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0016 PINEVIEW DRIVE - Health
16 Pineview Drive A= 040- 073 -- -- - Cufuil,.. -- -- - --- I i Town of Ba Mstable P# Department of Regulatory Services ErrABLK Public Health Division Bate ¢ 200 Main Street,Hyannis MA 02601 e O Date Scheduled � i �� z �• �r :� Time tipF e Pd Soil Suitability Assessment fop ,dew i po,� � v� l Performed By: �r` "'�" Witnessed By: i LOCATION & GENE_ RAL INFORMATION Location Address Owner's Name•jQ-x ni wi y MA'rpc e I kl r AAi Address I Assessor's Map/P4rcel: o 4�D/073 I Engineer's Name l I. NEW CONSIRU�_ON REPAIR � �" Telephone# S� 3(oO 33 {` � Slopes( t'����` r G1✓ 9aj 0. S / I Surface Stones Land Use Distances from: Open Water Body 6) ft Possible Wee Area� � ft Drinking Water Well ��ft Drainage Way _>X ft Proprrty Line >> ft Other ft ,SKETCH:($treet name;dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) P / I LAA&b_t,- . . I A j a Parent material(gecilogic) Depth t0 Bedrock Depth to trroundwaker. Standing Water in Holec i Weeping from P[t Face Estimated Seasonal;iigh Groundwater DtTERMINATION FOR•SEASONA FIIC]EI VVAT TAt3LE Method Used: I in. Depth to Spll mottles: in. Depth Observed standing in obs.hole: to Groundwater Adjustment tk Depth toiweeping from side of obs.hole: , Adj.faetor,�.._. Adj.(3roundwaterLevel.,,,,n, Index Well# Reading Date: index Well level PERCOLATION TEST Date_ T411C Observation Time at 9 / .-- Hole# i Time at b" Depth of Perc Time(9"-V) Start Pre-soak Time.@ � I1)---� ; - fL '�-- . End Pre-soak Rate MinJIneh Site Suitability Assessment: Site Pass __��_— Site Failed; Additional Testing Needed(Y/N) ed 4. original.Public k'e$lth Division Observation Hole Data To Be Completed on Back— ***If percolafiibn testis to be conducted within 100' of wetland,you must first notify the Barnstable C4 4servation Division at least one(1) week prior 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. Consistcncy.jo Gravel ' J W_s". Its 3/'y I. of i i a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. t . Consistency.%Gra el i DE OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsistencY.%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ther 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 I Yes Within 100 year flood boundary No 7 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist.in all areas observed throughout the area proposed for the soil absorption system? V t If not,what is the depth of naturally occurring pelvious 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 requir aining, Xrkertise and experience described in 3,10 CMR 15.017 Signaturer � � t. Date _5 . Q:ISEPTIMERCFORM.DOC TOWN OF BARNSTABLE `LOCATION I/,6, 1 SEWAGE# U l 3 -,5 06 VILLAGE pT(/%' ASSESSOR'S MAP&PARCEL b 1/D -0 73 INSTALLER'S NAME&PHONE NO. s 5-17,20-9750'JW c%off V-c SEPTIC TANK CAPACITY /000 / LEACHING FACILITY:(type) 2-,300 4 iq NO.OF BEDROOMS OWNER IV A/r-/f 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 f p veis� ?��i✓/' C V f3- 3 13-�= 13-2; ;v. L3 No.�r _ 1 Fee�. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �— Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpfitation for Misposal *pstrm Construttion i3ermit, Application for a Permit to Construct( ) Repair(,} Upgrade(41"A bandon( ) ❑Complete System dividual Components Location Address or Lot No./4 10/ile V, or,t//, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 0 y0^O 7 3F0 v/ I taller's Dame,Address,and Tel.No.,SO$—y�V'q73 S Designer's Name,Address,and Tel.No.,s'O 8— A6 2—2122 Jo3+�Ph ,DG�ar'�'m Aw, tAlw--f roys Tr H u�rch D Type of Building: Dwelling No.of Bedrooms 3 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) 7A' 1-I#II 47al J2"j✓OX -5 00`AOI Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed „f Date Application Approved by �' Date Application Disapproved by Date for the following reasons Permit No. f ? � Date Issued . _t' -•'•,i+,�:.-"..._r..,e^aw...�,,,, _..+,..-Y."�--... fr.�{,+e,..,�`+.r�-alb[a '�,^�h+..w:-wJ"'r`^-^..+r.....+Fn^-.....ri1. r"�' �„r...... .-...-�:Mw.-�,. �;. No. 2-6� — J(/ " - � Y '` e^:�,. � Fee THE COMMON WEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION ,- Yes TOWN OF BARNSTABLE, MASSACHUSETTS J� _ - �� 4plication for 0spoBal *pstem CottBtruction 3permit Application for a Permit to Construct( ) I�ep Upgrade(l�"'Abandon( ) ❑Complete System LWdi,idual Components Location Address or Lot No./& V/;W 'Qy�'v"/� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel p yp_D / D al s Installer's Name,Address,and,Tel.No.s ?