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0042 ROUTE 130 - Health
42 ROUTE 130 Cotuit A = 010 — 006 h 'TOWN a ASTABLE LOCA,'TI4Ix1 yL R -l SEIp,GE#2c9 f 7 ,� VII.I,AGFt ::CQ r�' A.SSESo�'s ► :LQT-®to bd6 7MSTALLER' got '�vQ tO. SEPTIC TA�tK CAI'AGT!'X ,DOD F1�C0� I5'o�/.�J6® P��''1 f G�hlx�3 LEACFit�tG FACILI'�'tty,��3 � t'-DhR r�Q . PlP�zs' (sue) �9 7r�a`t S ham.: NO.'OFDED oor Z Separation Distance 8etvrreene um" uus Groundwater Table to the Bottom of Leaching Fa4ity Feet Pnvate Aster 3appty�de11 and Leacng Facility ([€:any r�reils Est an site ar untture foet bf 3eactnng feat Edge o£Wet#and and Leactung}"�aaltty(If ariy wettands exist (� wittun 3d0 feet q teaclun f . 1 .. Eurtus6ect by," �` � ✓k7 f2.*AVr ZfGvsG' V)L _ 120°6 ® P� i D6 'ff}W�Ti U��ARNSTABLE SEWAGE;# VII.LAC*$ t�Ut� i�' A.SSESSQR'S�Rr#AP&LQT IlMTALI.ER'��dAi &PfiOt AitJ SEPTIC TANK._7--AC£I'Y LEACf3Il�1G FACIg.1Tlt (type) N0 .OF B,ED�0C3MiS EtJiI M. C1R QWi tER PEMMDA7 flIV..... � Soparation Distance Betvreen.the Maximum Adlusterl t totmdwator Table to the Bottom of Lead tng Facility l+eet Private'�4►atac�uppty`9deli'aridL�ng Facdity (g€aay�re�s ex�s€ an site or anttnn 200 feet a€le�nngfac�t r) met Edge:of�letland and I.caciung�aa�ty(If any wetlands exist within 3(i01eet aFleactua faWty) 1 Fit Ft�rtushed b T�-e F L y� ark 3 �� - �7 ' B-a - 3 ` No. 0 1 Fee �d THE MMONWEALTH OF MASSACHUSETTS Entered in comp te�i r:��ee, PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliiation for Disposal 6pBte tt Construction 3pPrmit Application for a Permit to Construct(Repair( ) Upgrade( ) ..Abandon( ) Complete System ❑Individual Components Location Address or.Lot No. 0 / 0—d D�O Owner's Name,Address,and Tel.No. Assessor's Map/Parcel c 3,0 C./d �+, y L,vt ale 73 je Installl/er's Name,Address,and Tel.No. / Designer's Name,Address,and Tel.No. Type of Building: L/ Dwelling No.of Bedrooms n� ` ��� M;ii -vkxot Size sq.ft. . Garbage Grinder( � Other Type of Building �e 5 No.of Persons Showers( ) Cafeteria( } Other Fixtures Design Flow(min.required) C9ad gpd Design flow provided gpd Plan Date Id Number of sheets Revision Date Title / Size of Septic Tank /5-0 Type of S.A.S. ;`� r, / Description of Soil Ss, L d A^-% �© o � Nature of Repairs or Alt rations(Answer when applicable) L'(N /S U z) '� leC, cC, Tel 1 PC 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 Environm ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Sign d Date a- Application Approved by Date �� Application Disapproved by Date for the following reasons Permit No. 7-- J Date Issued 0 v r'll -'] f No. V/ / ( ;Ild�/ -! 1/ p (�� �` �A ���� Fee ' Entered in computer: o THE COMMONWEALTH OF MASSACHUSETTS a �-- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Misppsal 6pstrm Construction 3permit Application for a Permit to Construct( Repair( ) Upgrade(.)`�4-Adon('°') [9 o plete System ❑Individual Components Location Address or Lot No. C) 10 G Owner's.Name,Address,and Tel.No. Assessor's Map/Parcel R�L 13,0 6-A. Install is Name;Address,and Tel.No. Designer's Name,Address,and Tel.No. z ��� /y���/ry � Gam' •..���� /����s C`���,�' Type of Building: p "�� Dwelling No.of Bedrooms " l`lj d {t'dLot Size sq.ft. Garbage Grinder(� v -v- Other Type of Building �/1 f''S No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures i Design Flow(min:required) r C) gpd Design flow provided %� t 9P gpd Plan Date d ' ' l�� 1 Number of sheets Revision Date Title Size of Septic Tank 1 YU 0 mod. � Type of S.A.S. , Description of Soil Nature of Repairs or Alterations(Answer when applicable)/A )('tv' /To o Q ; `w Q /V C',,) .1r,e 66, l 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 Environm ntal,Eode and not to place the system m operation until a Certificate of Compliance has been issued by this Boar�of da, Signed �3w.. �W' gn � � Date Application Approved by !'� A., Date -2 Application Disapproved by y Date for the following reasons 4 Permit No. .?G { 7-- LI � Date Issued s j - THE COMMONWEALTH OF MASSACHUSETTS';.,- BARNSTABLE,MASSACHUSETTS ` . Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired " Upgraded( ) Abandoned( )by �A ,F(A)" _- at (� _ �' -/ - r�. a 1 has been constructed in accordance- with the provisions of Title 5 and the for Disposal System Construction Permit No. 2t,1-1--t/j6 dated Installer Designer #bedrooms. ,� '~ (j!`rJ t �' Approved design flow ,d.2 gpd The issuance of this permit shal mall not be construed as a guarantee that the syste will tion des ee Date . /. /r� Inspector®� ----------------------------------------------------------------------------------------------------- --------------------------- No. 0 a '? -. L! ' Fee � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposaf 6pstem Construction permit Permission is hereby granted to Const ct( ) Repair(v1 Upgrade( ) Abandon( ) System located at t><� / V r 6 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be"completed within three years of the date of this permit. Date ! .�t "l Approved by r f f Town of Barnstable ' Regulatory Services 0 g rY Richard V. Scali,Interim Director • snsxsrnace. • 9 MASS. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:'508462-4644 Fax: 508-790-6304 1 Installer&Designer Certification Form Date: 312A I i$ Sewage Permit# 201745(Q Assessor's Map\Parcel 1 y/Olo Designer: 7.E.Le-1LeQ5-69u y Installer: SEA.,1 N&-aoy Address: (?p. gn\[ 'Yda Address: Si4oKAs LA,,aou2.S eb F'At.r+w`W t•tA. QZ574- rALrY:ou i tl- #-+e. On 6212e. 7 .-TkAo t`'lc L erg\/ was issued a permit to install a (date) (installer) septic system at >r 13o Ca�Tu�� rt based on a design drawn by (address) C-&"l� dated /2S it`Z - fZE)J 560; {o(z.5Nr (designer) 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 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 ( or maJj changes i.e. g 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 construc lance with the terms of the IAA a ers(if applicable) Q� OHN (Installer's Signature) A (D igner's Signature) (Affix De ':_ mp Here) .0000 PLEASE RETURN TO BARNSTABLE PUBLIC HE�A- 1'R�Di ISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUEIVUNTEL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BNRNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepdc\Designer Certification Form Rev 8-14-13.doc is': i.y1 .. F THE T 1 / Town of Barnstable + )3A%*4STABM 9� 6 ,� Board of Health ArFD�,l a 200 Main Street, Hyannis MA 02601 Office: 509-862-4644 Paul L Canniff,D.M.D. FAX: 508-790-6364 Junichi Sawayanagi Donald A.Guadagnoli,M.D. December 4, 2017 Mr. Jack Landers-Cauley P.O. Box 364 West Falmouth, MA 02574 RE: 42 Route 130, Cotuit A= 010-006 Dear Mr. Landers-Cauley., You are granted variances on behalf of your client, Linda Kaye Lind, to construct an onsite.sewage.disposal system at-42-Route 130, Cotuit. The variances granted.are as follows: 310 CMR 15.2110): To install a soil absorption system 8.5 feet away from a property line, in lieu of the minimum setback of ten feet. 310 CMR 15.221(7): To top of the septic tank /pump chamber will be installed 5.5 feet below the finish grade, in lieu of the maximum three feet cover allowed. These variances are granted with the following conditions: (1) No more than a maximum of two (2) bedrooms are authorized. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) Prior to obtaining a.disposal.works construction permit, the Owner shall execute and record at the Barnstable County Registry of Deeds, a deed restriction restricting the property to a maximum of two (2) bedrooms. A copy of the- recorded-..deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in substantial conformance with the revised engineered plans dated October 19, 2017. QAWPFILESEandersCauley KayeLind Moutel30 Variances 2017.docx (4) 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 October 19, 2017. ZS' cerely yours, a io'D.V. V Chairman Q:\WPFILES\Cauly KayeLind 42Route130 Variances 2017.docx 1 1-24-2 t 17 DEED RESTRICTION WHEREAS,Linda Kaye-Linde of 43 Depot St.,Douglas,Massachusetts