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0244 SANTUIT ROAD - Health
I 244 Santuit Road Cotuit A= 020 - 058 -004 °� i I 1 i r r i i TOWN OF BA STABLE LOCATION SEWAGE VILLAGE �.��L 1. � ASSESSOR'S MAP&PARCEL Q)s .�'-� �� —00V INSTALLERS,NAME'&PHONE NO. 6, SEPTIC TANK CAPACITY iEn e3 ;LEACHING FACILITY:(type) (size) NO.OF BEDROOMS -( OWINER PERMIT DATE: , 1 COMPLIANCE DATE: 3 D r Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist` on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY r" ' J d -lie 21'.Jo y6 �No. c J 6 V 5R Fee (� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Y f pYication for Nsposar 6pstrm Construction hermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. ll lv S t/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel(ngaQft,Co O'V 1 c5a v Installer's Name,Address,and Tel. Designer's Name,Address,and Tel. o. Type of Buil g: Dwelling No.of Bedrooms tot7 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building /YC74, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) WV gpd Design flow provided `T�/(� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ff me- 36 HC Description of Soil I / Nature of Repairs or Alterations(Answer when applicable) n h 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 a not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 1 igne Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. l _Q�� Date Issued l —No. � 1 � Fee THE COMMONWEALTH OF MASSACHUSETTS _ Entered in computer: PUBLIC HEALTH DIVISION'-'T6WN OF BARNSTABLE,,MASSACHUSETTS Y ilicattott for Bispo8al 6pstent Cons trUttioifVeimit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ,❑Complete System ❑Individual Components Location Address or Lot No. ,7�j/!{ 5,¢ d /]j� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel(npo Q,!*-co d-v, oG Installer's Name,Address,and TeNQ. Designer's Name,Address,and Tel. o. 6144 y - �� t�klhA, 09 t ,dose L m Type of Buil g: l Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building `/pys p No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd i IPlan Date Number of sheets Revision Date Title i Size of Septic Tank S�a Type of S.A.S. ?Y- 4,z!�' )?C kjC Description of Soil Nature of Repairs or Alterations(Answer when applicable) �/�/Q7 /S ai(' qk,� /j�glGh�•, i i i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in I i accordance with the provisions of Title 5 of the Environmental Code a not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. igne Date Application Approved by Date Q Application Disapproved by Date for the following reasons i Permit No. `a(1� Date Issued .. , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ; Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by �O.7le , at . Q 4/V S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. " dated 3 1,1q Installer p <�p� Designer rs�P� +�,���.Kion , #bedrooms Approved design flow.' •b gpd The issuance oft is permit shall no:be construed as a guarantee that the system will ilncti;n)as design e . (� Date Inspector (� f ------- ---- ------------- --------- Fee THE COMMONWEALTH OF MASSACHUSETTS �- PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal *pstr onstrUttlon Permit Permission is hereby granted to Construct( ) Repair(,/) Upgrade ) Abandon( ) System located atVa �' 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 inust a completed within three ears of the date of this permit. P Y Date j Approve`by e Town of Barnstable Regulatory Services Thomas F. Geiler,Director BARMffABM Public Health Division MAM ,E163- Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# 5-0 Assessor's Map/Parcel Installer&Designer Certification Form Designer: C(, /Yx Installer: UoVw / 6 Address: '(0 Address: On p /) was issued a permit to install a 4(dhte) ( staller) // septic at 2 0� ,r� W1 G A based on a design drawn b Psystem' �/5� S � � lm Y JJ (address)' �i'l fr f{a rrihq f'w./40J, dated 3 (desi er) ✓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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above-was-installed with-major changes (i.e. greater than 10' lateral relocation of the SAS or:any vei ion of any component of the septic system) but in accordance with State & s. Plan revision or certified as-Wit by designer to follow. Stripout(' �� red) wa cted and the soils were foun tisfactory. �o GLEN ERIC . cl HARRINGTONCIO No.1070 nstall 's ignature) s -rsT� VTAR`�, Design s Si ature (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice fomisWesignercertification form.doc o 00 S�G21�8t1� oa Town of Barnstable P# 13 ;2 