HomeMy WebLinkAbout0980 MAIN STREET (COTUIT) - Health J80 Malh Street (Cotuit)
Cotuit P
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TOWN OF BARNSTABLE
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VILLAGE-rof,; ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. RgnCtSC&TW&g5
SEPTIC TANK CAPACITY &C
LEACHING FACILITY. (type) 6d"beuS `/�1 S-�n2 (size) Soo 1 Lei
NO.OF BEDROOMS
OWNER Q, ! r I(
PERMIT DATE: 1 0 v ZU 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) i"V Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leach' lity) S Feet
FURNISHED BY
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Town of Barnstable Barnstable
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Board of Health
nw MASS e,Q' ' 200 Main Street,Hyannis MA 02601
9�p i639 ,0m
PIED MAC A' 2007
Office: 508-862-4644 Paul J.Canniff,D.M.D.
FAX: 508-790-6304 Junichi Sawayanagi
Donald A.Guadagnoli,M.D.
September 12, 2016
Mr. Daniel A. Ojala, P.E., P.L.S.
Down Cape Engineering
939 Main Street, Route 6A
Yarmouth Port, MA 02675
RE: 980 Main Street Cotuit, MA A= 034-033
Dear Mr. Ojala,
You are granted conditional variances on behalf of your client, William J. LaPoint
Jr., to install an onsite sewage disposal system at 980 Main Street, Cotuit,
Massachusetts. The variances granted are as follows:
310 CMR 15.211(1): The soil absorption system will be located six (6) feet away
from the front property line, in lieu of the ten (10) feet minimum '
separation distance required.
Section 360-1, Town of Barnstable Code: The septic tank will be located 88.9
feet away from the top of a coastal bank, in lieu of the one-hundred
(100) feet minimum separation distance required per the Board of
Health Regulation. '
These variances are granted with'the following conditions:
(1) No more than three (3) bedrooms maximum are authorized at this
property. Dens, study rooms, offices, finished attics, sleeping lofts, and
similar-type rooms are considered "bedrooms" according to the' MA-
Department of Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to three (3) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
Q:\WPFILES\Ojala 980 Main Street Cotuit Lapoint Variances.docx
(3) The septic system shall be installed in substantial compliance with the
submitted plans dated July 7, 2016 and revised August 4, 2016.
(4) The designing engineer shall supervise the construction of the onsite
.sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the submitted
plans dated July 7, 2016 and revised August 4, 2016. .
These variances are granted because the physical constraints at the site-
severely restrict the location of the disposal system due to the close proximity of
a coastal bank and due to the geometry of the house in relation to the property
line locations.
Sincerely yours,
1
IN
ul VeYn Aff MZ'.
Chairman
i
Q:WP HOjala 980 Main Street Cotuit Lapoint Variances.docx
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A V7 Town of Barnstable //
� SCHED. DATE:
Board of Health
w 200 Main Street,Hyannis MA 02601
Office: 508-862-4644 Wayne A.Miller,M.D..
FAX: 508-790-6304 Junichi Sawayanagi
Paul J.Canniff,D.M.D.
1
CATIONp p/) ,(/� VARIANCE REQUEST FORM
P operty Address: l b v / IGt /1 !"� C°et C(j
Assessor's Map and Parcel Number: AQP 34 P6 L 33 Size of Lot: 1 3) 912
Wetlands Within 300 Ft. Yes Business Name:
No Subdivision Name:
APPLICANT'S NAME: pow, Cape I e ert n9 Phone — qp/
Did the owner of the property authorize you to represent him or her? Yes X No
PROPERTY OWNER'S NAME CONTACT PERSON
Name:
ln/l 1 gar y, 5, La PC/111 T Name: QAn 1 4�a 1a ��wnc�p e)
P Address: 0 r �o (04"; " /"A Address: 1 31 /"1 ei l'/-) S T1—eie+ `I(Ar-MaO nGl�
Phone: Phone:
VARIANCE FROM REGULATION(List Rea.) REASON FOR VARIANCE(May attach if more space needed)
See 5e parO e. See 2 e 5e panes e YA e ,e
NATURE OF WORK: House Addition House Renovation X Repair of Failed Septic System
Checklist (to be completed by office staff-person receiving variance request application)
Please submit copies in 4 separate completed sets.
vl" Four(4)copies of the completed variance request form
_ Four(4)copies of engineered plan submitted(e.g.septic system plans)
_ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian
_ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
_ Signed letter stating that the property owner authorized you to represent him/her for this request
_ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title
V and/or local sewage regulation variances only)
_ Full menu submitted(for grease trap variance requests only)
_ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],
outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the
building proposed])
_ Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Wayne Miller,Chairman
NOT APPROVED Junichi Sawayanagi
REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D.
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Down CaPe Engineering, inc.
939 Main Street, Suite C
.Yarmouth Port, MA 02675
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C)own Cayoe Engineering, Inc.
939 Main Street, Suite C
Yarmouth Port, MA 02675
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939 Main Street, Suite C
Yarmouth Port, MA 0267E
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Down Cape Engineering, Inc.
939 Main Street, Suite C
Yarmouth Port, MA 02675
f�lii} 'IIIJIIi 'iIIII a}i��Fji;rjl
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Town of Barnstable
OA1tNWABL>+.
MAIM Board of Health
200 Main Street,Hyannis MA 02601 i
p1
Office: 508-862-4644 Susan G.Rask,R,S. q
FAX: 508-790.6304 Sumner Kaufman,MSPH
Wayne Miller,M.D.
July 14, 2005
Ms. Arlene Wilson
A.M. Wilson Associates, Inc. k,
20 Rascally Rabbit Road r
Unit 3
Marstons Mills, MA
A
RE: 980 Main Street, C'otuit,'MA. A= 034;03.3 [
Dear Ms. Wilson,
1
You are granted conditional variances on behalf of our clients, Dewey and
Y Y
Margaret Awad, to install an onsite sewage disposal system at 980 Main Street,
Cotuit, Massachusetts. The variances granted are as follows:
310 CMR 16.2110): The soil absorption system will be located five (5) feet away f
from the front property line, in lieu of the ten (10)feet minimum
separation distance required.
t
310 CMR 16.211(1): The soil absorption system will be located twelve (12) feet
away from the foundation wall, in lieu of the twenty (20) feet minimum
separation distance required. j
i
310 CMR 16.211(1): The septic tank will be located six (6) feet away from the
side property line, in lieu of the ten (10) feet minimum separation
distance required.
Section 360-1, Town of Barnstable Code: The septic tank will be located 95
feet away from the top of a coastal bank, in lieu of the one-hundred
(100) feet minimum separation distance required per the Board of
Health Regulation
i
These variances are granted with the following conditions:
I
(1) No more than three (3) bedrooms maximum are authorized at this
property; Dens, study rooms, offices, finished attics, sleeping lofts, and
I
Q:WilsonAwad i
i
ra
I
similar-type rooms are considered "bedrooms" according to the MA
Department of Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to three (3) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
,
(3) The septic system shall be installed in substantial compliance with the
submitted plans dated June 20, 2005.
(4) The designing engineer shall supervise the construction of the onsite j
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the submitted
plans dated revised June 20, 2005.
These variances are granted because the physical constraints at the site
severely restrict the location of the disposal system due to the close proximity of !;
a coastal bank and due to the geometry of the house in relation to the property
line locations.
i
Sin er ly yours
ayne filer, M.D.
i
i
QNilsonAwad
SEWAGE INSPECTIONS
LOCATION 9 Q d DATE
VILLAGE ASSESSOR'S MAP do LOT
-INSPECTOR jo-6e12h P. Mgcom9Z Z a2.
SEPTIC TANK CAPACITY Iy ptze t
LEACHING FACILTIY: (type) _�e���r'Qo t S (2) (size) 1 6-'00_ga orih
NO. OF BEDROOMS .3
BUILDER OR OWNER. Suzzane 0. Dowing
OWNER MAILING ADDRESS
Dox 1664
Cotu-.t, Ma,3.6.
35
pc !�
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0
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tel.(508)362-4541
939 main street rt 6a fax(508)362-9880
yarmouth port
mass 02675
down cape engineering, inc
land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S.
surveys Arne H.Ojala,P.E.,P.L.S.
Andrew R.Garulay,R.L.A.
structural design July 14, 2016
Barnstable Board of Health
200 Main Street
site planning Hyannis, MA 02601
sewage system Dear Board Members:
designs
Enclosed is a variance filing request for #980 Main Street, Cotuit. On
behalf of our client, we are requesting the following variances:
inspections
Variance from 310 CMR 15.405 ("Maximum Feasible Compliance") :
(la) Reduction in setback, leaching facility to. lot line
permits (10.0' to 6 0')
Under Town of Barnstable Health Regulations
(3.7) Reduction in setback,- septic tank to coastal bank
landscape (100.01 to 88.91)
architecture
The site is a relatively small residential lot which has ocean
frontage on the west side of Cotuit Bay. The applicant is proposing to
raze and replace the existing three bedroom dwelling with a slightly
larger three bedroom dwelling. The existing septic system consists of
2 cesspools in the rear of the dwelling. The proposed leaching
facility will be significantly further away from the resource areas
than the existing cesspools. The proposed leaching field area is over
forty feet above sea level, so the new septic system will have a very
deep layer of sand beneath it which will help protect the aquifer and
resource areas.
This project has been filed with the Conservation Commission and is
scheduled to be heard at the July 19th meeting. The variance requested
from the setback distance to the lot line was previously approved by
the Board of Health in 2005 but the work never commenced and the
variance approval has since expired.
We feel that by granting these setback variances the same degree of
environmental protection can be obtained without the strict adhearance
to the Title 5 and Town of Barnstable Regulations.
Very truly yours, _
Daniel A. .Ojala, PE, PLS
Down Cape Engineering, Inc.
Map Page I of I
Town of Barnstable Geographic Information System New Search Home Help
Parcel Viewer FTstorn Ma Abutters Map Size ® Zoom Out In
p �nna�anoo
- 7PG Map: 034 Parcel: 033 Full
Property I
N9�9 ' Location: 980 MAIN STREET(COTUIT) Info
035095)
9960,¢ Owner: LAPOINT,WILLIAM 13R
035093
NWe Location Information - in
034030
Map&Parcel 034033 ]
'
N970 Location '980 MAIN STREET(COTUIT)
Acreage 0.34 acres
Current Owner
N978 Mailing Address LAPOINT,WILLIAM 3 3R
� 03403t - PO BOX 692 '
g ggg COTUIT,MA 02635 Lj
034033
Nose Appraised Value(FY 2016)
® Cotuit Bay Extra Features $13,600
I Out Buildings $13,100
034034
N 990' Land $1,323 700
034035
8892 Buildings $153,100 r j.
Total r Appraised 1 503 S00
PP $ �
Assessed Value FY 201 l
6
034038 Extra Features $13,600 �-
tow 034 9994
NN Out Buildings $13,100
9990 Land $1,323,700
0 89 Feet - But s $153,100
TotalAssessed $1,503,5
00Ll
5 i
Construction Detail V
Set Scale 1" = g9 I Aerial Photos v I MAP DISCLAIMER
Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send questions or comments to GIS
' BunbgtlM vi].5033[VmAittnn]
J
I`
http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=034033 8/8/2016
utterReport Page 1 of 1
Adjacent (Please choose abutter list type) Abutter List for Map &
Parcel(s): '034033'
Default buffer of parcels adjacent to the selected parcel
Total Count: 5 Close
Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed
CityStateZip
034030 COTUIT FIRE P.O. BOX 1475 COTUIT, MA 510/41
DISTRICT 02635
034031 MARINERS LODGE A C/O HADLEY, BOX 415 COTUIT, MA C3094
F&A M THOMAS,TREAS. 02635
CERRETANI, COTUIT MA
034032 30SEPH S& P 0 BOX 467 02635 8687/328
ELIZABETH
034033 LAPOINT, WILLIAM I PO BOX 692 COTUIT, MA 22165/308
JR 02635
034034 SULLIVAN,WILLIAM 135 FIVE MILE PO BOX 1043 DARIEN, CT 19042/328
M&SUSAN B RIVER ROAD 06820
This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is
required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database
as of 7/25/2016.
http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=default 7/25/2016
i
tel.(508)362-4541
939 main street rt 6a fax(508)362-9880
yarmouth port
mass 02675
down cape engineering, inc
land court August 5,2016 civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S.
surveys
Arne H.Ojala,P.E.,P.L.S.
