enclosures are not as noted,kindly notify us at once µ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important:When Marsh House LLC c/o John Cuming filling out forms Owner on the computer, Lane use only the tab 82 Hummock _ . key to move your Facility Street Address cursor-do not Cotuit 02635 use the return City . Zip key. Mailing address of owner, if different: 1 Mifflin Place, Suite 404 Street Address/PO Box: Cambridge MA 02138. City State Zip (617):520-6603 ext: Telephone Number B. Authorized Service Provider Bennett Environmental Associates, ........ ......._ _ .__.... _. O&M Firm 1573 Main Street _............._,..... ......:............. .........:...,............�.............................. Street Address Brewster MA 02631 city State Zip 5A081 896 1706 ext. 114.0 Telephone Number Joseph Smith 12529 Certified Operator Name Certification Number W C. Facility/System Information American Manufacturing,Co. PERC-RITE ASD 15 DEP ID Manufacturer ID Model Number Unknown 12/2/13 Installation Date Start of Operation Approval Type: ❑ General ❑ Provisional ❑ Piloting ® Remedial Seasonal Residence—used less than 6 mo./year: ® Yes ❑ No D. Operating Information 11/2/21 _ .. _...... ._:..._.... 4/22/20Pr.prevlous own erL Inspection Date Previous Inspection Date _ e De g pth_(t o be che ye ar ly) ........... ....._. Pumping Recommended ® Yes ❑ No Sludcked t5aiom.doc•rev.04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 j , DEP Approved Inspection and OW Form for Title 5 `IIA Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ❑turbid ❑ Other(specify): Odor: ❑ musty ❑ earthy ❑ moldy ❑ offensive El turbid Effluent Solids: ❑ no ❑ some pH 6.91 SU DO 1 mlL_ 30.2 NTU 6 tog 2 or greater Turbidity 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. i F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑TN ❑ Other(list below) '... Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Conduct an operation and maintenance event. Collect effluent samples for field testing. Notes and Comments: High levels of grease in the septic tank. Septic tank anump tank both high levels. t5aiom.doc•rev.04-11-13 Page 2 of 3 f , . ............ Massachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 DES' Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Ho Certification I certify: I have inspected the sewage treatment and disposal system at the addressabove, have conducte6 the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the,attached technology operation and maintenance,checklist, and the information reported is true, accurate,.and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. CL at e.t f r'Z, z, OPtor Signature D_te System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year _ to Piloting Use within 45 days of inspection date Provisional Use—by March 311h of each year for the previous 12 months General Use—by September 30'h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc•rev.04-11-13 Page 3 of 3 f Inspection and Operation Procedure Perc-Rites Onsite Drip p this ersal.System Oakson Inc., 2 Blackburn Center, Gloucester, MA 01930 Ph. 978-282-1322, Fx. 978-28271318 oaksoninc.com Name: �%A vl Date: Address: _ yj2- ' _ ...._._ (. Periodic Inspections (quarteriyisemi-annual ylother) A. Field Conditions i Walk the field and record any visible wet spots from the drip system. O.K...., Repair Comments and remedial action B. Control Panel 1. Lights and manual switch positions. Open the control panel and lid to the hydraulic unit and pump tank. Ensure all manual switches are in the automatic position. With Microprocessor on, verify power light and run lights are on. O.K. "`Comments and remedial action OtHIR i saw a 2. Check pin lights are operating correctly. O.K. LComments and remedial action 3. Verify there is output only when in automatic operation. Start automatic cycle with "Reset/Stop" button. O.K. Comments and remedial action C. Pump Chamber Liquid Level Float Switches Check liquid level in the pump chamber to confirm switch operation. If a float is down, its light should be off. Manually raise floats to verify operation. O.K.-_,eComments:and remedial action Perc-Rite O & M Sheet D. Pump and Valve Operation I. Place pump "Hand-Off-Auto" switch in the "Hand" position to dead head pump against valves. Open master valve, if provided. Flow meter should not turn indicatin g there are no leaks. O.K. --Comments and remedial action 2. With the um running,pump g, place each zone valve in the"Hand" (open) position: one at a time to check operation. With one zone valve open, flow should register on the flow meter. When the zone valve closes(off positron), the flow should stop. O.K.. Comments and remedial action 3. With one zone valve open and flowing, close and reopen {optional) master valve to check operation. O.K. `' Comments and remedial action 4. With the pump in the"Hand" position open the filter backwash valve for filter one and two for ten seconds then close;There should be no flow registering in the flow meter and you should hear the valves open and close. The backwash return valve diaphragm will rise then lower during backflush. O.K. --Comments and remedial action 5. Return all switches to the automatic position E. Hydraulic Unit 1. Examine one filter and clean all filters as needed.. O.K. Comments and remedial action 2. Examine all hydraulic components for leaks, tubing crimps and other problems. O.K. ---Comments and remedial action 3. Determine how many zones are in operation and the installed flow rates from the installation records. O.K. ..comments and remedial action 4. Determine actual flow in gpd since last maintenance visit, compare to the design flow. O.K. -'Comments and remedial action I Page 2 of 4 1/2006 Perc-Rite O& M Sheet Il. Annual Inspection (annually also include the following tasks) A. Zone Dose Rates 1. Open the air release valve:boxes and.inspect. Make sure they close during the dose cycle with no water leak after a,ir is evacuated. O.K. .- Comments and remedial action 2. Determine how many zones are in operation and the installed flow rates from the installation records. O.K. --Comments and remedial action 3. With the pump in the "Hand" position, select the first zone by placing the zone valve switch in the"Hand" position. After pressurization time, check flow rates by reading the flow meter for a timed minute. Repeat for all zones. If flow varies by more than 10% from original flow rates, reset flow rates. O.K. `f Comments and remedial action 4. After the final zone is checked, place the "Zone Return"valve in the "Hand" position while the "Zone Valve is still in the "Hand" position and verify that the flow rate increased to provide field flushing. O.K._✓Comments and remedial action 5. Return appropriate switches to the automatic position. O.K. --Comments and remedial action 6. Press reset button for 5 seconds and check automatic zone dosing time. O.K. L, Comments and remedial action B. Tanks & Pumps 1. Examine and clean effluent screens, filters, and floats as needed. O.K. '"Comments and remedial action 2. Measure Levels in Septic Tank Sludge Depth 1 Scum Depth I Page 3 of 4 112006 Perc-Rite O & M Sheet III. Reporting A. Provide summary report to the client with pertinent operating and maintenance info rmation.rmatfon. B. Provide signed and dated inspection report to regulatory agency(s) as required. j � t IV. Operator Signature t - Date: 10:— MA Treatment Plant Operator# IC, IVt Q> taw �.a 0 Page 4 of 4 112006 OJ j� e A^� 13 b� Town of Barnstable Inspectional Services Department `MASS, ' Public Health Division A 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 8050 October 7, 2020 GOULD, ANNE G &ROSENTHAL, K TR PO BOX 161 COTUIT, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 82 Hummock Lane, Cotuit,MA was inspected on 09/29/2020 by Chad Hathaway,certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following:/ • Need to fix or replace alarm, panel, and/or pump. • Need to complete Septic Permit 2013-78. Need Engineers/Installers Certification and as built card. The Septic Installer is Rodney Fisher(0 246-2800. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TH BOARD OF HEALTH h s cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\82 Hummock Lane Cotuit.doc Town of Barnstable LL , Inspectional Services Department . Atfp�,�p Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑.Pumping more than 4 times during the last year not due to clogged or obstructed pipe ❑ Backup of sewage into the,house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic,tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a.private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER o fe ,Q ci lgrm Apiel ,61, P-.r �0MoP EO.QP�� Cc-pJ27� S—P0)1c 1013-70 Repair deadline: 10 0 a Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc y — .1,ro0 Commonwealth of Massachusetts +� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments t 82 Hummock Lane Property Address Gould Owner Owner's Na" information is required for every Cotuit ✓ Ma 9/29/2020 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at-the end of the form. Important:When A. Inspector Information 1 filling out forms on the computer, use only the tab Chad Hathaway key to move your Name of Inspector cursor-do not Hathaway Septic Inspections use the return Company Name key. Company Address Forestdale Ma 02644 City/Town State Zip Code 774 274 2581 12866 Telephone Number License Number Bo Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ® Conditionally Passes 3. ® Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 9/29/2020 Inspector's Si ature Date The stem inspector shall mit a co y of this inspection report to the Approving Authority (Board of Health or DEP)within days of co pleting this inspection. If the system has a design flow of " 10,000 gpd or greater a inspector d the system owner shall submit the report to the appropriate regional office of th EP. The ' inal form should be sent to the system owner and copies sent to the buyer, if applica a approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:.Subsurface Sewage Disposal System•Page 1 of 18 I ' Commonwealth of Mai ssachusetts �. Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ® One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Y 82 Hummock Lane Property Address Gould Owner Owner's Name, information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ® Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below): system is A pert rite leaching with pressure drip system.Tanks consist of a primary 1500 gal septic tank with filter dozing tank is 1500 pumping tank with pump and floats that communicate with a realy panal for time/demand dozing. the dozing pump tank is over full and panal is failing to run pumps at predeterming dozing intervals. Bennett Enviromental assoc. has maint. contract and has already diagnosed issue and has scheduled repair of described commponents ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ® Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official.lnspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: After requesting files for the septic from Barnstable Health dept. it was discovered a engineering sign off and as built were not summited and the Cert. of compliance was not issued for the tanks and perc. rite system. 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.112612011 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6"-below invert or available volume is less than %day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 1 00 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 El El Area system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants.if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts rd Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 5 and open loft DESIGN flow based on 510 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 Description: Number of current residents: 2 Does residence have a garbage grinder? Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form j Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ElYes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No. Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: pumped in spring Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts ja Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments e 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information_ (cont.) 4. Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ® Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2006 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth belowgrade: feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): 101+ Distance from private water supply well or suction line. feet Comments (on condition of joints, venting, evidence of leakage, etc.): none t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 I Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . � 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1 p g feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1500 gal H2O in driveway If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'6"x5'6"x48" 1„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 29„ Scum thickness 0 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? tape and sludge judge Comments.(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tees in palce. tank has special covers installed and a outlet filter in outlet of tank t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System- Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑.concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank tank must be pumped at time of inspection) locate on site plan): 9 9 ( p p p ) ( p ) Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 f Commonwealth of Massachusetts !n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments J 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert no D Box Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 82 Hummock Lane Property Address Gould Owner Owner's Name information is Cotuit Ma 9/29/2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ® No* Alarms in working order: ❑ Yes ® No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): dozing tank over full alarm not alarming on panal pump not working with correct doze time "If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: perc right system with drip piping. no abnormal vegitation in area of leaching area or signs of ponding Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ® innovative/alternative system Type/name of technology: pert rite drip t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments k .. 82 Hummock Lane Property Address Gould Owner Owner's Name information is Cotuit Ma 9/29/2020 required for every page. City/Town State Zip Code Date of Inspection D. System. Information. (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): none 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ 'No Comments (note condition of soil, signs.of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 f cam, Commonwealth of Massachusetts - Title 5 Official Inspection Form l' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane i Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. CityTrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 4�1 . (G I Ct p q b` B 2 o ��' �,1L C ri L1V - 2 o 93 - �` _a o� Hz)v� *3 c A lQ-� - o Z it 5 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form p, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is required for every Cotuit Ma 9/29/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 20'+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2006 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: GIS mapping wiith topo You must describe how you established the high ground water elevation: See plan for percrite system and town GIS Mapping. System approx 2'to 2 1/2'deep based on pictures taking during install on record with Oakson inc Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 82 Hummock Lane Property Address Gould Owner Owner's Name information is Cotuit Ma 9/29/2020 required for every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 w J.M. O'Reilly & Associates, Inc, LETTER OF Engineering&Land Surveying Services 1573 Main Street,2nd Floor,P.O.Box 1773 TRANSMITTAL Brewster,MA 02631 z O (508)896-6601 , C Fax(508)896-6602 V TO: DATE: JOB NUMBER:_ w Town of Barnstable F11/16/2016 7044W Public Health Division 200 Main Street REGARDING: - Hyannis, MA 02601 82 Hummock Lane! Cotuit,-MA —� Shipping Method: Regular Mail Q✓ Federal Express Q Certified Mail UPS Priority Mail Pick Up Express Mail ❑ Hand Deliver COPIES DATE DESCRIPTION 1 10/21/16 Perc-Rite Routine Maintenance Checklist For review and comment: F-1 For approval: As Requested: For your use: ❑✓ REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Client Oakson, Inc. From: RFR If enclosures are not as noted,kindly notify us at once ` a l r ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 82 Hummock Lane, Cotuit Date: 10/21/16 Homeowner: Anne Gould Operator: John O'Reilly, P.E., P.L.S. Lic#:17746 .lob #: 7044W HISTORICAL DATA and CURRENT READINGS 660-Reduced by Previous flow meter reading: 53620 Design flow: 60i-3s6 Date of last visit: 12/22/15 Current flow meter reading: 75690 Calculated water usage: 74GPD Start-up dose rate Current dose rate ZONE 1: 2.0 GPM 1.9 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES❑ NO 0 Comments: B. Air release valves: erosion YES ❑ NOE] leakage/spraying YES❑ NOR] Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YES❑✓ NO❑ Comments: B. Alarm float working YES[Z] NO[] Comments: C. Solids or scum present YES[] NO❑✓ . Comments: CONTROLPANEL A. Switches in AUTO position YES❑✓ NO❑ Comments: B. Peak Level light on YES[] NO❑✓ Comments: C. Power and Run lights on (microprocessor) YES❑✓ NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES❑✓ NO❑ Comments: B. Zones 1-4 (one at a time): flow meter running YES ✓❑ NO❑ dose rate correct YES❑✓ NO❑ flush rate > dose rate YES❑✓ NOn Comments: C. Disc filter back flushing:,working properly YES❑✓ NO[j Comments: D. Disc filter inspection: excessive residue YES El NOD✓ cleaning required YES❑✓ NO❑ Comments: E. Switches returned to AUTO position YES.❑✓ NO❑ Comments: F. RESET/CYCLE START: functioning properly YES❑✓ NO ❑ Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES❑ NO❑✓ Comments: SEPTIC and/or PRE-TREATMENT TANKS A. Examine and clean effluent filter: excessive residue YES El NO❑ Comments: N/A B. Septic tank pumping recommended YES❑ NO 0 1. Sludge depth:0" 2. Scum depth: 0" Comments: Tank pumped 10/20/16 to allow for pump change C. Service pre-treatment system YES[] NO❑ Comments: N/A Operator signatu License No.17746 Comments/Observations: Existing 1/2 HP pump no longer worked and needed to be replaced.Replaced with 3/4 pump and upgraded circuit panel to handle additional voltage.System now in working order. owt oyl-I i J.M. O'Reilly & Associates, 'Inc. LETTER OF Engineering&Land Surveying Services 1573'Main Street,2nd Floor,P.O.Box 1773 TRANSMITTAL . Brewster,MA 02631: (508)896-6601 Fax(508)896-6602 TO: DATE: JOB NUMBER: . Town of Barnstable 01/06/2016 F7044W Public Health Division 200 Main Street. REGARDING: . Hyannis, MA 02601 82 Hummock Lane Cotuit, MA Shipping Method: Regular Mail ✓❑ Federal Express 0 Certified Mail UPS Q „ Priority Mail 0 Pick Up Express Mail ❑ Hand'DeliverEl COPIES DATE DESCRIPTION . Routine Operation and Maintenance Checklist for Perc-Rite Drip Dispersal System " For review and comment: For approval: As Requested: For your use: 21 REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Client Oak From: KEF If enclosures are not as noted,kindly notify us at once ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 82 Hummock.Lane, Cotuit Date: 12/22/15 'Homeowner: Anne Gould Operator: Keith E. Fernandes, P.E., WWTO 4M-Full #13240 Job #: 7044W HISTORICAL DATA and CURRENT READINGS 660-reduced by Previous flow meter reading: 23030 Design flow: 60%-396 Date of last visit: 12/22n4 Current flow meter reading: 53620 Calculated water usage: 84GPD Start-up dose rate Current dose rate ZONE 1: 2.0 GPM 2.1 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal-field:`ivisible wet spots YES❑ NO[a Comments: B. Air release valves: erosion YES ❑ NOD leakage/spraying YES❑ NO❑✓ Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control,panel YES❑✓ NO❑ Comments: B. Alarm float working YES❑✓ NO❑ .Comments: C. Solids or scum present YES[] NO❑✓ Comments: CONTROL'PANEL A. Switches in AUTO position YES❑✓ NO❑ Comments: B. Peak Level light on YES❑ NO❑✓ Comments: C. Power and Run lights on (microprocessor) YES[Z] NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES❑✓ NO❑ Comments: B. Zones 1-4 (one at a time): flow meter running YES❑✓ NO❑ dose rate correct YES❑✓ NO❑ flush rate > dose rate YES❑✓ NO[-] Comments: C. Disc filter back flushing: working properly YES❑✓ NO[-] Comments: D. Disc filter inspection: excessive'residue YES❑✓ NO❑ cleaning required r YES El NO[] Comments: E. Switches returned to AUTO position • YES❑✓ NO❑. Comments: F. RESET/CYCLE START: functioning properly YES[Z] NO ❑ Comments: G. Hydraulic Unit: leaks,•crimps, or other issues YES❑ NO❑✓ Comments: SEPTIC and/or PRE-TREATMENT TANKS unable to access tank due to heavy duty cover A. Examine and clean effluent filter: excessive residue YES El NO❑ Comments: B. Septic tank pumping recommended YES❑ NO ❑ 1. Sludge depth: 2..,Scum depth: Comments: C.,Service pre-treatment system YES❑ NO❑ Comments: Operator signatu License No. 132ao Comments/Observations: ...„�: J.M. O'REILLY &ASSOCIATES, INC. 01,110 .. O aid P.O.Box 1773,BREwsTER,MA 02631 08 N 20, J i ' Ord ?+A�i�rz&%rra;026- ,. 0 31 a.00041,80894 Barnstable Health Department 200 Main Street Hyannis, MA 02601 :=2=R, _ i .z ielf'111lil,li�ll�l'rl��'Pilli) , '�11 I'll III 't1�t;)1ll�til��l ,. i _ , - '� %�� . __ BENNETT ENVIRONMENTAL ASSOCIATES LLCI. ] Massachusetts Department of Environmental Protection G ? Bureau of Resource Protection-Title 5 A N_R#, fl.a-RA— SYSTEMS Ui.',.'YL.:fT M a_;t'r.�i�,��,�,�g' � � DEP Approved Inspection and 01.&M Form foe Title 5 I/A ° LICENSED SITE PROFESSIONALS`ENVIRONMENTAL SCIENTISTS*GEOLOGISTS•ENGINEERS ° 3 1573 Mein Street,Brewster,MA 02631.508-896-1706•Fax 508-896-5106-www.bes.nett-ee.com Treatment and Disposal Systems A. Installation a LETTER OF TRANSMITTAL Important:When Anne Gould c/o Scott Buckley 1 ] filing out forms Owner L on the computer, use only the tab 82 Hummock Lane i TO: DATE: JOB NUMBER: j key to move your Facility Street Address ' S cursor-do not Cotuit 02635 Massachusetts Department of Environmental 1/13/20 - K11081 DA.S.IA.700 ``9 use the return Protection f key. Cily Zip Attention:Title 5 Program t 1 Winter Street-6th Floor i ��m �I Mailing address of owner,if different: Boston,MA 02108 REGARDING: P.O.Box 161 Gould Residence gg Street Adtlress/PO Boz: 82 Hummock Lane Cotuit MA 02635 SHIPPINGMETHOD: Cotuit,MA 02635 _ - f City State Zip (506)367-2530 ext. dd Regular Mail ❑ Pick Up Priority ❑ Telephone Number S Mail .