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Home My WebLink About0140 LITTLE RIVER ROAD - Health 140 Little River Road, Cotuit A= 054 - 024 - 001 I , TOWN OF BARNSTABLE j'. LOi AT ON Me L,111e All SEWAGE # 7.0 VILLAGE- ASSESSOR'S MAP & LOT d S"tI 6, INSTALLER'S NAME&PHONE NO. &/b/olli' 6uYl e>4-s �a1Q 89a6 SEPTIC TANK CAPACITY /fib 6K/L LEACHING FACIL=: (type) f`od Gil e4o,0A-J (size) /3;1 I NO.OF BEDROOM BUILDER O OWNER oa�1r1�► PERMITDATE: // i71.1 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 ✓etAd /Y/O � LP'FY' J,�i '� 1 ya '� sa(,� � �I�G' (yob' � .� y � i 1 TOWN OF BARNSTABLE -LOCATION 0110) SEWAGE # VILLAGE (nn O i� ASSESSOR'S MAP /&LOTUSr,00/ rNAME&PHONE NO. V�dr 1,1>a, (✓vr� / SEPTIC TANK CAPACITY -psS a2a� LEACHING FACII.ITY: (type)- (/J (size) /d OU .�q NO.OF BEDROOMS �7 BUILDE R OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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)facili Feet Furnished by up r�onrr(DF Wow Sir �a,u 77 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplicatiou for �Diopotal *potem Construction Permit Application for a Permit to Construct( )Repair(t/)Upgrade( )Abandon( ) ❑Complete System LJ Individual Components Location Address or Lot No. Owner's Name,Address and Ted,No. 1ya Zile 11pel . Assessor's�ap�c Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. igef/ e � � ��` e290)7 3 Type of Building: S„ �� Dwelling No.of Bedrooms Lot Size i sq.ft. Garbage Grinder(/ 40 Other Type of Building e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ile gallons per day. Calculated daily flow ® gallons. Plan Date // Number of sheets Revision Date Title Size of Septic Tank /,5'-Vel Type of S.A.S. Description of Soil � X 3, ✓�/��Z, y�j, I c Nature of Repairs or Alterations(Answer when applicable). Date last inspected: Agreement: The undersigned agrees id 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 Bo d o eal Signed j Date f`//�✓�� Application Approved by Date Z fe5 C Application Disapproved,for the following reasons Permit No. Date Issued iNo. 0�1 /G/` Fee 1/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: :PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIpprication for �Diopogar *potem Conotruction 3permit Application for a Permit to Construct( . )Repair(✓)Upgrade`'(` )Abandon( ) D Complete System M Individual Components Location Address or Lot No.I%,�-, /1�/Q A'ial� Owner's Name,Address and Tel No. Assessor's ap (� //rGG Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 17e Z7-7; P1 .- Type of Building: �„ >��T Dwelling No.of Bedrooms Lot Size i sq.ft. Garbage Grinder Other Type of Building l�tS P_ ✓ll P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow � gallons. Plan Date d_/ Number of sheets Revision Date f Title L Size of Septic Tank Type of S.A.S. Description of Soil; 4Z X Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance.of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system inTperation until a Certifi- cate of Compliance has been issued by this Bo d o eal Signed Date Application Approved by Application Disapproved for the following reasons Permit No. ;Foly Date Issued f " THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of Compliance THIS IS TO CER ,Zt�O -site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by �l /� at 0 / r C® �/.T has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Installer Designer The issuance of this ermit shall not be construed as a guarantee that the system will function as dgsi�ed. Date 1 -7 j �r��(1 Inspector �Gr a� Iva. ..L1�Tti t t_ � 4 Fee �� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migo5al 6pgtem Construction PerM"I'd Permission is hereby granted�to Con�tructRepair 1/�p�ade( )Abandon( ) System located at // [ _lea ' 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 completed within three years of the date of t ' rmit. Date: Approved b -�� ✓ ' '�'��J TOWN OF BARNSTABLE LOCATION ��/O L��, r �� '� SEWAGE # �" d VU LAG ASSESSOR'S MAP & LOT d 5-1 f 1,6AqtAI INSTALLER'S NAME&PHONE NO. IBI�J�i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 4oB G'cl d '�� _ (size) /-7 2 NO. OF BEDROOM BUILDER O 7WN;ERPERMITDATE 0/ COMPLIANCE DATE: 2 0O 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist �� within 300 feet of leaching facility) Feet Furnished by i j O y , c s BORTOLOTTI CONSTRUCTION,INC. 