HomeMy WebLinkAbout0189 LITTLE RIVER ROAD - Health 189-Little River Road
Cotuit
'` A= 054- 005
TOWN OF/B� STABLE �1
LOCATION f�� L",�Ie /L!U�'� /� SEWAGE# �rC�Uq_ � 2C`
VILU GE CC(� / ASSESSOR'S MAP&PARCEL Q�yleo�
INSTALLER'S NAME&PHONE NO. GzC�II;s%c-- 'I' S-,5-5�Z4
SEPTIC TANK CAPACITY /-500 C/Tux/
LEACHING FACILITY:(type) 0-0 GAt-C tt 41fin1 W(size) 13'x,3Q 1 W
NO.OF BEDROOMS y
OWNER -TA'A/ Gl�/—/72�)g/7FyFi?
PERMIT DATE: / 5—c 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
73" _
�S-
`� �-
K No. 91 FEE G'00
C® ONW 1114 ®F MASSACHUS ETIS
fJ/ ✓A HEALTH DEPT.
Board of HealFh, MA. `
APPLICATION FOP, DISPOMMMM,rMMAUCTION PERMIT
Application for a Permit to Construct( ) Repair Q,<Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components
Location /'& I iMle- j-fI llr,2 W. — rC'-7-z,, / Owner's Name 01g /,f
Map/Parcel# C �`j0 Address / 9
Lot# Telephone#
Installer's Name VCe / /CLC4 ��.��� Designer's Name
Address -Pcy 4/ S✓ Address D.�v f( f��� f,�',/�rJt✓rE
Telephone# Telephone#
Type of Building Lot Size sq.ft.
Dwelling-No.of Bedrooms y Garbage grinder ( )
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow (min.required) gpd Calculated design flow Design flow provided gpd
Plan: Date / ��� Number of sheets `�7 Revision Date
Title
Description of Soil(s) A)5
Soil Evaluator Form No. Name of Soil
Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS IL!��/�k�s�%�1 'C.e-, G IS, 1,�110-19p'V
-3-506 GR C 4-, (L U -,Tt Nd"'b-rOAt E — l 3,�C, r rielo
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further ap-rees to not to lace the t in operation until a Certificate of Compliance has been issued by the Board of Health.
S' Date �� ,,2C'09
Inspections
P',�tRI+F"1� •}�.i41•�iy," 't—'��5 s'rV�+t'SJ�(«:° .`"'ia„ .a:s f1h�•.�y� ryi yy;.•. 4� .....t'�..
l�
/
! 0
No.F=' l�C/ � x f t ; FEE <
CgOMONWEALTIJ OF MASSACHUSET'
--Board of Health, MA.
I B ,
APPLICATIONFOR, DISPOSALS STEM CONSTRUCTIONPERMIT
Application for a Permit to'ConstructO Repair Upgrade( Abandon O O Complete System 0Individual Components
Location 659 -Vi vrl? _ t om,z ! Owner's Name �� // ``P fir el I C. (-"e
$
Map/Parcel# Qy �O� . r Address G� 1 )t/vc`
Lot# Telephone#
Installer's Name /`VC, thc -"� Designer's.Narnel�Fx�
Address a Q( QS/��rit Add es 9
Telephone# '06- - S a Telephone# Tda - 3X a —o2 19
01
Type of Building Lot Size sq.ft.
Dwelling-No.of Bedrooms- Garbage grinder ( )
Other-Type of Building No.of persons. Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow (miry.required, � � gpd Calculated design flow Design flow provided 1/ / gpd
Plan: Date Q0e;1 /y:R00.9 Number.of sheets Revision Date
_Title
Description of Soil(s) 45
:Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
>DESCRIPFIONOFREPAIRSORALTERATIONS�G fl l t�/! ekes/,',�cC�s�l�oa/S, /1 /l f�'C10V
3-5'OD CAI: ef,ia+ti��25 c, pit l�la `So�tE ' :.� %3��(3,?� �`'f��r>✓
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed- .(3 �. Date
• • L� / Ala
InspectionsCOMM:
¶. (, 7 FEE
�T}�}�r
SETTS
Board of Health; �lJ �d l�/�Ala/C' N14:
CERTIFICATE OF:COMPLIANCE
•.in fit - -
Description of Work: ❑Individual Component(s) " O,Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed'( ),Repaired Upgraded '( ),Abandoned (. )
by: Shot<<,.X< (:o ixS�
at' 'l rill e 1�t u C -�d G3tl t - _
has been installed in accordance with the provisions of 310 CMR 15:00 (Title 5) an - he approved design plans/as-built plans relating to
application No. � -�$}J � dated I.1�5IG` Approved D sign Flo (gpd)
Installer -vcc �{aCCL�l�slcr 1
Des igner:MAr-rey('• 'hPy_,e Inspector: CV l{l` ��L=�f Dater L! .11 ACC
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Y No. ..FEE
C®MM®N V'V'FAITH OF MASSACHUSETTS
Board of Health,:; MA.
