HomeMy WebLinkAbout0304 POPONESSETT ROAD - Health 304 Poponessett Road
- ----- A= 019 -059
r
No. w V 3 Fee U
'THE COMMONWEALTH OF MASSACHUSETTS Entered incom uter:�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yet""
ZIpplitation fovloisposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade V� Abandon( ) ❑Complete System 14 Individual Components
Locatior�A�d ress or Lot No.3 p y PO P 0 mss&+ ka Owner's N e,Address,and Tel.No.
Assessor's Map/Parcel — 11 8
Irn�staller's Name,Address, ian1d Tel.No. fg_-$jJ3�-�.�dg�qLj Designer's Name,Address,and Tel.No.S'p g�-t4-1-1-fj313
1' V f("Ch U_04_ AST 1-CQ.('�-1 0' ` �11 1 r1Q @�r i F P
Type of Building:
Dwelling No.of Bedrooms Lot Size 1 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 I `L — Number of sheets Revision Date c1 .x
Title ernpoud
Size of Septic Tank Typ of S.A.S. 1,himV Q ES
Description of Soil
Nature of Repairs or Alterations(Answer when applicable
Date last inspected.
1
Agreement:
The undersigned agrees to ensure the construction and mai nance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental C e and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Date I J�
Application Approved by /C. 5- , Date
Application Disapproved by Date
for the following reasons
Permit No. �L-cD 2? Q 3 ( Date Issued 2
No. ` ~1✓ � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes_'"
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0(pplitation for LSposal 6pstem Construction j3erinit
t
Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑Complete System Individual Components
Location. � Owner's Name
� ,Address,and Tel No.
Assessor's Map/Parcel •A h91, `
Installer's Name,Address,and Tel:No.5�>gj—'833.44t9 j Designer's Name,Address,and Tel.No,50 g—L4-1 31
t2AKV r oc.!; (01 A 44'J� MA 7h
Type of Building: �l _ _ _ 't - _
t'
Dwelling No.of Bedrooms . Lot Size sq.ft. Garbage Grinder( )
e
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 2'2- gpd Design flow provided ,8 L gpd
Plan Date - {^� Number of sheets _ Revision Date1
Title r)0 `r A ��..�t. ' d 0 C,�
w
Size of Septic Tank Type of S.A.S.
1 .
Description of Soi
M
Nature of Repairs or Alterations(Answer when applicable
- � t •I. I ' cat��v ► �;► �� _ _�
_ Y
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 f
r
Compliance has been issued by this Board of Health.
Signed /r$ ,�` Date
7 4 �{� f
Application Approved by - vt,• f Lt Date
'Application Disapproved by Date
for the following reasons
Permit No. } �J `' Date Issued 1
-------------------------------
THE COMMONWEALTH OF MASSACHUSETTS I
1
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
{ THIS IS TO CERTIFY,that the f On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ')
Abandoned( )by V I I�c f
at p ►�p has been constructed in accordance t
c -rI /
with the provisions of Title 5 and the for Disposal System Construction Permit No..� dated
Installer Designer t.
x
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will nchon ads designed: . ^^
Date ,� �/ r.�",. Inspector
-� _ _ � _ ..� __ k _.. r __ _� __Y-"' ___-� ___ � _-� ' ___ ram__• __�1�_,z '
No. .c) t '.'rcr l Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
I.
a Misposal 6pstem Construction Permit
Permission is hereby granted to Construct'( ) Repair( ) Upgrade( ) Abandon( )
System located at a L j/7 !1 f,a'0,J J'r ?" }.
5 I
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
r � �
Town of Barnstable`
OFIME Tp�
o Regulatory Services
Richard V. Scali, Interim Director .
BARNsrABLE,
`0� Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02.601
Office: 508-862-4644 F.ax; 508-790-6304
Installer&Designer Certification Form
Date: Z1 Sewage Permit#2-6 Assessor's Map\Parcel ti I ci o s�
PG+e 47 N c
Designer: �,n�e ,nJ Wcr,-U.5 Installer: `5e.v'.� Gc��Orn i-r- C.�--Zc`,/�
Address: i2 h1)r erttss /c/ g,4 Address: t�.0. i�tic
!;rkj hJct:.le A d Z64/cl t �e s+damle MA
On 1-4 °r G Ca nStc was issued a permit to install a
(date) „_:. (in taller)
Septic system at -3O eo:-,.av,-e SS�I fZ�A �w,�- based on a design drawn by
y (address)
Crt9i'neer"'r1 . GVa;!LCsT /�t� dated t(a! Ptea KC t 2 jZ
(designer)
I certify that the septic..System referenced above was.'nstalled 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 satis,factory.' -
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. Plan revision or
certifled as-built by designer to follow. Strip out(if required) was inspected and the soils
were found satisfactory:
I certify that th stem referenced above was'`constructed in c with the terms`
of the RA ap oval letters(if applicable)
l,r�'".� _ PETERS. is
McEN�E
(Insta er's Signature) CNIL
No,35109 .
