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HomeMy WebLinkAbout0360 MAIN STREET (COTUIT) - Health 360 MAIN STREET COTU IT A= 022 -012 -- f pF TFtE 1p� Town of Barnstable Barnstable Inspectional Services Department i�-AmericaC"dy, ► BARNSTABLE:. 1639. ,�� Public Health Division ArEO �s 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0053 August 13, 2019 U S BANK, NA, TRUSTEE 60 LIVINGSTON AVENUE ST PAUL, MN 55107 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 360 Main Street, Cotuit, MA was inspected on 06/12/2019 by Sean M. Jones, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TI E BOARD OF HEALTH c ea , O Agent of the Board of Health , Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\360 Main Street Cotuit.doc Town of Barnstable s ■ARNsrAHLE. Inspectional Services Department i63q. �0� ATfD MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) Aching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments C 4r� i 360 Main Street F Property Address t 3 Wells Fargo c/o Ann Quinlan Owner Owner's Na e information is Na required for every Cotuit y Ma 02635 6/12/2019 ` page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms ✓A. Inspector Information /�/# U/R(� 63 on the computer, use only the tab Sean M. Jones key to move your Name of Inspector cursor-do not S.M.Jones Title V Septic Inspection use the return Company Name key. 74 Beldan Lane Company Address Centerville Ma 02632 City/Town State Zip Code �—' 508-658-3456, 774-248-4850 SI 4522 sean@smjonestitle5.com License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 16.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further,Evaluation by the Local Approving Authority 4. ® Fails 6/12/2019 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form < Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary. Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I.have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is Cotuit Ma 02635 6/12/2019 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to,a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment: a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of,a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Z ❑ 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: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments l� 360 Main Street V Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is Cotuit Ma 02635 6/12/2019 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large.volumes of water been in to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not ® ❑ available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of.sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility.owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7126I2018 Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form <�a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Does residence have a water treatment unit? ❑ Yes ❑ No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: vacant Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ® No Water treatment unit present? ❑ Yes ® No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts �a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): Approximate age of all components, date installed (if known) and source of information: unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 3.5 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints ok, no leaks or blockages. Vented through roof t5insp.doc•rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form t° Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallons 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 or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? measurements not taken Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Septic tank appeared to be structurally sound, water level was even with outlet invert. Tank has large buildup of scum/soilds due to lack of maintenance. risers should be installed. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is required for every Cotuit Ma 02635 6/12/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: El concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): d-box is in poor condition. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �o � 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was video inspected from d-box and was found with standing water only a few inches below inlet invert resulting in a failing inspection. Pit is +/-5' below grade and was not opened. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1' a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 • c Commonwealth of Massachusetts Title 5 Official Inspection Form 1' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owners Name information is required for every Cotuit Ma 02635 6/12/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately �o iN ,A a 3. Z I t 2 BIZ Z8 i3z- T 4 v43 2 7 63 23 6 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 cam. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t� 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Groundwater elevation was not established. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t$insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 360 Main Street Property Address Wells Fargo c/o Ann Quinlan Owner Owner's Name information is required for every Cotuit Ma 02635 6/12/2019 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/2612018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 jj TOWN OF BARNSTABLE LOCATION�b�. �dti+) SEWAGE# 0 ail" � LJ VILLAGE ("�'��y T ASSESSOR'S MAP&PARCEIP,).. l�. INSTALLER'S NAME&PHONE NO.RQ( e- r- B-M CO.56%-431— 0 53C-> SEPTIC TANK CAPACITY [0 0"0 LEACHING FACILITY:(type�4 GOo !aQ 1- Q(^Ppkt$ize) �,y� k v s 5 i NO. OF BEDROOMS 3 OWNER PaoL ,-CA(- lR pAep,,) �P. S q / 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) 4,°1 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within a 300 feet of leaching facility) pp�� N` Feet pJ FURNISHED BY � D 1C,gC) (�i Pj S -r 9 LI C)o\ i' y. No. / Fee �loo Pa THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yesjil t� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for MispoSal 6pstem Construction Permit , 4 Application for a Permit to Construct( ) Repair(vl/upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Lo ti�less:or o o. ,o M q'j jJ ST. t,M*) Owner's Name,Address,and Tel.No. Sty'I'll- gO t b A se sFhp/Pr I l V 1 ® 6� �rA1p ( i�1'��.1S� CULW ; In ller's Name, ddress,and Tel.No. Sf��-13�_C)6� Designer's Name dress,an Tel.No. c ,� "'" O @ evr T O Type of Building: G 1 , b Dwelling No.of Bedrooms 3 Lot Size 410, ej�FjO sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (� gpd Design flow provided 3® gpd Plan Date 5JOL 01 Number of sheets c Revision Date Title Size of Septic Tank 000 a W L. Type of S.A.S. Description of soil A c i-2 es SA h30:)t C n w k,0 c 1Z0"—s-[a ,M �A�►T 14or)'Le, g d1ale Lug SA A) Nature of Repairs or Alterations(Answer when applicable) Z►as}gr"L1 _ 130 Y.- , sop Q Q 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. o Signed Date Application Approved by Date l Application Disapproved by Date for the following reasons Permit No. �, y y Date Issued al & �$^_ L � � �ur- 's. /�V ICJ No. c,?ol, q ,jJ Fee 1 SL J % THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: rTi PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS JtJYIcatiOl�..fOC �I8tlo8aY *pstpm (Construction Permit �a Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components cT Locati ddress or Lot No.�/ J�/�(�� S�, ��� Owner's Name,Address,and Tel.No.SA—q S3 — go, E) A se s ' Iap/PaQ I � -T cas p/paflv i.,► l-- !e .�, A 0 Installer's Name Address and Tel.No. Designer's Name Address and Tel. o. 1 Ro cam- Q•OVc' o �a�L Sc��3a�06 q_Q) Te(�►-1' RnI �fl .�spo„�s,�5�' -3� - s � o Type of Building: C.L A'S!to a(033 . Dwelling No.of Bedrooms Lot Size Q-. r sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3c) gpd Plan Date �I-��,�A„Z� Number of sheets_ Revision Date k Title Size of Septic Tank O s Type of S.A.S. ��, �1_Ca,441AQ r--S Description of Soil�"1Qr� A AA Ran; ►,►��c t���,T�— ,q , 9�►`4C � a.,. •. r � t Nature of Repairs or Alterations(Answer when applicable) T T 1 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. Signed Date qllj h 0 r Application Approved by L(44, Date 1 Application Disapproved by 7 Date for the following reasons Permit No. 1 3.V y Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 0 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by R©6e r 17 . DO 6' (io .*X A-) C_ at _bn G i;,j .rT 3 r Ti T_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No� �L dated Installer l?'Ohp—f--V Q. (3 V rL C© Designer C o "YP cry m Q 4 W L00.1 CQ #bedrooms Approved desi flow gpd The issuance of this pe it shall not be construed as a guarantee that the system w'1 fimct� n designed. Date Inspector \� No. „)r n — Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal *pate Construction Vermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved by r i Town of Barnstable_ Regulatory Services Richard V..Scali, Interim Director • anerrsreaie .