HomeMy WebLinkAbout0040 JACKSON DRIVE - Health - - 40 Jackson Drive
- - —- Cotuit
A= 019-082
TOWN OF BARNSTABLE
LOCATION yQ J—.4c K"- 1 SEWAGE#-2a/
VILLAGE �O�c%�-� ASSESSOR'S MAP&PARC
INSTALLER'S NAME&PHONE NO, S d n �4. So-(/z.,o- 77Zr—d3(, 7-�
SEPTIC TANK CAPACITY I S 0 C,
LEACHING FACILITY: (type) ���L, size) /3��✓X �/02 L
NO.OF BEDROOMS S /
.OWNER Wi cry t t4� K&tyce �'hs
PERMIT DATE: /02 JLJ�/3 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �-y� feet
Private Water Supply Well and Leaching Facility(if any wells,exist
on site or within 200 feet of leaching facility) ;' " feet
Edge of Wetland and Leaching Facility(if any wetlands exist
within 300 feet of leaching facility). feet
FURNISHED BY� = .--*�����z�c
I
a F
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3
�38-oM
E-3ti'-
�i Seit 5
No. Fee A v
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE.,MASSACHUSETTS
ZIppliCotion for Miopozal 6potem Conelruction Permit
Application for a Permit to Construct( , )Repair(�I)Upgrayie( )Abandon( ) 0 Complete System ❑Individual Components
Location Address or Lot No. 40 Owner's Name,Address and Tel.No.
Assessor's Map/Parcel O--�VVV t� Ake—
Installer's Name,Address,and Tel.N<J3_c/k Q _ �Q V Z� Designer's Name,Address and Tel No.
Type of Building:
Dwelling No.of Bedrooms S Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow J5 o gallons per day. Calculated daily flow 40 -: 3- L O gallons.
Plan Date 2 Number of sheets Z Revision Date
Title
Size of Septic Tank 'lope of S.A.S. e. Li H 10 Sm Ck.M
Description of Soil x e.
Nature of Repairs or Alterations(Answer when applicable) 1'LI M o -k F 1 Oda S
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with,the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has bee ' sued by this Board of Health.
Signed Date _
Application Approved by Date L
Application Disapproved for the owing reasons
Permit No. c2-01 3 -4-/? 1p Date Issued
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M A�G, l
DATA
No. f J l Fee v
iTHE COMMONWEALTH OF MASSACHUSETTS r Entered in computer:
c^Tw � 4 *. Yes
PUBLIC HEALTH DIVISIOrtN-PTO=.WN OF BARNSTABLE, MASSACHUSETTS
01pprication for )0i!6po4al bp2tem Con,5tructiou Vertnit
Application for a Permit to Construct( )Repair*)-Upgr,,de( )Abandon( ) ❑Complete System i❑Individual Components
Location Address or Lot No. L� Owner's Name,Address and Tel.No.
Assessor's Map/Parcel C O—�-U AA C_
N Installer's Name,Address,and Tel.No:' +\ - S Designer's Name,Address and Tel.No.
L1 G , nCCI
Type of Building:
Dwelling No.of Bedrooms S Lot Size sq.ft. Garbage Grinder( )
Other Type of Building!t I i, r No. of Persons Showers( ) Cafeteria( )
Other Fixtures t -
r
Design.Flow `� '�(� gallons per day. Calculated daily flow �� ?� O gallons.
-Plan Date I7 I Number of sheets Z Revision Date
Title
=r Size of Septic Tank I Type of S.A.S. ,c << I r, t i �I ! �r q11.
�.
Description of Soil Ve r-
i
Nature of Repairs or Alterations(Answer when applicable) I u h r
Date last inspected:
Agreement: :tf i j
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of,Health.
Srkr.ed\�.r ` - f`� D'ate,-1
Application Approved by t i �, .� Date
Application Disapproved for the following reasons
Permit No. `�-O/5 r i �c Date Issued
x
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS. ow
, a
ctCertifica'te of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired (p)Upgraded( )
Abandoned( )by �, c r�^��� )
at �d /Ae- :m7Y1 � /( (1 4-U , 4}
h2.s been C3.^.Str`u A In accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.c9C. dated /
Installer^ �� =�-- -- Designer .�
The issuance,of this permit shall not be construed as a guarantee that the sytem-wtll functio}�as designed.
Date 1; l ) f! .I I Inspector Zr Xnm J {
�t a
No. �d 13 —41 / Fee' * o 6 .
THE COMMONWEALTH OF"MA .SACHUSETTS,:_t K u; ~ '
PUBLIC HEALTH DIVISION - BARNSU- E, MASSACHUSETTS
M!6pozal &pztem Congtructiou Permit
Permission is hereby granted to Construct( ) .Repair O Upgrade( )Abandon
System4ocated at ` ! t , < '� (^!3`�7J
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and.the following local provisions or special conditions.
Provided:Construction must be Jcompleted within three years of the date-of f thi p
Date: L / ) Approved bye _
g 1= 27 Uounty Rd.
4x c Mash
pee,'MA 02649
PY,
Phone (508)681`'0515 Cell: (774)836-5774 Proposal
d Date I Job#
, Richard and Kathleen Johnson 9(29(7013 2013-513 1
(:' °40 Jackson Drive
Cotut;-MA 42635
Description Total
THE Design and installation of(5)bedroom Title V Septic System @ 40 Jackson Drive, Cotuit MA
I:)Design.(5)bedroom Title V Septic System Provide Board of Health with(3)'copies for 2,975.00
preluninary approval. = f
Including:basic design`'and Pere test witnessed by Health Agent, Wetlands flagging in front area
only and Conservation filing.--
lPleme Note.If Barnstable Board of Health requests plans to be presented at Town Board of
�•T
Health`hearing please'add an addtional$375.00 to°design cost. Also if the Board of Health directs
the rear'wetlands�f be flagged this will incur an additional-cost of$370.00.
