HomeMy WebLinkAbout0078 LAKE STREET - Health 8 Lake-Street ,,0��::1 u
Gotuit ry
11 ='`020 -,023
TOW'N OF BARN STABLE �J
LOCATION �'��",�' . SEWAGE#
VILLAGE ASSESSOR'S MAP.&PARCEL
INSTALLER'S NAME&PHONE NO. - l
SEPTIC TANK CAPACITY
LEACHING FACILITY-(type) !SO2 b OC/Size).
NO.OF BEDROOMS
OWNER� 4,frs d-?
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
PrAie Water Supply Well and Leaching Facility(If any wells exist or►:`
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
_ � a
p TOWN OF BARNSTABLE
LOCATION O �/A SEWAGE#
VILLAGE C OTU 1 T ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY S I A! CQSSp()p
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS 3 J
OWNER C� S
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY r a /a_�
a c ay
RV
__,9/ 0
No. a Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
VYe
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
9ppYitation for 1Bis oral *psteut Coustruction Vermit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 78 Lj-fe— s7_ a,4,� Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel uF� L��402"
Ins ler's Name,Address,and Te.No. Designer's Name,Address,and Tel.No.
/(rem Lrtn�Svrz� CS .
Type of B lding:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building 4&�,e No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3(_/ gpd Design flow provided 3q.gl gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.2 5A9
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ( J
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
i e Date
Application Approved by Date
Application Disapproved by Date o ,
for the following reasons
Permit No. Date Issued
! /
No.' r� r Fee
Entered in computer:
THE COMMONWEALTH OF MASSACHUSETTS � .- VYe
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2ppfication for his osaC Opstem Construction Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 78 L/9�� ST Ca3',� Owner's Name,Address,and Tel.No.
ti /
Assessor's Map/Parcel 0- Gif
Inst
aller's Name,Address,and/Tel.No. Designer's Name,Address,and Tel.No.
�S (� �- /fie G✓���SvrzV� Ca .
Type of B Iding:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building 21_4 r� No.of Persons Showers( ) Cafeteria( )
Other Fixtures
.-.—Design Flow(min.required) _�3 J gpd Design flow provided 3q S 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)
��U ..�• C'liJ'9n'iS-tiCS l f{•Zy
Date last inspected: J,
Agreement: t
The undersigned agrees.to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
tigned -a— Date 112-4
� -
ApplicationApproved by ;.'/i f> / ,� / _ _ Date p�--
V - r_o ✓ r it nr V 8
Application Disapproved by Date
r
for the following reasons
Permit No. "' j Date Issued
------------------------ - ;- ------ -- --- ----- - - --- _ - - ----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( � Upgraded( )
Abandoned( )by (��� f f i1s,
} at �zff Z 4-Le % has been cons ucted�'jn accord e
with the provisions of Title 5 and the for Disposal System Construction Permit No. pC r. te'd
l
Installer 12< � s�Gg•—• Designer y 1f L&agZ.(l
#bedrooms Approved design_flow �� gpd
The issuance of this permit shall not by construe /as a guarantee that the syste will fun n as es`grted.
Date Il2� �3 c ! Inspector
7
----------�-------------------------(--- - - ----- .-------__-" ---- .:------ ----------- -1---- --
No. l- � � .''''���/S -_—:-.--- �_,--.-__-�:-_--.-_ Fee (/ ✓�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal Opstem Construction Permit
Permission is hereby granted to Construct( ) Repair(r/) Upgrade( ) Abandon( )
System located at 17 g `fl%C
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.
j
Provided:Constructiofi must c-mple ed within three years of the date of this permit. /J
Date U` ' Approved b
PP Y
TRANS. NO.:
CITY/TOWN:
APPLICANT: 4 sovJ
ADDRESS: -r�'
DESIGN FLOW: gpd
REVIEWED BY: DATE: 1► z.� tZ
N/A OK NO
.,,
��NnX$ . kkz_..,•,<xta.�s,?,..,,�:,w .�§.�r?�f,::�..✓�,d, ,x v�,,3 .Iw��,�..��"�.,.a.�`aa ,I�ia�_ r, � �.<n �,<<za,.,iJ .� . $.. s
Legal boundaries denoted [310 CMR 15.220(4)(a)]
Street, Lot, tax parcel number and lot number noted on plan [310 f
CMR 15.220(4)(u)] V
Locus Provided [310 CMR 15.2204(01
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
310 CMR 15.412 4 ✓
upgrades]- of not, a variance as required [ O]
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)(c)]
System Calculations [310 CMR 15.220(4)(f)]
daily flow
septic tank capacity(required and provided)
.soil absorption system (required and provided) ✓
whether system designed for garbage grinder
North arrow [310 CMR.15.220(4)(g)]
Existing and proposed contours [310 CMR 15.220(4)(g)]
Location and log of deep observation holes (existing grade el. on f'
each test) [310 CMR.15220(4)(h)]
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and (i)]
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)]
Address — "" Sheet l of 7
N/A OK NO
Location of every water supply, public and private, [310 CMR
15.220(4)(k)]
within 400 feet of the proposed system location in the case f
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
Location of all surface waters and wetlands located up fo 100 ft
beyond setbacks listed in 310 CMR 15.21 land any ycatch basins
located within 50 ft. [310 CMR 15.220(4)(1)]
Water lines and other subsurface utilities located [310 CMR
15:211 1 O[1
15.220(4)(m)] (if water line cross see 310 CMR ])
Profile of system showing invert elevations of all system /
components and the bottom of the SAS [310 CNM15.220(4)(0)]
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 15.22.0(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 upgrade under LUA at 310 CMR 15.405(1)(k)]
Test hole adequate to demonstrate four feet of suitable material?,
[310 CMR 15.,103(4)]
Test Holes adequate to confirm adequate groundwater separation
Y
[310 CMR 15.103(3)]
Benchmark within 50-75' of system [310 CMR 15.220(4)(q)]
Materials specifications noted? [various sections of 310 CMR
15.000]
System components not> 36" deep (unless Local Upgrade ,
Approval or LUA requested) [310 CMR 15:405(1(b)]
Address 6F Sheet 2 of 7
t
N/A OK .'NO
mow
ME
�}
Size OK? [310 CMR 15.223(1)]
Inlet tee located ten inches below flow line [310 CMR 15.227(6)] , f
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 described 310 CMR 15.227(5)) or permitted for
upgrades under LUA [310 CMR 15A05(1)(k)]
Minimum cover 9" (Tanks buried more than 9"•must have risers
on all openings and on the d-box) [310 CMR 152228(1) and 310
CMR 15.232(3)(f)]
Three access covers(inlet and outlet must be 20" or greater)
middle access at least 8" (by 7/07) [310 CMR 15.228(2)]
Access to within 6 of grade - one port for'systems<1000gpd;
two for systems>1000 gpd [310 CMR 15.228(2)]
All at-grade covers secured to unauthorized access? [310 CMR
15.228(2)]
> 10 ft from building 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 [310 CMR 15.211]
en d Z �ro x n.."sttv _ { V" -
%Iu1ho�mpartgment�,501ks�
u
q ,,.. . .- :�.. ., ��.,. .
