Loading...
HomeMy WebLinkAbout0876 MAIN STREET (COTUIT) - Health 876 Main Street Cotuit A-035 —085 �1 i V II Town of Barnstable P#_ ,/a �p' ►'�, Department of Regulatory Services ataivarA" : Public Health Division Date ,® sA i639 �� 200 Main Street,Hyannis MA 02601 EOMKt� Date Scheduled_ 1 116 d Time Fee Pd Q� Soil Suitability Assessment for S e Disposal Performed By: Witnessed By:_ LOCATION& GENERAL INFORMATION Location Address &-7 6 �1 r-f-e-T' Owner's Name 5'� Dulce 13ryp,.� C i Address In Assessor's Map/Parcel: $-�D S Engineer's Name �,,�a�, ��YCli2,r eS NEW CONSTRUCTION REPAIR V Telephone# .--2$k(ZFs 4u2�6 Land Use Slopes(g'o) l0 f Surface Stones Distances from: Open Water Body 2,0��l ft Possible Wet Areal ft Drinking Water Well ��� ft Drainage Way 7 D ft Property Line LQ¢ ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �� crs7, 6 M�; sT � Parent material(geologic) ` `t.b ©v� � Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 13 Z. Weeping from Fit Pace tit' Estimated Seasonal High Groundwater /Method Used: Z-- DETERMINATION FOR SEASONAL HIGH WATER TABLE Depth Observed standing in obs.hole: I in, Depth to soil mottles: in, Depth to weeping from side of obs.hole: Groundwater AdJustmeflt ft. Index Well# Reading Date: Index Well level Adj,factor- Adj.Clroundwater Level PERCOLATION TEST Datp Tim+s..� Observation Hole# Time at 9" Depth of Perc 5 Z q �u a � Time at 6" Start Pre-soak Time @ i Time(9"-6") End Pre-soak e Rate Min.%ch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test into be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. V' QaSEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones;Boulders. onitec vl 2 !�z 13 L to rZ-57 mod. DEEP OBSERVATION HOLE LOG Hole# -Z- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C2risistency,%Gravel) a a`A z,y IZ 313 �fo cv e, 1.$ (,0 6 z1-I3 Z C PA-S 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) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i ons' e Flood Insurance Rate Maur Above 500 year flood boundary No_ Yes Within 500 year boundary No X, Yes Within L00 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? `1°e S • If not,what is the depth of naturally occurring pervious material? ..•ty Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required tra' 'ng,expertise and experience described in 10 CMR 15.017. 0 Signature Date S Q:%..EPTICVERCFORM.DOC AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION F7(o M.-,A f}- SEWAGE# ..�:t10 -tq6 VILLAGE C'9 All ASSESSOR'S MAP&PARCEL Jr ZfS INSTALLERS NAME&PHONE NO. cads £n y 1�' yl)Z f SEPTIC TANK CAPACITY /Sou /Y Zy LEACHING FACILITY-(type) 45` 1116 y0 +&OCr(size) . /y y 5'Z NO.OR BEDROOMS S— OWNEI ��.� d PERMIT DATE: 0a COMPLIANCE DATE: !@ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility w,t" 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 �H �tZ i?•q 1/0 %Z 3Z.1 4z t�•2 33 SN•2 w3 aY_ 2-SIG �S 3k,s 31 5►v•0 7 B� y slb /1 tK 3�l y7•S " C S /S-.6 cq ay.� cS a3•S c7 \3•S . cq �8•S Llo 2.\• C http://issgl2/intranet/propdata/prebuilt.aspx?mappar=035085&seq=2 11/13/2013 TOWN OF BARNSTABLE `"`= -)CATION F7(o /►?crh J f- SEWAGE# VILLAGE Cda Lu r f ASSESSOR'S MAP&PARCEL 3S �S INSTALLERS NAME&PHONE NO. t id< 7f 4/07� SEPTIC TANK CAPACITY /sov /Y ZO LEACHING FACILITY:(type) t5- /yiC�Q (size) /y-y ��2 NO.OF BEDROOMS S- OWNER -DA t PERMIT DATE: q-I y- ZOCZ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility vv- 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 11P ➢ ee�rg. Pn eS 1:�. — cp LM Cv,. NVI 0. "\pa i r c N w b f Ins TOWN OF BARNSTABLE e; C LOCATION J MAtA SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 31-1 S 1L WV 00I S LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist. on-site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �Vl SAe.CrlO^ T Ford 1164 III ; \ \ i GArA t- 18 " JAA SkArtJ `Y 'r I o�n'�- p �nvc,wAy No. 0 ` Cv r Fee 'THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplifation for Di$t oal *p5tem COtt.5trUftion Vertu Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) (?complete System ❑Individual Components Location Address or Lot No. 197Ip M" 5Tvee1_ Low°` Owner's