Andrew R.Garulay,R.L.A.
structural design
Dear Abutter:
site planning A public hearing has been scheduled for the Barnstable Board of Health to take action on a
request for variances from the Town of Barnstable and Title 5 Regulations for the subsurface
disposal of sewage for the proposed Title 5 septic system at 980 Main Street, Cotuit.
sewage system The variances requested are as follows:
designs
inspections Variances requested under Title 5:
Under Max.Feasible Compliance 15.405
permits (la):Reduction in setback, SAS to lot line(10' to 6')
Variances under Town of Barnstable Health Regulations:
landscape (3.7): Reduction in setback, septic tank to coastal bank(100' to 88.9')
architecture
Said hearing will be held in the Hearing Room, South Street,Hyannis,August 23, 2016 at
3:00 pm.Plans and the application describing the proposed activity are on file at the Board of
Health office , 200 Main Street, Hyannis. It is recommended to check with the Health
Department to confirm date and time if you are interested in attending.
Sincerely,
Daniel A. Ojala,PE, PLS
Down Cape Engineering
cc: file
Board of Health
]-)ON,ITN CAPE ENGINEERING
939 Main Street
Yarmouth Port,MA 02675
August5,2016
Transmittal
To: Town of Barnstable Board of Health
Re: 16-049 LaPoint
Enclosed - Board of Health Variance Request
Title 5 Site Plan revised August 4,2016
Board Members Letter
7 page checklist
Floor Plans
Permission to Represent letter
Abutter List
Abutter Letter
Cc:file
W,LaPoint
07i07e'2016 10:03 FAX 781235014.3 Cj004
ti
Date:
Barnstable Board of Health
c/o Thomas McKear4 .Health Director
200 Main St,Hyannis,MA 02601
Dear Board Members:
I hereby give Down Cape Engineering, Inc. permission to represent me in
the upcoming public hearings regarding permitting for septic system Title S
variances as needed for the septic upgrade at#960 Main Street in Cotuit,
(Barnstable), MA,
Owner
LEGEND SYSTEM PROFILE
NOTES
SYSTEM DESIGN:
ti
X D- GARBAGE DISPOSER IS NOT ALL—B CMI coluit
nwAa Bay
.-S.UMNO.Y. 1-7 P-1-IS EXISTING 3 BEDROOM GAELLING
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SEPTIC TANK:330 GPD(2)-BEG IE L�PN LOT UNE o I
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THE I STALUER SHALL—1 THE TOTAL, 472 S.F. — 1.—,PAC—
LOCATION OF ALL LRILITTES AAD ALL LOCUS.
BUILDING SPR
ER OUTLETS ME
E USE(2)SEE G-LEACHING CHAMBERS(ACME OR EQUAL.) P=I
PLEYATIO S PRIOR TO INITALUNG ANY T,*: TO-r.211-
WTH V STONE ALL AROUND Ll-NUINEI H-20 71.Y`=F-M,—
ONTIO1 OF SEPTIC SYSTEM H-20 SAV
FOUNDATION— 11' SOP,G TANK 67' D'BOX —UEKC-G L[Aouxc �A.AND—THE ASSESSORS MAP�.PARCEL 2I�
FACILTEY III 11ITI—"I.—TY I.—1E I—Irl M—OF LOCUS IS WTHIN TEMA FLOW ZONE X
A ..H AM.. 0 FLUID TH CLEAN MA (AREA OF MINIMAL ROO.HAZARD)ASSIT—ON
W3�wov�—vo— DATE BOARD OF HEALTH C—UNITY PANEL 125001C0756J DATED 7/16/2014
UIPAL XTATC ME IT. OWNER OF RECORD
WUUAM J LAPOINT JR
S, —TO III=—=T. X.E.G.TO DRA—, OTLBO'B 22.5
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ZONING SUMMARY MITIGATION CALCULATIONS: PREPARED FOR
ZONING DISTRICT:FIT DISTRICT mmscaeL So, BEI WILLIAM LAPOINT
REWIRED: EAST— PROPOSED:
MINI LOT SZE 87.120 S.F. IS,9. S.F. EMETING 1.SF 78 BE I SO N'S,S.F.BE N.LOT FRONTAGE 18.0 DATE:.DULY 7�20113
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N.FEAR SE.— �BI: 7.B' U
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,AX LOT CO—CE' 20% 10.1% .f5.
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WITHIN TOTAL:34M BE REWIRED 2 1 TP servo I
SITE IS LOCATED THE RESOURCE PROTECTION OARI.AY DISTHICT PROPOSED...... _JIM
SEE MIT. PLAN 11 OR—ERD LANE
SITE IS LOCATED IMTHIN THE AQUIFER PROTECTION OVERLAY DISTRICT MANAGEMENT DATED 16 REI O/I/B own cape engineering,Mr.
SITE IS LOCATED WTHIN THE DOCK AND PIER OVERLAY DISTRICT TOTAL 36 92 SF M.GATIGN PROPOSED
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2016-01
Oete Izsuutl
- J0 June,2016
A102
DATE 5/5/06
PROPERTY ADDRESS 980 Main street
Cotuit
MA, 02635
On the above date, the septic system at the address above was
Inspected.
This system consists of the following:
1., 1-6'X6 ' &lock ce zpooi 1-6'X8' giock ce zpoo2- .in a. zea.ies.�
Based on Inspection, I certify the following conditions:
20 7h.is .ins not a 71tie Five zept:ic hyztem.� It .iz a zewage z.yztem.,
3., Both cezzpooe.3 weae day at ..t.ime o� .inspect.ion.�
4., Sewage zyztem .iz .in pao.Rea woak. ng oadea aetthlp t time.,
SIGNATURE %i
Name: Robert A. Paolini
Company: JoseRh P. Macomber & Son Inc--. {
Address: P. 0. Box 66
Centerville, Mass 02632a �-
Phone: 508-775-3338 or 508-775-6412
loom
I I Lem
COOS.E:PH P. MACOMBER & SON, INC.
Tan ks-Cesspools-Leachfields
Pumped & Installed
Town Sewer Connections
x 66 Centerville, MA 02632-0066
775-3338 775.6412
•
\ COMMONWEALTH OF MASSACHUSETTS
TEXECU`i'IVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM,NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM .
PART-A
CERTIFICATION
Property Address: .. 980 Main Street
C ntLi t MA 02635
Owner's Name: MrgArAt- nwAa
Owner's Address: 1 01 1 s ton Road
WP11,-- a Ma 0?d83
Date of Inspection: 5/5/0 6
Name of Inspector:(please print) R6bf,,rt: A P of 'n.
Company Name: g. ?:.17¢co:m& A.
Mailing Address:
en e2.vi e, N4zT..02632
Telephone Number: 5 0 8-7 7 5_3 3 3 8
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 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
Deeds Furt&r Evaluation by the Local Approving Authority
Inspector's Signature: �"' Date:
The system inspector shall submit a copy of this inspection report-to the.Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner.sliall 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
I
****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 diffarept
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION.FORM—,NOT' FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM:
PART A
CERTIFICATION(continued)
Property Address: 980 Main Street
Cotuit MA 02635
Owner: Margaret Awad
Date of Inspection:s f 5 l n ti
Inspection Summary; .Check A,B,C,D.or.E/ALWAY&cbmplete all of Section;D
A. System Passes: qES
NO I have not found any information which inditatesithat any of the failure criteria described in 3 10 CMR
15.303.or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below.
Comments:
Syztem .iz .ia 12 aoQea woak.ing oadea at .the paezent time,,
B. System Conditionally Passes:
NO 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 approv.d 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.
NO The septic tank is metal and.over 2Q 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:
NO 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:
NO The system requited 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):
N broken pipe(s)'are replaced
obstruction is removed
ND explain: .
2
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 980 Main Street
Cotuit MA 02635
Owner: Marcraret Awad
Date of Inspection: 5/5/0 6
C. Further Evaluation is Required by.the Board of Health:
No Conditions.exist whichrequire 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:
No Cesspool or privy is within 50 feet of a surface water
No 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:
NC, 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.
No The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
No The system has a septic tank and.SAS and the SAS is within 50 feet of a private water supply well.
No 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 v; qua I
**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 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:
I
3
Page 4 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A .
CERTIFICATION(continued-)
Property Address: 980 Main Street
rat ui t- MA 09635
Owner: argarat pwa
Date of Inspection:. "5-4 5 4 0 6-
D. System Failure Criteria applicable to all systems:.
You must indicate"yes"or"no'.'to each of the following.for all inspections:
Yes No
X Backup of sewage into facility or system component due to overloaded.or clogged SAS or cesspool
X Discharge:or ponding of effluent to the surface,of the ground or surface waters due to an overloaded or
clogged SAS or cesspool.
X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_ X Liquid depth in cesspool is less than 6"below invert or,available volume is less than'h•day flow
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped
X Any portion of the SAS;cesspool or privy is below high ground water elevation.
X .Any portion of cesspool or privy is within 100 feet of a surface w;ter supply or tributary to a surface
water supply. e
_ X Any portion of a cesspool or privy is within a Zone 1.of a public well.
_ X Any portion of a cesspool or privy is within.50 feet of a private4;vater supply well.
X 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:passe.s 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 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 forrp.]
No (Yes/No)The system fails.I have determined that one or more-fpf 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 1.0,000 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
X the system is within 200 feet of a tributary to a surface drinking water.supply
_ X 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.
4
Page 5 of I I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
PropertyAddresC. 980 Main. Street
Cotuit MAC .
Owner: Margaret Axa-
Date of Inspection: n 6
Check if the following have been done You must indicate"yes"or"no"as to each.of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health
X Were any of the system components pumped out in the previous two weeks?
X Has the system.received normal flows in the previous two week period?
X Have large volumes of water been introduced to the system recently or as part of this inspection?
NIA Were as built plans of the system obtained and examined?(If they were not available`note as N/A)
X Was the facility or dwelling inspected for signs of sewage back'1ip
X Was the site inspected for signs of break out
X Were all system components,excluding the SAS,located on site?
X _ 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?
X _ 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:
Yes no
X Existing information.For example,a plan at the Board of.Health.
X _ 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(3)(b)J
>_.
5
Page 6 of l l
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISP.OSAL:SYSTEM.INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 980 Main Street
Cotuit MA 02635
Owner: Margaret Awad
Date of Inspection: 5 15 10 6
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): .3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example:110 gpd x#of bedrooms): 330
Number of current residents: 0
Does residence have a garbage grinder(yes or no): n o
Is laundry on a separate sewage system(yes or no):no [if yes separate inspection required]
Laundry system inspected(yes or no): n o
Seasonal use.:(yes or no):�h 200.4=100, 000 g¢22on�i G%D=273., 97
Water meter readings,if available(last 2 years usage(gpd)): 2 0 0 5=10 6, 0 0 0 g¢i i o n,3 ,G?/0=2 9 0., 41
Sump Pump(yes or•no):. rt o
Last date of occupancy: unkn o wn
COMMERCIALM.6USTRIAL N��
Type of establ�smtrnt:
Design flow(Based on 310 CMR 15.203): gpd .
Basis of des'P' flow(seats/persons/sgR,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: 11111103 m a.i n.t J.,P., (l a c o m g e it
Was system pumped as part of the inspection(yes or no):n o
If yes,volume pumped:__gallons--How was quantity pumped determined?
Reason for pumping: .
TYPE OF SYSTEM
Septic tank,distribution box,soil absorption system
X Single cesspool
X 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
ob_tained from system owner)
Tight tank _Attach a copy of the DEP approval
_Other(describe):
Approximate age of all components,date installed(if known)and source of information:
30f tj ea2,3
Were sewage odors detected when arriving at.the site(yes or no): n o
6
Page 7 of l I
OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 980 Main Street
Cotuit MA 02635
Owner: Margaret Awad
Date of Insppction: 5/5/0 6
BUILDING SEWER(locate on site plan)
Depth below grade. 18"
Materials of construction: X cast iron _40 PVC_other(explain): r-i a y t i n e 9 4" S C h 40
Distance from private water supply well or suction line: ?0 f
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK:. NO(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 Complianee(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
related to outlet invert,evidence of leakage,etc.):
e/ztic tank 4.6 not /2ze6eat
GREASE TRAP:NO(locate on site plan)
Depth below grade:
Material of construction:_concrete.. metal_fiberglass_polyethylene_other
(explain)`.
