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HomeMy WebLinkAbout0021 RIDGE TOP ROAD - Health 21 RIDGE TOP ROAD, COTUIT A= 027142.004 -_ 17 a N;2e `� !� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for bispotar *pstem Construction Permit Application for a Permit to Construct(c(epair(grade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot NoA/ ,.,mg6: �w yr l: Owner's Npe,Address,and Tel No. �a (fLIA s �Zr-N�c�fQ�6�- Assessor's Map/Parce70� (Jo CI rU/r Installer's Name,Address,and Tel.No.,f-OFi -4/20-1?73`F Designer's Name,Address,and Tel.No-5e- ,F 340—3.31r -�GiS'�/o% l .c ��1�'y'D jofiJ/:J//=12 �'„SO/�I►��,�vC- /c0 l��f ,���sr®ems �, s I_=4sr Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'ecl - 0X Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by.this Board of Health. S' Date Application Approved by Date r Application Disapproved by Date for the following reasons Permit No. ��� 5�- Date Issued J L a N / 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for,viep A 6pStem Construction Permit Application for a Permit to Construct O/Repair(Z-)'pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or ot No.4/ R1�96 �P 0/-1 V1:5 Owner's Name,Address,and Tel.No. / Assessor's Map/PM/ 2�-00' 4/ eU%G�/ F- Installer's Name Addrress,and Tel.No.S"-QE-C/20...-47,7_TF Designer's Name,Address,and Tel.No-siv _74U..3311 J4 Ivk 0-� &�ej�e 101 K �SUll'��c'. l_�7/ ,ol _e ,c� ._fr©es Wrj 1I/ t S'ss��rri.��� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures n: Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date ' Title Size of Septic Tank Type of S.A.S. ; Descriptibn,of Soil Nature of Repairs or Alterations(Answer when applicable) '/ SrildA//��/ � - /5x ta" d Lf t4,�~�.� <*fr� �/"b ir�lT� �9`Udli lfiY�c�Grrc� 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 andiiiot'`torplace,the'syst m n operation until a Certificate of Compliance has been issued by this Board of Health. Signed �r Date Application Approved by , , .'d_ / ! l? kp Date Application Disapproved by Date 1`•"''�-"�� � y __ ( for the following reasons Permit No. �'� Date Issued /t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliante THIS IS TO CERTIFY,that the/On-site Sewage Disposal system Constructed( ) Repaired( G) - Upgraded(e),.�. Abandoned( )by, •�i,� 111f, 4 J-1 15 12/Y s at ICt 6; 74a -;)!'t t//= U t/1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nw_-1)W1 `6'•5c�dated Installer f��S eAVZ ��� !4`'r'U S Designer J t�i= i 5!A'�/i!//, _ - f #bedrooms Approved design flow gpd The issuance of this permit shall nd/t be construed as a guarantee that the system will "c'.rl as designed. Date �,�/ Inspector t _ ��•- - No. _05 C Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS - a' Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade O,__ Abandon( ) System located at ' _;Z/ I/D C11-115 rIVp7 l�4'f V'/'= and as described in the above Application for Disposal-System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be c mpleted within three years of the date of this permit. t Date 1 Approved by r Town of Barnstable Regulatory Services Richard V. Scak Interim Director • .nsrrer�, • NAM Public Health Division " Thomas-McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: �` , t Sewage Permit# / Q.�2 Assessor's Map\Parcel 10d 7 q Designer: 1 V $1'4 EOV 6 v Installer: Address: _P0 ,�I Address: Rj/ �, —�-/9' c�o�S�,.dQ>!���ra� was issued a permit to install a (date) (installer) s 7tic1�c system at i r ' " based on a design drawn by �,�/ (address) i �i 1 �e dated �J 1 (desithi%eptic 4 � ' � XI certify th sys em referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters (if applicable) (In ller's Signature) MEYER �No. 1140 (Designer's Signature) (AffixN ere) PLEASE RETURN TO BARNS ABLE PUBLIC HEALTH D ON. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of BArnstable. P# 15 V?;Z- Department of Regulatory Services Public Division G � Date �rnss. g i �l U 3��s 200 Main Street.Hyannis MA 02601 ^ Date Scheduled i Ttme Fee Pd. ' f C)D ' Soil ,Suatabrlaty Assessment for S age Disposal Performed By: Witnessed By: LOCATION & GENERAL INFORMATION` / Location Address'. 