❑ Hand Deliver ❑ 1 _ - - R Express Mail ❑ Omer ❑ B.Authorized Service Provider Certified Mail Green Card/RR(] ❑° Bennett Environmental Associates,LLC O&M Finn 1573 Main Street COPIES DATE DESCRIPTION f - Street Address t 1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems i Brewster MA 02631 (April 2019) ; .City State Zip 1 Inspection and Operation Procedure Pero-Rite Onsite Drip Dispersal System(April 2019) { t I (508)896-1706 ext.1140 Telephone Number Joseph Smith 12529 - ` Certified Operator Name Certification Number tt i € C. Facility/System Information American Manufacturing Co. PERC-RITE ASD 15 For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: ❑ DEP ID Manufacturer ID Model Number 4. REMARKS: Unknown 12/2113 ? Installation Date Start of Operation Please find enclosed the DEP Inspection and O&M Form and Inspection and Operation Procedure Perc-Rite Drip Dispersal Approval Type: General System form for operation and maintenance conducted at the above referenced property during the reporting period. If you PP yP ❑ ❑Provisional ❑ Piloting ® Remedial have any questions or require additional information,please contact us at your earliest convenience. Thank you. cc:Barnstable Board of Health[via email] Seasonal Residence—used less than 6 mo./year: ❑ Yes. ® No Anne Gould,Property Owner,c/o Scott Buckley[via email] - • k Dan Ottenheimer-Oakson Inc.[via email] l [ D.Operating Information [ i 4/18/19 4/5/18 , Inspection Date Previous Inspection Date Sludge Depth to scum Pumping Recommended ❑ Yes ® No Sludge Depth(to be checked yearly) � t 1 FROM:Samantha Farrenkopf,Operations and Compliance Coordinator 6 If enclosures Are not n noted,kindly notiry us at once ] S t5aiom.doc-rev.04-11-13 Page 1 of 3 k l � L — I Massachusetts Department of Environmental Protection Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 Bureau of Resource Protection-Title 5 i DEP Approved Inspection and O&M Form for Title 5 I/A DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Treatment and Disposal Systems I E. Field Testing H.Certification Field Inspection: I certify:I have inspected the sewage treatment and disposal system at the address above,have t conducted the required Field Testing and/or sample collection in accordance with Standard Methods, ! Color: ❑ gray ❑ brown ❑ clear ❑turbid have completed this report and the attached technology operation and maintenance checklist,and the information reported is true,accurate,and complete as of the time of the inspection. I am a ❑ Other(specify): Massachusetts certified operator in accordance with 257 CMR 2.00. Odor: ❑ musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid yya ^'`C' •z�2 v' " • �' rf 'I=} -� ! Operator Signature Data - I Effluent Solids: ❑ no ❑ some pH s to s Su DO 2 orgre mq/Lter Turbidity 40 or iesNTU System owner must submit this report,technology O&M checklist,and any required sampling results Should a Remedi I to the local board of health as follows for each inspection performed: a or General Uses stem fail h y a the Field Testing,effluent samples shall be collected 9 P t per Standard Methods and analyzed for BOD and TSS. Remedial Use—by January 3111 of each year for the previous calendar year s Piloting Use-within 45 days of inspection date F.Sampling Information fi Provisional Use—by March 31_of each year for the previous 12 months y Samples Taken: ❑ Influent ❑ Effluent General Use—by September 30th of each year for the previous 12 months i Commercial systems or systems with a design flow of 2000 gpd and greater,and General Use nitrogen reducing systems: Send to: 3 Department of Environmental Protection gpd Attention: Title 5 Program One Winter Street,5th Floor Parameters sampled:❑pH ElBOD ElCBOD ❑ TSS❑TN❑Other(list below) Boston,MA 02108 ' 1 Other 1 Other 2 Other 3 { I i G. Inspection and Maintenance Description of any maintenance performed since previous inspection&during this inspection: j Conduct an operation and maintenance event.Perc-Rite drip dispersal system is mechanically } operating correctly. I i i t Notes and-Gomm nnts: Recommended um in of these tic tank. t I t5aiom.doc•rev.04-11-13 Page 2 of 3 t5aiom.doc-rev.04-11-13 Page 3 of 3 tV i i r� �v f Perc-Rite O&M Sheet Inspection and Operation Procedure D.Pump and Valve Operation Perc-Rite®Onsite Drip Dispersal System € � P P 1.Place pump"Hand-Off-Auto"switch in the"Hand"position to dead head Oakson Inc.,2 Blackburn Center,Gloucester,MA 019310 �. pump against valves.Open master valve,if provided. Ph.978-282-1322,Fx.978-282-1318 Flow meter should not turn indicating there are no leaks: oaksoninc.com ]# O. Comments and remedial action Name: S6t>tl/fir/ ,�7 Date: /-/ I J s 2.With the pump each zone valve in the"Hand" o Address:_ $7. /wwrrnOC/c' �'*'Y - p running,p an ( pen)position one at a time to check operation.With one zone valve open,flow should register on the flow meter.When the zone valve closes(off position),the flow should stop. I. Periodic Inspections(quarterly/seRri-annuallylother) ` O:K. Comments and remedial action A. Field Conditions a 3.With one zone valve open and flowing,close and reopen(optional) alk the field and record any visible wet spots from the drip system. master valve to check operation. O.K. Repair Comments and remedial action O.K. Comments and remedial action ,B. Control Panel r 4.With the pump in the"Hand"position open the filter backwash valve for filter 1.Lights and manual switch positions. one and two for ten seconds then close.There should be no flow registering in i the flow meter and you should hear the valves open and close.The backwash Open the control panel and lid to the hydraulic unit and pump tank. n valve diaphragm will nse.then lower during backflush. Ensure all manual switches are in the automatic position.✓ O.K. Comments and remedial action With Microprocessor on,verify power light and run lights are on.✓ k O.K. Comments and remedial action s 5. Return all switches to the automatic position _ 2. k in lights are opera correct) 7 4� gnu 1f /rxr 0-1 i f E. Hydraulic Unit P 9 p 9 Y )z E b f > O. Comments and remedial action Gt c�.vu I- -Cha#' sf�cl� /•"��"`fiy � 1.Examine one filter and clean all filters as needed. f "VIA-Y tie tc{/rtpkc-e-tn O��_Comments and remedial action c k ICc+hy� .5 3.Verify there is output only when in automatic operation. �" Start automatic cycle with"Reset/Stop"button. ��—�' 2.Examine all hydraulic components for leaks,tubing crimps and other a problems. O.K Comments and remedial action O.K. Comments and remedial action Na (e L S C.Pump Chamber Liquid Level Float Switches 3. Determine how many zones are in operation and the installed flow rates Check liquid level in the pump chamber to confirm switch operation. ; /��••--fffrrrom the installation records. If a float is down,its light should be off.Manually raise floats to verify ± C , Comments and remedial action q ration. S I O.K. Comments and.remedial action 4. Determine actual flow in gpd since last maintenance visit,compare to the �y rcJ_e.I* flow. See cf(o g, (4 2 G�✓0 f e-k cf--, / O tc./. Comments and remedial action `_.-. i { Page 2 of 4 . I 112006 I 1 • � I Perc-Rite O&M Sheet Perc-Rite O&M Sheet II. Annual Inspection(annually also include the following tasks) 1 i Zone Dose Rates Ill. Reporting 1. Open the air release valve boxes and inspect.Make sure they close i during the dose cycle with no water leak after air is evacq�ated j A. Provide summary report to the client with pertinent operating and O.K. Comments and remedial action �' id s c{ t k j maintenance information. V, o u 5 B. Provide signed and dated inspection report to regulatory agency(s)as 2.Determine how many zones are in operation and.the installed flow rates required. from the installation records. O.K. Comments and remedial action S IV.Operator Signature ` I Date: MA Treatment Plant Operator# 3.With the pump in the"Hand"position,select the first zone by placing the zone valve switch in the"Hand"position.After pressurization time,check j flow rates by reading the flow meter for a timed minute.Repeat for all zones.If flow varies by more than 10%from original flow rates,reset flow rarat`egs. O.Ka_Comments and remedial action I 4.After the final zone is checked,place the"Zone Return"valve in the f "Hand"position while the"Zone Valve is still in the"Hand"position and very that the flow rate increased to provide field flushing, O.K. Comments and remedial action j 5. Return appropriate switches to the automatic position. O k) Comments and remedial action 6.Press reset button for 5 seconds and check automatic zone dosing time. . O.K._Comments and remedial action pf B.Tanks&Pumps 15a4ZL ine and clean effluent screens,filters,and floats as needed. i Comments and remedial action cecnw,�Mo✓1�g ��"°�� 2. Measure Levels in Septic Tank �t Sludge Depth 12 Scum Depth G� i �1 ti Page 3 of 4 Page 4 of 4 1/2006 112006 t a Z �J r I �2 f1VY1Yr1 oc,IC �ptv �' Inspection report stored on Q drive: Q:\IA Systems\I-A Inspection Reports ar J.M. OREILLY & ASSOCIATES INC. PROFESSIONAL ENGINEERING,LAND SURVEYING & ENVIRONMENTAL SERVICES Od Site Development•Property Line• Subdivision• Sanitary• Land Court•Environmental Permitting x December 22,2017 Health Department Town of Barnstable 200 Main St. Hyannis, MA 02601 Re: End of WWTO Service—Perc-Rite I/A Treatment System 82 Hummock Lane Cotuit,MA To Whom It May Concern: Please be advised that J. M. O'REILLY & ASSOCIATES, INC. is no longer the service provider for the I/A Treatment system at the above referenced property. Sincerely, J.M. O'REILLY&ASSO�S, INC. Robert Reedy, . .T. Civil Engineer CC: Oakson Inc. J.M.O'Reilly, P.E., P.L.S. f RFR/ak 1573 MAIN STREET,P.O. BOX 1773,BREWSTER,MA 02631 • PHONE: (5o8) 896-66oI • FAX: (5o8) 896-6602 WWW.JMOREILLYASSOC.COM r P. 1 T m Communication Result Report( Dec. 4, 2017 11 :39AM ) m m i) 2) Date/Time: Dec. 4. 2017 11 : 37AM File Page, No, Mode Destination Pg (s) Result Not Sent 0337 Memory TX .915083622603 P. 5 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang uo or 1 ine, f a i 1 E. 2) Busv E. 3) No answer E. 4) No ,facsimile connection E. 5) Exceeded max. E—mail size E. 6) Destination does not support IP.Fax TOWN of BARNSTABLE Health Division-200 Main Strtct-Hya=is,MA 02601 FAX jai l r?r ' ��,• Numb¢afpagcs inrladmg.wv¢sbteE - r6: �.m,�Iw.�1�c•�-aAP. ..7—uf3awbbl. . � HealtbI)ivisioa' - "PAw: 508-862-4644" Fax pbmr.4��S �jz.— Faxptwaa: 'S08-790-6304 M. REZIARFS: ❑Timent {.- Fm-yons ❑ReplyASAp ❑:Pleuaummmt 9�q i r TOWN OF BARNSTABLE Health Division-200 Main Street- Hyannis, MA 02601 pgTHETpk FAX D ate: 6 2-1 '`j !AENSrABLA = i °o =639• Number of pages including.cover sheet:. pTFOM,A{4 TO: FROM: e_.. Ylat•(L -_i Town of Barnstable . Health Division Phone: , `� Phone: 508-862-4644 Fax phone: f Y6 Z_ ZCOy Fax phone: 508-790-6304 CC: n REMARKS: ❑ Urgent ' ]` For your ❑ ReplyA-SA-P ❑ Please comment preview .fj --y j.--. -fl'7�1't.l3C �.-1 siY�.� r✓ a-�' 9 (1) No more than six (6) bedrooms are authorized at this .property. Dens, study rooms, offices, finished attics, sleeping lofts; and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to six (6) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The applicant shall record on the deed that an innovative/alternative system (a PERC-RITE Dispersal System) exists at this property which requires operation and maintenance. (4) The septic system with innovative technology components shall be installed in strict accordance with the engineered plans dated October 30, 2012. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system with innovative technology components and shall certify- in writing to the Board of Health that the system was installed in substantial compliance with the plans dated October 30, 2012. (6) The System Owner shall strictly adhere to the six conditions contained within the PERC-RITE Dispersal System approval letter from the Department of Environmental Protection (DEP) entitled `Approval for Remedial Use' dated March 4, 2012. (7) The 'Company (American Manufacturing Company, Inc.) shall strictly adhere to the ten conditions contained within the PERC-RITE Dispersal ,System approval letter from the Department of Environmental Protection (DEP) entitled `Approval for Remedial Use' dated rMarch 4, 2012. Site constraints severely restrict the location of.the system components due to the location of a coastal bank and Wetlands bordering along the.southerly and easterly sides of this property. These variances are granted because the designing engineer designed the new system in an effort to maximize the setbacks to these resources. In addition, the plan does not reflect any additional wastewater discharge compared to the existing approved system. Sincerely yours, Wayn6will r M.D. Chairman Q:\W'FILFS\82 Hummock Ln Cotuit Nov 2012.doc fr J.M. O'Reilly & Associates, Inc. LETTER OF Engineering&Land Surveying Services 1573 Main Street,2nd Floor,P.O.Box 1773 TRANSMITTAL Brewster,MA 02631 ,- (508)896-6601 ( = Fax(508)896-6602 iya t TO: DATE: JOB NUMBER: Town of Barnstable 11/17/2017. 7044W Public Health Division 200 Main Street REGARDING: Hyannis, MA 02601 82 Hummock Lane Cotuit, MA Shipping Method: Regular Mail ❑✓ Federal Express ❑ Certified Mail ❑ UPS Priority Mail ❑ Pick Up ❑ Express Mail F1 Hand Deliver COPIES DATE DESCRIPTION 1 10/30/17 Perc-Rite Routine Maintenance Checklist For review and comment: For approval: As Requested: For your use: REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Client Oakson, Inc. From: RFR If enclosures are not as noted,kindly notify us at once f� ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 82 Hummock Lane, Cotuit Date: 10/30/17 Homeowner: Anne Gould Operator: John O'Reilly, P.E., P.L.S. Lic#:17746 Job #: 7044W HISTORICAL DATA and CURRENT READINGS 660-Reduced by Previous flow meter reading: 75.690 Design flow: 60%-396 Date of last visit: 10121/17 Current flow meter reading: 186,937 Calculated water usage: 297GPD Start-up dose rate Current dose rate ZONE 1: 2.0 GPM 1.7 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES❑ NO 0 Comments: B. Air release valves: erosion YES ❑ NO❑ leakage/spraying YES❑ NO❑✓ Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YES❑✓ NO El Comments: . B. Alarm float working YES[Z] NOD Comments: C. Solids or scum present YES❑ NO❑✓ .. Comments: CONTROL PANEL -A. Switches in AUTO position YES❑✓ NOR Comments: B. Peak Level light on YES❑✓ NO❑ Comments: peak level light came on mid inspection. C. Power and Run lights on (microprocessor) - YES❑✓ NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES❑✓ NO❑' Comments: B. Zones 1-4 (one at a time): flow meter running YES❑✓ NO❑ dose rate correct YES❑✓ NO❑ flush rate > dose rate, YES❑✓ NO❑ Comments: i 4 C. Disc filter back flushing:'working properly YES❑✓ NO❑ Comments: i D. Disc filter inspection: excessive residue YES[I NOD cleaning required YES El NO❑ Comments: E. Switches returned to AUTO position YES❑✓ NO❑ Comments: F. RESET/CYCLE START: functioning properly YES❑✓ NO ❑ Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES❑ NO❑✓ Comments: SEPTIC and/or PRE-TREATMENT TANKS A. Examine and clean effluent filter: excessive residue YES❑✓ NO❑ Comments: N/A B. Septic tank pumping recommended YES❑ NO ❑✓ 1. Sludge depth:o" 2. Scum depth: o Comments: C. Service pre-treatment system YES❑ NO❑ Comments: N/A Operator signature License No. 17746 Comments/Observations: System appears to be fully functioning and working as designed. J.M. O'Reilly & Associates;" Inc., LETTER OF Engineering&Land Surveying Services 1573 Main Street,2nd Floor,P.O.Box 1773 -TRANSMITTAL Brewster,MA 02631 (508)896-6601 Fax(508)896-6602 ` TO: DATE: JOB NUMBER: Town of Barnstable 12/23/2014 7044W Public Health Division - 200 Main Street Hyannis, MA 02601 REGARDING..::._- 82 Hummock Lane Cotuit,.MA Shipping Method: Regular Mail ❑✓ Federal Express Certified Mail ❑ -UPS Priority Mail Pick Up - F.-] :Z U l 3 -- "�`�' P-c:r"`�• �'` Express Mail ❑ Hand Deliver COPIES DATE DESCRIPTION Routine Operation and Maintenance Checklist for Perc-Rite Drip Dispersal System II For review and comment: For approval As Requested: For your use: FV El REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Keith E. Fernandes, P.E. = Client Oakson, Inc. From: KEF/els If enclosures are not as noted,kindly notify us at once r ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address. 82 Hummock Lane,Cotuit Date: 12/22/2.014 Homeowner: Anne Gould Operator: Keith E. Fernandes, P.E., WWTO 4M-Full #13240 .lob #: 7044W HISTORICAL DATA and CURRENT READINGS . 660-reduced by Previous flow meter reading: 120-orisinal Design flow: 60%-396 Date of lastvisit: 12/32013 Current flow meter reading: 23030 Calculated.water usage: 63cPo Start-up dose rate Current dose rate ZONE 1: 2.0 GPM 2.0 GPM ZONE 2: ; ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES❑ NO 0 Comments: B. Air release valves: erosion YES ❑ NOE] leakage/spraying- YES❑ NO❑✓ Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YES❑✓ NO❑ Comments:. B. Alarm float working YES[Z] NO❑ Comments: w, C. Solids or scum present Y.ES❑ NO❑✓ Comments: CONTROL.PANEL A. Switches in AUTO position YES❑✓ NO❑ Comments: B. Peak Level light on, YES[:]' NO❑✓ Comments: C. Power and Run lights on (microprocessor) YES❑✓ NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES[Z] NO[-] Comments: B. Zones 1-4 (one at a time): flow meter running YES❑✓ NO❑ dose rate correct YES❑✓ NO❑ flush rate >.dose rate YES NO[] Comments: flapper valve cleaned C. Disc filter back flushing: working properly YES❑✓ NO❑ Comments: D. Disc filter inspection: excessive residue. YES El NO❑ cleaning required YES❑✓ NDE] Comments: , E. Switches returned to AUTO position YES❑✓ NO❑ Comments: F. RESET/CYCLE START: functioning properly YES❑✓ NO ❑ }Comments:. G. Hydraulic Unit: leaks, crimps, or other issues - YES❑ NO❑✓ Comments: SEPTIC and/or PRE-TREATMENT TANKS A. Examine and clean effluent filter: excessive residue YES❑ NO❑✓ Comments: installed new effluent filter i> B. Septic tank pumping recommended YES❑ NO ❑ , 1. Sludge depth: V - 2. Scum depth: 1" Comments: C. Service pre-treatment system YES❑ NO❑• Comments:, Operator signature - License No. 13240 Comments/Observations: y �. Horsley Witten ittiten Group 7Z)2 Sustainable Environmental Solutions 7. 90 Route 6A Sandwich,MA • 02563 1 Te1:508-833.6600 Fax:508-833-3150 www.horsleywittan,com Letter of Transmittal = TO: Tom McKean, Director DATE; 10/30/12 JOB NO. 12052 Barnstable Health Division 'RE: 82 Hummock Lane,Cotuit,MA 200 Main Street Variance.Application { Hyannis, MA 02601 WE ARE SENDING YOU: Via:- Handdelivery THE FOLLOWING: X Report Prints X Plans . Shop Drawings Specifications X Copies R X Check. Contract Documents 4 copies—Variance Request Form 4 copies—Variance Request Letter 4 copies—Written affidavit 4 copies—Engineering Plans 4 copies—Labeled Dimensional Floor Plans 4 copies—Authorization Letter 4 copies—Abutter Notification Letter, 4 copies—Checklist 4 copies—Groundwater Adjustment Calculation 4 copies—I/A Approval Letter 1 copy—Soil Suitability Assessment for Sewage Disposal Check for$95.0(Variance Request Application Fee) REMARKS: Please find attached the variance application for 82 Hummock Lane in Cotuit. Please call if you have any questions: Thanks, COPY TO: Joan Dineen SIGNED: Joe Henderson,P.E. Dineen Architecture+Design pc r r General Laws: CHAPTER 114, Section 34 Page 1 of 1 D/I L4 Print PART I ADMINISTRATION OF THE GOVERNMENT o TITLE XVI PUBLIC HEALTH __....._,-._...._.-._.___._._-._...----_._...._.._..._..._------._._..____..__...._.�_---___.._---_.__;.-------__-_-__-__..__..___.._-------.._------_- 1 V CHAPTER 114 CEMETERIES AND BURIALS Section 34 Use of land for burial; new cemeteries or extensions; approval of board of health;. s i description of land W Section 34. Except in the case of the erection or use of a.tomb on-private land for the exclusive use of the family of the owner, no land, other than that already so used or . appropriated, shall be used for burial, unless by permission of the town or of the mayor and aldermen of the city in which the same lies; but no such permission shall be given until the location of the lands intended for such use has been approved in writing by the board of health of the town where the lands are situated after notice to all persons interested and a hearing; and the board of health, upon approval of the use of any lands either for new cemeteries or for the extension of existing cemeteries, shall include in the records of the said board a description of such lands sufficient for their identification. For every interment in violation of this section in a town in which the notice prescribed in section thirty-seven has been given, the owner of the land so used shall forfeit not less than twenty nor more than one hundred dollars. https:Hmalegislati re.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapterl 14/Section34/Print 10/14/2016 r General Laws: CHAPTER 114, Section 35 Page 1 of 1 Print _._.._.w - PART I ADMINISTRATION OF THE GOVERNMENT = ...... .... ... _..__-- ___.. .__ ._.._ _. ______ TITLE XVI PUBLIC HEALTH CHAPTER 114 CEMETERIES AND BURIALS Section 35 Lands to be used for burial; approval ------------- Section 35. No land other than that so used and appropriated on April tenth, nineteen hundred and eight, shall be used for the purpose of burial if it be so situated that surface water or ground drainage therefrom may enter any stream, pond, reservoir, well, filter gallery or other water used as a source of public water supply, or any tributary of a source so used, or any aqueduct or other works used in connection therewith, until a plan and description of the lands proposed for such use have been submitted to, and approved in writing'by the department of environmental protection. PIA If-t) q L ja�C l CL ("Y-DX►irk+ 1�-� (,t Z Q�d� i '�' I S - J 'Ili; S I oCx�i 0-" (�2 .vylyV,oGL ( tA , C- ►�"� o https:Hmalegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapterl14/Section35/Print 10/14/2016 r General Laws: CHAPTER 114, Section 36 Page 1 of 1 r•;; Print PART I ADMINISTRATION OF THE GOVERNMENT ......... .......... ----------------- TITLE XVI PUBLIC HEALTH CHAPTER 114 CEMETERIES AND BURIALS Section 36 Appeal from order of board of health; hearing _ _._... .