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Home My WebLink About0338 POPONESSETT ROAD - Health 338 Poponessett Road p Cotuit e A = 019 - 019 --- - -- - — -- - - TOWN OF BARNSTABLE LOCATION 3 3 8 rOPaAl 556%°Y SEWAGE# �2016 " ' 7—7 VILLAGE�( t T' ASSESSOR'S MAP&PARCEL 01 q kJ q INSTALLER'S NAME&PHONE NO.(2o(a9,4,Ci)C C4VTe--P_F0_fS LCC-e►�® 7 SEPTIC TANK CAPACITY t ,Oct ia'ok G O D S LEACHING FACI�ITY•(type)) j()fB cs(t�(g -� (size) NO.OF BEDROOM91 l�B PC?Z"T c F Y OWNER 8,Q d 6L L C? PERMIT DATE: a 0(f COMPLIANCE DATE: 2--a(, —AQJ(6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility A Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) ILP A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /4Feet FURNISHED BY 0AP G w-A 0& 6 J TVQA`,g L�l� ® �u p o�►¢Sl e 14 ted m C I ° A.2,; Z®.o° Fj'2- ��•� -s ° ® b 8-14 =3�.4° Q-iv 43.�` r No. Mis Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co pater: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pprication for Misposai 6pstem Construction permit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.33 F p0PdnpESS L'7T P� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I� ( ��U`� X G 50� j J Q -r ®kA Installer's Name,Address,and Tel.No. j Q -4-77-f877 Designer's Name,Address,and Tel.No. 5 p$ -173-0317 CAPC--W1ag 6 er-S Lc.,c, c_ Type of Building: N 10 3 PtKT 1-r[g_V7 Dwelling No.of Bedrooms i2 Lot Size o'Z 0,1�T 9 sq.ft. Garbage Grinder( ) Other Type of Building R4FS t C)61,n tP$ .. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided `� �, gpd Plan Date 5-A-3-;;to 1(P Number of sheets Revision Date Title �� P0 01V EIS C�"'1 T' � C'is 6 `T Size of Septic Tank I S OC3 C-.A{L01-J Type of S.A.S.�a� 5y 0 ZAkLC e) Description of Soil Mtn 1 QR-,( To d e3e4�9 6e4-PP ,� Jr E P(-AlJ Nature of Repairs or Alterations(Answer when applicable) 0-(D 14500 GAL 6 IC�'TAVV, wL-apJ 0-(t) ])—Do d��<�� G—�.,t_r PJ N-�c� c,��c��' 40 CT� Fes- a� 66E EEAA--r!� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig Date t a - a®e Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /r Date Issued 47 �� c No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co pater: PUBLICIHEALTH DIVISION - TOWN O.F BARNSTABLE, MASSACHUSETTS Yes, application for'bisposar 6pstwConstCuction Permit Application for a Permit to Construct( ) Repair N Upgrade( ) Abandon( ) XComplete System ❑Individual Components Location Address or Lot No.33 F POPUAJESS 61T lip Owner's Name,Address,and Tel.No. p IC1 ( c�aTu 1T ;(n o>v o j5-r okA5w Assessor's Ma /Parcel Installer's Name,Address,and Tel.No. p Ig-4-77-1912 7'7 Designer's Name,Address,and Tel.No. S O g —X73-037*7 GEPG--�c�tD6 6�P�r56S LC�C. 1�- �t•1CxIlJG�f46VC��AIC.. 15 CQ &Aa S-r Mp+S5f4p(56, 3254 2P.o46J P Wy WAMRA Type of Building: 1\4 (0 3 PeA-r I-TL -V Dwellin No.of Bedrooms Lot Size t g ( )g o�O,`i?cY �-Sq.ft. Garbage Grinder Other Type of Building RES c C>5KJT i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 41-)1L41;t6 gpd Design flow provided gpd t Plan ;Date j-A 3 '-�o 1( Number of's"heets Revision Date Title 332 1P6P0"ES5CTY PS03 b C6(u I-r ""�`� Size of Septic Tank ( S an-) (�Q-(� o IJ Type of S.A.S. 4;0 SOt7 eO A -cm) GA7� $ Description of Soil M6A1Vu-( To daAaSg 54&d P CO— 6" 6Ec— PGAtQ t, Nature of Repairs or Alterations(Answer when applicable) :WS`'fAC.L 1�1-(D ( UD 6m4L 1 Cy-rA1jV, tJO- J N-(v I)-BOX Tn<aa 5-OD &A-L"M t4-(o <�14 A14c�--g s W F&2- de A c��►A7?ovx»t1.J�i- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. l Sig d Date Application Approved by Date �� y Application Disapproved by Date }. for the following reasons - Permit No. , Jwk ( / Date Issued ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) r Abandoned( )by 0APCW(7)C L mmskptuge-s L4—c at 3312; (P d o iV eSSL-7 t RoA) COTU 1-t has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NQ;'4 ' 7 dated �j Installer O-A&WQ5 GO-a mLk( L 1<Z Designer #bedrooms 1- Approved design flow . D gpd The issuance of thi'permi shall not be construed as a guarantee that the system wil funct n as desig ed. r— Date f ` f �4 Inspector / ---------------''-"------------------------------------------------------------------------------------------------------- No. ,-)ol�C� / Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair()() Upgrade( ) Abandon( ) System located at 3 3 S PR o W Ess E-r i Ro Al? cC')Z V( 77 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 c mpleted within three years of the date of this permit. Date