-y00- y73 $ Designer's Name,Address,and Tel.No. ,loSeph /�-e/3roer'v �!/.y/=�i f Soh. ZMG Type of Building: DwellingNo.of Bedrooms Lot Size s .ft. p arba e Gri er 3• � q Gi g ,,�(�) Other Type of Building No.of Persons Showers( kedferia( ) Other Fixtures - - �. . _,,� _, sS. _.rum s, .:$Fy. R, Design Flow(mm.required) / gpd Design flow?provided' (�" ,^` "` 'gpd Plan Date Number of sheets Revision Date Title , - Size of.S.eptic Tank Type of S.A.S. " description of Soil Nature of Repairs or Alterations(Answer when applicable) 1'��T� L Date last inspected'.� r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of _ Compliance has been issued by this Board of Health./ Signed /✓J� 1 ����� Date , Application Approved by , , Date 1.2 y j Application Disapproved by ....,_, Datte` for the following reasons Permit No. )-a Date Issued ( 2 ,� t�`/ i _ u THE COMMONWEALTH,,OF MASSACHUSETTS 4 BARNSTABLE,MASSACHUSETTS �4 Certifirate of Compliance ` THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded(y Abandoned( )by .� y s'-'e'l 12-,- at// PI �/./c=W n N/✓/: l'o r"//-r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ° dated Installer e / g ! / Designer' J H Si s /n/�, #bedrooms Approved des/ignjflow 'Z I(� / gpd The issuance of this perm' s all,not b construed as a guarantee that the system wiill n``c io a esign/ed. Date Inspector _ ____ _________________ ____ _____ _ ____ _ __ __ ___ ______ _____ __--- ________ __ Mt s No. 0 ( — Fee .1-00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal 14pStem Construction Vermlt Permission is hereby granted to Construct( ) Repair( Upgrade(4--' Abandon( ) System located at /G A-11- t//G u/ �DTvi 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:Construction must 'e completed within three years of the date of this pe ' l Date ( 1 Approved by f L1/l 7 v , JAN/09/2014/THU 02:33 FIB FAX No, P, 001 Town of Barnstable p .� Regulatory Services Richard V. Scali,Interim Director, � MASS. Public Health Division Arso,AaiA Thomas McKean,Director 200 Main Street,Ryannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form - Date: 6 Sewage Permit# Assessor's Map\Parcel Designer: ( �i1}��,/ 'in_�� - Installer: Address: _�� J'7 / Address: On was issued a permit to install a (date) (' ei) septic system at W An e_V? oil 6 -17based on a design drawn by (address) dated des finer I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of auy component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the term of the ItA approval letters(if applicable) ����N OF ��s� • aA ( taller's Signature) o. '140mz_�L�l c' zM a 'PFCl5T a (DesiRe.r's Signature) QN1 TAP PLEASERETURN TO B STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT -BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEI''VED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepticTesimer Certification Form Rev 8-14-13.doc Town of Barnstable - Barnstable P` ~ AMmedcaCity Regulatory Services .Department 1 + IIARNSI'ABLE• Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Acting Director FAX: 508-790-6304. Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 1036 November 12, 2013 Anthony W. Malta 16 Pineview Drive Cotuit, MA 02365 . ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,'TITLE 5 The septic system located at 16 Pineview Drive, Cotuit MA was inspected on 10/18/2013,by Mark Polselli, certified Title V Septic Inspector for the State of Massachusetts. .The inspection of the septic system showed that the system needed further evaluation under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • System is in hydraulic failure. • Garbage disposal must be removed/or system redesigned for one You are ordered'to repair/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. PER ORDER OF TH' BOARD OF HEALTH . Thomas c ean, R.S., CHO Agent of the Board of Health Qi\SEPTIC\Letters Septic Inspection Failures or Future Eval\16 Pineview Cotuit Nov 2013.doc vocGA r Commonwealth of Massachusetts 'Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address N ner Ow ner's Name- information is H f aoZ 6 3S lC)A� required for every page. Ctty/Town State Zip Code Date of In pection 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. tnpooutf A. General Information filling out formsrms on the computer, use only the tab 1. Inspector: (� v key to move your �✓ / 0/S�//� cursor-do not use the return Name of Inspector - key. `--' Company Name Company Address City/Town 6a) �9O `�2/c State� � Zip Code Telephone Number j License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the 4. c:, information reported below is true, accurate and complete as of the time of the inspection. The inspection rr: 1""t was pei formed based on my training and experience in the proper function and maintenance of on site 65 sewage disposal systems. I a,m a DEP approved system Inspector pursuant to Section 16.340 of Title 0,(310 CM 16.000). The system: a [� Passes ❑ Conditionally Passes Fails ❑ ,Nee Further Evaluation by the Local Approving Authority Vj - lLI-7 In is 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, tfAns-3113 Title 6OfAclal Inspection Form Subsurface Sewage Disposal System•Page 1 of 17 I II Commonwealth of Massachusetts Title 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o /"�'?2 I/l~?�✓ L i tee. Property Address a ON ner - Ory ner s Name l // information is Co ru 1 required for every page. City rrown State Zip Code hate of Inspection B. Certification (cons) 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: 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. 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 Healt h. *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): I Ons W3 Title8OffloelInspeC don FOrMSubsurtaceSewageOISp06AlSyslem Page 2of17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Cw ner Ory ner's Name information Is Co �u �- /�' /C /� required for every page. City/Town State Zip Code Date of Inspection B. Certification (cost) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (Explain below): distribution box is leveled or replaced ❑ Y' ❑ N ❑ NO (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (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 mannerwhich 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 Ons•3/13 No 5Otfidel InspeetlonForm Subsurface SOM9001aposal System•Pape 3of 17 -- I Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form /-Not for Voluntary Assessments p �J ' Property Address A/� Ory ner ON ner's Name /- f information is i/o-144, required for every page. Cityrrown State Zip Code Date of 16specti6n B. Certification (cont.) 2. System will fall 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, pertormed'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 gA Inspections: Yes Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ —Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ �/^Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow tuna-3/13 Title 5 Official Inspection F orm Sub8LYface Sewage Disposal System•(fie 4 of 117 Commonwealth of Massachusetts Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address / )J Cw ner Owner's Name /o Information is 062 6 3S required for every page. CityfTown State Zip Code Date of In pectic 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: ❑ 53/ 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. ❑ L� Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ET""" ny portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis nd chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. �❑ The system &US I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails, The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,. or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or Tailed 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. t51ns 3113 TINe6 Official Ins pec don Form Subeulwe Sewage Disposal System page sotl7 e Commonwealth of Massachusetts Title 5 Official Inspection Form s a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address t1(11`141F—V1e IV' Gr c� Ow ner Ow ner's Name Information Is ///�� O�6�� / required for every co N� i l0 page. Ci /Town State Zip Code Date of nspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes ❑ umping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ Uas 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? U 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: L5 Existing information. For example, a Ian at the Board of He alth, ealth. 