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Home My WebLink About0205 SANDALWOOD DRIVE - Health '�w M 205 Sandalwood Drive cotult - - _� A= 025 - 030 No. �I� Fee 0(9 "THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYiiation for ]Disposal *pstem (Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(—K ❑Complete System ❑Individual Components Loc dop Ad�lress or Lot No. r p S'� y p 41 Wo�y �jR Owner's Name,Address,and Tel.No. ��'t C T vy\4-gS T�I�G r,Q ��1R a 9s �ut�/fl Assessor's Map/Parcel 03 �� J A i. Installer's Name,Address,and Tel.No. (� v� Sr>e l/yX Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size V 60 C)0 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 OG O Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) RU R ►C gip, k" 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. e ✓.. Date Application Approved by Date t 1-2^4—(/ Application Disapproved by Date for the following reasons Permit No._20d — X Date Issued r-� ..-....,.y....o.,n.,,,. ,� ,..,.. ta.,:�,.r�tc,.�;.,,N,,,,,,,;y,.,,,„sy..,..,r.•.,�tYJ..:rrr" ..-� t, rj :.-..r. ._..w- e- .. 1Vo. , 11 Fee s,;.. ..�,..r. - THE COMMONWEALTH OFMASSAPHUSETTS Entered in computer: t_ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes fitation for Misposai Opstem Construttion 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon 4f ❑Complete System ❑Individual Components 3 Location Address or Lot No. p S S j x p K( W o G,� tR Owner's Name,Address,and Tel.No. r Assessor's Map/Parcelot�,� Installer's Name,Address,and Tel.No. [ e v,/V yYm j��,� Designer's Name,Address,and Tel.No. �_JN- 3G2- a 5 67 'Z KooSi5 R0 L, T4inu) `s O o -5'6 et b yey o I bA a ep.v V .eU p'L Type of Building: f , DwellingNo.of Bedrooms Lot Size .r U U G '+� d 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 t QCj 0 Type of S.A.S. Description of Soil ^^w f Nature of Repairs or Alterations(Answer when applicable) ?U (� \' ( n c�U { S Q ►C k" 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. edol , ✓w Date Application Approved by Date 1/- Application Disapproved by Date for the following reasons Permit No. 2Oa I K 1 Date Issued __________________---__________--- __.._--- _._. _ -- . eo\�THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS X , 0 I� Certifuate of Compliante /THIS IS TO CERTIFY,'that the On-se Sewage Dis osal system.., Constructed Repaired �g P ( ) P ��) Upgraded( ) Abandoned( )byj� � at /) �G.n rl a�1.v Qr r-,�i i- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..20(6—Y(ff dated J%-d/-O,P Installer Designer V #bedrooms Approved design •ow J gpd + The issuance of this permit shall not/bde�constru as a.gdarantee that the system et/i�n as delgne Date //�. / Inspector �,�[ ��/1 -..-_- --------- _ - No. �J�� W A"1 _. Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Noposal *pstem Construction pertnit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon System located at 205-- Or, r k., 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'd permit. Date i -2 % 1 Approved by J c, L��• RegulatoryTown of Barnstable y f Thorn-as F. Geile ; Dia eew Public Health Division -is McKean, Director Thom 200 Nlain Street, 11vannis MA 02601 k y Installer & Designer Certafication Form Date: ° Sep• a i'rrraiit _.j ssessrar-s N1a 1 ar :�Address: `y�"'C � (�i � AEtIWSJ:AAA li a C, OF: �� -�ti�1S 'v5:1+�'.:l.�F I�i;YeA7it 1Ly Pl�sia.i.i. d� a x tLl�. t, � ,x1St:li��r) septic SvS..'e 21 ai. UCJG ( W00041 XOP based on dessi°psi drw.v. -. � (;addrtsti) 1.3 'a f of ( � - E G:itGt1 Its a1c" ° I certify that the serjui: sv✓s! Irl referenced above wLis`Irlstailtd, subst.arltl liv ac (-jrdIm 10 q` z thie deli<?Zl_ which s?'tfude rninor'.1''.J"Lrov d chICk . S s t i ?s kill—' ` liistribur.ion box ".iimlJf:st'uc tank. P I cerIl ?v that the septic systa..m t-c fer.'LIced ath3V e ViaS 11IStalled with Nmuj ,r chayl.gc*s Iflx, arfrater than 10 lateral reloc atio.n of the SAS or arr z Lic l relocation o lY?`_,' Urn t k ;mit r- c y., if �� 2 a �l r tV t 1 t.i ti3l'. St't,Jt.1C S:/.�ic',`I7Lj l+tst [r; ;3CCU'C(YrcI1Ce �.,'.�� t�lte l_.t✓C'.� .�.c'�lt�attilT3s. Plan t..