Required when other than single-family dwelling or flow>1000
e .
gpd [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
gas baffle or approved filter [310 CMR 15.224(4)]
Address �w / Sheet 3 of 7.
N/A OK NO
BI7II�DII\tSEWERAND�O 1 HTR�PPIIG� .. zy � `�
.,,`,.�vawv,w.se. ..,P . , ,?.a,,5' ,solsr. _. a,,' €a ..•-::.. .,n.v .. ,. ...vy
Located at least ten feet from any waterline? [310 CMR.
15.222(2)]
Disposal piping at least 18" below water line(when water and ✓ ,
sewer cross, see 310 CMR 15.21l(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)]
Siphon problem/ (leachfield below pump chamber) -
Endcaps or vent manifold specified?'
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)]
Materials specified (310. CMR 15.251(5) specifies various pipe. -
types allowed)
-
OEM
Dfi}5TRI4BU�
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)]
Inside minimum dimension 12" [310 CMR 15.232(2)(b)]
Minimum sump_6" [310 CMR15.232(3)(e)]
Watertight cover if<2000gpd)- waterproof manhole if>2000gpd •
[310 CMR 15.232(3)(d)]
PUly1PHAMBER,SNOW',
� � ..
�� < �- .. iara;a.,.e
Capacity(emergency storage above working=design flow)? [310
CMR 231(2)] F -
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 inlead-lag
mode. [310 CMR 15.231(6) and(8)]
Stable Compacted Base [310 CMR 15.221(2)]
Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)]
Address l� 5� Sheet 4 of 7
N/A OK NO
S®IIAB ®RP;TTO �YSFM { AS) ENKOO
r F y
. I � ..,
Calculations correct?
4 feet of naturally occurring material demonstrated? [310 CMR ;
15.240(1)]
Required separation to groundwater? [310 CMR 15.212)]
Aggregate specified as double washed [310 CMR 15.247(2)]
System Venting required/provided? (system under driveway or
>36" deep) [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 Document]
f. ^,. ,s.,° ',.v: ''pp r % '(�. a " r C C „�' v �Y ��,. � r`,s ra E�SE 5 •�
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 to grade) [310 CMR 15.253(2)]
Aggregate I' minimum- 4' maximum. [310 CMR 15.253(1)(b)]
2' sidewall credit maximum [310 CMR 15.253(1)(a)]
In bed configuration,inlet every 40 sq. ft. [310 CMR 15.253(6)]
TREN=CHES310CzN�R 55 ,. f. , � ., � .3ggu
�
304
Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)],
100 feet- maximum length [31 0 CMR~15.251(1)(a)] .
Minimum separation 2x effective depth or width whichever
greater(3x if reserve between trenches)[310.CMR251(1)(d)]
Situated along contours [310 CMR 15.251(2)]
Breakout OIL? [310 CMR 15.211(1)[4] and Guidance Docu nt]
�-�
B;EDSAS aximu;rn�sizeofbed o fiel �5000
..__' ..�R�, z��.. ,� �
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 p1pesk6"minimum, 12"`
maximum. [310 CMR 15.252(2)(g)]
Separation between beds 10'minimum. [310 CMR 15.252(X)]
Bottom area used in calculations only[310 CMR I5.252( )(i)]
.Address Sheet 5_of 7
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 >2000gp4 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 /
(>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] V
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
desi
gner ner 310 CMR 15.255 2 b V
Retaining wall must be designed by Registered Professional.
Engineer [310.CMR 15.255(2)(a)]
Side slope not exceed 3:1 ? [310 CMR 15.255(2)]
- Breakout re uirement s met? [310.CMR 15.252(2) and
V '
Guidance Document]
At least 5 ft. from impervious barrier to edge of SAS (10 ft :
recommended) [310 CMR 15 255 (2)(e)]
GraEveCless�Systern jl/ pprovalLettersl „. ,
Check DEP Approval letters for credits and_design conditions
If used with pressure dosing do not allow pressure discharge.
to scour soil interface
- all�"'�-s� °�s �Z" �; �'-;'fir `✓s'�' 3 �'sa,.,�` .;di' .:, spa a"",�'` ',�^`,+ 5� !d �Zi`' ,. �,� u .«.�,.��„� �'"*cr�'� a�fi'`Km�- - : -
A`ZternataveSepticg�Sy�Sterr�ll/A
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 note on the plan regarding the requirement for
perpetual maintenance agreement? `
Any alarms involved on separate circuits
Did the applicant submit an operation and maintenance
manual?
Has applicant submitted a copy Ago
of a maintenance
M.
�arlanC6S� a
Are the variances listed on the.plan? [310 CMR 15.220
(4)(q)]
RLS Stamp necessary on plan if a component is within.five
, feet of property.line [310-.CMR 15.412(4)]
New consiruction'or.increased.;flow proposed - [Refer to 310
CMR 15.4141
'C.l� ,.. Sf� 6 of:7
Address Sheet
N/A OK NO
a z "09
�X�� 3
NatrogenSensitave eas
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 15.216 also refer to Policy regarding u' ades of such Y
Y . g g P
existing systems] -
Is the system proposed on.the same lot as served b. private.well ? /
[310 CMR 15.21.4(2)]
Are the nitrogen loads proposed in compliance?.[310 CMR
15 216(1)]
K ��t+�
Vliscellaeous . ., ---
Pumping to septic tank? [ 310 CMR 15.229]
Shared System'[310 CMR 15.290]
- Address ^' s� Sheet 7 of 7
Town of Barnstable
�t r Regulatory Services
ti
Thomas F. Geiler,Director
MASS. Public Health Division
�En 39. Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: Sewage Permit# Assessor's Map/Parcel 6 z.3
Installer&Designer Certification Form
Designer: Kf:& m Installer:
Address: Address:
T s;
On � 3 (,C/ was issued a permit to install a
date
septic system at �� �- �� I based on a design drawn by
(address
dated -
(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 b6x and/or septicktank. Stripout.(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 R `—bons. Plan revision or
certified as-built b designer to follow. Stripout (if rP;x -cted and the soils
were"found satis tort'. ' VW
��L\N OF ti1gsN'�+a
f
Lil
r sy�M
o DAVID} s��x
sta ler✓Si ature) MAVIA
SON 1 15
v 9 No.1066
isT ;.