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): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example; 110 gpd x #of bedrooms): --- -- l5ire 3113 ! Title 5 Official Ins Pec don Form Su bsurf ace Sewage olsposel System-Pape 8 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form 6 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address ON ner Owner's Name / Information CO T14� required for every page. City/Town State Zip Code Date of Ifispecliton D. System Information Description: 6) �arJn 61-MN if 4,i, v►7`iov� /.S o_ . Number of current residents: Does residence have a garbage grinder? Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection [] Yes No information in this report.) Laundry system inspected? ❑ Yes No Seasonal use? ❑ Yes F�=,_ No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM R 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc,): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: thins-3113 Title 50fficial Ins pec0onForm:Subsurface Sewage olsposal System-Pape 7of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address ON ner Ow ner's Name Information Is v r ' - �/ Qa,�3 Co /-$ X? required for every page. 5Frown State Zip Code Date at Inspe tion D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: p Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumpin Type of am: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ P ri vy ❑ 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 VA system by system operator under contract ❑ Tight tank, Attach a copy of the DEP approval, ❑ Other (describe): tyre 3113 Title 5 Official Iris pecUcnFormSubsurface Sewage Disposal System-Page 8of17 Commonwealth of Massachusetts Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �r Property Address C w ner Owner's Name information is / �u required for every l� State Zip Code Date of In pection page. 5FI own D. System Information (cont.) Approximate ageof all components, date installed (if known) )aand source of information: Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: feet Material of constructi�>40 ❑ cast iron PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, eHdence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material 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: Sludge depth: Mris•3/13 TWO 5 Official Inspection Form Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form Not for Voluntary Assessments 7 Property Address Cw ner Ow ner's Name / Information is �� N r /�,� 4d'C < '0 required for every � / .— page, 011yfrown State Zip Code Date of In pection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 7e Distance from top of scum to top of outlet tee or baffle O r Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? C>C-- - 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 a✓�� G,r�� 7��s /VI (W Grease Trap (locate on site plan): Depth below grader 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•3PI3 TItle5Offcial Ins pec bon Form Subsurface Sewage Disposal System Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assesstments r? //0 Property Address Ow ner Owner's Name /a y! / ./� Q information is �c /8 required for every page. City/Town State Zip Code bate of Aspectl6n D. System Information (cunt.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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: gate Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5im W3 TIVe5Offlclai inspectimFam Substrface Sewage Disposal System Page 11 of 17 , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments Property Address /7� Oar nor Ow ner's Name / /� Information Is Co 7 Wj 7L 1 %V au /o required for every page, Cilyrrown State Zip Code Date of Inorpection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): R L 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.): Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins,W 3 Title 6 oteclal lns paeVon F am SubsuAaca Sewage Disposal System•Page 12 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 &ne V-ke_k/1_ uo//vy__ Property Address ON ner Cw ner's Name Inforrriation Is required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: G//� leaching pits / number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): CIO-) I/1 vv �� p�/ �!