is the owner of 42 . Route 130 located at Cotuit,Massachusetts as more particularly described in a deed duly recorded in the Barnstable County Registry of deeds in Book 19872,Page 290 or document number 35730; WHEREAS,Linda Kaye-Linde 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 in any home built on said lot as pre-condition to obtaining a disposal works construction permit in compliance with 3IOCMR 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 single family home on this property,is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County \ Registry of Deeds by recording this document; , NOW THEREFORE,Linda Kaye-Linde 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: 1. Linda Kaye-Linde may have constructed upon the lot a house containing no more than two(2)bedrooms.Linda Kaye-Linde agrees that this shall be permanent deed restriction affecting land located on 42 Rte. 130,Cotuit,Massachusetts. For title of Grantor see the following deed: Book 19872,Page 291. Executed this o1 L( day of November,2017. Pkl4,e --� Linda K e-Linde Commonwealth of Massachusetts Worcester,ss. On this a4 day of ►d'0 d"M fJa� ,2017,before me,the undersigned notary public,personally appeared Linda Kaye-Linde proved to me through satisfactory evidence of identification,which was 7"D>_photographic identification with signature issued by A federal or state governmental agency,_`Q oath or affirmation of a credible witness. _ personal knowledge of the undersign,to be the person whose name is signed on the preceding or attached document(s),and acknowledged to me that he/she/they signed it voluntarily for.its stated purpose. -- �`.�`1�;GQrj,1111SS/pi;?C''4� Notary Public y pY 3 My commission expires n , rat �y O......• BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register AsBuilt Page 1 of 1 TOWN 0 BARNSTABLE SEWAGE . ;yr t;OCa�TIOr� �a R�e . l 3 0 `- VLLAGE ASSESSOR'S`hiAP I.OT' `S 1�tANffi FOONdE IvO. II��fA�LLER SEPTC TAfiix CAPACITY C - A ACFIENG FACH.I`IY:tom) S tsixe U � NO:OFBF,D�OOMS. Bvu,pE>z'o�or Scpazsttan Dtstancc Between Ehc Maxunum A;cl�uste�GoundwaierTabfeto the Bottom bf l.eachtng Fality F Private Want Supply Well and Leactung FactlFty (ff any wens exist an sf to of within 20D feet of leaching factyy •Ed'ge of V!lztdand andLeasiung raet�ty(If any ivettands.ez�st with4n 3d4 feet of 1=1c ri 1ac:lttY) F Parnished`by -, r, V • � r a • -1-1v9 A _3 s: f http://issgl2/intranet/propdata/prebuilt.aspx?mappar=010006&seq=1 12/26/2017 EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES OF 10/24/17: A. J.E. Landers-Cauley Engineering representing Linda Kaye Linde, owner—42 Route 130, Cotuit, Map/Parcel 010-006, 1.08 acre parcel, failed septic system, multiple variances requested. Jack Landers-Cauley presented a revised plan dated 10/19/17. He mentioned that this system has zabel filters which do get clogged faster so the engineer put on the plan that the filters are to be inspected and maintained at least once a year. Upon a motion duly made and, seconded, the Board voted to grant the variances winconditions: 1 a revised plan will be submitted which will add the u' with the following ) p P � variance request of setback from septic tank to well (less than 100 feet),.2) a two- / bedroom deed restriction will be recorded with the Barnstable County Registry of Deeds-and 3) an official copy will be supplied to the Public Health Division. (Unanimously; voted in favor.) /I FY 1 0 1� r y�� f T oF1"F r. Town of Barnstable Barnstable Regulatory Services Departments AB-Amedcaedv 9� 1639. ,�� Public Health Division 200 Main Street, Hyannis MA 0260.1 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4990 0614 August 2, 2017 KAYE, SALLY W 43 DEPOT ST DOUGLAS, MA 01516 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 42 Route 130, Cotuit, MA was inspected on 07/18/2017 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching pit or cesspool with high liquid level, <12" below inlet (per Town Code 