Approved bY PP �� 05/26/2016 14 :47 5082730367 :4782 P. 001/001 Town. of Barnstable Regulatory Services 4 Thomas F. Geiler,Director 9'ABM i Public Health Division MAM. o'� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 5-2 b'((o Sewage Permit# c�Oe to '7'1 Assessor's Map/Parcel 1 `� Installer &Designer Certification Form Designer: SC 66,�ioee;<,n5 , T.nr Installer: Capew;cle �r1FEr�reszS Address: 2054 Ccn.,1.aecr7 4-- w!U Address: I53 Cnvrnft1e.rGi'Gl Sfre�M Eatk �Gr��r,,y�1 tJA o2538 u(cq � 50€ 273•0377 On �7; `a6�� C4pe .,idr� f-nE@�(��is was issued a permit to install a (date) (installer) -septic system at 3 Po eo o e,s se- } �acJ based;on a design drawn by (address) C En5inee 6o<) , Tor, dated �aY 23 2al(� (designer) V 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) ected and the soils were found satisfactory, YH CJOHN L , HURCHILL (I st ler's Sig Lure) AL u f1S0 . esigner s Signature (Affix=DIVISION. ere) P SE RETURN TO ARNSTABLE PUBLIC HEALERTIFICATE OF COIVIPLIANCE W L NOT BE ISSUED UNTIL BOIZ TIYIS ]FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLF,PUBLIC HEALTH DIVISION THANK YOU. gAof6ce formsWesignercertification form.dac Town of Barnstable Department of Regulatory Services a�nrtaresi$ Public Health Division Date b MA84 • � c61y ♦� 200 Main Street,Hyannis MA 02601 AIfD AA1d� t � Date Scheduled f ( Time_1J_11'"'_ Fee Pd._ ►-+ Soil Suitability Assessment for Sew 7 e Di pos l Performed By: M I Ctiale l P lMel) 'el F l�-�E Witnessed By: , l�f LOCATION&.GENERAL INFORMATION Location Address 339 P0PolJL 5SL= T AoAlb e0gL)I-r Owner's Name 61p,>akPA-riZOeet4 t f C3Qy-E Address 130 N013SCe5je-T ,Xb e ADEw t D c LL<- Assessor's Map/Parcel: .. 0/ 1p /®�cl Engineer's Name TC Etjr,nkRF4jWGC-xxJC. '77y--269-Z7/Y NEW CONSTRUCTION REPAIR _ Telephone Ik 5,G9.273-6 37 7 Land Use 5/e19/2 FQm/IY DweA01 Slopes(96) "3 Surface Stones N r9 Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well _ ft Drainage Way --r- ft Property Line 7 /O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) see A4+.AChed 5/fie phi i Parent material(geologic)G laG l Of I LI Vial DeIODS l fS Depth to Bedrock Depth to Groundwater. Standing Water in Hole:_7 /3.?. Weeping Ifon1 PI Fnce Estimated Seasonal High Groundwater DETERMINATION FOR SEAS ONAL'HIGH WATER TABLE Method Used: Qltec/- aS,y Va44 �� Depth Observed standing in obs.hole: 7 3 Z In, Depth to soil mottles: /s z In. Depth to weeping from side of obs.hole: In, Groundwater Adjustment A f[. Index Well-# Reading Date: Index Well level Adj,thctor Adj.Oroundwater Level , ,- PERCOLATION TEST bate 5-0 Time Time Observation Hole# T Tinto at 9" Depth of Perc -o"q 8 Time at 6" Start Pre-soak Time @ l/ _ Time(9"•6") ~ End Pre-soak Rate Miu./Inch <Z MP) Site Suitability Assessment: Site Passed_K Site Failed: Additional Testing Needed(Y/N) /y Original: Public Health Division Observation Hole Data To Be Completed on Back-------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC �G Vs • DEEP-OBSERVATION HOLE LOG Hole# /-f 2 Depth from Soil Horizon Soil Texture Sdil Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. onsi�tency %oravell 4-2 4PyanIGS ,. -� r- L�oam'y Sand �.o. 2 3 L00m so-ad. I0YR, S 8 t ti• ' 3�-�32 C MedIUM�Sand� 2 .5Y 6 6 - — DEEP OBSERVATION HOLE LOG Hole# Depth from -Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ` Consistency,% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones:Boulders. consistency. e Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No )(, Yes Within 100 year flood boundary No,.L Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on ��" 7— (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,experti d experience described in�10 CMR 15.017. Signature Date Q:ISEPTICVERCFORM.DOC OF1HE Town of Barnstable Esarnstable .� Regulatory Services Department Q p HARNSfABG€, Ate ' Public Health Division m 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO April 20 2016 CERTIFIED MAIL#7015 1520 0001 2273 2701 Barbara A. Trocchi 130 Nobscussett road Dennis, MA 02638 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 338 Poponessett Road, Cotuit,MA was,inspected on 3/28 /2016 by Matthew Gilfoy, a certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system"failed" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Cesspool has collapsed You are ordered to repair or replace the septic system within sixty (60)days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q P P :\SEPTIC\Letters Se tic Inspection Failures or Future Evl\338 PoP P onessett Rd Cot A r2016.doc Town of Barnstable + a�trrsrABLA Apr 6,��,�8 Regulatory Services Department a raa• Public Health Division 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A McKean,CHO Feb 6,•2007 - Rev. 7/6/15 DEADLINES TO REPAM FAMED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground ❑Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1)YEAR DEADLINE CRITERIA. ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or. clogged SAS of cesspool ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑Any portion of the cesspool within*a Zone 1 to a public well ❑Any-portion of a cesspool within 50 feet of a private water supply well with no acceptable water.quality analysis. (This system passes if the water analysis indicates the well is free from pollution)., TWO (2)YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑Any"conditionally passed systems" (broken cover,relocation of a pipe, 'relocation of a driveway due to H-10 components; etc) o Leaching pit or cesspool with high liquid level,<12"below inlet(per Town Code §360-9.1) OTHER Repair deadline: / WSEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doc w a19- 619 Commonwealth of Massachusetts W Title 5 Official Inspection Form ll Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Po.pon Qsse Cr- M cwM 338 P-oppe„°sett-Road Property Address Barbara Trocchi ,. Owner Owner's Name a'+ information is required for every Cotuit Ma 02635 3-28-16 'e page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, / use only the tab key to move your 1. Inspector: cursor-do not Matthew Gilfoy use the return Name of Inspector key. B&B Excavation rQ Company Name 374 Route 130 Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S113640 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 3-28-16 Inspector's Signature Date < The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 w _ �Q �s Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 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 does not pass as the first cesspool in series is collapsed. 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): l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments b,M 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town 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. I 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 f ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ElDischarge 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 'h day flow t5ins•3/13 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 � M 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. El ® 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 J Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,cwM 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 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 bas 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): No design Number of bedrooms (Actual) 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): NA 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 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system,inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: > Water has been shut off Sump pump? ❑ Yes ® No Last date of occupancy: Date 2 years ago - 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 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Last pump unknown per owner 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): Cesspool-cesspool- pit 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 ° 338 Poppenessett Road M Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Newest pit 1975. Cesspool age unknown 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: NA feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 338 Poppenessett Road Property Address Barbara.Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 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 Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dlimensions determined? Comments,(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: NA 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 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 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: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 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 NA 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 puimp chamber, condition of pumps and appurtenances, etc.): NA * 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.3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: (1) 6'x6' ❑ 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.): Leaching was dry with a stain line 1'6" below invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration (2) In series with leachpit Depth —top of liquid to inlet invert 1st collapsed 2nd 6'x8' Depth of solids layer All dry Depth of scum layer Dimensions of cesspool Materials of construction 1s' unknown 2ntl block Indication of groundwater inflow ❑ Yes ® No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. CitylTown 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: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. CityFrown 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 30* IT 39" t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >2' below pitfeet 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: Hand augered through dry leachpit 2' and did not hit ground water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form ' - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments C4M , 338 Poppenessett Road Property Address Barbara Trocchi Owner Owner's Name information is required for every Cotuit Ma 02635 3-28-16 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater Z Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file III , t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 _ LOCATION _ .- ___ __ _ SEW.&CaE-_PERMIT UO. - - zali - IWSTQLLER'S 1J&tAE 6 ..ADDRESS BUILDER 5 -ADDRESS DfaTE PERMIT. ISSUED DATE COMPLI &MCE ISSUED : .IL' ' 7� Joseph P. Macomber & Son Inc. Cesspools - Building- Pumping- Repairing Trenching- Septic Tanks - Leach Fields P. 0. Box 66 Centerville Y 775-6412 775-3338 fn �u Q-A !� ia- S1 � No.._M............. Fug....... .. ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A TH .G /� ✓�...._....OF.......8•? ��!' ....................................... Appliratinn -fur Dispooal Workii Tututrnrtinn Vrrntit Application is hereby-made for a Permit to Construct ( ) or Repair ( L<an Individual Sewage Disposal Syst--------..f.�-••------... >� ----•- L ......... - ----_ N------------•---•-----••------•------_----- Locati n_Addr . . or Lot o.- i ........ -._ -••-- ---•- Gwner fry.. Address Installer Address UTy e of Building,. Size Lot............................Sq. feet , Dwelling�No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) P4 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 ( ) aPercolation Test Results Performed.by__________________________________________________________________________ Date........................................ a Test Pit No. I................minutes per inch Depth of "Pest Pit..................... Depth to ground water..-.-.--..-..--._...__-- �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-_----.-__-.--.----.... a -------- - ----- O Description of Soil------- ._. . _ �_______________ U ---------------------------------------------------------•---•-•----••---•-•••--•-••----•-•--•--•--•-•--•-•-------•-•----•-••---•-•---•-••-•------••----- - U Nature Repairs or Alterations—Answer when applicable..-----.`_.._/�,f"^ _ Q__ _.....f_: ----= walwv.....'"-------• ......... ------- -----6C------------1go. CCt....-.//rr/�Y..... -- Agreement: W.�PlL�`L - �liLftLh PAS. G}TC > S�geLs lf�C�/ /re' /AA The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e issued by.the board of health. ' / Signed._. 3 9• ��Y'-- C d`8.�``P ` / .................7 ..Date " Application Approved By--- ' -------------- -------------------- Date Application Disapproved for he following reasons:.-•------------------------------------------------------------------------------•••------........ = ------ ---------•------------------•--------------------------------------------------------•----•---------._....---------------------.•---------------------------- •---------••-•-•--. Date PermitNo...... ..................................... Issued........................................................ Date No.... .... ....... Fimiic 0.1.2........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H;? TH OF�......i�. .;U�........ ..I................ ......... Appliration -for 43WVviiat Works Tonfitrurtion Prrutil Application is hereby made for a Permit to Construct or Repair ( &<an Individual Sewage Disposal Syst ......................... ........ ............................................................................. or Lot No. - ---------- -------- Locali Addr ..... ............. .............................................................................. Owner Address ........... ............................. .................................................................... Installer Address Ty�e'of Buildin`Z,�o-, Size Lot............................Sq. feet U Dwelling'ZNo. of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder A4 Other—Type.of, Building ---------------------------- No. of Pei-soiis --------------------------- Showers Cafeteria PL4 -Otf-'ier.fixtures ------------------ ........I----------------------------------------------------------------------------------------------------------------------- Design Flow-_-:'__:___: ........................gall9ns per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid'.capacity--_-------gallons Length................ Width_........--.... Diameter_-_-_-..-..----_ Depth..--..--_-----. x Disposal Trench—No- -------------------- W`t d t I i-------------------- Total,'Length................._.. Total leaching arca....................sq. ft. Seepage Pit No--------------------- Diameter......_....._...__.. Depth b6ow inlet_______________-_--_ Total leaching area....... ----------sq. f i. Z Other Distribution box Dosing tank Percolation Test Results Performed by ....................................................................... Date---------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit------------_------ Depth to -round water......--._.___._.._.._.. r-T4 Test Pit No. 2_------_-----minutes per inch Depth of Te'st Pit____________________ Depth to ground water-_._..._-__._-.----_.--- .. 0 Description of Soil.._---- ................................................................................................ 4--aw--------- .......:...... ----------------------------------------------------------------------- ---------------------- X U ----------------------------------------------------------•7------------------------------------------------...................................................o..........7------------------------------- - --------------------------_------------------------------------------------------------------------------------ . ---.... - ............................ ................... . Nature 4,Re pairs.or Alterations—Answer when applicable ... -------- . .....� .......,U .•..... ..... -------- ...... ----------- !------------ Agreement: Z The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has � issued by the board of health. Signed/WV44 ......... Z D _/--- ------------- --JC --- ate ApplicationApproved By..... --A ........................................................................... ......................... ----------- Date Application Disapproved for the following reasons:................................................................................................................ ...................................................................................................................................------------------ ---------------------------------------- ......... Date PermitNo.........14-_0...................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 F...... ... e.......... ....... .... ... ... ............ ................................... 01.1rdifiratr of T"Unwhattre T IS IS T C R' That t Iridividt4 Sewag Disposal System constructed or Repaired by.... . •• rR .......e........ ler at . ............ - -------------- - ----- .............................................. ---------------- --- has been installed in accordance with ie provisions of'Article -XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------ ----•---:-__-__---__ dated................................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO SATISFACTORY. .............................................. ...... DATF....... �Spector_ ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ...... .........OF....... ............................ No.....41 a ., ............ I I Iri tat Permission is hereby granted----- ------- ------ .............................. to Construct it I ividual Sewa.2.��. ispos 1 ystem ........................................... at No.----- "An Street as shown on the application for Disposal Works Construction Permit No.... ..... Dated.....