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0960 MAIN STREET (COTUIT) - Health
960 Main Street Cotuit A= 035 -095 - - -- -- - - - - I i F --o---------------------------- - a I , I , I , I , � I 29'-0" uaaaota Gaaaaaaa aataaa � a 1LLL111� ----------- I V I CD � p , r i o 1 � Exercise' p� vF Room ' 1_ 13'-0 Play V0191 Room Crawispace 0 Laund 0Storage 9 °° Equipment Rm. rt-- co � UP o O N 81-0" 5'-0 CD Arl el !A 32'-0" n D n Proposed Basement Plan 1/8"= 1'-0" _O V r'. A Open Deck -"Screen Porch' a 31'-01/2" w w ELL - 0 15'-8" Kitchen/Family Room Den 0 n Playroom N 0 Pantry CO L 1pMud/Entry'H 02 N -1" �T-2'1� 9'-31/2" CD NGuest Room O 9'-0" 14'-0" w 07 C7 O C D n Proposed First Floor Plan 0 N O -4 22'-0" Master Bedroom w -- . 02 V = 8'-0" 13'-21/2" a, I Closet co ® pN 'Bedroom 3 ~Bedroom 2 Bedroom 4 / `° c0 'D 19'-2" 1T-2" o N w CD n / o c c D n Proposed Second Floor Plan 1/81'= 1'-0" N O_ V P — 7A rf IV I Ij it I I[.r.I L t I.1.J. -„-r�-tr-rn�-�- — 1 n-r--rl I I r I �r — -r-,-, ,•art --� - � - IILI!I"''!III1J tt- II 11 LL IlJIII Iilll II!(.L1rilIIII III II Ilfl,(! 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II ;.r.�_: IIIL :.!Sfll ! 1 .:.11 tIY,%J;I rllf l,ilu Lf iJ,1: IIII y.(.1u7_1 LL !,.flll LI,II Proposed Front Elevation Pozen A4 960 Main St-Cotuit, MA July 10,2017 1I , 'I' .L.I L.,`i"7--- 1 ! .i I J f l l 1.1-I l l! IIII 1 1 1 t L I I I l l - I lllrL CI.1_111111 ,I-If fl��l�l Ll � I Ll 111 LI17_t` O rfl1.1 I111-i� tlJJrl.l-tI 111 I.7:rlyl III:, `\ I,i l I I I111 11 t I,I. ( 11I� I' 1 1 1 r l l -I I I1 1 I 1 f 11 l I 1! I I1:11 I IIII I I I I (:Ilf 1 111.1 �I I Iil I I111.. ill I:I'lll I � I,- I I I 1 1 11 i I I .1-1 1 L I 1 1 'I L 1 1 1 1 1:1 1 L r4+.r 1 1 1 1 I 1 1 1 I ! L.I I l l 1.1. �111 IIII L IIII lul 1:I IIII L !.1 L nl u111 I14L1 1 II_L 1L111111.r11 IIIr11 Il rl..1L11 rllti l.l.l11. ..1.11 1 Li,lal II!,I Lil,llll L1 111 1_ II11.1-.Illfl LLLIL I!tl 1.1 LI11 II!I11 .III I111!: .III ILI LI l Il.111 A II I IIIII III„ Irlll 11I I�IIL�I II ! I If, 11, I I-• (11I I� !Il11 I.II ! 1 I.1. 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II 11 LI1 1 IIII, L111 11.L1 !L:III IULII_,.I,i!1...L ,II r .LLI,IiLLI Ilt.i .!.Llil.i_.Lulll I. Lt!!_,.il.irll .I_i11,11.1.,111L1.1.11 II 1I;.!,,IIi il I!1111.;_I�Lllf'I,!.1.1 _!Itir I I,Ii!; ra 6_,t1111 ,,J.111.J.Ltll . _LL.;1 Jllt'.LiLr.tL.L,.I ,IIL,it..1..i.1:_!.L1_Lll.l, .Ii. Lit, 11 lll,1,t .LI I1 u1.1.1 I_ill.l I ,LIII L11II 1 I.L.I,.n 1.1.,(SLI L.1.IILL.I I.r11 LIILI_r.Ludt II.I...L;(LI:1 L.,_LLI l.l.l!II Ll.11 .,.,.LLI li_L.1.1.:-LJL, IIII1,1.,.!I,I.l.l,l:.I,I.I 11!,I tl�Ul, 'LU • 11iI ;.11111 .II''.!. IIt L:1.1.IIIrI I a.)1 III _.:.Ill l t..l[.III fill. illt L`.III I I1xL. l Itl l l LIILI I III .(rlr 14 1 t l I l t:.l 1.-.LI;I.I.11 pl..11 1.1 .I:I11.1 Proposed Left Elevation Pozen A5 960 Main St-Cotuit, MA July 10,2017 / / r�I� II Illl ! i 1 11 II(I] I1111 i I I t 11.1 III I I � II 1 II1.11f ILIA II I:i I:i i II L.I I I,I,(I.. 111 II'!,I ( 111('I.:I:( 1 IIII I I,I. illll ill 4 �11 rII 1 11 t. u�,(IuIII. IIII 1 Irli I I I rr lli il,T ll]L. 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II;1.:-.� :.1:11. 11.. 11.IJA-(Li :,(1.( 11!.;-.rll I.rLLI III ,.11t! !-:LI1.! J:.!..!..I1:!.I '.1.!.'J.:LLIil..7:frr,.II.LIfl:1,1IILI.Ii;a Proposed Right Elevation Pozen A6 960 Main St-Cotuit, MA July 10,2017 i I f // III L ffl 1 I I(II 11 Illy I.I. A It lltl lC full I.I.1.I II tlt �I.I�I If1(II'I I�.IIiI 11�1 I"1 \\.. L'It I ILlll :I :li.,. MIL .LI� I Il lr.l I I y rI 'I'I ILI II I 1111 1 r I!1 L I f I l I—LI III I LI 1 II -1r: f lLil� I I LIIrI I I -1, 11 11 f rf11}f I Lfi IIIII III III; I-LII III ,i1411 I. 1I L1, ifl 111 . I I' L CI!11 f I11 il.JI1 III .,I 111I 'I.Lt t l l L`LI II. L.I I I II f l Ifl Cl I Ili.�l,l IIII -11 f1,1�;- �fI I' Ti�.l.Illl L;:�II;LII I lL.i;'I'..f I I �fl:r IIL ��CLllf Ir-I.i.1 I (If—I CIIIII �il I L ll li'I"i LII I!.C111 I I I :I'1 I' i._ I� L IL II III II IIII '.'lll flllf tell L-,1:111 I ILI�� IIII' Ii II III'1111 lil (- Iltl I I`fll IIII. i 1 ILI I:I f11I III�I'�I I 1 F71 r1 I Ifl�l IIti1 I;�illll I - ( II III. I�.iltll ill 1r.1 li.11l�l ll.ull Ili.rl5lti L11111I1511.. 1 Lr I. _ �Y f`:" ��• >'���"('�.� �"� J��� � J �� 1tl I� �I � � I I III r��-� a I III 1 I:f. Proposed Rear Elevation Pozen A7 960 Main St-Cotuit, MA July 10,2017 E ® - G fD Ull 4 W ( �" � � I CIQ C z ! � � 4 i �J t a� C Lo � t -4 cjz i i Q � � l i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 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. A. General Information 1. Inspector. � Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 Telephone Number B. Certification 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 and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 1019/14 Inspectors 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 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. ****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. a 01 960 Main St•03108 Title 5 official InVF..:Subsurface Sewage Disposal System•Page 1 of 15 I Commonwealth of Massachusetts w . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: Pumping suggested every 3 yrs to prolong the life of the system B) 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. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: n/a ❑ 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 960 Main St-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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 ❑ obstruction is removed ND Explain: n/a C) further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect 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 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. 960 Main St•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 or 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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. 3. Other: n/a D) 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 El ® 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 Y2 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. 