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0009 TOPSAIL CIRCLE - Health
9 TOPSAIL CIR r Cotuit , 018 - 096 C ti a TOWN OF BARNSTABLE LOCATION Q"Tpp Sa, C:rc1C. SEWAGE# ZZ 40 ,o p VILLAGE o•}u;i ASSESSOR'S MAP&PARCEL' �, $$ INSTALLER'S NAME&PHONE NO. �� 3 EXCg,/c�I t OA • y7'I. OG53 SEPTIC TANK CAPACITY /SOO LEACHING FACILITY:(type) S004a-1 3) (size) J 3 r 33 X 7- NO.OF BEDROOMS �{ OWNER C PERMIT DATE: 10• V7- ZO COMPLIANCE DATE: 2 6 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 Al- 3G '/o" �3t 37' Az- 31 ' 162• t4Z ' A3- %TZ REAR 63' G9 ' A A4' G 13y- '76'y B 3 0 /�� � No. ® � Q Fee 19�, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9ppfitatiou for Misposal 6pstem Construction Permit Application for a Permit to Construct Repair J Upgrade Abandon ❑Complete System Individual Components PP ( ) P ( ) PSr ( ) ( ) P Y ❑ P Location Address or Lot No. 9 To P5A6t C:,r,, Co}*.* Owner's Name,Address,and Tel.No. C,h er+c•rd d/V e.©c?6 Assessor's Map/ParcaL_M-T OO I q To So►-�l C,%r o1., Co}u;} Installer's Name,Address,and Tel.No. %i f6 rcx cowo or% Designer's Name,Address,and Tel.No. 9,n5.nt4ccnod Works 3*+4 R►ouiet, 13O Sowndw.(,\, SO8-q 1`7 01 C3 11. Wtzt- G(ossField Rd• ForeSW6,kQ, Sog•411•SSI T)rpe of Building: Dwelling No.of Bedrooms "1 Lot Size q3, 510, sq.ft. Garbage Grinder(No) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) qqo gpd Design flow provided 45y gpd Plan Date 912 3 17.0 Number of sheets Z Revision Date Title Size of Septic Tank 1000 1kon Type of S.A.S. (3) 500 �on Ghae.6trs Description of Soil ¢�JS Nature of Repairs or Alterations(Answer when applicable) InsVoAk ci•box and (3) 500 AoAkocts J.fa►C)^ GJNAMbc(_t 03nn¢rhk„)r JM PjLlStic►b IUdO eallon SIT 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 I Compliance has been issued by this Board of Health. Si Date 20 Application Approved by `/ Date 7 Application Disapproved by, Date for the following reasons^^� Permit No. l�z o— a go Date Issued z .... -�er,uz,..,. . '.r.. ,s�; .,... r.a tit .�+pt , ,� .a ;^^''-'► t e... _ - ti '�'""" , Fee Entered in com uter: THE COMMONWEALTH—O`F;�ASSACHUSETTS r v - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplicatlon for Misposal 6pstem Construction J)Prm t Application for a Permit to Construct( ) Repair(J) Upgrade( ) Abandon' ( ) ❑Complete System ❑Individual Components Location Address or Lot No. 'C'e�, c,.. C.,c c{ ,,1 Owner's Name,Address,and Tel.No. C h c+to r ck " dam'-0,?b Assessor's Map/Parce6 .1.j!._q,,, p Q t q TO p S 0, ; C, o� k Installer's Name,Address,and Tel.No. n 3(> 't-y c o.:,aA Designer's Name,Address,and Tel.No. 3}y Route ISO 50i?:' tt77 11 Cfo5srate co F,6. 5C2-till ,�'��K. - Type of Building: Dwelling No.of Bedrooms Lot Size t{ S C 1 sq.ft. Garbage Grinder(too) 5 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) qq) gpd Design flow provided gpd Plan Date 9121 1 2.( Number of sheets 2 Revision Date Title Size of Septic Tank Ip©(' nal!on TypeofS.A.S. (3) SUQ anitor, Description of Soil S;Q Mtn n P; Nature of Repairs or Alterations Answer when applicable)P ( PP ) `n',�aii �ar.11n��. tcnrl•,. C harr,hc rr'. -,,; .•`. ;^' � x J , Connec 10oo n.tAio, '�JT A• 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 t Compliance has been issued by this Board of Health. Signed t Date n I q� 9 G Application Approved by , - Date 10 f;a l�7A-7 Application Disapproved byZ Date v for the following reasons Permit No. 207.U 3 1-1 V Date Issued /0 _P q/7-V 7_/? THE COMMONWEALTH OF'MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( � Upgraded( ) Abandoned( )by ( 3 6 F-x r o yt,-k;o. I rn, . at a _7o e', t c 1 ( o{,;t has been constructed in accordance 1 with the provisions of Title 5 and the for Disposal System Construction Permit No.ZOM- �q dated it 1,2 1*-?, Installer Designer �cne,ne�rt ,� G lord t3#bedrooms Approved design flow y40 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. bw Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *Vstrm Construction i9ermit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at Q noses t C.,rct e (r-+u— 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 A Approved by Town of Barnstable. , Regulatory Services ��- Richard V.Scali,Interim Director opmSrA8t.0 _.. Public Health Division Ar an Thomas McKean,Director 200 Main Street,Hyannis,MA 0201 Office: 508-862-4644 Fax: 508-790-6304 i Installer&DesiZner Certification Form Date: is i41 Z6 Sewage Perimit# Q0070.3yU Assessor's MapTarcel O��O�(� � 60 � c -e r N C Designer: c ; a,� c sC Installer: CtAu0.