HomeMy WebLinkAbout0058 POPONESSETT ROAD - Health 58 POPONESSETT ROAD
Cotuit
A= 035-004
4
I'
TOWN OF BARNSTABLE
LOCATION SEWAGE# 201 ^ "
VILLAGE CC;;rO ASSESSOR'S MAP&PARCEL
6 INSTALLER'S NAME&PHONE NO. W6W0E/ReQ .%fi- `477-9927
SEPTIC TANK CAPACITY (5®�)d0K?a GX/-r '
t
LEACHING FACILITY:(type) 3 C (size) (;9 9 X 33e 5
NO.OF BEDROOMS �4" t
OWNER
PERMIT DATE: t q COMPLIANCE DATE: s�� -AO t9
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility IN IA Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) A- Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) PIA Feet
FURNISHED BY i��®
r
C1e awr y
A -3
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55. 0 6
Ca 5- 3s.3
No. ( — Fee L
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2pphration for Misposai 6pstem Construction i3 fmit
Application for a Permit to Construct( ) Repair( ) Upgrade(j�) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 5S po P-bn ASS Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel 6 3$ Or��{ Ile
5S Polp0 V1 R-5se-tt-
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
56% Z3-7 (z�3-�
Type 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 L)" -n m-1,C t Ci Number of sheets l Revision Date
Title �p Q
Size of Septic Tank teow_->/J&-) 9-20 Type of S.A.S. 5�n� S �. JQ
Description of Soil s n wy.
Nature of Repairs or Alterations(Answer when applicable) '2. - too o
Date last inspected: L.i t, �..o�Ck
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 H Sj=ed Date
Application Approved by - Date
Application Disapproved by Date
for the following reasons
Permit No. �_Gf t —I GO Date Issued
o Fee /
P ' /
N O' 4 I
. •
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01pplitation for Disposal 6pBtrm Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(0() Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and T.-I.No.
VCA t Assessor's Map/Parcel- 6'3 5 0 5 r,�A
Installer's Name,Address,and Tel.'No.
/ I Designer's Name,Address,and Tel.No.
el �B.1.-)S< c .ry
k Type.of Building:
Dwelling No.of Bedrooms Lot Size a,nvo sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) L'GI V gpd Design flow provided ` gpd
Plan Date t Number of sheets I Revision Date
Title R;
Size of Septic Tank too, /V,�, 14--2g'Type of S.A.S.(3 �i E7c� �4 r_L-
C /J_
Description of Soil O
i
_Nature of Repairs or Alterations(Answer when applicable)
d
Date last inspected: f�-(Z(La l_ ,p t C\
r Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in #c
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 Heal
y
Signed Date
Application Approved by / A Date — — f
ApplicationDisapproved by Date
for the following reasons
'
Permit No. 2 Ofcl '— lG Date Issued S-3-t%
------ -- ------------------------------------ ---- -----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repai-ed( ) Upgraded V)
Abandoned( )by
at 2 n" has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.,00F) —1( 0 dated r— —
InstallerP A r)g4i i, L, ,y!2 Gr) lt,*tL Designer � r iri
#bedrooms lbU 2 Approved design flow u gpd
The issuance of this p rmit shall not be construed as a guarantee that the system will : c n as design d.
Date '2 Inspector
--------------s-��--------------/------------------------------7------------------------- -----------------------------------------------
No. 4' OR ` I GO Fee /6
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( )
System located at Qo p hn e �,�,- — Cam'} � — �►/�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 be completed within three years of the date of this permit.
Date Approved by
�i II
May. 23, 2019 1 ; 09PM No. 3223 P. 1
Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director ,
Public Health Division
Aso Mrs a Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
dffca: 508-862-4644 Fax: 508-790-6304
Installer&Designer Certification Form
Date; 5 �3" Sewage hermit# _2DLS— .Assessor's Map\Parcel 5/
Designer: SC Eo5mee_ rcn,Tnc;, Installer: CQee-uJifle- EnEpp:is
Address: 2951 Granb-err y W,,�h wav Address; Cew►m"e i o( s4r�,Clt
Eask ware C-%Yl t1A 625"3$ Nns���c, NA. 02 (04/ 9
On r aD q Cgetoik 644erlwi was issued a permit to install a
(date) (installer)
a
septic system at Fa too e s3ckk (0o-d based on a design drawn by
(address)
T G t;15ln ee.rin dated PT ri 1 �4 1
(designer)
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 any component
of the septic system) but in accordance with State&Local Regulations. flan 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 construe ce with the teems
of the IAA approval letters (if applicable)
JOHR L s�
c°> CHUR ILL& a
VIL
(I stall e Signature) A .41 7
A o
s
signer's Signs (Affix igz
s S mp Here)
PL/AS RETU TO BARNSTABLE PUBLIC HEA II D N. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTLI THIS FORM AND AS-
R ILT OARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION
THANK YOU.
