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HomeMy WebLinkAbout0329 SCHOOL STREET - Health 329 SCHOOL STFOfOTUIT � y A F� e, .,v UPC 12834 NO 16 e 3���� ��rr1 � �, �, ���� _ �J �-� � 3 -DL s-f-r- ✓yam, � l/ l/ No. d�l7 L f?J Fee C®� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLation for 0sposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.,}Zf' �'�'La©% '�— Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2 O "_7 S �i Instal 's Name ddress,and Tel.No a l�'ar'�'+'�� Designer's Name,Address,and Tel. <'4 ; c,vW se,-%,t ,rc?Fv>Cc' 3 f'D/r�a60" .r'T vase Type of Building: _.3 60 52� 71 Dwelling No.of Bedrooms b3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 !:�2 gpd Design flow provided 1® gpd Plan Date �1 Number of sheets Revision Date Title e ,,-c �/4,,,-7 Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ` � Signed /✓ �' Date , �'Application Approved Approved by 1 � Date Application Disapproved by Date for the following reasons f— U . Permit No. Dat ssued �i „� � •-'--, - ,..�� -->... . �--�.-;, '—�.-gip- �a� - No. QL ID 15 _ Fee (Po THE COMMONWEALTH OF MASSAtH'USETTS Entered in computer: e� PUBLIC HEALTH DIVISION,- TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYication for bisposaY Permit Application for a Permit to Construct( ) Repair(Upgrade O Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. j?fP .S-'400/ S7-- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's NameyAddress,and Tel.No�G/_ I4 ✓q Designer`'s Name,Address,and Tel.No,fyc�y�.��:a S o y'S rq � e o+:� e7ofe 9.-/ a '�':.4"D�or�`` T" / fr o® µ -.Frrwmv''•c- a G�2S J.�' Type of Building Dwelling No.of Bedrooms '~j Lot Size '��p�,ssq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures DesigdFlow(min.required) 3 3 gpd{ Design flow provided 7j gpd Plan Date S///°�j - Number of sheets Revision Date Title .S'e,f l c Size of Septic Tank ` Type of S.A.S. Description of Soil a Nature of Repairs or Alterations(Answer when applicable) � 4 z Z a.MJ v.�. ,�,c f a„✓ !� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in A' 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. Signed - � / /�•" s _Date,.6�� 1s- Application A roved b PP PP Y sc..- Date`'-,j��G Application Disapproved by t 1+ Date for the following reasons r f Permit No. Dat ssued - -'.:, J THE COMMONWEALTH OF MASSACHUSETTS Q t� S� � � BARNSTABLE,MASSACHUSETTS Certificate of Complianre THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V,1� Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �,i! " Designer p r #bedrooms ►J '/1 - . Approved desi tl w I/f gpd _ The issuance of this liermit shall not be construed as a guarantee that the system wi tion as de igned. �! Date Inspector C� No. ( Fee / r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) , Abandon( ) System located at 392�' and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Ti9tL Q�(�(� Approved by flo -&M(1- yz4� r3v 06/12/2015 10:01AM 17744139468 MEYER AND SONS PAGE 01/01 Town of Barnstable Regulatory Services ' � Richard V.S call,X,utex'im D�[t�ecto�- , Public Health Division. � Thomas McKean,Director 200 Main Street,Hyannis;MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Des" ner Ce�rtatication Foam ` Date, Sewage 1Perttut# a�. - A`ssessor's MaplParcel' 1 Designer: G 4-'e- 17 Installer: o�c2 fl1 Address: P6 (7 Addressr on te) ynsta as issued a ger=ilt to instal] a septic system at `� J C W-OLI S-T _ CXN IV based on a design drawn by j address} � Cu f f- data 1 ` est _ I certify that the,septic system referenced above was y utstalled substantially according to the design, which May include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Sip out (if required) was inspected and the soils were found satisfactory. -k T"Y, i cc 'N64--,�5 5Q Tt<�} f�N IS w Ti 6 Ov -WV Ay I certify that the septic system referenced above was installed with major changes (Le, d greater than l 0'lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Loc were found satisfactory. al Regulations. Plan revision or certified as-built by designer to follow. Strip out(if re qud)was inspected and the soils I certify that the system referenced above was constructed in compliance with the terms of the,X1.EL approval letters(if applicable) OF (Installer's Signature} DA er: t140 3 (Designer's Signature) $f�'i FK�►�� (o ('Z i PLEASE RETURN TU $ARNSTABLE PUBI,iC IIEALTFI DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UN B TH S FU 1� AND AS- B YARD ARE RECEIVE BY TEE BN STABLE PUBLI Huai T DIVISION. - Q\S p Clbesignar Cerbificatbt Form Rev 8-14-13.doc j . tt! } ;21-o� IV. Septic Variance: I A. Peter McEntee representing Peter and Kathleen Shea,r owners —483 Elliott Road, Centerville, Map/Parcel 227-116, 26,320 square foot parcel, multiple variances. I GRANTED WITH CONDITION: Board granted variances with the following conditions: 1) a four bedroom deed restriction be recorded at the Barnstable County Registry of Deeds and a proper copy be submitted to the Health Division prior to the septic permit. NOTE: the correction on the Board's summary of variances was acknowledged: A) a 7' t variance S.AS. to cellar wall for a 13' (not 17') setback, and B) a 56' (not 58') i variance, S.A.S. to coastal bank for a 45' setback. ' I B. Darren Meyer, Meyer & Sons, representing Victoria Viera, owner— 329 School Street, Cotuit, Map/Parcel 020-113, 0.87 acre parcel, septic variances. s F GRANTED WITH CONDITION: The Board granted the variances with the following conditions: In lieu of using a monolithic tank which would be a special order for the two compartment, H2O, they will: 1) use hydraulic cement to control the inflow and outflow , and 2) a water test on the tank will be done by Darren Meyer. t V. Informal Discussion — Sewer Connection (Cont.): Gilbert Wood, owner— 730 and 740 Bearses Way, Hyannis i CONTINUED TO JUNE 9, 2015: Mr. Wood was not present. He will be requested to,attend the June 9 meeting. VI. Informal