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HomeMy WebLinkAbout0046 THANKFUL LANE - Health 46 rHANKFUL LANE, C®TUIT A=039 058 A 1 i� TOWN OF BARNSTABLE LOCATION 7 b `�� �'`� SEWAGE# 2 VILLAGE f' t ASSESSOR'S MAP&PARCEL®-71 INSTALLER'S NAME&PHONE NO. -��"''$'' SEPTIC TANK CAPACITY dO d LEACHING FACILITY: (type) (size) /21 Y 3-? ? NO.OF BEDROOMS G OWNER Cat a 1"� C/a`a C „� �Gr•n PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY A-�4&A C� /✓ // "''� "«+ W Cj W W TOWN OF BARNSTABLE LOCATION ®Z l-yh SEWAGE# -1(n=) 1 !Sel— VILLAGE e' a r-i— ASSESSOR'S MAP&PARCEL d�Of-0-'CS INSTALLER'S NAME&PHONE NO. J C• V- SbT'--`Z?1 -ZI341`5f SEPTIC TANK CAPACITY C--pC t I'L7 t�&6 tcrDa,6. L LEACHING FACILITY. (type) (size) �-�1�l�•�3?e3.,' NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: c a 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) MI A�! Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ide— Feet FURNISHED BY c` (A a oo 0 j/ i/ No g Fee /co THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ��c.�( �( 4 PV O/wner's Name,Address,and Tel.No. Q Assessor's Map/Parcel 0Z Installerr's Name,Address,and Tel.No. (� Designer's Name,Address,and Tel.No. - � i iLtr�sw �el '+!✓f G �� �l .�e�/'aP f��"�� .mac L Type of Building: Dwelling No.of Bedrooms L` Lot Size sq.ft. Garbage Grinder( ) Other Type of Building r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7 Vo gpd Design flow provided y` gpd Plan Date Number of sheets Revision Date Title / Size of Septic Tank / ©® Type of S.A.S. . 7o0 Description of Soil Nature of Repairs or Alterations(Answer when applicable) �lw C_ 4t 44,l•►� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. _ �1J Z- )---z 1 Signed Date Application Approved by Date Application Disapproved by Date for the.following reasons Permit No. -- Date Issued c� 3• No. Fee o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION N OF BARNSTABLE, MASSACHUSETTS Yes ftpfitation for Misposal 6pstrut Construction Vermit Application for.a Permit to Cons irtructRe a ,):Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Noh� �a.q"k/f 4 tV Owner's!(Name,Address,and Tel.No. Assessor's Map/Parcel 0 g T d _ (0°f'w!4- 64 41 14(f . 4,,G-100�� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. � C Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage-Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) "/y gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank /"UA Type of S.A.S. J •��� 3 Description of Soil Nature.of Repairs or Alterations(Answer when applicable) ���a a G4..%P� GC«Z Gl•��'j Date last inspected: � • t Agreement: I ��' The undersigned agrees to ensure the construction an�d'maintenanccetof the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and n'bi`L p ace system in operation until a Certificate of Compliance has been issued by this Board of Health. � � .►.---^ Signed �.. ^^ ,..,.,• Date Application Approved by Date �� J Application Disapproved D spproved by �'�, Date �...,, for the following reasons Permit No. r `1 / -1.F" 1 ik,f-, 'r Date Issued _-� )n r HE COMMONWEALTH OF,MASSACHUSETTS BARNSTABLE,MASSACHUSETTS r ,r �lCPrtificate of Compliance THIS IS TO CERTIFY,thaII t tlie'On-site Sewage Disposal system Constructed( ) Repaired( Upgraded Abandoned( )by ���, ./'�c.•I�-+.- at 'n+"'i has been constructed in accordance with the pro�'sions of Title 5 and the or Disposal System-Construction Permit N1--J7 dated / Disp Installer - `'�'jF•f%� �' `':� �-t o .%si o, Designer #bedrooms f Approved design flow `��✓d gpd d- ' ra Q The issuance of this permit sh 11 not be construed as a guarantee that the system will�functio as dessgne . Date Inspector Inspector Y No. r Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS isposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at. ' .