1. ' l� l (y L Owners Name 1�l Wit,/ Ic-- V lT G � Addres's ( L ( C4 V S -striv Vtb v.W-- VVA Assessor's Map/P;lrcel: 6 X7/i-Y2-/(00-qEngineers Name NEW CONS1RUtON n �7 � AIREPAIR Telephone# „+0— 1 Land Use `�� S I/� ' " �1 `— Slopes(%) I —jI� Surface Stones M1 Distances from: Open Water Body ft Possible Wet Area> a C) ft Drinking Water Well >< ft . ' Drainage Way s_'ft Property lane � O , ft Other ft SKETCH:(Street name,dimensious'of lot,exact locations of test holei&perc'tests.locate wetlands in proximity to holes) . i i S� I i Parent material(gedlogic Ida 6J V✓ I "G I Depth t0 Bedrock Depth to Groundwakdr. Standing Water in Hole:' I Weeping.from Pit Fpee Estimated Seasonal Nigh Groundwater i DtTERMIN TION FOR SEASO�AL HIGH WATER TADLE Method Used: !' Depth Observed standingj•,n obs.hole: in. Depth to Solt mottles: v ln. Depth toiweeping from side of obs.hole: i M in. amundwtOr Adjustinent" ft• Index Well# Reading Date: index Well level Adj.fAetOt'....•_._,__ AdJ-OrOundwnter Level PERCOLATION TEST. Date Time Observation ( 'rime at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time.0 Time(V.6") End Pre-soak i Rate MinAnch Site Suitability Assel;sment Site Passed Site hailed: Addititmal Testing Needed(Y/N) Original:.Public i ie'alth Division Observation Hole Data To Be Completed on Back— i ou must first notify the ***If percola#6n test is to be conducted within 100' of wetland,y Y Barnstable C60servation Division at least one (1).wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole#.�_ Soil ColorSoil Other oil TextuDepth from Soil Horizon S(USDA)re (M resell) Mottling (Structure,Stones,Boulders. .Surface(in.) onsistenc %Gravel o'T- A LDY P 3 tj - HOLE LOG Hole#_ OBSERVATION DEEP OBSERVA Soil o Depth from Soil Horizon Soil Texture S( it Color trier Surface(in.) (USDA) Mottling (Structure,Stones,Boulders. Consistenc %Ora el kY 3 It- 4+ L ��_ DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. n Gravel .. s DEEP OBSERVATION HOLE LOG Hole;# N Soil Color Soil Other Depth from Soil Horizon Soil Texture Soil n Structure,Stones.Boulders. Surface(in.) (USDA) (Munselq g C resist n v Flood insurance Rate Map � Yes `aK'• • . ,.- 'Above 500 year flood boundsr!' No_ -- Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi 4 material exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ous material? Certification valuator examination a roved by the �0� 9 date I have passed the soil a PP n � ) I certify that o � Department of Environmental Protection and that the above analysis was performed by me consistent with the required rains expertise nd experi rice described in 3.10 CUR 15.017. �Sig nature nature - Date t 3� / O:\SEPTl0PERCFORM.DOC YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, V FL., 367. Main Street, Hyannis,.MA02601 (Town Hall) DATE . Fill in please: APPLICANT'S YOUR NAME: M 1 i Q 0e, IePq in C U r aL BUSINESS YOUR HOME ADDRESS: �21 NA TELEPHONE # Home Telephone Number SoR o NAME OFNEW BUSINESS filA r ice. "TYPE OE BUSINESS IS 7HIS A`ti01VyEQOUPATIG. ;� YES _NO Have yoo...oen given apprpval from xhe building.d�vision2 YES NO _ ADORES-OF 13USINES$ ( 1 Z. � MA.PJ'P,pRCEL NUMBER c When starting a new business.there are several things.you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need: You MUST GO TO 200 Main St: [oorner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ONER'S OFFICE This individ a(h een itnf e o any permit requirements that pertain to this type of business. MUST COMPLY WITH HOME.OCCUPATION RULES AND REGULATIONS. FAILURE TO uthoriied S' ure** COMPLY MAY R 9UL-T IN FINES. COMMENT : 2. BOARD OF HEALTH This individual has informq4j thib per requir ents that pertain to this type of business. Authorized Sig ture**. COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY This individual has been informed of the licensing requirements that pertain to.this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. t Fx t et DATE: -0'�)% (� 6°� Fill in please: APPLICANT'S YOUR NAME/S: _ " F BuuUS�IJN{ESS,1`� YOUR HOME ADDRESS:Al RicSC-�E -1-0 0 I`Q • y i kern � r ;y� a �' h�(SyD� `V�•.