o / $ Department of Regulatory Services XAM = Public Health Division 200 Main Street Date ,Hyannis MA 02601 2 Date Scheduled Time ( Fee Pd. (! Soil Suitability Assessment or • f Sewage Disposal Performed By: Witnessed By: - (w_ LOCATION& GENERAL INFO7Nae: Location Address 1 C Co ��`{ rV"/ o l 1 Owner' Sc ��- r v'.v Addres Assessor's Map/Parcel' _ os- OOV Engineer's NaNEW CONSTRUC77ONREPAIItTelephone# - 1fr6 Z Land Use Slopes(go) '5- Surface Stones •�lJ Distances from: Open Water Body Z 00.ft possible Wet Area �`r� ' ft Drinking Water Well l✓ Drainage Way > /_V_0 �-_ ft ft Property Line f`_f( Other ' ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 1n proximi-ty to -holes) SANTUIT ROAD y UNDEnNED PUBLIC WAY *46 f� Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: ti off'' f Weeping from Pit Face �+e Estimated Seasonal High Groundwater '7 1 Z' - DETERNIINATION FOR SEASONAL HIGH WATER TABLE Method Used: S'e i/ C va(vlk 4'y-t, Depth Observed standing in obs.hole: In, Depth to soil mottles: /Y4/ Depth to weeping from side of obs.hole: In, Groundwater mottleAdjual: ft Index Well# Reading Date: index Well level Ad.factor, J Adj.droundwater Level ,, m Observation PERCOLATION TEST Dgta 2 jf Time Hole# Time at 91, Depth of Perc 3 6 Sy Time at 6" —- Start Pre-soak Time @. 'Time(9"-61t) End Pre-soak '7 i 0 Rate MinJlnch . Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify Barnstable Conservation prior to innin P Division at least one (1) week be , the. .� g' g Q:\S EPTICVERCFORM.DOC DEEP Depth from Soil P.OBSERVATION HOLE LOG Hole# _ Horizon Soil Texture Soil Color Surface(in.) Soil. Other (USDA) (Munsell) Mottling (Structure, Stones;Boulders. ® _ ! ® ` o i ten..yLg6'Gravell / LS T L5 _ 70 -T2 c I C�f a,ate 7 2 1 q y DEEP OBSERVATION HOLE LOG Hole#.Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones,Boulders. LS 3 on i en 96 ravel "re �v Z -? py- T4A.t ---------------- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell Other MotUing (Structure,Stones,Boulders. to c O e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sol] Other Surface(in.) (USDA) (Munsell Mottling g (Structure,Stones;Boulders. consistency, e Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No= Yes Within 100 year flood boundary No.. Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviqus to terial exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? ` Certification 0 ! I certify that on / (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trai ing,expertise nd per cceid ribed in 310 CMR 15.017. Signature Dates g .. QASEFMPERCFORM.DOC o�We r� Town of Barnstable Barnstable �-Ame�ieat�ly Regulatory Services Department � + BARMNABLE Public Health Division m 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director .FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70083230000251782251 2/4/2011 Scott W. Buckley PO Box 1925 Cotuit, MA 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 244 Santuit Road Cotuit, MA was last inspected on January 20, 2011,by Patrick M. O'Connell, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to an overloaded or clogged SAS. • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH e:o:m;ic�Kean, Agent of the Board of Health D ,..� TOWN OF BARNSTABLE tiL-fLOCATION AL/4 :5 6YA40t+ 2k S SOCC@E# `,IJLLAGE _&4ut`"r ASSESSOR'S MAP&PARCEL NAME&PHONE NO Aq-r�Lk_rr�av1 ,_j Q SEPTIC TANK CAPACITY (Sw ' LEACHING FACILITY:(type) a pt'y-j (size) e4y,%Ct;0 NO.OF BEDROOMS OWNERt,c PERMIT DATE: C0MVN9W@B DATEMot7P aO 111 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i ! 4 \ \ 4 \ 4 h \ '+ 4 \ 4 4 'v 4 4. ••. 4 \f\:'.'4 \ v v, v,f+: : :4• \ \ \ \ \ \ 4 4 4 4 +. \ \ v •v v •• •a v \ 1 v 4*' •4 �\ '\•\•' `f\?.?4 + a \ - f �f k k \ h 4 4 4 \ 4 \ k 4 \ \ k \ rk+ 4 \ \ \ \ \ +\r ♦ 4r \ I f { f ! f f { { f !ar ! { :'v/•+f ! { r•v-'vJ fv.+v{ ! r !v. v' fvf { 'vi vJ / k \ v, 4 v. +. h 4 4 \r r a •. v v � " h \ 4 4 4 4 4 \ \ h h•+ \ \ 4 \ \ 4' k r\ r ! ? f { f .+ f - ) {4;•4lhf 4fhf\f4f 4! 15 4 h h h 4 \ h 4 4 4 \ \ 4 4 4 4 4 \ 4 4r 1 4 4 h h h \ h 4 4 4 4 h 48 2 27 3 a 61 54 J. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments I 244 Santuit Road — Property Address l �� 0 A ()G V q Buckle '50� UV • [ o I — Owner Owner's Name information is Cotuit MA 02635 _ January 20, 2011 _ required for -- State Zip Code Date of Inspection. every page. CityrTown Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information 1 When filling out forms on the � _V�►I U U computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell — cursor-do not Name of Inspector key the return Septic Inspection Services Co. — Y Company Name 189 Cammett Road _— — Company Address Marstons Mills MA 02648 — rcnvn Cityrrown State Zip Code 508.428.1779 __ S112855 — Telephone Number License Number j C B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the d complete as of the time of the inspection. The inspection information reported below is true, accurate an was performed based on my training and experience in the proper function and maintenance of on site C' sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of L Title 5 (310 CMR 15.000). The system: ❑ Passes ❑ _Conditionally Passes ® Fails El—N-eeds Further Evaluation by the Local Approving Authority _January 20, 2011 Job# 11-08 In ector's if natu a Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system 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. I I /st`eme 1 of�17 t5ins•09/08 •Pa Title 5 Official Inspection Form Subsurface Sewage Disposa �y, 9 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckle Owner Owner's Name information is MA 02635 January 20 2011 _ required for COtUIt State Zip Code Date of Inspection every page. Cityrrown 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 15.30.3 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): Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 2 of 17 t5ins•09/08 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckley — Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 — required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑' ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ins•09/08 Title 5 official Inspection Form Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckle Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 _ required for State Zip Code Date of Inspection every page. Cityrrown 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 coliforrn 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 to El clogged 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_day flow Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 4 of 17 l5ins•09/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a° 244 Santuit Road Property Address Buckley --.— — Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 — required for — --- every page. CitylTown 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 10.0 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [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 CM 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. !Sins-09/08 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 w„ 244 Santuit Road — Property Address Buckley Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 — required for State Zip Code Date of Inspection every page. City/Town 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: 4 Number of bedrooms (design): 4 Number of bedrooms(actual): 440 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 244 Santuit Road — Property Address Buckley — Owner Owner's Name information is Cotuit _MA 02635 January 20, 2011 — required for ----- ---- -- every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 4 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No 172,000 gal = Water meter readings, if available (last 2 years usage (gpd)): 236 gpd. Detail: Sump pump? ❑ Yes ® No Currently Last date of occupancy: Occupied. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: L15ns9/08 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 244 Santuit Road — Property Address Buckle — Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Tank pumped once on 8/11/05 _ Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: ---- _--- 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): Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 t5ins-09/08 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road — Property Address Buckley — Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for ---- — --..----- -...