(Design is Signature) A 3\
V-
r
PLEASE'RETURN TO BARNSTABLE' PUBL��
OF COMPLIANCE WILL NOT BE ISSUED UN'i i ---uv i-g i tJUN'>t+'ORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.-. v. }
THANK YOU.
gAoffice forms\designercertification fomi.doc
r
Parcel Detail http://issgl2/intranet/propdata/PareelDetail.aspx?ID=850
-
�, .���� a it q�p
bX- G ,�,� P -
Logged In As: Tuesday,September 25 2012
Parcel Detail,
Parcel Lookup
Parcel Info -
Parcel ID; 20 0-023 l Developoot LOTS P/O 165&166
Location 178 LAKE STREET I Pri Frontage 80 I +�
Sec Road,HIGHLAND AVENUE ' Sec
Frontage 175
Village f OTUIT �T I Fire District JCOTUIT
Town sewer exists at this addressf No I Road Index 0856
Asbuilt Septic Scan: ;
020023 1 — t 9
p Interactive
020023_2 2/���i x �i�i'/ Map � �
Owner Info
Owner ICHILD9,ASHLEY B ^I Co-Owner %LARSON REALTY CO., INC �I
Streetl 1119 ROUTE 149 I street2
City IMARSTONS MILLS I State HAD zip 02648 Country t�
Land Info
Acres 10.22 Use Single Fam-MDL-01 I zoning RF Nghbd 0108
Topography ,Level I Road ,Paved I
Utilities Public Water,Gas,Septic I Location
- _
Construction Info
Building 1 of 1 a f-{ 61
Year 11950 !Roof Gable/Hip I Ext Wood Shingle
Built Sruct Wall
Living 720 � Roof Asph/F Gls/Cmp I AC tneu
Area 17 Cover Type I' if s
Wall1 _. Rooms GAR 1 FEPi & 8AS
Style[Ranch ,Drywall I 3 Bedrooms I r
I - n I
Model Residential I Floor Int 2z Carpet Bath Rooms 1 Full . -_
Grade jAverage Minus I Type Hot Water Total�"I Rooms 4 Rooms
I: - -
stories i Story - Heat Fuel Gas F cl-.Conc: Block
Gross`1336
Area
Permit History
http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=850 .9/25/2012
Parcel Detail http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=850
L 28 I 1986 I $37,100 I $0 1 $0 1 $23,500 I $60,600I)
Photos
r
r
r
� h a _
- vita-a, '•
r
l
J
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=850 9/25/2012
78 Lake Street, Cotuit MA - Trulia Page 1 of 3
.� Trulia Mo
$20,000 76+-qke-Sf-C-otult-A A 0-2fr3MbMES♦ =` ' ' `'i " :`
Cotwt.MA Buy Local Info Find a Pro SIG
WITHDRAWN $267,000 78 Lake Street, Cotuit MA 02635
«See similar homes
Home Facts ; Photo Map 8 Nearby ' Mortgage , Sales Trends I Schools ---- ----------- —----
l {=• — •� Status: Withdrawn
{t. ( Featured Ad Advertise here
t °E Bedrooms: 2
(j Bathrooms: 1 Kathleen Fuller
1=fll e ttl� Property type: Single Family Residential **Call our team today!**
Fi Size: 720 sqft CapeCodMAHomeSearch Team
_ Lot: —
Price/sqft: $371!sqft $999,000 37 Seconsett Point Rd,Mashpee...
Year built: 1950 3 br 1.5 ba
Added on Trulia: 42 days ago 940 sqft
. - f; i Zip: 02635 ) - Single-family Home a la
f Contact me
View large map
2 of 6listings
Contact agent Follow home Share 2012 Credit Score More
t
Home for sale in Cotuit, MA 267,000 USD
Presale price,specs available,Completely rebuilt brand new house,plans available,village location.Complete re I
model,New House.Village Setting walk to everything,2 car garage screen porch,living space,Gas HeaVAC,
Granite,Gas Fireplace,Very Cape Cod Brokered And Advertised By:Exclusive Brokerage of CapeCod Listing Agent:
raig Larson
Public Records for 78 Lake St
- ---- --- - -----..._...----...............------- -_---._.....__ ,
Official property,sales,and tax information from county(public)records as of 09/2011:
• Single Family Residential 3 Bedrooms 1 Bathroom I
• 720 sqft Lot Size:9,583 sqft Built In 1950
• Stories: 1 story Heating:Hot Water Exterior Walls:Wood Siding
• Roof:Shingle(Not Wood) 4 Rooms ® 1 Building
• Style:Ranch/Rambler County:Barns ble
3
Property Taxes for 78 Lake St
Year Value Land I ovements Total Tax
2011 Assessed $180,500 + $ ,300 = $253,800 $1811
�._ Give Trulia your feedback
Sowce Public Records [° --
t
This property may be overassessed.Find Out Now j Participate in our latest activity survey to help
improve Trulia.Get Started
Price History for 78 Lake St Alert
—___---- - - - -- ---- .----- II
Date Event 1 Price Source Trulia Partner Center
04/30/2012 Sold close details 0, what's yours?
Public records
A good credit score is 750&above,
Recording Date V/30/2012- ' }
Sale Price 000
Accidents happen.We're only human. +
Price Type mount stated on Document. Liberty Mutual Insurance understands.
Transaction Type urchase/Resale Arm's Length Residential Transaction <<i
Document Type
i /
http://www.trulia.com/property/3062542947-78-Lake-St-Cotuit-MA-02635 9/25/2012
r
78 Lake Street, Cotuit MA - Trulia Page 2 of 3
$267,000 78 Lake St Cotuit, MA 02635 ,; : . This property may
' property taxes.Ch 1 _
INCILU CAI NU lNeview the area arotind 78 Lake St
Rate this area: Rate it Overall area rating:
Good
Rate these categories: Discussions in Cotuit, MA
Top rated categories:
Safety Rate it Safety
Pet-friendly Rate it Pet-friendly 248 followers
Cleanliness - - -- -- - ---
Walkability ` Rate it Walkability j Ask a question...
Restaurants&Shopping Rate it E Total ratings: 328 I View all ratings
f Last updated 9 hours ago
Rate and Review I} Ask Question
Recent Activity
Read 5 reviews
Looking for a buildable lot in Cotuit.
Contact us if you know of one.Thanks /
Answer first J
Location Information near 78 Lake St 31/100
Where is your favorite beach in Cotuit?
I �-------•-�--- } �0■ Answer first I
Schools Estimates ( Crimes ; Amenities Transit
-
-i�! 1--- -1 i Can construction prices be negotiated
( c• � just like re sales?6 answers
:. � � looking at property on kelley bay with
�4 t i tq steep back yrd.anyone know rules on
r' Fit L,; what can b done so close to the water?
v _ _ 1 answer
°' Currently,there are 3 properties for sale
' s 6 at Ballston Beach:127 S Pamet, 133 S
a" p ..
Pamet, 118 N Pamet
-is something in
a,. cootiu8s o theworks?100 on .omplex. Answe,I f 4? a too y taS1 f Looking for a buildable lot in Cotuit.
