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HomeMy WebLinkAbout0284 POPONESSETT ROAD - Health 284 POPONESSE' Koff COTUIT 019 061 J ,° I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: v PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpprication for Di5po$oY 6p$tem Congtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(� Abandon( ❑ Complete System ndividual Components Location Address or Lot No. S`t\� � C��t^=T`Zb• Owner's Name,Address,and Tel.No. CaTur f viN +-n-\eQrsA i,vaupa Assessor's Map/Parcel v iq K, ,Ywa`)%Ro. t*RAZT, MA 019 Og Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (SA L L a`—Oos S 3',C.AAv TU AAC-- KNUP" Pf t11,S . t) Jb-`4 S Y11iLLS Type of Building: Dwelling No.of Bedrooms 775�, Lot Size 923 } sq.ft. Garbage Grinder ( � Other Type of Building C,L FA M-L`j No.of Persons Showers( ) Cafeteria( . ) Other Fixtures _ems Design Flow(min,required) ��y gpd Design flow provided 7 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil e P,4 Nat u a of Repairs or Alterations(Answer when applicable) ,See l X." d'CJ W/i#bn 0/" )50.04 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 Titl of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this o d o ealth. Sign d f� Date _ 'r� Application Approved by Date - Application Disapproved by: Date for the following reasons Permit No. (2)003 Date Issued O elk .Mr.,4� Fee t'�'•°""�'"'`" - ' , COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS F ZIppYication for �Nzpoaf *p.5tem Con5tructiou permit Application for a Permit to'Construct( ) y Repair( ) Upgrade(� Abandon( ) ❑ Complete System +Individual Components Location Address or Lot No. �r t \f)�Ur.1tS5C: 1ZD. Owner's Name,Address,and Tel.No. �7�✓� 3� `fV r Co—ru I-T VJ/�WRCL -?,7\At Qk SA TZ+OD Lra r r Assessor's Map/Parcel Q 1C1 (.9 M&m'bk3 . P-AAHA�F, Installer's Name,Address,and Tel.No. C S o Designer's Name,Address and Tel.No. (so?>4 Z,6 005 S k � �C. (AA�7 \ ?r _ nIS mills M� Type of Building: ` 1 Dwelling No.of Bedrooms 7:37"o Lot Size IS 9Z3 �- sq.ft. Garbage Grinder (OC)' Other Type of Building',%it3G—6 F-A-M iLN No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flow(min.required) gpd Design flow provided gpd J Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repair or Alterations(Answer when applicable) �c'P ln )00"1P I o11 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 •oard of°Health./ Sign Date /_o?<� Application Approved by Date 0 b Application Disapproved by: Date for the following reasons Permit No. GO Date O� Date Issued / O -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance �r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at cifS�l fJ 4 ,0✓1 t ASP Y21— Cnc}u, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated . Installer Y�1 \ (D Designer f r 1 v #bedrooms 3 Approved design flow gpd The issue*ce.of this . s/hall not be construed a�.a guarantee that the system wa' 'fo ctior(as designed.- Date - permit3 � I�1y Inspector �A! ————-- —J ————————————————————————————————/ram———— No. (� Vr 3 I Fee 1 .5 THE COMMONWEALTH,OF MASSACHUSETTS PUBLIC HEALTH DIVISION=-'BARNSTABLE, MASSACHUSETTS Digonl,*pgtpm Con!truction Permit Permission is hereby granted to onstrua (X Repair ( ) Upgra �('� ) Abandon ( ) System located at . Po 7­7'Q and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. p Provided: ConstT30 on mu)t be completed within three years of the date f this a It Date b Approved by Town of Barnstable Z 7 4Y- 7-6z Regulatory Services Thomas F. Geiler,Director * M" �MAS& Public Health Division 1 ►9. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 7 ®� Sewage Permit# o 0006 _031 Assessor's MaplParcel ��`� 0,6 Designer: "-�� Survey Installer: c7`. o-1 Y Addre s: yO Address: _..�0. 13c;Y 331 k On ffa was issued' a permit to install a (date) (installer) septic system at _Ap _4 Jose ssr t � a ° " based on a design drawn by (address) tO l certify that the septic :;;s•,m referenced above was installed substantially acccr iim, to the design, which may ;nclude minor approved changes such as lateral relocati ,;: of the distribution box and/or septic tank. I certify that the Sept;.- system referenced above was installed with major cha:.,ges (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any con►,ponent of the septic system) bu; in accordance with State & Local Regulations. Plan rev;.-Ion or certified as-built by'designer to follow. N JOE (installer's Signature) ti"i.J: t3Ff'Y r3i; No.7.1J (Designer's Sifnature) (Affix Designer's Stamp Here) RETURN TO BARNST:Vil,E PUBLIC 11EALT11 DIVISION. CERTIFICATE OF C0INil'I.IANI'F: WILL NOT 13E ISSUED UNTIL BO"rll THIS FORM AND :%s-B111LT (BARD ARE Ill:(•F:IN'i:l) B TIIF: B.WNS 1•A131,E III1BI,IC IIF:.M111 DIVISION. TIJANK YOU Fonn 26-04.doc R. No. ��1 Fee . 5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: — Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for loiopooal opotem Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 284 Poponesset Rd. , Cotuit Wallace Riddle Assessor's Map/Parcel 16 Mao 1 i s Ad. , N ah an t, MA 01908 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P 0 Box 1089, Centerville . 804 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other 'Type of Building R e c i rl inn t i a 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 220 gallons per day. Calculated daily flow gallons. Plan Date 9—2 4—01 Number of sheets 1 Revision Date Title Subsurface Sewacfe Disposal System Size of Septic Tank 16oC- Type of S.A.S. Description of Soil medium -,;n d Nature of Repairs or Alterations(Answer when applicable) Replace cesspool with a 1 , 500 gal. septic tank, and 2 leaching pits— 25' L X12'W X2 ' H 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 Certifi- cate of Compliance has been issued by this roar f Health. Signed Date/0 Application Approved by `G__ L Date j Q_ Q j Application Disapproved for the following reasons Permit No. �'�c�\^ y`�cl Date Issued �� C� No. !