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HomeMy WebLinkAbout0592 POPONESSETT ROAD - Health 592 ,.b 'setf Road 00 0ue%3 C 0 to t, - i �o i i r Commonwealth of Massachusetts 004- 00 �v Title 5 Official Inspection Form 5 �1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Poponessett Road �— I Property Address 1 Susanne Lavoie Owner I; Owner's Na a ¢ information is Cotuit ,� MA 02635 05/27/2020 Ci required!for every , page. ; City/Town State Zip Code Date of Inspection i E i 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. ; '( 4 Important:When filling outforms A. Inspector Information S! IyI5$ ' on the computer, use only,the tab Michael T Bisienere key to AbVd'your Name of Inspector cursor-do not Cape Septic Inspections use the return Company Name key. 52 Rivers End Road r� Company Address Teaticket Ma. 02536 City/Town State Zip Code 508-280-3356 S13938 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes c° 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails o � 20 I�' Signature p s gnatu a Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is Cotuit MA 02635 05/27/2020 required for every page. City(rown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: This 3 bedroom home has an H-10 1500 gallon septic tank with an H-10 D-Box feeding two leaching chambers. At the time of the inspection the leaching was dry and no visible failure criteria was found. The leaching was viewed with video camera. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts �n ►� Title 5 Official Inspection Form r . lip Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 i Commonwealth of Massachusetts �- ,tip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection C., Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts �n =. a Title 5 Official Inspection Form ii' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 l_ Commonwealth of Massachusetts ,�-p Title 5 Official Inspection Form _ t1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City,Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts ,A Title 5 Official Inspection Form ii1. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments I 9 p Y rY J� 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 plus GPD Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage town water 9 ( Y 9 (gPd))� Detail: In 2019-199,000 gallons were used and in 2018-120,000 gallons were used. Sump pump? ❑ Yes ® No Last date of occupancy: Fall 2019 Date . t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 i_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: IIndustrial waste holding tank present. El Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Poponessett Road V� Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ 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): Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 26"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: town water feet Comments (on condition of joints, venting, evidence of leakage, etc.): 15insp.doc•rev.1/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts �w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 18"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: H-10 1500 gallon Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle 35" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): recommend the new owner put the septic tank on a maint. plan with a local septic pumping co. based on the future use of the home. At the time of inspection the liquid level was at working level and the tee's were in place. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ti1� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 i Commonwealth of Massachusetts F. ,T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 592 Pop onessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At the time of the inspection the liquid level was at working level and there were no visible signs of leakage or solids carryover. t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 ij Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts ►�-p Title 5 Official Inspection Form �- lip Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At the time of the inspection the leaching was dry and no visible failure criteria was found. The leaching was viewed with a video camera. 12. 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 592 Poponessett Road u� Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City,?own State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 i Commonwealth of Massachusetts _ Title 5 Official Inspection Form + .��� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately r V-1 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 5/29/20?0 Assessing As-Built Cards TOWN OF BARNSTABLE 'y,� LOCATION _ 1p�ij�J SEWAGE#At '.3?A VILLAGE e�L/T r ASSESSOR'S MAAP�&PARCEL 7-3 INSTALLERS NAME&PHONE NO.�� C Dec)Tizr,�.W y1 Fl W"ric SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEDROOMS 3 OWNER La PERMIT DATE: �'J O S' COMPLIANCE DATE: ,� O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S/ 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) /�,r✓ Feet FURNISHED BY https://townofbarnstable.us/Departments/Assessing/Property_Values/HMdisplay.asp?mappar=007003&seq=1 1/2 Commonwealth of Massachusetts Title 5 Official Inspection Form �I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments `G � 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is required for every Cotuiit MA 02635 05/27/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 12 plus feet 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: I augered a hole at a lower elevation to show 4 plus feet of seperation Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u� 592 Poponessett Road Property Address Susanne Lavoie Owner Owner's Name information is Cotuit MA 02635 05/27/2020 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank-Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 1.5: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 r EL:22.8' EL:24.9' 3 :235' .. ............. .: TI ------------- MS �M EGK f E 5.1, EL: E . EL:23.9' EL:24.1' PERVIOUS L „ 3.4' ' FOUNPATION /A% � B=n�rxi ExISriN OROpM Z BEOROO _O. 1 15' SITS - �M 3 11 I j lot EL:242' EL:24.4' IC DESIGN - 000 j ( / —EL:245 EL:24 © T A 4.11 fr 1 A 21 � ��� LU:15 n � � c a r p 4 � k yam• � ,, . 1 � III x i i v TOWN OnF�BARNSTABLE LOCATION AA�/.;?- c l-A /Lv SEWAGE VILLAGE, �?!� ASSESSOR'S MAP&PARCEL 7-3 INSTALLERS NAME&PHONE NO. 4/�Ff �� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size)r}�� �?j���� NO.OF BEDROOMS 3 OWNER `h PERMIT DATE: �'3'Wig' COMPLIANCE DATE: d Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �'� Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) / Feet FURNISHED BY C¢r E,rtnys asp 3r' a,'6j ,3ol ,� 4 m� No. — a. Fee � Entered in computer: THE COM�., NWEALT�OF f�IASSA�HUSETPS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for Migozal *p5tem Contruction Permit- Application for a Permit to Construct(✓)Repair( )Upgrade( )Abandon( ) ❑Complete System ©/Individual Components Location Addresot o. Owner's Name,Address and Tel.No. a6i �� a ' 0 Assessor's Map/Parcel. Installer's Name,Addre s,and Tel.No Designer's Name,Address and Tel.No. -7 T/ Type of Building: Dwelling No.of Bedrooms 3 Lot Size &o qcDD sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Jr� gallons per day. Calculated daily flow 330 gallons. Plan Date Number of sheets Revision Date ` Titley �11 e J c�ego r r� GX� Size of Septic Tank P 09 C�Q_, Type of S.A.S.U-7nu l,J,aAk 5 Description of Soil _�ti" (.1/IM_ ���' y0`�`j)Gl�„��w� (-�'C�,1- ��(��" M�Scuk--� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is of th. � Signed - Date Application Approved by t Date ar"—f`-0S Application Disapproved r the following reasons Permit No. 2cJu.�-- 3 Date Issued � s i f�. No. VAS — 3&J ', _ • J/ ,r l e b �0 j-� �? Fee = THE COMA I NWEALTH OF M4" S ►CHUSETTS Entered in computer: ✓ :___ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ' ZIpplicatioti for ;Di!5pOgd1 *pgtem C on5truction Permit Application fora Permit to Construct(/)Repair( )Upgrade( )Abandon( ) O Complete System Individual Components Location Address;iov A Owner's Name,Ad4 ress and TO.No. Assessor's Map/Parcel 0041 — ®� / Installerr''s Name,Addr>ss,,an Tel Designer's Name,Address and Tel.No. , Type of Building: Dwelling No.of Bedrooms -3 Lot Size&0�� sq.ft. Garbage Grinder( a) Other Type of Building No.of Persons Showers( ) Cafeteria( ) e Other Fixtures Design Flow 5S gallons per day. Calculated daily flow 33 c:;) gallons. Plan Date``_ Number of sheets Revision Date po, OA_ � c�U- J AA-10 . Size of Septic Tank T1. ype of S.A.S. t�n�,, Description of Soil U 12„ UAAk, y0 V l) �t�SG�- � ' �{�-( ct ►Vl $ CL e Nature of Repairs or Alterations(Answer when applicable) .w 1 Date last inspected: Agreement: - The undersigned agrees"to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b, this Board of Heath-- Signe '"9 Date ZX0� Application Approved by "'� —�- Date -OS Application Disapproved- or the following reasons f Permit No. ��u�' 3�'L- Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate Of Comptiance r THIS IS TO CER FY,that the O.- ite Sew.ge Disposal -y term Constructed( )Repaired.(, )Upgraded( ) Abandoned( ) byar; at J o-fp f—' r , f has been constructed. n accordance with the provisio s of Title 5 and the for Disposal System Construction Permit No.aCt�S"34� dated Installer Designer f The issuance of this 2,p it sha 1 be construed as a guarantee that(e:sffte� i 1" ti n as desi ned Date � % Inspector No. 00 S O'z Fee e/ _ THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mi.5paat *pgtem Con.5tructton Permit Permission is hereby granted to Construct( ) egair(f C)U grade( )Abandon( ) System located at °� °�°^p/l� lea �'o ` r / and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. 