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 or 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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 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 2000gpd- 10,000gpd. ❑ ® 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. E) 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 D. 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 If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of 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. 960 Main St-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ 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)] 960 Main St•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 115 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? Z. Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: seasonal Date Commerciallindustrial Flow Conditions: Type of Establishment: n/a 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 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): n/a 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Pumped about 6 yrs ago per owner Was system pumped as part of the inspection? ❑ Yes E No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy. ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ 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 UA 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: ; 1988 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 12"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 3"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) H-20 tank with a steel cover to grade at the inlet end If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 1500 3„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle >12' Scum thickness 1/2 11 I Distance from top of scum to top of outlet tee or baffle >211 Distance from bottom of scum to bottom of outlet tee or baffle >211 How were dimensions determined? Measured 960 Main St•03108 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): n/a 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.): n/a Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: f Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): n/a 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9114 City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day 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.): n/a Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 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 under paved driveway with no access Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 7 . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M °°< 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 3 ❑ 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.): Pit"C"has a steel cover to grade, it is dry at this time, clean sidewalls, no obvious stain line, the area of pits"D"and "E"were probed and soils are compact and dry, no indication of backup 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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.): 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.): n/a 960 Main St-03/08 Title 5 Official Inspection Form:Subsurface Sewage Dispcsal System-Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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. c � � a D� a � 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 960 Main St. Property Address Evans Owner's Name Cotuit MA 02635 10/9/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >15 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: Per elevation of home 960 Main St•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 F i -\ COMMONWEALTH OF MASSACHUSETTS r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS �C DEPARTMENT OF ENVIRONMENTAL PROTECTION f; {' A TITLE 5 OFFICIAL INSPECTI01`M11 FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURF',ACE SEWAGE DISPOSAL SYSTEM FORM PART A' CERTIFICATION Property Address:9&o Owner's Name: y, fry Owner's Address: 9 Date of Inspection" ?1/.i,/-�.� .,c,� >� c �Ca�" Name of Inspect" (please print: Company Nam. Y � � ? ✓ C Mailing Address: } ( 00 �r Telephone Number: ' CO ice: R� CERTIFICATION STATEMENT - �= ^ 'I certify that I have personally inspectej the sewage disposal system at this address and that the information reputed below is true, accurate and complete as'of the time of the inspection. The inspection was perfor ed based-on m? training and experience in the proper function and maintenance of on:site sewage disposal syste s.I am(PDE.P•"n Section 15.340-of;Title--5(310..CMR 15.000).- Thy sy .31rk,17 _. /j,' 'Passes Conditionally Passes ,Needs Further Evaluation by the Local Approving Authority It',%F�ails Inspector's Signature: d Date: J7 °/1f1'� The system inspector shall subm(a co(-y1 f this inspection report to the '-pproving Authority(Board of Health or DEP)within 30 days of completing thi, 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 1 1 1 • 1 ****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. G , i Title 5 Inspection Form 6/15/2000 page 1 Page 2 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: � (: A Owner Date of Inspection: .i Inspection Summary: Check A,B,C,D or E./ALWAYS complete al a,"Section D A. System Passes: I have not found any information which.indicates that any of the fa lure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria.not evaluated are hidicated below. Comments: y B. 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. Answer yes,no or not determined(Y,N,ND) in the for the following:statements. If"not determined"please explain: The septic tank is metal and.over 20 years old* or the septic tank whether metal or not)..is structurally unsound, exhibits substantial.infiltration cr exfiltration or tank failure is.;mminent.System„will pass mspec6on,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_f 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. S)�;tem will pass inspection if(with approval of Board of Health): i, broken pipe(s)are replaced obstruction is.removed distribution box is leveled or replaced" , ND explain: 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 obstruction is removed ND explain: 2 1_ Nee 3 of 11 OFFICIAL INSPECTI®i FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWIAGE DISPOSAL SYSTEM.INSPECTION FORM PART A CERTIFICATION(continued) C f Property A dress: A.