--- — State Zip Code Date of Inspection every page. CityfTown — D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Compliance date: 10/20/94 — Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2' _ Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): — — Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan)` 2' Depth below grade: 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 ❑ N10 10.5' long x 5.8'wide- 1500 gal. Dimensions: 5" _ Sludge depth: l5ins•09/08 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 ^M 244 Santuit Road Property Address Buckley — Owner Owner's Name information is MA 02635 January 20, 2011 required for Cotuit every page. CityfTown 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 26 — Scum thickness 4 — 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 101, — How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Liquid level was found at bottom of outlet invert and tees were intact. Observed solids on top of outlet tee indicating tank had been full to top and system is in hydraulic failure. _ 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 i t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckley Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: — Capacity: gallons Design Flow: gallons per day 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 15ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckley Owner Owner's Name information is Cotuit MA _02635 January 20, 2011 — required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): 0" 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.): Observed staining to top of box indicating hydraulic failure. .— — 0 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09108 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 12 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^M 244 Santuit Road — Property Address Buckle Owner Owner's Name information is Cotuit _ MA 02635 January 20, 2011 — required for State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Type: Two 6x6 pits.— ® leaching pits number: ❑ 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 cf vegetation, etc.): Pits full to top. 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 244 Santuit Road Property Address Buckley - — Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for every 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.): i I t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1.1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form V. Subsurface Sewage Disposal System Form Not for Voluntary Assessments a/ 244 Santuit Road Property Address Buckley - ------- ------- ----- - Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for ----- - ---------....- ....- -....-------- -------- every page. Cityrrown 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 \ Y \ \ Y \ \ \ \ Yr\ Y Yr 15 48 2 27 3 61 54 f Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 244 Santuit Road Property Address Buckley Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells N/A Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record 11f checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. i l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 244 Santuit Road Property Address Buckle Owner Owner's Name information is Cotuit MA 02635 January 20, 2011 required for every page. Cityfrown 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 f ' I t5ins•09/08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF,BARNSTABLE LOCATION Z44 519AJi ylr p--2> (L-t,r 4) SEWAGE # 076 'VILLAGE ASSESSOR'S MAP & LOT oay-tls-x-0314 INSTALLER'S NAME & PHONE NO./4-_C. /1d llX1_; v 3`195a®!40 SEPTIC TANK CAPACITY LEACHING PACILITY:(type) t&Fij 04 tit Cam) _'(size) X .NO.-OP BEDROOMS 4 PRIVATE WELL OR PUBLIC,.WATER.Fw5(-ic ' BUILDER OR OWNER �C-c>7 l�(•� lcG t DATE PERMIT ISSUED: - 5-06 C14 DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No ✓ (,J ALL O 4 "V f Aa THE COMMONWEALTH OF LUSE� _ BOARD OF HEALTH ............. .. ................OF....� . ' 11 Appliratiun for Dispaoal Worko Tonstrurtiun ramit Application is hereby made`-for a Permit to Construct or Repair { ) an Individual Sewage Disposal System at: - ..........:7................ �� _ ........�.���.. _.....� Location. ..dress..... ........................... ....... or �jN�o......f_.�..----......................_.... C At}? .... ...:Oc;w•� �,�y.......OM , • ........�.r-�._....LA 44�'-........�Sl....1.3. caner ddress - w !l?..... .:.....dY.C....v.�' --.......... Y..���et. �Q......l,f i`� 1 r"� ....IZZl�--•----.... Installer Address Type of Building Size Lot.......1 ST €eet Dwelling—No. of Bedrooms........:..... ...........................Expansion Attic Garbage Grinder (11,)5 pa, Other—Type of Building .......Lilh........... No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ....................u A........................................................................................................................ W Design Flow............... ... ....................gallons per person tr clay. Total daily f ow..-.._...._.._........Q.................Vons. WSeptic Tank—Liquid'capacity I�C.0 alIons Length.fl � ... Width. .:-�'�.. Diameter....16t��/4�.... Depth..' ._..... x Disposal Trench—No. .'