=)d•�� - r r� TELEPHONE # Home Telephone Number 60'6 10 3`� 5 NAME OF CORPORATION: NAME OF NEW BUSINESSSam�N�C'S C\ r-0', Oc-\ Cr W. 0-10i TYPE OF BUSINESS nJ 1 IS THIS A HOME OCCUPATION? _. YES ,NO :. ADDRESS OF BUSINESS P.I P66cC'V--P tl0 • 00-fu 1..4 (Y1 R O, MAP/PARCEL NUMBER 0a 7 `T ��7(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has ' .een iPdpV e,� o the permit requirements that pertain to this type of business. KW COMPLY WITH ALL . r I(r� Authorized Signature** HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 70/y TOWN OF BARNSTABLE Date: I I TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C_Nep% J O--1 f- 05 BUSINESS LOCATION: d 1 R:C'swa. I np N)A- O;tG 6T INVENTORY MAILING ADDRESS: PO . � . 9 2 G (3aGG 4 TOTAL AMOUNT: TELEPHONE NUMBER: y CA , 6 5-1 5 CONTACT PERSON: f\ . m-,,D r O EMERGENCY CONTACT TELEPHONE NUMBER: (5®`6) q CA. 3 1 MSDS ON SITE? TYPE OF BUSINESS: AtJC15CAV_IJ C5 1 C1ERQ1' 0 INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: . Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) 6AIC V Gasoline, Jet fuel,Aviation gas . Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED J Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash - --� r WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's ignature Staff's Initials Commonwealth of Massachusetts Jotui Grad ExecuWe office of ErMror mental AffOirs D.E.P. Title V Septic Inspector Department of P.O. Box 2119 Envlronrnontal Protection Te 5108) 5 MA 02536 D (508) SG4-GR 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR PART A CERTIFICATIONj�o 21 Ridge To Cotuit Address of Owner: g p ro 1 <r Property Address: Date of Inspection:317197 (If different) 4Fq�Bgo. '99J Name of Inspector:JohnGracl N? 00Y Meredith Pope Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PdSSBS This inspection is based on criteria defined in Title V code 310 CMR 15.303.MV findings are of how the system is _ Conditionally Passes performing at the time of the Inspection.My Inspection does _ Needs Fujther Evaluation By the Local Approving Authority not Imply any warranty or quarantee of the longevity or the Fails septic system and any of its components useful life. Inspector's Signature: A ><' Date: 3113197 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or D: j A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.) _ The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11115195) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 9 Telephone(617)292-5500 I ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 21 Ridge Top Cotult Owner: Meredith Pope Date of Inspection:317197 _ Sewage backup or breakout or high static water level observed in the distribution box is due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four 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 obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water. Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D] SYSTEM FAILS: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. _ Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 11115195) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 21 Ridge Top Cetult Owner: Meredith Pope Date of Inspection:X7197 D] SYSTEM FAILS(continued) 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater • elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11115195) 3 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 21 Ridge Top Cotult Owner: Meredith Pope Date of Inspection:317197 Check if the following have been done: x Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the 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. NaAs built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X 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. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115195) 4 I ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 21 Ridge Top COtult Owner: Meredtth Pope Date of Inspection:317197 FLOW CONDITIONS RESIDENTIAL: Design flow: 220 gallons Number of bedrooms: 2 Number of current residents: 1 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available: nla Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings,if available: n<a Last date of occupancy: rda OTHER: (Describe) ^fa Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped In the last two years. System pumped as part of inspection:(yes or no)Yes If yes,volume pumped: 1000 gallons Reason for pumping: Maintenance TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions 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)and source information: 1992 Sewage odors detected when arriving at the site: (yes or no) No (revised 11115195) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Ridge Top Cotuit Owner: Meredith Pope Date of Inspection:317197 SEPTIC TANK: X (locate on site plan) Depth below grade: 76" Material of construction:X concreate_metal_FRP_other(explain) Dimensions: L8'6'H5'7"W4'10' Sludge depth:4" Distance from top of sludge to bottom of outlet tee or baffle: 23' Scum thickness:7" Distance from top of scum to top of outlet tee or baffle:5" Distance form bottom of scum to bottom of outlet tee or baffle: 11" 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,etc.) d.Recommend pumping system every two years for maintenance. Septic tank and all components are structurally soun GREASE TRAP: (locate on site plan) Depth below grade: nla Material of construction: _concrete_metai_FRP_other(explain) Dimensions: n1a Scum thickness:nla Distance from top of scum to top of outlet tee or baffle:Na Distance from bottom of scum to bottom of outlet tee or baffle:n1a 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,etc.) nla (revised 11115195) _. 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contlnued) Property Address: 21 Ridge Top Cotuit Owner: Meredith Pope Date of Inspection:317197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Na Material of construction:_concrete_metal_FRP_other(explain) Dimensions: n1a Capacity: n1a gallons Design flow: n1a gallons/day Alarm level: n1a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nla DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: n1a Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) nla PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Na (revised 11115195) 7 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Ridge Top Cotult Owner: MeredlthPope Date of Inspection:317197 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present, explain: nia Type: leaching pits,number: a'W leach pit leaching chambers,number:nfa leaching galleries,number: nia leaching trenches,number,length: nla leaching fields,number, dimensions:n1a overflow cesspool,number:n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation,etc.) The overflow is structural sound and functioning ro erl , CESSPOOLS: (locate on site plan) Number and configuration: n1a Depth-top of liquid to inlet invert: n1a Depth of solids layer: nia Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater. n►a inflow(cesspool must be pumped as part of inspection) nla Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nla PRIVY:_ (locate on site plan) Materials of construction: n1a Dimensions: n1a Depth of solids: n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.) rda (revised 11115195) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 21 Ridge Top Cotutt Owner: Meredith Pope Date of Inspection:317197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' o� <14 Oe AA $� �� 31 DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11/15195) 9 TOWN OF BARNSTABLE LOCATION SEWAGE# gO JAI— 6s-2 -VILLAGE ASSESSOR'S MAP&PARCF&Z7-J5'2-00& INSTALLER'S NAME&PHONE NOSD�'7' d SEPTIC TANK CAPACITY /ODO LEACHING FACILITY:(type) °� -S�� �l�i��?'JO�rJ�(size) �Sx J3 NO.OF BEDROOMS 3 / OWNER%e,'r7 s PERMIT DATE: ,2 —S' / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland 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` ° lg2"3gG � ��' 32•�... oq7-. . .3 Q 1 � OF BARNSTABLE r� LOCATION /_p fi.