( r;C,t/1� e l— Owner:` Y& Date of Inspection: J."C 36,5� C. Further Evaluation is Required l y the Board.of Health: Conditions exist which require Orther evaluation by the Board of Health in order to determine if the system is.failing to protect public health, safety'or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(i)(b)that the system is not functioning in a�emanner 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 ,l. 2. System will fail unless the Boa='rd of Health (and Public Water Supplier, if any).determines that the system is functioning in a manner,tliat protects the public health,safety and environment: _ The system has.a septic to�jk and soil absorption system(SAS)and the SAS is within .100 feet of surface water supply or tributar'�,,to a surface water supply. The system has a septic tank and SAS and the SAS is withir_a Zone .1'of a publicwater supply. ' Erie system has aseptic tank and SAS and the SAS"is.with�r_5Q`feet of a.prwatePwat'er supply well_ The system has a septic tank and SAS and the SAS is less tl-an 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the we'll water analysis,performed at a DEP certified laboratory, for coliform_ bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen-and nitrate nitrogen is equal to or less than 5 ppm,provided that noother failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 n :q Page 4 of I l OFFICIAL:INSPECTION FORM—.NOT FOR VOf UNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTENJ INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: e�h it Date of Inspection: rf c'-) D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes N 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 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 '/z day flow Required pumping more than 4 times in the last year NOT dur:to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS, cesspool or privy is below high grour,d 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 i of a public well. _ Any portion of a cesspool cr privy is within 50 feet of a.privat;!:water supply well. Any portion of a cesspool cr 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 faciifty and the:presence of ammonia nitrogen and nitrate n_itrryen is equal to or less than 5 p ma , provided that no other failure cr,terr are:triggered. A copy of the analysis must be attached to this form.] (Yes/No)Jhe 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: E. 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• 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 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 Wellht ad Protection Area I WPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of 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'o:.';.the Department. 4 Page 5 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION-F'ORM PART B . CHECKLIST Property Address: Owner:. j 1 Date of Tnspectio Check if the following have been done!<You must indicate"yes" or"no" as to each of the following: �es Pumping,information was p;ijovided by the owner, occupant, cr Board.of Health I/Were any of the system cop 1ponents pumped out in the previous two weeks? V Has the system received normal flows in the previous two week period ? V/Have large volumes of water been introduced to the system recently or as part of this inspection ? C/ 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? V _ Were all system components, excluding the SAS,located on site Were the septic tank manholes uncovered,opened, and the irterior of the tank inspected for the condition _ oTb_e.>,a.ffles.or tees,material of constiuction,,dimensions, depth of fiqud, 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 theJ5'oil Absorption System SAS cn the site has been determined based on: Yes no F Existing information.For E:xrample, a plan at the Board of Health. Determined in the field(ifjany of the failure criteria related tic,Part C is at issue approximation of distance is unacceptable) [31'0 CMR 15.302(3 ((b)) f� 1 f t� i; 5 t i Page 6 of 11 F OFFICIAL INSPECTION..FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE,DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:�91,0 Owner: Date of Inspection: y FLOW CONDITIONS ' RESIDENTIALv o Number of bedrooms(design).0 _ Number of bedrooms(actual):DESIGN flow based"on 310 C R 1.5.203 (for example: I W gpd x#"of`be:drooms):S-50 Number of current residents: Does residence have a garbage grinder(yes or no). . Is laundry on a separate sewage system (ves or no): .[if yes separate ii spection required] Laundry system inspectega' able s.or no):�iJ Seasonal use: (yes or no) ��®0 oWa •—f ter meter readino 0 s, �f (last�years usage(gpd)):�00 `� �Sump pump"(yes a no) � Last date of occupancy: COMMERCIAL/INDUSTRIAL/�/C) Type of establishment: Design flow(based on 3"10 CMR 15.20): gpd " Basis of design,flow(seats/persons/sgf,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(�?scnhPl• GENERAL INFORMATION Pumping Records Source of information` _ Was system pumped as part of the inspection(yes r no): 4 If yes, volume pumped: ` gallons--How was quantity pumped deter mined? Reason for pumping: ; TYPE-OF SYSTEM 4= Septic tank, distribution box, soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system (yes or no)(if yes,attach previous inspection records; i,'any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _.Other(describe): proximate aae of 11 components date'nstalled 'f knoyyn)and source of information`. C Were sewage odors detected when arriving at the site(yes or no): 6 S, Page 7 of 1 1 iJ OFFICIAL INSPECTION!FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEW.A(;E DISPOSAL SYSTEM INSPECTION FORM PART C SYS'>1,EM INFORMATION(continued) Property A ress: L Owner: / Date of Inspection: BUILDING SEWER(locate on site plan)/ Depth below grade: Materials of construction: cast iron „ *40 PVC other(explain): Distance from private water supply well'?;)r suction-line: Comments(on condition of joints,ventir'g;;evidence of leakage, etc.): SEPTIC TANK: (locate on site plan); C �, �� ���.