.AP A ..... Width......... Total Length.................... Total leaching urea.............. ..sq. ft. Seepage Pit No....... ........... Diameter..........'(n.... Depth below inlet.......6`0�........ Total leaching area...z�. ....sq. ft. z Other Distribution box ( ) Dosing tank ( ) �� i4-: aPercolation Test Result Performed by.............: !? _.._[.....'..._.Q5,4A _.. .__.____.._.. Date........................................n- - Test Pit No. 1.....�.......minutes per inch Depth of Test Pit......��...... Depth to ground water.. .Apag.....,. f� Test Pit No. 2.........:...:..nunutes per inch Depth of Test Pit.......Ce......... Depth to ground water... .4!4CA41..... C�• P4 ...... .�.}.. t:..........................................................:....................•------*................. Description of Soil.__.c:o ".'T�-O :}.Tef t--...A�©......SJ Q�c�t�:.-} -�:S?�. .l.(.:Ol....M ElD I................. t9, x -•- - V .....................•------...----•----------..........------..........................••-............................................................•............................................... �l ...................................................................................................•----.........-------.`...----------•----•-----•----•--...........---................................ UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----•................................................................................:......................................... ..... ...... ............................ ................ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has `uby /d(,garf li h. Signed........................................................ ....••........--••......... ..------ .............. ....... .... ... Application Approved By....... '?s ..1..`r ..a ..................... ......cs7.. a ...' Date Application Disapproved for the following reasons:..............:......... ..................................................................................._ ........................................................................................•---....---...--.....---.....................----.......-•----.................................---............... 19 Permit No... `� .........................................�^ C/ .��.:-rC.. _ slued. '� _ a.i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m A-C&' F DATA r A .,. lee No................-.....- F$s... ...._....... ...... . THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH `..ov+r1... OF... t .7Sr[F�r3CrE..................................... App iration for R"mial Works Tung rnrtion rrrmi# Application is hereby made for a Permit to Construct (K ) or Repair ( ) an Individual Sewage Disposal System at: 0.oAv7 Locatiou• dress �- or L h-M. ......................w ........... w^ G A4?.._....COM l��C V!_ Owner ` Address r 0nj 5 .................................................................................................. .................................................................................................. - Installer Address }} Type of Building �l Size Lot... Sq. #eet Dwelling—No. of Bedrooms.............T..........................Expansion Attic (� Garbage Grinder ((1,'b Other—Type of Building .......I`:............. No. of persons............................ Showers ( ) — Cafeteria ( ) ' Other fixtures �-L/4........................._ Design Flow..............ter...:........_..._.._..._....gallons per person Sr c y. Total daily f�ow.-............-440..... ons. Septic Tank—Liquid'capacity.�r�Callons Length.fl ._ __. Width. ..' �'�.. Diameter....11 / .:.. Depth.... .......... Disposal Trench—No. ...Ap 44 .._.. Width........t........... Total Length.................... Total leaching irea............... ..sq. ft. Seepage Pit No....... ....:...... Diameter........... .c;.... Depth below inlet.......Cc!....... Total leaching area...;�.....sq. ft. Other Distribution box ( ) Dosing to ( ) ��+" t -1-, PercoPercolation Date...c.�5-O'`�.. ... lation Test Result Performed by.............:1..On ..-.C.......... .0 ... �....�.... '` 4!C f...... . � Test Pit No. 1................minutes per inch Depth of Test Pit......�.j........... Depth to ground water.. _ Test Pit No. 2................minutes per inch Depth of Test Pit....... ......... Depth to ground water...---!'n.ia t t.. v................................ 7 Description of Soil......... e0 .�� l.t--...p! f�...... vG�. K?!. .' :5?�.'.�.1.�.0�....MEfl1VW?.Pa4Nt9, ---•----•-----------••....................................................................