-_ ... _.............. Section 36. Any person, including those persons in control of any public land, or the officers of any municipality, aggrieved by the action of a board of health in approving the purchase, taking or use of any lands for cemetery purposes may, within sixty days, appeal from the order of said board to the department of environmental protection, and said department may, after a hearing, rescind such order or may modify and amend the same by approving a part of the lands so proposed for such use. r t https://malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapterl14/Section36/Print 10/14/2016 r C -I.orsley Whiten Group Sustainable Environmental.Solutions 90 ROuter6A - Sandwich,MA • 02563 Tel.508-833-6600 • Fak 508433-3150 • wwwhorileywitten.com TO: The Abutters of 82 Hummock Lane, Cotuit MA,Assessor's Map 053,Parcel 014 SUBJECT: Notification of a Request for Variances. TO WHOM IT MAY CONCERN, In accordance with State Law; 310 CMR 15.00, The State Environmental Code, and the Town of Barnstable Board of Health,you are hereby notified that a Variance Request Form has been filed with the Barnstable Board of Health by the owners described below, regarding the subject septic system upgrade. Additional details follow: APPLICANTS: Anne Gould ADDRESS: P.O. Box 161,Cotuit,MA 02635 PROJECT LOCATION: a. 82 Hummock Lane,Cotuit,MA b. Assessor's Map 053,Parcel 053 014 PROJECT DESCRIPTION: The project includes expansion of the existing house requiring the repair of the existing septic system. No increase in design flow is.proposed. Five Variances are being requested. Four of the variances are from the Barnstable Board of Health Regulations and relate to the setback distance from the coastal bank to the septic system components (360-1). The fifth variance is from The State Environmental Code, Title 5 and relates to the setback distance from the property line to the ' wastewater disposal area. APPLICANTS'AGENT: Horsley Witten Group,Inc. PUBLIC HEARING: Tuesday Afternoon,November 13, 3:00 PM LOCATION: Town Hall,Hearing Room, 367 Main Street,Hyannis,MA Plans for this project describing the proposed activity are on file with the Barnstable Board of Health. Sincerely, Joe Henderson Project Engineer r Prop ID:036055 CUMING,WILLIAM R&RUTH D RUTH D CUMING 1995 REVOCABLE P0 BOX 910 COTUIT,MA 02635 Prop ID:036056 CUMING,WILLIAM R&RUTH D RUTH D CUMING 1995 REVOCABLE P O BOX 910 COTUIT,MA 02635 Prop ID:.053023 CUMING,WILLIAM R&RUTH D RUTH D CUMING 1995 REVOCABLE P O BOX 910 COTUIT,MA 02635 Prop ID:053024 CUMING,WILLIAM R&RUTH D :RUTH D CUMING 1995 REVOCABLE P O BOX 910 COTUIT,MA 02635 F , Prop ID:053029 CUMING,WILLIAM R&RUTH D RUTH D CUMING 1995 REVOCABLE P O BOX 910 COTUIT,MA 02635 Prop ID:053014 GOULD,ANNE G&ROSENTHAL,K h - MARSH HOUSE NOMINEE TRUST P O BOX 161 r . COTUIT,MA 02635 J Groundwater Adjustment Calculation Test Hole#: NA Elev: 29.5 Job#: 12052 Site Location 82 Hummock Lane, Cotuit MA Date: 8/21/2012 Assessors Map 053, Parcel 014 Prepared by: JEH Soil Evaluato Joe Henderson Contractor: Mass Cape Construction Notes: No water encountered in soil test pits. Depth to water is based on wetland elevation(el. 6). STEP 1 Measure depth to water table to nearest 1/10 ft. (depth is in feet 8/21/2012 23.5 below ground surface) Date Depth(feet) STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate index well MIW-29 B)Water-level range zone 0-2 STEP 3 Using monthly"Current Water Resources Conditions" determine 8/29 9.32 current depth to water level for mm/yy index well. STEP 4 Using the Table of Potential Water Level Rise for Index Well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2.3 2B) determine water-level adjustment. STEP 5 Estimate depth to high water by subtracting the water-level adjustment(STEP 4) from measured depth to water level at site (STEP 1).. Elev: 8.3 Notes: t See handbook for "Potential Water-Level Rise" Monthly index well data: www.capecodcommission.org/wells.html September 7;20`12 Anne Gould_ PO Box 161 Cotuit;MA 02635 To Whom it May Concern: In 1.971 my h;usba d and I built'a house at 82 Hiiminock Dane iri Cot br our family of five,childieri, and with rpolm for my father,and step-mother`wllo were frequent visitors. The house had four bedrooms and 2 and '/2 baths in the main part of the house and th ee.bedrooms and a bathroom in the :attached garage for our three sons; Ile Anne G. Gould; KATHIRYN A I � Notdry Public 6 err 7rrr �+�w lg ®f massochu 9 �=1� �:crr��etissicsn ergs , Charles Hamblin 1726 Newtown Rd. Cotuit, Ma. 02635 To Whom It May Concern: In 19711 built a house for James and Anne Gould and their five children at 82 Hummock Lane, Cotuit, Ma 02635. The House had four bedrooms and 2 and %2 baths in the main part of the house and 3 bedrooms and a bath in the attached garage. c � Charles H bluff .,TOWN OF BARNSTABLELL- d LOCATION M 0C L SEWAGE# ' 67d VILLAGE��,�/• ASSESSOR'S M'A_Pa&PARCEL c6J D INSTALLER'S NAME&PHONE NO. tj7/Sc SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ( ,.�g (size) NO.OF BEDROOMS OWNER C,; PERMIT DATE: COMPLIANCE DATE: ( (a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within ' 300 feet of leaching facility) C �, Feet FURNISHED BY ` \ Ole, c 40, S30 , - 2-14 G1 r 63�y r Horsley Witten Group Sustainable Environmental Solutions 30 Route 6A .Sandwich,MA 02563. Tat.508-833-6600 • Fax.508-833-3150, www.horsley%4tten.com' October 30, 2012 • Tom McKean, Director ' Barnstable Board of Health Town of Barnstable a 200 Main Street Hyannis, MA 02601 Re: Variance Request—82 Hummock Lane, Cotuit, MA Dear Mr. McKean: Please find enclosed the variance application for the septic system repair at the location referenced above. The existing septic system will be replaced with a Title 5 compliant system to accommodate an addition to the existing residence. No increase in design flow is proposed. Based on our correspondence with Health Department staff, no records are on file for the property with respect to the permitted number of bedrooms. Assessor's data indicates the residence is a four-bedroom home, however, the owner has provided a written affidavit that the home was built in 1971 with a total of seven bedrooms (see attached). The proposed renovations will include relocating the existing garage and constructing an addition to the existing dwelling. With the proposed renovations, the residence will have six bedrooms, a reduction from existing conditions. The septic system repair includes a 1,500-gallon septic tank, 1,500-gallon pump chamber, drip irrigation hydraulic unit, one supply and return forcemain and a single zone drip irrigation disposal system. The proposed system is designed to treat the 660 gallons per day(gpd) design flow. The existing septic system for the residence will be abandoned in accordance with Title 5. The residence is located within the Town's Saltwater Estuary protection overlay district. Within this overlay district, the maximum allowable flow for existing buildings is based on the permitted number of bedrooms. As described above, the existing residence has seven bedrooms and the proposed renovated residence will have six bedrooms. This will provide a reduction in the Title 5 design flow at the site. Additionally, a Perc-Rite drip disposal system,which is approved for Remedial Use by the Department of Environmental Protection(DEP), is proposed for effluent disposal. The Remedial Use approval is attached. The drip irrigation system will likely provide more nutrient uptake than a conventional disposal system due to'its shallow placement where plant uptake of nutrients can occur. The system also allows for preservation of existing trees, and can be blended into the slope. Mr. Tom McKean October 30,2012 Page 2 of 2 To accommodate the proposed septic system, five variances are being requested, four from local Barnstable regulations and one from Title 5. A variance from the setback to the adjacent Coastal Bank(Barnstable regulation 360-1) for the proposed septic tank,pump chamber and drip irrigation hydraulic unit are being requested. The distances from the State Coastal Bank have been maximized while still providing gravity flow from the building to the septic tank and pump chamber. The drip irrigation disposal field is located along the northern property line, maximizing the separation distance to the Coastal Bank. Overall, the proposed system will provide greater separation to the Coastal Bank and a higher degree of treatment than the existing system. Additionally, the septic tank,pump chamber and drip irrigation hydraulic unit are a minimum 70 feet from the adjacent Bordering Vegetated Wetland(BVW) and the drip disposal area is outside the 100-foot buffer to the BVW. The fifth variance is a 5-foot reduction in the 10- foot property line setback. This variance will help maximize the separation distance to the Coastal Bank. Please let me know if you have any questions or comments. Thank you very much for your consideration. Sincerely, HORSLEY WITTEN GROUP, INC. Joe Henderson, P.E. Project Engineer Attachments: Written Affidavit Perc-Rite Drip Disposal System DEP Approval for Remedial Use H:\Projects\2012\12052 Anne Gould-Wet.Permitting,Cotuit\Permitting\BOH\120831_BOH Letter 12052.doc TRANS.NO.: CITY/TOWN: APPLICANT: tail Gaul ADDRESS: P o Pox t )I Pk r� ovic T DESIGN FLOW: foCfl C7 gPd REVIEWED BY: DATE: N/A OK NO GENERAL - Legal boundaries denoted 310 CMR 15.220(4) a)] Street,Lot,tax parcel number and lot number noted on plan[310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204 t Plan proper scale?(1"=40' for plot plans, 1"=20' or fewer for components) 310 CMR 15.220(4)] V Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a)for upgrades]- if not, a variance is required [310 CMR 15.412(4)] V Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve / areas. F310.CMR 15.220(4)(e)] `/ System Calculations [310 CMR 15.220(4)(f) daily flow septic tank capacity (required andprovided) soil absorption system (required andprovided) whether s stem designed for garbage index North arrow [310 CMR 15.220 4)(g) Existing and ro osed contours [310 CMR 15.220(4)(g) Location and log of deep observation holes(existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR / 15.220(4)(h) and i ] V Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0 Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n Sheet 1 of 7 Address N/A OK NO Location of every water supply,public and private, [310 CMR 5.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case of private water supply wells V Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220 4 m if water line cross see 310 CMR 15.211 1 [1 1� Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR15.220(4)(o) Stamp of designer [310 CMR 15.220(1)and 310 CMR 15.220(2) Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(31] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as / approved for an upgrade under LUA at 310 CMR 15.405 1) k V Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? Uretla 310 CMR 15.103 3)] o&d4) Benchmark within 50-75' of system 310 CMR 15.220 4 Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade I.Approval or LUA requested) 310 CMR 15.405(l(b)] l I Address Sheet 2 of 7 N/A OK NO SEIE'TICTA1K � - : -= Size OK? 310 CMR 15.223 1 ] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] V Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227(2)] V Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for Upgrades under LUA [310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9 must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 / CMR 15.232(3)(f)]_ V Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" b 7/07) 310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<I 000gpd, two fors stems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR / 15.228(2)] V > 10 ft from building foundation [310 CMR 15.211(1 Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where a ro riate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Required when other than single-family dwelling or flow>1000 g d [310 CMR 15.223(1)(b)] ✓ - First compartment 200%daily flow; Second compartment 100% daily flow 310 CMR 15.224(2) and 3 "U"pipe through or over baffle, outlet of each compartment with J as baffle or approved filter 310 CMR 15.224(4)] Address Sheet 3 of 7 N/A OK NO - Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1)[1 Cleanouts required/provided ? 310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221.(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphonproblem/(leachfield below pump chamber) Endca s or vent manifoldspecified? Size and orientation of discharge holes specified?(not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 / CMR 15.252(2)(h)] V' Materials specified (310 CMR 15.251(5) specifies various pipe types allowed Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] IJ Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sum 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd);waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] V Capacity(emergency storage above working=design flow)? [310 CMR 231 2 ] Proper setbacks [310 CMR 15.211 (same as septic tanks)] ✓ Watertight 20-in minium access manhole at least 20" MUST BE / TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag / mode. [310 CMR 15.231(6) and (8 'V Stable Compacted Base 310 CMR 15.221(2) IBuoyancy calculations needed ?Provided? [310 CMR 15.221(8)] Address Sheet 4 of 7 N/A OK NO . S_OIABSOB ' 'IOYSTEI%IS 5�> NE1 _ Calculations correct? t/ 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(l)] v Required separation to groundwater? [310 CMR 15.212 f Aggregate specified as double washed [310.CMR.15.247 2 System Venting required/provided?(system under driveway or >36" deep) [310 CMR 15.2411 Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation . within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[41 and , Guidance Document G_ALLE2IS,PATS;eiA_41!IBERSl0C1YIR15L3091 � Chambers and Gal. in trench configuration supplied with inlet every 20 ft. 310 CMR 15.253 6 Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate 1' minimum- 4'maximum. [310 CMR 15.253(1) ] J 2' sidewall credit maximum [310 CMR 15.253(1)(a) V In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6 Width 2'minimum 3'maximum 310 CMR 15.251 1 (b)] 100 feet- maximum length [310 CMR 15.251 1 a Minimum separation 2x effective depth or width whichever ,V greater 3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours 310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] Wft— BEDSAS (Vlaxunum zfed�orfieldLS000 d � __ v - ti ON minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)O Separation between beds 10' minimum. [310 CMR 15.252 2 v Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address Sheet 5 of 7 y , f G N/A OK NO -- Pressure Dosed System ?. Provided pump and piping calculations as required 310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd)or quarterly >2000 dgood to note on plan [310 CMR 15.254(2)(d)] Construction in fill - Did the plan specify that the fill shall meet the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall ? [Guidance Document Impervious barrier installation must be supervised by designer 310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional / Engineer [310 CMR 15.255 2 a tO Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document At least 5 ft. from impervious barrier to edge of SAS (10 ft. / recommended) [310 CMR 15.255 2 (e)] �P Gravelle s '-stem jl/ 1 rovaletters� y � r Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge ` to scour soil interface �( Alternattv�lS'epttc�System�IlA�_l ro�a�ete�s) -� � �_ Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? V Is there a note on the plan regarding the requirement for perpetual maintenance agreement? V Any alarms involved on separate circuits f Did the applicant submit an operation and maintenance manual? V Has applicant submitted a copy of a maintenance V Are the variances listed on the plan? [310 CMR 15.220 4 RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] V New construction or increased flow proposed - [Refer to 310 CMR 15.414] V Address Sheet 6 of 7 .d N/A OK NO Is the system in a Designated Nitrogen Sensitive Area (Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and U,� 310 CMR 15,216 - also refer to Policy regarding upgrades of such 1'strie ) existing systems] Is the system proposed on the same lot as served by private well ? 310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR / 15.216 1 i/ Pumping to septic tank? 310 CMR 15.229 Shared System [310 CMR.15.290] r Address Sheet 7 of 7 Y No. J /� 60 Alt I)-� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: " PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for -bispo8al *pstem Conetrurtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade(—)--Abandon( ) omplete System ❑Individual Components Location Address or Lot No. Z V e^M p CA e,r r Owner's Name, ddress,and Tel.No. Assessor's Map/Parcel _ (4 r (y 1 y Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) &�o gpd Design flow provided d gpd Plan Date Number of sheets Revision Date. Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore descr' ed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not cc the sys min operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 01/ Application Approved by Date 0 Application Disapproved by Date for the following reasons 3 Id Gad Permit No. 2 �3 �(� Date Issued- ( / 1 No. U �l� pf,_V ( � "IIIIII Fee 1 _ ` TH&COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes r PUBLIC HEALTH DIVISION -TOWWOF BARNSTABLE, MASSACHUSETTS ,.. . ' RglicAtlo' for ]Dis'poW--*psttm Construction Permit Application for a Permit to Construct( ) Repair)( ) Upgrade(`'Abandon( ) omplete System ❑Individual Components I ' Location Address or Lot No. �. V nn m �� a r.v Owner's Name, ddress,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and TO.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other\ Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) In r Q gpd Design flow provided k G .a gpd t , rf l�t , . Plan %Date.ti $ 1 J iiNumier,of�stgets Revision Date P 1 Title 6i f Size of Septic Tank Type of S.A.S. r� { Description of Soil r Nature of Repairs or Alterations(Answer when applicable) • 1 I t + Date last inspected: 1 -'` Agreement: The undersigned agrees to ensure the construction and maintenance of the afo e�descr ed ori,-jite sewage disposal system iri accordance with the provisions of Title 5 of the Environmental Code and not ace the sys "m in operation until,a Certificate of Compliance has been issued by this Board of Health. Signed D�T Date - Application Approved by Date D Application Disapproved by Date for the following reasons ()f,c,/� �.3 13 W Permit No. 2 d (, Date Issued- e 6 / 7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS 1 (Certificate of (Compliance Y THIS IS TO CER _Yt that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by t at 't' 14. has been constructed in accordance with the provis*.� of Title 5 and the for Disposal System Construction Permit No. 0 — dated ' Installer II� b, Designer #bedrooms J„ Approved design flow 41 0 gpd The issuance of this shall not.be construed as a guarantee that the 6s—te`mw—i1Mcf on si ed. Date J �j! ' ( Inspect No. d � 46 Fee� / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstem Constructionpermit Permission is hereby granted to Co struct( ) Repair( ) Upgrade( ) Abandon( ) System located at n MA _.0 y� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title.5 and the following local provisions or special conditions. Provided:Constru do must be completed ithin three years of the date of this permi, Date 3 � / rt; /� � J Approved by \ "1 VViicNae � �I�1 al�'f�C��l V�ad a �ar�ia one -br lnaa u c��5��-fe U1i�� Flako —Mi s7 Li i�a�al tr\elv TW,,Q 1;;�oe I No. L ✓ 7�: FEE COMMONWEALTH OF MASSACHUSETTS (� II J✓ Board of Health, bcynst oll2_ MA. l .CM� APPLICATION LOP DISPOSAL SYSTEM CONSTRUCTION PIRMIT Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) - 00 Complete System ❑Individual Components Location 82. HuM,,,t Owner's Name Anr, ,AJ (j..J4 -T J Map/Parcel# O5'3 O I y Address Lot# Telephone# Installer's Name M T T — S40A._ LL C Designer's Name (� W.. . or Crs , <t rou Address 21,9 1 N1A Address 90 RA A S h Telephone# 0 _-7 Telephone# cjp$_ Type of Building S►na 14- F'w#A,l . b W t1�IAa Lot Size sq.ft. Dwelling-No.of Bedrooms 6 Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) C6C] gpd Calculated design flow (n60m0a Design flow provided 660,018 gpd Plan: Date O_d. Z O 17- Number of sheets 2 Revision Date lA Title S�SS44,r, RQ.pskc Plain Description of Soil(s) �J20_ Ti-s� ,tAja- Loq< Soil Evaluator Form No. i31 ZC� Name of Soil Evaluator AQneUlson Date of Evaluation $-Z " lZ DESCRIPTION OF REPAIRS OR ALTERATIONS T-^J 1 At,, s tnf•t- !#Ak eu�,n C60.6-1tr fare 04 t4I S P er T A,( So,t *JAWS or1+T1)G,% I!$Jt % The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system' tion until a Certificate of Compliance has been issued by the Board of Health. Signe Date 3 ,7-13 �-- 3 Inspections No. �/� " � FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, nacLrf vif c *Iit- , MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ®Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded { ,Abandoned ( ) by: M Ao.J S -Um ,,L IC" & S ^a-C.L.c- at $7— Hyma -cl Lou- ., C.o4ul has been installed in accordance with the r vi ons of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.0l-5 -7$ dated Approved Design Flow (p bC (gpd) Installer 11 _acL e- - _cj Designer: knwj+, WAL. (rr•ovP Inspector: Date: ` The issuance of this permit shall not be construed as a guarantee at the system will function as designed. .r93/ 3 `�� SP_ �J`✓ FEE i 4j`— ( T" ealWA, fn St w�,��_ MA. Yj APPUC '�'W V69 DSMAL SYSTEM CONSTRUCTION PERMIi Application for a Permit to Construct( ) Repair( Upgrade Abandon Complete System ❑Individual Components ..s. x ` 84. tfuM ock- 4.Ane . C.tv'1 +� Location Owner's Name Ann � SQ.nH•.o,� Gr.oa�ol, l+rJ • Map/Parcel#, _ �5'� Q 1 Y Address $Z 1u«.wos Lot, , , C.L1 Lot# Telephone#~ Installer's Name M„� �--T L,�IEGA g,S40A, LLL' Designer's Name Y1cCdress 21 Qen A.r+n fu uacw;c�, Mjk 1 Address 90 PU QA �jOtn c�n N1 Telephone# a „7 O Telephone# j508_ 00 Type of Building S ono Ia_ p//a--,rAl, b w e.11ina Lot Size sq.ft. Dwelling 1®g-No.of Bedrooms !r ^; {s Garbage grinder ( ) �. Other Type of Building No.of persons Showers ( ),Cafeteria ( ) r Other Fixtures Design Flow'(min.-required)' gpd Calculated design flow 960.OB Design flow provided 660,013 gpd Plan: Date .O C, Z d t Z. L,, Number of sheets �/N ! �., Revision Date Title SQut:, SSJJ.r, Rkbckkr pion Description ofSoil(s). Sa.Q T�s ads (.cygt _ ` Soi_l Evaluator Form No. I 1 ZC'a Name of Soil Evaluator 7 I4 g-JQr s on Date of({Evaluation $-Z. I 7. �! ! r t ►DESCRIPTION OF REPAIRS OR ALTERATIONS �n a�a�0 QA.0 Sea}� ��nk Dump c�an.Let ou►o� ,�tr c•r.t� u�r on L /!1 f#' The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in ope>Gation until a.Certificate of Gaompliance has been issued by the Board of Health. 