`%iSii.Cl i_... certitiec as-built bV designer to foilovr. ��i}Slaller i t3z�?dldtUL£ " NOD. 1140 t 1 y / ',; �Pe.si'Tn Cs Si=nature`,l (Afi.., Desi�ne.'s Sk—a Ip Iie e) yt s PLEASE RETURN TO B-ARNST'BLX PUBLIC HEALTH DIVISION. �CE'RTIFICA PIE OF COMPLIANCE WII.I., NOT tab: €SSU D UNTIL BOTH THIS I*£?RM AND AS-BUM,UM, CARD zURE y�' RECEIVED BY THE B:\RNST_lBLE PUBLIC HEALTH DIVISION. THANK YOU. P Q: He:;sltivSe¢ti°.+Dcigaycr Certification Horri 3-25-4�tSuc i T 'd S089- 1v99-90S JaTTows :'IJ ' *UNITED STATES P,Q 7RL S9 ..1C�E ,. '" F' t t ifw, . OSt • Sender: Please print your name,address,andZ ;h ox ' Town of Barnstable `O Health Division 200 Main Street Hyannis,MA 02601 1r1111111111 Hit 111111tt11111t011it Ill Ill 1`1�11!!llllt111t1i1 SENDER: COMPLETE THIS'SECTION COMP LETE THIS SECTION ON DELIVERY N ■ Complete items 1,2;,and 3.Also complete A S' nature item 4 if Restricted-Delivery is desired. ant ■ Print your name and address on the reverse ddressee so that we can return the card to you. B. ecelved by(Printed Name) C.-Date of Deliv ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item`1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I x 3. Service Type ®Cert'rfied Mall ❑Express Mail � r ❑-Registered IP Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ; (Transfer 1rom.service labeQ i 0O6 215O ;goo2j 1038..1681 i �, PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 D, FSHE TO Town of Barnstable Barnstable P� 4 wy RlAmmicaChy ,, . Regulatory Services Department t; ,BARNSTABLE, - ! - "ASS. Public Health Division ArED MAC a, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO February 19, 2008 j Felicia Shade 7013 Ebony Court Plano, TX 75024 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 205 Sandalwood Drive, Cotuit MA was inspected on January 14, 2008,by Darren M. Meyer, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system CONDITIONALLY PASSES under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Portion of septic tank_is located under an addition. Existing tank needs to be abandoned and a new tank is to be installed. 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 ORDERQF THE OARD OF HEALTH o as c ean, S., CHO Agent of the Board of Health CERTIFIED MAIL# 7006 2150 0002 1038 6841 Q:\SEPTIC\Letters Septic Inspection Failures\205 sandalwood Drive.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w.N 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dbon forls Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Darren M. Meyer cursor-do not Name of Inspector use the return key. n/a Company Name VQ P.O. Box 981 Company Address East Sandwich MA 02537 City/Town State Zip Code 508-362-2922 S 1 3920 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority. 16 09 Inspector's Signature Date The system inspector shall submit a c y 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. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection_Form:Subsurface Sewage Disposal System•Page 1-of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dlon forls Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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. Answer yes, no or not determined (Y, N, ND) in the❑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. ND Explain: Addition was built over existing 1000 gallon septic tank, thus limiting access and jeopardizing it's structural integrity. Replace 1,500 gallon septic tank and d-box, connect to existing 1,000 gallon leachin pit. ❑ 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 ❑ obstruction is removed Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dlon forls Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed i e s . The y Pp ( ) system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: 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 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: El 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. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dlon forbs Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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 co of the gg copy 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 Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is required for Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cunt.