/lr2'✓ 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-Y13 T&SOfflolal ins pec don Form Subsurface Sewage Disposal System-Page 113of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address G G1 ON ner Ow ner's Name Information's required for every page. Cityfrown State Zip Code Date o Inspec ion 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 ponding, condition of vegetation, etc.): Ons-3113 Title 5 0"clal Ina pectlon F orm Subsurface Sewage Dleposal System•Pape 14 o1 17 Commonwealth of Massachusetts Title 5 Official Inspection. Form a Subsurface Sewage/Disposal System Form -Not for Voluntary Assessments Property Address a ` Ow ner Oar ner's Name co Inform ation Is d /erequired for every page. City l row n State Zip Code We of Inspect' n D. System Information (cont.) view of the sewage disposal system, including ties to Sketch Of Sewage Disposal System: Provide a e g p y 9 at least two rmanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where is water supply enters the building, Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately I Mol„� A , 13 x � O thins-3113 Tile SOfficial InspecticnFam Subsurface Sewage Disposal System-Page 15d 17 Commonwealth of Massachusetts, Title 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments Property Address ON ner Ow ner's Name / Information Is 7 required for every Co ti page. City/town State Zip Code Date of Ins ction D. System Information (cont.) Site Exam; ❑ Check Slope ❑ Surface water ❑ Check cellar, ❑ Shallow wells Estimated depth to high ground water: teat 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 ❑ served'site(abutting property/observation hole within 150 feet of SAS) Checked with l al 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: .SAC �s -46 �� t /_ y Before filing this Inspection Report, please see Report Completeness Checklist on next page. i51na•3113 T&50fficial Inspection Form Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o � Property Address ti Info rmation is ner Owner's Name 1 ,/required for every ���"�� // iT 0dl page. CirylTown State Zip Code Date of inspection E. Report Completeness Checklist ICI" Inspection Summary: A, B, C, D, or E checked tom' Inspection Summary D(System Failure Criteria Applicable to All Systems) completed C7 Sy -m.lnformation—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file . x a t51ns 3/13 A 7itle5Official Ins pecUenForn-r Subsuiace SewageDlsposel System-Page 17 of 17 �' 0CATION � SEWAGE PE00IT p0• VILLAGE (f, o To 11: INSTA LLER'S NAME ADDRESS 0UILDER OR 0WNER DATE PERMIT ISSUED ® DAT E COMPLIANCE ISSUED Z::�Z-2�zill- k. s t No.....gft Z:.2a FEs.....3s ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable . OF.......................... f> b� o a103A rliraftan for UiipuuFal Works Ti mitrurtiun rrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: " Lot 5, Pineview Dr. , Cotuit, Ma. ....._... __......_.........................................................•........•.-- ............................................... Location Address or Lot No. X3 Q.:. S2X� ]C:1l'.t1QXl...C4jL..X....IXIG_�.................... 24•-•Great Pond Dr.,.......S.---Yarmouth,...Ma. Owner Address Type of Building n.__Co.-i-•_InC,t._._••______________ 24-Great--.Pond_-Dr_..., -.S.•-:Yarmouth, ,Ma. W Theo COnStrLlCt,onstaller Address d yp g Size Lot... 0 0 0 0__--- -Sq. feet aDwelling—No. of Bedrooms.__....3..................................Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ............................ No. of persons....................:....... Showers ( ) — Cafeteria ( ) Pa Other fixtures ..---------•--•-••-•-•-••-••••-- W Design Flow..........55............................gallons per person per day. Total daily flow........0.__.____......................_gallons. WSeptic Tank—Liquid capacity1000__gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.....Norman Grossma_ n P.E. Date....9/16/82 W Test Pit No. 1........ minutes per inch Depth of Test Pit 2..... P P .............. Depth to ground water none (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-------•-------------------•------•-----------------_-... ----------... -•-------•-•-- ... 0 Description of Soil.......0" - 6_" sandy loam, 6" - 36" subsoil, 36"- 144" sand x -----------------•-----------------------------------------••-------......--•---••--•••-•-••........----•--- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... --•----------------------•-•----.............----...........---•--...-•----•-•------................•----•---------•-------------------•-------------•--------------------------------•-..........•-•-•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL IT 1E 5 of the State Sanitdry Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bAidby th oa d of h lthSigned .-----••........... ./l�. .