'Signe Date 3 Inspections t_ x No. C1'� -3 t A FEE .l Board of Health, Q)cx A%Ur1 1VIA:' .. CERTIFICATE OF COMPLIANCE Des ption of Work: ❑Individual Component(s) 6-p Complete System The undersigned hereby'certify that the Sewage Dispotl System; Constructed ( ),Repaired ( ),Upgraded Abandoned ( ,) by: M i��,ca�.( -T' ?"n aa� /Ea,,I(_ C Jn- [( r at 4 Ce4�Z u,.�. �� Lam_ I,.'JS 1 tr has been installed in accordance with the r v1 ons of 310 CMR 15.00 (Title 5).,and-the,approvedHdesign plans/as-built plans relating to application No.�l3 �� , dated 6}� Approved Design Flow, �� f�d • , -�,_. Installer k i l , µ e / 1 Designer: �4r,�s4a W. e� -ra.. Inspector: ' ,1l _- Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. -3 f FEE COMMONWEALTH OF MASSACIJ SETTS Board of Health, �.; t, ! " MA. DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade(x.) Abandon( ) an individual sewage disposal system at Cot„t MN as described in the application for Disposal System Construction Permit No ' �� ,dated % 1 1 j . Provided: Construction shall be completed within three years of the d/ate o'f this per.•mit. -All local•corrditions,must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date � .�'� ` Board T Town, of Barnstable Regulator Services Richard V.Scali,Interim Director �16 Public Health Division Arfp ,�a Thomas McKean,Director 200 Main Street,Hyannis,MA.02601. Office: 508-862-4644 Fax; 508-790-6304 Installer&Designer Certification Form Date: f 5 d 16 Sewage Permit# /�j'"(3 (Assessor's MaplParcel Designer: 110 PStf!:, ISM Gr-7Ly C Installer; 1� Address: a �i� �A Address: 7� A ar n�— San�w�c r, On 6 I ��` was issued a permit to install a (date) \ (installer) septic system at I "mv ck based on a design drawn by (address) dated 10 hO J 12. (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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 (Le, 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, I certify that the system referenced above was cons t 961hyj e. with the terms of the RA approva letters (if applicable) FALU ` CML W0.428nstalI is Ignatur�e) � t ( esigner s Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE, PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, Q,1Septic\bcsigner Certification Form Rev 8-14-13,doe REGIS LE. LAND BARNSTAB DEED REF_CT_ON . WHEREAS,. Anne Garrison Gould and Karen M. Rosenthal, s Trustees es o the WHE 2002, with MARSH HOUSE NOMINEE TRUST, dated July. 12, which Trust has a.mailing Barnstable County Land Court as Document 5, 881 is the owne of 82 Hummock Lane address of P.O. Box 161, Cotuit, MA 0263 located in Barnstable (Cotuit), Barnstable County, MA and being described as follows: Those certain parcels.of land situate in Barnstable(Cotuit)in the County of Barnstable of Massachusetts described as follows: and said Commonwealth Par_ Pro erty described on certificate of Title No. 71727 and referred to as LOT 13 as shown p M on PLAN 8516-G. .o N Parcel 2 ribed on certificate of Title No.71727 and referred to as LOT 2 as shown Property desc on PLAN 8516-E. 0 U s has WHEREAS,the MARSH HOUSE NOMINEE TRUST a restriction as to the owner of theid lnumber of a N agreed with the Town of Barnstable Board of Health re-condition N bedroom s which can be included in the home currently built oce th 3 0 CMR 15.000 ° o to obtaining a disposal works construction permit m compliance vironmental Code,Title V,Minimum Requirements for the Subsurface Disposal x State En �„ �; of Sanitary Sewage. �. anting a in H WHEREAS,the Town of Barnstable Board of Health, as apre-condition to gr `� disposal works construction permit for a septic system in compliance with 310 CMR o . ° d p 0 State Environmental Code,Title V,Minimum Requirements for the rfestriction o the Subsurfacer the .0 W 15.00 , Sewage,is requiring that the agreement `d 0 Disposal of Sanitary of bedrooms in the home currently constructed on the Cloixtnse be on record with number s of Deeds by recording this d the Barnstable County Regi try w the MARSH HOUSE NOMINEE TRUST does hereby place the NOW THEREFORE, tr. on on the above-referenced land in accordance with Leland and be following res the.Town of Barnstable Board of Health which restriction shall binding upon all successors in title: MA currently has a 1. e County, 82 Hummock Lane,Barnstable(Cotuit),itB ntain no more than six(6)bedrooms. home constructed upon the lots and it o MARSH HOUSE NOMINEE TRUST agrees that this shall be a permanent deed restriction affecting the property known as 82 Hummock Lane, Barnstable (Cotuit),Barnstable County,MA and being shown on the plan recorded on Land Court-Plan as Lot 2 on Plan 85.16-E, and Lot 13 on Plan 8516-G. Notwithstanding the foregoing, if in the event that the 82 Hummock Lane property should ever be served by a Town of Barnstable or some other municipally owned and or operated septic/sewer system then this deed restriction shall no longer be of any force and effect. For title see Land Court Certificate of Title Number 166212. II Executed as a sealed instrument this / day of January, 2013. ANNE GARRISON G ULD,Trustee of the Marsh House Nominee Trust COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 18t'day of January, 2013,before me,the undersigned notary public, personally,appeared ANNE GARRISON GOULD, as Trustee,.proved to me through satisfactory evidence of identification,which were being personally known to me,to be the person whose name is signed on the preceding document, and acknowledged to me that she signed it voluntarily for its stated purpose. (SEAL) Lucinda A. Civetti-Notary Public My commission expires: 07/04/2014 AK LUCINDA A. CIVETTI Notary Public COMMONWEALTH OF MASSACHUSETTS My Commleflon Explret July 04.2014 Executed as a sealed instrument this ay of January, 2013. k11114 A 1A A cill V(ZV I V V I ZkkEN M. ROStNTANL,Trustee of the Marsh House Nominee Trust . STATE OF CALIFORNIA Los Angeles,ss. On this day of January,2013,before me a undersigned notary public, personally appeared KAREN M. ROSENTHA Trustee,proved to me through satisfactory evidence of identification,whi were ,to be the person whose nZsignede preceding document, and acknowledged to me that she signed it volu purpose. (SEAL) Notary Public My commission expires: r ff CALIFORNIA'ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles , On 5 before me, Me Notaan Humphrey, ry Public personally appeared who proved.to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under.PENALTY OF PERJURY under the law of the State of California that the foregoing paragraph is true and correct Witness my hand and official seal. C� n re MEGAN HUMPHREY Commission# 1878648 Notary Public-California z Los Angeles.County My Comm.Expires Jan 31,2014 ' 1 CERTIFICATE OF TRUSTEES C O We,Anne Garrison Gould and Karen M. Rosenthal,Trustees of the MARSH HOUSE NOMINEE TRUST,under Declaration of Trust dated July 12,2002, and recorded/filed with the Barnstable County Registry of Deeds Land Court Department as Document No. 881,402,hereby certify that Anne Garrison Gould and Karen.M.Rosenthal are the Trustees of said Trust; that said Trust has not been altered, amended,revoked or terminated; that all of the Beneficiaries of said Trust are of legal age and are not under legal incapacity; and that pursuant to the said Trust the Trustees.have been authorized and directed by all of the Beneficiaries thereof to sign and record a Deed Restriction regarding the number of bedrooms which may be constructed on the property known as 82 Hummock Lane,Barnstable(Cotuit),MA and to sign an deliver any and all documents necessary to effectuate said transaction. Executed as a sealed instrument this 23'd day of January,2613. �,ell ANNE ARRISON G ULD,Trustee of the Marsh House Nominee Trust COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 23`d day of January, 2013,before me,the undersigned notary public,personally. appeared ANNE GARRISON GOULD, as Trustee;proved to me through satisfactory evidence of identification,which were being personally known to me,to be the person whose name is signed on the preceding document, and acknowledged to me that she signed it voluntarily for its stated purpose. (SEAL) Lucinda A. Civetti-Notary Public My commission expires: 07/04/2014 LUCINDA A. CIVETTI Notary Public COMMONWEALTH OF MASSACHUSEiTS My COMMISSIon Expires July 04,2014 ice. Executed as a sealed instrument this day of January,20 0. (12 A 1J111 Al AIVA It J� LI KAREN M. ROSENT L;Trustee of the Marsh House Nominee Trust State of California County of Los On ot2 2-t s before me, ,Notary Public, persondllyap eared rg who proved to rA on the basis of satisfactory evidence to be the s n(s) whose rtetlje(s'f d subscribed to the within instrument and acknowledged to me tha he/sQlthey executed the same in hislfigitheir autho ed ca ac y(ies), and that by his/ e�tr heir s' re(s)on the instrument the pr(s),or the entity. upon behalf of which the er n(s)acted,executed the instrument cerlily under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal. ANGELA YOZA .. Commission# 1852832 ra'<� r� Notary Public-California D z°' - i Lns Angeles County ; ' Nly i'.oMm. -Expires Jun 7,2013 1 OFt TQJy Barnstable " Town of Barnstable , All-AmedcaCily BARNSrABLE, • , O �' MASS. r Board of Health - _ 1639. Ar fo►�`'�N. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 16, 2012 Mr. Joe Henderson Horsley Witten Group, Inc. 90 Route 6A Sandwich, MA 02563 RE 82 Hummock Lane, Cotuit A = 053 - 014 { Dear Mr. Henderson, You are granted a conditional variance on behalf of your client, Anne Gould, to construct an onsite sewage disposal system at 82 Hummock Lane, Cotuit. The variances granted are as follows: 310 CMR 15. 211 M To install the drip disposal area five feet away from the property line, in lieu of the minimum ten feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install the soil absorption system (drip disposal area) 51.6 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install'the septic terik.54.5 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install the pump chamber 5.1.1 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install the hydraulic unit 50.8 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. This variance is granted with the following conditions: Q:\WPFILES\82 Hummock Ln Cotuit Nov 2012.doc (1) No more than six (6) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts; and similar-type rooms are considered "be'drooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to six (6) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The applicant shall record on the deed that an innovative/alternative - system (a PERC-RITE Dispersal System) exists at this property which requires operation and maintenance. (4) The septic system with innovative technology components shall be installed in strict accordance with the engineered plans dated October 30, 2012. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system with innovative technology components and shall certify in writing to the Board of Health that the system was installed .in substantial compliance with the plans dated October 30, 2012. (6) The System Owner shall strictly adhere to the six conditions contained within the PERC-RITE Dispersal System approval letter from the Department of .Environmental Protection (DEP) entitled 'Approval for Remedial Use' dated March 4, 2012. (7) The Company (American Manufacturing Company, Inc.)- shall strictly. adhere to the ten conditions contained within the PERC-RITE Dispersal System approval letter from the Department of Environmental Protection (DEP) entitled 'Approval for Remedial Use' dated March 4, 2012. Site constraints severely restrict the location of the system components due to the location of a coastal bank and wetlands bordering along the. southerly and easterly sides of this property. These variances are granted because the designing engineer designed the new system in an effort to maximize the setbacks to these resources. In,addition, the plan does not,reflect any additional wastewater discharge compared to the existing approved system. Sincerely yours, Wayn ill M.D. Chairman Q:\WPFILES\82 Hummock Ln.Cotuit Nov 2012.doc Q Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental rotect on One Winter Street Boston, MA 02108«617-292-5500 DEVAL L PATRICK RICHARD K.SULLIVAN JR, Governor Secretary TIMDTHY P.MURRAY KENNETH L.KIMMELL Lieunnant Governor Commissioner APPROVAL FOR REMEDIAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: American Manufacturing Company, Inc. 22011 Greenhouse Road, P.O. Box 97 Elkwood, VA 22718 ; Trademe of technology and model: PERC-RITE Drip Dispersal System, Models QM(WD), ASD-15, SD-25 & ASD-40 (hereinafter called the"System"). A schematic drawing of a typical a Design Manual and a technology checklist are attached and are a part of this Approval. Transmittal Number: X236091 Date of Issuance: March 4, 2011[January 27, 2006. Modified September 11, 2007, February 26, 2008] , Expiration Date: March 4, 2016 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Approval for Remedial Use to: American Manufacturing Company, PO Box 97, Elkwood, VA 22718 (hereinafter"the Company"), approving the System described herein for remedial use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on compliance by the Company 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. March 4, 2011 > David Ferris Date Wastewater Management Program I This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866-539-7622 or 1-617-574-6868 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper ti Approval for Remedial Use Page 2 of 8 PERC-RITE Drip Dispersal System I. Purpose 1. The purpose of this Approval is to allow use of the System in Massachusetts to repair subsurface sewage disposal systems, on a Remedial Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Approval for Remedial Use authorizes the use and installation of the System in Massachusetts. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15284(2). The System is used to dispose of wastewater from an alternative system approved in accordance with 310 CMR 15.280 through 15.289 with effluent discharge concentrations that meet or exceed secondary treatment standards of 30 mg/L biochemical oxygen demand (BOD5) and 30 mg/L total suspended solids (TSS) and from conventional Title 5 septic systems. 4. This Approval for Remedial Use authorizes the use of the System where the local approving authority finds that the System is for upgrade of a failed, failing or nonconforming system and the design flow for the facility is less than 10,000 gallons per day (GPD). II. Design and Construction Standards Standards 1. The System, a subsurface drip distribution technology, is equivalent to a pressure distribution system designed in accordance with the Department's Pressure Distribution Guidance. In the event of conflict between the terms and conditions of this System's technology approval and Title 5, this approval shall control. 2. The System is a pressure distributed subsurface wastewater drip dispersal (disposal) system that replaces a soil absorption system (SAS) designed in accordance with 310 CMR 15.000. The System is designed to distribute effluent from a treatment system(I/A or conventional) and discharge it at a minimum depth of 6 inches below finished grade; it includes a pump, control panel, a filter module/hydraulic unit and drip dispersal zone(s). The dispersal zone includes small diameter flexible polyethylene tubing with pressure compensating emitters located at two foot spacing within the tubing. The emitters operate on a pressure differential across the emitter. Effluent wastewater is discharged in small doses from the emitters. Dispersal field dosing is timed and controlled electronically to provide pre-programmed volumes of effluent for discharge to each dispersal zone. The System includes a return line that allows periodic flushing of the dispersal tubing. All drip zone supply and return pipes that are maintained filled with effluent after a pump cycle shall be buried below the frost line or properly insulated. All drip tubing and shallow manifolds shall be designed to drain into the soil or back to the pump chamber upon completion of the pump cycle. The System shall include single (the QM/WD model) or two-stage (the ASD models) automatic backwashing disc filters within the filter module and air vents in each dispersal zone. Each zone shall have air release valves at the high points of manifolds and check valves on each return manifold in multi-zone systems. The system shall be equipped with a totalizing flow meter. 3. The System may be installed in the A, B or C soil horizon or in fill material meeting the specifications at 310 CMR 15255(3) at a minimum depth of 6 inches below the finished grade. Approval for Remedial Use Page 3 of 8 PERC-RITE Drip Dispersal System 4. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. F 5. The control panel including alarms and controls shall be mounted in a location always accessible to the System operator. 6. The System may be installed in soils with a percolation rate of up to 90 minutes per inch (MPI). The System shall not be installed in Class IV soils as defined in 310 CMR 15.243. 7. Effluent loading rates shall be as specified in 310 CMR 15.242(1)(a) and(b)with the exception of Class IV soils. 8. The System shall be designed and constructed with drip tubing with a spacing of 24 inches unless obstructions are encountered or in cases where more than the required tubing is provided and equally distributed within the approved appropriately sized subsurface disposal area in which case a minimum separation of 12 inches is allowed. As much as possible the System shall be designed to provide equal distribution across the designated disposal area. 9. The System does not require a five foot over dig as indicated at 310 CMR 15.255(5). 10. The System includes the following: a. Pumps capable of providing pressure of 10-60 psi throughout the dispersal zone(s). Each drip dispersal zone shall be dosed a minimum of four times per day, or as recommended by the Company. Duplex pumping shall be provided for facilities with design flows of 2000 gpd or greater. The pump chamber, combined with available storage in the pretreatment units if provided, shall provide at least one-day storage as required by 310 CMR 15.231. b. Timed dosing for the drip system with a timer controller capable of operating the system during peak flow events without high-level alarms. c. Automatically backwashed filter(s) capable of screening particles larger than 115 microns prior to discharge of the effluent to the drip tubing. Filter(s) backwash shall be conveyed back to a separate settling tank or to the septic tank. d. Air vents in a zone shall be placed at a higher elevation than the drip tubing in that zone but below the ground surface.. Air vents shall be accessible from finished grade and insulated to prevent freezing._ e. Drip tubing lines installed as level as possible on contour and a minimum of 6 inches below finished grade.Drip line spacing is typically 24 inches with drip tubing emitters spaced 24 inches on center. More than the minimum length of tubing may be utilized within a properly sized soil absorption system. When the drip lines spacing is greater than 24 inches by 24 inches, the size of the dispersal field shall be increased to provide equal distribution with adequate tubing separation. The drip dispersal tubing shall be automatically forward flushed after a pre-programmed number of dosing cycles as determined by the Company. Flushing velocity shall be at least 2 feet per second at the distal end(s) of each drip dispersal lateral within a zone. All drip line flushwater shall be conveyed back to a separate settling tank or to septic tank. Approval for Remedial Use Page 4 of 8 PERC-RITE Drip Dispersal System f. The effective effluent dispersal area is calculated using the total area of the drip tubing system including a one-foot addition on each side or two square feet per foot of drip tube when tubing is spaced two feet apart. No sidewall credit shall be given for this System. g. The dispersal area shall not be installed under a paved surface, or in areas of routine traffic,parking or storage of heavy equipment. In addition no planting or soil excavation shall be done in or within 5 feet of the drip disposal area after its installation. The system may be designed to allow for installation of drip tubing up to five feet from a building cellar wall. h. No change in existing surface slope over the dispersal field is required to comply with 310 CMR 15.240(10). 11. All System control units,valve boxes,drip dispersal lines, conveyance lines and other System appurtenances shall be designed and installed to prevent freezing per the Company's recommendations. 12. The System designer shall provide plans and specifications prepared in accordance with 310 CMR 15.220 for all proposed System installations to the approving authority with required standard details and installation instructions. 13. Drip tubing may be installed with a vibratory plow, a static plow, a narrow trencher(<6" width),by hand trenching, or by scarifying the surface and bedding the drip tubing in clean sand meeting the requirements for fill material in Title 5 at 310 CMR 15.255(3)with cover consisting of sand and topsoil meeting the 6 inch minimum depth requirement. Vegetative cover must be replaced for installations where it is removed or buried during installation. 14. Drip tubing shall not be installed when soils are frozen or saturated. 15. Prior to System start up, a clean water test of the System shall be performed in the presence of the Company's representative and the approving authority to check for leaks and to ascertain and verify system design flush and dose rates. 16. System unit malfunction and high water alarms shall each be connected to an independent power source from the operating pump(s)run from the main power source of the facility. 17. For Systems with a design flow of 2,000 gpd or greater,the System shall be equipped to provide a flow meter and automatic remote telemetric notification to the operation and maintenance (O&M) provider. 