'Provided: Constru/ction ust be completed within three years of the date of his ,e it. Date:_,_ / 5 Approved b f/ —� May 16 08 08:35a Cape $ Islands Engineeri 508-477-9072 p.2 Town of Barnstable Regulatory Sen ices Thomas F.Geiler,Director S Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: f -C.t� Sewage Permit# S,3 3�2- Assessor's MaplParcel Ce j-CC3 Designer: Ct ae, A E'i jC,L1 r1 a;_ Installer. 10211 r�a)24d'C. r J Address: ;C> f �:�.�i1'1. zr-c 3e 1 Address: 93- Z��Jh-, On C m1 &. was issued a permit to install a (date) (installer) septic system at 5 12 PC P, c 1,t;aSC d (O , based on a design drawn by (address) ` I ��c I tC data {designer) i I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box andlor septic tank. a I certify that the septic system referenced above was installed with major changes (i.e. C 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. a� lg DAVID y\ (Install Signature) CHARLES W SANICKI ti 28M '�fC1ST�D� LAN �d 4-4L- (Designer's Signature) (Afix tamp Here) PLEASE RETURN TO BARNSTA13LE PUBLIC HEALTH DMSIOr. CERTIFICATE OF COMPLIANCE WELL NOT BE ISSUED UN171L BOTH THIS (FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. TB Aw YOU. Q.Heal&Septic/Designer Certification Form 3-26-44.doc i Uk 19639 PsF 287 a I a 150 03-21-2005 a O3 =4 5P DEED RESTRICTION WHEREAS, SUSANNE A. LAVOIE of 592 Poponessett Road, Barnstable (Cotuit) , Barnstable County, Massachusetts 02635, is the Owner of 592 Poponessett Road located in Barnstable (Cotuit) , Barnstable County, Massachusetts 02635, hereinafter referred to as LOT 3-1 on a plan filed in Plan Book 518, Page 20. WHEREAS, SUSANNE A. LAVOIE as the owner of said lot has agreed with the Town .of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included with the sunroom addition to be built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15 .000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15 ,200, State Environmental Code, Title V, Minimum Requirements for the Subsurface. Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a sunroom on this property, is requiring that the agreement for the restriction on the number of bedrooms in the house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, Susanne A. Lavoie does hereby place the following restriction on her above-referenced land in accordance with her agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 592 Poponessett Road, Barnstable (Cotuit) , MA shall have a house containing no more than three (3) bedrooms. Susanne A. Lavoie agrees that this shall be a permanent deed restriction affecting Lot 3-1 located on 592 Poponessett Road, Barnstable (Cotuit) , MA EXCEPT that if Bk 19639 Pg 288 #18150 the Town of Barnstable agrees that one bedroom may be added after proper engineering and Board of Health approval for an enlarged septic system to accommodate four (4) bedrooms, then this restriction would be amended to a four (4) bedroom restriction with the issuance of such a permit. For title, see Deed recorded with the Barnstable County Registry of Deeds in Book 9902 , Page 095 . EXECUTED as a sealed instrument this j 7 day of MaA,<� 2005 . Susanne A. Lavoie THE COMMONWEALTH OF MASSACHUSETTS . BARNSTABLE, SS . %o ��' �7 2005 i Before me, the undersigned Notary Public, personally appeared Susanne A. Lavoie, proved to me through satisfactory evidence of identification, which was a Massachusetts driver' s license, to be the person whose name is signed on the preceding or attached document, and i acknowledged to me that she signed it voluntarily for its stated purpose.. I i Notary Public My commission expires: r A;\Lavoiedeed.restriction.doc ` 0 BARNSTABLE REGISTRY OF DEEDS Town of Barnstable Y Y Board of Health P.O.Box 534,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. March 7,2005 Corrected April 7, 2005 Mr. David Sanicki Cape & Islands Engineering 800 Falmouth Road Suite 301 C Mashpee, MA 02649 RE' 592 Popponesset°Road., Cotuit A=007-003 Dear Mr. Sanicki: You are granted variances, on behalf of your client, Susanne Lavoie, to install an onsite sewage disposal system at 592 Popponesset Road, Cotuit, Massachusetts. The variances granted are as follows: 310 CMR 15.211: To install a soil absorption system only five (5) feet away from the property line, in lieu of the required minimum setback of ten feet. 310 CIVIR 15.211: To install a soil absorption system only seventeen (17) feet away from the foundation wall, in lieu of the required minimum setback of twenty feet. Town of Barnstable E-Code, Section 360-1: To place a soil absorption system ninety-six (96) feet away from a wetland, in lieu of the required 100 feet minimum setback. The variances are granted with the following conditions: (1) The applicant's engineer shall schedule a hand-auger test hole analysis to be witnessed by a health inspector. The test hole shall be completed before the applicant obtains a disposal works construction permit. SanickiLavoie (2) The hand augured test hole results should be included onto revised engineered plans for the proposed septic system. (3) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (4) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (5) The septic system shall be installed in substantial compliance with the submitted plans November 23, 2004. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans dated November 23, 2004. Sincerely, Wayne Miller, M.D., Chairman Board of Health Town of Barnstable SanickiLavoie CAPE &ISLANDS ENGINEERING SUMMERFIELD PARK 800 FALMOUTH ROAD,SUITE 301 C MASHPEE,-MA 02649 (508)477,7272 FAX(508)477-9072 The Barnstable Board of Health will hold a public hearing on the application of: Susanne Lavoie 592 Popponesset Road Cotuit, MA 36.,950 square foot lot, variance.requested to locate the soil absorption system 5' away from street property line, Hearing date: March 1 , 2005 Time: 7:00 PM Where: Town Hall Second Floor`conference Rooms 367 Main'Street Hyannis, MA i DATE: rX C� '+ FEE * lARNStABLE + y MAss. 1639. �� REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M_S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 592 Popponesset Road,Cotuit, MA Assessor's Map and Parcel Number: Map 007 parcel 003 Size of Lot: 36,950 SF Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'SNAME: Susanne Lavoie Phone 508-420-6055 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: Susanne Lavoie Name:, Address: 592 Popponesset Road Address: Cotuit, MA 02635 Phone: 508-420-6055 Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach jf ore pace eed d 310 CMR 15.405 Local upgrade appr. eptic system will De .� fTom the street property line. NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System r , Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. �✓_ Four(4)copies of the completed variance request form ✓_ Four(4)copies of engineered plan submitted(e.g.septic system plans) ✓ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request;,X cvwer+>(;A jinc,- Will�qrwv Applicant understands that the abutters must be-notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) 1 ...,.d e,.+i- I,\7-I C......,....\ r Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. January 25, 2005 Ms. Susanne Lavoie 592 Popponesset Road Cotuit, MA Dear Ms. Lavoie, Your request for a variance from the State Environmental Code, 310 CMR 15.405, is not granted. You were not present at both the December 21, 2004 and January 18, 2005 Board of Health meetings. This variance request was scheduled on the agenda of both meetings. Also,the abutters were not notified by certified mail at least ten days before the meeting date(s) as required by the State Environmental Code, Title 5. Therefore,this variance request is denied without prejudice. Sin e ely, a iller, M.D., Chairman BO OF HEALTH TOWN OF BARNSTABLE Lavoie i f ip J I • low �t mw .� • J o 00 w Cat. �i . Cd . , Z0/Z0 39dd N09NVH Z98ZCZLLT9 b9:9T b00Z/0Z/ZT �v pF? DATE: ��V •, FEE: 1ARN9?AXXE y MAS& 039. � REC. BY Town of Barnstable 3CHED. DA n Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANC E REQUEST F©R1bI LOCATION Property Address: 592 Popponesset Road,Cotuit, MA Assessor's Map and Parcel Number: Map 007 .parcel 003 Size of Lot: 36,950 SF Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Susanne Lavoie Phone 508-420-6055 Did the owner of the property authorize you to represent him.or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON n Name: Susanne Lavoie Name: ' CD Address: 592 Popponesset Road 1 Address: ' Cotuit, MA 02635 y Phone: 508-420-6055 Phone: cD VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(Iola. attach jf�ore pace eed d 310 CMR 15.405 Local upgrade appr. 'Septic system will' �eom the s ree • proper y line.. NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System Z Ct S,t'A4U. Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form __ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this.request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicants expense (for Title v and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) ,-I..1.,.1 l ; i.\T.. 1 �,.++;....,,1 mn.ro.-.r,.-^ ., ,Tn+^r n+' G'; l nr\nT rl�\\FI A TC 7n F1nr+ JVV t N N ' m m LOT 3.1 . Ln Q 1 36 950 -p ro 23.6- t 'A/ rtoo-M Boa re,0&4 OD r 23Y N 25.1`! 