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. An portion of a cesspool or privy is within 5 ❑ ® Y P P p y 0 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dlon forls Cotuit MA 02635: January 14,2008 every page. Cityrrown 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? ❑ Z 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 breakout? - 14 ® ❑ Were all system components,&chiding 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? ElWas 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)] Title V Insp -205 sandalwood drive-08/06 Title 5 official Inspection Form•,Subsurface Sewage Disposal System•Page 6 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is Cotuit MA 02635 Janus 14,2008 required for January every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: Does residence have a grinder?garbage 9 El Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2006: 164 gpd 2007: 115 gpd Sump pump? El Yes ® No Last date of occupancy: Current- Seasonal 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? El Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? El Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): Title V Insp -205 sandalwood drive-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information required forts Cotuit MA 02635 January 14,2008 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owner Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: unknown age, house built in 1978 Were sewage odors detected when arriving at the site? ❑ Yes ® No Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 15 . Commonwealth of Massachusetts N W Title 5 Official Inspection Form " Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is Cotuit MA 02635 January14,2008 esquire rY page. City/rows State Zip Code Date of pection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 26 inches feet Material of construction: 0 cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): No issues, no signs of leakage Septic Tank(locate on site plan): Depth below grade: 12 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: typical 1000 gallon tank Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts F W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is ry Cotuit MA 02635 January 14 2008 required for , every page. Cityrrown 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.): Septic tank not fully inspected as it it under a portion of a foundation and will need to be filled and upgraded. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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): Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is ry Cotuit MA 02635 January 14 2008 required for , every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 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.): Not inspected as this unit will be replaced along with the septic tank. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name required for information is Cotuit MA 02635 January 14,2008 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1: 6x6 pit ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit(6'x6'w. 2' stone)was in sound condition, dry at time of inspection, no sign of hydraulic failure, soils were normal, vegetation normal, suitable for re-use. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 205 Sandalwood Drive M Property Address Felicia Shade Owner Owner's Name information is Cotuit MA 02635 January 14 2008 required for r'Y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name infor requir dlon forls Cotuit MA 02635 January 14,2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. 0 Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 f t Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 205 Sandalwood Drive Property Address Felicia Shade Owner Owner's Name information is Cotuit MA 02635 January 14,2008 required for rY every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to ground water: '4 1z(O" 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 9 you established the high round water elevation: Y 9 System is 4.5 foot below grade, bottom of cesspools are no greater than 11.5 feet below grade. Hand auger conducted to 16 feet, no groundwater observed. Use well SDS-253, Zone B,Level 49.5, Adjustment 3.7. Thus no grounwater to at least 12.3 feet below grade. Leaching is not in adjusted groundwater. Title V Insp -205 sandalwood drive•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 T • - Town of Barnstable OF 1HE tpk ti�P� ti� Regulatory Services BAMSTABLE , Thomas F. Geiler, Director 9� ib `0� A,E0.39. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic.system inspection report was completed by a private inspector who is certified by the State of Massachusetts,,Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding-this report,please contact the certified.Septic System Inspector who conducted the inspection. TOWN OF BARNSTABLE LOCATION o(0 S P,A-WOA 00-a 'P SEWAGE# VILLAGE (�Q u it � ASSESSOR'S MAP&PARCEL/ 03 INSTALLERS NAME&PHONE NO. IV SEPTIC TANK CAPACITY Z-4-yy VR4 r LEACHING FACILITY:(type) 1,006) ®t 7�' (size) NO.OF BEDROOMS OWNER �Q�( ' PERMIT DATE: COMPLIANCE DATE: 14 p2 L%U Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any etlands exist within 300 feet of leaching facility) Feet FURNISHED BY -- Z � a • a ,. .,, ; a -� L.(14 r a/ TOWN OF BARNSTABLE 'WCATION YANO -L-Woo SEWAGE# VILLAGE 6617 is// ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 71 rt? Ala SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) ZOO Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Jan.VAIIOUt Feet FURNISHED BY � 5M L,-- Vtvz, � � �� ° � �- r � �� .� �� ' � � �� . �.. u� r d 5' SANt),gLwaaD PR IVY c52 S/o3 0 L'0 CA T ION SEWAGE PERMIT NO. L-.o#,o\ �a�c��ew� 78-4-3\ VILLAGE S �t I N S T A L L E R'S NkME i ' ADDRESS B U I-L D E R OR OWNER -r-Et c-66 GJ F 2 KOIJIF . DATE PERMIT ISSUED ! 72 017b' DATE COMPLIANCE ISSUED `.-7 .A j AN`O �cJc7�p TRI�� • � 4 oq THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..._.... ..........OF............SRRI»5.� for 43ta mat Work Tarui#r rtioYt Vrruiit. Application is hereby made for a Permit to Construct O0 or Repair ( ) an Individual Sewage Disposal Sykem at: ah ddress i or No. _.....�Inst!Y-t ./!-_-E-'--�{6= ---•---. / .Y V_ [!Y-•.._!1®/.9_/Jddress � rV - ,• +-Y•w.�,a W S feet Q Type of Building Size Lot............................ q. ' wellin No. of Bedrooms----------------4.....................Expansion Attic WO Garbage Grinder QVO pi Ot ier Type of Building ---------------------------- No. of persons.----------4----_--.--.__ Showers Cafeteria ( ) d `j;, Other fixtures --•------------ ---•---•-----•-----------•---------...-------...--------•---------------•---••------•-�------------------••-•-----••----.------- Design',Plow......:....:........TO............_...gallons per person per day. Total daily flow............... 0._.........-.-.-----.-gallons. . P� Septic Tank—Liquid capacity/PPO_gallons Length................ Width................ Diameter-----...._...... Depth___.---.--- xDisposal.Trench—No .................... Width............. Total Length.................... Total leachin area.._--_-----._.-----sq. ft. Seepage Pit No........ ........ Diameter...l_A--- _ Depth below inlet..................... Total leac ....sq. ft. z Other Distribution box (j/f Dosin tank a Percolation Test Results Performed by.- -••--•--------------•-----_-----... Daie.4y` _ .._ s..� °f Test Pit No. 1----------------minutes per inch �etlh of Test Pit.................... Depth to ground water.... .__. ...___.__.. (14 Test Pit No. 2................minutes per inch Depth of Test Pit.___._.___ ------- Depth to ground water-_.-------------------- at� ----.------ . -----.----- �j t. Y� r Descri tion o oil Q._._. ! . Lam` L��--- ------ -- -'--------....- _. _ ...D. U Nature of Repairs or Alterations—Answer when ap cable..---------------------------------------------------------------------------------------------- ----------------------------------------------------•-------------------------------•--•--•-----•-•----------------------------•------•-•--------•------------------------ -•-----•---•--------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss .board i aLlaealth- S .. - Date Application Approved By------- -- -- - -- ------- . _... • -- --- - 17 --------- Date Application Disapproved for the following reasons:----••-----------------•-•------•---•--•-------•-------•--------.