••••..................., ....-•----...............----•---.:.---................................... ...... --•...................................................................•--•-••----------.............--------------.....---••---....-•------..................-----..........---......_......•-•---.•••-- j Nature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------•-•---..............---••-•---•-----...-•-•-•---........................----.................-•-•-•---....----•----••----.......----•-----•-•---•-•-••-•---...---••------•-•-........ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beepissd ���he� and -of health. . vGf ,,Signed............. ........ . ...--- .................................. ................................ Application Approved By.....------`'.......L z .; . .,•i' �!r' X . i.. t r. l r .......... ... .... .... /`� Date Application Disapproved for the following reasons:.............................;f•.........................----------------.................a't e---•--------- .........................................................................•..........----•••••...----................................._..............................--•--.......... . •............ Date Permit No.............f :_...:.., f -'..._ Issued...............= ...::..............:...:.. _. Date THE COMMONWEALTH OF MASSACHUSETTS --�t BOARD OF HEALTH ..........1.. •t!v k..............OF......je.zrh'�SMAC......................................... (Intifirttte of Tontplittitrt THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( )Lor Repairedby ( ) F :!^- .rs ,. jnster ... �ll C t....... —3 7�.!_ at............`r..1�...�.. .,t`.>.1'_�. ...............Z'� �----.. ............................................................has been installed`in accordance with the provisions of TITIF 5 of The State Sanitary Code as described to the application for Disposal Works Construction Permit No....... - r. r dated-....... >} THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS, A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF.. COY. � �� `DATE...................... : .. . ....... .. . ........ Inspector................. ............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NO..... r> ... 7.............� J..`e7-!......OF......... r— FEE.......... ..........4 1 MiVaattl Workii Tunar r#iun rrmi Permission is hereby granted................ ='= ........... r1 .. .................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.......... .. it. .�; ,t''^T�, C > n J - c' :.-.. .' Street". as shown on the application for Disposal Works Construction Permit No....: ..... "''' ' ` - ' ... 'y .....................................•--•---•--.......------....................._....................... DATE.. Board of Health ... .. ••-•.................. FORM 1255 A. N4. SULKIN, INC., BOSTON/ 4 f C.� �~ M.H.B. 'S AlL ' LOT 5 — WETLANDS \ ool t 04.22,09»W (� \\ �` STREAMS 1 N —138 - - o � --LOT 1.0 ACRE UPLAND p �n 0.40 AC S OF NONCONTIGUOUS UPLAND' j� -- 01 ACRES WETLANDcs`1 ' — 1.41 AC. TOTAL O 7 K TO �D'6O \ \ \\ \\ \ ,, _�. BENCHMARK � _ l oo, SE-C� �� ''�� \\ \\. \ 38 - W TOP OF R.R. SPIKE p \ \ 16 60 ,�� \\ I WETLANDS 05 31'5 9 IN 14 PINE \ \ N ELEV.=80.O'(ASS.) e�,� \ s� o�,� 00 \ \ CDP � GAIN. .ram, 96� � �, R B. PROJEC T L OCA T/ON.• �9RIVEWA%� LOT 4 RESERVE p°� SANTUIT ROAD c.B. 80 \� --� ti� AREA ,p6 "=a:;,, BARNSTABLE, MA —6111 LOT 3 / APPLICANT. �z D-B� \ I ���:_ ::-;;;, : .:_.�` `y OCEAN MOUNTAIN COMP. INC. /� I\ 15 TA YLOR ROAD �s� / o do ,�� �, � ,� �<+ '• ;, P r:y,�� MANOMET, MA 02345 YANKEE SURVEY CONSULTANTS P.O. BOX 265 UNIT 5, 40B INDUSTRY ROAD OF MARSTONS MILLS, MA. 02648 _/�\ PAUL PH. 508 )428-0055 — FAX 508)420-5553 ` MERI HEW 5 SCALE. 1 "=40' IDA TE. 05-05-94 o NO. 320% REV. [REV• •w•v JOB NO. 504 71 F. HYDRANT SHEET 1 OF 2. EL. =_76.0 PROPOSED TOP OF FOUNDATION 20' MIN. 10' min CONCRETE COVERS ' 74.0 EXISTING 2"LA YER of 74. 0E 76.5E VERS CONCRETE CO WAS ED STONE 1.5 , i � ,. . . 4" CAST IRON _ / � ?70f OR SCHEDULE 40 P. V.C. PIPE 4" SCHEDULE 40 P. V.C. , DIST. 6 FLOW.LINE S=0.02, D=18' 90X S=0. 02, D=20 S=0. 02, D=20 INVERT 1 10 PRECAST MI.N. EL.=-71_00 — - 19" � -- , :• .. C LEACHRING ' - F70.35 RT ,2 r EQUIVALENT INVERT LEVEL � 0 c EL.= 70. 60 c Y INVER INVERT INVER 0 6 3/4" TO1-1/2" - 1500 SEPTIC TANK EL.= 69. 99 EL.= 69.82 . EL =_6_9. 42 O oc WASHED STONE - EL. 63.4 ----- LEAe& PIT z• Iz' PROFILE OF lo'DAM.-1 �- SEWAGE DISPOSAL SYSTEM NOT TO SCALE BOTTOM. OF TEST HOLE OR USGS PROBABLE WATER TABLE EL=_48. 