25.1' 26.7` 25.2' .23N. Li W . -0 o8AA r ,` B14GARAGE ` - `-� 24 ELOCATH MR SERVICE� -� t 1 :. •'�' P • + 4.2t 000_ 1 m CD Z .it N f PIA ■ -�-AK So8 - � qd- 63oyw � -� n as FfC- kean 862 - }6v4 Wiz, 6 « s5 q VLI(t Sae Cr -LA Ire-a �e "^— S" o 63o �f Thor-�aSkean Rol" rr� 9G 2 PIVan9�-9�, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,gyp tp> -7 Parcel Permit# ' Health Division J10 Ai Date Issued Conservation Division ® 40 7 � P Application Fee Tax Collector �y Permit Fee +7Ti0��. �N/eta Treasurer Planning Dept. 1k)ja Y)1 e r f� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village % o orl�.sS Owner 3,,Lsd6�1 UO i Address �902 Telephone Permit Request /v 10 ;40,5SC Ado Square feet: 1 st floor:existing f proposed 2nd floor: existing NA-- proposed �_ Total new '� t Ming District Flood Plain Groundwater Overlay 14�0 Project Valuation tJ AN). Construction Type S an Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Y Two Family ❑ Multi-Family(#units) Age of Existing StructureAvj!:�sHistoric House: ❑Yes 0 No On Old King's Highway: ❑Yes UM Basement Type: ❑Full drawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ALA:. Basement Unfinished Area(sq.ft) S.F. ._ Number of Baths: Full: existing new D Half:existing new Number of Bedrooms: existing_ new O __ Total Room Count(not including baths):existing new Z First Floor Room Count Heat Type and Fuel: ❑Gas it ❑Electric ❑Other Central Air: ❑Yes Cr3'No Fireplaces: Existing �_ New D Existing wood/coal stove: ❑Yes wo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:2/existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®'No If yes,site plan review# Current Use �j� // � r/ Proposed Use rP_S/ BUILDER INFORMATION Name_5-A/E ern �.�r 5 �� �• Telephone Number 79Z" 93 Z License#1SS94 f mgs E t_jcn-i��--� Address�f()h y7�U.c.�, �• /�` a . 0�5 D Home Improvement Contractor# && l •� �r G Worker's Compensa.7 on# q3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ' SIGNATURE QtXW t DATE 4'BY' OFFICIAL U 's p Postage $ / `"'wi• ul Certified Fee Z • 3l 43 kar, ark Return Receipt Fee �'1 i 0 M (Endorsement Required)Iq E:3 Restricted Delivery Fee M (Endorsement Required) C3 Total Postage 8 Fees $ `p Sent To Susanne A. Lavoie I o O Street,-Apt. 592 Poponessett Road ---------- o Cotuit, MA 02635 Ciry,State,ZIP, rl- Certified Mail Provides: , o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.-Advise the,clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,May 2000(Reverse) 102595-99-M-2087 f • Town of Barnstable �tHE Tp� do Regulatory Services snxxsrnsi E Thomas F. Geiler, Director 9�A "�: Public Health Division TED N1°�a Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Susanne A. Lavoie Date: 8/10/02 592 Poponessett Road Cotuit, MA 02635 FINAL NOTICE ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE,TITLE 5. Our records indicate the septic system owned by you located at 592 Poponessett Rd. Cotuit, Ma 02635 was inspected on 6/1/95,by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: Cesspool within 50 Feet of a bordering vegetated wetland. An Extension was ranted P g g g until 6/30/98 to repair the system. According to Title V, the owner had two (2) years to repair or replace the system. More than two years has past since the date of this inspection. You were previously notified of the failed septic system. However,the system has not been repaired as required as of this date. Therefore, you are directed to hire a licensed professional engineer (PE) or Register Sanitarian (RC) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code,Title 5 within twenty-one(21)days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five (45)days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings,onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. Failure to comply to this order of the Board of Health, may result in court action against you the owner of this property' PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S., C.H.O. Agent of the Board of Health Town of Barnstable `r Town of Barnstable Assessors Division Page 1 of 3 Your Location : Home : Town Departments : Administrative Services :Assessors Division : Property Results <<Back-Forward>> Thursday, May 30,2002 Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's. Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales History Land and Building Description Construction Details «Search Again Out Buildings & Extra Features Building Sketch 592 POPONESSETT ROAD Map/Parcel/Parcel Extension: Mailing Address: 007/003/ LAVOIE, SUSANNE A Owner of Record: LAVOIE, SUSANNE A 592 POPPONESSETT RD Property Location: COTUIT, MA 02635 592 POPONESSETT ROAD Parcel ID:007003 A ti 0 Fiscal Year 2002 Assessed Values ^Topfi�^^°��� Appraised Value Assessed Vblue Building Value: $ 187,400 $ 187,400 Extra Features: $4,800 $4,800 Outbuildings: $0 $0 Land Value: $444,000 $444,000 Totals: $ 636,200 $ 636,200 Tax Information ^Top Town Tax $5,891.21 Tax Rates(per$1,000 of valuation) Cotuit FD Tax $ 1,075.18 Town 9.26 Fire.District Rates Land Bank Tax $ 176.74 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $ 7,143.13 Hyannis 2.54 W. Barn. 1.54 http://www.town.bamstable.ma.us/ComeOnIn/Department.../resultsk02.asp?MAPPAR=00700 5/30/02 Town of Barnstable Assessors Division Page 2 of 3 Total does not include special assessments— vtner Kates Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: LAVOIE, SUSANNE A 10/15/1995 9902/095 $270,000 WATSON, C WESLEY M-792 10/15/1995 9902/091 $ 1 WATSON, CHARLES W M-792 1/15/1987 P0799E1 $ 1 WATSON, C WESLEY P0799E1 $ 1 WATSON, C WESLEY 1126/459 $0 WATSON, CHARLES M-792 9902/094 $ 1 Land and Building Description ^Top Land Building Lot Size(Acres): 0.85 Year Built: 1947 Appraised Value:$444,000 Living Area: 2196 Assessed Value: $444,000 Replacement Cost: $228,520 Depreciation: 19 Building Value: $ 187,400 Construction Details ^Top Style: Cape Cod Interior Walls: Plastered Drywall Model: Residential Interior Floors: Pine/Soft WoodHardwood Grade: Custom Grade Heat Fuel: Oil Stories: 1 Story w/U A Heat Type: Hot Air Exterior Walls Wood Shingle AC Type: None Roof Structure: Gable/Hip Bedrooms: 4 Bedrooms Roof Cover: Wood Shingle Bathrooms: 2 1/2 Bathrms Total Rooms: 8 Rooms Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 FPL2 Fireplace 1 $2,400 $2,400 Building Sketch ^Top �t7 5[I(lj AT[�;QQt1�1 http://www.toNvn.bamstable.ma.us/ComeOnln/Department.../resultsk02.asp?MAPPAR=00700 5/30/02 Town of Barnstable Assessors Division Page 3 of 3 4, MIMI I y Map' Sketch. Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story(Unt FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfi FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) Back -Forward M Home Departments I Town Information I Contact Town.Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA 02601 -508-862-4000 DISCLAIMER: Although we strive.to provide accurate information,we are.only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 20010 Town of Barnstable. All Rights Reserved. http://www.town.bamstable.ma.us/ComeOnhi/Department.../resultsk02.asp?MAPPAR=00700 5/30/02 Septic Inspection Information i, Data;En�try,D i 1 4/2/98 Septic Inspect No: ;Assessors M 007 .Pa�ceB 1003 l Busmess�: Nurr,ber:; 92 Address: Pogonessett Road U{lage cotult Inspeto Bruce Macallister t spect date:, 6/1/95 System Staff F >'&Wmrrl` Cesspool within 50'of a bordering vegetated wetland.Extension granted by B.O.H.till 6/30/98 for upgrade. Permit Repair Date >;''Notification Date 10/28/97 Envg n/l staller: Engineer Repair Deadline Date:; 6/30/98 V TOWN OF BARNSTABLE tNET�� ��P� ♦� OFFICE OF 1 Deaa7TeDL i BOARD OF HEALTH MAN& °O i639• 367 MAIN STREET HYANNIS, MASS.02601 January 16, 1998 Susanne A. Lavoie 592 Popponessett Road Cotuit, MA 02635 Dear Ms. Lavoie: You are granted an extension of time until June 30, 1998, to install a replacement septic system at 592 Popponessett Road, Cotuit, Massachusetts. The extension is granted because you testified that you will be working out-of-state for several weeks and will not be able to comply with the original order to replace this system within 45 days. You are ordered to hire a professional engineer to design a replacement onsite sewage disposal system. Then, after the plans are approved by the Public Health Division, you are directed to hire a licensed installer to construct the septic system on or before June 30, 1998. t PER ORDER OF THE BOARD OF HEALTH Susan G. RA , R.S. Chairman Board of Health Town of Barnstable SGR/bcs lavoie PyoFTHE t TOWN OF BARNSTABLE OFFICE OF i BAH ASI i BOARD OF HEALTH 1639.0 MPY 367 MAIN STREET k' HYANNIS,MASS.02601 May 14, 1998 f Susan A. Lavoie 592 Popponessett Road Cotuit, MA 02635 t Dear Ms. Lavoie: } I am in receipt of a letter from John Slavinsky dated May 8, 1998 regarding the existing septic system located at 592 Popponesset Road, Cotuit. After reviewing the letter and photographs, I have determined that the existing septic system is "failed". The cesspools are located within fifty (50) feet of wetlands, in sandy soil, close to an environmentally sensitive area, at Shoestring Bay. The inspection report also states the liquid depth in the cesspool was less than six (6) inches below the invert. On or about January 16, 1998, the Board of Health granted you additional time, until June 30, 1998, to install a replacement septic system. At this time, we are awaiting engineered plans for a replacement septic system. Please submit the plans to this office before the established deadline. Sincerely yours, Thomas A. McKean Health Agent Town of Barnstable SGR/bcs , cc: John Slavinsky { Iavoie2 t l CAPE & ISLANDS ENGINEERING SHELLBACK PLACE• BUILDING 2,SUITE E 133 FALMOUTH ROAD(RTE 28)• MASHPEE, MA 02649 (508)477-7272•FAX(508)477-9072 May 8, 1998 Mr. Thomas McKean Barnstable Department of Health, Safety and Environmental Services P O Box 534 Hyannis, MA 02601-0534 Dear Mr. McKean: Suzanne Lavoie of 592 Popponesset Road, Cotuit requested that our office design a new septic system for her house. I asked for and received a copy of the inspection report and a violation letter from the Barnstable Board of Health. Upon visiting the property I realized that the measurement was taken to the top of a coastal bank as opposed to vegetated wetlands. I have enclosed three pictures taken at the site. The bank is approximately 20' in elevation above the marsh. There exists 2 cesspools at the property one of which is acting as a septic tank (1st cesspool on diagram). The overflow cesspool is performing the leaching. Since the dwelling had been vacant for six months from the date of inspection the 1st cesspool appears not to be leaching since it was