18. Installation of inspection ports is not required for this System. III. Allowable Soil Absorption System Design 1. Any reduction in System design sizing or setbacks shall be based on the MassDEP approved reduction allowed for the alternative treatment system that precedes the System or by variance or local upgrade approval in accordance with Title 5. IV. General Conditions • J Approval for Remedial Use _ - Page'5 of 8 PERC-RITE Drip Dispersal System 1. All provisions of 310 CMR 15.000 are applicable to the use of this System, the System owner and the Company, except those that specifically have been.varied by the terms of this Approval. 2. Any required operation and maintenance, monitoring and testing shall be performed in ` accordance with a Department approved plan.. 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment: 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. No System shall be installed,upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer,unless as allowed by 310 CMR 15.004. When a sanitary sewer connection becomes feasible, the facility served by the System shall be connected to the sewer, within 60 days of such feasibility, and the System shall be abandoned in compliance with 310 CMR 15.354, unless a later time is allowed, in writing,by the approving authority. 6. Design, installation and operation shall be in strict conformance with the,Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. V. Conditions Applicable to the System Owner. 1. The System is approved for the treatment and disposal of sanitary sewage only.. Any wastes that are non-sanitary sewage generated or used at the`facility served by the System shall not be introduced into the System and shall be lawfully disposed. ` r 2. The System owner shall have the Company or its designee conduct a design review for any proposed non-residential System or any residential System with a design flow 2,000 GPD or greater to ensure that the proposed use of the System is consistent with the unit's capabilities. 3. Operation and Maintenance Agreement: ' - A. Throughout its life, the owner shall operate and maintainthe System in accordance with the F Company and designer's operation and maintenance requirements and this Approval. To ensure-proper operation and maintenance (O&M), the owner shall enter into an O&M agreement. No O&M agreement shall be for less than one year. a B. No System shall be'.used untilYan O&M agreement is,submitted to the*approving authority ,. which provides for the contracting of a person or firm trained by the Company as provided in Section VI(5) and competent in providing services consistent-with the System's specifications; with the operation and maintenance requirements specified by the Company and the designer, and with any specified by the Department. The'O&M agreement shall also contain procedures for notification to the Department and the local board of health within five days of a System failure or alarm event and for corrective measures to be taken Approval for Remedial Use Page 6 of 8 PERC-RITE Drip Dispersal System immediately. It shall also require the System inspector, at each site visit and anytime there is an alarm event, to conduct an inspection using the Company's technology checklist of the System's filter system,pumps, valves, etc., disposal area where the System is installed for signs of breakout or dampness and complete any required maintenance. The System owner shall at all times have the System properly operated and maintained in accordance with this Approval, the designer's operation and maintenance requirements and the Company's approved procedures and sampling protocols. The System owner shall notify the Department and the local approving"authority in writing within seven days of any cancellation, expiration or any other change in the terms and/or conditions of their O&M agreement. 4. Prior to transferring any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Approval for the System. The System owner shall send a copy of such written notification(s)to the Department and local approving authority within 10 days of such notice being given. 5. By January 31 S`of each year for the previous year, the System owner shall submit to the local approving authority all data collected in accordance with item 3, above, including all Department Title 5 IA O&M checklists and System technology checklists completed during the previous calendar year by the System operator for each inspection performed 6. After final inspection of the System by the Approving Authority but prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing both the existence of the alternative septic.system subject to this Approval on the property and the Department's approval of the System. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following to the Department and the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and(ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. VI. Conditions Applicable to the Company 1. By January 3Is' of each year, the Company shall submit a report to the Department, signed by a corporate officer, general partner or Company owner that contains information on the System, for the previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts including the installation date and date of start-up during the previous year; identify the treatment technology preceeding the System; the address of each installed System, the owner's name and address, the type of use (e.g. residential, commercial, institutional) and the design flow; and for all Systems installed since the date of issuance of this Approval, all known failures, malfunctions, and corrective actions taken and the address of each such event. An electronic file of this data in spreadsheet format may be provided to the Department at Dep.Waterpermitting@state .ma.us, if possible. The emailed file should identify in the subject line the technology name, Approval for Remedial Use Page 7 of 8 PERC-RITE Drip Dispersal System approval type and year of data included. The Company shall maintain copies of all completed inspection forms and certified laboratory results for possible audit for at least three years. 2. The Company shall notify the Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company,unless the Department determines otherwise. - 3. The Company shall develop and submit to the Department within 60 days of the effective date of this Approval: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; and a recommended schedule for maintenance of the System essential to consistent successful performance of the installed Systems. 4. The Company shall make available, in print and electronic format, the referenced procedures and protocol in Section VI (3) to owners, operators, designers and installers of the System. 5. The Company shall institute and maintain a program of operator training and continuing education, as approved by the Department. The company shall update the list of qualified operators and make the list known to users of the technology. 6. The Company or its designee shall conduct a design review for any proposed non- residential System or any residential System with a design flow 2,000 GPD or greater to ensure that the proposed use of the System is consistent with the unit's capabilities. 7. The Company shall furnish the Department any information that the-Department requests regarding the System within 21 days of the receipt of that request. 8. The Company shall include copies of this Approval and the procedures and protocol described in Section VI (3) for each System that is sold. Also, in any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Approval and the procedures and protocol described in Section VI(3). 9. The Company shall comply with 310 CMR 15.000 and all the Department policies and, guidance that apply and as they may be amended from time to time. 10. If the Company wishes to continue this Approval beyond its expiration date, the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Approval,unless the Department grants written permission for a later date. This Approval shall continue in- force until the Department has acted on the renewal application VII. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Approval for Remedial Use Page 8 of 8 PERC-RITE Drip Dispersal System Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, non-compliance with the terms of this Approval, non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or operator of the System and/or the Company. IX. Expiration Date 1. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval or any continuation of this Approval, that is approved, installed and maintained in compliance with this Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department, the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. t ' TOWN OF BARNSTABLE � �, 3 LOCATION vZ.- -x. SEWAGE # Im3— oC� i VILLAGE I ,,' 7�f Z ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. I SEPTIC TANK CAPACIW j LEACHING FACILITY: (type) Z/4r6/,1i en , (size) I NO.OF BEDROOMS BUILDER OR OWNER ®3 PERMTTDATE:— ®3 OMPLIANCE DATE: r Separation Distance Between the: . - . - Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet. Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet.of leaching facili Feet Furnished by qqq((( • l Town of Barnstable # Department of Regulatory Services ).� �►tu ►.r� : Public Health Division Date 3 • � •63g. �e� 200 Main Street,Hyannis MA 02601 �FD IMO� Date Scheduled Time Fee Pd. Soil Suitability Assessment for S e Disposal Performed By Witnessed By: LOCATION&GENERAL INFORMATION Location ddress C��u t� �A pas owner's Name Arne, Go iAj cj g2u � ��mm Address PA PIOx 161 I (O Ua}IYA o2.S Assessor's Map/Parceb 0'5 3 /01 Engineer's Name v�C. q f-nC1 Pi 60-n_ NEW CONSTRUCTION REPAIR Telephone#(750 ia) S 33 (0(a,d O. Land Use Slrti tR►�� t+ .. Slopes(%) Surface Stones Ab?f Distances from: Open Water Body 7 5m ft iossible Wet Area ft Drinking Water Well R Drainage Way 7 So ft Property Line - j e) ft Other SKETCH:(Street name dimensions of lot.exact locations of test holes&perc tests,locate wetlands�n proximity to holes) ZIE Ql 4 Parent material(geologic) 1"' 6 Depth to Bedrock (� • Depth to Groundwater"Standing Water in Hole: t1gYyC,. Weeping ftom Pit Face (�7�_ � �• _ Estimated-Seasonal High Groundwater X DETERMINATION FOR SEASONAL HIGH WATTR.TABLE Method Used: Ft,nn Lt/Y , - -- Depth Observed standing in obs.hole: 6 i w,464 C 1 in. Depth to soil mottles: 0�1A in. Depth to weeping from side of obs.hole: in. Groundwater Adjumtmeat ft. Index Well#&1 W'2i Reading Date:al 2-1 Index Well level Adj.factor,Q,j Adj.Chmundwater 1.Cvp1, I o PERCOLATION TEST Date$12i 2it"rime 144AM Observation Hole# V-1 3`6�a1br c d r`?� Time at 9" C o u 1OQ a� tt Depth of Pere (04 Time at 6" &A f o� Start Pre-soak Time@ Time(9"-6") End Pre-soak (1*1 rsloM 11:5 i1A*\ Rate Min./Inch ILL Site �- Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YIN) ri Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q4SEP1ICIPERCF0RM.D0C DEEP.OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Soil• Other Surface(in.) (USDA) . (Mansell) Mottling (Structure,Stones;Boulders. on istcn ravel o�3� rILL 6ar<�. '76 . 5 -r'a� C ffu4 tt�-�,,� 4 R 171'1 �t�c 63 L DEEP OBSERVATION HOLE LOG Hole .Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) 1 ' Mottling c(Structure,Stones,Boulders. consisLengy,_%Grameb a— A 10A/a 4 ( r (�� o-U® '7 ,5 ''JG-1'L-0 Crvv4A wm'So r� to 11P, 71ij A DEEP OBSERVATION HOLE LOG Hole#, a�►�b"'� Depth from Soil Horizon ' Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. it c awe) cYto t 1n.0 a k(L G 1 l�l� Yw, 54M 42 (PN. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones Boulders. onsi e c Flood Insurance Rate Mn: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes',;,... Depth of Natura&Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious materiall,�....� .-- Certification I certify that on D19Q (date)I have passed the soil evaluator examination approved by the Department of Environmental P tecno and that the above analysis was performed by me consistent with the required training, penis d experience described in 10 C]VIR 15.417. Signature ( Date Q.NSEpT1QPERCFORM.DOC ` I -,UNITE&STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address,and ZIP+4 in this box • I Witten Grou ,Inc. � �cs�leY P I 90 Route 6A,Unit#1 N Sandwich,MA 02563 V drl-11111 fIIIH,fill:tMdlnI: fH-0:1,1:11ilIkd! SENDER: COMPLETE THIS SECTION COMPLETE THI&SECTION ON DELIVERY ■ Complete items 1;°2,and.3.Also complete A. Sig ure. item 4 if Restricted Delivery is desired. 0. 0'Agent i ■ Print your name and'address on the reverse i/ Addressee ! so that we can return the card to you. B. Received by(Pfi(ie�I�ame) ate of Delivery ■ Attach this card to the back of the mailpiece, U , �) or on the front if space permits. D. Is delivery add dill nt from Rem 1 Yes 1. ArtLrle Addressed to: If YES,enter de live ad suep� No Gould, Anne G & Rosenthal, K I Marsh House Nominee Trust 3. Service Type P.O. Box 161 stifled Mail ❑Express Mail Cotuit, MA 02635 ❑Registered ,jh�Retum Receipt for Merchandise ❑ Insured Mail C_.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number s t i s z E t i q's' .i i ;I (Transfer from service label). _ I ?B 1'1 i 2 0',Q,0 i t 0 0 p 7 t c$7$9 i]16 5,Q s't i PS Form 3811.; ruary 2004 Domestic Return Receipt 102595-02-M-154o ` C3Ln •. • Q.. Postage $ Certified Fee r-R Postmark p Return Receipt Fee Here r3 (Endorsement Required) O Restricted Delivery Fee O (Endorsement Required) p Total Postage&Fees $` rU Sent To rl a ------------- �9U-.f� --+ n=✓` 'l Street Apt No.; � 0 .or PO Box No. Certified Mail Provides: o A mailing receipt n A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& o Certified Mail is not available for any class of international mail. to NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is j required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement Westdctedefivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not'needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 UNITED STATES POSTAL SERVICE ` First-Class Mali Postage&Fees Paid JSPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • 1HO rspey Witten Group,In, f 90 Route 6A4 Unit#1 Sandwich,MA, 02563 I i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,'and 3.Also complete A. S' ture item 4 if Restricted'Delivery is desired. Agent ■ Print your name and X"address on the reverse (� ❑Addressee so that we can return the card to you. B. Rec ived by(Printed Name) C. Date of D livery ■ Attach this card to the back of the mailpiece, ' or on the front if space permits. l D. Is delivery address different from item 1? s 1. Article Addressed to: If YES,enter delivery address below: ❑ No Cuming, William and Ruth D Ruth D Cuming 1995 Revocable P.O. Box 910 3. Service Type Cotuit, MA 02635 .ertifled Mail 0 Express Mail [b�Registered Pf-%Wm Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number II 7 11 2 a a o 11001 8?8 9 16 6? (Transfer.from service label) 1 i! i I i F PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. , ostal ServiceT�, C-ER,TIFIED MWILm. RECEIPT (Domestic Mail.Only;tNo Insurance Coverage,Provided) i ' tE&,delivery,informationvis!to ur websiti a-t www.usps.como n, L H SE j PS Form 380Q August 2006 See Reverse for.lnstructions Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. P Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. c For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery° o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Fonn 3800,August 2006(Reverse)PSN 7530-02-000-9047 ex. DATE: � I FEE: =A MASS.LE M ASS REC. BY Town of Barnstable SCHED. DATE: I� Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 - Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 82 Hummock Lane, Cotuit, MA 02635 Assessor's Map and Parcel Number: 053/014 Size of Lot: 1.21 acres Wetlands Within 300 Ft. Yes x Business Name: No Subdivision Name: APPLICANT'S NAME: Horsley Witten Group, Inc. Phone (508) 833 6600 x 154 Did the owner of the property authorize you to represent him or her? Yes x No PROPERTY OWNER'S NAME CONTACT PERSON r, 3 52 Q Name: Anne Gould Name: Joe Henderson o Address: P.O. Box 161, Cotuit, MA 02635 Address: 90 Route 6A, SandW + MA 063 r_sJ .wCD ' Phone: Phone: (508) 833 6600 .:12 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if mor space needed _ 360-1 Location of septic tank-45.5' Variance See attached letter rV 360-1 Location of pump chamber-48.9' Variance 360-1 location of hydraulic unit-49.21 Variance 360-1 Location or drip disposal area-48.4' Variance 310 CMR 15.211(1) drip disposal area separation to'property line-5' Variance b' NATURE OF WORK: House Addition ® ' . House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) 1� Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL- Paul J.Canniff,D.M.D. t C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC c I R t MAIL-IN REQUESTS Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc. (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $95.00 check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Checklist _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) $95.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/lessee only], outside dining variance renewals[same owner/lessee only ,and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) C Variance request submitted at least 15 days prior to meeting date r FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, you must mail the required $95.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by the submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to-meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) $95.00 variance request application fee(no fee for lifeguard modification renewals, grease trap variance renewals [same owner/lessee only], outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date For further assistance on any item above, call (508) 862-4644 October 30, 2012 Tom McKean, Director Barnstable Board of Health Town of Barnstable 200 Main Street ✓ Hyannis, MA 02601 Re: 82 Hummock Lane Septic Upgrade—Board of Health Variance Request Dear Mr. McKean: I have retained the Horsley Witten Group, Inc. to design a septic system repair and represent me at the November 13, 2012, Board of Health (BOH)hearing in which I am requesting the following Variances from Section 360-1 of the local BOH regulations: 1. Variance of 45.5 feet from the required 100 foot coastal bank setback for a septic tank; 2. Variance of 48.9 feet from the required 100 foot coastal bank setback for a pump chamber; 3. Variance of 49.2 feet from the required 100 foot coastal bank setback for a hydraulic unit;. 4. Variance of 48.4 feet from the required 100,foot coastal bank setback for a drip disposal field; as well as a setback Variance under the Title 5 regulations at 310 CMR 15.211: 5. Variance of 5 feet from the required 10-foot property line setback. Please contact my representative, Joe Henderson at(508) 833-6600 if you require additional information or have any questions. Since ly, 46e Gould ' P. . Box 161 ; Cotuit, MA 02635 TOWN OF BARNSTABLE � LOCATION ��1� w��/ SEWAGE # �3 30 VILLAGE (' &7' ASSESSOR'S MAP & LOTOO-14. ITiSTALLER'S NAME&PHONE NO. f - . Q 642,e21,112f ZZ2 SEPTIC TANK CAPACITY " LEACHING FACILITY: (type) (size) NO.OF BEDROOMS ,C �Q BUILDER OR OWNER G- / PERMITDATE: 2_ i0 3 MPLIANCE DATE: D 3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet' Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) G 'l� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet,of leaching facili Feet Furnished by 410 Nye �% o _-:7, No. �.,�p® Fee ` �— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes v PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppfication for Dir)upgrade all *pOtem Construction Vertu Application for a Permit to Construct( )Repair ( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel r3sC I� e7 Installer's Name,Address,and Tel.No. J Designer's Name,Address and Tel.No. 4W Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Natu of Repairs or tera 'ons(A er whe ap licable) 167 Date last inspected: Agreement: The undersigned agrees to ensure a co truction and maintenance of a afore descri n-site sewage disposal system in accordance with the provisions of T le 5 of e Envir me 1 a of to a the system in operation until a Certifi= cate of Compliance has been is ed this B d f Signed Date . Application Approved by Date !!k� Application Disapproved for the following reasons Permit No. � ' Ej Date Issued & . No. G?003-4o Fee �✓ f a THE Cb�MMONWEALTH OF MASSACHUSETTS Entered in computer:11 1 ( Y� -' PUBLIC HEALTes H DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z(pprtcati. for Oigoar 6p.5tem� �tConotruction 3permit Application for a Permit to Construct( . )Repair 7%Upgrade( )Abandon( QD Complete System ❑Individual Components Location Address or Lot No. / Owner's Name,Address and Tel.No. Assessor's Map/Parcel XW Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 47- Type of Building: J a a- y .o _ d , t Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria(, ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date. Title Size of Septic Tank _/' Type of S.A.S. Description of Soil _ Na a of Repairs or Alterations(A swer wheq ap licable) Date last inspected: t s Agreement: The undersigned agrees to ensure he construction and maintenance of be afore de5scr-ided pn-site sewage disposal system 57 in accordance with the provisions of tle 5 of he EnvirQr me v pl Code a of to late the system in operation until a Certifi- v cate of Compliance has been issued this Bard of eat Signed Date x _r. Date -' JApplication Approved 1 _ + Application Disapproved for the following reasons il t" _Permit No. 20o J" 6d Date Issued �r '03 . - -(ace - .> THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Certificate of Compliance �f THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned )by . /7 r n r at WT Pt"0106oc kc. K 0 • ; has been constructed in accordance with the{provisions of Title 5 and the for Disposal System Construction Permit No. 2co3-AL dated <?'#W 1 U i Installer Designerlei The issuanc�iof this permit shall not be construed as a guarantee that the system 01aVe .n Date X` ��- n 3 Inspector M ______ ------ No. 20ri3, �� -------. _. . _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS tern Construction permit �i �tg�o�ar �p� Permission is hereby granted tplConstruct( )Replaiirr�j )Up ;ad/e( )Abandon( ) System located at 7Z- "It-In c KGc . _ 4-- and as described in the above Application for Disposal System Construction Permit. The applizant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construltio/must be completed rwithin three years of the date of this permit'. Date: l� tr Approved b _ PP Y a re-uee - ' large Ir Wrdl- - deck - . ,w rchl ec ure + design p fc fireplace - daNn ap I. ` - 106a tO6bam 106e t .. I r - F I—f sn 102o^YUP FFI� m n - _ 108 ❑ 106 am • _ - . lull - • _ Nall __..