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
• Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on.pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
G2eaze btaR i.6 not i22ezen
}
7
Page 8 of 11.
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 980 Main Street
rablit MA 0263
Owner: Ma-Qn—r-lat; Auxad
Date of.Inspection: S / ).(
TIGHT or HOLDING TANK:NO (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene other(explain):
Dimensions:
Capacity: gallons
Design 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 float switches,etc.):
light oa ho.ecl.ing .tanks aae not Raesent
DISTRIBUTION BOX: NO (if present must be opened)(locate on sitdblan)
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.):
Dista.iut.ion Sox .iz not yzaezenz .
PUMP CHAMBER: NO (locate on site plan)
Pumps in working order(yes or no): Y
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Pump chamgea .is not paehent
8
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 980 Main .Street
Cotuit MA 02635
Owner: Margaret .Awad
Date of Inspection: 5 f 5/0.6
SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required)
If SAS not located explain why:
Located gee page 10.
Type
leaching pits,number:leaching chambers,number:
leaching leaching galleries,number:
leaching trenches,number, length:
leaching fields,number,dimensions:
X overflow cesspool,number: 1
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.):
Loamy to medium .sand no zigns o� �a.iipae ;piiz aAe day.-
ege a .ton .t s noama
CESSPOOLS: ./es(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: 4
Depth of scum layer: CA,
Dimensions of cesspool:_ (a�u
Materials of construction: C�
Indication of groundwater inflow(yes or no):YD
Comments(note condition of soil,signs.of hydraulic failure,level of ponding,condition of vegetation,etc.):
Loamy to medium zaad.,- No z.ignz o� ,a.ieuze oa aond.ina., So.ie.s aae day
vegetation 1-6 noamai
PRIVY: NO (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.):
Pa-ivy .ib not /2se6eat
9
. Page 10 of 11 v
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSALSYSTEM INSPECTION FORM .
PART C
SYSTEM INFORMATION(continued)
Property Address: 980 Main Street
Cotui MA
Owner: Margaret Awad
Date of,IMpection: 5 5 0 6
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. .
I
t
v
(.
t -
�4 10
Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: • 980 Main Street
Co uit MA 02635
Owner: Margaret Awad
Date of Inspection: 5 5 0 6
SITE EXAM .
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water, feet
Please indicate(check)all methods used to determine the high ground water elevation:
•N 0 Obtained from system design plans on record-If checked,date of design plan reviewed:
u e.6 Observed site(abutting.property/observation hole within 1504 feet of SAS)
Checked with local Board.of Health-explaima h. l l.i P_,t _aAd
no Checked:with local excavators,installers-(attach documentation)
Accessed USGS database=explain4tt/2:t own.,ka)tn sis9.ie,,me..,u s
You must describe how you established the high groundwater elevation: '
1lsed Cape Cod Comm.is.ion Ygtea 7agie Coritouas And P uliic G/atea Supply
Weii head 121toteet.io-n aaeas map.- Sept 1995
Yatea aehouaces 0,eeice cane cod comm.izz'on.l
Leaching
Pit feet
Groundwaterl. Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method
Therefore,the vertical separation distance between the bottom
of the leaching pit and the adjusted groundwater table is I.(p
feet:
. 11
""'•""-"nWr rV"%"""j"r0""'�'"Ror BARNSTABLE I30PD QF 111CA-LTII
..SUBSURFACE BF-WAOR DISPOSAL SYSTt3M IVaPECTIQN FORM - PART D• CERTIFICATION
-tYPe OR PRINT CLEARLY-
PRO.PERTY rpProrsi?
STREET ADDRESS 980 Main Street Cotuit 02635
ASSESSORS MAP, DLQGK AND 'PARCEL II
OWNER's NAME MarciareT-Awad
PART'-' D CERTXFICAT4KQN ;
OR
NAME 'OF INSPECT
RotiAt Paokln.i
COMPANY NAME :P.- Macomia Snn Inc
13ox 6 6 " 'Cen�eay.L ie Maz.s' .02632
COMPANY ADDIMS. str• ,' Town-or City. Ste LiP
COMPANY TELEPHONE ( 508• f 17.5 - 33�8 FAX 1',508',: '90 f578
CERTITICATION. STATEMENT
I certify that I have persohatly AnSpeoted the sewage •diayosal. system at
this address and that- tNe" information reported .is true,. aooUra•te•, grid
omplete as of the time ..of tinspection.s• The inApecti.on was per•Formed and any
recommendations regarding upgrade., .ma•intenanoel' abd irepa•ir .are• eongistent
with my trainipg and experience in th$ ppoper futnctinn' acid mainteAsnoe of on--
site sewage disposal systems.
Cheek one:
Systeuf PAS92D
The inspection which •I have .conducted has :,nqt- i'oµnd any information .
which indicate$ that the system' fails to ' adeduately. protect .publi•o
health or the enviropme :t as defined L-0- .$10 CMR. It'i 30.3-1 -Any failure
cri•ter.ia riot .!evalunted- are as stated in the FAILURE' CRI-TWA seation o•f
this form.
Sys�em FAILED
*
The inspection which I have 0o4dttted 'has .found that the system fails to
protect the public health and the enyi.rorrment ' in aoge'rd•ance with Title
61 319 CMR 15 . 303, and as specifloali.y noted -on •PART' 0 •. FAILURE
CR.ITERIA of thi i qn. . M.
Inspector signature. ............. Date'
ne• copy of this certi,fiolt•ioh ,mu*ot -be rovi'ded :to -the .QWNSR•I t`ht BUYRR'
where applicable) and th DgARD 0V HEA TEl• ; '
* It the inspection FAIL'Eb., 'thb .6wneV.9r9perator system.
within o'ne year of the date of the inspection, unless: allowed Qr requ#.,red
nt.harw49e as provided iT si4 CMR 16 ,306.1, .
Town of Barnstable
K � � Board of Health
9$ ��g
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,RS.
FAX: 508-790-6304 Sumner Kaufman,MSPH
Wayne Miller,M.D.
July 14, 2005
Ms. Arlene Wilson
A.M. Wilson Associates, Inc.
20 Rascally Rabbit Road
Unit 3
Marstons Mills, MA
RE: 980,Maln Street; Cotd:it,'MA ; A= 034-033
Dear Ms. Wilson,
You are granted conditional variances on behalf of your clients, Dewey and
Margaret Awad, to install an onsite sewage disposal system at 980 Main Street,
Cotuit, Massachusetts. The variances granted are as follows:
310 CMR 15.211(1): The soil absorption system will be located five (5) feet away
from the front property line, in lieu of the ten (10) feet minimum
separation distance required.
310 CMR 15.211 1 : The soil absorption system will be located twelve (12) feet
away from the foundation wall, in lieu of the twenty (20) feet minimum
separation distance required.
310 CMR 15.211(1): The septic tank will be located six (6) feet away from the
side property line, in lieu of the ten (10) feet minimum separation
distance required.
Section 360-1, Town of Barnstable Code: The septic tank will be located 95
feet away from the top of a coastal bank, in lieu of the one-hundred
(100) feet minimum separation distance required per the Board of
Health Regulation
These variances are granted with the following conditions:
(1) No more than three (3) bedrooms maximum are authorized at this
property. Dens, study rooms, offices, finished attics, sleeping lofts, and
Q:W ilsonAwad
similar-type rooms are considered "bedrooms" according to the MA
Department of Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to three (3) bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
(3) The septic system shall be installed in substantial compliance with the
submitted plans dated June 20, 2005.
(4) The designing engineer'shall supervise the construction of the onsite
sewage disposal system and shall certify in writing to the Board of Health
that the system was installed in substantial compliance with the submitted
plans dated revised June 20, 2005.
These variances are granted because the physical constraints at the site
severely restrict the location of the disposal system due to the close proximity of
a coastal bank and due to the geometry of the house in relation to the property
line locations.
ASin er ly yours
ayne iller, M.D.
Q:WilsonAwad
�FtHE 1p� DATE:
FEE:
* 1ARNSrABLE, t ^,
7 MASS.
�A 1639. �m� REC. BY
QED MA't A - .
Towns of Barnstable SCHED. DATE:
/ -
Board of Health #
367 Main Street, Hyannis MA 02661 =�
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M.D.
.i
VARIANCE REQUEST FORM
LOCATION :
Property Address: 980 Main St. , Cotuit
Assessor's Map and Parcel Number: 34�33 Size of Lot: ?Q,473 s.ftn (±0 4f
CD
Wetlands Within 300 Ft. Y N/A
X Business Name:
57>1
No Subdivision Name:
Dewey & Margaret Awad ' '„
APPLICANT S NAME: y r t g Phone
Did the owner o:f-.the property authorize you to represent him or her? Yes X No
PROPERTY OWNER'S NAME CONTACT PERSON
Name: Dewey & Margaret Awad Name: Arlene M.. Wilson
A. M. Wilson Associates, Inc.
Address: 101 Royalston Road, Wellesley; MA Address:20 Rascally.Rabbit Road, Unit 3
02481
Maretons Mills, MA 02648
Phone: Phone: 508-420-9792
VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
Local pgra e Approvai
under .TitIe 5 - o Variance
Procedure require r CMR 13.403 See attached letter)
. en ica prppetty5.l ne...and
oun a i- et ac s un er ocal regu ations.
NATURE OF WORK: House Addition ❑ 'House Renovation ❑ Repair of4'QGQWeptic System K3.
Checklist(to be completed by office staff-person receiving variance request application)
_ Four(4)copies of the completed variance request form
Four(4).copies of engineered plan submitted(e.g.septic system plans) '
_ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
_ Full menu submitted(for grease trap variance requests only)
Variance request application fee collected.(no fee for lifeguard modification renewals,grease trap variance renewals[same
owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal'systems
[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G.Rask,R.S.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
` REASON FOR DISAPPROVAL Ralph A.Murphy,M.D.
I p I
Q:/WP/VARIREQ 1 1 TAt� �✓e �.Apr`�^
r
• , a
A.M.Wilson Associates Inc.
May 23, 2005
Barnstable Board of Health
200 Main Street
Hyannis, MA 02601
RE: Local Upgrade Approval/Local Variances
980 Main St., Cotuit
(Our File No. 2.1365.00)
Dear Board Members:
Attached,please find a request for Local Upgrade Approval covering the relocation and upgrade
of the existing septic disposal system at the Awad residence located at 980 Main St., Cotuit.
The existing system appears to be an overflow cesspool system located on the water side of the
dwelling. Although a plan was developed and permits obtained to upgrade the system to then
Title 5 requirements in 1989, the work apparently was not done. The Title 5 Inspection Report
prepared in November of 2003 and on file with your office confirms the existence of two
cesspools connected in series on the waterside of the house. Although there is-more than
sufficient depth to groundwater,the second cesspool is less than 100' from the Top of the
adjacent Coastal Bank. An Order of Conditions confirming Resource Area locations and a
variety of maintenance activities at the site has been approved.
The proposed leaching system will be located on the street side of the house. It will, therefore,
conform to both wetland and groundwater setbacks. In order to do this,there will be a need for
property line and foundation line variances for the SAS as follows:
• 5'provided to front property line rather than 10';
• 12'provided to the foundation rather than 20';
• 3.25'provided to the south property line rather than 10'.
There is also a property line setback needed for the septic tank where 6' is provided rather than
10'. All of these variances to 310 CMR 15.211 are allowable without Variance under 310 CMR
15.403 and 15.405. However, a similar non-Variance approval may not exist under your local
regulations. Insofar as local Variances are necessary, we are hereby requesting that they be
granted.
20 Rascally Rabbit Road
Unit 3 508 420-9792
Marstons Mills, MA 02648 FAX 508 420-9795
Attached please find copies of a Variance Request Form, Site/Septic Plans and Floor Plan
sketches. The floor plans are provided because the Assessor's records show the structure as a 2
bedroom dwelling when, in fact, it has 3 bedrooms. The 1989 plans by Ed Kelly also showed 3
bedrooms.