Name,Address,and Tel.No. fl u I ce 3 Ry�h T 7G. y'►r¢�h S f Assessor's Map/Parcel 3 S g - Installer's Name,Address,and Tel.No.6 4Pt j-as aA lAfi`>t) Designer's Name,Address and Tel.No. E-tsih e.ev,4) (,✓o zkS Type of Building: Dwelling No.of Bedrooms 6- Lot Size 3 Co.0(pi`1+ sq. ft. Garbage Grinder ( ) Other Type of Building �� �1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) S 5_v gpd Design flow provided S 3 gpd Plan Date t k-2v o$ Number of sheets -2— Revision Date Title & ✓1lq-i N Size of Septic Tank ( Scxo ik -7-c Type of S.A.S. Description of Soil G J Nature of Repairs or Alterations(Answer when applicable) 1jC.4tl /4-u 15--00 {ihZ 774'ea 1_>_RD�f_ /Leca,5 of Ap 5 i ib- Date last inspected: Zoos! 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 i - 2-0 Application Approved by ' Date Application Disapproved by: Date for the following reasons Permit No. goo Date Issued ` -l q— a66 f+',�-.,�__ •.-V,.: _-.fi s�.r. � .�-..-_!• -;+�-..,..-�.-.-'�-�.,1.✓. ic+'kz"wr n,. �., d.... ..,,�.�.^,..�.--.,.,-�,..,,;a�!R:sY`+.��M./"� .. y^�°�•'y,w"...r-Yw` ...Y�� .��..y�, . � � �.. iSo goon ^ 1 4 • —; �) No. - , Fee 'THE COMMONWEALTH OF MASSACHUSETTS&• Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNS'TABLE, MASSACHUSETTS Yes 2ppff cation for �Dig'ogar 6pgtem Congtruct%on 3permtt Application for a Permit to Construct( Repair K Upgrade( Abandon( K-Complete System ❑Individual Components Location Address or Lot No. 19-7 40 S-n e T Cok< {- Owner's Name,Address,and Tel.No. b u l c.e 3 QY h Assessor's Map/Parcel �J s f g g 7. ~ S i cZt.�i Installer's Name,Address,and Tel.No.64petij1 J_o Designer's Name,Address and Tel.No. r � lZ� �. � LSE. 1'•c�• gGX?v2j 1 ( �•Z..W•�r��) i�'G((�, . v C fi r-v., t t t U Z c 7 2, (4 - 5 J 3 l~_. 0 Y14 e Type of Building: Dwelling No.of Bedrooms Lot Size �s u--( sq.ft. Garbage Grinder ( ) Other Type of Building 5�ti. v ,'� No.o&•Persons Showers( ) Cafeteria( ) 1 Other Fixtures 1 Design Flow(min.required) �J 5iz> gpd Design flow provided 5 S'-3 gpd Plan Date r-(-�'.C-'Zo.�tS Number of sheets Z- Revision Date _ Title 25 2m ✓►�-i 1n Size of Septic Tank 1 Soo 1A 2 o Type of S.A.S. S{&yLa"5 A t6 Description of Soil � ov G $1 d Nature of Repairs or Alterations(Answer when applicable) /Yvo 5,1L I�V hL T44U 7)-3a� Date last inspected: 7-001 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/Environmenlal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date'...,j L( /4- � Application Approved by r Date q- Application Disapproved by: { �� Date for.the following reasons Permit No. aO0 sly �' Date Issued y'/J j_ —.———— — —— ——---——————————————---- - - THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE, MASSACHUSETTS -Certificate of Compliance Y THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired;( ) Upgraded ( ) Abandoned( )by G4.0e A 1 dL9 K.f 10 r t 5 e u-C at 071- ✓Ii1Gl; 5T • C o4-j.f has been constructed in accordance with the provisions of Title 5 and the'for Disposal System Construction Permit No. a0� D /`1`6 dated N' Lt 20W Installer_��� t '1 )-eXQir� c A LIL-� Designer 67 A,r O 2Lc _ #bedrooms 5 Approved design flow r / &,0 gpd The issuance of this permit shall not be construed As guarantee that the system w';ld�f�ction as de/signed, Date ��= Inspector ( ✓ No. ..., � 'b Fee /� ———— t THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS I=igpoga[ 6pgtem Congtruction permit Permission is hereby granted to Construct ( ) Repair ) Upgrade ( ) Abandon ( ) System located at 7� .1?7 5 r✓Y e( (�f�-�t 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 co pleted within three years of the date of this permit. Date L(- L! — 0 6 Approved by ?� 10 r, i 0412008 06:47 50847,75313 4 � ' � j � � i,� ENG]:NEER�INGI WORKS;. _ � PAGE 01 ' ToWn of I Arnstable } it ; 3 + I RCgulAtO ! Services s TbomaslF.Geller,Directof 4 4 +Public Health Division r } Thonaas!M:cl�ean,Di cto, } t t zoo�I�te Street, ypivat MA 0'2601 k � 4d I i i if I i i 4 F SQ$-862"4644 Fax: 509-790•4 304 1 1 , g ►y�. Assesirr�a Magl.Pce! �l avI a Permit# T�TjTi► Sm r , S r- !� '�:►1 i' r�Li, CAI r: A tw C [1' d Address.