� ��'F► �� ./� 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. i Provided:Construction must be completed within three years of the date of this permit. Date Approved by a Town of Barnstable Reuiatory Services Richard V.Scalt,Interim"DiBARMABM rector ""` `Public health Division. O ,�s Thomas-McKean,Director ..ZOO MMn Street,Hyannis,MA 02601: Office: 508-862 4644 Fax: 508=790 630 Installer&Designer Certification Four Date: Sewage Permit# °7 �Assessor's maplParceKd _ Q J Designer: _ j;arL1"s IvIl<_ Installer: .1A Address:. lZ Cris Address:- L On �7 AA flfl` f��a i.Ge �, �e1. d was issued a permit to install a ( ) (installer date ) Q y 1 ( 'C _ septic stern at {o �101 vt" r �S t' based ort.a design drawn by = (address) " Ert9 i'�Qert!: q.Noi-IZ4 Ike. dated�. � l�`Z-1 �� �o �`7:� (designer) `� I certify that the septic system referenced above-was installed,substantiall accordin io . Y :. S the design,which may include minor approved changes.such as.lateral relocation of the distribution box and/or septic tank=. StTi dirt f r aired Novas in ected and the'`soils F . ,) sP were found satisfactory." t I certify that the septic system referenced above was installed with major`change's (i.e greater than 10' lateral relocation of the.SAS or any vertical relocation'of any coinporient of the septic;system)-but in accordance with State&LocatRegulations. Plan revision or certified as-built by designer to follow., Stnp out(tf required)was inspected and the soils were found satisfactory._ I certify thatthe system referenced above was.coristructed in with the'aerms; of the I\A approv . e ers(if ppTicable) � � ;McENtEE . (Installer's Signature)' Gout) ND 9 Desi er's Si' atue ( gn. ) (Affix Design ere - PLEASE RETURN.TO`.BARNSTABLE PUBLIC HEALTH DMSION: :CERTIFICATE ' OF: COMPLIANCE"WILL "NOT"BE ISSUED UNTIL-BOTFI THIS FORM AND AS-; BUILT.CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC:HEALTH DIM,SION. THANK YOU: Q.,SeptiC:%Designer Certification Form R6 8- 4-13 doc Engineers.note:,Thts certfication is limited to an as-built inspection of system components.as installed prior to backfill.The engineer did:notsupenAseconatruction of the-system;=The installer assumes responsibility for all materials,workmanship,backfiiling" to specified grades with proper compaction and setting risers/covers as shown on the design plan. Q DiBuono sewer and drain has successfully repaired the existing four-bedroom septic system at 46 Thankful Ln.The repair was made to the existing leach field .The new system contains the existing septic tank and a new field made up of three 500-gallon concrete chambers in stone.As well as a new DB3 distribution box.The field measures 33'X 12.8'X 2' Michael DiBuono President. f i e P A� 11 �J F r o, Y R C� Til A4u�r ► Y14 4 , .......... aQ ^'' CATHERINE T. SCUDERI 46 THANKFUL LANE COTUIT, MA.02635 Re: 4 bedroom house design June 15,2021 Town of Barnstable i To whom it may concern, The Scuderi family has lived at the above address since 1997.We have always maintained and paid taxes as a 4 bedroom house at 46 Thankful Lane, Cotuit,Ma. 02635.We have just installed a new 4 bedroom septic leaching field.We would appreciate that our approved registered design septic plans denote same,4 bedrooms and not a 3 bedrooms.We ask to have the Town of Barnstable, record and reflect correction in the town records. Sincerely, Catherine T. Scuderi CC: Mike DiBuono Peter T.McEntee I CATHERINE T. SCUDERI 46 THANKFUL LANE COTUIT,MA.02635 Re: 4 bedroom house design June 15,2021 Town of Barnstable To whom it may concern, The Scuderi family has lived at the above address since 1997.We have always maintained and paid taxes as a 4 bedroom house at 46 Thankful Lane, Cotuit,Ma. 02635.We have just installed a new 4 bedroom septic leaching field.We would appreciate that our approved registered design septic plans denote same,4 bedrooms and not a 3 bedrooms.We ask to have the Town of Barnstable, record and reflect correction in the town records. Sincerely, Catherine T. Scuderi CC: Mike DiBuono Peter T.McEntee COrnmorwmifth of Mossochusetts John Grad ExeeutNe Oftiee of ErMor imntai Affairs D.E.P. Title V Septic Inspector Department of P.O. Box 2119 EnYfronmental Protection Teat08 5 MAa- 1 3 (508) 5 3 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM QD --�L r� PART A PkelVE CERTIFICATION J,I N 46 Thankful Cotu]tUj 4 19 Property Address: Address of Owner: 1pwNt7f 97 Date of Inspectlon:5J2�97 (if different) Fountain St.Orange Ma. h�1TyDEptlABf� Name