Discussion — Nitrogen Land Credit: Thomas Bunker, BSS Design, representing Timothy and Italia Luff, owners — 90 East Lane, Road, Cotuit, Map/Parcel 037-018, 0.97 acre parcel, and Timothy Luff, owner - -0- Old Post Road, Cotuit, Map/Parcel 037-004, 2.24 acre parcel, both parcels are in Zone II. j DISCUSSION: t Due to the fact that the maximum allowable for 90 East Lane Road, Cotuit is a 3 bedroom in this zone (Zone II) and no variances are allowed. Mr. Bunker was hoping for a 4°bedroom..,He will not be moving forward with the Nitrogen Land Credit. VII. Extension Deadline for Sewer Connection a Bradford Malo, Coastal Engineering Company, representing Harbor Village Condominiums, 160 Marston Avenue, Hyannis, Map/Parcel 288-180, previous deadline extension expired April 30, 2015. Page 2 of 5 BOH 05/12/15 t I Town of Barnstable Barnstable Board of Health j nicac j I a" HASS. g 200 Main Street, Hyannis MA 02601 I 1639. �m 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagil May 26, 2015 Mr. Darren Meyer P.O. Box 981 E. Sandwich, MA 02537 RE: 329 School Street, Cotuit A = 020-113 Dear Mr. Meyer, You are granted a conditional variance on behalf oflyour client, Victoria Viera, to Y construct an onsite sewage disposal system at 329 School Street, Cotuit. The variances granted are as follows: Section 360-1 of the Town of Barnstable Code: To install a septic tank 55 feet away from a wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a distribution box 91 , feet away from a wetland, in lieu of the minimum 100 feet separation distance required. r These variances are granted with the following conditions: (1) No.more than three (3) bedrooms are authorized at this property. Dens, 1 study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. } (2) The septic tank shall be sealed at the seams with hydraulic ceme9t and water tested for tightness. a (3) The septic system shall be installed in strict accordance' with the engineered plans dated May 1, 2015. I Q:\WPFILES\MeyerVieraVariances2015.doc II (4) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed, in substantial compliance with the engineered plans dated May 1, 2015. . These variances. are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Sincer yours, Wq ne Mill 'r, M.D. Chairman Q:\VTPFILES\MeyerVieraVariances2Ol5.doc COMPLETE •N COMPLETE7 THIS SECTIONDELIVERY. Is Complete items 1,2,and 3.Also complete A. Signature item 4 if lestricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received b (Pr Ted Name) C. Date of Delivery I ■ 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 �N lug W, �L 620 &o6 i q7 3. Se ice Type Certified Mail° 0 Priority Mail Express' )„V�A y[e� y� AAA 0 Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery `7'Y71 4. Restricted Delivery?(Extra Fee) p Yes 2. Article Number 70d9* 2820 0003 3805 6601, (Transfer from service labeq �I PS Form 3811,July 2013 Domestic Return Receipt I UNITED STATE! O-§TA `S�kVICE First-Class Mail a4 ...rZ Postage&Fees Paid USPS R �4AY Y Permit No.'G-10 C • Sender: Please print your name, address, and ZIP+40 in this box• I emus Ana Meyer&Sons.Inc. `V Ro Box sel (� EAST SANOWICK MA02537 'ON DELIVERY •mPLETE,rHis skv-n6N C91I PLETETH18 SEtTION, ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X 4-aL&46, h ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Prinf�?r7N of Delivery s,Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address rent fro rf * m 1? ❑Yes 1. Article Addressed to: If YES,enter deli etj dAV,, below: ❑ o � 3. Se ice Type Certified Mail® ❑Priority Mail Express- AM ❑Registered ❑Return Receipt for Merchandise ) ❑Insured Mail ❑Collect on Delivery ® VV 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i +710019 128 0003 3805 6632 1 (Transfer from service labeq+ i IL PS Form 3811,July 2013 Domestic Return Receipt UNITED STATES'POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 �, • Sender: Please print your name, address, and ZIP+40 in this box* Meyer&Some,Inc. � P.o Box 981 ( j� COMPLETE •N C9MPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑A dre ee so that we can return the card to you. B. Receive (Printed Name) C. Pte f De erp • Attach this card to the back of the mailpiece, or on the front if space permits. Tr _ 1. Article Addressed to: D. Is delivery address different from item 1? Y _ l If YES,enter delivery address below: ❑No JU bd� j3� f 3..S Ice Type I Certified Mail' ❑Priority Mall Express' -�I � /�.�. ❑Registered 13 Return Receipt for Merchandise d i'V IT /V d l �7 �3� ❑Insured Mail [3 Collect on Delivery v J 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Numberi`i (transfer from service tabeq l`' 7 0 0 9 • .2 8 2 0' 0 0 0'3 3 6 0'S 16 6 5 6 PS Form 3811,July 2013 Domestic Return Receipt A UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid I USPS Permit No.G-1Q I • Sender: Please print your name,, address, and ZIP+4®in this box* Solo 60A oiU -j�SEND�ERCW� PLETE.THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete signature item 4 if Restricted Delivery is desired. ent ■ Print dour name and address on the reverse WAddressee so that we can return the card to you. B. Eleceived by(Printed Name) C.Qate ol Delivery I ■•Attach this card to the back of the mailpiece, or on front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Se ' e Type AAf( 1.3 Certified Mall® ❑Priority Mail Express- ❑ B � Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes ) 2. Article Number. r(1 7009 2820 10003 i3805 ' 66631' (Transfer from service labeq t ' I 'PS Form 3811,July 2013 Domestic Return Receipt t a UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-1,0 • Sender: Please print your name, address, and ZIP+4®in this box* ent r�lrr�;li•�'t�'f�i����•rl"•��r��•i'i�Ii.�.;��t04�frij��ti{�'i�i1:�..�.