Excluding,,Barnstable Board of Healthyequires that a floor plan be provided for any permit
application:that myolves'an increase in the amount of bedrooms.The floor,plan shall be provided
_by oothers tY,
'. t
t I
2)Install New Title.4V Septic System consisting of (1)new H101500 gallon Septic Tank,(1)new 8,550.00
,iS•bole,distribution,liox acid(3)H10 500 gallon Leaching Chamber with(4')of stone surrounding
for approved equivalent.Rear,cesspools'(2)to be pumped and filled using material on site.Loam
and seed all disturbed."areas with<quality products.
�.__a
Including. allaabor;�machine time,materials,pumping(up to 1500 gallons),up to 40 yards of
4oam,Septic Permrt'and required Trench Permit
wExclusons This proposal is done under the assumption that optimal soil conditions exist;this
will�wv" ed @ time of Perc Test by Board of Health/Design Engineer. Any changes per Board
of Health and/or Engineer will be done @ an additional cost via signed Change Order and
ri gotiated prior to commencement of work
Exclusions: Irrigation Repairs and watering to be done by others
r Terms,a deposit of$2,975.00,for engineering is due upon.acceptance of proposal. Once plans and
;permit has.been issued a deposit of k-275.00'is due;for Septic Installation and balance is due upon
completZon. Nb
_
510
Tfiank you for the opportunity afforded us in offering this proposal. Total
1,525.00
CIN
Si�yj Jason:A.Souza-President Customer Acce rce�gnature
y
"America's Best"a Grade Above the rest
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TRANS.. .
CITY/TOWN.'
APPLICANT: c,�u rcJ. s�,�•
ADDRESS:; U
x' r.
DES.IGNTLOW:
REVIEWED BY; DATES
N/A OK_ NO .
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)W]
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)]
Easements shown 310 CMR 15.220 4 b
System located totally on lot served [310 CMR 15.405(1)(a) for ✓
upgrades]-i noi, a variance is required 310 CMR 15.412 4 ]
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. ✓,
310 CMR 15.220(4)(e)]
System Calculations 310 CMR 15.220 4
daily flow
septic tank capacityre wired and provided
soil absorption system(reqwired and E2vided
whether system esigned for arba a grinder ✓
North arrow 310 CMR 15.220 4
Existing and ro osed contours P10 CMR 15.220 4 ✓
Location and log of deep observation holes(existing grade el. on
each test) [310 CMR 15.220(4)(4)]
Names of soil evaluator and BOH representative [310 CMR
15.220 4 h and i
Location and dale of percolation tests (performed at proper
elevation?) [310 CMR 15.229(4)(i)]
Percolation test results match loading rate? [31.0 CMR 15.242
Certification statement by Soil Evaluator [310 CMR 15.220(4A)]
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15,103(3) and 310 CMR
15.22 4 n c G: < b 0
Address sheet., ,of 9
e_
N/A OK NO
Location of every water supply, public and private, [310 CMR
15.2 20.4 k
within 406 feet of the proposed system location in the case`
of surface water supplies and grryel packed Public water.8uPPIY tZ
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 wells
Location of all surface waters and wetlands located up to 100 ft. /
beyond-setbacks listed in 310'CNM 15.21.1 and any catch basins ✓ .
located within 50=ft: 3.1-0 CMR 15.220 4 1
Water lines and other subsurface utilities located [310 CMR
15.220(4)(m water-line cross see 310`CMR 15.211 1 1
Profile of system showing invert elevations of all system
com onents`and the bottom of the.SAS. 310 CMR 15..22 4 o
Stamp of desi er 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) 31.0 CMR 1.5.220 3
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 up e under LUA at 310`CMR'15 405 1 k
Test-hole adequate to demonstrate four feet of suitable material?
310 CMR 15.123(4)]
Test Holes adequate to confirm adequate groundwater separation?
3,10 CMR 15.103 3
Benchmark within 50-75'of s stem 310_CMR 15,220 4
Materials specifications noted?[various sections of 310 CMR
15:000
System-components.not>.36" deep (unless Local Upgrade
Approval or`LUA're uested)-,310 CMR 15_.405 .i
Address Sheet 2 of 9
N/A OK NO
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))
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)]
Inlet/Outlet elevations at least 12" above high groundwater
(except as descried 310 CMR 15.227(5)) or permitted for
upgrades under LUA P10 CMR 15.405 1 k
Minimum cover .".(Tanks.buried more-than.9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(l) and 310
CMR 15.232 3
Three access covers (inlet and outlet must be 20". or greater) -
middle access at least 8" 7/07 310 CMR 15.228(2)]
Access to within 6" of grade -one port for systems<1000gpd,
two for.s stems.>1000 gpd 310 CMR 15.228(2)]
Aff at-grade covers secured to unauthorized access? [310 CMR
15.228(2)]
> 10 ft from builft foundation 310 CMR 15.211 1
Buoyancy calculation Required/Done 310 CMR 15.221 8
H-20 Where appropriate? 310 CMR 15.226 3
Setbacks from resources 1310 CMR 15.211
Required when gther than single-family dwelling or flow>1000
d 310 CMR 15.223 1
First compartment 200% daily flow; Second compartment 100% /J!
daily flow 310 CMR.15..22 2 and 3
"U" pipe through or over baffle, outlet of each compartment with
as baffle or approved filter 310 CMR 15.224(4)]
Address Sheet 3 of 9
N/A OK NO
MON
Located at least ten feet from any water line? [310 CMR
15.222(2)]
Disposal piping
it least 18" below water line(when water1and
p
sewer cross, see 310 CMR 15.211(l)[1]).
Cleanouts re
quired/provided ? [310CMR.15.212(8)]
Thrust blocks s ed in forte mains? 310 CMR 15.221(6)(c)]
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
3.10 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/ eachfield below pump chamber
Endca s or vent manifold specified?
Size and ori6ntation of discharge holes specifiedT(not smaller than
3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR
15.252 2
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°
Inside minimum erasion 12" 3.10 CMR 15.232 2
Minimum sump 310 CMR15.232 3 e
Watertight cover if<2000gpd)' waterproof manhole if>2000gpd J
310 CMR 15.232(3)(d)]
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 least20"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 pumpsspecified?