-----------------•--•--.--.. ----•---_..... .........--••---------------------------------------•---••------•----.....------•--------•--•-•------•-----------------•-•-----..........--•-- ----------------•---••---•---••- --------------------- Date Permit No. Issued.._.. ... / -------------•-------•------- Date 0 w_._ . ,...�_. . THE COMMONWEALTH OF MASS ACHUSETTS�> BOARD OF HEALTH no .. ..--.....OF......... .. - . . ..:... AvOration -fur 4%nvviittl Works Towitrurtion Vrrutit f�. Application is hereby made for a Permit to Construct (X) .or Repair ( ) an Individual Sewage Disposal System at: 1 rj # IM ---------•-••• •---- ----•-- - ----- •---•- ------ I.ec tF ddress t or.0 No i caner ee A dress 40V A re' .AW" L.�? -A r An.4 Installer Ad ress d Type of uilding Size Lot----------------------------Sq. feet awellin I��o. of Bedrooms---------------- ----.._-.--. -------- Attic o Garbage Grinder VJ4) p, Ot ier-Type of Building ._.-_....................: No. of persons-....._.... _._...._....- Showers ( � ) — Cafeteria ( ) �. Other fixtures ---------- ---- ------------- -- W Design Flow-------------------670_...•.............gallons per person per day. Total daily flow.._.._.....V--_-_._.-...........gallons. 9 ; Septic Tank—Liquid capacity- gallons Length................ Width..._..-_-__-. Diameter---------------- Deptli..._..__.---. W Disposal Trench—N Width--------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No________ ___ ___ Diameter._�_.X_-_�:- Depth below inlet_..--._-_._.-_-_____ Total leaching area._2 .....sq. ft. z Other,Distribution box (0f, DOS17 tank '-' Percolation Test Results Performed b r �ti = � Y--- : - r--- ----•-•----••-•--••--•----•-------- Date--- f-------- ------------- ----- Test Pit No. ------------- per Inch e th of Test Pit-------------------- Depth to ground watPr.-_ :-.-_--.-...---- (1 Test Pit No. 2................minutes per inch Depth of Test Pit......... Depth to ground water------------------------- ----------•------- "� J / O Description of o r±+-V----- ------ - ---- ----��------------ x ..-- �i� ' r - (� - ti•-•--;...------ --------------------•------•••. •--------•--------- -----------•-------- W - -- _ _ � V Nature of Repairs or Alterations—Answer when-apcable...------------------------------------------------------------- ---------.--.------------ Wt ---------------------------_------- ------- --------------------------------------------------------------- ------------------- -----....----------------:----------------------------- Agreement: The undersigned agrees,ao`install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI£:.o'f the State Sanitary Code—The-undersig>ed further agrees not to place the system in operation until a Certificate7of Compliance has been iss board al Sigd — � ------ - -------------------------------- Da A lkc fion Approved B PP PP Y-------�"= --F----- Date Application Disapproved for the following reasons:-----•--------•----•---••-----•------•-•-------•--------------•-•-••--•---•--•-----------------------.,-•------- ..------•---------•----.--•----------•--------_---•-----------------------------------•--- i'.' Date PermitNo......................................................... Issued........................................................ Date F_, ! r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � y .. . �.. :..............OF.. '�: ry (9rrtifirate of 49ant li�tnre 14 IyjT0 C REIFY That the Indtvi &l Sewage Disposal System constructed (X) or Repaired ( ) by �_:_. r- ?'_ _:__ ► --- '., Y .. .._ _____________ Instal r ` : has installed accordance with the provisions of :art NI of The State Sanitary Code as descllb d in the application for Disposal Works Construction Permit No'*. -,--__ "R_d dated ,.... --- THE ISSUANCE OF THIS CERTIF;CATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 DATE ------ --••-•----•--- Inspector-------------------------------------------•--------=--------------•--•----...