QASept acAgncr Certification Form Rev 8-14-13.doe
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Town of Barnstable Barnstable
t�
ca
Inspectional Services j eric j
BARNf3TABLE,
059. Public Health Division
a 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas A.McKean,CHO
FAX: 508 90-6304
CERTIFIED MAIL#7015 1730 0001 4987 9507
February 13, 2019
KENNA, CHRISTOPHER& CYNTHIA L TRS
6800 SO "Q" COURT
FORT SMITH, AR 72903
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 58 Poponessett Road, Cotuit, MA 02635 was inspected on
01/25/2019 by James D. Sears, certified Title V Septic Inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of 1995 TITLE V (310 CMR 15.00) due to the following:
• All cesspools are structurally unsound and need to be upgraded to current
Title V System.
You are.ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R. ., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\58 Poponessett Road Cotuit.doc
Town of Barnstable
• snarrsr�e�.
Regulatory Services Department
—Public HealtliDivision --- -----
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
Feb 6, 2007
Rev. 5/11/16
DEADLINES TO REPAIR FAILED SYSTEMS
(Town Code §360-44 and Title V: 310 CMR 15.000)
An"x"marked in the ❑ is the failure criteria and associated repair deadline
60 DAY DEADLINE CRITERIA
❑ Discharge or ponding of effluent to the surface of the ground
❑ Pumping more than 4 times during the last year not due to clogged or obstructed
pipe.
❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool
ONE (1)YEAR DEADLINE CRITERIA
❑ Static liquid level in the distribution box above outlet invert due to an overloaded or
clogged SAS or cesspool
❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation
❑ Any portion of the cesspool within a Zone 1 to a,public well
❑ Any portion of a cesspool within 50 feet of a private water supply well with no
acceptable water quality analysis. (This system passes if the water analysis
indicates the well is free from pollution).
TWO (2) YEAR DEADLINE CRITERIA
❑ Single Cesspool
❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation
of a driveway due to H-10 components, etc)
❑ Leaching facility with standing liquid level at or above the invert pipe (per Town
Code §360-20 h)
OTHER
n O2�
Repair deadline:
Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc
;Jan 30 .2019 15:04 HP Fax page 21
oaz/
Commonwealth of Massachusetts
Title 5 Official Inspection Form M
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
SO
.' 58 Poponessett Road
�" Property Address
Christopher& Cynthia Kenna
Owner Owner's Name 10
information is '
required for every Cotuit MA 02635 1-25-19
page, CityfTcwn State Zip Code Date of Inspection ryl
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.
pNtu10F i44p',4,
im ortant When '� y '.
filling out forms A. Inspector Information E4 13 `���• �y-
on the computer, ��;' JAMES G
use only the tab James D.Sears
key to move your Name of Inspector
cursor-do not %* '•
Capewide Enterprises ; �•..o,�_ ,Fo..=4
use the retum -� —R e
ke . Company Name �,����F •... . .• G'C�:0
y 153 Commercial Street 5 INSp�`������
muuul„�1a
Company Address
Mashpee MA 02649
City/Town State Zip Code
508-477.8877 S1623
Telephone Number License Number
B. Certification
I certify that: 1 am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above;the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined
that the system:
1. ❑ Passes `
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ® Fails
1-28-19
spector'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 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 form should be sent to the system owner and copies sent to
the buyer,if applicable, and the approving authority.
Please note: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.
15ircp.doc•rev.7/2 6120 18 Title 5 Ofricial Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18
Jan 30 .2019 15:04 HP Fax page 22
Commonwealth of Massachusetts
Title 5 Official Inspection Form
1, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments.
Y 58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
id is
required for every Cotuit MA 02635 1-25-19
o
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
❑ 1.have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below..
Comments:
Failed system. Note:Garage on site w/bed room& bath. Single small pool failed. Main house-the
system is a main pool wlthree over flows.