Exceeds two unio must have two pumps operating in lead-lag
mode. 310 CMR 15.231 6 and 8
Stable'Coni" ed]9a-se 310 CMR 15.221 2 .
Address Sheet of 9
Buo anc:. calculations needed,"?Provided? 310 CMR,15.22I 8
t F I
`
r _ .
• p
'• k
r:
e
�q.
� r
d '
Address Sheet 5:of 9
J
N/A OK NO
Calculations correct?
4 feet of naturally occurring material demonstrated? [310,CMR "
15.244 1 1
Required separation to oundwater? 310 CMR 15.212
Ag
gregate specified as double washed 310 CMR 15.247(2)]
System Venting required/provided?-(system under driveway or
>36" d 310 CMR 15.241
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)[4] and +�
Guidance Doc ent
Chambers and Gal. in trench configuration supplied with inlet ✓
every 20 ft. 310 CMR 15.253 6
Each structure v�rith one inspection manhole(if>2000 gpd must be
tograde) 310 CMR 15.253 2
.Aggregate 1'minimum- 4'maximum: 310 CMR 15.253 l
2' sidewall credit maximum 310 CMR 15.253 1 a
In bed configuration, inlet evea 40 N. 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 greater
3x if reserve between trenches 310 CMR 251 1 d
Situated alon cpntours 310 CMR 15.251 2
Breakout OK? �10 CMR 15.211 1 A41 and Guidance Document
minimum 2 distribution lines 310 CMR 15.252 2 a;
Maximum se aration between linesb' 310 CM R15.252 2 - d
Maximum separg6On between lines and outside of bed 4' [310
CMR 15.252(2)(e)].
Aggregate'depth below discharge pipes 6" minimum, 12" IA-
maximum. 310 CMR 15.252 2 Separation betwebn beds'I rnimum., 310 CMR 15.252 2
Bottom area useO in calculations only 310 CMR 15.252'2 i
AddiessSheet 6,of 9
. . . PT/A OK PTO.
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 gravellpss 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)(4)]
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 /-f JA
310 CMR 15.255 2 b
Retaining wall must be designed by Registered Professional
Engineer 310 CW 15.255(2)(a)]
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 10•CMR 15.255 2 e
NEE 0
3..
Check DEP Approval letters for credits and design conditions ./
If used with pressure dosing do not allow pressure discharge
to scour soil interface
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?
Is there a tote on the plan regarding the requirement for
perpetual maintenanceagreement?
Any alarms involved on separate circuits
Did the applicant submit an operation and maintenance
manual?
Has _ ._licnt submitted a co of a maintenance agreement?
If
j11111
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 dine 310 CMR 15.412(4)]
Address Sheet 7 of 9
J
New construction;or uicreased flow proposed: [Refer to.310
C
�Ad
F
.: .a. w. .. • •... a .. ...... ....- - .�.. -.- _
- yt
- �� - gip.:• -
Address Sheet 8 of 9
I
N/A IX4.
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
310 CMR 15.21¢ - also refer to Policy regarding upgrades of such
existin systems]
Is the system proposed on the same lot as served by private well ?
310 CMR 15.21 2
Are the'mtrogen loads proposed in compliance? [310 CMR
15.216(1)1
Pumping to septic tank ? 310 CMR 15.229]
Shared System �M CMR 15.290
1
Address Shwt.9.of 9
Town of Barnstable
ofINE Tpo Regulatory Services
Richard V. Scali, Interim Director
RARNa STAB� Public Health Division
Thomas McKean, Director
200 fain Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: 17- (? ( 3 Sewage Permit# Assessor's Map\Parcel
Designer: ��5,3 e,nznc Wcue -s( Installer: )4rMen�C_C,, �xlc►vw� `"�
Address: t 2 W. C-,,s54> e Id '(ZJ Address: Z7f�re
zd--eja_La Yn'bw
on ILI // �JZD.h [,Nrca rm
yoM was issued a peit to install a
(dat As (installer)
septic system at LA 0 cT4ektG, ��� � '"�� based on a design drawn by
(address)
9-n. --e e E dated 3
(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 (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out (if required) was inspected and the soils
were found slat s actory.
I certify that the system referenced above was constructed in complianwith the terms of
the IAA approval letters (if applicable) y' F' ��
K.TER T.
WENTEC
nstall;i�_ , ignature) " civil,
35109 r� p
Va
(Designer's Signature) 70AR Designer's > )
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\Designer Certification Form Rev 8-14-13.doc
' Departttn%entrof Regulatory Servlces ^~�•~ '
h =.
Public Heal>h Division nape i
`o
+h 200 Main Street,Hyannis MA 02601
U. .. +.
Date Scheduled' Time Fee Pd _
Soil Suitability Assessment far Swage sos t
r
Performted By I e-�'�� �+--f.Q- Witnessed By: w'
r
LOCATLOir18t GENERAI INT.F4RI�IATIQ2\T
Location.Address. Q "10�` Owner's Nnine
t✓
ti Address 46 �i CAX Sc—
gZ
Assessor's Map/Paroel: 0 G9; --o O Engineer's Name
NEW.CONSTRUCTION REPAIR X Telephone# ��� y 7�J'v r
Land Use. Sofia a hq Slopes(4) f Z- Surface Stones
Distances fi+om: Open Water Body 7 f/d ft Possible Wet Area 7 IOtJ ft Drinking Water Well I S ft ,
Drainage Way N A ft Property Line ft Other` . ft
SI TCH:-(Street name,dimensions,of lot,exactlocations of testholes&perc tests,locate wetlands?n proxtmtty to'lioles)
TOWN OF
3 c(
2013 GCT -9; M q: 54
ems
� �Parent matengl_(geologic) i` f Depth to Sadrock
3. _^•Depth to Orr1 dwater. Standing Water in Hole: ���' Weeping ft'om Pit Race u
c�
® Estimated Seasonal Hi h Groundwater 1 t U"` a ^�J S c�+n � c�({ n CO-
t . g �
C .i467 f�
DETERAHNATION FOR SEASONAL.HIGH WAT9"AB&E
Method Used:
Depth Observed standing in obs.hole: In, Depth to Boll mottles: In
Depth to weeping,from side of obs.hole: in, Groundwatet';Adjusttnent ft.