- !a. 1 1 j i *dorm; �T Q �� 7 ° f(� in�-tcy�lt.c.E NSA (( Oval �smd 41 parmit to'itist�ll aOft I; ! septic system at BT-511 Q�. Frei , � Ail I based on a design by i drawn Zak If i i i ! off.I certify that the septic system refeienced above'wss ll78*od subs ly pccordiag to � �e d n, which may include minor;app�oved:changes such as Idm�l.rclocadou of the distr button box;aniVor septic hank. 86rout (if rewired) was inspected and the soils ' f t t wam found sibs Pactory. i cxr7ai that the • ' i I I I fy septic issyystii rerct�ccd shave Was instilled witi� ; ChAnge$ (i.e. gr .ter.thin 10' Iatesal rlelocation of the SAS or�y werticai tray cvrnponcat i orthe i s`iam" buff ifi a cordaacc with State dt�Local navision or seppc.sy ) ,I cactified as-built'by!desiner to follow. St-9pbut;(if ire ' d the soils } Ware.found sabsimctory. ' PETER T. }t McENTEE CIVIL i I I 44 it Y: (A x ivw s tamp ere) ? ! j T PUBLIC JB , S 1 I I, ?� f I 1, I K ! RH iTHE iMUL&M i ' IOLT. G a i Q:�DaICE r011 �YpOEI O�1�Qn&&C S S 4 r COMPL&E THIS SECTIO O ONDELIVERY�����,,,�� ® Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X � , , Q ❑Agent ® Print your name and address on the reverse r � 0,Addrtsee so that we can return the card to you. B. Received by(Printed N e) "� C. Dat of D liv ® Attach this card to the back of the mailpiece, to L.e � B R y/I N d or on the front if space permits. D. Is delivery address different from item 1 Y j. 1. Article Addressed to: If YES,enter delivery address below: ❑ o C) vi 3. Service Type Certified Mail ❑Express Mail ❑Registered 12 Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number J (Transfer Irom service faben i;+' 111 Oil'6 t 215�0 j g 0 fl 2 n Form:3811 February 2004 1 Domestic Return Receipt 102595 02-M-1540 UNITED \ � \U no Sender: Please print your name, address, and ZIP+4 ffij',this box Town of Barnstable v Health Division — 200 Main Street Hyannis,MA 02601 ° ,Uv�,�muX,]n�UL�J0nn]j0/oU*/JJo ` "" " '. U � 1HE?I Town of Barnstable Barnstable Regulatory Services Department w1Ce j axmirABLE. Public Health Division �fDNA 200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO April 1, 2008 Dulce Bryan P.O. Box 635 Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 876 Main Street, Cotuit MA was last inspected on March 6,2008,by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of the Town of Barnstable Code §360-9 due to the following: • Single cesspool is an automatic failure in the Town of Barnstable. 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 ORD THE B ARD OF HEALTH o S McKean, R.S., CHO Agent of the Board of Health CERTIFIED MAIL# 7006 2150 0.002 1038 7107 Q:\SEPTIC\Letters Septic Inspection Failures\876 Main Street.doc f. E no ins; S • COMMONWEALTH OF MASSACHUSETTS `. -•EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF.ENVIRONMENTAL PROTECTION F TITLE'S OFFICIAL-INSPECTION FORM-'NO.T":FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE'DISPOSAL SYSTEM FORM" PART A . CERTIFICATION. Property Address: 876 Main Street d" Cotuit. MA 02635 D 1 Owner's Name: Dulce Bryan O r ; Owner's Address: P.O. Box 635 '`i� �4 " - Cotuit. MA �} Date of Inspection:. March 6:2008 Name of Inspector: (Please Print) James M. Ford 00 Company Name: . James M.Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 " Telephone Number: (508)862-9400. CERTIFICATION STATEMENT` . I certify-that I have personally inspected the sewage disposal system at this:address:and that the information reported: below is true,accurate and,complete as of.the:time of the inspection: The inspection was performed based on.my: training and experience in the`proper function andanaintenance.of on site sewage disposal systems. .I am.a DEP. approved system'inspector pursuantao Section 15.340 of Title 5.(310,CMR M000).The system;. Passes 'Co ndi,tionally Passes Ne, s Further Evaluation by,the.Local"Approving Authority. Fa s a . Inspector,'s`Signature:: > Date." :March 11. 