` Address: )Z LtI: Cr ;�; e j�/ flat Add - l res s. `J� •7je.tlr%a-2 6'2Co On �L -2-7-Z� 'S Q sN' \tAle�as issued a permit to install a (date) (installer) septic system at C, 7f;-Yo S�' jr 4 ce- s, (address) based on a-design drawn by . ( . , btlG, J1�{ dated (designer) certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes.such as lateral relocation of the distribution box and/or septic tank_ Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes ( .e. greater than 1 0' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in ,with the terms of the 1\A approval letters(if applicable) t� taper's S Ina ) % N� 351fl9 (Designer's Signature) (Affix Design ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WII1L NOT BE ISSUED UNTIL BOTH THIS .FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU . W,Scptic=,resigner Certification Form Rev 3-14-13.doe Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backfifi.The engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling to specified grades with proper compaction and setting risersicovers as shown on the design plan. I Commonwealth of Massachusetts 018- 09(a-0 0 Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circlew Property Address Robert J Whalenw Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. City/Town State Zip Code Date of Inspection a; Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information S14 /33y�7 filling out forms on the computer, use only the tab Michael DiBuono key to move your Name of Inspector cursor-do not DiBuono Sewer And Drain use the return Company Name key. 35 Content Lane Company Address Cotuit Ma 02635 City/Town State Zip Code 508-364-9587 SI 13522 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 9/28/18 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V!%T 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every COtUIt Ma 02635 9/26/18 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 1.5.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 1000 Gallon septic tank as well as a concrete distribution box and a 6'x4' concrete leach pit. System showed,no signs of failure at time of inspection 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts -, Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityrrown State Zip Code Date of Inspection C. !Inspection Summary (cont.) 2) System Conditionally Passes (cont.): I❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. E❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): I 3) 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. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts IR Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component'due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ti 9 Topsail Circle u Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) '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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate yes or no for each of the following for all inspections. Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related'to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Citylrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d 152 Gpd 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Pumped at time of inspection Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 x Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is Cotuit Ma 02635 9/26/18 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Original to home Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): System is vented through the roof t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts i� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 i