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 (JAN �� ' 508-771-9399 508-428-8926 FAX: 508-428-9399 3 1 j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F �AOFggq PART AMDBi CERTIFICATION Property Address: Date of Inspection: /-,�9 9 7 Inspector's Name: Owner's Name and Address: CERIMCATION STATEMENT* I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal stems. The System: Passes Conditionally Passes Needs FurtWEvation By a cal Aproving Authority Fails Inspector's Signature: Date: l,&0/9 7 The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: A)SYS PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 3.10 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One r o more sys tem components ne ed eed to be replaced Po aced r re paired.e aired comple- tion p . The system,upon comple lion of the replacement or repair,passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe basis of determination in all instances. If "not determined",explain why not. . The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of The Board of Health): -1 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: - Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303..The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clog- ged SAS or cesspool. Liquid depth in cesspool is less than b"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped -2- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to a large system.in addition to the criteria above: The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant . threat to public health and safety and the environment because one or more of the following conditions exist: The system is within 400 Feet of a surface drinking water supply The system is within 200 Feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area Interim Wellhead Protection Area (IWPA)or a mapped Zone II of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: t Tumping information was requested of the owner,occupant,and Board of Health. None of the system components have been pumped for atleast two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ✓As-built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components,excluding the Soil Absorption System,have been located on site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition of baffles or tees,material of construction,dimensions,depth of liquid, pth of sludge,depth of scum. _ The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) VThe facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS 1 ' Design Flow: .y� allons Number of Bedrooms: Number of Current Residents: Garbage Grinder: d)o Laundry Connected To System: �S Seasonal Use: 00 Water Meter Readings, if ail able: Last Date of Occupancy: COMMERCIAL/INDUSTRIAL:." /() Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings,If Available: Last Date of Occupancy: OTHER: Describe) Last.Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: g� (. mt .P.d' System Pumped as part of inspection:_ If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool . Overflow Cesspool Privy Shared System(If yes, ttach previous inspection records, if any) t�Other(explain): . APPROXIMATE AGE of all components,date installed(if known)and source of.information: Sewage odors detected when arriving at the site: -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: concrete metal FRP Other (explain) Dimisions: Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) GREASE TRAP: Depth Below Grade: Material of Construction: concrete metal FRP - Other (explain) — — — — Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage, etc.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction: concrete metal FRP. Other(explain) Dimensions: Capacity: , gallons Design Flow:_ gallons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm and float switches, etc.) DISTRIBUTION BOX: IdL Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) -5- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): (Locate on site plan, if possible;excavation Cot required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: ' Leaching chambers, number: Leaching galleries,number: Leaching trenches,number, length: Leaching fields,number,dimensions: Overflow cesspool,number: Comments: (note cono f soil, signs of hydra is failure level of ponding,condition of vegetation, etc.) T CESSPOOLS: Number and co guration: 1 S Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool:zo `D ' Materials of construction:(o"A�AkIndication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk,signs off,hy4raulic.failure,level of ponding,condition of vegetation, etc.) 