Jl
t !� =. ""� i ""l �-�' � Contact us if you know of one.Thanks
_
z ?� �,�. �., +o*;tt, � � `�, p�,, i � I _.___ Answer first
r� J
View recent quest
ions More local advic_'N ��seflAut w Cotuit
t7 +4 Rd #
V a '� Low r Highm` " l
0 0G?� t.9IIst peo Rd
Map data 02012 Google
School data provided by OnBoard Informatics.School boundaries provided by Maponics.Please read Disclaimer.
1h i
Have A Question About Schools?Enter It Here. — j a rc Our Cam nunity
GreatSchools
$I Elementary Schools Type Rating Distance
l
NEARBY SCHOOLS 1
Quashnet School Public 51 2.7 mi
Kenneth C Coombs Elementary School Public 2.7 mi l�Nearby homes
West Villages Elementary School Public 3.6 mi - --- ` - ---" ---`--
40 Lake St Cotuit,MA
Barnstable Horace Mann Cs Public ❑7 3.9 mi 78 Lake St Cotuit,MA
72 Lake St Cotuit,MA
Centerville Elementary School Public 8❑ 4.9 mi 57 Lake St Cotuit,MA
75 Lake St Cotuit,MA
PRIVATE SCHOOLS j Show more
Waldorf School Of Cape Cod Private 0.3 mi I
Cape Cod Academy Private 3.0 mi
i
Bayberry Christian School Private 3.7 mi I
Veritas Academy Private 5.4 mi
http://www.trulia.com/property/3062542947-78-Lake-St-Cotuit-MA-02635 9/25/2012
I
78 Lake Street, Cotuit MA - Trulia Page 3 of 3
°h _Le St Cotuit, MA 026 Type , -t j
itage '
StienAeademy
indicates schools assigned to this home.School data provided b and Informatics.Boundaries provided by Maponics.
Communities near 78 Lake St, Cotuit
Cotuit Real Estate Nearby G°i' domes for Sale Real Estate and Mortgage Guides
Cotuit Real Estate South Mash Homes for Sale Cotuit Real Estate Guide
Cotuit Foreclosures Mashpe r Sale Cotuit Schools
Cotuit Single-Family Homes New S �s for Sale Barnstable County Home Prices Heat Map
02635 Real Estate Ostervil Sale Massachusetts Home Prices Heat Map
02635 Single-Family Homes Marstons i . omes for Sale Cotuit Mortgage
02635 Apartments for Rent Barnsta s mes for Sale Cotuit Refinance
Cotuit Apartments for Rent See All Cities Cotuit Home Loan
Residential Real Estate
San Francisco real estate I New York real estate I Los Angeles to I Orlando real estate I Miami real estate Philadelphia real estate Phoenix real estate I San Diego real estate I
San Jose real estate I Chicago real estate I Arizona real estate I "-mia real estate I Florida real estate I Illinois real estate I Massachusetts real estate I New Jersey real estate I
Pennsylvania real estate I Texas real estate I Other local real estate California apartments I New York apartments I Texas apartments I Apartments for rent I Home price maps I
Real estate community I U.S.Property records f
Explore Trulia Homes for Sale I Homes for Rent I Starts&Trends I Real Estate Advice I Real Estate Apps I Trulia Labs I Trulia API I Trulia Estimates
For Professionals Agents I Brokers I MLS I Advertisers&Partners I Tools&Widgets I Submit Your Listings I Real Estate Leads I Agent Site Map
Corporate About Trulia I News Room I Trulia Blog I Careers I Investor Relations I Privacy I Terms of Use I Subscription Terms of Use I Community Guidelines
This Single-Family Home is located at 78 Lake Street„Cotuit MA.78 Lake St is in the 02635 ZIP code in Cotuit,MA.The average listing price for ZIP code 02635 is$1,099.456.78 Lake St has 2 teds,
1 bath,approximately 720 square feet,and was built in 1950
Copyright O 2012 Trulia,Inc.All rights reserved. I Fair Housing and Equal Opportunity Have a question?Visit our Help Center to find the ans^er
http://www.trulia.com/property/3062542947-78-Lake-St-Cotuit-MA-02635 9/25/2012
Town of Barnstable P# / 3 6 7�
Departitnent of Regulatory Services
a t;wartarner s; B Public Health]Division NA Date �! /��! ) r.
200 Main Street,Hyannis MA 02601
Date Scheduled , �Q
• Tlme�_ Fee]'d.
e
Soil Suitability ,Assessment,fog- e Disposal
Performed-By: kJaJ 2 � p� Witnessed BY: �S
LOCATION& GENERAL INFORMATION
Location Address Owners Name ra/ r r s®k,
COf I �1 Address
Assessor's Map/Parcel.' 0 a� J�� � Engineer's Name tst,,i- <A-f
VA
NEW CONSTRUCTION * REPAIR X Telephone# So9- 7 Teo - r Oa Lo.
Land Use Slopes(96) Surface Stones
Distances from: Open Water Body Y R Possible Wet Area ft Drinking Water Well ft •
Drainage wny ft Property une ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximitylo holes)
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to sell mottles: In,
Dcpth to weeping from side of obs.hole: In, Groundwater Adjustment ([.
Index Well# Reading Dntc: Index Well level Adj.factor Adj,Groundwater Level ,
� �I� PE]R.COLATION TEST bate Thee____
Observation % �—r-- --��---� —
Hole# Time at 9"
Depth of Pere Time at G"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
t
Rate Min./Inch
Site Suilability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) '
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 Ieast one(1) week prior to beginning.
Q:\SEPTICIPERCPORM.DOC
DEEP-OBSERVATION HOLE LOG Hole# ''
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other <
Surface(in.) V
(Munsell) Mottling
(structure,Stones;Boulders.
i to w,%-Gravel)
-
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,Boulders.
onsis en. %Ci ve
El�--T
DEEP OBSERVATION HOLE LOG Hole#.
Depth from Soil Horizon Soil Texture Soil Color Soil Other'
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Co Aatency.%Grayell
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders.
Cositn
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary NoV Yes
Within 100 year flood boundary,No.f Yes �.
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious rlal exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of•aturally occurring per sous matorial?
Certification
I certify that on D (date)I have passed the soil evaluator examination approved by the
Department of Environ ental Protection and that the above analysis was perfo ed y me consistent with .
the required training,expe 'se xp rience described in�10 CMR 15.017.
Signat Date
Q:\S•F-PT1aPERCFORM.D0C
p
Town of Barnstable Barnstable
°p SHE T°�y
BOARD OF HEALTH edcaCRy
200 Main Street, Hyannis MA 02601
�p 039. >�� 2007
rfb MAN
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.
Junichi Sawauanagi
CERTIFIED MAIL# 7011 0470 0001 4525 7123
f
May 31, 2012
Ms. Ashley Childs r
c/o Larson Realty Co., Inc t�
119.Route 149
Marstons Mills, MA
• ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located 78 Lake Street,Cotuit, MA was last inspected on 2/28/2012,
by James M. Ford,a certified septic inspector for,the state of Massachusetts.