full, thus acting as a septic tank. A dry 2nd cesspool indicates that it was functioning as a leaching pit at the time of inspection. The "As Built" diagram shows the 2nd cesspool 14'+ more inland than the 1st cesspool. This would place the "leaching" cesspool 37'+ from the top of the coastal bank. Which may in fact be more than 50' to the marsh. As the inspection was dated June 1, 1995, I would agree that the system failed if a cesspool were located 23' from a vegetated wetland which I do not believe to be the case. There does not seem to be a minimum distance to a coastal bank regarding a septic inspection. In November 1995 the DEP issued new guidelines for septic inspections. "Cesspools within 50' of(non-drinking) water bodies, wetlands or salt marshes do not automatically fail." (Again I am not sure that the leaching cesspool is less than 50' from the marsh). Any questions, please feel free to call. kSinlavinsky JPS/cma ^ , enclosure cc: Suzanne Lavoie 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH .OF .SEWAGE: DISPOSAL .SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' back door. garage B cast iron pipe A 2 overflow cesspool 1 1 st cesspool A # B _ r: 5 6' 1 45' 54" 2 31' '23" Top of vegetation ba Shoestrina Rey DEPTH TO GROUNDWATER depth to groundwater -'ron% 6o-40rn 04 e.ea.spool s method of determination or approximation: i I 1 Sur `F F J.q. i. S r CSusanne A. Lavoie 592 Popponessett Road Cotuit, MA 02635 June 17, 1998 Ms. Susan Rask Chairman Board of Health Town of Barnstable Dear Ms Rask, I am writing to request an additional extension of time with regard to the replacement of the septic systems at 592 Popponessett Road, Cotuit. I am presently working on this matter with Cape and Islands Engineering and Dale from the Town of Barnstable Board of Health. After our meeting on June 1 st,there is a still a question on exactly how far the septic system is from the wetlands. It may in fact be beyond 50 feet, which would make this septic system acceptable under the new guidelines. The property has just been surveyed and I am awaiting the results. If it is not within the guidelines, I will immediately move to have Cape and Islands Engineering draw up the plans for a new system. As per my discussion with Dale, I am requesting an addition 90 days in order to resolve ~y this matter. I would appreciate your help in granting the extension. f Susanne A. Lavoie cc: Thomas McKean John Slavinsky, Cape & Islands Engineering TOWN OF BARNSTABLE CF THE Taw 6 OFFICE OF Heaa9TSBL� i BOARD OF HEALTH i639. �e� 367 MAIN STREET �oMAI HYANNIS, MASS.02601 August 13, 1998 Susanne A. Lavoie 592 Poppponessett Road Cotuit, MA 02635 Dear Ms. Lavoie: You are granted additional time, until November 12, 1998, to replace your septic system located at 592 Popponessett Road, Cotuit. You stated that the extension is needed because there is a question of where the edge of the wetland is located at this site. Your engineer, John Slavinsky, testified that the wetland is 52 feet away from your cesspool. However, the septic system inspection report completed by Bruce Macallister, a Department of Environmental Protection(DEP) certified septic system inspector, dated May 25, 1995, indicates that the wetland is only twenty-three (23) feet away from your cesspool. Based upon this information, your cesspool fails to adequately protect public health and the environment as required by the State Environmental Code and must be replaced. The Board of Health voted unanimously to grant you an extension, until November 12, 1998, in order to provide you with sufficient time to obtain verification of the wetland location by the Town of Barnstable Conservation Agent and to replace the septic system at your property. Sincerely yours,Susan G. Rask R'S. Chairperson Board of Health Town of Barnstable SGR/bcs CL t�hcr� Czc�e�oor� lavoie I f CAPE & ISLANDS ENGINEERING SHELLBACK PLACE•BUILDING 2, SUITE E 133 FALMOUTH ROAD(RTE 28)• MASHPEE, MA 02649 (508)477-7272•FAX(508)477-9072 October 9,1998 Barnstable Health Division 367 Main Street Hyannis, MA 02601 RE: Susanne Lavoie, 592 Popponesset Island Road, Cotuit, MA Dear Mr.McKean: Ms. Lavoie obtained the services of WetTech LandDesign to delineate the wetland location on her property. I am enclosing a plan showing this delineation and the DEP vegetation report requested by the Board of Health for verification by Conservation Commission personnel. Sincerely, John R Slavinsky JPS/cma P�oFTMETo�♦ TOWN OF BARNSTABLE OFFICE OF = 31AMSTAM M i BOARD OF HEALTH 7 A60. p� 367 MAIN STREET. HYANNIS,.MASS.02601 December 7, 1998 Susanne Lavoie 592 Popponesset Island Road Cotuit, MA 02635 RE: Cesspools On Your Property Dear Ms. Lavoie: The Board of Health unanimously voted to grant you permission to maintain the existing cesspools on your property located at 592 Popponesset Island Road, Cotuit, Massachusetts. This permission is granted with the following condition: • The septic system shall be upgraded to conform to the State Environmental Code, Title V and to all of the Town of Barnstable Health Regulations prior to obtaining a building permit to alter, renovate, or construct an addition to your dwelling. This condition does not apply to any building permit to repair the roof. The existing cesspools are located in close proximity to wetlands. One cesspool is only 23 feet from the top of a coastal bank which is subject to tidal action and only 53 feet away from the edge of a vegetated wetland. An inspection conducted by Bruce McCallister revealed that the septic system"failed." It is the opinion of this Board that the septic system should be upgraded or replaced at the time of a building permit due to its proximity to Shoestring Bay. Sincerely yours, Susan G. Ras�.S. Chairman Board of Health Town of Barnstable SGR/bcs poppones B� Town of Barnstable STAOM Department of Health, Safety, and Environmental Services '"�"MASS. Public Health Division 079. >� EDMKt� P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health October 28, 1997 Susanne A. LaVoie 592 Popponessett Road Cotuit,MA 02635 ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 592 Popponessett Road,Cotuit was inspected on May 25, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Cesspools are located within twenty-five (25) feet of vegetated wetlands. Also, the liquid depth in the cesspool was less than six(6) inches below the invert. You are directed to hire a licensed professional engineer(PE)to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one(2 1)days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five(45)days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic: system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground,or in to surface waters. For your information, an order letter was sent to Mr. Charles Watson on August 14, 1995. However,the septic system was not repaired as of this date. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. Zo ORDER OF T . BOARD OF HEALTH m.as A.McKean,R.S.,C.H.O. Agent of the Board of Health Town of Barnstable • Department of Health, Safety, and Environmental Services BARNSTAW M^� Public Health Division i639 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: �GtS'�hne �z Vc2l'C � c Rio0nz DATE: (�� -Z�� /-?,v O2 /p3S ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. PQppzeS5eAThe septic system owned by you located at 6`� 2- was inspected on �by (_s40= 4 Massachusetts licensed septic inspector. �E,:19 The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 1 .00) due to the following. A'� �zq j c' --ems legj ovi You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one (21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five (45) days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters - j +D r"'r C4c.-to, w n�0/\ On Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. -d-4 �. PER ORDER OF THE BOARD OF HEALTH U'i,'-S ^0) Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health �' � �mummnums�a« m 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM.. INFORMATION continued f SKETCH;OF.,SEWAGE, DISPOSAL ,SYSTEM:,,, include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' MO 00 -7 � R 003 back door. garage B cast iron pipe 2 overflow cesspool t A ' S. :! ., .•...p ",....s bad _ ,-..•_• ;.�:..6 t V. . iJ...e'... ? ... j.t 1 ` 'r a .. �S 1 cesspool B 56' 1 45' 54" . 2 : . .31 23� f . Top of vegetation bank -. ,:�i•x .� y M .. .... .t.i:r.:3.¢..3id,z.r t 1: .l xA . _, . .. s .. - Shoestring Bay DEPTH TO GROUNDWATER. 1�f ' I D'' depth to groundwater 'rurn boom o ee5s po.o I s method of determination or approximation: 1 Sur I We +a J 10f- �J Susanne A Lavoie 592 Popponessett Rd. Cotuit, MA 02635 ORk (0-3) 7q--3=7650 mot . JV t,0�� a -Qs- - , ) � November 24, 1997 Z Ms. Susan Rash Chairman-Board of Health Dear Ms. Rash: I am writing to request an extension on an order to comply with 310 CMR 15.00, the State Environment Code, Title 5. I have been advised that I have 21 days upon receipt of the attached letter to hire a licensed professional engineer to design a system that will bring my system up to code and then install this new system design within 45 days of this order. I will be working out-of-state during this time frame and will find it almost impossible to comply with this order. Mr. McKean has recommended that I write to you and request a hearing for an extension. I will not be available until January 6, 1998. I would appreciate your help in this matter. You can reach me by mail at the above address or on 212-395-7717. Sincerely, gee �o TOW e+ (sL,4NZ> 19;A1��N. Susanne A. Lavoie cc:' T. A. McKean S d�eNP 4114 0a61< Attachment '' o g) 1/-7,7, Fe.& O-j S, 64, V alb c t ,o Town of Barnstable Department of Health, Safety, and Environmental Services IARNSTABLE, + ' ,. Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health October 28, 1997 Susanne A.LaVoie 592 Popponessett Road Cotuit,MA 02635 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVII?ONIMENTAL CODE, TITLE 5. The septic system owned by you located at 592 Popponessett Road, Cotuit was inspected on May 25, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Cesspools are located within twenty-five (25) feet of vegetated wetlands. Also, the liquid depth in the cesspool was less than six(6) inches below the invert. You are directed to hire a licensed professional engineer(PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one(21)days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five(45)days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. For your information, an order letter was sent to Mr. Charles Watson on August 14, 1995. However,the septic system was not repaired as of this date. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. ZoPERmORDER OF T BOARD OF HEALTH as A. McKean,R.S.,C.H.O. Agent of the Board of Health a� Susanne A Lavoie 592 Popponessett Rd. Cotuit, MA 02635 November 24, 1997 Ms. Susan Rash Chairman- Board of Health Dear Ms. Rash: I am writing to request an extension on an order to comply with 310 CMR 15.00, the State Environment Code, Title 5. I have been advised that I have 21 days upon receipt of the attached letter to hire a licensed professional engineer to design a system that will bring my system up to.code and then install this new system design within 45 days of this order. I will be working out-of-state during this time frame and will find it almost impossible to comply with this order. Mr. McKean has recommended that I write to you and request a hearing for an extension. I will not be available until January 6, 1998. I would appreciate your help in this matter. You can reach me by mail at the above address or on 212-395-7717. Sincerely, c�rfiz-2 .Susanne A. Lavoie cc: T. A. McKean Attachment f oFTHETp�, Town of Barnstable O t BARNSTABL& t Department of Health, Safety, and Environmental Services MASS.69. Public Health Division s639 10� A'ED1i"°�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health ` October 28, 1997 Susanne A. LaVoie 592 Popponessett Road Cotuit,MA 02635 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 592 Popponessett Road, Cotuit was inspected on May 25, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: • Cesspools are located within twenty-five (25) feet of vegetated wetlands. Also, the liquid depth in the cesspool was less than six(6) inches below the invert. You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one(21)days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five(45)days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface.waters. For your information, an order letter was sent to Mr. Charles Watson on August 14, 1995. However,the septic system was not repaired as of this date. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF T BOARD OF HEALTH omas A. McKean,R.S.,C.H.O. Agent of the Board of Health ASSESSORS MAP NO° _. (p�u1' 7 PARCELNa SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 5-af a )Oo piPo 9 e,55eH - do�u, � 2�a Owner's name (,vat-son C• WS:?"�,a RLGMOVED Date of Inspection PART A J U N 9 1995 1 ' CHECKLIST 3 HEALTH DEPT. MU OF BARNSTABl.E Check if the following have been done: _V Pumping information was requested of the owner, occupant, and Board of Health. y_ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. N A As built plans have been obtained and examined. Note if they are not available with N/A. // The facility or dwelling was inspected for signs of sewage back-up. i/ The site was inspected for signs of breakout. . !/ All system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, , depth of liquid, depth of sludge, depth of scum. V The size and location of the SAS-on the site-has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the. proper maintenance of SSDS. ..._ . Y 8 ' SUBSURFACE' SEWAGE�-DISPOStiAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS i If residential 1111, it �iT iA,34 number bed�;�ooms numb r of"'curre, nit residents /V o garbage grinder, yes or no - laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: 07 ag'io >`1y a3, 1995 m n5. Last date of occupancy GENERAL INFORMATION Pumping records and source of information: None -Fovnea - no re Cord s �/6,5 System pumped as part of inspection, yes or no if yes, volume pumped Reason for um in : P P g Type of system Septic tank/distribution box/soil absorption system Single cesspool 'k,,- Overflow cesspool Privy Shared system (yes or 'no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of information: oUel- .2U Ueai^5 Sewage odors detected when arriving at the site, yes or no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued sE-Tie ► 5r eesSpdo) (locate on site plan) depth below grade: " material of construction: l/ concrete metal FRP other(explain) dimensions: I';)' sludge depth 3_ distance from top of sludge to bottom of outlet tee or baffle 6 " scum thickness AVAL distance from top of scum to top of outlet tee or baffle IVA distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) ► sT CeS Ph—ate uml eA a 12-e-r 0 P I?qs DISTRIBUTION BOX: (locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number I Rarre-1 J31 oGk' 19,X g ' Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) oue-r F' IoLv cesspool - Org Q+ k%,,e- o-F` ►n5x�+ion CESSPOOLS (locate on site plan) : number and configuration a lain rre_i bl �6c - e�h ►"vim�-o p depth-top of liquid to inlet invert a ' depth of solids layer 1 a'' depth of scum layer 0'1 dimensions of cesspool (' ' X h ' materials of construction Ne) C('e+g - hagr✓ej bl oGk indication of groundwater inflow (cesspool must be pumped as part of inspection) No a rc)OnA u� enCDVn4-e_rej Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) Nb � rara�I� �ci� Iure __ PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, .signs of hydraulic failure, level of ponding, �p condition of vegetation, recommendations - for maintenance or repairs,etc. ) ..__ .. 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM-INFORMATION continued SKETCH OF SEWAGE DISPOSAL .SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' r, back door. garage B cast iron pipe A 2 overflow cesspool 1 st cesspool A # ,. B 56' 1 45' 54" 2 31' 23' x Top of vegetation ba Shoestring Bay DEPTH TO GROUNDWATER D`' depth to groundwater -Crom bO4+Om 0-1= eesspooI5 method of determination or approximation: 11 eo 1 p 4--A S vrJ D o i !3 C� IxJEI 74 ' .rt 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) N D Backup of sewage into facility? V Q Discharge or ponding of effluent to the surface of the ground or surface waters? NIA Static ''liquid level in the distribution box above outlet invert? V eS Liquid depth in cesspool "<'6"-below—irnvert`"'or available volume< 1/2 day flow? a NO Required pumping 4 .times»or.more .inwtherlast year? ` number of timesipumped - Septic tank is metal? cracked?' structurally unsound? substantial infiltration?'' substantial.exfiltration? tank failure imminent? s Is any portion of the SAS, cesspool or privy: N 0 below the high groundwater elevation? 4 NO within 50 feet of.ra surface water? within 100'4feet of a surface water supply or tr :butafy,,to ,a surface -" water supply? &D within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh. (cesspools and privies only, not the SAS) ? N D within 50 feet of a private water supply well? NO less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector drove, Company Name io/�fi✓C.-I CD Company Address P2 099YI J 06�ew� Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Check one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15. 303 . Any failure criteria not evaluated are as stated in / the FAILURE CRITERIA section of this form. i� I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15. 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector' s Signature Date j'6 original .to system.-owner- - Copies to: Buyer (if applicable) Approving authority n ...y �s G r i I I �. ASSEMM MAP NO: Town of Barnstable PARCEL NO.- STAB = Department of Health, Safety, and Environmental Services RARNM 9 39. Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health August 14, 1995 Charles Wesly Watson 592 Popponessett Road Cotuit, MA 02635 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 592 Popponessett Road, Cotuit was inspected on May 25, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Cesspools are located within 5 feet of vegetated wetlands You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (30) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within sixty (60) days of- receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable Department of Health, Safety, and Environmental Services Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 71mmaa A.McKean FAX: 509-773-3344.. Director of Public HeaM 111E sAR1i91'A81.�, F MAeB. P 163q► iNld [ENGINEER LETTER] TO: C k145V I.Ae 14r'��/,*' ,5 (Date) e �.;'y 9 e �e� 0,0,V k s5" 7" fPd ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic stem owned b you located at A� �' � d u r n P Y Y y � .�"�' �/�'',P�.e 1 ��rQas inspected on by 041.344r�asssachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15:00)due to the following: You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one (21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty- five(45) days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable TOWN OF BARNSTABLE LOCATION ,59 n�.n�,nesse'Cfi��! 