Index.Well# Reading Date: Index Well level Adj.factor, ,q,_ XdJ`.di66QaVate 1eve),,,,�
PERCOLATION TEST bate Time
Observation ��
Hole# Tfine at 91,
Depth of Pere ' j_�4 3 Time ut 6"
2�4 g�l� s
start Pre-soak'nme @ d ( 'j ^
.r 77777 t_
End Pre-soak
tzs
Rate Min/Inch Z 4 2 p Q c -- e_S
Site Suitability Assessment: Site Passed. Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division r Observation Hole Data To Be Completed on Back-----------
Al
y
***If percolation test is to be.conducted within 100 of wetland,you must first notify the a
Barnstable Conservation Division at least one (1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP:OBSER"VATI ." HOLE LOG Hole# i
Depth from Soil Horizon Soil Texture .So11 Color soil Otl►er
Surface(in.) (USDA) (MunselQ. Mottling (Sh'ucture.Stones;Boulders:.
..
v
13 LS 14
r2s�b
/ I
2-DEEP OBSERVATION HOLE 10`G Hole#
soil Horizon Soil Texture Soil Color Soil Other
Surfaccon.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders .
Cons
t41i 1&
DEEP 4BSI:RVATION HOLE LOG Hole#
Depthcfrorn�. Soil Horizon Soil Texture Soil.Color Soil Other.
Surface{in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistency, e
-Lo A
DEEP QBSERVA ON HOLE LOG Hole# .�
Depth from Soil.Horizon Soil Texture Soil Color Soil Other
Surface V. (USDA) (Munsell) Mottling (Structure,Stones'Boulders.
ILS Ga I
Floou.msui�ance;ate=:lrn>v°.
i
Above 500 year flood'boundary No_ Yes:
<, Witlto SOO year.boundary No_�; Yesi..,,,:
within r0o year flood boundary No k Yes
Datof ll -Ot n :Perous:Nf'fier al
e 8 .
Does`8h.least four fit of naturally occurring pervious inaterial.exisr:in all areas:observed throu
area:proposed for the soil absorption system? --
If.not,what is the"depth-of naturally occurring pervious tnatorlal?`
Ce ratio
I certify that on
(dated I.have passed the.sotl evaluator,examinatioI approved 1 y�the
Departtttent of Environmental Protection and that the above analysts was performed by me contstenC with
the regwred`raint'ng dxpertise and experience desenbed'in IU CMR 15:017.
Stgnature '�-�
Date
P.�4SP'1'IC�BBRCFORM:DOC
LO CAT 10�N SEWAGE PERMIT NO.
jd J�� a•�— �i�,
VILLAGE
INSTALLER'S NAME ADDRESS
GUILDER OR 000 EC
DA T E PERMIT I S S 9 E D
DATE COMPLIANCE ISSUED
e
{COY• � j�. "
le
/Vc u!
No._81.1...... .... _ .. Fps...
.. $... .�D.........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® -®F HEALTH
__ Town pF........ arnstable
App ira#ion for Uhipugat Workii Tous1rurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at:
0 Jackson Dr;, C otu it_t_M
................_--•- -•-- , .
••-••--••..............••-•-----------••------•-----------...-•--•---•--------------•----......--
Location-Address or Lot No.
Richard"P: Johnson__________________________________________________ 4.0 Jackson Dr.. _Cotuit.t_ MA___ 026�5
. ..................
Owner Address
A & B Cesspool Service 128 Bishops Terrace,_ Hyannis,_.MA 02601
Installer Address
dType of Building Size Lot..... ......... ......_..Sq. feet
aDwelling—No. of Bedrooms...................3.......................Expansion Attic ( ) Garbage Grinder ( )
p., Other—Type of Building ............................ No. of persons...............4.......... Showers ( ) — Cafeteria ( )
04 Other fixtures -------------------------------- .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter------------___. Depth................
x Disposal Trench—No. .................... Width.................... Total Length....... Total leaching area....................sq. ft.
Seepage Pit No___________ _________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing'tank ( )
'~ Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water_____________-_________-
�, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
04 -••------------- .............................................'.............................................................................................
oDescription of Soil.................Sand............................................................ ----------------------------------------------------------------------=•--------
W •----•-•----- ------------------•-----•--...-•----------------------------......-------------------------------------------- ------------------------.....-------g......--------...__...-•----
UNature of Repairs or Alterations—Answer when applicable------installati on of--a,--1 -00---- allon.-ire_-cast
stone packed leach pit_ (overflow)
-----------------------------------------------------•------------•-----------------. ...........---•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of:ITL p of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i sued by;the boa Hof lth. r
Signed. . ._....-•----. --••I....... . �? '✓�'�', --�J .,81------------
D to
Application Approved By--------- �... • ..... ....................... ------L-77 1...----------
Date ,
Application Disapproved for the following reasons--------------------------------------------------------•-------------------------------------•--------•---•----
-----------------••-•-----------------.....--•--....----•-----------------------------••...........----------------••--------•------•••----------------• --•---•---------•-------------•--•-------------
Date
Permit No.-------- 81 --------------------------------------- Issued.......4/ 7//81
Date
No.81_::/0&.... FES..$....5..qa.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town OF..... Barnstable
Appliration for Uiopoial Works C.omitrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (g ) an Individual Sewage Disposal
System at:
...40 Jackson Sr.:.. Cotu .t-e...� ...._--_. ...._.... ....-•-------••--------------------•-------•-•-----.....----•••-•----•-----------•--.............
Location•Address or Lot No.
...Richard. P. Johnson---•...............................•--------------• 40 Jacks Dr..e..Cotuit.i... I.A---026�5-----------•----_..
• P
O ner Address
a A & B Cesspool Service 128 Bishops Terrace, Hyannis, NSA 02601
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............:.....3.......................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons--------------Y---------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ------------------------- -•-••• -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter--::----.---.--. Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.....................................................------•---•---••---- Date........................................
W
Test Pit-No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water-.-._-------_----------.