360-9.1). You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Tho as McKean, R.S., CHOP Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\42 Rte 130 Cotuit.doc 9 SENDER: • •N COMPLETE THIS SECTIONON DELIVERY a complete Items 1 2 and& P , . Age. Print your name and address on the reverse `Addressee so that we can return the card to you I� ,tri q. w Attach this card to the back of the maflpiecen B� by(" ' df1 e) G,f) of ivery or on the front if space permits,. (� �CIt 7e 0 1. Article Addressed to: B. is delivery address different from Win W 0"Yes if YES,enter delivery address below; fl No f °aA_e Salt pep& TV 0 we IIIIII IIIIIIIIIIIIIIIIII IIIILIII IIIIIIIIIIII as94e1► 4��Qer4Me11 L7 AduR$Igttature t7 R9glsWed Meld Rqwged 9590 9402.1934 6123 0975 62 o c M Reatdcted oelhe,y `:y ReWo ror > ❑Collect 06,Delivery emhand. _Article.Number fTr2nSler from seni ce!ab@I} ' O Colleck on Delivery FIGWC ed Delivery O Signature Co-Ii 1R9 n_r„d„nod.n�) 0 signature-Confl on 4- 7 015 1730 0001 4990 0 614 I Resb,�ea De1 �' ReaMcted oeiNe 11?S Form`3811.,July 7i6 PSN 7530-02-00b=J053 tf 5rriestic Return Rece. ,k II 4 UNITED STATES POSTAL SERVICE • . :. . . . . First-Gass 11�ai1 P.ostegR&Feesa#... "IJSPS„ `" id Sender: Please print your name, address, and ZIF �� in this box * �:. �e t� S >1 PO r�tf�.tlr.�rlfrftrr�ff�j��r�fr'��fl'�fl'���flif�►�rlf��llf'��+.�; 1 Town of Barnstable sAxxsrAerE, MAMRegulatory.Services Department Public Health Division 200 Main Street,Hyannis MA:02601 Office: 508-862-4644 Richard ScA Director FAX: 508-790-6304 Thomas A McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO•REPAIR FAILED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground . ❑Pumping more than 4 times during the last year not due to clogged or obstructed pipe; :. ❑Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1)YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicat e well is free from poll . 2 YEAR DEAD q Single Cesspool• ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) i5 Leaching pit or cesspool with high liquid level,<12"below inlet (per Town Code §360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER CI Repair deadline: Q:\SEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doc I Dlb -006101 l o Commonwealth of Massachusetts E `a= G� Title- 5 Official. Inspection Form ' ,'f�I Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,i ' 42 Rte 130 m, w -- Property Address KI John Linde t� Owner Owner's Name information is required for every Cotuit ' MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection F t t"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. A. General Information /0?y(o8 1. Inspector: , Shawn'Mcelroy , Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification . - I certify that I have personally inspected the sewage disposal system at this address and that the information reported below,is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: d ❑ Passes, , , ❑_ Conditionally Passes ® Fails ❑ Needs Further Ev tion by the Local Approving Authority E ' 7-18-17 Inspector's Signature Date The system inspector shall submit a copy'of this inspection report to`the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority, ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 G�G� Commonwealth of Massachusetts Title 5 Official Inspection Form �1'.1 I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9.ss!a 42 Rte 130 Property Address John Linde Owner Owner's Name information is Cotuit MA 02635 7-18-17 required for every ` page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 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: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old` or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 i ' Commonwealth of Massachusetts - f Title 5 Official, Inspection Forml w rl Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments a% 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ,- - B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed,pipe(s) or-due to-a broken;settled'or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): 0- obstruction is removed ❑ Y ❑ N "❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N' ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is'removed ❑ Y ❑ N ❑ ND (Explain below): C) Further.Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless`Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ 'Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or'privy is within"'50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form I �'+ :t � I Subsurface Sewage Disposal System Form Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts ,. a:=1 Title 5 Official� l nspection Form" ' WTI Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 42 Rte 130 Property Address + John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes , No „ , .• . ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or ❑r ' ' ® 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. ❑ ®-1 Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This •-. ;� -system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® El The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. _ Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection ❑ ❑ Area ' IWPA).or a mapped Zone II of a public water supply well ` if y`ou have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts � Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts f� Title 5 Official Inspection Form • Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information - Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ® Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)):, Detail: Sump pump? r ❑ Yes ❑ No Last date of occupancy: f Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present?. ❑ Yes ❑ No Industrial waste holding,tank present?. El Yes El No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: . t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form '' �I Subsurface Sewage Disposal System Form Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is Cotuit MA 02635 7-18-17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts az , Title 5 Official Inspection Form`f I Subsurface Sewage Disposal System Form Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1974 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 611 Depth below grade: feet Material of construction: ® cast iron' El 40 PVC ® other(explain): Orangeburg Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Orangeburg pipe in poor condition. Septic Tank (locate on site plan): Depth below grade: On gradefeet 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: 1000 gal Sludge depth: 12" i. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ., Subsurface Sewage Disposal System Form -Not for Voluntary Assessments p_J�!✓ 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 41 Commonwealth of Massachusetts � Title 5 OfficiaU Inspection Form #y ,w�l Subsurface-Sewage;Disposal System Form.-Not for Voluntary Assessments /aFP.4/W 42 Rte 130 k Property Address John Linde Owner Owner's Name information is Cotuit MA: 02635 7-18-17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal - ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons i Design Flow: F gallons per day Alarm present: ❑ Yes . ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 , Commonwealth of Massachusetts :a=�l Title 5 Official Inspection Form %I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan):' Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box is in poor condition and breaking apart. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts ,I Title 5 Official Inspection Form .� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: 1-20'x20' I' ® leaching fields number, dimensions: Estimated ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach field has 5 orangeburg lines with all five showing signs of wear. Visual inspection of the stone in the leach field shows sign of overflow. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): j I Number and configuration Depth-top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments v% 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Tithe 5 Official Lnspection Form ��I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a� 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A -3 U--N,9 8' - ' ' L/- ', -3 3 Tly r s t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of.17 , Commonwealth of Massachusetts Title 5 Official Inspection Form " lI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar a ❑ Shallow wells Estimated depth to high ground water: 6' 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 round water elevation: Y 9 g � Visual inspection of land with creek in the back groundwater estimate of 6'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts a=1 Title 5 Official Inspection Form wf. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments \ F/ 42 Rte 130 Property Address John Linde Owner Owner's Name information is required for every Cotuit MA 02635 7-18-17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 \ \ f a Po ♦ , , r co ` \ Lo LOT 0 IS PARTIALLY 4 IN BARNSTABLE AND PARTIALLY IN MASHPEE PRIMARY S.A.S. AREA CALCULATIONS ao ra 0 ` ;\.` \ \ ^ 36.86 x 16.15 x .5 = 297.64 ., •c`1 LOT 0 AREA IS �`�Vk� �A\ \ / APPROXIMATELY 25 ACRES 297.64 x .74 = 220.26 GPD.uj o • T ' •' AB LOT 0 It It It It Itt o G _ dog / ------ -- ------------------------------- ------------------------ o r STAKE SET EXISTING } (TYPICAL) PIT cP H 1 A9 6' It - -- --------- --- --------------------------------------------- IN,\ 1p A LIMIT OF `` 1 151 \ 0 1 \ kED 1 r , , \ T , `• • 39 SIL F 1 H � -- 1 \ \ - ---40 -- / `�� 1 w GARAGE \\ ------ o \ _ t EXISTING � TANK \ I \ I, , f 1 \\ OBS. �e v I \ S NE ' \ PORT TO \ PATIO I ---------- OVE _ 36 IPE .86' j O R Oo J1001_ FSTF RoM t 24 I 7 NOTES: \\\ 40 ----------- ,�,� ti ` 7 O '`DITC OF ABAN i bONED =- THE EXISTING TANK AND PIT SHALL BE �, '\, I I`• - DECK -.BOG ABANDONED, PUMPED AND FILLED WITH CLEAN INERT MATERIAL I OBS. E�STING 2 j BENCHMARK: I' `� /PORT - __ I I THE VARIANCES REQUESTED ARE: � BASIN RIM I ``- ' gEDROO.M 310 CMR 15.211: MINIMUM SETBACK DISTANCES: ELEV. 40.01 S.A.S. TO PROPERTY LINE: 10' (DOWN TO 8.5') WITH A 40 MIL POLYLINER \ 1 T DOOR t i 0�� 1, LOCAL UPGRADEAPPROVAL ) 7B•3' DING AT FROM Op• / SEPTIC TANK/PUMP CHAMBER GREATER THAN 36" BELOW GRADE It 1ELEV�� 39.54 f �Q� DISTANCE FROM WELL TO S.A.S. LESS THAN 150' (DOWN TO 100.0') p�'\\ / %1) 1 / �.�� OF DISTANCE FROM WELL TO TANK LESS THAN 100 (DOWN TO 78.3 ) 0,35101 THE ALARM ON SHALL BE ON A SEPARATE CIRCUIT THAN THE PUMP. ` GROUNDWATER WAS OBSERVED TO BE AT EL. 30.5. T "I PLAN \ I ADJUSTED GROUNDWATER WAS DETERMINED TO BE AT EL. 33.5. \ / I BASE % % % ' FP Axy > `'+ \ / %, J 1 % LINDE F'AM'f.Y TRUST � U IIt BOUYANCY CALCULATIONS / ' \ i 12.17 x 6.67 x 6.17 x 62.4 = 15,319.47 ?, \\ // tOF RCM'TF I30 WEIGHT OF TANK: 23,475 LBS ,-.; , \ / - BARN`TARLE, MA . THE TANK IS NON-BOUYANT. '-- qT \ ;' J. E. L I ' �pj�?1�, CIVIL ENVIRONMENTAL ENGINEERING A DEED RESTRICTION LIMITING THE NUMBER OF BEDROOMS TO 2 G' p `� p.0. Box 364 WEST FALMOT TH, MA 02574 SHALL BE RECORDED AT THE BARNSTABLE REGISTRY OF DEEDS. `� q \ t50e) 54° '744fa 0 5 10 15 20 , \ , (508) 540 3344 fax THE PROFILE OF PERC. TEST PITS 1 AND 2 ARE IDENTICAL. flT A \\ / j ! ' ASS,# 010 006'/ DATE: 08 25/17 SCALE: 1" = 10' \\ REV.10 25 17 JDR SCALE: 1" = 10' DRAWN BY. JDR REV.10 19 17 JDR JOB NO 2651 HEFT I OF 2 i 20'MI „ 0 USE RISERS TO BRING ALL STONE IS THREADED VENT PIPE F.F. ELEV.—39.54 (BY FRONT DOOR) 0 THE COVER TO WITHIN C DOUBLE WASHED WITH USE RISERS TO BRING LOCKABLE 6" OF FINISHED GRADE WITHIN 3" ELEV.=4Q,7 MIN. RODENT THE COVERS TO WITHIN COVER SCREEN ELEV.=36.0_ 6" OF PINTS L ADE TO GRADE — WITH 4"4 PVC I A SPLASH PLATE OBS. PORT 3" LAYER OF f 4" CAST IRON OR 0 , WA 12„ IN. SCHEDULE 40 P.V.C. CONCRETE CO RS TO BE BROUGHT T ELEV.=39.34_ SLP.=O_.005 A 1/8 20 6 OF FINISH GRADE N1A DIST.