-....____._.._. . - rd dr ft- height - � c pantry 878, p PROJECI 8 8 lD3a al�. - Gould Residenc 03-bedraun , envy p 82 Hummock Lan rol= Cotuit MA 0263 rag Lj nelght pa"try - w eh - ARCHITEC ` neen architecture + design p 224 east 62nd stree new York ny 1006 tel 212 249 257 "Id GARAGE - O5 ga age - STRUCTURE re-located 13 September 2012 DATE nTu schematic plans first floor Ploy y . a DRAWING N0 A-, 101 ;. ............................. .. .. ................... .... ...... ..... . .. ... .. .. .. .. • .. .y.. .... ... . . . ... . ... .. ...... ..... ......... ..... ...... .... .. ..... .. . ... ..... ... ... .... ... ..... .. . . ..... ... .. .: rchl ec ure + design p : // •oven to hdew\ r - + _ R� /. _ _ op-to bda• • 207a°oe 207b m 208a do dom up � a // I ' • 209 hall - j/ .. � � • � �. • .� - 206 room ❑ 205 roar^ � 201 rn - •. P ... � 4 n I 210 bath - . - 202 a u o d— PROJECI ' Gould Residenc '82 Hummock Lan ci Zara°_ - zolnda= O r -_ Cotuit MA 0263 o- • 03 - 13, neen architecture + design p 224 east 62nd stree - new york ny 1006 tel 212 249 257 204 GARAGE 13 Se tember 2012 '-- STRUCTURE re-located OA a - .• •.iSCAU 1/4e = 1'-0` ro �. 'nTu �-i.schematic plans . - second floor plan ' DRAWING NO ' .. .... . ........ ... ..... ... ...... .. ..•. .. . .. . ....e. .. .. . .... .. .... .... .. ..' . ................ ...... .......... .......... .... .......... ..... ....... .. .. .... ... .. .. . .. . . ... . .. .. ....... ... ........... .... ....... . ... . ... ... ...... ... .. ... . . .. .... . . . .. ... ....... ..... ...... .. ..... ... ... ... .......... . ...... ... ... ....... ........ ... ... .... ..... ...... ... __F------------q GARAGE STRUCTURE to be 28'-4" re—lacaLed— — — — — - - — — — — — — - pan to b.11—\ ——————————————1 -41 A 207a doe 20 b 08 2 So clo up d r;7- C I ec ure + esign pc 208b a Remove all partitions _j V-11" 4 Gould ResidentE' L— — — — — — — — — — — — —— — — — — — — — — — —I _j 82 Hummock LanE second floor demolition plan Cotuit MA 0263� _.;———————————————— previously appraved cantilevered dock ARCHrTECI 10'-4" 28' project north c neen architecture + design pc 224 east 62nd streel new York ny 1006! ————————————————— tel 212 249 257! remove eliding door. replace with re—located muilloned window GARAGE STRUCTURE to be 28'-4* —located — —— — --- —— — — — — — — — — —— — — — F_ EXISTING DECK �2 no work . I_— i'. I remove bar,bathroom. ,. ' i - - hot-ter heater. etni� �Pj i ^ and all Inter[or LLi partitions and doors on f,.t floor dawn i I II II I up III \II II I 13 September 2012 AL DATE BREEZEWAY _j_j to be removed 4 .0, II Illy a garage remove kitchen relocatehar L 87 U. 07 and drier hookups 106 en y EJC SCALE 38'-4" -n� existing and dernolitiori L plans 07 wider DRAIMNG NO first floor demolition plan — — — — — — — — — --- — — — — — — - --- • A- 001 ....... ... ...... .... .. ............... ....... ............... . .. ... .... .. ..... .... ..... .... .. .... ... .. .. ....... ..... .. ..... ..... .. .. .. . .. ... ..... . .... ..... .. ... . . .. . .... . . .. ....... ..... ... ..... .. . ... . ... ... .... .... . .. .. ..... ... . .. .. . .... ... .. . ..... . ..... . .... ... .. . ... . ... . ..... . . .. ..... _ I r � � r '+�-+39�..F+ 'Irr--' .12K hM 44. gn.l 14�•Z.' plra T'PI - - '�'-_-. - . $z:r-M.r --- MHC zmu T.Y7 JE1► No=VUL. W%ft lbl _ ....__-- _ •. • • {_• _ rma:r OteC P MO."SBO. P4 fth" c — SMOG ltr..vw law_ Wp ,afa. v 'saw wsalerr&r'Ns-w►..,A{em. •2 . r . i <•,�j_ r ri r 'le ,� -At&A_K•%%L 4w 30— wa ,tlL AY • -4--- ••�D•4_mow_-- I i . ' ,. . ' ' ' _ --'Cw" •9I• . I 1. _ tea. _ . _ •_ I •) �o-,�_l'— n� Y ZUCD•C '�oofvt'3_ 1 'x\ � Q� r.. } .:� i . _ _ � ;i- ' - y � i ,i T!_ 7'- 1.- e`ec.�°w r.wa�°+�- ••� -_- �--- Mf� - f, � I -_- - _ _- - __---_-_ -t_ - •, i t • r � ' T i i' ` 1 w-1 TIt1t maaW�-1.60.'�.1w T �{ is _ � � �� r.I ,.. �' .'.. . � I I f 7 • r a , ilws iOY •iri•,6, - ^eft si ECgiOl.a4 O• • ( � •M 1.1 g I � I I f , l N 7 . r 1eT�...._.._._-.�. .._. e�-o'• ,,. -a �_±�.A" � �'o" ---- ��_± w_9_z°- -•--' � � •r�u. I , I - r .I , - c: '' _ �u..+ram.. '•� I _ _ I I _ ,d°_,t do-ovec �d*1p _ ..t m- r1.oW e�•e. - I i—� _ _ -• - — _ 4 r• _. n-. ._ .�._ --r---- _ - _ •. i I _ 14�4„1- ir . . ._ i. ------ ° 3 BI_4° _ - � _ zo-o' -- I---^I.1_o----+ •— -41-�•— .-•.+'O•-t----S1'��-----+2-0_' `.�e .. . . - � ,, ' - /1/ a.4wsu�t-v�T'!w,3►�+'E.�9'rarr: r.•' . • '• •• ' .. :; : ' i .. r' ' ' • ••• .' 1 - ... . . . , ' , ' _ '1ulQ•�1JCsz�. 'SA..et��.�Cl�: s: ,: , �' 1aco OTT 'CLIP ipo-OT%A" Co u c N4#riS _ - _.._ . . r r•.r. 0 Pt Isabel a A 'D .714 ..... 117 &/ • C) 4 0 N .........o o L) r c!, Public 46 CL A10 1�1 CL < 4/ . . . ....... bL 10 0 ox�l 2 0 > 20 00 • rf a) >(D cr PROPOSED Tims• Cove LIMIT OF WORK ro \_ _ ___ I I I a �_ - I Pt 4 0 * Handy co C) ? Pt 0 CB 100 0 Hoopors f 1\, ONE TO COASTAL BANK(LOCAL) of! Giub ester 11 %�- 05 AOO 0- BUFFER Z ....ch 6 10 CS 100 0 rbors TIS 0 0 0,0. Noisy 2 0 co 4, Pt -Ir W Z, CL 04 0 1% 0 Co 0 r- E M P lic 1,104 ts C W .0 N D 0 C4 .2 F/1 4' Land'ng RV N D tS Z .!Z 0 < 0 _T :�6 W % S I LE 10 PIS OpCB 9 Q0 STATE CB 100 S 5' .32 , lev oNE-TO 51 STATE 6 Q U�LOCUS MAP Uiu-) L SCALE: 1"=1000' _k 130 LO 1b C\1 rn N,Jec CV) rn TREES WITHIN DRIP IRRIGATION F_ 0 cc 020 > LEACH FIELD TO REMAIN (TYP. 5) RESTORATION PLANTINGS 0 SAPCO Symbol No. Species and I s Size&Form Size Root Planting Specifications Indicator Status _4 PROPOSED DRIP Tree Species CV IRRIGATION LEACH FIELD Pitch Pine Med.Sized Evergreen 6 4-6feettall CG Planted singly;spaced 10-15 ft 1?C1 apart 1513/ (Pinus figida)—FACU (40-60 ft) XV __. ' '.'...:. .'.:: : /£ .'.'.........i y'.':'- • ROOF DRAIN DRY WELL (SEE ROOF DRAIN DETAIL) White Oak Med-Tall Decid.Tree 4-6feettall CG or Planted singly;spaced 10-15 ft.apart RIM EL= 18.0 7 • 4 TP-3 EROSION/SILTATION C79) (Quercus albo)—FACLI- (75-100 ft) CONTROLFENCE P., SEE DETAIL) Shrub Species TY Inkberry -3 feet tall CB 50 PROPOSED Med Sized Decid.Shrub 2 C aced approx.5-10ft.O.C.; in clusters 5 CG Sp (11exg1abra)-1:ACW- (6-12 ft) (min.) LIMIT OF WORK Nannyberry Tall Decid.Shrub 2-3 feet tall 7 4 (min.) CG Spaced approx.5-10ft.O.C.; in clusters Z IZ4 (Viburnum lenbgo)—FAC (20-35 ft) _n I- 011a, % .. . . . . . . .. ." . /_1 Sheep Laurel Small Evergreen Shrub 2-3 feet tall C& OC14) 0 '0000,Z,�v� . - - , 11 1 6 CG Spaced approx.5-10ft.O.C.; in clusters soQy (up to 4 ft) (min.) FAC CB (Kalmia angusifolia) PROPOSED 4.85 2-3 feet tall SEPTIC TANKS Black Huckleberry Small Deciduous Shrub -10 ft.0.C.; i n clusters U) 7 12 CG Spaced approx.5 (3-4 ft) (Gaylussacia beccata)—NL (min.) to Bearberry Low-growing Shrub 1 gal. Spaced approx. 18 in.O.C.; 0 -�O STATE 50 8 CG 0 Lo r container CNI ?I S�'��TATE cB.50 STATE CB 5 513 BUF_V:F_e G'a50 ROOF DRAIN DRY WELL 17 1 1 1 1 1 1 1 1 (Arctostaphy1c. uva-ursi)—NI (6-12 inches) planted in clusters vl It A q // C\I 7_,E� (SEE ROOF DRAIN DETAIL) Lowbush Blueberry Low-growing Shrub I gal. Spaced approx.18 in.O.C.; U') CONNECT TO GUTTER l(TYP. 5) 60 LIGE RIM EL= 17.5 16 CG 0 (GUTTER INSTALLATION BY OTHERS) A-VII, , container Z PROPOSED GARAGE (Vaccinium angustifolium)—FACLI- (6-12 inches) planted in clusters G -�O Herbaceous Species (in addition to wetand seed mix) Z Switchgrass Perennial Grass 1 gal. Spaced approx.18 in.O.C.; co LEACHING PIT(SEE "00000000, LEACHING PIT DETAIL) 6 CG C: Ga 50 B Cl container STATE 100 RIM EL=21.0 (Panicum virga-um)—FAC (up to 3 ft) planted in clusters N Q?50 14-Al 0 "A W WF 0 .4-81 U) 0 0 Seed Mix(for mid to upper reaches of iestoration area) 4-0 0 60 New England Conservation/Wildlife Mx1 0 s \ — PROPOSED 0 0 Application Rate:25 LBS/ACRE(1750 SQ FT./LB) ENTRY PORC 0 0 0 Species:big bluestern(Andropogon ge;ordii),switchgrass(Ponicum virgatum),little bluestern(Schizachyrium scoparium),Virginia C ! ��J— ' O 0 m i I I II II II II II II II wild rye(Elymus virginicus),partridge rea(Chomaecristafasciculato),common milkweed(Asclepias syriaca),showy tick-trefoil 0 0 sunflower(Heliopsis helianthoides),deer tongue Ei (Desmodium conadense),New Englandaster(Aster novae-anglioe),spotted Joe Pye weed(Eupatorium moculatum),grass-leaved E BARNSTABLE COASTAL goldenrod(Euthomia graminifolid)creeping red fescue(Festuca rubra),ox-eye d) BANK early goldenrod(Solidagojuncea),and Indian grass (Panicum clandestinum),green headec coneflower(Rudbeckia laciniata), 0 (Sorghastrum nutans). 0 Col.) k,-� r? / _ _ _ 0 -6 Available from New England Wetland Plant,,Inc.(www.newp.com PROPOSED A L2 :3 DDI ION 0 0" WF10 4'" 0 WELL 0 0 0 ROOF DRAIN DRY W (Do 0 /0/ 4.01 (SEE ROOF DRAIN DETAIL) 0 0 0/ 00 RIM EL= 16.5 EXISTING HOUSE TO REMAIN < O C14 00 0 0 C:) 0 C14 0 0 -,Ooo�, x S STAKED STRAW BALE/SEDIMENTATION — — — — — — — - -15 CONTROL FENCE (TYP., SEE DETAIL) STATE COASTAL _A5 r 0 1b BANK SFH 50 / SFHEI N A\ 0 _F 00, SFHE; PROPOSED LIMIT OF WORK F > cv 7 F9 (S 77 4.48 115 "n M% 4 V > 0 STAKED STRAW BALE/SEDIMENTATION a) CONTROL FENCE (TYP., SEE DETAIL) 17 CID PROPERTY LINE I/ Registration: TRANSECT LINES T1 70— C\I 0 (TYPICAL) X %\Of Atm. — — — — — — -- — — — Z FAT PlU X LEE T2 CML • CL T4 No.42824 CY) �VVF-4- W 8 AL T1 5.25 Q T1C 4.55 T1D T2A — — — T3 - — — — — — GRAPHIC SCALE T313 T3C T,A T113 J/� Project Number: Sheet: -VVF-5,-- T3A 10 0 5 10 20 40 4.47 11b .12052 .1 of VVF 2 .14 \�iF 5.52 HVV —3-- 0 (in feet) Sheet Number: E 1 INCH = 10 FEET C MAHW 4 * :M:A H __ _ __ ---- ---- - -- - - —. --- --------- -- --- _. - - ---- _ _ POUTS m. 'TYPICAL ROOF DOWN v� S USE THREE 3 ROOF DRAIN DRY WELLS H2 B .x, NOTES. O ( 0) Y SHOREY PRECAST SILT FENCE �� .� � CONCRETE P_ PRODUCTS � 1. USE 36 INCHES WIDE MINIMUM C S OR APPROVED EQUAL. PROVIDE CRUSHED STONE STAPLED TO POST ;71 x 1 x 4 LG. OAK STAKES M FENCE FABRIC. 2 X 2 X 4 AROUND AND UNDER ST RUCTURES RUCTURES AND FRAME AND COVER OVERFLOW PIPE CO R TO FINISHED FABRIC SHALL BE SECURELY F O I DRIVEN FLUSH W/TOP OF FASTENED TO WOODEN STAKE , 40 . �I BEANPOLES. INSTALL 6 MIN GRADE:' I I L OF FABRIC BELOW i I STRAWBALE 2 EACH BALE PP GRADE. _ fi SU O NET SPLASH BLOCK R _ _ GROUND SURFACE BACKFILL.. OPPOSITE ED OR TOE ED i I DRIVEN AT SLIGHTLY O OS ( •• i ( RIM ELEVATION VARIES SEE SITE PLAN r INTO GROUND). DIAGONALS) GO ) LI SILT FENCE ;; ,•. YIN v i k I b a " it N POSED 2 x 2 OAK POST EX OS BA .. � ICKFILL .:.. • o _e ood TYPICAL 4 P o 0 0 0` (TYPICAL) V.C. STRAWBALES BUTT _,•, OOOOOOO a FLOW .. s 1 - ., 2 a TOGETHER TIGHT .•: OOOOOOO YI - MAX. I 4 0 M I 000c000 m -2 PROCESSED T N TYP. i '�� 000c000 S O E ( ) 8 MINIMUM o o OOOOO .� � O O GRADE PITCH/ . . E SIDES OF TRENCH WITH FILTER FABRIC C � I MIN N DIRECTION OF 0occodp o BELOW •Y. > o. •o. 0) FLOW � . �� GROUND .p• o. .p• .. ... .'. .•.. . 1 'r•r 3-0 NOTE. •• .o. ., •. • . SEDIMENT .•. � STRAWBALE COMPOSED OF . .LADEN BEAN POLES , . o. 6.5 . . RUNOFF" -� CLEAN RECENTLY HARVESTED. .. I STRAW. o. S O � 2MIN : , ;� '0 a. 6 TYP. UNDISTURBED I ( ) � w SECTION B . .s S .o i i I .o• SOIL 4-0 , _ y. U r ESTIMATED SEASONAL HIGH GROUNDWATER EL >:,30 • I _ I _ I SEQUENCE OF INSTALLATION : n• C� vJ Q m = � 1. TRENCH 6 BELOW EXISTING GRADE ALONG SECTION A w STRAWBALE/SILT FENCE ALIGNMENT. ROOF DRAIN DRYWELL DETAIL fl. � 2. PLACE AND STAKE STRAWBALES AND SILT o 0 PLAN VIEW - � ti TOP VIEW FENCE AS SHOWN. NOT TO SCALE Q i w _ c 3. WEDGE LOOSE STRAW BETWEEN BALES. E m 0 4. BACKFILL AND COMPACT EXCAVATED _ E o = C rJ w MATERIAL. 4 o c as TYPICAL` ROOF DOWNSPOUTS *0 ,i �, '� � - �r N USE A 200 GALLON LEACHING PIT BY SHOREY PRECAST CONCRETE •— > o 0 COUPLER _ _ B A PRODUCT:3 OR APPROVED EQUAL. PROVIDE CRUSHED STONE AROUND W Q 2 x 2 OAK POST OVERFLOW PIPE AND UNDER STRUCTURES AND FRAME AND COVER TO FINISHED GRADE. so .,so .- a •Q tq .c 4o M i d C1 " " � DRIVEN c 1 x 1 x 4 LG. OAK STAKES DR + •c m SPLASH BLOCK L OD CO � :SILT FENCE STAPLED 6 FLUSH W TOP OF HAY BALE 2 EACH - � w US / ( .: RIM ELEVATION VARIES, SEE SITE PLAN y c aS a�Q ao o �o TO POST BY BALE o 0 0 o o 1 Z ti � wv>' oo / I 0 MANUFACTURERWill : . 4 P.V.C. 0 0 0 0 0 0 0 COMPACTED BACKFILL �'� o00000 1 I � I SECTION A SECTION B >. o o c 0 0 0 0 COMPACTED • .•. 000c000 ��_ n GRADE `' 1/2 2 PROCESSED STONE BACKFILL 0 0 0 0 0 0 0 PITCH/DIRECTION � 8'MINIMUM ,� _ I .. 0000000 2 p GRADE LINE SIDES OF TRENCH WITH FILTER FABRIC CC OF FLOW 5-0 : : oo0c000 `� \ / I w 81 2-0 0 o 611 °, ,o o o ° �•I • ° o o 2 MIN 0 0 ° UNDISTURBED SOIL0. 81. I w SEASONAL HIGH GROUNDWATER EL-8.30 1 ESTIMATEDO �. 3 SECTION VIEW JOINING SECTIONS OF FENCE O - . w w LEACHING PIT ROOF DRAIN DETAIL Cn N STAKED STRAI�VBALEf SEDIMENTATION CONTROL FENCE DETAIL EROSION/SILTATION CONTROL FENCE o LO NOT TO SCALE NOT TO SCALE NOT TO S�E N w � LO O N v� O O aT C �I N L - .� a a O V : O C L -+ O 1 - LL O i N C4 c� axa a� aE-y � va c - Q N LO N r- N r- O CU U N ' p O LL Im M f` Registration: O N O N OF FAY PIU y" 3 LEE .� CML O' NO.4M4 M s'sroNlu.� 7 N /�,� Project Number: Sheet: O 1 a� 12052 2 of 2 o - Sheet Number: C 2 , ___ ----------------- --,-------- -------- ____ - __ - - I __ __ 11 _____ ___ - __ I---------------------------------..------- ------------ ---.--.--�---,---..---,---�--�--.--------------,---------,------------__------,-.--_____ ,---- ______ - --------.-.----------�,--��-,--- .- ______ - __ -- � _____________________, ,- - ___ .-,---------------- -, ------------------- -------------- ------,�----�---�----�----------- -------''- -"---�,-------.-,-,�---.-----,-,---,-I -----.,-�-.-----�--- - -�,----- - � --I------ I -1 I- - _1 11 --- --_------ , I—- 1-1 I I I --- -_ i- - -.-------- I . � � � . I I i - � � �I , � -__-__- -- ____ - - - ___- ___- I I - --- I \,",-I 1,, 11.I I � I �I I I ,,,,1�,x 111.11\ I�1 �,�, � I I � .�- � , , " � , " , ,:;,�," '__ ... --�,'�"�', I - - �A v_�' ., . , tt�! � .-1, , , , , ( � " ,..1,,,, I � " ''I I t - �,_,,�,,,,,�,��,_,��_ ", ",,',�,�!' `�,`,�� - �� O,,�Ad 0 I:_7---! ,�,�pt,,:,� I � ��,,� -�, "'�, , "I "I'll, I �.. _ C ,,* - , -_,"I, , , - , 1, �;��:;� /I/ I I , , _, �;�, ,,,�5 ; - 1�' ; 11�N� � , , 2 1 14� �I", �,,' x . I 1�_ I �',�i�, , .1 RETUR FROM 11 � I , � , I I Z DESIGN CRITERIA '� PROVIDE WATER TIGHT 11 �� ,� �1 I I ,� , , �, ,�.1'1'J1 :�'�,,�I ,; , "I , 41 � - � HYDRAULIC UNIT 1,;�.�x,��,,�,, 1, ,,�,�_�___ , I kl�' - :.,I , ) ��'14 1�,;�41 1�,P , ". I ,�,, I I �,,O;� i �, I , 1�� ,�I V. ;::"I 11� - COVER AND RISER TO I �, � " lk.66,e a: 1z TOTAL NUMBER OF BEDROOMS: 6 FINISH GRADE i ;t,�1�I 11 I - �, I'll �,... I'll 11- ,!7 �, ., I � �"� I I , - ,'', .1, - ,_,�,��", !:?��: /I I � �4 , � I I � I e �� _S11 U. r_,C)e �` ') ��, ��,�,�',,,,�:�,,� � �� , I , ," "' 6 5'i 1 � I I I I � ,: �� /I/ GRADE(TYP.) -, 11 I: I N '� I I 1, , ":""��,�,,,,,�,,�,�.l�,,i��,,��-,�."�",�,,�� / / ,�� I I, 1- V,�,,,,,� �I�- 11 �, � 11 1, . 11�;,, ,_",�, , ,, 1- -� / FLOW PER ROOM: 110 GPD OVER TANK , "I I-',NV " I � , -1��" � ��- , , i 'I', .�� , -� . I I �� . �I , �, ,I I # , � " 1, V, " I I .� " : ',��,�,_ " ,,�,� I ,1"'",'� ,, , ,, , I�,:�, �: .- R �, I *W ( ''I 1; � I I / , _� : � ,�I I �,,,:, X, / DESIGN FLOW 660 GPD Jo___ ,, 1, 11 , . I z I _� " N'��'71k �,, ,�, , i'� � I � I-, z N_'�" , , - � I I y:f, ,,,,,,,,,�, .".--� "_1 I �, 1:"', � _. " ____ I �, ,", - ,;,t � 1, 0 10\ : , _ Z,i!�-,,;,� 11 12 ,�_, I/ I/ t, �--� I I I ., 1. I I I ,,�,11�" � 1, , �', -;�,-! I " " ��,-�-"r,-"",�,--,,,�'�""�,;�,R,-, ��, !I M "I I "� , I . . i"t ,�,19�14,.,,,,,�, , ; " � �,,1�� i , � ,QJ i, , : , - ',;11,1,�,_ "��', " I i'....;:*� "I 9. ,� I ,�� ,,s � �, I I I ":1: "" z' �, , �7.?1�� . . � I � �,�"`,�_"`_M'11_` ,,!��, 11.,�'M,�v:4,�� , F I SEPTIC TANK ,.:, � . L "�,":f"',f",, I , _� !:::�,�. . "..� . /11, i , �,I 18 ,C_ , MIN " ,�""401�. , " I A �, � ; - � 11-� _0 1r,g,',- I -, 11 1. - " I r?�., �,, " 1, I I ''I'll - .. ,,�_,� vl I I I - I 1 "IC m. .. I �,,� .. , I " , � , _ ..... , � 11,,�",,.., I I , " " I . .� 11 I � I , ', I , , I �_ 1�,4,, 11 � �, I - ., �, z i I'll,,,, I / ,��7 ,�,:, """�- " K SEPTIC TANK(200% .,;,.,:,.*. - �� N J_,, 11 I I ,� I I �;,",'I I I-, -�,�;i Z "'/z � '-A DESIGN FLOW): 1,320 GAL. I -, , I �"I � ",;, `/'/ .-If I 1111 11" / � ::I; . I a I � � -,�, I I ;�!,�,-I , I - 11(�i-p *�\N, I e� I '" ' � '' (" , 1z J r 11 9 i I , � - � � ...�,�i?, , � , I O.'' 0`;* ,%t, _ )11 / - �1=1 = i -1 ��: '. I-- r USE 1,500 GALLON SEPTIC TANK ,zl ,k #_,�,' ,, ��f I 11 I ' I � t ,� Z" �!' 1l,." 7a I -,�^�e� . I I ,� Iff,,�, ", "",:� 1z / — . =1 I E��r1_=1 I F= !�El I I � I , � I ' ' , � : � S '.,�,q , -41 ... ,_( I . �, . I 'I, . INK, 1-1 � I ,�, e , , , , // f ,� 1, I . . . . . . .. 0 I) � 11 " � 11 W 11 I I -�" , � A , . � . "I", ,�.',",%�AP "I - I � I " / 7-7- . �,,,"�, � ,*��:;,�' _ ", , I , 'l , I � 11- " I" - , � , 11* .!�:. . � ..� . . co 1 ,,,,� - , I W I �� /Z �11 0 1 . ._�11 ,:�, � � I � �. � ell�� i�..,_�,K,11 _;, 4S, - I"' ,�, I I I A�, --'��5��,.�',�,.i,,��,�,',�.',,,�� / / _( ,/ I . -. '' � �. ,: � ��,,, , 0 1 IV* ,,�_,,, , 6 If I ,t I - .. , : MCKFILL -" __ � ' 0 �` , ,'. "I I l// "I " I � I LEACHING SYSTEM DESIGN CRITERIA 1— . _____ �: i �� _ ;_,�__��,,,,,_P, b I / / I , , — . . . .: �� 11 1, I . :,�,`I � 11-,I, .11 , - , I" -, / I 4 / � I I 1 6" 3 31, 91, . . .. . I , - .1. �_,L L"�k , �,��J'.,, . z �(_1 I " I. z ..".T— — I . I t. a ,",� ...1. . CL ; "I'll, I ----`—LJM�_ . `� ' -7 ,_ -, , ,�, / ,", � , , ,:� �) ,,,,,,,,�,�,�' , , 1. / � f ;.." ' ';L .. I , "", '� ', _ , # �,,�,I`: I I ."I.- .. . . .. I : I ,,, � � _ �'t�,'� -,,, .-- \t \ / / �:::.:.� I I < , , '"L' � *,, - � L . . I ��.. . - , . _____ . � . . __'�'_ LL ""I I ,�,,)f�,�t�l��,:��,,�:��,,�"-""-:��'.'�,'��,��'�"g,,L, -Y , , I . .... - �_,.,,�11 I __I� L L L L , ILL L f , ", ;�,' I �, "�,L,,, I z " / V 7 1, -L'.", 11�,� Z7 �11. ""I" , . I I , .1 I . �, , � L I I . . . . I - � I I - �,\' I . I -- ': � , � ,I I I , I I ; ..,:J" "L L . : 14" :'..- .': i- L' , >1 - " It ��"""'L� ��L # ""'L'�I ,, , , -, __( . 11 I ��,�,�, ,�<�v,`7,�T_ " � ," - , y / SOIL ABSORPTION SYSTEM , 1,,,,,"', - 11 " , , , - ,/ 'L . . (n � ,� 1`1� :...... 1 I 11 I I '', , :,�i T�i, "-", /'i,6 ��=_7;,` 1 t_:.�,:, ��i�:i" -RVICE . i , I �, ,", , , , I � , t",L,�# .1 4 ��'��__'�"��,,�,�,"'L L I / I / SE i, I . . . , . 101, � , 1.1-1. I . L, 1�� 1 __( ..�.,.". I . ..*. . 1� L L 17��t� I �_j!�z�,z_� ,� , 1 , , � ��I�L \ , . I ... .: I I :: ..- : .. . . �,',� "�, , ,,, , �, 1_/ BUILDING/ , I 11 ,, , 4 1 ,�,,� t ,�=,, , , , Z ,- ,'' , . I I , 'A " -11 I ;1 L,!� , Oe //' �"L I I 1�1!,�, .. I - I I I I # %jr, K.Oeft ,e_'x__ __ ,1z",,7: j'_iL "�� ",4�, 1 1 i / -. � . I i I ', - ".. �,,- "."._, �",��'�;) / I I..".I I I 11 I . .. . � I I 1, , L JLL'LL - - � . .1 I . . 1, I L I ,,�,-��, �77, ') L . "' I" 'j��:�"�I�,c��7":�,�,,��,,�,�L""]��,�'�,��'�::��,��,:,!:IILV�� , ::�:::L' : 1� L , I " 1/'� " i 1.� SYSTEM USED: DRIP DISPOSAL . �, I I . 49" . . ..� I , 0 *'JEQ-411-�I L��I � L i �' ....� :� �,�74.:,! I z " LL I I 11 1: I I " .1 I I"'' L �'X' / I LEACHING --.--:-.�:,-;-..-I I I I . i:�=,L��,,,"��;��,,,,�,',,�,,�,,��'��i��, , I I 1 �� lkl.,<� /,/ / . : �L ,�, ��,�,";,�; � 11 'k I-" ","" ff I ('' 2 1 1 : ".�":�;., .x,V,1�111�,L_,. I L I I I '� 'L`�Z;�, �-�,_,.-.. - � I : 1, �, . I I , I ,, , _ - -1, ,.. ca ,L )� i I , __� , � 'L"", Q, X, J'\I I / /, / / ,,z I L ,, ' U) I I "I ''I , �', I , ,- - . ." MINIMUM . . � 0 , , . .1 I L :, , "Ill I I"i",�. "I'll cl�l "�,', �11 _�'Lll"/�,�L �k L" $'V'�%"� L ,LL7� L�L`A' 1,� � "', - I - . ....4-�...,� _ 11 - L 11 1: ,� , , �L L L L ,f 1 . " � . , . ... . 11 I . i��" L, 1�,�, 1`z _ 111; ': ,��LL �� I— . I / .:.-. -,;, " .. . - I ', ,t I I 2:,Z'��,L L ' ' - �1. -� ,� , - .---,.', � I . -, I � , V I L:,L "'_`��M)` 4 VIN r- " � . : I L .�� "Le _11, .4 1 , /, - GAS i "I � L.L".�',��"%�' �, I �%�,�,,, % 1.� 111.1 L ':*"�L �:��'� �L I \ �,I Y\ i " , I , ,* 4"SCH 40 PVC TO i I� ,1. 11 L e , I I DESIGN PERCOLA TION RA TE: 2 MIN,11N. ..��:, , ; ", I 1�' ,L' ''LL' ,L' - I I 1��f,�,�� -'i � ,� �:�� L �,"�'i,'LJ_L "� I-,' / I I :. , . 3"DROP , I I � Y��t , L I I/ � F" I I 1 11'�e2�1-4,""', ,��,,��:��,.�,�,,..,.,,,,�li�ii�,�,.,,,�,,�:' /11 �J �, " " : d .I I ... . .. I :"L > -_-_- -_- �,��:,�,I_ I ' I 1� � I . . .0 �, I '�,',",,'�L�-,, , '1.1�:',,1_ �,I ,OG I "I // I 11A . BAFFLE I . 0 � 1. L�t�,,��,',1�4�g "r-k- - V, -,�" \ , � , / / ", 11 SOIL CLASS: I I I . PUMP CHAMBER - I', ,,,; L" _� - "LL,:"",:....... I I , ,� , ,��,�"),Jt %I"L.� � l,' I I . ,: _111,17, 1; L, ;�'��::"�:�,��`L "I - ", �L LL LL' , , I . � .I � , V N,�L;.,) 1, J , �, ,��,,� K,,N�� '_�.....�LL�L�f I � /L '�`�L`:�"", -�� , I I :.� - . I "", I., :.'.'." k L'�','k , '' ji ' ' , , , / I'll .... 11- .'.'.'.. I 11 ,;�j I , L U'� I I I . :L L .< � " .;. - Y"a, - I% I I 3"" ": 0 1 L L L I I- I-,' \ /_"' �1� / / I I : I I I L � ,,� #.�::.* �� 'a ,",� "�L L 1�', � ) , ,�'%'��L�,,A it' I, L L / i, � i( / / � : , 1� I .. - . W.<4 1<1,�f�14�� , I I I I ''I "1� I li've � � L \L L N, I. I �? I'll �_) "I _ . I'll, � � ,- - L I I ILI I .. .. --- - _ I L x I'll, � '" 1 JMS�,"�Z,L,"L,, " �LL :L" , ,11 , L l" / / LONG TERMACCEPTANCE RATE (LTAR): 0.74 GPD/S.F. ; . . I .. . .a : . . P - . I I I I �:�L_ I 11,��'1111 11 / I'LL L I ,. L'.1, 11 . . . . . % . . .... � �Lt"L:�'L , ,1 : 11 I�L _� \ I I I N 0 I - " , 'j", L A 1, , '1� I � - I'll, ,L , ,� C I e I / - / i f 'L�'L 1_/ "' , * "" - I 1, I 7 1, �_ � "' I I 1'\� ,-,I- I ( / / / "OF 3/4"6 . I I . J��' �Jk��p L L . I I....I -1 I L�,�L�',��,L�,LL�L L G , / / � I I , V L � I "I I 'I.,1��, , "< ir'"AV" � ,�,�� , ) L I ,�. ,-I- L "'' ,,��,�,,,"�,��i�,,,,-�,'�-�.��,,,�.�;�i,��'i"",��t:,�-"�L" , "e � '_ 1. I ,� , ," ," ',--,.. 11 9 OMP1.CTED --.- I . . I '''L "'L,""" � " - , 4 , -) -, I : I A"ib' I I I ))X� " '1--Z IV� / TOTAL AREA REQUIRED: 892 S.F. I . I 11 , ,�&-,'...%_. ., N e, , L I I ZLL nM�!�," I , \, �, Lf I ZLL `1 ,, �," _, �.,�;,,,, , I,,e'�;, �, , , "I �,,�,I z \ , / ?/ ,. - I'll I� I 1� .. 1; _L L L!" "A L. I I " �, � z ,� , I ,:' ,� ' I UNDISTURBED EARTH � I I >1 : I a ,�, 05,- I I': .L .'L'� : 1�' �: 'It ...� "I I CRUSHED,:!TONE ' "'L' I 11 _L , "?�'l � "LL,L 4, " I., x TOTAL LINEAR FEET OF DRIP TUBING REQUIRED: 446 L.F. I— L �.��fL, I I :a I -I _411-111- 11:1 I�,I�: , :, �,.,_ L, ,, � , - - , _1/ L' , � I L � Co I - I. � I ,\, �, " I I I L I � ""' 'L, I ' '. ; �,,,'(,�76 1 L I i , L 71, - YLII"��,�"I'�'��,��",LL�,'��',�,��-1.�,L�,�,� I I'll, \ L 4�, , �, _J �L�,':L�'LL'i;L��'L I V � 11 L I 7:'k I I -11. '11, I I , '�L ,,�:��"O I : I I � I I : I . - , - : "I I I \ ; � I : ,�, I I I 11 ,_ ,:,� / I I . I f / I 'L L L I I I'll L I . I I L 1'L' L '4��, -o CL i , I L ,,,*,�," I I '��L 'LL,LL�L,,- ,, . - J � , ,--,/, ,/111 ,� it . I I / I "I U I I L - �:L E3 4, L�! L L��L,,\,,,L'L,LL, , ��iL�L,�;� I ' _ "" / 4� 1 11, I ,�, _,,$�,'� 1 1 :L .: LL, z -- I " 0 LL I , , - ,,� - ' _L�'L LL � LL I 1 I . I I I :� ,,��, ,'' , 11 ; ,_ L_ W,,, �,- , - ,_ I i I-N /-/ -) \ � ___ - � ,�'_"","", 11 '' �',v:__'��,,,,,-, %,, _, , I � L - r,11 Z \ . I , L 'J:'.