�7.lam ��o���(/'r?I.F� ��'��� • Depth below grade: Material of construction: ; concrete . metal_fiberglass___polyethylene —other(explain) ' If tank is metal list age:_ Is age conf`-irmed by a Certificate of Compliance(yes or no):. (attach a copy of certificate) y Dimensions: /0 . Sludge depth: ' Distance from top of sludge to bottom of outlet tee or baffle: 7,0. Scum thickness: Distance from top of scum to top of outl`F.t tee or baffle: Distance from bottom of scum to botto f outlet tee or baffle: 1T--d were dimensions determirieri J� Comments(on pumping recommen atic,"Is, inlet and outlet tee or baffle condition, structural integrity,liquid levels related to outlet invert, evi ce of leakage, etc.): .. i awl GREASE TRAPA-(((locate on site plan) Depth below grade:_ Material of construction:_concrete metal—fiberglass___polyethylene other (explain): — Dimensions: Scum thickness: lj Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to botton4 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 of leakage,etc.): rl: 1 7 <y Page 8 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: AJI A,. Owner A _ Date of Inspection. O Ir TIGHT or HOLDING TANK: (tank must be um ed at time of ins ection locate on.site ]an � . P P P )( plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain):. Dimensions: Capacity: gallons Desi-n Flow: gallons/day Alarm present.(yes.or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and floEt switches, etc.): DISTRIBUTION BOX: V(if preser-t must be opened)(locate on site plan) C T � 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 ,la,akage into or out of box, etc.): PUMP CHAMBER (locate on site plan). Pumps in working order(yes or no): Alarms in working order(.yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): 8 PaSe 9 of}} i OFFICIAL INSPECTIONTORVI—NOT FOR VOLUNTARY ASSESSMENTS U.SUBS RFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM `PART C SYSTEM INFORMATION(continued) 0.; Property-Address:�C o �Av �e Owner: 7 Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) If SAS not located explain why: , ' Type l..l leaching its number: '` Ji Teaching chambers,number. r leaching galleries,number: leaching trenches, number,.lengtl�: leaching fields,number, dimensii,(ns,: . overflow cesspool,number: innovative/altemative system Tiifpe/name of technology:. Comments(note condition of soil, signs-of hydraulic failure,level of ponding, damp'soil, condition of vegetation, etc. e- ov CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) C,f j Number and configuration: Depth'—top of liquid to inlet invert:. Depth of solids layer: Depth of scum layer: Dimensions of cesspool: s Materials of construction: Indication of:groundwater inflow(yes br no): Comments(note condition of soil, signs' of hydraulic failure, level of ponding, condition of vegetation,etc.): 'u. PRIVY%A (locate on site plan) !, Materials of construction: { Dimensions: Depth of.solids: Comments(note condition of soil, sign;'Of hydraulic failure, level of ponding,condition of vegetation, etc.): .a tV6- �,p Chi✓ ap 444a�Q�� 9 Page 10 of 11 OFFICIAL.INSPECTION FORM —NOT FOR VC LUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM 4 INSPECTION FORM PART C SYSTEM INFORMATION;(continued) Property Address: (� � ✓t-�f.� ep Owner: (1611)66111-6, Date of Inspection: 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. 1 i � p L % — o. CLt c�l R " % 11 . 0 (f 10 � 3 Page l I of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SY,;JEM INFORMATION(continued) Property Ad ress: � "a- Owner:Date of Inspection: r. SITE EXAM Slope Surface water Check cellar Shallow wells • Estimated depth to ground water C 7 feet Please indicate(check)all methods used to determine the high -round 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: Checked with local excavators, in.tailers- (attach documentation) Accessed USGS database-explain:. r T: You must describe how you established the high ground water elevation: , r: A. . is ' • 0 • 41 , r, !r' r ri r 4 i t - II • Pern-it Number: Date: --_— Completed by: � HIGH ROUND-WATER LEVEL COMPUTATION Site Location: /�-4 /� t Lot No. Owner: Address: Contractor: 1 G-L��t�S Address: Notes: STEP 1 Measure e d pth to wat= table to nearest 1/10 ft.......... ........................................................... .Date month/day/year `�5`"� STEP P 2 Using Wager_Level Racy=_ Zone _•-_ -_� and Index Well Map lxete site and determine: OAppropriate rn-� ^;,L. .....:.: .:.....:. /K✓ I ,� ' _ CB Water-level range - Sne; L............ - .................................... STEP 3 Using monthly report. 'C:drrent _ = Water Resources..Con d=i:)-'s' determine current.de to t, water level for index ;vcl J Y k month/year STEP EP 4 Using Table of Water- erel Adjustments for index well (STEP 7.A4 curvedepth nt to water level for index;.well = ==a (STEP 3), and.water-level z T- one (� cP, 2B) _=- . - '- determine water-level.a�justment ..................... ..,.`'",ti; _......................... t. ':` _ Y. j` - - -= STEP •S Estimate depth subtracting the water-pth tog water hi 44i b r1` level adjustment.(STEP si from measured de level at site (STEP 1) .:............ ....... . / c -,r a: Rove 1 3.=-Reproducible coriputation form. 1 j �f 15 t: , •�II i 4�1 ! g 4 I � . 3 -'OWN OF BARNSTABLE .X-ATION -�3 SEWAGE # LAGE l c.f ASSESSOR'S MAP& LOT 3S—• 5 x 'NAME&PHONE IVSP ?s: N&fJ ��% SEPTIC TANK CAPACITY LEACHING FACILITY: (type) V-AA'A P 4N(-2a ��size)c2" to*l!'&' / NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 -` ^ 1 �� `� w S 1 � �^ / — � � �nL` _-�. ' � �- v � - � � � . '`� ��� � i. -ccJ�j, '~---' �. � � TOWN OF/BAR/NSTABLE LOCATION ��O gW V TPi7 SEWAGE # - VILLAGE �j/ ASSESSOR'S MAP & LOT INStALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /�5 00 LEACHING FACILITY'Atype). Z (size) / 'w S1 N.O. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER /! DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No G b �{e�� \W �1 W J c TOWN OF BARNSTABLE LOCATION 96/0 1)ml." SEWAGE # Sr"S- 13 VILLAGE Co rvi.T ASSESSOR'S MAP & LOT 3 s- 7 S- INSTALLER'S NAME 6t PHONE NO. 7 S- / 3 cf 2 SEPTIC TANK CAPACITY r 1 ood LEACHING FACILITY:(type) ,/ i J (s. �) j,".9 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER r�vYI, BUIbBErR Oft OWNER l�� 7rv2 Ev�Ns 4, DATE PERMIT ISSUED:Tr7�- DATE COMPLIANCE ISSUED: 'VARIANCE GRANTED: Yes No /� L� - '\i` �� P `! W l �_w J J J ASSESSORS MAP NO: I,T 1 PARCEL N0: � . No. ....� Fic$...... ...... �t ," THE COMMONWEALTH•OF MASSACHUSETTS f BOAR® OF HEALTH F ....... .......... ............... ..OF...............------.....--...._.....------- I.:........... Appliratiou for Uh4paiial Workii Tootitrur#iort prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...0 T..._.. �-�v iT...................... .................................................................................................. Location-Address or Lot No. ----------------------------------------- -------------------------------------- ------ ---------------------------------------- Owner Address a ►n-�r-Ht----.... .................................... ------------------------------•-----•- -•--.... - A 09.................................................................... Installer Address Q Type of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedroo s____._____. _.__.Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building k41..... No. of persons........10............... Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------- d W Desi Flow...._ 2.........................gallons er erson er day. Total daily flow.._...__.. __ � g P P P Y• Y ------- ---•-•-•----gallons. fyi Septic Tank—Liquid capacity_d. gallons Length-----Z....... Width.....o....... 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 ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------.___-_. (i Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------------------------------------------------------------------------•---•-----------•--•---...•-- ODescription of Soil......S1s,4-SA4�................................................................................................................................................. --------------------------------------------------------- v --------------------------•---------------••-------------------------------------------------•------••--------fl€St(�iQi�Tta ENGINEER !�-USI'-SUP�fiitlgE....... iNSTALt-:AT"(0N_ -AND CERT U Nature of Repairs or Alterations—Answer when applicable_____T-��__SY 1 _Y-1N_ �{1�+�} _.___.. ER7f fNAS IIVSTALLFD-• N qT-R ------- Agreement: 01PDANTCE-TU-PLAN. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T"L p of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of /m l Tian i s been is by e board of health. Sig d ApplicationApproved By---- -'--------��1--- -- -- -------------•------------------------------•--------- ---------� -- -------------- Date Application Disapproved for the f ollouiing reasons--------------------------------------------------------------------------- -••-•---•••----....... --•------•--••-•--------•----•-•-•-••--•...•-----------------------•---•--------......_..-----••-•.....--•------------••-•-•-----••-------•-•---••••--•---•••-•----•--•-•--•-••--••••-••--•-•-.......... Date Permit No.......�... ��,---t----I�-•------- Issued....................................................... Date No....`y........... -----.= "> F'`�'`" Fxs......t.._..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ..................OF........................................ ....................................... Appliration for Bi-qVosal Works Tontrurtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: wf t t k V d`"i: �a .�� location -Addres N ............................................................... .......•---•---•---------------- Location-Address or Lot Igo. ...... ............•-------...••...................... ---.......-------•--------.........-•----. --..•..------...............------............ Owner Address !................................................................................... Instalier Address QType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............. ..........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building `; � ;_'�_.____ No. of persons.......1.0................ Showers ( ) — Cafeteria ( ) 0 Other fixtures ............................................... W Design Flow____ .A..........................gallons per person per day. Total daily flow......... ......................gallons. 1:4 Septic Tank—Liquid capacityL_A .gallons Length... ........ Width._..k ........ Diameter________________ Depth_. �Z.___-__. 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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-.___-_____-_-_-__---.-. Ii, Test Pit No. 2................minutes per inch Depth of..,Test Pit.................... Depth to ground water-_____-__._._-___-_.___- a -•••--••--••-------••••••-•••---•----••-------•-•--•----•.................•-•-•--•-•......_.._..._..._.._...........•--------••._....---•-•---••-•-----•----- 'O Description of Soil--- = ` ----------------------------------•-------....----•---------------------------...-----•------------------------------------------....._........... x U -•-•-•--•---•••••-••---••••-•-••••------•-...._..-•----•---••••--•••----•-•--•-••-•.....---•--......--•----••-•-•••--•----•-•••••---••-•--•••--••----••----------•-•---•-----•---•------•-•------------- W ----•-•----•--------------------------------•----••---•------••-••••••••---.........-•--••-•-••-•-••-----•-•---•-----•------------•••-------•-•-•••--•-•-•-••---•--------•-••-•--•••-••--••-•-----•--•-- UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T T 1_,: 7 o> the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of-Comnce a been I s ,d by he board of health. r�' ✓i ' ' Si ed--- =._f1 ---. --------- ----------------------- --- �. I Date A PP PP lication A roved B _ :a�/= _ 1":........ . :::..................................... '"�_' `.•.... Y— Date Application Disapproved for the following reasons:...................................................................... --•--•-------------------------------• .................--•---.....----•--------------------------=--•-•--•------...------------.......---•----'----------------------------------------•---------------------------------------•---•-••--•---- Date PermitNo....... `= ... .................................. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f7 A1�ntifirab of Tootplianrr THIS 6S TO C RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) I / o ............... •C„_. { {•� (�- Ins er at------------- ,- 1LJ.........y__.!..I ` ...........-` .�_.= - •-.............................................................................. has been installed in accordance with the provisions of T i T,E j of T�e State Sanitary Code is descr;•'i�,�d zip the application for Disposal Works Construction Permit No---- s._ :_. ..::.�. `� ---------- dated - --------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... �. 11 ...................................... Inspector............ ... ...................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... OF r"."`—Y_1_>................ _ �Yo.. 4. = ✓.. FEE_....................... ispo,s 1 orkii Ton#r ion rrwi# Permission is hereby granted----- .. . � �. to Construct,( ),o Repair ( ) an Individual Sewage�Disposal System Street S'- /... r . as shown on the application for Disposal Works Construction Permit N ... ..__.:.�___.__ Dated..... __'�.:=.1.<:' ='........_.. .......................I. ..........•-- .................. --------------------- Board of Health DATE..... ... ---•-•. ..... =-- ------------•-•---• FORM 1255 HOB S &„WAFREN. INC.. PUBLISHERS c ' R. ELLIS & THULIN, INC. LAND SURVEYORS & CIVIL ENGINEERS 478 ROUTE 6A-P.O. BOX 159 DAVID C.THULIN, PE EAST SANDWICH. MASS. 02537 JOHN R.ELLIS, RLS TELEPHONE (617) 888-2345 July 18, 1988 Board of Healtk Town of Barnstable 367 Main Street Hyannis , Ma . 02601 Ref . 88-040, 960 Main Street , Cotuit Gentlemen : On May 11 and May 12 , 1988 , our office inspected the construction of the septic system renovations at the ref . site . The system , now in place , is constructed in substantial conformance with the project plans drawn by Ellis & Thulin , Inc: . dated September 23 , 1987 , and the conditions of the . Board of Health Variance dated November 5 , 1987 . The enclosed card indicates as-built system information and installers ties . Very truly yours , Ellis & Thulin , Inc. David C . Thulin , P .E . cc . Peter Evens I ELLIS 6? THULIN, INC. LAND SURVEYORS & CIVIL ENGINEERS 478 ROUTE 6A-P.O. BOX 159 DAVID C.THULIN, PE EAST SANDWICH, MASS. 02537 JOHN R.ELLIS, RLS TELEPHONE (617) 888-2345 November 2 , 1987 A .E . Ferragamo 478 Route 6A E . Sandwich , Ma . 02537 re . 87-040 , Evans , 960 Main Street , Cotuit. Tony : On Oct . 30 , I recieved a call from Tom. McKean of the Barnstable Board of. Health regarding the ref . project . Mr.. McKean informed me that after consulting with Dale Sodd , the town ' s coastal coordinator , it has been determined that retaining the drain .at the Evans ' property , discharging into Cotuit Bay was illegal . He stated that unless a revised plan showing the drain to be abandoned , and supplemental information showing the point of discharge of the present drain , reached his office prior to the hearing scheduled for November 4 , that the hearing would be canceled .. We have made the revisions as . requested and understand 11 that you will see that the plan arrives at the Board of Health in time . In place of the existing drainage system , we have shown a stone trench of two feet wide , one foot deep and thirty five feet long placed at the corner of the parking lot . This method of dealing with area drainage .will prove inadequate for some storm runoff . conditions and will result in standing water on the driveway surface . r! Ver Truly yo; s , r' Ellis & Thulin , Inc . David C . Thul.in , P .E cc Barnstable Board of Health �t ' t L6C All ON ` SEWAGE PERMIT NO. _ ® rno-®av s: 96-- 7t-7 VILLAGE _f At..�T � g INST LLER'S NAME A DRESS C, 3°e c/ 0 A- BUILDER OR OWNER /a N DATE PERMIT I S S U E D DATE COMPLIANCE ISSUED C � � � _ � -� �� '�' o . , rr o � �' w �O O 6 V' \. U No.._ S:... I� FIms........ ..�........= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... . ......... ....................OF......;................................................................................... ApptirFation for Dhipaoaa1 Works Tonotrnrtiun Frrutit Application is hereby made for a Perm' to Construct ( ) or Repair�an Individual Sewage Disposal System at: q�0 �C.� --- ...........__.------------............-----._.........----------.....-----------......._... _......._.....--•----•----•--------i-----.._..----------...................._.._...__......_...... Locatio Address or Lot No. J7` ` ..t.. - :-.... . ...... �4 •! �:.............................. ....- -- -- •` S ...... _......................... ..... ? cy , -----Ad\d{reesss,, �yrN. Address Type of Building - Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_______________4-•...._.......___. Expansion Attic �t7) Garbage Grinder (� Other—T e of Building ............................ No. of persons...... Showers — Cafeteria a 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 leachingarea__...___.______...s . ft. Seepage Pit No..................... Diameter.._.._.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Do ing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................niinutes per inch Depth of Test Pit...._............... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' . --------------------•---.............----.....--•----......._.........------------•----.._.._........--------•--------...._............