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit...............---.. Depth to ground water.--.....................
.............................•-----•-----------------------•-•......------------•---......_...•-•-•-.........................................................
Descriptionof Soil..................Sand-------------•-----•-------••-----•--•-•-•---------•---•---•--------•----------•-------•---•-----•----•-------••--•---•-----...---•--------.
x
W
UNature of Repairs or Alterations—Answer when applicable.----_installati on- of a_1,t000__gallon__pre-Cast
one packed leach pit.•_s�_overflow) . -____.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by. the bo d' f lr alth.
Signed�� !-�:!C ...: 11 4� 7,.81
,,r� /
Application Approved By........ '-•�'�` -•' ='= ...---------------------- 7 �1
Date
Application Disapproved for the following reasons:------•--------------•------------------....----------...-----------------••----------•............----------•-.
...............••........--------------•-------•-.....---------------------------•---•--•----•-------•--•--------•------••••-----•------------------------•-----•---•--------•--------------•-•---------
Date
Permit No..........81........................................... Issued...... ...-7--81
Date
THE COMMONWEALTH OF MASSACHUSETTS `
BOARD OF HEALTH
............T own...................O F................8arnstable..........................................
Trrtifiratr of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by--------A & B Cesspool Service, 128 Bishops Terrace, Hyannis, MA 02601 -- 7��-626�t
Inst Ilex
40 Jackson Dr., Cotuit, MA 026 s Richard P. Johnson
at........ --•---------- ------•. -------- -----•-- -------- ------_35...-
has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No:__- ?' _.. dated--------4/.7/.81......................
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CO R E® AS GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. Of
DATE / 7/81............................................•-•----_. Inspector....................................
---- •--•----....------......-•-•--........--
THE COMMONWEALTH OF .MASSACHUSETTS
`d BOARD OF HEALTH
R _ .....................T.own............OF.--------------Barnstable.......-----....-............_............
No.......... .._ FEE...$..5..00......
11iopooal Workii Tronstr ion rruti
A & B Ceps ool S®rvice______________
Permission is hereby granted----•--...--•---------•-•.......... ....p--------... - ----------•--......-•----•----.....--•-----••---•-
to Const uct ( ) or Repair )) an Individual ewage Disposal S stem
at No....�..Jac........................................................son Dr., oE;uit, NIA 02�35-_Richard_. Johnson
-•------•-----. . --- •--•-•-----------•---•-•---•---••---------.................
Street / w s
as shown on the application for Disposal Works Constructio mitt No81_-y......._..-.. a ed......... �_.7/a...............
---------•------------------------•---••-
81 far of Health
DATE.. 7-......---•--------------------------•-•-•--•-•-----••-•----
r
FORT? 1255 HOBBS & WARREN. INC.. PUBLISHERS
'f •
j 6"!►
� 7
LEGEND U,P, CB/SEAL 94,41 95,29
—— 18 —— EXISTING CONTOUR s, •
—96———- ——— —.—— s \ o School Street
x 16.82 EXISTING SPOT GRADE ° \ 04 N
—W EXISTING WATER SERVICE 94.48 ��� / �\ 91149
i + 97.0 1
—G EXISTING GAS SERVICE
—e.1f W. OVERHEAD WIRES
•
V9 eta WETLAND .FLAG 97,17 -.S` ISOLATED N' Cedar; ++
qJ ��- -- 98---- �98,36 \ \ Y 2a c
3� WETLAND SYMBOL / C . 28• \ ` \ VEGETATED m
19 TEST PIT / 96 / 98,11 i1 �280 50 \ ` WETLAND,�1 e pponesw_
/ / ..
QS BENCHMARK i ♦ p } GARDENS `p \ " . A' "o.
/✓ • _ - .. 7%1 \\ ♦ .V 1� LOCUS.
�o
a \ X .
95.17 / j _ 9 �43 99,31 SHED \\ l\ ¢ } r oa Ln
" . , ' ` �� LOCUS MAR
/, ox 100.34 \\ CB
�QO �' pR o �- , ,\ + 9887 `� 9 A 1 3,37
NOT TO SCALE
q� ;ON �` • M B LU 019- 2 .\ .
x
�0 x 100,52 f • A - �. 1,5 \ �•
03 E
r - f
9s� a iNIN 2 25t S. V-101
gE .. 1,68 10 5 XISTING LEACH CES OOLS 90,64
/ /+ 100.18
0 �ONTRACTOR SHALL PUP,
S FILL\/SAND & ASANDOM GENERAL NOTES:
101, 6 e x. 1.01.25 100,36 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED -BY THE`LOCAL
'
• \: BOARD OF HEALTH AND THE DESIGN ENGINEER.
/ CONCRETE -' EX/SITNG �(9D 2 ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
�( 9 3. /.1 v �� �A' OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
HOUSE 40 00,99 /i 102.50 �� � � LOCAL RULES AND REGULATIONS.
T.O.F.=103.8t � - .: x 10108 . .. y •
x
3: THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
.96.42 +,iom9 TO INSPECTION 10 P TION AND APPROVAL BY THE BOARD OF HEALTH AND THE
ROP• (�
DESIGN ENGINEER,
L(11.73 I". `� S PTIC " 4..ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
x / H LL>''.`> Q1
i /'v,. NK /k FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
�/ / 0 ;•..'.J o / DECK Y ENGINEER BEFORE CONSTRUCTION CONTINUES.
o
x 8J4 / a0' 4,j TP 1. 0 ,7 3 �V 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. _ •.
/. , 0 102.28` _ + 102.69 `
DTP, 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD-OF
/ x ~'� 103,4 HEALTH FOR.PROPER INSPECTIONS DURING CONSTRUCTION.
100,56 10L54 // �/ 7 - "I ^� ry 7; WATER SUPPLY. PROVIDED BY PRIVATE WELL
\ o ) + 0' p INSTALL NEW O
8,91 I / DTP �p� „' SPIKE1 �J SLEEVED SEWS 8-THERE ARE''NO WELLS WITHIN 150' OF THE_PROPOSED* S.A.S.
x I /Q�• 34 • E LEARED FOR'CONSTRUCTION SHALL BE. RESTORED AS
% i / 'fP 4/.,;• / s n/N 9 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
x 100,92 I �' ' •'y 2', - DIRECTED BY THE APPROVING AUTHORITIES.