The inspection of the septic system showed that the system"Fails under the guidelines
of the 1995 TITLE 5(310 CMR 15.00) DUE TO THE FOLLOWING:
• The System is in hydraulic failure.
You are ordered to repair or replace the septic system within'sixty\60) days from the date you
receive this notification.
4
Failure to repair/replace the septic system with the deadline period will result in future
enforcement action
PER ORDER OF TH OARD OF HEALTH
s McKean, R.S. CHO
Agent of the'Board of Health
•
Q:\SEPTIC\L.etters Septic Inspection Failures or Future Eval\Regulatory Authority.doc
- COMMONWEALTH OF MASSACHLISETTS
'EXECUTIVE"OFFICE OF ENVIRONMENTAL AFFAIRS.
DEPARTMENT OF ENVIRONMENTAL PROTECTION
o
1 :
I i
TITLE.°S
OFFICIAL INSPECTION FORM NOT FOR VOLUN7CARX,ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL:SYSTEM FORM
u PART:A
- CERTIFICATION.'. ,-
Property Address 78 Lake Street ' ±
I
Cotidt MA02635.:
Owner's Name: AAlev Childs Jr.. -
Owner's Address: :
F
Date of Inspection: Februarv28. 2012
Name of Inspector jPlease Print) James M Ford
Company Name: 'Jantes M`For d
Mailing Address: P O:Box 49
Oster vrlle;MA 02.655-0049
Telephone Nuniber. (508) 862-9400.
CERTIFICATION:STATEMENT
Lcertifythat I have personally inspected the sewage disposal system at thrs address and that the inforrriahon reported
below is true,accurate and complete as'of the time of the.ins pection. T.he inspection.was performed based on my �
training and experience in the proper function-and maintenance of on site sewaR6 disposal systemsl I am a REP
c�>
approve.d'systenimspector pursuant to Section 15.340 of Title 5(310 CMR 15.000): The system
_ .Passes
Condittonally Passes co
Needs Further Evaluation by the Local Approving Authority ,
;/-"°' Fails �• "`�
Inspector's. Signature Date: February 29. 2012
. .
The system inspector shall s it_a copy of this inspection report to the Approving Authority(Board of Health;or
�9 DEP)within.30 days of completing this.inspection.. If the.system is a shared system.or has a design flow of 103000
gpd.or.greater;.the inspector and.the system owner shall_submit the report to the appropriate regional office of the
DEP. The original should be sent to the'system.owner and copies sent to the buyer;if:applicable,and the approving
authority.
Notes and.Comments 'Single Cesspools"Fail fit the Torun of Bkrnstable
****This:;report`only describes conditions at the time of inspection and under the conditions of use at.that
time.': inspection'does not address ho?v the system will perform inahe future under the same:or different"
conditions of use.
Title 5.Inspection Fonn 6/15/2000 .. " page 1
Page 2 of 11
h
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS '
SUBSURFACE SEWAGE DISPOSAL SYSTEM'INSPECTION FORM
3 s PART A
CERT..IFICATION (continued)
Property Address: 78 Lake Street
Cotuit.MA
-Owner: Ashley Childs Jr.,
Date of Inspection: -Febmary.28,2012
Inspection Summary: Check A;B,C,D or E./ALWAYS'complete all of Section'D
A. System Passes:
Lhave not found any information which"indicates that any ofthe failure criteria-described in 310 CMR
15.303.or in 310 CMR 15.304 exist. Any failure criteria not evaluated.are indicated below. ...
Comments:
5
B. System Con ditionall"y✓Passes
q -
- One or more system components as described in the"Conditional Pass" section need to be replaced or
repaired. The system,upon completion:of the replacement or repair,as,approved by the Board of Health;will.pass.
Answer yes,no or not determined(Y;N;ND)in the for;the.following statements. If"not determined",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.aCertificate of Compliance
indicating that the taiik is less.than`20 years_old is available. "
ND explain:
a
Observation of sewage backup orbreak out or high static water level in the,distribution box;due to broken or;
f obstructed pipe(s)'o rdue to a broken;:settled or.uneven distribution box:.System will inspection.if (with.
approval of Board of Health);'
broken pipes)are replaced
obstruction is removed
distribution box is leveled or re laced
P ,
ND explain:
The system required pumping more than4,times a year due to'broken_or obstructed.pipe(s): The system:will_
pass inspeciiofi if(with approval of the Board'of Health)
broken.pipe(s),are replaced
obstruction is removed " g
ND explain:
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SkWA'GE DISPOSAL.SYSTEM INSPECTION FORM
PART.A
CERTIFICATION (continued) ,
Property.Address: 78 Lake Street
Cotuit,MA
Owner: Ashley Childs"Jr:
Date of Inspection: February 28..2012
C. Further.Evaluation is Required by the Board of Health:
Conditions exist whichrequire further evaluation by the Board of Health iri order to"determine if the system
is failing to"protect public health,'safety or the environment. "
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
system.is not functioning in a manner which will protect public health,safety And.the environment. ,r
_ Cesspool or privy is with.650 feet of a surface water''
Cesspool or privy is,:withi''50 feet of a bordering vegetated wetland or,a salt marsh
.2. System,will fail unless the Board of Health,(and Public Water Supplier;if any)determines that the
system is functioning in a mannerathat 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 l 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 inore from
private water..supply well"."Methbd used to determine distance
tThis System passes if the well water analysis;performed at'a DEP certified'laboraiory, for coliform
bacteria,and`volatile organic compounds indicates that the well is free:from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm,provided,that no other
failure'criteria are triggered `A copy of the analysis must.be:attached to.this.form.
3. Dther: f
-3
E
Page 4 of 11
OFFICIAL INSPECTION.FORM-NOT FOR,VOLUNTARY ASSESSMENTS .
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
} PART A
10ERTIFICATION (continued)
Property Address: 78 Lake Street
Cotuit.MA '
Owner: - Ashley Childs Jr.
Date of Inspection: February 28, 2012
D. System Failure Criteria applicable to all systems: •'
You must indicate either".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 orponding of effluent io.the sin-face.of the ground or surface:waters"due to an overloaded or
clogged.SAS or`cesspool .
✓ Static.liquid level in the distribution.box above outlet invert due to ari.overloaded or clogged SAS or
cesspool
Liquid.depth in cesspool is less than.6"below invert or available volume is less than%z day flow
✓ Required pumping more than 4.times in the last year NOT due to clogged or obstructed pipe(s). 'Number
of times pumped n
✓ ;Any portion of the SAS,cesspool or privy is below high ground water.elevation
✓ An 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 l of a public,well.
_ ✓ Any portion of a cesspool or privy is within.SQ feet of a private water'supply well '
F ✓• Any portion of a cesspool`or privy is less than,100'feet but greater than 50 feet from a private.water
.:,supply well.with no acceptable°water quality analysis.[This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria,and volatile,organic compounds
indicates that.the well is.free from pollution from.that facility''
nd 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.]