-d(5e 1 rl SEWAGE # / j--1;L VILLAGE � / ASSESSOR'S MAP & LOT 6.27-IV-2-tlb y INSTALLER'S NAME & PHONE NO. �p./�n A Alal�O y,Zf j5"yJ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �, (size) &00 NO. OF BEDROOMS- _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER /01c e DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 7 — 2.2 42, VARIANCE GRANTED: Yes No 1 � � O'7f/ II .� ' ` � I �.3a � � � - � I �. o f �� -- _ ASSESSORS MAP NO: a PARCEL NO: No.,fa.J.1 .. F>s........ _ THE COMMONWEALTH OF MASSACHUSETTS BOAR®. OF HEALTH ' TOWN OF BARNSTABLE .gyp iration for Uispniia1 Workii Towitrurtiv is ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...............c.., .. = ....---------- -----.........------......--.---- ----- ................................................ Location-Address or Lot No. .....C'o Nf •-•..................... ........ ......•-- /Q_- = �.1. f.. d ess ............... Owner .................... ..:....t. _L..1Q---=------------------------------------------ /� • f s Installer Address d Type of Building Size Lot.../-.3;1...7241-----Sq. feet U Dwelling—No. of Bedrooms........ .................................Expansion Attic (IV p Garbage Grinder (A40 aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) dOther fixtures -----------••-• •-•--•••--••--•---•--•-••••-•--•----•-•--...•--••------•--•••-••--------------•-•••-••••------•------...........----....-•••-•-•--•- W Design Flow..........................ate----_gallons per person per day. Total daily flow............._.3.a. .............gallons. W Septic Tanks-Liquid capacity./_.._.._..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.4�".2--`g.q.sq. ft. Seepage Pit No.........I.......... Diameter...... Depth below inlet................... Total leaching area....--_--...--._._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 7- 1 a �C 576/1 X x 3q 2 C a /D aPercolation Test Results Performed by-•-•................................•••----•----•-•---•--...........----_... Date....................................... Test Pit No. 1_____z-....minutes per inch Depth of Test Pit....l.'L..;...... Depth to ground water........... (r, Test Pit No. 2.................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ --------------------------------------------------••---•---++��— ....--------................................................... .------------- O Description of'Soil............................................ Via..... -----tit. ' �i-'C-- ----•----•-•............•---••... UNature of Repairs or Alterations—Answer when applicable................................................................................................ -•------••----------------------------------------•-----•--•----...------------------------....---••------------------------------------------------.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bird of lth. Signed -. -- �... -------------- Dme Application Approved By ...... - - Da,e-� Application Disapproved for t e following reasons- ----------- -------------------- ---- --------- --------------------------------------- ----------- ------------- -- ------ ------ ------------------------- ---------------------------- - ----------------------------- ---------------- -....................................................... -- --. ..------............................ c� 1� ��............................. Issued ..... --.............D......-------......--------.-Da[e...... Permit No. ........ ....-.. - ----- Da[e 7 No.. :� f a / FEs .............../.%?.tea . r y y THE COMMONWEALTH OF MASSACHUSETTS 7 `! '4 BOARD OF HEALTH TOWN OF, BARNSTABLE Appliration for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ---------------.... .g....td > ..................... �f -�# ------•. --•-------..........------. Location-Address n or Lot No. .._.....f-v'• 2 cP�T�1C'........c'.Aj.