/V��" l0� . x' - FeerJO / THE COMMONWEALTH OF MASSACHU$9Mq,.i. 'Entered in computer. s `� '' Yes 3 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEX MASSACHUSETTS 0(ppfication for 0iopoOf *pOtem Clongtruction Vermit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ',) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 284 Poponesset Rd. , Cotuit Wallace Riddle Assessor's Map/Parcel L 16 Mao l i s Ad. , Mahant, MA 01908. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P O Box 1089., Centerville 804 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other TI pe of Building Rac i rlant i a 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures "I Design Flow 2204 gallons per day. Calculated daily flow gallons. Plan Date * 9-2 4—01"'! Number of sheets 1 Revision Date Title Subsurface Sewage Disposal System , a Size of Septic Tank 1 Off, Type of S.A.S. f Description of Soil medium sand t Nature of Repairs or Alterations(Answer when applicable) Replace cesspool with . i` a 1 ,,500 gal. septic tank, and 2 leaching pits- 25'L X12'W X2.'H 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 Certifi- cate of Compliance has been issued by this oar f Health../J??") I �{ Signed r,R Date Application Approved by Date 10- 1- O' Application Disapproved for the following reasons s� »�01, r 144 . Permit No. '�)cE3�— &ycl Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Riddle Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal.System Constructed( )Repaired (X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at284 Poponessett Rd. , Cotuit has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Q(_'U\_(_0'i V1 dated 13 -X Installer Wm. E. Robinson Sr. Designer Dan Johnson,,/, The issuance of this pe t shall not be construed as a guarantee that the s, ste 'will fun do r,s design Date b( �} �I Inspector- -- C� � r - No. ���`- �-- ------------------- 3� Fee $50 THE COMMONWEALTH OF MASSACHUSETTS -1 PUBLIC HEALTH DIV.I�i®N - BARNSTABLE,, MASSACHUSETTS Riddle MfSpOar *p!tem Com6truction Vermit Permission is hereby,gr tt Constroponeuc tepaau X)b ui )Abandon( ) System located at and as described in the above Application for'Disposal System Construction Permit. The applicant recognizes 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 �'7`-�-� � -��'�-`�;.,....,`• D G �-- - ,TO Bt�E716 s�'AB'I.,E • ;ry LOCATION ` yj 3 s 'SEWAGE M- LAGE ASSESSOR'S-MAR.& WT-la q INSTALLER'S NAME&PHONE NO. J?d L <i f �1 'e S'-7.') SEPTIC TANK CAPACITY LEACHING FACILITY:.(type) <sZ- �' (size) 13 �. NO. OF.BEDROOMS 3 BUILDER OR OWNER .PERMTTDATE: l0— !" z3.._J > COMPLIANCE DATE:1"0 Separation Distance Between the. Maximum Adjusted Groundwater Table to the.Bottom of Leaching Facility Feet Private Water:Su 1 Well and Leach in Facili wells exist PP Y_. g- tY (If�Y on site or.within 200 feet of leaching facility).. . Feet : Edge of Wetland and Leaching Facility any'wetlands exist within 300.feef:6f-lea6hing facility) Feet Furnished by y t y t 'trs {r S 6 y�� <L 5/25/01 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only., PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, D46 J�, NsoN , hereby certify that the engineered plan signed by me - { dated 24 9/o/ , concerning the property located at ,23 9 pn C a i•J meets all of the following criteria: • This failed system is connected to a residential dwelling only.. There are no commercial or business uses associated with the dwelling. • The soil is classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude.this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable]' Please complete the following: A) Top of Ground Surface Elevation (using GIS information) 36 B) G.W. Elevation + adjustment for high G.W.��'"� = �� DIFFERENCE BETWEEN A and B 9 /* SIGNED :` DATE: T 91, / NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health Folder:percexmp 32'T 26'-P 3•-D' S-P lv-v S-fT A > ANDERSEN A3 ANDERSEN TW 2442-2 TW 2442.2 b + o _ - c- e PUII-DOWN �x SW FIRERATED �---� DOOR I STAIR r O I AL LS ' LOFT L --J DN ANDERSEN ANDERSEN TW 2442 9'-9' 4 1' TW 2442 A A3 ED 31 JxW." SLOPED 0 .CEILING _ - b BATH LINEN :,::�.- :-�.:-..�... - SHELVES • i AND AND TW 2446 TW 2446 b ✓V D•~ AND N TW 2436 TW 243E TW 2436 AND AND GARAGE --.- TW 24310 A TW 24310 § § (4•CONC SLAB A3 SLOPE Z TOWARDS DOOR) r s-z a-8' tZ-e 4•-S 6-7 ——— L___ 32'-' AND TW 2446 _ SECOND FLOOR PLAN 41 � � AND UP A21 9'0"Y 7P O H DOOR 9Tr x TP O H DOOR FIRE RA CONC_ W4'T.�F APRON P A3 TO 94P 3'-0' 9'-LT' S-1P 7-7 321t FIRS' FLOOR PLAN GARAGE = 768 S.F. i SECOND FLOOR = 612 S.F. --,a-0"- Backyard I A Utility Closet Bedroom#1 Kitchen �40 g N y � I O b a Enclosed � Porch Living Room Bedroom#2 1r-o" k Riddle Existing Home 284 Popponesset Road Cotuit MA Map#019 Parcel#61 Front Yard Xr 19 2016 21:431 Jim The Inspector Man 5085349919 page 1 0/9- OW ■ Commonwealth of Massachusetts ■ lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 284 Poponessett Road W Property Address w: Wallace Riddle Owner Owner's Name r..l. information is required for every Cotuit ✓ Ma 02635 4-19-16 page. Ctty/Town State Zip Code Date of Inspection m 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. Important:When filling out forms A. General Information \�rp�lluulhrr on the computer, T►� ``��������N OF rrrr�i,� use only the tab `�� �f�......•....q key to move your 1_ Inspector: ;_�; Ln O G cursor-do not James D.Sears = JAM ES use the return -: key. Name of Inspector o z ; SEARS Capewide Enterprises, LLC = .