• Public Health Division �EDD Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 + Office- 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: CIOF L1,2011 Sewage.Permit#dO1i Ll L Assessor's MapWarcel �2,1 l Z Designer:. DouA Installer: Rt71d© 1E) ' D.y Z co , Address: Geo 12ydP;= Rd �ou�-h Ac�d.ress: f.n 9 t Q Orr 11 �4e f-T rD,09 TQ was"issucd.a permit to install a, (Crate);' (installer) i septic system at �j6(} N/'4 57 60�01 f based on a design drawn by (address): .l g4 Avr dated �oI y ZS, Z D l / (designer) V I certify that the septic,system referenced above.was jnstalled substantially according to the design,, which may ;include minor approved changes such as lateral relocation of tile distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system. referenced.above was installed with major changes (i.e. grcater 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 certiticd as-built by designcr,to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above:was Constructed in. 4 1`ance with the terms of th 11A approval letters(if applicable) st,of;f�issl , DAVtD: �. (Installers Signature) U �COUGhiAtdp41'i :n - No 1093 (Designer's Signature) (Affix Desig Here) PLEASE RETURN TO BARNS'I'ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM .AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. - THANK YOU. Q:NScpticlDesigner Certification Fonn`Rev 8-1 q-13:doc 4 TOWN OF BARNSiABLE LOCATION ��� �;,�, � • SEWAGE VILLAGES ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO.'�xv��c SEPTIC TANK CAPACITY i soO LEACHING FACILITY:(.type) I Ob 3,alOc,- a � o�•e.(size) d- NO. OF BEDROOMS PRIVATE WELL OR PUBLIC W a TER BUILDER OR OWNER DATE PERMIT ISSUED: Ise, DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No L/ i CL) -m-_ _-w --- s m Ln .. C3 rO Certified Mail Fee Er Extra Services&Fees(check box,ad epp e) ❑Return Receipt(hardcopy) ❑Return Receipt(electronic) OSSF�drk'a ❑Certified Mall Reshloted Delivery P ��1?�8�e ,N , p ❑Adult Signature Required Adult Signatm❑ e.Restdcted Delive N 0 U S BA TRUST1;&' , to 60 LIVINGS o ST PAUL, NIN 55107 M1 :,r r ,r rrr•r. Certified.Mail service provides the following benefits: ■A receipt(this portion.of the Certified Mail latiel).' for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the •A record of deliveryg p retail ass6ciate.," (including the recipient's t_'1 signature)that is retained by the Postal Service- r Restricted eeihieryservice,which provides r� for a specified period. .ram^ -1.'€felivery to the addressee specified by name,or r'• to-the addressee's authorized agent. Important Remindei,.J$ 1' P`-Adult signature service,which requires the •You may purchase!Eertified Mail service with signee to be at least 21 years of age(not -Zt First-Class Maii®�rst-Gass Package Service®;C' vailable at retail). ; or Priority Mailb service. �,Aduult signature restricted delivery service,which •Certified Maifservice is notavailable for areq ues the si��n�ee to be at least 21 years of age international'mail and roviQes-daTivery to the addressee specified, •Insurance coverage is notavailable for purchase by n9me or t6.4" ressee's authorized agent, with Certified Mail service.However,the purchase Q1 ballad e'd of Certified Mad]service does not change the •To ensure that youri Mail receipt is insurance coverage automatically included with accepted as legal bro'ri. ling,it should bear a certain Priority Mail Items. USPS p6'stmark,lfy,off..��pp ike a postmark on , ■For an additional fee,and with a proper this Certified Mail receip� e'ppresent your r endorsement on the mailpiece,you may request Certified Mail item ataPdst icdr for the following services: postmarking.If you don't.fee`a postmark on this Return receipt service,which provides a record Certified Mail receipt,defaett. a barcoded portion of delivery(including the recipient's signature). of thisbel,affix it to tli '( piece,apply You can request a hardcopy return receipt or an appr6priate postage,ang.osdthe mailpiece. , electronic version.For a hardeopy return receipt complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPpRTANh Sebdglrlsyrecetpt for your records. ,s. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 l COMPLETESENDER: COMPLETE THIS SECTION • ONZELIVERY N Comp1'... items 1,2;and 3. A. Signatu Prirtf�io 'name and address on the reverse X ❑Agent ❑Addressee sotFi�t: "e can return the card to you. ■ Attac}i` Is card to the back of the mailpiece, B. Recepv (P ed Nam)/ C. Date of Delivery or on the fronf if space permits. C -' id r i ran 1? ❑Yes address b �wt ❑No h, U S BA-NF'-W,-TRUST �W 60 LIVINGSTON AVENUE ST PAUL, MN 55107 ycoS-`'h1 _ G III�III�I I'II I'�I II�II II III II II I I I I I I IIII III T`11 Adult Si nature` ❑Regis erect M ilT11 ® ❑Adult Signature O Registered MaiIT"' dult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 5225 9122 7024 10 ertified Mail® Delivery Certified Mail Restricted Delivery Return Receipt for ❑Collect on Delivery Merchandise �- — "Delivery Restricted Delivery ❑Signature ConfirmationTM t of ❑Signature Confirmation # 7 15 17 3 0 00 01 :4 9 8 8 5 3;F iit Restricted Delivery Restricted Delivery I (over$500). S Form 3811,JUIy2015 PSN,7530-02-000=9053 Domestic Return Receipt U$PS TRACKING# ```"` ' 111111 First-Class Mail 0.1$- M Postage&Fees Paid USPS Permit No.G-10 9590 9402 a225 9122 7024 10 I United States •Sender:Please print your name,address,and ZIP+4-in this box• Postal Service i Town of Barnstable I Health Division 200 Mai n Street Hyannis, MA 02601 � I I No..11:nAl 0 —E.CONTMONWEALTH OF MASSACHUSETTS BOARD OF SALT .......... ............. .......OF........... ............. .............. Alipfiratiou for Bhipoiial Works Toustrurtiou Vrrmit Application-mo's hereby made for a Permit to C nstruct r an or Repai Individual Sewage Disposal System at: 11 ----vv�. ........................ ... ................................Local n-Address or Lot N�L it -------------------------------- -- .!t -- ---- .............. t)........... .......... .1.�. .............. ......I....I. . A-ner ....... .. ........ . ............I!! A_ ... ...kk.V-4m-c., Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............. .........................Expansion Attic Garbage Grinder Other—Type of Building .............................. No. of persons............................ Showers Cafeteria Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow...........................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width._.............. Diameter-_---___.____-_- Depth__...__......... Disposal Trench—No. .................... Width................._.. Total Length___..........__..... Total leaching area--------------------sq. ft. Seepage Pit No_____________________ Diameter----___--_--.______- Depth below inlet................._.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........ ................................................................. Date........................................ aTest Pit No. 1----------------minutes per inch Depth of Test Pit................._.. Depth to ground water--__-._--._-_--_-._--_. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.........._......_.. Depth to ground water..__.........._.....___. P4 ...... ............................................................. --- ---------------------------- 0 Description of Soil.................. ..........................................0 .............. ......... e ...."--------- U .......................................................................................................................................................I kA.....IL.. ...... ....... ------------ ............................................................................................................ -0--t.........I......�.---;P�-..�-�®� ......... .. IU Nature of Rejairs or Alterations Answer when applicable-_---------------------- -- ---- ......... '!------- .7 ...................................................................................................lAqA... ..tl .........t............................. . .........0 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in A.—I operation until a Certificate of Compliance haAeen issued by the board 0 heal4 1 Cl —1 4-0 Signed......AAL-1.......I.................................................. ........................ Date Application Approved By.......... .........n. 11��------ - -------------------------------- --------------------D a-t-e-------------- Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................---------------- Date PermitNo._- ....................... Issued....................................................... Date c j/ "9 THE CO9MONWEALTH OF MASSACHUSETTS BOARD OF EALTH .......... .�................ ...OF........��.. ................. ---�....U...... .................. Appliratilan for Disposal Works Cfnnstrnrtiun rumit Application is hereby made for a Permi to onstruct ( ) or Repair) an Individual Sewage Disposal System at: _.............. 5 --------------._--A G ° - .. -- . - `-^. Loca ion lddress or Lot L�To. = caner t�ddress �r- V,S, 1 dvta I - nn�a .._..