of Inspector:John Gracl (V Company Name,Address and Telephone Number: y ` CERTIFICATION STATEMENT I certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes This inspection Is based on criteria defined In Title V _ Conditionally Passes code 310 CMR 15.303.My findings are of how the system is Needs Fur er valuation B the Local Approving Authori performinpat the time of the Inspection.My Inspection does Y PP 9 tY not Imply any warranty or quarantee of the longevity or the Fails / 44 septic system and any of Its components useful life. Inspector's Signature: id Date: fit w The System Inspector shall s a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as In 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined", explain why not.) The septic tank is metal, cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11115195) One Winter Street a Boston,Massachusetts 02108 a FAX(617)556-1049 a Telephone(617)292-5500 1 h SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 46 Thankfull Lane Cotult Owner: Cellana:125 Fountain St.Orange Ma.01364 Date of Inspection:5f28197 _ Sewage backup or breakout or high static water level observed in the distribution box is due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic lank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D) SYSTEM FAILS: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. _ Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 11115195) � 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 45 Thanklull Lane Cotult Owner: Cellana:125 Fountain SL Orange Ma.01354 Date of Inspection:5128197 D]SYSTEM FAILS(continued) Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6°below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further Information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 46 Thankf ill Lane Cotuft Owner: Cellana:125 Fountain St.Orange Ma.01364 Date of Inspection:5128197 Check if the following have been done: X Pumping information was requested of the owner,occupant,and Board of Health. X None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. n1aAs built plans have been obtained and examined.* Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened, and the Interior of the septic tank was Inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/15195) 4 , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 48 Thankhrtl Lane Cotult Owner: Cellana:125 Fountain St.Orange Me.01364 Date of Inspection:5128197 FLOW CONDITIONS RESIDENTIAL: Design flow: 0 gallons Number of bedrooms: 3 Number of current residents: 6 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): Yes Water meter readings,if available:Ida Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: Iva Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: Na Last date of occupancy: n1a OTHER:(Describe) Na Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: n1a System pumped as part of inspection:(yes or no)No If yes,volume pumped: gallons Reason for pumping: n1a TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes,attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(it known)and source information: 1983 Sewage odors detected when arriving at the site:(yes or no) No (revised 11115195) 5 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 45 Thankfull Lane Cotult Owner: Cellana:125 Fountain St.Orange Ma.01364 Date of Inspection:5128197 SEPTIC TANK: X (locate on site plan) Depth below grade: 2' Material of construction:X concreate_metal_FRP_other(explain) Dimensions: L 8'6'H 5-7"W 4-10• Sludge depth:5' Distance from top of sludge to bottom of outlet tee or baffle: 22" Scum thickness:3' Distance from top of scum to top of outlet tee or baffle:6' Distance form bottom of scum to bottom of outlet tee or baffle: IV Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Septic tank and all components are structurally sound.Recommend pumping system every one to two years. GREASE TRAP: (locate on site plan) Depth below grade: Na Material of construction: _concrete_metal_FRP_other(explain) Dimensions: Na Scum thickness:Na Distance from top of scum to top of outlet tee or baffle:nla Distance from bottom of scum