DISPOSAL. SYSTEWCONSTRUCTION PERMIT
PermissiioCQn.2i(s�her`eby-�g-r�ant�epd to; Construct( ). Repair( Upgrade( ) Abandon( ) an individual sewage disposal system
at y C-.
as described in the application for
Disposal System Construction Permit No. rC w-1, dated 4!1 S
Provided: Construction shall be completed within three years of the date<f`this-permit. All local conditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date q 115 � Board of Healt�
gI� a00 7SA
CB/DH/FND N 84'1237" W 18,3 °0
181,72' to Bn d.) 75� N
(Bn d, � :.
36,009f SF _. CB/DH/FND
Exit . Map 54 65. 1'
h >d Parcel 5 ;
76.5' 36'
0 � Prop.
00 Garage '
0
CO ;` G
O
j 22.7' .2
Existing
New Septic kc
System
Dec
#189
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39.9'
toc,
Fen e
TOWN OF BARNSTABLE ZONING STREET ADDRES 189 LITTLE RIVER ROAD, COT
BY—LAW ASSESSORS' MA 4 PARCEL 5
OWNER: DANIEL S. IMPR
ZONE RF DEED REF..: BK. 7006 PG. 49
SETBACKS
FRON T = 30'
SIDE = 15'
REAR = 15' 1 CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING
PROPERTY LINES SHOWN HEREON SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
WERE COMPILED FROM AVAILABLE OF THE ZONING BY—LAW FOR THE TOWN OF BARNSTABLE..
PLANS OF RECORD AND VERIFIED
ON THE GROUND.
��y . q PLOT PLAN
TERFlY
THE DWELLING DEPICTED ON THIS o` ANN SHOWING PROPOSED GARAGE
PLAN WAS LOCATED ON THE GROUND U VUAR`Ct , i.y
o No. 3$721 c IN
BY SURVEY ON MAY 4, 2009 AND EXISTS AS SHOWN AS OF'THE DATE `ss51t� ` BARNSTABLE, MASS.
OF L OCA TION. r SCALE: 1"=40' MAY 5, 2009
THIS PLAN /S FOR PLOT PLAN / D TERRY A. WARNER, P.L.S.
PURPOSES ONLY. (( 22 LONG ROAD
HARWICH, MA. 02645
(508) 432-8309
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED /N RED. 0 20 40 80
PROJECT NO. 09-127
TOWN OF BARNSTABLE
LOCATION i-q- eVXe- 99, SEWAGE # a�-
VILLAGE ��"O`t�'— ASSESSOR'S MAP 6z LOT
LOcA:cva- 1—po 6A oarLy
INSTALLER'S NAME PHONE NO. 6\�A
SEPTIC TANK CAPACITY &K tS-ftN, ,e o6�--
LEACHING FACILITY:(type) C,,eSc.,ft j%V c-Y-- (size)-- 57 � '
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
Doer AAA o 11
Sys�sZ c C.VsQ6-PO6
APPLICANT: -✓�
ADDRESS: 16ft Ltri L a VtyF-C, F=Q T-0 LT-
DESIGN FLOW: 44o gpd
REVIEWED DATE:
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)(u)] X
Locus Provided 310 CMR 15.2204(t) �(
Plan proper scale? (l"=40' for plot plans, 1"=20' or fewer for
components) [310 CMR 15.220(4)] k
Easements shown [310 CMR 15.220(4)(b)] K
System located totally on lot served [310 CMR 15.405(1)(a) for"
upgrades]- if not, a variance is required [310 CMR 15.412(4)]
Location of impervious surfaces (driveways, parking areas etc.)