2) 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, NO)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 ❑ NO(Explain below):
t5insp.doc•rev.7/28/2018 Tine 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
l
Jan 30 •2019 15:05 HP Fax page 23
t Commonwealth of Massachusetts
Title 5 Official Inspection Form .
i Subsurface Sewage Disposal System Forth -Not for Voluntary Assessments
58 Poponessett Road
Property Address
Christopher& Cynthia Kenna
Owner Owner's Name
information is required for every COtUIt MA 02635 1-25-19
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont,)
2) System Conditionally Passes(cont.):
❑ Pump Chamber pumps/alarms not operational.-System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(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 ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
3) 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.
a. 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:
151nsp.doc•rev.712612018 Title 5 omdal Inspection form:subsurface sewage oisposal system•Page 3 of 18
I
Jan 30 -2019 15:05 HP Fax page 24
Commonwealth of Massachusetts
Title 5 Official Inspection Form
T Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is required for every Cotuit MA 02635 1-25-19
page. City/Town State Zip Code Date of Inspection
C. Inspection SUMMalry (cont.)
❑ 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
b. 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,
c. Other:
4) 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
151nsp.doc•rev.7/2612018 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page 4 of 18
Jan 30 .2019 15:06 HP Fax page 25
Commonwealth of Massachusetts
wkv: Title 5 Official Inspection Form
i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
�-j
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is required for every Cotu it MA 02635 1-25-19
page, Ci rown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
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 Y:day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
® The system is a cesspool serving a facility with a design flow of 2000 gpd-
10,000 gpd.
® ❑ The system 1& s_, I have determined that one or more of the above failure
criteria exist as described in 310 CM 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.
5) 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 CA.
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 I I of a public water supply well
l5insp.doc-mev.7/2612018 Title 5 Official Ins
pection Form:Subsurface Sewage Disposal System•Pepe 5 of 18
Jan 30 •2019 15:06 HP Fax page 26
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5B Po onessett Road
Property Address
Christopher& Cynthia Kenna
Owner Owner's Name
Information is required for every Cotuit MA 02635 1-25-19
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered"yes"to any question in Section C.5 the system is considered a significant
threat, or answered "yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304, The system owner
should contact the appropriate regional office of the Department.
6. You must Indicate"yes" or"no"for each of the following for all inspections:
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 NIA)
® ❑ 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)]
Mnsp.doc•ray.7/2612016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of to
Jan 30 •2019 15:07 HP Fax page 27
Commonwealth of Massachusetts
Title 5 Official Inspection Fora
' Subsurface Sewage Disposal System Form • Not for Voluntary Assessments
58 Poponessett.Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is required for every Cotuit MA 02635 1-25-19
page. City/Town State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms(design): NA Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440
Description:
Main pool w/three over flows.
Number of current residents:
0
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
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 ® No
Water meter readings, if available last 2 ears usage 2017-25,000Gals
9 ( Y g (gl�}} 2018-10,000Gal's
Detail:
Sump pump? ❑ Yes ® No
'Last date of occupancy, NA
16insp.doc•rev.712612018 Title 5 Official Inspecdon Form:Subsurface Sewage Disposal System•Pape 7 of 18
Jan 30 -2019 15:07 HP Fax page 28
\ Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
I 9W
5$ Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is
required for every Cotuit MA 02635 1-25-19
page. Cltylrown State Zip Code Dale of Inspection
D. System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design now(seats/personslsq,ft.,etc.):
Grease trap present? ❑ Yes ❑ No
Water treatment unit present?
❑ Yes ❑ No
If yes, discharges to:
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: NA
Was system pumped as part of the Inspection? ❑ Yes ® No
If yes,volume pumped:
gallons
How was quantity pumped determined?
Reason for pumping:
t5lnsp.doc-rev.7/26/2018 title 5 Official Inspection Form:Subsurface sewage Disposal system•page a or 18
Jan 30 -2019 15:07 HP Fax page 29
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
v 58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is required for every Cotuit MA 02635 1-25-19
page. CitylTcwn state Zip Code Date of Inspection
D. System Information (cunt.)
4, Type of System:
❑ Septic tank, distribution box, soil absorption system
® Single cesspool
® Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ InnovativelAltemative 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):
Approximate age of all components, date installed (if known)and source of information:
NA
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
Depth below grade: 18"feet
Material of construction:
®cast iron ❑40 PVC ® other(explain):
Distance from private water supply well or suction line: feet
A Comments(on condition of joints, venting, evidence of leakage, etc.):
Pipeing is cast iron and orange Burge Pipeing is old and in bad shape
t5insp.doc rev.MUM 8 Title 5 OfWal Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18
Jan 30 2019 15:07 HP Fax page 30
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
58 Po
ponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information Cotuit MA 02635 1-25-19
required for every
page. City/Town State Zip Code Dale of Inspection
D. System Information (cont,)
6_ Septic Tank (locate on site plan):
Depth below grade: 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:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage,etc.):
t5insp.do= rev.7/20/2018 Title 5 CUM Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18