{�•�'`.r�l SENDER: COMPLETE THIS SECTION COMPLETE THIS..SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. - item 4 if Restricted Delivery is desired. went ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Rec i ed by ed Name) C. Dat f Del' ery ■ Attach this card to the back of the mailpiece, �� / , -_or on the front if space permits. is delivery address different from ft 1? ❑Yes 1:Article,Addressed to: / p If YES,enter delivery address below: ❑No r1 { 3. Serve Type Fertified Mail® ❑Priority Mail Express' ❑Registered ❑Return Receipt for Merchandise a" ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ° 7bd9 28Z0:`0003 380V6L49 (Transfer from service labeq PS Form 3811,July 2013 Domestic Return Receipt UNIT STATES POSTAL SERVICE First-Class Mail --• Postage&Fees Paid USPS Permit No.G-10 - S nder: Please print your name, address, and ZIP+4041n this box* j V-1-') �i s�lil,•lit}Irisil��'i�i►���i�ii�,i��'sei'ill{"l'�iil��'IiIE'iii.i DptMEDATB: U' S , r Q -FEE: t6� �� REC. BY , A Town--of Barnstable '^ SCHED. DATE: _-7 -c! Board of HealthZ. nn 200 Main Street, Fiyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION �`7 Property Address: <�M (n„�(j n Assessor's Map and Parcel Number: AUL113 Size of Lot: (�. i 61VIPS Wetlands Within 300 Ft. Yes V/ Business Name: IV 4` No SubdivisionName: N AAPPLICANT'S NAME: `'►nA"triS&shone �0$ 360 -3 3 0 Did the owner of the property authorize you to represent him or her? Yes V No PROPERTY OWNER'S NAME CONTACT PERSON Name: �IMVNAVLEOV Name: A1V-rtmk ey- A ` u &MS Inc, Address: �� `-7 U CdTU tr 1 Address: 6 saiidwt c- i n if Phone: 0 / 37 ,, � Phone:�D3 366 �n 3/ V VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space need ���7 e QN v*, P(P(me- RCSIP41W)Us -- JD-Bar .4 Loo' iAam NATURE OF WORK: House Addition © House Renovation Cl Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same ownedleasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junicbi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\W9P987\VARIREQ.DOC :a ABUTTOR'S LIST FOR 329 SCHOOL STREET, COTUIT,MA (MAP 020/PARCEL 113) MAP 020 PARCEL 134 JANICE W. MILLER, TR 321 SCHOOL ST. JANICE W. MILLER REV. LIV. TRUST FLAGSHIP WHARF,EIGHT STREET UNIT 620, BUILDING 197 CHARLESTOWN,MA 02129 MAP 020 PARCEL 1151001 TOWN OF BARNSTABLE 430 SANTUIT ROAD 367 MAIN STREET HYANNIS, MA 02601 MAP 020 PARCEL 114 TOWN OF BARNSTABLE 0 SCHOOL STREET CONSERVATION COMMISSION 200 MAIN STREET HYANNIS, MA 02601 MAP 020 PARCEL 058/002 STEPHEN J SUNDELIN 270 SANTUIT ROAD PO BOX 1381 COTUIT,MA 02635 MAP 020 PARCEL 058/003 WILLIAM G. MULLER, TRS 260 SANTUIT ROAD PAULETTE MULLER, TRS 260 SANTUIT RD REALTY TRST PO BOX 425 COTUIT,MA 02635 MEYER & SONS, INC. PO Box 981 E.SANDWICH,MA02537 508-362-2922 May 1,2015 William G.Muller,Trs Certified Mail Paulette Muller,Trs Return Receipt Requested 260 Santuit Road Realty Trust 70092820000338056663 PO Box 425 Cotuit,MA 02635 RE: Septic System Upgrade—Variance Request 329 School Street, Cotuit,MA Dear Abutter(Map: 020 Par: 058/003): This letter is to notify you of a hearing before the Barnstable Board of Health scheduled on Tuesday May 12, 2015, at 3 pm in the Barnstable Town Hall Hearing Room to present the proposed septic system upgrade plan and the variance requested for the above referenced site. The proposed system design has taken into account requirements set forth in 310 CMR 15.000(Title V)and the Town of Barnstable Board of Health Regulations. The following variances are requested: TOWN OF BARNSTABLE 1) Per Barnstable Board of Health Regulations, 45 foot variance'to allow septic tank/pump chamber to be 55 feet from wetland vs.required 100 feet. 2) Per Barnstable Board of Health Regulations, 9 foot variance to allow distribution box to be 91 feet from wetland vs.required 100 feet. As an abutter of the property in question, state regulations require that you be notified of the hearing a minimum of ten(10)days prior to the hearing date. You can review the application at the Barnstable Health Department,l',200 Main Street, Hyannis,MA, M- F, 8:30am—4pm. If you have any further questions regarding this application, please feel free to contact me at (508) 362- 2922 or attend the hearing on the scheduled date. Sincerely, Darren M.Meyer Registered Sanitarian ARCHITECTURE ENGINEERING SURVEYING 4 , G May 1,2015 } 71 Re:. 329 School Street,Cotuit,MA . To Whom it May Concern, i I grant permission to Darren Meyer of.Meyer'&Sons Inc:to apply as,necessary for ariy°and all variances and approvals through the Town of Barnstable Board of Health and Conservatioorrimissionsfor;the purpose of obtaining approval of plans to upgrade/modify the existing,on site sewage system located at 329 School Street,Cotuit,MA: 4 Sincerely, f�f Victoria Viera,owner y x q f r c , a p a ti r t r 4 -ems - "" 'P F c +4 _.$sX°' »`�,a_........4:a� .r..:._. w.. _ z. -... ._.,.-......-..r•w.�.dr...�,. ..«.... o% ...+..:..._ .. ..-. r .}-.-..a..-., ... .m..... ..o. ..... ........+... ._aa ..ra. .... .,+ar...._- ¢w ..e . gap Fw FIA 1s PT (s-r FLoo a CLOSET- C LOSET tsi • = IMP Egg FLooe t L 11 I$' f RPO t-A WIA Health Complaints 03-May-06 Time: 3:00:00 PM Date: 5/3/2006 Complaint Number: 18780 Referred To: THOMAS MCKEAN Taken By: TINA FONTAINE Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: UNSANITARY CONDITIONS Business Name: I Number: Street: School Street Village: COTUIT Assessors Map_Parcel: Complaint Description: Called in to let us know that there was a little bit of diesal fuel that was dripping from an unknown vehicle that because of the rain trickled down over the bridge into Mashpee. Mashpee was on the scene and was taking care of it. He said it was well under the reportable amount. Actions Taken/Results: -Di eG-tor Investigation Date: Investigation Time: 1 f Commonwealth of Massachusetts ((3 y r Title 5 Official Inspecti®n _Form Subsurface Sewage Disposal System Form=Not for Voluntary Assessments 329 School st Property Address --------- -------------- __ Victoria Vierra - —�- Owner — -------------.__._..------ —._--- Owner's Name .__.