2008' 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 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 DEP. The.original'should be sent to the system owner and copies sent to the buyer,if applicable,and.the approving, .authority. Notes and Comments Single Cenools Fail in the Town of Barnstable ***T.his 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.game or different. conditions of use. Title 5Inspection Forrri 6115/2000 page 1 - i Page 2 of 11 OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY-ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 876 Main Street Cotuit,MA Owner: Dulce Bryan Date of.Inspection: March 6, 2008 Inspection Summary:. Check A;B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.363 or in 310 CMR'15.30.4 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: . L One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the:Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for..the following statements. Jf"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.'sub.stantial 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: The system required.puimpmg.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 obstruction is removed ND explain: . 2. Page 3 Qf 11 OFFICIAL.INSPECTION FORM-NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACKSEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 876 Main Street Cotuit, MA Owner:, Dulce Bryan Date of Inspection: March 6. 2008 C. Further Evaluation is Required by the Board of'Health: Conditions exist which require further evaluation by the Board of Health in order to detennine-if the system is failing to protect public health;safety,or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health.,safety and the environment- 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 any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has aseptic tank and soil absorption system(SAS)and the SAS is within 100 feet of a. surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone l of a public water supply. The system has.a septic tank and:SAS and the.SAS is within 50 feet-of a private.water supply well.: _ The system has aseptic 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 colifonm bacteria and volatile organic compounds indicates that the.well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is,equal to or less than 5 ppm,.provided that no other failure.criteria.are triggered; A copy of the;analysis must be-attached to this form. 3. Other: 3. - Page 4'of 11• `.. OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION:FORM PART A CERTIFICATION (continued) Property Address:. 876 Main Street , Cotuit. MA.; Owner: Dulce Bryan Date of Inspection: March 6, 2008 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections:. . . Yes No ✓ Backup.of sewage into facility or,system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground:or,surface.waters due town overloaded or clogged SAS or cesspool ✓` Static liquid level"in the distribution box.above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow Required pumping more than.4 times.in the last year NOT due to clogged or obstructed.pipe(s). Number ' of times pumped_. ✓ Anyportion,of the SAS;cesspool or privy is below high ground water elevation." v'" 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facilityand,the presence of ammonia nitrogen and:mtrate nitrogen is equal to:or lessahan 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system.fails. I"have determined that one or more of the above failure criteria exist as described.in 310 CMR 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. NOTE:SINGLE CESSPOOLS AUTOMATICALLY FAIL IN THE TOWN OF BARNSTABLE. E. Large System: ; To be considered a large system the system must serve a.facility with a design flow:of 10,000 gpd:to 15,000 ' gpd• You must indicate.either"yes"or"no"to each of the following: (The following criteria apply to:large systems in.addition to the criteria above) Yes No ,r the system'is within 400 feet of'asurface 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(Interun Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any'question in.Section E the system is considered a-sip' ificarit threat,or.answered "yes' in Section D above the large system has failed.`The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304: The system owner should contact the appropriate regional office of the Department. 