Jan 30 .2019 15:08 HP Fax page 31
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
L
Property Address
Christ her&Cynthia Kenna
Owner Owner's Name
information is required for every Cotuit MA 02535 1-25-19
page. Qtyl"rown Slate Zip Code Date of Inspection
D. System Information (cont.)
7. 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
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet Invert, evidence of leakage,etc.):
8. 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
t5lnsp.doc•rev.7/26/2018 Title 5 Official Inspection Farm:Subsurface Sewage Dimosel system•Page 11 of 18
Jan 30 •2019 15:08 HP Fax page 32
Commonwealth of Massachusetts
Title 5 Official. Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
lww 58 Poponessett Road
Properly Address
Christopher&Cynthia Kenna
Owner Owner's Name
information Is
required for every Cotuit MA 02635. 1-25-19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cant,)
Alarm present: ❑ Yes ❑ No v
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
9. Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
15in3p.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Jan 30 •2019 15:08 HP Fax page 33
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
InlormregUir dfors Cotuit MA 02635 1-25-19
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
10. 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.
11. Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
® overflow cesspool number: 3
❑ innovative/altemative system
Type/name of technology:
t5insp•doc-rev.7/261201a Title 5 Official Inspection Form:Subsurface sewage Disposal system•Page 13 of 18
Jan 30 •2019 15:08 HP Fax page 34
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�.!. 58 Poponessett Road
Property Address
Christopher& Cynthia Kenna
Owner Owners Name
information Is required for every Cotuit MA 02635 1-25.19
page. City/Town State Zip Code Date or Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Leaching is three old block c pool's. Pool's are old. Top block's not in good shape. Not real good
structural not real sound.
12. Cesspools (cesspool must be pumped as part of Inspection)(locate on site plan):
Number and configuration 1
•
Depth—top of liquid to inlet invert 2'
Depth of solids layer CIO
Depth of scum layer
4"
Dimensions of cesspool 6' Deep
Materials of construction Brick& Block
Indication of groundwater inflow ❑ Yes ® No
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,
etc.):
Main pool 6'deep wlsteel cover at 4" under flag stone area. No in tee.
15insp.doc-rev.MA12018 T[de 5 Official In5pection Form:Subsurface Sewage OisposW System•Page 14 of 18
Jan 30 2019 15:09 HP Fax page 35
Commonwealth of Massachusetts
12 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner owner's Narne
Inform
Is
require for
Cotuit MA 02635 1-25-19
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
13. 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.):
t5insp.doc•rev.712612018 Title 5 offlaal Inspection Form:Subsurface Sewege Disposal System•Page 15 of 18
Jan 30 •2019 15:09 HP Fax page 36
c� Commonwealth of Massachusetts
FTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
p
— $
58 Po onessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
Information Is required for every Cotuit MA 02635 1-25-19
page. CityrrDwn State Zip Code Date of Inspection
D. System Information (cont.)
14. 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
t5insp.doc-rev.7/2812018 Tire 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 1B
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5
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Jan 30 .2019 15:09 HP Fax page 37
Commonwealth of Massachusetts
r Title 5 Official Inspection Form
ttI� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�z
58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owners Name
information is
required for every COtUIt MA 02635 1-25-19
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells tj
il
Estimated depth t high ground water: 201+
feel
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:
Abutting property drop's off 201
.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 16
Jan 30 •2019 15:09 HP Fax page 38
,4*,
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
58 Poponessett Road
Property Address
Christopher&Cynthia Kenna
Owner Owner's Name
information is required for every Cotuit MA 02635 1-25-19
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed& Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4(Failure Criteria)and 6 (Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
Qo�in
-
�apt
t5imp.doc•rev.7/2612018 Title 5Otficial Inspection Form:Subsurface Sewage Dispose)System•Page 18 of to
oFINE Town of Barnstable P# l S90,7
Department of Inspectional Services -T;
r • r�i
BABNSTABLE. ` q1
MASS.
039.