-•••••••••---•-•....................•... •••-••••-•-••--•••............•-••---•-•-•-----_.. ........__.' Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .----•-•------•-----------------------------•••......... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area___-....._-•__---___sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by----------------------------------........................................ Date........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil-----------•... `-'--�....................................•----•-....-------............... -��- -- - (xj -------------------------------------- •--•------------------------------------------ ---------------- -.---------------------• -�---•---------------------` .. -� ........•..---••-••. W ----------------------------------------------------------------------------------------------•----- ------------ ---•-•-•---•----•-. x d�sl: � O � _Cea5PouII ;{ U _Nature o R pairs or A terations—Answer when applicable_____________________�___ q o0 o ar I I--- - =-"�'-......---•-........-----••-!-----p°-.-` _L� = --- ----- '-'-.............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T- 41 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance s een issued by the board f heal q / C Signed.....`...�° ............................................................. ..........................L---- Date Application Approved By......... --------------�- :_1-----._ Date Application Disapproved for the following reasons:--•----••-------------•--•----------•--------•••-------•--------------•-----••-•----------------............---- ---. ......................................... Date PermitNo. �Z.:-- 6 t ......................... Issued....................................................... Date 't THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 19 .............. .�.....................OF........�1�e.1..........................�......0.77..................... Tntifiratr of Tuntpliatta TH/S IS TO tC RTIFY, That the�Ig gidua�l Sewage D`sposal System constructed ( ) or Repaired by... .`......-•------•-----•-----•---•---•-------..................••----•••-•--•-••--•-•------•......•------------------•-•---•---...�------------ •------ ---—--------- • Installer has been installed in accordance with the provisions of T l '' of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... .7._-:._-�-�•...I.C�..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................... _ ---------•------•--•-- Inspector...............•--- ..' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF tIEALTH ........ .................. ........................ PTO......................... OF.... FEE........................ %V�l Works Tpgstrndion E amit Permission is hereby granted........ --_-........... o "'—'*-"*------------------ to Construct ( _ Repair I`�an Individual Se. age Dis osal tSystem at No................ rJ `r'/� Gam. i ! - S` 3- �• --•---'---•--•--•----•-.......................... Street as shown on the application for Disposal Works Construction Per it No,? �'a. Dated.......................................... ........... DATE ! -Q Board of Health .......................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS COTUIT, MA 28 ROUE z �n M D 1 ST z 1 9FFj. v SEPTIC coEND MPONENTS UT§LoT§ES TO WATER LINE � SCALE Q P� �• 1000 EXISTING GAL OAS LINE 5Q ' O t� SEPTIC TANK ® DRAIN® ���G r- v OO EXISTING 0 w CESSPOOLLEACH / L ® C U S Mi A rP DISTRIBUTION BOX a TEST PIT • • • '9 • 1 •• �1 Al GARB nn G R • OT p A OWED L� h ' O T 7 ♦ 220.pp 2 O AREA = 40550 sf+— ft ri 60 PLAN BOOK 194 PAGE 113 ASSR MAP ZZ PCL 12 r 0 n { / N 6ARAF DN SLAB 20 in 1� BEECH Z �01� MINIMAL 030 � GRADING / PROPOSED - 61 in v/v per/ 10 in k f>OAK l v CEDAR / G / O C'ON 20 in \ FTF,9T J8 ' PINE C7 60 ®A, A� r. 15 in \ o ? OAK ♦, C'FJ r 51 15 in ; 62 THIS IS A 61\ �ti��. `�r . oAK 15 in COLOIR OAK s N PLAN USE COLOR PLAN ONLY r �` 2 PROPOSED SOIL FOR INSTALLATION a\ ABSORPTION FULL DETAIL IS BEST a f SYSTEM VIEWED IN p FULL.COLOR 62 -SEE DETAIL ON BACK PLAN . SCALE.• I in = 30 ft � IMUI nn O. 30 60 U �P�NSjABLE GIS DATUM 0 10 -20 30 / ELEVATION PRINT ON 11 x 17 in PAPER \ 6 3. 