4 Page 5 of l l y OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: V 6 Main Street Cotuit, MA Owner:. Duke Bryan Date of Inspection: Mardi 6.2008 Check if the following have been done: You must indicate"yes"or"no"as to each.of the following: Yes No ✓ _ Pumping information was provided by the owner;,occupant,or Board of Health Were any of the system_components pumped out in the previous two weeks.? Has:the system received normal flows in the previous two week period? Have large volumes of water been introduce d,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 backup? ✓ _ Was the site inspected for signs of break out?. Were all system components;excludingahe,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 occupantsif 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: Yes- No ✓ Existing information. For example,a plan at the.Board of Health. ✓ Detennined 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(3)(b)]: 5 Page 6 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE:SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION- Property Address: 876 Main.Street•. +_ Cotuit, MA Owner: Dulce Brvan. Date of Inspection: March 6,2008 FLOW:CONDITIONS RESIDENTIAL Number of bedrooms(design): n1a Number of bedrooms(actual): S DESIGN.flow based on 310 CMR 15.203 (for example: I l0 gpd x#of bedrooms): n1a Number of current residents: 1 Does residence have a garbage grinder(yes or,no):' n/a- Is laundry on a separate sewage system-(yes or no):. n1a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last-2 years usage(gpd)): Unavailable . Sump Pump(yes or no): 'No Last date of occupancy: ' Currently occupied COMMERCIAL'/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203):, pd Basis of design flow(seats/persons/s.gft,etc.): Grease trap present(yes or no): ' Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5.system(yes or-no):; Water meter readings,if available: .'. Last date of occupancy/use:. OTHER(describe): GENERAL INFORMATION Pumping Records, Source of information: Unavailable ' Was system puinped as part of the inspection(yes'or no): No r If yes,volume.pumped:._gallons- How was quantity pumped determined? Reason for pumping: ' TYPE OF SYSTEM. Septic tank,distribution box,soil absorption system 1(2) Single cesspool Overflow cesspool Privy. Shared system`(yes or.no) (if yes,attach previous inspection records,if any).. Innovative/Alternative technology. Attad a copy of the current operation and maintenance contract(to be obtained from system owner) Tight.Tank Attach a;copy.of the DEP approval Other(describe): Note:There is.a 3'a septic system in neighbors property per owner dnd was unable to locate it Approximate age of all components,date installed(if known)and source of information: Approximately'1960 Were sewage'odors detected when arriving at the site(yes or no): 'No 6 Page 7 of I 1 OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM;INFORMATION(continued) Property Address: 876 Main Street : Cotuit° MA Owner: Dulce Br n Date of Inspection: March 6, 2008 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC other.(explain):. Distance from private.water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): r .SEPTIC TANK:. N/a (locate on site plan) Depth below grade:. Material of construction: _concrete metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):. (attach a copy of certificate) Dimensions:. : 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: Comments(on pumping recommendations,.inlet and outlet tee or baffle condition;structural integrity,liquid levels as related to outlet'invert,evidence of leakage,etc'.):' 'GREASE TRAP: None(locate on site plan) Depth below grade: Material of construction: _concrete _metal fiberglass x' 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; Comments(on pumping recommendations, inlet and outlet tee or baffle.condition,structural integrity-,liquid levels as related.to-outlet.invert,evidence ofileakage,etc.): 7 Page 8 of 11 ' OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSE_SSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) Property Address: 816 Main Street Cotuit:MA Owner: Dulce Bryan Date of Inspection: March'6, 2008 TIGHT or HOLDING TANK: None.