3-0 W M& � r/� VILLAGE ASSESSOR'S MAP & LOT Oa'Z ~tag AME & PHONE NO.' 2�C e J")CC,,C- I/ i S CAPACITY ( t'jJ110015 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS _PJUXA* L"'' ' OR PUBLIC WATER BUILDER OR OWNER A,�! G/! DATE PERMIT ISSUED: t , DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No e L4 ys i Cess�ca� Sy- - 3 Town of Barnstable sAtws,rAsr.X I Department of Health, Safety, and Environmental Services �� Public Health Division EDP 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Directot of Public Health October 20, 1995 Estate of Watson c/o John Dougherty Peabody and Arnold 50 Rowes Wharf Boston, MA 02110 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 592 Poponessett Road was inspected on September 6, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Cesspool is located thirty (30) feet to edge of vegetative wetland. • Cesspool is also located within twenty-three(23) feet of a coastal bank. Cesspools are located in sandy soils. The vertical separation distance between the bottom of the cesspools and the groundwater is approximately fourteen feet. You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (18) eighteen months of receipt of this notice. You are also directed to bring the septic system into compliance within two (2)years of receipt of this order letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Tho s acKean, R.S., C.H.O. Agent of the Board of Health cc: Nancy Bucchianeri � I [Installer letter] sl (Date) L ��j v u o V"G 01� 'Tot.,n to ,�CA�1h� ORDER TO COMPLY WITI 310 CMR 15.00, THE STATE ENV ONMENTAL i e-0 CODE, TITLE 5. 63S�" '` 2 The septic system owned by you located at loPpo;\g�Se� was M a Massachusetts licensed septic inspected on I" (� tbY �caU s inspector. The inspection of your septic system showed that your system has failed under c he guidelines of 1995 T TLE 5 (310 CMR 15.00)due to the followi iv - J c .� 1 s� fdc� �� .,.,.� ,� a Caf You are directed to hire a licensed Town of Barnstable septic s alter to s t a sketch diagram of a proposed system to the Town of Barnstable Health Divisto ice y„%O (Town Hall, 367 main Street, Hyannis) that will bring the septic system into complianc f with 310 CMR 15.00, The State Environmental Code, Title 5 vuithinn receipt of lice. o ® � ��, - ® ' You arealso directed to bring the septic system into c mpliance wit in t s of receipt of this order letter. Yo 'a a er d' a to a t ys m b Id 'ce sed age auler to e ewa a uent ' o the uildin , o m e s pt Sy t revent arg g th rf f the g nd, or in urface ers. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable i?(A e-n �n����� �"" �� a�e5fC 77P- CC iv,i T��r. e Chjf P 12 Mrs- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F PART C S EP 2 2 1995 FAILURE CRITERIA REAM DEK. Indicate yes, no, or not determined (Y, N, or ND) . Describ- QFMffiSTA8LE determination in all instances. If "not determined" , expla W Backup of sewage into facility? ADischarge or ponding of effluent to the surface of the ground or surface waters? Nh Static liquid . level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day. flow? Cr-&S Required pumping 4 times or more in the last year? number of times pumped . 1V Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy,: below the high groundwater elevation? within 50 feet of a surface water? f✓ w2�=Gs. ��i�o AoG 3j 1�S S Ql ✓V1t.nr} le � 3 t9� �c.To fry�T�C FPO', C(Z lC't,b, ,A within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? N within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not. the SAS) ? q — within 50 feet of a private water supply well? c2 3�0 less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 79 r C Y a , 5vww : SUBSUI ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM »�{3a F iai PART B � "m-2rms10 W= SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' i DEPTH TO GROUNDWATER _ depth to groundwater method of determination or approximation: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property S"9oZ Jo�jp:1�„tTTr low. / owner' s name Date of Inspection /, as,,err PART A CHECKLIST Check if the following have been done: ` Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. N As built plans have been obtained and examined. Note if they -are not available with N/A. _be__1_11'_The facility or dwelling was inspected for signs of sewage back-up. The site was inspected for signs of breakout. All system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of I sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility .owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. v 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential .3 number of bedrooms 0 _ number of current residents b garbage grinder, yes or no yes laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: m Water meter readings, if available: S Last date of occupancy GENERAL INFORMATION Pumping records and source of information: /G 2eeci.�,u System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: 6e�ool D- Dco .4f Dee Al P RecS 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) Other (explain) Approximate age of all components. Date installed, if known. Source of information: l t -/g o vcz �2o Ye s o_ Sewage odors detected when arriving at the site, yes or no } g r v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued 57- CE55oD� (locate on site plan) depth below grade•_ material of construct 'on: _concrete metal FRP other(explain) �6rzar I �I�e ton: 13ee 4tvj so dimensions: sludge depth 3 distance from top of sludge to bottom of outlet tee or baffle C " scum thickness distance from top of scum to top of outlet tee or baffle '-;V4 distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) DISTRIBUTION BOX: All (locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box,, recommendation for .repairs, etc. ) PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) i r-r �► t 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: ,_Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions Ago overflow cesspool, number 7 - Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations f�o maintenance or repairs,etc. ) NOr2 Ffo� c ess 00o% ))RZ g-7-%iy�e o j1)Jac rZ-1v,7 CESSPOOLS (locate on site plan) : number and configuration 7 d e2e/ ,�r�( l�rch,�e To depth-top of liquid to inlet invert depth of solids layer depth of scum layer dimensions of cesspool X materials of construction. 7c- %3�irnc/23 c indication of groundwater inflow (cesspool must be pumped as part of inspection) /�o G�o�.►�w�a j�2 encovr,Xeco Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, reco enda ions for maintenance or repairs,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, recommendations for maintenance or repairs,etc. ) r ' •� r 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' 3v GAeg6 :r3 , f$ ' p7 over to� cesr o IT eCss 1 �� Ce^0r5 17� ��...... �Y10C DEPTH TO GROUNDWATER f depth to groundwater �10 method of determination or approximation: d /J I C i z 12 SUBSURFACE SEWAGE" DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) Backup of sewage into facility? i� Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the distribution box above outlet invert? FS Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? NO Required pumping 4 times or more Ain the last year? number of times pumped / Septic tank is metal? cracked? structurally unsound? substantial ' infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: /y0 below the high groundwater elevation? A10 within 50 feet of a surface water? t ,L within 100 feet of a surface water supply or tributary to a surface water supply? /b/b= within a Zone I of a public well? 44CS within 50 feet ofoa bordering vegetated wetland or salt marsh and . rivies ,onl not the SAS) ? (cesspools P Y� ) within 50 feet of a private water supply well? , v less than 100 feet but greater than 50 feet from a private water' , supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. r L` - C/_"/ A.M. l . FOR DATE TIMP:M. M -� Pk10N�[l OF- . R�Tt}RNELI, PHONE --, YIIlif{CAL AREA CODE NUMBER SION MESSAGE 1fI/ILL C LL {{y 1 Al 5EE XOU SIGNED 2,:,-Cf oA 0,2-1 f d al",,AM2jS35,,AM2jS Y + NOTES r. ti r Town of Barnstable Y-13 Department of Health, Safety, and Environmental Services Public Health Division 367 Main Street, Hyannis MA 02601 Office: 509-790-6263 Tboma A McKewt FAX: 509-775-3344 'Ditedw of Public He&M.. October 20, 1995 Estate of Watson c/o John Dougherty Peabody and Arnold 50 Rowes Wharf Boston, MA 02110 ORDER TO COMPLY WITH 310 CMR 15.009 THE STATE ENVIRONMENTAL CODE,TITLE 5. The septic system owned by you located at 592 Poponessett Road was inspected on September 6, 1995 by Bruce Macallister a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Cesspool is located thirty (30) feet to edge of vegetative wetland. • Cesspool is also located within twenty-three(23) feet of a coastal bank Cesspools are located in sandy soils. The vertical separation distance between the bottom of the cesspools and the groundwater is approximately fourteen feet. You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (18) eighteen months of receipt of this notice. You are also directed to bring the septic system into compliance within two (2)years of receipt of this order letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. f PER O RDER.OF THE BOARD OF HEALTH �Thoacl(ean,R.S.,C.H.O. Agent of the Board of Health cc: Nancy Bucchianeri x DEP B ordering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form co Applicant: 4 Prepared by: IGT+-ex'� IlUkCAP Project location: 522 Q— )vpu'x. ^ DEP File #: aCheck all that apply: }SLAP 07 - h T 113 �1 Vegetation alone presumed adequate to delineate BVW boundary: fill out Section I only 8 ONCE F>.AC�S 5� ❑ Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Sections I and II snl (:)CT l/19g8 rim ❑ Method other than dominance test used (attach additional information) Section 1. Vegetation Observation Plot Number: ' 3 Transect Number. Date of Delineation:-1—OLbla X Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area) Dominance (yes or no) Indicator i cav- -- QU'FRWS RUMAN Category" cl+o►cEct���2y S uNus s�Tlt�1a (c�"lo 85.�� - .- FACu SAPI.ttJL��GHbK.Eu-lL'4�Z.�-'�UfJVS SETZG'jlta� , 9�f�Dt3t.oW - At1J1E+�/.1Cli►r;1Z�.a�i►t `NSIS 4`Z9Z _` �D 65R ' S115a ►iome-ig)aux- Lx'cAx e� 201 44A c CHGKEI3F� pRUNUS s�-rsPNA l�� TZ•Z SCE 1�/�Cl� g 1 �. c.ou-ytv1�� 8luebev . ' V Acc.I NF�7tvl a��, 2Z•2 -.