Please don't hesitate to call if you have any questions or require any additional documentation.
Yours,
A. M. WILSON ASSOCIATES, INC.
Arlene M. Wilson, PWS�
Principal Environmental Planner
Attachments
cc: Margaret Awad
505AW 17/csp
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A wad Residence
,�980 Maim Street, Co tui t
First Floor Plan
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Bathroom
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A wad Residence
,�980 Main Street, Co tui t
i Second Floor Plon ,
0 ATE
PROPERTY AOORESS980 a�nSt2eet -__------
_ LD1,a � �h -------------
a
_-0Z.63 ———————————————--—
On the above date, I olsphe tol the owingeptic systenti—at the above adTnis system consists
1.
�_6 'X6 ' dock ce,3h/zoo.� and 1-6 'X8' &.eock cezz/20o.e in
Baseo on my inspection. I certily the lollowing condltlons: MAP '
0 3 g-
ve wept" ',yztem• PARCEL , lb
2. 7h�.�s �,� ,not a t.�t.Pe �c•
3. 7h�..a -i.6 6ewage Zy,6tem. LOT _ ._. ._.
4. The .sewage -3y
stem 'h 'n P2o/ze2 wo2kiny o2de2 .
at the the Rae-6ent time.
5. pumped main cehhpooe at time o� inh�zect con.
6. pump main ce1.
zzpooi annua-�iy.
9., Cgaagage d-.h/ao,ae i'6 R2e,3ent. gIGNATUR _ -- '-- - -- -- -
P_ _Macomber-Jr ._ __ _ _
� omPanY �4� �h p,_ M�S4mtZ�r d_ Son, Inc .
� ooress - ------ ------
- - -C..e.n.SrCYLLLP._ �ja _ _2Z632- 0066
TmIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
JOSEPH P. MACOMBER & SON, INC.
TanxsCesspoolsleechllelds
Pumped L Installed
Town Sewer Connectlons
P 0 Box 66 Centerville. MA 02632.0066
775.3338 775.6412
L
.ti ,per
�-\ CO'MMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 980 Na in S;.2eet
0't U-iT,776-6. 02635
Owner's Name: Downina Suzannom
Owner's Address:13„ Y y ��
C
Date of Inspection:
R ,
Name of Inspector: (please print) l o z e l2h %. /Va c o m e-e2 a2.
Company Name: 1. %. NacomPea Son Zrzc.
Mailing Address:136 x 6.6
Can fon>>LPPo a, c 02632
Telephone Number: 5 0 R_7 7 5— 3 3 3 R
CERTIFICATION STATEMENT
1 certify that 1 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. 1 am a DEP
approved system Inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
e�vPasses
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector shall s mit 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
"This report only describes conditions.at the time of Inspection,and under the conditions of use at that
t. time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5.Inspection Form 6/15/2000 page I
Page 2 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 980 Main St zeet
Owner0ow.ing Suzzanew
Date of Inspection:11/1 1/0 3
Inspection Summary: Check A,B,C,D or E/ALWA complete all of Section D
A System Passes:
A?4) I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
The .6ewaae i6u stem :i.6 -in r2/zo/2e2 wo zk.i:nq o./Zdea a;t the .
R2e,3en.t .t.ime.
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.
/,4LO'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:
�XWeObservation 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 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
rage..) of i I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Properry Address: Dowin SuzzarLew
980
Owner: ( nt,ii t, l7a
Date of lospectiooj 9 /9 9/n 3
C. Further Evaluation is Required by the Board of Health:
2b 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.
I. 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,11"any) determines that the
system is functioning in a manner that protects the public
p health, safety and environment:
ti The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of
surface water supply or rributary to a surface water supply.
tt The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
/2 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet put 5Q feet or more from a
private water supply Method used to determine distance
'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 facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3 Oche
7hiz iz u zewuge zy.6.tem. 7he zyh.t`em con.6.i3;L3 o; 1-61X6'
CE ool and I-6 ' o-c ce
Aonjo% (- A'6ROO.Qb Q'2e .6 /LuC u/L2 y
3
Page 4 of I 1
OFFICIAL INSPECTION FORM — NOT.FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A '
CERTIFICATION(continued)
Property Address: 27 Te2neaook /toad
en e/ZV4 e, 11 a,37.
Owner:low in y uzzane 0.
Date of Inspection:1 I/I 1/03
D. System Failure Criteria applicable to all systems:
You must indicate "yes" or"no" to each of the following for ALinspections:
Yes No>>
r//Backup of sewage into facility or system component.due to overloaded or clogged SAS or cesspool
s Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
,�1P6 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
T i/Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
— /of times pumped�.
—/ Any portion of the SAS, cesspool or privy is below high ground water elevation.
(/Any portion of cesspool or privy is within 100 feet of a surface water.supply or tributary to a surface
water supply.
= Any portion of a cesspool or privy is within a Zone I of a public well.
y 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 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.)
(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.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of lo,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
e 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 11 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 De.partment.
4
I
Page 5of11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM.IN-SPECTION FORM
PART B
CHECKLIST
Property Address:Suzzane 1d.. Dowing
Na7a St2ee.t
Owner: Co.tu.i.t, Na�3,3.
Date of Inspection: 11111103
' Check if the following have been done.You must indicate`Yes"or"no"asto 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?
:/ave 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 /A)
Was the facility or dwelling inspected for signs of sewage back up
Was the site inspected for signs of breakout"
Were all system components,Alluding 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:
Yes no J
!� 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 153020)(b)]
5
Page 6 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C At
SYSTEM INFORMATION
Property Address: 980 Main S.t2ee.t
Co � l7nAA
Owoers (uzz U_ n),j.i_n
Date of Inspection: 1 1 1 i m 3
FLOW CONDITIONS ,...
RESIDENTUL
Number of bedrooms (desip):J_ Number of bedrooms(actual): n_n
DESIGN now bued on 310 CMS 15.203 (for example: 110 gpd x M of bedrooms):,*
Number of current residents: _ ,,
Does residence have a garbage g7inder (yes or no):
Is laundry on a separate sewage systenl4y, s or no):,W (if yes separate Inspection required)
Laundry system inspected es or no):
Seasonal use: (yes or no): 2002.--=116, 000 gaLeon,3=317. 81 G%D
Water meter readings, i(ayailable (last 2 years usage (gpd)):
Sump pump(yes or no); _ , ga teon,3=Z68, 50 Gl D
Lut date of occupancy;�90�
COMMERCLIL/INDUSTRIAL
Type of esublishment:
Design now(based on 310 CMa 15.203): gpd
Basis o(design now(seaWperson sgft,etc,):
Grcue trap present (yes or no):I/9
Industrial waste holding Lank present (yes or no):
Non•saniLary waste discharged to the Title 5 syste (yes or no); )
Water meter readings, if available:
Last date of occupancy/use: VW
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Soui'cc of information: %um eel a.t .time of .in's/?ee.t.ion.
Wu system pumped as pan of the inspection (yes or no):
](yes volume pumped: allons — How was 9uantiry pumped determined?
Reason for pumping: Keavy zcum & .6o eid.6 ca/t/tq .eaye zz we/Le 122e eni.
TYPE OF SYSTEM
Septic tank, distribution box, soil absorption system )
Single cesspool
Oyerflow cesspool
Privy
<U Shucd system (yes or no)(if yes, attach previous inspection records, !(any)
Innovadye/Alternadye technology. Attach a copy of the currant operation and maintenance contract (to be
obtained from system owner)
/VjTight tank �!�Arucb a copy of the DEP approval
AP Other(describe): l
ApprpCtmatc age of all components, date installed (if known) and source of information:
Were sewage odors detected when arriving at the site (yes or no):,"
6
Page 7 of I I '
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS_
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C �•
SYSTEM INFORMATION (continued)
Property Address;980 Main S.t2ee1t
Owo.er. Suzz.ane 4). 770wzng
Date of Inspection. 11111103
YBUILDINC SEWER(locate on site plan) 4" cab t c2on ancic�ay`,
Depth below grade;
'� ./tom .the houze :to .the main
Materials ofconstruction: , .,cast iron•4&40 PVC t/other(explain):- •ce s,s/2oo.e.6 4" Sch 40 4 ' PVC
Distance from private water supply well or suction line,. .fs�5` /?=1_fze o e o e2l eO W
Comments(on condition of joinu, venting, evidence of It a.ge,etc.): ee46/20 o e.
ka e The 6 b.tem &3
ven.tecl .thltough .the aoo� ven.tb,
SEPTIC TANK .(locate on site plan)
Depth below grade: _X)zf
Maternal of construction: concretc/jAmetahll/d fiberglass polyethylene
other(cxpiain)
If tank is metal list agc: is age confirmed by a Certificate of Compliance(yes or no)i,(M (attach a copy of
certificate)
Dimensions:
Sludge depth:
Distance from top of sludge to bonom of outlet tee or baffle: &A
Scum thickness: V
Distance from top of scum to top of outlet tee or baffle x)
Distance from bonom of scum to bo-atom of outlet tee or.baffle:
How.wcrc dimensions determined: Aht
Comments(on pumping recommendations, inlet and ogtict tee or baffle condition, snvctural integrity, liquid levels
as related to outlet Invert,evidence of.lcakage, cc.):,
Septic .tank .C6.' not l'zeezen.t. .7he main cez6j2ooe 6houid gle
12um/2e.cl a n h a a-U t/ iqdAgag7 dz,3pozci,
CREASE TRAK&4ocatc on site plan)
Depth below gradc,:&I�
Material o.f construction:ol)14concretr rLmctaWf fibcrglass�o yethyleno other
(explain): �/� �
Dimensions:
Scum thickness:
Distance from top of scum to top.of outlet fcc or baffle: ?' 1160
Distance from bottom of scum to bottom of outlet tee or bathe:. tW
Date of last pumping:
Comments.(on pumping recommendations, inlet and outlet tee or baffle condition,strumni Integrity, liquid revels
as related to outlet invert, evidence ofleakage,etc..):.-
/1 0 A fnn(1 1A n_nY bZ Ph ,.
Page 8 of I I
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:980 Na-in St2eet
o u.t , a�,s.
Owner: Suzzane U. Dow.in.q
Date of Inspection: 11/1 I/0 3
TIGHT or HOLDING TANK(tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: Id/f
Material of construction: 6v concrete 41,1 metal 41,4 fiberglass,&ee,4 polyethylene W,4 other(explain):
A14
Dimensions:
Capacity: A) gallons
Design Flow: 1124 gallons/day
Alarm present(yes or no): ,fIL
Alarm level: VA Alarm in working order(yes or no):
Date of last pumping: ,Oh-
Comments(condition of alarm and float switches,etc.):
71gi nn hoP inq fnnkA rrny nni /2ae%enL.
DISTRIBUTION BO?G (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: e
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.):
Afni0.,ifinn O.nx i/, not
PUMP CHAMBEW&t—(locate on site plan)
Pumps in working order(yes or no): ;4
Alarms in working order.(yes or no):
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
im,n rhrimPv_n_ 1,s n.o.f 122e3enJt'. ,
8
Page 9 of 1 I
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Add ress:980 /7aia St zeet
Cotait. t*�a.6,3.
Owner:Suzz in Id D-a-wing
Date of Inspection: 1 1/11 f n 3
SOIL 6!!ABSORPTION SYSTEM (SAS): r/ (locate on site plan,excavation not required)
'XR' ro AApnn-f and � .YR PPack a AA.- in Ann iaA
If SAS not located explain why:
Located. Sep age 90
Type
leaching pits, number:
,fl&_ leaching chambers, number:
4.0leaching galleries, number:
,VC) leaching trenches,number, length: Q
IfMieaching fields, number,dimensions:
_overflow cesspool, number: S
Air? inn ovative/a Item ative system Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,
etc.):
Loamy 3and to .6ancl No zignb o� hUdlLaaiic 4aiiu2e on Road-ing
S o.0 h n n o rJ n y moo_y o f n f i n ram;A a a a 42 a a mtj z? 4,4,e—m ci �L—
annuaiiy.