If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 411 Distance from bottom of scum to bottom of outlet tee or baffle 30" How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumped at time of inspection. Tank is sound and functioning as designed Tee's and or baffles in place 1 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owners Name information is Cotuit Ma 02635 9/26/18 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons I Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level with no signs of carry over 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owners Name information is Cotuit Ma 02635 9/26/18 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): !If SAS not located, explain why: Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts Ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 ,page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of ponding or break out 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i� . I t t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. 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 '.5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 9/28/2018 Assessing As-Built Cards ASSESSOR'S MAP NO. (-)I Y _PARCLL U`1(,� LOCATION SEWAGE PERM11 0 ®. e #� CIIzL��Lr�l��s f ��- -6;1 VILLAGE MSC. q r-- v ;'INSTAL ER'SSf— NAME A ADDRESS N 1 o� RUILDER OR 0 NER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �b/Id/,;6 boo aM http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=018096001,&seq=1 1/2 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high round water: 10+ Hand auger to 10 ft P g g 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) j❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Hand auger to 10 ft NGE Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 9 Topsail Circle Property Address Robert J Whalen Owner Owner's Name information is required for every Cotuit Ma 02635 9/26/18 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑ A. Inspector Information: Complete all fields in this section. ❑ B. Certification: Signed & Dated and 1, 2, 3, or checked ❑ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ❑ D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 ASSESSOR'S MAP NO. _PARCEL ® � T-JON � � SEWAGE PERMIT NQb� _ o sue. o f (® VILLAGE list. q 14INSTA L ER'S NAME . i ADDRESS 7 S U I L D E R OR 0 NER DATE PERMIT ISSUED zc- DATE COMPLIANCE ISSUED � b�r®�5;i6 X 1 OY 0 .Ss' aq 6 ........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------- .................. ........................Appliration for Di jimal Works Tonstrurtion Vvtrmit Application is hereby made,for a Permit to Construct or Repair an Individual Sewage Disposal System at: 47 .T...,Pj C I k-C ..................A-ii-t........................... . ................... le ........ ............. ............................................................. A;ldress or Lot No. ............... ..................... ................................................................................................. Ow ner Address 4....... Y. .... .....—IN- -ik --------------------------------- -------------------------------------------------------------------------------------------------- Installer Address Type of Building Size Lot__!yr3rr__X_V..Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder '_l I P4 Other—Type of Building ............................ No. of persons............................ Sh6wers Cafeteria Other fixtures ..............ajlons. Design Flow....................... ...:___.gallons-,,--'- '-_---p"e"r...pe,rson...i),er day. T...o,t'a"I---- i 1,y,...flow__.----,,----------------------------------------*-------*------------ WIt ---------------------- 9 Septic Tank—Liquid capacity/.9?Mgallons Length ...... Width!��OL'Diameter................ Depth-471 Disposal Trench—No. .................... Width.`................ Total Length.................... Total leaching area....................sq. f t. 4f Seepage Pit No-------I............ Diameterl:A� .P.." Depth below inlet_.4�..... Total leaching area..