= Company Name y���' RTl ` — 153 Commercial Street '%,F S INSpEG�����`\ Company Address 01011111111 m� Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1624 Telephone Number / License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes. ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4-19-16 spectoes 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. l5ins•3113. Title 5 Official Inspeclion Form:Subsurface Sewage Disposal System•Page 1 of 117 f V' I l �9 Apr 20 2016 09:17 Jim The Inspector Man 5085349919 page 19 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every COtUIt Ma 02635 4-19-16 page. CityfTown State Zip Code Date of Inspection B. Certification (cost.) 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: Front tank has a zable filter in outlet tee. Note: System main house w/extra tank for one bed room above ara e. The system is two 1500 Gal tanks- D Box and two 500 Gal chambers 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 Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): 15ins 3/13 Tills 5 Official Inspection Form:Subsurface Sewe®e Disposal System-Page 2 of 17 i Apr 19 2016 21:43 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is Cotuit Ma 02635 4-19-16 required for every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ 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 ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ins-3(13. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Apr 19 2016 21:43 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is Cotuit Ma 02635 4-19-16 required for every page. Cityrrown State Zip Code Date of Inspection 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, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, ,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 4 D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ®. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ` ® Liquid depth in is less than 6"below invert or available volume is less than Y.day flow .4 F/('jVIIII t5ins•M3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Apr 19 2016 21:43 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts .o Title 5 Official Inspection Form El Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 284 Poponessett Road Property Address , Wallace Riddle Owner Owner's Name information is required for every COtuit Ma 02635 4-19-16 page. Cityrrcwn State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal collform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design.flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator,of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The e system owner should contact the appropriate regional office of the Department. Wins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Apr 19 2016 21:43 Jim The Inspector Man 5085349919 page 6 f: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® Were as built plans of the system obtained and examined?(if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage,back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the'interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. El ® Determined in the field (if any of the failure criteria related.to Part C is at issue approximation of distance is unacceptable) 1310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design):. 3 Number of bedrooms(actual): 3 2Br. House 1 Br.Garage DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins•3113 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Pape 6 of 17 Apr 19 2016 21:43 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every COtUIt Ma 02635 4-19-16 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is two 1500 Gal, Tanks D Box and two 500 Gal. Chambers Number of current residents: 1 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage 2014-73,000Gal g ( Y g (gpd))' 2015-73,000 Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 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: t5ins-3113 Title 5 Official hspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 284 Poponessett Road " Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. Cityfrown State Zip Code Dale of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information 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: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and-a copy of latest 'inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Extra Tank t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page a of 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is Cotuit Ma 02635 4-19-16 required for every page, city/rown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Main house system 2001 permit #2001 -649/Garage 2006 Permit #2006-031. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: House 18" .10"Garage feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. Septic Tank (locate on site plan): Depth below grade: House 8" 5"Garage 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 1500 Gal. Precast H-10 Dimensions: Both Tank's Sludge depth: 21r oil l5ins-3f13 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Apr. 20 2016 09:17 Jim The Inspector Man 5085349919 page 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 , page, Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont) ge Distance from top of sludge to bottom of outlet tee or baffle H 2t" Ga 30" 1„Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 8" 8" Distance from bottom of scum to bottom of outlet tee or baffle 17" 18" How were dimensions determined? Plan Asbuilt Tape Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Both tanks at working level. House tank and covers at 8"below grade. Two inlet tee's w/outlet tee. Garage tank at 5" below grade w/in and outlet tee's. Both tank's. No sign of leakage or over loading. Note: Garage tank is piped into house tank. Front tank out let tee has a zable filter. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 or 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ine•3113 '' Tille 5 Ofrioial Inspection Form:Subsurface Sewage Disposal Sys:em•Page 11 of 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts d Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every CotUlt Ma 02636 4-19-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x 16"-28" Below grade. Box is clean and solid wl two line's out. No sign of over loading or solid carry over. Note:sprinker line over d box cover Pump Chamber(locate on site plan): Pumps in working order: ❑ Yves ❑ No' Alarms in working order: 0 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: f15ins•3113 Title 5 Official Inspection Form Subsurface Sewage Disposal Sysiem•Page 12 of 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not far Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. City/7own State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): i 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.): 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Apr 19 2016 21:45 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 284 Pop.onessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage.disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate / where public water supply enters the building. Check one of the boxes below: , ® hand-sketch in the area below ; ❑ drawing attached separately I'T 6�-ga' 14°v5 °NO B i I ' 1 0 G t5ins 3113 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Pape 15 of 17 Apr 19 2016 21:45 Jim The Inspector Man 5085349919 page 16 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments I I 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells No Estimated depth t high ground water: 11 + feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: B-20-01 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: T.H. on design plan 8-20-01 no G.W. at 11'. Bottom of chambers at 5' below grade. Bottom of chambers at 6' above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins-3113 Title 5 Official Inspection Form;Subsurface Sewage Disposal Sysiem-Page 16 of 17 Apr 19 2016 21:45 Jim The Inspector Man 5085349919 page 17 \ Commonwealth of Massachusetts ---- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments r 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. Cityrrown State Zip Code Dale of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems).completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Apr 19 2016 21:44 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 284 Poponessett Road Property Address Wallace Riddle Owner Owner's Name information is required for every Cotuit Ma 02635 4-19-16 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches. number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is two 500 Gal_ Dry well chambers 25'xl3'. Chamber at 30" below grade w/cover at 16". Chamber's are wet on bottom. No sign of over loading or solid carry over or holding water. No high stain line. 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 15ins-3113 Tille 5 Official Inspection Form:Subsurface Sewage'Olsposal System-Page 13 of W TOWN OF BARNSTABLE LOCATION oZ y R rd SEWAGE# a006-03/ r VILLAGE L07i.; f ASSESSOR'S MAP&PARCEL 0/9 INSTALLERS NAME&PHONE NO. 1,-Io Gvn fir.c y,'W'1 for �a<r' �a QbavE SEPTIC TANK CAPACITY /SOON LEACHING FACILITY: (type) Ex.'s "� (size) NO. OF BEDROOMS 3 OWNER PERMIT DATE: /— 3 0- OG 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 sQP7;c fe it Fx.'s71 ,hot,iv a9 - 31 31' V TOWN OF BA_PUNSTABLE �. OCJ'ATION 2_ 3 o +r; �. 2 s� SEWAGE# � 1 G VILLAGE a j. ASSESSOR'S MAP & LOT—Jntq I(D(Of ]NSTALLER'S NAME&PHONE NO. SEP 1C TANK CAPACITY J9 —e) LEACHING FACILITY: (type)vZ" (size) I NO.OF BEDROOMS BUILDER OR OWNER Rlfe-Acr w PERMIT DATE:: l0_ ! ® 1 COMPLIANCE DATE:-0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Faclity (If any wells exist on site or within 200 feet of leaching faciliy) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 3-7 t ` f COTUIT EENCHMAI K �. STREET TOP OF CB/DH SCHOOL ELEV. = 98.21' (ASSUMED) N4 1..,� A.M. 19/62 OG�OPT LOCUS Q OLD L S E rISTING SEPTIC SYSTEM `p ESS 3p INSTALLED 10104101 pOpR 1)PIT �2�' „ BY ROBINSON SHELL LANE A.M. 19/54 N' PERMIT 101—649 ti ti � � 1 32r00 p `�N CjXANoUT opts E vE �o O O 99 LOCUS MAP rs 2� g G go � G DgOo�` 10�' g A A y r PROPOSED CB/DH 1500 GAL yam' c�� A. M. 19161 PLAN REF 94/47 f3 V% TANK DEED REF 151611027 A.M. 19 55 � (1) g. E W AREA=15,923E S.F. i ZONING. "RF" / ��1.�' ASSESSORS MAP 19 PARCEL 61 GROUNDWATER OVERLAY AP CIDEXISaYNc:,, 2 BEDROOM I ! SITE PLAN OF LAND `� (7b BE REMOVED) 98 DWELLING\\ ' r� I "�'¢,1 c�V, / O LOCATED AT I ,� 4 ,f284 POPONESSETT ROAD \\ 100.5' (ASSUMED). \ `� ' �� / CB/DH ♦ ���������� EXISTING J 0 % COTUIT, MA. ♦ p Iwo \\\\\\\ —r—" SEPTIC qj� i PREPARED FOR.- � � SCREENED. ;Or SYSTEM WALLA CE G. III & THERESA ¢0(9 W '� RIDDLE cb gas G SCALE: 1 "=20 ' OCTOBER 3, 2005 O REV \ , REV REV- A. 9 i `44 ? C3rRUCE is. 85 MURPHY YANKEE SURVEY CONSULTANTS / No. 749 UNIT 1, 40 INDUSTRY ROAD P. O. BOX MASS. 02648 MARSTONS MILLS, TEL 42B-0055 FAX 420-5553 SHEET 1 J# 53968 GM _100.5 TOP OF FINISHED FLOOR 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P.V.C. MIN. PHVH 1/8 PER FT. Xz A B NO BASEMENT (CRNO B CE ONLY) - / / ' / / ♦ ' ' / / / / / /� I CONCRETE COVER WASHED PEAS719NE EXIST. & PROPOSED 6 MIN. 6AIIN. ♦ / ♦ • • / / / / INVERT 75 / / i i ♦ / /' / / / /�♦ i i i / ♦ i i i ♦ ♦ / � - 95.67 FLOW LINE l2it!!N. 1!0" 14" MlN. GAS N —LEVEL C 00 o o a 0 0 0 :C3 0.0 EXISTING BAFFLE EL.