to bottom of outlet tee or baffle:n1a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Na (revised 11115195) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Thankfull Lane Cotult Owner: Cellana:125 Fountain St.Orange Ma.e1364 Date of Inspection:5128197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: n1a Material of construction:_concreie_metal_FRP_other(explain) Dimensions: n1a Capacity: n1a gallons Design flow: nia gallons/day Alarm level: rda Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: Liquid level with bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) D-box is structurally sound - PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Na (revised 11115195) 7 n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Thankfull Lane Cotuh Owner: Cellana:125 Fountain SL Orange Ma.01354 Date of Inspection:5128197 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present, explain: n1a Type: leaching pits,number: 1,000 gallon leach pit leaching chambers,number:n1a leaching galleries,number: nfa leaching trenches,number,length: Na leaching fields,number,dimensions:n1a overflow cesspool, number:n1a Comments:(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.) The overflow is structurally sound and functioning propedy.lt was empty at the time of the Inspection. CESSPOOLS: (locate on site plan) Number and configuration: n1a Depth-top of liquid to inlet invert: n1a Depth of solids layer: n1a Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater: n1a inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n1a PRIVY: (locate on site plan) Materials of construction: n1a Dimensions: n1a Depth of solids: nfa Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) n1a (revised 11115195) 8 I� ~ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 46 Thankfull Lane Cotuit Owner: Cegana:125 Fountain St.orange Ma.01364 Date of Inspection:5128197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 6 l� All AD y3� i=1 CA 3�1 DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115195) 9 LOCATION ,.- SEWAGE PERMIT NO. VILLAGE CC INSTA LLER'S NAME a ADDRESS i e U I L D E R OR OWNER I DATE PERMIT ISSUED DATE C0 M P L I A N C E ISSUED 0 Z h � No. Fss.....E�0 . ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH f, ----------------•-•- ApplirFation for Disposal Workii Tonotraartion anal# A Application is hereby, made for a Permit to Construct ) or Repair an Individual Sewage Disposal System at: er_ Tu .Locatio tAddr s r Lot No. .' ! t.1�1 ... �.IRN�IA��!....................... ........ga�,�>�-a.w......��::.......a ca:�ti�.�.....�:�4 Owner Address W Installer Address Q Type of Building Size Lot`AX66�._....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building TfR. No. of persons.............:.............. Showers — yP g - -•---------•-----------• P ( ) Cafeteria ( ) Otherfixtures --------------- --------------------•-----•--------•.----------------------------•--•------•------•--I-----------------....-•------..........-•--•- W Design Flow.....UL?................................gallons per person per day. Total daily flow----- 3v_._.........._............gallons. WSeptic Tank—Liquid capacitylP.O 2..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width pp..�.__.............. Total Length........... ._..._ Total leaching area....................sq. ft. Seepage Pit No..................... Diameter....... Depth below inlet......... ....... Total leaching area..'-Ar �...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.....kN7V,_&...dA o_k AA'!.................... Date........................................ a Test Pit No. 1......k.......minutes per inch Depth of Test Pit---�._�.._......... Depth to ground water--__mod`"....._.. frq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W O Description of Soil....&.'0& '�.......?� s��1-----•................. �'�-l�n^-------��'� ......-------- .......................... U_t-7e x V ---------------•--•-••------•---------••-----------......