[310 CMR 15.220(4)(d)] X
Location all buildings existing and proposed 310 CMR
15.220(4)(c)] X
Location and dimensions of system components and reserve areas
[310 CMR 15.220(4)(e)]
System Calculations [310 CMR 15.220(4)(f)]
daily flow X
septic tank capacity (required andprovided) X
soil absorption system (required andprovided) �(
whether system designed for garbage grinder �(
North arrow [310 CMR 15.220(4)( )]
Existing and ro osed contours (310 CMR 15.220(4)( )] X
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)] x
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and (i)] X
Location and date of percolation tests (performed at proper
elevation?) [310 CMR 15.220(4)(i)] X
Percolation test results match loading rate? [310 CMR 15.242] X ,
Certification statement by Soil Evaluator [310 CMR 15.220(4)(')] X
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)]
Location of every water supply,public and private, [310 CMR
15.220(4)(k)] x
Address bi*4� p4Vef- P,6", Sheet l of
d
within 400 feet of the proposed system location in the case
of surface water supplies and grayel packed public water supply X
within 250 feet of the pioposed system location in the case K
within 150 feet of the proposed system location in the case
of private water supply wells X
Location of.all surface waters and wetlands located up to 100 ft.
beyond setbacks listed in 310 CMR 15.211 and any catch basins .x
located within 50 ft. [310 CMR 15.220(4)(1)]
Water lines-and dtheF subsurface ufilities located [310 CMR X
15.220(4)(m) (if water line cross see 310 CMR 15.211(1) 1])
Profile of system showing invert elevations of all system
components and the bottom of the SAS [310 CMR15.220(4)(o)] X
Stamp of designer[310 CMR 15.220(1) and 310 CMR 15.220(2) X
Stamp of Registered Land Surveyor(required if construction
activities within 5 ft. of lot line) [310 CMR 15.220(')] X .
Test Holes adequate (two in each of the primary and reserve
unless trenches as permitted in 310 CMR 15.102(2) or as v
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] l�
Test hole adequate to demonstrate four feet of suitable material?
310 CMR 15.103(4)] X
Test Holes adequate to confirm adequate groundwater separation?
[310 CMR 15.103(3)]
Benchmark within 50-75' of system [310 CMR 15.220(4)( )] X
Materials specifications noted? [various sections of 310 CMR
15.000]
System components not> 36" deep (unless Local Upgrade
Approval or LUA,re u6sted)f310 CMR 15.405(1(b) x
Address M "l Sheet 2 of 7
l
ME
Size OK? [310 CMR 15.223(l)] �(
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)] .1 X
Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] x
Note regarding installation on stable compacted base [310 CMR
15.228(1)] X
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 15.405(1)(k)]
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310 x
CMR 15.232(3)(0]
Three access covers (inlet and outlet must be 20" or greater) -
middle access at least 8" (b 7/07) [310 CMR 15.228(2)]
Access to within 6 " of grade - one port for systems<1000gpd,
two fors stems>1000 gpd 310 CMR 15.228(2) X
All at-grade covers secured to unauthorized access? (310 CMR
15.228(2)] X
> 10 ft from building foundation [310 CMR 15.211(1)] X
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
-
Required when other than single-family dwelling or flow>1000
d [310 CMR 15.223(l)(b)] X
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
as baffle or approved filter [310 CMR 15.224(4)]
Address teDI L tHlet� I4yw OAP CoNI r N Sheet 3 of 7
r15..