-f..:t................................... .....................f== •�1_.Sf............... Cat ................... W ' l Owner Add es s ,-� -----------------�........1-� 1 �x----------------------------------------------- -•--•-..._........----f .....y l_c--�--�;--------------•-------------•---............ Installer Address Type of Building Size Lot---�_7��...�!?�f.....Sq. feet U Dwelling—No. of Bedrooms---------�.............•--------------..--.Expansion Attic (�� Garbage Grinder (/t_YOa aOther—Type of Building ............................ No. of persons--...--..................... Showers ( ) — Cafeteria ( ) P4Other fixtures ---------------------------------------------------------• •••--••-•--•-•--•---------------•---------...............---------........---•--•--------- W Design Flow..........................5 .......gallons per person per day. Total daily flow................. 3_-12.............gallons. WSeptic Tank Liquid capacity.l°g_-gallons Length................ Width................ Diameter.........--..... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching areak'`.1 -S!.sq. ft. Seepage Pit No---------I----------- Diameter...... X_. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , p Ic S t6 ti x x 6 R Percolation Test Results Performed by.......................................................................... Date......................................... ,aa Test Pit No. I........Z ...minutes per inch Depth of Test Pit...../-.�........ Depth to ground water..........4-6...... 9Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................---. a' •-••---••--•---------------•••-•-•••......--•-••-••--•----- --•--•--------....... D Description of Soil----••---------•-----•-••----------•-•----.0.r...G....------- .� ,-,n x r W ---•-••--------------------------------••-•-•-----•...-••--•-••----------- yC/-----•-- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bo rd ofhnith.Sigpned (�^�I' C %^"-�'- .......---� -1 D ------------'--............."'"TJ Date //(///////// lj Alication Approved B ---------------------------------------------------------------------------------- e pp pp y ------...... Application Disapproved for t e following reasons: ........... - -------------------------------------- ....................................... Date Permit No. ..... `l - 1- `f...... ......... ..... Issued .. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of Tontyliance ? THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------------- - t• :------- � nstaller at ..... �.Q�------y �wit t - - -- ------ ------------------------------------------------- -------------------------------------------------- has been installed in accordane provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------- c'�.-----la_y........... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU- -N�CTION SATISFACTORY. DATE-------------------- / - - -r........,.. ----._....._..........---..... Inspector ................. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No... .C�..�-_: FEE....66 G Disposal Vorkii Tnnotrudion Prrutit Permission is hereby granted �.. 'fr ��J---- to Construct (�'or Repair ( ) an Individual Sewage Disposal�ystew atNo........... �s,.ram C .�� -t'-------•----------------------••------...---- ----------- -----------------------------------•----------- Street as shown on the application for Disposal Works Construction Permit No.- - --.-/A) Dated-................................. ...... Yam=''` . . ,/ -------------------- �/`.... ^. Board of Health DATE........... FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS LEGEND COTUIT PROPOSED CONTOUR®�r LOCUS PROPOSED SPOT GRADE —— 98 —— EXISTING CONTOUR + 96.52. EXISTING/ SPOT 'GRADE y W— EXISTING WATER SERVICE z LOVELL'S POND TEST PIT D j pP0 vz . m OF ' \ �D t O L=38 p O LOCUS MAP R�sS0, , i LOCUS INFORMATION „( L_65,91' 7 _ PLAN REF: 430/011 Y' vent TITLE REF: 10727/096 PARCEL ID: MAP 027 PAR. 142/004 .2 FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE V SEPTIC SYSTEM �� tl °\ / '� REPAIR PLAN EXIST. 