�_'/..sq. ft. Z Other Distribution box ( V-) Dosii3;tank Percolation Test Results Performed byA!!�--- Date.............. ...................... Test Pit No. 1................minutes per inch Depth of Test Pit... Wepth to ground water_. f14 Test Pit No. 2................minutes per inch Depth of Test Pit..............__.... Depth to ground water________................ P4 ........................................................................................................................................................... 0 Description of Soil.....9P—34 -7,0wr. ./ ,r............ ................................... ... .......... . ............................................................... 36 U ............................................................. ..............I..... ... .... ------------------- - ------------- .................................. ............................................................. -----------(, U Nature of Repairs or Alterations—Answer when applicable.................................................... ........................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribe Individual SSTagA-Blpposal System in ac rdan e with 5 of the State Sanitar The undersig rth ree ot to the provisions of`1T rdan� a The unde i e er ag s_n si�g r rs 0 -/1 be aXrd e operation until a Certificate of Compliance has be oard L Si ed.......A.. j... ............................I............3........................ Application Approved By.......................... .... ... ... ..... . ....................... ---------3142 at Application Disapproved for the followi reasons:................................................................................................................. ...........................................................................................................................................................------...................................... Date PermitNo......................................................... Issued....................................................... Date 8w. Fmc THE COMMONWEALTH OF MASSACHUSETTS BOARD S� OF HEALTH _.. _...C,. -Yl... ...OF....��.r�. .!.►. % ......................................... Appfiratfou for W ore Cann rnr i n anti Application is hereby made for a Permit to Construct ( �) or Repair ( ) an Individual Sewage Disposal System at: ^'(per 9 j ` --» --�- .»�. J s �i i t f.�::I.l_1 ....------.. �•-ems:: ..r........................................-----•-••-----....-----...........----•- �f ,�pcation-Address ��^�' or Lot No. •�-( E. ...'...__......,.,»,�t r.�.�f rr r._�C.l. ::.. _`^` ....................................................... ». Owner Address'" W ► Installer Address QType of Building :7 Size Lot.-z/-3....... cC.f...Sq. feet U Dwelling—No. of Bedrooms--------------2..........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures •-------------•-------------•------•--•-•------•-------------••--•..........------••... ............................................................. W Design Flow......................�.�.�.........gallons per person per day. Total daily flow.._.....___.__..�.-23__tcr-------------gallons. 1:4 Septic Tank—Liquid capacity/O.-&n.gallons Lengtb,P."l:_''_.. Widthe/`•,- .','Diameter................ Depth..S-!__.y.�! Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......I------------- Diameter.)..:.!__0."_ Depth below inlet.z/.':.Aa...... Total leaching area._Z,6.,�/...sq. ft. Z Other Distribution box (x) Dosing tank ( ) '-' Percolation Test Results Performed byc"�". /yl ;S Date...... l%�,1 3----------- a Test Pit No. 1.....�......mmutes per inch Depth of Test Pit... �pth to ground wraer. (�, Test Pit No. 2___.............minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------•--•-------•----••-•-----._....----------•...--•-------......--•--.........•............................................................ D Description of Soil ...... - a r: -- „ = zG ----- --j5r,--- .................................................................... - y _. . UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. •----------------•---------._......