�ArED MAi 200 Main Street,Hyannis MA 02601 e-V- t 1{brf
Office: 508-862-4644 P_�
a
Date Scheduled Time Fee Pd. It)() , GL
�w
Soil Suitability Assessment fo wage Dis o a
ll D I _ Y
Performed By: I Gyl G 2� ((VY�Z dI t t,(� I65 Witnessed By:
LO,CATIONrrBi FGENERAI TN=FORMATIOI�T 4
Location Address C� ebPO rl C'!&C,R RD { Owner's Name Kt�,,PI A
J C6-T c.t T_ Address 90 f 6 f'0 rl.e �sS�-� ^
loTcs<<
Assessor's Map/Parcel: 0 3 G� � Engineer's Name TC EY-( �e•�r�1�
Engineer's Email: rYM P v-- t+—�V ��t✓I�
NEW CONSTRUCTION REPAIR Telephone# :5- -Zs-7 ` 8 3 -7 -J
Land Use S lY 4e_ �arntty AU-6(41�_ Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line 710 ft Other — ft
SKETCH:(Street name,dimensions of lot,exact locations of tst holes&perc tests,locatewetlands in proximity to holes)
See a fkGG�`e.c eta,
y
I
i
i
i
Parent material(geologic) 6OkLV 0 Depth to Bedrock AA
Depth to Groundwater: Standing Water in Hole: N) A Weeping from Pit Face N)A
Estimated Seasonal High Groundwater 7 3 2 t, b9 5
SDETE�R"NHNATION FOR�SEASONAL`�HIGHfiW�AT�ER TABLE;,.� �_:f ,a ;
Method Used. Die&V (�0,$QdUG
Depth Observed standing in obs.hole: 7 1 3 2 in. Depth to soil mottles: ^' in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
k P.EIZC0LA' YON,TST =,1s. ':Date6-I T�iue �tivvl
„ ._.
Observation
Hole# I Time at 9"
Depth of Perc 36 - _5Y Time at 6"
Start Pre-soak Time @ 11•b - Time(9"-6")
End Pre-soak (( • 10 a rrt
Rate Min./Inch 4 Z
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N f
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:Wpplication Forms\PERCFORM 2018.doe
DEEF OBSERVATION HOLE LOG Hole#- 1 { Z,
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
q - /o A LS l!1<! 3/2, —
1n — 3(o d LS 1yir5/6
36 � i 32 G 5 �e 5Y �G�
,
D'EEP,OBSE_RVATION HOLE`LOG iI `ole# r
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
)
DEEP OBSE°RVATION HOLE LOG r H'0 e'#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
DEEP OBSERVATION HOLE=LOG:: Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
Flood Insurance Rate May:
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 ervicus material exist in all areas observed throughout the area
proposed for the soil absorption system? 'Te S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on /0-2 7-19 (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 training,
expertise and experience describ in 310 CMR 15.017.
Signature Date
Q:\Application Forms\PERCFORM 2018.doc
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T.O.F. EL.= 44.4'+ house` H-20 CONCRETE RISER WITH FINISH GRADE OVER D-BOX= 43.5�±
/ WATER-TIGHT CAST IRON FINISH GRADE OVER CHAMBERS = 43,83' - 43.50' 3/4"TO 1-1/2" DOUBLE WASHED GENERAL NOTES
REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2/o MIN. OVER SYSTEM STONE TO CROWN OF PIPE
FRAME & COVER TO GRADE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
FINISHED GRADE OVER INLET, CENTER&OUTLET F.G. OVER RISER TO WITHIN 6"OF FINISHED GRADE
AT FOUNDATION =VARIES TANK EL.= 43.0'$ 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS BOX METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL
� MIN SLOPE 1% TO F.G. SEE GENERAL NOTE#20 2 OF 1/8 TO 1/2 DOUBLE WASHED
i - -- - ---- 5" DIA. OUTLET(S) ( ) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES.
j 9"MIN. } -- - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
PROP. 4"SCH. 40 36"+ I r PLACE RISERS ON ALL DESIGN ENGINEER.
PVC SEWER PIPE 9" MIN. 9 MIN. TOP OF SAS= 40.83, CHAMBERS WITH
3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
4"SCH. 40 PVC TO 36 MAX. 40.00' 36"MAX. , INLET PIPES TO 6" OF
2" DROP MIN. f DISTRIBUTION BOX BREAKOUT EL= 40.50 FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED.
MIN.SLOPE @ 1% 6" 3" 3" DROP MAX. 3" 9" 3" g"
- ----- MIN.SLOPE @,� L=31'# 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
co L
PROVIDE WATERTIGHT o o ELEVATION =40.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A
14" 14" 4" PVC IN FROM JOINTS (TYP.) �w� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF
SEPTIC TANK 4" PVC OUT TO 0 0 O C� D 0 D O O 0 0 o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
LVARIEc-' 40.75' O LEACHING FACILITY o0 00 06 0 0 °
CD 00 5. SLOPE ALL SOLID PIPE AT 1.0/o MINIMUM.