-_-------------------- - ----information is , required for every Cotuit Ma 02635 page. City/Town --- ------- -- --- State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection form r.ro�b ered any way. Please see completeness checklist at the end of the for " Important:When A. General Inftorrrtation filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return --------------- ---------_---- LL key. Name of Inspector - - -- -- DiBuono Sewer and Drain Company Name --- ----- - -- -- --- - 8 Johnspath Company Address S Yarmouth MA 02664 City/Town ---- State - Zip Code 508-364-9587 --_ —_ . 8113522 ---- S113522__ 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 GMR 15.000). The system: Y Passes ❑ Conditionally Passes ❑ Fails [❑ Needs Further Evaluation by the Local Approving Authority r"- ----- ---- 10/18/14 Inspector's Signature Date --- e 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, 15ins•3/13 - Title 5 Official Icspeclion Form;Subsurface sewage D'posalSystem P e 1 of 17 V Commonwealth of Massachuset ts h_ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 329 School st Property Address -----..------ - -- — Victoria Vierra Owner -------- —=----- Owner's Name ___..----------------,—.--------------..:....._.:_--------- information is required for every Cotuit Ma 026_35 10/14/14 page. City/Town State Zip Code - - ----— P Date of Inspection B. Certification-(cont ) — Inspection Summary: Check A,B,C,D or E/ always con-!plete 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: The system is in good working order and consists of a 1500 gallon concrete.septic tank a Distribution box, as well as 4 plastic infultrators. There is no indication of any hydrualic failure at this time. Both inlet and outlet tee's are in place. 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. J 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): ------------ 15ins•3113 - Title 5 Official!nspection Porm:Subsurface Sewage Disposal System•Page 2-of 17 2, Commonwealth of Massachusetts - J � Title 5 Official Inspection r � p Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 329 School st - Property Address ---------- --- __—_- Victoria Vierra Owner Owner's Name ----- ------ --- --- information is required for every COtuit _ Ma 02635 10/14/14 page. City/Town State — Zip Code .Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑, ND (Explain below): ❑ 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 pipes) 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)(6) that the system is not functioning in a manner which will protect public health, safety and the environment:. ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 - - Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page 3 of 17 f . - Commonwealth of Massachusetts Ja Title 5 Official Inspection - Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessment.s • 329 School st -- Victoria_Vierra Owner Owner's Name - ------- .-------- ------- --- -- - information is — - ------ required for every Cotuit — Ma 02635 _ page. City/Town ---— —- -- State Zip Code 10/14/1'4 -- _-- -__ p Date of Inspection B. Certification (cont.) -- 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has aseptic tank and soil absorption system (SAS) and the SAS is within . 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No El ©, 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 all 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 ❑ N Liquid depth in cesspool is less than 6" below invert or available volume is less _ than Y2 day flow 15ins•3/13 ---'—' -_ — lille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4-of 17 I Commonwealth of Massachusetts I;i16 Title 5 Official In ecti - p n Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . 329 School st Victoria Vierra Owner Owner's Name ---_.—.---- :. ---------- information is required for every Cotuit Ma 02635 10/14/14 ---- -- = page. citylrown _—_ — - State zip Code — — - ------- — _p 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. ❑ Z Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well ❑ z 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 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 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. - 15ins•3113 ' Title 5 Official Ir:spection Form:Subsurface Sewage Disposal System•Page 5 of 117 Commonwealth of Massachusetts Title 5 "fficial Inspection Form Subsurface Sewage Disposal System Form - Not for VoluntaryAssessments is / 329 School st Property Address ----- - ----------- Victoria Vierra Owner Owner's Name -- ----- -------- -- information is required for every Cotuit _M..a 02635 10/14/14 page. City/Town ——_ State Zip Code Date of Inspection C. Checklist Check if the following have been clone. 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? ❑ O 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. 0 ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information -- Residential.Flow Conditions: Number of bedrooms (design): 3-- —=— Number3 of bedrooms (actual): ---- - DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 . 15ins•311 3 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page o of 17 I -Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Y Not for Voluntary Assessments a 329 School st Property Address ----..-----._..._.--.__.-- Victoria Vierra Owner, .--- -- -- --- - -wner's Name information --------------------..- ._.._._..__.--- is Q required for every Cotuit M a 2635 10/14/14 page. City/Town -- _.-.-.-._-_ State Zip Code Date of Inspection D. System Information - -- Description: The system is in good working order and consists of a 15,00 gallon concrete septic tank a Distribution box, as well as 4 plastic infultrators. There is no indication of any hydrualic failure at this time. Both inlet and outlet tee's are in dace. Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? © Yes ❑ No Seasonal use? •. '❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): 2012 24'000 2013 26,000 Detail: - — 69.44 GPD over the last two years Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: 5 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: 15ins•3/13 Title 5 Official Inspeclion Form:Subsurface Sewage Disposal system•page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for VoluntaryAssessments sessments 329 School st Property Address _ Victoria Vierra Owner O --- ------ ------ ._. --------- -- -wner's Name information is is required for every Cotuit _ __ _ _-- Ma 02635 ... 10L.1,4/14 page. City/Town — -- State-- Zip Code,,,, ,. Date of Inspection D. System Information (cont.) - - Last date of occupancy/use: Date ---- Other(describe below): General Information Pumping Records; Source of information: na 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: 0 -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 ]/A system by system operator under contract ❑ Tight tank. Attach a copy of the'DEP approval. ❑ Other(describe): 15ins•3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ��,.•'' 329 School st Property Address Victoria Vierra Owner — ---------------------- . Owner's Name _-------- -------- — -- - information i e Cotuit Ma 02635 10/14/14 required for every ---------- ------------- ------- -------- --------- --------------- page. CityfTown State Zip Code Date of Inspectio----n, D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18 "s. feet Material of construction: cast iron © 40 PVC ❑ other (explain): _ --- ---- ._..-----...- -- _ -- Distance from private water supply-well or suction line: feel — -- Comments (on condition of joints, venting, evidence of leakage, etc.): No evidence of leaking system is vented through the roof. Septic Tank (locate on site plan): _ Depth below grade- 1 ft feet _. Material of construction: X concrete_ ❑ metal ❑ fiberglass ❑ polyethylene ._ ❑ other(explain) No sighs of leakage If tank is metal, list age: years -- Is age confirmed by a Certificate of Compliance? (attach.a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gallon — _ Sludge depth.- 3"s 15ins•3113 - Title 5 Official Inspection Form:Subsurlace Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 329 School st Property Address Victoria Vierra Owner -------- ----- ----------------=---._-------- ---- Owner's Name ---.--- --- — --- ---- information is Cotuit Ma 02635 10/14/14 required for every —. --__---- --- page. Cityrrown 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: 24"s_ -_-- Scum thickness 3"s - ---------- -- 42„s Distance from top of scum to top of outlet tee or baffle - ----- ----- Distance from bottom of scum to bottom of outlet tee or baffle "Sludge stick Tape Measure How were dimensions determined? -- Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of Leakage, etc.): No evidence of leakage. Both tee's are in place_ { Grease Trap (locate on site plan): Depth below grade: _NA NA ...._........................-_... ---- _ 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 Dale- (Sins•3/13 Title.official Inspection Form'Sut;suriace Sewage Disposal System•Page 10 of 17 i Commonwealth of Massachusetts l a Title 5 Official Inspection Form sl Subsurface Sewage Disposal System Form - Not for Voluntary Assessments — 329 School st Property Address Victoria Vierra _ Owner ----------- ----- Owner's Name ' information is required for every Cotuit Ma 02635 10/14/14 ----------------------_-..----------__.___-- page. Citylfown 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.): No pm ping recommended at the time of inspection: 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: --- - -er---day ---- ------=-- ---- gallons p Alarm present. ❑ Yes ❑. No Alarm level: - --------- - -- Alarm in working order: ❑' Yes ❑ No Date of last pumping: ------- - - --- --- Date Comments'(condition of alarm and float switches, etc.).- Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form'Subsurface Sek-age Disposal System•Page 11 of 17 Commonwealth of Massachusetts. _ �_66 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ` •� 329 School St Property Address -- Victoria Vierra Owner ----------,_._ ......_._. ..-. --.=_ Owners Name information is Cotuit _ _ __ Ma 02635 10/14/14_ _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): Depth of liquid level above outlet invert At Normal Level _ 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.): Distrinution Box is level and at normal level with no signs of carry over or decay._____ Pump Chamber(locate-on site plan): Pumps in working order: ❑ Yes ❑ No' Alarms in working order: ❑ Yes ❑ No' Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): ------=---- - —.._. --- —------ -.-........... - ------ -----_----- - " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: . t5ins•3113 ride,5 Official Inspection roan;Subsurface Sewage Disposal System•Page 12 0l 17 Commonwealth of Massachusetts Title 5 official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 329 School st _ Property Address Victoria Vierra -------------- --------------------------------------:---- ------ caner Owner's Name information is Cotuit Ma 02635 10/14/14 required for every --_----- _-- - - __-.-..--.-. - ---- _ page. C1tyrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number. --4 lnfultrators---- - ® leaching chambers number: ----- -- - ❑ leaching galleries number: — ❑. leaching trenches number, length: ❑ leaching fields number, dimensions: ---- ❑ overflow cesspool number: - -- --—. ❑ innovative/alternative system Type/name of technology: Infultrators _— Comments (note condition of soil,.signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of breakout or ponding _ _ 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 15ins•3113 itle 5 official Inspection Penn:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form Not for Voluntary Assessments 329 School st Property Address Victoria Vierra Owner Owner's Name -- --- ------------- -- -- - _ information is required for every Cotuit Ma 02635 10/14/14 page. Cityrrown 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.): No signs of breakout or ponding —_ _— 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.): ---._...