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Home My WebLink About0309 PINE RIDGE ROAD - Health 309 Pine Ridge - Cotuit A= 006-033 i i t Town of Ba;-nstable P# Department of RekWatory Services _ Public Health Division Date 3� • urraregm � � 1 ¢ tee$ 200 Main Street,Hyannis MA 02601 3 F - . ZZ 'Time � Fee Pd. Date Scheduled !�': oil suitability Assessmie,it fog age Disposal Performed By a Y-t(e ri C'.r Witnessed By- �. LO CA E['ION & GENERAL INFORMATION Location Address Owner's Name S g � ✓ I` Address . 341 .0)h e—A,.Y.e R- Assessor's Map/P rcel; 3 I Engineer's Nae; /9,0.-yam,;, ✓�1�7 to j / • 3 / NEW CONSIRU I(4i.,ION REPAIR Telephone#. �<- 3-GQ_3-3 I I Land Use 1�51�t%�m�i Slopes(90) S °�i Surface Stones AM Distances from: Open Water Body >206 ft Possible WecArea �Z00• ft Drinking Water Well L�� ft , Drainage Way f�� ft Property Line >f O ft ' Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proxitrrity to holes) jqpE ow L rl i - i Parent material(geologic)Act, I►m, - f I�' Depth•td Bedrock ,n/l�l I Depth to Groundwajer. Standing Water in Hole:' Weeping from Pit Face Estimated Seasonal;;Righ Groundwater - DtTERMINATION FOR SEASONAL HIGH WATER TALE Method Used: in. De th to sell tnvttles: ft.Depth observed standing in obs.hole: _ P - Depth toiweeping from side of obs.hole " in. Groundwater AdJuetment , ! A .faetor,, __�s Adj•flrnundwater].evel,�e Index Well# Reading Date index Well level PERCOLATJCON TEST Dsitp ------ Time �J Observation Time at 9" •• - -- Hole# i � Time at 6" Depth of Perc it ...-----= Time(9 Start Pre-soak Time.@ "-6") End Pre-soak M, Rate MinJlnch Additional Testing Needed(YIN) Site Suitability Assessment: Site Passed X Site Failed: Original:.Public i.;elth Division Observation Dole Data To Be Completed on Back--- ***If percolation testis to be condTacted within 100' of wetland,.you must first notify the Barnstable Conservation Division at least one (1)wedk pxzor to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 0 '10" ,tit ! R3/ /V 011" '1j 0 f aA44 l 10. lerl8 DEEP OBSERVATION HOLE LOG Hole# V Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gra el oil- N 16 s DEEP OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Soil Color Soil, I . Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (_USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, ra I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes, Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? . If not,what is the depth of naturally occurring p vious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required tr ' ing,expertise and experience described in 3,10 CMR 15.01 . Signature Date II Q:\.SEPTIC�PERCFORM.DOC TOWN OF BARNSTABLE, .00AI IOrl 30 !"• h e /S: t '/' SEWAGE # &LAGE 62�G� r, ASSESSORiS MAP &LOT NSTA14.EP,-SNAhM PHONE NO. iEMC TANY..CAPACIIrX P i (size) q M.OF'BEDROOMS__.!.._........_ �. MILDER OR Oi R 'ERMIT®ATL?: C04UANC E DATE: :eparation Distance isetween the: rlaximzm Adjusted Groundwater Table to tho JBottgm of beaching Facility —Feet 'ivatc Water Supply WoUl and Leaching P acility,.(If ian}�wells exist an site or within 200 feet of leaching facility) IIdge of Wedand road Leaclgng Facility(If away wetlands exist within 300 feet of le Ching facility) _._...�., Eete 'tarnished by .„ c5w� /�-�1 � r - � OF ec- qg, a E'35'' /�-F• 6064 l3-F-3�'6•� TOWN OF BARNSTABLE LOCATION _3 D y h/:�!G(r/� 0 SEWAGE# 45 0.5 ' fs)ILLAGE eOTU/T ASSESSOR'S MAP&PARCEL OOI��.D33 a ^INSTALLER'S NAME&PHONE NO. Y20-9'738,/ostfa4 a;94A''*VS SEPTIC TANK CAPACITY ,Q00 LEACHING FACILITY:(type) /$ !4Pj 4R6 HC f f s2D(size) .54114 X to NO.OF BEDROOMS 3 OWNER 94rd0-r PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ,�/.e pihr- I�r�yr- 12. 3= a �•y =sa.�.� Qy =s•°�9 _ 1 4r g3• . 3 � t No. f, Fee i ,THE COMMONWEALTH OF MASSACHUSETTS Entered➢nco puter: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes \ 2pplitation for Bispo"saf *.pstrm Cunstruttiun permit Application for a Permit to Construct(Repair(/-Y`_Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3 D q O er's Dame,Address,and Tel.No. Assessor's Map/Parcel 00 0 o`�-2 6 i4r?w-r ;e7s?