48" NOTE: 12" 6" 2� oa 00 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
ALL INLET AND 40.30 MIN. 40.13 00 00 oD0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
41 .00' OUTLET TEES SHALL
GAS BAFFLE GAS BAFFLE BE PLACED DIRECTLY 6" CRUSHED STONE 00 0 0 0o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS
OVER MECHANICALLY o0 0 0 0 0 0 o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
1000 GAL. 500 GAL. UNDER A COVER. _
COMPACTED BASE AND DESIGN ENGINEER.
VARIES (see plan) (48 HRS DETENTION) (24 HRS DETENTION) 6"CRUSHED STONE 5 4.0' g 5' (TYP) I 4.0 4.0' 4.0'
OVER MECHANICALLY OUTLET DISTRIBUTION BOX 4.83' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 45.00'
COMPACTED BASE TO BE INSTALLED ON A LEVEL STABLE 33.5' (TYP.) ESTABLISHED ON A NAIL IN A TREE AS SHOWN ON PLAN.
PROPOSED 1000/500 GALLON TWO COMPARTMENT SEPTIC TANK (H-2O BASE. FIRST TWO FEET . OUTLET , GROUND WATER ELEV.= < 33.00' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
1 � PIPES TO BE LAID LEVEL. 38.00 12.83
5 MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
LENGTH 11 -0" WIDTH 6'-2" DEPTH 6'-0" CROSS SECTION VIEW 3 - 500 GALLON H-10 CHAMBERS CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
PROPOSED SEPTIC TANK DETAIL DIMENSION AS PER H-10 DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE H-10 CHAMBER DETAILS TO THE DESIGN ENGINEER.
NOT TO SCALE ACME-SHOREY NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT.
11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
NOTES: `� • . '" ,c --- TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
PERC NO. 15907 APPROPRIATE AUTHORITY.
1. MAGNETIC MARKING TAPE SHALL BE PLACED �! ��
ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM !! '� ' ��jj� t;f +� �`r� INSPECTOR: Donald Desmarais 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED
COMPONENT. JJ fl' � ZONE L - � � u`����\\ UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR
EVALUATOR: Michael Pimentel, BIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING.
\ MAP 35 �' s� ` / • + _ ,��« • 10
C.S.E. APPROVAL DATE: Oct. 27, 1999
2.) CONTRACTOR SHALL VERIFY SOIL I13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
+: ..
LOT 18 -35 , CONDITIONS IN THE LOCATION OF THE 11 '' _`� • + - j'=%` DATE: February 26, 2019
SSO° - -36 , , PROPOSED LEACHING FACILITY TO ENSURE // `` • + •. --�� 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
__ CONSISTENCY WITH TEST PIT DATA SHOWN ON f E ` ` - , . • • TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
s s � �, � �-Ioopelra
6B 0' 72,S�,� 37\ , t ` , THIS PLAN. REPORT TO ENGINEER AND LOCAL �,/�� -'` ` ' • ' ELEV TOP= 44.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
-38 BOARD OF HEALTH IF SOILS ARE NOT �Jr'--• • • • !� i r •. •i ``�,' Beach
J -_; r �;, . FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
- ' CONSISTENT WITH TEST PIT DATA. '�. it • .. : , • ' • + ' •• ' ` ELEV WATER= < 33.00
M \ --- 39J/ Fg . ' •'� n • ;'+ ' f 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
�r 1 \ \ J ' o • + .• �. PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
3.) ENTIRE PROPERTY IS LOCATED WITHIN THE •
' = s` ° • " 16. PROPOSED PROJECT IS LOCATED WITHIN:
a _ _ 40 ESTUARINE WATERSHEDS. LOCUS
� -41 � \ "' . . ... . . � .." -- . ` , DEPTH OF PERC= 36" _�„
_ j •� • • ones . . • • ` r� ASSESSOR'S MAP 35 LOT 4
MAP 35 -__ t \ \ \ 4.) SWING TIES SHOWN ON THIS PLAN ARE e • ` "� • TEXTURAL CLASS: 1 - -
a LOT 4 - -42 \ PROVIDED ONLY AS A COURTESY FOR THE j _. ---� -.. . ' PUb14G "-� OWNER OF RECORD: CHRISTOPHER &CYNTHIA L. KENNA TRS
\ `ALP INSTALLER. INSTALLER SHALL VERIFY SWING TIE �+ ' . • • 38► 4andr>ng ADDRESS: 6800 SO Q COURT
v' 1 BEDROOM TO BE • r. ! �►
T MEASUREMENTS IN THE FIELD PRIOR TO i '
ADDED INSIDE ». . •• . •• I� r o 44.00
FORT SMITH, AR 72903
\ 43 � \ � s \ � EXISTING GARAGE INSTALLING THE SYSTEM. CONTRACTOR SHALL I �
(TOTAL BEDROOMS-1) NOTIFY ENGINEER IF MEASUREMENTS APPEAR i �•; ..' • •�• ,�'� ,� .� `� ,-.,�.,,�`, cotuit 4 FIII43.6T FEMA FLOOD ZONE X
TO BE INCORRECT. .