-------•----------------••--------------------------•-••-•--------------•-••--••---------- •-•--•-----•-••-•-•--- Agreement The undersigned agrees to install the aforedescribe�l Individual Sewa e sposal System ir. ac rdance with A. X ^ .,,A�°° the provisions of ly. E 5 of the State Sanitar de The undersi e urther agrees not to c he st in operation until a Certificate of Compliance has b i s eyd yt4, board h� t Sined.......................' ............................................ Date D Application Approved By............................... .....-� --•--•--------------- .2 at- .. O �) � Application Disapproved for the follow reasons:---------•------•--••-------•-----•----------•----- ----------------•-----•---....--•------•----•-----•.......- --•---------•-•-----------------•---••-••--•-------••--------------------------------.........-•----------•---...-•----....-•--------•-----........................................................... . Date PermitNo--------------------------------------------------------- IssuedL------------------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF.......... ...................................... Trrtifira r of fjlantpfiattrr THIS I CERTIFY, That the Individual Sewage Disposal System coAstructed ( ) or Repaired ( ) -by - `�/...: tit!J`+�� ._..*---------------------•-................................. ............................................... 7 'Installer^ _ at ('n — fit L=ate, has been installed in accordance with the provisions of TI TIE 5 of Th State Sanitary Code as des�ribed in the application for Disposal Works Construction Permit No._�0------ --. dated_.. _ G_._�-s?�........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C®NSTRII :AS A GUARANTEE THAT THE SYSTEM WILL FUN -TION SATISFACTORY. __TM - DATE.................I... -----------------------------•---- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH W(��................OF........ P� $C�..._........_._.,.................... /Fm Elhiposaf Wore Tnn#rnrtinn rrntit Permission is hereby granted------------- ��//---...----,�-�-� ---------------••--------•----------••-- •------------------- to Construct ! ) or Repair;( ) an Ind idfial Sewage Dispos-Y'System at No... �` .:... 4--•----_... . y ? 3 A h I Street as shown on the application for Disposal Works Construction Permit Dated-.___ �-2.4 [4............. ................................... --•----•--------------. a lard o ealth �^ DATE------! ...... ... " .......................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS AsBuilt Page 1 of 2 ASSESSOR'S MAP N0. ()jX ~ARUM V-i te \1 LOCATION SEWAGE PERMIT NO VILLAGE rsf, q v INSTAL eER'S NAME ADDRESS N o� I U I L D E R OR Z— - ER DATE PERMIT ISSUED Z6 .��� DAT E COMPLIANCE ISSUED � b//6t5;6 Bon aal r\ http://issgl2/intranet/propdata/prebuilt.aspx?mappar=018096001&seq=1 9/21/2018 LEGEND i. 1 ——44— — EXISTING CONTOUR _g x 40.98 EXISTING SPOT GRADE PROPOSED CONTOUR Dt I —W EXISTING WATER SVC. �� r TEST PIT BENCHMARK . n �O'9To0.4ail CirdeL j 27.4 LOCUS MAP CABLE 28.1 TEL o ELECT. Y L i of � i / S;7237'49»pA�EM�'v7' \—NATIEL BENCHMARK AP 150 00, E ' 28.8 EL. 28.83' 29.7 PARCA'L 096-4949Z / - N�F P T& 29.5 SCOTT D. & rLLSN N. JOArrS, TRS. RAI AG26.9 R x� 28.8 x 29.3 BENCHMARK 1 x BULKHEAD CORNER 93 EL.=29.73 i /A.C. 2z'3 i ,EXISTING / ( HOUSE #9 29.20 EXISTING SEPTIC TANK .F. 31.44 (TO REMAIN) TOP OF TANK, EL.=27.63+ 28.4 CO IN V.(OUT)=26.30� \ p EXISTING LEACH PIT. `y9 DECK TO BE PUMPED, FILLED WITH (� N �® n GARAGE ;.; :. :_'; ' ,'`>-, �1 29.1 SAND AND ABANDONED. p x 28.5 PAVERS SLAB 29.95 .p (p V. j 28.E nMBeRs PROP. x y� SCREEN I 0 26.2 Z �b�. PORCH ` �2 y28. P— ROP.:D r o -- DECK -..- '29.2 N 26.9 x27.7 28.8 X PAVEMENT -k ON �... 2 PROPOSED (� 18'x30' INGROUND .': ,:`:;.,. �o 4j N SWIMMING POOL ¢V 29.3/ PROPOSED S.A.S. //TP 26.7 OSFD pq,. 3-500 GALLON CHAMBERS / T/ " a� I o.. x �, / SURROUNDED W/4' STONE I / TP-3 A, \ pROaos �2 2e6`'Fr eN 29.3/ RESERVE AREA FOR PROPOSED POOL & \ BE ILDII E IMPROVEMENTS 1 ` LOT 1 PARCL'L 125-00f 43,561 f SF All F ' \ 14ff MAIN ST"TT, LLC 25.