- ----- ) I. . . .................... --------------------------------------------------- .,/- . Board�Pealth DATE-------- FORM 1255 H0138S & WARREN, INC.. PUBLISHERS FINISH GRADE OVER D-BOX = 24.5t FINISH GRADE OVER CHAMBERS= 24.4' - 24.8' 3/4"TO 1-1/2 DOUBLE WASHED GENERAL I" ' T.O.F. EL.= Z4.9't - �� PROVIDE EXTENSION RISER SLOPE @ 2/o MIN- OVER SYSTEMSTONE TO CROWN OF PIPE REMOVABLE WATER-TIGHT COVER OVER WITH COVER OVER INLET& 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6" OF FINISHED GRADE 4"'SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS BOX FINISHED GRADE OUTLET TO WITHIN 6" OF F.G. , 0 2" OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 23.8 - 24.0 5" D1A- OUTLETS) MIN SLOPE 1 /o TO F.G. (SEE GENERAL NOTE#21) CODE AND ANY APPLICABLE LOCAL RULES. @ FOUNDATION = 24.2f STONE OR GEOTEXTILE FILTER FABRIC -� 20"MIN,ACCESS 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 9;'MIN. „1 1 TOP OF SAS= 1 .$3' PLACE RISERS ON ALL DESIGN ENGINEER. 36' MAX. 9 MIN. 2 CHAMBERS WITH PROP. SCH. 40 9"MIN. 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER-\ PROP. SCH. 40 36"MAX. y- 21 .00' 36" MAX. 1 BREAKOUT EL= 21 .50' INLET PIPES TO 6"OF 11-4.0' FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. i\\ �� 2" DROP MIN. 3I 9 PVC SEWER L_37�_ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN \; MIN.SLOPE @ i% 6" 3" 3" DROP MAX. _ + PROVIDE WATERTIGHT o ELEVATION = 21.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A MtN.SLOPE@ t**22 2O' 10"� 4" PVC IN FROM � � " � 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14 21 .75' SEPTIC TANK 4" PVC OUT TO O L 0 0 oTHE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. • LEACHING FACILITY o� 00 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 22.00 12 o o 0 6, THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" OUTLET TEE 21 .32 MIN. 21 .15 2 00oC� C� 0o00 poo 7- LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6" CRUSHED STONE o o 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY p NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10-6' OFFSET TO FND COMPACTED BASE AND DESIGN ENGINEER. -A 4.0' 8,5' (TYP) 4.83'OUTLET DISTRIBUT ION BOX -� `4.0 " 4.0 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 25.0U 6" CRUSHED STONE I L TO BE INSTALLED ON A LEVEL STABLE 25.0' I (TYP.) ESTABLISHED ON A NAIL IN PAVEMENT AS SHOWN ON PLAN. OVER MECHANICALLY COMPACTED BASE C (`, C BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV= < 13.40 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 19.00 12.83'' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-6" WIDTH 5'-8" DEPTH 5'-8 it (Dimensions per Wiggin CROSS SECTION VIEW_ 2 - 500 GALLON CHAIvit5LMO 5 MIN. k_.i ir-\iviui-fN i_ PiL/ v ii_v a 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES Precast Corp., Pocasset,MA) TYPICAL CHAMBER PROFIL TO THE DESIGN ENGINEER. *`EX. SEWER TO ETAI L 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. BE REPLUMBED NOT TO SCALE NOT TO SCALE NOT TO SCALE - -"-- - - - -------_---� --- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING ! SWING-TIES i y 1 r, F� I T PIT DA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM . • APPROPRIATE AUTHORITY. � DESCRIPTION HC-1 HC-2 HC-3 r PERC NO. 15049 ``� •�r. ._ .• David W. Stanton, RS 12, ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED MAP 19 �..- , ,�• INSPECTOR: LOT 20 SEPTIC COVER IN (1) 19,8 12.1 - ,,�. ,, , • •_ + �.;; + ', '',. UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR •_ ,, EVALUATOR: Michael Pimentel, EIT, CSE S7g� - )',•>_'�,, • ' ' TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. 29'20.,E SEPTIC COVER OUT(2) 25.2' 19.8' •< `�,r $1�t y�` *' •''4;• •' C-S.E. APPROVAL DATE: Oct. 1999 R • • `,r 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 171.13. CORNER OF STONE (3) -- 32.0' 53.5' ;� ;°.`r r? "J and .1y' I I ztr _ DATE: May 19, 2016 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE CORNER OF STONE (4) -- 26.6' 41.T ' ` j _ -_- '_�-•__• + , «!.- L•y'• .!„ • j°= TEST PIT#: 1 __, � •r,1 , - MATERIAL IN AREA BENEATH AND FOR 5 FT ON ALL SIDES OF LEACHING FACILITY ''" ' ' �' ' " ' - •' ELEV TOP = 24.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, CORNER OF STONE(5) - 51.2' 57.5' 4 _ ' • ,' -.. --� - '� •--`•�'-- FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15-255(3). ' , t s ELEV WATER = < 13.40' CORNER OF STONE(6) -- 54.3' 66.6' - ,! ' ,'. ' • • !! •;:;. • • + 15- CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PERC RATE _ <2 min./inch - •`" <5 . .'