CESSPOOLS (cesspool�ust be p ped as part of inspect ion)(Iocate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer: ' 1 Y
Depth of scum laver.
Dimensions of cesspool: G�
Materials of construction:
Indication of groundwater inflow(yes or no): --t>e'
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,.etc.):
Sdme as aeove.
PRIVY-locate on site plan)
Materials of construction:
Dimensions:
Depth of solids: j
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.):
l3n.i»(W dA nnf noA,onf
9
Page 10 of I I
OFFICIAL, INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 980 Main S�bLee.t
Cotail .
OwaerSuzzanv_ G1. ��,•,cn y' :-
Date of Inspection: 1 1/1 1/03
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.
'B
10
Page I I of I I
OFFICLAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C .
SYSTEM INFORMATION (continued).
Property Address: 980 Main S.t2ee.t
C0.tu-L.t, /razz.
Owner: .Cri77nno 61_ 7nwing
Date of lospectioo: /14 103
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water feet
Please indicate (check)all methods used to determine the high ground water elevation:
Ate- Obtained from system design plans on record - if checked, date of design plan reviewed: NA
qL Observed site (abusing property/obsmation hole within 150 feet of SAS)
QL,rL Checked with local Board of Health-explain: NA
ZLr Checked with local excavators, installers. (auch documentation)
Accessed USGS database-explain:hit 12, //,t own. rna, ub.
You must describe how you established the high ground water elevation:
Llzecl: Cahaely R 17IZPea Mndpi. 12116194 gzound wa.te2 eieva.tio.nz agove sea .levee.
Uzecl. USGS:—ba. AQ,,.U01!on we r/nfn_ �une 1992
Ll,6ecl: USg-� 7eC-4Q i-Ga-B— uU fin-, 92-hnn- 9 219nlv 42 AnnuaPu 2anaez o-1
1292
:cc(
01
Groundwater: rcct Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Fd'mpter Method
Therefore, the vertical_separation distance between the bonom I
of the leaching pit and the adjusted groundwater table is ��
feet,
ll
�,.n..n rr.—n i.-z—.n—•.T.—.r..n m r..—nr•.rn•-.rr.r.:-.r—•�vrr:Ti.-crn-+i m-rn-¢:rrc��cr.rrr. '
TOWN OF b2.r14ta_gia WARD OF IIEALT11
SYSTEM INSPECTION FORM - PART D •- CERTIFICATION
Slll)Sl1RFACR SFHAGF DISPOSAL � '
... ....T...-•.'.._.-. -^.-.rn.r.rm•rt:rn rsl�nr•en.+'-r-+-rT.7--•n.-•wrn-s aTtmf"Tr+'ncw.ttcr *Z'PA'RTa esm nY+srr7r'r<sv-+Trlt'r•T.•.r.r-rr•r.-..
-TYPE OR PRINT CLEARLY-
PROPERTY INSPECTED
STREET ADDRESS 980 /�a.in S�2ee"t Cotu.it. k,3,6.
ASSESSORS HAP , DLOCK AND PARCEL # y�l?
OWNER' s NAME Suzzang ' Dowing
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P. Macomber Jr
COMPANY NAHE Joseph P. Macomber vt6n. Inc
COMPANY ADDRESS Box 66 Centerville Mass 02632
Street Town or City Stat9 t:IP
COMPANY TELEPHONE ( 508 ) 775-3338 FAX ( 508 ) 790-1-578
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at
this address and that the information reported is true , accurate , and
IML omplet.e as of the tirne . of. .inspection , The inspection was performed and any
recommendations regarding. upgrade , maintenance , and repair are consistent
with my training and experience in the proper• function and maintenance of on-
site sewage disposal systems .
Ch ec one ;
System PASSED
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or, Lhe. environment as defined in 310 CMR 16 - 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
, this form ,
System FAILED* \
The .inspection which I have con 'voted has found that the system fails to
protect the E)ublic health and the environment in accordance with Title
5 , 3.10 CMR 15 ; 303 , -and as specifically noted on PART C - FAILURE
CRITERIA of this inspection fo art .
Inspector Signature iD'ate
Ar
ne copy of this c c,ification must be provided to the OWNER, the BUYER
( where applicable ) and the 130ARD OF )rEAL7'!I ,
* If the inspection FAILED , the owner or "operator ehall upgrade the ayetem
within one year of the date of the inspection, unless allowed or required
otherwise as provided in 3.10 CFIR 16 . 306 ,
partd . doc
SEWAGE INSPECTIONS y ,+
L( ATION �� S'-I' . DATE
VILLAGE--
ASSESSOR'S MAP & LOT
•INSPECTOR jo.6oph l. Nacom&ea ;a.
SEPTIC TANK CAPACITY !� fie• '`
LEACHING FACILrrY: (type) - �,e-��if'co S '(2) (size) �.6! 0_ _yahyo)k -
NO. OF BEDROOMS-
BUILDER OR OWNER Suzzane N. Dow'zng
OWNER MAILING ADDRESS
Dox 1664
Co.tuiit, Na,3.6. ,
5. ;
i
Revisions
19-9114'
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_ Project Number
2016-01
Date Issued
30 June,2016
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• Second Floor Plan _
Project Number
2016-01
Date Issued
30 June,2016
n
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2,-s 1�2� NOTES: N T Revisions
INLET do OUTLET COVERS TO BE 2-2 1 2
BROUGHT TO 6" OF FINISH GRADE. y "
B--•-I 1. CONCRETE - 5000 PSI MIN. TEST PIT DATA:
-_ q- _ _ _ q STRENGTH 028 DAYS 1. ALL WORK AND MATERIALS SHALL CONFORM TO THE 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING • ^;'
°,_0„ MIN. 6" ` N r-------7-1---'► 2• STEEL REINFORCEMENT - REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, AREA AND BACKFILL WITH MATERIAL AS DESCRIBED *� '
COVER 4, ...,., I I 1 St. ." w a
Groundwater Adjust.
r ,
GRADE 0 ON PA ASTM A 615 GR D 6 APPLICABLE A A RUE AN PLAN.
t V AND ANY A PL C BLE LOCAL RULES D.�:.. :.. :::.:.:.::::r::::•::::LV::.:•::�:'•�s:r:::av�::::. •:�;:::�:�:}t�:g::.�:v'.�}::,,,,r,. ,.;?�S:'t :•rapt;:�:,:'r:;:�t�'r::::�
I I I
TITLE
,...�• , , M I Well: SDW 253
" -o - I I I I i REGULATIONS, EXCEPT AS REQUESTED BELOW: Indicates Indicates
24 DIA. MANHOLE COVER 6" FLOW-TOP L--c- -=1-1-_-� 3. COVER TO STEEL - 1 MIN. Zone: B - 4
-310 CMR 15.405(1)(a)(b)(d)&(g): 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO Perc Groundwater' •`�� °�""�-
„ ZABEL FI TER- „ - +
- - • R s {Atoo� 20 _..�1 OPERATE OVER THE LIMITS OF THE SEWAGE DIS Test = 4/84 2 Adjustment � r»teaw.`.
' B 1.) A 5 variance, S.A.S. to front property line,
i ,i , OUTLET TEE W/EXTE SION j i ' POSAL SYSTEMS DURING THE COURSE OF CON- -g�,
U, w _ for a 5 setback .. N �» .,
I INLET �.»
4'-�' '" `° PLAN VIEW 2.) A 8' variance S.A.S. to the foundation STRUCTION OF THE SYSTEMS. '-�.
a TEE LIQUID DEPTH r ' , w, " `'`
6" MIN. 3 4" TO 1-1 2'STONE for a 12 setback Ground El.= 41.7 Depth �,,�? ` "
/ / 3. A 6.75 variance S.A.S. to side property line 11. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL , ` x v4 o
5 DIA. KNOCKOUT 5 DIA. KNOCKOUT , • r\ �. mA,. i
SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN A - L.S. -
( ) ( )
for a 3.25 setback „
1
PRECAST CONCRETE SEPTIC TANK `'BOTTOM ON LEVEL STABL B S ;rP 4.) A 4 variance, septic tank to side property line, APPROVAL OF THE ENGINEER AND THE LOCAL ' 10YR 3/2 Pit N0. r� ` r
REINFORCED WITH STEEL 3" 2" for a 6' setback BOARD OF HEALTH. 40.4 16 ,
� Test B Dave Mason, R.S. 'ia
" ' ` 2. GROUT TO BE USED AT ALL POINTS WHERE PIPES Bw - L.S.
PLAN VIEW 12.THIS SYSTEM SHALL BE INSPECTED AS REQUIRED BY � Test Date: 1/11/05J
3) INLET AND OUTLET TEES TO BE CAST IRON �� �. t �� t' ENTER OR LEAVE ALL CONCRETE STRUCTURES IN TITLE V. 39.1 10YR 5/6 31
NOTES OR SCHEDULE 40 PVC. t-{-� t-}-� `+� 1'-3" +� ORDER TO PROVIDE A WATERTIGHT SEAL
Dave Stanton, R.S.
Witness: `
1) SEPTIC TANK TO WITHSTAND H-10 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. s" ~` 8" 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE 13.A CERTIFICATE OF COMPLIANCE AS REQUIRED BY Perc Rate: < 2 min./in.
UNLESS UNDER PAVEMENT, DRIVES, OR TRAVELED 7 1/2• TITLE V AND AN AS-BUILT PLAN ��
WAYS, WHERE BY H-20 LOADING SHALL APPLY. : , �; • :,,., ,• SEALED WITH NEOPRENE GASKETS OR ASPHALT 63
OF THE SYSTEM MUST BE OBTAINED BY THE
2)) ALL PIPE CONNECTIONS AND CONCRETE CON- NO. OF GALLONS: 1500 4" '._ �" CEMENT TO PROVIDE A WATERTIGHT SEAL. CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. ryry `».» IN11 � r'
STRUCTION TO BE WATERTIGHT.
SECTION A-A SECTION B-B 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION
14.THIS SYSTEM IS NOT DESIGNED. FOR A GARBAGE
BOX AND LEACHING FACILITY TO WITHSTAND H-10 DISPOSAL UNIT.
SEPTIC TANK DETAIL DISTRIBUTION BOX DETAIL LOADING UNLESS UNDER PAVEMENT, DRIVES OR
DB-5 W/ BAFFLE TRAVELLED WAYS WHEREIN H-20 LOADING SHALL
NOT TO SCALE APPLY. 15.ALL UNDERGROUND UTILITIES SHOWN WERE EOM- , -
- NOT TO SCALE - PILED ACCORDING TO AVAILABLE RECORD PLANS `
INLET & OUTLET COVERS TO BE BROUGHT TO FINISH GRADE 29� MINIMUM FINISHED GRADE OVER LEACHING AREA 5. ALL 4" PVC PIPES IN THE SYSTEM SHALL BE AND ARE APPROXIMATE ONLY. SEE CHAPTER 370, C1 - M.S.