-1 x ` 1 1 \ 1 \ PARCIEL 99' �61$3, 9s' \\ ��� OF 414S NrlF f41 f RAIN x o PETER T. ST".rT, L L C 26.7 \ McENTEE \ v CIVIL No. 35109 I CB/DF�. ' FOUND x 22 OWNER OF RECORD 278 CHENARD, JONATHAN M & JULIE A 1014 WEST MOUNTAIN AVE. Ff. COLLINS, Co 80521 PARCEL ID: 018-096-001 Engineering by: SCALE DRAWN JOB. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=30' P.T.M. 262-20 12 West Crossfield Road, Forestdale, !MA 02644 DATE CHECKED SHEET NO. 9 TOPSAIL CIRCLE COTUIT MA (508) 477-5313 9/23/20 P.T.M. 1 of 2 Prepared for: COTUIT BAY DESIGN, 43 Brewster Rdt, Moshpee, MA 02649 1 NOTE: TO PREVENT BREAKOUT, THE PROPOSED SEPTIC TANK FINISH GRADE SHALL NOT BE <23.7 FOR A DISTANCE OF 15' AROUND THE INSTALL RISERS & COVERS .OVER INLET & PERIMETER OF THE S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISER & COVER INSTALL RISER & COVER OVER one CHAMBER AND T.O.F.=31.44t SET TO 6" OF GRADE SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT / F.G. EL.=28.4f F.G. EL.=28.3f F.G. EL.=27.0t F.G. EL.=27.0f L = 36' L = 23' 2" LAYER OF 1/8" TO 1/2" S=1% (MIN.) @ S=1% (MIN.) OUBLE WASHED STONE 4"SCH40 PVC 4"SCH40 PVC IJRD3/4' APPROVED FILTER FABRIC) 6" 10"1 " as O 9a 14" 2' EFF. BaBaaeaa TO 1-1 2" DOUBLE EXISTING 48" LIQUID DEPTH aaaaaaa WASHED STONE LEVEL 4' 4.8' 4' GAS BAFFLEFLE INV.=24.17ja B INV.=24.00 EFFECTIVE WIDTH INV.=26.30t 3 OUTLETS (field verify) H-20 INV.=23.20 EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 REQUIRED, H-20 RECOMMENDED r NOTES: TOP CONC. ELEV.=24.0f 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT ELEV.=23.70 INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=23.20 ease eases 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaaaaaaaaa aaaaaaaaaaa GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=21.20 INCH CRUSHED STONE BASE, AS SPECIFIED 4' 3 x 8.5' = 25.5 IN 310 CMR 15.221(2). EFFECTIVE LENGTH I -�J 4' OF NATURALLY OCCURRING PERVIOUS MATERIAL 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN.) ABOVE G.W. 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE LEACHING SYSTEM SECTION AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BOTTOM OF TEST PIT, EL.15.2 - SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL LOG OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. DATE: SEPTEMBER 18, 2020 (REF#TPT-20-189) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR SOIL EVALUATOR: PETER McENTEE PE(SE#1542) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT DESIGN ENGINEER. ELEy. TP-� DEPTH ELEy. TP-2 DEPTH 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 26.9 A 0" 26.9 A 0" ENGINEER BEFORE CONSTRUCTION CONTINUES. LOAMY SAND LOAMY SAND 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 26 10YR 4/2 10YR 4/2.1 loll 26.1 „ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SANDY LOAM SANDY LOAM THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 5/6 10YR 5/6 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 23.4 42" 23.6 L 40" 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. C C 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. PERC42"/60" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE MED. SAND MED. SAND DIRECTED BY THE APPROVING AUTHORITIES. 2.5Y 6/6 2.5Y 6/6 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTCR SHALL REMOVE ALL UNSUITABLE SOILS 15.4 138" 15.4 138" IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). PERC RATE <2 MIN/IN. "C" HORIZON 12. THIS PLAN IS TO BE .USED FOR. SEPTIC SYSTEM PURPOSES ONLY AND NO GROUNDWATER ENCOUNTERED IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 13.. PROPOSED POOL AND BUILDING IMPROVEMENTS ARE TAKEN FROM "SITE PLAN" FOR JONATHAN & JULIE CHENARD, 9 TOPSAIL CIRCLE, COTUIT, MA by WARWICK & ASSOCIATES, NORTH FALMOUTH, MA, DATED AUG 12, 2020. ELEV. TP-3 DEPTH ELEy. TP-4 DEPTH 26.7 A 0" 26.7 A 0" DESIGN CRITERIA L 0YR 4/2° 9„ 259 L 10YR OAMY 4/2° 25.9 10„ NUMBER OF BEDROOMS: 4, 3 EXISTING + 1 PROPOSED B SANDY LOAM BSANDY LOAM SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) 23.3 C IOYR 5/4 41" 23.2 G 10YR 5/4 42" ' DESIGN