cated at least ten [feet from any water line? 310 CMR
222 2
X
Disposal piping at least 18" below water line (when water and
sewer cross, see 310 CMR 15.211(1)[1]) X
Cleanouts required/provided ? [310 CMR 15.222(8)] X
Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] �(
Slope of sewer line not less than 0.01 (1/811/ft) 0.02 preferable
[310 CMR 15.222(6)] x
Proper pitch on all runs? (.005 within gravity-distributed trenches
and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X
Siphon problem/(leachfield below um chamber) X
Endca s or vent manifoldspecified? X
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)] X
Materials specified (310 CMR 15.251(5) specifies various pipe
types allowed) X
-� S
Stable compacted base [310 CMR 15.221(2) and 310 CMR
15.232(2)(a)] X
Splash plate or baffle tee required on inlet/provided?(when
pressure sewer to d-box or steep pitch of gravity sewer) [310 X
CMR 15.323(3)(a)]
Riser if dee er than 9" [310 CMR 15.232(3)(0] �C
Inside minimum dimension 12" [310 CMR 15.232(2)(b)]
Minimum sum 6" [310 CMR15.232(3)(e)]
Watertight cover if<2000gpd); waterproof manhole if>2000gpd
[310 CMR 15.232(3)(d)]
Capacity (emergency,storage above working=design flow)? [310
CMR 231(2)] �(
Proper setbacks [310 CMR 15.211 (same as septic tanks)]
Watertight 20-in minium access manhole at least 20"MUST BE
TO GRADE [310 CMR 15.231(5)]
Service components accessible (not too deep,with piping,
disconnects accessible)
Alarm floats - alarm on circuit separate from Pumps specified?
Exceeds two units must have two pumps operating in lead-lag
mode. [310 CMR 15.231(6) and (8)]
Stable Compacted Base [310 CMR 15.221(2)]
Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)]
Address ( hCY Sheet 4 of 7
J
Calculations correct?
4 feet of naturally occurring material demonstrated?[310 CMR
15.240(l)]
Required separation-to groundwater? 310 CMR 15.212).]
Aggregate specified as double washed [310 CMR 15.247(2)] X
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)] X
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document]
Chambers and Gal. in trench configuration supplied with inlet x
every 20 ft. [310 CMR 15.253(6)]
Each structure with one inspection manhole (if>2000 gpd must
be tograde) 310 CMR 15.253(2)] X
Aggregate 1' minimum-4'maximum. [310 CMR 15.253(1)(b)] X
2' sidewall credit maximum [310 CMR 15.253(1)(a)] X
In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] >(
Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] ,
100 feet-maximum length [310 CMR 15.251(1)(a)
Minimum separation 2x effective depth or width whichever
eater(3x if reserve between trenches) [310 CMR 251 1)(d)]
Situated along contours [310 CMR 15.251(2)]
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document]
minimum 2 distribution lines 310 CMR 15.252(2)(a)]
Maximum separation between lines 6' 310 CM R15.252(2)(d
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)]
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310 CMR 15.252(2)(g)]
Separation between beds 10' minimum. [310 CMR 15.252(2)(f)]
Bottom area used in calculations only 310 CMR 15.252(2)(i)]
Address Al/gLy�L� O✓2/✓��'' '/ ;',= Sheet of
Pressure Dosed System ? Provided pump and piping 10
calculations as required r 10 CMR. 15.220(4)(r)] x
Pressure dosing required on all systems >2000gpd or alternative
systems undentmedial approval [310 CMR 15.254(2) and I/A x
Remedial Use Approvals]
If used in gravelless system - make sure jet is directed as not to
scour soil interface [Guidance Document]
Inspections once per year(systems<2000 gpd) or quarterly
(>2000 dgood to note on plan f 310 CMR 15.254(2)(d)]
Construction in fill -Did the plan specify that the fill shall meet v
the specification of 310 CMR 15.255(3)? /
[Impervious barrier and/or retaining wall ? [Guidance Document] X
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)] )C
Retaining wall must be designed by Registered Professional k
,Engineer [310 CMR 15.255(2)(a)]