__-•--- 0 Description of Soil_______________��__._._`A r-- __........................................................................................................................... x W ----------------------------••-••••-•••••---•-•-•-••-----•---•---•----------••----••---•••••-•-•••••--•--------•-•-•------------...... ....................................................... U Nature f Repairs or Alterations Answer when applicable__...... ��'" S ca>�1�.�.. ___.:.. �_--:...o --------------- - - - Agreement: a The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of iITIE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has n issued by the board of health. tj Signed.-- •-•••�---•--. -�� Date Application Approved By......•. "�........N.. ... I ...-•--•--------------------•-••••_..... ------•-----------------•-----•------•--•-••----............--••--......•.......Date... Application Disapproved for th ollowing reasons:__.._.__.__ ......_._. --•-•--•---••-•-----•-----------------------•---•-•--•-•-•---........_....-•--------..._.._..-------•---_.__.....----------------•--•-------•----••----------------------•--------------.._....._---•---- Date PermitNo....................................................... Issued........................................................ Date � i► w 1 No....................... Fss.................. ..._._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ...............--..........-...-.OF.........-...-..--..-....-....-.......-...----------....---._.._-._..._....__.........._._ Appliration for Biipu,sal Works Tonstrur#ion Prruti# Application is hereby made for a Permig to Construct ( ) or Repair`�an Individual Sewage Disposal System at: ` Location-Address o t No. ft er Address ....:.........L._..............>. t..•... �'!!u............ ' :...1 C.�.........Yti.� Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic (PU) Garbage Grinder (kJg pa, Other—Type of Building ____________________________ No. of persons.....__............... Showers ( ) — Cafeteria (yU p) a 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................................... aTest Pit No. I................minutes per inch Depth of,Test Pit.................... Depth to ground water.___...___._.._._____... fil Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...»_-------------------�------•-------------•---...-------••--•-•-•----•------.........-------•------•---.._....---...-•--•---•--------•----........---- 0 Description of Soil-----------------'--- `- a_..............•.............................................................................................................. V -------------- •....... --------- -..................... ----------------------- .....__....... ---------- --••------------•------ ----..._ --------------- _--------- -------------•-------------- W U Nature f Repairs or Alterations—Answer when applicable �'___ .:: = -.Q P PP e___.__._ A\ `r' .................... ....................P�- '�-----•-----�---'-�---------- -�:... ------•...._....._....--------------1---:.._..................---..........._. Agreement 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT'1E 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e n sued by the board of nhealth. Signed._ j'�� .:. . Date Application Approved BY N ............................... ..-•--.................................. Date ApplicationaPAsaPProved for th ollowing reasons:.....•............................................................................................... .....»»» ...._..-�';�--••-'=�; Date ---...--•.............................•---•---•------•--....................------••----•-•--•--•--..........-------._......._........._.......- ----»--....» PermitNo... .............................................»._» Issued...................................................................... Date \\ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Intif irat a of Toutplianrr �. TINS I T CERTIFY, That the Individu 1 SewsDisposal System constructed ( ) or Repaired Y In Iler at......... ............. I• r c has been installed in accordance with the provisions of TIME 5 of The State Sanitary Coe s described in the application for Disposal Works Construction Permit No.._.___<?c— !7............... dated.._.. ?_ ?�S THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ...---».-'' �.................................. Inspector THE COMMONWEALTH OF MASSACHUSETTS }' BOARD OF HEALTH o.......g.c�. -17 .........................................:.OF ...--•---........... ......------------•••------.._................... F ......�»� • fhapoottl Works Tono#rttrtion V rrutd Permissionis hereby granted........................................•--.._._..............-------•-•-----••----.._....._...__.......................------........»..»-- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as-shown on the application for Disposal Works Construction Permit No...................... Dated............?j 2.j.g5.............. ••- Board of Health DATE........... ......................................... FCFRM 62,55 A.; .'SULKIN, INC.. BOSTON" J 14' - 8 1/2" 13' - 8 1/2" 6' - 0 1/2" 13' -7 1/2" AV Ap tu' 14 C%4 co u, 1 \ CD 0 o N 0 Al cn ! I v � -L _ _ _ LL -. N O w - r O 00 Q7. o a- � 33' - 101/2 8' - 011 8' - 011 de open A 960 Main St -• Cotui#, MA tvovemk r i I i t,w �r 1 � ..� )• J � � err . .� 5' " , r. - �..�,�, __ ,,....- • .mow _ c ° 22' - 1" -- ----------_._ � tJ `gym • O '', r V,. j • .. ---- - CO - - I . - - - 5 1/2" o ---- — cfl ----------------- I DIN DD I 14' - 81/2" o v c Pro osed Second Floor Plan 1 1/8" = 1'-0" COMMONWEALTH OF MASSACHUSETTS COTUIT QUADRANGLE MASSACHUSETTS—BARNSTABLE CO. DEPARTMENT OF PUBLIC WORKS 7.5 MINUTE SERIES (TOPOGRAPHIC) 6967/11 NW 700 22- 30° 380 (SA DWICHI 381 25 2.7 Mi. TO U S.6 00 000 FEET 384 385 41°40' \Z< p L, Muddy I I / �F a o �, ` Hamblin :` a oo/ v _� ( so., ::�/�'/i C o G`f j f i'ilk Cra err II POn(l \ ` o oA C O ) {p ��° 7,� pgs Pond Ors �rapberyy.