�11� I taller's ame Address,and Tel.No.,f aa" _O®-97`59 Designer's Name,Address,and Tel.No.foS'-5�,2- g V1 a4plvsType of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Tel/ /yFl!/ /2 s ,� 14as Nnf 6r, 3k� H-.;za vr�iT r�rr"TG, N.b S'r.0hi:- Date last inspected: Agreement:. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ne d Date Application Approved by Date Application Disapproved by Date T 1 for the following reasons Permit No. fW Date Issued t� b f No. 0 4 �(, •a ,{ Fee _0�0 a, THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlon for Construction 30prutlt Application for a Permit to Construct(Repair(I,) pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or-Lot No.30 y f ie6 91 ?v% 4awel Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 9(o_ / ! " Installer's ame,Address,and Tel.No. -y,Ia f y3i� Designer's Name,Address,and Tel.No.spy_feg Jeep Od dr�v s `ire =1� C� TIve Type of Building: Dw fling No.of Bedrooms 3 Lot Size �" sq.ft. Garbage Grinder( ) Other Type of Building b �' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow-(min.required) gpd Design flow provided gpd r` Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil f+ r ' Nature of Repairs or Alterations(Answer whert'applicable) f4t£��f -,LT,0�4 -1,2 4 - � r� y� 36/l , -20 (ZAIZa u iT A49 S'rohF Date last inspected: Agreement: ` t The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system inr°�`+ , accordance with the,provisions of Title 5 of the Environmental Code and not to place the''system in operation until a Certificate of t� Compliance has been issued by this Board of Health. ed i G Date - Application Approved by / �:' , Date r Application Disapproved by Date for the following/reasons f �fPer nA40. ^ '~ Date Issued -:----.-------- -------- -- --- ---- - --------- ------ ---------- --- . --- -------------- ------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(_),_ Repaired••("" Upgraded( ) Abandoned( )by / i4Zv�� S at .��9 / F /�i�� /�p� �p� ;i,\r has been constructed in accord ce with the provisions of Title 5 and the for Disposal System Construction Permit No. r ted Installer,1D.5-ede9 V glQ t e 5 Designer , rylf�•f;-!� y ,��;,• f'. ;f #bedrooms 3 Approved design flow and The issuance of this permit shallnot be construed as a guarantee that the system w' 1 function 'desi'gned. Date iTfi ) Inspector ---------------------- ----- - ------ ---•---------.__._ ------------------------------------------------------------------------------ _ N°• f�/ /� Fee _ ...i` THE COMMONWEALTH OF MASSACHUSETTS\ '` �s 0 _�J- PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS MIS oBal pstem Construction Vrr mit Permission is hereby granted to Construct(A,�-- Repair( -)' Upgrade( ) Abandon( ) System located at j 0 Pr�� / � ef a2e t T and as described in the above Application for Disposal System Construction Permit: The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc ion must e coj feted within three years of the date of this permit. Date `j Approved by j / , F31B/25/2013. 13 ' 1 :44-APB SandwichTbwnOff ices FAX No. 1 5C8 833 OC18 P. 001/031 Town of Barnstable Regulatory Services HAX MAB a Thomas F.' Geiler,Director ""S& Public Health Division Thomas ivlcKean,Director -' 200 Main Street,Hyannis,,NIA D260I 'Dtiice; 503-262-464 Fax: 503-790-63N Installer &Designer Certification Form Date: 13 Sewage Permit .-.. Assessor's yfapli'arcel ON /03 3 Designer: 9'"' iei Installer: Address: Po Address: 0� (date) was issued a permit to install a (installeF) septic System at_ i r'0,' Qi e- .IC P . based on a design drawn by J (ademss}. dated 1 1 esigner) 1 Certifythat the se tics stem iefese � .. a p � need abova was install;d substantially accorclirc to the desip. which rr_a, include minor approved chat:.ges such as lzteval re:ocativa oi'the distribution box ancLor septic tank. I certify that the septic system referenced above was installed vi4h major changes (Le. arwer.than 10' lateral relocation of t1 e SAS or