Side slope not exceed 3:1 ? 310 CMR 15.255(2)] k
Breakout requirements met? [310 CMR 15.252(2) and
Guidance Document X
At least 5 ft. from impervious barrier to edge of SAS (10 ft. —
recommended) [310 CMR 15.255 (2)(e)]
MOM M' ON
Check DEP Approval letters for credits and design conditions X
If used with pressure dosing do not allow pressure discharge X
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 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 co`y of a maintenance
Are the variances listed on the plan ? [310 CMR 15.220
RLS Stamp necessary on plan if a component is within five
feet of property line [310 CMR 15.412(4)]
New construction or increased flow proposed - [Refer to 310
CMR 15.414]
zI A ,2
ddress q tvel
" '� " Sheet 6 of 7
RRIMAR
Is the system in a Designated Nitrogen Sensitive Area(Zone 11 for
a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and X
310 CMR 15.216 - also refer to Policy regarding upgrades of such
existing systems]
Is the system proposed on the same lot as served by private well ? X
[310 CMR 15.214(2)]
Are the nitrogen loads proposed in compliance? [310 CMR
x
15.216(1)]
t - '
Pumping to septic tank? [ 310 CMR 15.229] X
Shared System [310 CMR 15.290] x
Address !O ( C��/`�' 12j uzf- 20 RED . 6D Z << 1 Sheet 7 of 7
i
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
'""9.1"9. Public]Health Division
Thomas McKean,Director
200 Main Street,Hyannis,XA 02601
Office: 503-362464A Fa;,: 503-790-6304
Installer& Designer Certification Form
Date: 1 Sewage Permit#o2Oo9-089 :assessor's MapTarceI OS-'1 O05
Designer: installer: ar"ce IL F,,r
Address: 0 ox q8( Address: ?0 no(S i ,
FAST"J�Arc.9c�..c�! (''(� pa,53►1 l ��l ry.�le �A. Oa,�cS��
On y�S a9 �&cc /%Lc M�T- was issued a permit to install a
(date) (installer)
septic system at J89 Gr 77`/e r vr�
� �CoT i7" based on a design drawn by
(address)
,:]_0AQ&0 �( a 2 _ _ dated J7-11f-0 9
(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 or the
distribution box and/or septic tank.
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. - - - - ;
oar �
aller's Signature) , !
tAEYER
.0. 1140
UK
(Designer's Signature) (Affix B%WARShp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH 'FHI6-FOR►I AND AS-BMT CARD ARE
RECEIVED BY THE BAMNSTABLE PUBLIC HEALTH DIVISION. THANK YOU.
Q:Health/SeptidDesigner Certification Form 3-16-0doc
Town of B instable P#J_L
Department dMegulatory Services /
Publi Health Division Date
k�"a !
iss¢ tee$ 200 Main Street,Hyannis MA 02G01
9 Date Scheduled Jfi-i !Time tee Pd.
i
oil' Szritahl!lity Assessment for Sewage Disposal^
Performed B A r�C�l /'C' /�6t�i c f ; Witnessed By: � L•2'J 1:�� iJ�)�li1
r i
LOCATION & GENERAL INFORMATION
Location Address �,it f� L v Owner's Name 'W i iTE
(6,TV it•0 I(/�.W Address �'1Tv'I T 1 PNW
Assessor's Map/Parcel: Oyt o o s- Engineer's Name btVPe,^ 111,&I
NEW CONS1RUtf"TION REPAIR .x '', �.,. `-. I Telephone# � 36o_,-
< Land Use 6G D /11�� Slopes(`Yo) Surface Stones g
Distances from: Open Water Body ?z� ft Possible Wee Area }`J 6 ft Drinking Water Well ft
.10
Drainage Way 9 ft. Property Line ft Other ff
SIMTCH:(Vreet name,dimensiods'of lot,exactloudons'of[east holes,,&gfxc•tests,locate wetlands ia,proxitntt Ct holes) }
I SHED
I iVEWAY `1. W,
DR
t APPX I O GRAVE r-9 f
IWELL I O
mt / FUTURE E '
ml `ll�t'( STRUC U i �•--
' 1
--A
20 F \ I I rn
.34
t m �
6 1 40 4,? 44
3B
` �"�'" �>
Patent material(geologic) CIA Depth to Bedrock�'� �__I,
Depth to Groundwater. Standing Water in Hole:' N i Weeping from Pit Face l�
Estimated Seasonal Vigh Groundwater
D�TERM N TION FOR SEASONAL MGEI WATER TABLE
Method Used I"
Depth observed standing im obs.hole: - inu. pro Depth tO SO r M0 03; D.
Depth toiweeping from side of obs.hole: pde f7rnuntl _n_ 1 eVcl.,,.,D
Index Well#. Reading Date Index Well le,V sl'.,,-�...- Ad),factor,,,.__,._
PERCOLATION TEST " Ddtt
Observation IR Time at 9"
Hole#
Depth of Pere 49)t 61
"
t t . Time at L
Start Pre-soak Time.@ W � Time(9"-6")
lf2t t��'`{ i
End Pre-soak !