� YI o l R n cs 1� �l ui I� o l I C� 1 �o O I 3 cn / ° / o,,, 6bgo u I ` 'I� c2 149\ \ =c n ml 't ranberry� \,/ s/ OP,:B \ -�` ;la ° 11 v \> 0 1 v \ rav I . to r \t {' 8., ° '�. \�^_��p• � j QOJ�J �iblic� ` ° on\\ \ , J4 0\OP i�. A BOg A �and,n ( A, o �n p �/ ) p ° 1- j r , u so \g: �( n. P it \\� / 46 ss pP _ o n ' u o ., u /(C�,' 'Oc BARNS_T o, lL -- '- 11 -' 13 ��\ Roga��•�\\ Pf, l` � ' �17 -- --- ONS IL11 �I 0'1\ rn On um L R_T 14 i.•)(; O \: JI ��� ber't n � � ' 51 \ L ( .1)�� �ni� 1° \ \\ —�-. i/o )1 Pond `vl /�/ o �rl _ ✓��.�� �l \ l /y \vv °�" zat `� � o<O u i �" ... ✓ o \ d'� (\ \\ ,a• 2, �✓j�j .. J 44 ar Mill SJ_� V'O�'I , Q A.•� v- %I/'( __� � � vv�� �l l ��lt)r��l l�V—._ % ��Z ,Lt.: ��9 �� .H ' II ))1 1� m' /i c..'.° �•' _.. �11 - �Q T pEPHO �1L \ 2 r - -----� u �so � Cranber c,,•'`r 240 000 - T`-- 7a v^, ,�> VAvvo '� _ - '�'.A1.1, �� r U )• •56 •. o. -+ P 1_ 1),%1 11 FEET v/% 5 �\ '. 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LI = - I U 2 o (1 � .� <\r � �� \\\/��, �; �\or:� o �/r� ��a r.� o �a t� .a`u�� ) ;��. �i\'� \� �jPond i.t/ � 39•,\�.)�.. .I � l ` �;� � 1� 2 c. U,,:QI I�\>l W _� oo\.. 0 l0. O �I\ u I 0 - ii�'b ,'-'�✓l ° �l I C u r: 1 S I1tUlt� // `��� \ /,��, j � t•p�� O p.,\�r\ Q / X I 11, /�/ � I,�(,••°u� rn • t,�-1 - (�.,J� --j .�>I \\ f �� Z`. .1;\�,•�- _-� Pond •\ QI u K up o, 4610 ` •�\ 1 -- �%�F 1, yam.•' ,,\ ;\,, 39, � _�I 11. /„ \ ` Ptno n �w `�` J/ --� �•%•' •l�� - 1 l �-- .\, o s.rly�pi, B I'tJ k ) o. e \ .. ��\�'�J/� Y �'/., r Hi 51`dC \v)• `'. ` Ishemf~LI :: , o CONVE rys h Island ,(�\Iw �0'��0�.:�' �II SCA St Ma P°nd 62 SO �\ ��� lvC.:A II )o o (,o� Pt °� �� 'I .11 ���. �' Feet I-:Isabella �IIi. •W' er ��'. � ,��•�r��. d / V���`-' `� y �,T rll �,I, S'� �� `I� V,� // c� p �. r �V I 1\.9/ `I (Ta k �. ,'• •) 15000 /• ii v G � ,7 t �P�,��'i ) 11 I U�// (�� 2 �� r E?'� II \ � \'•��; 1� yt =r- I p u,,i! (_�\ V �o � U'I�I cam:.. .f y •s ..ti• \�/� •� t '/%" 1 \p /r�;, •� \rr L�� �J 6, IAl 1\\ •D�II� �.\\\ \� .:� \ � 'p�\� ,ill14000 (tl (` ��—���(•V u B�11 1I' (� � - Lo Public460S Y ♦ ` }, 1 (! BE-� �J��I� -C��. % �\\; •) \73 ( ••� 13000 ^,l\-40� _ \ Tims Tims L,li;. \�, l I I � i.♦ �: �T� 'r �) . .°,,'�\/`' 1 - :u \�� ! �1 ptr CoveP.ubll( , �111(•r: u; ''• __ Handy l (y �/ 'Land)❑ o n : I2000— + \/ 1 ./ •' ''-a� Pt ,Ili' \- \0'_f ,\� IIt ( , •ice,�•' .. -\O iii� S• ) ��.Q "\\•• \. a \ // _ d• I�'r Hoopers l/ o L 1. Beach �GblfClub Yster Q r �� — / arbors o• , 1 r o Noisy j - 31 if I Bad �Parker(l Neck p \, `'• _ r r 0V/ Ponder 6 }p no6o- \�sz_ ° 5 W \� ��s�-l 1r J 46 - ianno ji = \Public �l r\�,�• t; 3 V� �, ) d J V,;.'• - / 38 / . 0 ` 10000— r \\li Landing ST RQI LE A�VQ r L ND �wl (;•� / ti: /1 r,, /I `• ••�l r�•/i�_. /; �I Votult \ •(� ,� i�!'� 1`rl - :� �Z. � Y" I •IJ. Su •'+ _- / l V 1 >: 'O \� ( (C, r J/ / / �.\ l •, C r.a \}n ll ` �( Blu f �20 ��. v f� 8000 COtlllt r �/- �... :... , o ♦ /� i�'� Flat 1• •i 1 li O, ,>:\� _ U c _ 4607 7000 S mesons eC Island dead Beach 1� — bOrs . v If 111 `o \• �,\ `\ i,-' i1 /, 0yster G - L1Light - 6000 111 �� PIII'ii k: 5000 :I Rushy ° Marsh 4606 4000 Pond - 3000— u \1 �.•J \\.-- 1�i i \ y J. 2000-- 10 go II ♦ - 1000—- I 4605 r Feet .Thatch - Island ' p ti 3 —�-' 35' 4 5 '� -- —-- -- — 4604 8 tr\ I TBM - TOP SB/DH ` ELEV. 35.22' MSL DESIGN DATA. REF USC&CS MONUMENT M28SC STRUCTURE: s. SINGLE FAMILY RESIDENCE TOP OF C ASTAL BANK PER I.E.P.1/25/87 ELEV. 22.cMSL DESIGN FLOWN cti FIVE BEDROOM - NO GARBAGE GRINDER M 5 X 110GPD/BDRM = 550GPD r SEPTIC TANK: o N F CRAIFORD "ry 1.5 X 550 = 825GPD ti a o ry . X S D. X 35 s7ol�i= "fRENGLi 0 �o \ „ LLPOP AREA DQAINAC��. o USE 1500 GALLON SEPTIC TANK ^ SLOPE. COMP LINE 8 /14 X 150 86 sg LEACHING RATES: GPD 2.5 EXISTING AREA SIDE SF h ,o s�. ►� _ / ?'•,? EYI r. 4" SEPTIC SYSTEM PIPING BOTTOM AREA 1 GPD SF TWO-STORY WOOD FRAME 22\'sy 0 / DWELLING XIST. CATCH BASIN — 4". INV OUT 24.09 LEACHING STRUCTURE. TO BE REMOVED. , , , ry 260X6 LPsW1 STONE ti 3se ti EXIST. CESSPOOL CONVERTED TO SEPTIC TANK INV. 25.5t SIDE AREA: 2(8 X PI X 6) = 301 SF .: . TO BE ABANDONED PI = 100 SF ,...::. ss � � .. `BOT. AREA. 2 8 X B X 4 Ylb 25, .. IOO YEAR FLOOD CAPACITY: ELEV 11.0 MSL [(301 X 2.5) + 100 X 1.0)] = 852 GPD PROP. a .., , DB � EXIST. LEACHPIT S ID. I ADDITIONAL CAPACITY AVAILABLE IN EXISTING LP WHICH WILL BE CONNECTED TO NEW DIST. BOX FUG L ... POLE sue. PLAN REFERENCE: PROPOSED S ADD I T0 i N .' f s? y ;•F: .. BARNSTABLE REGISTRY BK 111 PG 97 CONC. RET. WALL �� R ' 38 p•�F P ASSESSORS LOT- NO PROP. SEPTIC TANK -. � ', SrOa ' �M MAP 35 PCL 95 h o PROP. LEACH PIT \ R ` OIL qA OBSERVATIONS: � 2 X LP �AR S .; • Ns339, INST. AUc., 1s85 Ex�o >: �.xisT. \qn0 FORE REEFR PAIR OPE MIT WN OF BAI,GUST 8985 ARNSTABLE .O.H RECORDS 2p..� DRAIN, REWONIE AT LE��f 5 OF- PIPE P1-66 N/ 0Po TAQ P>✓R C8/DH (FND} i 5ARNb3bL BOARD OF ` PARCEL N0. 2 ��alr-ru. \ 3 F NOTE: M N 1. ALL MATERIALS AND, CONSTRUCTION METHODS TO CONFORM WITH COMM. OF MASSACHUSETTS PLAN �h .. \ � � _ ENVIRONMENTAL CODE TITLE V. " _ ".:. 2. ALL SEPTIC SYSTEM PIPING TO BE 4„0 SCH40 1 20 PVC 3. WATER SUPPLY FOR THIS .LOT IS TOWN WATER EXIST. GRADE = PROPOSED t NS CONNECTED AT THE STREET SIDE OF THE BUILDING S 30 . s3�9as. 4. LOT AREA 0.48 ACf CAST IRON COVERS H2O AT GRADE ` H.D. PRECAST CONE RISER COMP. LINE 25 PROPOSED 6'0 x 6' LP W/1' STONE 5, THE PROPOSED LEACH PIT DOES NOT HAVE THE REQUIRED SLOPE SETBACK AND WILL REQUIRE A 4"'SCH 40 PVC TYP. VARIANCE FROM , 310CMR 15.03 20.6 20 . . . . NOTE: I CONNECT DISTRIBUTION BOX TO TWO PROPOSED 1500 GAL. M20 .` EXISTING LEACH PITS AT ELEVATION OF EXISTING INLET INVERTS. A TWO SEPTIC TANK I FOOT LEVEL•PIPE SECTION IS REQUIRED . . . .AT. THE OUTLET OF THE.DISTRIBUTION .14.6 BOX. ' PROPOSED GIST,BOX . 960 MAIN STREET 10 OF COTUIT, MA.` 29.7 11.0 8.5 16:8 0 FOR���� PETER AND DOREEN EVANS OWNERS r - ELLIS & THULIN Inc. , x INVERT e} to N f o. 6. 478 ROUTE 6A - P.O. BOX 159 ELEV. ,n M M �i N � ;.�.y � ,�: x, N N J� _ EAST SANDWICH MASSACHU T N N c� N : , SE TS' : 02537 SEPTIC SYSTEM RENOVATION SECTION THRU SEPTIC SYSTEM 1 :=1 HORIZONTAL 0 H OR ZO AL 1 5 VERTICAL DRAWN BY OCT SEPT. 23 1987 87 — 040 CHECKED BY JRE DWG.NO. PPP01