Cr 103,6810. IT SHALL 'BE THE RESPONSIBILITY OF .THE CONTRACTOR TO VERIFY
�Z70 p 2' `102, 1 x THE 'LOCATION.OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
/f CONSTRUCTION.
shrubs
97.74 101,84 3.? GARAGE.
` l 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE-ALL UNSUITABLE SOILS
=;9S-, x • ! ' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
100,22 + 104.20
r7 WSJ BEPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
lol,s8 RrcK fi COCONGf?ETE •
•; ►�y.:•• .•;••.•, ,, .,..: . ,. • , 104,01 W,q�K A 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS. SHALL BE
INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL
f/ 103,61:.:..: :.. 03.63 d B
prox.),•:.<,. W'.; 103,6 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
OF Mq ' IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
�, ti ,N •j.46
STOIVE•`• •
ED SEPTIC SYSTEM UPGRADE s 4• ;.; PROPOS S E PLAN
o PETER T. '1-
McENTEE �� W
101,49 c 8 40 JACKSON DRIVE, COTUIT, MA
CIVIL ` 10313e
No. 351009 WETLAND DELINEATION �/f//q n a ! Prepared for: Richard Johnson, 40 Jackson Drive, Cotuit, MA 02635
REGISIE� �Q VACCARO Environmental �', -I / En meerin b SCALE DRAWN JOB. NO.
F E Consulting BENCHMARK 1. J. 9 9 y
P.O. Box 955 Engineering Works, Inc. 1"=20' P.T.M. 236-13
Sandwich, MA 02563 TOP OF WATER SHUTOFF
3 (508) 888-5855 EL.=104.01 (ASSUMED) 104,10 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
( 'Z �� , (508).477-5313 1 1/7/13 P.T.M. 1 of 2
b
I -
I
f
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:99.5 DECK GARAGE
FOR A DISTANCE OF 15' AROUND THE
SEPTIC TANK PERIMETER'OF THE S.A.S.
INSTALL RISERS & COVERS OVER INLET PROPOSED D-BOX PROPOSED S.A.S.
AND SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER & PROVIDE ONE ACCESS MANHOLE TO WITHIN 3"
PROVIDE ACCESS TO GRADE OVER OUTLET COVER COVER SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES
TOP OF SLAB AT ENTRY PORCH
EL.=103.83 F.G. EL.=103.0t F.G. EL.=102.9t F.G. EL.=102.8t EXISITNG-,
HOUSE(#40)
f f MAINTAIN 2% GRADE (MIN.) OVER S.A.S. T.O.F.=103.8.t
4 PORCH
L = 22'
® S=17 (MIN.) L = 13' L = 23'(MAX.)
4"SCH40 PVC ® S=1% (MIN.) 0S=1% (MIN.)
(SLEEVED TO TANK) 4"SCH40 PVC 4"SCH40 PVC OO
14 aaaaaaa
INV.=99.78 48" uoUID aaaaaaa
LEVEL ,
ADDGAS . INV.=99.40 PROPOSED INV.=99.23 4 5.2' 4 SS.4. N
D-BOX EFFECTIVE WIDTH = 13.2'
INV.=99.00 N 6
INV.=99.53 4-500 GALLON LEACHING CHAMBERS - - - - - - - - -- -
PROPOSED SEPTIC TANK 7-�--
SURROUNDED WITH STONE AS SHOWN 1 1 N
INSTALL NEW SEWER OUTLET EXITING H=10 RATED 1 PROPOSED S.A.S. IM
WALL AT, OR ABOVE, INV.=100.00 1 1'-
TOP CONC. ELEV.=99.8t _ __ _ _ _ _ ___
BREAKOUT ELEV.=99.50 I 42' '
NOTES: INV. ELEV.=99.00 eaaae
*mwaaaaa S.A.S. LAYOUT
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE eases
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=97.00
4' NATURALLY OCCURING 4' 4 X 8.5'=34.0' 4'
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE PERVIOUS MATERIAL & EFFECTIVE'LENGTH = 42.0'
TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 5' MIN. ABOVE HIGH G.W. ,"
STONE BASE-AS AS SPECIFIED IN 310 CMR 15.221(2). LEACHING +SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OT TP-4, EL.=91.0 ®®®® ® ®®®
4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4" TO 1-1/2' DOUBLE ®®®®®® ® ®®�® „
OUTLET TEE, k WASHED STONE a � 33
f N if> ®
SEPTIC SYSTEM PROFILE 3" LAYER OF HEED TO 1E ®°�®®® ® ®�
P DOUBLE WASHED STONE
N.T.S. (OR APPROVED FILTER FABRIC)
102"
SOIL LOG
4" KNOCKOUT
DESIGN CRITERIA DATE: OCTOBER 25, 2013 (Ref. P#14,190) 20" DIA. COVER
SOIL EVALUATOR: PETER McENTEE (SE#1542)
NUMBER OF BEDROOMS: 5 BEDROOMS WITNESS: DAVID STANTON R.S.-HEALTH AGENT 62"
SOIL TEXTURAL CLASS: CLASS I i 4" KNOCKOUT / 4" KNOCKOUT
Elev. TP- 1 De th EIeV. TP-2 Depth Elev. TP-3 Depth Elev. TP-4 Depth DESIGN PERCOLATION RATE: <2 MIN/IN -� _� F �_ �-
(0.74 GPD/SF LOADING RATE) 102.8 A 0" 102.7 A 0" 102.6 A ! 0" 102.5 A 0"
DAILY FLOW: 550 GPD LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 4" KNOCKOUT
DESIGN FLOW: 550 GPD 101.8 10YR 4/2 12" 101.9 10YR 4/2 10" 101.8 1OYR 4/2 10" 101.7 1OYR 4/2 10"
GARBAGE GRINDER: NO B B B B
LEACHING AREA REQUIRED: (550 GPD) = 743.2 SF LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 500 GALLON CAPACITY, H-10 LOADING
1OYR 5/8 10YR 5/8 10YR 5/8 10YR 5/8
.74 GPD/SF 100.3 30" 100.2 30" 99.9 32" 100.0 30" CHAMBERS
PROPOSED SEPTIC TANK: 1500 GALLON C PERC C C PERC C
PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS 36"/48' 36"/48' PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 4-500 GALLON LEACHING CHAMBERS IN SERIES 4O JACKSON DRIVE COTUIT MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES MED. SAND MED. SAND MED. SAND MED. SAND , ,
2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4
SIDEWALL AREA: 2(13.2' + 42.0') X 2 = 220.8 S.F. I Prepared for: Richard Johnson, 40 Jackson Drive, Cotuit, MA 02635
BOTTOM AREA: 13.2' x 42.0' = 554.4 S.F. t Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:..............................................................775.2 S.F. 91.3 138" 91.2 138" 91.1 138" 91.0 138" Engineering Works, Inc.