'w ' PRIVY: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,. etc.) -6 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atieast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. 1,11AYL9, lD" 53� i ,I g�`° DEPTH TO GROUNDWATER: Depth to groundwater: Z 1 Feet Method of Determination Oy ApKoximation: Or -7- TOP FNDN EL. 45.6' SYSTEM PROFILE TEST HOLE LOGS " ACCESS COVER 7❑ WITHIN 6' OF FIN. GRADE (NOT TO SCALE) AH OJALA, PE ;. ACCESS COVER (WATERTIGHT) TO ENGINEER: 43.0' MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6' OF FIN. GRADE DAVID STANTON 2% SLOPE REQUIRED OVER SYSTEM Z5' - 43.0' WITNESS RUN PIPE LEVEL 2' DOUBLE WASHED PEASTON DATE! 11/2/O1 42.4 FOR FIRST 2' < 2 MIN INCH (EXIST PROPOSED 1500 3 MAX. PERC. RATE = / GALLON SEPTIC 40 75' TEE 40.5' I 41.0' TANK (H- 10 ) GAS I 7 CLASS SOILS P# ��P T ROAD BAFFLE 39. 9 39.96' �""GP C7 0 CI 0 0 CJ C1 Cl C7 LOCUS ono POST 39.67' E3 CI m CI E J C 0 CJ ED 4' AROUND ( 3 7. SLOPE) t_____6' CRUSHED STONE OR MECHANICAL 0 CO E-1 0 0 O 0 M 0 ELEV. COMPACTION. (15.221 12)) g 2' 11 EJ 0 0 ED ED 0 0 0 C7 0 37.67' 0." 42.2' DEPTH OF FLOW 4 ( 9 z SLOPE) ( 1 % SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONE """ LS TEE SIZES-. INLET DEPTH = 10 5.9' 2 1OYR 3/2 _- OUTLET DEPTH = 14" MS LOCATION MAP NOT TO SCALE ' 31.70' FOUNDATION - 47' SEPTIC TANK 9' D' BOX 14' LEACHING 4" 10YR 6/2 ASSESSORS MAP 54- PARCEL 24-1 FACILI rY 45.1 8 LS LEGEND p + 42.5 30" 10YR 5/639.70' 100.0 PROPOSED SPOT ELEVATION 4 + .3 44.0 C 100x0 EXISTING SPOT ELEVATION 00 � 'PROPOSED CONTOUR 6 a3.4 M/C SAND - 100 EXISTING CONTOUR 38. 14~ PIE + TH g" w.PINEs 4_ II 44.6 39.p, + 4 2.5Y 6/6 + 35. 7 44. 14"0 + 4 PAVED 6.4 1' 3.7 4 4.0 DRIVE „ � 3s. + 126 31.70' 3.2 43. HcxLYS NO WATER ENCOUNTERED NOTES 35 8 � ------ -- �,y 44,ti b 4 36.OM n " 2 4 7 BENCH MARK - TOP OF 1. DATUM IS APPROXIMATED FROM BARNSTABLE GIS MAI) ct + 4 44.5 -- - �� 2 B cH CONCRETE BOUNDLln,t; F�nl_ �ir�rc- Tc T V Ir 36.4 + 4 .0 N L.:F? _ EL . � 45.1 ('ASSMD G.I.S:), ?. I C L _ _ ___ _ 3. MINIMUM PIPE PITCH TO BE' 1/8' I�'CF' :'9nT. 37. ' a - 4. DESIGN LOADING FOR ALL PRECAST UN1 i S TO 1,L 610 DRIVEWAY PAVED 0 5. PIPE JOINTS TO BE MADE WATERTIGHT. J _ ACCESS VIA LITTLE RIVER ROAD DRIVE a) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WI7I-1 MA'SS. + a4 Exlsr, DWELL. cv ENVIRONMENTAL CODE TITLE V, -, 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE + 36.5 1 USED FOR LOT LINE STAKING. 77008, 3 ' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC, BRICK PATIO 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITI-OU1 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAIN[D + 44.8 FROM BOARD OF HEALTH. 87,43' ' b 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING CESSPOOLS. b b b 43.2 + 43.4 TITLE 5 SITE PLAN OF LOTS 1 & 2A 140 LITTLE RIVER ROAD 59,499t SQ. FT. IN THE TOWN OF: 1.37t ACRES W (COTUIT) BARNSTABLE 42.0 06 PREPARED FOR: BORTOLOTTI SEPTIC bESIGN: (GARBAGE DISPOSER Is NOT ALLOWED ) -' W 41.9 CONSTRUCTION/F'OMETTI DESIGN FLOW: -4 BEDROOMS ( 110 GPD) = 440 GPD APPROVED USE A 440 GPD DESIGN FLOW 30 0 30 60 90 SEPTIC TANK: 440 GPD ( 2 ) = 880 BOARD OF HEALTH - �42.4 USE A 1500 GALLON SEPTIC TANK 11o.35 a2.1 r -+ 43.0 DATE MA SCALE: 1" 30' DATE: NOVEMBER 2, 2001 LEACHING: 2(33.5 + 12.83) 2 (.74) _ 137 +��g " ' + SIDES - 65 - off 508-362-4541 OF MA 33.5 x 12.83 .74 - 318 �°' fax sOB 362-9880 �� g, ��°`1t��'gjr'`'c, ( ��t4 i ++ 4�.7 O �D � ARNE H. �� ARNE BOTTOM: oJALA ,� z H, 615 455 �j� I S c1v1� y g OJAIA p�. TOTAL: S.F. GPD 4r44.1 O�D p� down cope engineering, inc NO.3M2 9 No. 2634A P USE (3) 500 GAL. LEACHING CHAMBERS, ACME OR q v o EQUAL, WITH 4' STONE ALL AROUND + 42.9 CIVIL ENGINEERS �,��SSQstAIEv��G\�� LAND SURVEYORS /0/0 arr� th. 1-~-264 939 main s y ou a 026 5 t rn 7 - ---- ARNE OJALA, P.E., P.L.S. DATE