WITHIN 6" OF FINISH GRADE SCHEDULE 40. ACTS OF 1963, MASSACHUSETTS GENERAL LAWS. 4
DRIVEWAY /� WE ASSUME NO RESPONSIBILITY FOR DAMAGES 10YR 6/6
LOCUS MAP
4 PVC SCH. 39,83 MIN 6. WASHED CRUSHED STONE SHALL FREE OF ALL INCURRED AS A .RESULT OF UTILITIES OM AGES OR off. 508-362-4541
(-GYP,) FIRST TWO FEET TO 1 MIN., 3 MAX 38.83 DIRT, DUST AND FINES. ( fax 508-362-9880
BE LAID LEVEL 41.83 MAX TOP OF SAS INACCURATELY SHOWN:" THE APPROPRIATE PUBLIC
2" PEASTONE 7. AT ALL POINTS OF INTERSECTION OF WATER LINES ENGINEERING DEPARTMENT SHALL BE CONTACTED AS
39.62 WELL AS DIG SAFE PH. NUMBER 1-800-322-4844 down CO' e engineering, !n C.
1500 GAL. 38.28 \ 38.11 38.00 E3 o 0 0 ( ) p
40.80 3 4 TO 1-1 2 AND SEWER LINES, BOTH PIPES SHALL BE CON- ASSESSORS MAP 34 PARCEL 33
SEPTIC TANK o 0 0 I� / / STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO 31.7 120
''' 39.37 4.0' SIDES �� 36.00 WASHED STONE BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. CIVIL ENGINEERS
;,,...... 4.0' ENDS r--- 25.5 -1 No Groundwater Observed
FOUNDATION 33.50'---I I , 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE LAND SURVEYORS
33.8 MANUFACTURED BY ROTONDO OR AN EQUIVALENT
ZTO BE INSTALLED ON A SYSTEM PROFILE PROS, HIGH GROUNDWATER EL. I MANUFACTURER. ZONING SUMMARY
LEVEL & STABLE BASE. IS APPROX. EXTREME HIGH WATER 2.2' 939 main st. Yarmouth, ma 02675
ZONING DISTRICT: RF RESIDENTIAL DISTRICT
SUBCONTRACT SERVICES FOR:
FRAME AND COVER DESIGN ANAL 1 SI S INVERT ELEVATIONS ' ' MIN. LOT SIZE 87,120 S.F. SURVEY & ENGINEERING SUPERVISION
AT GRADE MIN. LOT FRONTAGE 150 '
DESIGN FLOW: MIN. FRONT SETBACK 30'
FINISHED GRADE 3 BEDROOMS X 110 GAL/(BR-DA)=330 GPD 4" INVERT AT BUILDING 40.80 MIN. SIDE SETBACK 15' Project Title
1' MINIMUM MIN. REAR SETBACK 15' j
SEPTIC TANK REQUIREMENTS: 4" INVERT AT 1500 GAL. TANK (IN) 39.62
330 x 200% = 660 GALLONS 4" INVERT.AT 1500 GAL. TANK (OUT) 39.37 SITE IS LOCATED WITHIN RESOURCE
I� EM I1 I1 ED
=1 MINIMUM 1,500 GALLON PROTECTION OVERLAY DISTRICT.
z I� IJ o I3 0 4' OF J"-1 J" 4 INVERT AT DIST. BOX (IN) 38.28 Awad
N DOUBLE WASHED STONE 1,500 GALLON TANK PROVIDED SITE IS LOCATED WITHIN THE DOCKS AND
4" INVERT AT DIST. Box (OUT) 38.1.1 PIERS OVERLAY DISTRICT. ResidenceLEACHING FACILITY REQUIREMENTS:
O O O p O INVERTS AT LEACHING FACILITY:
r� M o C] BOTTOM 0.74 GAL/(S.F.-DA) 4" INVERT AT BEG.
•
LEACHING FACILITY 38.00
6" OF J"-1 J" SIDE 0.74 GAL/(S.F.-DA) N 0 TE S
DOUBLE WASHED STONE 4 INVERT AT END 980
2'0" .�. 4'0" �r 2'0"~� LEACHING FACILITY N/A 1. THE EXISTING CONDITIONS SHOWN HEREON ARE
LEACHING FACILITY PROVIDED ELEVATION AT BOTTOM THE RESULT OF AN ON-THE-GROUND SURVEY Main
((33.502.83') + 2x(33.5' + 12.83')x2') OF LEACHING FACILITY 36.00 PERFORMED BY DOWN CAPE ENGINEERING AND A.M.
4'x 4' PRECAST GALLEY xo.74 GAL/(S.F.-DA) = 455 GPD OBSERVED GROUND WATER ELEVATION (MOTTLES) N/A
WILSON ASSOCIATES. Street
TP#1 2. ELEVATIONS ARE BASED ON N.G.V.D.
3. ALL UTILITIES SHALL BE VERIFIED AND MARKED
PRIOR TO ANY EXCAVATION. cotuit
CERRETANI, ✓OSEPH S & CERRETANI,
EL12ABETH
P0BOX467Cb
x. COTUIT, MA 02635 m
z <m
G
PROPOSED 33.5'x12.83' SAS FIELD \\ x
3-500 GALLON LEACHING CHAMBERS
Exist. Deck O1
4' OF STONE CRAH E/ev=7.0:t
224`f FND Prepared For
� F nce o 0
COTUIT FIRE DISTRICT
P.O. BOX 1475 Shrubs N
COTUIT, MA 02635 ��+ N �`' Q Margaret A w a d
Existing Cesspool Ion w o cr o
EXIST. GAS MAIN TO BE 10"
RELOCATED BY OTHERS To 8e Pumped, F!l!e Oeclduo
TO OUTSIDE SAS FIELD Existing / and Abandoned c a N
Driveway o Q i "�
c 'Y
® ®
l' o PROPOSED 4" VC SEWER PIPE lck eps / a
Catch Basin Catch Basin at►o 3 20 Rascally Rabbit Road
Rim 42.6 Rim=422 h Exlsting Dwelling St Ps c $ \�'� �r Marstons Mills, MA 02648
PROPOSED VENT PIPE F TF E/.=42.60 ro O
Existing Ce pool b� p - O� < 4"f .{�.:.:�..„,•; ';i","•ti '1:'
r' EXIST. WATER SERVICE a I` To Be Pu ad, Fllle nt N \+� �` ;s; � ' ,� ;'t~� '` ''t,�". It•
!y. TO BE SLEEVED AND W 42
RELOCATED AROUND SAS FIELD / / ,0 and Aba Boned Fence
f30.� A. M. Wilson Associates Inc.
2.00' Shrubs
508 420 9792 FAX 420 9795
ogst
Cobblestone - to 66.22'
Drawing Title
Utility Pole 5.00' i \�
J.92/18S d4y 40 LOGAN, ROB£RT A & SUSAN M •0
TP #1 Fence 57.99 / P 0 BOX 1411 COTUIT, MA
42 N 02635
MARINERS LODGE A F & A M M�'0 PROPOSED
988 MAIN STREET PROPOSED CLEAN OUT SEP�ICGALLON
TANK
COTUI T, MA 02635
s C
Existing
PROPOSED
�, Garage `-L- �e tl an ds
4'x4' PRECAST GALLEY
WITH 2' OF STONE 4. Permit
a) Plan
� op Utlllty Pole
,f92/19
40 \
C810H
FND
35 �\N OF MqS
40ri
bry CB H 86.15' R BERT A.DRAKE y� SCale: 1"= 20'
o CIVIL
Travel%d �yh Way �p BROKEN _ v No.41642 Q 0 10 20 30 40 50 FEET
IN, A9 FG/S E
Date May 9 2005
• .� CB H Exist' g Fence j Y � Drawing No.
n
�••-/� �®�, Design A.M.W.
Check
Drawn J.V.B.
Job. No. 2.1385.00
_ Last Rev. of 1
Awad Base
TEM
LL
SYSTEM PROFILE ALL MARKED WITHCMAGNETICTTAPEAOR BE NOTES`
LEGEND
SYSTEM DESIGN: PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 school 99- EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE PROP. VENT COtuit
2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING
X 9-9-1 EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED \ TOP FOUND. EL. 41.6 FILTER FABRIC OVER STONE 5�
-[99]- PROPOSED CONTOUR 405 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 40.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � p� Lay
EXISTING 3 BEDROOM DWELLING NOTE: 2" MIN. WALL PRECAST RISERS 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS Locus
2' CAST IRON COVERS TO GRADE OR CONCRETE TO BE AASHO H-2Q (H-10 SEPTIC TANK
198.41 PROPOSED SPOT EL. PROPOSED 3 BEDROOM DWELLING PRECAST H-10 THICKNESS REQUIRED H-20 )
RISERS (TYP.) 4"OSCH40 PVC COVERS TO WITHIN 6" GRADE, COORDINATE W/.OWNER uffp�
TH 1 . 2'0 MORTAR ALL
DESIGN FLOW: 3 BEDROOMS Ca? 110 GPD = 330 GPD 6" MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT. B!
12" MIN. INT. DIM. �q (TYP.) INV'S EL. 37.20 4'
TEST HOLE ENDS SIDES 38.2
USE A 330 GPD DESIGN FLOW *38 7, 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH o
., 0000000° ' 0000000°° 310 CMR 15.000 (TITLE 5.)
22; SLOPE OF GROUND ' 10" TEE c ° ° ° ° ®®®® ®®®® ®®®® -®®®®
38.39 1500 GAL H-10 ° °0000 ° o
SEPTIC TANK 330 GPD (2) = 660 TEE SEPTIC TANK 38.14 0 0 0 0 0 0 ° ° ° ° ®®®®�®®®®®® ®®®®®®®®®®� ' ° ° ° °
° ° ° ° ° WATERTEHT D BOX o >°°°°°°°° °°°°°°°°
UTILITY POLE GAS BAFFLE :• 0000°0000000' °°°°°°°° ®®�®�®®®®®® ®®®®�a®�®Q® ;°°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO p
a' LIO. LEVEL N , ° ° ° ° ®®®®®®®®®®® ®®®®®®®®®®® ° ° ° ° c
�_o 0 0„0 0_ FOR LEVELNESS ° ° ° ° ° ° ° °
USE A 1500 GAL. SEPTIC TANK ACME OR EQUAL o ° ° ° ° ° ° ° BE USED FOR LOT LINE STAKING OR ANY OTHER
FIRE HYDRANT ., j' • 37.47' 37.3TJ 0 °°°°°°°° °°°°°°°° "
° ° ° ° ° ° o ° 35.2 PURPOSE.
L8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING LEACHING: 00000000000000000°oo°0000°0000°000°0000000°oo°o°°o°°o°°o°`o H-20 500 GAL LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
�0000000�o�o„o,,o,,00000000000r000?oY „0000000• 3�4"-1-1�2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED
SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Nantucket
6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND
BOTTOM 25 x 12.83 (.74) = 237 GPD COMPACTION. (15.221 [21) N PERMISSION OBTAINED FROM BOARD OF HEALTH. Sound
*THE INSTALLER SHALL VERIFY THE TOTAL: 472 S.F. 349 GPD LO
LOCATIONS OF ALL UTILITIES AND ALL DI C N A HALL RESPONSIBLE CALLING
BUILDING SEWER OUTLETS AND LOCATION
(1 F ALL UNDERGROUND
AND VERIFYING THE LOCUS MAP
LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
ELEVATIONS PRIOR TO INSTALLING ANY USE (2) 500 GAL. LEACHING CHAMBERS '(ACME OR EQUAL) BOTTOM _ PRIOR TO COMMENCEMENT OF WORK.
( 2.5% SLOPE MIN.) ( 1 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER FOUND SCALE 1"=2000't
PORTION OF SEPTIC SYSTEM WITH 4' STONE ALL AROUND H-20 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE
H-20 LEACHING REMOVED 5' BENEATH AND AROUND THE PROPOSED ASSESSORS MAP 34 PARCEL 33
FOUNDATION- 11 ' SEPTIC TANK 67' D' BOX 12' FACILITY LEACHING FACILITY.
12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND MAJORITY OF LOCUS IS WITHIN FEMA FLOOD ZONE X
MA REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. (AREA OF MINIMAL FLOOD HAZARD) AS SHOWN ON
APPROVED DATE BOARD OF HEALTH
_ 13. POOL FENCE SHALL HAVE SELF-CLOSING COMMUNITY PANEL #25001 C0756J DATED 7/16/2014
SELF-LATCHING. GATES, SIZE AND MATERIALS TO MEET OWNER OF RECORD
LOCAL AND STATE BUILDING CODE, ALL DWELLING DOORS
OPENING TO POOL SHALL BE ALARMED TO CODE. POOL TO
UTILIZE SALT GENERATOR & CARTRIDGE TYPE FILTER.
SEASONAL DRAW DOWN TO BE DIRECTED TO DRYWELL, WILLIAM J LAPOINT JR
LOWER CHLORINE TO ZERO PRIOR TO DRAWDOWN. P 0 BOX 692 REFERENCES
VARIANCES REQUESTED: 14. GUTTERS AND DOWNSPOUTS TO BE DIRECTED TO COTUIT, MA 02635
BENCHMARK: a DRYWELLS OR ROOF DRIP LINES TO STONE TRENCHES. DEED BOOK 22165 PAGE 308
UNDER MAX. FEASIBLE COMPLIANCE 15.405:
(1o): REDUCTION IN SETBACK, SAS TO LOT LINE (10' ELEV.
TO 6') ELEV.