N.T.S. P.T.M. 236-13
DESIGN FLOW PROVIDED: 0.74 GPD/SF(775.2 SF) = 573.6 GPD PERC RATE <2 MIN/IN. ("C" HORIZONS) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
NO GROUNDWATER OBSERVED (508) 477-5313 11/7/13 P.T.M. 2 of 2
ax U.P. CB/SEAL
,. LEGEND 94.41 95.29
18 —— EXISTING CONTOUR _ — —�—— __—_— — — ♦ N - L a o1 Str
C o
�o � Scho eet
— w
x 16. EXISTING SPOT GRADE � V 104
82 E /
—W EXISTING WATER SERVICE 94.48 I 6� 91,49 N o.
+ 97,0 +I x
—G EXISTING GAS SERVICE { 1
--e.j - �f—OVERHEAD WIRES
_ ♦ i \\
s2 sip WETLAND FLAG 97:17 __ ..: _ .— ` N ceda��
WETLAND SYMBOL o J. 98:36 \ \ \ ISOLATED Y Qa y
�-- 2 -L
8 � �\ I/EGETA TED m � e
98,11 7 S * � \ cr\ w
2 0 \ WETLAND 1
TEST PIT /x 96 ' y 808• F \\ y\\ . L # Q poponey�a�oo
BENCHMARK // � ♦ p GARDENS \ \ `o : �o.
\ , \ , LOCUS
/ + 98:92 ? / 97, 1 V-10 �o
/ le$.\ C +,99.28 93,38 \ h
j 9 4 3
95,17 / \�{- 99, 99,31 SHED \ N Ln
/ ER /• LOCUS- MAP
o BUFI% . �'�,ox 100,34 \\ ` CBS AL \� y-102' NOT TO SCALE
/ V.NI- C SON \ 9 81 .\
, o�BEHIND
1 68 100,35 EXISTING LEACH CESSPOOLS V 101
90.64
/ 100,18 ,0 CONTRACTOR SHALL PUMP, .
• / JUA // .' S X la WISAND & AeANDO� GENERAL NOTES:
x 101. 6
x 101.25 100,36' 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
• / • \ BOARD OF HEALTH AND THE DESIGN ENGINEER.
�� / /2�. •=CONCRETE � � V� EX/SI TNG, 2. ALL WORK AND MATERIALS !SHALL CONFORM TO THE REQUIREMENTS
/k 9 3 .+ 00,99 Fv �� HOUSE(#40) ~ OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
x
102.50 r LOCAL RULES AND REGULATIONS.
i T.O.F.-=
f03.8t 1OL08
x 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
96:42 ��� '��100 99 10 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
ROP. V DESIGN 'ENGINEER.
/ \0 x 1A1.73/' �'H LL�`>S PTIC �� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
`: K ^ FROM:THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
// / 0 ,%J 0 / DECK �132� ENGINEER BEFORE CONSTRUCTION CONTINUES.
x g,74 /_ a0'e / ��7TP 1 y 0 7 0 �C , 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.
o s 102.28 + 102.69
/ e / DTP Q O lg• Q 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
/ cam: s THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
/ + x N 103,4
/ / `� µ/ p) r HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
100,56 101.54 / j �•� 7 ^ 7. WATER SUPPLY PROVIDED BY PRIVATE WELL.
,�• � o• •`,1••) + O p INSTALL NEW ^`'v
(8.91 / DTP �_q: SPIKEI � SLEEVED SEWS ^ h0 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
x fiP 4 a� ;'y 3 4 ), NN 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
d'Q( x 100.92y I ` Cl) DIRECTED BY THE APPROVING AUTHORITIES.
9�70 �� `�. 132,I '. '• 103:68 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
l� .�102. 1 / x I THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
32` '/ GARAGE CONSTRUCTION.
101,84
97,74 x shrubs ` 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
` IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
9818:::;: •.,, 100,22 / + 104,20 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
A
:.`.:%. :. 2 ALL
101 8
;............. .. . LAB A
W S Ch BR/
104Oi WA4K 1 AREAS REQUIRING STRIPOUT OF UNSUITABLE MATEC'LS SHALL BED
C
K CONE ETE
'103.61:.;•� `��•: ' 03,63�, • ,'•,'�.; ♦ INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFIL-'-� 4.cJ
J o W' 13 SES ONLY- N prox.) •::;y'. 103.6 THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PUR?0 >A D =-
r
OF
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEYrM•.c
N ,4S
, w ,..
S 1
4
s
9� O
8
STONE �
TERRY
Y
��� �`• PROPOSED SEPTIC SYSTEM. UPGRADE PLAN99,98 4 ' :DR
NN
wA 101.49 ' 8 40 JACKSON DRIVE COTUIT MA
No. 3 21 103:13 4 `
'F - ,� 1;
c Pre ared for:. Richard Johnson. 40 Jackson Drive Co it MA 0�2635=
� WETLAND DELINEATION \ ��.• �/:• ,•��` P
/STE�`� �,q Y
VACCARO Environmental >�..:"•>! ':":' Engineering b SCALE DRAWN JOB. NO.�.`
° BENCHMARK 1o3;7z 9' 9 y
" Consulting Boxg955 / Engineering WoYk.S, Inc. 1"=20' P.T.M. 236-13tl6
Sandwich, MA 02563 TOP OF WATER SHUTOFF
��j -- 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0.