=5._6�_ WASHED STONE 39 14 0"0 0"0 0"0"0 0 0 0 0 0 0 0 0 0"0"0"0 0"0"0"0"0"0 0"0"0 0 0"0"0 0 0"0" SLP =— ELEV.=___ o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o o°0°0°0°0°0°0°0 °0°0 DIST.=66.3 6 _o_o_o_0_0_0_0_0_0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0_ _0_0_0_0_0_0_0_ _0_0_� SLP.=0.02_ 25 v < 6" LAYER OF * 1,500 GALLON SECTION 50 E�GALLONN DIST•_— e• ,®, ELEV.= 39_1 s/s• Toss HOLES AT THE 8 O'C1ACK Pos oN p�. /4" TO 1-1/2 ELEV. 35.93 34 561/4-0g3 34 sum v v c/ "c, o c� t"i o C`WASHED STONE ELEV.=__-_ 10" MIN. ELEV•=— — 000000000000000000000000� �0o0o 000000000000 WEEP DISTRIBUTION BOX n ELEV.=38.5 INVERT SHALL BE FIELD THE LENGTH OF ces H" E HO 33.3`�4 HOUR A VERIFIED PRIOR TO THE OUTLET TEE is INSTALL USE H-20 LOADING PLACEMENT OF ANY DETERMINED BY THE ZABEL 31.99DETENTION LIQUm DEPTH OF HEcx TO BE WET TESTED IF THE TANK USED. FILTER vALvE 31.99kLARM ON STRIPOUT ALL UNSUITABLE MATERIAL SEPTIC SYSTEM (SEE CHART AT RIGHT) 31.82PUMP ON MORE THAN ONE OUTLET. AND REPLACE WITH MATERIAL THAT 5.0' 3 31. 5PUMP OFF TO BE PLACED ON COMPONENTS. COMPLIES WITH TITLE 5 STANDARDS 29.343OTTOM OF , OF STONE OR 2,000 GALLON PARTITIONED SEPTIC TANK TANK(INSIDIECHANICALLY COMPACTED SOIL- — — — — — — — — — — — — — — — — — — — — — — ADJUSTED GROUNDWATER ELEVATION = • A 4/10 HP MEYERS PUMP IS TO BE PLACED IN THE 500 GAL. SECTION. TO BE PLACED ON 6" OF STONE OR MECHANICALLY COMPACTED SOIL. USE A TANK WITH THREE COVERS. SOIL TEST DONE BY. J.E. LANDERS—CAULEY P.E. s• ► ,or USE H-20 LOADING LENGTH OF LIQUID OUTLET TEE WITNESSED BY: DON DESMARIS R.S. ———————— DEPTH BELOW FLAW LINE 4 FEET.......14 INCHES PERCOLATION RATE:__2---MIN/INCH P# 15462 5 FEET.......19 INCHES TEST HOLE 1 DATE: 02,�17 ELEV._5 __ 6 FEET........24 INCHES 12 8_Q_ 3 PERFORATED PIPES PROFILE OF SEE 310 CMR DEPTH HORIZON TEXTURE COLOR MOTT. OTHER SECTION A—A 15.227 (6) SEWAGE DISPOSAL SYSTEM NOT TO SCALE 0"-18" O/E LOAMY SAND 10YR 7/3 I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT THE ANALYSIS GIVEN HAS BEEN PERFORMED GENERAL NOTES: 18"-24" B LOAMY SAND 10YR 5/8 BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF 1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. MY SOIL EVALUATION, AS INDICATED ON THE ATTACHED 2. PLAN REFERENCE MHD LO 5358 LOT 0 BARNSTABLE REG. OF DEEDS. H2O SOIL EVALUATION FORM, ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.000 THROUGH 15.017. 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM NO WEEPING AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 24"-96" C FINE SAND 2.5Y 7/1 MOTT. ® 90" DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. EL. 30.5 TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS NUMBER OF BEDROOMS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TEST HOLE 2 DATE:08�22/_17 ELEV._38.Q_-- 5. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN GARBAGE DISPOSAL _N_0_NE_(9)______ 6" OF THE FINISHED GRADE. DEPTH HORIZON TEXTURE COLOR MOTT. OTHER 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE TOTAL ESTIMATED FLOW 220_____ GPD SAME, UNLESS NOTED BY FINAL CONTOURS. GAL/BR./DAY X 2____ BR. ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR SEPTIC TANK CAPACITY J.5Q0_ GAL_(REQUIRED) WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING 1500 GAL.(PROVIDED SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING LEACHING AREA REQUIREMENTS AREAS UNLESS NOTED. 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA -0---- S.F. BE MORTARED IN PLACE. BOTTOM AREA _Z97 S4._ S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAP.(BOT. & SIDEWALL)_220 26 GAL. OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. RESERVE LEACHING CAPACITY _�A GAL. 11. UNTIL APPROVAL FROM THE BOARD OF HEALTH IS GRANTED, THIS PLAN IS SUBJECT TO CHANGE. APPLICANT: LINDE FAMILY TRUST DATE: 08/25/17 NOTE: THE TOWN OF BARNSTABLE REQUIRES THE ENGINEER TO INSPECT ALL SEPTIC SYSTEM COMPONENTS, INCLUDING INVERTS, AFTER THEY HAVE BEEN INSTALLED AND BEFORE THEY ARE BACKFILLED. REVISED: 10/19/17 10/25/17 SHEET 2 OF 2 IJOB # 2857