(tank must be pumped at time of in (locate on site.plan) Depth below grade: Material of construction: _concrete; _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: eallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last.pumping; Connments(condition.of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present.must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box islevel and distribution to'outlets equal,any evidence of solids carryover;any evidence of F leakage into or out of box,etc.): PUMP CHAMBER: = None (locate on site plan)'' Pumps in working order(yes or no): Alarms in working order(yes or.no) Corments(note condition_of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9.of 1.1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE,DISPOSAL SYSTEM INSPEC.TION1FORM PART C SYSTEM.INFORMATION'(continued) Property Address: 876 Main Street.' Cotuit, MA Owner: Dulce Bryan Date of Inspection: March 6, 2008 SOIL ABSORPTION SYSTEM-(SAS): None' (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,numben leaching chambers,number' leaching galleries,number.: leaching trenches,number,length: leaching fields'.number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation'.etc.): CESSPOOLS: ✓ (cesspool MUStr be pumped.as part of inspection)(locate on site plan) Number and configuration: . 2 sin 1�e cesspools Depth=top of liquid to inlet. nvert: -- Depth of solids layer: 6"sludge Depth of scum`layer: -- Dimensions of cesspool:. 5'W x 6'Tx 7'6"bottom to grade Materials of construction: - Cesspool block Indication of groundwater inflow(yes or.no): None . Comments .(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): The cesspool in the backyard was di ti. The cover was 4"below wade. The cesspool in the front yard had 5''of liquid and is in the shared driveway. Single cesspools automatically fail in the town of Barnstable Note: There is a 3rd system in neighbors yard per owner and was unable to rnd.it' PRIVY: None (locate on site.plan) - - Materials.of construction: . Dimension's: Depth of solids: Comments(note condition.of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): . I - Page 10 of 11 . OFFICIAL INSPECTION FORM,NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM • PART C. SYSTEM INFORMATION(continued) Property.Address: .876 Main.Street. f C&O, MA. Owner: Du1ce.Br van Date of Inspection: March.6,2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. --------------- �t✓M 7M,lC• - I' yVP w 7 as , 14 _ 10 Page'11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS S.UBSURFACESEWAGE DISPOSAL SYSTEM INSPECTION FORM PART.0 SYSTEM:INFORMATION(continued) Property Address: . 876 Main Street Cotuit, MA Owner: Dulce Bryan Date of.Inspection: March 6. 2008 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water' 25"+/ feet Please.indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans,on record-If checked,date of design plan'reviewed:. Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: topographic and water contours inaps Checked with local excavators,installers (attach documentation). Accessed USGS database-explain: You must describe.how you established the high ground water elevation: Using Barnstable topographic sand water contours maps, the'maps were showing approximately 25'+/ to ground water at this site. - This report has been prepared onlyfior the septic,system and components.described herein. This septicaystem has been inspected and failed as of the date of inspection:This report is nota warranty or guarantee that the system will A nction properly in the future. There have been no warranties or guarantees, either expressed,:written or.iniplied, relating to the septic system, the inspection;this report and/or any components of the septic system.which have not. been located and inspected. 11 _ ' Town of Barnstable Op THE Tp� ti Regulatory Services • BARNSTABLE, Thomas F. Geiler, Director vpTE16 9. Public Health .Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. TD MAIN STREET School St LOCUS ". s _ '28 (WA r) 2 : a '� a tere Rd COl 010 o� PI C SAY a iso Oceon ?p .. N 33 Bel7Chm ark' Set ` n Left cdr. bo•t: step LOCUS N1AP t�-3. o EL.=26:01'(Assumed) NOT TO SCALE N a EX/S77NG CESSPOOLS PUMP, FILL W/SAND AND ABANDON '`1g(}1 =r 2 a ,'oopK)S.. f A.Q t a ' 29'14" E z a ; 26 3�' 0 151.08' 2 - z0 VENT ? - - 22 _TP 3 $..---- -9 - 1 �2A 8 ZA Paved Qrlwe .r"' OPD S.A =J' 'A - _ -�__ r � A L ©'o'�.: � 6 X A A ,r f 2 Stave r� PROPOSED 6 SEP-n TAidK Go f49j TOF=25.94 EXlS77NG (Assumed) r , L HOUSE (1876) Brick r ', "'� ,.:a TOF=26.24 kR , (Assumed) a . 'Block 232 i 26ab, POTENTIAL STRIPOUT -_- !F_�Jt��SUlT:4BLE-SOILS ARE - ENCOUNTERED BELOW EL.=22.0, SEE NOTE 11 ON SHEET 2 OF 2. ;G 2a 12, 20 � ?;�.. .... ., Edge of°lown _ _ _ ... ...... .... LU 20 N18 h. �2 �> 14 X 1 a �V 9 Y ti 3:- z 1 EXISTING CESSPOOL 1 10 TO BE CONVERTED TO-ORYWEL L �1A .j � r• ''�� Lot 1 �o ,,n ��, . 36,684f S.F. FLOOD PLAIN DATA 1 mint sf''s� 0.84t AC. s� FIRM PANEL ##250001 0018 D ��� S <`' ®Map J5 REVISED: JULY 2, 1992 � d-a/"CGJ 85 69 ��-- ZONE A13 (EL 12) & ZONE C LEGEND �`�' of �Ass9�� PROPOSED SEPTIC SYSTEM UPGRADE PLAN PETER T. �✓' 22 EXISTING CONTOUR McENTEE `-`, 876 MAIN STREET, COTUIT, MA x 24.25 EXISTING SPOT GRADE CIVIL o. 35109 Prepared for: Dulce Bryan, 876 Main Street, Cotuit, MA 02635 PROPOSED CONTOUR 61 ��`D �� Engineering by: Surveying by: SCALE DRAWN JOB. NO. En~ngWorks rr'ARNER .SURVEYING 1"=20' P.T.M. 142-08 TEST PIT L ` 12 West Crossfield Rood 22 Long Rood j� Eorestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. -�1- BENCHMARK (61 `V (508) 477-5313 (508) 432-8309 4/11/08 P.T.M. 1 of 2 ` I TO MAIN STREET School S1 LOCUS " 88 S /_--26 (WA Y) 10.E 20` �8 ster SAY !� �� q Gam. •�y�l // �---2 �O Ftoce Rd -�.20 � Z V) 16 C / / ✓��4s a Ocean 4 D N 3 �` ` 11 den� m crrt,�'Se# Left cqr bo•t. step LOCUS MAP EL.=26:01. (Assumed) NOT TO SCALE COW w 1 0 EXISTING CESSPOOLS i PUMP, FILL W/SAND [ ANG A8AN00N181 z . . �7129 14 E / 26.36 l a 0 151.08' co A. g - 20_ 6A 1 i 0 VENT _ - X �' 22 e TP 1 2A PLOP. LSE!)�S A _ �.:. Paved Onve' A Z�3 __�_ _ ,. T 6 &rox. 10 1 1. � y x 2�Qone 00 PROPOSED • / 6 •� 261 ., .,, �- SEPTIC TANK /. r r / /�(3f ,TOF 25.94/, EXIS77NG/ / f�, /. (Assumed) //, G STq`'°°•.�,r0/ / / HOUSE (#876) Brrck; / / BAiy/Q TOF=26.24 Assumed / Black; /.- ,p , ..-..-� POTENTIAL STRIPOUT I nR i" / /1_ /; . 25 _ - =�1 - { IF-UNSUITABLE-SOILS—ARE ENCOUNTERED BELOW EL.=22.0, SEE NOTE 11 ON SHEET 2 OF 2. 2�5 `/` ,' / ►� y v x 2� ;1 X � / 20 ' Edge of lawn /. _p;3 iLu .. / 20 o 2 a N ^ - 22— --- _ i 63 "�1 `~— 16 Q f 1g � o �1 � 14 ` — 3 i. �j 18 14 l29 '--. -. — •EXISTING CESSPOOL 63 1� — — •---1,, ��.� PCl�WD FILL W/SAND �r AND A8A.•NOON VP I9.6 TOP OF COASTAL BA_ �• •�,� x 13'0 10•%A 1 Cl MADEP POLICY 9 2-1 A(FIG. 3} [1 Edge 0f S 889 l Lot 1 'o 36 684f S.F. FLOOD PLAIN DATA ' 1 /`�e�e''� srs,, /r 0.84f AG. 1 s��• l FIRM PANEL #250001 0018 D � F Map 35 REVISED: JULY 2, 1992 Parcel 85 1 69 �,�._ ZONE Al (EL 12) & ZONE C /QO � j 1 •S>, � LEGEND PROPOSED SEPTIC SYSTEM UPGRADE PLAN a� PETER T- 22 -- EXISTING CONTOUR McENTEE 876 MAIN' STREET, COTUIT, MA x 24.25 EXISTING SPOT GRADE o CIVIL `� No. 35109 Prepared for: Duice Bryan, 876 Main Street, Cotuit, MA 02635 12 PROPOSED CONTOUR D ger�1��� � Engineering by: Surveying by:. SCALE DRAWN JOB. NO. i `TEST PIT r�F ��' En&eWn9Woy*r NARNER SURVEYING 1"=20' P.T.M. 142-08 12 West Crossfield Road 22 Long Road Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. BENCHMARK tl OS (508) 477-5313 4 1 1 08 (soe) 432-8309 � � P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL-22.52 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. PROPOSED TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL H-20 METAL FRAMES &. COVERS OVER INSTALL RISER W/ H-20 FRAME INSTALL INSPECTION PORT OVER END UNIT T.O.F. INLET & CUTLET AND SET TO FINISH GRADE & COVER SET TO FINISH GRADE COVER W/H-20 METAL FRAME & COVER F.G. £L.=25.2t F.G. EL: 25.2t EXISTING F.G. EL: 25.5t(MAX.) VENT . : � MAINTAIN 2% GRADE (MIN.) OVER S.A.S. _ INSPECTION L - 1( L = 20' L = 7'(MAX) PORT 5=27 {MIN.) 0 S=19 (MIN.) @ 5=1'9 (MIN.) 4"SCII40 PVC 4"SCH40 PVC 4"SCH40 PVC 1o"I 8 14, 6.4" TO INV.