--------•-------•----------••-------------------------••----------------•---------- W ---••--------------------------------------------------------------------------------•---•--------------------------------------------------------------•-------------------------•--•------•--•---- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ •---------------------------•------------...----------•-----------------•-----------.....----------•-----•-•-------------------------------------------•--------------------------.......------......._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sa Code— Th undersigned further agrees not to place the system in operation until a Certificate of Compliance, s een ' sued by he board of hea h. 4igned------- atp Application Approved By----..... ---r .................-�`-a.;,.......... -------•--- Date Application Disapproved for the following reasons:............................................................................................................... ...................................................-....................................................... -----------------------------------------------=................. Permit No.- -_ ........ C..................... Issued....................................................... Date 0 No ...._.......... Fmc...`' °............ THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH ..................OF..... J?rsx.{ � ..................... Appliration for Disposal Works Tnnstrnrtiun Vewit Application is hereby made for a Permit to Construct pp y ) or Repair an Individual Sewage Disposal System at: n. ...........................•..... .............. •......_-__-__................. " Location.;Addle or Lot No --•••--•----------------- ... .. Owner .. W Address -------------•-•-- ------- ...... ....---------------------------------------- Add..._.ress.--_-..... ..__._.......----------------- •^• � � Installer d Type of Building Size Lot4l�:�O........Sq. feet V. Dwelling—No. of Bedrooms.______:-' ...............................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ? ► ........ No. of persons.....................{,.____ Showers ( ) — Cafeteria ( ) Other fixtures --------••--•• -•-•------•-. . - W Design Flow::_110.................................gallons per person per day. Total daily flow.._...a ......_.•.........._.......gallons. WSeptic Tank—Liquid capacit?.Pi�!Q...gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench' No..................... Width.................... Total Length......... _._.__. Total.leaching area....................sq. ft. Seepage Pit TO:.................... Diameter......(±......... Depth below inlet......... ......... Total leaching area. "� C ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..... r tt�'. .__C � .: �'°�..................... Date......._..._..___..�a� Test Pit No. I....------------minutes per inch Depth of Test Pit_i. Depth to ground water...._.................... f14 Test Pit No. 2................minutes per inch Depth of Test Pit............:....... Depth to ground water........................ O Description of Soil._L ?M:•• Y .1 __ c.:t...:_••-••--------•--..i -� '! z4a�' e- Uj 1 t.�'` t9A,Z) W ................................................................................... ..............-----••---- --•------•-•---•--------••---------- ------ ...- ...- ...........................................................--......-------•-----------•--•------•---•--------------------------------------------------...--•-------------•------•---•--•.......-•------•- U Nature of Repairs or_Alterations.-;Answer when applicable__________________-------------------------_---------------------------------.---._._...._____. - ---...--•------------- --------------------------------------------------------------------------------------- Agreement: �x The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5.of the State SaniE 'y'Code—4bthe undersigned further agrees not to place the system in operation until a Certificate of Compliances een issue board of h h. g --•- --••-----•-----•- > ned D r ` � Date Application Approved By........................... =,i`...kc cd-..................•----------. ..........i.3 Date Application Disapproved for the following reasons:------•-------------•------•----•---------------------••-----------------------•-•----•-......