= 95.42 IN 6" SUMP l�"�L C G o 0 0 0 0 0 0 0; = 91,6' INVERT o o EL. 94_0_ EL.= 938__ 4' 4' PROPOSED EXISTING INVERT EXISTING DISTRIBUTION EL.= 93 s _ EXISTING -� 1,500 GAL TANK EXISTING SEPTIC SYSTEM BOX (2) 500 GALLON LEACHING CHAMBERS OF FOUNDATION INSTALLED 1%4�01 25' X 13' TRENCH FORMATIO,* F 100.5 so' MIN. BY ROBINSON CONCRETE COVERS PERMIT ,#OI-649 s/4" 7b I—I/2" SOIL ABSORPTION in NEW PER SITE PLAN BY DOUBLE WASHED STONE SYSTEM (SAS) GARAGE DANIEL JOHNSON, R.S. SLAB EL=99.5 DATED.• 9124101 4"scNIO P6C PIPE NO OBSERVED WATER (8120101) ELEV.=_86._ 6 1 �OR 61QUAI� MINIMUM FLOW LINE 7t7 EXISTING /7CH 1�4 PER PT. 1 10" 1500 GAL TANK F- ZN MIN. 14' INVERT ADD GAS L.=97O PROFILE OF BAFFLE VE SEWAGE DISPOSAL SYSTEM 5 PROPOSED NOT TO SCALE r 1,500 GAL TANK OBSERVATION HOLE I ELEV.=97 6 _ DEPTH HORIZ TEXTURE COLOR MOTT OTHER GENERAL NOTES 0-8" 0, A LOAMY SAND 10YR 413 8"-17" BW LOAMY SAND tOYR 518 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 17"-32" BIC LOAMY SAND IOYR 616 DESIGN CALCULA TIONS.' c� TITLE 5 AND THE TOWN OF BARNSLIBLE—___ RULES AND 32=56" Cl MEDIUM SAND 2.5Y 812 PERC 2 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 56"-132 C2 MEDIUM SAND 25Y 812 NUMBER OF BEDROOMS (EXISTING) . 2) TWO COVERS ON SEPTIC TANK SHALL BE BROUGHT TO 1 PROPOSED GARAGE— (1 BEDROOM) WITHIN 6" OF FINISHED GRADE NO OBSERVED GROUNDWATER . 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DEPTH OF PERC. TEST 32- GARBAGE DISPOSAL NOT ALLOWED "-50" WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN TOTAL ESTIMATED FLOW 10 FT. OF DRIVES OR PARKING AREAS. H--20 LOADING SHALL BE ( 110__GAL/BR./DAY x ---I! BR.) 330 GALIDA Y USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4) ANY MASONARY.UNITS USED TO BRING COVERS TO GRADE SHALL SOIL TEST EXISTING SEPTIC TANK CAPACITY 1500 GAL BE MORTERED IN PLACE. SOIL TEST DONE BY: DANIEL B. JOHNSON,, RS.. PROPOSED SEPTIC TANK CAPACITY 1500 GAL 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO DATE OF SOIL TEST: AUGUST 20 2001 SOIL CLASSIFICATION . . . . . . . . 1 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. - DESIGN PERCOLATION RATE . . . <2 MIN./IN.. 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR EFFLUENT LOADING RATE . . . . . . . 74 GAL/DAY/S.F. 1 IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS LEACHING CAPACITY AREA X RAT PRIOR TO COMMENCING WORK ON SITE. RATE) 347 GAL DAY 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS (25XI2.8X. 74)+(25+25+12.8+12.8)X2X. 74) 347 GALIDA Y SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL IS IN FLOOD ZONE___C"_____. 9) LOT IS SHOWN ON ASSESSORS MAP _l9_ AS PARCEL 53968 SHEET 2 OF 2 JOB NUMBER_____________ 3 NOTES- 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 6'-0• 6'-0- 12'-0" 16'-0' &DIMENSIONS IN THE FIELD 4-4 7-s 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS; A DETAILS.&FINISHES IN THE FIELD WITH OWNER A5 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT NEW FIRST FLOOR TO BE 6'-11"ABOVE SUBFLOOR DECK REMOD. 4-) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 3- HVAC B STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 5.) 110 MPH EXPOSURE B WIND ZONE - -------- ---------------- 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY. 3'0"I xl6'6 OR HORIZONTALLY W/BLOCKING AT EDGES; 3"EDGE/12"FIELD NAILING ti� FOI DIN STAG 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD ANDERSEN = A21 z NEW I I 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS MUD— 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF HALL ------ ALL SIMPSON COMPONENTS 10.) ALL CONCRETE USED FOR FOUNDATION WALLS.FOOTINGS&SLABS 1 _ TO BE 3000 PSI ° STING, 1 II m �._7:. I L___—__ N _ _ 3 3 OOM 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE O Y n Ilia I I / 11 O —I Im NEW A I DURING FRAMING CONSTRUCTION o I RANGE "I I> DININGI _ I S 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE N° I (VERIFY KITCHEN ;I 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED �?m LAYOUT W/OWNER) 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY r---T O I llo HELVES EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION N O I i _ '- INSTALLER/CONTRACTOR. o L-- Z� CLOS. CLbS. CLOS. a T-6' I 3 —r— ——— __ 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED - I z INK I �I ASSUMED BEAM ABOVE IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS III O CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION I RELOCATED I TI G, TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) EXISTINGFENESTFFTION StiYLIGHT CEIUnG \vOOD FRFME D L-I-LFLOOP. EpSEMENi I':pLl 6FSEMENT SV.E CRAYh SVFCE I'tAL III ED OM U'1111 R U.FACTCF LUE - LUE F-VFWE F-VA.WE F-VFWE F-VFLllE KITCHENLIVING 6.3E MpGS. 0.55 5 G<, FT.DEEP, ,5:T5 AMEND. I , NOTES: _ 1.R-VALUES ARE MINIMUMS d U-FACTORS ARE MAXIMUMS. r{'REF " ' 2.15/191dEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION d ENERGY REQUIREMENTS ANDERSEN I 4.13 51,4EANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR CW135 W/ FALSE ' d R13 CAVITY INSULATION CHECKRAIL A A5'-------- Q SMOKE DETECTOR 6-2 5-10 ©CARBON MONOXIDE DETECTOR 12'-0" FIRST FLOOR PLAN LEGEND- O EXISTING WALLS CONSTRUCTION TO BE REMOVED ® NEW CONSTRUCTION THEDESIOR C"'HF.LLEE NOTIFIED IF ANY SCALE DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITIO-N/REMODELING FOR. THFORSDRCMF SIONEFRE FOUND ON RA ESE DRAIMNCS PRIOF TO START OF CONSTRUCTION.THE EFOR T G CONTRACTOR 43 BREWSTER ROAD nTLESEDRA RESPONSIBLE GSIF OISTRU TIONT 1/4" = 1'-0" I T THESE DFp\MNGS IF CONSTRUCTION Al MENCE 5 WTHOUT NOTIFYING THE FOGAR RESIDENCE DES IGNEROF ANY ARESOLORFORTEU DATE MASHPEE MA. 02649 OFTE—ERNOTE 50LELTFORT„FUSE THE OWNER NOTED.ANY OTHER USE OF PH. (508 274-1166 TOHESE DRAWNGS NTOFTHEDEIGN"UNDER HE 1/12/2018 284 POPONESSETT ROAD, COTUIT, MA CONSENT OF THE DESIGn•ERUNDERTHE FAX (50 ) 539-9402 ""TECTURAL COPYRIGHT PROTECTION GT GF,sso. ©f S 1p 1� S Y S7` "�` _ - _� �WLiALLON SEPT TANK SCALE : i 010 MODEL S T 1500 H 10(SHOREY PRECAST CONC i TEST PIT DATA FIN IS HE D GRADE Performed By. Daniel B. Johnsori i 24"DIA 1 ` 24' DIA i-9'YMIN' 24"DIA ail— III -✓ _ H 10 1 Date: August 20, 201 6.. TP-1 (EL. = 97 .6) I 4"SCH40 FLOW UNE 4"SLR 40' �10' 14" V.