BOUND
E =41.1
UNDER TOWN OF BARNSTABLE HEALTH REGULATIONS: PROP. VSCREEN FINAL PLACEMENT NT WITH CHARCOAL FILTE
MAP 4 PCL 30 TEST HOLE LOGS
(3.7): REDUCTION IN SETBACK, SEPTIC TA COASTAL BANK ( C FIRE DISTRICT
C.B.
(100' To 88.9) BY CONTRACTOR WITH HOMEOWNER P O.-BOX 1475
CONSULTATION) COTUIT, MA'�2635 PAUL LANDERS
CRAIG J. FERRARI, SE #13871 ENGINEER: DAVE MASON, R.S.
0 ENGINEER: ENGINEER:
MAP 34 PCL 32 EDWARD E. KELLEY DAVE STANTON, R.S.
� � ,��• DAVID W. STANTON IRS WITNESS:
JOSEP CERRE ELZABETH WITNESS: 10/17/1989 WITNESS:
\w I P.o.BOXRRE 467 DATE: 6/17/2016 DATE: DATE: 1/1 1/2005
PAVE 1 COTUiT, MA 02635 PERC. RATE _ < 2 MIN/INCH PERC. RATE _ < 2 MIN/INCH PERC. RATE _ < 2 MIN INCH
EXISTINGAolw GAS SERVICE ���' DRI PROPOSED 1 I
TO BE RE-LOCATED P', GARAGE I
SLAB = 41.0 CLASS I SOILS p# 15079 CLASS I SOILS P# 7422 CLASS I SOILS
AROUND SAS FIELDQ'z o ,� ° rn
�` , I fPROPOSEID
POOL FENCE o
.40 / `�¢ I I ELEV. ELEV. ELEV.
\\ ; so �o� ' �, 38 U co n ELEV.
J0� /' I PROPOSED --l�N� A 0 `\%' 40 0 V 40 0 `V' 38 » 40
QQ Leo, DWELLING
z FILL FILL °
/ � moo, a� 6" 6" 1 o„ LOAM FILL A
�` / >
EX'S N� 1 CP PORCH a� '� v
�✓ ,<v" DW7 LI„.INS i� LS
S.B. \ � SLAB ° 10g Q I A A » 10YR 3/2
Q a A 16
B
H2
® � -38.5 �. � � ..
' 4 MIN. � - , RIE� � � ,.: � ,�,,. � .. .. c.a. - 9 LS LS LOAM
MAP 34 PCL 31 4 1 ELEV. POOL 1OYR 3/2 1OYR 3/2
�� a MARINERS LODGE A F & A M P.0. BOX 415o H yo T I 1 82,3 W W ` .` 12" 15" 20" 36.3' LS
�• 42 COTUIT, MA 02635 /� ya "�/` .% sr- 10.0' p W 7`S W W *36 * Q
►+ c B B 1OYR 5/6
/� DNS' p i W W W W z . B 31 37.4
/ � 88.9 W W . • �' W .o. g LS LS SANDY
//QQ'0 � � �1� �I ` W W V• •Y y W �• W
C.B. O
LINE 1r�oW W 24" 10YR 5/6 38' 24" 1OYR 5/6 38, 30" SUBSOIL 35.5'
lb4 %o p RK LIMIT W 20 + W® qr0,
C m
J4 / MAP 34 PCL 33 �,� �Q ,. W PERC
S / 18,986 SF W W W W ka ~ v
�ry 66.22' 0.44 AC. THB Yt/R W o o
J /
/ � / � W •�a .► I.. W PERC C IVISf..
100' . 50' cJ?
CLEAN •
MAP 34 PCL 34 W AW 8 � w W MS MS MEDIUM 10YR 6/6
/ WILLIAM M & SUSAN B �3 W W W Q W W a: _ SAND „h-
/ W v W •r °► v i� Q Y
-�f 18! �• I' SULLIVAN I ' W W W W W� W
135 FIVE MILE RIVER ROAD `1?`8�` � a °' -H /�� 1 OYR 7/4 1 OYR 7/4
F R DARIEN, CT 06820 . �. W W N Cl) c3!y W
N p �Q /, W W W V � C d 120" 30' 120" 30' 216" 20'
o W � a
36 120" 3p'
W ►---a Q NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED
�o Q E-
MAP34 PL 3 48Q O
MAP 34 PCL 38
S 2.5% •O
7.,
28TITLE 5 SITE PLAN
P OSED MITIGNTIO ti6
LA S 3692 SFf OF
SEE MITIGATIO N BY Co
CRAWFORD /16 D
26 DATED 7 7 #980 MAIN STREET
0o MANAGEMENT
co, REV. i�31/1/16
�\ ^ MAP 34 PCL 36 D COTUIT, MA
ZONING SUMMARY
MITIGATION CALCULATIONS: PREPARED FOR
ZONING DISTRICT: RF DISTRICT HARDSCAPE 0-50' 50-100' WILLIAM LAPOINT
REQUIRED: EXISTING: PROPOSED:
MIN. LOT SIZE 87,120 S.F. 18,986 S.F. 18,986 S.F. EXISTING: 483 SF 78 SF
MIN. LOT FRONTAGE 150' 18.0' 18.0' DATE: JULY 7, 2016
MIN. FRONT SETBACK 30' 24.8' 25.6' PROPOSED: 483 SF 1228 SF REV: AUGUST 4, 2016 (MITIGATION AREA)
MIN. SIDE SETBACK 15' 9.8' 9.8' _
MIN. REAR SETBACK 15' 7.9' 7.9' INCREASE: 0 SF 1150 SF `(� Scale: 1"= 20'
MAX. BUILDING HEIGHT 30' <30 <30 REQUIRED MITIGATION �ss� �zHOFAfj vat q� �� °y 0 10 20 30 40 50 FEET
MAX. LOT COVERAGE 20% 10.4% 14.6% � �"o�nr,�� � � �OFMgss �p�j�oFMAssq
* 20% 0.27 Qx4 = 0 SF s cy s�� qC o� DANIEL DANIEL
F.A.R. 1150x3 = 3450 SF DANlELA ��., a� y� m
OJAIA � OJALA OJA!_H N
*PER §240-91 RAZE & REPLACE41 DANIEL A. s A. A.
TOTAL: 3450 SF REQUIRED I� cIVIL A 0 OJALA
CIVIL No,40980 0 No,40930
SITE IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT � No.46502 :> No.46502 off 508-362-4541
PROPOSED MITIGATION:
°T��c ago>`�` �F �° �OFESS\O� Q ! oFa Q fax 508-362-9880
-SEE MITIGATION PLAN BY CRAWFORD LAND r 'STD c,�� � °� cisreR ��`` �qti yo gtio �o downca e.com
SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT SSiONA� �� Fss, osuR�E suRVE P
MANAGEMENT DATED 7/7/16 REV. 8/1/16 oNnL
down caps engift«fing, Inc.
SITE IS LOCATED WITHIN THE DOCK AND PIER OVERLAY DISTRICT TOTAL: 3692 SF MITIGATION PROPOSED
� � ,•,� civil engineers
land surveyors
939 Main Street ( Rte 6A)
DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DCE # 16-049 16-049
. - -. "U:.�., --...w`A.?6aAP95�'Hi ;34RaKv31x'rkT7eT,m,m�sv;�. "Yk -. "'fiHM+s+L9.4..�•'.a:T.e+i'.;:•*di+F. ^At.Z:'cfi? _"'>W'.k'�4'tp'itY:ma's-Li:F$F'&:L:ri.'ttft�h� _
c 2'-2 1/2"- NOTES: 1V t.i 1 G5. ._-- _ _ _ ___ ___ -.__--.._ - Revisions
INLET & tMiTt.ET COVERS TO BE
EiRGJf;H7 TO 6' OF FINISH C GRADE. E�1 1. CONCRETE 5000 PSI MIN .�
y� T A- A STRENGTH 0 28 DAYS TEST S I T DATA: I �1� -'
-0'- - - g'' ��` _-_ _ ALL WORK AND MATERIALS SHALL CONFORM TO THE 9. EXCAVATE ALL UNSUITABLE G��.c. <:a . IN LEACHING ' - ""r- ��
__-_._.- 4" MIN- �` N r _ ?-!-- 2. STEEL REINFORCEMENT - REQUIREMENTS OF THE STATE L'iR NM NTA F R T I ';"TT T"T` -{ T •+I ''15 05: CHANGED FLOW DESIGN
-.-_`�-_� COVER I I I I,' 0 E L COD_. A EA AND BACKFIL_L WITH MA ERIAL A`y DESCP.IBED Groundwater Adjust. t I �'
l I I It ASTM A-515, GRADE SO TITLE V, APPLICABLE t - FROM 4 BEDROOM TO 3 BEDROOM
�3 AI �. � M I I i i' � ABLE LU r5 ANE' ON PLAN. "-1 � _ �`• /
k,1-- _
r _ OM
24 i!A. MANS-,' _F CU'y'�k - I. 1 0-_� - t ONS CE A�i Well: SDW 253 - ''' i ` i !'
'r C 6' FLOW TOf' rK TEE(TtF1 L--_----1-1---J 3. COVER TO >TE�`l - i" MIN. M R Q ESTED BELOW Indicates indicates 'r_.'
REGU TI Ex r E U
I s� I -1 r-� -3 C R 15.405(1)(a)(b)(d)&(9; Zone: B
-- ZABEL. FI;.TER --tt ?C I( -- .--- HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO Perc Groundwater � ADDED 40 MIL POLY LINER
faipD) f ) property HE EWAGE DID _ *`
' + OUTLET TEEw/EkTEliSICN ` 4 B-�i1N 1. A 5' varianCP: S.A.S. to frontGne, OPERATE OVER THE LIMITS S Test 4/84 2 Adjustment �f, r' t
-
�' " I INLET '----°- m for a 5' setback POSAL SYSTEMS DURING THE COURSE OF CON- y ;�
! -TEE ucwo-nEPrH- p�A� VIEW
2.) A 8' variance, S.A.S. to the fcwidation, TRUCT!ON OF THE SY' TEM,S. I \ �-� t- - � - HANGED �'AFlIAN" T Ar KS
p $' MIN. 3/4" 70 -,/`-sroNE for a 12' setback Ground El.= 41.7' De tn- ; ? a ' �„� DES SE B
.> -..-.,.--....-,,., ,, ..F:: ' s" 3.) A 4' variance, septic tanK to side property line, 11- NO IEI_D MCDIFICATIUNS T TIE SEWAGE DISPOSAL (,
__J _1� DIA. KNOCKOUT 5" UTA, KNOCKOUT P P Y r.--
"'" ''1--- �� 5" DI 5" DI for a b' setback SYS -M SHALL BE MADE WITHOUT PRIOR WRITTEN A - !_.S, �� _ _ 1
S B ENGINEER AND THE LOCAL Pit NO.
PRECAST CONCRETE. SEPTIC TANK a • 90TTOM aN L.EVEL 5"tABLE�o L�, 4.) A 95' variance, septic tank to top of bank, APPR VAL OF THE r' � 10YR 3/2
REINFORCED WITH STEEL y4-y -�-� 3"•-� �r I �-2" for a 5' setback BOA OF HEALTH. -- Dave Mason R.S.
4 0.4' 1 '
Tes t By.
PLAN E'IE'v __..�.-'�--` 2. .,OUT TO BE USED AT ALL POINTS WHERE PIPES c � r y Bw -- L.S.
- -= 1 4 Y� 12.T SYSTEM SHALL `9 INSPECTED AS REQUIRE,-) B 1 11 O5
3j INLET AND OUTLET TEES TO BE: CAST IRON „ r ti I I t `� TER OR LEAVE ALL CONCRETE STRUCTURES IN TLE V. 10YR 5/6 A Test Date: / / -
NOTES r r , v+� v 1 ( URD . TO PROVIDE A WATERTIGHT SEAL_. 39.1` _ 3 t '
OR SCHEDULE 40 PVC. I + t 1 1'-3" Lf W,tness: Dave Stanton R.S.