�. ___14 ;" / / � _Ie " LL" L��, y0-' I I t ,� /� (() ,, ,; , 1� 11�` 11 I : , :,I 1, I L L" �, � L:L L L L�L� 1;W , z , , \ I i " 11 ( \ � I ,,�� 0 - i I �%;11 I � . .� " I 1--w LL:L,L'L�� LL L ,L L, " 1110 "I .1 '_J�L,�,'�:�;,`L'��i�: 1-11, ___ I,\1 \ ,/ / \ \ \ �_ � ; � '411VI �. W I :�,,, I :"i I I L �� ;1L;'_.1 ,,�L I L I I , 1 4 � , ,,, .r- L.1"I I ,,, ,�/1, ,------ V�, I � � i ��5,,�A "'�,,,�j�.�,,',,�:;��z,�,_;,,,I " I :I () :1 I , '00, 11 .I ", � I 1-1/ I/ I/ I I- 1 J3............. �i�,��?,l ,�-"�'.,"' ''I'll'' , 11 H , '' L; � �;), 11�1' ,7G,-', ) I ( f I \ I ,,��, 11 , ster,... - ; % I WASTEWATER SYSTEM SCHEDULE OF 1�1 ,,:^,��, � L , . 11 ,� L , " I — I � ". 0 , I , " -1 , " , 11 I 11 1 _ 7� " I I � I � I __*1 I , � I �I I " , I , / I .�, 1, � 411i I 1, , i,'(L I . I\, /111, " I I ,� I ".. I '* LL, /,/ �/ ". I � k____. , 1.1.1, _,� �_ I ,\ I - ,ea, �7�1; L\ ,� I u, 1. L 11.11 1. _.j�I- 41 � , , I I I " , 'I, 11 I I I 11.1. , L I I It _11, I I � , � \ . < 11 � "ALE I I , I ., . ; I I ��_..."I" L�;' I I " I I... ,I �:N, , 11kzN LLL �� ,i',�, f'IF r rs- , z I ,_// ll�"',',", " i I I :. �,,,;j�f�,,;,"I':�,��, :�;�,��,,�,-,;�,�:� I / / - �, I<- ,?� ��1"', "�L, ELEVATIONS , "�?�" ,"" 1 4_1z, , �., f�- - \ N - NOT TO S, � ,�,,;V I I__1 , ","U-,,,- I - 11 ',','L I \\4 1 ,,,,, I i %J /or. i . , 'L�'�'��,� '01sy", I :amom_ ' '111 .. I (' / - I I'll "I'll", I #:,,R�1, ';L' I I' ' - f /I t_/ T_ —1 I I I . � �_ , 11 I . , � � L I "I'l-, I I - ---I'll, 0 0 1 ,LLL 1. " ,,,- ;A".1 1, .1 44$ ' "�' LL LL L_ I -��,,.� III l' / \ , � I � . .L L I L L , ' _ I ..L,. � INV. EL. L ,�, I _ _ L I � � I 0 Q) " � , ,��,: i I.," I� ,P, � tio�z z-��,i�,�,'�,,,,,,,""\"!",.�_, :: I " �, N, ,, / \ \ I I I",I'll,I-,I I I , PROPOSED 1500 GALLON CONCRETE SEPTIC TANK ��,4.L�,"" I; �,,� , 11, I."� 1, I � I . .L L L L L L L L ",/,� � � 'L :.::�� ,,,L�,L:�!L -...... .L.'... L .L \L 11 ,�,,'� . ,�,A I :: -I I I I I 11 11 I "I 11 I I I 11 I I'll,11 I I I'll,I .1 L I -,""I'll'.- I I I , c I �;, L�;LLLL L:: I L ... L L "LL,� I.- %L L L L L \ i I ",�:�'LL - , � . , , 'L L LLL L .I I I "I I t I , _ k I �,.,-,�,,: I L L L ' � I 11 , 1 '/ � \ co 7- 4 , "� L""�;;,�� " ,- ::�:� ��:!, �% � '�'�'::"��'L,"�,�\ , ,i, -, -"--;`� �� I ) . "I , I 11 ''I LL L, � , t_,�,,��, " A ., 0 i,<\1� L 0 lk - � , L , , L ,��.- , I, I. .L L L L L 'l-', / / " L��",,,L, '.L' "1 r � �,�`/�-40 I I L L L .S g L L�LL \L L, 1 4 -111,1111, I �) I . L�'L 'L 11 � �N�j LL, �'L'j! I I 1. , -� ::";,. 'L � , � I LENGTH: 1 V-0" WIDTH:6'-2" DEPTH:6'-O" �L� " ,.�,� 'L �� ' %-V , , I " I I I I L J L - x PROPERTY LINE (TYP. \ 11, �, � . I ''I ... I ,............. L11 "I'll"..................L � — t�,,.,�-�Lgp' , � ,;Lj"L"� � I ,�-' :� I I - � i "I'll",.............................L, I ': ui I I "I � ! ,�"" , ,,,, , , ,,��,�,_�;,. -11 /�/,, , 11�t , I I �� ,]�)� 1 ""R, . , _ "", I 114 " . *�::* - - 11 I I I I I I I .I 1, .1 ��,",f L L L 1 , ,V,�� -1, 1 4 "N 1� I ; l.............L[ ___,_ N - z �: 3 - i L '11� , 1, -1, ,% I , L L 1. , ) 0. � I . , L I I ;; I , k i � I I to) .:'��,,t I I�L.�� "'� L"� ��:,: �, z� � 1. _ %� I: III L L L e� I /" 1, i , I - ; i . I RESIDENCE-BUILDING SEWER� 17.50 1 1 1 MODEL#ST-1500-H-20 BY SHOREY PRECAST OR EQUAL 2 .11 I .L... 'L L.L.'''ojl,!'��,,�� '��:� '' I" �, �� I , , , �, :�,7,�� - , I _ , , ," " I � \1 ) `1 , : - "I'll .............L...L,L'' I I I.....................LLL,L I -,,'"'I'll'', ..................'LL "I'll, 0 0) , �LjL`L -,,�' :'�,,, I,= , ,� ,. , , " , ,I I L I I.......................L L,L L -""""""""L , I AF: I � , f� � <43 L " , , I . .1 : L" I�,'';L 11 �:"�l;�,,��',,�',,,��:"",�z�,(,�,,�,,�',�', lil:; I 11 1,I�L�; : L _L ll��"",, / -11 � lb i I 1. I - .1 , a '�L' "I j " 1 , I - "I"', el_11� , 1, 1. I - I - � � 11 I L / I / / `1 \ (1, i i i � I I "I z (4 i I " L , . z � . I � �*,* I 1 '"'"'""""' I ',: I , � I / �� F_ L-,� '�Lj - '�� I'll'', 11 11" 11 _ I It I .11 � I&J; "" � \ \ , I = I L,*,:'L LL J)l'I'L" '�` 1:1� 1 I �I I .1, �,,i, ,I " , ...... � , I . " ' " - I ' I I �11 , L - z , I - I'll 111.11.11,11,111,111, I 11 11 1-11.11111.11111-1111, I- I I-1 1111111111-1- -,,,,",,","",,,-'"""',--,-""L, ,"", ."..... '0 '': I ��, : --l- I �11 I I � - .11 0 . ......Aw #� "L a L\' L'.f 1, - I I . � ��'Z,,�z�1�,� ,",�,�,,�,�,z,�,j,�,'�i I� "Ill.-, . 1 I I .."4", 1�011' if i i ^ � 1,_":..�� J., : _ 'L I 11, , M ; I , I - .1.1 � ill ,,, t L�� __�_ .. .1 L -:1 / / i � 1,500 GALLON SkpitlCt kk' . I I I 2 1. 11 !" �,'��,"";�,�, 11 L L I'll 1) �, , ,�� -,/-" ""`1_1 / , \I \ ` � , � I , , "",,'""""' , ' '' ""' """'L"' ' -,,"""",,,", ,'', _,,___ L 'I, I I 0 g 51 � 'a � I , I , 1. �'�'L �,�!��:,�* / 1� \ I // �:,,:�,;::,�,,,�. , ( I i �_�,:�, IN I I I I �(� ,,, I \ � i " L ,,, L L 'L I -11 i,��,,�LL . ; -, I L L, L , I I 1-11,111, 111.11.111, I I I .... I I I I , _ "" LL L LLL `� :11 f I : I I I I I 111L I-I'-I 11 I "I'll 11 I I L11 "I'll, 'a = .:. ;i,.. ',I . L __4 " .. ... , 7 L-'7�- 1 L 'i.......e''.. , , j-N. L... 1 \ \ SEPTIC TANK TOP (OUTSIDE), 18.25 L' �4��0'14�,J,�',X,�N,� w`,_ �1,I I �7!�L " _�, .R.,.�.�, , i � ,?,��,:�'��,'�, -..,A,,,�,�JL.j.�::'L' L , , I i I / I i � 2 '7�_k & ,, I .. �� ,,,�:��"" , " 'j�] ��'__,�"L I I � ' ' L' - I �, rr c , L�'�' I,I'L''"',L L',��L L'J t �L L I ,� � ,.. e i : , L'�'L L ��:��"'L' "'�L L I z, �1\i / 1___1' -I- / ), \ I - \L' \,( i 1 ' r_ I LL, L.�/17 ,�,�!, �" ,L'LL:LLL' � LL 1, I ,:', � I / ` i ( SEPTIC TANK INLET(BUILDING & HYDRAULIC UNIT): 17.00 . Lu i ��'f','-LLL'-_'.LL"LL''L"L,)L,�L I�, 'r - i . I'll, 11 M a C! 10 4) C -, � ; !... L L, I I "I'll I I I I I 11 I I Jr L ' I , , , .q�:�; I L n"I" � 1 I ,, ; ",,, 1'�,,I ��,�l -A i i i I I *�WL I I I" ,, k.�.�,�,,"� , I I I ;�- ll .!�7 --- , � : ''I'll -, I,,,11 ",I""'L.......LL � , �,],,�,�,, , I I ,f � , , , �'�...1, I ,. � ,, diflu i I t 11-1: 1� - I � "" K I 0 ""' ,,, ,') � / 11 ."", ; . -W .!t. �, .(J .2) .�.�, '11, I I � " SEPTIC TANK OUTLET� 16.75 . 4) I I W,� f I 1'' 'k, � , 11 L�z",�' i k h �1� ,;, q : :z:, :�, 1,,, -,I M I . "I 116 V \ ZONING & RESOURCE PROTECTION NOTES 1:.:,,U I � ,, e ,� -� , '1111�1',�A', ,: � -/ I 16 I - -, i . "I'll'-, I - .1 -= �1- . " (0 "I " / � . i I I 1, I I I I 11...I 11 1.1111.11,11,111,11,I I"I'll, 1111,11111 11111-A I I 11 I'll 11 I I-11 I 111.11,11,1111,I 11 11 . NO 4) 11 'R / ) �- I � . - Q a k K, , D �Pi ,-Z� _:- . . I I .'�� b. 4z �, .- ,,, �J / � 11��111 I? ! / I -� .1 \ / � I f i I ....1BO.T.T.O.M.-TANK(OUTSLIPL'E)L� 11 .1.11...I....",-- I--......I..............I'll, 11 M 0 1 LOCUS MAP 1-�� 'I-,/' , /i / i 1_� " (_5 i I z � I -...., ....LLL' L I I ---L 31. IZ � .q C14 , (' , , I I \ \",) ; I ! � 1. PARCEL ID:053/014 1 z 2 0 1 / IV _( ., % ( : I'll I -,"'I'll, I I I I I 11"I'll,"I'll,-I .1 I- L o im -cc , to SCALE: 1"=1000' ,<�,'I / I I ��a ; \i . I ! "I'll",.....................L........LL, � ................ .111111 '-' "I'll", L >, -_ .- CO ,cc V. z; ; , I I , 4 9) -C �c M C14 � , ,>l" I i 1 1" ) ", \ � �� : f � 1,500 GALLON DRIP PUMP TANK� 4) , ; I z : I 1-` � /�\ i I . I I 111.11,I'll - I I '-,""I'll"............... "I "I ,.,.,..,.........."Ill -11-111111-11111"I'll-.",,,, 111--IIIIIIII.......,1 I I- 2. OWNER OF RECORD:ANN(�&ROSENTHAL K.GOULD TRUST M � ,4.) x / i ; (. : i i - M Cl) Ill I-, r-4 / f � � -CC 4 5 , , , "I / I f� I 11 � - DRIP TANK TOP (OUTSIDE)1 17.71 1 0) M co I / ! 1 . I I I I -11 I'll 11.11,11,11..... 11 ---,""I'll......... 1111.111111111111--1--- -1-1-11 11 ,,., 11-1 I-1111-111,111--- , 0 L / ; 4 12 11, . 00 00 . I'llXz" I ,f 11 \ 1 1 / �_ i I i : .1 I j ,11 (_ / : / � . i DRIP TANK INLET(FROM SEPTIC TANK)� 16.71 3. ADDRESS: 82 HUMMOCK L��NE,COTUIT,MA02635 bi R - I ' NK L HYDRAULlb'UNIT - "'' -......LLL LLj,6 � - l-1, / I -1 1_� / f,`_1 I '�c /� 0- Qz \, -I—� - / , / I � )� 0 2 Ix z 0; 4 Izi 0 "l,l",�111 M � i / - ""I / i i� I / i , �, <�v il �' DRIP tA OutLET'(Tb �! . ----' IC, / co // I ) Co to a 0 1 f / f � ,�,� � � � - x (0 00 ,0 2 "' I I I 1.11 , I I I 1111''LLIL I I I L IL L, I I"I'll I L LLL- . C, � , I `7 5� , 1__` � I'_,� t,1, 11 N :�; 1, i i 4. THE LOCUS IS IN LOCATED�A FLOOD ZONE Al I (EL.1 1)AND Al 3(EL.12)AS SHOWN ON F.I.R.M.MAP 250001 0018D. . __ /. I 11 f ALARM 1575 __ . , f I I , , � I "__ 0 11,1� - mx / I I I I I I - "Ill, / I? 111-1,1,1--_11�' , ; , , � - \ t , ! I ", iff 1_( P 6 0 / � . ? i f I --l- I 11 I " ' , , ; 1. 0 ., 7 � 4 1, PEAK ENABLE I . � I i ) i I - I I ' �� --- Ir- I"".�l I 1 4 cz) i'14" 1 'd � � I i i I I I Ili 4,196 5. THE SITE IS LOCATED IN TF�7_SALTWATER ESTUARY PROTECTION OVERLAY DISTRICT. ' I _', I "" 0 /9 ; ( I I'll 11 I I 1, I I I I - - 11 ''I'll- I'll - I I . I . , . __ �'111 I k_� 1) ; I I / f 11 �_ I'll, �� !_ hi to " "I I , 1 , I I f I I,� !(a I'll i M / t 's ,,� ,� 11 I I � f / f I i DRIP ENABLE� 14.04 �I <, - 1 __1 � : f 1, 1 4-4 5 '�T_ C-) k"- 'e, " f � \- 11 f i I I I I I I 11 L 11 I'll I 11 I I'll-11 I I I i .................L, I'll, I -,'--,,---- I " " f , I �, I i 1 ( - 1 i ! OFF: 13.71 . , I --- I 10 11 I ; I , / / I / 0 B!5 f f �, /- I i I I'll I I I--11...L...L""L,I ,111""'L........L .11 1',.... - I .............. 11 �_,_ Cal , / / 0 1> � l_ ,____, , i i � "l,kl " 6 / i I I ' '(- )i BOTTOM TANK(OUTSIDE)I 12.04 WASTEWATER NOTES L I I - I - , , , I 11 ! , I 1) . __` l' l '_- 0 ; r � :�; Ili ", L ,x ; ! , 1, -1 � ; - r : , � i I "I ','"', I I........................L... I�_.................I I 11 ''I'll, f i I I I .1, _, 1c, / 110 ) I - , I----- I—- I - -- 11-11-11-11-11-1-1 I _` I--,' I I , - 11 � I'll 'r , , I T ,_ I 1� I I I i ESHGW(SEE NOTE BELOW)1 8.30 � " r� I " � ;1 lt�', ifttj 11 / i 11 I I i i I i �� I I , " ' � 1 4 1 ' L' , "", " —_---- D I �c 5 i�W_ , ___1 �_�' .. I ( � , "' I 1. UNLESS OTHERWISE NOTE ,ALL SYSTEM COMPON / -6-1 : -1 , � /__�In " 115� 1 . . 1z f: / : ", ". / 11 . D Lfq _�t ENVIRONMENTAL CODE AN'��)THE RULES AND REGULATIONS OF THE BARNSTABLE BOARD OF HEALTH(E30H). , ,�, I , i i I n 11 � � .141 ,�,, ",;, '_ .- ..... "0 / f � � I- / 11 I I �_ I IENTS ANIP/6-ONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH THE STATE ,,'�� , , : C'OpoN C,3 i0o ---- CB 100 ----- cB,J W, 1-14 , . . ) .. .--.,. , . — �� — I ,,--� I . . * I / . , , I 1, . Tf--" , -.-- _7�� CB 100 '. .... . . - - % - " N i I --, t I I / I 1 : t � 1. SEE) A ED GR1 'A E "' . (- 11 - .I - - I; / , ,/ , � � ) �'9t A ojttya J* -1) �T 0 51,p� , i ,/�, . . . . / 12.7 fl- 11 " I ITT ��jpiUNDWA ERADJUS MENT CALCULATION , -\ 1,� __l � 10 . .�. ...... . . . .. , � / 11 / t� , i ; , ...L - __,�____ ,/" I H . . . . . . . � / / 1. :5. 'I ""' . . ' FOR DETERMINATION OF ESTIMATED SEASONAL HIGH 2. ANY CHANGES TO THIS PLj-.N MUST BE APPROVED BY THE ENGINEER AND/OR THE BOH STAFF. I I . . . . , I / I "T '40��-6 A(313 �'. . . ., i,ii � " I e?, , �, . . . . PROJECT BENCHMARK , _1 , / I? I � > , I , ,� _` 7d � k I 11 ") � f i I GROUNDWATER ELEVATION. 114 k�' _�� ', �_ . ; f I I I . ! - I �-�-*-�`-.*�--.Qji. ....," / 11 / 't C\I I A I SPIKE SET i i I i �, � ;/\A/ '-,v ' 3. FAILING TO PROPERLY INSPECT OR PUMP THE SEPTIC TANKS AND TREATMENT SYSTEM OR CHANGES TO EFFLUENT FLOW,GRADING, I * , I . __ -- ,_- / I I . . * I I � 1 i . i , " / / ,� f, , , z IZC4 : ._.,��,� 5.0' - - , 71 - -%'-�-. , ; EL. 24 50 . Aloy exof :�_� -1 11__1_` _� . . . . . . . . ... / CQ I I 11 I i I / , ",2 1, f 1 �� 00 1-1, _� �,_ " . . .'-'.'. - %%% .... . . .��. . / ,§ a , 11 / � i \ 015 - ___ 1( * . - - ... . . / ' �-, I I � I 11 ? f , I OR LANDSCAPING,EITHER :)N-SITE OR ADJACENT TO THE SITE,MAY RESULT IN IMPROPER FUNCTIONING OF THE SEPTIC AND , I . . . .., - - . ;1 � I I I _" i / " , , �4 �� - sl� . ' I . . -:-�-�----�-:.....�� . . . .. ---*_%� .-.*.*. / Z-) 1"SCH /1, f i i 1, / i , f � LEACHING SYSTEM(S). , _ VARIANCE 5 , ......0... . . . . . . . . ,��-.. . . . . . 11 40 PVC SUPPLY AND � ) 11 v 1 / f . ..... ��..' - .. to : i / : � / , " _,�`�� . . . . . . - -1 I I I " i , 10) - . , . . . . . . . . . / � / 11" I , I e / . , / - 'I' I . . . . . . 1 ..*._. - .,. .�/ - . .Pl If RETURN FORCEMAINS 11 . I - I f, / , , � , � IZC4 ,-;; I(- . . . . .. - - * '.'�,�- , * . -,- * / \ -) : ", ji, " / I . . �-** * '-*-.-.*.' *.,. . \ ,<I 4 , I i I/ I fl. r ',�� : . . . . . .... ..., ., . ,� EXISTING TRE I , 'TREATMENT SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE GRINDER. INSTALL 446 LF. OF PERC-RITE DRIP ,_ . . . .............. . .. . . ........ * . . , . . . . . .. . , , : 11 E (TYP.) ',;` ", 1 / i, ?, �, /" -4/ 4. THIS ON-SITE WASTEWATE:�, �� _ -, .1 � .11 7', . . . . . . . . . . . ., . 1� . . . , . . . / ; ::�_ � � I f ; , 1 , � � DISPERSAL TUBING AT 2'ON CENTER - � ___ 1\ . . . - , , . . . - / t � I I I (1� I / � I �I i I : , I , . . . . . ��, � � I , i , ", � . 1 , I / , -, 74�*. - * . / I 1 'I / 11 i f I 11 11, I ...... ./. . . . . . . " ')/ I i 11 / /, I,/ ,I i I --IV � �� 6.� �� PLOW IN AT A DEPTH OF IV' BELOW GRADE - f . .:.��.�-.*...��2C-V,!��-.��.,.�'-.��-. . ...... . . . / I I I 1- I . � If If, / 11 I I / i , el i I " CIO' 5. THE OWNER SHALL INSPECT*AND PUMP THE SEPTIC TANK ONCE EVERY 2 YEARS. I" I I . . I � , /, / , t, i 9 I I ,; * * . I � " 1, ) I— I , i i , 11 , . . .� - - * * * *.**'* , * i Z k Q 11 . . . � . . *;� \ / / , ) � _r, - . . , . . .* . . . . . . I � 8R, 71-1,I � N i . . . . . �4 -.1. . / I � 50. �,' ,/ 1," i , � , 1. . . .�....... . - .- I t . / I i / ,I / Z / ) 11 ,I i I -SHRINK GROUT AT ALL POINTS WHERE PIPES ENTER OR LEAVE ANY CONCRETE �� _,Q -Z� . . . . . 11 . . 11 ,,, , (V ./ I " I ,/ , 6. PROVIDE WATERTIGHT SEA?_S BY USE OF NON . . . - - 1 3 / , k i , - - I * * , '. * * . - ( / / / I CY) REMOVE BRUSH PRIOR TO INSTALLATION I _- "" ( - . - - - - . - - .�.. . ...... . - -�--.--. - " l/ S HYDRAULIC UNIT . /�// � , .r-- �: I LOAM AND SEED AREA AFTER 80 6' . . ...-.� . . .... . . . "... . , � ,__ _ . I / ! J , " 1 1 N . .-�--.----�-�-�- . . . .. . . . . - , __ ,� ,,,;VARIANCE , 11 � ,( - I _rr" . . . . . . . . . . . . ��' � - 0 (SEE DETAIL) /I I .)/ i "Ill/ 11 / \ i� i 11 / / / / , / I ) STRUCTURES. I - , _ "D * * * :-�,* - . - \_ __ - - 1, Cal (; /i/ . 11 ?� - * .._�-;. , - * "* ,..*.* , -, ,__ I— _ 11 I / / :� /,,�, 1( / - // 3' 1 11� (Z - ;_�,' * * * , (L) / 51.1111, / I INSTALLATION AS NECESSARY . . ... -.-�-�..--�,�! ...,- �-,.�-:�- * * ,*.*. - . . / __ ___ t / I f /Wr;I,,i -IV . . - . i 04i - .. . .*.*.*. -, I � ; 5f"3r, ,/ k - - �, - * ... I.:-. - .. . . . - ....... I I ,,, . / � / ' 1.f3 . . . . . . . . . . "' / ,� , I I 11 . / / , ._-, . 1 _ _ I—_ � 1 , I I/ � / "I , I '. . . . . I— . [/ , 11 "I 1, I I / / I 11 I I I � I I . . -_ I �11 / , . . . . ` - - . . I " REMOVE EXISTING - . - I /:�-, d � ,� / t / " / / 7.1. BENEATH PAVEMENT:FAC ALL BE ROADBASE AND COMPACTED TO PAVEMENT SUBBASE REQUIREMENTS. . . ", :11 __ . . . . . . * , . 11 I I-, - ... I—- / / �' VARIANCE / " , ... . .:...., _,__` __ ___ ;� , - __ _ - __ __ . .IV"-. - - ..-. -:;�`�,��1. . ._� i� ,----.*' - " .1�� 1 \ "/, / ,/ , , , COMPACTED FIRM BASE: �� -,Rzr, 4r � . *.I.*.*. ..*.*.*. - . '. . . . . ... . _� ...... ___ -1 , , )11 11 / ,/ / / 114/ 7. USE SCH.40 PVC PIPING W?"-d WATERTIGHT JOINTS UNLESS OTHERWISE NOTED ON PLAN. ALL PIPE SHALL BE PLACED ON A ,�_ ____ - - - - . . �... 2 �� ,r_�,4 ��__-�- __ -1.1 / I ,/ I --l' -.!! - __ . . . . . -, ,�� . . . , . . - / I P "/ KFILL SH ' - I I . . . . . . . . .TP'I* "".*. . ,�, . . .-,-- -1- - ,�,_ � )J I / ,/ / I z I I Ax"v' � - - (� . - * *.*-,.:..*.... . . . - '_ .. . . . . , _ � � - , 11-- .1 -.1 - 11 I I I � / / (, I . 7.2. OUTSIDE PAVEMENT:G:MVEL BORROW TYPE B(3"MINUS)COMPACTED IN MAXIMUM 8 INCH LIFTS TO TO%V7.%7V1PACTION. 6; __� � . _' .111", i ,� Z ! 04 zl I I-r . - , . . . . - I �,- - ,� �I , RETAINING WA - -- ---- 1.1, I I-, I 1 1/2"SCH 40 PVC SUPPLY - / i . I / I / , 1, (, � 11, . - U-) 7 TP-3 ,__ , f I . . , . .. . � I I I ,,, LL-- " _ 'I" I �., 1,\/ ,1// " / I I-> , �- - * . �"'.; I - _ - - /' / I/ J, ( ,� � \ \ -4/ 7.3. BACKFILL PLACED IN U�ILITY TRENCHES INCLUDING DISTURBED AREAS SURROUNDING UTILITY TRENCHES SHALL BE PLACED AND I - . �- -*.--�-'.-*.��- .�.r.�- --.-.-e.--`.- ------ . I � I // , _-, . � . , i / \ , ��_ � C'n ///, / __� � -4 __ , � , I - I f J� / . - ,_ � __ I � � . . . . 1:-... . . ... . ."", _ _ -1- / I/ / I 1, I " "., , - - -- , _ � 11 I / I \ COMPACTED IN 8"(MA;11 Y',/ERTICAL LIFTS. C:) I � � . . . . . . . . . , ,_1 , \ � / __ . . . . . �,,�.,:,.,......% __ e_ � FROM PUMP TANK I 11 / "/ / ,,� I \V I � ' I ,� Q, �4 . . . . . . - "� 11 I I � / 7, 1,�I I � ", I I � I � . I �', / i �* \ "I '��1C�, , oll, � ': -4 1 . . . .... . . . . , . .;, . I.- -1 __ ELECTRIC CONDUIT TO - , -\ , ') I I ( I I . 4�' , I A`,H,1E7.'1T,--95%COMPACTION FOR THE BE=IN0 I . . . - - * %, .- ----. ,.��, I � \. T_ . . . . . ..*.'-/- - ,.,.,-; .*. - in "'� __' _'�'//L j/ / / , N "; �? I I , __ I I I '� , , '.., '/ / \ , � ,11. _T - - MEE IN,.'.,"I",i,"KJLLOWING: � . . .� . . . . /. . - .. .. , . 0-5-1 - 11.__�... x - I*ll \ . " i I , , 7.4. CONTRACTOR SHALL I - CN / ,�P___ . .. . . .�. . . . . :� � ,\, --,/& I / ,�_ / i I , \ \ \ L� ,� s ��, ", I - . . - W. -�)� ,� <��_ - I , �9, ,or"'. �,_�4% .. . . . . : : - . . , PUMP CHAMBER \ _ -, ' r , / � I / i 11 I i \ , \" �, , \1 1, I , I _ I/ 1�1' � . . . * * . . . - . /, ��, - '_ .. ....... - - ��, /' 11 �,?Aq , , \ \ \ I ,�,, I 1 7.5. PEA GRAVEL SHALL CC�,,-.il;zii i�L;LLAiq,HAi-,,iD,i*�C.)Ui-v�,�i,,,'�f'I ;�,�Esc;,' �,,�,'(A'V'El T I , , - - - - - - -.-.*.'.*-. -�: .,-,-%'.�-, - - _ ,�, __ -_��, '7�x. -, ,-,-, -g " \ / \ / I / , \ , - . ,� PERCENT PASSING " 04 * , " . - . . . . . - _�F ...� , 1 - " V 4 J " I 1�/, I" / -7 / / , I i I , 11,� '\ � SIEVE SIZE , L I I , , L . - - , * ' ' 4' 1/1 -- - --- :��,_ - , \ I", �_ \ �� !N / 111� � .1. . �.---* . ..- .,. - -*- . .�.... . . .z._. . . . ___/' . - I - 2-6 - � _ , , , \ " 11 _Z�) LO . . . . -* ..., . - 7��z ?�- I � I I I 11 . . . . . . . . ' . . . . . . . . . . - / '� .,� --- I ,"I I 11 �� \ \, I" 11 I �,, \, \' \ \\, I 1�� I I - �I: 85-95 - I . . - �_ I I/ 1 / /I 11 1\ %, \ ', -,, " \ '. " , NO.4 5-15 � , C:) / - . .. . . . .6'. . . .... - .. . . .'.�,�... . 7 / 11 I \ I/ /,,�r/,/ \ �� bL 3/8' � C< �� - . � . , , PROPOSED EDGE OF � I - I e 1, jf" (,,�, 11 I I',, \ \ . 1 CN * . ., N �% I / �� p I , ! I . � , , I I I ", - -1- ___.11 \ � * -..%*"%%%*..�� ;. . . . .. '4 / ,� _�-,_.'- . ..... ,,i6- �, " "01/ � , / , � , � N","I N\. � I \ , . I � . T_ _-, __ ,-.- _ - - . - . 1 I . . - - . .-. .. . / V w �"3 - -, GRAVEL DRIVE I - , , �, I , , I 1\V / . _,T ..�-*.` ---*.-*.-.-*. ......../. - / I \ \ 1�4 0 . . . . . . , / ,3 �... .... 7 /I - / k " \ " % �, \i I NO.8 0-2 � . - ��, � " " , '�,� ,,, I , � / IN . .* � . .w ..�-�---------- ..-.- .. \1 , , / , i ( " i . . I I/ I I . . . . . . .. . . . . .�.�_� - -T. . . . , ...%�. . , , / / ,� �,, �� , k .11, ) /I/-- // ,I, � i� , ,I ,�I �, , 11, .1 I , , \ � I I I � I �2 0) . . - . ... . I,� / I I . 11�, I ., \ �I NTRACTOR IS RESFONSIBLE FOR PROVIDING OPERATIONS AND MAINTENANCE INFORMATION FOR THE SEPTIC SYSTEM TO THE (z) .. . .:. . . . . . I , . / ii \ \ I \ \ 11 - " � 11 I . . _ . . . 7 CIRCUIITS ARE AVAILABLE I � i I \1 \ ENGINEER. I I - . , . 1 . - . I � ' ' , PUMP 11 CHAMBER i� "I, "I, \ 11 � I �t I I . . I � C I I .�. .:-...*.*.'.-.-. . - I-- CONFIRM (2)20A, 115 � \�111 I i � t, / I i i i 'N_�11 \� ,I I \ -Alf/ _�/ - � __1 . . . ,:�.,- - *.'.'- - ' '.. . . . . � ' '.... _.� . I I ,'r ,*,-,?. ,,, I \ 1 / 11 I � I \ \,\ Cn �, * . . .�-%*..�-�'.-�-*.- . -.*.-%,',. -�L.,�_:-__ - ' ' . . . /--/ / PUMP CONTROL PANEL (QONTRACTOR TO ,\,\ I � l,' 1 500 GALLON ; / � \ \ 8. THE CO -21�2 V-__ / . . . � ,� Ll \ \ . - -A .�. ;J. �---.. . �-.----1-'-*.-*- - / �, \ I I \ Q;fZll' . .� . . ..... IN GARAGE SUB PANEL) , �11 I \/ , � _1 - . . . . . � / "I . I I , . . . . . � � 9. ANY AREAS THAT ARE FOU,ND TO HAVE UNSUITABLE MATERIAL SHALL BE REPORTED TO THE ENGINEER. AREAS UNDER THE 3: � .0 . . . . . / I I / I � I �� / ll"k , " ! I VVr Iz I . . . . I i I I i ! CU / --.,-,e\- -.-.�---- 11 ._--_*-.".%`*'***.*' i � - I I I I I �i 11 � LEACHING FIELD FOUND TC HAVE UNSUITABLE SOIL MUST BE REPLACED WITH TITLE 5 SAND AS SPECIFIED IN 310 CMR 15.255(3). � . . . . . ., _ I � 11 / I-,/i tt - , � Ill � I I L_ I , / I _____� I i HANDHOLE /54.5'/ / � f) . I i ,�.i�� _-,.- ; . - - i 1 11 \2`1 _ 'T I � ! i 4.85 " -_:,:-_,-_'� -_,_ . I . 1 I 10 I i . . . . . - . . . . 1, I k I . 1-11 ,__ . . . . if ��il 11, I 11 I I I il : �/ . . . \ . . . . . U ,,-, 1_ ' . . . - I'll ; ! --I---- 1_1 � . / 1, � � I . i I . . . . , I / � : 4i b3 .. i , 0) = - I . . . . .......... 1__. - ___ /(TYP) VARIANCE I � I 1-1 � � � I I 1 1 ; : 10. ALL SEPTIC COMPONENTS,"3HALL BE INSTALLED WITH MAGNETIC WARNING TAPE. to �� - - __1 , . . 1 120', ! 11 f. I � I z I . . . . / / , yq'I ____ - - i / 1-1 11 I � �_ ,� l-, . . . . . . 3 "Z __� /-----/ / _< il 11? __�,- l" . 1 I/ '111 - / / , / / 'l,l , J i I z i ; I . I ,,- '1/ . . . . ___�� / / r ,,\,, I 1, ", / " I I i z : 1�/ , =3 ,f :: -1 I 111� 1, I/ � I Co 2 I C0 - " / I I ll, � I � r_ C -1.4 / . - 11 / - .1 11 / f., 1 / i I 1 1 ! I 1 1. ALL SEPTIC TANKS SHAL -APPLIED WITH 2 COATS OF DAMP PROOFING OR BITUMINOUS MATERIAL. (L C3, -1 I _ _ __ -,.-, ,\ _ ,,, :�/ 11-111, . I I �, 'I,' . \,/ I I � I i � . L EE �1,6 '\'\\, \1 "I,........ " , 11 � /' I :"�� __ / � - / I - CL __ I L 13 � I 11 - -1- I / �� , i � I 1 : I 0 l/' �, __,.- / 11 & I /'.__ \�� I'll ,,,�, , I, i I �. � . I 1 1� 11 _<_I / � I i i I I ! I - 5�(, " I, . z I __ -_ L/ , � ) _____ 50 - "A-1 CB LEACH PIT 0-1��_ ''�� . 0 I 1 J ; i I ) ( 0) I I I "" � ,// - �.,f � I I U'� 1 ! . 12. ALL EXISTING SEPTIC COMPONENTS SHALL BE ABANDONED,AS SHOWN ," � I . z /I/ It ,l, , J30T:FF_?, I ---!-� C0 50__ 6\ ,�/ A / I � i i 1 1 i 51D ____ ___1 _ � ) 44:" I / / P . )_ ON THE PLANS,IN ACCORDANCE WITH TITLE 5,310 CMR 11-1 01- __ - -11 pi�I ,111 \ . / ) 7 � 1 1 ,-, I I: . . 11 /1- 1-1 11 I I 1\ / . ,I I . I - 15.354(3). ) I-- '1/ CiB50 /, I-- - - - - __ 11 , �/ / L , I -_ ...- -, L / � I .C: k z I � l, , L �,,01 C&so � ....��, \ I I i . I � . �_J --IV I i ( L Z I 11-1 I . � \,. l", I �, ti I \ � ! .1 1 I. I/ L I - - , ,ri � i ; = I--,"- � I 1-11, : �� , I ( / i 1 i ! -_ � :! ,,, 1, , � � I � . UGE / � i i - I Al: L , / , : i I I \ WASTEWATER INSTALATION INSPECTION NOTES I .E ,l' I __ 1-11 ;i - 11... 15.51 - I / - s<Vvb� i I i z � � I 1, ;I! � ., - �(--\(,_`� ./l, 1621 _," I I/ PROPOSED GARAGE - I , ,I � I: f f i , �J .. EXISTING RETAINING L if.. __ \ / 1K ,e I i . i . , -_ I � 'I z 'I'M, " i : ,I : i I : 1 1 ,� I � , le , 1 � I- /_ r"?, ,In _ 11 -,*. ____ i if . I it ; , I I : i I \" L "-, - 0�' WALL (TYP. - : S \ � ,�-,/ / lf� 11 ",/ -_ (1) I�� I __ - P.) ,� 4; �.....