—SEPTIC ZABEL FILTER A i00 00 0" - 8" 0, A, ?OYR4/3 Loamy sand 4"SCH 40 TEE TANK TO MEET [y"p - 17" Bw, 1 OYR5/8 Loamy sand I -4'L10UID LEVE". REQUIREMENTS OF 17" - 32" B1C, 10YR6/b Loamy sand + GAS BAFFLE 310 CMR 15 226 FOR i I f 4"SCH 40 WATER TIGHTNESS I 32" - 56" Cl, 2 . 5Y8/2 Medium sand i TEE i ETC 56" -132" C2, 2 . 5Y8/2 Medium sand ALL WALL SLEEVES/GASY:E TS _ -------------- No Observed ESHWT SHALL BE CAST IN PLACE OP o___ S" (MIN I MECHANICALLY f I No Observed Groundwater INSERTED AT FACTORY `' �_ o COMPACTED I PERCOLATION TEST DATA - _— �_ CRUSHED STONE APPROVED PENETRATION SEA STABLE LEVEL BASE RUSHED METHOD REQUIRED EPT IC 1 ANK LAMENSIONS. 10' 6"L X 5' 8"W X 5 IH �• .- Date : August. 20, 2001 1 7ht� Soil Class: Class i (0 . 74 G/SF) OISIHIBLITiC1NBOX H 1© Perc Rate: <. 2 MPI (TP-1 ) REMOVABLE COVER i 4"SCH 40OUTLE7 LATERALS t Depth of Perc Test : 7?" ��" DISTRI ,TION COX TO MEET - -��=------- SHALL BE SET LEVEL FOR A. EMENTS OF 310 CMR MINIMUM OF THE FIRST TWO SCHEDULE OF ELEVATIONS - 15.232(WAT E P TIGH T NE S S - — FEET AND CONNECTED TO CONSTRUCTION, E7;C1 T 2 E4CH DISTRIBUTION LINE l WITH SOLID SCH 40 PVC PIPE < ( Inv. Out Foundation Unknown NO OF(OUTLETS = 4"SCH 40 '�— J r �, Inv. In Septic Tank 96. 50 �1 n G ° 6"(MIN) o -._ MECHANICALLY CRUSHED ,� Inv. Out Septic Tank 96. 25 0 o STONE (<;a 3J4"DIA I Inv. In Distribution Box 96. 23 STABLE LEVEL BASE Inv. In Distribution Box 96. 06 \ 1 Inv. Begin of Leaching Dry Wells 96. 00 Bottom of Leaching Dry Wells 93. 50 Bottom OF TP-1 (No Obs . GW/ESHWT) 86 .-6 LEACHING DRY WF_LLS 5W GALLONS EluiT114& Xo- E LEGEND "END"CROSS SECTION ©o, t MODEL SH0RE'r F'PFC:Af:T "-ONCRF TF `�Rq r,� SPRLE) FINAL. GF4Af.)F Tn BF ;1A91LflED ,. Existing Contour FINIr,NEf' C�RAi)F{SL_aPf 021 g Proposed Contour iT, (MIN) if I H 1 f'J Test Pit: � `., 9ENcr►MAFK S:,d� SENrr c rAr/K 1/4"1111 A4 S'T IB L ASs {ro, oo a 1 ��'W 1 11 t. J aP� p �' �'Idt�lt �.Ai1 �'�E S C t1 � tJ I ____,_...._.__.__-_--_-- D- , CESiPu�c. AEI-..�.�i1NRhl"�ta •- IJd" 11/�"'(��1t1Eil,k 13440m4-tIt, k� l(x,)? Elevat. Iful B F1 .�rf i 1 'Ws�0" WASHED SION IAJ I , y � SG'E nroTE I ,« ' i E1=97.n LEAGkrn;T 0, sr�.la ..p 6• r TO Mitt THE .c .l g7>;1 f7►i `— 1 �.1 ' � .1 S L x �x'w 1 __ _ ..�"" ."'_"'.,'�•..".'� I�f�IIIIM f NF.f C� tll pp ■ ^�E� i I •Y. la S ` � �. s -.n o I v P;. * `. �, � , �i'{T �t �W .�1:1 asm { �+� ► ;. GREAT �� r+ 7 /PVP$Fr . r 3 ..—_ g 9y oy~ '° '�F o' a,��o�;\ ^a c,+<°�^Ih EA " �1,� _x �iF �Oe,P� LAND d RJ °q ` 'TM z *c�t o ° r'°' po/s. v 0 ^' orvo P tad s� Ire P I rim T turf P 5P pF 71 _ U ^AS / vt Ry r COTY77 �• rc q,r' J 9p wl N �oTufi � - A NOTES '► `nN acA�9 $AMAN t ? ti r A, aQ` :3`A.E ti �l�t veuG frY ,PovG� L OLJS i i i {EP`,ANt i r¢ cots, u - �f� e.A� Ate_ construction methods shall conform to the Title V (, 310 `0ao CMR 15) and the Barnstable Board of Health Regulations . PC, 1 O t!'�C. .. FTL c• ° ,'yiY, �!' �+ * y There are no known private or FILE of T t L S '� f C1''� _�;� 7+ " it rT �y ' �� 'P p public wells Wltrin 100 i Srrs A t 1 : tb V .s„ r �� +► � ¢ , ��,nr.Kr ,•� oh° ���', feet/400 feet, respectively, from the proposed leaching a ' t" ,. area . }Jle, N. (►a+'• 1'ei �k�at• F� cy s 4 .. Existing cesspool to be pumped and removed prior to p� ��� {AV installing the new septic tank/pump chamber. r+ , 6 • / 4 . No changes are to be made in the field without the approval g pprova l rFE, �oo.SL �� a � * t` �•�.� ' " nl� c1" of the Board of Health and the design engineer. i OP A14 t v ` #" i ,V' _::� `> . Proposed leaching area is not designed for use with 6,0.44E NARRou� `fir _Si �r7c' a garbage disposal . C.ontraetor to notify Dig Safe 72 hours prior to 4C.y -_ 94,, ot `4 RY4F14,L.V ' "' construction. 1800) 344-7233 . Property line information taken from Plan of Land in Cotuit , dared March 20, 1950, reference Plan Book 94, Page 4-1 Septic Plan not to be used as a property line survey . �l'�+ztES Remove 5 feet horizontal) around the proposed leaching area Y P P g >Z�ptgcE and vertically, approximately 2 . 5 feet (topsoil , subsoil ) and 9b replace with Title V fill [Reference 310 CMR 15 . 255 for p specifications of fill (sand) ] . The total amount of fill yb,�s I •�, /NVl"FT �f �Sr+jr/n'G 1 9. v+�! i � \�.�5, � ' re wired :s approximately � Any 9 PPrax_mate_y :35 cubic yards . -1 � A cop}- of flor.;, . �r,�; at,o.,_ . be submitted :.c� tree 94 _ Board o_ Health, ^ anti additions or modificat • o.is o the AIST�Ig�T/ON Y ? 7 �' t 1 { Y +- `'� nouse are proposed r in the future, to ensure that no more �c>rvl�rroa. N� :an 3 Bedrooms exist. a- any addi�ion or modiation . AcCEIj TO rwly. ur j,50 *: r f+ cr , r f I > Z o� tfv CSC'. ;� - LE Ac ffiNb 6�v 'f-LL� �� /Sv0 &ALl.onl (� I SEPTIC 7^4A .t 5 �. r.2�w. x .c'N Cal►T,�CQ3dl'3'It 'I ? Bedrooms 110 GPD/Bedroom X 3 Bedrooms = 330 GPD j Percolation Rate - < < MPI, Vass I (0. 74 G/SF) 619 Leaching area designed for 3 Bedrooms minimum, pe- ' +- le R,-1 I PROPOSED LEACHING AREA : > 11 We 2 at 25' X 12' W x 2' H Side Area: 148 SF X 0. 74 G/SF = 109. 5 GPD Bottom Area: 300 Sr X 0 . 74 G/SF - 222. 0 GPD -apacity: 331 . 5 GF5 z I0 7l-1 ILL.