C -
�Rf01S11
(Designer's:Signature) (Affix Designe ere)
PLEASE RETURN;TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE:
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU. -
Q Septic"Designer Certification Form Rev 8-14-13.doc
Engineers note:This certification is limited to an as-built inspection of system components as installed'prior to backfill.Thee
engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling
to specified grades with proper compaction and setting risers/covers as shown on the design plan.
TOWN OF BARNSTABLE
LOCATION Pllfli ll -- SEWAGE s
0st
VILLAG p 1T ASSESSOR'S MAP&PARCEL O 059
INSTALLERS NAME&PHONE NO. .
SEPTIIAANK?AA TTY 9
LEACHING FACILITY. (type 2) X:S (size)
NO.OF BEDROOMS Z
OWNERV K,_MJ0(\:e r
�j
PERMIT DATE: j-22-2-21 COMPLIANCE DATE: 2 12
Separation bistance 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
br- "OUSC v,\e Ire.
B
o -
r 3
2 -
(_ r 30, 5' f -2- 1 ,
2 - Sy, -7 2. - 35
} TOWN OF BARNSTABLE ,.
LOCATION .?o-il 0 5 r SEWAGE
VILLAGE ASSESSOR'S MAP LOTS /7'
INSTALLER'S NAME & PHONE NO. e-w 0;6 c �12Fc - �Ho
SEPTIC TANK CAPACITY /4 D 0
LEACHING FACILITY:(type) �® (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER Yh�i
-DATE PERMIT ISSUED: Y� 5-
DATE C01IPLIANCE ISSUED
VARIANCE GRANTED: Yes No
k.
'hV„
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
1p.. -n................OF... 4r S / ...........................................
Al
Applira#ion for 11ispii al Marks Toustratrtinn Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( 1-1"'an Individual Sewage Disposal
System at
...sQ. •- - -- Q!1.r(. .�. .... �1Q.. 11/. .........................................................
Lo atiop-Address or Lot No.
- -..o-f h- •e....-•- ....••••........ ... ...................... ... . --.
..........� Address
--_-----
Ewrl!�c ... ! .._
r �� - ..._
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -----------------------------------------•------------------------------- :.
w Design Flow............................................gallons per person per day. Total daily flow.............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water--_-------------------
44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a' .........
••-------------------------------------............__--........____••--••---------------•-••---•--•••••---•••-------------•••---------•-•----_------
0 Description of Soil..........................
x
w
x
U Nature of Repairs or Alterations—Answer when appl�ble._�.._w.....J7f�'� _ _ /�o o �,t T S
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITHE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issue y the board of health.
Si ned_ . -JajeT V.......................... V
.L_..._
Application Approved BY-•-_-••••- .
/ r
Date
Application Disapproved for the following reasons-................................................................=................................................
t
--------------------------------•------......-_...---------•--•-•--....••----••.._..---.._._..-----••-••••••-•••--••-••••--••----•-••-•••-•••••--•••--•-•-----•---•••••-•-----••--••-•------•-------•-
��� -Date
PermitNo......................................................... Issued_.............
Date
1
No r-7
-f -- l (� FEs..........
...'......a.....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
y
r'
r
-Appliration for Di-spa.ital Marks Tanaitrnrtiun rrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( 6,)'an Individual Sewage Disposal
System at:
/ Lo ation-Address or Lot No.
.....................^.......4. l ..................................................... ..........•.._......._....__--•--•......•.... __...________.._..........^_......------
Owner Address
6•�-�.�1✓!•'r'� 1" ...�..:�__� I I..�+_`P..__�_�.E�P•.............�:. �r....__
--._,. .... .... ..................... .. ... . .
Installer
Address
Type of Building Size Lot----------------------------Sq. feet
�-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
W Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
~' Percolation Test Results Performed by.......................................................................... Date...................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-.____--.-.-_--____.-.-.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................._...
0 Ix -------•---------••••--•------•---....•----•------•----------•------•----------------•-••-----•..............................................................
Description of Soil.........................................................................................................................................................................
x
V .............................................-----------•-•-----•-------•------••--....--------------...------•--•--•-----------------------•-----••----------•-----------•-----------------------•----
W
r� --•--•----------•-----------•------•----------------------------•----•----....--•------•--•---.............................-----—•---..._.3...........................