PERCOLATION RATE: <2 MIN/IN PERC DAILY FLOW: 440 GPD 42"/60" , DESIGN FLOW: 440 GPD GARBAGE GRINDER: NO-not allowed with design MED. SAND MED. SAND LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 2.5Y 6/6 2.5Y 6/6 .74 GPD/SF EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), .H-20 RATED 15.2 138" 15.2 138" USE 3-500 GALLON LEACHING CHAMBERS IN SERIES PERC RATE <2 MIN/IN. "C'` HORIZON SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES NO GROUNDWATER ENCOUNTERED SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. TOTAL AREA:.............................................................. 614.0 S.F. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. NTS P.T.M. 262-20 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. 9 TOPSAIL CIRCLE COTUIT MA ` (508) 477-5313 9/23/20 P.T.M. 2 of 2 Prepared for: COTUIT BAY DESIGN, 43 Brewster Rdt, Mashpee, MA 02649 i r 4 , 77 f• S EM PROFILE a NOT TO SCALE TOP FDN. FINISH ORADE �.C� "' FINISH GRADE OVER o: °° FINISH GRADE OVER DIST. BOX 9.7 FINISH GRADE OVER SEPTIC TANK g•?' LEACHING PI T .e:'.Q..o VARIES D`. Oo :o.o ;o. o' .o.:0 4 o e: a'' c '.: •o.:.o.;.:o::a;�.:b:o.:•; °; .o.,: •.e o. 3" OF ?/B" — ?/2 a 12" MAX b ..•. .•p.•o•:ea ., •,e;:.o:..•:e::••.. e. .e. •o:co.;o;o;a,..p PRECAST CONC. OR .;o•:A. :� e I ASHED PEA STONE :e,�,:Q,_,:o.:e,•�:.�. e:.e.—e.:n.e:.. BRICK d'i MORTAR OUTLET PIPE LEVEL ..: TO ?2" BELOW GRADE ° o 4 FOR 2 FT. MIN. e •�C. otO�s a'b:o.:o. .o .o;;•o ,•a•,o � �. 6 p o, o)TTL,�?� d } e:::l ° :..o•'•.j — o ti,.4:e:o.. o:o: :o b ':.GJ p e Do o'o�: C. I. OR PVC TEES ,. I.. o 'D •:o:::eQ .a o oo:'o °'••• °: a D: / o. 46.5�7 esMr. FLR. o o ,�. ► GALLON OlSTRIBUTION BOX EL .` ' I n e° a INSTALL ON LEVEL BASE ° o .01PRECAS T CONCRETE 3/4 TO s ?/2 PRECAST p P a,o DASHED 6. H- /O REINFoCE® I d 0. CRUSHED o CONCRETE °•o:o :0 ao, . o• o:: o :o:e'.q e.o•,o•,:o:a Q e . :.y ::6 0. o o:'o: STONE :b b.,o:•o.u,,o.o�.o:a p:o.o.o., o •o,•,e.o •o.a o.q'o'• .o..'o;. o b:a Q a, N- !® REINF. o O` D SEPTIC TANK INSTALL ON LEVEL BASE NOTE.' EXCAVATE TO ELEV. 8, OR Q :o; • o. ° 'o;moo °'• �' °' a � D'' o' D' rU LOWER TO REMOVE ALL IMPERVIOUS MA TERIAL BENEA TH THE L EACHING AREA REPLACE EXCA VA TED MA TERIAL WI TH CLEAN, CLAY FREE SAND EFFECTIVE DIAMETER GENERAL NOTES LEACHING PI T �-Q _ 1. ALL EL EVA TIONS SHOWN ARE BASED ON INSTALL ON LEVEL BASE �fl 2. ALL PIPES IN THE SYSTEM MUST BE CAS T IRON 0 0 / ... _ + OR SCHEDULE-4� PVC. O SER V TION PIT L o-T 3. THE BOARD OF HEAL TH MUST BE NOTIFIED 7' . -',.5 erg, WHEN CONSTRUCTION IS COMPLETE PRIOR TO BA CKFIL L ING PERCOLA TIQN RATE. 4. ANY ,CHANGES IN THIS :PLAN .MUST BE APPROVED MIN./IN. BY .THE...BOARD OF HEALTH AND CAPE 6 ISLANDS WI TNESSED B Y.• SURVEYING CO. INC. 77 CC 5. MATERIALS AND INSTALLA TION SHALL BE IN S COMPLIANCE'WITH `THE STATE SANITARY .T re BRD. OF HEALTH DESIGN T D A s CODE TI Ti!E V AND LOCAL APPLICABLE DATE: RULES AND REGULA TIONS s NUMBER OF BEDROOMS - p NORTH ARRON IS FROM RECORD PLANS AND TCaP (�I L P IS NOT TO BE USED FOR SOLAR PURPOSES - f GA RBA GE DISPOSAL h✓c0 1 00 GALLON .� OSES ,S���aiL p ECAST CONCRETE 7. FLOOD HAZARD ZONE � DAILY FLOW EPTIC TANK ; - 8. WA TER SUPPLY 7-0 .�° 'T" PRECAST CONCRETE �� " ' SEP TIC TANK REOJ D. 40 . , LEACHING PIT SEP T / 0 C.7,C, IC.. .TANK PROVIDED ,� LEA CHING `REQUIRED THERE ARE NO WELLS NITHIN 200 FT. OF THE PROPOSED LEACHING FACILITY S .��*"� IDEWALL AREA S.F. ✓' .� S.F.X .44 G/S.F. a .07 GPD r BOTTOM AREA _ �,/ S.F. , , -- - LEGEND 1 ' G/S.F. //. ' GPD 14 " IUD A L EACHIN PROVIDED GPD PROPOSED ELEVA TION -- �O —— EXISTING .CONTOUR SINGLE FA MIL Y RES.I DENCEp OBSERVA TION PIT 0 DISTRIBUTION BOX g � PROPOSED SE AGE DISPOSAL S YS TE .. " LEACHING PIT / PREPARED FOR ' 0 o SEPTIC TANK MC SHA NE CONSTRUCTION CO. , R 1 — r } l f' RESERVE - L 0 T ? TC7PSA IL C IRCL E .. .. BARNS T. ABLE CC1 TUI T MASS. _ PIPE INVERT ELEVA TION ..., . ... . a. . DA TE. ( � CAP • ,. : , �... •. , E & ISLANDS. SURVEYING INC. PLOT PLAN . .., SCALE A S NOTED SCALE. ? � � ��.�,»., f,. � P. O. BOX 334 .. G _ . _ : ND. ,. . . . . .,, CKET_ AS LAP SEC OT L . PLAN T , _ A