= 8616) r a �Ja tBJ try io/li1�S /Lc�;c� d�Sibn! 4fAi.Cc, L^r1orJl 7-0 REFLEC-r 3 lErpt-asA, D�J/lrni I ` -jo JR, Erft0jT SUBSURFACE SEWAGE DISPOSAL SYSTEM 1 � � 284 Poponesset Road, Barnstable (Cotuit) o ( I APPROVED BY s { SCALE: DRAWN BY a w' DATE.GParad 19►J2OJlt1ddl• (500) 201 Daniel 0576 Johnson tvl ?or: 284 Poponessot [load, Cotuit, MA 02635 1 tr'r D+Do Of (0 0*�O o+'30 0*4o O+SD O+bo U*80 4 ,o tr0� Pzyarsd DCrlsffi?IC 9191PTIC Dl3IGIIi, I1iC (508) 420-1904 DRAWING NUMBER Fig 404 )"In Street, suite B. ostsrvllia, ►M 02655 J-708 W T 1500 GALLON SEPTIC TANK MODEL:ST 1500-H 10(SHOREYPRECAST CONC.) jCALE / „_ .10 TEST PIT DATA FINISHED GRADE 24"DIA 24"DIA, 9"(MIN) 24"DIA Performed By: Daniel B. Johnson H 10 Date: August 20, 2011 3 3 4"SCH 40 TP-1 (EL. • 97.6) 4"SCH 40 ttr FLOW LINE 14" 2ABEL FlLTER A 100 0" O" O, A, �- SEPTIC TANK TO MEET 4'LIQUID LEVEL REQUIREMENTS OF 8- - 17 Bw, 10YR5/8 Loam} .nano GAS BAFFLE 310 CMR 15.226 FOR 17" - 32" B/r% 10YR6/6 Loamy sand 4"SCH 40 WATER TIGHTNESS. 32" - 56" Cl, 2 . 5Y8/2 Medium sand TEE ETC. 56" -132" C2, 2 . 5YS/2 Medium sand ALL WALL SLEEVES/GASKETS No Observed ESHWT SHALL BE CAST IN PLACE OR 6" (MIN i Q`� � - MECHANICALLY NO Observed ed G r r,,V q,. r INSERTED AT FACTORY o o COMPACTED i - STABLE LEVEL BASE CRUSHED STONE APPROVED PENETRATION SEAL <-3/4"DlA PERCOLATION TEST DATA MF?HOD REQUIRED SEPTIC TANK DIMENSIONS: 10' 6"L X F 8"W X 5'8"H � p Date: August 20, 2001 _ -_--. _ ._._._._......._.�...�.....�__..._...___.__..___.. ._ " Soil Class: Class I ( 0 . 74 G/SF) DISTRIBUTION 80X H 10 I g ') Pere Rate: < 2 MPI (TP-1 ) f REMOVABLE COVER 1 4"SCH 40 OUTLET LATERALS I I > >� _ F DISTRIBUTION PDX TO MEE i SHALL BE SET LEVEL FOR A 1 i Depth of PerC Test : 32 C! REQUIREMENTS OF 3t0 CMR MINIMUM OF THE FIRST TWO E CONNECTED 15 232IWATERTIGHTNESS — FEET AND CON EC ED TO i SCHEDULE OF ELEVATIONS CONSTRUCTu�N,E'C? 7' EACH DISTRIBUTION LINE -�� WITH SOLID SCH 40 PVC PIPE f I �f Inv. Out Foundation Unknown NO OFOUTLFTS 4"SCHao T Inv. In Septic Tank 96 . 50 (MIN) o � �--- MECHANICALLY CRUSHED ( a, Inv. Out Septic Tank 96. 25 ° ° STONE (<= t14"DIAi ! i Inv. In Distribution Box 96. 23 STABLE LEVEL BASE .Inv In Distribution Box � 96 . 06 Inv. Begin of Leaching Dry Wells 96. 40 Bottom of Leaching Dry dells 93. 50 Bottom OF TP-1 (No Obs . GW/ESHWT) 86.b LEACHING DRY WELLS 500GALLQNS Ert1i'r�!(? NodSE "END''CROSS SECTION l"-s't 1} 1AODFL SHORFYPRECAST twONCAETE t ,9' -- � � FINAL GRADE to 9E STABILIZED -. Existing Contour - - - 98 - - - `,•� FINISHED GtaADE(SLOPE � 071 - ----- i 5 1 Proposed Contour ----•--{���----�- m i l � I i li! . _...�_ __ Pit. • ) 4'u N 9� \ �Sv�� cr 4 z.� .,�� T A�r: - BEncNr'AJ�K I ) s LN — sE ( „ -, .... �. WikR1 C'(A Ltr)r4 pT, TH,JK Ape�r+E EL.: r oca. o.: Floor _ .�,,,, _.�...��. .. :�: `• "�J4" t/�"`C�Jl1ri.E [»i n t.sht�d I""lr or .4�rvr�t iota �`F 1 , 5*"Our ) (V J� i ��ly rave 4, eEr�.,r r t t�.r t)I►f"�ht1CAfA 1 Ilp'L7(J1101,I j)-AOtt. \ i CES> Poo(. 041eMth9nG f"1nOtr 6lsvat i.e)ry 8]"E � �L ;� 1,���:,�'ra "000Stryhlt It I 3 NJ r I L ��*% \ 99 r5 ALA L for 1.1 no s+MSM w.ww► W ► scE, H�rE ( '"' �' 4ALJ41N4j(.I IAM01 f I ­4011011 i �� Cc=9'.b LeAL++rn& Dr u�E6t.: MIII NI I 10 t oil ` 97r,1 � � � ~ � �b L x ,a w • :l. N LEFiE�,} , , GREAT/ r�f� p` r `L^� `c p"IL p��� BLAND AN TV� ! RC T/MS 0 P C3 �' !� / o.y p01Nr C ex 6 7y ^Np ��Nbctiy a CpOL,OGf .rF Pit J . -i' [Q R°U1 PL AC, 0 4 NOTES .,Dr AV i aty w �.fi ttJ D ayFr (,OLVS �+ A<.AMr ��,r� k, ; ,��° x t rFP All construction methods shall conform to the Title V (310 / 1) �,t or s CMR 15) and the Barnstable Board of Health Regulations. ? ,\i *^ ry F• , _ � Nil �' gLG/�F :. �` !ry ,. rL u �l(,t. OF j1;1' �( �. .� ! > ! C/'� , ov n P7 ' - . ^� �,� ,,, f � ,3 �. A« ,6> � w There are no Known private or public wells within 100 i�0 '` 0 *% •► feet/400 feet, respec-ively, from the proposed leaching 5L R(.E : R S , ter' Q lJ�' ` , AMf 1� JAw�,:`),`�' NUL i. ( � � `��' ^�� �p *i area �f. yf!L .S9eF ',: � MRv r�,iE +Re}� 1� �'�N • :' \ Sri � �►� „ +' �R„ L ,,, fit€� � s�. `�...✓-• ._.' $ ` t �.,.�� ;• +,f+ ' �� ,."Ayer i . Existing cesspool to be pumped and removed prior to installing the new septic tank/pump chamber. a Vic ♦ �. {s+ fe fi 4 . No changes are to be made in the field without the approval. of the Board cf Health and the design engineer. • � �( Ir I ` , ,`; ,�► . �"` ,., � . Pr©posed leaching .area is nc�r_ designed for use with � + 1 �!Y '� a rr,nL � w �X1� TiNlr (rQ'FoE Akf,j �, g+3rtiagt3 disposal. . / eArv�Ew 00." . � /M F, . Contractor to notify Dig Safe 72 hours prior to i-r 1: ; �4�b` �~," 4 construction. (80q) 344-7233. 93 ? . Property line information taken from Plan of Land in Cotuit, dated March 20, 1950, reference Plan Book 94 , Page 47 Septic Plan not to be used as a property line survey. Remove 5 feet horizontally around the proposed leaching area Seri v ,� �Br^ ovE 9d /�Evt.•�c.r ! and vertically, approximately 2 . 5 feet (topsoil, subsoil ) and - 5E✓: o;F j replace with Title V fill (Reference 310 CMR 15. 255 for speciaons f fill a ) ceyapa�. l amount of fill required is approximately 35ubic yards . S� VCIL "^4y v,stxy Yb �; 94 -i itu,t,rC� E* sJyl v EV - I y A copy or floor plans shall be submitted to the �;sr,�ie�T,oN '�l Board of Health, if any additions or modifications to the - - �L Er.E'��r-r� �� house are proposed in `re future, to ensure that :to more i A�cEl� ro ^'V -han 3 Bedrooms exist =,fter any additio7, or modification. w f Exrf f,,vv ,ew,Erl c (1J CAIAMM&TIOM > I BL1 J..., ,No ,JJr" H N 9x - `N i1 'A TFFG[`� SEP rr L TAAI A •t S L >~ v� �[ 3 Bedrooms 110 GPD/Bedroom X 3 Bedrooms = 330 GPD Percclaticn Rate - ! 2 MrI , Class I (0 . 