ax; vicertical relocation o`any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer m follow, OF MFs�� DAR N ( nsta lets Signature.) t o. 114.0 15 esigner's Signature) (A. ix Designer's Stamp Here) Pi.FAA,g RF'T'TIP,11 20 rcru s it jj&kLT14 DIVISION EERTIFIGATS G-9 COMPLIANCE WILL NOT BE iSSUED UNTIL BOTH THIS FORM .AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALT,ft DIVISIOIN, THAYK yoU. Q: Hen irhr$ep;icXesi;nar Certification Fomi 3-26-a.doc T Barnstable T® n ®f Barnstable Town • THE T ", Regulatory Services Department ANmedcaCfty y k � '" S.ter` Public Health Division �m 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F. Geiler,Director FAX: 508-790-6 304. Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2843 1921 February 14, 2013 James Barger 309 Pine Ridge Road Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 309 Pine Ridge Road, Cotuit, MA was last _ inspected on 1/19/2013, by Sean Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the o guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: Stain lines observed above the outlet invert of the leaching pit. ` You are ordered to repair or replace the septic system within.sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. z PER ORDER OF THE BOARD OF HEALTH omas cKean, R.S. CH0 . Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\309 Pine Ridge Rd Cotuit Feb 2013.doc l o�,V1 Commonwealth of Massachusetts . nu Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd ` Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town' State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1., Inspector: r Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State . Zip Code 1-508-495-0905 S13971 Telephone Number License Number ; , CD B. Certification ° 10 I certify that 1 have personally inspected the sewage disposal system at this address and thatjthe r—' information reported below is true, accurate and complete as of the time of the inspection. -We inspection was performed based on my training and experience in the proper functionaand maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes. ® Fails ❑ Needs Further.Evaluati n by the Local Approving Authority, • 1-19-13 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 shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 5 t5ins-11/10 Title 5 Official sp 'on Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 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: s c r - B) System Conditionally Passes: r ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11/10 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is C 1 ' required for every OtUIt - MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): - �❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ' ❑ N ❑ ND (Explain below): obstruction is removed ❑ Y ❑" N ❑ ND (Explain below): ❑ distributiori box is leveled or replaced , ❑ Y ❑ �N ❑ ND (Explain below): f ❑ The system required pumping more than 4 tim es a year due to broken or obstructed pipe(s). The system will pass.inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1.' System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the.system is not functioning in a manner which will protect public health, safety and the environment: ' ❑ Cesspool or privy is within 50 feet of a surface water ❑ ` Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 117 Commonwealth of Massachusetts Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ 'The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level,in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® El Liquid depth in cesspool is less than 6" below invert or available volume is less than 'h day flow ' t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 f Commonwealth of Massachusetts _ Title 5 Official Inspection Form, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® . Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ' ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ` ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This f. system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis 4 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,0006pd. ® 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 ti necessary to correct the failure. - E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. . Yes No ❑ ❑ the system is within 400 feet of a-surface drinking water supply' ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection ❑ ❑ -Area= IWPA) or a mapped Zone"ll 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. t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 V Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out In the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note'as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts r W Title 5 Official inspection Form . ` Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments 'o 309 Pine Ridge Rd Property Address James Barger is Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] . ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? _ ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): , Detail: Sump pump? El Yes ® No Last date of occupancy: 2012 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR.15.203): ti ' Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft.,etc.): Grease trap present? r ❑ Yes ❑ No Industrial waste holding tank present?.. _ ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? _ ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool t + ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit: rt MA 02635 1-19-13 t .' r page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , Approximate age of all components, date installed (if known) and source of information: 1989 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): t ; Depth below grade: 30" ' feet Material of construction: ' 4 ' ' ❑ cast iron ® 40 PVC "' ❑ other(explain): ' Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): 'Depth below grade: 24" ` ' ' "feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal,list age: years Is age confirmed by a Certificate of.Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: _ 1000 gal Sludge depth- - 12" t5ins•11/10 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official I nspection- Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle ' 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . VA 309 Pine Ridge Rd R ; Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. Cityrrown _ State Zip Code Date of Inspection D. System Information (cont.) . Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,'evidence of leakage, etc.): f Tight or Holding Tank(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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 ,.- Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official- Inspection Form , Subsurface Sewage Disposal System`Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 'Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): Good condition with water at working level and stain line above outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments �M 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is Cotuit '# MA 02635 1-19-13 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) , Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was empty at inspection with stain lines at inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11/10 - ., Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page.. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of podding, condition of vegetation, etc.): 4 t5ins•11f10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments, 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 i page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately ` 00 3 � - • r 9 O ' e F• 00%f A 1 k r r�1�.r rw s t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts ` Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20'feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed- Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts I F Title 5 Official Inspection Form 1 o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 309 Pine Ridge Rd Property Address James Barger Owner Owner's Name information is required for every Cotuit MA 02635 1-19-13 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE LOCATION (N' n e ��. �� SEWAGE - A VILLAGE C d�V '� ASSESSOR'S MAP & LOT INSTALLER'S NAME Si PHONE NO.