__... - -------- { . 15ins•3153 11Ce 5 GLficial Inspection r-ornr Subsurface Sewage Disposal System•Page 14 of 17 r , Commonwealth of Massachusetts Title 5 Official Inspection farm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i 329 School st Property Address Victoria Vierra Owner -----------..._-- --.,.. ---------...._._..---------------------------- Owner's Name information is Cotuit Ma 02635 10/,14114 required for every __.-_ page. CltyfTown 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 - F I } > t 15ins•3113 ride 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 15 of 17 /AsBUilt Page 1 of 1 4 C TOWN OF 13AMS1 A.HLE >'h LOCATION L SEWAGE H C Vp_LAGL:__C_v �'t__ ASSESSOR'S MAP Rc LOT INSTALLER'S NAI AE&PHONL'NO._SLQ A� Ln nv,�- SEPTIC TANK CAPACITY 0 6-, L- D LEACHING FACILITY: (typAla (size) Li%.�T S—Itl`Q NO.OF BEDROOMS— BUILDER OROWNL•R V �C L( t V'LCfr( J PERMITDATE: 1 J^), I 4 COMPL[ANCE UATL:� Separation Distance Between the: Maximum Adjusted.Groundwater Table and Bottom of Leaching Facility �L Lf Feet i'rivate Water Supply Well and Leaching Facility (If any wells exist on site or within 200feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist witMn 300 feet of leaching facility) Feet Furnished by t ..A -v 0 aox-96 D ox a 0 lal[p:%/issgl2/intranet/prbpdat t/prebtlilLaspx`?ma{�l:��ir--0201 13��secl—1 10/10/201.4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 329 School st Property Address Victoria Vierra Owner Owner's Name ------ . . --.._..------- -- -- . -..-_.- -- information is required for every Cotuit _ --- - ----_ Ma — 02635 10/14/14 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 22+ft - - - 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: usgs map shows closest open water to be well below 22ft from property You must describe how you established the high ground water elevation: usgs maps shows closest open.water to be well below 22ft from _prop ert -- - -- - ---- ------ --_.- P -y Before filing this Inspection Report, please see Report Completeness Checklist on next page., 15ins-3113 Title 5 OILcial Inspection Form:SUb54ffaCe Sewage Disposal System•Page 16 of 17 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form _ Y Not for Voluntary Assessments 329 School st Property Address Victoria Vierra Owner w — - ------- — — ner's Name ----------------- - ------ information is required for every Cotuit _Ma 02635 10/14/14 page. CitylTown -- ---- -- —-- --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 1 r t5ins t 3f13 - Title 5 Official inspection form:Subsurface Sewage Disposal Systern-Page-17 of 17 TOWN OF BARNSTABLE LOCATION J01 l ��'`�� SEWAGE# VILLAGE C�17 ASSESSOR'S MAP&LOT ()ID - 113 INSTALLER'S NAME&PHONE NO. 75— Lti 2-5- SEPTIC TANK CAPACITY W LEACHING FACILITY:(type) r'�X�SR�,Iy� (size) NO.OF BEDROOMS BUILDER OR OWNER �A f('U PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 [13C. rLO cl - 83" 5 9„ v TOWN OF BARNSTABLE 0•`C., LOCATION 3 X Sa N, ��I SEWAGE # C VILLAGE K Q U-k ASSESSOR'S MAP & LOT r INSTALLER'S NAME&PHONE NO. SX (I V:0 SEPTIC TANK CAPACITY �/' 0 D 61-S LEACHING FACMITY: (type) (size) NO.OF BEDROOMS L \ r BUILDER OR OWNER PERMIT DATE:i�� COMPLIANCE DATE: �'I I) © Separation Distance Between the: Maximum Adjusted Groundwater Table and 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" �fJU No. Feei THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: " Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Mioponl *pztem Construction Permit Application for a Permit to Construct( )Repair(Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel 1 I SL(%6 c` Si W`,,� taller's Name=dress,and el.No. Designer's Name,Address and Tel.No. au Pbr '7 u� Type of Building: Dwelling No.of Bedroo s Lot Size sq.ft. Garbage Grinder(.AI Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures @sign Flow gallons per day. Calculated daily flow gallons. Pla�Date-- umber of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) % ct S Poo to _ k c., Cc_ 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 LEnviron ode and not to p ace the system in operation until a Certifi- cate of Compliance has been issu y this Bo alt ` c Signed Date ! b-3 f 0 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued da- No. — / .a Fee 5) �— - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for aigogar *pttem Conotructton Permit Application for a Permit to Construct( )Repair(Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. a � Schacl � Vi<Avr'c. crc- As `sessor's Map/Parcel COL SL(n b u\ SA �.0�'T M ller's e,� I ta dress,apd Tel.No. "�" `/ Designer's Name,Address and Tel.No. Cd� i_t �1 � aj -:ft Type of Building: Dwelling No.of Bedroo s .. Lot Size sq.ft. Garbage Grinder(A� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow J' gallons. Plan Date umber of sheets jZevision Date Y Title " Size of Septic Tank �_S��__. _ , Type of S.A.S. Description of Soil 1 �• � � Nature of Repairs or Alterations(Answer when applicable) P(c, G2 S 60 f A S Jtr,,-4 ac- N-W, `r,C S A S V n 0 4Lr 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'Environ ode and no o place the system in operation until a Certifi- cate of Compliance has been issu y this Boaz of Health Signed Date �ey3 Application.Approved by Date Z ApplicationlDisap? ed for the f 11`owing reasons Permit No. Date Issued ------------------------------------- THE COMMONWEALTH COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by y(C-C V q- V V-Lf f k at tn �'f /1A rn has been constructed in accordance with the provis�ns of Tile 5 and the for Disposal System Construction Permit No. l� /`7� .dated //— Installer J G O � Designer