Rate MinJlnch ,�cA,
Site Suitability Assessment: Site Passed x Site Failed: Additional Testing Needed(YIN)
Original:.Public Heslth Division Observation Hole Data To Be Completed on Back
***If percola#on test is to be conducted within 100' of wetland,.you must first notify the
t,. # r wPdlr prior to beLyinning.
DEEP OBSERVATION HOLE=LOG Hole#
Depth from Soil Horizon Soil Texture soil Color Soil Other
.Surface(in.) (USDA) , (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel
t'
l0 2 B -4A4
4 Ma. Sand .2-SY 7/4
—t
DEEP OBSERVATION HOLE-LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) u(Munsell) Mottling (Structure,Stones,Boulders.
nsistenc Gravel)
IOYP-
INAU 5ho v YA,5 8
7/
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Cons istencv. o Gravel
Oilto
36" 14 " G Mom. 7
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA). (Munsell) Mottling (Structure,Stones,Boulders.
on ist n ra I
011 i4 LoAv� S o PY�� v ►�
t 91( 3.5
3S`� 4*f'oi f ('
Flood Insurance Rate Map:
Above 500 yearflcod boundary. -No
Within 500 year boundary No X Yes,,
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet-of naturally occurring pervious material exist.in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring p9rvious ial?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Enviro ental Protection and that the above analysis was performed by me consistent with
the required t ' 'n xpertise and a erience described,in 3.10 CMR 15.0.17.
Signature Date
pf
Q:\.SEPTICIPERCFORM.DOC
I I
42 —. , LEGEND
1 4
72 it L.. 1 4 ff!i
140 18 — — / i �4 98 PROPOSED CONTOUR tf ?
38 j � PROPOSED SPOT GRADEw! \'1
Y:
36 — I / I,� —— gg —— EXISTING CONTOUR l, }
34 --- "` / PARCEL 5
+ 96.52 EXISTING SPOT GRADE
�I \\ ; i ± !i W— EXISTING WATER SERVICE .
J' Sri��Ql
TEST PIT � � �
CGVE�
APPX 1� ► I i / I� `� LOCUS MAP N.T.S.
WELL
I onnec 'ng to11 i 1 i ' P � Ry -- !' �{ GENERAL NOTES:
town wo er sf�pply) 1 1 PLO ! rn
0 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
BOARD OF HEALTH AND THE DESIGN ENGINEER.
° 1 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
01 I I i ! a OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
h j I � 1 I I 1D it i \ 1 m LOCAL RULES AND REGULATIONS.
BENCH MARK i I o I (SEExl4r.CESSPOOLS 1 ':
I I 1 rn 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
4 NOTE 1 O) I rn o \ I z
PAINT SPOT ON I I e I I r o CD F TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
I 1 2
CONCRETE STEP j Ip2 ► rt +� o - 1 DESIGN ENGINEER.
ELEVATION = 43.63 I 1 T' 1 I Z �� 1 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
BARNSTABLE CIS DATUM I I I 1 I 'S Z ! 1 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
1 ENGINEER BEFORE CONSTRUCTION CONTINUES.
1 I I 1\ 11 c' \ \ 1! 5. ALL ELEVATIONS BASED ON N.G.V.D DATUM.
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
20 stI I \ i \ ! THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
I ! \ \ I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
m 7. EXIST. PRIVATE WELL TO BE CONVERTED TO TOWN WATER SUPPLY.
I
8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TH-3 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
�I j IB K- D \\ ! O 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE
j I ( 0 1 � �\ \ i THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
j I I �t 1 D \ I CONSTRUCTION.
\ \ ! 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED.
's
I \ �, 1 REPLACE W/ CLEAN MEDIUM SAND
o `\ II \�� \\ 1' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
4 44
2
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY
34: - - �-- -
I 40 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING.
36 38 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING.
15. ALL PIPING TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPECIFIED)
16. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION
OR A NITROGEN SENSITIVE AREA.
OF
c t
o i DAR M. ✓+
V M R
6. 1140 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
ci51 189 LITTLE RIVER ROAD, COTU IT, MA
4N � Prepored for: Wittenmeyer 4
SURVEY REFERENCE: 1`T a� ? MAP., 054 Engineering. by:. Surveying by: SCALE DRAWN JOB. NO.