= W 3 Sa>. p,DA, t$4o�ov dear► �tcscosvY.�tIc lt1eS r6/1561v 1,!`{ - Tc�x�v�so¢ara 2Av�wrNs SoT. 'FAG d �IGtGN Vt�IE'(�� SQtit\�-A.+� fZo�utoutii-ati.Vi .. 7 ��� , - j��Arrenns c.tv�s,s �oz �:C�t?fl C�t2A5S �PA¢i► aLxrtv*Q1 cam,.►a 310590 b 1,176 -` c VAq�J- c s�,�tOB UOt.Gt?�l�yD � SouoAvo Se.MDtwwcti.sL Use an aste5n to mark wetland indicator plants: plant species listed in the WetlPnds r' rotection Act (MG cT' 1, s.40); plants in the genus Sphagnum; plants listed as FAC, FAG+, FACW-, FACW, FACW+, or OBL; or plants with physiological or morphological adaptations. If any plants are identified as wetland indicator plants due to c physiological or morphological adaptations, describe the adaptation next to the asterisk. a Vegetation conclusion: R C Number of dominant wetland indicator plants: 3 Number of dominant non-wetland indicator.plants: 3 _ a O Is the number of -dominant wetland plants equal to.9T,greater than the number of dominant non-wetland plants?yes . no If vegetation alone Is presumed adequate to delineate the BVW boundary,submit this form with the Request for Determination of AppllcablW or Notice of Intent. MA DEP;3/95 c Section II. Indicators of Hydrology N Y 9Y Other Indicators of Hydrology: (check-all-that apply and describe) � -Hydric Soil Interpretation 13 Site inundated: cx��k-inll�a ❑ Depth to free water in observation hole: MIt\- c 1. Soil Survey �3A41J�CA.OIE. ❑ Depth to soil saturation in observation hole: u/A c c s there a published soil survey for this site? yes no ❑ Water marks: 1Jf A title/ddte• . ,' _ o` j. Drift lines: FS m map=number' , - soil type.mappad: ❑ Sediment deposits: c hydric sail inclusions: ❑ Drainage patterns in BVW: c' Are field•obsetvations consistent_with soil survey? yes no er Oxidized rhizospheres: Igo Remarks: - Er. Water-stained leaves: k. ($ 13' Recorded 'data (stream, lake, or tidal.gauge; aerial photo; other) 2. Soil Description Horizon Depth Matrix Color Mottles Color. ❑ Other. _ Vegetation and Hydrology Conclusion yes no Number of wetland indicator plants ❑ > number of non-wetland indicator plants Wetland hydrology present: Remarks: hydric soil present ❑ ❑'� a. 3. Other other indicators of hydrology a present ❑ Conclusion: Is soil hydric? yes �p Sample location is in a BVW Co Submit this form with the Request for Determination of Applicability or Notice of Intent i DEP Bordering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form cc J Applicant:Ef'94-�)!, IV ) 11,401E Prepared by: me51p Project location: DEP File #: Check all that apply: J; ATD 07 - Lo T- 3 8 Gea�lc,E Ft s 5rz:T Vegetation alone presumed adequate to delineate BVW boundary: fill out Section I only GGT 1,jc q% rfzaYll ❑ Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Sections I and II ❑ Method other than dominance test used (attach additional information) Section 1. Vegetation Observation Plot Number: ci 43 Transect Number: Date of Delineation: 10 A. Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area). Dominance (yes or no) Indicator :l Galti -- C?UE'iw.aS Ru�euM (ofJ�c 85,-27, 5 Category* L -_i. �l�o►:�c��eRa2`( - uterus s�TI1�A kc 14 FAcU �! � c.NbtcecK�=17e�( - l�uNvs s +�n Zc7� 5?.lie {�Cu s�}A��,� - 0.���E�AI.��t►G-R Hl�-�s� 6 42`1Z --`.. �Nb r z �t�t?u133 ?us" home-isI�aU�- L L� '\ -Jcc McRYrn�� 20 k •44.4 `lE S 7AC 0 a CHc,KE6L`��(. - PciuNus s�onN� v , 2Z•IL Stu�bevY� -- VACLtNI�t:A 5 � �___ ' G�lu1X%D�LT1 �ISCGSvTv( o .J>,.IQ9�. � •C I�S r�t i\1 11l`( — Tnx�v6r.►o¢cta Qa>v�cacy5' Sol. �f �'L�C- GSZeIJBzlC-'— - ���� 2o�vn�v��s��a 1 b YFSaL a: ?su� 17 - tA�vnTre+.�s vcPElvstS _ �7. ti..000Oca►?JaSS - �Po,Q21uu A�TFI2N�Foci: t590 1�10 c -5G7y. S � FAa,1.� s�StOE C�Ot.O�lt Q �, SuUDA60 S°�I'G�WVCti-S . l0`/. �c� Use an asterisk to mark wetlan�indicator plants: plant species listed in the Wetlands Protection Act (MG c' 31, s.40); plants in the geTius Sphagnum; plants listed as FAC, FAC+, FACW-, FACW, FACW+, or OBL; or plants with physiological or morphological adaptations. If any plants are identified as wetland indicator plants due to physiological or morphological adaptations, describe the adaptation next to the asterisk. t c Vegetation conclusion: .a Number of dominant wetland indicator plants: 3 Number.of dominant non-wetland Indicator plants: 3 i c Is the number of dominant wetland plants equal to.or greater than the number of dominant non-wetland plants? yes no If vegetation alone is presumed adequate to delineate the BVW boundary,submit this form with the Request for Determination of Applicability or Notice of Intent. MA DEP;3/95 • .0 lQ Section II. Indicators of Hydrology Other Indicators of Hydrology: (check a(fthat apply and describe) 'Hydric Soil Interpretation LQ Site inundated:_ ,a10 2 R ❑ Depth to free water•in observation hole: 6 1. Soil Survey BAW`ut'�0LjC-. > ❑ Depth to soil saturation in observation hole: o/a on Is there a published soil survey for this site? yes no c ❑ Water marks: k A map number:' i Drift lines: YFS _ m .. s i c •e Q tYP .mPpad. _ • ... ❑ Sediment deposits: hydric soil inclusions: - d .. . ❑ Drainage. .. 9 Patterns in BVW: ;Are field'obsetvations consistent.with soil-survpy yes no Oidized rhizosphems: too Remarks: . Er Water-stained leaves: k\ts ❑' Recorded 'data(stream, lake, or tidal gauge; aerial photo; other) `I ,. 2. Soil Description - --- � - ' •• • -• _ Horizon Depth Matrix Color Mottles Color. ❑ Other. Vegetation}and Hydrology Conclusion yes no Number of wetland indicator plants > number of non-wetland indicator plants Remarks: Wetland hydrology present: x hydric soil present 3. Other. other indicators of hydrology a� - - a present Conclusion: Is soil hydric? yes no Sample location is in a BVW o -4 • _ Submit this form with the Request for Determination of Applicability or Notice of Intent 1 x DEP Bo dering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form c Applicant: Prepared by: 1R1�T{ j,�N u��� project location: 2 Q�� DEP File #: CL Check all that apply: UA? 07 — Lo T 3 13 Q � Vegetation alone presumed adequate to delineate BVW boundary: fill out Section I only 8 OP. ❑ Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Sections I and II � OcT i�1998 r� ❑ Method other than dominance test used (attach additional information) Section 1. Vegetation Observation Plot Number: *k 3 Transect Number. Date of Delineation:-1 o Z 1 198 A. Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area) Dominance (yes or no) Indicator Red OaIC -- QUIFZ ., RU90-IR (a0�o gs."17, \/ Category" Cl-FoK.Ecti�'R�`{ — �U(vus s�'[i1J/s _ . -- � '1Erj FAC ll 14.37, - - �a��GHbK.Ec1•{L=P..1�.`(-1,�UtJUS SETZUj1N1� _ ZGT.t. 1rAC.La `3E1PcDPJI�ovJ - AtV1ElIQi.1CH1�sR G4�utlf7�'NSIS 15 42` Z _ o . _ a -S(15� ttotst:`fslK lt,p bUE� Mot�Paw► 2ol 44 A �� � CHGKEBRy Nus �, Nn lE� ACV PRu t l• R l9� 22.2 8�uebe.Y VACGIN4�7lv1 CD'Q.�I'M�U1•-1 �� �21z�•'Z� • Q�'2A r 40DoVt"NDY6N �ISCASvty( Ll�-BL t .-1 4 ityeS r�1661v ZV`{ - �vsw►o¢ats r2av�ci�Ns �f F'AC. a SoT. �SZE�?J0¢.1EfZ - SiM�t.A.x R.o'NNvt�-o�.lA ) 1� _ ,�Ar ens c.tv�st Sd Y� E 1=P,G �:vt?oca�ss s�slOE UO(.�'�tgyQ - Sotto�o SeaxNGwtvc4..s �x Use an asteri§k-to mark wetland indicator plants: plant species listed in the Wetf$nds r'F rotection Act(MG c 31, s.40); plants in the genus Sphagnum; plants listed as z FAC, FAC+, FACW-, FACW, FACW+, or OBL; or plants with physiological or morphological adaptations. If any plants are identified as wetland indicator plants due to A. physiological or morphological adaptations, describe the adaptation next to the asterisk. M Vegetation conclusion: ' R Number of dominant wetland indicator plants: 3 Number of dominant non-wetland Indicator.plants: 3 C 4 . G Is the number or dominant wetland plants equal to.9T,greater than the number of dominant non-wetland plants? yes . no If vegetation alone is presumed adequate to delineate the BVW boundary,submit this form with the Request for Determination of Applicability or Notice of Intent. MA DEP;3/95 N 2- pt cd.- ...-_ .....- .0 V L� M A A MSTR. DROOM q x 3 r7 r? ' N i O w 41 to 0 • Ju J II • p ur „ _____ J"t==' -___..__ � MSTR.BEDROOM PATIO wi .w SUN 4 OM vJ „ M 5 T P. D — I � I • B E RM. SCHEME � I � , H I I; SCALE. Ilan• i,_o. - -- -------------- DEGK —. ca LEI --------- --- vJ -- v, v DINING MSSR. W.LG. IY BATH. c0 KITCHEN ® rH. ARAGE LIVING 00 OK :2A r I ,» » -- ----- - I I ^' (vNJ� W I I I ----•- „ FOYER ;; S�, BED M f MS ® ; ................. 51TTING PDR. r . OVA 4 r O , RM. V) >` 0— Q V u- L w f . C�0C1 _ c ul N - Q� ul 0. u- . ......... ... 0ul o o a F I R S T F L O O R P L A N v Ln �-' SCALE. 1/46- DESIGN DEVELOPMENT J Job no.: Onu - - ®—ARCHI--TECH ASSOCIATES, INC. data b ALY 4004 ecele. AS NOTED - - drawn KMW ISSUED FOR REVIEW o - rn r n n \, ° Z Q o � r O a A � r r D z � 1 D El . , ---------------------------------------------------- t _____ - -------------- ---------- -------- ------------------------------------ 0 na � 0 m CA m o r- O ----- ; ym � a n a g Additions & Alterations to the . La ace Residence now'.• ARCHI -T q N B 592 Popponesset Road B C H 6 school street t 508.410. 35< t 508.420.5304ou , Massachusetts A $ S C ATES � COW it, mas35 Iinfo@architechassodates.com $ Prgposed Second Floor Plan arch i t e c t u r a I design archi techassoaates.com SYSTEM PROFILE TOP OF NOT TO SCALE ` FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 25.7 FINISH GRADE OVER EL. 24.5 DISTRIBUTION BOX 24.3 SEPTIC TANK 24.4 FINISH GRADE OVER TRENCHES 24.3 o_•o RISERS TO 6 IF1 FINISH GRADE-� PRECAST CONCRETE 500 GALLON DRYWELLS 3,rMIN RISERS TO 6 --�'"' H-10 REINFORCED LOADING OUTLET PIPES) LEVEL MIN.SLOPE 1% OF FINISH GRADEFOR 2'( MIN.1% SLOPETRENCH LENGTH 25'-0" s" MIN.SLOPE 1'/0 BEYOND o MIN. 00 DRYWELL LENGTH = 8'-6" 13"MIN.' - 1411 -' n 22.40 22.20 MIN. r 6 SUMP ` 'v �.0:1 ` ' oaoa1= 10PVC OR CAST IRON TEE :� 21.95 EWT 1. o 21.63 �•� , p ' , :11 1 ,oil r , ;. h :/ ' . , ••r 9 r. V ,,. s:< GAS BAFFLE ? ° .