U Nature of Repairs or Alterations—Answer when applicable...,.'�%__-f:_�.........21 1' w ._..._.___. �' G` N-__�____ .._ �
---- --------------
L:
i Agreement: -f
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of i i i � 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed ..... = --
- .
Application Approved By.......................................
Date
Application Disapproved for the following reasons----------------•------------•-------------------------------•---------------------------•--•--•-----••----.._
.....-•-------...--••--------•---•---------------•-------------.....-------------•-•-•--•--•-•------....---•---•----------•......---••••---•---•--•••-------••--•---•---•----•--•--••--••-----------
s•- Date
1
-�'= Efrc ---�---•-----
Permit No. Issued_--•-•--_.._.� te
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
jj
. ...:......................OF.....:. .�' l................. .......................... l
..
CInrtifiratr of Taaiiapliaanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( }
by
f n/stall
---------..•--------•---------------•---------------
has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as desc *bed in the
application for Disposal Works Construction Permit No..�:�-_-,•--___-n-:_ ..... dated_...._--_. ,_�_;.._t � :�___._._.._..._
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANT THAT THE
SYSTEM WILL FQICTION SATISFACTORY.
DATE .......--••-••---------------- Inspector............... ------
COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
l -.'P.............OF.....ri±� .r? :r .. .�1..
�::. .:. ,
.1...- FEE............. ..........
-Mipa s al orkg Tonsfrnrtion amit
Permission is hereby granted----------- 1' =" ==f..° -�-`,/, •=' =/`..ii L&I _...�r��; �
'to Construct ( ) or Repair (v-) an Individual Sewage Disposal System
-� = == ''
Street
41 as shown on the application for Disposal Works Construction Permit �r.- --..Z i ..... Dated.... ;, ......
- _
Board of Health
DATE------ --
f; f -----•---------•-••-----------------
FORM 1255 HOBBS &'\,WARREN• INC.. PUBLISHERS �+.
Commonwealth of Massachusetts
ol9-a69
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �..i
M 304 Poponessett '
N'
Property Address 4;
RENNIE, EDMUND D &GAEL P
4.n4
Owner Owner's Name f<
information is `1C
required for every Cotuit Ma 02635 1/26/18 C)
page. City/Town State Zip Code Date of Inspection i�t
`Z
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 �j/ AR I S
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not Michael DiBuono
use the return Name of Inspector
key.
DiBuono Sewer and Drain
rQ Company Name
35 Content Ln
Company Address
Cotuit MA 02635
Cityrrown State Zip Code
508-364-9587 S113522
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 ADDroving Authority
1/29/18
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 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.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pa e 1 of 17
Commonwealth of Massachusetts
u v Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
infomation is
required for every Cotuit Ma 02635 1/26/18
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
System contains a 1,000 gallon septic tank. As well as a concrete distribution box and 600 Gallon
leach pit. Staining in pit indicates level has been within 20" of invert pipe
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):
t5ins•3/13
Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityrrown 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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
304 Pop onessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
requir required
is Cotuit Ma 02635 1/26/18
required for every
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health an
Y (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® 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 '/day flow
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
304 Poponessett
Property Address
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityrrown 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 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 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 system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts _
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M 304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityfrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no"as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
❑ ® Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 2 Number of bedrooms (actual): 2
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
W 'Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 304 Poponessett
Property Address
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: Vacant
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 d 112 GPD
9 ( Y g (gP ))�
Detail:
Sump pump? ❑ Yes ❑ No
Last date of occupancy: Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�( 304 Po onessett
P
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
i
Last date of occupancy/use:
Date
Other(describe below):
General Information
Pumping Records:
Source of information: Not provided
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
i El Shared system (yes or no) (if yes, attach previous inspection records if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17'
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 304 Poponessett
Property Address
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
9/11/87
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
Building Sewer(locate on site plan):
Depth below grade: 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.):
Septic Tank (locate on site plan):
Depth below grade: 1
feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
1,000 Gallon
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:
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is Cotuit Ma 02635 1/26/18
required for every
page.