•-•- ,THE'COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .'' . Dispu,ial trl u ttrt it rrutit Permissio --n is hereby granted-__-_ -------- •--- -•--- •--------------- ----- .._._---••••----•--- to Construct O or Repair ) an Individual jewage Disposal System r '� Street as shown on the application for Disposal'.Works Construction it .._ bated---77-.2_0.`--��' ................... fi oard of IIea ° DATE....................................... ...................................... FORM 1255 HOBBS & WARREN,'. INC.. PUBLISHERS - 0 ° - _c n ti ti'A { �` �s ��1 � it P „ , Se. :. .:. . .- .. .. ...F. t •4. �! •S '• I - . -S - W �iI - T , / , 'th{tx (D�,,� '1 f Ar Y `4Y j, , , 't 4 `''. 4 fit. Y` s ..� s >;, x " 1� Y'' t W ""1'•` :.�Y. 'r`� .'J t ;t�j.. ,fie (/�'�, T Y'_-\j! A �� ;{�'j^t . , 'ly i. 5 f 'i `„ S Va l.. [• "\::i� is 4,:` I�..{p y .x7' sp, t. f- 4 Y - : ''kl `` ni �J}a ��!, .ice �.V. 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'm r. 7i•ti?c, 4 :yt'... t: i.,,,�. t..-.sh '�� _ ? :w a:. ., 1� -xf'> 7 ;.-.lf �,_ ., '. r. _ s +, $:X, .3t: _.... ?` !`; a_ r . ,F... +f:.,;',, '°`a,7.r' 'v im+'b<es-a;4+ 5 rNe *i-';T,••�.,.s..x:sa.?`a 2c• ,�r.. .x � •ir+..<s a+. ..�.,a., w i ma's. 1.:i,.�.:aw1°� _.�._ < ,�.- r . -a 2; y LEGEND (Pa es 61-65) 12 5.0 O f t --- — — ----- — — ,I ---- -Cape, --- PROPOSED CONTOUR CIUb ------------ I r-— j ® PROPOSED SPOT GRADE S, 98 -- EXISTING CONTOUR j LOT 8 II + 96.52 EXISTING SPOT GRADE O J pp AREA =20000 sf + — i = W— EXISTING WATER SERVICE 00D 76 -76 TEST PIT �v �10 °Q� M LIS Cahoon_ —77 0 1i77, 78 n Z p C 130 I --------------- _ — — �I �,y,_a._. ..r►A� _ ,I LOCUS MAP N.T.S. Existing -Leachpit (Note 10) I 10 ' GENERAL NOTES: �j// j o 78 II I 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL i BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Iatr� ! OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. T �6 ��/ �\ I BEN CH MARK 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING r'� 1 FROM THOSE- SHOWN HEREON SHALL BE REPORTED TO THE DESIGN PAINT SPOT ON DECK ENGINEER BEFORE CONSTRUCTION CONTINUES. A ELEVATION = 79. 78 o I � � � �o ft Sting 1,000 Gallon ! 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. X I S TI N G I BARNSTABLE GIS DATUM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF Sept' Tank to be filled j THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF fi ! DWELLING i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I 1 and reploise¢ j 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. j 1 O j O �� j 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED I TOP OF FNDN i TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. I = 79.54 0 �� j 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE I E� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ,A OF �As�q�y II i Proposed 1,500 GQIJO\ Sep %C Tank CONSTRU10. EXISTING CLEACHINGTILITY PI S SOCNTIONS GOODSHOWN ARE WORKING ORDER.OXIMATE. o DARREN M. (SEE TITLE V INSP. REPORT DATED 01/10/08) MEYER ! `79 11., 48 HOUR NOTICE FOR ENGINEER CERTIFICATION No. 1140 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY C/SiEp I ` �� \ ! AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY I / ! 13. EXISTING 1,000 GALLON SEPTIC TANK TO BE PUMPED, FILLED, AND SANI TAR�a j UNPAVED ! LEFT IN PLACE. (BE SURE TO NOT JEOPARDIZE INTEGRITY OF DWELLING I \ ! WITH A NEW 1,500 GALLON SEPTIC TO BE PLACED AS SHOWN. DRIVEWAY 7-79 I , I 1 i - PROPOSED SEPTIC TANK RELOCATION PLAN 125.00 ft EDGE OF PAVEMENT ' 205 SANDALWOOD DRIVE, COTUIT, MA FRO Prepared for: Felicia Shade \ Engineering by: Surveying by: SCALE • - DRAWN JOB. NO. SURVEY REFERENCE: �--� � \I V OOD , �. DARRENM.MEYER,R.S. 6co-Tech �vironmeata! 1��=20' DMM �I D PLAN OF LAND BY EWALD AND MASCHI, INC. S � I Po BOX 981 DATED: 11/16/73 EAST SANDWICH,MA02537 (508) 364-0894 DATE CHECKED "JEETNO506362-2922 01/10/08 DMM 1 LEGEND (Pac es 61-65) i?5.00 ft_ - --- - -- --- ------- - ! PROPOSED CONTOUR / Cape - -- -. Clubs r ! 9� PROPOSED SPOT GRADE �Q G 98 -- EXISTING CONTOUR W Si j LOl- T 8I + 96.52 EXISTING SPOT GRADE Q FZYO� A AREA =20000 sf + - !j 000 W— EXISTING WATER SERVICE j g\ TEST PIT 76�i'�—_______ � _----i-77 1U': 0 'QQ RA M US Cahc�urt 77_i_ —___ _ ,_-1— ; ohs Qo a useum `\ -------- '1'78 " Tank I" Ill� 30 11 � -- ------------- — SeP � .,.14 A,$00 LOCUS MAP N.T.S. 50 ose °P Existing- Leachpit j - Pr j o (Note 10) j 000 10 GENERAL NOTES: I, O 7g�!