• �- ; • . -: SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. MAP 19 • ;: ' `,` •' LOCUS fa j• '~ DEPTH OF PERC = 30"-48" 16. PROPOSED PROJECT IS LOCATED WITHIN: PLAN NOTES: rM=.' • •f + , « « -` LOT 19 //. ':,;` JI ,�`, 4 • . A" & t ' .&,.; ASSESSOR'S MAP 19 LOT 19 20,779± S.F. �• » . .r;• �. _�_� . .. TEXTURAL CLASS - -1 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE -�-� �' •r 'T' '' .• •s--•='`- . ♦�# • ■ tr+',, r _ s . • , + "�� OWNER OF RECORD: BARBARA A. TROCCHI TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. • , � -__-- � \ P .+ �e, ,...» ,;�. .� • .-:=--,::'"�' ., : ,r "�' STEPHEN P. BOTELLO «•t E 0" 24.40' ADDRESS: 26 BOWDOIN STREET 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE , '. • *+' Organics LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE • : '.. , . �'`- - _ 1 . .If• •,' .,i 2" MASHPEE, MA 02649 x 24.2 �f, ,, � +., .1 c � - _. _. • � .---' 24.23' - CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. ��a - _, • . .� ' . ., t;; „a;' Loamy Sand i REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF 't��.il1t {". •`.' •`, A/E 10 Yr 3/1 FEMA FLOOD ZONE X SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. A- •' '' � ' 10 23.57' • f _�#.-`` ;. �. ��-• •�ti COMMUNITY PANEL# 25001C0752J �\ \ -t+J, Righ1dTiC�B � 4- Loam Sand C 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE '�` ° ' .-=. '- _` _ _4 --ii ,,� ;'. B y 17. DEED REFERENCE: BOOK 772 , PAGE 31 10 Yr 5/8 WATERSHEDS. ..; _ • : . • ., • •r' ,.30 21 90' 18. PLAN REFERENCE: PLAN BOOK 94, PAGE 47 /-HC-3 *it 4 •� r.. r• -- r .,- . ' „-_ , _. '' - � ---- '•.�� •-- 19 ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. #338 f " 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY a EXISTING .�` FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 2-BEDROOM Zt► �,, • sit*- I - FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. CY) DWELLING � � '� `� � :i�± • - Med. to Coarse Sand Y TOF 24.9'± `r ', r l C 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A m = _ I 2.5Y 6/6 z< CRAWL = 23 1'± _ _ -24 x24.L -` DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. 0 LOCUS PLAN 4 STUMP �� 6" STUMP 10" PINE SCALE: 1" = 1000' C 132" 13.40' No Mottling. Standing or Weeping Observed CA t PROP. INV- 22.20 HC \ C-2 20" STUMP 10" PIN`; �O S PERC NO. 15049 EXISTING SPOT GRADE BUSH 5 �x INSPECTOR: David W. Stanton, RS (TYP) ( 2 NUMBER OF BEDROOMS (DESIGN) 3 (MIN. PER TITLE 5) EXISTING CONTOUR & PROPOSED 26•61 25. DESIGN FLOW PROPOSED CONTOUR ) � � 110 GAUDAY/BEDROOM EVALUATOR: Michael Pimentel, EIT, CSE _ 0` 9 �0�0 C.S.E. APPROVAL DATE: Oct. 19997 \ o CLEAN OUT J J '9Q TOTAL DESIGN FLOW 330 GAUDAY TP 2 x 24 6 May 19, 2016 50 PROPOSED SPOT GRADE (4Y DATE: Q / % DESIGN FLOW x 200 % = 660 GAL/DAY / 24x4 �, TEST PIT#: 2 EXISTING OVERHEAD WIRES 0 Q O? USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV TOP- 24.40' (1 - O (3 ELEV WATER = EXISTING WATER LINE < 13.40' PERC RATE EXISTING GAS LINE -- `--t6) _ PROPOSED 1,500 i GALLON SEPTIC TANK TP 1 25.0 x24.8 x INSTALL 2 - 500 GAL. CHAMBERS w/ AGGREGATE DEPTH OF PERC = EXISTING CESSPOOL (2 J % TEXTURAL CLASS: 1 � 24x4 PROPOSED SIDEWALL CAPACITY � TEST PIT LOCATION PROPOSED 2-500 GALLON LEACHING a "D-BOX" CHAMBERS WITH AGGREGATE (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAL/DAY �- 0i (25.0' + 12.83') (2 ) (2' ) ( 0.74 GPD/S.F.) = 112.0 GAUDAY O U C,)248.21' 0" 24.40' PROPOSED 1,500 GALLON SEPTIC TANK N7g29120.W Organics BOTTOM CAPACITY 2" 24.23' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY A/E Loamy Sand (25.0' x 12.83') (0.74 GPD/S F.) = 237.4 GAUDAY 10" 10 Yr 3/1 23.57' ❑ PROPOSED DISTRIBUTION BOX B Loamy Sand PROPOSED 500 GALLON LEACHING CHAMBER TOTALS: 10 Yr 5/8 TOTAL NUMBER OF CHAMBERS 2 30" 21.90' REV. DATE BY APP'D. DESCRIPTION TOTAL LEACHING AREA 472.2 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING CAPACITY 349.4 GAL./DAY PREPARED FOR: P�PoNEs , Med. to Coarse Sand CAPEWIDE ENTERPRISES (40'W/pE T��r7. r RDA, C 2.5Y 6/6 LAYOUT) LOCATED AT BENCHMARK Nail in Pavement 338 POPONESSE ROAD ELEV. = 25.00' COTUIT, MA 02635 APPROX. M.S.L. SCALE: 1 INCH = 10 FT. DATE: MAY 23, 2016 132" 13.40' �wy>�►ll .tt r � 0 5 10 20 40 FEET No Mottling, Standing or Weeping Observed JOIN L. PREPARED BY: 11 RESERVED FOR BOARD OF HEALTH USE i CtiUiq H LL JR. . : JC ENGINEERING, INC. C •41607 ° ' ' 2854 CRANBERRY HIGHWAY ., ?P EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1" = 10' Drawn By: AC Designed By:MCP Checked By. AC JOB No.3494