1 21„ \ \ •.` ? • ' , •+ ► . A Loamy Sand COMMUNITY PANEL# 25001C0752J
p. \ \ \ 5.)CONTRACTOR TO PROVIDE SEPTIC PIPE FROM ' • •• 1' -4 • 1` 10Yr 3/2
/ o a \ \ \ ° .• • f+ r • 10" 43.17' 17. DEED REFERENCE: DEED BOOK: 27791, PAGE: 101
\ N \ \ \ THE GARAGE TO THE SEPTIC TANK AT 1 /o • +• i. `�. .
CP MAP 35 • e .
MAP 35 7 as �� \ \ \ \ MINIMUM PITCH. •• O # i�`�w _ Loamy Sand 18. PLAN REFERENCE: PLAN BOOK: 19, PAGE 143
LOT 3 PROP. THREE (3) 500 GALLON I o \ LOT 16 +.• - �s, _ �;, = �' B 10Yr 5/6 ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
LEACHING CHAMBERS 9„ I N \ \\ \ \ \ Ak • ,, n s a �,� 19.
w/AGGREGATE -/ 1 1 1 1 1 - . *� 4 1 0 ,
���i. • e U 36" 41.00'
C.► / , 1 I I ` c, , r� 5 • 20. A 4 PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A
r�tui' •e.� r�� ° - Perc DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A
o N / PROP. H-10 / C , ; i,�a • ra • ;7 i�'' 54" 39.50' REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.
z DISTRIBUTION / \ \ � I I , �' �"��--'=t� ` ''� - - `� /'• � ' ' � 21. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL
.. ;.. BOX
/ EXIST. \ , 1 , i� ";` • `/ s - Medium Sand REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT.
17"
° GARAGE C 2.5Y 6/6
PR INSPECTION PORT- _ a
44
P ° PROP. _ SLAB = I w
/ 10 I N V =41.5 _ 43.0'± \ •�
a
3' U PLAN-
PROPOSED
SCALE: 1"= 1000'
1,000/500 6 ' ' �2"� �\\ \\` , 132 33.00'
GALLON 2-COMPARTMENT / C' \ \ \ \ \ ,
1 No Mottling, Standing or Weeping Observed
SEPTIC TANK {H-20) ,, ) -.► \ -
OO ° CID ` w�� \ ` ` `XISTINGCESSPOOLTO DESIGN DATA TEST PIT DATA LEGEND
26 12"/7" w , SWING-TIES SCALE: 1"=20' PERC NO. 15907
\ \\ ` ` BE PUMPED, FILLED 50x0' EXISTING SPOT GRADE
a / BIT. DRIVEWAY \ \ WITH CLEAN COARSE NUMBER OF BEDROOMS (EXISTING) 4 (dwelling) + 0 (garage)=4 total INSPECTOR: Donald Desmarais - 5Q - EXISTING CONTOUR
Benchmark \j�44,> o SAND AND ABANDONED DESCRIPTION HCA HC-2 HC-3Nail in Tree0 ) NUMBER OF BEDROOMS(DESIGN) 3 (dwelling) + 1 (garage)=4 total EVALUATOR. Michael Pimentel, EIT, CSE
TOF = ROP. C/O TYP OF 4 __ j r�
SEPTIC COVER IN (1) 24.1 -- DESIGN FLOW 110 GAUDAY/BEDROOM Oct. 27, 1999 �� PROPOSED CONTOUR
Elevation =45.00 J 44 4'+ o C.S.E. APPROVAL DATE:
Approx. M.S.L. / --� 44 0 I I SEPTIC COVER OUT(2) 30.0' -- -- DATE: February 26, 2019 50 PROPOSED SPOT GRADE
0 l I I TO FLOW 440 GAUDAY
Z I I I CORNER OF STONE (3) 48.9' 35.3' -- j ° TEST PIT#: 2 GAS - EXISTING GAS LINE
/ - DESIGN FLOW x 200/o = 880 GAUDAY
ELEV TOP= 44.00'
/ ' I CORNER OF STONE (4) 61.7' 46.3' ! ❑/H/W EXISTING OVERHEAD WIRES