0* ALL ELEVATIONS ARE ASSIGNED BOTTOM OF TEST HOLE # 2 IS 11 FEET BELOW SURFACE. SOIL LOG *ELEVATION OF WETLANDS BY STREAM J. LANDERS-CA ULEY, PE AT REAR OF YARD. ` WITNESSED BY' EDWARD BARRY - - Ph�( 8220 , GENERAL NOTES PERCOLATION RATE 2_= MIN./ INCH r 1. THIS PLAN IS FOR THE CONSTRUCTION OF SEWERAGE DISPOSAL SYSTEM. s ` 2. PLAN REFERENCE BOOK 125 PAGE 123, LOT 4, BARN. REG. DEEDS.. DATE 05=05-94 DATE 05=05-94 3. THIS PLAN IS FOR INSTALLATION/ REPAIR' OF SEPTIC SYSTEM TEST HOLE I TEST HOLE 2 ; AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. EL- = 78.5 EL = 78.5 DESIGN DA TA. 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO R E.P. — TITLE 5. AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOPSOIL TOPSOIL NUMBER OF BEDROOMS FOUR 5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN AND 10" OF FINISHED GRADE. SUBDSOIL SUBSOIL GARBAGE DISPOSAL ONE 6. EXISTING AND FINAL GRADES SHALL.REMAIN ESSENTIALLY. THE ' SAME, UNLESS NOTED BY FINAL CONTOURS. 4 TOTAL ESTIMATED FLOW 4 (0 GPD 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE ( 110 GAL/BR./DA Y x 4 __ B.R.) OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER - OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING MEDIUM TO MEDIUM TO SEPTIC. TANK CAPACITY. 1500 _ SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING. FINE SAND FINE SAND UNLESS NOTED. LEACHING AREA REQUIREMENTS 8. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL 11 BE MORTARED IN PLACE. NO WATER NO WA TER SIDEWALL AREA I88.5* GAL/S.F. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ENCO UNTERED ENCO UNTERED BOTTOM AREA GAL/S/F DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO LEACHING CAPACITY (BOTTOM & SIDEWALL) 1098 GAL OBTAIN SUCH DETERMINATION FROM. APPROPRIATE AUTHORITY. *CAPACITY PER PIT 10. THE EXCA VA TOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCA VA TION. THE WA TERGA TE WAS NOT FOUND, THE GENERAL RESERVE LEACHING CAPACITY 1098_ GAL CONTRACTOR SHALL VERIFY. LOCATION WITH WATER DEPARTMENT. — SHEET 2 OF 2. JOB NUMBER___50471_____ t . BKDZaDM - n - I LAY IMC-1 •DINAtkc-1_ 231 I i I REF -Z0 VI/ , LLr 1 El 14' rl A NEW FhMILy I vk)o+ �� dCA ROOM Ir (14'x7b ) - 151 IpI NE�^i f aRCrl � . I k�l _ t NEW GX'KAGF 24 t2.4 A 24') r I 5coT7 r3.)CkLe,/ r 1 i sew�a: 4 =I Fwr wwnDv®ev: DwAm,er DASH: REYM,rFp ZHH Sv+-NZv►T "�� CovvlW- . Dwwrrew ouram I Nov ✓w2+HUE S of tZ� ova-✓ [-,A"rZnC�e - Ht C YC.Nr 1a' f Z� ` �jv,-V, i 2k1L- lZt7GC a COLS `Z C3 NO g, g re�'f iLJDr'� I�,�7�� i 2x zxro Fitt. Zx!J ?� i-rC lY :i- 11 r )3/Z X 1 it rz vac S• Z 30 `C:N`uL not Lit i �I NLy (�--J)-rvst 3 kr-�- t J A u- zv Cr-An -lens - ��: AvvaovED BT: DnwvrN Er DATE: REVISED �\lit J�1N1 V\T tiC{. . .. c- DiMLM:IMO NUYBEA 2MT) CYrvs -cT. SYSTEM PROFILE 0 '0N 0 ` 104'' ~ Not to Scale »� CB F d « » Provide 4"die.SCH 40 PVC ' SITE --10' min. from NOTE: ALL PIPES ARE TO BE 4 DIA. SCHEDULE 40 P.V.C. vent wren carbon filterQ' 7p4 104 7' house to septic tank o v\' USE i1GGIN Provide 4" SCH 4o PVC (n 0 4� '98' ExistingHouse 5 HOLE H-20 19 observation port 3" below grade ti DIST. BOX Quina uisset Ave �� TOF E V-100.7 ' ` EXISTING GRADE ELEV.=100.5 f OR EQUAL Existing Grade Elev.=101't Finizhed grade over system=2% slope away School Stree o Tank covers shall be D-Box cover shall be arsaaaa�¢ \\\ \�/ w ""`'" S= a02' within 6" of finished grade within 6" f finished grade �2.miax 3` 1 �J o 103, G S=el I" for 2' EXISTING S=.01 O (� �0% 0 o full 10 1 500 GAL. 20` b tc 9U' 2' t Elev.=96.24' >. Q e� �r i` n ce or ; SEPTIC TANK y v N or GAS BAFFLE a 1W OR EQUAL m n Nd n 0 n P Ili I v= a ij L - Fac t E e . 95.32' O 0 i i v Z G � u \ O c - 1018 7' i o - - u ? ":33ii`:�(o°::�::sf`.;. ..`,:%%?1:'r:R;.. _ F i 't Mln required) [0 6"0 J/4" 11/2"STONE ; � 0 (5 U1 c 103. LEACHING FIELD TBottom of T.H. #2 elegy.-85.50' 0 6"OF 3/4" 11/2"STONE r G Q r O �O 9 l A Q 1 t 67' b 'n LOCUS 'O s A `O A 9 � N A�'. 0 0 SCALE ,. GENERAL NOTES G 2 P 9 3' 1 ADDRESS: 44 ANT ROAD, I 0 0- DD ESS: 2 S UIT O D COTU T I 1z 0 a 10 9' „ �;;€��.0` ''�'' i'.:�' 2. ASSESSORS NUMBER: 020-058-004 101.77' VENT ,a e 3. DEVELOPER'S LOT: LOT 4 1 4. TOPOGRAPHIC INFORMATION WAS COMPILED 1 ROM AN $b ON THE GROUND INSTRUMENT SURVEY. O a 5. TOWN WATER IS PROVIDED TO SITE & SURROUNDING PROPERTIES. 6. REFERENCE PLAN: PLAN BOOK 490. PAGE 59 oI 44 e 7. WETLANDS SHOWN ARE REFERENCED OFF OF REFERENCE PLAN AND °2 O III; y CONFIRMED IN THE FIELD BY GEHRS. PROPOSED SA dP 1 oz o \ llp� g2 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS. 25'-0'L X 14'-2"W X 11.0" 9. THE SITE IS NOT LOCATED WITHIN A ZONE 11. leaching field using H-20 '0"� too.z4'�� e��� l I�I� lllll 10. UTILITIES WERE LOCATED BY DIGSAFE. ADS ARC 36 HC r., 6 �` aF � � o o0 0° I�o Chambers without stone. B.M. JS Design Calculations 95.48' ++' Number of Bedrooms: 4 60 1oa.9s x 93. 