The issuance of this permit shall 'o f be co!Alau ed s a g, arantee that th S,stem will function as designed Date Inspector, ivA J - --------------------------------------- No. _ 7/ Fee t /— ��� THE COMMONWEALTH OF MASSACHUSETTS v Z0 PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS z fF at5pool 6pztertY,�Congtructton Vermtt Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 2uC C1 cl C-1 S'` C e,}»i-k r,ti and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thi e it. S Date: �� Z 3�/ Approved by ` " t b r ti6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH Ai APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLAYS) I, ��ok� \ ��- hereby tern that the application for disposal works ; construction permit signed by me dated �� to 3 r concerning the property located at sc\n00 S co meets all of the following criteria: • The failed system is tonne-ed to a residential dwelling only. There are no commercial or business uses associated with the dwelling. { • The soil is classined as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system 1 • There are no private wets within 1.50 feet of the proposed septic system • There is no increase in flow and/or change in use proposed 1 • There are no variances requested or needed. t • The bottom of the proposed teaching facility will not be located less than five feet above the ; maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor ! method when applicable] • If the S.A.S. will be located with'_J0 fee;of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than founeea(141) feet above the ma.-cimum adiused groundwater table e!evation- P1e3_se complete the following: A) Too of Ground Surface"Elevation(using GIS information) e J B) G.W. Elevation _the'vLa-K ',-Igh G.W. Adjustment . i = f 0 DEFERENCE BETWEEN a.and E SIGNED : DATEE: (Sketch pr000sed plan of system an back1. q:health folder.cat c i C�A 0 o C)"- TOWN OF BARNSTABLE LOCATION --�C.�(`.���I � SEWAGE # Ej, VILLAGE C'O �'� ASSESSOR'S MAP & LOT 3 INSTALLER'S NAME&PHONE NO. Z.Cl SEPTIC,TANK CAPACITY r �i O LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUELDER OR OWNER V C. l PERMITDATE: I I� COMPLIANCE DATE: Separation Distance Between the: / Maximum Adjusted Groundwater Table and Bottom of Leaching Facility �(0% 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 leaching facility) Feet j Fwiushed:by i �t'41a d —M h 'e xoDQ - , w F K ; , t TOWN OF BARNSTABLE ' APPLICATION PROFILE Application ref 8765S Fee'Effective Dt 10/18/2005 Department BUILDING DEPARTMENT „ Location 329 SCHOOL STREET Parcel 020113 Cross streets Add'l loc desc Municipality COTUIT Subdivision Lot Existing use SINGLE FAMILY HOME memo Current Zoning RESIDENCE F DISTRICT Flood zone Applicant - Proj/ACtivit ROOF - RESIDENTIAL Class Of work ADDITION/ALTERATION - Description STRIP AND RE-ROOF Proposed use -SINGLE FAMILY.HOME ' memo Proposed zoning RESIDENCE F DISTRICT - Flood zone Non-conforming N Applic received 10/18/05 ' Estimated cost 6,545 Estim start/end 10/18/05 Actual start/end 12/01/04 impervious Surf Assigned to Status COMPLETE - - Status Code deSC APPROVED.NO INSPECT REQUIRED Multiple submissions N - - Next action - Government Owned N memo Ordinance ref Reason for app. Parent app Point in time fee-effective date 1 Fee expiration date Role Name/Address PROPERTY OWNER VIEIRA,'MARGARET A &, - CID : 87066 P.O BOX 178 COTUIT,.MA 02635 GENERAL CONTRACTOR CAPIZZI HOME IMPROVEMENT CID : 810678 - 1645NEWTOWN.RD. - t Phone: 5084289518 COTUIT, MA Tradesman Name Lic.Type License .number Class NAILS ,Expires CAPIZZI HOME IMPROVEMENT HIC = 100740 06/23/10 GUSTAFSON,GARY MASONRY 74640 11/29/10 TAYLOR,THOMAS CONT SUPER 080680 4 .06/09/15 . r r _ Repor[generated:03/Z4/2015 13:37' Page 1 Vser: andd Program ID: piappent - - ' o TOWN OF BARNSTABLE , APPLICATION PROFILE Application ref; 87655 (continued) HIC 100740 06/23/14 r status issued ' Fee unpaid. Type Permit Number aid Amt p RES ROOF 87655 ISSUED 10/18/,05 26.84 .00 END OF REPORT - Generated by Miorandi Donna - • -- - III a ' { { Report generated: 03/24/2015 13:37 Page 2 user: miorandd Program Io: piappent AsBuilt Page 1 of 1 C TOWN OF BARNSTABLE LOCATION L I �L�r���� vi SEWAGE#qq -/ VILLAGE C a ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO: �>t-V =_n NV1,- SEPTIC TANK CAPACITY b 0 G-1— D 6A LEACHING FACILITY: (type) (size) NO,OF BEDROOMS_ BUILDER.OR OWNER V C_4 V.�C mil• PERMIT DATE: �.� COMPLIANCE DATE: Yl I1 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 _ a 0 pt�V�c http:Hissgl2/intranet/propdata/prebuilt.asox?mappar=020113&seq=1 3/24/2015 SCH 1 LEGEND COTUiT • UPOLE O O L "S T► \ PROPOSED CONTOUR ® PROPOSED SPOT GRADE - - _ - �HYD —— 98 —— EXISTING CONTOUR �J 10 N 1 ��� 1g _- ---- + 96.52 EXISTING SPOT GRADE LOCUS :w• EXISTING CP 20 W— EXISTING WATER SERVICE CA '�1 � 11 ® TEST PIT SCHOOL STREET 1� po OLD CRANBERRY BOG W rk 25 O /i ss i LOCUS MAP W CONC. SILL EL=20.57 LOCUS INFORMATION `� PLAN REF: 19/143 O � TITLE REF: 22891/85 #329 `, PARCEL ID: MAP 20 PAR. 113 % /c�q I OCR ZONING: "RF" FLOOD ZONE: "X" f/ � p£C I �^0 COMMUNITY PANEL: 25001CO752J DATED:07/16/14 k o PARCEL ID: It / i'� ` N EXISTING 1,50OG SEPTIC SYSTEM - SEPTIC TANK 20/115-001 //����r TBM = (TO REMAIN) GENERAL NOTES: REPAIR PLAN WIN. WELL EL=26.82 (OUTLET EL. 24.27) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL LOCATED AT: I BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 329 SCHOOL STREET PROP. 1,500G \\\ I I 1 I 91, OF THE STATE ENVIRONMENTAL CODE, TITLE 5, AND ANY APPLICABLE Ala. 2-COMP TANK 1 1 I 1 I NEW / LOCAL RULES AND REGULATIONS. (SEE VARIANCE REQUESTS BELOW) C O TU I T M A. (1000G/500G) ' I I I I I 1 DB-3 D—BOX 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR , TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE REPLACE E3CIST. W DESIGN ENGINEER. PREPARED FOR I Q NEW 2 INLET D-BOX PARCEL ID: 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHON HEREON 20/1 34 ENGINEER BEFORE WCONSTRUCTION ONTINUEBE ESSORTED TO THE DESIGN VICTORIA VIER A 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF MAY 1, 2015 REV. JUKE 2, 2015 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF EXISTING LEACHING HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. SyFQ �'I (PASSED TITLE 5 INSP) 7•WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8 9. IT.