INV.=41.8'± INV.=41.6'± / / SLA%E WALK(TYP) USE PROPOSED 1000/500 GAL. TWO COMPARTMENT SEPTIC TANK ELEV WATER= < 33.00'
#58 ❑ 1 / UNITS CORNER OF STONE (5) -- 43.0' 58.1' �.' --W- EXISTING WATER LINE
/ EXISTING ❑�� -- PERC RATE =
/ I 4-BEDROOM ' ' CORNER OF STONE (6) 31.0' 45.4' -
DWELLING sb / SEPTIC TANK SIZING DEPTH OF PERC- % TEST PIT LOCATION
USE PROPOSED 1000/500 GAL. 2-COMPARTMENT SEPTIC TANK TEXTURAL CLASS: 1 p C C PROPOSED 1000/500 GALLON H-20 SEPTIC TANK
1 BEDROOM TO BE � `� J � ' � ' HC-3
ELIMINATED FROM U o MAP 35 COMPARTMENT 1:
PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE
EXISTING DWELLING 0 3 Z ¢ I ( 12 8' 6) _ DESIGN FLOW x 200% =440 x 2 = 880 GAUDAY (MIN. REQUIRED) 0" 44.00'
(NEW TOTAL -' S
�� o`� \ X I ' ' .:.:. ... DESIGN CAPACITY = 1,000 GAUDAY (PROVIDED) Q PROPOSED H-10 DISTRIBUTION BOX
BEDROOMS=3) F� 0 / a;. ;;.<:. : Fill
< 3 4" 43.67'
;. COMPARTMENT 2: - Q PROPOSED 500 GALLON H-10 LEACHING CHAMBER
Q moo/, ° EXIST. DESIGN FLOW x 100% = 440 x 1 -440 GAUDAY (MIN. REQUIRED) A Loamy Sand
43 28.4 GARAGE _ - 1 Yr
,�- DESIGN CAPACITY 500 GAUDAY PROVIDED 0 3/2
-�' O - (PROVIDED) 10�� 43.17'
B Loamy Sand
3
I
° - INSTALL 3 - 500 GAL. H-20 CHAMBERS W/ AGGREGATE 10Yr5/6 REV. DATE BY APP'D. DESCRIPTION
z
---- _ - ----- ------ -- -
% R=350.00 WIRE 3) `L�° �HC-1 SIDEWALL CAPACITY 3s° 41.00' PROPOSED SEPTIC SYSTEM UPGRADE
L=105.00 I � �..
(4 (2 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY ��Sr.OFh1��
(33.5' + 12.83') (2 ) (2' ) ( 0.74 GPD/S.F.) = 137.1 GAUDAY o °` q��• PREPARED FOR:
/ O
`5 _�- ❑/H/W U_F
/� ❑/H/W o/H/W o/H/WLD #165/6) I 1) BOTTOM CAPACITY JOHN J, CAPEWIDE ENTERPRISES
U.P. #965/7 ❑/H/W °/ �W _ I-T ? C Medium Sand
cV�7" ❑/H/W n/HAW �, CHURC LJR.
OF
PAVEMENT (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 2.5Y 6/6 � No. 8066 LOCATED AT
EDGE s (33.5' x 12.83) (0.74 GPD/S.F.) = 318.1 GAUDAY ss�F
LAN
POPONESSETT ROAD �/ TOTALS: � 58 POPONESSETT ROAD
(40'WIDE LAYOUT) °� ` COTUIT, MA 02635
TOTAL NUMBER OF CHAMBERS 3
TOTAL LEACHING AREA 615.1 SQ.FT. 132" SCALE: 1 INCH = 20 FT. DATE: APRIL 30, 2019
TOTAL LEACHING CAPACITY 455.2 GAL./DAY 33.00' tN OF 0 10 20 40 80 FEET
No Mottling, Standing or Weeping Observed
#58 % _ _ JOHN L �'" - PREPARED BY: -
EXISTING RESERVED FOR BOARD OF HEALTH USE CHURCCyvI JR. N JC ENGINEERING, INC.
4-BEDROOM N0. 41807 2854 CRANBERRY HIGHWAY
DWELLING
SITE PLAN � ' EAST WAREHAM, MA 02538
508.273.0377
SCALE: 1"=20'
--- - Drawn By: SJI Designed By:MCP I Checked By: MCP JOB No.4556