----•-------_..._ _, .. ..-----------------•---•--...---------------------------------------•-•------. •---•--••-•----- }v'" Date Permit No.... ...................... a ,Issued-.. Date THE COMMONWEALTH,'.OF MASSACHUSETTS BOARD OP:!',,HEALTH (9rrtif iratr of :�Tuntlrhhure THIS IS TO CERTIFY, That the Individual Sewage',Disposal System constructed ( ) or Repaired ( ) by-- •---- ;... t ip --...L,----------------------------------------------------------------------•--•----•-------------------•----------••.._...--------•------------ ,�'` at ..-"..�------- s' ''. _� --= �:`.t-----•/ ------•nstauer ------•----------------------•------------------------------------------------------------ has been installed in accordance with the provisions of TITLE. r of The State Sanitary Code as described in the application for Disposal `Works Construction.Permit No.� ""_ -.R ..._....._. dated_-tGRANTtEE . _ _ r ._.____._._. THE ISSUANCE OF THIS CERTIFICATE SHALV1AOT BE CON TRUE® AS A THAT THE ' SYSTEM WILL FUNC OP SATISFACTORY. . ` DATE--•-=----•••-•------..$....... � ..-•-- Inspector••. M THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH �gd J� . FEE Disposal Works Tnns#.rnrtinn "unfit Permission is hereby granted... _ta............................... to Construct ( ) or Repair ) an Individ 1 Sewage Disposal System `\ at No +...� - ---•-----•------------------••--•---------••..• Street <' as shown on the application for Disposal `Wtks Construction Permit No..g `' Dated. I ._. } " L Board of Health DATE ...... ----- ----- -- FORM 1255"-A. M. SULKIN, INC., BOSTON L� tV S O <�� Q� ' v OX � O a;N C,/ In 4i 30°-37'-o5"W 83 .3Z � C PO�v- F3F-lp,R � �U=TtkEDo CIVM ENGWX4R ts�os�L PL L o c) ✓ ssoc.)Qc., RYIJJAI CI z� H 10 C o i sT• g� — i4�, G Oop CoFr• DIAN1. Q(o.3 r- G� GoilG• �A�u►�.tC� Pi 1000 Gal. Conc. 7 A o e cs Sr-Pftc- TaK 0 e e4a e a o e. BoT• PrT E�y �``' T -- �3 � �E51 c-�N D a♦-�-A ; Dz LbAM �RCoLAT! oN RATS.: 2 All jlr.l c � 2o P Sub's So 1 L. �' TEST P��'oRrvt ED J �v. 8 , 19 8c� 3 QcDRootitS >C Ito c pD = 330 C Pp L�AC�{It�/C, NO C-7ARaAC,E DISP05At_ USE CAL•SEP IC 1, tAE �v C.OkQ-stc CAPAG1Ty ��,o�/ ID D o-tTo� CAPCo0" Ci PP `�43 .KALE StDE5 �- 12 ,� 4. 0 --A 3�7.oC1 RD W �} l Z E OTA,l_ CA C• I T`j o v i DET 5 07 ,1 C,P D F N C.ou tv L�CaOD1Q S SOIL STR ArA .�'S�� �, a �?a'r..r w^�s •r..�ern �..�,.`.r 2t c `�"���, �����,,3�fi' '�'' 'a <'� `s` ��f ..�' , f�.�t�i��-.��n..'i` _� �.. 'f' ��:,.4 �•r .a.�fz_, � r"Iy �,�GKr} r '�4 �.ay► �,. .r�a „�,...-f f > s �+ 'f§.,g�t� � 'is # 5 t y:� 3�..�✓•k"'`L # Fir��tr _ .. ._ ._i�I3a -+'n ,A»i�F>7 e � earFt, .c �pa,��;�•-'�..,>f.-:.-. � .�: �., :� 1 N 3�T A l L��rEfRS � � 4N=AE.� >�i� DD�It�E S�S� t.• t; ���;� i >< �•s'a° �s3z"'altvX r`�t' .t- � f^ •,f 4� u ,S fi +i".. t x '�r _ 3 f WD�# Eit M l T 34 VkfD - Dq �T E C OM Pi 111 #1'C I .,�� �_. S S;UxE D g S 8 a ;�ro"ry+•�-•f•� Y � � {;'fit�, IPA. tf � s'nt t.. Y 1 A - -to .. $ W`,�R T ���/// � 1 • )lop, i7 � a r EXISTING CONTOUR x 60.98 EXISTING SPOT GRADE Y n fA' � -Vil EXISTING WATER SVC. -G EXISTING GAS SERVICE GW- UNDERGROUND WIRES \ 4, �f. ` ' ..... TEST PIT ` BENCHMARK lCp �28240 O46 fhankful.ln,# a Cotuit X.MA 02635 y' LEGEND A A LOCUS MAP .. \ R.3 < 3�3 .00, 0 EXISTING CESSPOOL 11 \ I TO BE PUMPED, FILLED 9 \ I WITH SAND & ABANDONED G �g x 102.71 \ EXISTING SEP77C TANK (TO REMAIN) TOP OF TANK, EL.=103.1+ IN (OUT)=101.75E \ \ � x 103.77 � I \ I PROPOSED S.A.S. 3-500 GAL CHAMBERS \ Z SURROUNDED W/4' STONE 104.42 \ x 103.32 __jp_, _ - LOT 34 A q , x 104. 43,839±S.F.Tp- I 104. 3 104. tt�,f �/'�} I F� _. ,. 104.29 '�,+' 102.56 I I 104.87 �'., \ + 102.64 I I 0 UGW 04.43 / I S TRANSFORMER 104.44 ��� x 104.43 +104.26 103.3 _ x 103. 5 I I 101.99 I I 1 06 104 50 EXISTING ; 102. `� x SPLIT LEVEL DECK � X 104.32 104.31 HOUSE (146) PK SET T.O.F.=105.0E _ '""`.`.... - I 102.24 A. -1Q•4� \ ' :: IU1.72 I 03.77 104.17+ + 04.08 4 �104.04� 103.89 101.72 \ x 103.02 I cow tS,, 101.50 ....,�.� jI • 100.80 �\3 - l00.81 88.3102. 2 R=591.20x 102J - Z\ i 44 BENCHMARK 10.00' _ - C=68.16' S 13°58'40 E MAG. NAIL SET 100.55 EL.