Yes (Yes/No)The system fails. Lhave determined that one or more of the above failure criteria exist as
described in-310 CMR15.303,therefore the system fails. The system owner should-contact the Board of
.Health to'determine what will'be necessary to correct'the failure
NOTE:SINGLE CESSPOOLS A UTOMATICALLY FAIL IN THE TOWN OF BARNSTABLE. -,
E. Large System
To be considered a large,system the system must serve a facility with a.design flow of 10,000 gpd to 15,.000
gpd
You must indicate either;"yes"or"no,"to each of the following:. 2,
(The following criteria:apply to large systems m addition to the criteria above) `F
Yes No
the system is within 40.0 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply.
`'the"system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-slWPA)or a.mapped
Zone II of a public,water`supply well
If you have answered"yes'. to'any question in Section E the system is considered a significant threat,or.answered
`-`yes"in.Section D above the large system has failed: The owner or operator,of anylarge system colts dered`8'
significant.threat under Section E.or failed under Section D.shall upgrade the system in%accordance with 310 CMR•
` 15.304. The system owner.should contact the appropriate regional office of the Department:
f
4
Page'5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY:ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM_INSPECTION FORM
PART B
3 CHECKLIST
} Property Address: 78 Lake Street
t
Cotuil.MA
Owner: Ashley Childs Jr.
Date of Inspection: February 28, 2012'
t Check if the following have been done: You must indicate"yes"or:"no"as to each of the following.
Yes. No
✓ Pumping information was'provided�by the owner,occupant,or Board,of Health
✓ Were any of the system components pumped out in the previous two weeks
✓ Has the system'received normal flows in the previous`two week period:?
✓ Have large.,volumes of water been introduced,to the system recently or as part of this inspection T
✓ Were as built of the system obtained an 'examined? (If they were not available'note asN/A). r..
r
VJas the facility or dwelling inspected for signs of sewage backup?
✓ Was the site inspected for.'signs of,break out? .
✓ Were all system components;.excluding the SAS,located onaite?, "
r , .
✓ 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;`dimens ion s,`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?
r
The size and location of the Soil`Absorption System(SAS)on the.site has been determined based'on,
Yes. 'No'
✓ Exist nginformatiom: For`example,;a plan at the Board of Health
Determined in the fieldy.(if''any of the failure criteria related to Part.0 is at issue approximation,of_distance
is unacceptable) [310:CMR 15.302(3)(b)]
_. 5
p
Page 6 of l l
o-
OFFICIAL INSPECTION-FORM-NOT.FOR°VOLUNTARY-ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION.FORM
PART C
SYSTEM INFORMATION -
Property Address: 78 Lake Street
Cotuit.MA +
Owner: Ashley Childs+Jr.
ru
,
Date of Inspection: Febary 28. 2612
I; FLOW CONDITIONS
RESIDENTIAL r
Number of bedrooms(design): n/a Number of bedrooms(actual); 3 4 ,
DESIGN flow based on 310:CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a
Number of current-residents: 0 s
t "Does residence have a garbage grinder(yes or no ' n/a
Is laundry on a separate sewa e s stem es or no n/a rY p g Y (y ) [if yes separate inspection required]
Laundry system inspected(yes or no): No
.Seasonal use(yes or no) No >'
' Water meter readings;if available(last2 years1usage(gpd)): Unavailable"
Sump Pumpes or no.. (Y ) No ..
Last date of occupancy:. Unknown'
{ COMMERCIAL/INDUSTRIAL `
i Type of establishment:
Design flow(based on 310 CMR 15.203) gpd
Basis of.design flow(seats/persons/sgft,etc).
x Grease trap present(yes or no):
Industrial waste holding tank present(yes or,no)
..Non-sanitary waste discharged to the Title'5;system`(yes or no):
Water meter readings;if available.
j Last date of occupancy/use .
OTHER(describe): '
GENERAL.INFORMATION .
Pumping Records
Source of information:' Unavailable
j Was system pumped as part of inspection:(yes or no): No
If yes,volume pumped: Gallons--How was quantity,pumped determined
Reason for pumping:
TYPE OF. SYSTEM
Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared.system(yes or-no) (if yes,attach previous inspection records;if any)
Ino vatiee/Alternative"technology :Attach a`copy.of the,current operation and maintenance contract(to be
obtained.from system owner):.
Tight Tank ,- .: Attach a copy of the DEP approval Y
Other(describe)'. '
Approximate age of all components,date installed(if known)and source 5of information
Date unknown'
Were sewage odors detected when arriving at the.site(yes or no): No
6 _ ..
Page,?of 11
OFFICIAL INSPECTION FORM:' NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL:SYSTEM INSPECTION FORM-
PART C
SYSTEM INFORMATION,(continued)
;r Property Address: 78 Lake Street
COmit,MA
Owner: Ashley Childs Jr. .
Date of Inspection: February 28, 2012
1 BUILDING SEWER(locate on site plan) "
Depth below grade:
Materials of construction: cast iron _40;PVC other.(explam):
Distance-from private water supply well or suction line: x.
Comments(on condition of joints,-venting,evidence of leakage,.etc):
SEPTIC TANK: N/k (locate on site plan)
Depth below grade:
Material.of.construction:'_concrete•_metal _fiberglass _polyethylene
other(explain) r
If tank is metal list a e Is age confirmed b a Certificate of Com liance es_or no g g y. p (Y ) (attach a copy of ...
certificate) .
Dimensions: f
Sludge depth
' Distance from top of sludge to bottom of outlet tee or.baffle
Scum thickness:
Distance from top.of scum to top of outlet tee ofbaffle:
Distance-from:bottom of scum to bottom of'outlet tee or baffle:
How were dimensions determined
Comments(on pumping recommendations;inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert;evidence of leakage,etc.):
..3
GREASE TRAP: None (locate on site plan)':'
Depth below grade
Material'of construction:'_concrete _metal ` fiberglass "_polyethylene _other.:, }
(explain):
Dimensions:
Scum thickness: ;
Distance from top of scum to top:of outlet tee or baffle; :
Distance from bottom ofscum.to_bottom:of outlet tee or baffle J
Date of last pumping::,
Comments(on pumping recommendations,inlet and outlet tee or;baffl* condition,structural integrity,liquid levels
as related.to outlet invert;evidence,of leakage,etc.).: .`
E
7...
t i
h -y
Page 8 of 11 ,
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM:INSPECTION;FORM
f PART;C
SYSTEM INFORMATION (continued)
-
Property Address: 78 Lake Street "rz4
Coiuit,MA a
`
Owner: Ashley Childs A..