PLAN OF LAND BY LOUIS A. MOORE, ENG FOR COURT 'i ° LOT.'005 DARREN.M-:MEYER,R.S. Eco=Tech Environmem&I 1 =30' DMM
DEED BOOK# 7006 POBOX981 (508) 364-0894
DATED: FEB 11, 1988 DEED PAGE.•# 049 3 EAST SANDWICH,MA 02537 DATE CHECKED SHEET NO.
DM M
508-362-2922 04/14/09 1 of �'
Y.
j \ t I 1 i ! I •1
j \ 1 I I � 1 •�
/ I 1
i 111 1 I 1 vp\N P�
i SHED 1 it t j GRP'vE\- I 1
i
j � 1 I i / I •1 __
j APPX
j WELL
j (connect'ng to 1 I '� P�oQ,W !•I
town wo er s pply)00
1 / 1 1 I I •h1 � rn
0
� �
O i / TFII-1 f I I y
/ I 1 1 1 1 1 i`i 11
r O
i o
BENCH MARK I ; ocl�h. cEssPools 1
j I 1 1 (SEE/NOTE I O) I" 0
PAINT SPOT ON j ► I 1 I
CONCRETE STEP j TO-2 1 2 ft
ELEVATION = 43. 63
1• li `�
BARNSTABLE GIS DATUM !i 11 �2 11 II
i i I I \ 11 � � •I 1 —��1I
1 I { 1 1 \� •li 1 / v
I I I \ 1
- I I I I _ 1 \ •I 11
1,
j 20 ftlbo
i 1
OF
o� D EN M yG jj j j I TH-3 N O <
N 11 1
I I I 1 \ \\
TH-4 0 1 {TI \ \ 1
SANITARI i I I 1 ` �� \ i C
/ I O 1 _ - --------- -
/ - --- - - 44
3 4 i j \ --- - -1---------------- 42
----------
------
_ - - 40
- - - - - - - 3 6 38 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
y'
189 LITTLE RIVER ROAD, COTUIT, MA
SEPTIC S Y S T E fv1 SECTION Prepared for: Wittenmeyer
Engineering by: Surveying by: SCALE DRAWN JOB. NO.
SCALE: 1 = 2 Q' DARRENM.MEYER,R.S. Rea-Tech Environmental 1" — 20 DM M
PO BOX 9a 1 (508) 364-0894
E4STS4NDWICKMA02537 DATE CHECKED SHEET NO.
50g362-2922 04/14/09 DMM 2 of 3
- 1
ELEV. TOP
FOUNDATION **NOTE: ALL COVERS TO-BE MARKED WITH MAGNETIC TAPE
(Existing)
= 44,45� F.G.EL: 43.0 F.G.EL: 42.0 F.G. EL: 41t0
FINISH GRADE=40.0
' a MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVER OVER LEACHING = 3.0 FT.
COVERS TO WITHIN 6 OF GRADE /
IN 3" OF GRADE RISER TOW
2" OF 3/8" DOUBLE 3/4" - 1-1/2" DOUBLE
- . WASHED STONE
WASHED STONE
6" 4" SCH 40 PVC _y 4" SCH 40 PVC
77-S=2% 10"1 " I ®®®® 0 ®®®®
(MIN.) ® S= 1% RAIN. s" (MIN.)