=102.24 e 100.69 edge of pavement 100.60 100.39 ...r 100.23 \ PK SET 100.10 boss 00.1s ,e �' THANKFUL LANE PARCEL .ID: 039-058 02 PETER PLAN REVISION 6/7/21 McENTEE INCREASE S.A.S. 440 GPD PROPOSED SEPTIC SYSTEM UPGRADE PLAN CIVIL EX. HOUSE HAS 4 BR No. 35109 46 THANKFUL LANE COTU IT MA /Sl - Prepared for: DiBuono Sewer & Drain, 35 Content Ln, Cotuit, MA 02635 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. i SCUDERI, CATHERINE T Engineering Works, Inc. 1"=30 P.T.M. 191-21 46 THANKFUL LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. 1 COTUIT, MA 02635 (508) 477-5313 5/15/21 P.T.M. 1 Of 2 :r i NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=101.50 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL .RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=105.0t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=104.4t F.G. EL.=104.3t F.G. EL.=104.6f F.G. EL.=104.5t MAINTAIN 2% SLOPE OVER S.A.S. ' L = 23' L = 23' Cal S=1% (MIN.) p S=1% (MIN.) 2" LAYER OF 1/8" TO i/2"4"SCH40 PVC 4'SCH40 PVC 6" DOUBLE WASHED STONE is"I 6 a;4 ! (OR APPROVED FlLTER FABRIC) 1a" 2' EFF. a EXISTING 48" LIQUID DEPTH a -3/4" TO 1-1/2" DOUBLE LEVELWASHED STONE ADD INV.=101.40 PROPOSED 4' 4'GAS BAFFLE _ INV.=101.23INV.=101.75 D BOX EFFECTIV ' (VERIFY) 3 OUTLETS INV.=101.00 EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED NOTES: TOP CONC. ELEV.=101.8t BREAKOUT ELEV.=101.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=101.00 aaaaa INVERTS, PRIOR TO INSTALLATION. aaaaaaaaaaa aaaaaaaaaaa 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.= 99.00 TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING 4' 3 x 8.5' = 25.5' 4' STABLE BASE OR OR SIX INCH AGGREGATE BASE, AS PERVIOUS MATERIAL EFFECTIVE LENGTH = 33.5' SPECIFIED IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE BOTTOM OF TEST PIT, EL.=93.1 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: MAY 5, 2021 TPT-21-117 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER McENTEE, SE-1542 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DAVID STANTON RS HEALTH AGENT LOCAL RULES AND REGULATIONS. ELEV. TP- •I DEPTH ELEV. TP-2 DEPTH 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 104.6 A 0 104.6 A 0" DESIGN ENGINEER. LOAMY SAND LOAMY SAND 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 104.1 10YR 4/2 1041 10YR 4/2 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN B 6" B 6" ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. LOAMY SAND LOAMY SAND10YR 5/6 10YR 5/6 6. THE DESIGN ENGINEER IS 'NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 102.4 26" 102.5 C 25" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. C PERC 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 30"/48" 8. THERE ARE NO ABUTTING WELLS WITHIN 150' OF THE PROPOSED S.A.S. MED. SAND MED. SAND 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 2.5Y 6/6 2.5Y 6/6 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 1 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 93.1 138" 93.1 138" CONSTRUCTION. REFERENCE PERC PERFORMED 1/28/1980 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PERC RATE 2 MIN/IN. "C" HORIZON IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND NO GROUNDWATER ENCOUNTERED REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN EXISTING IT LEVEL DECK HOUSE (146) BACK OF HOUSE 30' e� 4gss8. .0. v.0, DESIGN CRITERIA NUMBER OF BEDROOMS: 4 c3`�ux. y ad// SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN DAILY-FLOW: 440 GPD //�"�h DESIGN FLOW: 440 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (440 GPD) = 445.9 SF SEPTIC LAYOUT .74 GPD/SF EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 46 THANKFUL LANE COTUIT MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES SIDEWALL AREA: 2(12.8' + 33.5') x 2 = 185.2 S.F. Prepared for: DiBuono Sewer & Drain, 35 Content Ln, Cotuit, MA 02635 BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. Engineering by: SCALE DRAWN JOB. NO. ' TOTAL AREA:.............................................................. 614.0 S.F. Engineering Works, Inc. N.T.S. P.T.M. 191-21 DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 5/15/21 P.T.M. 2 Of 2