��.... Date Application Approved By ... .......... > --•-•------ Date Application Disapproved for the following reasons:.............................................................................................................. ..............•-•-..................-----...............---------.....---------------•----•---------••-----------------------------•--------------.---------------------------------- ---••••••------- Date PermitNo......................................................... Issued_....................................................... Date 3 s � No......0 Z:712 Fxs...... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD .OF HEALTH 'own Barnstable ...............................------......O F..........................._...........--------- , pplira#ion for Disposal Works Tontrn.r#ion .rrmit Application is hereby made for a Permit to Construct ( ') or Repair ( ) an Individual Sewage Disposal System at: Lot 5 , Pineview Dr. , Cotuit, Ma. -•-••--••---••-------_-...................................••-•-----...............••---•---••- •-....-------------------.................-•------------...---•--.._..---•--------••-•--•----•---- Location-Address or Lot No. 7,heo Construction Co. , Inc. 2�4 Great Pond Dr., -S. Yarmouth,-........ .......... -............-•---........... .- ----------- -•••• -- Owner Address W Tlico Construction Co........ nc.................... 24 Great Poad Dr.. S. Yarmcu h l,a. Installer Address Type of Building Size Lot...2 9-t-K9---_-_--Sq. feet Dwelling—No. of Bedrooms........ .................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------• P ( ) -- Cafeteria.(..._). Otherfixtures -----•-----------------------------------------------------------------------------------------•-----•--:•...._..... WDesign Flow...........�5...........................gallons per person per day. Total daily flow----- ...............................gallons. WSeptic Tank—Liquid*capacityl.O©.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 ( ) Naorman Grossman P.E. 91161 i 2 Percolation Test Results Performed by...................... .. Date........................................ Test Pit No. 1........ ......minutes per inch Depth of Test Pit........... Depth to ground water........................ LT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil------•U ` SanctY loaf!, E� " -...J5-." subsoil,---•Sn"� T1 - �anu ...........................................•---••---..-..-----•-------------------•-----------•.................................................... x W ------------------------------------------------------------------------------------------------------------------------------------------------------------•---............-----------.......---...... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -------•-------•------------------=-•-•--------•-......---•----•-••---•/.----••-----•--•---------------------------------------------------------------------------------•-•-•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T?T�E .5 of the State Sanitary Code=-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... .......................... Date Application Approved BY-.._.._... .,.. .. - ✓ •-..-_--•-. ..-------------- Da ...... Application Disapproved for the following reasons:.............................................................................................................. ..........................................•--•----•-•---------••-----•--•---•--------...----------•-...-----•--•-•--•-----------•--------•------...-----------•---------•----------------=--•--•---••••- Date PermitNo.......................................................- Issued_...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH k own Barnstable ......."..................................OF..................................................................................... . Tntif indr of Tomplittnrr THIS IS TO CERTIFY,�hat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..... , ucs�........-'/:... 7....................................................................................................................................... 4 Install at................. .......... rt�'-N .[.a,.f ''t' = ..................................................-...................