{
;
Date of Inspection: February 28, 2012 ,
: .TIGHT or HOLDING TANK: - None (tank must be pumped of time of inspection .(locate on site plan)
Depth,below grade:
Material of construction:.,_concrete': ".'inetal —fiberglass,
t
fiber lass f enYlene other.(ex lain
)
Dimensions:
Capacity: gallons ,
Design Flow: gallons/day
I Alarm present(yes or n(j):
Alarm level: .'Alarm in working order(yes or;no),
Date of last pumping: }.
Comments(condition of alarm.and float switches,etc.)::,
t. :
DISTRIBUTION'BOX: None (if present must be opened)(locate on site plan)
-Depth of liquid level above outlet invert:'
Comments note if box is level and.distribution to outlets e ual an evidence.of solids ca( q ,any rryover,any:evidence of.'-,',
leakage into or,out of box,etc,):
Y ..
4 ,
PUMP CHAMBER None '(locate on site plan)
Pumps in working order(yes or no):j
Alarms in working order(yes or no) `
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.), ,
•
E s.: Page 9 of l l
OFFICIAL INSPECTION FORM-NOT,FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 78 Lake Street t
r Cotuit,MA
Owner: AshleuChilds Ji.
Date of.Inspection:. February 28. 2012
SOIL ABSORPTION.SYSTEM(SAS) None (locate on site plan;excavation not required)
" If SAS not explain why:
1 ,
Type
,
'
{ . . leaching pits,number:'
leaching chambers,number:
t leaching galleries,:number.
leaching trenches;number,length t
leaching fields,number,dimensions;.
i overflow cesspool,number: r
' Innovative/alternative system :'Type/name of fechnology.
Comments(note condition of soil,signs of hydraulic,failure,level of:ponding,.damp soil,condition of vegetation,.etc.):
CESSPOOLS: ✓ . (cesspool must be pumped as part of inspection)(locate on site plan)
Number and.configuration: I single cesspool
". Depth-top of liquid to inlet invert: --
Depth',of solids layer: 6"sludge
1 Depth of scurn layer:--
'Dimensions of cesspool: 4'W x 3'Tx 6' bottom to grade
_Materials of:construction:� Cessvool block
Indication of groundwater inflow(yes or no);;L-;-"None
i Comments"(note condition of soil;signs,of hydraulic failure,level of ponding,condition of vegetation;etc.):
The cesspool was dw. The cover was broken a2d warlaced and was1�" elo tmatcally ilsp g ie in
the town of Barnstable. .,
PRIVY:, None (locate on site plan) .
Materials of construction:
Dimensions
'Depth.of,solids `
Comments(note condition of soil,signs.of hydraulic failure,level of ponding,condition•of vegetation,etc.):,
,
a:
9.
�� ..
i Page 10 of Ll 4*
i
OFFICIAL.INSPECTION,FORM'-NOT FOR VOLUNTARY ASSESSIVIENTS
t j SUBSURFACE SEWAGE DISPOSAL SYSTEM:INSPECTION:FORM
I . •
PART C' =,
c I : SYS;TEM:INFORNVIATION•(contmued)
:Property Address: r78 Lake Street
�. 'Co'uit,MA
Owner: Ashur Childs Jr..
h Date of Inspection:', February 28, 2012
y p
+ I .:. ..
SKETCH OF SEWAGE DISPOSAL SYSTEM
I' Provide a sketch of the sewage,'disposalcystem including ties tc at least two permanent reference landmarks or.f
benchmarks:. Locate all-wells within 100 feet..Locate where public water,supply enters the building.'
LJ77
t
•
Y
>
- 1
t
- i
j
Q YYY
,
E
i
10
P
Page.l l of 11
-OFFICIAL INSPECTION FORM-'NOT FOR.VOLUNTARY ASSESSMENTS.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 78 Lake Street .
Cotuit:MA r
Owner: Ashley Childs.Jr::'
Date of Inspection: Februdry 28.-'M]2 ~
} SITE EXAM
r
Slope
Surface water
Check cellar .
Shallow wells
r
Estimated depth 6,ground water 35 +/- feet
1. Please indicate (check)all methods used to determine,the high ground water elevation:
Obtained from system design.plans on record- If checked, date.of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS) , f
✓. Checked with local Board"of Healih-explain:-topoerayhic and water contours niays
Checked with local excavators,installers (attach documentation)
. Accessed USGS database-explain:
You must describe.how you established the high groundwater elevation.
Usink Barnstable topoerapliicand water contours maps, the`inaps were showing ayproxinzately 3S'+/-to ground water at this
site.
i
i
,This report has been prepared only for the septic system and components described lies eut This septicsystem has been.
inspected mid faled i as.of the date of inspection. This report is not.a warranty orguarantee:that the system will'
fcuiciiori,properly in the future.,:There have beer:.no warraiities orgaarantees,.either,expressed, written or implied,
relating to'the.septic-system,'lhe inspection, this report andlor any components of the'septic system which have not:
been located and inspected.
- 11 ,.. •
.. : ..
J
AsBuilt Page 1 of 1
p TOWN OF BARNSTABLE
LOCATION O /AJ L • ST. SEWAGE#
VILLAGE C OTV ASSESSOR'S MAP&PARCEL.
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY S I n 4- CQSSP cn
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS 3
f OWNER
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet jf
FURNISBEDBY TnS O;^^/a
101 glG,c�
0
L
a c� ay
f
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=020023&seq=2 5/7/2012
NOTE: ,
LOCAL UPGRADE VARIANCE REQUIRED LEGEND COTUIT
FOR S.A.S. COVER. o
36 INCH ALLOWED MAX. CONCRETE BOUND (FND)
IRON PIPE (FND) O. oys,
66 INCHES. DESGINED WITH ,Q
EXISTING CONTOUR 105 •Po
. H2O CHAMBERS AND VENT. COTUIT
EXISTING CATCH BASIN G'
} EXISTING CESSPOOL OND
LOT 167 go
A.M. 20/22 LE
ET BAY
! spHpOL
S
46.82' DEED
S 89'25'30' W 47.82'
# A.M. 20f23 d
10353.5 sty h LOCUS MAP.
0.2 ACRES PLAN REF:. 26-71 & 127-27
'� 3 DEED REF: 4959-30
--log o
CWCOAL h ����NOF ASSESSOR'S MAP: 020/023
19. v�rr DAVI ZONING: RF
10.3ft z PROPOSED S.A.S. CHAMBER A.M.20/24 O B. SETBACKS: 30'-15'-15'
r
TRENCH H2O LOADING MASON m FLOOD ZONE: C
O `.. .w_10 p --�
NO.1066 0 �,� PANEL NUMBER: 250001 0021 D
1992
2
D/B H2O LOADING DATED: 7/ /
--- 10_7ft Nr OVERLAY DISTRICT MA ESTUARY
It.: iY GARAGE ( 3 NOTE: REMOVE SHED. .. . `
w._
______ 1,Q.1 O 10.ift PROPOSED 1500 GALLON TANK ��� ;h.°� SEPTIC REPAIR PLAN-
ros LOCATED AT:
t = 8' --
-
NOTE: CESPOOL TO BE ABANDONED PER TITLE FIVE. 78 LAKE STREET
COTUIT, MA
104
BENCHMARK:
ELEVATION: 1004 BS' - Q cj\S CRF�
——— — "_^ DATUM: ASSIGNED STEPNEN ® '
® PREPARED FOR:
103 OOY�E CRAIG CARBON
NOVEMBER 21 ; -2012
��®®q OSUR��
L 59A8 10a \` , t REV:
�o W
t y
REV:
iw c`!
v..,30, REV:
E g �� - GRAPHIC SCALE
YANKEE LAND SURVEY CO, INC.