=22.82 48" LIQUID INVERT LEVELADD 1 BAFFLE INV.=22.37 �� INV.=22.20 • PROPOSED D-$OX 5 ROWS OF 5 AT 6.25'/UNIT + 0.5' INSERT= 31.8' om 4 OUTLETS (MIN.) INV.=22.13 SOIL ABSORPTION SYSTEM (PROFILE) INV.=22.57 RESTORED DRIVEWAY SURFACE PROPOSED 1500 GALLON SEPTIC TANK (H-201' 12" OF COMPACTED GRAVEL BACKFILL WITH CLEAN SAND COMBINE ALL INTERIOR PLUMBING TO EXIT HOUSE AT, OR ABOVE, INV,=23.12 BREAKOUT=TOP NOTES: 1) SEPTIC TANK & D-BOX SHALLBE SET LEVEL-AND TRUE TO TOP ELEV.=22.52 GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED INV. ELEV.=22.13 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). BOTTOM ELEV.=21.60 II I Ipilpi NOTE: 2) INSTALL INLET & OUTLET TEES AS REQUIRED. ENGINEER SHALL • 2.8' IVERIFY SOILS AT. 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' MIN. ABOVE BOTTOM OF S.A.S. LOCATION AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=14.0 DURING INSTALL 4),CONTRACTOR SHALL VERIFY ALL EXISTING 'PIPE EXISTING SUITABLE INVERTS PRIOR, TO CONSTRUCTION_ NO GROUNDWATER, EL=12.0 - MATERIAL ITS SEPTIC SYSTEM PROFILE WITH NO SEPARATION BETWEENAEACH DS I ROW &£NOUPSTONE TYPICAL SECTION ' 75" - 22" 5-4" POLYSEAL'UuTLETS 4" 4" 1-4" POLYSEAL INLETS RM N O ]JjN � rn 76.. - _L PROFILE C14 Top View H-20 RATED Section D-BOX . _�_ -- - - ._- - 61 SOIL LOG L DATE: MARCH 13, 2008 SOIL EVALUATOR: PETER McENTEE PE SECTION END CAP WITNESS: HEALTHDONALD AGENT DESMARAIS R.S. HEALTH 11 STANDARD (H-20) 810DIFFUSER UNIT ' ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH MODEL 11" STD. 22.0 A O 24.0 A 0' LENGTH 76 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT LOAMY SAND LOAMY SAND EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 10YR 3/3 10YR .3/3 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. 20.0 24" 21.0 36" SIDE WALL HEIGHT 6.4" -LOAMY SAND BLOAMY SAND OVERALL HEIGHT 11" 10YR •5/8 10YR 5/8 OVERALL WIDTH 34" 4640 TRUEMAN BLVD 17.7 C1 52" 183 C1 64" 9 .2 CF ® HIWARD, OHIO 43026 PERC CAPACITY HICB 60" (68.8 GAL) AovmcEo OFWNncE srsuNs,1Nc. • GENERAL NOTES: M-C SAND M-C SAND 1. ALL CHANCES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND 2.5Y 6/4 2.5Y 6/4 THE DESIGN ENGINEER. 2- ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE:V, AI4D ANY APPLICABLE LOCAL REGULATIONS, 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER, IF REQUIRED. 12.0 120" 13.0 132" 4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. PERC RATE. <2 MIN/IN. ("C" HORIZON) 5. ALL ELEVATIONS BASED ON MEAN SEA LEVEL DATUM (NGVD). NO GROUNDWATER OBSERVED 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7, WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. DESIGN CRITERIA 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR. NUMBER OF BEDROOMS: 5 BEDROOMS 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION, SOIL TEXTURAL CLASS: CLASS 1 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA DESIGN PERCOLATION PATE: <2 MIN./INCH BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE CLEAN SAND AS DAILY FLOW: 550 G.F.D. SPECIFIED IN 310 CMR 255(3). DESIGN FLOW: 550 G.P.D. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY THE HEALTH DEPARTMENT PRIOR TO BACKFILL, GARBAGE GRINDER: NO 13. ENGINEER IS NOT RESPONSIBLE FOR POSSIBLE UNDOCUMENTED EXISTING LEACHING AREA REQUIRED: (550) = 743.2 S.F. SEPTIC SYSTEM COMPONENTS NOT SHOWN ON `THE PLAN. .74 PROPOSED SEPTIC TANK: 1500 GALLON PROPOSED SEPTIC SYSTEM UPGRADE PLAN PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM)., H-10 RATED USE 5 ROWS OF 5-11" (H-20) ADS 1310DIFFUSER UNITS PLUS 1-6" 876 MAIN STREET, COTUIT, MA SPACER W/NO STONE FOR AN SA.S. WITH DIMENSIONS 14.0' x 31.8' Prepared for: Dulce Bryan, 876 Main Street, Cotuit, MA 02635 SIDEWALL AREA: NOT APPLICABLE Engineering by: Surveying by: SCALE DRAWN JOB. NO. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF) Engineer�nglWorks �PAR11rlsR SURVEYING NTS P.T.M. 142-08 5 ROWS x 31:8' x 4.7 SF/LF = 747.3 SF 12 West Crossfield Road 22 Long Road DESIGN FLOW PROVIDED: 0.74 x 747.3 = 553.0 GPD Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. (508) 477-5313 (508) 432-8309 4/1 1/08 P.T_M_ 2 Of 2