------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- 2P���?............. dated................................................. THE. ISSUANCE PF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WIL FU TION SATISFACTORY. DATE. y L / Inspector-•-•-- --------------= - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............jown Barnstable No...81..--?/2. FEE..... .r............ Biapaoal Works TIono#r ion Vamit Permission s hereby granted......_...�he0 Construction CO. , Inc. to Construct ( or-Repair (( 11 Indiv' uaa11 S - =age�DDisposal System at No.------Lot.•-�, iiev3e�i 'r. , otu , Mom. ....----•-•-•--•-------•.............•--•-----..-.................._........-----•-:------•--•-----....-------•----.........-----------•.....X......................... as shown on the application for Disposal Works Construction Permit Street .................... Dated....................................t-... DATE_ Board of Healti� ds FORM 1255 HOBBS & WARREN. INC., PUBLISHERS / ELEV. TOP , FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS (Existing) NOTE: PLACE RISERS OVER ALL COVERS W/IN. 6" OF GRADE FINISHED GRADE (50.2) = 52.0 F.GEL: 50.5 F.G.EL: 50.50 F.G. EL: 50.25 n l � MAINTAIN 2% MIN SLOPE OVER LEACHING .AREA :e 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" TOP TANK=EL. 29.54 j• .• . STONE OR FILTER FABRIC DOUBLE WASHED STONE A 6„ ~„ 4" SCH 40 PVC 1o"f 6 MIN.) ®®®®®®®®®®® A' TEE'S ARE TO BE 14" INV.47.34 :INV.47.17 1% ( ' ®®®®®®®®®®® :a 4" SCH 40 PVC 2 EFF. DEPTH ®®®®®®®®®®® INV.47.84 I 4' 2 X 8.5' 4' ExISTING ourLET BAFFLE PROPOSED DB-3 DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV. 48.09 INV. ELEV.= 46.50 EXISTING 1 ,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����� OF Mgss9� BREAKOUT OUTLET TEE AS MANUFACTURED BY DA E y� ELEV.= 47.50 TUF-TITE, ZABEL, OR EQUAL t ` TOP CONC. " ELEV.= 47.5 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING o: 1140 INV. ELEV.= 46.5 M a I a W�®®f ®® Ea PIPE INVERTS PRIOR TO CONSTRUCTION ®®®®®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO6/S1E � ®®®®®®® ' GRADE ON A MECHANICALL COMPACTED SIX SANITAR�aa BOTTOM EL.= 44.5 ®®®®®®® INCH CRUSHED STONE BASE, AS SPECIFIED IN 3.75' 5 FT. 3.75' 310 CMR 15221(2) 12 l � 'l t 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK SEPARATION 6.2 FT. EFFECTIVE WIDTH = 12.5 WITH DAMAGED, GALLON SEPTIC TANK IF FAILED, SEPTIC SYSTEM PROFILE DAMAGED, E UNDERSIZED. BOTTOM , OF TESTHOLE EL: -38.3 _ SOIL ABSORPTION SYSTEM (SECTION) 4) INSTALL INLET & OUTLET TEES W/ - GAS BAFFLE AS REQUIRED (500 GALLON LEACH CHAMBER) GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL .,LOGS P#: 14215 DESIGN CRITERIA BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOMM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: DECEMBER 9, 2013 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. SOIL EVALUATOR: DARREN MEYER, CSE 1614 DESIGN PERCOLATION RATE: <2 MIN/IN 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DONNA' MIORANDI, BARNSTABLE HEALTH DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. GARBAGE GRINDER: NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Elev. SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK TP-1 Depth Elev. TP-2 Depth, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN _� ENGINEER BEFORE CONSTRUCTION CONTINUES. 50.10 0" 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. A LOAMY SAND 49 80 A LOAMY'SAND 0" LEACHING AREA REQUIRED: (330) = 445.94 S.F. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 3/2 tOYR 3/2 .74 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 49.43 8" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. B 49 13 e 8" USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS W/ 4' 7. WATER SUPPLY PROVIDED BY PRIVATE DRINKING WATER WELL. LOAMY SAND LOAMY SAND STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 10YR 6/8 IOYR 6/8 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. " . BOTTOM AREA: 25' x 12.5'= 312.50 SF 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 46.85 C 39 46.55 C 39" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING SIDE AREA: (25 + 12.5) X 2 X 2- = 150 SF CONSTRUCTION. PERC 0 EL. 45.10 MED SAND MED SAND TOTAL SQUARE FEET PROVIDED = 462.50 vs. 445.94 REQ'D 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. 2.5Y 6/4 2.5Y 6/4 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION DESIGN FLOW PROVIDED: 0.74(462.50 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd i 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY } PROPOSED SEPTIC SYSTEM UPGRADE P LA N 13. NO ABUTTING PRIVATE WEDS WITHIN 150' OF PROPOSED LEACHING. 