0' UNIVERSA END CAP Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN S B F Septic Tank Capacity Required: 440 gpd X 200% = 880 gpd. 1,500-GAL MIN. REQ'D. �. oel, 9.y �0 97.:7$;x }H N2 34 Septic Tank Provided: 1,500-GAL. +- a �G v` Leaching Capacity Required: 440 Col./Day 7 s i END SECTION ARC 36 HC '0 � TH�41 Leaching Area Required: 440 Gal./(0.74 Gal./Sq.Ft.)=595 Sq.Ft. 0,--°off 6.91' x 3.11' �Ic Leaching Area Required: 595 Sq.Ft./4.80 SF PER LF OF ARC36HC=124 LIN. FEET 0- , ya Proposed Leaching Area Provided: 5 ROWS OF 25'-0" CHAMBERS=125 LIN. FT. X 4.80 SQ.FT/LIN FT=600 SQ.FT. 97.0 x Total Leaching Capacity Provided: 600 SQ.FT. X 4.80 SQ.FT./LIN.FT.= 444 gpd > 440 gpd. req'd. 100' CONSTRUCTION NOTES 1. Contractor is responsible for Digsafe notification A and protection of all underground utilities and pipes. 87.39' x WETLANDS 2. The septic tank and distribution box shall be set a2 ozo-os9-oo6 level on 6" of 3/4"-11/2" stone. LOT 4 FORMER BOG 3. stoneBackfill should be clean sand or gravel with no stones over 3" in size. v0 4. This system is subject to inspection during instillation d r by Glen E. Harrington, R.S. A-- .411 AC i e S 7 TIO n BOX r^GN BE I SET LEVEL F eox sEAS BE i Te contractor shall install this system "i accr,'d,ice 00 SE?LEVEL FOR AT LEAST 2 FT. +2-- CONCRETE COVER with Title V of the Massachusetts Environmental Code (ANDS s-5.OUTLET . 2 and the Regulations of the Town of Barnstable. BACK TO `fI� KNOCKOUTS 6. Provide an H-20 DB-5 D-Box and 25 H-20 ADS 100' SET - ms I 12• INLET ARC 36 HC chambers or equal. Chambers must be sto ed H-20. Fi 06 OUTLET7. No vehicle or heavy machinery shall drive over thr. septic system unless noted as H-20 septic components. 8. Install gas baffle or equal on septic tank outlet tee end. eA _ts•s- z- 9. All existing inverts and site conditions shall be verified by contractor. PLAN-SECTION CROSS-SECTION 10. The ADS ARC36HC's shall be installed according to the DEP General Use Approval letter and the ARC Installation Guidelines. 5 HOLE H-20 DISTRIBUTION BOX 11. Provide a manifolded 4" dia. vent with carbon filier, a9 shown. 92 /j�74, 4' NOT TO SCALE f �C. O O i SITE PLAN �// .1 SCALE. 1 =40 & BENCH MARK ON TOP of METAL WINDOW WELL ELEV.=100.00' (ASSUMED) GO PERK TEST & SOIL EVALUATION P# 13201 �;K o 0 Date of Perc. Test & Soil Eval.: February 23, 2011 o s Test Performed By. Glen E. Harrington, R.S. LOCAL UPGRADE APPROVAL VARIANCE REQUESTED: / 11 O WITNESSEC BY: DAVID STANTON, R.S. 310 CMR 405 (1)(b): A VARIANCE IS REQUESTED TO ALLOW THE PROPOSED SAS & o EXCAVATOR: Michael Leary TO BE CONSTRUCTED APPROXIMATELY 4.5 FEET FROM GRADE IN LIEU OF THE r/ & 0 8 N PERK RATE: LESS THAN 2 MPI REQUIRED THREE FEET. A VENT WITH CARBON FILTER AND H-20 SAS ARE PROPOSED. i � � m Test Hole Test Hole k ,Ic -i No. 1 No. 1 OF PROPOSED SEPTIC SYSTEM REPAIR ! DEPTH SOILS ELEV. DEPTH SOILS ELEV. �I WETLANDS 0 a PERK TEST /per ��'\�u PREPARED FOR T> 1. A q `F loamy sand loamy sand �+ ;�a �t -f 1 . .i ,� 10" 9» DEPTH: 36-54 t6 t1e+ 1 1.. .� lora/l lorlNa/l G I hh i� MICHAEL LEARY loamy said loamy mid BEGIN SOAK: 0 MINUTES i� LEGEND Bsr Bw a.t 1s`u AT END SOAK: 7 MINUTES p EXISTING LEACH PITS 30» 101R5/8 95.26 32" 10TR8/8 94.83 �► ,th` �° 244 SANTUIT ROAD O TO BE PUMPED AND REMOVED 36" TIME: 7 MIN.= UNABLE TO SOAK, a ti/gT�Cs*6a „� mod.Cc,send med-cs sand USE <2 MPI FOR DESIGN EXISTING 1500 GAL 54 2sn/e cl 2sn/e y �;k,. v BARNSTABLE (COTUIT), MA 1E72" 91.76' 74" 91.33' EKE O SEPTIC TANK DENOTES EXISTING C1 C1 ed.-c�,sand mea.-c,Band PREPARED BY: X104.46 SPOT GRADE 2.Sr./8 2.6Y7/6 GLEN E. HARRINGTON W 44" 85.76 144" 85.50 , R.S. 95 EXISTING CONTOUR I+ NO GROUNDWATER ENCOUNTERED 9 LEDA ROSE LANE ' DEEP TEST HOLE =' Soil Evaluation Certification MARST NS MILLS, MA 02648 A rox. location 150.00' I certify that on October, 1995, 1 have TEL: 508-428-3862 Approx. y passed the soil evaluator existing water line examination approved by the DEP and that the analysis was performed by FAX: 508-428-3862 SCHOOL STREET me consistent with the requlr aining,fexpertise nd experience described Approx. location ET in 310 CMR 15.017. � existing gas service � SCALE: 1 "=40' DRAWN BY: GEH MAR 7, 2011 O.P. Observation Port Glen E. Harrington; R.S. / Date 0 DATUM: ASSUMED FILE: LEARYBUCKLEYSANTUIT SHEET 1 OF 1