(0CX 14e-J- IV LOW(:S ,h •��o�'�"�'Y��' SEPTIC TANK CAPACITY L000 C'(q6 LEACHING FACILITY:(type) d® Q.l y , (size NO. OF BEDROOMS ✓ PRIVATE �hfELL OR PU�I.lC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: 14/0 VARIANCE GRANTED:. Yes No - ---- i 4 Y No...... ....:. . F� 0.. ...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH D-.. .t....................0F..N!7e75 -k 4/0�........................................... Appliration for DiSpaii al Works Tomitrnrtion runfit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: �— �Q .... 0. ............1. �.lr. •_l..J.e -tr......................... ...�O �Iat..-••-•-••---•-----................--------•---............._...... Location-Address or Lot No. 5.. ..................................... --••••----.._ ......-•---- --- ................................................. ner Y Asldr Installer Address UType of Building Size Lot............................Sq. feet Dwelling.—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............................ No. of ersons........_._...... .______. Showers — � YP gP --- ( )-----•-Cafeteria ( ) dOther fixtures -------------------------------------------=--------------•-•••••-•-----.._.......---------------•---•--------•••-- ----•- w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length------------_- Width................ Diameter---_--_--_-_-_ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_------------------ Diameter.................... Depth below inlet..:................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------------------------------------------- --------------------------------------------- -...... •-------------------------- ..--------------. -- O- Description of Soil........................................................................................................................................................................ x U w •------------ U Nature of Repairs or Al erations—Answer when, licable..__ "------ ..... &.1...................... r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ss d the boar f health. Signed ......i. .......... .................................. Date Application Approved By......... _--- ........... Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ........--•----------------•------•-•-----------------------••-----------...-----------.....-----------...---------------------------------------------------------------------------------------------. Date PermitNo...........2-1...... C9----------•----• Issued....................................................... Date :..... ......... ....... THE COMMONWEALTH OF MASSACHUSETTS �.- BOARD OF HEALTH - �. ....................oF. !" '7.`a. ..+ -<. ............................................ Appliration for 14sposal Warks Tanstrurtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair (Z. an Individual Sewage Disposal System at: r '". .. i _ c� -- Location-Address or Lot No. r�........................................ ............... Zq ner Addr __..5................................. ... - •-----" ....`..`..-• .......--.....`.....�.....--- Installer Address Type of Building Size .Lot............................ q.__S feet �-, Dwelling:—' No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '04 4 Other—T e of Building No. of persons...................:........ Showers — Cafeteria 04 Other fixtures ........... ........................................ .Design Flow............................................... ....................................... ...gallons per person per day. Total daily flow............................................gallons. W _ WSeptic Tank—Liquid'capacity............gallons Length................ Width...................Diameter................ Depth................ x Disposal Trench—No..................... Width......__.._.__.._... Total Length...................:Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by...................... Date------------------•----------•----•--- ,� Test Pit No. I................minutes'per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------=---------------•--....--------------•-•--•--•-•--.-•-.•.--•----•---••----....................................... 0 Description of Soil........................................................................ =--------------------------------- ........................................................... c., w U Nature of Repairs or A terat ons=Answer when plic ble.1. r,"G�.2.:�...... ! _ .��f............ ......_.................. ' " Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been .—issue— the boar 'bf health. � - Signe ... --------------------------- .............................. Date Application Approved BY .. ... � ...........'--'-6.... Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- --------------------------•----------------------------------•-----------•---.........------------•-----....------------------------------------------------------------................................ Date Permit No....--•-..�_l.-_...x?"2.�.V................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , ........,. LW. a...........oF.8.. k...a ............:............. (Intif iratr of Toutplianre THIS IS T�; CERTIFY hat,the Individual Sewage Disposal System constructed ( ) or Repaired (1}''' by.... ..,.r... .. rJ ------------------------- -------------- ---....--------------------------.................------.....-------------- ? has been installed in accordance with the provisions of 9`1 5 off the State Sanitary Code as described in the application for Disposal Works Construction Permit .�o........IVC,_�„�...._.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................... ........................ Inspector...................... . ........................................... THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH .................OF.. �.. ".s"`.> Cd.. . .._f ................................. �- r C� Noi.y......�!�(_) FEE.-' .................. Disposal arks Toppingtion rautit Permission is hereby granted._..`A'1:..,e r to Construct ( ) or Repair g,. -) an Individual Sewage Disposal Ste,,n._L_ r at No........... 14 o--- --------------A/ ------ E Street -------•-------................................................ as shown on the application for Disposal Works Construction Permit N 4�_.�, 67.. Dated.......................................... ------------------------ = 1 ......................................................... Boar � DATE.---.-•-•-7----1 7-17_45....................................... d of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ASBUIll Page 1 of 1 TORN OF BARNSTABLE LOCATION �'Cn e �c : SEWAGE VILLAGE Cc�0 i -� ' ASSESSORS MAP & LUT / INSTALLER'S NAME St PHONE NO.(.VCL 14eJ tV SEPTIC TANK CAPACITY (,OCRb �q j LEACHING FACILITY:(tppe) (000 Q q ( r�!(size NO. OF BEDROOMS ✓ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED ( � DATE COtIPLIANCE ISSUED: - J VARIANCE GRANTED: Yes mo y > -� °c) at littp://issgl2/intranet/propdata/prebuilt.aspx?mappar=006033&seq=1 8/21/2012 LEGEND COTUIT PROPOSED CONTOUR ® PROPOSED SPOT GRADE EXISTING CONTOUR SCHOOL ST. + 96.52 EXISTING SPOT GRADE 1 ---------------------- W— EXISTING WATER SERVICE 28 ____-�---- ----------1 ---- DER z --- I ---T-- =---- 1� TEST PIT 24 IG --------------- 1---------I-r---- 32 REG� ROPo +22.8 - - �------- -------- 250.00' I1 --;-�' ------------------------ 22_ LOCUS: I 4- i i 309 PINE RIDGE RD. LOCUS MAP 20` 34 LOCUS INFORMATION TITLE REF: 1361/11 _ PARCEL ID: MAP 006 PAR. 033 W ` **PROPERTY IS IN ESTUARIES PROTECTION AREA 11 I 11+33.3 i �� /i�`� Q SEPTIC SYSTEM 1 O I T.O.F.