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED OF MA / / 4 (TO REMAIN) T A CONDITION AGREED UPON BETWEEN OWNER SHALL BE THE RESPONS B LITY OFTHECON CONTRACTOR.TRACTOR TO VERIFY THE (INLET EL. 21.73) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DRE s i CONSTRUCTION. 10. EXISTING SEPTIC TANK, LEACHING TO REMAIN, PASSING INSPECTION REPORT � PARCEL ID: tL� ON FILE WITH BARNSTABLE HEALTH. EXISTING CESSPOOL IN FRONT ) 1 O 20/113 t YARD TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. C/�E � 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION AREA=0.87 ACRES r(,� 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY `4NITAR�P� A[__ AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY ' 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED) / OO 15. USE PRESSURE FITTINGS AND PLACE THRUST BLOCKS AT All TURNS IN MEYER & SONS, INC. �., ` TO OC OO PRESSURE LINE. cRgNeFR ' P.O. B 0 X 981 a Rr000) VARIANCE REQUESTS — MAXIMUM FEASIBLE COMPLIANCE EAST SANDWICH, MA. 02537 PH: (508)360-3311 PER BARNSTARI F BOH R rc• FAX: (774)413-9468 1) A 45 FT. VARIANCE FROM BARNSTABLE BOH REG. TO ALLOW SEPTIC TANK/PUMP CHAMBER TO BE A MIN. OF 55' FROM BWV VS REQUIRED 100 FT. meyerandsonsinr-@gmail.com SCALE: 1"=30' 1) A 9 FT. VARIANCE FROM BARNSTABLE BOH REG. TO-ALLOW DISTRIBUTION BOX TO BE A MIN. OF 91' FROM BWV VS REQUIRED 100 FT. s SHEET 1 OF 2 J#1742 * NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS PROPOSED TANK - PUMP CHAMBER INSTALL RISERS W/IN 6" OF FINISH GRADE 20" (min) ACCESS MANHOLE REQUIRED INSTALL RISERS W/IN 6" OF FINISH GRADE INSTALL RISERS to FINISH GRADE - FINISH GRADE=26.50 EL.19.Ot r EL.19.Ot' F.G. EL: 26.50� MIN. COVER OVER S.A.S. = 9" MAINTAIN 2% MIN SLOPE OVER LEACHING AREA CELLAR FLOOR EL. = 20.57 SANTu:Y 1EE L =1O'(MAX) a :A EL.17.0 2" SCH 40 PVC 4" SCH 40 PVC r L 4" SCH 40 PVC FORCE MAIN 8" a s' e ® S= 1% MIN. a G5=2X 1D• �� ®5= ix (MIN.) ( TO EXIST. LEACHING AT EL. 21.73 �� (MIN.) TEES ARE TO BE coG P P. INV.=22.60 +' SCH 40 PVC INV.= 22.80 D—BOX INV.= 22.10 INV.=21.90' :6 purlp cHAM INV.= 15.75 ::. . :. t� GqS (SEE DEUAL TEE SHALL NOT EXTEND PROP. 2—INLET D—BOX e/ ICE BELOW FLOW LINE BELOW) EXISTING ELEVATIONS TO REMAIN) Exist. Invert" w/ FILTER (USE DB-S W/BAFFLE) '( INV.= 17.0 .. INV.= 16.0 r PROPOSED 1,000/500 GALLON 2—COMPARTMENT H2O SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION. 2) TANK AND D—BOX SHALL BE SET TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE AS SPECIFIED IN 310 CMR 15.221(2). 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4) GAS BAFFLE W/ FILTER TO BE INSTALLED ON OUTLET TEE SEPTIC . SYSTEM PROFILE AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. 5) INSTALL SANITARY TEE IN D—BOX N.T.S. ' INSTALL V PVC CONDUIT TO HOUSE FOR WIRING PROVIDE WATERTIGHT CONCRETE RISER WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM WITH SECURED COVER TO GRADE FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON I CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED HOISTING CABLE 7x19 STAINLESS STEEL BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE 1/8" DIAMETER. / 1,760 LB. STRENGTH. WATERTIGHT 2"BALL VALVE w/ UNIONS SCH. 80 PVC PC INV.=15.75 GEORGE FISHER CO. MODEL NO. 560 OR EQUAL 2"SCH. 40 DISCHARGE TO D—BOX PUMP DETAIL ALARM ON EL: 13.08 2"SCH. 40 TEE w/ CLEAN—OUT CAP N.T.S. PUMP ON EL: 12.75 PROVIDE 1/4" WEEP HOLE IN DISCHARGE . PUMP OFF EL: 12.50 18 PIPE FOR SELF—DRAINING FORCE MAIN 129" 2" BALL CHECK VALVE SCH. 80 PVC �� OF M,qs BOTTOM OF INT. P.C. EL. 11.75 100 P.S.I. FLOWMATIC MODEL No. 208S PROVIDE — 2" SCH. 40 PVC DISCHARGE PIPE o DAR M yG FLOAT NOA: PUMP ON/OFF (BARNES 073618 OR EQUAL) BARNES SEV412 PUMP .4 H.P. 115 V FLO**NOTE: TANK/PUMPAT CHAMBER TO2: ALARM CTIVATION BE FACTORYYARNES 073612 WATERPROOF D WR EQUAL) AND OUTSIDE DISCHARGE SE MS SEALED NTHPASSING HYDRAULIC OR EQUAL BUOYANCY CALCULATIONS No. 114 SOLIDS CEMENT" / E �' PUMP & ACCESSORIES AVAILABLE AS A UNIT THROUGH WIGGEN PRECAST CORP., BOURNE MA. (800) 564-6774 NOT APPLICABLE R£c�51 PUMP & ACCESSORIES AVAILABLE THROUGH WILLIAMSON ELECTRIC (781) 444-6800 SOIT00 DESIGN CRITERIA -- DESIGN FLOW: 3 BEDROOM X 110 GAL/DAY/BR = 330 GPD SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN GARBAGE GRINDER: NO DOSING & STORAGE REQUIREMENTS +- SEPTIC TANK/PUMP CHAMBER: 330 gpd x 200% = 660 gpd DAILY FLOW: 330 GPD USE 2—COMP H2O 1,50OG TANK (1,000G/5OOG) DOSING REQUIRED: 8 CYCLES/DAY (SAND) NOTES: PROPOSED SEPTIC SYSTEM UPGRADE PLAN LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. - 330 _ 8 = 41.25 GALLONS/CYCLE 1.) ALARM TO BE AUDIO/VISUAL AND ON PRIMARY S.A.S. DISTANCE REQUIRED BETWEEN PUMP SEPARATE CIRCUIT FROM PUMP. 329 SCHOOL STREET ON AND PUMP OFF FLOATS: 2'.) ELECTRICAL PERMIT REQUIRED. > COTUIT> MA EXISTING SOIL ABSORBTION SYSTEM INST 1 I ED A.PRIL 10 2000 41.25 GAL/CYCLE_ 125 GAL/FT = 0.33 FT/CYCLE (4") 3.) ALARM TO BE LOCATED IN N EASILY Prepared for: Viero ACCESSIBLE EXTERIOR.LOCATION. (PASSED A TITLE 5 INSPECTION, ON FILE WITH HEALTH DEPT.) STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS ' DESIGN AND SITE PLAN BY: SCALE DRAWN DATE 4:) PUMP TO BE INSTALLED IN STRICT INC. STORAGE PROVIDED: CONFORMANCE WITH MANUFACTURERS SPECS MEYER&SONS, N.T.S. DMM 05/01/15 INV. EL:15.75 — ALARM ON EL: 13.08 =2.67' 5:) PUMP CHAMBER TO BE FACTORY WATER SEALED PO BOX981 REV. DATE SHEET NO. WANSIDE AND OUTSIDE SEAMS SEALED NTH EAST SANDWICH,MA02537 CHECKED STORAGE. PROVIDED = 2.6T X 125 GAL/FT = 333.0 GALLONS HYDRAULIC CEMENT ✓ 508-362-2922 06/02/15 DMM 2 Of 2