38.60 138" 138.30 138" 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. + 16 P I N EVI EW DRIVE, C OTU IT, MA 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) PERC RATE <2 MIN/IN. ("Cl" HORIZON) Prepared for: Malta NO GROUNDWATER OBSERVED I; Engineering and Surveying by: SCALE DRAWN • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently•approved by MADEP pursuant to 310 CMR 15,017 MEYER&SONS,INC. N.T.S. DMM to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX981 requirements of 310 CMR 15.017. 1 further certify that I Bove passed the Soil Evol. Exam in October, 1999. EAST SANDWICH,MA 02537 DATE CHECKED SHEET NO. 508-362-2922 12/18/13 DMM 2 of 2 " u I LEGEND COTUIT 0 PROPOSED CONTOUR a - ® PROPOSED SPOT GRADE EXISTING CONTOUR EXIST. I ,000G + 96.52 EXISTING SPOT GRADE �m N SETPIC TANK \\\ W— EXISTING WATER SERVICE \ ® TEST PIT R Locus \ 16 PINEVIEW DR. LOCUS MAP PROPERTY DETAILS TBM: COR BLHD SN p,�N GE ° �'LP1 . ,,�� : �.k•' _ �; \ pFz .�J \ OO PLAN REF: 282/27 PROP IS IN EM13AYMENT PROT. ARE EL=51.33 i' �\ \ TITLE REF: 27742/095 (RPOD) \ PARCEL ID: MAP 040 PAR. 073 \ FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0021-D DATED:07/02/92 S TH-, 1 •6' \\ �� SEPTIC SYSTEM REPAIR PATIO EXIST. \\ PLAN \ LOCATED AT: � #1 6 ' \\ 16 PINEVIEW DRIVE TH-2 3 BEDROOM i 1 COTUIT, MA. r �, cv D WE LLI N G�� PREPARED FOR � I I TOF = 52.0 \\ M ALTA \ DECEMBER 18 2013 OF tl- DAR EN G� .-\ AREA=0.471 ACRES '\ - M 0 1,40� aF � WJ14 ' j )-3 MEYER & SONS INC. P.O: BOX 981 rL°'- � EAST SANDWICH, MA. 02537 —2922 SURVEY REFERENCE: 508362�� C DEFINITIVE SUBDIVISION PLAN BY APEX ENGINEERING CO., ROBERT RAYMOND, PLS, DATED SEPT. 21, 1973 i i SCALE. 1"-20` SHEET 1 OF 2 J 1567 • a 1 — (_I} a..v o cs..i G �'6.� aw-1 W" p�►.�►•.�r Phftb TID AWD IsJ T ca � A1.L H,9 OV-TV" '�t r• WC UST IR•cxJ AI[ V-64*01-4.if A�� P\/t ALf,, 5iPtK T^►JKS, Pr'.I �Iel�rlc,"..1 N,.,,�, n►-,u .� _ 1 ��.C.1�►.16� Pry SHwt-� �,E DE5t4�..�fet'Ca ►"E�. N �Y © �) W41ft�.l . 11�I�C.�►JG1S ,loft., I c�`'i5�►Il� -� -- k6M0JE Ar..A. U►15�.lrTAi$ MATET-IA1. E�ir + lrt�►Tt I 00 \ E-EVw-rro-44% OF trEACHI..* PIT% FbL �y�i J -T-1• - _ __ - !i' L �- -- ___ , -T C) C) � 0 b t► rya�s op /, nT ^^ 0 0 ` J o �4�D A..a A c�?��/fz / E C-.,IZ D UST �► r rLJ r ►�CTf 11`I L¢� �J N E.J T►i K S y ATE►•� rS r.AA. L o 0 o o To '- Z' �— © I O-- vu��5 oTl1E2�rSE hsoT�C7, A�,` SYST�►� v c z S.a,.J,rnc4 . o 3 o C) �oMPk>w/S►.!� S►al�.t.� TbE r�STa.�. sc> r►.J /V�` TYP{C4L DiST2lbUTlOrJI PjpX I ACCCAEV ►-1-40L / y WrT4+ TITLE Y of T?+E �TG�TI. rVG YfA?�.CiL.7'J.tJ7E7r �? ►IOT T® SCAL_E i_ --.._• � .. ,.:--=_- T WN{Ct1 Mn�r Af�«-Y. {..�ao (- T1({�tC.,o•c_ I-AOO 6-.L- SEi�T1[. Tr.►,1k �� 1.��3 � �' �tT OB�E� {SAT/G�tI 0/75 ¢�Ea.iFoeLrfl g�rT lc ��„ti ray a r><e�c..J c Fc.r sr ►toT -a) scaLE h+oT To SC..,E O� QLJAL. 1.iCitTr..: TMYK 10JWt1JF;C- . U YWCOuI:Ho.�T WITH EI..Ft'TK-�. "JC-yED vljgC %U#j-4 000e.ee-471GN5 61: C:' � `7'% :' �/�J -4elor 24 - yi' icM8EtsDED SS> L QOOS ��.I NoTr�-,4cGEys M..r4H0lr5p To S�o'rrc Tr�.c wND Lf�"CNcwkb. Prig JAW-0 80 to o� ,SE [ 7-y mR tsoTror�1- Coa.IC. is 4000 r-ox SST Ta f1.E BvIIT l.►P TO {Lo^4CF4!'S OAS y„� " ,=i �� "1"Of FOtl11 DAT10►.� &E t Gvu i ..t I y►1 �i�i' �sS !/ L-'rC�/. prrl t5/� 6tl►or[ Cfa41St+ 64.• oc F 10JI54 6'?" re GVE /F.,41 S1-4 GCAJM- ` t'915 �Q/E C. •flAK K - �J'QQ T�brC� ._..._.__� I..EAGN�NG Pyl -,_ 7 S� yi 5T �irT�+C N/�i m Q ® � O •' �ty,lls tJ IYJ \ If tHV.qn y<=2 (D a o V Z- C_eI"FOC-C.er} cp...1c. DIST t'SoiC 'y 0 ® 0 • i � SEQTIC- TAfv1G� � t` • EL>FV = f_H '10 VW- LCVGI._ STAIR LC NjoT To SCAL Cm- LE/I.CN INf� ►�'� I N� SeP )e I \� a L o7" `� 5 t, , (� ` �� J v Y 6� I. LE G E Ac ,n PROPOSF-D h DWF-LLI tiIG LOCATION'� DES/GN C,,�/7E�/.+� Sa� p���o cavTda.� ���:�->�•��� ,K .VvMIE� of dEO.+��MS �XD Exi�r °aT ��v o} hOSE»T�,'s r PRoPosF-o C)ISPOSAL SYSTEM G PE,E sa w s p a�r.eoo M �--== "V'C o. ,�v u1 �c Eri r �'"" 64zz 4wS Ate ),w-i v f°J7<+ie O� Y ' ' S P�•PGDC.ITItSc� 7 ' kin._ r ce,4 c yiu6r Ae� �e�4urtEo �- vf'r Co s�.e e„yr. �°T 1' PROPOSED l LACH ING p r T rllf ~C`' rr. /'f-16 ,t�,�i�+�;•� C• /` ,�I��Q JtJ!J r1 100% E x PA KI 5 10 r:tOf �'�v�s �, ._ �r%2�.� _ (�'•2 (.y/�c„� ,�'sJ a 7715AZ;- scA"; MATE. � SHEET /c�9ri�u) /(/a i� • �3� ,y rii. :� ��rJ/4rJ 2!/ '� 41- DRAWN BY GNKD BY: Apft sy: rF 1q.