1) SEPTIC TANK TO WITHSTAND H-10 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. T�,! �' -��� � � f.3.A CERTiFiCATE c c
8" I OF C ,MPUANCE AS REQUIRED BY
UNLESS UNDER PAVEMENT. DRIVES, (A TRAVELED E'. 7 1 2" l , � 3. ALL SHIPL PefC Rate: < 2 rnin.f In_
a c I f t I �_- TITLE V AND AN AS-BUILT,PLAN - --
WAYS, M4ERF. SY H-20 LCADING HALL APPLY. '- .�. SEALED WI IH fJtJf r1L`� GASK lC :tSl'i:AL/T r c r r 1
t c c-�I�C ! - T P rr T OF THE SYSTEM MUST BE OBTAINED B'f ,HE 63" -
2) ALL PIPE C-C91NEC T10'NS AND CONCRETE CON- NO. O, GALLONS: 4""I I'~ �i CEMENT TO PROVIDE A WA,ck fIG. SEAL CONTRACTOR UPON C('IMP gT!ON OF THE ABOVE WORT
STRUCTION TO BE WATERTIGHT. f
SECTION A- A TI ON B-.B 4. PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION r , - i ',! r•
_ 14. ,HIS SYSTEM IS NOT ;ESL.,$+EL. FOR A GARBAGE -- ,7,
�.. ��ww T ry �^}13f E (°� BOX AND LEACHING FACiLITY TO WITHSTAND H-10 DISPOSAL UNIT -- '
,.r i AH U f P1fL. D'����' � LOADING UNLESS UNDER PAVEMENT, DRIVES OR
_ D8--5 r;�`� RAFFLE LE TRAVELLED WAYS WHEREIN H-20 LOADING SHALL T -
_ OY
NOT APPLY. 1 S.PILED ACCORDING TOAVAILABLE
SHOWN WERE AN 1 -
CT TO SCALI ABLE RECORD PLANS ! I
INLET & O,�TLET COVERS TO BE BROUGHT TO 5. ALL 4" PVC PIPES IN THE SYSTEM SHALL BE AND ARE APPROXIMATE ON Y. SEE CHAPTER 370,
FINISH GRADE 2% MINIMUM FINISHED GRADE OVER LEACHING AREA } C1 - M.S.
eWiTHIN 6" OF FINISH GRADE DRIVEWAY ACTS OF 1963, MASSACHU3ETTS GENERAL LAWS. ' " `'"
SCHEDULE ao. 10YR 6/6
WE ASSUME NO RESPONSIBILITY FOR DAMAGES ^ MAP
4" PVC SOH. - _ 39.83 LA
T - V 6. WASHED CRUSHED STONE SHALL FREE OF ALL INCURRED AS A RESULT OF UTILITIES OMMITTED OI J r I , C off, 508- 362-4541
FIRST TWO 41.83 MMIN., 3' MAX g3 TOP OF SAS DIRT, DUST AND FINES INACCURATELY SHOWN. THE APPROPRIATE PUBLIC - -� w-�-- - --"-"•-w---- -• fax 508-362-9880
-- - � - --
_� FEE? TO BETENGINEERING DEPARTMENT SHALL BE CONTACTED A_
39.62 r,, I ; LAID LEVEL2" PEASTONE 7. AT ALL 1 �)INTS OF INTERSECTION OF WATER LINES WELL AS DIG SAFE PH. JUNK R i )0-3" - 4 44 <?38.55� �- ,--_� Q ( E 8c 322 a ) ivn cape engineering, inc.
1`i00 GAL. I I 1 t; f 38.00 -' 3 4 TO 1-1 AND SEWER LIN�S, BOTH PIPES SHALL BE CCN-c1 arc TANK �:: 39.37 38.28:/ ,,�3E.11 CD CI - / " /2" 5 G _ - --- - 120 ASSESSORS MAP 34 PARCEL 33
WASHED STONE _TRUCTED OF CLASS 1 0 PRESSURE= PIPE AND ARE TO 31.7' ,
tom " 4.0' SIDES ', 36'0a- BE PRESSURL= TESTED ?0 A SSURE WATERTIGHTNESS. CIVIL ENGINEERS
7-1 -- 4.1- r-- 17.0' ----+ No Groundvvcter Observe,-4.0' ENDS- LAND SURVEYUS
OUNDATION 250' - I I & SEPTIC TANK, CISTRIBUTION BOX, ET,,. SHALL BE
/ p� [[-�� _--� 33.8' MANUFACTURED BY ROTONDO OR AN EOUIVAI_ENT �
`-TO eE INSTALLED ON A c Y`7 T17M PROP I I F PROB. HIGH GROUNDWATER EL. MANUFACTURER- L rV I i V G SUMMARY
LEVEL dr. `r1ABLE BASE. v IS APPROX. EXTREME NIGH WATER L2,2'
939 f�lrJlrl St. yC;rmUUf.h, rnC Uir t✓
., ;�k?�iEJB✓ M�4 c,§ ,'.:st'a°c'P` S�tl.n:F:l:#e.,Sz,`.�: '.i�t'Yt` _ ... ' - ,_ _.. ,`�.- .$.'�iRt.'A3F-'fY#�"A'S9i43£fJ€'�:. .3:�. 711�'Ltfi',#` _"»:7'�=�F:".:.. �as`4.:'aYt;:�'. .. ,. .e�4"ffi'�.tii'.'-__. _ a'id:}.'' -
_ ZONING DISTRICT: RF RESIDENTIAL DISTRICT
,., BCON TRACT SERVICES FOR
- -- FRAME AND COVER � � "� � '�� �d �� �� � s " f a € PA *a,~ MIN. !_UT SIZE ES7,120 S.F. �L R ✓EY & ENC)!NEERIVG SUPERVISION
D' �,._. . _-. MIN. LOT FRONTAGE 150'
% DESIGN FLOW: Mir,►. FRONT SETBACK 30'
FINISHED GRADE _ 3 BEDROOMS X 110 GAL/(t3R-DA)=330 GPO -4Q80 MIN SIDE SETBACK 15' Project. Title
----
--_._----- --- -- 4' f rE:K? AT E31, u;IN�•
C- --- -- ---- 1' MINIMUM M!N. REAR SETBACK 15,
SEPTIC TANK REQUIREMENTS: 4" 1I,,c4� AT 1500 AL. TANK (IN) 39.62
Si ,E IS LOCATED WITHIN RESOURCE
330 x 200% =-660 GALLONS _ - _ 4" �rvvF��'r AT 1500 GAL TANK (OUT) 39,37 r
O p MINIMUM 1,50o GALLON PROTECTION OVERLAY DISTRICT. 4
4' OF J"-1 J" - - -- 4' CLEAN OUT (iN) :SU {
�t 1,500 GALLON TANK PROVIDED ='
DOUBLE WASHED STONE - --- -- 4" CLEAN OUT (OUT) 38.40 SITE IS LOCATED WITHIN THE DOCKS AND ;
o o c o \_ PIERS OVERLAY DISTRICT. p ,
o o LEACHING FACILITY REQUIREMENTS:
4" INVENT AT DiST BOX (IN) 38.28
1 def,
C� Cl Cl I= C1 BOTTOM 074 GAL/(S.F.-DA) 4" INVERT AT DIST BOX (CUT) 28.1E
DOUBLE WASHED STONE S!D,.- 0.74 GAL/(S. DA--- T N C) TE S.
-�-----�--- INVEP AT LEACHING FACILITY-Y:
I• #„ --'-��--___ - - 4" INVEST AT _ -
r 2'0" 4'0" 2'0" LEACHING FACILITY 38.00_ 1. THE EXISTING CONDITIONS SHOWN HL�E6N AR
LEACHING FACILITY PROVIDED THE RESULT OF AN ON-THE-GROUND SURVEY
4" INVERT :y' END
((25.0'02.83) + 2x(25.0' + 12.83')x2') LEAGt4ING F.AC�LI FY N/A PERFORMED BY DOWN CAPE ENGINEERING AN(; A.M.
' � �' ' GALLEY xo.74 GAL SF.-CA =: 349 GPp � WILSON AJJOCIATES.
4 x4 RECAS I GALL_r 1 ---LL -� 49 GPD -_�- ELE.VAT,oN AT BOTTOM
OF LEACHING FACILITY 36-00 2. ELEVATIONS ARE BASED ON N.G.V.E).
CBSER',:FD GROUND WATER F(-EVATION (MOTTLES) _N/A__
TP#1 F'RIARL UTILITIES
EXCAVATION VERIFIED AND MARKED
..'Ni,`.�.^4_BsEPF�.wn'47r:.aF"E!�2+4gFri'�5�'.�.s�s4f�CASii'11u� SS' ": i�.:.s.'s•. -.i'#. �F:°:rt.'�]w.i�,"s'srzi :�si.�K�FS91Yt1'..-�.•a�i.+ue.t "�;�_.... ;$�L. ..SLdt a3..tf,Y.}tS'�i.`. Tc.'7Wf�T�.. ..:#�t%�fi :-. --.... . ".;-. ;.... ...." ..+ ,,,". .. y, ... ..:: �,�.,,. k_
Go tw Z.
'
Ef;':RETANI, JOSEPN S & CERRETANI,
£I.12ABE PY -,t
P O BOX 467 11
CO TI/I T, MA 026J5 m`�
PROPOSED 25.0'x12.83' SAS FIELD ��
ll
2-500 GALLON LEACHING CHAMBERS Exist. Deck` fi,
SURROUNDED WITH 4' OF STONE. B/OH Elev.=7O.± \ i
224± "VP ,1 `, Prepared For
COTUIT FIRE DISTRICT - �� Fe - \ o C
o- 0 Q o-- T #2
P.0. BOX 1475
CD7'U/T MA 02635 ^y--���t:rubs ,�..1 ,\ � ��
0
EXIST. GAS MAIN TO BE %r 7T7 Existinq Cesspool f0„ lant Margaret Awad
To Be P,;mped, dle \ \
RELOCA-i ED BY OTHER Exlstin Deciduo:
TO OUTSIDE SAS FIELD Existing 9 Garage �/ 7r% and A, ordoned
on Slob Foundation o ` 3 i
\' Driveway � o q
\'•. o , PROPOSED 4" VC SEWER PIPE
C
C.:tch Basin 20 Ra C^N Rabbit Catch Basin \ ' --- r s' a �o �- s abb; Roo
?� Rim=422 } yr\ E - a - - - =-+j Ex;stinq Dwe/!in _ t p \ i� 6co \\ -!� MCIStOt1S Mills, A 0 E�
Rim-42.F o - _4 - 2
J // rl i.=42 6D' / o
PROPOSED VENT PIPE•---- p � �< we _ � F..
r, Existing Ce4oal n o
EXIST. WATER SERVICE r �._
r To Be Pu p ed, F illsP;ant
TO BE SLEEVED AND- �.� �v a I ii __ A� and Aba7doned
RELOCATED AROUND SAS FIELD \ / `r
Q � � -'� !-- � Fence _,.,...•------ � � p.0 { '� r �, ,.-1 T..,
i / C •-••-- l30 f �\ \\ A: i`y I. 11��I o I I Associates S d c l O t e,._� 1 I r.
s oo' �Gl�1fI L��Ggs�t
hrubs5t?8 4 a 9792 / FAX 4 5795
_Cobblestone - 1 66 12`
Drawing Title
Utili't Pole
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LOGAN, ROBERT A & SUSAN M
40_ P 0 BOX 7 411 CO TU/T MA
PROPOSED 40 MIL POLY LINER- 42 TP #1 fenCP f 02635
MARINERS LODGE A F & A M 40 PR�p * PROPOSED V"
988 MAIN STREET c. OSED CLEAN OUT 1500 GALLON
COTUIT, VA 02635 SEPTIr TANK
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Exrs.mg S.,ub SurTC(..,
/ �, Garage i r
PROPOSED �,
4'x4' PRECAST GALLEY-.-
Sewage.,
WITH 2' OF STONE k
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w
S
V m De
U�2
-Utility Pole4,01
k
z
�rV �,�. r--"" - CB/DN 86. 5' Scale: 1>,` 2l
Tro ve!led �h Way p BROKEN 0_ 10 �4 .J�. ,U �,; FE'
May 9, 200� '
Exist' g Fence --�-"-- �I O t g -�
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Drawlnc
Design A.M.W.
heck
_rOn
-� J.V.B.
Job. Nr)_ 2.1385.00
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