� 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. L3 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS - �? !j OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE , 70_ I LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION-AND APPROVAL BY THE BOARD OF HEALTH AND THE / BENCH MARK 4. arEiYl co DITIONSRENCOUNTERED DURING CONSTRUCTION DIFFERING 1 / I j FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN a PAINT SPOT ON DECK ENGINEER BEFORE CONSTRUCTION CONTINUES. ELEVATION = 79. 78 � 0 j �Sting 1,000 Gallon ! 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.- E X 1 S Tl N G �� rt I BARNSTABLE-GIS DATUM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF Sep�'i Tank to be filled j THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF j r DWELLING with concrete and re /aceb HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. l P 1, 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. j 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED I \�� TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. i i TOP OF FNDiv 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE I I EL = 7g.54 dr ! THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. UTILITY LOCATIONS SHOWN ARE APPROXIMATE. 10. EXISTING LEACHING PITS IS IN GOOD WORKING ORDER. DAR ENQQJ��M. y (SEE TITLE V INSP. REPORT DATED 01/10/08) oO �, j + U! I `79 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION j I - i' ! 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY W- G/ Ep ! 1 ;I AND IS NOT TO-BE CONSIDERED A'PROPERTY LINE SURVEY NI TAR�a� ! w /�/ \ j 13. EXISTING 1,000 GALLON SEPTIC TANK TO BE PUMPED, FILLED, AND ! N I UNPAVED LEFT IN PLACE. (BE SURE TO NOT JEOPARDIZE INTEGRITY OF DWELLING / DRIVE WAY \` \ WITH A NEW 1,500 GALLON SEPTIC TO BE PLACED AS SHOWN. Q --t-7o I - j 1 Q' -_.______.-_-- — ,�5.0o ft PROPOSED SEPTIC TANK RELOCATION PLAN f EDGE of PAVEn^EI`�T / 205 SANDALWOOD DRIVE, COTUIT, MA -� l� AD Prepared for: Felicia Shade j SURVEY REFERENCE: Z� A \ L �� D �\\ MAP.' 025 Engineering by: Surveying by: SCALE DRAWN DATE A - LOT.030 DARRENM.MEYER,R.S. Bco-Tech Environmental - 1"=20' DMM 01/10/0 PLAN OF LAND BY EWALD AND MASCHI, INC. `J D PO BOX981 (508) 364-0894 DATED: 11 16 73 DEED BOOK. 17511 EASTSANDMCH,MA02537 REV. DATE CHECKED SHEET N0. / / DEED PAGE.•177 508-362-2922 1 1/18/08 DMM 1 of 2 i ELEV. TOP NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FOUNDATION INSTALL RISERS W/IN 61 OF FlNISH GRADE (Existing) 79.54 F.G,EL: 79.0 F.G. EL: 78.0 FINISH GRADE=77.5 /— F.G.EL: 78.20 4 MAINTAIN 27. MIN SLOPE OVER LEACHING AREA Q f COVERS TO WITHIN 6 OF GRADE 2" OF 3/8" DOUBLE 3/4" - 1-1/2" DOUBLE ,. . " WASHED STONE WASHED STONE 6" 4" SCH 40 PVC 4 SCH 40 PVC 10"1 S= 1% (MIN.) s' 1 ® S= 1% MIN. ®®®®®®®®®®® NrT(z IN.) TEE'S ARE TO BE 14 ( ) ®®®®®®®®®®®4 SCH 40 PVC INV.740 INV.74.75 ®®®§3E303 E3 GAS PROPOSED DB-3 ®®®®®®®®®®®EXISTING OU [6' BAFFLE ®®®®®®®®®®® INV.' 76.38 =•- M '• H-10 DISTRIBUTION BOX ®®®®®1®®®®®® :. . g®®®E3®®®®®® INV. 75.00 -AM Im INV. ELEV.= 72.50 ®®®®®®®®®®® PROPOSED 1,500 GALLON SEPTIC TANK ®®®®®®®®®®® 10®®®®®®a3aa 0 GAS BAFFLE TO BE INSTALLED ON NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ®®®®®®®®®®® OUTLET TEE AS MANUFACTURED BY. PIPE INVERTS PRIOR TO CONSTRUCTION ELEV.= 65.50 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 2' 6' 2' TUF—TITE, ZABEL, OR EQUAL GRADE ON A MECHANICALL COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN EFFECTIVE DIAMETER = 10' 310 CMR 15.221(2) 3) INSTALL INLET & OUTLET TEES AS REQUIRED NO GROUNDWATER FOUND TO ELEV. �Q SC7 SOIL ABSORPTION SYSTEM (SECTION) SEPTIC SYSTEM PROFILE (EXISTING 6' deep x 6' wide PRECAST LEACHING PIT) N.T.S. ' OF J. . PROPOSED SEPTIC SYSTEM UPGRADE PLAN E o D MEYERM 205 SANDALWOOD DRIVE, COTUIT, MA No. 1140 Prepared for: Felicia Shade C�StEQ Engineering by: Surveying by: SCALE DRAWN DATE DARRENM.MEYER,R.S. Eco—Tech Anvironmentai N•T.S. DMM 01/10/08 I XNITAR\�`� PO BOX (508) 364-0894 3 %w E4STSANDWICH,MA REV. DATE CHECKED SHEET NO. r y o 508-362-2s22 1 1/18/08 DMM 2 of 2 {