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
24"
Scum thickness
3"
Distance from top of scum to top of outlet tee or baffle
42"
Distance from bottom of scum to bottom of outlet tee or baffle Sludge stick
How were dimensions determined? Tape Measure
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Baffles in place
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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
�- Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 304 Poponessett
Property Address
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. City/Town 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: gallon
s
s
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
304 Poponessett
Property Address
P Y
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is Cotuit Ma 02635 1/26/18
required for every
page. Cityrrown 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 Level and at normal level
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
�. Commonwealth of Massachusetts
4 W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Staining in pit to within 20" of invert
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth —top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
a
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 304 Poponessett
Property Address
RENNIE, EDMUND D & GAEL P
Owner Owner's Name
information is Cotuit Ma 02635 1/26/18
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
9 P Y 9 P Y 9
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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
n Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
304 Poponessett
PropertyAddress
o e
p
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is Cotuit Ma 02635 1/26/18
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 10+
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
® Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
usgs maps indicate minimum seperation of 4+'
Before filing this Inspection Report, please see Report Co
mpleteness Checklist on next page.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
1/29/2018 Assessing As-Built Cards
D TOWN OF BARNSTA/BLE' ,
LOCATION,Yo Y P Pry,n t S sc IL fl f SEWAGE J-7' S�/R
VILLAGE (.'d fr 91
ASSESSORS MAP G LOTa
INSTALLER'S NAME&PHONE NO-ZLW /,*I c -V fir -dtHO?
SEPTIC TANK CAPACITY /B O O
LEACHING FACILITY:(type),,,�,j o / /Q ( ) - " '/
NO.OF BEDROOMS 2— PRIVAIE WELL OR PUBLIC WATER
BUILDER OR OWNER
.DATE PERMIT ISSUED: p�
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes NO �.
i
rw,r
' v R
6
�l
http://www.townofbarnstable.us/Assessing/HMdisplay.asp?mappar=O 1 9059&seq=1
1/2
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 304 Poponessett
Property Address
RENNIE, EDMUND D &GAEL P
Owner Owner's Name
information is required for every Cotuit Ma 02635 1/26/18
page. Citylrown State Zip Code Date of Inspection
E. Report Completeness Checklist
❑ Inspection Summary: A, B, C, D, or E checked
❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
❑ System Information— Estimated depth to high groundwater
❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
4
LEGEND
EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE
—�/-/ OVERHEAD WIRES
W EXISTING WATER SERVICE 304PoponesseriRd,—
G EXISTING GAS SERVICE ; Signs fromU13-C-'J OCol.klAAo2635sign R _ _
TEST PIT p
��L"'PURonessen Rd;'.
BENCHMARK ^
' 6'
LOCUS MAP
Y
m
O„
S 80°56'50" W
,
80.98
x 99 6 x 100.74
LOT 178A
13,528±S.F.
x 100.41 + 100.81
v Z
N O
-P
N
N N - ., L O
l! (0 100.30
w x
o
x 100,26 x 101A8
m
PA TIO
EX/STING
HOUSE(#304) 0
10L60 T.O.F.=102.2E
�0.94
x100,27 +.100,65 BENCHMARK
1 0.50 COR./BOTT. STEP
99,38 EL.=101.44
x 100,60 G�
EXISTING SEPTIC TANK
TOP OF TANK, EL.=98.90 O
INV.(OUT)=97.55E -b , 100.12 BM
101,44 _ 9,95 99,
8.91 10
98,49 8,76 9 7.5:• 2'
�:. O .�
EXISTING LEACH PIT
_ 1 C° :• .;' :'•: �.: PROPOSED S.A.S.
TO BE PUMPED. FILLED +\_ 9) 0 + 2-500 GAL CHAMBERS
Y 9 ,80 SURROUNDED W 4' STONE
W/SAND & ABANDONED ', x TP-1
99.30 0 ��a
99.14 x 99,45 0 = 100,39
98.00' CBDH
100,71-t- 9 .19
WSo'•--`'. 98.63 99.18
TAG 99.88
7.77
OF 99.08 PAVEMENT 99.67
97.57 EDGE 98.46 \
97.07
T T ROAD 0 of Mgss9�
PO PPO ESE
P�LEo PETER T.00 McENTEE
97.89v CIVIL "'
PK SET No. 35109
PLAN REVISION 1/28/22 GISit�"
PROFILE CORRECTION I L
OWNER OF RECORD
KRAMER. KELLY A J
304 POPONESSETT ROAD
COTUIT, MA 02635 PARCEL ID: 019-059
Engineering by: SCALE DRAWN JOB. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
Engineering Works, Inc. 1 n=20' P.T.M. 317-21
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. 304 POPONESSETT ROAD, COTUIT, MA
(508) 477-5313 1/4/22 P.T.M. 1 of 2 Prepared for: Kelly Kramer, 304 Poponessett Rd, Cotuit, MA 02635
NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SHALL NOT BE AT, OR BELOW, EL.=97.00
FOR A DISTANCE OF 15' FROM THE EDGE
SEPTIC TANK. PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S.
OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE
INSTALL RISER & COVER OVER ONE CHAMBER AND
SLAB EL.=102.2t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=100.9f � F.G. EL.=100.0t � F.G. EL.=99.9t F.G EL.=99.8t
.
f MAINTAIN 2% SLOPE OVER S.A.S.
L = 16' L = 7'
® S=1% (MIN.) p S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
s" DOUBLE WASHED STONE
1o"I 1a^ 2'' EFF. aaa0aaa (OR APPROVED FILTER FABRIC)
sasses
EXISTING as" LIQUID DEPTH --3/4" TO 1-1/2" DOUBLE
LEVEL WASHED STONE
ADD PROPOSED
GAS BAFFLEI INV.=96.77 INV.=96.60
D_BOX EFFECTIVE WIDTH = 12.8'
INV.=97.75t
(VERIFY) 3 OUTLETS INV.=96.50
EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
SURROUNDED WITH STONE AS SHOWN
H-10 RATED
NOTES: TOP CONC. ELEV.= 97.3f
BREAKOUT ELEV.= 97.00
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.= 96.50 eases 1
INVERTS, PRIOR TO INSTALLATION. aaaaaaaaaaa
aaaaaaaaaaa W
2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BOTTOM ELEV.= 94.50
ON A MECHANICALLY COMPACTED STABLE BASE OR 4' 8.5' 4'
SIX INCH AGGREGATE BASE, AS SPECIFIED IN 310 4' OF NATURALLY OCCURRING
CMR 15.221(2). PERVIOUS MATERIAL LENGTH VARIES - REFER TO SKETCH
5' (MIN.) ABOVE G.W.
3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION
4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE EST. HIGH GROUNDWATER, EL.=88.3
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL.
SEPTIC SYSTEM PROFILE
GENERAL NOTES:
SOIL LOG
DATE: DECEMBER 27, 2021 PERC# 21-331
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL EVALUATOR: PETER McENTEE PE, SE-1542
BOARD OF HEALTH AND THE DESIGN ENGINEER. WITNESS: DAVID STANTON RS HEALTH AGENT
2 ORK AND MATERIALS SHALL STATE ENVIRONMENTAL CODE, TORE V, AND ANYREQUIREMENTSM TO THE
OF HE APPLICABLE ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH
LOCAL RULES AND REGULATIONS. 0" 0"
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 99'8 A 99.8 A
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE LOAMY SAND LOAMY SAND
DESIGN ENGINEER. 99.3 10YR 4/2 6.. 99.3 10YR 4/2
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING B B 6"
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LOAMY SAND LOAMY SAND
ENGINEER BEFORE CONSTRUCTION CONTINUES. 10YR 5/8 10YR 5/8
5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 97'3 C Ll 30 97.5 C 28
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PERC
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 20"/38"
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
8. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. MED. SAND MED. SAND
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 2.5Y 6/6 2.5Y 6/6
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 88.3 138" 88.3 138"
CONSTRUCTION. NO GROUNDWATER ENCOUNTERED
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PERC RATE: <2 MIN./IN. "C" HORIZON
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY DESIGN ENGINEER PRIOR TO EACKFILL.
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 12.8'
NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 8
14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC i.LJv I�
r
SYSTEM COMPONENTS NOT SHOWN ON THE PLAN.
rvI PROPOSED 19'
EXISTING °oL_--S.A.S.- I
DESIGN CRITERIA '
HOUSE 304) 21.3 �� �
T.O.F.=102.2± A�
NUMBER OF BEDROOMS: 2 9. PERIMETER=75.6'
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) \ BOTT.AREA=320 SF
DESIGN PERCOLATION RATE: <2 MIN/IN SAS DIMENSIONS
DAILY FLOW: 220 GPD SKETCH
o r )33,�.
DESIGN FLOW: 330 GPD ,
GARBAGE GRINDER: NO-not allowed with design
LEACHING AREA REQUIRED. (330 GPD) = 445.9 SF
.74 GPD/SF
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES PROPOSED S.A.S.
SIDEWALL AREA: = 151.2 S.F. 2-500 GAL CHAMBERS
BOTTOM AREA: = 320.0 S.F. SURROUNDED W/4' STONE
TOTAL AREA:...................................... . .. . . .......I..... 471.2 S.F.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD SEPTIC LAYOUT
Engineering by: SCALE DRAWN JOB. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
Engineering Works, Inc. N.T.S. P.T.M. 317-21
12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. 304 POPONESSETT ROAD, COTUIT, MA
(508) 477-5313 1/4/22 P.T.M. 2 of 2 Prepared for: Kelly Kramer, 304 Poponessett Rd, Cotuit, MA H2 5