__... - "" I � � 11 i� 'J, 1. THE CONTRACTOR SHALL PROVIDE A MINIMUM OF 24 HOURS ADVANCE NOTICE TO THE ENGINEER AND BOH FOR ANY INSPECTION. l' . /� / 1, �r / 2; / 11 I 1 1 ; -, -1 __'. z � 049 GRAVEL " O 110 / i I/ , � �," i I I i iK_� CL "I ." _ -) I I " � 11 ;1 - I I I - / �/,/ ell), i i 60 ,I , X I f i i . - I I" 1. _� . i .. , I �O� , L, I' I / I / I , I 1 z +-# z 1-1 ", ll, \ I I I I I \V 2. ALL WASTEWATER SYSTEMS,INCLUDING THE DRIP IRRIGATION SYSTEM,SHALL BE INSPECTED BY THE ENGINEER OR THE LOCAL BOH "I I/ "I "I � 1 � 0, �, 11 : To,L z � I DRIVEWAY L / '4 ,,� (D , I 1, __1 X, ,/1 i I I 1 1/2"SCH 40 PVC GRAVITY RETURN TO , � ,,,I- , - I ; : I I REPRESENTATIVE PRIOR 3ACKFILLING. THE CONTRACTOR SHALL COORDINATE WITH BOH ON REQUIRED INSPECTIONS. AT A "Z I i - I Cz I 1-1 I " I -.." ,--- 1 Ill ,,�-- CB 50 , ---.., 0. \_,k_._,�1\_A__/A,)\1_"4_/1k_ ; - I � I : � -1 1�1 - . .. : = I : i �>- I ", _� ,` ,/� __ -.-,. Q - t SEPTIC LTANK; ROM HYDRAULIC UNIT ., : 1 , , MINIMUM THE FOLLOWING ITEMS SHALL BE INSPECTED: �� a - , ',` et, I, \ q6 I,11,11 . " ,11 I i , � � I i j � � PtHE 6'" _-, C4 `� / , I 11 r10 .\ -1, . I WF11 2.1. INSTALLATION 0 1;'IP IRRIGATION TUBING. - = _w 1 ' .. �� " 111�,/ ,�/ k G ) 11....o I ,� L -6 ,_ 511.6�, - / ", I I/ I, I I L EXISTING SEPTIC I /11*11 , "I I L=20, S=13% I ,� I � 2.2. DRIP IRRIGATION FIELD(,'OMPLETE INSTALLATION. 0 I" � I I 1�f) �� 1, / / "". I � - \ : � � ,� i :3 1 / , I I , -11 I ) 0 0 ___ � , � 1. �, i I. � 4�81 'a E I / l VARIANCE 4 _ -.1 __ .-.,.- _', I 1/1 ", COMPONENTS TO BE / I ,_1 , I � I \V 2.3. INSTALLATION OF SEPTIC�TANK,PUMP CHAMBER AND HYDRAULIC UNIT BASE PRIOR TO BACKFILL. 12 (� '", � . , - 0 / /Z /11 __ 11 ,� ", J \ 11 -1 11 , I I � . I ,� � � ii _�/ 2.4. START UP TEST OF SYSTEM WITH ALL COMPONENTS INSTALLED AND FUNCTIONING AS DESIGNED. 2 E ,x ji " I / \1,�--f 1,500 GALLON i , / _� ll �,'I-, . ABANDONED AND �f r" \__�""I .-- � I � �i !I, 0 i I I . .- ca r_ (D / �, ", I � , I z i a :� 'A 0 Ix ", I I �,I, SEPTIC TANK i � i 8 'i. 1 � i 1 2.5. , FINAL INSPECTION OF BACKFILLED SYSTEM. �, ,/' /� \ 1, " ; I � � 2 C-� d - . ; 1-� I I LL 00 I / ; t ! ; I C / /I I i NOTE12) \, " � �,,:'_�--- PROPOSED' L L )'y ')",/ i � . � - PONSIBLE TO MAINTAIN UP-TO-DATE AS-BUILT DRAWINGS AND NOTES INDICATING THE HORIZONTAL AND a) _�, __ 11 / RELOCATE EXISTING )� � REMOVED (SEE I 1'-�,� / � A 4 �4� / 1-11 -- I/ \ �1111) I � 1, ,� 4, I 1 'I 'i� 11 - �, � � ." � � I I ALL BE R-S . I-, __ __� / __1_ .1 GARAGE (SEE I �� J'7 , k.__1/' � , i I � � � � 3. THE CONTRACTOR SH i C: / / / -I- / "I I 4"SCH 40 PVC , ( V) :51� '--,,'---�_ ENTRY PORCH , I I I � i k I VERTICAL LOCATION WITH TWO TIES OF ALL SYSTEM COMPONENTS INSTALLED. THESE AS-BUILT DRAWINGS AND NOTES WILL BELrnLIZED BY THE < / __ ARCHITECTURAL PLANS) ./ - "I ;; ./, I � I �, � ., i 1� �ON OF RECORD PLANS. / / 11," I � I I ", ( �__,,/- 0 1 � _\V ENGINEER FOR THE PREPARAT / ,,,- / /,� L=30', S=2.00% , � ; I 1 i � � I � i / : I 11 f I i .� i I I Lr) "I I/ I I � i � 1� " i. , 1. i� 1! I 11\ I , TION THAT THE , ,-, J ",__�,_:'] f 1, / t i I � 4. AFTER THE DRIP IRRIGATIONS"STEM INSTALLATION,THE DRIP IRRIGATION SYSTEM SUPPLIER SHALL PROVIDE WRITTEN CONFIRMA N // / I,�, ,,- I// /I/ __ __ -.-- -.-- __ ___ -.- __ __ 'I-,' I I / i )"I'll, , � / // I � �. C:) / I-, I / , I , i i � � / / 1-1 I ,�, I �� , I � . � 1 �, 1 . � � __- 1_� I 1 \ I ? / ; � , i � I SYSTEM HAS BEEN INSTALLED�.CCORDING TO INSTALLATION GUIDELINES AND THE WARRANTY IS IN EFFECT. , 04 / / __ / � "I I 11 i I i � : � I � / �11 I 11 I/ I . i I ! I � . _� -1 I 0) 11 I/ I I t , \1 I T_ / / __1 , : :.:I I I �� 'k. I i / / / ) 11 / 0 i . I I � I i i : � 04 / / " , , // '1/1 ) 1�11 I ;E � 11 �/ I 11 I � , , � i i : ; I \V CLEAR WATER TE P'10TOCOL / 11 � I ,I ST � � 1� � , 1 4 , � ,,,, �__, .11".." 11 I a I i I : . T1_ / I 1�11 / � I ___ __111 i i , I 0 � / � / / / 1-1 ,_ "' �, — _ \ 12.3' -------q I GARDEN/ I � � I I i I 1. VERIFY ALL FLOATS ARE SET AT THE DESIGN ELEVATION. N , / 11 / / / / _ _11_1 __ _ -.... .....- _,"', _ ,), �� , � , \ I / 11 I i ! I 1 1 1 1 1 2. VERIFY ALL LOCAL ALARM,,,"ONDITIONS ARE FUNCTIONING AS DESIGNED. I , i � , � I - - I ,I I 11 / i � � I i 1 _�_ I ) . � I I ! 6 W / / I/ - . - .- - 1_1- � I " i . I �i i f� i 1 3. VERIFY PUMPS ARE OPERANNG AS DESIGNED. I i , . 1, I / // ' / / /I_`1 -) GARAGE ,� \ __ I � ) I I �� / i / 1 / ) . 4 / ....-, - : " �/ / 11 / , / ! , I I / t , I t / / , , \V / . / _ __ -,-- ______, I I PROPOSED ADDITION 11 I I � / � If / / _1 I , � WF10 �1.1� - I / / -.,-. .... .-, ) � 11 / /Of / / / / � SOIL TEST PIT DATA a) / / / / / -.1 _ p. 0 I/ I I a _� , I I // / / 11 I- I 11 / . , / of " .1 4�01 1 )� � 21- I 11 I / � 11 �, I - / 11 I � / I � / / 'ff / / / / / ) BREEZE WAY � . , / i -,j/' �, 0 a / / f * // // , If, , 4 I, / / 11 I U-4 11 - / // I / / I/ / __., -_ --.,. __, --- ) #�� ____ EXISTING HOUSE ' \ 0 if / ,I i / It" I/ ,, / , I i / PERFORMED BY:J.HENDERSON,HORSLEY WITTEN GROUP,INC (11) I , // , I / / , / _- / //I 1. W // / / / / 1-1 __ _ ___ _.- -11 11 .1� __�. TO REMAIN i I i // /, "t I/ "/ /11/ / 7 I/ " /; /� N, WITNE';`.SED BY:DON DESMARAIS,BARNSTABLE HEALTH AGENT �� " 8 / / i / ". / I DATE�IJWGUST 21,2012. R, rq ± / 11) / / / / _____ � � 'I-, / I i / ; / ,/ , / I , -4/ 5, 2d �R �8 / _C4 -C, / I ,�. ----�_ " i .1 � � " I / / PERC�13720 M .-t:� ;� G - , / / ;d� �O / / / / / / __� - �, - I I e / / ", / / I 11 � -,t I .0 �� ;. " / / .C) ,, _._ __ I i � , , / /, / , �:: 2 , � - , , �, ________� I \ I f (1) I I / f / f I ,1 4) ;:5 M t.�� / IT � ____ � J/ I , I � - 1 '. ip-i TP-2 :2 !� .;�i be 00 a =. �/ / .4 -C, - I ------� _ - __- __ ,- 1i - I / / /11 / / / / , � I C�,, C-A -0 / / ,�:;/�____7_� -_ / I / I TP-3 (SHALLOW) , ,>-I.\0 � <:) �� / C, / / I/ /' _____1 .- i ____ / I 11 , " 11 , � , � . I " , 0 , , ) 2 1 .%- -__ i f / / / - ON- 31.5 ,24 ,2 -5 ", - %, � 10 , I / / /11 1i 0 11 29.5 -29.5 ON- a. -0>% / ll , 1/1 /I I �,�,/ I�/ N �,I - I— I t_ � / / � I / I \A/ , A A A >, C a 4) �,/ / I/ / � . ----,--- � // , 0� = -R -- '�rl -- . I / ,/.\04 I/ I/ 11-1 - -- - - I � I _1 I/ 11 / , , , ' 0 .- "o / I I'll V 1;� �, 7 - ,� �,11 ,70 " / / / , I/ -4/ . 10 YR 6/1 I 0 YR 6/1 10 YR 6/1 � " 4 "rl g ,2 - "I z / 11, " / , / 11 1,SAND SAND D 0\ / It` / / / , 1?i , q, "I _� ___ ,::�� ,, I I " /"I / , 1� ? 11 / � I 1101�_—1 , -28.7 1 ON.- -28.7 1 ON- SAND -30.7 (n �� ,::� -, t� 4 4 I 04 "I ,, 1/' - - _� I T ,�.�C` "/, /- -, -, , ___3 /" " , � _� �x, ,�/ ,01 -_ - _,A1� 1_/ , / ON 7- I/ ,/( ) --- _. ___ -.- _ __ _ -,,-- 1 � """ , " / / ly" 1, "I /_ I - - �, 0 / ,// / � I 1/1 // // � ".11--1 - -, - �15- - `__ ".1111 ___ _ . I I -, __ _11__________ � , I—- " // ,/ ,/ 11� I � 8 B B Registration: Cf) I -, . � / f e " � I I � / 'I-, / e Ir � , (11-y"I",�, - _, . f ____ __I "I" 1-` I -�,, / 7.5 YR 6/8 7.5 YR 6/8 7.5 YR 6/8 �I- 0 / x / �,?� I I ,"" I ,� -, Y' YY�,- , 111- �...�... )- - / // / /" / /,,, ,�� i " I I 'Z Jl ` I _ _A� " , � I -1 11 ! ,,. __ " _ I 11 I SAND 1, � I * -, ..... __ .. ....._ _ ,_ ,_ 11- 11_1 - -1. 1 11-- _1 11- 11 / / ",I 11 I'll � 36-t-— -26.5 36N-- -- SAND 26.7 SAND ' 'Itt, ,_� OF 4(44,, 1 -1- _( DECK __ -1--, __ ,,,, l- � , '�"'�- FLOOD ["LAIN TRANSITION FROM t A / /I z I/ ! 1. -_ - -,-- 'Y--,��:,� "' _ I_ / / � / / " i " �3�, , /"/ // z/1, -, /I �,__ -A "N� T_ 1��p �z ,, S TE COASTAL - - *'" '_- *"-' I i ......... .....1-1 ,.��fl " \V , � / /"/I // / I/ ,/' Nb I BANK - - - - � / / PERC RATE I -6 , / / / z �, ,,- I"_ _ 11 _111. __111 I I - � , "I I " / / I/I z /, ��_l I I � 1... ...... __ x...... .......... _11 - I-------�I—-__--I )II- ,"' / ",- __ __ AN l/ , / / 11 I / ELEV, I VTO ELEV. 12' 1 1 1 < 2 MIN/INCH I 11- I / / / I ; _': _ _ -....i I .--- I 1111"'.11"'d _11-1 -,-. , ll ll, , I 11" I , � I'll I", ___11.. ......- _. � - / , . PI � 4� , x /�� -F OC-0 :,! :, - ) I , // . a) /1z I/ 1z /1-11, / // / ,; L -I— I �:,n -I � I I I -4 VP i 1-1 / 1_� "/' � 1 -4 J LEE go ! C �, / / ) � --Z;--4�� ---- .-,- , / "I I 18" ,30.0 ..( .6 �1- I / / � I.F , 1)......., � 4- '-�-CIVIL b. L_ / ,/ / / / I/ / / I " ( VARIANCES I ,x "", ,,-Ile / / / ,/ � � 4 . _' I T_____ '...... � NO GROUNDWATER ENCOUNTERED I � : - -_ .....- 1-1- T 11 Il" - -11 , i CL / / / /I / 21 7,C ........ - �� ), "��, A�NOU ' I �� . I No,42824 i�h. - I //1 17 , . "'- , - - - -, ___ / ,� ,( - -_ .- ___ _-, _.", -_ /J I C C ! I -, z ,/ ,// / / / / ll I// 1, "11 -.-, _ - __ _.__ ___ 1 i -"( , I—. 1-1. I—- ' 11 ) I- -_ ,/ "I �L -' LOCAL'REGULATIONS 1C' YR 8/2 � . I 1 '7 1 --- ,c,00 REQUIRED PROPOSED .1 � z I / / / �( � I I , � 7 "I - - I 0 YR 8/2 1 ' � N � / / / "I /1, I . 1 7, ,�,,� I N4_�� ._I'- _-I MERUM SAND PERC RATE 10NAL 1% I I " / / / I I I I - - - - - - -- - - - ,_. I I - T- / l-, I � _i _ -_ _ __ZL�_ �17", """ 11 ,\�.... .. 1_ I ,I _� �"/ z/ / / / z I/ / z 'Ie /I// ... .- I - 1,11- __," -1---- ) "' -.... ....... I .11, 1,11 � " "�, __-, Variance 1 -360-1 Location of components with respect to the State Coastal Bank 1 00 feet 54.5 feet , <2 MIN/INCH � 1 14 �11\1 C) I I'll APPROXIMATE L6CATION OF EXISTING SEPTIC __ - " T/ - "-I 1�1' MEDIUM SAND _e ,-- Cf) I I __), 1_�, _'. I- _ - 1-1 , A\rariance of 45.5 feet is being requested for the septic tank. _19e�oe:!�_ ; I-- I / , " � � a . - 'k -- __ _ 1_" I ,� Variance 2 -360-1 Location of components with respect to the State Coastal Bank 1 00 feet 5 1.1 feet �� Z_ , � 11-1 __,k,�,_,,k__,) ", I` I I I T_ GRAPHIC SCALE 111� CONTRACTOR TO VERIFY LOCATION AND ABANDON IN ____&_� ....._. ......_7 �� __ -NI), I A variance of 48.9 feet is being requested for th � . G /,0/;4/, -, , �, ' __ __ I 11 1\1) "I ACCORDANCE WITH TITLE 5 (SEE NOTE 12) 1 __1 __ 1�11, - - -- ",", "111 e pump chamber. Project Number: Sheet: -6 10 0 5 10 20 40 , �-1 � --- _ I—- -- --- .. "� ,70_,_ __ ._ - - - - - - I ", I '/ Variance 3-360-1 Location of components with respect to the State Coastal Bank 1 00 feet 50.8 feet ),�,_,/ ___ 1.11 ___ -1. __ __ __ __ ,"", - "I 11� � I . (1) , I I I 1, __ ,-.- ___ _" - -.,,, -rl ,__ \ I I ....... -,, � I A\rariance of 49.2 feet is being requested for the hydraulic unit. 12052 1 Of 2 = __ l�l 6=4 W-2 I - IN =11 I )�_,- _- __ __,- _-, __- -- - -1-1 -,-,- I',, \ ... _-1-1 -111- I.-I" I'll... ....:_ -...� -,,, I " Variance 4-360-1 Location of components with respect to the State Coastal Bank 100 feet 51.6 feet . � :5 I E= K= = n— - ," . I 1-- _ -I,-- _-, - _ ...... I \11 �_ -.... ....- - 1 I—— '11 ,,,, "', o "l � I 111-1. 11 _., __ ___ '__, I . _ I—— _111 ��,, A\rariance of 48.4 feet is being requested for the drip disposal field. E I 1. 111. (in feet) �,�,-1" — __ 1 __,_ _,__ ._ _ 1.1--.1.1 _ _,_ 111- \1"', _11-11 11 - __ I— __ - I ,�," � Variance 5-310 CMR 15.211 Minimum setback distance to property line ,_ 1 0 feet 5 feet 120" I 10.5 120" 19.5 -- Sheet Number: 4_1 � I I - __ �_ � _ ....... __. ____ I—_ .1,- -1. 111.1111, I I 1111.1_1�_ 1 -, U) I __ - I" .11, /' A variance of 5 feet is being requested for the drip disposal area. .� I - �cu 1 INCH = 10 FEET ,,, I,__ I 1. .- _ _ ,-, _,". ...... ". 1.11... 1.1111- 1-1.11. -,.- ___, ._.__ _...- ___ . (I - —7 - I RED . C - 1 - I .1 ,1 - - \ �...- 11111 I : '\V I L> __ ", ___ 0�1/ ,rl� I P�l �N_ic_'4' ,, , i A , - I I -�, I I . 1, ,.�� f MENOMMINNEWN - - � -_ �_ . RM I � I . I I � 11. . I I 11 I � I - - � __ -, I— -I,,,---- __1 _.______1____ ____ __ _____ ___ __------_T__ ______ _____ -________ I ______-, _______________ ____ ------- __ I - - I - - - - - - - , _r'___,_____ - -_ _-L__ , --_ --- , _ _______�, _ -- ___ -� _ __ � - ___-_ ____- ---- * - � --- - - 1 --- - - ___ - - -- __ I - 11 - - - ____ __ - . __ - , ___ , __� __- _ ____ � ,-- __ . - _.._______,___ ___ ____ __ - �- _ ----- ---- - ------- , - .'' , __ � - ___ __ � I. ''I - - - F _ _ - - � I � � I NOTE: 1.THE AIR RELEASE VALVES SHALL 2,EACH ZONE TO HAVE TWO AIR BE PLACED AT THE HIGHEST POINT RELEASE VALVES.RETURN LINES TO ON THE SUPPLY AND RETURN LINE BE CONNECTED A COMMON RETURN FOR EACH ZONE. LINE. 1"MIN. RAM INSERT ADAPTER RADIUS PVC FIP ADAPTER SUPPLY VALVE BOX WITH%"MIN.RIGID 12" MANIFOLD 1"RETURN(TYP) FOAM INSULATION INSERTED I `NP'' I \ 1/2"FLEX P `s HOUSE ® UNDER COVER 4'NP• C HYDRAULIC UNIT(HU) RETURN FROM DRIP DRIP y MANIFOLD DRIPFIEL AIR RELEASE VALVE LOOP TUBING a 1"SUPPLY \ 1/2"FIELD CHECK VALVE a RETURN FROM HU (TYP) RETURN T 1/2"SUPPLY NOTE;ALL DRIP LOOPS ARE TO BE LOCATED 2"ABOVE THE DRIP N 00 ZONE 1 LATERAL LINE TO ALLOW FOR THE LOOPS TO DRAIN 1,500 GALLON PUMP CHAMBER ZONE SUPPLY CONNECTION 6%'% .U) o 1,500 GALLON SEPTIC TANK (SEE 7 TYPICAL MANIFOLD CONNECTION ZONE 1 TO (SEE SHEETC-1) DETAIL ZONE RETURN FIRST COMMON TYPICAL DRIP LOOP CONNECTION BELOW) NOT TO SCALE LATERAL RETURN a 1 a®®® SUPPLY TO HYDRAULIC UNIT NOTE;ALL RIGID AND FLEXIBLE PVC ARE TO BE CONNECTION NOT TO SCALE LOCATED ABOVE THE DRIP LINE TO ALLOW FOR THE ZONE 2 PIPES TO DRAIN T AIR RELEASE & CHECK VALVE DETAIL NOT TO SCALE TREADED CONNECTION WITHIf LL PVC PRIMED AND TEFLON TAPE � t TYPICAL SYSTEM HYDRAULIC PROFILE GLUED c, NOT TO SCALE II DRIP TUBING FLEX PIPE h2"-18" ADAPTER FITTING PVC FIP RBED RAM INSERT � y o FITTING io CONNECTING DRIP TUBING TO FLEXIBLE PVC PIPE 00 DETAIL A CONTROL UNIT PANEL MOUNTED IN AN C r v M x EXTERNALLY ACCESSIBLE LOCATION(SEE SITE d O e a� C -, SCH 80 UNION PLAN FOR LOCATION) f+ N w Q CD GATE VALVE RIGID FOAM INSULATION(SEE x FLOAT TREE JUNCTION BOX COLD CLIMATE CONSTRUCTION` HYDRAULIC UNIT 1"SCH 40 PVC CONDUIT SUPPLY VALVE W , R O O NO WEEP HOLE TO BE STANDARDS NOTES) \ 7 >% -TO PANEL FLOWMETER ` .0 cy N DRILLED Lu HU / L ,,, O ,3 M c, p R O ao ap m 0 hi CHECK VALVE - - - - �/- _\1;\; DISC FILTERS = co 2 h h � o O SUPPLY LINE ADAPTER4 BELOW FLUSH RETURN TO SEPTIC TANK. c a !? FROST OR COOLING COLLA INSULATED ATTACH AS PER UNDISTURBED UNDISTURBED \ FIELD FLUSH VALVE INSTALLATION - EARTH EARTH 6"OF 3/4"CRUSHED STONE 1�11%11%\1%1` 1-1/2"SCH 40 INSTRUCTIONS,NOTE 1 TO -lI_/1=ll�ll�ll;ll 8'OF STATIC LIFT TO HU(MAX) COUPLING HYDRAULIC 1;1\;\1;11; VERTICAL PIPE ALARM UNIT 1%\1=11%11' ;I/,/l,//,//TO BE INSULATED ZONE RETURN e EXTENSION COLLAR(BY . 1.\1.11,\\" u, CONTRACTOR) 085 TIGHT WATER 1;\\%1\%11 ZONE 1 SUPPLY e PEAK EN LE SEAL \,\\ 11,1 PUMP DISCHARGE TO HU PVC COUPLING(BY .1\�1\�11. l INLETS-,,,", INSERT CONTRACTOR) 0.85 , �i DRIP ENA O E \I;N:1\,\� — DRIP ENABLE FLOAT ELEVATION 1/z"RETURN TO SEPTIC TANK o 0 0 0 ° ° {ss} OFF \I;\1=1\=1\=' (GRAVITY 0.5%MIN.) O o o°o°o o °o 00001 SEE INSERT 18� \1�1\=11.1\ 1�� a! w {�` FLOW ♦t FLOW SCH 40 PVC 14" _�\.\1%11;11;11:\ )r� i - :::� ::::k- COOL GUIDE OPTIONAL ANCHOR AND PUMP 1"ZONE RETURN FLAT CAP BOLT THROUGH r� 30'MAXIMUM DISTANCE FROM DRIP FIELD O END CAP O Cool Guide BACKFLUSH v �w`� O 3 Patent No. 6,262,689 VALVE TYPICAL PUMP CHAMBER & HYDRAULIC UNIT DETAIL I� NOT TO SCALE O (V 1/z"SUPPLY FROM PUMP O TANK CV - 1"7ONF SUPPLIES NI!� LO � N C:) PROVIDE COVER AND RISER TO PROVIDE COVER �. N WITHIN 6"OF FINISHED GRADE AND RISER TO SEE TYPICAL PLMP CHAMBER& GRADE(TYP.) HYDRAULIC UNI'DETAIL PERC-MITE -15 GPM HYDRAULIC UNIT DETAIL NOT TO SCALE O CO SUPPLY MANIFOLD 1/2"PIPING TO BE 'C 9"MIN LOCATED ABOVE DRIP TO TUBING T ALLOW GRAVEL DRIVE _ AIR RELEASE cn 1= �• - AIR RELEASE _ VALVE VALVE ETURN MANIFOLD TO BE LOCATED ABOVE " . '•'• ' DRIP TUBING TO ALLOW THE MANIFOLD TO a a s OACKFII;L ' f 4 DRAIN U T * �i % °� v PRESSURIZED DRIP TUBING PRESSURIZ44 ��e44 INSTALLATION INSTRUCTIONS O FROM SEPTIC 10n 660 GALLON �y 4��` � DRIP TUBING a a�� c 1. MEASURE THE DISTANCE FROM THE BOTTOM OF THE TANK TO 6"DOWN FROM THE TOP OF THE RISER. CUT THE EXTENSION PIPE TO THE LENGTH •C TANK EMERGENCY �y ® off �� v� NECESSARY TO REACH THIS HEIGHT. CUT 1/2 OF THE PIPE DOWN 12"TO 18"AWAY FROM THE TOP OF THE PIPE FOR PUMP DISCHARGE PIPE. 12" ALARM ELEVATION-* 41i * o ��} a ® i TO 18"AWAY FROM THE TOP OF THE PIPE FOR PUMP DISCHARGE PIPE AND ATTACH TO RISER(SEE DETAIL A). Y STORAGE ABOVE I �yo * ® ✓ �e CHECK 2. GLUE THE EXTENSION COUPLING TO THE EXTENSION PIPE AND TO THE COOL GUIDE. L FORCEMAIN TO DRIP o .. i �� VALV 3. FOR USE IN NEW CONCRETE PUMP CHAMBERS:ANCHOR THE FLAT CAP TO THE BOTTOM OF THE TANK IN THE PROPER LOCATION TO HOLD COOL FIELD a}�®� �Y ®* �' ! GUIDE AND EXTENSION. THE CAP MAY OR MAY NOT BE GLUED TO THE DEVICE. ATTACH THE EXTENSION WITH THE ANCHORS AS SHOWN. DISPOSALe I }; ® � ®� 4. PLACE THE PIPE DOPE ON THE COOL GUIDE ADAPTER THREADS AND THREAD THEM INTO PUMP DISCHARGE. c .••. 5. ATTACH COOLING COLLAR TO ADAPTER WITH SET SCREW PROVIDED. i .. FINISHED GRADE E TUBE 9"OF 3/4"COMPACTED - VE ED 7. ATTACH TO DISCHARGE PIPE,VALVES,AND CONNECT CELECTRICAL AS SPECIFIED.D �° O -p CRUSHED STONE ;" """""'` VERTICAL INSULATED 1/2"PVC UNDISTURBED EARTH RRETU IN PIPE 1/2"PVC RETURN PIPE SUPPLY PIPE(PER COLD RIGID m 1/2"PVC 1/2"PVC RIGID CLIMATE NOTES) FLEX DRIP TUBING D FLEX (PER COLD CLIMATE �� „ a INSTALLATION DEPTH NOTES) GENERAL CONSTRUCTION NOTES PERC-RITE DRIP DISPERSAL SYSTEMS v 1500 GALLON PUMP CHAMBER PROFILE 6"-12"AS PER DESIGN a. C NOT TO SCALE 1. THE SYSTEM SHALL NOT BE INSTALLED IN WET OR FROZEN SOILS. FORCE MAIN 2. DO NOT PARK,DRIVE LARGE EQUIPMENT,OR STORE MATERIALS ON THE DISPERSAL AREA. NO ACTIVITY SHOULD OCCUR ON DISPERSAL AREA OTHER THAN Q INSTALLATION DEPTH TO THE MINIMUM REQUIRED TO INSTALL THE SYSTEM. 04 PROPOSED 1500 GALLON CONCRETE PUMP CHAMBER BE BELOW THE FROST LO LENGTH: 11'-0" WIDTH: 6'-2" DEPTH: 6-0" LINE 3. ALL INSTALLATION AND CONSTRUCTION TECHNIQUES SHALL CONFORM TO STATE AND LOCAL CODES PERTAINING TO ON-SITE SEWAGE SYSTEMS AND THE COMMON RETURN PIP PERMIT FOR THE SITE. N MODEL#STA 500-H-20 BY SHOREY PRECAST OR EQUAL BELOW FROST LINE BELOW FROST LINE 4. THE INSTALLATION SHALL BE IN ACCORDANCE WITH SPECIFICATIONS AND PROCEDURES AS SUPPLIED BY THE MANUFACTURER OF THE EQUIPMENT. 5. THE CONTRACTOR SHALL BE CERTIFIED TO INSTALL THIS TYPE OF SYSTEM AND SHOULD HOLD A PRE-CONSTRUCTION MEETING WITH THE INDIVIDUALS N RESPONSIBLE FOR THE SITE DESIGN AND INSPECTIONS.THE MEETING SHOULD BE HELD PRIOR TO THE BEGINNING OF THE SITE WORK TO ENSURE PROTECTION OF THE SITE CONDITIONS AND TO ENSURE THAT THE SYSTEM IS INSTALLED ACCORDING TO DESIGN. O 6. IF SITE CONDITIONS ARE DETERMINED TO REQUIRE THE INSTALLATION OF THE SYSTEM TO DEVIATE FROM THE DESIGN PLANS,ALL WORK SHALL STOP V Cy IMMEDIATELY AND THE DESIGNER AND HEALTH AGENT SHALL BE NOTIFIED. ANY ONGOING WORK SHALL BE THE SOLE RESPONSIBILITY OF THE CONTRACTOR. N 7. DRIP TUBING MAY BE INSTALLED WITH A VIBRATORY PLOW,A STATIC PLOW,A NARROW TRENCHER(<6"WIDTH),OR BY HAND TRENCHING WITH COVER U NOTE:THE DRIP TUBING SHALL BE THE LOWEST POINT TO ALLOW FOR DRAINAGE FROM BOTH THE VERTICAL INSULATED SUPPLY AND RETURN PIPES CONSISTING OF SAND AND TOPSOIL MEETING THE 6"TO 12"DEPTH REQUIREMENT.THE DESIGNER MAY INDICATE FOR THE TUBING TO BE INSTALLED UP TO 24" Iz .� BELOW GRADE.ALL DRIP TUBING IS TO BE INSTALLED PARALLEL WITH THE CONTOUR.VEGETATIVE COVER MUST BE REPLACED FOR INSTALLATIONS WHERE IT p IS REMOVED OR BURIED DURING INSTALLATION. 8. ALL CUTTING OF RIGID PVC PIPE,FLEXIBLE PVC AND DRIP TUBING OF SIZE 1 %:"OR SMALLER SHALL BE ACCOMPLISHED WITH PIPE CUTTERS APPROVED BY MANUFACTURER. NO SAWING OF PVC,FLEXIBLE PVC OR DRIP TUBING OF SIZE 1 '/s"OR SMALLER IS ALLOWED.ALL RIGID PVC PIPE,FLEXIBLE PVC AND DRIP _ STANDARD DRIP SYSTEM DETAILS TUBING IN THE WORK AREA SHALL HAVE THE ENDS COVERED WITH DUCT TAPE AFTER CUTTING TO PREVENT CONSTRUCTION DEBRIS FROM ENTERING THE m N M M PIPE.PRIOR TO GLUING,ALL JOINTS SHALL BE INSPECTED AND CLEARED OF ANY DEBRIS.ALL PVC PIPE AND FITTINGS IN THE FIELD SHALL BE SCH 40.ALL o c cn N (TOP FEED MANIFOLD) GLUED JOINTS SHALL BE CLEANED AND PRIMED WITH PVC PRIMER PRIOR TO BEING GLUED.ALL FORCE MAINS SHALL BE TESTED FOR LEAKS PRIOR TO BEING BACKFILLED BY PRESSURIZING THE SYSTEM AND OBSERVING FOR LEAKAGE. o r•, o i� v 9. THE HYDRAULIC UNIT IS TO BE PLACED ON A BED OF 4%6"THICK OF J"-1 J"GRAVEL FOR DRAINAGE.IF STANDING GROUNDWATER IS A PROBLEM IN THE VICINITY a �+ IR RELEASE VALVE IR RELEASE VALVE OF THE HYDRAULIC UNIT,A SCREENED DRAIN TO DAYLIGHT IS REQUIRED. as c N PRESSURIZED DRIP TUBING 10, THE SYSTEM REQUIRES(2)20A,115V CIRCUITS,ONE FOR THE CONTROLS AND ONE FOR THE PUMP. 11. THROUGHOUT THE LIFE OF THE SYSTEM,THE OWNER SHALL OPERATE AND MAINTAIN THE SYSTEM IN ACCORDANCE WITH THE DEP,LOCAL BOARD OF HEALTH m AND THE COMPANY'S OPERATIONS AND MAINTEANCE REQUIREMENTS AND THE DEP APPROVAL FOR REMEDIAL USE DATED MARCH 4,2011. Registration: O o COLD CLIMATE CONSTRUCTION STANDARDS "PERC-RITE" DRIP DISPERSAL SYSTEMS P NOFMq,y, -p 1. "TOP FEED"MANIFOLDS ARE TO BE USED TO ALLOW FOR PROPER MANIFOLD DRAINAGE.TOP FEED MANIFOLDS ARE TO BE LOCATED SLIGHTLY Q) HIGHER THAN THE DRIP TUBING. ! FAT PIU - C 2. ALL ATTEMPTS SHOULD BE MADE TO PLACE THE HYDRAULIC UNIT WITH AN OPEN SOUTHERN EXPOSURE FOR WARMING PURPOSES. LEA N 'i No,42u24 3. THE SUPPLY AND RETURN LINES SHALL BE INSTALLED BELOW THE FROST LINE.THE VERTICAL SECTIONS OF PIPE THAT CONNECT TO THE SUPPLY CIVIL34 CL AND RETURN LINES SHALL BE INSULATED SCH 40 PVC PIPE. INSULATION SHALL BE MINIMUM M."THICK FOAM(OR EQUIVALENT).RIGID FOAM o 2'O.C. INSULATION MAY BE INSTALLED UNDER THE HYDRAULIC UNIT TO PROTECT THE SUPPLY AND RETURN LINES IN EXTREME CONDITIONS.SUFFICIENTGi N TYPICAL GROUND COVER AROUND THE HYDRAULIC UNIT IS RE•.�UIRED FOR INSULATION.ALL PIPES ENTERING AND LEAVING THE HYDRAULIC UNIT SHALL ELBOW VERTICALLY DOWN 90 DEGREES TO A DEPTH BELOW THE FROST LINE PRIOR TO EXTENDING AWAY FROM THE UNIT HORIZONTALLY. O ADDITIONAL INSULATION INSIDE THE HYDRAULIC UNIT IS ENCOURAGED. INSULATION TO CONSIST OF BLUE BOARD,BAGGED STYROFOAM,PEANUTS OR EQUIVALENT. IF FIBERGLASS INSULATION IS USED IT MUST BE SEALED TO PREVENT IT FROM BECOMING SATURATED. M 4. DENSE VEGETATIVE COVER IS TO BE ESTABLISHED OVER THE SUPPLY TRENCH,RETURN TRENCH AND DRIP TUBING PRIOR TO THE FIRST EXPOSURE O� ZONE 1 SUPPLY TO FREEZING TEMPERATURES.IF VEGETATION CANNOT BE ESTABLISHED,THEN TRENCHES AND TUBING ARE TO BE COVERED WITH A THICK LAYER Project Number: Sheet: ZONE RETURN TO HYDRAULIC UNIT (MINIMUM 6")OF MULCH,STRAW/HAY,ETC.UNTIL SUCH TURF COVER IS ESTABLISHED.ESTABLISHED VEGETATION HEIGHT OVER THE DISPERSAL AREA SHOULD BE A MINIMUM 4"-6"THROUGHOUT WINTER MONTHS. 12052 Z Of Z 5. CONTRACTOR SHALL INSULATE ALL"AIR RELEASE VALVES."INSULATION TO CONSIST OF BLUE BOARD,BAGGED STYROFOAM PEANUTS,OR ZONE DETAIL EQUIVALENT. IF FIBERGLASS INSULATION IS USED,IT MUST BE SEALED TO PREVENT IT FROM BECOMING SATURATED RELEASE VALVES SHALL BE O PLACED BELOW THE GROUND SURFACE INSIDE A VALVE BOX BUT AT AN ELEVATION ABOVE THE HIGHEST DRIP LINE IN THAT PARTICULAR ZONE. Sheet Number.6. ALL LOOPS CONNECTING DRIP RUNS SHALL BE SLIGHTLY ELEVATED(MINIMUM 1%2")SO THAT THEY DRAIN INTO THE DRIP TUBING AFTER THE PUMP _ SHUTS OFF.IT IS THE CONTRACTOR'S RESPONSIBILITY TO ENSURE THESE LOOPS STAY ELEVATED DURING AND AFTER THE LOOPS ARE BACKFILLED. 7. ALL CONDUIT ENTERING INTO THE CONTROL PANEL SHALL BE SEALED TO PREVENT CONDENSATION INSIDE THE PANEL.