�!b Flo, w .�•:oo -�� �6 DISTRIBUTION BOX �� 20.50 i ��. •+1 ,o l �"�,:,•' ,oa ,�. •+1 ,o_I .. ,, w MINIMUM INSIDE DIMENSION 12" 3/4"- 1-1/2" DOUBLE 3/4"- 1-1 2" DOUBLE , 1JOO GALLON J A OUTLET INVERTS 2 BELOW INLET INVERT _ .. � WASHED CRUSHED 4 PRECAST CONCRETE '4 MINIMUM CONCRETE WALL THICKNESS 2" STONE 6'+/ WASHED CRUSHED � - s r . +1 � : L BASE STONE BSMT.FLR H-10 REINFORCED i '''; ELEV. 18.2 BOTTOM OF BORING EL.12.4 ,�Ap:l•`r rhl''Or'' :'00.1 r�.-•, , •r •, / '/,1. •r�l:..••r , - 1 / , " :,.� L,I. ,1 ,h. l i 1 ; * "!. v' :• • `� TRENCH SECTION SEPTIC TANK . INSTALL ON COMPACTED LEVEL BASE , � L:�eins ,;, � _ _ � o ;` ! � ,;�.` . • ' � �Ootnit NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO " MIN. 3" PEASTONE REMOVE ALL =A= &=B:= IMPERVIOUS MATERIAL 4" DIAM. 6" MAX. WITHIN 5'OF THE SAS. REPLACE WITH CLEAN, ``,' CLAY-FREE SAND 310 CMR 15.255] '\ '`� '�. � =�` �.. I," ./ :� ,, � .. ' �rt,.::.,..r. �,, Lam,• 6• h.', 6 0 • G � .�{ .e .' •'� - ''° „ go' �3/4"- 1-1/2" DOUBLE •••� � 4811 5'-211 " WASHED CRUSHED * � STONE /j H WI Q • A 'f a , .,. , TRENCH WIDTH t•M•G.•c.,,np•n.mn..v+.r�[•e,r._na mcr ,--�wetw o•t i•ro-:.sw BORING LOG 13'-2° NUMBER OF TRENCHES 1 . .• P-10946 NUMBER OF DRYWELLS 2 25.7 4.. ,Wg OLATION RATE: < 5 MIN./IN ......... . GENERAL NOTES: PEFCR D BY: D.DESR!IAR,S •• •` �1. ELEVATIONS SHOWN ARE BASED ON ASSUMED BARNSTABLE BOARD OF HEALTH 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON DATE: APR.7,2005 --•OQ SCHEDULE 40 PVC. 3. HEALTH AGENT/CAPE& ISLANDS ENGINEERING of? EL.24.4 MUST BE NOTIFIED WHEN CONSTRUCTION IS ��'••. COMPLETE PRIOR TO BACKFILLING. =A= LOAM .� 10 YR 2/2 `� �ZB,z♦ 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 12" DESIGN DATA BY CAPE& ISLANDS ENGINEERING AND THE BOARD OF HEALTH. =B= LOAMY SAND 26. �i }- FILL EXISTIlvG CESSPOOLS .�� 5. MATERIALS AND INSTALLATION SHALL BE IN 10YR 5/6 NUMBER OF BEDROOMS 3 •.� COMPLIANCE WITH THE STATE SANITARY CODE GARBAGE DISPOSAL NO [TITLE V]AND LOCAL APPLICABLE RULES AND 4" HSE, N REGULATIONS. DAILY FLOW 330 GPD. O•592 �`'�•� 6. NORTH ARROW IS FROM RECORD PLANS AND IS SEPTIC TANK REQUIRED 1500 GAL. 27.3'� 3-L(�1' NOT INTENDED FOR SOLAR ENERGY PURPOSES. SEPTIC TANK PROVIDED 1500 GAL. 1 ' 6 9S 2 .8+ .7%• 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. =C=MEDIUM SAND LEACHING REQUIRED 330 GPD. 0 SF. 24.9' 8. FLOOD ZONE C[NON-HAZARD] 10YR 7/4 23.5 9. FLOOD PANEL: 250009-0007 F DATED: JULY 2,1992 •- � �_`__• SOIL ABSORPTION SYSTEM CALCULATIONS: 10.THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL 1 1 $ GROUND DISTURBANCE OR VEGETATION REMOVAL _ 25.5\� ,3 25.1+25.1' '26.7' 23.9 24.1' WITHIN 100'OF WETLANDS,INLAND OR COASTAL 152SID SF. LL AREA - 152 SF. + 25.2' BANKS OR FLOOD HAZARD ZONES. 144" NO GROUNDWATER EL.12.4 152 SF. X .74 G/SF. PD. BOTTOM AREA= 329 SF. 329 SF. X 0.74 G/ . = PD. 40 MIL 25.2'1 BE IMPERVIOUS LINER 23.4 310 CMR.15.405 LOCAL UPGRADE APPROVAL -�- BETWEEN SAS&FO 04 26.T i 61X 36' ATION EXISTING ~ LEGEND LEACHING PROVIDED = 26. ' 24.9' 25.4' , GARAGE 3 BED OO 52 PROPOSED CONTOUR SAS TO STREET LINE 5' [10' READ.] 25.E LIN SAS To CELLAR WALL 17 [2o REQD.] SEPTIC SYSTEM UPGRADE RELOCATE 24,8'j --- 52--- EXISTING CONTOUR s TER sERVic 24.s � r ,;' , PROPOSED SEWAGE DISPOSAL SYSTEM O 10 -- h 24.d - __ OBSERVATION PIT 4.T 24.2' 2 r ,�' ;' r,` PREPARED FOR / + 00 O BOX x sERVE 101 -- ---- - s' ❑ DISTRIBUTIONo SUSANNE LA VOLE 1 ' 24. 24.1 -1 g� 4� o 0 o SEPTIC TANK ��`� �� ,t ,``%a'� HSE.NO. 592 POPPOlESSET ROAD Y C:7 24.5' / COI Vl l MASS v • ` / . �`- 5' �_ v SOIL ABSORPTION SYSTEM PLAN NO. 112304 SCALE: AS NOTED s •`-•Z5.0' 24.T � � 8' S, 224.09' � DATE: NOV.23 2004 c� FILE N0. 262BA 24 2 - ss_ 2 .1+ T RESERVE RESERVE AREA o \1H of , C.BASIIV " - -3-�:_.-- _ cli �� D/avlD `yam\ SEPTIC FILE NO. 75 PCS FILE: popprd589 - - -._._25.5 22.26 PIPE INVERT ELEVATION cfq.Apj_El�i POPPONESSET R + CAPE&ISL MS ENGMEERIlVG PLOT PLAN DAD z z z 2r3Jt35 SCALE: V 20' 7 3 592 0 0 cn �`Gi ERA° / 800 FALMOUTH ROAD, SUITE 301C 5 5 5 s MASHPEE,MA 02649 (508)477-7272 MAP SEC PCL LOT HSE SYSTEM PROFILE TOP OF NOT TO SCALE FOUNDATION FINISH GRADE FINISH GRADE OVER EL. 25.7 FINISH GRADE OVER EL. 24.5 SEPTIC TANK 24.4 DISTRIBUTION BOX 24.3 FINISH GRADE e OVER TRENCHES 24.3 o ,` -rA RISERS TO 6" •'_ ' :rA e o �OF FINISH GRAD v b PRECAST CONCRETE 500 GALLON DRYWELLS 3"MIN. RISERS TO 6" H-10 REINFORCED LOADING °r OF FINISH GRADE OUTLET PIPE(S) LEVEL MIN.SLOPE 1% 13" FOR 2'( MIN.1% SLOPE TRENCH LENGTH = 25'-0" 0 RA BEYOND MIN. P F0 DRYWELL LENGTH = 8'-6" tea- - -� 13"MIN. 14" - _ 122.40 22.20 s'SUMP _. ' _ ,, ,MIN. ` 'N JOY �` .. 'q Q,JO,a , ,. , or 1. ,. r ptt�• 0 0' t n ••t ..JO'1 `% , ,• 1 "JO:1 �7✓. i• 't '.',0 PVC OR CAST IRON TEE :<° 21.95 2�.80 :i'z: .� o,oa 21.631 '� ao :f� o t ?i '•'. :� ., o :F GAS BAFFLE DISTRIBUTION BOX ' :b •b ,. � . w. Y,[o�i 0� o ' 6t, t s`c'r ''0 r n. ,, 'ib b�'•,�''c,''i •�'i ' " r': \ - - \� 1500 GALLON w A. MINIMUM INSIDE DIMENSION 12 3/4"- 1-1/2"DOUBLE 3/4"- 1-1 2" DOUBLE , OUTLET INVERTS 2 BELOW INLET INVERT WASHED CRUSHED 4 PRECAST CONCRETE � '4 MINIMUM CONCRETE WALL THICKNESS 2 STONE 6'+/- WASHED CRUSHED v �. STONE H-10 REINFORCED • BSMT.FLR. y .. L BASE ELEV. 18.2 -� � _ r - 9 o, ,-. ;, �? , i � 4• BOTTOM OF BORING EL.12.4 14C �cTO t•. 1 �, ,, •, ,, t- •., •.� r..,•. r f ,,.. P ,� cr , I^'' lt. i t �t 1. • t .!•.r o •�• `r.•- Or•e ` �, two'• �\ 0'' t'0' r . , ,� ,,� . r. , TRENCH SECTION SEPTIC TANK ,e �, •.. INSTALL ON COMPACTED LEVEL BASE y �t 1 .•• �_1:°.eif,e �'� _!' M IN ORDER T " © w crux / cotuit NOTE. EXCAVATE TO STRATUM O O MIN. . . ,.• REMOVE ALL =A= & =B-- IMPERVIOUS MATERIAL 4" DIAM• 6" MAX. 3" PEASTONE y WITHIN 5'OF THE SAS. 'REPLACE WITH CLEAN, •\ �(.� \\l, % ,. =:a•A 4 f {E CLAY-FREE SAND [310'CMR 15.255] ,. , V U10 .f r f •' .. • • o •r � •.•.too• 3/4 - 1-1/2 DOUBLE 4 5'_2" WASHED CRUSHED f •••`•• _ � L STONE � Y ;. TRENCH WIDTH pp . .., .• s�.•...�• ....�.,.r BORING LOG NUMBER OF TRENCHES 1 P-10946 25.7.�`- NUMBER OF DRYWELLS 2 ••.wE?Z GENERAL NOTES' PEFCOLATION RATE: < 5 IIN,/I .�� ..• �.� WJNES;SED BY: U.UESi1►IMt'�I ••, _,1. ELEVATIONS SHOWN ARE BASED ON ASSUMED • 2. ALL PIPES IN THE SYSTEM MUST 9E CAST IRON BARNSTABLE BOARD OF HEALTH`' DATE: APR.7,2005 ;� ftft •Of3SCHEDULE 40 F'VC. a fteb 3. HEALTH AGENT/CAPE& ISLANDS ENGINEERING of EL.24.4 / e '�•� ���,' MUST BE NOTIFIED WHEN CONSTRUCTION IS (� r �'�•.� A- LOAM COMPLETE PRIOR TO BACKFILLING. _ _ 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 10YR 212 � DESIGN DATA 12 BY CAPE & ISLANDS ENGINEERING AND THE BOARD 26. OF HEALTH. I=B= LOAMY SAND �-}- FILL.EXISTING CESSPOOLS •�� 5. MATERIALS AND INSTALLATION SHALL.BE IN 10YR 5/6 NUMBER OF BEDROOMS 3 •. COMPLIANCE WITH THE STATE SANITARY CODE GARBAGE DISPOSAL NO ,��•'�� [TITLE V]AND LOCAL APPLICABLE RULES AND •. DAILY FLOW 330 GPD. HSE• .� REGULATIONS. N4.592 ��"• 6.NORTH ARROW IS FROM RECORD PLANS AND IS SEPTIC TANK REQUIRED 1500 GAL. 27.3'+ I,(�T _ 2 8, `�.� NOT INTENDED FOR SOLAR ENERGY PURPOSES. SEPTIC TANK PROVIDED 1500 GAL. 3 1 34� •� 7.WATER SUPPLY: MUNICIPAL WATER SYSTEM. =C= MEDIUM SAND LEACHING REQUIRED 330 GPD. 36,950 SF. - 24.9' 8. FLOOD ZONE C [NON-HAZARD] 10YR 7/4 23.5' 9. FLOOD PANEL: 250009-0007 F DATED: JULY 2,1992 SOIL ABSORPTION SYSTEM CALCULATIONS: t, g 10. THIS PROJECT DOES NOT INVOLVE ANY PHYSICAL 25.3' GROUND DISTURBANCE OR VEGETATION REMOVAL 25.5� SIDEWALL AREA = 152 SF. 25.1+25.1' '26.T 23.9' 24.1'J WITHIN 100 OF WETLANDS,INLAND OR COASTAL + 25.2' �- BANKS OR FLOOD HAZARD ZONES. 144111 NO GROUNDWATER EL.12.4 152 SF. X .74 G/SF. PD. BOTTOM AREA = 3 _ 25.2'I BE O MII'IMPERVIOUS L 23.4` _ ' j T'wEEN SAS&FOUNDATION 310 CMR.15.405 LOCAL UPGRADE APPROVAL 329 SF. X 0.74 G/SF- 3-GPD. 26.T_ ATION LEGEND LEACHING PROVIDED'=�355GPD. 6'X 36' EXISTING 24.9' 25.4' 3 BEDR00 52 PROPOSED CONTOUR SAS TO STREET LINE 5t[10' REQD.] 26. GARAGE DWELLIN SAS TO CELLAR WALL 17'[20' REQD.I SEPTIC SYSTEM UPGRADE W RELOCATE 24,8' --- 52 ---� EXISTING CONTOUR ATER SERVICEvf' gas , - r PROPOSED SEWAGE DISPOSAL SYSTEM j _ t 10' OBSERVATION PIT v a z _ + 24.� `_ _ .�� r s-;; ��� . v PREPARED FOR 4.7" 24.2 -____ O ❑ DISTRIBUTION BOX 10' ' A SI�S1�rV ' LAVOIE SERVE ---T .8' �; ��. _ HSE.NO. 592 POPPONESSET ROAD 1 ; � �. ' -r 8' 2a. 24.1 a- o 0 o SEPTIC TANK Y, � � 3.t'+ 2 g� ___ 24.5' / � o CO�: Vll j1YJ1iSJ. a �,- �• St'�-• o � SOIL.ABSORPTION SYSTEM � -,25.0j, 24.7' .� .8' 5,. 224.09, t � PLAN NO. 112304 SCALE: AS NOTED 241� 2� 5 _ 2 .1 T RESERVE RESERVE AREA o �jK of M s FILE NO. 262BA DATE: NOV.23,2004 C.BASIN- _ - - _ 3 N o�� fags SEPTIC FILE NO. 75 PCS FILE: popprd589 25.5' 22.26 PIPE INVERT ELEVATION , sub , POPPONESSET RO y Af CAPE&ISLANDS ENGINEERING PLOT PLAN AD .. 2._f�zs L tt= 7 3 592 0 E,E, �R o � 800 FALMOUTH ROAD, SUITE 301C SCALE. 1 20 MAP SEC PCL LOT HSE 5 � `� "s MASHPEE,MA 02649 (508)477-7272 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B 4W& SYSTEM INFORMATION continued ' SKETCH OF .SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks NCI ! locate all wells within 100' 10 0) back door garage robs 7"D� D�' h B cob' t cast iron pipe \�Q r. A iu tob'' '�—`= � G 2 overflow cesspool 1 1 st cesspool n, tob ' 0 y � A # B �.^ESS�Da L 5 1 1 � � 0 54 3 " 2 1' - FuA/C T/o,Ni1c/C, F7-33 231, ,. ,•, ,. :.f fir- ... y Shoestring Bay 0 vrf"/2F C fS N/ tob'� _ \ DEPTH TO GROUNDWATER tab{ W 1 D" depth to groundwater •Pron% 604+orn o cesspools . tob+ method of determination or approximation'. o' s. acolonicdJ . 6v t-CLd_),,.,4,,j wel I dQFQ I q 5' r I'm n� r M EXISTING DWELLING HOUSE NO.592 200.00 �P v D. o C _ 7 /9 98 N 84'01 '30"W SITE PLAN OF LAND POPPONESSET T ROAD L OCA TED IN BA RNS TA BL E - CO TUI T - MASS. PREPARED FOR �r '� SUSANNE LA VOIE -w. M �. SCALE. 1 "-20 FT. PLAN NO. 060998 T_ DA TE.' JUNE 9, 1998 FILE NO. 162BA u J.�iJIt.M�i ✓,11" DRAWN BY* HP D-50 665C CAPE G ISLANDS ENGINEERING 133 FALMOUTH RD. SUITE 2E MA SHPEE - MASS.