MIN. 14" ( ) @ S= 1% ®®®®®®®®®®®
TEE'S ARE TO BE ®®®®®®®®®®®
4" SCH 40 PVC INV.38.50 2 EFF. DEPTH ®®®®®®®®®®®
INV.39.50
INV.38.30
GAS PROPOSED DB-3 3.25' 3 X 8.5' 3.25'
PROP OUTLET: BAFFLE EFFECTIVE LENGTH = 32'
EL: 41 .80 :-.+•. H-10 DISTRIBUTION BOX
AW AM
INV. 39.75 EXISTIN ,500 GALLON SEPTIC TANK INV. ELEV.= 37.0
GAS BAFFLE TO BE INSTALLED ON tiH OF ,yqs BREAKOUT
e OUTLET TEE AS MANUFACTURED BY �~ fq� _ ELEV. 37.00
o DAR� TOP CONC. E 00
TUF-TITE, ZABEL, OR EQUAL
M y I INV. ELEV.= 650 ®®®®®®
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING o. 1140 ®®®®®®®
PIPE INVERTS PRIOR TO CONSTRUCTION ®®®0
2) D-BOX SHALL BE SET LEVEL AND TRUE TOGl$TE BOTTOM EL.= 34.50 ®®®®®®® ,
GRADE ON A MECHANICALL COMPACTED SIX NITA?, 4 5 FT. 4
INCH CRUSHED STONE BASE, AS SPECIFIED IN &4• ;lzt-�'�f SEPARATION 10.50 FT. 1! EFFECTIVE WIDTH = 13'
310 CMR 15.221(2)
3) INSTALL INLET & OUTLET TEES AS REQUIRED SEPTIC SYSTEM PROFILE I'
BOTTOM OF TESTHOLE EL: 2 4.0 r SOIL ABSORPTION SYSTEM (SECTION)
SOIL LOGS N.T.S. (500 GALLON LEACH CHAMBER (H-10) LOADING)
P#: 12527 DESIGN CRITERIA
DATE: APRIL 6, 2009 NUMBER OF BEDROOMS: 4 BEDROOOM
SOIL EVALUATOR: DARREN MEYER, R.S., CSE SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF)
WITNESS: DONNA MIORANDI, BARNS. BOH DESIGN PERCOLATION RATE: <2 MIN/IN
Elev. TH- 1 Depth Elev. TH-2 Depth Elev. TH-3 Depth Elev. DAILY FLOW: 110 G.P.D. X 4 BR = DESIGN FLOW: 440 G.P.D.
�- �_ TH-4 Depth GARBAGE GRINDER: NO (not designed for garbage grinder)
A
36.0 A 0" 36.10 A 0" 38.10 0" 37.60 A SEPTIC TANK: 440 0" d x 2.0 = 880
LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 9P gpd USE NEW 1500 GALLON SEPTIC TANK
10YR 4/2 10YR 4/2 10YR 4/2 10YR 4/2
35.17 B 10" 35.35 9" 37.35 9" 36.93 8" (440) = 594.59 S.F.
e g B ,,,. LEACHING A QUIRED:
.74
LOAMY SAND LOAMY SAND LOAMY SAND
10YR 5/8 1OYR 5/8 1OYR 5/8 LOAMY SAND USE 0 (2) 50 GALLON PRECAST LEACH CHAMBERS, W/ 4' STONE
10YR 5/8 ON SI, E & 3.7 STONE ON SIDES: 32' L x 12.5' VV x 2'D
33.33 32" 33.43 32" 35.10 36" 34.68 35" BOTTOM AR 3 x 13= 416 SF
Ct Ct C1 C1 .
SIDE AREA: (32 + 13) X 2 X 2 = 180 SF
TOTAL SQUARE FEET PROVIDED = 596 vs. 594.59 REQ'D
MEDIUM PERC g 32.0 MEDIUM MEDIUM PERC t�33.75
SAND SAND SAND MEDIUM DESIGN FLOW PROVIDED: 0.74(596 S.F.) = 441 G.P.D. vs. 440 G.P.D. req'd
SAND
2.5 Y 7/4 2.5 Y 7/4 2.5 Y 7/4 2.5 Y 7/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
189 LITTLE RIVER ROAD, COTUIT, MA
24.0 144" 24.10 144" 26.10 144" 25.60 t 144"
F Prepared for: Wittenmeyer
}
PERC RATE <2 MIN/IN. ("Cl" HORIZON) PERC RATE <2 MIN/IN. (-Cl- HORIZON
NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCCALEALE
DRAWN JOB. NO.
DARREAIM.MEYER,R.S. Bco-Tech Eoviroamentel N.T.S. DMM
+ 1• Darren M. Meyer, R.S., CSE, hereby certify that'I am currently approved by MADEP pursuant to 310 CMR 15.017 POBOX961 (508) 364-0894
to conduct soil evaluations and that the above analysis has been performed by me consistent with the EASTSANDW/CH M402537 DATE CHECKED SHEET NO.
requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. 508-362-2922 04/14/09 DMM 3 of 3