57 FOR' PROPER SCALE SOP OF FOUNDP�\0� r - A OF*SS,�y � �N OF 41� _ p DAVID GJ, /a DAVID ��Gs COUGHANOWR �. �- COUGHANOWR D. ` I r\` SEWAGE DISPOSAL No, 1093 1 NO. 461 SYSTEM PLAN 2 \ -TO SERVE EXISTING DWELLING �p U V Oo T �F�IsrE��° -°�gpPRov�° P A U L & CAR A v U ° U MAY INSTALLER MA MOVE SOIL ABSORPTION - >' •• SYSTEM UP TO FIVE (5) FEET LATERALLY _ CLIENT MENESES IN ANY DIRECTION. ELEVATIONS SPECIFIED `� E ° 360 MAIN STREET ON FLOW PROFILE MUST BE MAINTAINED. THIS PLAN IS INTENDED SOLELY FOR.INSTALLATION OF THE SEPTIC SYSTEM COTUIT, MA DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING 155 Geo Ryder Rd S PROPERTY ADDRESS TREE REMOVAL AT INSTALLERS DISCRETION. PLACEMENT OF ADDITIONS, SHEDS. FENCES OR SWIMMING POOLS, OWNER Chatham, MA 02633 SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR, DOVIdCOU®HOtrt1OII:COm DATF_: JULY 25. 2019 508 364-�894 PG �I2 jDEI ETE-4404 inecoe SOo IL TEST L@@ W&FjJE! 100000 GALLON SEFIT§C TANGS SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 EXISTING UNIT — DIMENSIONS & DETAIL WITNESSED BY: TIMOTHY OCONNELL, HEALTH DEPT. TANK TO BE PUMPED DRY AT TIME. OF INSTALLATION TEST PIT 1 POC AT ONDWAT2ERMN/NOCUNTERESOILS AND EXAMINED FOR STRUCTURAL INTEGRITY. INSTALL NEW PVC OUTLET TEE EQUIPPED WITH A GAS BAFFLE. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER - INCHES HORIZON TEXTURE (MUNSELU MOTTLES - - � REPLACE WITH A NEW 62.00 0-6. Ap SANDY LOAM 10 YR 3/3 NONE FRIABLE I in 1500. GALLON TANK 59.50 6-30 Bw LOAMY SAND 10 YR 5/4 NONE FRIABLE TAPER p; IF CRACKED,. ROTTED ^ OR OTHERWISE 30-132 C MEDIUM SAND 10 YR 5/6 NONE LOOSE ''�J�� COMPROMISED. 51.00 r� NO GROUNDWATER ENCOUNTERED p a S TEST PIT 2 2 MIN/INCH IN C SOILS C # ` v DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER' Lc O ` 1 ELEVATION INCHES HORIZON TEXTURE (MUNSELU NOT MOTTLES k 61.95 p TO 0-6 4 SANDY LOAM 10 YR 3/3 NONE FRIABLE t � 59.45 6-3J Bw LOAMY SAND 10 YR 514 NONE FRIABLE )1' ,_ ry SCALE 50.95 30-132 C MEDIUM SAND 10 YR 5/6 NONE LOOSE ' 8 ft-6 n A F INLET OUTLET CO VER CO VER DES f,03 DROP —► FLOW LINE DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD BUDDI SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS. - TO DBOX USE EXISTING 11000 GALLON SEPTIC TANK IF IN in SOUND STRUCTURAL CONDITION. IF NOT, INSTALL QUID GAS /NEW 1500 GALLON SEPTIC TANK. VEL BAFFLE✓ DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. SOIL ABSORBTION SYSTEM: 6 in STONE. BASE /F NEW THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE PARATIO SEN BETWEEN INLET & OUTLET SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES TEES IO LESS THAN LIQUID DEPTH PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. THE 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CROSS SECTION VIEW DEPICTED BELOW CAN LEACH: BOTTOM AREA. _ (24 x 12.5) = 300 sq. ft. SIDEWALL AREA = (24+24+12.5+12.5)x2 =146 sq. ft. TOTAL AREA = 446 sq. ft. 90§L A B SORP 7QON, FLOW CAPACITY = 0.74 x 446 = 330.04 gal/day Y S TEM CONSTRUCTION DETAIL INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL BELOW. FLOW CAPACITY = 330.04 gal/day WHICH EXCEEDS THE 330 galidog REQUIRED FOR A THREE BEDROOM DESIGN. DRYWELL 24.0 ft UNIT ------ Co. p n n n M co Y D§S 'rR§o V 7'§O11V o O//� USE SH�20Lo Y — co DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL w N AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN N co STONE 3.5 ft 8.5 ft 8.5 ft 3.5 ft 12 in c MIN 500 GALLON DRYWELL J� FROM �) TANK TO DIMENSIONS & DETAIL^ INSTALL ONE INSPECTION SAS RISER TO WITHIN THREE O ^ USE INCHES OF FINAL GRADE & INDICATE LOCATION �Do�o�o �o�o�a H-10 ON AS-BUILT 6 in STONE BASE UNIT 21 ;� 21 CROSS SECTION VIEW 33 t in x .10210 CROSS SECTION VIEW INSTALL AN APPROVED GEOTEXTILE FABRIC OVER STONE -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 3/4 InYTO LEFFE' ■ 3/4 In TO -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM 28 nIV e _1-1/2 in GRAV EREQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC in EL' :� n. 1/2 in GRAVEL CODE (310 CMR 15). � -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND L7 UTILITIES BEFORE EXCAVATING FOR SYSTEM. 46 ink 58 in 46 In IN -ECO-TECH RAPID RESPONSE RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC 150 in PUMPING OF THE SEPTIC TANK. S -SYSTEM 'IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. IF L o W p r o F . o L E TOP OF FOUNDATION RAISE COVERS TO WITHIN Q=AND O BE 4 in SCH: 40 PVC EL = 63.57 +— 6 in OF FINAL GRADE TO PITCH AT 1/8 in MIN 61.75 DD-[HOC 3, USE H-20 MAX EMST G 58.75 EXISTING 1000 GALLON PRECAST SEP= TANK DRYWELL T. . '�w-- EX in ISTING REFER TO DETAIL BOX STONE ONE SOO L �°, o SORPTT ON + S8.22 ✓ 41 i - - BASE 58.00 ������ -REFER TO o b.Yy�nx SIT O.NE.xBASEr..slF NEW EXISTING 24 ft 5 ft - DETAIL BOX NO GROUNDWATER BELOW 56.00 MOTTLING OBSERVED l 50.95 SEWAGE DISPOSAL SYSTEM PLAN 360 MAIN STREET COTUIT, MA 11JULY 25. 2019 ETE-4404 PG 2I2