1,000G =� � ° 80.0 LOCATED AT: - SEPTIC TANK/ 0N - 21 RIDGE TOP DRIVE D kI S T ►29' �,;'� , 79.0 C O TU I T, MA 78.0 o PREPARED FOR E� p of `�� CURTIS RENCURREL >6 30 % 77.o 0 76.0 JANUARY 31, 2019 '. ^%c LOT 4 Aj AREA = 13503 sf+— 41 ASSR MAP 27 PARCEL 1 42/004 DA REN M. PLAN BOOK 430 PAGE Oii o M \ No. 1 V . '�E'6/STEM MNITOL V ss3�.�• . O lip MEYER & SONS, INC. P.O. BOX 981 EAST SANDWICH, MA. 02537 s?sue, PLAN PH: (508)360-3311 4 SC-ALE: 1 in = 2.0 ft FAX: (774)413-9468 0 20 40 meyerandsonstitle5@gmail.com 6 10 20 40 SHEET 1 OF 2 J 1894 ELEV. TOP DROP FND. NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (77.0-78.5) = 76.30 F.G.EL: 76.0 F.G.EL: 76.0 F.G. EL: 76.5 VENT a MAINTAIN 2% MIN SLOPE AVER LEACHING AREA i X X F.G.EL: 74.10 �: ;, 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" .• . STONE OR FILTER FABRIC DOUBLE WASHED STONE " 4" SCH 40 PVC .41 1o"t 6 MIN. ®®®® O ®®®E3 14 ® S= 1% ®®®®®®®®®®® TEES ARE TO BE ( , ) ®®®®®®®®®®® 4" SCH 40 PVC INV.72.50 2 EFF. DEPTH ®®®®®®®®®®® " INV.72.83 i g INV. 72.30 4' 2 X 8.5' 4' GAS PROPOSED DB-3 EXISTING OUTLET BAFFLE EFFECTIVE LENGTH = 25' •. •. DISTRIBUTION BOX INV. 73.48 INV. 73.08 ARM (1-120) INV. ELEV.= 72.05 EXISTING 1 ,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����`� OFss9� BREAKOUT OUTLET TEE AS MANUFACTURED BY y NOTES: TUF-TITE ZABEL, OR EQUAL o D RR N / TOP CONC. ELEV.= 7305 ELEV.= 73.05 , 1) CONTRACTOR SHALL VERIFY ALL EXISTING . . 1 � E R . ,:. •. .:. PIPE INVERTS PRIOR TO CONSTRUCTION 1 o. 1140 " INV. ELEV.= 72.05 •®®~ ®® 2) D-BOX SHALL BE SET LEVEL AND TRUE TO \ ®®®®®®® GRADE ON A MECHANICALLY COMPACTED SIX ®®®®®®® INCH CRUSHED STONE BASE, AS SPECIFIED IN !� ®®®®®®® �NITAR�a BOTTOM EL.- 70.05 310 CMR 15.221(2) 'G1 3.75' 5 FT. 3.75' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK IF FAILED, EFFECTIVE WIDTH = 12.5' DAMAGED OR UNDERSIZED. _ SEPARATION 5.30 FT. 4) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 64.75 SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: DESIGN CRITERIA I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS • P#: 15882 BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JANUARY 25, 2019 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: DESIGN PERCOLATION RATE: <2 MIN/IN - 310 CMR 15.405 (1) (B): WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. 1) A 2.45 Fr. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING p GARBAGE GRINDER: NO not desi ned for arba a under TO BE 5.45 FT (MAX) BELOW GRADE VS REQ'D 3 FT. (H20/VENr PROVIDED) Elev. TP-1 Depth I Elev. TP-2 Depth ( 9 9 9 9 ) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILIFD PRIOR 77.25 0" 78.10 0" SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. A LOAMY /1 0�SAND A L0�S3A/1 LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 76.92 4" 77.60 6" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN B LOAMY SAND B LOAMY SAND USE. TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/. 4' ENGINEER BEFORE CONSTRUCTION CONTINUES. 1OYR 6/8 10YR 6/8 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 75.58 C 20" 1 76.10 C 24" STONE ON ENDS & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF MEDIUM MEDIUM BOTTOM AREA: 25 x 12.5= 312.5 SF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. PERC TEST SAND SAND SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED O EL 74.25 2.5Y 7/4 2.5Y 7/4 TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING (� CONSTRUCTION. 10. 1SH PUMPED. CAND FILLED PER TITLE 5. 64.75 150" 66.10 1 " 111. 48OUR NOTICE FOR ENGINEER CERTIFICATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN �\ 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PERC RATE <2 MIN/IN.,(•C2• HORIZON) 21 RIDGE TOP DRIVE, C OT U IT, MA AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATER OBSERVED 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. Prepared for: Rencurrel 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Design and Site Plan by: SCALE DRAWN DATE 15. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPECIFlED) MEYER&SONS,INC. N.T.S. DMM 01/31/19 • I, Barren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 16. REMOVE UNSUITABLE SOIL 5 FT AROUND PROPOSED LEACHING TO TOP OF PO BOX981 "C2" LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 REQUIREMENTS. to conduct soil evaluations and that the above anacertify that Eva has been performed by consistent With the requirements of 310 CMR 15.017. I further certify that I have passed the Soil Eval. Exam in October, 1999. _ EAST SANDWICH,MA 02537 REV DATE CHECKED SHEET NO. 508-362-2922 DMM 2 of 2 s EL:=_80_ 20' k7N HORIZONTAL DISTANCES TOP OF FOUNDANON CONCRETES' COVERS 2"LAYER OF GROUND EL. 79 1/8'-1/2' TT� _ CONCRETE COVER9' WAS STONE 12MAX EL=79.80 FINAL GRADES PITCH I/4" PER FT N chimney/' 4' SCHEDULE 40 P. V.C.DjsT 1 . FLOW LINE Prrcr�1/e-PER EOX \_BMW 4" CAST IRON 110,. PRECAST '1 EL.=—�1.�_ OR SCHOULE 40 SIN 19 g^ e g .g � -c L AChhINNG fifi R`' ` cxSIM . EQUIVALEN'P WITH 8' OR P.V.C. PIPE INVERT .e. a 0. ST011� *INVERT p INVERT EL.= 71_ q °a OF COVER 25 EL EL= 1. .=-m3- p Oct INNER INNER 0 - SEPIX V W 0O 1 p' 9�TGALLONS EL.=_20 EL._ 70.1 a _ o° AsxED sT NE 10' ° , c H,�D WITH 6 , ° EL = 66.1 OF COVER 20 6'DIAM APPRO VED: BOARD OF HEALTH LEACH PIT 10' S1 DATE AGENTRID G BOTTOM OF TEST HOLE EL=NW =-- __--` PROFILE OF LEACHING SYSTEM WITHIN 250' OF \ \ L=38.17� o PROTECTED WETLANDS AT APPROXIMATELY SEWAGE DISPOSAL SYSTEM 220 BUT BOTTOM OF SYSTEM IS GG R�30.Op' �. �p APPROXIMATELY 2L 1 FEET'ABOVE o � �'� � NOT TO SCALE ma's ESTIMATED MA UNUY WATER TABLE \ 00 L ALL ELEVATIONS ASSUMED LOT 3 � �-- RATERS \ �� -``' SOIL LOG PROPOSED CONTOURS 4�, 4 �. WITNESSED-.' BY. D. MIORANDI � 7 o 1�0 T 4 DATE � 92— HEAL TH OFF/CER oO ° �' % TEST HOLE 1 s` TOWN' OF BARNSTABLE' .,� . .a 0 \\ EL.= 73. 0 •. .�. IY. LIEBERMAN ENGINEER o P 857 ' \ \ — OP SOIL PERCOLATION RATE 2-- MIN./ INCH 6�-24 SUB SOIL ,: V jTP ,. D ESIGN DA TA. OPEN o #x y} s o = ^ ANAL NUMBER OF BEDROOMS 3 0 °° o 9 Qt; � o o GARBAGE .:DISPOSAL NONE ° c . � 00 TOTAL ESTIMATED` FLOW 330 GPD -- ow jy S . \ � a� _ _M_2....,GAL BR , DAY x -3-- BR. fo •.� #w° 2 12 MED SAND ( / ) S7 EL 61 SEPTIC TAPvK CAPA ITY C -----1000— GAL. s � b o. -s LEACHING AREA REQUIREMENTS ` NO - REOCTPOINT WA TER ENCOUNTERED � t \. BREAK D U SIDEWALL AREA 2�_ GAL S.F. 2 MAX WATER ELEVATION 0 � G \ REQ UIREI) DISTANCE BOTTOM AREA GAL./S/F 7 ESTIMA PED AT EL 45 5 . 2 6g I,E'ACHING; CAPACITY ( BOTTOM & SIDEWALL) 392_ GAL DAY , X 150 3D REQUIRED , \ _3 ABOVE BOG WATER\ 0 B 2 _ 55 :PROVIDED BOTTOM 1'1X10 4X1. D - _7•8 LEVEL o 1 SIDE 2TXIOX4X2.5 314 \ RES R - \ z_e \ EVE LEACHING CAPACITY 392 330 - 6� GAL DA Y .� � GENERA NOTES / 1. THIS PLAN.IS FOR INSTALLATION OF NEW SEPTIC PROJECT LOCATION LOT 4 2. PLAN REFERENCE BOOK 430 PAGE_11 ly RIDGE: TOP ROAD \ 3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM_ BARNSTABLE AND NOT O USED �4 T BE ED .FOR SURVEYING OR ZONNING PURPOSES. APPLICANT` , n McSHANE ASSOCIATES 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. y �, .� TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS `Y��� r �0�� i FOR ,THE SUBSURFACE-DISPOSAL OF_SEWAGE. �' 5. ALL COVER TO SANITARY+` UNITS SHALL BE BROUGHT TO WITHIN ti \ �� L2" OF FINISHED GRADE \�� �o '� ca 6� 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE o YANKEE-SURVEY CONSULTANTS \ ' coSAME, UNLESS NOTED BY FINAL CONTOURS. P. O. BOX 265, 143 ROUTE 149 7. ALL COMPONENTS OF .THE SANITARY. SYSTEM SHALL BE CAPABLE LOCUS MARSTONS MILLS, MA. 02648 0 OPEN OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER \ H. 508 428-0055 - 50B 420-5553 OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SPA CE SHALL BE USED UNDER OR WITHIN 10' OF DRIVES'OR PARKING. \ � � SCALE.- 1„-_ ZO' DATE.• 3117192 UNLESS NOTED. LO VELLS 1 8. ANY MASONRY UNITS USED TO BRING COVERS TO,. GRADE SHALL BOG POND REV.R - BE MORTARED IN PLACE. REV 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR 'ZONING :REGULATIONS. OWNER/APPLICANT IS TO JOB ND. �3 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. LO ATION MAP 50114 SHEET 1 OF 1