@$ REPAIR PLAN EXI SEPTIC OTANK L EL.I I I LOCATED AT: 309 PINE RIDGE ROAD COTUIT MA. PREPARED FOR EXIST. LEACH PIT (SEE NOTE 10) i� I' % �O TBM=EL.33.0.TOP OF ' L---- BARGE R % ` `` BULKHEAD FOUNDATION' I FEBRUARY 18, 2013 Insp Ports `n 7"- SCALE: 1"=30' o �Q� S t l L--------- D E/ I 34 I I II 2G 28 30 32 11 0 GENERAL NOTES: S1E � 1 NITAR N� I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY BOARD OF HEALTH AND THE DESIGN ENGINEER. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS CONSTRUCTION. OF-THE-STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED. LOCAL RULES AND REGULATIONS. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 SPECS. e 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION MEYER & SONS, INC. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY DESIGN ENGINEER. AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY P.O. BOX 981 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING , EN THOSEOM SHOWN G NEER BEFORECONSTR REPORTED TO THE DESIGN CONSTRUCTION CONTINUES 14. ALL PIPE TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) EAST S A N D d Y,A, I C H, M A. 02537 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF FOR THE USE OF A GARBAGE GRINDER (5 O 8 3 6 2—2 9 2 2 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 16. NO AN WITHIN 100 FT. OF PROPOSED LEACHING HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 1 7. PROPERTY IS SERVICED BY TOWN WATER. 17. PROPERTY IS WITHIN A GROUNDWATER PROTECTION DISTRICT 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. SHEET 1 OF 2 J#1509 4 1 NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:27.76 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=34.50 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER fa' OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF .GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. INSrALLEO F.G. EL.=32.50t F.G. EL.=32.0t F.G. EL: 31.0f F.G. EL: 30.75-29.0(MAX.) LENGTH OF 4V 9.45' 9" MIN COVER/ r^ 11 36 MAX COVER L = 50' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) " No. 1140 ® S=1% (MIN.) EL = 30.0 ® S=1% (MIN.) 0S=1% (MIN.) 12.37" 4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVC 10- Rf6/$T ERA 1a e 10.75" TO SANI TAR�a� INVERT INV.=29.0 48"uoUID INV.= 28.75 INV.= 27.30 LEVEL COUPLER DETAIL GAS BAFFLE PROPOSED D-BOX INV.=27.80 3 ROWS OF 6 UNITS ® 5'/UNIT + 1 COUPLERS ® 1.16'/UNIT = 31.16'/ROW INV.=28.0 D SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1.000 GALLON SEPTIC TANK EXISTING SEWER OUTLET RESTORE VEGETATIVE COVER BACKFILL WITH CLEAN PERC SAND TO TOP OF CHAMBERS B0" �{ BREAKOUT=TOP ELEV.=27.76 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.= 27.30 PIPE INVERTS PRIOR TO 'CONSTRUCTION 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.= 26.43 EXISTING SUITABLE GRADE ON A MECHANICALLY COMPACTED SIX 2.88' MATERIAL INCH CRUSHED STONE BASE, AS SPECIFIED IN 5' MIN. ABOVE BOTTOM OF 310 CMR 15.221(2) T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = :3 x 2.88' = 8.64' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK (7.53 PROVIDED) USE 3 ROWS OF .6-ADS ARC 36HC ADJ. GROUNDWATER EL.=18.90 H2O UNITS NO STONE W 1 WITH 1500 GALLON SEPTIC TANK IF FAILED, = ( ) / COUPLERS DAMAGED, NOT H2O LOADING, OR UNDERSIZED. IN EACH ROW 4) INSTALL INLET & OUTLET TEES W/ GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE TYPICAL SECTION KT.S. 16" N.T.S. SOIL LOG P#:13865 DESIGN CRITERIA DATE: FEBRUARY 14, 2013 NUMBER OF BEDROOMS: 3 BEDROOM DESIGN - SOIL EVALUATOR: LDARREN M. MEYER, R.S., CSE #1614 SECTION NVERT WITNESS: DONALD DESMARAIS, BARNSTABLE BOH HEIGHT END CAP SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. Elev. TP-1 Depth Elev. TP-2 Depth GARBAGE GRINDER: NO ADS - ARC 36HC CHAMBER (H20 LOAD) NOT DESIGNED FOR GARBAGE GRINDER 29.90 0 30.05 0" ( ) A LOAMY SAND A LOAMY SAND SEPTIC TANK: 330 d x 200% = 660 1OYR 3/1 MODEL ARC 36HC gp gpd USE EXISTING 1,000 GALLON SEPTIC TANK 29.08 B 10 29 38 toYR 3/z 8„ LENGTH 63 LOAMY SAND LOAMY SAND „ NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 10YR 5/8 tOYR SAND EFFECTIVE LENGTH 60" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 27.31 C 31" 27.38 C 32 SIDE WALL HEIGHT 10" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DISTRIBUTION BOX: 3 OUTLETS (MINIMUM) _ OVERALL HEIGHT 16" _ ''__ PRIMARY S.A.S. PERC 0 25.57 MEDIUM-COARSE MEDIUM-COARSE OVERALL WIDTH 34.5" 4640 TRUEMAN BLVD S SAND HILLIARD, OHIO 43026 USE 3 ROWS OF 6 - ADS ARCHC 3616 H2O UNITS-NO STONE 2.5Y sAND/4 2.5Y 5/4 CAPACITY 10.7 CF orcs* AND EXTENDED 1.16' W/ COUPLER IN EACH ROW 80.0 GAL ADVANCED DRAINAGE SYSTEMS° INC. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF CHAMBER) PROPOSED SEPTIC SYSTEM/SITE PLAN (CHAMBERS: 6/ROW)18 UNITS x 5.0 LF x 4.80 SF/LF = 432.00 SF 18 90 132 19 05 132" 309 PINE RIDGE ROAD (COUPLER: 1/ROW) 3 UNITS x 1.16 LF x 4.80 SF/LF = 16.70 SF COTU IT, MA TOTAL AREA = 448.70 SF Prepared for: Barger PERC RATE <2 MIN/IN. (*Cl* HORIZON) P 9 DESIGN FLOW PROVIDED: 0.74GPD/SF(448.70SF) = 332.03 GPD > 330 GPD reC1 d NO'GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN DATE: Meyer&Sons,Inc. better & Assoc. NTS D.M.M. 02/18/13 I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pO BOX 981 (508) 375-0735 to conduct soil evaluations and that the above analysis hap, been performed by me consistent with the REV. DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017, 1 further certify that I have EAST SANDWICH,MA 02537 q y � passed the Soil Eval. Exam in October, 1999. 508-362-2922 D.M.M. 2 of 2 w } I � -- z o . r r w G 24 3 V2 O 2-W T-3 3/4' 4`3 3/4• 2'-10' r U U a €: n PANTRY ----------- U REMOVE Al-L ExSnHs Bunn w rmr FInOR ' EXRWOR WALLS IN RI PANTRY AND MJDf+LVJM q MMN6 6PNA6E. TO MATCN TE FLOOR R@Lnn N69 KILL$ HEIGM OF TE EA5TN6 CN E%15nw cowl. FGtST FInOR FW%THALL.WIN HATE HEIGHT TO MATCH TIE 2 aNbb .. D'ISTN6 H,ME PLATE MEW. GARAGE Mn-PL s g I w>forRrFnGmF� cE KITCHEN - OFFICE AM PATCH EXGTI 5 _ uw v T ERMATW l 2-bYh-6 FL LLS As NEEPW sLw A5 r®® _ - MUDROOM 5-1• REMOVE EW.71145 DINING _ DOOR INTO iNE M ALL IEV GARAGE ... ElHSTNs bARA6E AIlD MLIN'TO NAVE 5 - 5EWKSTORAGE _ AND PATCH A6 PL.GYP.W. RFAIIRED. LM �THV•1F KILL p _____ ________________ ____ MCAL rill., LNAIDRY CUOSET.I AW E U REINS EAFTJ .._ L'00R OR } LEG I PAFIO R amnc&Lu+f "o y b° b 1 H Y o ' 4r>t�ExSnNs orb I i A5 RELURED. BELL A E%15 NI? E $ 3' U j u x j S o $$a .. him% "ore Iw LIVING w�NS Aµ AS ILN _______ N U01'Ei RTI POON OF STA OP11116C SE TON ON '1 M 1 PLW SIDE OF SI CP STAIRS l-1-.1 . � n+cunNl6rE+RAo_wG PDR. REMove Ew5nH6 LL'Y)R L RM. - w T AND WALLS T MATLN 11 1 f- OPPO'JlE SIDE E OF 5TAH5. •i T-II 1/2• n•a 3•o v2• Q ~ 24'O' • v u o •�1.WVE.ENTRY LL Q AEO/E O Z W c J o � z °o FIR5T FLOOR PLAN Q � LL SCALE, 3/16' 1-0' lO LL- Job— 1502 dote Joe 10,2015 16 AS NOTED I dreun OF'CRATOR 1 ALL DIMEN51ON5 ARE 5UBJECT ITO BE a 6.1.2016 ALTERED DUE TO THE FACT THAT N!E ARE U51N6 AN EXISTING FOUNDATION. OVERALL EXISTING GARAGE DIMEN51ON5 ARE A55UMED TO BE 24 FEET DEEP AND a 24 FEET WIDE.NOTIFY THE DESIGNER < IF THE DIMEN51ON5 VARY 516NIFICANTLY _ PRIOR TO CONSTRUCTION. f-'� � 1 0 ry `m rn z 0 a o n LN � N 0 v (n :J U V) w Q w -------------- --- ----------------- a 24•a v2• U 3'-1 VT 7-2 V4' T-2 VP 3'-1 V2• hh�++ w y r4 y 7 ---- ---------- --------- --- m a � m a s Q u -i5----------Fzi b'-0 1 S 4 AAppt4-226644H9 a _ � MBEADS2RT-EOIXROb-b'ro'c�TN_ Lu 5M-0Ar eS eR BATH p - BEDROOMBAT} PLAY OM E[l (I. 640 V4 "0 1/4' -------------- ---------------- - HALL SObf wne - ---------- - RRp9s"mo 38C--- ---- gi: as,btl � b --------------- 1S��NCL05ET CLOSET CL05ET LAUNDRY bi0 4 b i0 14 a kUkSyy}�}''Jyv Y BEDROOM v Q 5.4• 5.4• � Z l4 3/4' 10'O' 6'-10 1/4' UA O I P v Z '------------------ -------- - W Q Q O / -----LT 2-6 2f> � Q O V4' S'-0• b'-33/4• SECOND FLOOR FLAN z Q . O SG ALE. 3/I6' = I'-O' � - � � Z ' d Q m N Job ro.: 1502 date -UI�10,2015 nCAle A5 NO W ,\ Braun OPERATOR I ALL DIMEN51ON5 ARE SUBJECT TO BE �. AW.I,2016 ALTERED DUE TO THE FACT THAT WE ARE U51N6 AN EXISTING FOUNDATION. " OVERALL EXISTING GARAGE DIMEN51O115 ARE A55UMED TO BE 24 FEET DEEP AND 24 FEET WIDE.NOTIFY THE OE516NER o IF THE DIMENSIONS VARY SIGNIFICANTLY PRIOR TO CONSTRUCTION. f-1 2 / 1 o c