2l3 508) 888-5855 EL.=104.01 (ASSUMED) 104.10
, . - (508) 477-5313 1 1/7/13 P.T.M. 1 Of 2
I _
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
,I, FINISH GRADE SHALL NOT BE < EL:99.5 DECK GARAGE
FOR A DISTANCE ,OF 15' AROUND THE
t SEPTIC TANK PERIMETER' OF THE S.A.S.
INSTALL RISERS & COVERS OVER INLET PROPOSED D-BOX PROPOSED S.A.S.
AND SET TO 6" OF FINISH GRADE. INSTALL WATERTIGHT RISER & PROVIDE ONE ACCESS MANHOLE TO WITHIN 3
PROVIDE ACCESS TO GRADE OVER OUTLET COVER COVER SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES \
TOP OF SLAB AT ENTRY PORCH
EL.=103.83 F.G. EL.=103.0t F.G. EL.=102.9E F.G. EL =,102.8t EXISITNG,,
HOUSE(#40)
f f MAINTAIN 2% GRADE. (MIN.) OVER S.A.S. T.O.F.=103.8E
mm
PORCH
® S=1%2(MIN.) L = 13' L - 23'(MAX.) 1
4"SCH40 PVC S=17 (MIN.) ® S=1% (MIN.)
(SLEEVED TO TANK) 4"SCH40 PVC 4"SCH40 PVC
s 10• 14 8• 8BBm8B8 Dc'��^ �O
LINSTALL
99.78 48" LIQUID aaaaaaa �<J �'�'
LEVEL GAS�BAFFLE INV.=99.40 PROPOSED INV.=99.23 4' 5.2' 4'
D-BOX EFFECTIVE WIDTH = 13.2' ._
INV.=99.53 INV.=99:00 N _ _ 6�6.
Ell PROPOSED SEPTIC TANK 4-500 GALLON.LEACHING CHAMBERS T
SURROUNDED WITH STONE-AS SHOWN NT
W SEWER OUTLET EXITING H-10 RATED - PROPOSED' S.A:S.OR ABOVE, INV.=100.00 ! e.-
'TOP CONC. ELEV.=99.8f r
BREAKOUT ELEV.=99:50 r ` -- - - - -42, ----
NOTES: INV. ELEV.=99.00 ®aaa
BaaBa aaaaeai
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=97.00, aaaa Baaaa S.A.S. LAYOUT
INVERTS, PRIOR TO INSTALLATION, 4' 1 4•X 8.5'=34,0' 4'
2) SEPTIC TANK & D-BOX SHALL BE SET L LEVEL AND-TRUE 4' NATURALLY OCCURING
PERVIOUS MATERIAL & EFFECTIVE LENGTH = 42.0'
TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED 5' MIN. ABOVE HIGH G.W.
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OT TP74, EL=911.0 - C§Ea3
® - 0 E®®E3
4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4" TO 1-1/2" DOUBLE . ®®E ® ®E3 „OUTLET TEE. WASHED STONE _ 33N > ®®® ® ®®®®SEPTIC SYSTEM PROFILE 3" LAYER OF 1/8" TO 1/2" z
DOUBLE WASHED STONE
N.T.S. (OR APPROVED FILTER FABRIC)
102"
SOIL LOG
4" KNOCKOUT
DESIGN CRITERIA DATE: OCTOBER 25, 2013 (Ref. P#14,190) 20" DIA. COVER
SOIL EVALUATOR: PETER McENTEE (SE#1542)
NUMBER OF BEDROOMS: 5 BEDROOMS , WITNESS: DAVID STANTON R:S.-HEALTH AGENT - 4" KNOCKOUT / 4" KNOCKOUT
SOIL TEXTURAL CLASS: CLASS I TP- 1 � � TP-2 T,P-3. TP-4 - 62
DESIGN PERCOLATION RATE: <2 MIN/IN Elev. Depth Elev. Depth Elev. Depth Elev. Depth
(0.74 GPD/SF LOADING RATE) 102.8 A 0" 102.7 A 0" 102.6 A 0" 102.5 A 0"
DAILY FLOW: 550 GPD LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 4" KNOCKOUT
DESIGN FLOW: 550 GPD 101.8 10YR 4/2 12" 101.9 10YR 4/2 10" 101.8 10YR 4/2 10" 101.7 10YR 4/2 10"
GARBAGE GRINDER: NO B B B B
LEACHING AREA REQUIRED: (550 GPD) = 743.2 SF LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 500 GALLON CAPACITY, H-10 LOADING
.74 GPD/SF 10YR 5/8 10YR 5/8 1OYR 5/8 10YR 5/8
100.3 30". 100.2 30" 99.9. 32" 100.0 30" CHAMBERS
PROPOSED SEPTIC TANK: 1500 GALLON C C C C
PERC PERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN
PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS 36'/48' 36"/48'
USE 4-500 GALLON LEACHING CHAMBERS IN SERIES
MED. SAND MED. SAND MED. SAND MED. SAND -40 JACKSON DRIVE COTUIT MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES >' >,
SIDEWALL AREA: 2(13.2' + 42.0') X 2 = 220.8 S.F. 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 Prepared for: Richard Johnson, 40 Jackson Drive, Cotuit, MA 02635
BOTTOM AREA: 13.2' x 42.0' = 554.4 S.F. Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:..............................................................775.2 S.F. 91.3 138" 91.2 138" 91.1 138" 91.0 138,. Engineering Works, Inc. N.T.S. P.T.M. 236-13
DESIGN FLOW PROVIDED: 0.74 GPD/SF(775.2 SF) = 573.6 GPD PERC RATE <2 MIN/IN. ("C" HORIZONS) 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
NO GROUNDWATER OBSERVED (508) 477-5313 11/7/13 P.T.M. 2 Of 2