74 GISFE Leaching area -resigned for 3 Bedrooms minimum, 4 Der Title V Reai:iaticns . - I PROPOSED LEACIiING AREA: Leaching Dry Wei is : 2 at 2517- X 12' W x 21H Side Area: 148 SF X �$ ► ' Bottom Area: 0 300 SF X . 74 G/SF - 2222 . 0 GPD ;�,ra i aching raaac4 ~y: ?31 . 5 GPD t SUBSURFACE SEWAGE D s� -J ���"�� /mac� FcD �1rsIGN C.4�.cv t.AT'roti�1 7-0 /2Efte�T 3 B�pLoe�'+ Dili/ � ' '• G zsPosAl SYSTEM 96 j c vP: CS tttN7' eL'(', 6, J. l�l e'Tr + ; 284 Poponesset Road, Barnstable (Cotuit) r NO. SCALE: APPROVED BY DRAWN BY a DATE: 9/24/01 04=01 a Jo 1 / ; Praparod W. 9.PtAddlo (509) 420 - 0576 Tor: 284 Poponess*t $Aid, Cotuit, WA 02635 L< DRAWING NUMBER DCMSTIC EUTIC Ds61M, rXC (508) 420-1f04 Or,v otto 0+30 o+qo a+So o+bo �� 0 80 �. 0+00 ( ' 11 ' ,r (J } By 004 llal.n street, suite a, 08torville, "a 02655 J-709 15W UALLON SEPTIL TANK 0 MODEL S T 1500 H 10(SHOREY PRECAST CONC TEST PIT DATA FINISHED GRADE Performed By: "I'aniei J1I:Dn.riscr', 24"DIA 24"DIA�91MINj I 24"DIA Date : August 20, 2011 H 10 133 00 TP-1 (EL. = 97 . 6) 4';i-,H 4)) FLOW LINE 14" 4"SCH 40 ZABEL FILTER A wo 0 8" O, A, 10YR4/3 Loamy sand 4"SCH 40 TEE - SEPTIC TANK TO MEET 8 !'1 'UQUiD LEVEL REQUIREMENTS OF 17" - 32" 9, /(', 10YR6/6 Loamy sand GAS BAFFLE 310 CIMP 15,226 FOR 32" - 56" Cl,* 2 . 5Y8/2 Medium sand 4"SCH 40 WATERTIGHTNESS. 56" -132" C2, 2 . 5Y9/2 Medium sand TEE Ii ETC No Observed ESHWT ALL WALL SLFEVFS/GASKET� "HALL BE CAST IN PLACE OP <= No Observed Groundwater [MIN I MECRANICALL INSERTED AT FACTORY => ---C=- I CD CD COMPACTED PERCOLATION TEST DATA 4PPROVED PENETRATION SEAL STABLE LEVEL BASE CRUSHED STONE MF`HOD REQUIRE[) <-3/4"DIA. Date : August- 20, 2001 SEPTIC TANK DIMENSIONS 10' Er'L X 5' 8"W X 5VIH Soil Class : Class 1 (0. 74 G,13F) DISTRIBUTION BOX - Perc Rate : < 2 MPT (TP-1 ) H 10 REMOVABLE COVER 4"SCH 40 OUTLET LATERALS Depth of Perc Test : 32/1 - 50" DISTRIBUTION EOX TO MEET SHALLBE SET LEVEL FOR A REQUIREMENTS OF 310 CMR MINIMUM OF THE FIRST TWO 15.232 1%.kIATERTIGHTNESS SCHEDULE OF ELEVATIONS ILIZ" FEET AND CONNECTED TO CONE-TRUCTION,ETC11 EACH DISTRIBUTION LINE WITH SOLID SCH 40 PVC PIPE Inv. Out Foundation Unknown NO OFOLITLET' 2 4"SCH 40 96. 50 Inv. In Septic Tank 'D 0 9\ Inv. Out Septic Tank 96. 25 0 0 G"(MIN) c> MECHANICALLYCRUSHEC; 0-_0 STONE (<. 3J4"DLA I Inv. In Distribution Box 96. 23 Inv. In Distribution Box 96 . 06 ;TABLE LEVEL BASE Inv. Begin of Leaching Dry Wells 96 . 00 Bottom of Leaching Dry We"Lls 93. 50, Bottom OF TP-1 (No Obs. GW/ESHWT) 86 -6 LEACHING DRY WELLS -5W GALLONS S,t LEGEND 'END"CROSS SECTION 17 — FINAi� G MODEL SHORP(PPECAST -CNCRETE Existing Cont 98 iRADF Ti-I RF 'TA49 It IZF_ FINISHED GRADE(SLOPE 021 9 3s. 044 Proposed Contour &ZILk4t') Tost Pit- 100, H .10 rUP a PC 3 get. 3 DR, WF Ij t; f_ & rinishod Floor. Klovotion FrE 9' 1 4,19,W)e -1/4" 1/?'D0U#L[ 6EjS WA!;I 1 1`1 A fli I C)Nr Ptl:rW I t K OW 041N(3 Ant A 4' �71L) BaSoftnt Floor Elevotion 1/4 1 Iji, 00110ti Ir J-C-e�.4cC SEC vorC Witer Line W Le AC At 11V& Dili WIL" 97*t a 671 te if fit Mttt flit 13,t or U 1.11011h 14 IS A EA 91, Af .1 J, A A 0 ,u­ 15LAND foe 0 13 L. It -Z .11 0 0 pop 0 X OXFO of it firvry 0 POINT 0 Ps.A, coT 374 15 C np 140M (19L 41 I.-1 1. A tfcAAir T it J� 11 FPAIL All construction mettt-iods shall conform to the Title V (310 CMR 15) and the Barnstable Board of Health Regulations . Ja IV 1,7 #I J� 01 ur; r A FILE Or _'S4 t I #,*,k 'Q FG r "'A-------— Yk There are no known private or public wells thin 100 0 Ike wi L 1+L 9 A S '*0 /-j o" Alkk I A IV I "i 010 1 1 1 "wAA 4, 77-7-1 , 460 4 feet/400 feet, respectively, from the proposed 'Leaching 'Pao 0 area . + ek Rio 3. Existing cesspool to be pumped and removed prior to installing the new septic tank/pump chamber. 4 % % "fe 5 % colt 4 . No changes are to be made in the field without the approval. 4, 'A' of the Board cf Health and the design engineer. It 4 5. Proposed leaching area is not designed for use with U,( garbage disposal . tA 6. Contractor to notify Dig Safe 72 hours prior to construction . (800) 344-7233. Property line information taken from Plan of Land in (_'otuit , $11 dated March 20, 1950, reference Plan Book 94, Page 47 Septic Plan not to be used as a property line survey. 16. F_6" ox L 8 . Remove 5 feet horizontally around the proposed leachin�''�� / - b,o I I I i g area <,cc 'N Q r1E and vertically, approximately 2 . 5 feet (topsoil, subsoil ) and replace with Title V fill [Reference 310 CMR 15.255 for //4\JfX7' 01� specifications of fill �6, (sand) ! . The total amount of fill 57 required is approximately 35 cubic yards. 7V Pao?Q'" A copy of floor :- -ans sha' , tted to the be submit C.Lrq+7-100j, No Board of Health, if any additions or modifications to the *��kcj 7-0 A­4, OF re proposed in the future, to ensure that no more house a.L e than 3 Bedrooms 7-f-er any addition or modification. /5'00 &AL�01�1 A - IXACHIN6 6A-Y `VV 5 EP 7-1 L _IAAt It CALCULATIONS : _�. Bedrooms * 110 GPD/Bedroom X Bedrooms = 330 GPD Percolation Ra-..e < 2 MPI , Class 1 (0 . 74 "S/SF fa fi Leaching area designed for 3 Bedrooms mini-mum, per Title PROPOSED LEACHING AREA: T I T leaching Dry WellE : at 25 - X 121W x 21H Side Area: 148 SF X 0 . 74 G/SF = 109. 5 GPD Bottom Area: 300 SF X 0. 74 GI/SF = 222. 0 GPD 0 0 Total Leaching Capacity: 331 . 5 GPD &VV r/7 /Oltq'�' it t". S.F]) 6zst j-Q 7-0 REFLEC-T T p Ab e- Bb /JQ oe.1 EJNL&),r tT SUBSURFACE SEWAGE DISPOSAL SYSTEM 284 Poponesset Road, Barnstable (Cotuit) 0 1� SCALE. APPROVEDBY 0 DRAWN BY M 'i 81 CL 'p DATE: 9/24/01 Johnson n-A Jfthn— PrQP4X*d W 0 Riddle (509) 420 0576 7/ T 07 0 MIN �r *4Y 6 for: 204 Pol-nesset Road, 0+00 0 F"q 0+30 of-'10 L7#Yo ao 8 L) I CQtult, NA 02635 0 Fr*p&r*d D(*=5?1C SZPTIC DISTW WC (500) 420-1904 DRAWING NUMBER By 004 Xain street. suite B, ost*r_ejjj*, Wh 02655 J-10S