30 D 15 30 60 119 ROUTE 149
® LAKE STREET MARSTONS MILLS, MA
1 inch = 30 ft TEL: (508)428-0055 FAX: (508)420-5553
yankeesurvey@comcast.net www.yankeesurvey.net
SHEET 1 OF 1 JOB#: 54811 JM
` - S EWAG E SYSTEM - PROFILE, VIEW N . T . 5--
T.O.F. EL. 104.85 1/8" TO 1/2" DOUBLE WASHED STONE ® 3" THICK OR GEOTEXTILE FABRIC CHARCOAL
/ VENT
FIN GRADE = 105't FIN GRADE = 106.30't / FIN GRADE = 107.t
i� RISERS
in
20" 20" $ 8.5' INSPECTION
DIA. DIA. oRi (ONE)
ON EL. 101.46'
EL. 103.5' ° _.._....._.
e MIN EL: 100.63' o 0 0 0 0 0
DIA a ° G • • °
EXISTING INV EL MIN. 6" INV EL • ° •"° EL 98.63'
TO REMAIN INV EL. 10" MIN. 14" MIN. INV EL 101.33' SUMP 101.13' • �. — --- 3/4" — 1 1/2" --- — '•"°
102.08' BELOW FLOW LINE 101.83' +s 6" STONE • 48 •48
LIQUID LEVEL 48" H2O LOADING - DOUBLE WASHED STONE
GAS BAFFLE DISTRIBUTION Box ' 25' 00
PROPOSED CHAMBER TRENCH L6
PROPOSED 1500 GALLON TANK H2O LOADING
PRECAST REINFORCED CONCRETE DISTRIBUTION BOX
TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A DISTRIBUTION BOX SHALL HAVE WATERTIGHT COVER NOTE:
MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON MINIMUM WALL THICKNESS = 2" SOIL CONSISTANCY SHALL'BE VERIFIED BY
THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE MINIMUM INSIDE DIMENSION = 12" THE SOIL EVALUATOR PRIOR TO SYSTEM INSTALATION BOTTOM OF SOIL PIT = EL. 92.8'
CLEAN—OUT MANHOLE. OUTLET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT NO GROUND WATER OR
THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2" NOR MORE THAN 3" 2" MINIMUM BELOW INLET INVERT. REDOXIMORPHIC FEATURES OBSERVED
ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL ALL HAVE
SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9" EQUAL INVERTS AS DETERMINED BY FLOODING THE DISTRIBUTION BOX TO
THE HEIGHT OF THE DISTRIBUTION LINE INVERT AFTER ALL LINES HAVE
TWO 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE COVERS BEEN SEALED IN PLACE.
OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS PORTS. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE AND
MIDDLE ACCESS PORT SHALL BE 8" DIA. MINIMUM. NONDEFORMABLE MATERIAL PERMANENTLY FASTENED TO THE LINE OR
THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF EQUAL ELEVATION.
SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, DISTRIBUTION BOX SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL..
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH
6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND 6" OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND
TO PREVENT SETTLING. TO PREVENT SETTLING.
CHARCOAL
VENT
SEPTIC TANK CAPATICY:
REQUIRED — 330 GALLONS AT 200% DESIGN DATA:
PROVIDED — 1500 GALLONS THREE BEDROOM = 3 X 110 = 330 , GPD REQUIRED FLOW FIN GRADE = 107f
NO GARBAGE DISPOSAL ALLOWED 12.83 ' ' '- ' - 7
USE: CHAMBER TRENCH 251 X 12.83'W X 2' EFF/DEPTH 34" • �' •b.e
(25' + 25' + 12.83 + •12.83) X 2.0 = 151 S.F. ° ' _ 24"
GENERAL NOTES: • 48" ° °48"
1 . ALL THE WORKMANSHIP AND MATERIALS SHALL CONFORM TO DEP 25 X 12.83 = 320 S.F. 58
TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 471 X 0.74 = 348 GPD TOTAL DESIGN FLOW ;
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF TRENCHES = ONE
2. ACCESS PORTS OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6" NUMBER of UNITS = Two
OF FINISHED GRADE PROPOSED LEACH TRENCH = END VIEW
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF INSTALL TWO 500 GALLON UNITS
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' WITH FOUR FEET OF DOUBLE WASHED STONE
r AT SIDES AND ENDS
OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER .OR WITHIN' T.P. #1 PERC <2 M/INCH T.P. #2 PERC <2 M/INCH
10' OF DRIVES OR PARKING, UNLESS NOTED.
4. THE EXCAVATOR/CONTRACTOR SHALL CALL "DIG SAFE" AND VERIFY THE LOCATION EL. 104.0' 0" EL. 104.0' 01.
OF SITE UTILITIES PRIOR TO ANY EXCAVATION, AND SHALL BE RESPONSIBLE FOR 10 YR 4/3 10 YR 4/3
ALL MATTERS RELATING TO ELECTRIC AND/OR GAS EASEMENTS. 7" 7"
5. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4" DIA. UNLESS OTHERWISE NOTED),
6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE "B" "Ls" 10 YR 6/8 "B" "LS" 10 YR 6/8
SOIL DATA:
MORTARED IN PLACE AND SECURED TO UNAUTHORIZED ACCESS. 29" (EL 101.5) 29" (EL .101.5') TEST DATE: 07-05-2012
7. FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT. PER FOOT. SOIL EVALUATOR: DAVE MASON
8. EXISTING SYSTEM COMPONENTS — IF ANY — SHALL BE ABANDONED PER MEDIUM .. » 1994
TITLE 5 REQUIREMENTS. 4 ..�. SAND 10 YR 7/4 C SAND MEDIUM 10 YR 7/4 APPROVAL DATE: _1 0L_____
9. THE EXCAVATOR CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT YANKEE HEALTH AGENT:. DON DESMARIAS
/ EL 92.8' 134" EL 92.8' 134" P 13,679
SURVEY 24 HOURS PRIOR TO ANY REQUIRED INSPECTIONS. #
10. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR No G\WATER OR NO G\WATER OR
COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. REDOXIMORPHIC FEATURES REDOXIMORPHIC FEATURES
SHEET 2 OF 2 JOB#: 54811